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FAMILY WELFARE PROGRAMME
Tamil Nadu is the forerunner in the implementation of Family Welfare Programme all over the country. Family Welfare Programme is implemented as a peoples programme involving the active co-operation and participation of the community at large. The main aim of the programme is to bring down the fertility through improving maternal and child health care by bringing down Maternal and Infant Mortality Rate in the State. Under community needs Assessment Approach followed now the needs of the community have to be assessed based on the requirements of the people in the implementation of Family Welfare and Maternity Child Health Programmes.
Demographic Scenario:
??????????? The Demographic Scenario of Tamil Nadu compared with India is as follows
|
Sl. No. |
INDICATORS |
CURRENT LEVEL |
||
|
TAMIL NADU |
INDIA |
|||
|
1. |
Population |
6,24,05,679 |
102,70,15,247 |
|
|
2. |
Decennial Growth Rate (%) |
11.72 |
21.35 |
|
|
3. |
Sex Ratio (female per 1000 males) |
987 |
933 |
|
|
4. |
Density of population (per sq. K.M.) |
480 |
324 |
|
|
5. |
Percentage of Urban population |
44.04 |
27.78 |
|
|
6. |
Literacy Rate (%) |
Male |
82.33 |
75.85 |
|
Female |
64.55 |
54.16 |
||
Source: 2001 Census
|
7. |
Crude Birth Rate (per 1000 population) |
18.5 |
25.0 |
|
8. |
Crude Death Rate (per 1000 population) |
7.7 |
8.1 |
|
9. |
Infant Mortality Rate (per 1000 live births) |
44 |
64 |
|
10. |
Natural Growth Rate (%) |
1.08 |
1.69 |
Source: SRS 2002
The Infrastructure facilities under Family Welfare programme:-
The Family Welfare and Maternity & Child Health Services are provided to the Eligible couples in the state, both rural and urban areas, through the following Governmental, Voluntary and Private Medical Institutions.
|
1 |
Primary Health Centres |
1413 |
|
2 |
Health Sub-centres |
8682 |
|
3 |
Rural Family Welfare Centres |
382 |
|
4 |
Post Partum Centres |
118 |
|
5 |
Urban Family Welfare Centres |
101 |
|
6 |
Urban Health Posts |
198 |
|
7 |
Voluntary Organisations |
27 |
|
8 |
Private Approved Surgeries |
1308 |
The Directorate of Family Welfare is incharge of implementing the Family welfare Programme in this State. At the District level, the Deputy Director of Medical and Rural Health Services and Family welfare is implementing the Family welfare Programme with the co-ordination of Deputy Director of Health Services in the overall supervision of Joint Director of Health Services.
Impact of Family Welfare Programme:
|
1. |
Couple Protection Rate (as on 31st March 2003) |
50.3 % |
|
2. |
Sterilisation acceptors with two and less than two living children 2003-2004 |
67.8 % |
|
3. |
Percentage of Higher Order Births (2002) |
20.2 % |
|
4. |
Mean age at acceptance of sterilisation (2002-03) |
26.9 Years |
|
5. |
Mean number of living children to the sterilisation acceptors (2002-03) |
2.5 |
Physical performance:-
The district wise Performance on Family Welfare in Tamil Nadu for 2003-2004 is furnished below.
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ACHIEVEMENT UNDER FAMILY WELFARE PROGRAMME FOR 2003-2004
|
SI.No. |
District |
Sterilisation |
I.U.D. |
O.P.Users |
C.C.Users |
|
1 |
Chennai |
54402 |
55379 |
15477 |
32667 |
|
2 |
Coimbatore |
26218 |
23147 |
9386 |
13598 |
|
3 |
Cuddalore |
17096 |
18290 |
9250 |
11408 |
|
4 |
Dharmapuri |
20489 |
15753 |
8333 |
8037 |
|
5 |
Dindigul |
15380 |
14786 |
6275 |
6064 |
|
6 |
Erode |
17583 |
15696 |
6541 |
9300 |
|
7 |
Kancheepuram |
15879 |
13138 |
4714 |
5154 |
|
8 |
Kanyakumari |
10437 |
11273 |
5258 |
5263 |
|
9 |
Karur |
4775 |
7350 |
2947 |
2425 |
|
10 |
Madurai |
20255 |
19942 |
8276 |
10112 |
|
11 |
Nagapattinam |
6745 |
11912 |
4065 |
4336 |
|
12 |
Namakkal |
9286 |
11777 |
4272 |
6590 |
|
13 |
Perambalur |
6252 |
6817 |
2843 |
2633 |
|
14 |
Pudukkottai |
8311 |
12740 |
5009 |
5550 |
|
15 |
Ramanathapuram |
7607 |
8692 |
5404 |
5573 |
|
16 |
Salem |
23455 |
19051 |
5341 |
7569 |
|
17 |
Sivagangai |
7550 |
7247 |
4081 |
4858 |
|
18 |
Thanjavur |
14289 |
18254 |
7838 |
7251 |
|
19 |
The Nilgiris |
4750 |
4525 |
1194 |
1608 |
|
20 |
Theni |
8566 |
7131 |
2598 |
2598 |
|
21 |
Thiruchirapalli |
12088 |
14492 |
4130 |
3375 |
|
22 |
Thirunelveli |
18409 |
19569 |
7708 |
9341 |
|
23 |
Thiruvallur |
12096 |
11661 |
4806 |
5809 |
|
24 |
Thiruvannamalai |
16044 |
15938 |
5737 |
6185 |
|
25 |
Thiruvarur |
6955 |
10063 |
4444 |
4351 |
|
26 |
Thoothukudi |
10932 |
10732 |
5128 |
3849 |
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27 |
Vellore |
24739 |
18768 |
7847 |
8618 |
|
28 |
Villupuram |
16742 |
21227 |
7571 |
10621 |
|
29 |
Virudhunagar |
12120 |
12223 |
5343 |
6896 |
|
? |
Total |
429450 |
437573 |
171813 |
211636 |
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PERFORMANCE UNDER MEDICAL TERMINATION OF PREGNANCY
|
S.No. |
Name of the District? |
2003 - 2004 |
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|
No. of Institutions |
Performance |
||
|
1 |
Chennai |
94 |
13395 |
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2 |
Coimbatore |
49 |
? 2969 |
|
3 |
Cuddalore |
33 |
? 3815 |
|
4 |
Dharmapuri |
44 |
? 2590 |
|
5 |
Dindigul |
34 |
? 3882 |
|
6 |
Erode |
54 |
? 1661 |
|
7 |
Kancheepuram |
78 |
? 2093 |
|
8 |
Kanyakumari |
37 |
? 1542 |
|
9 |
Karur |
19 |
? 1308 |
|
10 |
Madurai |
66 |
? 3912 |
|
11 |
Nagapattinam |
18 |
?? 167 |
|
12 |
Namakkal |
19 |
?2609 |
|
13 |
Perambalur |
? 5 |
?? 418 |
|
14 |
Pudukkottai |
37 |
?1049 |
|
15 |
Ramanathapuram |
33 |
?? 731 |
|
16 |
Salem |
25 |
?6910 |
|
17 |
Sivagangai |
45 |
? 763 |
|
18 |
Thanjavur |
19 |
?2493 |
|
19 |
The Nilgiris |
9 |
? 684 |
|
20 |
Theni |
18 |
? 893 |
|
21 |
Thiruchirappalli |
37 |
?2706 |
|
22 |
Thirunelveli |
77 |
?3977 |
|
23 |
Thiruvallur |
52 |
?1375 |
|
24 |
Thiruvannamalai |
22 |
?1262 |
|
25 |
Thiruvarur |
18 |
?? 856 |
|
26 |
Thoothukudi |
27 |
? 1122 |
|
27 |
Vellore |
46 |
? 3046 |
|
28 |
Villupuram |
23 |
? 1945 |
|
29 |
Virudhunagar |
55 |
??? 858 |
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? |
Total |
1093 |
?71031 |
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Information, Education and Communication:
??????????? Govt. of India has released a sum of Rupees206.16 lakhs for implementation of IEC/BCC (Behaviour Change Communication) activities in Tamil Nadu for the year
2003-2004.? Based on the allocation of funds by the Govt. of India it has been decided to spend/proposed to be spend as follows:
|
Activities |
Rs. in Lakhs |
|
1. District Level activities |
94.70 |
|
2. State Level activities |
111.46 |
??????????? Under District level activities the amount is apportioned for Maintaining MSS and other IEC activities, Observance of World Population Day in all the Districts, Local BCC in Rural and Urban areas.? Following is the action Plan for State Level IEC.
|
S.No. |
Details of activities |
Allotted amounts in Lakhs (Rupees) |
|
1. |
For dissemination of FW & RCH Messages through Prasar Bharathi, Private |
40.00 |
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2. |
For settlement of pending bills for the dissemination of FW & RCH messages during the period from March03 to October03 |
20.00 |
|
3. |
For capacity building on BCC activities through Regional family Welfare Training centres |
10.00 |
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4. |
For participating in Exhibitions at State & District levels |
?5.00 |
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5. |
For organising Workshops, Seminars and Conferences etc. at State & Dist. Levels |
?5.00 |
|
6. |
For having observed World Population day on 11.7.03 |
? 2.46 |
|
7. |
For dissemination of Family Welfare & RCH Messages through traditional Media like drama, Folk songs etc. |
10.00 |
|
8. |
For creation of Proto type danglers table top calendars conversion of VHS into CD and Purchase of VCD/Players printed materials etc. |
11.00 |
|
9. |
For Evaluation of IEC activities |
?3.00 |
|
10. |
Miscellaneous |
?5.00 |
|
? |
Total |
???? 111.46 |
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FAMILY WELFARE PROGRAMME - OBJECTIVE CLASSIFICATION
???????????????????????????????????????????????????????????????????????????????????????????? (Rs. In thousands)
|
Sl.No |
Details |
Actual 2002-2003 |
Budget Estimate 2003-2004 |
Revised Estimate |
|
? |
STATE PLAN |
? |
? |
? |
|
01 |
Salaries |
267725 |
16 |
81528 |
|
03 |
D.A |
115690 |
2 |
38586 |
|
04 |
Travel Expenses |
8900 |
4 |
402 |
|
05 |
Office Expenses |
1963 |
4 |
558 |
|
06 |
Rent Rates&Taxes |
- |
- |
- |
|
08 |
Advertising |
- |
- |
- |
|
09 |
Grants-in Aid |
95239 |
92239 |
92239 |
|
10 |
Insurance Premium |
- |
- |
6300 |
|
17 |
Minor works |
50 |
- |
0 |
|
19 |
Machinery and Equipments |
119 |
2501 |
2501 |
|
21 |
Maintenance of functional vehicles |
679 |
2 |
220 |
|
33 |
Payments for Professional and Special Services |
- |
- |
4 |
|
42 |
Service Commitment Charges |
2940 |
- |
- |
|
45 |
Petrol oil & Lubricants |
3723 |
2 |
1446 |
|
46 |
Clothing,Tentage & Stores |
365 |
2 |
136 |
|
49 |
Festival Advances |
- |
2 |
860 |
|
51 |
Compensation |
- |
- |
44 |
|
59 |
Prizes and Awards |
5 |
2 |
5 |
|
66 |
Medicines |
6125 |
6125 |
6125 |
|
72 |
Training |
101 |
- |
- |
|
76 |
Purchase |
- |
- |
- |
|
77 |
Deduct Recoveries |
- |
-2 |
-860 |
|
? |
Total |
503624 |
100899 |
230094 |
FAMILY WELFARE PROGRAMME - OBJECTIVE CLASSIFICATION
(Rs. In thousands)
Sl.No |
Details |
Actual 2002-2003 |
Budget Estimate 2003-2004 |
Revised Estimate |
|
? |
CENTRALLY SPONSORED |
? |
? |
? |
|
01 |
Salaries |
48879 |
72590 |
53811 |
|
03 |
D.A |
20734 |
40653 |
24835 |
|
04 |
Travel Expenses |
2174 |
2314 |
2316 |
|
05 |
Office Expenses |
2565 |
2943 |
3095 |
|
06 |
Rent Rates&Taxes |
471 |
560 |
560 |
|
08 |
Advertising |
7433 |
1 |
20829 |
|
09 |
Grants-in-aid |
111264 |
138300 |
138300 |
|
10 |
Contribution |
3755 |
4500 |
4500 |
|
19 |
Machinery and Equipments |
0 |
0 |
0 |
|
21 |
Maintenance of functional vehicles |
215 |
330 |
330 |
|
24 |
Materials & Supplies |
55115 |
50000 |
50000 |
|
33 |
Payments for Professional and Special Services |
154 |
35 |
35 |
|
42 |
Service or Commitment Charges |
885 |
2 |
26 |
|
45 |
Petrol oil & Lubricants |
2419 |
2677 |
2846 |
|
46 |
Clothing, Tentage & Stores |
330 |
145 |
142 |
|
49 |
Festival Advances |
0 |
682 |
679 |
|
51 |
Compensation |
86313 |
124154 |
124230 |
|
59 |
Prizes and Awards |
3 |
27 |
27 |
|
66 |
Medicines |
45981 |
132678 |
97126 |
|
67 |
Diet charges |
0 |
0 |
0 |
|
72 |
Training |
0 |
0 |
0 |
|
73 |
Transport charges |
0 |
0 |
0 |
|
77 |
Deduct Recoveries |
0 |
-682 |
-679 |
|
? |
Total |
388690 |
571909 |
523008 |
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