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FAMILY WELFARE PROGRAMME
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The Family Welfare Programme is implemented as a people’s programme involving the active co-operation of community at large to improve MCH Services. The success of family welfare programme in the State has been attributed to several factors including strong social and political commitment and good administrative back-up.
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As per 2001 census, the population of Tamil Nadu was 6.24 crores, with a decadal growth rate between 1991 and 2001 of 11.72 percent. This is the second lowest in the country. Tamil Nadu is the sixth most populous State in India. It accounts for 6 % of the country’s total population. The population of Tamil Nadu for 2005 is estimated as 6.5 crores. The demographic scenario of Tamil Nadu, is furnished below:
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1. |
Birth Rate (SRS 2002) |
18.5 / 1000 population |
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2. |
Death Rate (SRS 2002) |
7.7? / 1000 population |
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3. |
Infant Mortality Rate(SRS 2002) |
44?? / 1000 live births |
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4. |
Maternal Mortality Ratio (2004) |
1.1? / 1000 live births |
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5. |
Natural Growth Rate (Census 2001) |
1.08 percent |
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The following demographic goals have been fixed to be achieved at the end of Tenth Five Year Plan i.e. by 2007.
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1. |
Infant Mortality Rate |
30 / 1000 live Births |
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2. |
Birth Rate |
15 / 1000 Population |
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3. |
Maternal Mortality Ratio |
<1 / 1000 Live Births |
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4. |
Total Fertility Rate |
1.7 |
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5. |
Couple Protection Rate |
65 percent |
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6. |
Reduction of Higher Order Births |
10 percent per annum |
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7. |
Male participation in Contraception |
10 percent per annum |
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Family welfare and maternal and child health services are provided in Tamil Nadu through the following Centres.
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1. |
Post Partum Centres |
114 |
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2. |
Urban Family Welfare Centres |
?104 |
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3. |
Urban Health Posts |
?193 |
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4. |
Rural Family Welfare Centres |
?382 |
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5. |
Approved Nursing Homes |
????? 1365 |
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6. |
Voluntary Organisations |
??? 27 |
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??????????? The shares of various categories of institutions in performing sterilization in the State during 2004-05 is as follows.
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1. |
Government Institutions |
62.0% |
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2. |
Voluntary Organisations |
6.0% |
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3. |
Approved Private Nursing Homes |
23.1% |
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4. |
Local Bodies Institutions |
3.8% |
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5. |
Unapproved Nursing Homes |
5.1%. |
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Major thrust areas in implementation of Family Welfare Programme:
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a)????? Out of 11.5 lakh births occurring in the State every year, 18.9 % of the births are third or higher order births ( i.e.2.17 lakhs). To reach the goals fixed for 2007, these higher order births have to be reduced in a phased manner.
b)????? The IMR is 44 per 1000 live births. Among the infant deaths, nearly 70% are neo–natal deaths. If these neo–natal deaths are reduced, then our aim of reducing IMR to 30 per 1000 live births by 2007 will be achieved.
c)????? The involvement of elected panchayats, self help groups (SHGs), women’s associations and the non-government organizations (NGOs) will be enlisted to ensure the provision of family welfare services to the eligible couples.
d)????? Regarding No Scalpel Vasectomy (NSV) training, 2 master trainers and 1 district trainer are available in Tamil Nadu. Further, 68 trained doctors on NSV are also available in the State. To increase the male participation in family welfare programme, 12 NSV camps have been organized.
e)????? The district collectors have been requested to monitor the family welfare programme.
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The Government of Tamil Nadu have constituted a "State Commission on Population" under the Chairpersonship of Hon'ble Chief Minister of Tamil Nadu.? The Commission will review, monitor and give directions in the implementation of family welfare and maternal and child health programmes in this State with a view to meet the set goals.
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New Scheme for 2005- 06
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Provision of Double Puncture Laparoscopes to Government Medical College Hospitals at a total cost of Rs.50.00 Lakhs.??