HEALTH & FAMILY WELFARE DEPARTMENT HIMACHAL PRADESH ANNUAL REPORT ON THE WORKING OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969

Transcription

1 FOR OFFICE USE ONLY HEALTH & FAMILY WELFARE DEPARTMENT HIMACHAL PRADESH ANNUAL REPORT ON THE WORKING OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 & STATISTICAL REPORT FOR THE YEAR 2012 OFFICE OF THE CHIEF REGISTRAR (BIRTHS & DEATHS) & DIRECTOR OF HEALTH SERVICES, HIMACHAL PRADESH SWASTHYA BHAWAN, KASUMPTI, SHIMLA

2 PREFACE Vital records are the records of events recorded as part of a Civil Registration System, such as live births, deaths, foetal deaths, marriages, divorces and other related occurrences, like adoptions and legitimations. The records generated as per the requirements of the civil registration process have two main uses. Firstly, it has importance as legal records, documenting the facts surrounding each registered vital event. Each vital record has an intrinsic importance of its own. Secondly, the records may be aggregated to form a body of vital statistics which collectively convey important information about the persons described in the statistics in summary form. For individuals, civil registration records of birth - provide legal proof of identity and civil status, including name, age, parentage, place of birth and nationality. These records in turn affect a wide variety of rights to which an individual may be entitled especially rights dependent on age, citizenship, or ancestry for inheritance purpose. Death records provide legal evidence relevant to claims to inheritance of property, insurance claims, obtaining a probate or succession, releasing gratuity, provident fund claims and deleting name from ration card, voters list, family registers etc. Records documenting individual vital event serve many administrative purposes. Births records facilitate public health activities, such as postnatal care of mothers and infants, infant & child immunization and infant feeding programmes. Death records are also used to identify specific infectious diseases requiring public health follow-up. Such data helps in assessing the effectiveness of public health programme and provide feedback to planners for making future policy. Further, cause specific mortality rates are key indicators of health trends in the population and are provided on scientific basis by the systems of certification of cause of death. (ii)

3 There are a number of scientific uses for individual vital records. These may be used to provide documented data, such as birth weight or gestational age, for longitudinal studies of cohorts of infants, or may provide cases of persons dying of specific diseases for retrospective investigations into health habits prior to death. The aggregation of information taken from individual civil registration documents produce a body of summary data or vital statistics. The statistics are used in- many ways to depict selected characteristics of the population from which they were derived. The data are essential for measuring levels and trends of population size, structure and geographic distribution. In combination with periodic census data, population projections based on these statistics are an essential component of the planning process for economic and social development. Trends in mortality by age, sex and cause of death are key indicators of health and disease in a population. Information about the relative impact of specific disease on mortality can serve to direct priorities for the prevention, treatment or research for those conditions. Data about live births, foetal deaths and infant deaths are essential for programme for prenatal and post-natal care of women, and for infant survival and growth. Vital statistics are also used for administrative planning in other areas, such as housing, education, social security and insurance. Planning for production of consumer goods and services often takes vital statistics data into consideration. Vital statistics are important at the international level for providing tools for evaluation of differences between countries and regions of the world, and for monitoring changes in many demographic characteristics that reflect changes in social, economic and political conditions. (iii)

4 With the strenuous efforts of the Department and Co-operation of sister departments such as Rural Integrated & Panchayati Raj, Urban development & Women and Child Development Department etc. the registration level of vital events for the year 2012 has improved in the state which is evident as mentioned below:- REGISTRATION OF BIRTHS DURING Est. mid-year Population of State of Birth Rate (SRS 2011) Expected Births as per (SRS 2011 Birth Rate) Births Registered with registrars Registration level Birth Rate as per registered births under CRS REGISTRATION OF DEATHS DURING Death Rate (SRS 2011) Expected Deaths as per (SRS 2011 Death Rate) Deaths Registered with registrars Registration level Death Rate as per registered deaths under CRS 6.34 SEX RATIO AT BIRTH 1. Total Males Live-births Registered during Total Females Live births Registered during Sex Ratio (at birth) Vital records which are legal documents are indispensable for individuals are preserved permanently. It can be presented to others for a wide variety of use as proof of age, for school entry purpose, proof of place of birth for passport and other benefits etc. Sd/- (Dr. KULBHUSHAN SOOD) Chief Registrar (Births & Deaths) Himachal Pradesh (iv)

5 ANNUAL REPORT ON THE W0RKING OF THE REGISTRATION OF BIRTHS AND DEATHS ACT, 1969, FOR THE YEAR 2012 A civil registration and vital statistics system serves many needs. The registration of vital events, namely the recording of the facts associated with live births, deaths, foetal deaths, marriages, divorces and related occurrences, is important enough to justify governmental requirement for a mandatory system. Collectively, the vital statistics derived from the aggregation of individual records provides the tools for the demographic analysis needed for economic and social planning and development, including rates, trends of population growth and distribution. There has been in recent years an increasing interest in adding more items to the civil registration documents are no longer seen as simple what addition, health-related items are commonly added to birth records or to additional statistical reports completed in conjunction with the birth record. Such health-related items typically include measures of birth weight, gestational age, age of parents congenital malformations noted at birth etc. Similarly, in collecting death for an individual; administration, countries wish to know not only the diseases or injury causing the death but also health hazards or lifestyle, such as smoking or obesity, which may have caused or contributed to the cause of death. To develop alternative, collection system to provide needed information in such topics as fertility, infant mortality, overall mortality, life expectancy and the impact of specific acute or chronic diseases, certain data of a personal nature is the basic requirements of civil registration have been included in registration format.

6 Civil Registration provides high quality information on births & deaths. This information is used extensively for monitoring the size and composition of the population and in making projections of the health and circumstances of people s lives. It enables a picture of the changing patterns and trends at local and national level. All the Vital events are registered with the Local Registrars (Births and Deaths) free of cost and a certificate is also issued free of cost under section 12 of the RBD Act, It is the primary duty of the head of the house-hold/incharge of the hospital/institution to get the vital event registered. Keeping in view the difficult terrain, topography, geophysical conditions of the state all the Panchayat Secretaries/Sahayaks of the Gram Panchayats have been notified as the Local Registrar in the rural areas so that people can easily get the vital events registered. AREA & ADMINISTRATION DIVISIONS The area of the State is Sq Kms with estimated population (Mid ) to be The State is divided into 3 Divisions, 12 districts, 53 Sub-Divisions, 78 blocks, 56 Urban Registration Centres and 3243 Gram Panchayats having inhabited Villages. The registration of births was first introduced in the Central Province followed by Punjab, Bihar, and Orissa. The Births, Deaths and Marriages registration act (1886) was enacted during the British period but it was not mandatory to get vital events registered. Registration of births is the State s first acknowledgement of a child s existence and his identity, also significant for individual as well as for the nation. In the absence of a sound registration system, it is difficult to assess the number of persons living in a country and so the concerned authorities may have no idea about the basic requirements of the new-born. An effective system of births registration is fundamental not only to the meet the child s rights but also for the functioning of Government and

7 implementation of the National Health Programmes and other social welfare activities. The Registration of Births and Deaths Act, 1969 was introduced to: a) Bring uniformity in the existing system of registration, the act was enforced in the state in April, b) All the vital events are to be registered within 21 days of its occurrence. c) The vital events are to be registered at the place of occurrence. d) Head of house hold/institutions where the vital event has taken place will be responsible for the registration of vital event with the concerned local registrar. REGISTRATION AREA Presently, there are 3243 rural registration centres and 56 urban registration centres. The entire State has been covered under Registration of Births & Deaths Act, 1969 as well as Revised HP Registration of Births & Deaths Rules, POPULATION PROFILE The State has a population of 68,64,602 (2011 census), density of population is 123 persons per Sq. Km. The highest density 407 is in Hamirpur district and the lowest 2 in district Lahaul & Spiti district. The Decennial Growth Rate between was % as compared to National figures of 17.69% for the same period. District Una has recorded highest growth rate followed by Solan, Sirmaur & Kullu. The growth has been lower than the State average in the remaining districts. The population of the state constitutes 0.57% of the India s population.

8 DEMOGRAPHIC TRENDS IN HIMACHAL PRADESH ( Census) Census year Population Growth rate Sex-ratio Density ,920,294 (0.81) ,896,944 (0.75) ,928,206 (0.77) ,029,113 (0.73) ,263,245 (0.71) ,385,981 (0.66) ,812,463 (0.64) ,460,434 (0.63) ,280,818 (0.62) ,170,877 (0.61) ,077,900 (0.59) ,8,64,602 (0.57) The information in the brackets is the percentage population of Himachal Pradesh vis-à-vis India. RURAL URBAN DISTRIBUTION The majority of population is rural (89.97%). Most of the villages are small dwelling with population less than 500 (81.5%). Only five villages have population more than During the year under report births and Deaths were registered with the local registrars. The Birth Rate as per the registered births with the local registrars is 18.3 and Death Rate 6.3. TRIBAL POPULATION Himachal Pradesh has a large area under tribal belt, which covers two districts of Lahaul & Spiti and Kinnaur also Bharmaur and Pangi Development Blocks of Chamba district. Geographically, about half of

9 the area of the State is covered under tribal belt. The Tribal of the State is 3.92 Lakhs which is 5.71 percent of the total population of the State as per 2011 census. SEX RATIO The sex ratio is 972 females per 1000 males, as per 2011(Census). District Hamirpur has sex ratio of 1095 female per 1000 males. Males and Females born during the year 2012 have been reflected for each registration unit separately. The sex ratio at Birth is closely monitored at all levels. During the year 2012, the total males registered were and females thereby giving sex ratio at birth 916. The Panchayat-wise, block-wise and district wise sex ratio at birth has been reflected in subsequent tables. Items RURAL URBAN TOTAL Male Female Total Male Female Total Male Female Total Births Deaths REGISTRATION HIERRARCHY The Registration of Births and Deaths Act, 1969 was implemented in Himachal Pradesh 1 st April, 1978 to get all the events registered with the local registrars. The Director of Health Services, Himachal Pradesh is the Chief Registrar of Births and Deaths in the State. The Chief Registrar (Births and Deaths) works under the guidance of Registrar General India the Central authority for the Registration of Births and Deaths at the National Level. The Chief Medical Officer of the District functions as the District Registrar of Births and Deaths of the District. The District Health Officer (Medical Officer of Health) assists the District Registrar (B&D) in

10 discharging the duties of registration of vital events, as Additional District Registrar (B&D). At the peripheral level, registrations of Births and Deaths in respect of Rural and Urban Areas have been bifurcated. In Urban Areas the Executive Officer of Nagar Parishad, Nagar Panchayat, Cantonment Boards, Secretaries of Nagar Panchayats, Corporation Health Officer of Municipal Corporation Shimla act as local registrar. In Rural areas, the Block Development Officer is the Specified Officer of the Development block. He is responsible for the implementation of the Act in his block. Panchayat Secretary of the Gram Panchayat and Panchayat Sahayak are the local Registrar for the respective Gram Panchayat. The Panchayat Sahayak has been assigned the duties of registration of vital events where the Panchayat Secretary is not available. These local registrars are further assisted by the Health Workers (M&F) of the Health Department and Traditional Birth Attendants (TBAs). These categories of staff have been notified as Notifier under RBD Act, ADMINISTRATIVE SET-UP & REGISTRATION HIERRARCHY Director of Health Services as Chief Registrar of Births & Deaths Chief Medical Officer of the district as District Registrar of Births & Deaths Urban Areas Executive Officer, Cantonment Board & Nagar Parishad Secretary, Nagar Panchayat and Health Officer, Municipal Corporation, Shimla Rural Areas Block Development Officer as Specified Officer of the block Panchayat Level Panchayat Secretary/Panchayat Sahayak of Gram Panchayat as Local Registrars

11 NOTIFIER SYSTEM Recognizing the general apathy of the public towards registration of Births and Deaths and also the organizational deficiencies in administrating the registration system, section 10(I) of the act has specified certain categories of persons as "Notifiers" to assist the local registrar. Himachal Pradesh Govt. have issued necessary notification under this sub-section specifying all Trained Birth Attendants, (TBAs) Health Workers (Male/Female), Health Guides, Chowkidars as Notifier under the Act. REGISTRATION AT PANCHAYAT LEVEL Registration of Vital Events in form No.1 (Birth), Form No. 2 (Deaths) is carried out in the Panchayat. The information of all vital events is collected at Panchayat HQ in rural areas. The Legal part is retained there whereas the statistical part is submitted to Block Development Officer every month for onward submission to the Chief Registrar (B&D). Monthly monitoring on the receipt of information from all the reporting units of the State is done at State HQ. PRINTING OF FORMS & REGISTERS Registration process requires a number of forms/registers. Timely printing/ supply of these forms is ensured to all local registrars. The printed forms/registers are supplied to all the Registrars through District Registrars. Sufficient stationery is made available to Rural/ Urban units well in advance before 1 st January. INTER DEPARTMENTAL CO-ORDINATION COMMITTEE MEETINGS Govt. of Himachal Pradesh have constituted Inter-Departmental Coordination Committees at State, district and block levels with the standing instructions to hold committee meetings frequently.

12 IEC Rs. 5,56,050 lacs was provided by Registrar General India for wide publicity on Registration of Births and Deaths Calendars with birth and death message were printed out and distributed to all Districts in HP for further distribution to all the Registration Units (Rural & Urban) in the State Flex & Wooden Board bearing the massage on Births and deaths registration were also printed out in districts Bilaspur, Hamirpur, Mandi, Kullu, Solan and Principal, Dr. RPMC & Hospital, Tanda District Kangra and distributed in all the Hospitals, Maternity Home and Delivery Centres showing the message of the importance of births and Deaths registration. PRESERVATION AND MAINTENANCE OF RECORD Rs. 11,13,400/- Lacs was provided for binding of Birth and Death Registers and purchase of 20 Steel Almirahs. The binding work of birth and death registers of some registration units is carried out in all the districts in the State (Except Kinnaur, & L & Spiti). 20 Steel Almirahs have been purchased in districts Bilaspur, Kullu, Una, Shimla, Sirmaur and Hamirpur for the preservation and maintenance of Civil Registration record. TRAINING One day Training of Trainer (TOT) programme for Additional District Registrars and personnel associated with Civil Registration work was organized at State Health & Family Welfare Training Centre Parimahal Shimla and 37 trainees were participated in the TOT for further training to block level functionaries under Civil Registration System. One day Re-orientation training for the local registrars was also organized at all blocks of Kullu district and two blocks of Solan district. One day Orientation Training to Medical Officers and Coders

13 was also organized in the State and Districts to impart training under Medical Certification of Cause of Death (MCCD) scheme for Medical Officers and Coders. 508 Medical Officers/coders have been participated/trained in this Scheme. MEDICAL CERTIFICATION OF CAUSE OF DEATH It has been provided in section 10 of RBD Act, 1969 that the institution where indoor medical facilities are available should issue a Certificate with cause of death. In Himachal Pradesh, this scheme of Medical Certification of Cause of Death (MCCD) is in operation in all the Govt. Hospitals and Community Health Centres. Incharges of the hospitals/chcs in the state has been requested to follow the instructions/guidelines issued by Registrar General India from time to time. Year Level of Registration of Births and Deaths in HP ( ) Pop. In,000 (Mid) Registered with registrars Rates as per Registered events Death Rate Rate SRS Estimate Registration level Births Deaths Birth Birth Death Births Deaths Rate Rate

14 DELAYED REGISTRATION (RURAL & URBAN) The provisions for registration of events, which are not registered within prescribed time limit is made under section 13 of RBD Act, In Himachal Pradesh every event is to be registered within 21 days of its occurrence. The procedure to be followed for delayed registration of events is as under:- Period (a) Any event to be registered after 21 days but within 30 days of its occurrence. (b) Any birth or death event, which is to be registered after 30 days but within one year of its occurrence. (c) Any birth after one year till (d) Any Births & Deaths event prior to Procedure for Registration On payment of Rs. 2/- as late fee the event can be registered with local registrar. Registrar can register the events with late fee of Rs.5/- (Rs. Five only) with the approval of District Registrar (B&D after completing all codal formalities. Registration can be done with the permission of District Registrar (B&D) after completing codal formalities. (i) (ii) Affidavit by applicant. Two affidavits from credible person of the area. (iii) Non availability Certificate from concerned Panchayat Secretary/ District Registrar. (iv) Educational Certificate (if any). Matriculation Certificate, School Leaving Certificate or any other document supporting age proof for the satisfaction of District Registrar. (v) Late Fee Rs. 10/-. (i) All above mentioned documents in Column (c) with the permission of Chief Registrar (B&D). (ii) Affidavit by applicant and affidavits from two other known persons of the area. (iii) Late fee of Rs. 10/-.

15 The monthly report received from the registration units have compiled in this directorate and detail registered evens is as follows: Year-wise Registration B I R T H S D E A T H S Sex Ratio Males Females Males Females at birth GENERAL RESPONSE OF THE PUBLIC TOWARDS ACT The registration of Births & Deaths is not for the State of Himachal Pradesh. The people are very conscious to get the events registered

16 occurred even before the implementation of Act. However, some new provisions have also been made. 1. It has been made mandatory to issue free certificate (u/s 12). 2. Inspection of the offices of Local Registrars. 3. Training of Panchayat/MC/NAC Secretaries. DIFFICULTIES ENCOUNTERED IN THE IMPLEMENTATION OF THIS ACT Since the Act is implemented at grass-root level by the panchayat and thereafter by Block Development Officer, It was noticed that some of the Panchayats are not sending the monthly reports regularly. With active co-operation of Rural Development and Panchayati Raj Department, the numbers of non-reporting units have been minimized. However, it is expected that BDO should monitor the registration and reporting of vital events of each panchayat every month in monthly meetings in order to ensure cent-percent registration of vital events. Due to shortage of staff engaged for Civil Registration work difficulties are being faced for regular monitoring, field visit of registration units and imparting re-orientation training to the functionaries working at various levels. The staff strength at state headquarter is also decreasing due to attaining the age of superannuation and there is ban on the filling-up vacant post which is also hampering the effective monitoring work.

17 STATISTICAL TABLES Table - 1 Page - 1 Priority - 1 VITAL STATISTICS BY DISTRICTS 2012 (Rural) District Population 2012 census Number of Registration Unit Number of monthly returns due Number of monthly returns NR Estimated Mid-year Pop. Total 2012 Adjusted for incomplete Bilaspur Chamba Hamirpur Kangra Kinnaur Kullu L & Spiti Mandi Shimla Sirmaur Solan Una HP

18 Table - 1 Page-2 Priority-1 VITAL STATISTICS BY DISTRICTS 2012 (Urban) District Population 2012 census Number of Registration Unit Number of monthly returns due Number of monthly returns NR Estimated Mid-year Pop. Total Adjusted for 2012 incomplete Bilaspur Chamba Hamirpur Kangra Kinnaur Kullu L & Spiti Mandi Shimla Sirmaur Solan Una HP

19 Table-2 Page 3 Priority-1 VITAL STATISTICS BY SEX 2012 (Rural) District Live Births Deaths Infant Deaths Still Maternal Births Deaths Male Female Total Male Female Total Male Female Total Male Female Total Bilaspur Chamba Hamirpur Kangra Kinnaur Kullu L & Spiti Mandi Shimla Sirmaur Solan Una HP

20 Table-2 Page-4 Priority-1 VITAL STATISTICS BY SEX 2012 (Urban) District Live Births Deaths Infant Deaths Maternal Still Births Male Female Total Male Female Total Male Female Total Deaths Male Female Total Bilaspur Chamba Hamirpur Kangra Kinnaur Kullu L & Spiti Mandi Shimla Sirmaur Solan Una HP

21 Table-2 Page-5 Priority-1 VITAL RATES BY DISTRICTS 2012 RURAL URBAN DISTRICT Birth Rate Death Rate Infant Death Birth Rate Death rate Inf.Death Rate Bilaspur Chamba Hamirpur Kangra Kinnaur Kullu L & Spiti Mandi Shimla Shimla MC Sirmaur Solan Una HP

22 Table-4 Page-6 Priority-1 Vital statistics for town with population 30,000 and above 2012 Municipal Corporation Shimla Number of Vital Events Vital Rates Town Population last census 2012 Estimated Mid-year Population Pop. Adjusted for incomplete receipt of Returns live births Deaths Infants Death Maternal Deaths Birth Rate Death Rate Inf. Deaths Rate Maternal Death Rate M.C. Shimla

23 Table-4 Page-7 Priority-1 NUMBER OF LIVE BIRTHS BY TYPE OF ATTENTION AT DELIVERY 2012 Rural/Urban Institutional Government Type of Attention at Delivery Private & Non Govt. Doctor, Nurse and Trained Midwife Traditional Birth Attendant Relatives & Others Not Stated Total Rural Urban (i) Town with Population One Lacs and above. (ii) All Other Urban Area Total

24 Table-6 Page 8 Priority-1 DEATH BY TYPE OF MEDICAL ATTENTION RECEIVED 2012 Rural/Urban Institution Domiciliary Qualified Medical Practioner allopathy Qualified Medical Practioner other system Others Specify NA Total Rural Urban (i) Town with Population One Lac and above (ii) All Other Urban Area Total

25 Table-7 Page-9 Priority-1 DEATH BY AGE AND SEX 2012 Age Groups (RURAL/URBAN) Rural Urban Combined Total Male Female Total Male Female Total Male Female Total <1 Year Years Years Years Years years years Years Years & above Age not stated Total

26 Table-8 Page-10 Priority-1 DEATH BY CAUSE MEDICALLY CERTIFIED OR OTHERWISE 2012 Name of Disease Rural Urban Total Rural+Urban Male Female Total Male Female Total Male Female Total Cholera Food Poisoning Malaria Influenja Typhoid Measles Gastroenteritis & Diarrhoea Dysentery Peptic or Gastric Ulcer Aqute abdomen Jaundice Chicken-Pox Burn Leprosy Tetanus Poliomyelitis Mental Disease Cancer Diabetes Hyperplasia of Prostate Urnemia Obstructed Hernia Tuberclosis Bronchitis & asthma Phenominia Wooping Cough Paralysis Meningitis Accident(all) Anaemia other thanp.women Heart Attack Congestive & Other Heart Dis Cirrhosis & Chronic Lever Bites/Sting of various insects Rabbis Abortion Toxemia Anaemia of Pregnancy Bleeding of Preg. & Mal position of child leading to death of mother Others Disease Total

27 Table-10 Page-12 Priority-2 VITAL STATISTICS BY RELIGION 2012 District Population (RURAL AND URBAN) Hindus Muslims Christians Others All Religions Live Births Deaths Population Live Births Deaths Population Live Births Deaths Population Live Births Deaths Population Bilaspur Chamba Hamirpur Kangra Kinnaur Kullu L & Spiti Mandi Shimla Sirmaur Solan Una HP Live Births Deaths

28 Table-11 Page-13 Priority-2 VITAL STATISTICS BY MONTH AND SEX 2012 Number of live Births Number of Deaths Infants Deaths Districts Rural Urban Total Rural Urban Total Rural Urban Total Total Male Total Male Total Male Total Male Total Male Total Male Total Male Total Male Total Male January February March April May June July August September October November December Total

29 Table-12 Page-14 Priority-2 LIVE BIRTH BY BIRTH ORDER & AGE OF MOTHER 2012 (RURAL) Birth Order Age of mother < & above Age NS All ages Above Not stated Total

30 Table-12 Page-15 Priority-2 LIVE BIRTH BY BIRTH ORDER & AGE OF MOTHER 2012 (URBAN) Birth Order Age of mother > &above Age NS All ages Above NS Total

31 Table-12 Page-16 Priority-2 LIVE BIRTH BY BIRTH ORDER AND AGE OF MOTHER 2012 (iii) Individual cities/towns with population 1,00,000 and above Birth Order Age of mother < &above Age NS All ages Above Not stated Total

32 Table-13 Page-17 Priority-2 LIVE BIRTH BY BIRTH ORDER AND LITERACY OF MOTHER 2012 (RURAL) Level of Literacy Literate NA Total Birth Order Illiterate <Matric Matric+2 Graduate Above Not stated Total

33 Table-13 Page-18 Priority-2 LIVE BIRTH BY BIRTH ORDER AND LITERACY OF FATHER 2012 (RURAL) Level of Literacy Birth Order Illiterate Literate NA Total <Matric Matric+2 Graduate Above Not stated Total

34 Table-13 Page-19 Priority-2 LIVE BIRTH BY BIRTH ORDER AND LITERACY OF MOTHER 2012 (URBAN) Level of Literacy Literate Total Birth Order Illiterate <Matric Matric+2 Graduate+ NA Above Not stated Total

35 Table-14 Page-20 Priority-2 LIVE BIRTH BY BIRTH ORDER AND LITERACY OF FATHER 2012 (URBAN) Level of Literacy Birth Order Illiterate Literate NA Total <Matric Matric+2 Graduate Above Not stated Total

36 Table-15 Page-21 Priority-2 LIVE BIRTH BY BIRTH ORDER AND OCCUPATION OF FATHER 2012 (RURAL) O C C U P A T I O N G R O U P S Birth Order Professional/ Technical/ & Related Workers Admn.Exec./ and Managerial Workers Clerical Workers Sale Workers Service Workers Formers/ Fisherman/ Hunters/loggers Etc.& Related Workers Production & Other Related Workers/Tpt./ Equip/Operators/ & Labourers Others whose occupation is not else where classified Non Workers Above Not stated Total Not Stated Total

37 Birth Order Table-16 Page-22 Priority-2 LIVE BIRTH BY BIRTH ORDER AND OCCUPATION OF FATHER 2012 (URBAN) O C C U P A T I O N G R O U P S Professional/ Technical/ & related workers Admn.Exec./ and Managerial workers Clerical Workers Sale Workers Service Workers Formers/ Fisherman/ Hunters/loggers etc.& related workers Production & Other related workers/tpt./ Equip/Operators/ & Labourers Others whose occupation is not else where classified Non Workers Above Not stated Total Not Stated Total

38 Table-16 Page-23 Priority-2 LIVE BIRTHS BY BIRTH ORDER AND FATHERS RELIGION 2012 Birth (RURAL) Father's Religion Order Hindu Muslims Christian Others All Religion Above Not stated Total

39 Table-16 Page-24 Priority-2 LIVE BIRTHS BY BIRTH ORDER AND FATHERS RELIGION 2012 Birth (URBAN) Father's Religion Order Hindu Muslims Christian Others NA All Religion < Not stated Total

40 Table-17 Page-25 Priority-2 DEATH BY OCCUPATION AND SEX (RURAL/URBAN) 2012 Rural/ Urban Sex Professional/ Technical/ & related workers Admn.Exec./ and Managerial workers O C C U P A T I O N Clerical Sale Service Workers Workers Workers G R O U P S Farmers/ Production Fisherman/ & Other related Hunters/loggers workers/tpt./ Etc.& related Equip/Operators/ workers & Labourers Others whose occupation is not else where classified Non Workers Not Stated Total Male Rural Female Total Male Urban Female Total Male Total Female Total

41 Table-18 Page-26 Priority-2 INFANT DEATHS BY SEX AND AGE 2012 Age/sex Rural Urban Total Male Female Total Male Female Total Male Female Total Below 7 Days Days - 28 Days Days - 1 year Age Not Stated Total

42 Table-19 Page-27 Priority-2 MATERNAL DEATHS BY AGE 2012 Urban Age Rural Towns with All other Total for all population Areas 1lac & above < & above All ages

43 Table-20 Page-28 Priority-1 TIME GAP IN REGISTRATION OF LIVE BIRTHS AND DEATHS 2012 District Within time limit (RURAL URBAN) Live births Deaths Number of events registered Total Delayed Registration Delayed Registration for previous calendar year Within 30 days After 30 days but within 1 year Within time limit Within 30 Days After 30 days but within 1 year Live births Deaths Live births Deaths Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Bilaspur Chamba Hamirpur Kangra Kinnaur Kullu L & Spiti Mandi Shimla Sirmaur Solan Una State

44 DISTRICT-WISE VITAL STATISTICS BY SEX 2012 (RURAL URBAN COMBINED) District Area Live Births Deaths Infant Deaths Maternal Deaths Still Births Male Female Total Male Female Total Male Female Total Male Female Total Rural Bilaspur Urban Total Rural Chamba Urban Total Rural Hamirpur Urban Total Rural Kangra Urban Total Rural Kinnaur Urban Total Rural Kullu Urban Total Rural L & Spiti Urban Total

45 Mandi Rural Urban Total Rural Shimla Urban Total Rural Sirmaur Urban Total Rural Solan Urban Total Rural Una Urban Total Rural HP Urban Total

46 Districts Blocks Est./Proj. Pop.2012 DISTRICT-WISE/BLOCK-WISE BIRTHS DEAHTS AND SEX RATIO ON THE EVENTS REGISTERED WITH LOCAL REGISTRARS (BIRTHS & DEATHS) IN HP FOR THE YEAR 2012 B I R T H S Birth D E A T H S Death SEX RATIO Rate Rate Male Female Total Male Female Total Sadar Bilaspur Ghumarwin Gehrwin District Bilaspur Chamba Mehla Bharmaur Chamba Tissa Saluni Pangi Bhattiat District Chamba Bijhri Bhoranj Hamirpur Nadaun Hamirpur Sujanpur (T) Tauni Devi District Hamirpur

47 Kangra Rait Nagrota (S) Baijnath Bhawarna Lambagaon Kangra Panchrukhi Nurpur Indora Dehra Nagrota (B) Pragpur Fatehpur Dharamsala Block did Not exist Sulah District Kangra Nichar Kinnaur Pooh Kalpa District Kinnaur Ani Banjar Kullu Nirmand Kullu Naggar District Kullu