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1 CONTENT Sl. No. Items Page No. 1 FP Services available in the State 1 2 FP Services available in Public Health facilities at Free of Cost 2 3 Demographic Indicators 3 4 District Profile ( Block and Vital Rates) 4 5 HUD - Wise Family Welfare Performing Centres 5 6 Population and Socio Economic Indicators 6 7 District Profile (Unmet needs) 7 8 District-wise % of Higher Order Births % of Five Good & Poor Performing District in Sterilization 9 10 % of Five Good & Poor Performing District in PPIUCD Trends in % of Total Fertility Rate Trends in % of Higher Order Birth F.W Programme Performance with Reference to ELD Method-wise Sterilisation Performance Sterilisation Share by Different Institutions Male Sterilisation Performance Female Sterilisation Performance Total Sterilisation Performance Sterilisation Performance compared with Previous Year Method wise Female sterilisation Performance Method wise Male sterilisation Performance PPIUCD Performance INTERVAL IUCD Performance IUCD Performance Compared with Previous Year Oral Pills Performance CC Performance Sterilisation, PPIUCD Performance in MCH MTP Performance Post Abortion Contraceptive Coverage of Deliveries in GH with 2 & above Children Coverage of Deliveries in MCH - 2 and above Coverage of Deliveries in GH - 0 and 1 child Coverage of Deliveries in MCH - 0 and 1 child District wise HOB Coverage Parity-wise Report on Sterilisation Acceptors (with 2 & Less than 2 Living Children) 36 HUD-wise Sterilisation done at PHC Death,Failure and Complication Report District Wise Total Deliveries - Type wise in MCH, GH and ESI Hospitals District-wise FW Contraceptive Stock Position Statistiical Vital Rates Formula 37 32

2 ABBREVIATIONS USED IN THIS BULLETIN AELD : Annual Expected Level of Demand CC : Conventional Contraceptive CPR : Couple Protection Rate CBR : Crude Birth Rate CDR : Crude Death Rate Dec. : Decrease DMS : Directorate of Medical and Rural Health Services DME : Directorate of Medical Education DPH&PM : Directorate of Public Health and Preventive Medicine E - Pills : Emergency Contraceptive Pills ESI : Employees State Insurance ELD : Expected Level of Demand HSC : Health Sub-Centre HOB : Higher Order Births Inc. : Increase IMR : Infant Mortality Rate IUCD : Intra Utrine Contraceptive Device MMR : Maternal Mortality Ratio MTP : Medical Termination of Pregnancy NH : Nursing Home OP : Oral Pill PPC : Post Partum Centre PHC : Primary Health Centre PELD : Proportionate Expected Level of Demand RFWC : Rural Family Welfare Centre Stern. : Sterilisation SBR : Still Birth Rate UFWC : Urban Family Welfare Centre UHP : Urban Health Post w.r.t. : with reference to

3 FAMILY PLANNING SERVICES AVAILABLE IN THE STATE Condoms (Male) Home delivery of Contraceptives Oral Contraceptive Pills (Female) Emergency Contraceptive Device (not to be used routinely) Condoms (Male) Delaying the first child Oral Contraceptive Pills (Female) Intra Uterine Contraceptive Device (IUCD) Emergency Contraceptive Device (not to be used routinely) Condoms (Male) Healthy Spacing between two deliveries Post Partum Intra Uterine Contraceptive Device (PPIUCD) Oral Contraceptive Pills (mala-n) Antara - Injectable MPA (Medroxy Progesterone Acetate ) Chhaya - Centchroman (weekly pills) Female sterilization - Mini-lap, Laparoscopic, Puperal Sterilization, Limiting methods Male Sterilization - Conventional Vasectomy, No scalpal Vasectomy. Manual Vacuum Aspiration Method Medical Termination of Pregnancy Medical Method of Abortion Medical Method - Ethacridine lactate extra amniotic instillation Surgical Method - Dilatation & Evacuation (D&E) 1

4 FAMILY PLANNING SERVICES AVAILABLE IN THE PUBLIC HEALTH FACILITIES AT FREE OF COST Health Sub Centre Primary Health Centre / Health Post Community Health Centre Government Hospital Counseling IUCD Insertion Oral Pill distribution Condom distribution Chhaya distribution All the services available at Health Sub Centre + ECP distribution Pregnancy Test Kit Follow up of acceptors Minilap Sterilization including Post Partum Sterilization (fixed day basis) All the services available at Primary Health Centre + All the services available at CHC/FRU on daily basis + Injectable NSV (fixed day basis) PPIUCD Referral linkage Lap. Sterilization (fixed day basis) Management of complication Home Delivery of Contraceptives through ASHA and AWW Condom distribution Oral Pill distribution Emergency Contraceptive Pill distribution Chhaya distribution 2

5 DEMOGRAPHIC INDICATORS SL. NO. INDICATORS INDIA TAMIL NADU 1 Population (Crores) Census % of Population less than 15 years % of Population more than 65 years % of Urban Population Population Density per Sq. Km Life Expectancy at Birth Male Female Crude Birth Rate Crude Death Rate Rate of Natural Increase (%) Total Fertility Rate Infant Mortality Rate Maternal Mortality Ratio Contraceptive Prevalence Rate Source : 48.2%* (DLHS-3) 52.6% ** (NFHS-4) Sample Registration System Registrar General, Government of India Projected Level of Expectation of Life at Birth for India and States: M/O Health and Family Welfare * - District level House Hold Survey ** - National Family Health Survey. 3

6 Sl. No DISTRICT PROFILE ( BLOCK AND VITAL RATES) Name of the District Vital Rates (2012) CBR CDR IMR SBR % of HOB 2016 (P) 1 Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindigul Erode Kancheepuram Kanniyakumari Karur Krishnagiri Madurai Nagapattinam Namakkal Perambalur Pudukkottai Ramanathapuram Salem Sivagangai Thanjavur The Nilgiris Theni Thiruvallur Thiruvarur Thoothukudi Thiruchirappalli Thirunelveli Tiruppur Thiruvannamalai Vellore Villupuram Virudhunagar TAMIL NADU SRS Sources: Vital Events Survey of Tamil Nadu 2012 conducted by DPH&PM 4

7 S. No. HEALTH UNIT DISTRICT - WISE FAMILY WELFARE PERFORMING CENTRES Name of the HUD HQRS NTK TK SDH W&CH Total SDH CHC Grand Total PHC Urban PHC Total PHC HSC MCH Total Institutions 1 Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindugal Palani Erode Kancheepuram Saidapet Kanyakumari Karur Krishnagiri Madurai Nagapattinam Namakkal Perambalur Pudukottai Aranthangi Ramanathapuram Paramakudi Salem Sivagangai Thanjavur The Nilgiris Theni Thoothukudi Kovilpatti Tiruchirapalli Tirunelveli Sankarankoil Tirupur Tiruvallur Poonamallee Tiruvannamalai Cheyyar Tiruvarur Vellore Tirupathur Villupuram Kallakurichi Virudhunagar Sivakasi APPD. N.H

8 Sl. No POPULATION AND SOCIO ECONOMIC INDICATORS - CENSUS Sex Ratio Literacy Rates Name of the Census District Child Population General Males Females Sex Ratio 1 Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindigul Erode Kancheepuram Kanniyakumari Karur Krishnagiri Madurai Nagapattinam Namakkal Perambalur Pudukkottai Ramanathapuram Salem Sivagangai Thanjavur The Nilagiris Theni Thiruvallur Thiruvarur Thoothukudi Thiruchirapalli Thirunelveli Tiruppur Thiruvannamalai Vellore Villuppuram Virudhunagar TAMILNADU INDIA # - Tiruppur bifurcated from Coimbatore, Ariyalur bifurcated from Perambalur 6

9 Sl. No. DISTRICTS DISTRICT PROFILE ( UNMET NEEDS) -NFHS-4 Source : NFHS-4 ( ) / IIPS - Mumbai 7 UNMET NEED (%) TOTAL TERMINAL SPACING CPR 1 Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindigul Erode Kancheepuram Kanniyakumari Karur Krishnagiri Madurai Nagapattinam Namakkal Perambalur Pudukkottai Ramanathapuram Salem Sivagangai Thanjavur The Nilgiris Theni Thiruvarur Thoothukudi Thiruchirappalli Thirunelveli Thiruvallur Thiruvannamalai Tiruppur Vellore Villupuram Virudhunagar Tamil Nadu

10 DISTRICT WISE % OF HOB FOR 2016 (P) Sl. No Name of the District Total Births Number of HOBs (more than 2 Living Children) % of HOBs (more than 2 Living Children) 1 Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindigul Erode Kancheepuram Kanniyakumari Karur Krishnagiri Madurai Nagapattinam Namakkal Perambalur Pudukkottai Ramanathapuram Salem Sivagangai Thanjavur The Nilgiris Theni Thiruchirappalli Thirunelveli Thiruppur Thiruvallur Thiruvannamalai Thiruvarur Thoothukudi Vellore Villupuram Virudhunagar TAMIL NADU

11 % OF FIVE GOOD PERFORMING DISTRICT IN STERILIZAION ( ) UP TO OCTOBER Kancheepuram Erode Chennai Dindigul Coimbatore % OF FIVE POOR PERFORMING DISTRICT IN STERILIZAION ( ) UP TO OCTOBER Thiruvannamalai Salem Pudukkottai Cuddalore Dharmapuri State Avg 9

12 % OF FIVE GOOD PERFORMING DISTRICT IN PPIUCD ( ) UP TO OCTOBER Perambalur Chennai Thiruvannamalai Virudhunagar Vellore % OF FIVE POOR PERFORMING DISTRICT IN PPIUCD ( ) UP TO OCTOBER Namakkal Dindigul Erode Villupuram Cuddalore State Average 10

13 TRENDS IN % OF TOTAL FERTILITY RATE TRENDS IN % OF HIGHER ORDER BIRTH (P) 11

14 (a). PERFORMANCE WITH REFERENCE TO ELD (UP TO OCTOBER 2017) Sl. No Programme ELD P.ELD UPTO OCT. % w.r.t P. ELD 1 Male Sterilisation Female Sterilisation Total Sterilisation Intreval IUCD PPIUCD Total IUCD O.P. Users C.C Users (b). METHOD-WISE PERFORMANCE - UP TO OCTOBER 2017 Sl. No Method Inc./ Dec. % of Inc./Dec. 1 Vasectomy Tubectomy Laparoscopic TOTAL STERILISATION IUCD OP USERS CC USERS MTP Sl. No ( c ). STERILISATION SHARE BY DIFFERENT INSTITUTIONS - UPTO OCTOBER 2017 Department 12 No. of Sterilisations 2017 % 2016 Inc./ Dec. 1 GH MCH PHC ESI Local Bodies Voluntary Organisations Approved Nursing Homes Unapproved Nursing Homes TOTAL

15 MALE STERILISATION PERFORMANCE Performance October 2017 District ELD P.ELD DM UM % w.r.t. P.ELD Ariyalur Thanjavur Kancheepuram Kanyakumari Sivagangai The Nilgiris Erode Thiruvallur Karur Dharmapuri Namakkal Nagapattinam Pudukkottai Thoothukudi Thiruvannamalai Perambalur Chennai Thiruvarur Thiruchirapalli Virudhunagar Tiruppur Coimbatore Dindigul Ramanathapuram Thirunelveli Salem Cuddalore Vellore Krishnagiri Madurai Villupuram Theni TAMIL NADU Rank

16 FEMALE STERILISATION PERFORMANCE Performance -Oct District ELD P.ELD DM UM % w.r.t. P.ELD Kancheepuram Erode Chennai Dindigul Coimbatore Thanjavur Virudhunagar Ramanathapuram Kanyakumari Thirunelveli Tiruppur Namakkal Vellore Sivagangai Thoothukudi Nagapattinam Karur Ariyalur Krishnagiri Thiruvarur Theni Villupuram The Nilgiris Thiruvallur Madurai Perambalur Thiruchirapalli Dharmapuri Cuddalore Pudukkottai Salem Thiruvannamalai TAMIL NADU Rank

17 TOTAL STERILISATION PERFORMANCE Performance - Oct District ELD P.ELD DM UM % w.r.t. P.ELD Kancheepuram Erode Chennai Dindigul Coimbatore Thanjavur Virudhunagar Kanyakumari Ramanathapuram Thirunelveli Tiruppur Namakkal Vellore Sivagangai Thoothukudi Karur Ariyalur Nagapattinam Krishnagiri Thiruvarur Theni Villupuram The Nilgiris Thiruvallur Madurai Perambalur Thiruchirapalli Dharmapuri Cuddalore Pudukkottai Salem Thiruvannamalai TAMIL NADU Rank

18 Sl. No STERILISATION PERFORMANCE COMPARED WITH PREVIOUS YEAR Name of the District (Upto OCT.-17) 16 Performance (Upto OCT -16) Inc / Dec 1 Ramanathapuram Erode Karur Chennai Thirunelveli Namakkal Thiruvarur Dharmapuri Kanyakumari The Nilgiris Coimbatore Nagapattinam Virudhunagar Dindigul Ariyalur Sivagangai Perambalur Pudukkottai Vellore Villupuram Thoothukudi Theni Cuddalore Krishnagiri Thiruchirapalli Tiruppur Thanjavur Kancheepuram Thiruvallur Salem Madurai Thiruvannamalai TAMIL NADU

19 METHOD - WISE FEMALE STERILISATION (UP TO OCT. 2017) Sl.No District Female TAT / Mini Lap Tub. Lap. Total 1 Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindigul Erode Kancheepuram Kanyakumari Karur Krishnagiri Madurai Nagapattinam Namakkal Perambalur Pudukkottai Ramanathapuram Salem Sivagangai Thanjavur The Nilgiris Theni Thiruchirapalli Thirunelveli Thiruvallur Thiruvannamalai Thiruvarur Thoothukudi Tiruppur Vellore Villupuram Virudhunagar TAMIL NADU

20 METHOD - WISE MALE STERILISATION (UP TO OCT. 2017) Sl. No District CV Male NSV Total 1 Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindigul Erode Kancheepuram Kanyakumari Karur Krishnagiri Madurai Nagapattinam Namakkal Perambalur Pudukkottai Ramanathapuram Salem Sivagangai Thanjavur The Nilgiris Theni Thiruchirapalli Thirunelveli Thiruvallur Thiruvannamalai Thiruvarur Thoothukudi Tiruppur Vellore Villupuram Virudhunagar TAMIL NADU

21 PPIUCD PERFORMANCE (UPTO OCTOBER 2017) Performance District ELD P.ELD DM UM % w.r.t. P.ELD Perambalur Chennai Thiruvannamalai Virudhunagar Vellore Kancheepuram Tiruppur Krishnagiri Thirunelveli Thanjavur Salem Thiruvarur The Nilgiris Thiruvallur Madurai Thoothukudi Dharmapuri Sivagangai Theni Thiruchirapalli Pudukkottai Coimbatore Kanyakumari Nagapattinam Ramanathapuram Ariyalur Karur Cuddalore Villupuram Erode Dindigul Namakkal TAMIL NADU Rank

22 INTERVAL IUCD PERFORMANCE (UPTO OCTOBER 2017) Performance District ELD P.ELD DM UM % w.r.t. P.ELD Sivagangai Kanyakumari Ramanathapuram Tiruppur Villupuram Erode Virudhunagar Coimbatore Nagapattinam Thiruvarur Chennai Dindigul Cuddalore Kancheepuram Thoothukudi Thirunelveli Salem Thanjavur Thiruvallur Pudukkottai Madurai Dharmapuri The Nilgiris Ariyalur Karur Theni Vellore Krishnagiri Thiruvannamalai Namakkal Thiruchirapalli Perambalur TAMIL NADU Rank

23 Sl. No I.U.C.D. PERFORMANCE COMPARED WITH PREVIOUS YEAR Name of the District (Upto OCT.-17) 21 Performance (Upto OCT -16) Inc / Dec 1 Chennai Thirunelveli Sivagangai Salem Tiruppur Thiruvarur The Nilgiris Krishnagiri Theni Ramanathapuram Thoothukudi Villupuram Kanyakumari Kancheepuram Perambalur Ariyalur Nagapattinam Karur Dharmapuri Erode Madurai Dindigul Coimbatore Thanjavur Cuddalore Thiruchirapalli Thiruvallur Vellore Thiruvannamalai Pudukkottai Namakkal Virudhunagar TAMIL NADU

24 ORAL PILLS PERFORMANCE UP TO OCTOBER 2017 Sl. No District ELD O.P.Cycles DM UM O.P. Users UM % of Performance to ELD No. of E-Pills Distributed 1 Sivagangai Thanjavur Cuddalore Thiruchirapalli Pudukkottai Ramanathapuram Thirunelveli Coimbatore Thoothukudi Nagapattinam Erode Vellore Virudhunagar Dindigul Perambalur Krishnagiri Kancheepuram Thiruvarur Madurai Salem The Nilgiris Chennai Villupuram Tiruppur Kanyakumari Dharmapuri Ariyalur Theni Thiruvannamalai Namakkal Karur Thiruvallur TAMIL NADU

25 Sl. No. C.C. PERFORMANCE (UPTO OCTOBER ) District ELD Net Condoms DM 23 UM C.C.Users UM % of Performance to ELD 1 Chennai Cuddalore Thiruvarur Villupuram Nagapattinam Dindigul Sivagangai Theni Vellore Ramanathapuram Pudukkottai Ariyalur Tiruppur Thanjavur The Nilgiris Kancheepuram Krishnagiri Perambalur Erode Virudhunagar Thiruchirapalli Karur Madurai Kanyakumari Salem Thiruvallur Thiruvannamalai Namakkal Coimbatore Dharmapuri Thoothukudi Thirunelveli TAMIL NADU

26 Sl. No STERILISATION, PPIUCD PERFORMANCE IN MCH (UP TO OCTOBER 2017) Name of Medical Colege Hospital Sterilisation Inc./ Dec. PPIUCD Inc./ Dec. 1 K.M.C., Chennai K.G.H., Chennai R.S.R.M.,Chennai W&CH., Chennai Coimbatore Dharmapuri Kancheepuram Kanniyakumari Karur Madurai Pudukottai M.K., Salem Sivagangai R.M., Thanjavur Theni M.G.M., Trichy Tirunelvelli Tiruvannamalai Tiruvarur Thoothukudi Vellore Villupuram TOTAL

27 Sl. No Name of the District MTP PERFORMANCE (UP TO OCTOBER 2017) MTP PERFORMANCE (Up to October 2017) MVA MMA EVA 25 Other Technique Total Last year MTP performance October 16 Inc./ Dec. 1 Namakkal Salem Dharmapuri Trinelveli Erode Thiruvanamalai Vellore Tiruppur Thoothukudi Karur Coimbatore Sivagangai Thanjavur Krishnagiri Nagapattinam Ariyalur The Nilgris Theni Pudukottai Kancheepuram Kanniyakumari Thiruvarur Tiruvallur Virudhunagar Perambalur Trichy Ramanathpuram Madurai Cuddalore Villupuram Dindigul Chennai TAMIL NADU

28 Sl. No. POST ABORTION CONTRACEPTIVE (UP TO OCTOBER 2017) MTP PERFORMANCE (Up to October 2017) MTP performance October 2016 Inc./ Dec. District TAT / PA OP/ Plain Mini Lap. Total IUCD CC MTP Lap 1 Namakkal Salem Dharmapuri Trinelveli Erode Thiruvanamalai Vellore Tiruppur Thoothukudi Karur Coimbatore Sivagangai Thanjavur Krishnagiri Nagapattinam Ariyalur The Nilgris Theni Pudukottai Kancheepuram Kanniyakumari Thiruvarur Tiruvallur Virudhunagar Perambalur Trichy Ramanathpuram Madurai Cuddalore Villupuram Dindigul Chennai TAMIL NADU

29 COVERAGE OF DELIVERIES IN GOVT. HOSPITAL WITH 2 & ABOVE CHILDREN (UPTO OCTOBER 2017) Name of the Districts Deliveries 2 Covered by (UP TO OCTOBER ) Stern. % PPIUCD % 27 Rank (for sterilization) KANNIYAKUMARI NAGAPATTINAM RAMANATHAPURAM THOOTHUKUDI ERODE SIVAGANGAI KANCHEEPURAM TIRUNELVELI THIRUVARUR VIRUDHUNAGAR THIRUVANAMALAI CHENNAI THIRUVALLUR VELLORE DINDIGUL COIMBATORE NAMAKKAL THENI THE NILGIRIS DHARMAPURI CUDDALORE THIRUPPUR ARIYALUR MADURAI PUDUKKOTTAI KARUR SALEM TRICHY KRISHNAGIRI THANJAVUR PERAMBALUR VILLUPURAM Total The Districts in rank 16 to 32 are below the State average of 56.6under the coverage of Deliveries in Sterilisation.

30 COVERAGE OF DELIVERIES IN MCH 2 AND ABOVE CHILDREN (UPTO OCTOBER 2017) 2 and above Name of the Medical College Hospital Deliveries Covered by Stern. % Covered by PPIUCD % Rank (for sterilization) Kanyakumari Thiruvarur Thoothukudi Chengalpattu Theni R.M.H.,Thanjavur K.G.H., Chennai Karur Thiruvannamalai Sivagangai R.S.R.M.,Chennai Vellore Tirunelveli Pudukottai Coimbatore W.& Ch.,Chennai GMK., Salem K.M.C., Chennai Dharmapuri Villupuram RH., Madurai M.G.M., Trichy The Districts in rank 14 to 22 are below the State average of 43.4 under the coverage of Deliveries in Sterilisation. 28

31 COVERAGE OF DELIVERIES IN GOVT. HOSPITAL WITH 0 & 1 CHILD (UPTO OCTOBER 2017) Name of the Districts Delliveries 29 0 and 1 child Covered by PPIUCD % Rank (for PPIUCD) DHARMAPURI THIRUVARUR THOOTHUKUDI KRISHNAGIRI THANJAVUR THIRUVANAMALAI PERAMBALUR NAGAPATTINAM VIRUDHUNAGAR THE NILGIRIS TIRUNELVELI THIRUPPUR RAMANATHAPURAM VELLORE PUDUKKOTTAI MADURAI KANNIYAKUMARI COIMBATORE SALEM TRICHY ARIYALUR CUDDALORE THIRUVALLUR KANCHEEPURAM ERODE KARUR DINDIGUL NAMAKKAL THENI VILLUPURAM SIVAGANGAI CHENNAI Total The Districts in rank 18 to 32 are below the State average of 61.7under the coverage of Deliveries in PPIUCD.

32 COVERAGE OF DELIVERIES IN MCH 0 AND 1 CHILD (UPTO OCTOBER 2017) Name of the Medical College Hospital Delliveries 30 Covered by PPIUCD 0 and 1 child % Rank (for PPIUCD) Vellore R.S.R.M.,Chennai K.G.H., Chennai Thiruvarur Thiruvannamalai Dharmapuri Sivagangai W.& Ch.,Chennai Tirunelveli Karur Thoothukudi K.M.C., Chennai GMK., Salem Chengalpattu M.G.M., Trichy Theni Coimbatore R.M.H.,Thanjavur Villupuram Pudukottai RH., Madurai Kanyakumari The Districts in rank 12 to 22 are below the State average of 55.3 under the Coverage of Deliveries in PPIUCD

33 DISTRICT WISE HOB COVERAGE UPTO OCTOBER 2017 Sl. No District No. of Blocks Priority Couples Coverage of Couples upto the end of this month Ster. % IUCD % Total % Ach. 1 Nammakkal Krishnagiri Cuddalore Tiruvallur Tiruvannamalai Salem Pudukkottai Ariyalur Dindigul Tirunelveli Villupuram Perambalur Virudhunagar Vellore Ramnad Sivagangai Dharmapuri Karur Madurai Trichy Thoothukudi STATE TOTAL

34 Sl. No. PARITY-WISE REPORT ON STERILISATION ACCEPTORS (WITH 2 AND LESS THAN 2 LIVING CHILDREN) (UPTO OCTOBER ) Name of the District Sterilization UPTO OCTOBER Sterilization done with One child Male Female Total Male Female Two Children % of Col. 8 to Col Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindigul Erode Kancheepuram Kanniyakumari Karur Krishnagiri Madurai Nagapattinam Namakkal Perambalur Pudukkottai Ramanathapuram Salem Sivagangai Thanjavur The Nilgiris Theni Thiruchirappalli Thirunelveli Thiruvallur Thiruvannamalai Thiruvarur Thoothukudi Tiruppur Vellore Villupuram Virudhunagar TAMIL NADU

35 HUD-WISE STERILISATIONS DONE AT PHC (UPTO OCTOBER 2017) Sterilisations Sl. No. Name of the HUD No. of OT Inc / Dec Thiruvannamalai Thiruvallur Salem Krishnagiri Vellore Erode Thiruchirapalli Thanjavur Theni Ariyalur Cheyyar Tiruppur Namakkal Kancheepuram Sankarankoil Coimbatore Karur Cuddalore Tirupathur Thoothukudi Koilpatti Palani Poonamallee Virudhunagar Aranthangi Nagapattinam Kanyakumari Perambalur Thiruvarur Sivakasi Saidapet Dharmapuri Pudukkottai The Nilgiris Madurai Villupuram Ramanathapuram Sivagangai Dindigul Paramakudi Thirunelveli Kallakurichi TAMIL NADU

36 DEATH,FAILURE AND COMPLICATION REPORT FOR THE YEAR (UPTO OCTOBER 2017) DEATH FAILURE COMPLICATION Sl. No Name of the district M F M F M F 1 Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindigul Erode Kancheepuram Kanyakumari Karur Krishnagiri Madurai Nagapattinam Namakkal Perambalur Pudukkottai Ramanathapuram Salem Sivagangai Thanjavur The Nilgiris Theni Thiruchirapalli Thirunelveli Thiruvallur Thiruvannamalai Thiruvarur Thoothukudi Thiruppur Vellore Villupuram Virudhunagar Total

37 DISTRICT-WISE TOTAL DELIVERIES - TYPE WISE IN MCH, GH & ESI HOSPITALS (UPTO OCTOBER ) Sl. No. Name of the District Normal Caesarian Assisted 35 Total Deliveries 1 ARIYALUR CHENNAI COIMBATORE CUDDALORE DARMAPURI DINDIGUL ERODE KANCHEEPURAM KANNIYAKUMARI KARUR KRISHNAGIRI MADURAI NAGAPATTINAM NAMAKKAL PERAMBALUR PUDUKKOTTAI RAMNAD SALEM SIVAGANGAI THANJAVUR THE NILGIRIS THENI TRICHY THIRUNELVELI THIRUVALLUR THIRUVANNAMALAI THIRUVARUR THOOTHUKUDI THIRUPPUR VELLORE VILLUPURAM VIRUDHUNAGAR TAMIL NADU

38 DISTRICT-WISE FW CONTRACEPTIVE STOCK POSITION (AS ON ) Sl. No District Cu.T Nirodh Oral Pills Antara Chhaya 1 Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindigul Erode Kancheepuram Kanniyakumari Karur Krishnagiri Madurai Nagapattinam Namakkal Perambalur Pudukottai Ramanathpuram Salem Sivagangai Thanjavur The Nilgris Theni Trichy Tirunelveli Tiruvallur Thiruvannamalai Thiruvarur Thoothukudi Tiruppur Vellore Villupuram Virudhunagar Total

39 STATISTICAL VITAL RATES FORMULAE Crude Birth Rate (CBR) = Crude Death Rate (CDR) = No. of Live Births which occurred in a given geographical area during a given year Mid year estimated population of the same area during the same year No. of Deaths which occurred in a given geographical area during a given year Mid year estimated population of the same area during the same year X 1000 X 1000 Infant Mortality Rate (IMR) = No. of Deaths under one year of age which occured among the population of a given area during a given year No. of Live Births which occured among the population of the same area during the same year X1000 Still Birth Rate (SBR) = No. of Still Births which occurred in a given geographical area during a given year Total No. of Delivery (Live Birth + Still Birth) of the same geographical area during the same year X 1000 Maternal Mortality Ratio (MMR) = Total No. of woman who die as a result of pregnancy and child birth complications Total No. of Live Births in a given year X Age Specific Fertility Rate (ASFR) = No. of Live Births to the mothers of a speicific age group of population in a given geographical area during the given year Mid year female population of the specified age groupin the given area during the same year X 1000 Total Fertility Rate (TFR) (Where the age grouping is in class interval of 5 years) = 5 X summation of ASFR 1000 % of HOB = No. of Live Births 3 above Total No. of Live Births X

CONTENT Items 1 FP Services available in the State 2 FP Services available in Public Health facilities at Free of Cost 3 Demographic Indicators 4

CONTENT Items 1 FP Services available in the State 2 FP Services available in Public Health facilities at Free of Cost 3 Demographic Indicators 4 Sl. No. CONTENT Items Page No. 1 FP Services available in the State 1 2 FP Services available in Public Health facilities at Free of Cost 2 3 Demographic Indicators 3 4 District Profile ( Block and Vital