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

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1 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 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 -217 (Provisional) 8 9 % of Five Good & Poor Performing District in Sterilization 9 1 % of Five Good & Poor Performing District in PPIUCD 1 11 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 16 2 Method wise Female sterilisation Performance Method wise Male sterilisation Performance PPIUCD Performance Interval IUCD Performance 2 24 IUCD Performance Compared with Previous Year Oral Pills Performance CC Performance Chhaya & Antara Performance Sterilisation, PPIUCD Performance in MCH MTP Performance 26 3 Post Abortion Contraceptive Coverage of Deliveries in GPHC with 2 & above Children Coverage of Deliveries in GH with 2 & above Children Coverage of Deliveries in MCH - 2 and above 3 34 Coverage of Deliveries in GPHC - and 1 child Coverage of Deliveries in GH - and 1 child Coverage of Deliveries in MCH - and 1 child District wise HOB Coverage Parity-wise Report on Sterilisation Acceptors (with 2 & Less than 2 Living Children) HUD-wise Sterilisation done at GPHC 36 4 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 4

2 AELD : Annual Expected Level of Demand CC : Conventional Contraceptive CPR : Contraceptive Prevalence 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 ABBREVIATIONS USED IN THIS BULLETIN 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 (mala-n) Emergency Contraceptive Pills (not to be used routinely) Chhaya - Centchroman (weekly pills) Condoms (Male) Delaying the first child Oral Contraceptive Pills (Female) Intra Uterine Contraceptive Device (IUCD) Emergency Contraceptive Pills (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- 216 (%) Total Fertility Rate Infant Mortality Rate Maternal Mortality Ratio Contraceptive Prevalence Rate 47.8%* (NFHS-4) 52.6% * (NFHS-4) Source : 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 * - National Family Health Survey. 3

6 Sl. No Name of the District CBR CDR IMR SBR 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 DISTRICT PROFILE ( VITAL RATES) Vital Rates (212) Sources: Vital Events Survey of Tamil Nadu 212 conducted by DPH&PM % of HOB 217(P) 4

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

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 TOTAL TERMINAL SPACING 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 Source : NFHS-4 (215-16) / IIPS - Mumbai UNMET NEED (%) CPR 7

10 DISTRICT WISE % OF HOB FOR 217 (Provisional) 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 (UPTO JUNE 218) % OF FIVE POOR PERFORMING DISTRICT IN STERILIZAION (UPTO JUNE 218)

12 % OF FIVE GOOD PERFORMING DISTRICT IN PPIUCD (UPTO JUNE 218) % OF FIVE POOR PERFORMING DISTRICT IN PPIUCD (UPTO JUNE 218)

13 TRENDS IN % OF TOTAL FERTILITY RATE TRENDS IN % OF HIGHER ORDER BIRTH

14 (a). PERFORMANCE WITH REFERENCE TO ELD (UPTO JUNE 218) Sl. No Programme ELD P.ELD UPTO JUNE % w.r.t P. ELD 1 Male Sterilisation Female Sterilisation Total Sterilisation Interval IUCD PPIUCD Total IUCD O.P. Users C.C Users Sl. No Method Inc./ Dec. % of Inc./Dec. 1 Vasectomy Tubectomy Laparoscopic IUCD OP USERS CC USERS MTP Sl. No (b). METHOD-WISE PERFORMANCE (UPTO JUNE 218) TOTAL STERILISATION ( c ). STERILISATION SHARE BY DIFFERENT INSTITUTIONS (UPTO JUNE 218 ) Department No. of Sterilisations 218 % 217 Inc./ Dec. 1 GH MCH PHC ESI Local Bodies Voluntary Organisations Approved Nursing Homes Unapproved Nursing Homes TOTAL

15 Rank MALE STERILISATION PERFORMANCE Performance June 218 District ELD P.ELD UM % w.r.t. P.ELD Sivagangai Ariyalur Thiruchirapalli Erode Tiruppur Ramanathapuram Thanjavur The Nilgiris Coimbatore Dindigul Chennai Karur Kanyakumari Villupuram Virudhunagar Vellore Thiruvarur Madurai Namakkal Thirunelveli Dharmapuri Thiruvallur Cuddalore Salem Kancheepuram Krishnagiri Nagapattinam Perambalur Pudukkottai Theni Thiruvannamalai Thoothukudi TAMIL NADU

16 Rank FEMALE STERILISATION PERFORMANCE Performance June 218 District ELD P.ELD UM % w.r.t. P.ELD Ariyalur Krishnagiri Ramanathapuram Coimbatore Kancheepuram Chennai Namakkal Sivagangai Virudhunagar Dindigul Perambalur Erode Thanjavur The Nilgiris Kanyakumari Thirunelveli Thoothukudi Theni Tiruppur Karur Salem Thiruchirapalli Thiruvannamalai Madurai Dharmapuri Villupuram Thiruvarur Vellore Thiruvallur Nagapattinam Pudukkottai Cuddalore TAMIL NADU

17 Rank TOTAL STERILISATION PERFORMANCE Performance June 218 District ELD P.ELD UM % w.r.t. P.ELD Ariyalur Krishnagiri Ramanathapuram Coimbatore Kancheepuram Chennai Sivagangai Namakkal Virudhunagar Dindigul Erode Perambalur Thanjavur The Nilgiris Kanyakumari Thirunelveli Thoothukudi Theni Tiruppur Karur Salem Thiruchirapalli Thiruvannamalai Madurai Dharmapuri Villupuram Thiruvarur Vellore Thiruvallur Nagapattinam Pudukkottai Cuddalore TAMIL NADU

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

19 Sl. No METHOD - WISE FEMALE STERILISATION (UPTO JUNE 218) Name of the District TAT / Mini Lap Tubectomy Laparoscopic Total Female Stern. 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 (UPTO JUNE 218) Sl. No Name of the District CV Vasectomy NSV Total Male Sterilisation 1 Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindigul Erode Kancheepuram 9 Kanyakumari Karur Krishnagiri 12 Madurai Nagapattinam 14 Namakkal Perambalur 16 Pudukkottai 17 Ramanathapuram Salem Sivagangai Thanjavur The Nilgiris Theni 23 Thiruchirapalli Thirunelveli Thiruvallur Thiruvannamalai 27 Thiruvarur Thoothukudi 29 Tiruppur Vellore Villupuram Virudhunagar 2 2 TAMIL NADU

21 Rank PPIUCD PERFORMANCE (UPTO JUNE 218) Performance District ELD P.ELD DM UM % w.r.t. P.ELD Perambalur Kancheepuram Chennai Virudhunagar Thanjavur Krishnagiri Thirunelveli Vellore Villupuram Tiruppur Madurai Thoothukudi Sivagangai Thiruvarur Thiruvallur Ariyalur Dindigul Dharmapuri Pudukkottai The Nilgiris Nagapattinam Coimbatore Thiruchirapalli Karur Ramanathapuram Salem Kanyakumari Cuddalore Thiruvannamalai Theni Erode Namakkal TAMIL NADU

22 Rank INTERVAL IUCD PERFORMANCE (UPTO JUNE 218) Performance District ELD P.ELD UM % w.r.t. P.ELD Sivagangai Ramanathapuram Thiruvarur Coimbatore Erode Chennai Kanyakumari Nagapattinam Tiruppur Kancheepuram Theni Dindigul Thirunelveli Thoothukudi Thanjavur Villupuram Ariyalur Virudhunagar Cuddalore The Nilgiris Pudukkottai Karur Krishnagiri Thiruvallur Vellore Madurai Dharmapuri Thiruchirapalli Salem Perambalur Namakkal Thiruvannamalai TAMIL NADU

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

24 Sl. No Name of the District ORAL PILLS PERFORMANCE ( UPTO JUNE 218 ) Expected Level of Demand O.P. Cycles During June 218 Upto June 218 O.P. Users Upto June 218 % of Performan ce to ELD No. of E-Pills Distributed 1 Thiruchirapalli Sivagangai Chennai Ramanathapuram Vellore Thirunelveli Kancheepuram Erode Thoothukudi Salem Cuddalore Pudukkottai Thanjavur Villupuram Nagapattinam Coimbatore Theni Virudhunagar The Nilgiris Namakkal Tiruppur Thiruvarur Dindigul Thiruvannamalai Kanyakumari Krishnagiri Perambalur Ariyalur Karur Madurai Thiruvallur Dharmapuri TAMIL NADU

25 Sl. No. Name of the District C.C. PERFORMANCE (UPTO JUNE 218) Expected Level of Demand During June 218 O.P. Cycles Upto June 218 C.C. Users % of Upto June - Performance 218 to ELD 1 Vellore Pudukkottai Villupuram Salem Chennai Cuddalore Tiruppur Ramanathapuram Thiruvarur Namakkal Kancheepuram Ariyalur Theni Thiruvannamalai Krishnagiri Nagapattinam Sivagangai Thiruchirapalli Dindigul Erode The Nilgiris Karur Virudhunagar Thiruvallur Thanjavur Coimbatore Kanyakumari Madurai Dharmapuri Perambalur Thirunelveli Thoothukudi TAMIL NADU

26 Sl. No. CHHAYA & ANTARA PERFORMANCE (UPTO JUNE 218) District CHHAYA Centchroman (Weekly) Pills No. of 1st Dose No. of 2nd Dose No. of 3rd Dose 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 ANTARA

27 Sl. No STERILISATION, PPIUCD PERFORMANCE IN MCH (UPTO JUNE 218) 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

28 Sl. No Name of the District MTP PERFORMANCE (UPTO JUNE 218) MTP PERFORMANCE (UPTO JUNE 218) MVA MMA EVA Other Technique Total MTP Performance (Upto JUNE 217) 1 Thiruvanamalai Vellore Trichy Villupuram Ramanathpuram Salem Dharmapuri Krishnagiri Tiruppur Sivagangai Karur Cuddalore Dindigul Kancheepuram Madurai Nagapattinam Tiruvallur Thiruvarur Ariyalur Virudhunagar Coimbatore Erode Perambalur Thoothukudi Pudukottai Theni Thanjavur Kanniyakumari The Nilgris Trinelveli Inc./ Dec. 31 Namakkal Chennai TAMIL NADU

29 Sl. No. TAT / Mini Lap Lap. PA IUCD OP/ CC Plain MTP Total 1 Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindigul Erode Kancheepuram Kanniyakumari Karur Krishnagiri Madurai Nagapattinam Namakkal Perambalur Pudukottai Ramanathpuram Salem Sivagangai Thanjavur The Nilgris Theni Thiruvanamalai Thiruvarur Thoothukudi Tiruppur Tiruvallur Trichy Trinelveli Vellore Villupuram Virudhunagar TAMIL NADU POST ABORTION CONTRACEPTIVE (UPTO JUNE 218) District MTP PERFORMANCE (UPTO JUNE 218)

30 COVERAGE OF DELIVERIES IN GOVERNMENT PRIMARY HEALTH CENTRE WITH 2 & ABOVE CHILDREN (UPTO JUNE 218) Deliveries 2 Covered by (UPTO JUNE- 218) Name of the HUD Stern. % PPIUCD % Poonamallee Thiruvallur Virudhunagar Thoothukudi Paramakudi Erode Ramanathapuram Sivakasi Vellore Villupuram Thirupathur Saidapet Namakkal Tirunelveli Kanchipuram Kanniyakumari Krishnagiri Thiruppur Trichy Kallakurichi Kovilpatty Cheyyar The Nilgiris Coimbatore Sivagangai Sankarankoil Theni Salem Dharmapuri Thanjavur Tiruvannamalai Aranthangi Madurai Pudhukkottai Cuddalore Dindigul Karur Nagapattinam Thiruvarur Palani Ariyalur Perambalur Total The Districts in rank 19 to 42 are below the State average of 3.5under the coverage of Deliveries in Sterilisation. Rank (for sterilization) 28

31 COVERAGE OF DELIVERIES IN GOVT. HOSPITAL WITH 2 & ABOVE CHILDREN (UPTO JUNE 218) Name of the Districts Deliveries 2 Covered by (UPTO JUNE- 218) Stern. % PPIUCD % Rank (for sterilization) KANNIYAKUMARI THOOTHUKUDI THIRUVARUR SIVAGANGAI NAGAPATTINAM THIRUVANAMALAI ERODE KANCHEEPURAM RAMANATHAPURAM VIRUDHUNAGAR TIRUNELVELI CHENNAI CUDDALORE NAMAKKAL SALEM ARIYALUR COIMBATORE THENI THIRUVALLUR VELLORE MADURAI TRICHY PUDUKKOTTAI THIRUPPUR DINDIGUL THE NILGIRIS THANJAVUR KRISHNAGIRI PERAMBALUR DHARMAPURI KARUR VILLUPURAM Total The Districts in rank 17 to 32 are below the State average of 57.1under the coverage of Deliveries in Sterilisation. 29

32 COVERAGE OF DELIVERIES IN MCH 2 AND ABOVE CHILDREN (UPTO JUNE 218) 2 and above Name of the Medical College Hospital Deliveries Covered by Stern. % Covered by PPIUCD % Rank (for sterilization) MCH, Chengalpattu MCH, Nagercoil MCH, R.S.R.M. Chennai MCH, Thiruvarur MCH, Thoothukudi MCH, Theni MCH, Tiruvannamalai MCH, Vellore MCH, IOG and W&Ch, Chennai MCH Rajaji, Madurai MCH, Karur MCH, R.M.Hospital MCH, Sivagangai MCH, Tirunelveli MCH, Dharmapuri M.K.M.C. Hpl Salem MCH, Coimbatore MCH, Pudukkottai MCH, Kilpauk, Chennai M.G.M., MCH, Trichy MCH Villupuram MCH, KGH, Chennai The Districts in rank 14 to 22 are below the State average of 47.1under the coverage of Deliveries in Sterilisation. 3

33 COVERAGE OF DELIVERIES IN GOVERNMENT PRIMARY HEALTH CENTRE WITH & 1 CHILD (UPTO JUNE 218) Name of the HUD Delliveries and 1 child Covered by PPIUCD % Rank (for PPIUCD) Thiruvarur Poonamallee Thiruvallur Virudhunagar Thirupathur Vellore Perambalur Sivagangai Thoothukudi Nagapattinam Cheyyar The Nilgiris Sivakasi Palani Thanjavur Ariyalur Kovilpatty Trichy Namakkal Erode Krishnagiri Aranthangi Sankarankoil Thiruppur Karur Kanniyakumari Paramakudi Villupuram Pudhukkottai Tiruvannamalai Dharmapuri Tirunelveli Kallakurichi Ramanathapuram Saidapet Cuddalore Salem Dindigul Kanchipuram Madurai Coimbatore Theni Total The Districts in rank 18 to 42 are below the State average of 25.2 under the coverage of Deliveries in PPIUCD. 31

34 COVERAGE OF DELIVERIES IN GOVT. HOSPITAL WITH & 1 CHILD (UPTO JUNE 218) Name of the Districts Delliveries and 1 child Covered by PPIUCD % Rank (for PPIUCD) THANJAVUR PERAMBALUR THIRUVARUR THOOTHUKUDI KRISHNAGIRI DHARMAPURI ARIYALUR VIRUDHUNAGAR NAGAPATTINAM PUDUKKOTTAI KANCHEEPURAM DINDIGUL MADURAI VELLORE THIRUPPUR COIMBATORE TIRUNELVELI CUDDALORE VILLUPURAM TRICHY RAMANATHAPURAM THIRUVALLUR THE NILGIRIS ERODE KANNIYAKUMARI KARUR SALEM NAMAKKAL SIVAGANGAI THIRUVANAMALAI THENI CHENNAI Total The Districts in rank 18 to 32 are below the State average of 66.2under the coverage of Deliveries in PPIUCD. 32

35 Name of the Medical College Hospital COVERAGE OF DELIVERIES IN MCH AND 1 CHILD (UPTO JUNE 218) Delliveries and 1 child Covered by PPIUCD % Rank (for PPIUCD) MCH, KGH, Chennai MCH, R.S.R.M. Chennai MCH, IOG and W&Ch, Chennai MCH, Tirunelveli MCH Villupuram MCH, Chengalpattu MCH, Sivagangai MCH, Kilpauk, Chennai MCH, Thiruvarur MCH, Karur MCH, Vellore MCH, R.M.Hospital MCH, Dharmapuri MCH Rajaji, Madurai MCH, Thoothukudi MCH, Coimbatore M.G.M., MCH, Trichy MCH, Pudukkottai MCH, Tiruvannamalai M.K.M.C. Hpl Salem MCH, Theni MCH, Nagercoil The Districts in rank 13 to 22 are below the State average of 55.3 under the Coverage of Deliveries in PPIUCD 33

36 No. of Unprotected HOB Mothers with 2 and above Children < 35 Yrs as per Line list as on Sterilisation MVA with Sterilisation MMA with Sterilisation IUCD Antara- Injectable Contraceptive CHHAYA - Centchroman Pills Total Coverage No. of Mothers uncovered % of Mothers uncovered No. of Blocks DISTRICT WISE HOB COVERAGE (UPTO JUNE 218 ) Coverage of Couples upto the end of this month Sl. No Name of the District % 1 Nammakkal Virudhunagar Ramnad Tiruvallur Krishnagiri Sivagangai Dharmapuri Ariyalur Cuddalore Perambalur Tirunelveli Villupuram Madurai Trichy Vellore Dindigul Karur Pudukkottai Tiruvannamalai Thoothukudi Salem STATE TOTAL

37 Sl. No Name of the District PARITY-WISE REPORT ON STERILISATION ACCEPTORS (WITH 2 AND LESS THAN 2 LIVING CHILDREN) (UPTO JUNE - 218) Male Female Total Male Female 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 Sterilization UPTO JUNE 218 Sterilization done with One child Two Children Total % of Col. 9 to Col

38 HUD-WISE STERILISATIONS DONE AT PHC (UPTO JUNE 218) Sterilisations Sl. No. Name of the HUD No. of OT Inc / Dec Saidapet Tirupathur Dharmapuri Cuddalore Tiruppur Palani Dindigul Erode Vellore Koilpatti Namakkal Sankarankoil The Nilgiris Ramanathapuram Kallakurichi Theni Sivagangai Thiruvallur Nagapattinam Karur Thanjavur Thiruvarur Krishnagiri Kancheepuram Pudukkottai Kanyakumari Perambalur Poonamallee Thoothukudi Virudhunagar Sivakasi Aranthangi Thirunelveli Coimbatore Madurai Paramakudi Ariyalur Villupuram Thiruvannamalai Thiruchirapalli Salem Cheyyar TAMIL NADU

39 DEATH, FAILURE AND COMPLICATION REPORT FOR THE YEAR (UPTO JUNE 218) Sl. No District DEATH FAILURE COMPLICATION M F M F M F 1 Ariyalur 2 Chennai 23 3 Coimbatore 1 4 Cuddalore 2 5 Dharmapuri 8 6 Dindigul 2 7 Erode 3 8 Kancheepuram 6 9 Kanyakumari 5 1 Karur 3 11 Krishnagiri 1 12 Madurai 9 13 Nagapattinam 14 Namakkal 15 Perambalur 16 Pudukkottai 4 17 Ramanathapuram 3 18 Salem 6 19 Sivagangai 2 2 Thanjavur The Nilgiris 22 Theni Thiruchirapalli 6 24 Thirunelveli 1 25 Thiruvallur 1 26 Thiruvannamalai 3 27 Thiruvarur 28 Thoothukudi 1 29 Thiruppur 3 Vellore Villupuram 7 32 Virudhunagar 6 Total

40 DISTRICT-WISE TOTAL DELIVERIES - TYPE WISE IN MCH, GH & ESI HOSPITALS (UPTO JUNE - 218) Sl. No. District Normal Caesarian Assisted Total Deliveries 1 CHENNAI VELLORE THANJAVUR MADURAI KANCHEEPURAM VILLUPURAM TRICHY SALEM PUDUKKOTTAI THIRUNELVELI COIMBATORE THENI THIRUVANNAMALAI CUDDALORE KRISHNAGIRI DARMAPURI VIRUDHUNAGAR THOOTHUKUDI SIVAGANGAI DINDIGUL THIRUVARUR KARUR THIRUVALLUR THIRUPPUR NAGAPATTINAM KANNIYAKUMARI RAMNAD NAMAKKAL ERODE PERAMBALUR ARIYALUR THE NILGIRIS TAMIL NADU

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

42 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 1 X 1 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 X1 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 1 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 1 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 1 Total Fertility Rate (TFR) (Where the age grouping is in class interval of 5 years) = 5 X summation of ASFR 1 % of HOB = No. of Live Births 3 and above Total No. of Live Births X 1 4

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