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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 -2015 8 9 % of Five Good & Poor Performing District in Sterilization 9 10 % of Five Good & Poor Performing District in PPIUCD 10 11 Trends in % of Total Fertility Rate 11 12 Trends in % of Higher Order Birth 11 13 F.W Programme Performance with Reference to ELD 2017-2018 12 14 Method-wise Sterilisation Performance 12 15 Sterilisation Share by Different Institutions 12 16 Male Sterilisation Performance 13 17 Female Sterilisation Performance 14 18 Total Sterilisation Performance 15 19 Sterilisation Performance compared with Previous Year 16 20 Method wise Female sterilisation Performance 17 21 Method wise Male sterilisation Performance 18 22 PPIUCD Performance 19 23 INTERVAL IUCD Performance 20 24 IUCD Performance Compared with Previous Year 21 25 Oral Pills Performance 22 26 CC Performance 23 27 Sterilisation, PPIUCD Performance in MCH 24 28 MTP Performance 25 29 Post Abortion Contraceptive 26 30 Coverage of Deliveries in GH with 2 & above Children 27 31 Coverage of Deliveries in MCH - 2 and above 28 32 Coverage of Deliveries in GH - 0 and 1 child 29 33 Coverage of Deliveries in MCH - 0 and 1 child 30 34 District wise HOB Coverage 31 35 Parity-wise Report on Sterilisation Acceptors (with 2 & Less than 2 Living Children) 36 HUD-wise Sterilisation done at PHC 33 37 Death,Failure and Complication Report 34 38 District Wise Total Deliveries - Type wise in MCH, GH and ESI Hospitals 35 39 District-wise FW Contraceptive Stock Position 36 40 Statistiical Vital Rates Formula 37 32

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

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

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

DEMOGRAPHIC INDICATORS SL. NO. INDICATORS INDIA TAMIL NADU 1 Population (Crores) - 2011 Census 121 7.2 2 % of Population less than 15 years 32 24.1 3 % of Population more than 65 years 5 5.7 4 % of Urban Population 31 48.0 5 Population Density per Sq. Km. 382 555.0 6 Life Expectancy at Birth - 2011-15 Male 67.3 68.6 Female 69.6 71.8 7 Crude Birth Rate -2016 20.4 15.0 8 Crude Death Rate -2016 6.4 6.4 9 Rate of Natural Increase- 2016 (%) 1.4 0.9 10 Total Fertility Rate -2015 2.3 1.6 11 Infant Mortality Rate -2016 34.0 17.0 12 Maternal Mortality Ratio - 2011-13 167 79.0 13 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: 2001-2026 - M/O Health and Family Welfare * - District level House Hold Survey ** - National Family Health Survey. 3

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 14.9 5.8 14.4 8.4 11.9 2 Chennai 12.1 3.4 14.4 2.8 2.1 3 Coimbatore 13.6 5.3 10.0 6.4 2.9 4 Cuddalore 15.4 5.6 19.1 11.2 8.9 5 Dharmapuri 16.6 5.4 21.7 9.3 12.2 6 Dindigul 13.6 5.2 10.7 9.3 7.7 7 Erode 13.1 6.3 9.1 8.1 3.6 8 Kancheepuram 14.6 4.8 8.9 5.8 5.2 9 Kanniyakumari 10.2 4.6 11.7 13.7 3.7 10 Karur 13.5 6.1 16.3 10.0 7.9 11 Krishnagiri 15.1 3.2 16.5 12.2 10.6 12 Madurai 16.4 5.9 19.9 7.8 6.7 13 Nagapattinam 16.3 7.5 10.8 7.7 9.2 14 Namakkal 11.9 6.0 11.0 6.3 7.8 15 Perambalur 14.9 5.8 14.4 8.4 11.5 16 Pudukkottai 15.2 5.1 12.9 10.7 11.0 17 Ramanathapuram 15.6 4.9 13.4 7.9 9.4 18 Salem 15.6 6.2 16.3 12.3 9.3 19 Sivagangai 13.7 5.0 11.5 9.1 8.2 20 Thanjavur 14.8 7.0 12.4 6.5 8.1 21 The Nilgiris 10.5 4.2 10.8 13.1 6.4 22 Theni 13.7 5.1 16.4 9.7 5.9 23 Thiruvallur 13.6 2.9 11.7 7.0 6.1 24 Thiruvarur 14.3 6.3 13.1 9.5 7.2 25 Thoothukudi 13.0 3.9 21.8 12.5 8.4 26 Thiruchirappalli 14.4 5.8 17.2 14.5 7.8 27 Thirunelveli 14.7 5.2 16.7 10.3 7.9 28 Tiruppur 13.9 5.7 12.7 11.5 2.7 29 Thiruvannamalai 15.9 5.6 14.7 10.4 14.4 30 Vellore 15.3 5.8 17.1 11.8 12.0 31 Villupuram 17.3 5.9 17.0 12.9 10.2 32 Virudhunagar 13.4 4.5 17.2 6.1 6.3 TAMIL NADU 14.3 5.3 14.6 9.5 7.5 SRS - 2016 15.0 6.4 17.0 -- Sources: Vital Events Survey of Tamil Nadu 2012 conducted by DPH&PM 4

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 31 69 203 7 279 385 1362 473 1835 8712 22 11264 2136 5 PHC Urban PHC Total PHC HSC MCH Total Institutions 1 Ariyalur 1 0 3 0 3 6 30 2 32 117 0 159 6 2 Chennai 0 1 2 0 3 0 0 138 138 0 4 145 264 3 Coimbatore 1 4 8 0 12 12 36 38 74 328 1 428 171 4 Cuddalore 1 1 8 0 9 13 50 7 57 319 0 399 60 5 Dharmapuri 1 0 3 0 3 8 41 1 42 218 1 273 21 6 Dindugal 1 2 3 0 5 7 27 5 32 167 0 212 7 Palani 0 3 4 0 7 7 22 3 25 144 0 183 8 Erode 1 2 5 0 7 14 46 14 60 311 0 393 152 9 Kancheepuram 1 0 4 0 4 7 23 8 31 196 0 239 10 Saidapet 0 1 4 0 5 6 21 12 33 168 1 213 11 Kanyakumari 1 3 5 0 8 9 27 11 38 267 1 324 112 12 Karur 1 2 4 0 6 8 24 5 29 168 1 213 31 13 Krishnagiri 1 1 5 0 6 10 45 6 51 238 0 306 36 14 Madurai 1 1 5 0 6 13 40 33 73 314 1 408 137 15 Nagapattinam 1 3 8 0 11 11 42 5 47 258 0 328 21 16 Namakkal 1 3 5 0 8 15 38 8 46 240 0 310 72 17 Perambalur 1 0 3 0 3 4 23 1 24 90 0 122 12 18 Pudukottai 0 2 5 0 7 7 28 2 30 125 1 170 19 Aranthangi 1 1 5 0 6 6 25 1 26 117 0 156 20 Ramanathapuram 1 2 2 0 4 5 20 3 23 112 0 145 21 Paramakudi 0 0 5 0 5 6 22 2 24 132 0 167 22 Salem 1 2 9 0 11 20 63 20 83 398 1 514 119 23 Sivagangai 1 5 5 6 16 12 35 4 39 275 1 344 45 24 Thanjavur 1 6 7 0 13 14 54 8 62 309 1 400 67 25 The Nilgiris 1 0 5 0 5 4 28 4 32 194 0 236 19 26 Theni 1 2 3 0 5 8 27 6 33 162 1 210 34 27 Thoothukudi 0 2 4 0 6 7 20 8 28 144 1 186 28 Kovilpatti 1 0 2 0 2 5 17 2 19 109 0 136 29 Tiruchirapalli 1 2 7 0 9 14 50 20 70 307 1 402 101 30 Tirunelveli 0 4 3 0 7 10 35 10 45 217 1 280 31 Sankarankoil 1 2 7 0 9 9 33 6 39 162 0 220 32 Tirupur 1 2 7 0 9 13 30 23 53 242 0 318 64 33 Tiruvallur 1 2 6 0 8 13 36 3 39 280 0 341 34 Poonamallee 0 0 2 0 2 1 2 9 11 23 0 37 35 Tiruvannamalai 0 1 5 0 6 10 40 3 43 253 1 313 36 Cheyyar 1 0 3 0 3 8 33 3 36 157 0 205 37 Tiruvarur 1 1 5 1 7 10 34 4 38 195 1 252 22 38 Vellore 1 2 4 0 6 10 35 14 49 231 1 298 39 Tirupathur 0 1 5 0 6 10 40 8 48 223 0 287 40 Villupuram 0 1 6 0 7 11 41 4 45 293 1 357 41 Kallakurichi 1 0 4 0 4 11 39 2 41 264 0 321 42 Virudhunagar 1 0 3 0 3 5 15 2 17 114 0 140 43 Sivakasi 0 2 5 0 7 6 25 5 30 131 0 174 APPD. N.H 37 84 31 42 63 107 28 18 48 20 92

Sl. No POPULATION AND SOCIO ECONOMIC INDICATORS - CENSUS 2011 2011 Sex Ratio Literacy Rates Name of the Census District Child Population General Males Females Sex Ratio 1 Ariyalur 754894 1015 897 81.2 61.7 2 Chennai 4646732 989 950 93.7 86.6 3 Coimbatore 3458045 1000 956 89.1 78.9 4 Cuddalore 2605914 987 896 85.9 70.1 5 Dharmapuri 1506843 946 913 76.9 59.8 6 Dindigul 2159775 998 934 84.2 68.3 7 Erode 2251744 993 953 80.4 64.7 8 Kancheepuram 3998252 986 959 89.9 79.0 9 Kanniyakumari 1870374 1019 964 93.6 89.9 10 Karur 1064493 1015 939 84.5 66.9 11 Krishnagiri 1879809 958 926 78.7 63.9 12 Madurai 3038252 990 932 89.7 77.2 13 Nagapattinam 1616450 1025 959 89.8 77.6 14 Namakkal 1726601 986 914 82.6 66.6 15 Perambalur 565223 1003 913 82.9 65.9 16 Pudukkottai 1618345 1015 960 85.6 69.0 17 Ramanathapuram 1353445 983 961 87.8 73.5 18 Salem 3482056 954 916 80.2 65.2 19 Sivagangai 1339101 1003 960 87.9 71.9 20 Thanjavur 2405890 1035 957 89.0 76.5 21 The Nilagiris 735394 1042 985 91.7 79.0 22 Theni 1245899 991 934 85.0 69.5 23 Thiruvallur 3728104 987 946 89.7 78.3 24 Thiruvarur 1264277 1017 958 89.1 76.7 25 Thoothukudi 1750176 1023 963 91.1 81.3 26 Thiruchirapalli 2722290 1013 947 89.7 76.9 27 Thirunelveli 3077233 1023 960 89.2 76.0 28 Tiruppur 2479052 989 952 85.5 71.8 29 Thiruvannamalai 2464875 994 930 83.1 65.3 30 Vellore 3936331 1007 944 86.5 71.9 31 Villuppuram 3458873 987 941 80.5 63.2 32 Virudhunagar 1942288 1007 955 87.7 72.7 TAMILNADU 72147030 996 943 86.8 73.4 INDIA 943 919 80.9 64.6 # - Tiruppur bifurcated from Coimbatore, Ariyalur bifurcated from Perambalur 6

Sl. No. DISTRICTS DISTRICT PROFILE ( UNMET NEEDS) -NFHS-4 Source : NFHS-4 (2015-16) / IIPS - Mumbai 7 UNMET NEED (%) TOTAL TERMINAL SPACING CPR 1 Ariyalur 10.9 6.6 4.3 35.7 2 Chennai 6.8 3.0 3.8 60.1 3 Coimbatore 8.0 4.5 3.5 64.8 4 Cuddalore 13.0 7.4 5.6 55.1 5 Dharmapuri 8.3 3.6 4.7 54.3 6 Dindigul 7.3 4.8 2.5 59.6 7 Erode 7.8 3.2 4.6 62.3 8 Kancheepuram 9.6 5.1 4.5 61.4 9 Kanniyakumari 13.9 7.8 6.1 43.8 10 Karur 7.0 2.0 5.0 57.1 11 Krishnagiri 8.4 3.5 4.9 60.4 12 Madurai 14.6 9.0 5.6 43.2 13 Nagapattinam 8.8 5.0 3.8 56.4 14 Namakkal 9.6 3.8 5.8 58.4 15 Perambalur 12.5 6.4 6.1 39.1 16 Pudukkottai 13.1 7.9 5.2 38.7 17 Ramanathapuram 18.5 13.1 5.4 25.8 18 Salem 5.6 1.7 3.9 51.5 19 Sivagangai 14.6 8.8 5.8 43.3 20 Thanjavur 12.6 7.4 5.2 57.1 21 The Nilgiris 7.4 3.3 4.1 55.8 22 Theni 9.8 2.9 6.9 38.5 23 Thiruvarur 13.7 8.1 5.6 54.5 24 Thoothukudi 13.7 7.0 6.7 29.7 25 Thiruchirappalli 15.1 8.8 6.3 42.6 26 Thirunelveli 16.0 8.6 7.4 35.3 27 Thiruvallur 9.3 5.1 4.2 62.8 28 Thiruvannamalai 6.6 3.8 2.8 48.5 29 Tiruppur 9.8 4.8 5.0 63.0 30 Vellore 10.2 5.0 5.2 63.5 31 Villupuram 6.6 2.9 3.7 49.8 32 Virudhunagar 13.7 6.8 6.9 23.0 Tamil Nadu 10.1 5.3 4.8 52.6

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 10117 1207 11.9 2 Chennai 84081 1761 2.1 3 Coimbatore 44964 1310 2.9 4 Cuddalore 36490 3234 8.9 5 Dharmapuri 23744 2893 12.2 6 Dindigul 30813 2364 7.7 7 Erode 24501 892 3.6 8 Kancheepuram 42308 2202 5.2 9 Kanniyakumari 21118 773 3.7 10 Karur 12607 997 7.9 11 Krishnagiri 26065 2760 10.6 12 Madurai 48122 3236 6.7 13 Nagapattinam 19888 1821 9.2 14 Namakkal 18018 1405 7.8 15 Perambalur 7372 850 11.5 16 Pudukkottai 22584 2482 11.0 17 Ramanathapuram 18916 1782 9.4 18 Salem 50014 4667 9.3 19 Sivagangai 18474 1524 8.2 20 Thanjavur 33439 2723 8.1 21 The Nilgiris 6458 412 6.4 22 Theni 15243 895 5.9 23 Thiruchirappalli 33785 2622 7.8 24 Thirunelveli 39543 3114 7.9 25 Thiruppur 29634 801 2.7 26 Thiruvallur 40114 2454 6.1 27 Thiruvannamalai 32290 4648 14.4 28 Thiruvarur 17162 1232 7.2 29 Thoothukudi 20225 1689 8.4 30 Vellore 52890 6345 12.0 31 Villupuram 53978 5502 10.2 32 Virudhunagar 23192 1455 6.3 TAMIL NADU 958149 72052 7.5 8

% OF FIVE GOOD PERFORMING DISTRICT IN STERILIZAION (2017-18) UP TO OCTOBER 2017 100.0 80.0 80.9 80.1 78.4 78.1 76.1 60.0 40.0 20.0 0.0 Kancheepuram Erode Chennai Dindigul Coimbatore % OF FIVE POOR PERFORMING DISTRICT IN STERILIZAION (2017-18) UP TO OCTOBER 2017 80.0 70.0 60.0 50.0 52.0 57.2 57.4 58.1 58.7 68.8 40.0 30.0 20.0 10.0 0.0 Thiruvannamalai Salem Pudukkottai Cuddalore Dharmapuri State Avg 9

% OF FIVE GOOD PERFORMING DISTRICT IN PPIUCD (2017-18) UP TO OCTOBER 2017 170.0 150.0 130.0 138.6 110.0 111.5 101.4 95.3 93.5 90.0 70.0 50.0 Perambalur Chennai Thiruvannamalai Virudhunagar Vellore % OF FIVE POOR PERFORMING DISTRICT IN PPIUCD (2017-18) UP TO OCTOBER 2017 40.0 37.8 38.6 69.7 30.0 32.7 33.2 20.0 19.3 10.0 0.0 Namakkal Dindigul Erode Villupuram Cuddalore State Average 10

TRENDS IN % OF TOTAL FERTILITY RATE 4.5 4 3.9 3.8 3.5 3.4 3 2.5 2.7 2 2.2 2.1 2.0 1.5 1.7 1.7 1.7 1.6 1 0.5 0 1971 1976 1981 1986 1991 1996 2001 2006 2011 2014 2015 TRENDS IN % OF HIGHER ORDER BIRTH 25 24.2 21.6 20 15 20.2 18.9 17.8 16.3 14.8 13.6 12.5 11.6 10 10.6 9.6 9.0 8.7 8.4 7.9 7.5 5 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016(P) 11

(a). PERFORMANCE WITH REFERENCE TO ELD 2017-18 (UP TO OCTOBER 2017) Sl. No Programme ELD P.ELD UPTO OCT. % w.r.t P. ELD 1 Male Sterilisation 8000 4667 338 7.2 2 Female Sterilisation 392000 228667 160110 70.0 Total Sterilisation 400000 233333 160448 68.8 3 Intreval IUCD 150000 87500 123212 140.8 4 PPIUCD 250000 145833 101580 69.7 Total IUCD 400000 233333 224792 96.3 5 O.P. Users 100000 100000 46862 46.9 6 C.C Users 200000 200000 83441 41.7 (b). METHOD-WISE PERFORMANCE - UP TO OCTOBER 2017 Sl. No Method 2017-18 2016-17 Inc./ Dec. % of Inc./Dec. 1 Vasectomy 338 312 26 8.3 2 Tubectomy 142682 147339-4657 -3.2 3 Laparoscopic 17428 19332-1904 -9.8 TOTAL STERILISATION 160448 166983-6535 -3.9 4 IUCD 224792 234185-9393 -4.0 5 OP USERS 46862 58734-11872 -20.2 6 CC USERS 83441 92180-8739 -9.5 7 MTP 35975 35396 579 1.6 Sl. No ( c ). STERILISATION SHARE BY DIFFERENT INSTITUTIONS - UPTO OCTOBER 2017 Department 12 No. of Sterilisations 2017 % 2016 Inc./ Dec. 1 GH 43898 27.4 45181-1283 2 MCH 25701 16.0 25256 445 3 PHC 30057 18.7 32993-2936 4 ESI 606 0.4 507 99 5 Local Bodies 5297 3.3 5487-190 6 Voluntary Organisations 5562 3.4 7310-1748 7 Approved Nursing Homes 46208 28.8 46934-726 8 Unapproved Nursing Homes 3119 2.0 3315-196 TOTAL 160448 100.0 166983-6535

MALE STERILISATION PERFORMANCE 2017-18 Performance October 2017 District ELD P.ELD DM UM % w.r.t. P.ELD Ariyalur 90 53 0 12 22.9 1 Thanjavur 290 169 0 33 19.5 2 Kancheepuram 350 204 0 39 19.1 3 Kanyakumari 240 140 2 22 15.7 4 Sivagangai 160 93 0 14 15.0 5 The Nilgiris 60 35 0 5 14.3 6 Erode 250 146 0 19 13.0 7 Thiruvallur 270 158 0 19 12.1 8 Karur 100 58 1 7 12.0 9 Dharmapuri 230 134 1 16 11.9 10 Namakkal 170 99 1 10 10.1 11 Nagapattinam 140 82 1 7 8.6 12 Pudukkottai 160 93 0 8 8.6 13 Thoothukudi 220 128 2 10 7.8 14 Thiruvannamalai 320 187 7 14 7.5 15 Perambalur 70 41 0 3 7.3 16 Chennai 680 397 8 28 7.1 17 Thiruvarur 140 82 1 5 6.1 18 Thiruchirapalli 300 175 7 10 5.7 19 Virudhunagar 250 146 1 8 5.5 20 Tiruppur 190 111 0 4 3.6 21 Coimbatore 300 175 0 6 3.4 22 Dindigul 250 146 0 5 3.4 23 Ramanathapuram 160 93 1 3 3.2 24 Thirunelveli 350 204 1 6 2.9 25 Salem 390 228 0 6 2.6 26 Cuddalore 280 163 0 4 2.4 27 Vellore 520 303 0 6 2.0 28 Krishnagiri 220 128 1 2 1.6 29 Madurai 340 198 0 3 1.5 30 Villupuram 360 210 1 3 1.4 31 Theni 150 88 0 1 1.1 32 TAMIL NADU 8000 4667 36 338 7.2 13 Rank

FEMALE STERILISATION PERFORMANCE -2017-18 Performance -Oct. 2017 District ELD P.ELD DM UM % w.r.t. P.ELD Kancheepuram 17150 10004 1195 8218 82.1 1 Erode 12250 7146 844 5823 81.5 2 Chennai 33320 19437 2484 15512 79.8 3 Dindigul 12250 7146 779 5692 79.7 4 Coimbatore 14700 8575 1003 6657 77.6 5 Thanjavur 14210 8289 860 6339 76.5 6 Virudhunagar 12250 7146 795 5464 76.5 7 Ramanathapuram 7840 4573 518 3469 75.9 8 Kanyakumari 11760 6860 726 5190 75.7 9 Thirunelveli 17150 10004 1025 7549 75.5 10 Tiruppur 9310 5431 567 4075 75.0 11 Namakkal 8330 4859 499 3602 74.1 12 Vellore 25480 14863 1606 10871 73.1 13 Sivagangai 7840 4573 512 3277 71.7 14 Thoothukudi 10780 6288 692 4442 70.6 15 Nagapattinam 6860 4002 432 2746 68.6 16 Karur 4900 2858 273 1961 68.6 17 Ariyalur 4410 2573 248 1759 68.4 18 Krishnagiri 10780 6288 566 4271 67.9 19 Thiruvarur 6860 4002 418 2644 66.1 20 Theni 7350 4288 459 2813 65.6 21 Villupuram 17640 10290 966 6612 64.3 22 The Nilgiris 2940 1715 158 1085 63.3 23 Thiruvallur 13230 7718 755 4873 63.1 24 Madurai 16660 9718 820 6077 62.5 25 Perambalur 3430 2001 189 1217 60.8 26 Thiruchirapalli 14700 8575 707 5199 60.6 27 Dharmapuri 11270 6574 473 3922 59.7 28 Cuddalore 13720 8003 710 4741 59.2 29 Pudukkottai 7840 4573 411 2671 58.4 30 Salem 19110 11148 792 6501 58.3 31 Thiruvannamalai 15680 9147 734 4838 52.9 32 TAMIL NADU 392000 228667 23216 160110 70.0 14 Rank

TOTAL STERILISATION PERFORMANCE 2017-18 Performance - Oct. 2017 District ELD P.ELD DM UM % w.r.t. P.ELD Kancheepuram 17500 10208 1195 8257 80.9 1 Erode 12500 7292 844 5842 80.1 2 Chennai 34000 19833 2492 15540 78.4 3 Dindigul 12500 7292 779 5697 78.1 4 Coimbatore 15000 8750 1003 6663 76.1 5 Thanjavur 14500 8458 860 6372 75.3 6 Virudhunagar 12500 7292 796 5472 75.0 7 Kanyakumari 12000 7000 728 5212 74.5 8 Ramanathapuram 8000 4667 519 3472 74.4 9 Thirunelveli 17500 10208 1026 7555 74.0 10 Tiruppur 9500 5542 567 4079 73.6 11 Namakkal 8500 4958 500 3612 72.8 12 Vellore 26000 15167 1606 10877 71.7 13 Sivagangai 8000 4667 512 3291 70.5 14 Thoothukudi 11000 6417 694 4452 69.4 15 Karur 5000 2917 274 1968 67.5 16 Ariyalur 4500 2625 248 1771 67.5 17 Nagapattinam 7000 4083 433 2753 67.4 18 Krishnagiri 11000 6417 567 4273 66.6 19 Thiruvarur 7000 4083 419 2649 64.9 20 Theni 7500 4375 459 2814 64.3 21 Villupuram 18000 10500 967 6615 63.0 22 The Nilgiris 3000 1750 158 1090 62.3 23 Thiruvallur 13500 7875 755 4892 62.1 24 Madurai 17000 9917 820 6080 61.3 25 Perambalur 3500 2042 189 1220 59.8 26 Thiruchirapalli 15000 8750 714 5209 59.5 27 Dharmapuri 11500 6708 474 3938 58.7 28 Cuddalore 14000 8167 710 4745 58.1 29 Pudukkottai 8000 4667 411 2679 57.4 30 Salem 19500 11375 792 6507 57.2 31 Thiruvannamalai 16000 9333 741 4852 52.0 32 TAMIL NADU 400000 233333 23252 160448 68.8 15 Rank

Sl. No STERILISATION PERFORMANCE COMPARED WITH PREVIOUS YEAR Name of the District 2017-18 (Upto OCT.-17) 16 Performance 2016-17 (Upto OCT -16) Inc / Dec 1 Ramanathapuram 3472 3344 128 2 Erode 5842 5731 111 3 Karur 1968 1873 95 4 Chennai 15540 15446 94 5 Thirunelveli 7555 7485 70 6 Namakkal 3612 3545 67 7 Thiruvarur 2649 2594 55 8 Dharmapuri 3938 3929 9 9 Kanyakumari 5212 5206 6 10 The Nilgiris 1090 1084 6 11 Coimbatore 6663 6667-4 12 Nagapattinam 2753 2823-70 13 Virudhunagar 5472 5586-114 14 Dindigul 5697 5827-130 15 Ariyalur 1771 1927-156 16 Sivagangai 3291 3464-173 17 Perambalur 1220 1415-195 18 Pudukkottai 2679 2887-208 19 Vellore 10877 11093-216 20 Villupuram 6615 6837-222 21 Thoothukudi 4452 4691-239 22 Theni 2814 3080-266 23 Cuddalore 4745 5048-303 24 Krishnagiri 4273 4649-376 25 Thiruchirapalli 5209 5598-389 26 Tiruppur 4079 4468-389 27 Thanjavur 6372 6796-424 28 Kancheepuram 8257 8720-463 29 Thiruvallur 4892 5454-562 30 Salem 6507 7157-650 31 Madurai 6080 6738-658 32 Thiruvannamalai 4852 5821-969 TAMIL NADU 160448 166983-6535

METHOD - WISE FEMALE STERILISATION 2017-18 (UP TO OCT. 2017) Sl.No District Female TAT / Mini Lap Tub. Lap. Total 1 Ariyalur 85 1039 635 1759 2 Chennai 1110 12007 2395 15512 3 Coimbatore 396 5515 746 6657 4 Cuddalore 432 3758 551 4741 5 Dharmapuri 379 3279 264 3922 6 Dindigul 127 3332 2233 5692 7 Erode 411 4940 472 5823 8 Kancheepuram 703 6766 749 8218 9 Kanyakumari 53 4763 374 5190 10 Karur 92 1458 411 1961 11 Krishnagiri 773 3257 241 4271 12 Madurai 1100 4763 214 6077 13 Nagapattinam 167 2524 55 2746 14 Namakkal 343 2951 308 3602 15 Perambalur 182 870 165 1217 16 Pudukkottai 315 2331 25 2671 17 Ramanathapuram 182 2872 415 3469 18 Salem 707 5356 438 6501 19 Sivagangai 313 2820 144 3277 20 Thanjavur 170 5311 858 6339 21 The Nilgiris 263 671 151 1085 22 Theni 407 2341 65 2813 23 Thiruchirapalli 504 3793 902 5199 24 Thirunelveli 277 6198 1074 7549 25 Thiruvallur 561 3878 434 4873 26 Thiruvannamalai 881 3953 4 4838 27 Thiruvarur 127 2478 39 2644 28 Thoothukudi 480 3596 366 4442 29 Tiruppur 474 3266 335 4075 30 Vellore 1441 9299 131 10871 31 Villupuram 524 4012 2076 6612 32 Virudhunagar 690 4616 158 5464 TAMIL NADU 14669 128013 17428 160110 17

METHOD - WISE MALE STERILISATION 2017-18 (UP TO OCT. 2017) Sl. No District CV Male NSV Total 1 Ariyalur 0 12 12 2 Chennai 1 27 28 3 Coimbatore 1 5 6 4 Cuddalore 0 4 4 5 Dharmapuri 0 16 16 6 Dindigul 0 5 5 7 Erode 1 18 19 8 Kancheepuram 0 39 39 9 Kanyakumari 0 22 22 10 Karur 0 7 7 11 Krishnagiri 0 2 2 12 Madurai 0 3 3 13 Nagapattinam 0 7 7 14 Namakkal 0 10 10 15 Perambalur 0 3 3 16 Pudukkottai 0 8 8 17 Ramanathapuram 0 3 3 18 Salem 0 6 6 19 Sivagangai 0 14 14 20 Thanjavur 0 33 33 21 The Nilgiris 2 3 5 22 Theni 0 1 1 23 Thiruchirapalli 0 10 10 24 Thirunelveli 0 6 6 25 Thiruvallur 0 19 19 26 Thiruvannamalai 0 14 14 27 Thiruvarur 0 5 5 28 Thoothukudi 0 10 10 29 Tiruppur 0 4 4 30 Vellore 0 6 6 31 Villupuram 0 3 3 32 Virudhunagar 0 8 8 TAMIL NADU 5 333 338 18

PPIUCD PERFORMANCE -2017-18 (UPTO OCTOBER 2017) Performance District ELD P.ELD DM UM % w.r.t. P.ELD Perambalur 2500 1458 276 2021 138.6 1 Chennai 28130 16409 2935 18291 111.5 2 Thiruvannamalai 6875 4010 382 4065 101.4 3 Virudhunagar 6250 3646 435 3473 95.3 4 Vellore 14060 8202 1370 7671 93.5 5 Kancheepuram 7500 4375 457 3994 91.3 6 Tiruppur 5000 2917 332 2543 87.2 7 Krishnagiri 8440 4923 536 3984 80.9 8 Thirunelveli 8440 4923 444 3904 79.3 9 Thanjavur 12500 7292 658 5565 76.3 10 Salem 9060 5285 172 4006 75.8 11 Thiruvarur 6250 3646 312 2616 71.8 12 The Nilgiris 2250 1313 113 933 71.1 13 Thiruvallur 5940 3465 281 2453 70.8 14 Madurai 9690 5653 490 3922 69.4 15 Thoothukudi 6875 4010 292 2761 68.8 16 Dharmapuri 8440 4923 316 3328 67.6 17 Sivagangai 4940 2882 210 1889 65.6 18 Theni 4690 2736 200 1560 57.0 19 Thiruchirapalli 10000 5833 361 3325 57.0 20 Pudukkottai 5310 3098 205 1717 55.4 21 Coimbatore 10000 5833 398 2881 49.4 22 Kanyakumari 3750 2188 148 1007 46.0 23 Nagapattinam 6560 3827 274 1761 46.0 24 Ramanathapuram 6560 3827 208 1738 45.4 25 Ariyalur 3430 2001 92 850 42.5 26 Karur 4060 2368 142 959 40.5 27 Cuddalore 11250 6563 328 2533 38.6 28 Villupuram 10625 6198 348 2342 37.8 29 Erode 6875 4010 194 1331 33.2 30 Dindigul 7810 4556 244 1488 32.7 31 Namakkal 5940 3465 93 669 19.3 32 TAMIL NADU 250000 145833 13246 101580 69.7 19 Rank

INTERVAL IUCD PERFORMANCE -2017-18 (UPTO OCTOBER 2017) Performance District ELD P.ELD DM UM % w.r.t. P.ELD Sivagangai 2960 1727 528 3691 213.8 1 Kanyakumari 2250 1313 330 2429 185.1 2 Ramanathapuram 3940 2298 652 4218 183.5 3 Tiruppur 3000 1750 438 3192 182.4 4 Villupuram 6375 3719 1532 6668 179.3 5 Erode 4125 2406 563 4219 175.3 6 Virudhunagar 3750 2188 538 3799 173.7 7 Coimbatore 6000 3500 778 6048 172.8 8 Nagapattinam 3940 2298 510 3913 170.3 9 Thiruvarur 3750 2188 481 3542 161.9 10 Chennai 16870 9841 1895 15594 158.5 11 Dindigul 4690 2736 555 4246 155.2 12 Cuddalore 6750 3938 933 6050 153.7 13 Kancheepuram 4500 2625 466 3736 142.3 14 Thoothukudi 4125 2406 530 3337 138.7 15 Thirunelveli 5060 2952 412 4086 138.4 16 Salem 5440 3173 499 4288 135.1 17 Thanjavur 7500 4375 866 5762 131.7 18 Thiruvallur 3560 2077 295 2649 127.6 19 Pudukkottai 3190 1861 284 2365 127.1 20 Madurai 5810 3389 598 4247 125.3 21 Dharmapuri 5060 2952 500 3684 124.8 22 The Nilgiris 1350 788 145 973 123.6 23 Ariyalur 2070 1208 230 1480 122.6 24 Karur 2440 1423 255 1614 113.4 25 Theni 2810 1639 272 1847 112.7 26 Vellore 8440 4923 660 5122 104.0 27 Krishnagiri 5060 2952 450 3027 102.6 28 Thiruvannamalai 4125 2406 297 2281 94.8 29 Namakkal 3560 2077 215 1829 88.1 30 Thiruchirapalli 6000 3500 336 2795 79.9 31 Perambalur 1500 875 69 481 55.0 32 TAMIL NADU 150000 87500 17112 123212 140.8 20 Rank

Sl. No I.U.C.D. PERFORMANCE COMPARED WITH PREVIOUS YEAR Name of the District 2017-18 (Upto OCT.-17) 21 Performance 2016-17 (Upto OCT -16) Inc / Dec 1 Chennai 33885 28759 5126 2 Thirunelveli 7990 6564 1426 3 Sivagangai 5580 4267 1313 4 Salem 8294 7262 1032 5 Tiruppur 5735 5564 171 6 Thiruvarur 6158 6051 107 7 The Nilgiris 1906 1900 6 8 Krishnagiri 7011 7070-59 9 Theni 3407 3498-91 10 Ramanathapuram 5956 6079-123 11 Thoothukudi 6098 6346-248 12 Villupuram 9010 9278-268 13 Kanyakumari 3436 3706-270 14 Kancheepuram 7730 8005-275 15 Perambalur 2502 2807-305 16 Ariyalur 2330 2689-359 17 Nagapattinam 5674 6152-478 18 Karur 2573 3071-498 19 Dharmapuri 7012 7741-729 20 Erode 5550 6322-772 21 Madurai 8169 9081-912 22 Dindigul 5734 6660-926 23 Coimbatore 8929 9857-928 24 Thanjavur 11327 12280-953 25 Cuddalore 8583 9593-1010 26 Thiruchirapalli 6120 7142-1022 27 Thiruvallur 5102 6192-1090 28 Vellore 12793 14045-1252 29 Thiruvannamalai 6346 7937-1591 30 Pudukkottai 4082 6403-2321 31 Namakkal 2498 4934-2436 32 Virudhunagar 7272 6930 342 TAMIL NADU 224792 234185-9393

ORAL PILLS PERFORMANCE 2017-18 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 2000 2275 16258 2144 107.2 1708 2 Thanjavur 2500 2288 17361 2289 91.6 1046 3 Cuddalore 2600 1952 17517 2310 88.8 1792 4 Thiruchirapalli 2000 1803 11827 1560 78.0 548 5 Pudukkottai 1800 1276 9450 1246 69.2 958 6 Ramanathapuram 2500 1779 13111 1729 69.2 793 7 Thirunelveli 1600 858 8126 1072 67.0 263 8 Coimbatore 4200 2158 20426 2694 64.1 1520 9 Thoothukudi 2500 1150 11547 1523 60.9 246 10 Nagapattinam 2800 2061 12129 1599 57.1 369 11 Erode 2000 1246 8557 1128 56.4 1506 12 Vellore 4100 2596 17052 2249 54.8 1947 13 Virudhunagar 3000 1891 12404 1636 54.5 974 14 Dindigul 3500 1486 13987 1844 52.7 2155 15 Perambalur 1300 771 4923 649 49.9 52 16 Krishnagiri 2500 317 9417 1242 49.7 84 17 Kancheepuram 4500 1503 15150 1998 44.4 2073 18 Thiruvarur 3000 1263 10075 1329 44.3 393 19 Madurai 3100 1008 10389 1370 44.2 755 20 Salem 4600 1981 14605 1926 41.9 243 21 The Nilgiris 1500 724 4639 612 40.8 428 22 Chennai 8000 2675 22653 2987 37.3 2468 23 Villupuram 5000 4601 14046 1852 37.0 4253 24 Tiruppur 3000 1058 8217 1084 36.1 719 25 Kanyakumari 3000 872 7555 996 33.2 529 26 Dharmapuri 2500 205 5906 779 31.2 272 27 Ariyalur 1000 269 2344 309 30.9 179 28 Theni 1700 647 3878 511 30.1 289 29 Thiruvannamalai 5000 1640 10088 1330 26.6 469 30 Namakkal 2700 646 4900 646 23.9 176 31 Karur 3500 1172 6028 795 22.7 39 32 Thiruvallur 7000 1133 10806 1425 20.4 391 TAMIL NADU 100000 47304 355371 46862 46.9 29637 22

Sl. No. C.C. PERFORMANCE 2017-18 (UPTO OCTOBER - 2017) District ELD Net Condoms DM 23 UM C.C.Users UM % of Performance to ELD 1 Chennai 20000 96963 559992 13333 66.7 2 Cuddalore 9700 42200 260964 6213 64.1 3 Thiruvarur 4500 15090 104723 2493 55.4 4 Villupuram 9500 49190 206063 4906 51.6 5 Nagapattinam 3800 12028 82308 1960 51.6 6 Dindigul 8200 23499 170044 4049 49.4 7 Sivagangai 4800 13363 99209 2362 49.2 8 Theni 4300 14220 84680 2016 46.9 9 Vellore 8700 28930 168900 4021 46.2 10 Ramanathapuram 6200 17752 108510 2584 41.7 11 Pudukkottai 5300 16514 92487 2202 41.5 12 Ariyalur 1600 3940 27902 664 41.5 13 Tiruppur 3800 9495 66066 1573 41.4 14 Thanjavur 6000 18125 100576 2395 39.9 15 The Nilgiris 3000 21935 50200 1195 39.8 16 Kancheepuram 6600 18010 109824 2615 39.6 17 Krishnagiri 4200 9630 69570 1656 39.4 18 Perambalur 1500 3435 23395 557 37.1 19 Erode 5700 11770 86740 2065 36.2 20 Virudhunagar 6800 15740 99320 2365 34.8 21 Thiruchirapalli 7500 21235 109355 2604 34.7 22 Karur 3300 8910 48115 1146 34.7 23 Madurai 7700 14852 111057 2644 34.3 24 Kanyakumari 4800 9021 67377 1604 33.4 25 Salem 8600 18670 113665 2706 31.5 26 Thiruvallur 7900 15391 102438 2439 30.9 27 Thiruvannamalai 5800 10698 74296 1769 30.5 28 Namakkal 5500 11750 68290 1626 29.6 29 Coimbatore 10000 14830 110000 2619 26.2 30 Dharmapuri 4700 4840 45170 1075 22.9 31 Thoothukudi 4000 3460 35800 852 21.3 32 Thirunelveli 6000 5442 47493 1131 18.8 TAMIL NADU 200000 580928 3504529 83441 41.7

Sl. No STERILISATION, PPIUCD PERFORMANCE IN MCH 2017-18 (UP TO OCTOBER 2017) Name of Medical Colege Hospital Sterilisation 2017 2016 Inc./ Dec. PPIUCD 2017 2016 Inc./ Dec. 1 K.M.C., Chennai 776 680 96 1902 1294 608 2 K.G.H., Chennai 1050 1107-57 2993 1634 1359 3 R.S.R.M.,Chennai 1827 1373 454 5398 3547 1851 4 W&CH., Chennai 1947 1714 233 5590 4220 1370 5 Coimbatore 1178 1085 93 1776 2485-709 6 Dharmapuri 927 941-14 2506 2813-307 7 Kancheepuram 1586 1752-166 2060 2386-326 8 Kanniyakumari 682 661 21 246 470-224 9 Karur 510 423 87 791 515 276 10 Madurai 1450 1074 376 2425 2574-149 11 Pudukottai 715 1010-295 768 1726-958 12 M.K., Salem 1067 736 331 2431 1231 1200 13 Sivagangai 634 720-86 1196 447 749 14 R.M., Thanjavur 2200 2476-276 2910 3148-238 15 Theni 1014 1118-104 1030 1122-92 16 M.G.M., Trichy 1137 1382-245 2101 2593-492 17 Tirunelvelli 846 760 86 2274 787 1487 18 Tiruvannamalai 1461 1495-34 2743 2591 152 19 Tiruvarur 1095 923 172 1740 1058 682 20 Thoothukudi 836 761 75 1166 907 259 21 Vellore 1662 1883-221 4228 4897-669 22 Villupuram 1101 1182-81 1353 1204 149 TOTAL 25701 25256 445 49627 43649 5978 24

Sl. No Name of the District MTP PERFORMANCE 2017-18 (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 301 0 0 2281 2582 1033 1549 2 Salem 981 0 0 1436 2417 2143 274 3 Dharmapuri 388 0 0 616 1004 826 178 4 Trinelveli 381 0 0 983 1364 1250 114 5 Erode 181 0 0 849 1030 957 73 6 Thiruvanamalai 371 0 0 483 854 791 63 7 Vellore 787 34 0 679 1500 1437 63 8 Tiruppur 29 0 0 896 925 880 45 9 Thoothukudi 290 0 0 728 1018 978 40 10 Karur 187 0 0 520 707 672 35 11 Coimbatore 350 569 443 0 1362 1335 27 12 Sivagangai 183 7 0 272 462 442 20 13 Thanjavur 535 5 0 687 1227 1233-6 14 Krishnagiri 154 0 0 956 1110 1119-9 15 Nagapattinam 163 0 0 202 365 380-15 16 Ariyalur 2 0 0 193 195 212-17 17 The Nilgris 102 4 0 199 305 341-36 18 Theni 244 90 0 314 648 693-45 19 Pudukottai 157 0 0 157 314 369-55 20 Kancheepuram 230 0 0 702 932 988-56 21 Kanniyakumari 170 0 1 239 410 468-58 22 Thiruvarur 181 0 0 320 501 563-62 23 Tiruvallur 258 0 0 411 669 746-77 24 Virudhunagar 263 0 0 309 572 649-77 25 Perambalur 125 0 0 138 263 342-79 26 Trichy 322 25 0 1121 1468 1571-103 27 Ramanathpuram 162 9 0 335 506 630-124 28 Madurai 546 21 0 609 1176 1310-134 29 Cuddalore 207 0 0 1022 1229 1392-163 30 Villupuram 793 0 0 165 958 1173-215 31 Dindigul 208 0 0 682 890 1129-239 32 Chennai 3234 0 0 3778 7012 7344-332 TAMIL NADU 12485 371 326 22282 35975 35396 579

Sl. No. POST ABORTION CONTRACEPTIVE 2017-18 (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 310 0 25 70 2177 2582 1033 1549 2 Salem 950 8 46 147 1266 2417 2143 274 3 Dharmapuri 234 12 13 32 713 1004 826 178 4 Trinelveli 105 0 15 147 1097 1364 1250 114 5 Erode 145 0 4 105 776 1030 957 73 6 Thiruvanamalai 227 0 125 133 369 854 791 63 7 Vellore 227 0 143 159 971 1500 1437 63 8 Tiruppur 117 63 2 8 735 925 880 45 9 Thoothukudi 164 6 9 4 835 1018 978 40 10 Karur 52 41 48 57 509 707 672 35 11 Coimbatore 117 115 13 234 883 1362 1335 27 12 Sivagangai 62 6 3 3 388 462 442 20 13 Thanjavur 2 183 20 165 857 1227 1233-6 14 Krishnagiri 90 11 23 1 985 1110 1119-9 15 Nagapattinam 49 6 32 112 166 365 380-15 16 Ariyalur 63 0 11 21 100 195 212-17 17 The Nilgris 65 0 16 19 205 305 341-36 18 Theni 94 1 10 0 543 648 693-45 19 Pudukottai 36 0 8 75 195 314 369-55 20 Kancheepuram 333 0 8 0 591 932 988-56 21 Kanniyakumari 46 61 16 5 282 410 468-58 22 Thiruvarur 39 0 3 89 370 501 563-62 23 Tiruvallur 106 2 15 86 460 669 746-77 24 Virudhunagar 174 3 19 27 349 572 649-77 25 Perambalur 89 12 7 0 155 263 342-79 26 Trichy 250 136 35 51 996 1468 1571-103 27 Ramanathpuram 71 17 15 4 399 506 630-124 28 Madurai 268 7 72 218 611 1176 1310-134 29 Cuddalore 73 196 17 0 943 1229 1392-163 30 Villupuram 162 91 8 1 696 958 1173-215 31 Dindigul 33 159 15 5 678 890 1129-239 32 Chennai 981 131 343 1888 3669 7012 7344-332 TAMIL NADU 5734 1267 1139 3866 23969 35975 35396 579 26

COVERAGE OF DELIVERIES IN GOVT. HOSPITAL WITH 2 & ABOVE CHILDREN 2017-18 (UPTO OCTOBER 2017) Name of the Districts Deliveries 2 Covered by (UP TO OCTOBER - 2017) Stern. % PPIUCD % 27 Rank (for sterilization) KANNIYAKUMARI 999 878 87.9 40 4.0 1 NAGAPATTINAM 2292 1659 72.4 211 9.2 2 RAMANATHAPURAM 1894 1333 70.4 193 10.2 3 THOOTHUKUDI 1616 1131 70.0 240 14.9 4 ERODE 1964 1301 66.2 207 10.5 5 SIVAGANGAI 1420 933 65.7 110 7.7 6 KANCHEEPURAM 2550 1658 65.0 405 15.9 7 TIRUNELVELI 1964 1261 64.2 304 15.5 8 THIRUVARUR 997 636 63.8 175 17.6 9 VIRUDHUNAGAR 3116 1968 63.2 523 16.8 10 THIRUVANAMALAI 1295 814 62.9 314 24.2 11 CHENNAI 544 338 62.1 35 6.4 12 THIRUVALLUR 2413 1388 57.5 299 12.4 13 VELLORE 4055 2320 57.2 617 15.2 14 DINDIGUL 2937 1661 56.6 88 3.0 15 COIMBATORE 1340 753 56.2 235 17.5 16 NAMAKKAL 1591 892 56.1 157 9.9 17 THENI 1235 685 55.5 128 10.4 18 THE NILGIRIS 662 363 54.8 125 18.9 19 DHARMAPURI 745 404 54.2 213 28.6 20 CUDDALORE 4162 2221 53.4 611 14.7 21 THIRUPPUR 2703 1431 52.9 496 18.3 22 ARIYALUR 1168 610 52.2 180 15.4 23 MADURAI 2076 1068 51.4 379 18.3 24 PUDUKKOTTAI 945 471 49.8 202 21.4 25 KARUR 473 235 49.7 42 8.9 26 SALEM 1880 921 49.0 524 27.9 27 TRICHY 1520 729 48.0 356 23.4 28 KRISHNAGIRI 3120 1373 44.0 993 31.8 29 THANJAVUR 2232 961 43.1 643 28.8 30 PERAMBALUR 1434 594 41.4 644 44.9 31 VILLUPURAM 2661 975 36.6 458 17.2 32 Total 60003 33965 56.6 10147 16.9 The Districts in rank 16 to 32 are below the State average of 56.6under the coverage of Deliveries in Sterilisation.

COVERAGE OF DELIVERIES IN MCH 2 AND ABOVE CHILDREN 2017-18 (UPTO OCTOBER 2017) 2 and above Name of the Medical College Hospital Deliveries Covered by Stern. % Covered by PPIUCD % Rank (for sterilization) Kanyakumari 905 619 68.4 49 5.4 1 Thiruvarur 1727 1034 59.9 340 19.7 2 Thoothukudi 1282 689 53.7 279 21.8 3 Chengalpattu 2847 1495 52.5 227 8.0 4 Theni 1879 984 52.4 9 0.5 5 R.M.H.,Thanjavur 4295 2131 49.6 1196 27.8 6 K.G.H., Chennai 2072 1011 48.8 889 42.9 7 Karur 929 448 48.2 201 21.6 8 Thiruvannamalai 2767 1322 47.8 908 32.8 9 Sivagangai 1342 610 45.5 306 22.8 10 R.S.R.M.,Chennai 3425 1551 45.3 1504 43.9 11 Vellore 3359 1495 44.5 968 28.8 12 Tirunelveli 1895 840 44.3 796 42.0 13 Pudukottai 1579 671 42.5 211 13.4 14 Coimbatore 2182 902 41.3 755 34.6 15 W.& Ch.,Chennai 4604 1778 38.6 1836 39.9 16 GMK., Salem 2739 1042 38.0 843 30.8 17 K.M.C., Chennai 1633 592 36.3 604 37.0 18 Dharmapuri 2407 843 35.0 776 32.2 19 Villupuram 2839 948 33.4 384 13.5 20 RH., Madurai 3976 1322 33.2 986 24.8 21 M.G.M., Trichy 3024 986 32.6 706 23.3 22 53707 23313 43.4 14773 27.5 The Districts in rank 14 to 22 are below the State average of 43.4 under the coverage of Deliveries in Sterilisation. 28

COVERAGE OF DELIVERIES IN GOVT. HOSPITAL WITH 0 & 1 CHILD 2017-18 (UPTO OCTOBER 2017) Name of the Districts Delliveries 29 0 and 1 child Covered by PPIUCD % Rank (for PPIUCD) DHARMAPURI 642 572 89.1 1 THIRUVARUR 805 716 88.9 2 THOOTHUKUDI 1554 1309 84.2 3 KRISHNAGIRI 3238 2716 83.9 4 THANJAVUR 2148 1735 80.8 5 THIRUVANAMALAI 921 714 77.5 6 PERAMBALUR 1622 1249 77.0 7 NAGAPATTINAM 2059 1510 73.3 8 VIRUDHUNAGAR 3736 2730 73.1 9 THE NILGIRIS 683 473 69.3 10 TIRUNELVELI 1760 1204 68.4 11 THIRUPPUR 2789 1843 66.1 12 RAMANATHAPURAM 2204 1421 64.5 13 VELLORE 2998 1916 63.9 14 PUDUKKOTTAI 978 617 63.1 15 MADURAI 1777 1115 62.7 16 KANNIYAKUMARI 892 555 62.2 17 COIMBATORE 1367 828 60.6 18 SALEM 1571 951 60.5 19 TRICHY 1107 664 60.0 20 ARIYALUR 1091 654 59.9 21 CUDDALORE 3344 1985 59.4 22 THIRUVALLUR 2328 1308 56.2 23 KANCHEEPURAM 2496 1356 54.3 24 ERODE 2089 985 47.2 25 KARUR 296 132 44.6 26 DINDIGUL 2853 1211 42.4 27 NAMAKKAL 1356 495 36.5 28 THENI 1237 433 35.0 29 VILLUPURAM 1771 498 28.1 30 SIVAGANGAI 1547 369 23.9 31 CHENNAI 433 75 17.3 32 Total 55692 34339 61.7 The Districts in rank 18 to 32 are below the State average of 61.7under the coverage of Deliveries in PPIUCD.

COVERAGE OF DELIVERIES IN MCH 0 AND 1 CHILD 2017-18 (UPTO OCTOBER 2017) Name of the Medical College Hospital Delliveries 30 Covered by PPIUCD 0 and 1 child % Rank (for PPIUCD) Vellore 4232 3730 88.1 1 R.S.R.M.,Chennai 4259 3695 86.8 2 K.G.H., Chennai 2705 2217 82.0 3 Thiruvarur 1819 1400 77.0 4 Thiruvannamalai 2566 1835 71.5 5 Dharmapuri 2632 1730 65.7 6 Sivagangai 1407 890 63.3 7 W.& Ch.,Chennai 6035 3796 62.9 8 Tirunelveli 2364 1478 62.5 9 Karur 955 579 60.6 10 Thoothukudi 1539 891 57.9 11 K.M.C., Chennai 2427 1295 53.4 12 GMK., Salem 2978 1588 53.3 13 Chengalpattu 3970 1833 46.2 14 M.G.M., Trichy 3313 1395 42.1 15 Theni 2761 1020 36.9 16 Coimbatore 2778 1021 36.8 17 R.M.H.,Thanjavur 4830 1714 35.5 18 Villupuram 2930 969 33.1 19 Pudukottai 1707 557 32.6 20 RH., Madurai 4605 1488 32.3 21 Kanyakumari 1023 207 20.2 22 63835 35328 55.3 The Districts in rank 12 to 22 are below the State average of 55.3 under the Coverage of Deliveries in PPIUCD

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 1 508 136 26.8 112 22.0 248 48.8 2 Krishnagiri 6 7756 1560 20.1 1446 18.6 3006 38.8 3 Cuddalore 5 3317 766 23.1 451 13.6 1217 36.7 4 Tiruvallur 3 2867 925 32.3 55 1.9 980 34.2 5 Tiruvannamalai 12 14399 3466 24.1 1209 8.4 4675 32.5 6 Salem 10 15806 3755 23.8 811 5.1 4566 28.9 7 Pudukkottai 7 8163 1737 21.3 442 5.4 2179 26.7 8 Ariyalur 5 10648 1009 9.5 873 8.2 1882 17.7 9 Dindigul 3 4239 637 15.0 77 1.8 714 16.8 10 Tirunelveli 4 2049 229 11.2 102 5.0 331 16.2 11 Villupuram 15 21157 2432 11.5 837 4.0 3269 15.5 12 Perambalur 2 3792 436 11.5 53 1.4 489 12.9 13 Virudhunagar 2 806 60 7.4 18 2.2 78 9.7 14 Vellore 13 10291 620 6.0 219 2.1 839 8.2 15 Ramnad 3 2979 204 6.8 0 0.0 204 6.8 16 Sivagangai 2 698 33 4.7 5 0.7 38 5.4 17 Dharmapuri 7 8988 250 2.8 183 2.0 433 4.8 18 Karur 3 1783 32 1.8 21 1.2 53 3.0 19 Madurai 3 3714 73 2.0 31 0.8 104 2.8 20 Trichy 6 4486 75 1.7 24 0.5 99 2.2 21 Thoothukudi 8 3467 52 1.5 11 0.3 63 1.8 STATE TOTAL 120 131913 18487 14.0 6980 5.3 25467 19.3 31

Sl. No. PARITY-WISE REPORT ON STERILISATION ACCEPTORS (WITH 2 AND LESS THAN 2 LIVING CHILDREN) 2017-18 (UPTO OCTOBER - 2017) Name of the District Sterilization UPTO OCTOBER 2017 32 Sterilization done with One child Male Female Total Male Female Two Children % of Col. 8 to Col. 5 1 2 3 4 5 6 7 8 9 1 Ariyalur 12 1759 1771 0 3 1088 61.4 2 Chennai 28 15512 15540 1 242 11223 72.2 3 Coimbatore 6 6657 6663 0 132 6173 92.6 4 Cuddalore 4 4741 4745 0 17 3582 75.5 5 Dharmapuri 16 3922 3938 1 51 2604 66.1 6 Dindigul 5 5692 5697 0 115 4157 73.0 7 Erode 19 5823 5842 4 137 5381 92.1 8 Kancheepuram 39 8218 8257 7 24 7071 85.6 9 Kanniyakumari 22 5190 5212 1 32 4773 91.6 10 Karur 7 1961 1968 2 26 1616 82.1 11 Krishnagiri 2 4271 4273 0 179 3176 74.3 12 Madurai 3 6077 6080 2 54 4713 77.5 13 Nagapattinam 7 2746 2753 0 7 2276 82.7 14 Namakkal 10 3602 3612 2 45 2802 77.6 15 Perambalur 3 1217 1220 0 4 829 68.0 16 Pudukkottai 8 2671 2679 1 16 1889 70.5 17 Ramanathapuram 3 3469 3472 0 3 2833 81.6 18 Salem 6 6501 6507 1 99 4787 73.6 19 Sivagangai 14 3277 3291 2 41 2690 81.7 20 Thanjavur 33 6339 6372 2 44 5068 79.5 21 The Nilgiris 5 1085 1090 2 17 975 89.4 22 Theni 1 2813 2814 0 26 2432 86.4 23 Thiruchirappalli 10 5199 5209 0 60 3825 73.4 24 Thirunelveli 6 7549 7555 2 30 6022 79.7 25 Thiruvallur 19 4873 4892 3 68 4163 85.1 26 Thiruvannamalai 14 4838 4852 3 15 2923 60.2 27 Thiruvarur 5 2644 2649 1 12 2240 84.6 28 Thoothukudi 10 4442 4452 1 25 3341 75.0 29 Tiruppur 4 4075 4079 0 93 3707 90.9 30 Vellore 6 10871 10877 1 75 7481 68.8 31 Villupuram 3 6612 6615 1 47 3720 56.2 32 Virudhunagar 8 5464 5472 0 73 4778 87.3 TAMIL NADU 338 160110 160448 40 1812 124338 77.5

HUD-WISE STERILISATIONS DONE AT PHC 2017-18 (UPTO OCTOBER 2017) Sterilisations Sl. No. Name of the HUD No. of OT Inc / Dec 2017-18 2016-17 1 Thiruvannamalai 12 985 1589-604 2 Thiruvallur 11 2134 2530-396 3 Salem 20 1056 1451-395 4 Krishnagiri 11 1650 1912-262 5 Vellore 11 1284 1533-249 6 Erode 14 860 1092-232 7 Thiruchirapalli 14 921 1146-225 8 Thanjavur 8 684 905-221 9 Theni 9 574 774-200 10 Ariyalur 5 462 652-190 11 Cheyyar 8 689 826-137 12 Tiruppur 16 573 701-128 13 Namakkal 13 846 968-122 14 Kancheepuram 8 690 793-103 15 Sankarankoil 8 246 347-101 16 Coimbatore 6 156 252-96 17 Karur 6 308 397-89 18 Cuddalore 20 742 807-65 19 Tirupathur 9 1192 1255-63 20 Thoothukudi 9 491 550-59 21 Koilpatti 7 239 279-40 22 Palani 8 572 607-35 23 Poonamallee 1 220 249-29 24 Virudhunagar 7 598 623-25 25 Aranthangi 5 149 171-22 26 Nagapattinam 3 72 89-17 27 Kanyakumari 10 545 560-15 28 Perambalur 6 163 176-13 29 Thiruvarur 2 40 52-12 30 Sivakasi 5 496 495 1 31 Saidapet 7 1272 1270 2 32 Dharmapuri 10 1289 1283 6 33 Pudukkottai 5 155 140 15 34 The Nilgiris 5 102 64 38 35 Madurai 11 1423 1384 39 36 Villupuram 9 908 851 57 37 Ramanathapuram 5 597 535 62 38 Sivagangai 11 833 754 79 39 Dindigul 8 703 576 127 40 Paramakudi 6 580 431 149 41 Thirunelveli 11 729 519 210 42 Kallakurichi 11 1829 1405 424 TAMIL NADU 371 30057 32993-2936 33

DEATH,FAILURE AND COMPLICATION REPORT FOR THE YEAR 2017-18 (UPTO OCTOBER 2017) DEATH FAILURE COMPLICATION Sl. No Name of the district M F M F M F 1 Ariyalur 0 0 0 0 0 0 2 Chennai 0 0 0 39 0 0 3 Coimbatore 0 1 0 0 0 0 4 Cuddalore 0 0 0 7 0 0 5 Dharmapuri 0 1 0 12 0 0 6 Dindigul 0 0 0 8 0 0 7 Erode 0 0 0 6 0 0 8 Kancheepuram 0 0 0 15 0 0 9 Kanyakumari 0 0 0 14 0 0 10 Karur 0 0 0 8 0 0 11 Krishnagiri 0 1 0 4 0 0 12 Madurai 0 0 0 15 0 0 13 Nagapattinam 0 0 0 1 0 0 14 Namakkal 0 0 0 0 0 0 15 Perambalur 0 0 0 1 0 0 16 Pudukkottai 0 0 0 5 0 0 17 Ramanathapuram 0 0 0 5 0 0 18 Salem 0 3 0 8 0 0 19 Sivagangai 0 0 0 9 0 0 20 Thanjavur 0 0 0 12 0 0 21 The Nilgiris 0 0 0 3 0 0 22 Theni 0 0 0 1 0 0 23 Thiruchirapalli 0 0 0 11 0 0 24 Thirunelveli 0 0 0 17 0 0 25 Thiruvallur 0 0 1 10 0 0 26 Thiruvannamalai 0 1 0 12 0 0 27 Thiruvarur 0 1 0 2 0 0 28 Thoothukudi 0 1 0 13 0 0 29 Thiruppur 0 0 0 1 0 0 30 Vellore 0 0 0 42 0 0 31 Villupuram 0 0 0 7 0 0 32 Virudhunagar 0 0 0 6 0 0 Total 0 9 1 294 0 0 34

DISTRICT-WISE TOTAL DELIVERIES - TYPE WISE IN MCH, GH & ESI HOSPITALS 2017-18 (UPTO OCTOBER - 2017) Sl. No. Name of the District Normal Caesarian Assisted 35 Total Deliveries 1 ARIYALUR 845 1374 40 2259 2 CHENNAI 11234 13761 831 25826 3 COIMBATORE 3560 3984 117 7661 4 CUDDALORE 2851 4255 34 7140 5 DARMAPURI 3154 2896 127 6177 6 DINDIGUL 3252 2379 159 5790 7 ERODE 1510 2217 60 3787 8 KANCHEEPURAM 5396 5655 117 11168 9 KANNIYAKUMARI 1235 2378 33 3646 10 KARUR 1418 1136 55 2609 11 KRISHNAGIRI 3294 2779 131 6204 12 MADURAI 6082 5128 523 11733 13 NAGAPATTINAM 1725 2602 23 4350 14 NAMAKKAL 1148 1565 44 2757 15 PERAMBALUR 1442 1529 74 3045 16 PUDUKKOTTAI 2917 2257 35 5209 17 RAMNAD 1348 2347 404 4099 18 SALEM 4136 4584 117 8837 19 SIVAGANGAI 2500 2866 169 5535 20 THANJAVUR 7494 5654 477 13625 21 THE NILGIRIS 653 667 13 1333 22 THENI 3145 3521 98 6764 23 TRICHY 4665 4201 101 8967 24 THIRUNELVELI 3693 4291 211 8195 25 THIRUVALLUR 2603 2071 64 4738 26 THIRUVANNAMALAI 4658 2172 42 6872 27 THIRUVARUR 2238 3099 17 5354 28 THOOTHUKUDI 2338 3573 82 5993 29 THIRUPPUR 2320 2833 41 5194 30 VELLORE 8536 5790 319 14645 31 VILLUPURAM 5254 4777 144 10175 32 VIRUDHUNAGAR 2716 3872 102 6690 TAMIL NADU 109360 112213 4804 226377

DISTRICT-WISE FW CONTRACEPTIVE STOCK POSITION (AS ON 31.10.2017) Sl. No District Cu.T Nirodh Oral Pills Antara Chhaya 1 Ariyalur 6834 99381 15223 240 600 2 Chennai 16636 1053205 34695 2326 1449 3 Coimbatore 16016 860724 33149 720 1120 4 Cuddalore 15001 687556 9532 480 1200 5 Dharmapuri 13195 502300 52102 720 1200 6 Dindigul 10441 613751 12919 480 1200 7 Erode 9097 469545 30983 480 1200 8 Kancheepuram 11727 987537 24401 720 1829 9 Kanniyakumari 6604 365442 31299 480 1200 10 Karur 6013 246562 19242 480 1200 11 Krishnagiri 10728 338200 6770 720 600 12 Madurai 14422 634183 32751 960 1800 13 Nagapattinam 8318 291086 26807 480 600 14 Namakkal 10464 420720 32819 240 600 15 Perambalur 5277 152998 10556 240 600 16 Pudukottai 9960 394075 27896 480 1200 17 Ramanathpuram 11037 482418 22351 480 1200 18 Salem 12927 675140 31273 716 1797 19 Sivagangai 9865 354113 22831 720 1800 20 Thanjavur 14973 474373 18539 1440 1800 21 The Nilgris 6131 219979 33876 240 600 22 Theni 6704 313790 37620 480 1200 23 Trichy 13806 622763 75327 712 1800 24 Tirunelveli 10951 557123 30979 720 1800 25 Tiruvallur 8016 250836 19306 480 1200 26 Thiruvannamalai 12053 462947 25807 720 1800 27 Thiruvarur 8117 345898 25536 480 1200 28 Thoothukudi 9038 355290 27410 480 1800 29 Tiruppur 2855 229507 11776 480 600 30 Vellore 16955 655890 30735 1440 1784 31 Villupuram 13211 684798 14138 960 1800 32 Virudhunagar 7766 533870 33590 720 1200 Total 335138 15336000 862238 21514 40979 36

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 100000 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 100 37