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

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FOR OFFICE USE ONLY HEALTH & FAMILY WELFARE DEPARTMENT HIMACHAL PRADESH ANNUAL REPORT ON THE WORKING OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 & STATISTICAL REPORT FOR THE YEAR 2012 OFFICE OF THE CHIEF REGISTRAR (BIRTHS & DEATHS) & DIRECTOR OF HEALTH SERVICES, HIMACHAL PRADESH SWASTHYA BHAWAN, KASUMPTI, SHIMLA 171 009

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

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

With the strenuous efforts of the Department and Co-operation of sister departments such as Rural Integrated & Panchayati Raj, Urban development & Women and Child Development Department etc. the registration level of vital events for the year 2012 has improved in the state which is evident as mentioned below:- REGISTRATION OF BIRTHS DURING 2012 1. Est. mid-year Population of State of 2012 6983135 2. Birth Rate (SRS 2011) 16.5 3. Expected Births as per (SRS 2011 Birth Rate) 115222 4. Births Registered with registrars 127611 5. Registration level 110.75 6. Birth Rate as per registered births under CRS 18.27 REGISTRATION OF DEATHS DURING 2012 1. Death Rate (SRS 2011) 6.7 2. Expected Deaths as per (SRS 2011 Death Rate) 46787 3. Deaths Registered with registrars 44271 4. Registration level 94.62 5. Death Rate as per registered deaths under CRS 6.34 SEX RATIO AT BIRTH 1. Total Males Live-births Registered during 2012 66606 2. Total Females Live births Registered during 2012 61005 3. Sex Ratio (at birth) 2012 916 Vital records which are legal documents are indispensable for individuals are preserved permanently. It can be presented to others for a wide variety of use as proof of age, for school entry purpose, proof of place of birth for passport and other benefits etc. Sd/- (Dr. KULBHUSHAN SOOD) Chief Registrar (Births & Deaths) Himachal Pradesh (iv)

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

Civil Registration provides high quality information on births & deaths. This information is used extensively for monitoring the size and composition of the population and in making projections of the health and circumstances of people s lives. It enables a picture of the changing patterns and trends at local and national level. All the Vital events are registered with the Local Registrars (Births and Deaths) free of cost and a certificate is also issued free of cost under section 12 of the RBD Act, 1969. It is the primary duty of the head of the house-hold/incharge of the hospital/institution to get the vital event registered. Keeping in view the difficult terrain, topography, geophysical conditions of the state all the Panchayat Secretaries/Sahayaks of the Gram Panchayats have been notified as the Local Registrar in the rural areas so that people can easily get the vital events registered. AREA & ADMINISTRATION DIVISIONS The area of the State is 55673 Sq Kms with estimated population (Mid - 2012) to be 6983135. The State is divided into 3 Divisions, 12 districts, 53 Sub-Divisions, 78 blocks, 56 Urban Registration Centres and 3243 Gram Panchayats having 17882 inhabited Villages. The registration of births was first introduced in the Central Province followed by Punjab, Bihar, and Orissa. The Births, Deaths and Marriages registration act (1886) was enacted during the British period but it was not mandatory to get vital events registered. Registration of births is the State s first acknowledgement of a child s existence and his identity, also significant for individual as well as for the nation. In the absence of a sound registration system, it is difficult to assess the number of persons living in a country and so the concerned authorities may have no idea about the basic requirements of the new-born. An effective system of births registration is fundamental not only to the meet the child s rights but also for the functioning of Government and

implementation of the National Health Programmes and other social welfare activities. The Registration of Births and Deaths Act, 1969 was introduced to: a) Bring uniformity in the existing system of registration, the act was enforced in the state in April, 1978. b) All the vital events are to be registered within 21 days of its occurrence. c) The vital events are to be registered at the place of occurrence. d) Head of house hold/institutions where the vital event has taken place will be responsible for the registration of vital event with the concerned local registrar. REGISTRATION AREA Presently, there are 3243 rural registration centres and 56 urban registration centres. The entire State has been covered under Registration of Births & Deaths Act, 1969 as well as Revised HP Registration of Births & Deaths Rules, 2003. POPULATION PROFILE The State has a population of 68,64,602 (2011 census), density of population is 123 persons per Sq. Km. The highest density 407 is in Hamirpur district and the lowest 2 in district Lahaul & Spiti district. The Decennial Growth Rate between 2001-2011 was +12.94% as compared to National figures of 17.69% for the same period. District Una has recorded highest growth rate followed by Solan, Sirmaur & Kullu. The growth has been lower than the State average in the remaining districts. The population of the state constitutes 0.57% of the India s population.

DEMOGRAPHIC TRENDS IN HIMACHAL PRADESH (1901-2011 Census) Census year Population Growth rate Sex-ratio Density 1901 1,920,294 (0.81) - 885 35 1911 1,896,944 (0.75) -1.22 904 34 1921 1,928,206 (0.77) 1.65 901 35 1931 2,029,113 (0.73) 5.25 905 37 1941 2,263,245 (0.71) 11.54 897 41 1951 2,385,981 (0.66) 5.42 915 43 1961 2,812,463 (0.64) 17.87 923 51 1971 3,460,434 (0.63) 23.04 958 62 1981 4,280,818 (0.62) 23.71 973 77 1991 5,170,877 (0.61) 20.79 976 93 2001 6,077,900 (0.59) 17.54 968 109 2011 6,8,64,602 (0.57) 12.94 972 123 The information in the brackets is the percentage population of Himachal Pradesh vis-à-vis India. RURAL URBAN DISTRIBUTION The majority of population is rural (89.97%). Most of the villages are small dwelling with population less than 500 (81.5%). Only five villages have population more than 5000. During the year under report 127611 births and 44271 Deaths were registered with the local registrars. The Birth Rate as per the registered births with the local registrars is 18.3 and Death Rate 6.3. TRIBAL POPULATION Himachal Pradesh has a large area under tribal belt, which covers two districts of Lahaul & Spiti and Kinnaur also Bharmaur and Pangi Development Blocks of Chamba district. Geographically, about half of

the area of the State is covered under tribal belt. The Tribal of the State is 3.92 Lakhs which is 5.71 percent of the total population of the State as per 2011 census. SEX RATIO The sex ratio is 972 females per 1000 males, as per 2011(Census). District Hamirpur has sex ratio of 1095 female per 1000 males. Males and Females born during the year 2012 have been reflected for each registration unit separately. The sex ratio at Birth is closely monitored at all levels. During the year 2012, the total males registered were 66606 and females 61005 thereby giving sex ratio at birth 916. The Panchayat-wise, block-wise and district wise sex ratio at birth has been reflected in subsequent tables. Items RURAL URBAN TOTAL Male Female Total Male Female Total Male Female Total Births 43540 40018 83558 23066 20987 44053 66606 61005 127611 Deaths 21907 15517 37424 4312 2535 6847 26219 18052 44271 REGISTRATION HIERRARCHY The Registration of Births and Deaths Act, 1969 was implemented in Himachal Pradesh 1 st April, 1978 to get all the events registered with the local registrars. The Director of Health Services, Himachal Pradesh is the Chief Registrar of Births and Deaths in the State. The Chief Registrar (Births and Deaths) works under the guidance of Registrar General India the Central authority for the Registration of Births and Deaths at the National Level. The Chief Medical Officer of the District functions as the District Registrar of Births and Deaths of the District. The District Health Officer (Medical Officer of Health) assists the District Registrar (B&D) in

discharging the duties of registration of vital events, as Additional District Registrar (B&D). At the peripheral level, registrations of Births and Deaths in respect of Rural and Urban Areas have been bifurcated. In Urban Areas the Executive Officer of Nagar Parishad, Nagar Panchayat, Cantonment Boards, Secretaries of Nagar Panchayats, Corporation Health Officer of Municipal Corporation Shimla act as local registrar. In Rural areas, the Block Development Officer is the Specified Officer of the Development block. He is responsible for the implementation of the Act in his block. Panchayat Secretary of the Gram Panchayat and Panchayat Sahayak are the local Registrar for the respective Gram Panchayat. The Panchayat Sahayak has been assigned the duties of registration of vital events where the Panchayat Secretary is not available. These local registrars are further assisted by the Health Workers (M&F) of the Health Department and Traditional Birth Attendants (TBAs). These categories of staff have been notified as Notifier under RBD Act, 1969. ADMINISTRATIVE SET-UP & REGISTRATION HIERRARCHY Director of Health Services as Chief Registrar of Births & Deaths Chief Medical Officer of the district as District Registrar of Births & Deaths Urban Areas Executive Officer, Cantonment Board & Nagar Parishad Secretary, Nagar Panchayat and Health Officer, Municipal Corporation, Shimla Rural Areas Block Development Officer as Specified Officer of the block Panchayat Level Panchayat Secretary/Panchayat Sahayak of Gram Panchayat as Local Registrars

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

IEC Rs. 5,56,050 lacs was provided by Registrar General India for wide publicity on Registration of Births and Deaths. 7000 Calendars with birth and death message were printed out and distributed to all Districts in HP for further distribution to all the Registration Units (Rural & Urban) in the State. 1339 Flex & Wooden Board bearing the massage on Births and deaths registration were also printed out in districts Bilaspur, Hamirpur, Mandi, Kullu, Solan and Principal, Dr. RPMC & Hospital, Tanda District Kangra and distributed in all the Hospitals, Maternity Home and Delivery Centres showing the message of the importance of births and Deaths registration. PRESERVATION AND MAINTENANCE OF RECORD Rs. 11,13,400/- Lacs was provided for binding of Birth and Death Registers and purchase of 20 Steel Almirahs. The binding work of birth and death registers of some registration units is carried out in all the districts in the State (Except Kinnaur, & L & Spiti). 20 Steel Almirahs have been purchased in districts Bilaspur, Kullu, Una, Shimla, Sirmaur and Hamirpur for the preservation and maintenance of Civil Registration record. TRAINING One day Training of Trainer (TOT) programme for Additional District Registrars and personnel associated with Civil Registration work was organized at State Health & Family Welfare Training Centre Parimahal Shimla-171009 and 37 trainees were participated in the TOT for further training to block level functionaries under Civil Registration System. One day Re-orientation training for the local registrars was also organized at all blocks of Kullu district and two blocks of Solan district. One day Orientation Training to Medical Officers and Coders

was also organized in the State and Districts to impart training under Medical Certification of Cause of Death (MCCD) scheme for Medical Officers and Coders. 508 Medical Officers/coders have been participated/trained in this Scheme. MEDICAL CERTIFICATION OF CAUSE OF DEATH It has been provided in section 10 of RBD Act, 1969 that the institution where indoor medical facilities are available should issue a Certificate with cause of death. In Himachal Pradesh, this scheme of Medical Certification of Cause of Death (MCCD) is in operation in all the Govt. Hospitals and Community Health Centres. Incharges of the hospitals/chcs in the state has been requested to follow the instructions/guidelines issued by Registrar General India from time to time. Year Level of Registration of Births and Deaths in HP (1991-2012) Pop. In,000 (Mid) Registered with registrars Rates as per Registered events Death Rate Rate SRS Estimate Registration level Births Deaths Birth Birth Death Births Deaths Rate Rate 1991 5199 68526 15084 13.2 2.9 28.7 8.7 47.1 33.3 1992 5284 77508 17391 14.7 3.3 27.8 8.8 52.8 37.4 1993 5370 74330 17663 13.8 3.3 27.0 8.7 51.3 37.8 1994 5457 82151 19947 15.1 3.7 26.0 8.6 57.9 42.5 1995 5546 97335 23096 17.6 4.2 24.8 8.4 70.8 49.6 1996 5636 110741 27483 19.6 4.9 23.0 8.0 85.4 61.0 1997 5728 115623 28671 20.2 5.0 22.6 8.1 89.3 61.8 1998 5800 115068 29715 19.8 5.1 22.6 7.7 87.7 66.3 1999 5890 120656 31384 20.4 5.3 23.8 7.3 86.0 72.7 2000 5980 125150 32213 22.9 5.4 22.1 7.2 94.7 74.8 2001 6114 133600 34980 21.8 5.7 21.2 7.1 98.9 79.4 2002 6220 131157 35769 21.08 5.7 20.7 7.5 100 82.1 2003 6336 133062 37453 21.0 5.9 20.6 7.1 100 79.0 2004 6446 137473 36386 21.3 5.6 19.2 6.8 106 79.5 2005 6557 134664 37659 20.5 5.7 20.0 6.9 105 84

2006 6668 140329 40337 21.0 6.0 18.8 6.8 105 87.6 2007 6779 133157 39915 19.6 5.8 17.4 7.1 104 86.6 2008 6889 135575 42386 19.7 6.2 17.7 7.4 114 86.7 2009 7000 137328 42393 19.6 6.1 17.2 7.2 111 81.8 2010 7111 134719 41798 18.9 5.9 16.9 6.9 110 81.6 2011 6856 129263 42524 18.8 6.2 16.5 6.7 111 89.5 2012 6983 127611 44271 18.3 6.3 16.5 6.7 111 94.6 DELAYED REGISTRATION (RURAL & URBAN) The provisions for registration of events, which are not registered within prescribed time limit is made under section 13 of RBD Act, 1969. In Himachal Pradesh every event is to be registered within 21 days of its occurrence. The procedure to be followed for delayed registration of events is as under:- Period (a) Any event to be registered after 21 days but within 30 days of its occurrence. (b) Any birth or death event, which is to be registered after 30 days but within one year of its occurrence. (c) Any birth after one year till 31.3.1970. (d) Any Births & Deaths event prior to 1.4.70. Procedure for Registration On payment of Rs. 2/- as late fee the event can be registered with local registrar. Registrar can register the events with late fee of Rs.5/- (Rs. Five only) with the approval of District Registrar (B&D after completing all codal formalities. Registration can be done with the permission of District Registrar (B&D) after completing codal formalities. (i) (ii) Affidavit by applicant. Two affidavits from credible person of the area. (iii) Non availability Certificate from concerned Panchayat Secretary/ District Registrar. (iv) Educational Certificate (if any). Matriculation Certificate, School Leaving Certificate or any other document supporting age proof for the satisfaction of District Registrar. (v) Late Fee Rs. 10/-. (i) All above mentioned documents in Column (c) with the permission of Chief Registrar (B&D). (ii) Affidavit by applicant and affidavits from two other known persons of the area. (iii) Late fee of Rs. 10/-.

The monthly report received from the registration units have compiled in this directorate and detail registered evens is as follows: Year-wise Registration B I R T H S D E A T H S Sex Ratio Males Females Males Females at birth 1993 39155 35175 9996 7667 898 1994 43740 38411 11769 8178 878 1995 51671 45664 13742 9354 884 1996 58933 51808 16088 11395 879 1997 62206 53417 17097 11574 859 1998 62220 52848 17771 11944 849 1999 64646 56010 18746 12638 866 2000 67379 57771 19408 12805 857 2001 71993 61607 20932 14048 856 2002 70285 60872 21500 14269 866 2003 70885 62177 22512 14941 877 2004 73418 64055 21984 14402 872 2005 72167 62497 22453 15206 866 2006 74438 65891 24066 16271 885 2007 69971 63186 23710 16205 903 2008 71208 64367 24986 17400 904 2009 71467 65861 25230 17163 922 2010 70497 64222 24719 17079 911 2011 67409 61854 25079 17445 918 2012 66606 61005 26219 18052 916 GENERAL RESPONSE OF THE PUBLIC TOWARDS ACT The registration of Births & Deaths is not for the State of Himachal Pradesh. The people are very conscious to get the events registered

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

STATISTICAL TABLES Table - 1 Page - 1 Priority - 1 VITAL STATISTICS BY DISTRICTS 2012 (Rural) District Population 2012 census Number of Registration Unit Number of monthly returns due Number of monthly returns NR Estimated Mid-year Pop. Total 2012 Adjusted for incomplete 1 2 3 4 5 6 7 Bilaspur 356827 151 1812 12 362480 2401 Chamba 482972 283 3396 7 491525 1013 Hamirpur 423338 229 2748 17 429365 2656 Kangra 1423794 760 9120 29 1447330 4602 Kinnaur 84121 65 780 4 84950 436 Kullu 396512 204 2448 12 403286 1977 L & Spiti 31564 41 492 3 31554 192 Mandi 937140 473 5676 32 951530 5365 Shimla 612659 363 4356 50 621102 7129 Sirmaur 472690 228 2736 38 482164 6697 Solan 478173 211 2532 7 488090 1349 Una 476260 235 2820 18 486730 3107 HP 6176050 3243 38916 229 6280252 36924

Table - 1 Page-2 Priority-1 VITAL STATISTICS BY DISTRICTS 2012 (Urban) District Population 2012 census Number of Registration Unit Number of monthly returns due Number of monthly returns NR Estimated Mid-year Pop. Total Adjusted for 2012 incomplete Bilaspur 25129 4 48 0 25614 0 Chamba 36108 5 60 12 36326 7265 Hamirpur 31430 4 48 0 31600 0 Kangra 86281 8 96 0 88508 0 Kinnaur 0 0 0 0 0 0 Kullu 41391 4 48 0 43463 0 L & Spiti 0 0 0 0 0 0 Mandi 62637 5 60 0 62864 0 Shimla 201351 10 120 4 206828 6894 Sirmaur 57165 3 36 0 58683 0 Solan 102147 8 96 0 103783 0 Una 44913 5 60 0 45747 0 HP 688552 56 672 16 702883 14159

Table-2 Page 3 Priority-1 VITAL STATISTICS BY SEX 2012 (Rural) District Live Births Deaths Infant Deaths Still Maternal Births Deaths Male Female Total Male Female Total Male Female Total Male Female Total 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Bilaspur 2921 2577 5498 1119 773 1892 11 3 14 1 0 0 0 Chamba 4355 4251 8606 1507 1048 2555 17 19 36 0 0 0 0 Hamirpur 2042 1775 3817 1719 1249 2968 7 9 16 0 0 0 0 Kangra 11221 9939 21160 5915 4208 10123 126 96 222 2 3 2 5 Kinnaur 464 429 893 293 155 448 3 2 5 0 0 0 0 Kullu 2001 2055 4056 1173 831 2004 10 16 26 0 0 0 0 L & Spiti 112 110 222 94 72 166 2 0 2 0 0 0 0 Mandi 5610 5077 10687 2977 2137 5114 32 23 55 0 0 0 0 Shimla 3434 3393 6827 1912 1349 3261 34 27 61 0 0 0 0 Sirmaur 3795 3507 7302 1542 998 2540 22 16 38 0 0 0 0 Solan 2930 2682 5612 1552 1142 2694 18 18 36 0 0 0 0 Una 4655 4223 8878 2104 1555 3659 15 11 26 0 48 42 90 HP 43540 40018 83558 21907 15517 37424 297 240 537 3 51 44 95

Table-2 Page-4 Priority-1 VITAL STATISTICS BY SEX 2012 (Urban) District Live Births Deaths Infant Deaths Maternal Still Births Male Female Total Male Female Total Male Female Total Deaths Male Female Total 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Bilaspur 1275 1150 2425 230 135 365 25 14 39 0 0 0 0 Chamba 1054 1008 2062 306 194 500 21 23 44 0 1 0 1 Hamirpur 2736 2471 5207 324 213 537 18 17 35 0 2 0 2 Kangra 2822 2521 5343 441 214 655 12 5 17 0 0 0 0 Kinnaur 0 0 0 0 0 0 0 0 0 0 0 0 0 Kullu 2053 1971 4024 340 199 539 22 14 36 0 6 8 14 L & Spiti 0 0 0 0 0 0 0 0 0 0 0 0 0 Mandi 3157 2871 6028 494 332 826 39 32 71 0 0 0 0 Shimla 4800 4427 9227 1293 733 2026 98 86 184 2 0 0 0 Sirmaur 1818 1568 3386 343 164 507 28 19 47 0 0 0 0 Solan 2830 2590 5420 379 234 613 10 13 23 0 0 0 0 Una 521 410 931 162 117 279 0 1 1 0 0 0 0 HP 23066 20987 44053 4312 2535 6847 273 224 497 2 9 8 17

Table-2 Page-5 Priority-1 VITAL RATES BY DISTRICTS 2012 RURAL URBAN DISTRICT Birth Rate Death Rate Infant Death Birth Rate Death rate Inf.Death Rate 1 2 3 4 5 6 7 Bilaspur 15.3 4.0 3 94.7 14.3 16 Chamba 17.5 5.2 4 71.0 17.2 21 Hamirpur 8.9 7.0 4 164.8 17.0 7 Kangra 14.7 7.0 10 60.4 7.4 3 Kinnaur 10.6 5.3 6 0.0 0.0 0 Kullu 10.1 5.0 6 92.6 12.4 9 L & Spiti 7.1 5.3 9 0.0 0.0 0 Mandi 11.3 5.4 5 95.6 13.1 12 Shimla 11.1 5.3 9 46.2 10.1 20 Shimla MC 15.4 5.3 5 57.7 8.6 14 Sirmaur 11.5 5.5 6 52.2 5.9 4 Solan 18.4 7.6 3 20.4 6.1 1 Una 13.4 6.0 6 64.2 9.9 11 HP 15.3 4.0 3 94.7 14.3 16

Table-4 Page-6 Priority-1 Vital statistics for town with population 30,000 and above 2012 Municipal Corporation Shimla Number of Vital Events Vital Rates Town Population last census 2012 Estimated Mid-year Population Pop. Adjusted for incomplete receipt of Returns live births Deaths Infants Death Maternal Deaths Birth Rate Death Rate Inf. Deaths Rate 1 2 3 4 5 6 7 8 9 10 11 12 Maternal Death Rate M.C. Shimla 169578 173864 6894 7333 1845 166 2 42.2 10.6 23 -

Table-4 Page-7 Priority-1 NUMBER OF LIVE BIRTHS BY TYPE OF ATTENTION AT DELIVERY 2012 Rural/Urban Institutional Government Type of Attention at Delivery Private & Non Govt. Doctor, Nurse and Trained Midwife Traditional Birth Attendant Relatives & Others Not Stated 1 2 3 4 5 6 7 8 Total Rural 16896 1510 5318 18974 36808 4052 83558 Urban 36744 5234 46 9 987 1033 44053 (i) Town with Population 7002 196 14 8 1 112 7333 One Lacs and above. (ii) All Other Urban Area 29742 5038 32 1 986 921 36720 Total 53640 6744 5364 18983 37795 5085 127611

Table-6 Page 8 Priority-1 DEATH BY TYPE OF MEDICAL ATTENTION RECEIVED 2012 Rural/Urban Institution Domiciliary Qualified Medical Practioner allopathy Qualified Medical Practioner other system Others Specify 1 2 3 4 5 6 NA Total Rural 622 494 14 21132 15162 37424 Urban 4417 90 0 245 2095 6847 (i) Town with Population One Lac and above. 1448 33 0 165 199 1845 (ii) All Other Urban Area 2969 57 0 80 1896 5002 Total 5039 584 14 21377 17257 44271

Table-7 Page-9 Priority-1 DEATH BY AGE AND SEX 2012 Age Groups (RURAL/URBAN) Rural Urban Combined Total Male Female Total Male Female Total Male Female Total 1 2 3 4 5 6 7 8 9 10 <1 Year 297 240 537 273 224 497 570 464 1034 1-4 Years 179 171 350 34 27 61 213 198 411 5-14 Years 233 191 424 49 41 90 282 232 514 15-24 Years 556 381 937 165 123 288 721 504 1225 25-34 Years 860 465 1325 259 126 385 1119 591 1710 35-44 years 1296 596 1892 417 196 613 1713 792 2505 45-54 years 2300 1194 3494 617 282 899 2917 1476 4393 55-64 Years 3652 1934 5586 787 400 1187 4439 2334 6773 65-69 Years 2311 1527 3838 394 211 605 2705 1738 4443 70 & above 9482 8219 17701 1163 812 1975 10645 9031 19676 Age not stated 741 599 1340 154 93 247 895 692 1587 Total 21907 15517 37424 4312 2535 6847 26219 18052 44271

Table-8 Page-10 Priority-1 DEATH BY CAUSE MEDICALLY CERTIFIED OR OTHERWISE 2012 Name of Disease Rural Urban Total Rural+Urban Male Female Total Male Female Total Male Female Total 1 2 3 4 5 6 7 8 9 10 Cholera 1 2 3 0 0 0 1 2 3 Food Poisoning 8 12 20 1 2 3 9 14 23 Malaria 1 2 3 0 0 0 1 2 3 Influenja 0 0 0 0 0 0 0 0 0 Typhoid 874 883 1757 17 16 33 891 899 1790 Measles 0 0 0 0 0 0 0 0 0 Gastroenteritis & Diarrhoea 92 86 178 0 0 0 92 86 178 Dysentery 48 40 88 8 6 14 56 46 102 Peptic or Gastric Ulcer 13 21 34 2 0 2 15 21 36 Aqute abdomen 0 0 0 0 0 0 0 0 0 Jaundice 85 66 151 9 3 12 94 69 163 Chicken-Pox 0 0 0 0 0 0 0 0 0 Burn 16 10 26 4 3 7 20 13 33 Leprosy 3 4 7 0 0 0 3 4 7 Tetanus 68 54 122 8 7 15 76 61 137 Poliomyelitis 1 0 1 0 0 0 1 0 1 Mental Disease 0 0 0 0 0 0 0 0 0 Cancer 876 617 1493 80 64 144 956 681 1637 Diabetes 76 80 156 22 15 37 98 95 193 Hyperplasia of Prostate 0 0 0 0 0 0 0 0 0 Urnemia 0 0 0 0 0 0 0 0 0 Obstructed Hernia 0 0 0 0 0 0 0 0 0 Tuberclosis 175 72 247 47 22 69 222 94 316 Bronchitis & asthma 1483 778 2261 98 55 153 1581 833 2414 Phenominia 22 25 47 22 19 41 44 44 88 Wooping Cough 4 4 8 0 0 0 4 4 8 Paralysis 286 198 484 17 15 32 303 213 516 Meningitis 5 3 8 9 7 16 14 10 24 Accident(all) 991 231 1222 162 49 211 1153 280 1433 Anaemia other thanp.women 4 5 9 4 13 17 8 18 26 Heart Attack 590 317 907 0 0 0 590 317 907 Congestive & Other Heart Dis. 2462 1283 3745 730 397 1127 3192 1680 4872 Cirrhosis & Chronic Lever 13 9 22 0 0 0 13 9 22 Bites/Sting of various insects 38 17 55 5 5 10 43 22 65 Rabbis 3 0 3 0 0 0 3 0 3 Abortion 0 0 0 0 0 0 0 0 0 Toxemia 0 0 0 0 0 0 0 0 0 Anaemia of Pregnancy Bleeding of Preg. & Mal 0 3 3 0 0 0 0 3 3 position of child leading to death of mother Others Disease 13669 10695 24364 3067 1837 4904 16736 12532 29268 Total 21907 15517 37424 4312 2535 6847 26219 18052 44271

Table-10 Page-12 Priority-2 VITAL STATISTICS BY RELIGION 2012 District Population (RURAL AND URBAN) Hindus Muslims Christians Others All Religions Live Births Deaths Population Live Births Deaths Population Live Births Deaths Population Live Births Deaths Population 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Bilaspur 334468 7865 2241 5938 49 12 49 9 1 317 0 3 340885 7923 2257 Chamba 430631 9942 3043 26801 712 7 1048 2 0 2381 12 5 460887 10668 3055 Hamirpur 408677 8995 3488 3489 28 13 54 0 3 477 1 1 412700 9024 3505 Kangra 1310060 26392 10702 15951 56 3 2202 4 1 10747 51 72 1339030 26503 10778 Kinnaur 58277 890 436 306 1 2 324 0 0 19426 2 10 78334 893 448 Kullu 364921 7914 2497 1788 95 4 960 6 8 13880 65 34 381571 8080 2543 L & Spiti 13462 107 79 134 0 1 84 0 0 19542 115 86 33224 222 166 Mandi 889850 16631 5924 8309 61 10 240 1 1 2917 22 5 901344 16715 5940 Shimla 708975 15853 5249 8493 177 27 1445 2 0 3526 22 11 722502 16054 5287 Sirmaur 430319 9945 2970 25618 730 71 236 5 2 2413 8 4 458593 10688 3047 Solan 487074 10855 3291 11053 162 13 893 7 2 1466 8 1 500557 11032 3307 Una 435863 9664 3936 11632 143 1 152 2 0 600 0 1 448273 9809 3938 12761 HP 5872577 125053 43856 119512 2214 164 7687 38 18 77692 306 233 6077900 1 44271 Live Births Deaths

Table-11 Page-13 Priority-2 VITAL STATISTICS BY MONTH AND SEX 2012 Number of live Births Number of Deaths Infants Deaths Districts Rural Urban Total Rural Urban Total Rural Urban Total Total Male Total Male Total Male Total Male Total Male Total Male Total Male Total Male Total Male 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 January 9107 4808 3488 1837 12595 6645 4231 2471 640 417 4871 2888 69 37 64 35 133 72 February 6928 3566 3556 1810 10484 5376 3353 1964 563 340 3916 2304 45 24 53 33 98 57 March 7500 3979 3525 1861 11025 5840 3388 2000 599 392 3987 2392 56 28 48 27 104 55 April 6063 3254 3333 1742 9396 4996 2778 1616 508 308 3286 1924 32 16 30 16 62 32 May 6048 3155 3411 1762 9459 4917 2965 1730 521 313 3486 2043 32 21 32 15 64 36 June 6009 3140 3149 1708 9158 4848 2982 1781 584 381 3566 2162 45 27 48 32 93 59 July 6805 3554 3942 2079 10747 5633 2751 1591 553 518 3304 2109 40 22 43 24 83 46 August 7688 4004 4149 2195 11837 6199 2780 1559 518 325 3298 1884 40 22 39 25 79 47 September 6930 3614 3834 2019 10764 5633 2721 1566 591 355 3312 1921 36 21 49 20 85 41 October 6533 3360 4031 2066 10564 5426 2893 1705 594 389 3487 2094 50 28 33 15 83 43 November 6832 3512 3943 2051 10775 5563 3089 1855 519 341 3608 2196 51 28 28 17 79 45 December 7115 3594 3692 1936 10807 5530 3493 2069 657 233 4150 2302 41 23 30 14 71 37 Total 83558 43540 44053 23066 127611 66606 37424 21907 6847 4312 44271 26219 537 297 497 273 1034 570

Table-12 Page-14 Priority-2 LIVE BIRTH BY BIRTH ORDER & AGE OF MOTHER 2012 (RURAL) Birth Order Age of mother <15 15-19 20-24 25-29 30-34 35-39 40-44 45 & above 1 2 3 4 5 6 7 8 9 10 11 Age NS All ages 1 0 1607 26211 11538 1461 270 46 11 318 41462 2 0 0 11017 15334 3607 661 50 14 55 30738 3 0 0 1482 4233 1536 389 49 10 1 7700 4 0 0 164 1217 719 215 28 4 1 2348 5 0 0 0 291 348 138 31 5 0 813 6 0 0 0 28 142 91 16 7 0 284 7 0 0 0 1 38 53 10 1 0 103 8 0 0 0 0 6 27 11 3 0 47 9 0 0 0 0 0 9 12 1 1 23 10 0 0 0 0 0 1 1 3 0 5 Above 10 0 0 0 0 0 1 1 0 0 2 Not stated 0 0 5 7 4 0 0 0 17 33 Total 0 1607 38879 32649 7861 1855 255 59 393 83558

Table-12 Page-15 Priority-2 LIVE BIRTH BY BIRTH ORDER & AGE OF MOTHER 2012 (URBAN) Birth Order Age of mother >15 15-19 20-24 25-29 30-34 35-39 40-44 45&above Age NS All ages 1 2 3 4 5 6 7 8 9 10 11 1 0 1444 14991 6417 1102 134 4 2 101 24195 2 0 0 4890 6631 2152 372 22 2 70 14139 3 0 0 648 1548 795 235 20 2 18 3266 4 0 0 50 304 255 86 10 1 4 710 5 0 0 0 56 79 42 5 1 4 187 6 0 0 0 8 24 14 4 0 0 50 7 0 0 0 0 5 4 2 0 0 11 8 0 0 0 0 0 3 0 0 0 3 9 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 Above 10 0 0 0 0 1 0 0 0 0 1 NS 0 5 518 622 184 47 8 1 106 1491 Total 0 1449 21097 15586 4597 937 75 9 303 44053

Table-12 Page-16 Priority-2 LIVE BIRTH BY BIRTH ORDER AND AGE OF MOTHER 2012 (iii) Individual cities/towns with population 1,00,000 and above Birth Order Age of mother <15 15-19 20-24 25-29 30-34 35-39 40-44 45&above 1 2 3 4 5 6 7 8 9 10 11 Age NS All ages 1 0 215 2390 1253 355 38 2 1 0 4254 2 0 0 581 1324 474 107 5 1 0 2492 3 0 0 89 256 85 46 5 1 0 482 4 0 0 4 35 25 9 3 0 0 76 5 0 0 0 8 9 5 1 0 0 23 6 0 0 0 2 2 1 0 0 0 5 7 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 Above 10 0 0 0 0 1 0 0 0 0 1 Not stated 0 0 0 0 0 0 0 0 0 0 Total 0 215 3064 2878 951 206 16 3 0 7333

Table-13 Page-17 Priority-2 LIVE BIRTH BY BIRTH ORDER AND LITERACY OF MOTHER 2012 (RURAL) Level of Literacy Literate NA Total Birth Order Illiterate <Matric Matric+2 Graduate+ 1 2 3 4 5 6 7 1 825 11129 23585 5565 358 41462 2 904 9351 16600 3704 179 30738 3 619 3747 2971 329 34 7700 4 361 1326 591 55 15 2348 5 194 473 128 14 4 813 6 91 161 28 4 0 284 7 43 51 7 1 1 103 8 26 20 1 0 0 47 9 11 10 2 0 0 23 10 3 2 0 0 0 5 Above 10 1 1 0 0 0 2 Not stated 3 7 18 2 3 33 Total 3081 26278 43931 9674 594 83558

Table-13 Page-18 Priority-2 LIVE BIRTH BY BIRTH ORDER AND LITERACY OF FATHER 2012 (RURAL) Level of Literacy Birth Order Illiterate Literate NA Total <Matric Matric+2 Graduate+ 1 2 3 4 5 6 1 643 9755 25327 5402 335 41462 2 691 7857 18264 3776 150 30738 3 484 3038 3730 420 28 7700 4 281 1106 876 75 10 2348 5 142 408 255 5 3 813 6 73 141 67 3 0 284 7 39 45 19 0 0 103 8 20 22 5 0 0 47 9 10 9 4 0 0 23 10 4 1 0 0 0 5 Above 10 1 1 0 0 0 2 Not stated 1 9 17 3 3 33 Total 2389 22392 48564 9684 529 83558

Table-13 Page-19 Priority-2 LIVE BIRTH BY BIRTH ORDER AND LITERACY OF MOTHER 2012 (URBAN) Level of Literacy Literate Total Birth Order Illiterate <Matric Matric+2 Graduate+ NA 1 2 3 4 5 6 7 1 714 4182 13778 5048 473 24195 2 705 2907 7746 2516 265 14139 3 407 1057 1473 272 57 3266 4 172 272 223 24 19 710 5 52 71 53 3 8 187 6 11 22 15 1 1 50 7 3 4 2 0 2 11 8 0 3 0 0 0 3 9 0 0 0 0 0 0 10 0 0 0 0 0 0 Above 10 0 0 1 0 0 1 Not stated 107 306 713 325 40 1491 Total 2171 8824 24004 8189 865 44053

Table-14 Page-20 Priority-2 LIVE BIRTH BY BIRTH ORDER AND LITERACY OF FATHER 2012 (URBAN) Level of Literacy Birth Order Illiterate Literate NA Total <Matric Matric+2 Graduate+ 1 2 3 4 5 6 1 486 3656 14580 4999 474 24195 2 435 2553 8240 2645 266 14139 3 246 922 1675 365 58 3266 4 114 240 299 38 19 710 5 28 68 74 10 7 187 6 7 16 24 2 1 50 7 3 3 3 0 2 11 8 0 1 2 0 0 3 9 0 0 0 0 0 0 10 0 0 0 0 0 0 Above 10 0 0 1 0 0 1 Not stated 59 294 777 320 41 1491 Total 1378 7753 25675 8379 868 44053

Table-15 Page-21 Priority-2 LIVE BIRTH BY BIRTH ORDER AND OCCUPATION OF FATHER 2012 (RURAL) O C C U P A T I O N G R O U P S Birth Order Professional/ Technical/ & Related Workers Admn.Exec./ and Managerial Workers Clerical Workers Sale Workers Service Workers Formers/ Fisherman/ Hunters/loggers Etc.& Related Workers Production & Other Related Workers/Tpt./ Equip/Operators/ & Labourers Others whose occupation is not else where classified Non Workers 1 2 3 4 5 6 7 8 9 10 11 1 77 7 21 719 8451 31076 413 0 85 613 41462 2 47 4 19 542 5603 23653 331 0 69 470 30738 3 17 1 5 60 792 6702 31 0 18 74 7700 4 6 1 1 8 137 2175 6 0 4 10 2348 5 0 1 1 2 32 770 3 0 2 2 813 6 0 0 0 0 5 274 1 0 2 2 284 7 0 0 0 0 5 97 0 0 0 1 103 8 0 0 0 0 0 47 0 0 0 0 47 9 0 0 0 0 0 23 0 0 0 0 23 10 0 0 0 0 0 5 0 0 0 0 5 Above 10 0 0 0 0 0 2 0 0 0 0 2 Not stated 0 0 0 0 6 23 1 0 0 3 33 Total 147 14 47 1331 15031 64847 786 0 180 1175 83558 Not Stated Total

Birth Order Table-16 Page-22 Priority-2 LIVE BIRTH BY BIRTH ORDER AND OCCUPATION OF FATHER 2012 (URBAN) O C C U P A T I O N G R O U P S Professional/ Technical/ & related workers Admn.Exec./ and Managerial workers Clerical Workers Sale Workers Service Workers Formers/ Fisherman/ Hunters/loggers etc.& related workers Production & Other related workers/tpt./ Equip/Operators/ & Labourers Others whose occupation is not else where classified Non Workers 1 2 3 4 5 6 7 8 9 10 11 12 1 199 4 2 2253 3938 7766 7444 435 23 2131 24195 2 116 0 0 1399 2659 4219 4203 206 8 1329 14139 3 25 1 0 309 469 1319 904 49 3 187 3266 4 7 0 0 50 78 340 180 7 1 47 710 5 1 0 0 12 22 89 46 4 0 13 187 6 0 0 0 3 10 23 10 1 1 2 50 7 0 0 0 0 1 6 2 0 0 2 11 8 0 0 0 0 0 2 0 1 0 0 3 9 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 Above 10 0 0 0 0 0 0 0 0 0 1 1 Not stated 9 0 0 142 208 453 590 18 0 71 1491 Total 357 5 2 4168 7385 14217 13379 721 36 3783 44053 Not Stated Total

Table-16 Page-23 Priority-2 LIVE BIRTHS BY BIRTH ORDER AND FATHERS RELIGION 2012 Birth (RURAL) Father's Religion Order Hindu Muslims Christian Others All Religion 1 2 3 4 5 6 1 40800 592 8 62 41462 2 30187 500 9 42 30738 3 7397 286 1 16 7700 4 2192 147 0 9 2348 5 745 65 0 3 813 6 247 36 0 1 284 7 85 18 0 0 103 8 36 11 0 0 47 9 15 8 0 0 23 10 3 2 0 0 5 Above 10 1 1 0 0 2 Not stated 33 0 0 0 33 Total 81741 1666 18 133 83558

Table-16 Page-24 Priority-2 LIVE BIRTHS BY BIRTH ORDER AND FATHERS RELIGION 2012 Birth (URBAN) Father's Religion Order Hindu Muslims Christian Others NA All Religion 1 2 3 4 5 6 1 23858 235 9 93 0 24195 2 13922 159 8 50 0 14139 3 3176 77 0 13 0 3266 4 685 23 2 0 0 710 5 177 7 0 3 0 187 6 49 1 0 0 0 50 7 11 0 0 0 0 11 8 3 0 0 0 0 3 9 0 0 0 0 0 0 10 0 0 0 0 0 0 <10 1 0 0 0 0 1 Not stated 1430 46 1 14 0 1491 Total 43312 548 20 173 0 44053

Table-17 Page-25 Priority-2 DEATH BY OCCUPATION AND SEX (RURAL/URBAN) 2012 Rural/ Urban Sex Professional/ Technical/ & related workers Admn.Exec./ and Managerial workers O C C U P A T I O N Clerical Sale Service Workers Workers Workers G R O U P S Farmers/ Production Fisherman/ & Other related Hunters/loggers workers/tpt./ Etc.& related Equip/Operators/ workers & Labourers Others whose occupation is not else where classified Non Workers Not Stated Total 1 2 3 4 5 6 7 8 9 10 11 12 13 Male 14 11 15 83 723 18022 13 10 502 2514 21907 Rural Female 0 9 16 25 130 13035 2 9 434 1857 15517 Total 14 20 31 108 853 31057 15 19 936 4371 37424 Male 18 15 0 195 252 1015 106 8 143 2560 4312 Urban Female 1 9 1 6 35 852 4 0 90 1537 2535 Total 19 24 1 201 287 1867 110 8 233 4097 6847 Male 32 26 15 278 975 19037 119 18 645 5074 26219 Total Female 1 18 17 31 165 13887 6 9 524 3394 18052 Total 33 44 32 309 1140 32924 125 27 1169 8468 44271

Table-18 Page-26 Priority-2 INFANT DEATHS BY SEX AND AGE 2012 Age/sex Rural Urban Total Male Female Total Male Female Total Male Female Total 1 2 3 4 5 6 7 8 9 10 Below 7 Days 101 78 179 166 130 296 267 208 475 7 Days - 28 Days 23 16 39 37 28 65 60 44 104 28 Days - 1 year 173 146 319 70 66 136 243 212 455 Age Not Stated 0 0 0 0 0 0 0 0 0 Total 297 240 537 273 224 497 570 464 1034

Table-19 Page-27 Priority-2 MATERNAL DEATHS BY AGE 2012 Urban Age Rural Towns with All other Total for all population Areas 1lac & above 1 2 3 4 5 <15 0 0 0 0 15-19 1 0 0 1 20-24 0 0 0 0 25-29 0 0 1 1 30-34 0 0 0 0 35-39 0 0 0 0 40-44 0 0 0 0 45-49 2 0 1 3 50 & above 0 0 0 0 All ages 3 0 2 5

Table-20 Page-28 Priority-1 TIME GAP IN REGISTRATION OF LIVE BIRTHS AND DEATHS 2012 District Within time limit (RURAL URBAN) Live births Deaths Number of events registered Total Delayed Registration Delayed Registration for previous calendar year Within 30 days After 30 days but within 1 year Within time limit Within 30 Days After 30 days but within 1 year Live births Deaths Live births Deaths Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Bilaspur 3554 3131 310 244 324 334 1114 729 119 86 113 91 8 18 3 2 4196 3727 1349 908 Chamba 4248 4172 657 576 357 349 1482 1000 178 130 113 94 147 162 40 18 5409 5259 1813 1242 Hamirpur 4071 3687 408 329 273 212 1737 1197 128 133 170 126 26 18 8 6 4778 4246 2043 1462 Kangra 12775 11339 805 737 399 322 5775 3874 333 342 209 185 64 62 39 21 14043 12460 6356 4422 Kinnaur 328 291 61 66 72 67 229 108 41 28 21 19 3 5 2 0 464 429 293 155 Kullu 3443 3432 284 256 239 239 1252 830 110 97 118 84 88 99 33 19 4054 4026 1513 1030 L & Spiti 89 92 12 10 9 4 83 61 4 7 6 4 2 4 1 0 112 110 94 72 Mandi 7462 6823 810 658 443 426 3033 2012 285 300 133 131 52 41 20 26 8767 7948 3471 2469 Shimla 7287 6895 446 455 402 364 2733 1747 231 180 208 138 99 106 33 17 8234 7820 3205 2082 Sirmaur 4695 4285 495 419 360 299 1650 956 140 130 86 66 63 72 9 10 5613 5075 1885 1162 Solan 4930 4516 493 435 271 271 1688 1131 156 143 74 99 66 50 13 3 5760 5272 1931 1376 Una 4392 3910 638 582 79 83 2029 1453 140 128 72 59 67 58 25 32 5176 4633 2266 1672 State 57274 52573 5419 4767 3228 2970 22805 15098 1865 1704 1323 1096 685 695 226 154 66606 61005 26219 18052

DISTRICT-WISE VITAL STATISTICS BY SEX 2012 (RURAL URBAN COMBINED) District Area Live Births Deaths Infant Deaths Maternal Deaths Still Births Male Female Total Male Female Total Male Female Total Male Female Total 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Rural 2921 2577 5498 1119 773 1892 11 3 14 1 0 0 0 Bilaspur Urban 1275 1150 2425 230 135 365 25 14 39 0 0 0 0 Total 4196 3727 7923 1349 908 2257 36 17 53 1 0 0 0 Rural 4355 4251 8606 1507 1048 2555 17 19 36 0 0 0 0 Chamba Urban 1054 1008 2062 306 194 500 21 23 44 0 1 0 1 Total 5409 5259 10668 1813 1242 3055 38 42 80 0 1 0 1 Rural 2042 1775 3817 1719 1249 2968 7 9 16 0 0 0 0 Hamirpur Urban 2736 2471 5207 324 213 537 18 17 35 0 2 0 2 Total 4778 4246 9024 2043 1462 3505 25 26 51 0 2 0 2 Rural 11221 9939 21160 5915 4208 10123 126 96 222 2 3 2 5 Kangra Urban 2822 2521 5343 441 214 655 12 5 17 0 0 0 0 Total 14043 12460 26503 6356 4422 10778 138 101 239 2 3 2 5 Rural 464 429 893 293 155 448 3 2 5 0 0 0 0 Kinnaur Urban 0 0 0 0 0 0 0 0 0 0 0 0 0 Total 464 429 893 293 155 448 3 2 5 0 0 0 0 Rural 2001 2055 4056 1173 831 2004 10 16 26 0 0 0 0 Kullu Urban 2053 1971 4024 340 199 539 22 14 36 0 6 8 14 Total 4054 4026 8080 1513 1030 2543 32 30 62 0 6 8 14 Rural 112 110 222 94 72 166 2 0 2 0 0 0 0 L & Spiti Urban 0 0 0 0 0 0 0 0 0 0 0 0 0 Total 112 110 222 94 72 166 2 0 2 0 0 0 0

Mandi Rural 5610 5077 10687 2977 2137 5114 32 23 55 0 0 0 0 Urban 3157 2871 6028 494 332 826 39 32 71 0 0 0 0 Total 8767 7948 16715 3471 2469 5940 71 55 126 0 0 0 0 Rural 3434 3393 6827 1912 1349 3261 34 27 61 0 0 0 0 Shimla Urban 4800 4427 9227 1293 733 2026 98 86 184 2 0 0 0 Total 8234 7820 16054 3205 2082 5287 132 113 245 2 0 0 0 Rural 3795 3507 7302 1542 998 2540 22 16 38 0 0 0 0 Sirmaur Urban 1818 1568 3386 343 164 507 28 19 47 0 0 0 0 Total 5613 5075 10688 1885 1162 3047 50 35 85 0 0 0 0 Rural 2930 2682 5612 1552 1142 2694 18 18 36 0 0 0 0 Solan Urban 2830 2590 5420 379 234 613 10 13 23 0 0 0 0 Total 5760 5272 11032 1931 1376 3307 28 31 59 0 0 0 0 Rural 4655 4223 8878 2104 1555 3659 15 11 26 0 48 42 90 Una Urban 521 410 931 162 117 279 0 1 1 0 0 0 0 Total 5176 4633 9809 2266 1672 3938 15 12 27 0 48 42 90 Rural 43540 40018 83558 21907 15517 37424 297 240 537 3 51 44 95 HP Urban 23066 20987 44053 4312 2535 6847 273 224 497 2 9 8 17 Total 66606 61005 127611 26219 18052 44271 570 464 1034 5 60 52 112

Districts Blocks Est./Proj. Pop.2012 DISTRICT-WISE/BLOCK-WISE BIRTHS DEAHTS AND SEX RATIO ON THE EVENTS REGISTERED WITH LOCAL REGISTRARS (BIRTHS & DEATHS) IN HP FOR THE YEAR 2012 B I R T H S Birth D E A T H S Death SEX RATIO Rate Rate Male Female Total Male Female Total 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Sadar 158263 2756 2449 5205 32.9 575 390 965 6.1 851 862 867 831 930 895 862 948 879 885 889 Bilaspur Ghumarwin 111600 577 492 1069 9.6 375 245 620 5.6 895 817 845 784 855 910 916 891 838 895 853 Gehrwin 118231 863 786 1649 13.9 399 273 672 5.7 866 843 818 857 891 866 925 1005 884 833 911 District Bilaspur 388094 4196 3727 7923 20.4 1349 908 2257 5.8 866 847 850 828 904 891 887 950 873 875 888 Chamba 95762 1437 1416 2853 29.8 446 337 783 8.2 961 868 851 924 874 883 927 943 955 913 985 Mehla 85498 817 844 1661 19.4 327 187 514 6.0 972 946 923 949 939 898 989 1054 1014 957 1033 Bharmaur 43848 343 340 683 15.6 140 76 216 4.9 970 871 824 968 882 908 1000 908 1041 935 991 Chamba Tissa 68440 659 664 1323 19.3 214 181 395 5.8 995 935 884 913 988 1049 940 1000 931 914 1008 Saluni 81592 693 664 1357 16.6 205 142 347 4.3 847 817 828 975 878 954 985 1090 918 996 958 Pangi 20246 140 138 278 13.7 57 51 108 5.3 908 1113 910 1012 685 1154 1156 867 920 1006 986 Bhattiat 132465 1320 1193 2513 19.0 424 268 692 5.2 850 846 854 876 897 1005 994 857 935 881 904 District Chamba 527851 5409 5259 10668 20.2 1813 1242 3055 5.8 923 885 864 927 902 948 971 963 956 927 972 Bijhri 95165 606 554 1160 12.2 359 259 618 6.5 875 829 840 918 895 836 871 907 863 871 914 Bhoranj 79689 407 331 738 9.3 365 251 616 7.7 851 798 874 885 816 788 920 934 827 852 813 Hamirpur Nadaun 104060 662 559 1221 11.7 462 322 784 7.5 840 910 738 747 782 947 897 908 988 885 844 Hamirpur 63368 2589 2330 4919 77.6 382 291 673 10.6 767 841 806 773 823 860 879 942 878 940 900 Sujanpur (T) 42137 193 208 401 9.5 170 133 303 7.2 727 997 785 871 1051 777 934 959 868 877 1078 Tauni Devi 76546 321 264 585 7.6 305 206 511 6.7 805 725 874 878 826 813 964 906 939 792 822 District Hamirpur 460965 4778 4246 9024 19.6 2043 1462 3505 7.6 816 843 814 829 842 850 897 927 892 901 889

Kangra 104001 4170 3998 8168 78.5 1296 825 2121 20.4 822 840 795 789 837 898 901 880 905 878 959 Rait 147016 463 404 867 5.9 360 242 602 4.1 773 851 882 809 888 886 820 858 908 948 873 Nagrota (S) 101086 556 503 1059 10.5 354 261 615 6.1 785 820 855 781 869 865 783 766 879 901 905 Baijnath 91662 542 488 1030 11.2 328 238 566 6.2 761 841 835 851 896 799 893 908 904 959 900 Bhawarna 93005 507 397 904 9.7 264 199 463 5.0 835 897 809 961 727 924 862 901 1004 998 783 Lambagaon 83242 349 295 644 7.7 361 286 647 7.8 689 828 858 910 819 925 844 909 958 959 845 Kangra Panchrukhi 62109 429 372 801 12.9 271 203 474 7.6 835 830 907 829 876 892 885 920 946 958 867 Nurpur 126723 1555 1326 2881 22.7 429 325 754 5.9 770 797 767 821 786 823 862 843 808 868 853 Indora 109453 886 734 1620 14.8 421 241 662 6.0 725 816 860 729 834 858 817 958 915 950 828 Dehra 139470 1243 1078 2321 16.6 487 338 825 5.9 831 841 842 813 829 918 882 905 826 899 867 Nagrota (B) 91193 305 274 579 6.3 278 185 463 5.1 827 839 841 802 907 920 958 829 856 887 898 Pragpur 119183 740 577 1317 11.1 463 386 849 7.1 765 853 722 828 770 836 831 947 794 882 780 Fatehpur 107244 932 761 1693 15.8 440 298 738 6.9 825 864 774 771 802 895 816 835 835 829 817 Dharamsala 84193 1177 1124 2301 27.3 381 232 613 7.3 Block did Not exist 951 880 941 904 955 Sulah 76258 189 129 318 4.2 223 163 386 5.1 815 815 906 919 943 1025 1014 1024 876 913 683 District Kangra 1535838 14043 12460 26503 17.3 6356 4422 10778 7.0 798 837 835 815 846 886 873 884 886 900 887 Nichar 28880 208 183 391 13.5 108 39 147 5.1 984 831 868 882 801 969 949 850 767 1074 880 Kinnaur Pooh 24226 69 60 129 5.3 70 39 109 4.5 911 969 1021 943 1174 1077 985 1086 1356 886 870 Kalpa 31844 187 186 373 11.7 115 77 192 6.0 1059 1072 992 801 993 972 843 937 1048 933 995 District Kinnaur 84950 464 429 893 10.5 293 155 448 5.3 1001 964 948 856 947 989 920 921 962 983 925 Ani 57422 407 397 804 14.0 214 120 334 5.8 1026 949 806 909 909 853 952 1097 903 1002 975 Banjar 60710 451 467 918 15.1 164 119 283 4.7 968 969 959 972 1029 1017 1004 1073 1122 1032 1035 Kullu Nirmand 54579 283 356 639 11.7 204 143 347 6.4 1126 880 903 916 923 1065 1046 1092 1130 909 1258 Kullu 165925 2253 2135 4388 26.4 593 410 1003 6.0 953 885 938 902 847 938 956 920 977 1008 948 Naggar 108113 660 671 1331 12.3 338 238 576 5.3 953 852 931 987 914 936 869 927 1000 912 1017 District Kullu 446749 4054 4026 8080 18.1 1513 1030 2543 5.7 983 897 918 928 896 947 953 977 997 985 993