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Sl. No. CONTENT Items Page No. 1 FP Services available in the State 1 2 FP Services available in Public Health facilities at Free of Cost 2 3 Demographic Indicators 3 4 District Profile ( Block and Vital Rates) 4 5 HUD - Wise Family Welfare Performing Centres 5 6 Population and Socio Economic Indicators 6 7 District Profile (Unmet needs) 7 8 District-wise % of Higher Order Births -217 (Provisional) 8 9 % of Five Good & Poor Performing District in Sterilization 9 1 % of Five Good & Poor Performing District in PPIUCD 1 11 Trends in % of Total Fertility Rate 11 12 Trends in % of Higher Order Birth 11 13 F.W Programme Performance with Reference to ELD 217-18 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 2 Method wise Female sterilisation Performance 17 21 Method wise Male sterilisation Performance 18 22 PPIUCD Performance 19 23 Interval IUCD Performance 2 24 IUCD Performance Compared with Previous Year 21 25 Oral Pills Performance 22 26 CC Performance 23 27 Chhaya & Antara Performance 24 28 Sterilisation, PPIUCD Performance in MCH 25 29 MTP Performance 26 3 Post Abortion Contraceptive 27 31 Coverage of Deliveries in GPHC with 2 & above Children 28 32 Coverage of Deliveries in GH with 2 & above Children 29 33 Coverage of Deliveries in MCH - 2 and above 3 34 Coverage of Deliveries in GPHC - and 1 child 31 35 Coverage of Deliveries in GH - and 1 child 32 36 Coverage of Deliveries in MCH - and 1 child 33 37 District wise HOB Coverage 34 38 Parity-wise Report on Sterilisation Acceptors (with 2 & Less than 2 Living Children) 35 39 HUD-wise Sterilisation done at GPHC 36 4 Death,Failure and Complication Report 37 41 District Wise Total Deliveries - Type wise in MCH, GH and ESI Hospitals 38 42 District-wise FW Contraceptive Stock Position 39 43 Statistiical Vital Rates Formula 4

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

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

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) - 211 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. 5 Population Density per Sq. Km. 382 555. 6 Life Expectancy at Birth - 211-15 Male 67.3 68.6 Female 69.6 71.8 7 Crude Birth Rate -216 2.4 15. 8 Crude Death Rate -216 6.4 6.4 9 Rate of Natural Increase- 216 (%) 1.4.9 1 Total Fertility Rate -215 2.3 1.6 11 Infant Mortality Rate -216 34. 17. 12 Maternal Mortality Ratio - 214-16 13 66. 13 Contraceptive Prevalence Rate 47.8%* (NFHS-4) 52.6% * (NFHS-4) Source : Sample Registration System Registrar General, Government of India Projected Level of Expectation of Life at Birth for India and States: 21-226 - M/O Health and Family Welfare * - National Family Health Survey. 3

Sl. No Name of the District CBR CDR IMR SBR 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 1. 6.4 2.6 4 Cuddalore 15.4 5.6 19.1 11.2 8.1 5 Dharmapuri 16.6 5.4 21.7 9.3 12.8 6 Dindigul 13.6 5.2 1.7 9.3 8.3 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 1.2 4.6 11.7 13.7 3.3 1 Karur 13.5 6.1 16.3 1. 7.6 11 Krishnagiri 15.1 3.2 16.5 12.2 9.6 12 Madurai 16.4 5.9 19.9 7.8 5.6 13 Nagapattinam 16.3 7.5 1.8 7.7 7. 14 Namakkal 11.9 6. 11. 6.3 6.4 15 Perambalur 14.9 5.8 14.4 8.4 11.1 16 Pudukkottai 15.2 5.1 12.9 1.7 1.9 17 Ramanathapuram 15.6 4.9 13.4 7.9 8.6 18 Salem 15.6 6.2 16.3 12.3 8.3 19 Sivagangai 13.7 5. 11.5 9.1 8.2 2 Thanjavur 14.8 7. 12.4 6.5 7.9 21 The Nilgiris 1.5 4.2 1.8 13.1 6. 22 Theni 13.7 5.1 16.4 9.7 4.8 23 Thiruvallur 13.6 2.9 11.7 7. 5.8 24 Thiruvarur 14.3 6.3 13.1 9.5 7.2 25 Thoothukudi 13. 3.9 21.8 12.5 7.8 26 Thiruchirappalli 14.4 5.8 17.2 14.5 7.1 27 Thirunelveli 14.7 5.2 16.7 1.3 7.7 28 Tiruppur 13.9 5.7 12.7 11.5 2.3 29 Thiruvannamalai 15.9 5.6 14.7 1.4 14.6 3 Vellore 15.3 5.8 17.1 11.8 11.7 31 Villupuram 17.3 5.9 17. 12.9 1. 32 Virudhunagar 13.4 4.5 17.2 6.1 6.1 TAMIL NADU SRS - 216 DISTRICT PROFILE ( VITAL RATES) Vital Rates (212) 14.3 5.3 14.6 9.5 7.2 15. 6.4 17. -- Sources: Vital Events Survey of Tamil Nadu 212 conducted by DPH&PM % of HOB 217(P) 4

HQRS NTK TK W&CH Total SDH CHC PHC Urban PHC Total PHC HSC MCH Total Institutions APPD. N.H HEALTH UNIT DISTRICT - WISE FAMILY WELFARE PERFORMING CENTRES SDH S. No. Name of the HUD 1 Ariyalur 1 3 3 6 3 2 32 117 159 6 2 Chennai 1 2 3 138 138 4 145 264 3 Coimbatore 1 4 8 12 12 36 38 74 328 1 428 171 4 Cuddalore 1 1 8 9 13 5 7 57 319 399 6 5 Dharmapuri 1 3 3 8 41 1 42 218 1 273 21 6 Dindugal 1 2 3 5 7 27 5 32 167 212 7 Palani 3 4 7 7 22 3 25 144 183 37 8 Erode 1 2 5 7 14 46 14 6 311 393 152 9 Kancheepuram 1 4 4 7 23 8 31 196 239 1 Saidapet 1 4 5 6 21 12 33 168 1 213 84 11 Kanyakumari 1 3 5 8 9 27 11 38 267 1 324 112 12 Karur 1 2 4 6 8 24 5 29 168 1 213 31 13 Krishnagiri 1 1 5 6 1 45 6 51 238 36 36 14 Madurai 1 1 5 6 13 4 33 73 314 1 48 137 15 Nagapattinam 1 3 8 11 11 42 5 47 258 328 21 16 Namakkal 1 3 5 8 15 38 8 46 24 31 72 17 Perambalur 1 3 3 4 23 1 24 9 122 12 18 2 Pudukottai Ramnad 1 2 2 5 2 7 4 7 5 28 2 2 3 3 23 125 112 1 17 145 19 21 Aranthangi Paramakudi 1 1 5 5 6 5 6 6 25 22 1 2 26 24 117 132 156 167 31 42 22 Salem 1 2 9 11 2 63 2 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 13 14 54 8 62 39 1 4 67 25 The Nilgiris 1 5 5 4 28 4 32 194 236 19 26 Theni 1 2 3 5 8 27 6 33 162 1 21 34 27 Thoothukudi 2 4 6 7 2 8 28 144 1 186 28 Kovilpatti 1 2 2 5 17 2 19 19 136 63 29 Tiruchirapalli 1 2 7 9 14 5 2 7 37 1 42 11 3 Tirunelveli 4 3 7 1 35 1 45 217 1 28 31 Sankarankoil 1 2 7 9 9 33 6 39 162 22 17 32 Tirupur 1 2 7 9 13 3 23 53 242 318 64 33 35 Tiruvallur Tiruvannamalai 1 2 1 6 5 8 6 13 1 36 4 3 3 39 43 28 253 1 341 313 34 36 Poonamallee Cheyyar 1 2 3 2 3 1 8 2 33 9 3 11 36 23 157 37 25 28 18 37 Tiruvarur 1 1 5 1 7 1 34 4 38 195 1 252 22 38 4 42 Vellore Villupuram Virudhunagar 1 1 2 1 4 6 3 6 7 3 1 11 5 35 41 15 14 4 2 49 45 17 231 293 114 1 1 298 357 14 39 41 43 Tirupathur Kallakurichi Sivakasi 1 1 2 5 4 5 6 4 7 1 11 6 4 39 25 8 2 5 48 41 3 223 264 131 287 321 174 48 2 92 Grand Total 31 69 23 7 279 385 1362 473 1835 8712 22 11264 2136 5

Sl. No POPULATION AND SOCIO ECONOMIC INDICATORS - CENSUS 211 211 Sex Ratio Literacy Rates Name of the Census District Child Population General Males Females Sex Ratio 1 Ariyalur 754894 115 897 81.2 61.7 2 Chennai 4646732 989 95 93.7 86.6 3 Coimbatore 345845 1 956 89.1 78.9 4 Cuddalore 265914 987 896 85.9 7.1 5 Dharmapuri 156843 946 913 76.9 59.8 6 Dindigul 2159775 998 934 84.2 68.3 7 Erode 2251744 993 953 8.4 64.7 8 Kancheepuram 3998252 986 959 89.9 79. 9 Kanniyakumari 187374 119 964 93.6 89.9 1 Karur 164493 115 939 84.5 66.9 11 Krishnagiri 187989 958 926 78.7 63.9 12 Madurai 338252 99 932 89.7 77.2 13 Nagapattinam 161645 125 959 89.8 77.6 14 Namakkal 172661 986 914 82.6 66.6 15 Perambalur 565223 13 913 82.9 65.9 16 Pudukkottai 1618345 115 96 85.6 69. 17 Ramanathapuram 1353445 983 961 87.8 73.5 18 Salem 348256 954 916 8.2 65.2 19 Sivagangai 133911 13 96 87.9 71.9 2 Thanjavur 24589 135 957 89. 76.5 21 The Nilagiris 735394 142 985 91.7 79. 22 Theni 1245899 991 934 85. 69.5 23 Thiruvallur 372814 987 946 89.7 78.3 24 Thiruvarur 1264277 117 958 89.1 76.7 25 Thoothukudi 175176 123 963 91.1 81.3 26 Thiruchirapalli 272229 113 947 89.7 76.9 27 Thirunelveli 377233 123 96 89.2 76. 28 Tiruppur 247952 989 952 85.5 71.8 29 Thiruvannamalai 2464875 994 93 83.1 65.3 3 Vellore 3936331 17 944 86.5 71.9 31 Villuppuram 3458873 987 941 8.5 63.2 32 Virudhunagar 1942288 17 955 87.7 72.7 TAMILNADU INDIA 721473 996 943 86.8 73.4 943 919 82.1 65.4 # - Tiruppur bifurcated from Coimbatore, Ariyalur bifurcated from Perambalur 6

Sl. No. DISTRICTS DISTRICT PROFILE ( UNMET NEEDS) -NFHS-4 TOTAL TERMINAL SPACING 1 Ariyalur 1.9 6.6 4.3 35.7 2 Chennai 6.8 3. 3.8 6.1 3 Coimbatore 8. 4.5 3.5 64.8 4 Cuddalore 13. 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 1 Karur 7. 2. 5. 57.1 11 Krishnagiri 8.4 3.5 4.9 6.4 12 Madurai 14.6 9. 5.6 43.2 13 Nagapattinam 8.8 5. 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 2 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. 6.7 29.7 25 Thiruchirappalli 15.1 8.8 6.3 42.6 26 Thirunelveli 16. 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. 63. 3 Vellore 1.2 5. 5.2 63.5 31 Villupuram 6.6 2.9 3.7 49.8 32 Virudhunagar 13.7 6.8 6.9 23. Tamil Nadu 1.1 5.3 4.8 52.6 Source : NFHS-4 (215-16) / IIPS - Mumbai UNMET NEED (%) CPR 7

DISTRICT WISE % OF HOB FOR 217 (Provisional) Sl. No Name of the District Total Births Number of HOBs (more than 2 Living Children) % of HOBs (more than 2 Living Children) 1 Ariyalur 1495 1247 11.9 2 Chennai 81839 168 2.1 3 Coimbatore 43717 1119 2.6 4 Cuddalore 34463 28 8.1 5 Dharmapuri 22537 2887 12.8 6 Dindigul 24949 274 8.3 7 Erode 2657 948 3.6 8 Kancheepuram 434 213 5.2 9 Kanniyakumari 21289 74 3.3 1 Karur 11876 91 7.6 11 Krishnagiri 24969 2392 9.6 12 Madurai 4763 2665 5.6 13 Nagapattinam 19327 1349 7. 14 Namakkal 17427 1124 6.4 15 Perambalur 7797 863 11.1 16 Pudukkottai 22315 2439 1.9 17 Ramanathapuram 1838 1579 8.6 18 Salem 72259 5998 8.3 19 Sivagangai 18329 1512 8.2 2 Thanjavur 3359 267 7.9 21 The Nilgiris 5719 344 6. 22 Theni 1385 671 4.8 23 Thiruchirappalli 3522 2489 7.1 24 Thirunelveli 37727 2897 7.7 25 Thiruppur 28658 663 2.3 26 Thiruvallur 3942 186 5.8 27 Thiruvannamalai 32588 4766 14.6 28 Thiruvarur 15772 114 7.2 29 Thoothukudi 1989 1546 7.8 3 Vellore 51363 616 11.7 31 Villupuram 47799 4776 1. 32 Virudhunagar 2243 1372 6.1 TAMIL NADU 941273 67477 7.2 8

% OF FIVE GOOD PERFORMING DISTRICT IN STERILIZAION 218-19 (UPTO JUNE 218) 1. 8. 86.1 76.9 76.3 75.9 75.4 6. 4. 2.. % OF FIVE POOR PERFORMING DISTRICT IN STERILIZAION 218-19 (UPTO JUNE 218) 8. 7. 6. 53.3 57.4 58.6 58.8 61.8 67.8 5. 4. 3. 2. 1.. 9

% OF FIVE GOOD PERFORMING DISTRICT IN PPIUCD 218-19 (UPTO JUNE 218) 16. 14. 12. 1. 13.7 123.2 17.7 1.3 94.7 8. 6. 4. 2.. % OF FIVE POOR PERFORMING DISTRICT IN PPIUCD 218-19 (UPTO JUNE 218) 8. 7. 69.8 6. 5. 4. 3. 27. 32.3 32.8 39.4 39.5 2. 1.. 1

TRENDS IN % OF TOTAL FERTILITY RATE 4.5 4 3.5 3.9 3.8 3.4 3 2.5 2.7 2 2.2 2.1 2. 1.5 1.7 1.7 1.7 1.6 1.5 1971 1976 1981 1986 1991 1996 21 26 211 214 215 TRENDS IN % OF HIGHER ORDER BIRTH 25 24.2 2 15 21.6 2.2 18.9 17.8 16.3 14.8 13.6 12.5 11.6 1.6 1 9.6 9. 8.7 8.4 7.9 7.5 7.2 5 11

(a). PERFORMANCE WITH REFERENCE TO ELD 218-19 (UPTO JUNE 218) Sl. No Programme ELD P.ELD UPTO JUNE % w.r.t P. ELD 1 Male Sterilisation 8 2 83 4.2 2 Female Sterilisation 392 98 67698 69.1 Total Sterilisation 4 1 67781 67.8 3 Interval IUCD 15 375 4111 17. 4 PPIUCD 25 625 43595 69.8 Total IUCD 4 1 8376 83.7 5 O.P. Users 1 1 476 4.1 6 C.C Users 2 2 9221 45.1 Sl. No Method 218-19 217-18 Inc./ Dec. % of Inc./Dec. 1 Vasectomy 83 178-95 -53.4 2 Tubectomy 57537 61456-3919 -6.4 3 Laparoscopic 1161 9431 73 7.7 67781 7165-3284 -4.6 4 IUCD 8376 9723-13497 -13.9 5 OP USERS 476 4729-6953 -14.8 6 CC USERS 9221 73361 1686 23. 7 MTP 18381 16173 228 13.7 Sl. No (b). METHOD-WISE PERFORMANCE 218-19 (UPTO JUNE 218) TOTAL STERILISATION ( c ). STERILISATION SHARE BY DIFFERENT INSTITUTIONS 218-19 (UPTO JUNE 218 ) Department No. of Sterilisations 218 % 217 Inc./ Dec. 1 GH 18516 27.3 19674-1158 2 MCH 1182 15. 1999-817 3 PHC 13826 2.4 13314 512 4 ESI 249.4 245 4 5 Local Bodies 234 3.5 2365-25 6 Voluntary Organisations 2197 3.2 2592-395 7 Approved Nursing Homes 198 28.1 2579-1499 8 Unapproved Nursing Homes 1391 2.1 1297 94 TOTAL 67781 1. 7165-3284 12

Rank MALE STERILISATION PERFORMANCE 218-19 Performance June 218 District ELD P.ELD UM % w.r.t. P.ELD Sivagangai 16 4 12 3. 1 Ariyalur 9 23 3 13.3 2 Thiruchirapalli 3 75 1 13.3 3 Erode 25 63 8 12.8 4 Tiruppur 19 48 4 8.4 5 Ramanathapuram 16 4 3 7.5 6 Thanjavur 29 73 5 6.9 7 The Nilgiris 6 15 1 6.7 8 Coimbatore 3 75 4 5.3 9 Dindigul 25 63 3 4.8 1 Chennai 68 17 8 4.7 11 Karur 1 25 1 4. 12 Kanyakumari 24 6 2 3.3 13 Villupuram 36 9 3 3.3 14 Virudhunagar 25 63 2 3.2 15 Vellore 52 13 4 3.1 16 Thiruvarur 14 35 1 2.9 17 Madurai 34 85 2 2.4 18 Namakkal 17 43 1 2.4 19 Thirunelveli 35 88 2 2.3 2 Dharmapuri 23 58 1 1.7 21 Thiruvallur 27 68 1 1.5 22 Cuddalore 28 7 1 1.4 23 Salem 39 98 1 1. 24 Kancheepuram 35 88. 25 Krishnagiri 22 55. 26 Nagapattinam 14 35. 27 Perambalur 7 18. 28 Pudukkottai 16 4. 29 Theni 15 38. 3 Thiruvannamalai 32 8. 31 Thoothukudi 22 55. 32 TAMIL NADU 8 2 83 4.2 13

Rank FEMALE STERILISATION PERFORMANCE 218-19 Performance June 218 District ELD P.ELD UM % w.r.t. P.ELD Ariyalur 441 113 966 87.6 1 Krishnagiri 178 2695 2116 78.5 2 Ramanathapuram 784 196 1523 77.7 3 Coimbatore 147 3675 2844 77.4 4 Kancheepuram 1715 4288 3299 76.9 5 Chennai 3332 833 6347 76.2 6 Namakkal 833 283 156 74.9 7 Sivagangai 784 196 1463 74.6 8 Virudhunagar 1225 363 2254 73.6 9 Dindigul 1225 363 2251 73.5 1 Perambalur 343 858 627 73.1 11 Erode 1225 363 2237 73. 12 Thanjavur 1421 3553 2564 72.2 13 The Nilgiris 294 735 521 7.9 14 Kanyakumari 1176 294 259 7. 15 Thirunelveli 1715 4288 2974 69.4 16 Thoothukudi 178 2695 1849 68.6 17 Theni 735 1838 1237 67.3 18 Tiruppur 931 2328 156 67. 19 Karur 49 1225 818 66.8 2 Salem 1911 4778 3163 66.2 21 Thiruchirapalli 147 3675 2416 65.7 22 Thiruvannamalai 1568 392 256 65.3 23 Madurai 1666 4165 2716 65.2 24 Dharmapuri 1127 2818 1819 64.6 25 Villupuram 1764 441 2835 64.3 26 Thiruvarur 686 1715 185 63.3 27 Vellore 2548 637 411 63. 28 Thiruvallur 1323 338 1985 6. 29 Nagapattinam 686 1715 125 59.8 3 Pudukkottai 784 196 1148 58.6 31 Cuddalore 1372 343 1866 54.4 32 TAMIL NADU 392 98 67698 69.1 14

Rank TOTAL STERILISATION PERFORMANCE 218-19 Performance June 218 District ELD P.ELD UM % w.r.t. P.ELD Ariyalur 45 1125 969 86.1 1 Krishnagiri 11 275 2116 76.9 2 Ramanathapuram 8 2 1526 76.3 3 Coimbatore 15 375 2848 75.9 4 Kancheepuram 175 4375 3299 75.4 5 Chennai 34 85 6355 74.8 6 Sivagangai 8 2 1475 73.8 7 Namakkal 85 2125 1561 73.5 8 Virudhunagar 125 3125 2256 72.2 9 Dindigul 125 3125 2254 72.1 1 Erode 125 3125 2245 71.8 11 Perambalur 35 875 627 71.7 12 Thanjavur 145 3625 2569 7.9 13 The Nilgiris 3 75 522 69.6 14 Kanyakumari 12 3 261 68.7 15 Thirunelveli 175 4375 2976 68. 16 Thoothukudi 11 275 1849 67.2 17 Theni 75 1875 1237 66. 18 Tiruppur 95 2375 1564 65.9 19 Karur 5 125 819 65.5 2 Salem 195 4875 3164 64.9 21 Thiruchirapalli 15 375 2426 64.7 22 Thiruvannamalai 16 4 256 64. 23 Madurai 17 425 2718 64. 24 Dharmapuri 115 2875 182 63.3 25 Villupuram 18 45 2838 63.1 26 Thiruvarur 7 175 186 62.1 27 Vellore 26 65 415 61.8 28 Thiruvallur 135 3375 1986 58.8 29 Nagapattinam 7 175 125 58.6 3 Pudukkottai 8 2 1148 57.4 31 Cuddalore 14 35 1867 53.3 32 TAMIL NADU 4 1 67781 67.8 15

STERILISATION PERFORMANCE COMPARED WITH PREVIOUS YEAR Performance Sl. No Name of the District Inc / Dec 218-19 (Upto June -18) 217-18 (Upto June-17) 1 Thiruvannamalai 256 2166 394 2 Krishnagiri 2116 1976 14 3 Thiruchirapalli 2426 2286 14 4 Ariyalur 969 833 136 5 Perambalur 627 594 33 6 Thiruvarur 186 161 25 7 Sivagangai 1475 1453 22 8 Thiruvallur 1986 1964 22 9 Madurai 2718 2699 19 1 Salem 3164 3163 1 11 The Nilgiris 522 523-1 12 Ramanathapuram 1526 1534-8 13 Karur 819 842-23 14 Theni 1237 1264-27 15 Pudukkottai 1148 1178-3 16 Thoothukudi 1849 191-61 17 Nagapattinam 125 196-71 18 Dharmapuri 182 1894-74 19 Namakkal 1561 1643-82 2 Coimbatore 2848 2944-96 21 Villupuram 2838 2991-153 22 Virudhunagar 2256 241-154 23 Kanyakumari 261 2235-174 24 Chennai 6355 6576-221 25 Cuddalore 1867 2121-254 26 Thanjavur 2569 2888-319 27 Thirunelveli 2976 3311-335 28 Kancheepuram 3299 3638-339 29 Tiruppur 1564 1919-355 3 Erode 2245 2638-393 31 Dindigul 2254 2663-49 32 Vellore 415 4652-637 TAMIL NADU 67781 7165-3284 16

Sl. No METHOD - WISE FEMALE STERILISATION 218-19 (UPTO JUNE 218) Name of the District TAT / Mini Lap Tubectomy Laparoscopic Total Female Stern. 1 Ariyalur 55 448 463 966 2 Chennai 68 4363 1376 6347 3 Coimbatore 266 2239 339 2844 4 Cuddalore 238 1351 277 1866 5 Dharmapuri 48 1182 229 1819 6 Dindigul 89 154 118 2251 7 Erode 248 1774 215 2237 8 Kancheepuram 386 2543 37 3299 9 Kanyakumari 4 1773 246 259 1 Karur 55 58 255 818 11 Krishnagiri 469 1382 265 2116 12 Madurai 734 1926 56 2716 13 Nagapattinam 18 881 36 125 14 Namakkal 22 119 231 156 15 Perambalur 164 326 137 627 16 Pudukkottai 21 937 1 1148 17 Ramanathapuram 87 1132 34 1523 18 Salem 547 2235 381 3163 19 Sivagangai 195 1159 19 1463 2 Thanjavur 92 1992 48 2564 21 The Nilgiris 21 274 46 521 22 Theni 232 942 63 1237 23 Thiruchirapalli 314 1537 565 2416 24 Thirunelveli 111 2352 511 2974 25 Thiruvallur 331 1354 3 1985 26 Thiruvannamalai 1123 1378 59 256 27 Thiruvarur 75 96 5 185 28 Thoothukudi 246 1425 178 1849 29 Tiruppur 184 1166 21 156 3 Vellore 663 3249 99 411 31 Villupuram 366 1432 137 2835 32 Virudhunagar 361 1737 156 2254 TAMIL NADU 9417 4812 1161 67698 17

METHOD - WISE MALE STERILISATION 218-19 (UPTO JUNE 218) Sl. No Name of the District CV Vasectomy NSV Total Male Sterilisation 1 Ariyalur 3 3 2 Chennai 1 7 8 3 Coimbatore 2 2 4 4 Cuddalore 1 1 5 Dharmapuri 1 1 6 Dindigul 3 3 7 Erode 8 8 8 Kancheepuram 9 Kanyakumari 2 2 1 Karur 1 1 11 Krishnagiri 12 Madurai 2 2 13 Nagapattinam 14 Namakkal 1 1 15 Perambalur 16 Pudukkottai 17 Ramanathapuram 3 3 18 Salem 1 1 19 Sivagangai 12 12 2 Thanjavur 5 5 21 The Nilgiris 1 1 22 Theni 23 Thiruchirapalli 1 9 1 24 Thirunelveli 2 2 25 Thiruvallur 1 1 26 Thiruvannamalai 27 Thiruvarur 1 1 28 Thoothukudi 29 Tiruppur 4 4 3 Vellore 4 4 31 Villupuram 3 3 32 Virudhunagar 2 2 TAMIL NADU 4 79 83 18

Rank PPIUCD PERFORMANCE -218-19 (UPTO JUNE 218) Performance District ELD P.ELD DM UM % w.r.t. P.ELD Perambalur 25 625 286 817 13.7 1 Kancheepuram 75 1875 931 231 123.2 2 Chennai 2813 733 2723 7575 17.7 3 Virudhunagar 625 1563 515 1567 1.3 4 Thanjavur 125 3125 14 2958 94.7 5 Krishnagiri 844 211 57 186 85.6 6 Thirunelveli 844 211 678 175 82.9 7 Vellore 146 3515 979 297 82.7 8 Villupuram 1625 2656 785 2186 82.3 9 Tiruppur 5 125 313 951 76.1 1 Madurai 969 2423 675 1817 75. 11 Thoothukudi 6875 1719 44 1283 74.6 12 Sivagangai 494 1235 32 914 74. 13 Thiruvarur 625 1563 375 15 67.2 14 Thiruvallur 594 1485 357 996 67.1 15 Ariyalur 343 858 179 542 63.2 16 Dindigul 781 1953 364 1127 57.7 17 Dharmapuri 844 211 34 1178 55.8 18 Pudukkottai 531 1328 246 7 52.7 19 The Nilgiris 225 563 18 292 51.9 2 Nagapattinam 656 164 288 835 5.9 21 Coimbatore 1 25 44 1232 49.3 22 Thiruchirapalli 1 25 461 1222 48.9 23 Karur 46 115 179 476 46.9 24 Ramanathapuram 656 164 245 696 42.4 25 Salem 96 2265 246 95 4. 26 Kanyakumari 375 938 97 371 39.6 27 Cuddalore 1125 2813 414 1112 39.5 28 Thiruvannamalai 6875 1719 115 678 39.4 29 Theni 469 1173 124 385 32.8 3 Erode 6875 1719 166 556 32.3 31 Namakkal 594 1485 118 41 27. 32 TAMIL NADU 25 625 15117 43595 69.8 19

Rank INTERVAL IUCD PERFORMANCE -218-19 (UPTO JUNE 218) Performance District ELD P.ELD UM % w.r.t. P.ELD Sivagangai 296 74 129 174.3 1 Ramanathapuram 394 985 17 172.6 2 Thiruvarur 375 938 1513 161.4 3 Coimbatore 6 15 2132 142.1 4 Erode 4125 131 1457 141.3 5 Chennai 1687 4218 5857 138.9 6 Kanyakumari 225 563 712 126.6 7 Nagapattinam 394 985 1223 124.2 8 Tiruppur 3 75 919 122.5 9 Kancheepuram 45 1125 1327 118. 1 Theni 281 73 793 112.9 11 Dindigul 469 1173 1313 112. 12 Thirunelveli 56 1265 149 111.4 13 Thoothukudi 4125 131 114 11.5 14 Thanjavur 75 1875 265 11.1 15 Villupuram 6375 1594 1747 19.6 16 Ariyalur 27 518 549 16.1 17 Virudhunagar 375 938 992 15.8 18 Cuddalore 675 1688 1664 98.6 19 The Nilgiris 135 338 317 93.9 2 Pudukkottai 319 798 733 91.9 21 Karur 244 61 533 87.4 22 Krishnagiri 56 1265 196 86.6 23 Thiruvallur 356 89 742 83.4 24 Vellore 844 211 1617 76.6 25 Madurai 581 1453 175 74. 26 Dharmapuri 56 1265 924 73. 27 Thiruchirapalli 6 15 191 72.7 28 Salem 544 136 888 65.3 29 Perambalur 15 375 228 6.8 3 Namakkal 356 89 536 6.2 31 Thiruvannamalai 4125 131 529 51.3 32 TAMIL NADU 15 375 4111 17. 2

Sl. No I.U.C.D. PERFORMANCE COMPARED WITH PREVIOUS YEAR Name of the District 218-19 (Upto June-18) 217-18 (Upto June-17) 1 Villupuram 3933 3199 734 2 Kancheepuram 3637 3319 318 3 Ariyalur 191 993 98 4 Krishnagiri 292 2887 15 5 Karur 19 135-26 6 Dindigul 244 2475-35 7 Ramanathapuram 2396 255-19 8 Thanjavur 523 5165-142 9 Perambalur 145 128-163 1 Namakkal 937 118-243 11 Sivagangai 224 245-246 12 Theni 1178 1443-265 13 The Nilgiris 69 899-29 14 Thoothukudi 2423 2745-322 15 Thiruvarur 2563 2898-335 16 Vellore 4524 4864-34 17 Kanyakumari 183 1449-366 18 Thiruvallur 1738 2116-378 19 Nagapattinam 258 244-382 2 Erode 213 2433-42 21 Thirunelveli 3159 3581-422 22 Coimbatore 3364 3789-425 23 Pudukkottai 1433 1981-548 24 Virudhunagar 2559 318-549 25 Tiruppur 187 2465-595 26 Cuddalore 2776 3459-683 27 Thiruchirapalli 2313 385-772 28 Chennai 13432 14268-836 29 Dharmapuri 212 2996-894 3 Madurai 2892 3916-124 31 Thiruvannamalai 127 2645-1438 32 Salem 1793 427-2414 TAMIL NADU Performance Inc / Dec 8376 9723-13497 21

Sl. No Name of the District ORAL PILLS PERFORMANCE 218-19 ( UPTO JUNE 218 ) Expected Level of Demand O.P. Cycles During June 218 Upto June 218 O.P. Users Upto June 218 % of Performan ce to ELD No. of E-Pills Distributed 1 Thiruchirapalli 2 1216 4516 139 69.5 113 2 Sivagangai 2 1679 4449 1369 68.4 274 3 Chennai 8 437 1576 4639 58. 257 4 Ramanathapuram 25 147 4481 1379 55.2 52 5 Vellore 41 2549 711 2188 53.4 181 6 Thirunelveli 16 862 2637 811 5.7 122 7 Kancheepuram 45 2167 7243 2229 49.5 34 8 Erode 2 925 3157 971 48.6 292 9 Thoothukudi 25 1191 3926 128 48.3 2 1 Salem 46 2229 6881 2117 46. 4 11 Cuddalore 26 76 3791 1166 44.9 29 12 Pudukkottai 18 852 2615 85 44.7 194 13 Thanjavur 25 1267 3591 115 44.2 287 14 Villupuram 5 218 7144 2198 44. 94 15 Nagapattinam 28 1282 374 1151 41.1 44 16 Coimbatore 42 1657 5597 1722 41. 152 17 Theni 17 639 2219 683 4.2 185 18 Virudhunagar 3 1379 3868 119 39.7 245 19 The Nilgiris 15 62 195 586 39.1 69 2 Namakkal 27 723 3177 978 36.2 3 21 Tiruppur 3 12 3424 154 35.1 245 22 Thiruvarur 3 1196 3418 152 35.1 326 23 Dindigul 35 143 392 126 34.5 625 24 Thiruvannamalai 5 1698 5283 1626 32.5 5 25 Kanyakumari 3 111 33 932 31.1 47 26 Krishnagiri 25 84 2291 75 28.2 2 27 Perambalur 13 497 1162 358 27.5 11 28 Ariyalur 1 188 718 221 22.1 25 29 Karur 35 15 2479 763 21.8 45 3 Madurai 31 932 263 635 2.5 475 31 Thiruvallur 7 1463 4274 1315 18.8 53 32 Dharmapuri 25 284 163 327 13.1 5 TAMIL NADU 1 41599 13248 476 4.1 6351 22

Sl. No. Name of the District C.C. PERFORMANCE 218-19 (UPTO JUNE 218) Expected Level of Demand During June 218 O.P. Cycles Upto June 218 C.C. Users % of Upto June - Performance 218 to ELD 1 Vellore 87 5817 11718 651 74.8 2 Pudukkottai 53 17835 63282 3516 66.3 3 Villupuram 95 33816 113386 6299 66.3 4 Salem 86 394 1155 5639 65.6 5 Chennai 2 6747 23435 1319 65.1 6 Cuddalore 97 3142 19515 684 62.7 7 Tiruppur 38 12425 42583 2366 62.3 8 Ramanathapuram 62 2256 62974 3499 56.4 9 Thiruvarur 45 1479 4536 252 56. 1 Namakkal 55 1748 5526 37 55.8 11 Kancheepuram 66 22195 6361 3534 53.5 12 Ariyalur 16 424 1479 822 51.4 13 Theni 43 142 3449 1916 44.6 14 Thiruvannamalai 58 13676 45675 2538 43.8 15 Krishnagiri 42 1815 3975 1721 41. 16 Nagapattinam 38 993 27475 1526 4.2 17 Sivagangai 48 1111 34288 195 39.7 18 Thiruchirapalli 75 15715 528 2789 37.2 19 Dindigul 82 1725 54232 313 36.7 2 Erode 57 1935 35545 1975 34.6 21 The Nilgiris 3 571 18553 131 34.4 22 Karur 33 74 19846 113 33.4 23 Virudhunagar 68 1236 3861 2145 31.5 24 Thiruvallur 79 15826 44711 2484 31.4 25 Thanjavur 6 1122 3835 1713 28.6 26 Coimbatore 1 14825 45855 2548 25.5 27 Kanyakumari 48 658 19221 168 22.2 28 Madurai 77 12658 28476 1582 2.5 29 Dharmapuri 47 511 1488 827 17.6 3 Perambalur 15 1535 4485 249 16.6 31 Thirunelveli 6 6123 16224 91 15. 32 Thoothukudi 4 292 565 311 7.8 TAMIL NADU 2 534532 1623984 9221 45.1 23

Sl. No. CHHAYA & ANTARA PERFORMANCE 218-19 (UPTO JUNE 218) District CHHAYA Centchroman (Weekly) Pills No. of 1st Dose No. of 2nd Dose No. of 3rd Dose 1 Ariyalur 191 137 2 Chennai 1184 668 13 15 3 Coimbatore 339 312 9 6 4 Cuddalore 185 92 1 5 Dharmapuri 187 153 29 6 Dindigul 66 138 7 Erode 83 286 22 8 Kancheepuram 62 146 34 9 Kanyakumari 389 53 1 Karur 64 118 13 1 11 Krishnagiri 29 17 11 12 Madurai 357 146 38 7 13 Nagapattinam 348 226 15 14 Namakkal 186 128 5 2 15 Perambalur 392 236 4 16 Pudukkottai 147 128 5 17 Ramanathapuram 252 95 7 18 Salem 1288 297 37 4 19 Sivagangai 553 225 9 2 Thanjavur 212 22 19 21 The Nilgiris 22 83 6 22 Theni 69 39 6 1 23 Thiruchirapalli 81 366 3 3 24 Thirunelveli 624 263 12 1 25 Thiruvallur 612 33 26 Thiruvannamalai 267 446 21 27 Thiruvarur 61 111 4 28 Thoothukudi 757 115 3 29 Tiruppur 122 112 5 1 3 Vellore 133 749 27 3 31 Villupuram 1747 557 24 32 Virudhunagar 18 241 44 TAMIL NADU ANTARA 16787 7278 57 44 24

Sl. No STERILISATION, PPIUCD PERFORMANCE IN MCH 218-19 (UPTO JUNE 218) Name of Medical Colege Hospital Sterilisation 218 217 Inc./ Dec. PPIUCD 218 217 Inc./ Dec. 1 K.M.C., Chennai 286 371-85 129 868 161 2 K.G.H., Chennai 211 453-242 1318 1158 16 3 R.S.R.M.,Chennai 785 677 18 1686 2293-67 4 W&CH., Chennai 941 767 174 2697 255 642 5 Coimbatore 426 543-117 678 771-93 6 Dharmapuri 437 429 8 713 199-386 7 Kancheepuram 716 659 57 1327 118 39 8 Kanniyakumari 285 29-5 79 118-39 9 Karur 214 228-14 31 315-5 1 Madurai 762 618 144 182 1172-9 11 Pudukottai 251 318-67 274 475-21 12 M.K., Salem 476 54-28 441 1515-174 13 Sivagangai 272 271 1 576 67-31 14 R.M., Thanjavur 846 977-131 169 1584 25 15 Theni 448 444 4 226 386-16 16 M.G.M., Trichy 413 48-67 564 1334-77 17 Tirunelvelli 312 383-71 169 113 56 18 Tiruvannamalai 652 591 61 361 1189-828 19 Tiruvarur 45 427-22 615 876-261 2 Thoothukudi 34 374-7 57 627-12 21 Vellore 379 76-327 1253 124 49 22 Villupuram 361 489-128 165 55 515 TOTAL 1182 1999-817 19479 22227-2748 25

Sl. No Name of the District MTP PERFORMANCE 218-19 (UPTO JUNE 218) MTP PERFORMANCE (UPTO JUNE 218) MVA MMA EVA Other Technique Total MTP Performance 217-18 (Upto JUNE 217) 1 Thiruvanamalai 164 14 459 763 38 383 2 Vellore 433 76 478 987 622 365 3 Trichy 211 73 58 864 639 225 4 Villupuram 386 43 164 593 435 158 5 Ramanathpuram 14 36 28 348 197 151 6 Salem 617 44 68 1269 1127 142 7 Dharmapuri 247 1 33 551 411 14 8 Krishnagiri 15 33 468 66 474 132 9 Tiruppur 111 17 387 515 48 17 1 Sivagangai 111 42 159 312 216 96 11 Karur 133 12 232 377 283 94 12 Cuddalore 64 32 571 667 579 88 13 Dindigul 17 11 298 479 392 87 14 Kancheepuram 138 19 354 511 427 84 15 Madurai 25 36 3 346 59 59 81 16 Nagapattinam 111 19 96 226 145 81 17 Tiruvallur 137 5 26 42 321 81 18 Thiruvarur 13 69 135 37 239 68 19 Ariyalur 35 116 151 86 65 2 Virudhunagar 119 185 34 241 63 21 Coimbatore 156 344 184 684 626 58 22 Erode 95 2 358 473 438 35 23 Perambalur 94 75 169 134 35 24 Thoothukudi 139 15 31 455 439 16 25 Pudukottai 78 77 155 145 1 26 Theni 118 14 139 271 262 9 27 Thanjavur 263 54 297 614 68 6 28 Kanniyakumari 73 94 167 162 5 29 The Nilgris 41 6 72 119 126-7 3 Trinelveli 13 35 49 574 61-27 Inc./ Dec. 31 Namakkal 163 651 814 1123-39 32 Chennai 158 51 1433 364 3378-314 TAMIL NADU 6634 1247 574 9926 18381 16173 228 26

Sl. No. TAT / Mini Lap Lap. PA IUCD OP/ CC Plain MTP Total 1 Ariyalur 76 19 11 45 151 2 Chennai 464 1 67 956 1477 364 3 Coimbatore 29 52 8 88 57 684 4 Cuddalore 41 87 11 1 527 667 5 Dharmapuri 133 53 1 18 337 551 6 Dindigul 18 46 18 42 355 479 7 Erode 76 11 47 339 473 8 Kancheepuram 2 12 299 511 9 Kanniyakumari 53 7 8 99 167 1 Karur 28 35 32 92 19 377 11 Krishnagiri 44 66 7 8 481 66 12 Madurai 147 5 138 3 59 13 Nagapattinam 19 7 23 63 114 226 14 Namakkal 163 12 36 63 814 15 Perambalur 71 8 9 169 16 Pudukottai 18 3 8 126 155 17 Ramanathpuram 9 8 4 3 243 348 18 Salem 566 32 73 598 1269 19 Sivagangai 33 4 5 14 256 312 2 Thanjavur 11 12 122 37 614 21 The Nilgris 31 3 23 62 119 22 Theni 55 4 14 198 271 23 Thiruvanamalai 17 11 244 338 763 24 Thiruvarur 2 9 134 144 37 25 Thoothukudi 85 1 1 368 455 26 Tiruppur 57 17 2 9 43 515 27 Tiruvallur 77 1 54 261 42 28 Trichy 154 66 28 8 68 864 29 Trinelveli 35 3 6 98 432 574 3 Vellore 14 11 161 576 987 31 Villupuram 69 86 11 17 41 593 32 Virudhunagar 94 3 18 189 34 TAMIL NADU POST ABORTION CONTRACEPTIVE 218-19 (UPTO JUNE 218) District MTP PERFORMANCE (UPTO JUNE 218) 3256 756 481 2516 11372 18381 27

COVERAGE OF DELIVERIES IN GOVERNMENT PRIMARY HEALTH CENTRE WITH 2 & ABOVE CHILDREN 218-19 (UPTO JUNE 218) Deliveries 2 Covered by (UPTO JUNE- 218) Name of the HUD Stern. % PPIUCD % Poonamallee 151 11 72.8 2 1.3 1 Thiruvallur 81 538 67.2 19 2.4 2 Virudhunagar 299 19 63.5 24 8. 3 Thoothukudi 28 128 61.5 13 6.3 4 Paramakudi 94 55 58.5 4 4.3 5 Erode 419 238 56.8 9 2.1 6 Ramanathapuram 83 47 56.6. 7 Sivakasi 351 188 53.6 9 2.6 8 Vellore 636 332 52.2 5 7.9 9 Villupuram 611 294 48.1 18 2.9 1 Thirupathur 865 399 46.1 83 9.6 11 Saidapet 567 26 45.9 36 6.3 12 Namakkal 232 97 41.8 9 3.9 13 Tirunelveli 43 176 4.9. 14 Kanchipuram 367 138 37.6 2.5 15 Kanniyakumari 229 85 37.1 14 6.1 16 Krishnagiri 855 311 36.4 53 6.2 17 Thiruppur 312 14 33.3 19 6.1 18 Trichy 489 14 28.6 32 6.5 19 Kallakurichi 1139 311 27.3 65 5.7 2 Kovilpatty 17 25 23.4 8 7.5 21 Cheyyar 296 62 2.9 2 6.8 22 The Nilgiris 124 22 17.7 39 31.5 23 Coimbatore 316 53 16.8 9 2.8 24 Sivagangai 326 49 15. 5 15.3 25 Sankarankoil 141 21 14.9 9 6.4 26 Theni 281 4 14.2 1.4 27 Salem 98 135 13.8 37 3.8 28 Dharmapuri 443 61 13.8 16 3.6 29 Thanjavur 383 46 12. 65 17. 3 Tiruvannamalai 821 96 11.7 32 3.9 31 Aranthangi 19 22 11.6 14 7.4 32 Madurai 681 73 1.7 5.7 33 Pudhukkottai 252 27 1.7 25 9.9 34 Cuddalore 528 53 1. 14 2.7 35 Dindigul 475 39 8.2 1 2.1 36 Karur 139 7 5. 11 7.9 37 Nagapattinam 189 9 4.8 42 22.2 38 Thiruvarur 122 4 3.3 56 45.9 39 Palani 24 2 1. 24 11.8 4 Ariyalur 131. 19 14.5 41 Perambalur 73. 25 34.2 42 Total 1634 4987 3.5 992 6.1 The Districts in rank 19 to 42 are below the State average of 3.5under the coverage of Deliveries in Sterilisation. Rank (for sterilization) 28

COVERAGE OF DELIVERIES IN GOVT. HOSPITAL WITH 2 & ABOVE CHILDREN 218-19 (UPTO JUNE 218) Name of the Districts Deliveries 2 Covered by (UPTO JUNE- 218) Stern. % PPIUCD % Rank (for sterilization) KANNIYAKUMARI 445 383 86.1 2 4.5 1 THOOTHUKUDI 623 484 77.7 8 12.8 2 THIRUVARUR 432 299 69.2 68 15.7 3 SIVAGANGAI 615 424 68.9 11 1.8 4 NAGAPATTINAM 878 594 67.7 129 14.7 5 THIRUVANAMALAI 516 346 67.1 39 7.6 6 ERODE 651 434 66.7 84 12.9 7 KANCHEEPURAM 112 661 65.3 133 13.1 8 RAMANATHAPURAM 687 448 65.2 91 13.2 9 VIRUDHUNAGAR 1171 762 65.1 187 16. 1 TIRUNELVELI 762 479 62.9 139 18.2 11 CHENNAI 191 117 61.3 17 8.9 12 CUDDALORE 1487 861 57.9 235 15.8 13 NAMAKKAL 743 428 57.6 71 9.6 14 SALEM 721 415 57.6 116 16.1 15 ARIYALUR 446 255 57.2 137 3.7 16 COIMBATORE 513 287 55.9 95 18.5 17 THENI 535 294 55. 34 6.4 18 THIRUVALLUR 865 468 54.1 143 16.5 19 VELLORE 1539 825 53.6 251 16.3 2 MADURAI 726 388 53.4 197 27.1 21 TRICHY 657 349 53.1 124 18.9 22 PUDUKKOTTAI 36 191 53.1 71 19.7 23 THIRUPPUR 924 485 52.5 197 21.3 24 DINDIGUL 1125 552 49.1 162 14.4 25 THE NILGIRIS 293 137 46.8 41 14. 26 THANJAVUR 814 376 46.2 47 5. 27 KRISHNAGIRI 1322 595 45. 553 41.8 28 PERAMBALUR 536 237 44.2 265 49.4 29 DHARMAPURI 351 154 43.9 134 38.2 3 KARUR 191 83 43.5 46 24.1 31 VILLUPURAM 986 383 38.8 413 41.9 32 Total 23117 13194 57.1 469 2.3 The Districts in rank 17 to 32 are below the State average of 57.1under the coverage of Deliveries in Sterilisation. 29

COVERAGE OF DELIVERIES IN MCH 2 AND ABOVE CHILDREN 218-19 (UPTO JUNE 218) 2 and above Name of the Medical College Hospital Deliveries Covered by Stern. % Covered by PPIUCD % Rank (for sterilization) MCH, Chengalpattu 126 676 65.9 99 9.6 1 MCH, Nagercoil 377 244 64.7 2 5.3 2 MCH, R.S.R.M. Chennai 1193 738 61.9 289 24.2 3 MCH, Thiruvarur 58 354 61. 148 25.5 4 MCH, Thoothukudi 491 255 51.9 126 25.7 5 MCH, Theni 833 432 51.9 1 1.2 6 MCH, Tiruvannamalai 1161 61 51.8 11 8.7 7 MCH, Vellore 1167 595 51. 254 21.8 8 MCH, IOG and W&Ch, Chennai 188 936 49.8 854 45.4 9 MCH Rajaji, Madurai 1525 746 48.9 36 2.1 1 MCH, Karur 34 166 48.8 77 22.6 11 MCH, R.M.Hospital 158 757 47.9 547 34.6 12 MCH, Sivagangai 545 26 47.7 127 23.3 13 MCH, Tirunelveli 687 31 45.1 323 47. 14 MCH, Dharmapuri 916 381 41.6 18 19.7 15 M.K.M.C. Hpl Salem 1148 476 41.5 191 16.6 16 MCH, Coimbatore 86 342 39.8 252 29.3 17 MCH, Pudukkottai 579 222 38.3 97 16.8 18 MCH, Kilpauk, Chennai 712 231 32.4 314 44.1 19 M.G.M., MCH, Trichy 996 316 31.7 193 19.4 2 MCH Villupuram 892 269 3.2 372 41.7 21 MCH, KGH, Chennai 723 24 28.2 463 64. 22 2211 9511 47.1 5343 26.4 The Districts in rank 14 to 22 are below the State average of 47.1under the coverage of Deliveries in Sterilisation. 3

COVERAGE OF DELIVERIES IN GOVERNMENT PRIMARY HEALTH CENTRE WITH & 1 CHILD 218-19 (UPTO JUNE 218) Name of the HUD Delliveries and 1 child Covered by PPIUCD % Rank (for PPIUCD) Thiruvarur 91 69 75.8 1 Poonamallee 15 68 64.8 2 Thiruvallur 415 246 59.3 3 Virudhunagar 22 116 57.4 4 Thirupathur 462 243 52.6 5 Vellore 312 164 52.6 6 Perambalur 34 17 5. 7 Sivagangai 166 82 49.4 8 Thoothukudi 14 44 42.3 9 Nagapattinam 157 61 38.9 1 Cheyyar 145 52 35.9 11 The Nilgiris 7 25 35.7 12 Sivakasi 31 93 3.9 13 Palani 147 44 29.9 14 Thanjavur 242 69 28.5 15 Ariyalur 62 17 27.4 16 Kovilpatty 14 28 26.9 17 Trichy 29 72 24.8 18 Namakkal 166 41 24.7 19 Erode 335 82 24.5 2 Krishnagiri 475 113 23.8 21 Aranthangi 116 27 23.3 22 Sankarankoil 75 16 21.3 23 Thiruppur 26 55 21.2 24 Karur 125 26 2.8 25 Kanniyakumari 147 3 2.4 26 Paramakudi 95 19 2. 27 Villupuram 282 52 18.4 28 Pudhukkottai 17 19 17.8 29 Tiruvannamalai 381 66 17.3 3 Dharmapuri 362 58 16. 31 Tirunelveli 267 42 15.7 32 Kallakurichi 59 74 14.5 33 Ramanathapuram 37 5 13.5 34 Saidapet 453 54 11.9 35 Cuddalore 233 26 11.2 36 Salem 479 53 11.1 37 Dindigul 279 23 8.2 38 Kanchipuram 231 17 7.4 39 Madurai 492 31 6.3 4 Coimbatore 243 12 4.9 41 Theni 25 8 3.9 42 Total 9763 2459 25.2 The Districts in rank 18 to 42 are below the State average of 25.2 under the coverage of Deliveries in PPIUCD. 31

COVERAGE OF DELIVERIES IN GOVT. HOSPITAL WITH & 1 CHILD 218-19 (UPTO JUNE 218) Name of the Districts Delliveries and 1 child Covered by PPIUCD % Rank (for PPIUCD) THANJAVUR 787 755 95.9 1 PERAMBALUR 548 512 93.4 2 THIRUVARUR 412 378 91.7 3 THOOTHUKUDI 661 599 9.6 4 KRISHNAGIRI 1296 1123 86.7 5 DHARMAPURI 325 278 85.5 6 ARIYALUR 443 37 83.5 7 VIRUDHUNAGAR 1419 1167 82.2 8 NAGAPATTINAM 843 693 82.2 9 PUDUKKOTTAI 364 269 73.9 1 KANCHEEPURAM 11 721 71.4 11 DINDIGUL 1229 863 7.2 12 MADURAI 693 485 7. 13 VELLORE 1334 911 68.3 14 THIRUPPUR 998 669 67. 15 COIMBATORE 61 45 66.4 16 TIRUNELVELI 698 462 66.2 17 CUDDALORE 133 834 64. 18 VILLUPURAM 76 483 63.6 19 TRICHY 66 378 62.4 2 RAMANATHAPURAM 871 542 62.2 21 THIRUVALLUR 941 491 52.2 22 THE NILGIRIS 312 162 51.9 23 ERODE 742 381 51.3 24 KANNIYAKUMARI 459 228 49.7 25 KARUR 154 72 46.8 26 SALEM 559 228 4.8 27 NAMAKKAL 712 279 39.2 28 SIVAGANGAI 726 198 27.3 29 THIRUVANAMALAI 337 84 24.9 3 THENI 584 123 21.1 31 CHENNAI 159 16 1.1 32 Total 22895 15159 66.2 The Districts in rank 18 to 32 are below the State average of 66.2under the coverage of Deliveries in PPIUCD. 32

Name of the Medical College Hospital COVERAGE OF DELIVERIES IN MCH AND 1 CHILD 218-19 (UPTO JUNE 218) Delliveries and 1 child Covered by PPIUCD % Rank (for PPIUCD) MCH, KGH, Chennai 127 856 83.3 1 MCH, R.S.R.M. Chennai 1735 146 81. 2 MCH, IOG and W&Ch, Chennai 2431 1845 75.9 3 MCH, Tirunelveli 989 746 75.4 4 MCH Villupuram 925 693 74.9 5 MCH, Chengalpattu 1723 1228 71.3 6 MCH, Sivagangai 636 449 7.6 7 MCH, Kilpauk, Chennai 146 72 68.8 8 MCH, Thiruvarur 716 467 65.2 9 MCH, Karur 365 233 63.8 1 MCH, Vellore 1592 999 62.8 11 MCH, R.M.Hospital 1911 162 55.6 12 MCH, Dharmapuri 194 533 48.7 13 MCH Rajaji, Madurai 1849 814 44. 14 MCH, Thoothukudi 644 281 43.6 15 MCH, Coimbatore 114 426 37.4 16 M.G.M., MCH, Trichy 1195 371 31. 17 MCH, Pudukkottai 655 178 27.2 18 MCH, Tiruvannamalai 116 258 22.2 19 M.K.M.C. Hpl Salem 1182 251 21.2 2 MCH, Theni 134 216 2.9 21 MCH, Nagercoil 455 62 13.6 22 2554 1494 55.3 The Districts in rank 13 to 22 are below the State average of 55.3 under the Coverage of Deliveries in PPIUCD 33

No. of Unprotected HOB Mothers with 2 and above Children < 35 Yrs as per Line list as on 31.3.218 Sterilisation MVA with Sterilisation MMA with Sterilisation IUCD Antara- Injectable Contraceptive CHHAYA - Centchroman Pills Total Coverage No. of Mothers uncovered % of Mothers uncovered No. of Blocks DISTRICT WISE HOB COVERAGE 218-19 (UPTO JUNE 218 ) Coverage of Couples upto the end of this month Sl. No Name of the District % 1 Nammakkal 1 672 154 243 397 59.1 275 4.9 2 Virudhunagar 2 86 191 157 59 47 5.5 399 49.5 3 Ramnad 3 1785 726 68 4 36 2 872 48.9 913 51.1 4 Tiruvallur 3 216 29 137 57 18 592 27.4 1568 72.6 5 Krishnagiri 6 3726 4 31 19 131 61 17 812 21.8 2914 78.2 6 Sivagangai 2 58 57 2 7 8 92 15.9 488 84.1 7 Dharmapuri 7 9761 113 25 175 84 25 1439 14.7 8322 85.3 8 Ariyalur 5 9239 83 289 14 148 1344 14.5 7895 85.5 9 Cuddalore 5 278 117 45 28 27 5 222 1.7 1856 89.3 1 Perambalur 2 3336 16 25 119 51 355 1.6 2981 89.4 11 Tirunelveli 4 1815 151 27 4 182 1. 1633 9. 12 Villupuram 15 15411 94 15 256 11 143 1455 9.4 13956 9.6 13 Madurai 3 2639 145 9 1 84 239 9.1 24 9.9 14 Trichy 6 3273 147 1 5 121 13 6 293 9. 298 91. 15 Vellore 13 7562 392 4 124 56 79 655 8.7 697 91.3 16 Dindigul 3 349 234 5 25 1 265 7.6 3225 92.4 17 Karur 3 1417 43 1 24 25 5 98 6.9 1319 93.1 18 Pudukkottai 7 6366 323 1 55 31 27 437 6.9 5929 93.1 19 Tiruvannamalai 12 12196 663 6 37 76 6.2 11436 93.8 2 Thoothukudi 8 361 89 35 5 5 134 4.4 2927 95.6 21 Salem 1 122 34 4 55 2 27 482 4. 11538 96. STATE TOTAL 12 13393 7495 268 67 221 745 756 11532 11.2 91861 88.8 34

Sl. No Name of the District PARITY-WISE REPORT ON STERILISATION ACCEPTORS (WITH 2 AND LESS THAN 2 LIVING CHILDREN) 218-19 (UPTO JUNE - 218) Male Female Total Male Female 1 2 3 4 5 6 7 8 9 1 1 Ariyalur 3 966 969 6 78 786 81.1 2 Chennai 8 6347 6355 2 73 4741 4816 75.8 3 Coimbatore 4 2844 2848 57 2648 275 95. 4 Cuddalore 1 1866 1867 9 1471 148 79.3 5 Dharmapuri 1 1819 182 44 1244 1288 7.8 6 Dindigul 3 2251 2254 1 59 181 187 83. 7 Erode 8 2237 2245 2 45 231 278 92.6 8 Kancheepuram 3299 3299 21 2864 2885 87.5 9 Kanniyakumari 2 259 261 21 1885 196 92.5 1 Karur 1 818 819 13 692 75 86.1 11 Krishnagiri 2116 2116 76 1548 1624 76.7 12 Madurai 2 2716 2718 1 34 2281 2316 85.2 13 Nagapattinam 125 125 5 86 811 79.1 14 Namakkal 1 156 1561 25 1329 1354 86.7 15 Perambalur 627 627 9 459 468 74.6 16 Pudukkottai 1148 1148 11 844 855 74.5 17 Ramanathapuram 3 1523 1526 18 1264 1282 84. 18 Salem 1 3163 3164 33 2377 241 76.2 19 Sivagangai 12 1463 1475 2 23 1199 1224 83. 2 Thanjavur 5 2564 2569 3 281 2111 82.2 21 The Nilgiris 1 521 522 12 44 452 86.6 22 Theni 1237 1237 11 189 11 88.9 23 Thiruchirappalli 1 2416 2426 35 1857 1892 78. 24 Thirunelveli 2 2974 2976 1 28 2472 251 84. 25 Thiruvallur 1 1985 1986 69 168 1749 88.1 26 Thiruvannamalai 256 256 22 1675 1697 66.3 27 Thiruvarur 1 185 186 6 936 942 86.7 28 Thoothukudi 1849 1849 4 154 1544 83.5 29 Tiruppur 4 156 1564 42 1427 1469 93.9 3 Vellore 4 411 415 13 2786 2799 69.7 31 Villupuram 3 2835 2838 3 1649 1652 58.2 32 Virudhunagar 2 2254 2256 2 1974 1994 88.4 TAMIL NADU Sterilization UPTO JUNE 218 Sterilization done with One child Two Children Total % of Col. 9 to Col. 5 83 67698 67781 9 877 53879 54765 8.8 35

HUD-WISE STERILISATIONS DONE AT PHC 218-19 (UPTO JUNE 218) Sterilisations Sl. No. Name of the HUD No. of OT Inc / Dec 218-19 217-18 1 Saidapet 7 339 616-277 2 Tirupathur 9 364 556-192 3 Dharmapuri 1 53 649-119 4 Cuddalore 17 233 333-1 5 Tiruppur 16 195 273-78 6 Palani 8 27 269-62 7 Dindigul 9 272 333-61 8 Erode 13 344 396-52 9 Vellore 1 456 52-46 1 Koilpatti 5 6 15-45 11 Namakkal 13 362 394-32 12 Sankarankoil 5 71 96-25 13 The Nilgiris 4 22 41-19 14 Ramanathapuram 5 27 286-16 15 Kallakurichi 11 879 893-14 16 Theni 9 233 243-1 17 Sivagangai 11 383 392-9 18 Thiruvallur 11 852 86-8 19 Nagapattinam 3 22 27-5 2 Karur 7 129 127 2 21 Thanjavur 8 341 339 2 22 Thiruvarur 2 13 11 2 23 Krishnagiri 11 8 796 4 24 Kancheepuram 7 266 251 15 25 Pudukkottai 5 83 66 17 26 Kanyakumari 1 257 237 2 27 Perambalur 6 16 84 22 28 Poonamallee 1 93 7 23 29 Thoothukudi 9 216 188 28 3 Virudhunagar 7 287 255 32 31 Sivakasi 5 22 187 33 32 Aranthangi 5 91 54 37 33 Thirunelveli 1 33 265 38 34 Coimbatore 7 92 51 41 35 Madurai 12 683 629 54 36 Paramakudi 7 332 252 8 37 Ariyalur 5 337 256 81 38 Villupuram 9 466 279 187 39 Thiruvannamalai 11 727 519 28 4 Thiruchirapalli 14 612 373 239 41 Salem 2 737 492 245 42 Cheyyar 8 541 269 272 TAMIL NADU 362 13826 13314 512 36

DEATH, FAILURE AND COMPLICATION REPORT FOR THE YEAR 218-19 (UPTO JUNE 218) Sl. No District DEATH FAILURE COMPLICATION M F M F M F 1 Ariyalur 2 Chennai 23 3 Coimbatore 1 4 Cuddalore 2 5 Dharmapuri 8 6 Dindigul 2 7 Erode 3 8 Kancheepuram 6 9 Kanyakumari 5 1 Karur 3 11 Krishnagiri 1 12 Madurai 9 13 Nagapattinam 14 Namakkal 15 Perambalur 16 Pudukkottai 4 17 Ramanathapuram 3 18 Salem 6 19 Sivagangai 2 2 Thanjavur 11 21 The Nilgiris 22 Theni 1 5 23 Thiruchirapalli 6 24 Thirunelveli 1 25 Thiruvallur 1 26 Thiruvannamalai 3 27 Thiruvarur 28 Thoothukudi 1 29 Thiruppur 3 Vellore 18 31 Villupuram 7 32 Virudhunagar 6 Total 1 164 37

DISTRICT-WISE TOTAL DELIVERIES - TYPE WISE IN MCH, GH & ESI HOSPITALS 218-19 (UPTO JUNE - 218) Sl. No. District Normal Caesarian Assisted Total Deliveries 1 CHENNAI 417 5473 34 9947 2 VELLORE 337 2529 65 5631 3 THANJAVUR 2582 246 159 5147 4 MADURAI 218 21 363 4544 5 KANCHEEPURAM 19 2425 38 4363 6 VILLUPURAM 175 1775 24 3549 7 TRICHY 1787 167 66 346 8 SALEM 1757 1642 57 3456 9 PUDUKKOTTAI 1538 1652 38 3228 1 THIRUNELVELI 1345 1644 148 3137 11 COIMBATORE 1434 1636 53 3123 12 THENI 124 1545 53 2838 13 THIRUVANNAMALAI 1559 196 48 273 14 CUDDALORE 18 151 18 268 15 KRISHNAGIRI 1254 127 19 2543 16 DARMAPURI 123 1242 5 2522 17 VIRUDHUNAGAR 946 1522 36 254 18 THOOTHUKUDI 98 1419 32 2431 19 SIVAGANGAI 837 148 59 2376 2 DINDIGUL 1383 921 5 2354 21 THIRUVARUR 765 1359 16 214 22 KARUR 18 153 32 293 23 THIRUVALLUR 9 92 7 189 24 THIRUPPUR 731 159 13 183 25 NAGAPATTINAM 686 128 1 1724 26 KANNIYAKUMARI 48 1174 23 1677 27 RAMNAD 525 827 26 1558 28 NAMAKKAL 456 862 5 1323 29 ERODE 489 729 1 1228 3 PERAMBALUR 534 565 27 1126 31 ARIYALUR 217 664 8 889 32 THE NILGIRIS 29 312 3 65 TAMIL NADU 417 47329 24 9439 38

Antara Chhaya MMA DISTRICT-WISE FW CONTRACEPTIVE STOCK POSITION (AS ON 3.6.218) Sl. No District Cu.T Nirodh Oral Pills 1 Ariyalur 418 6823 12969 812 2765 112 2 Chennai 11996 476617 45616 7181 5217 323 3 Coimbatore 5453 53454 25323 1539 4297 592 4 Cuddalore 824 56688 15995 1818 461 36 5 Dharmapuri 7488 47327 55548 197 3993 239 6 Dindigul 4983 587949 21579 1211 4733 257 7 Erode 4572 437662 2712 11 4655 259 8 Kancheepuram 4483 859353 2863 1876 3898 264 9 Kanniyakumari 3267 357386 2949 1142 3689 11 1 Karur 3454 23495 2788 136 256 182 11 Krishnagiri 4325 3255 17347 1786 3917 289 12 Madurai 727 622487 37339 2291 485 514 13 Nagapattinam 4995 25387 22654 872 324 28 14 Namakkal 8914 39519 31169 81 2478 392 15 Perambalur 3849 16943 15361 673 256 67 16 Pudukottai 6397 335278 24151 1289 421 173 17 Ramanathpuram 597 49553 1865 1317 4526 165 18 Salem 5688 55672 34142 1273 3915 622 19 Sivagangai 3465 316878 13676 1619 3646 135 2 Thanjavur 1861 435488 16656 3594 4579 577 21 The Nilgris 4394 12558 25121 854 2762 86 22 Theni 3566 353 3177 1124 2887 23 23 Thiruchirapplli 846 536136 6673 1342 4481 482 24 Thirunelveli 3731 54435 3388 163 4244 384 25 Tiruvallur 4478 416715 54177 1114 433 18 26 Thiruvanamalai 7536 412326 3636 1361 534 149 27 Thiruvarur 1439 32832 24248 174 3538 268 28 Thoothukudi 3928 358245 2661 1315 3432 382 29 Tiruppur 1844 27642 224 1297 476 228 3 Vellore 5623 559 29267 2853 4289 428 31 Villupuram 3631 518862 18395 1893 3991 557 32 Virudhunagar 3127 512425 2889 139 4688 211 Total 161842 13194198 911574 51547 12582 12332 39

STATISTICAL VITAL RATES FORMULAE Crude Birth Rate (CBR) = Crude Death Rate (CDR) = No. of Live Births which occurred in a given geographical area during a given year Mid year estimated population of the same area during the same year No. of Deaths which occurred in a given geographical area during a given year Mid year estimated population of the same area during the same year X 1 X 1 Infant Mortality Rate (IMR) = No. of Deaths under one year of age which occured among the population of a given area during a given year No. of Live Births which occured among the population of the same area during the same year X1 Still Birth Rate (SBR) = No. of Still Births which occurred in a given geographical area during a given year Total No. of Delivery (Live Birth + Still Birth) of the same geographical area during the same year X 1 Maternal Mortality Ratio (MMR) = Total No. of woman who die as a result of pregnancy and child birth complications Total No. of Live Births in a given year X 1 Age Specific Fertility Rate (ASFR) = No. of Live Births to the mothers of a speicific age group of population in a given geographical area during the given year Mid year female population of the specified age groupin the given area during the same year X 1 Total Fertility Rate (TFR) (Where the age grouping is in class interval of 5 years) = 5 X summation of ASFR 1 % of HOB = No. of Live Births 3 and above Total No. of Live Births X 1 4