PRESENTATION by
GOVERNMENT OF UTTARANCHAL
on
DEMOGRAPHIC PROFILE
 
 
   PROFILE OF UTTARANCHAL STATE
 
 
  •  Born on 09th November 2000.
  •  Population of 8.5 million and population density 159 pe r sq.Km.
  •  Population density less in hill districts, compared to districts in plain areas.
  •  Population density 37 in Uttarkashi & 48 in Chamoli per Sq.Km.
  •  Population density 414 in Dehradun & 612 per Sq.Km. in Haridwar.
  •  93% of land area is hilly.
  •  13 Districts, 49 Tehsils, 95 blocks.
  •  63% of land area covered by forest.
  •  74% of population living in 16414 small scattered villages.
  •  80% of villages with less than 500 population.
  •  90% of villages less than 1000 population.
  •  62%of villages not connected by pucca road.
 
 
 
COMPARATIVE STATEMENT OF UTTARANCHAL STATE‘S HEALTH INDICATORS WITH INDIA AND OTHER STATES
         
ITEM
UTTARANCHAL
KERALA
U. P.
INDIA
 
Decadal Growth
19.2%
9.42%
25.8
21.34%
Literacy Rate
72.28
90.92
57.36
65.38
(a)Male
84.01
94.2
70.23
75.85
(b)Female
60.26
87.86
42.98
54.16
Crude Birth Rate
26.0
18.00
32.80
26.0
Crude Death Rate
6.50
6.40
10.5
8.7
Infant Mortality Rate
52.00
14.00
84.00
70.0
Infant Mortality Rate
52.00
14.00
84.00
70.0
Total Fertility Rate
3.06
1.96
3.99
2.85
Sex Ratio
964
1058
879
933
Couple Protection Rate
43.1
48.1
38.2
44.0
Complete Immunized Children
40.9%
79.7%
21.2%
42.0%
Safe Delivery
51.2
97.4
20.8
40.2
Unmet Need for Family Planning
21.0
11.7
25.1
15.8
Women wi th Children 3 and above.
51.1
17.3
59.9
45.8
RTI among Women
41.2
42.4
38.1
34.0
Institutional Delivery
18.1
97.0
16.2
34.0
 
UTTARANCHAL STATE’S OTHER IMPORTANT INDICATORS WHICH REQUIRE IMPROVEMENT
 
       
  Anaemia in women
45.6%
 
  Anaemia in 6-35 monthChildren
77.4 %
 
  Low birth weight baby
41.0%
 
  0-6 Yr Children’s Sex Ratio
906
 
       
 
District Indicators
         
District
CPR
IMR
Crude Birth Rate
T.F.R. (EST.1998-99)
         
Uttarkashi
48.5
98
32.8
2.9
Chamoli
51.5
65
32.6
2.7
Tehri
41.3
69
32.3
2.2
Dehradun
49.4
53
27.6
2.9
Pauri
49.9
69
27.4
2.8
Pithoragarh
43.3
76
30.7
3.0
Almora
41.7
40
30.4
3.1
Nainital
40.5
80
33.8
3.2
Haridwar
39.0
76
34.1
3.3
U.S.Nagar
47.0
80
33.8
3.2
 
HEALTH MANPOWER STATUS IN UTTARANCHAL
 
  •  Out of total 6379 sanctioned positions 1602 are vacant (almost 33 % vacancies after U.P.
     cadre employees are relieved).
 
  •  66% class 1, 60% class 2 and 38% LMO posts vacant.
 
  •  75% LT’s, 60% X-Ray Technicians, 45% health supervisors posts vacant.
 
  •  Vacancies more acute in difficult terrain.
 
  •  NGO’s/Pvt. Sector concentrated in plain areas.
 
  •  Shortage of public health/ management expe rts in health sector.
 
HEALTH INFRASTRUCTURE IN UTTARANCHAL
 
  •  Fledgling Directorate with many posts lying vacant.
  •  Empowered Committee under Chief Secretary with 7 executive committees for various National
     Programmes.
  •  District Empowe red Committee unde r DM in each district is functional.
  •  1525 sub centers, 84 main centers. 1134 sub centers in rental buildings.
  •  1 sub center for 10 villages. Average distance of sub cente r from village 2 to 12 Km.
  •  173 additional PHCs & 84 block level PHCs.
  •  30 CHCs upgraded from block level PHCs having 4 to 7 specialists in Position & 30 beds.
  •  38 Rural female hospitals & 15 combined/ base/ district hospitals.
  •  No district hospitals in the three new districts of Champawat, Rudraprayag and Bageshwar.
  •  24 Post Partum Centers, 14 T.B. Institutions.
  •  3 Leprosy hospitals, 9 U.L.Cs, 5 I.D.H.
  •  9 Revamped health posts & 7 U.F.W.C.
  •  385 AYURVEDIC DISPENSARIES, 60 HOMEOPATHIC DISPENSARIES, 3 UNANI
     DISPENSARIES.
  •  2 RFWTC, 7 ANMTC.
  •  1 PRIVATE MEDICAL COLLEGE.
  •  2 GOVT. AYURVEDIC MEDICAL COLLEGES.
  •  CENTRAL GOVT./MILITARY HOSPITALS MAINLY IN URBAN AREAS
  •  Private Institutions mainly in plain areas of Dehradun, Haridwar, Haldwani, UdhamSingh Nagar.
  •  9057 Allopathic Hospital beds with 72% in Govt. Sector.
  •  80% of Pvt. Hospital beds in Dehradun and Haridwar.
  •  60 % of Govt. Hospitals beds in Pauri, Almora, Dehradun and Nainital.
  •  Shortage of Training Institutions in the Health Sector.
 
Percentage distribution of villages by Population size Population
             
District
<200
0-500
500-999
1000-1999
2000-4999
5000+
             
Uttarkashi
39.1
81.9
14.7
3.1
0.3
-
Chamoli
53.0
87.7
9.8
2.4
0.1
-
Tehri
47.3
85.7
12.4
1.8
-
0.1
Dehradun
36.9
71.4
12.7
9.4
4.6
2.0
Pauri
68.2
95.1
4.1
0.6
0.2
-
Pithoragarh
61.0
89.7
7.8
2.1
0.4
-
Almora
52.3
87.9
9.8
2.0
0.2
-
Nainital
35.0
65.2
18.3
11.9
4.1
0.5
Haridwar
9.7
24.8
22.5
26.2
23.3
3.2
Uttaranchal
51.6
83.7
10.4
4.1
1.6
0.2
 
Accessibility of service delivery in rural areas of Uttaranchal for Modern
Family Planning Methods (Perform Uttaranchal 1995).
 
 
Oral Pill
Condom
IUCD
Sterilization
         
Mentioned Public Sector As a Source (%)
78.0
77.8
90.8
78.9
Distance to source(%) Within village
17.6
18.9
11.3
4.3
1-2 Km.
20.8
20.7
15.8
12.9
3-5 Km.
28.3
27.7
25.4
22.6
>5 Km.
33.3
32.7
47.5
60.2
Total
100.0
100.0
100.0
100.0
 
Initiatives to Combat Demographic Problems
   
   •    Appointment of Medical Officers , Paramedics and ANMs on Contractual Basis.
   •    Appointment of extra ANMs under RCH programmes for remote & difficult areas.
   •    Appointment of Medical Officers through PSC.
   •    Transfer Policy to ensure postings in difficult areas.
   •    Involvement of ICDS workers.
   •    Mainstreaming of ISM group of Practitioners.
   •    Roles and Responsibilities of PHCs &S.A.Ds for primary health care & implementation of National Programmes.
   •    Ensuring partnerships with NGO’s/Pvt.Sector.
   •    Convergence with Education Department.
   •    In service training for better Health Delivery Services.
   •    RCH Camps on fixed day in all block level PHCs.
   •    RCH out reach sessions on fixed day in rural areas.
   •    RCH out reach sessions on fixed day in urban areas of Dehradun, Haridwar & Haldwani being planned.
   •    Dai Training.
   •    Mobile Health Vans.
   •    Essential and Emergency Obstetric Care Services in BPHC.
   •    Telephone Facilities in BPHC.
 
Population Growth up to 2025 Uttaranchal
 
Year
Population
Growth Rate
2001
84,79,562
1.92%
2002
86,38,129
1.87%
2003
87,94,479
1.81%
2004
89,48,382
1.75%
2005
91,00,057
1.69%
2006
92,50,207
1.64%
2007
93,95,157
1.56%
2008
95,358,62
1.48%
2009
96,71,210
1.43%
2010
98,04,672
1.38%
2011
99,39,976
1.38%
2012
1,00,77,147
1.38%
2013
1,02,16,211
1.38%
2014
1,03,57,194
1.38%
2015
1,05,00,123
1.38%
2016
1,06,45,024
1.38%
2017
1,07,91,925
1.38%
2018
1,09,40,853
1.38%
2019
1,10,91,836
1.38%
2020
1,12,44,903
1.38%
2021
1,14,00,082
1.38%
2022
1,55,57,403
1.38%
2023
1,17,16,895
1.38%
2024
1,18,78,588
1.38%
2025
1,20,42,512
1.38%
 
POPULATION STABILIZATION ACTION PLAN DISTRICT-HARIDWAR
 
  INTRODUCTION
   •   
Population 14,44,213 comprising of 30.8% Muslims & 21.8% SCs (total 52.6%), for more specific targetting.
   •    About 9% of population in slums for specific targetting.
   •    144 sub centres (short by 55 sub centres GOI norms & census 1991.
   •    24 PHCs (short by 9), 3 CHC(short by 3).
   •    Female supervisors short by 33%, HEO short by 80%. LT short by 60%.
   •   
CPR 39.0, TFR 3.9, birth rate 29.5, death rate 10.29, IMR 76, sex ratio 868, unmet need for family planning 25.10, annual growth rate 2.63, literacy rate 64.6% (literacy rate 30% to 40% in Muslims) are some indicators for immediate attention.
 
  INITIATIVES PLANNED FOR POPULATION STABILISATION

Specific strategy for target groups (Muslims & SCs), Urban slums, Rural population & tribals for RCH services through public/Pvt.& NGO partnerships. Intersectoral coordination with ICDS, DUDA Rural development & Education department.

Client specific & Service Provider specific Behavior Change Communication Campaigns to increase awareness & generate demand in community & to meet the increased demand.

To meet the increased demand & the unmet need.

• Up gradation & strengthening of existing facilities.
• Public/ Pvt.& NGO partnerships.
• Intersectoral coordinations.
• Social marketing of contraceptives to meet the unmet need through SHGs.

 
  Financial Outlay
   
Health & F.W. service delivery to under served & unserved population Rs.5,73,550/-
IEC activities & training for service providers Rs. 11,06,950/-
To meet unmet need with social marketing Rs. 8,37,000/-
Strengthening of existing health facility & Maternity rooms one in each block Rs. 21,50,000/-
Strengthening of monitoring & Evaluation systems Rs. 3,27,500/-
   
Total
Rs. 49.95 lacs