suresh dessertation

A
Dissertation on
“Government Public Health Administration in PHC- Primary
Health Center Role ”
To be submitted to the department of Public Administration
K.S.K.V.Kachchh University, Bhuj (Kachchh) in the partfullment of the
requirement for the degree of Master of Public Administration (MPA).
Guide:
Mrs. Jagrutiben Pandya
Assistant Professor
Department of Public Administration
K.S.K.V. Kachchh University, Bhuj.
Research by.
Suresh R Makwana
(MPA SEM IV)
Year: 2012-2013
Acknowledgement
At the outset, I wish to thank Almighty GOD for his guidance and blessings in every
steps of my life. It is an immense pleasure for me on the occasion, to convey my gratitude and
regards to all the personalities to whom I owe a lot.
My family has played an important role in the completion of the Dissertation. Throughout
the years, my parents and Brother encouraged me to do my very best in everything I have
undertaken. I am eternally grateful for all the support they have given me.
I wish offer my sincere gratitude and deep appreciation to my research guide Mrs. Jagrutiben
Pandya who anabled me in designing the whole research work for the study. It was because of
his timely advice and expert guidance and suggestion. I was able to complete my research.
I would also like to thank our Faculty member Dr. Tushar Hati and Mrs. Jagrutiben Pandya for
their kindsupport.
I am thankful to all medical staff members; respondents who spared their valuable time
for filling up the questionnaires and provided authentic information about health services.
Finally, I must say that getting involved in this dissertation has been a matter of immense
pleasure & satisfaction for me.

Suresh R Makwana.
ABBREVIATIONS
ANM Auxiliary Nurse Midwife
API Annual Parasite Incidence
ARSH Adolescent Reproductive and Sexual Health
ASHA Accredited Social health Activist
AWW Aanganwadi Worker
AYUSH Ayurvedic, Yoga, Unani, Siddha & Homeopathic
BHO Block Health Office/Officer
BPL Below Poverty Line
CBR Crude Birth Rate
CDHO Chief District Health Officer
CDR Crude Death Rate
CHC Community Health Centre
CHCU Comprehensive Health Care Unit
CMR Child Mortality Rate
DH District Hospital
DHAP District Health Action Plan
DMO District Malaria Officer
DRCHO District Reproductive and Child Health Officer
FHW Female Health Worker
FRU First Referral Unit
HQ Headquarter
H&FW Health and Family Welfare
IMR Infant Mortality Rate
JSY Janani Suraksha Yojana
MDT Multi Drug Therapy
MMR Maternal Mortality Ratio
MPW Multi-purpose Worker
MTP Medical Termination of Pregnancy
NGO Non Government Organization
NRHM National Rural Health Mission
OPD Outdoor Patient Desk
PHC Primary Health Centre
PNC Post Natal Check up
RCH Reproductive & Child Health
SHC Sub Health Centre
SWOT Strength, Weakness, Opportunity & Threats
TFR Total Fertility Rate
Statement by Student
I Mr. Suresh R Makwan am bonafide students of Sem-IV (MPA). I have
prepared dissertation on “Effectiveness and utility value of Primary Health Center” as partial
fulfillment of the requirement for the degree of MPA. I here by declare that this is my own and
original work. I have not submitted such work to this or any other university for any other degree

or diploma.
Place : Bhuj Name :
Date : Suresh R Makwana
Statement by Guide
This is to certify that Mr. Suresh Raymalbhai Makwana is bonafide student of Sem
IV (MPA). This dissertation on “Effectiveness and utility value of Primary Health Center” is his
original work. He has not submitted such work to this or any other degree or diploma.
Date: Mrs. Jagrutiben Pandya
CONTENTS
No. Indicator Page No.
01 Introduction
Personnel health structure
Health scenario in Gujarat
Health scenario in Kachchh
12-25
02. Research Methodology
Research Problem
Objectives
Universe
Significant
Limitation
Review of literature
26-34
03. Profile of Study Region
Kachchh Dist. profile
35-44
04. Data Analysis, Interpretation
Review of Government Health Scheme
Primary Data Analysis
Secondary Data Analysis
45-105
05. Finding, Observation, Suggestion, Conclusion 106-112

06. Appendix
Bibliography
Questionnaire
113-120
List of Tables
No. Name of Table
1 SEX OF RESPONDENTS
2 PROFESSION OF RESPONDENTS
3 EDUCATION OF RESPONDENTS
4 CASTE CATEGORY
5 Classification of Respondents in respect of BPL
6 When you go to PHC for treatment, Doctor or Midwife present at there?
7 Is delivery facility available in PHC ?
8 Are PHC medical staffs trained in primary health staff?
9 Is an emergency Ambulance facility available in PHC?
10 Are you satisfied with the treatment given by the doctor and midwife?
11 If yes, what kind of treatment was given by the doctor and midwife?
12 How is Electricity facility in PHC ?
13 How is water and sanitation system in PHC ?
14 Indoor treatment available in PHC?
15 Is there 24x7 service available in Primary Health Center ?
16 Respondents opinion for available of treatment off the time period
17 Do you get free treatment from PHC ?
18 Regularity of vaccination facility at PHC
19 Respondents regarding beneficiaries of CHIRANJEEVI Scheme
20 Respondents reflections regarding the benefit of “Janani Suraksha Yojana”
21 If yes, How many rupees did you get from above scheme ?
22 Is medicine facility available at PHC ?
23 Reasons for visiting PHC
24 Respondents reflections regarding regular visit of ASHA worker
25 Reflections regarding PHC’s approach for preventive care
26 Type of preventive program offered by PHC
27 Respondents reflections regarding environment preservation of PHC
28 How is preservation of environment in PHC ?
29 Do you get information on awareness of female health?
30 If yes, who gives the guidance?
CHAPTER : 01
INTRODUCTION
CHAPTER : 01
INTRODUCTION
After independent in 1947 India decided to expand and improve health services of the

country as one of a comprehensive package programmes to raise the standard of living of the
people. Indian constitution does not list health as a fundamental right. The recommendatory
directive principles of state policy enjoin the state to raise nutrition level and improve public
health (Article-47) but many court rulings have interpreted the fundamental right protection of
right of life and liberty (Article-21). So we can say that perticurly right to health is included.
India has achieved relatively a good health during the last 60 years. Before independent there
was very poor system and situation of health in India.
In India health care system- Allopathic, Ayurveda, Homeopathy, Unani and various types
of ownership patterns- Public (Central and State government, Municipal and panchayat local
government), Private (for profit and non profit).
1.1 Central Government health policy goal to be achieved by 2000-2015
1. Eradicated Polio and yaws-2005
2. Eliminate leprosy-2005
3. Eliminate Kala Azar-2010
4. Eliminate Lymphatic Filariasis-2015
5. Achieve Zero level growth of HIV/AIDS- 2007
6. Reduce Morality by 50% on account of malaria and other water Bo diseases- 2010
7. Reduce Prevalence of Blindness to 0.5% - 2010
8. Reduce IMR to 30/1000 and MMR 100/lakh- 2010
9. Increase utilization of public health facility from current Level of <20 to >75 % -2010
10. Establish an integrated system surveillance, National Health Accounts a statistics- 2005
11. Increase health expenditure.
12. Government as a % of GDP from existing 0.9 % to 2.0 % -2010
13. Increase share of Central grants Constitute at least 25 % of total head spending -2010
14. Increase state Sector Health spending for 2005 5.5 % of the budget Further increase to 8
%- 2010.
1.2 PUBLIC HOSPITAL
Public hospitals are owned and operated by federal, state or city governments. Many have
a continuing tradition of caring for the poor. They are usually located in the inner cities and are
often in precarious financial situations because many of their patients are unable to pay for
services. These hospitals depend heavily on Medicaid payments supplied by local, state and
federal agencies or on grants from local governments. Medicaid is a program run by both the
state and federal government for the provision of health care insurance to persons younger than
sixty-five years of age who cannot afford to pay for private health insurance. The federal
government matches the states contribution to provide a certain minimal level of available
coverage, and the states may offer additional services at their own expense. There are many
types of government public hospitals – District hospital (district level), Municipality hospital
(urban level), Community Health Center, Primary Health Center (Taluka level). In India central
government is not direct involve in above but indirectly involve, but financial support and
monitoring on the state government health department. For example in rural hospital (PHC,
CHC) most of schemes are come under NRHM (Nation Rural Health Mission).NRHM is held by
central government health department and state government implementation of NRHM’s
schemes.

1.3 What is the Primary Health Center(PHC) ?
Primary Health Center (PHC) is the cornerstone of rural health care. The 6th five year
plan (1983-1988) proposed reorganization of PHCs on of one PHC for every 30,000 rural
populations in the plains and one PHC for every 20,000 population in hilly, treble and backward
areas for more effective coverage. Each PHC has five or six sub-centers staffed by health
workers for outreach services such as immunization, basic curative care services and maternal
and child health services. PHCs generally consist of one or more doctors, a pharmacist, a staff
nurse and other paramedical support staff.
1.4 Personnel Structure of Government Health department

1.5 Evaluation and History of Primary Health Center.
State has the responsibility for the health of its citizen. Health is the fundamental rights of
the every citizen. The department of health and family welfare, Gujarat is striving hard for the
attainment of health of its people through network of the Government health care system. Health
care is more then medical care. The Department of health & welfare, Gujarat state has made
integrated health services available to the people of Gujarat through its Primary health care
network of the state. The current focus is on providing healthcare in rural areas because of the
large gap in services facilities in these areas.
On 2nd October 1962, a two tier rural health care system came into existence throughout
India and in the state as well to fulfill these objectives. Under this system, one six bedded
Primary Health Center and four sub Center attached to it were established in each community
development Block.
Following the World Health summit at Alma Ata and declaration of the goal of “Health
for All (HFA) - 2000 Ad the concept framed. Being a signatory to HFA- 2000, the three tier
system was rolled out in India under the rural services with the Fifth plan in 1978. This system
with based on the concept of primary health care defined as “necessary health care made
universally accessible to individuals and acceptable to them, through their full participation and
at a cost the community and country can afford”.
Under the Guidance of the commissioner (Health), the Additional and monitors rural
health care services with the help of Rational Deputy Director and other programmed officer.
CDHOs with the heap of other health officers and staff look after all health activities in their
respective districts.
1.6 Health Scenario and infrastructure in Gujarat
Gujarat State, located in the western part of India, has an area of 160,022 sq.km.
Representing about 6 % of the local area. The state has a population of 6.03 million (2011), 4.99
% of the total population of the country. About 37 % of the state population resides in urban
areas compared India is average of 28 %, about 24 % Gujarat’s population is estimated of BPL,
While 7 % and 15 % are classified as SC and ST respectively. The vital rates & various health
indicators of Gujarat it shows that the state has a CBR(Child Birth Rate) of 24.9, CDR( Child
Death Rate) of 7.8, MMR(Maternal Morality Ration) of 3.39, IMR(Infant Morality Ratio) of 60
the rates. The health scenario of Gujarat shows that it has an ANC (Ante Natal Check-up)
coverage of 86.4%, Institution delivery of 46.3 %, and unmet need for FP of 8.50%. The date
from RNTCP shows that it has a sputum detection rate of 80 %, the prevalence for leprosy is
5/10,000. The disability rate is 3.4. The incident rate of HIV is 0.4 and the prevalence rate is
4.14.
No. Indicators Gujarat India
01 CBR
(Child Birth Rate)
24.9 25.4

02 CDR (2009
(Child Death Rate)
7.8 8.4
03 MMR (1992-93)
( Maternal Morality Rate )
3.39 4.58
04 Life expectancy at birth (1996-2001)
Male
Female
61.53
62.77
62.36
63.39
05 Neonatal Morality Rate (1998) 44 45
06 IMR (2001)
(Infant Morality Rate)
60 66
07 Postnatal Morality Rate (1998) 21 27
08 Child Morality Rate 85.1 94.9
09 GFR (1998) 98.7 106.5
10 TFR (1998)
(Total Fertility Rate)
3.0 3.2
11 Full Vaccination & Complete
Immunization (2007-2008)
54.9 -
Sources: RHS Bulletin, March-2008, M/O Health & F.W. department, govt. of India.
1.7 HEALTH INFTRASTRUCTURE IN GUJARAT
Particular Required In Position
Primary Health Center 1172 1072
Sub-Center 7263 7274
Community Health Center 293 273
Multipurpose worker(Female) ANM at Sub-
Center & PHCs
8347 7060
Health worker (Male) MPW(M) at Sub-Center 7274 4456
Health Assistance (Female) at PHC 1073 806
Health Assistance (male) at PHC 1073 1019
Doctor At PHC 1073 10
1.8 Health Scenario in Kachchh
Kachchh is district of Gujarat state in western India. Kachchh district 1st in the state entire
state with its maximum square km. area and its population occupies 16th rank in the state. Thus
the vast area of the district is a challenge for effective management of health services in the
district but government health department and local government department tried and faced to

these problems.
The vital rates and various indicators of kachchh its shows that first trimester ANC
register (Early ANC registration)78 %, institution delivery 89 %, delivery under govt. facilities
48 % deliveries under CHIRANJIVI SCHEME 18 %. The health scenario in kachchh shows that
polio3 vaccination 58 %, Fully Immunized 82 %. PHCs having 100% adequate supply of
medicines and other medical supplies in kachchh.
Health infrastructure in Kachchh district there are 1 district hospital, 13 CHCs, 40 PHCs,
279 Sub-Centers, 35 dispensaries and 5 mobile centers.
No Name of Indicator Level (%)
01 Woman ANC registration to all pregnant. (Up to Oct-2010) 78.00
02 Institutional delivery (Up to Oct-2010) 89.00
03 Delivery under government facilities (Up to Oct-2010) 48.00
04 Delivery under CHIRANJIVI scheme (Up to Oct-2010) 18.00
05 BCG Vaccination (Up to Oct-2010) 61.00
06 DTP3 Vaccination (Up to Oct-2010) 58.00
07 Polio3 Vaccination (Up to Oct-2010) 58.00
08 Total Sterilization (2009-2010) 88.48
10 Maternal Mortality Rate (2009-2010) 230.00
Sources: Kachchh Dist. Health Action plan-2008-’09, 2011-’12.
1.9 Health Infrastructure in Kachchh
The district health infrastructure consisting of Primary Health, 13 Community Health
Center, 11 Comprehensive health care units, 5 Mobile units and 35 Dispensaries. Detail
regarding facilities and staffing position are shown in table format given below:
No. Facility Available
01 District Hospital 01
02 Community Health Center 13
03 Primary Health Center 40
04 Sub-Center 279
05 Dispensary 35
06 Mobile Dispensary 05
07 Comprehensive Health Care Unit 13
Sources: Kachchh Dist health action plan: 2011-‘12
1.10 Staff Position at District Level
No. Post Sanctioned Filled up
01 Chief Dist. Health officer 1 1
02 Additional Dist. Health Officer 1 1
03 Dist. RCH officer 1 1
04 Epidemic medical officer 1 1
05 Dist. malaria officer 1 1
06 Administrative officer 3 1
07 DIECO 1 1
08 DPHN 1 1

09 ECSS 1 0
10 PMA 1 1
11 DSI 3 0
12 SHA 1 0
Sources: Kachchh Dist. health action plan: 2011-’12.
Bibliography
Kachchh District Health Plan.2008-‘09
Dissrtation-2008-‘09, Mira N. Vadi. Z.N.Patel Trust-Bhuj.
www.gujhealth.gov.in/home
CHAPTER 2
RESEARCH METHODOLOGY
CHAPTER 2
2.1 What is Research?
Generally research can be defined as the search for knowledge or as any systematic
investigation. The Primary purpose for basic research is discovering interpreting and the
development of method and system for the advancement of human knowledge on wide variety of
any matter of the universe.
2.2 Title of the Study
“Government Public Health Administration in PHC- Primary
Health Center Role ”
2.3 Research Problem
Health is importance for all human being. Health is not only meaning Physical fitness but
overfull health is achieved through a combination of Physical, Mental and Social well being. If
any person not be healthier, he/she can not do any work in anywhere or any time. Heath is first
step of human life and health care service is basic right of human.
Now days in the world, WHO is focusing on human health services. WHO guide when
create any health problem in all over world. In India, fundamental rights are not directly protect
but indirectly protection. In health care practice there are two types of hospitals- (1) Private
hospital and (2) Government hospital. In the government hospitals state and local govt. are
monitoring and handling and central government is financial supporting to the govt. hospital.
Consisting the utmost significance it needs to be examine as whether the government is
pure to prone health awareness at rural level? Is there adequate infrastructure in health? Are the
people in general satisfied the service?
2.4 Objectives
The specific objectives of the study as are under:

� To know effective and utility value of Primary Health Center in rural areas.
� To comparison with the beneficiate experience to providing facility by the medical staff in
Primary Health Center.
� To comparison about the health services between health centers who is first center near from
taluka block office and second who is far distance from the taluka block health office.
� To describe all patient of health care service by the doctor at a not profit health care in
Gujarat govt. on the following demographic characteristics :
� AGE
� GENDER
� MERITAL STATUS
� PATIENT TYPE
2.5 Sample and Sampling Method
Sample consist 100 persons. Simple random sampling was used.
2.6 Reference Period
The duration of data collection was approximately 22 days and whole research was taken
47 days.
2.7 Tools for Data Collection
Questionnaire
The feedback from was prepared from collection of various recourses and complied with
the suitable requirement and was available in English and Gujarati language to help the local
population.
2.8 Universe
Six PHCs of Rapar Taluka.
� Suvai PHC
� Bela PHC
� Fatehgadh PHC
� Bhimasar PHC
� Adesar PHC
� Gagodar PHC
2.9 Significant of the study
The absence of satisfaction in one’s has been the important cause of ineffectiveness of
PHC. So satisfaction is an important issue to study in order to see that person who is patient
satisfaction is important for every Primary Health Center (PHC).
Significant of my topic is know that at which level rural public get satisfaction from the
staff service providing by the PHC that
� The respondent is the person and not a static he/has feeling, emotion, blases.
� The respondent is not dependent upon us. We are depend on them.
� To know that most of rural people are poor. So they wants to financial supporting in health
by the government scheme.

2.10 Limitation
� Respondents were busy therefore less time was given.
� The number of persons found to get information was only 100.
� Time Constraint.
� Due to some fear some medical staff didn’t give proper answer and avoid the providing
the information.
2.11 Review Of Literature
The study aims at to give a back ground for the present study So it become necessary to
know that what relevant studies have been make in particular field and their outcomes.
The director general of WHO Gro Harlen Brundland rightly observes that the health
systems are designed managed financed affects people live livelihoods.
� World Health report- 2000
World Health report-2000 state that health system are valuable and important but they
could accomplish much more with the available understanding of how to improve health. The
failing which limit performance do not result primarily from lack of knowledge but from not
fully applying what is already known that is from, systematic rather than technical failure. This
true even of most medical errors because, “the problem is not bad people: the problem is that the
systems need to be suffer”. How to measure current performance and how to achieve the
potential improvement in it are subject to this report. Research to expand knowledge is crucial in
the long run as progress over the last two countries in the short run. Much could be accomplished
by the wider and better application of existing knowledge. This can improve health more quickly
than continued and more equality distributed socio-economic progress. The minister of health of
countries of the south-east Asia region adopted the declaration on health development in the
south East Asia region in the 21st century at their 15th meeting in Bangkok. Thailand in august
1997. This regional Health declaration services as the basis for future health declaration and the
global health policy. It is statement of commitment on health development and a pledge of
ensure health. It is also resolved strengthen national capacity and regional solidarity to further
this aim.
This World Health report-2000 Health system: Improving performance by WHO
rightly state that:
“From safe delivery of the health baby to care with dignity of the frail-elderly. Health systems
have a vital and continuing responsibility to people throughout the life span. They are crucial to
the healthy development of individual families and societies every where”.
� Respondents views of quality of care
Recently quality of medical care assessment focused mainly on the technical aspects of
care. Client satisfaction has only just been incorporated into quality of care assessment
(Barnett, 1995) with international development organizations such as the World Bank and
the WHO often being in the fore-front of efforts to make medical service more client oriented
(De Geydent, 1995).
Definition of good quality in medical care is difficult, bur any attempt of doing so should
incorporate respondents views (Cleary and Edgman-Levitan. 1997). There is evidence to
suggest that using patient views in planning health services result in better provision and

more client satisfaction (Barry et.al, 1997, Macfarlane et.al.1997), such respondent views
should however nor be a one-off measure, repeated evaluations of respondents experience
and preferences should be an integral aspects of care.
Bibliography
www.gujhealth.gov.in/chiranjivi % 20 yojana/pdf/CY-2008
Kachchh District Health Action Plan: 2008-’09.
Komal Tandel, Dissertation-2009, N.S.Patel College-Anand
CHAPTER 3
PROFILE OF STUDY REGION
CHAPTER 3
Profile of Study Region
KACHCHH DISTRICT MAP

PROFELE OF KACHCHH DISTRICT
Kachchh is a district of Gujarat state in western India. Covering an area of 45,652 km, it is the
largest district in the state of Gujarat and the second largest in India. Kachchh which literally
means surrounded by water, this district is surrounded by gulf of kachchh and Arabian Sea in
south and west. North and eastern parts are surrounded by Great and Small rann (desert) of
Kachchh. When there were not many dams built on rivers rann of kachchh remains to be wetland
for large part of the year. Still the region remains to be wet for significant part of year. Many also
believes that district derives its name from its shape of its map, which when viewed upside down
(south upward) resembles a tortoise. The word for "tortoise" is Kachchh or Kachbo in the
Kachchhi and Gujarati languages. It is known as "The Mystery Land" because of its people and
religion(s), little is known about this entire area. The district had a population of 1,750,000 of
which 30% were urban as of 2001.
AREA & POPULATION
It occupy the area of 45,652 sq. km. having the population of 17, 50,000 It is composed of 10
talukas with 951 villages. District rank “1st “in the entire state with its maximum sq. km. area,
while looking to its population quantum it occupies 16th rank in the State. Thus the vast and
scattered area of the District is a challenge for the effective management of Health Services in
the District.
Geographical Area 45652 sq.km.
No. of talukas 10
Cities 8
Villages 951
Of which Populated villages 886
Municipalities 6
Village panchayat 615
INFILTRATION OF POPULATION
Infiltration of the population takes place maximum at Kandla Port, Gandhidham, Mundra Adani
Port, Naliya block and Pandhro Lignite Mines. Being a major port and industry, laborers from all
the state come to Port Area. Some of them harbor infection of communicable diseases.It is
recorded that a massive earthquake hit Kachchh on June 16, 1819. Thispartially changed the
course of a section of the river Indus and caused a surface epression that became an inland sea.
LANGUAGE AND PEOPLE
The languages spoken predominantly in Kachchh are Kachchhi and Gujarati. Kachchh is
language that draws heavily from its neighbouring language groups: Sindhi, Punjabi
and Gujarati, however it is usually considered a dialect of Gujarati. Mostly people of the
Kachchh speak Kachchhi, as well as Kachchhi who have moved to more commercial areas. such
as Ahmedabad, Baroda and Rajkot. The Kachchhi language has not historically been a written
language, though in modern times it is occasionally written in the Gujarati script. Kachchhi and
Gujarati are not mutually intelligible though Sindhi and Kachchhi are to some extent. Kachchh
has a strong tradition of crafts and is famous for its embroidery. Some of the finest ari
embroidery was stiched for royalty here whilst women in every village were busy preparing
beautiful clothes and decorations for dowries.[citation needed]
Unfortunately many of these fine skills have now been lost though some are being
Rejuvenated through handicrafts initiatives. Another important art of Kachchh is Bandhani,
which was primarily originated in the region. Women wear sari of Bandhani art in festivals like

Marriages, Navaratri and Diwali. Hand printing is used to make the Bedspreads, pillow covers
and other such furnishing products for household. The dominant religion of Kachchh is a form of
Hinduism.
ADMINISTRATIVE DIVISIONS
The district has an area of 45,612 sq. km. & it covers 23% of the total of state area. The
administrative headquarter of the district is Bhuj. The district has 10 Talukas, 8 cities/towns, 6
nagarpalikas, 951 villages and 614 gram panchayats. (Census 2001).
Kachchh is divided into 5 distinct regions as under.
(i) The Great Rann, or uninhabited waste land in the north
(ii) The Grass lands of Banni
(iii) Main land consisting of planes, hills and dry river beds
(iv) The coast line along the Arabian Sea in the south and
(v) Creeks and mangroves in the west. More loosely, the southern portin of
The Rann is considered an inside, with sea water inundating the land for
Most of the year. The main land is generally plane, but has some hill
ranges and isolated hills.
DEMOGRAPHIC INDICATORS
The district has an area of 45,612 sq. km. & it covers 23% of the total of state
area. The administrative headquarter of the district is Bhuj. The district has 10 Talukas,
8 cities/towns, 6 nagarpalikas, 951 villages and 614 gram panchayats. (Census 2001).
District has total population of 17, 50,000 out of which 30% of people live in urban
areas. Taluka wise details of villages & cities/towns are as under:
No. Taluka No. of villages No. of cities/towns
No. Taluka
No. of
villages
No. of cities/towns
1 BHUJ 159 1
2 ANJAR 68 1
3 GANDHIDHAM 7 2
4 BHACHAU 71 1
5 RAPAR 97 1
6 MANDAVI 91 1
7 MUNDRA 60 1
8 NAKHATRANA 132 0
9 ABDASA 166 0
10 LAKHPAR 100 0
TOTAL 951 08
LITERACY
The literacy rate of the district is 71.04% with 51.93% for males and 49.07% for
females.
SEX RATIO
The sex ratio of the district is 942 which being higher than the states figures and
is favorable for the district.

Sex wise population
Male 815152
Female 768073
SC / ST POPULATION
Out of total 10 talukas of the district, nearly four talukas are under developed and
hence due to unavailability of proper employment because of illiteracy of the
community, population of Schedule Caste & Schedule Tribe is nearly 30% of the total
population. Out of this 30%, community pertaining to SC is 17.42% while 12.15% is ST.
This is directly affected due to large migration of laborers for employment from other
States also.
Population according to SC/CT
SC Population 185932
ST population 130138
AGE DISTRIBUTION
Age group wise distribution males & females out of total population of Kachchh is:
(Source: Statistical Branch, District Panchayat, Kachchh)
It has been indicated that there is almost same population among males and females in all age
groups. More than half of total population comprising of young age group which is very potential
for the district. Dependency ratio is not much high but out of total working population more than
25% are from minority group.
Population according to Age
Age 0 to 19 years 448660
Age 60 years & above 97030
WORK PARTICIPATION
Around 26% of the population is working class out of which 40.42% are males and 10.74% are
females. Male participation is more in both rural and urban areas while in rural areas
participation of females is more compared to urban female participation. In most of rural areas,
community engaged with farming, labour work and home based low investment work of
production of coal and sell it into local market.
Employment / Occupation wise distribution of
population
Agriculturists 112502
Agricultural laborers 142821
Cottage Industries 30211
Other Workers 311232
Small & Marginal farmers 54816
ECONOMIC AND INDUSRTIAL PROFILE
� Kachchh has re-emerged from the ruins of one of the most disastrous earthquakes in the
history that took place in January 2001 and today has become a major industrial hub
� Over 60% of total salt production is contributed by the district
� With large reserves of limestone, bauxite, lignite and bentonite, Kachchh district is one of the
preferred destinations for most of the mineral based industries
� It boasts of being the world’s largest manufacturer of Submerged Arc Welded (SAW) pipes

� A good number of medium /large scale industries are supported by a sizeable number of
small scale industries
� Due to presence of two important ports, Kandla and Mundra, Kachchh district accounts for a
very high cargo movement
� Kachchh is also known for handicrafts. Out of total 136 industrial cooperative societies, 71
belong to handicrafts
� The district accounts for the highest production of date palms in Gujarat, which was 93,597
MT in 2006-2007
� Palaces, temples, fairs and festivals of Kachchh attracts a large number of tourists in the
district
� The district has the highest production of Lignite and China clay in Gujarat. The total
production of lignite in 2005-06 was 6,412,663 MT
Industrial and Business Units the District Engaged In…
INDUSTRIAL UNITS IN THE
DISTRICT ENGAGED IN..
No.
Agriculture & Allied activities 25
Foods and beverages 91
Wood & Coal 112
Chemical Production 60
Mineral & metals 84
Machines & Machine parts 7
Radio,T.V. & Communication equipment 4
Motor vehicle 7
Motor vehicle sales & services 26
Others 75
Total units registered 491
Small Industrial units 299
Joint Stock Cos. 54
BUSINESS UNITS IN THE DISTRIC No.
Mines & Minerals 189
Production & Ancillary Services 6063
Construction 782
Wholesaler & Retail Trade 14866
Transport 3036
Communication 542
Hotels & Restaurants 1648
Others 14014
TOTAL 41140
Bibliography
District Health Action Plan: 2009-2010.
District Health Action plan: 2011-2012.
Kachchh-District-Profile-pdf, Industries Commissionerate, Government of Gujarat.

CHAPTER: 4
DATA ANALYSIS
In India many peoples are living in villages and they are most of medium class and poor
class. So they are not able to expand for get better health facilities. So government provides
financial support for get better health services. In Health sector there are many government
health schemes under the NRHM. like Janni Surksha Yojana, Chiranjivi Yojana, Bal Sakha
Yojana, Rastriya Swasthya Bima Yojana (RSBY) etc. The entire government scheme’s goal is
improvement and increase of human health in rural areas. Some mainly Health schemes which
are very useful in rural areas as under:
� CHIRANJIVI YOJANA
Government of Gujarat announced a “Chiranjeevi Yojana” in April 2005. The objective
of this scheme is to encourage private medical practitioners to provide maternity health services
in remote areas which record the highest infant and maternal mortality and thereby improve the
institutional delivery rate in Gujarat. The scheme was finally launched as a one year pilot project
in December 2005 in five districts viz., Banaskantha, Dahod, Kachchh, Panchmahal, and
Sabarkantha. District Health Society signed a MOU with of them in each five district. The
private empanelled providers are reimbursed on capitation payment basis according to which
they are reimbursed at a fixed rate for deliveries carried out by them. The payments are made for
a batch of 100 deliveries. This is expected to take care of case-mix differences (i.e., normal or
complicated deliveries) and help the providers to keep the costs below the reimbursed amounts.
The scheme proposes to use a voucher system to target the people living below poverty line
(BPL). Under this scheme Rs.1795/- per delivery include all normal and complicated deliveries
(including necessary facilities, investigation and medication).The package also include Rs.200/-
for transportation to the pregnant mother and Rs.50/- for TBA or the person escorting the
pregnant.
Selection criteria for private obgyns for enrolment in to the PPP scheme
1. Doctor must be having post-graduate qualification in Obgyn
2. Must have his/her own hospital - preferably minimum of 15 beds
3. Must have labor room and operating room
4. Must be able to access blood in emergency situation
5. Must be able to arrange for anesthetists and do emergency surgery
6. Facility should be preferably accredited for sterilization procedures for FP by the
government.
7. Norm would be to select 2-3 private obgyns per sub-district All the available and
willing obgyns were contacted
� Rapar taluka’s data of Janni Suraksha Yojana as follows:
Bhuj Taluka block health office

� JANANI SURAKSHA YOJANA
Janani Suraksha Yojana (JSY) under the overall umbrella of National rural Health
Mission (NRHM) is being proposed by way of modifying the existing National Maternity
Benefit Scheme (NMBS) While NMBS is linked to provision of better diet for pregnant women
from BPL families. This Yojana, launched on 12th April 2005, by the Hon’ble Prime Minister, is
being implemented in all states and UTs with special focus on low
Performing states. JSY integrates the each assistance with antenatal care during the pregnancy
period, institutional care during delivery and immediate post-partum period in a health centre by
establishing a system of coordinated care by field level health worker. The JSY is a 100%
centrally sponsored scheme. The scheme provides a mechanism for individual tracking and
follows up of each woman of the marginalized sections (Scheduled Castes, Scheduled Tribes,
and BPL) during the entire pregnancy and post delivery period. Cash assistance of Rs. 500/- for
nutrition support and Rs. 200/- for transport support is provided to each pregnant woman.
Role of Asha or other link health worker associated with JSY would be:
•Identify pregnant woman as a beneficiary of the scheme and report or facilitate
registration for ANC,
•Assist the pregnant woman to obtain necessary certifications wherever necessary,
•Provide and / or help the women in receiving at least three ANC checkups including TT
injections, IFA tablets,
•Identify a functional Government health centre or an accredited private health institution
for referral and delivery,
•Counsel for institutional delivery,
•Escort the beneficiary women to the pre-determined health centre and stay with her till
the woman is discharged,
•Arrange to immunize the newborn till the age of 14 weeks,
•Inform about the birth or death of the child or mother to the ANM/MO,
•Post natal visit within 7 days of delivery to track mother’s health after delivery and
facilitate in obtaining care, wherever necessary,
•Counsel for initiation of breastfeeding to the newborn within one-hour of delivery and its
continuance till 3-6 Months and promote family planning.
� The Data of Janani Suraksha Yojana as follows:
Rapar Taluka Block
Year Achievement
2005-06 217
2006-‘07 1047
2007-‘08 1149
2008-‘09 1762
2009-‘10 2556
Up tojan.2011 1683
No. Name of
PHC
2009-

‘10
Up tojan.
2011
1 Suvai 501 347
2 Bela 771 390
3 Fatehgadh 362 312
4 Adesar 301 169
5 Gagodar
4.2 PRIMARY DATA ANALYSIS
I have collected primary data from questionnaire. These questionnaires are filled up by
local people and medical staffs in at PHC.I have this data as follows:
I have analysis these data in tabular form and chart has also used.
PRIMARY COLLECTION DATA ANALYSIS
CHAPTER : 01
INTRODUCTION
CHAPTER : 01
INTRODUCTION
After independent in 1947 India decided to expand and improve health services of the
country as one of a comprehensive package programmes to raise the standard of living of the
people. Indian constitution does not list health as a fundamental right. The recommendatory
directive principles of state policy enjoin the state to raise nutrition level and improve public
health (Article-47) but many court rulings have interpreted the fundamental right protection of
right of life and liberty (Article-21). So we can say that perticurly right to health is included.
India has achieved relatively a good health during the last 60 years. Before independent there
was very poor system and situation of health in India.
In India health care system- Allopathic, Ayurveda, Homeopathy, Unani and various types
of ownership patterns- Public (Central and State government, Municipal and panchayat local
government), Private (for profit and non profit).
1.1 Central Government health policy goal to be achieved by 2000-2015
1. Eradicated Polio and yaws-2005
2. Eliminate leprosy-2005
3. Eliminate Kala Azar-2010
4. Eliminate Lymphatic Filariasis-2015
5. Achieve Zero level growth of HIV/AIDS- 2007
6. Reduce Morality by 50% on account of malaria and other water Bo diseases- 2010
7. Reduce Prevalence of Blindness to 0.5% - 2010

8. Reduce IMR to 30/1000 and MMR 100/lakh- 2010
9. Increase utilization of public health facility from current Level of <20 to >75 % -2010
10. Establish an integrated system surveillance, National Health Accounts a statistics- 2005
11. Increase health expenditure.
12. Government as a % of GDP from existing 0.9 % to 2.0 % -2010
13. Increase share of Central grants Constitute at least 25 % of total head spending -2010
14. Increase state Sector Health spending for 2005 5.5 % of the budget Further increase to 8
%- 2010.
1.2 PUBLIC HOSPITAL
Public hospitals are owned and operated by federal, state or city governments. Many have
a continuing tradition of caring for the poor. They are usually located in the inner cities and are
often in precarious financial situations because many of their patients are unable to pay for
services. These hospitals depend heavily on Medicaid payments supplied by local, state and
federal agencies or on grants from local governments. Medicaid is a program run by both the
state and federal government for the provision of health care insurance to persons younger than
sixty-five years of age who cannot afford to pay for private health insurance. The federal
government matches the states contribution to provide a certain minimal level of available
coverage, and the states may offer additional services at their own expense. There are many
types of government public hospitals – District hospital (district level), Municipality hospital
(urban level), Community Health Center, Primary Health Center (Taluka level). In India central
government is not direct involve in above but indirectly involve, but financial support and
monitoring on the state government health department. For example in rural hospital (PHC,
CHC) most of schemes are come under NRHM (Nation Rural Health Mission).NRHM is held by
central government health department and state government implementation of NRHM’s
schemes.
1.3 What is the Primary Health Center(PHC) ?
Primary Health Center (PHC) is the cornerstone of rural health care. The 6th five year
plan (1983-1988) proposed reorganization of PHCs on of one PHC for every 30,000 rural
populations in the plains and one PHC for every 20,000 population in hilly, treble and backward
areas for more effective coverage. Each PHC has five or six sub-centers staffed by health
workers for outreach services such as immunization, basic curative care services and maternal
and child health services. PHCs generally consist of one or more doctors, a pharmacist, a staff
nurse and other paramedical support staff.
1.4 Personnel Structure of Government Health department
1.5 Evaluation and History of Primary Health Center.
State has the responsibility for the health of its citizen. Health is the fundamental rights of
the every citizen. The department of health and family welfare, Gujarat is striving hard for the
attainment of health of its people through network of the Government health care system. Health
care is more then medical care. The Department of health & welfare, Gujarat state has made
integrated health services available to the people of Gujarat through its Primary health care

network of the state. The current focus is on providing healthcare in rural areas because of the
large gap in services facilities in these areas.
On 2nd October 1962, a two tier rural health care system came into existence throughout
India and in the state as well to fulfill these objectives. Under this system, one six bedded
Primary Health Center and four sub Center attached to it were established in each community
development Block.
Following the World Health summit at Alma Ata and declaration of the goal of “Health
for All (HFA) - 2000 Ad the concept framed. Being a signatory to HFA- 2000, the three tier
system was rolled out in India under the rural services with the Fifth plan in 1978. This system
with based on the concept of primary health care defined as “necessary health care made
universally accessible to individuals and acceptable to them, through their full participation and
at a cost the community and country can afford”.
Under the Guidance of the commissioner (Health), the Additional and monitors rural
health care services with the help of Rational Deputy Director and other programmed officer.
CDHOs with the heap of other health officers and staff look after all health activities in their
respective districts.
1.6 Health Scenario and infrastructure in Gujarat
Gujarat State, located in the western part of India, has an area of 160,022 sq.km.
Representing about 6 % of the local area. The state has a population of 6.03 million (2011), 4.99
% of the total population of the country. About 37 % of the state population resides in urban
areas compared India is average of 28 %, about 24 % Gujarat’s population is estimated of BPL,
While 7 % and 15 % are classified as SC and ST respectively. The vital rates & various health
indicators of Gujarat it shows that the state has a CBR(Child Birth Rate) of 24.9, CDR( Child
Death Rate) of 7.8, MMR(Maternal Morality Ration) of 3.39, IMR(Infant Morality Ratio) of 60
the rates. The health scenario of Gujarat shows that it has an ANC (Ante Natal Check-up)
coverage of 86.4%, Institution delivery of 46.3 %, and unmet need for FP of 8.50%. The date
from RNTCP shows that it has a sputum detection rate of 80 %, the prevalence for leprosy is
5/10,000. The disability rate is 3.4. The incident rate of HIV is 0.4 and the prevalence rate is
4.14.
No. Indicators Gujarat India
01 CBR
(Child Birth Rate)
24.9 25.4
02 CDR (2009
(Child Death Rate)
7.8 8.4
03 MMR (1992-93)
( Maternal Morality Rate )
3.39 4.58
04 Life expectancy at birth (1996-2001)
Male
Female
61.53
62.77

62.36
63.39
05 Neonatal Morality Rate (1998) 44 45
06 IMR (2001)
(Infant Morality Rate)
60 66
07 Postnatal Morality Rate (1998) 21 27
08 Child Morality Rate 85.1 94.9
09 GFR (1998) 98.7 106.5
10 TFR (1998)
(Total Fertility Rate)
3.0 3.2
11 Full Vaccination & Complete
Immunization (2007-2008)
54.9 -
1.7 HEALTH INFTRASTRUCTURE IN GUJARAT
Particular Required In Position
Primary Health Center 1172 1072
Sub-Center 7263 7274
Community Health Center 293 273
Multipurpose worker(Female) ANM at Sub-
Center & PHCs
8347 7060
Health worker (Male) MPW(M) at Sub-Center 7274 4456
Health Assistance (Female) at PHC 1073 806
Health Assistance (male) at PHC 1073 1019
Doctor At PHC 1073 10
1.8 Health Scenario in Kachchh
Kachchh is district of Gujarat state in western India. Kachchh district 1st in the state entire
state with its maximum square km. area and its population occupies 16th rank in the state. Thus
the vast area of the district is a challenge for effective management of health services in the
district but government health department and local government department tried and faced to
these problems.
The vital rates and various indicators of kachchh its shows that first trimester ANC
register (Early ANC registration)78 %, institution delivery 89 %, delivery under govt. facilities
48 % deliveries under CHIRANJIVI SCHEME 18 %. The health scenario in kachchh shows that
polio3 vaccination 58 %, Fully Immunized 82 %. PHCs having 100% adequate supply of
medicines and other medical supplies in kachchh.
Health infrastructure in Kachchh district there are 1 district hospital, 13 CHCs, 40 PHCs,
279 Sub-Centers, 35 dispensaries and 5 mobile centers.
No Name of Indicator Level (%)

01 Woman ANC registration to all pregnant. (Up to Oct-2010) 78.00
02 Institutional delivery (Up to Oct-2010) 89.00
03 Delivery under government facilities (Up to Oct-2010) 48.00
04 Delivery under CHIRANJIVI scheme (Up to Oct-2010) 18.00
05 BCG Vaccination (Up to Oct-2010) 61.00
06 DTP3 Vaccination (Up to Oct-2010) 58.00
07 Polio3 Vaccination (Up to Oct-2010) 58.00
08 Total Sterilization (2009-2010) 88.48
10 Maternal Mortality Rate (2009-2010) 230.00
Sources: Kachchh Dist. Health Action plan-2008-’09, 2011-’12.
1.9 Health Infrastructure in Kachchh
The district health infrastructure consisting of Primary Health, 13 Community Health
Center, 11 Comprehensive health care units, 5 Mobile units and 35 Dispensaries. Detail
regarding facilities and staffing position are shown in table format given below:
No. Facility Available
01 District Hospital 01
02 Community Health Center 13
03 Primary Health Center 40
04 Sub-Center 279
05 Dispensary 35
06 Mobile Dispensary 05
07 Comprehensive Health Care Unit 13
Sources: Kachchh Dist health action plan: 2011-‘12
1.10 Staff Position at District Level
No. Post Sanctioned Filled up
01 Chief Dist. Health officer 1 1
02 Additional Dist. Health Officer 1 1
03 Dist. RCH officer 1 1
04 Epidemic medical officer 1 1
05 Dist. malaria officer 1 1
06 Administrative officer 3 1
07 DIECO 1 1
08 DPHN 1 1
09 ECSS 1 0
10 PMA 1 1
11 DSI 3 0
12 SHA 1 0
Sources: Kachchh Dist. health action plan: 2011-’12.
Bibliography
Dissrtation-2008-‘09, Mira N. Vadi. Z.N.Patel Trust-Bhuj.

www.gujhealth.gov.in/home
CHAPTER 2
CHAPTER 2
2.1 What is Research?
Generally research can be defined as the search for knowledge or as any systematic
investigation. The Primary purpose for basic research is discovering interpreting and the
development of method and system for the advancement of human knowledge on wide variety of
any matter of the universe.
2.2 Title of the Study
“An Analytical study on the effectiveness and utility value of Primary Health Center
(PHC)”.
2.3 Research Problem
Health is importance for all human being. Health is not only meaning Physical fitness but
overfull health is achieved through a combination of Physical, Mental and Social well being. If
any person not be healthier, he/she can not do any work in anywhere or any time. Heath is first
step of human life and health care service is basic right of human.
Now days in the world, WHO is focusing on human health services. WHO guide when
create any health problem in all over world. In India, fundamental rights are not directly protect
but indirectly protection. In health care practice there are two types of hospitals- (1) Private
hospital and (2) Government hospital. In the government hospitals state and local govt. are
monitoring and handling and central government is financial supporting to the govt. hospital.
Consisting the utmost significance it needs to be examine as whether the government is
pure to prone health awareness at rural level? Is there adequate infrastructure in health? Are the
people in general satisfied the service?
2.4 Objectives
The specific objectives of the study as are under:
� To know effective and utility value of Primary Health Center in rural areas.
� To comparison with the beneficiate experience to providing facility by the medical staff in
Primary Health Center.
� To comparison about the health services between health centers who is first center near from
taluka block office and second who is far distance from the taluka block health office.
� To describe all patient of health care service by the doctor at a not profit health care in
Gujarat govt. on the following demographic characteristics :
� AGE
� GENDER
� MERITAL STATUS
� PATIENT TYPE

2.5 Sample and Sampling Method
Sample consist 100 persons. Simple random sampling was used.
2.6 Reference Period
The duration of data collection was approximately 22 days and whole research was taken
47 days.
2.7 Tools for Data Collection
Questionnaire
The feedback from was prepared from collection of various recourses and complied with
the suitable requirement and was available in English and Gujarati language to help the local
population.
2.8 Universe
Six PHCs of Rapar taluka.
� Suvai PHC
� Bela PHC
� Fatehgadh PHC
� Bhimasar PHC
� Adesar PHC
� Gagodar PHC
2.9 Significant of the study
The absence of satisfaction in one’s has been the important cause of ineffectiveness of
PHC. So satisfaction is an important issue to study in order to see that person who is patient
satisfaction is important for every Primary Health Center (PHC).
Significant of my topic is know that at which level rural public get satisfaction from the
staff service providing by the PHC that
� The respondent is the person and not a static he/has feeling, emotion, blases.
� The respondent is not dependent upon us. We are depend on them.
� To know that most of rural people are poor. So they wants to financial supporting in health
by the government scheme.
2.10 Limitation
� Respondents were busy therefore less time was given.
� The number of persons found to get information was only 100.
� Time Constraint.
� Due to some fear some medical staff didn’t give proper answer and avoid the providing
the information.
2.11 Review Of Literature
The study aims at to give a back ground for the present study So it become necessary to
know that what relevant studies have been make in particular field and their outcomes.
The director general of WHO Gro Harlen Brundland rightly observes that the health
systems are designed managed financed affects people live livelihoods.

� World Health report- 2000
World Health report-2000 state that health system are valuable and important but they
could accomplish much more with the available understanding of how to improve health. The
failing which limit performance do not result primarily from lack of knowledge but from not
fully applying what is already known that is from, systematic rather than technical failure. This
true even of most medical errors because, “the problem is not bad people: the problem is that the
systems need to be suffer”. How to measure current performance and how to achieve the
potential improvement in it are subject to this report. Research to expand knowledge is crucial in
the long run as progress over the last two countries in the short run. Much could be accomplished
by the wider and better application of existing knowledge. This can improve health more quickly
than continued and more equality distributed socio-economic progress. The minister of health of
countries of the south-east Asia region adopted the declaration on health development in the
south East Asia region in the 21st century at their 15th meeting in Bangkok. Thailand in august
1997. This regional Health declaration services as the basis for future health declaration and the
global health policy. It is statement of commitment on health development and a pledge of
ensure health. It is also resolved strengthen national capacity and regional solidarity to further
this aim.
This World Health report-2000 Health system: Improving performance by WHO
rightly state that:
“From safe delivery of the health baby to care with dignity of the frail-elderly. Health systems
have a vital and continuing responsibility to people throughout the life span. They are crucial to
the healthy development of individual families and societies every where”.
� Respondents views of quality of care
Recently quality of medical care assessment focused mainly on the technical aspects of
care. Client satisfaction has only just been incorporated into quality of care assessment
(Barnett, 1995) with international development organizations such as the World Bank and
the WHO often being in the fore-front of efforts to make medical service more client oriented
(De Geydent, 1995).
Definition of good quality in medical care is difficult, bur any attempt of doing so should
incorporate respondents views (Cleary and Edgman-Levitan. 1997). There is evidence to
suggest that using patient views in planning health services result in better provision and
more client satisfaction (Barry et.al, 1997, Macfarlane et.al.1997), such respondent views
should however nor be a one-off measure, repeated evaluations of respondents experience
and preferences should be an integral aspects of care.
Bibliography
www.gujhealth.gov.in/chiranjivi % 20 yojana/pdf/CY-2008
Komal Tandel, Dissertation-2009, N.S.Patel College-Anand
CHAPTER 3

PROFILE OF STUDY REGION
CHAPTER 3
Profile of Study Region
KACHCHH DISTRICT MAP
PROFELE OF KACHCHH DISTRICT
Kachchh is a district of Gujarat state in western India. Covering an area of 45,652 km2, it is the
largest district in the state of Gujarat and the second largest in India. Kachchh which literally
means surrounded by water, this district is surrounded by gulf of kachchh and Arabian Sea in
south and west. North and eastern parts are surrounded by Great and Small rann (desert) of
Kachchh. When there were not many dams built on rivers rann of kachchh remains to be wetland
for large part of the year. Still the region remains to be wet for significant part of year. Many also
believes that district derives its name from its shape of its map, which when viewed upside down
(south upward) resembles a tortoise. The word for "tortoise" is Kachchh or Kachbo in the
Kachchhi and Gujarati languages. It is known as "The Mystery Land" because of its people and
religion(s), little is known about this entire area. The district had a population of 1,750,000 of
which 30% were urban as of 2001.
AREA & POPULATION
It occupy the area of 45,652 sq. km. having the population of 17, 50,000 It is composed of 10
talukas with 951 villages. District rank “1st “in the entire state with its maximum sq. km. area,
while looking to its population quantum it occupies 16th rank in the State. Thus the vast and
scattered area of the District is a challenge for the effective management of Health Services in
the District.
Geographical Area 45652 sq.km.
No. of talukas 10
Cities 8
Villages 951
Of which Populated villages 886
Municipalities 6
Village panchayat 615
INFILTRATION OF POPULATION
Infiltration of the population takes place maximum at Kandla Port, Gandhidham, Mundra Adani
Port, Naliya block and Pandhro Lignite Mines. Being a major port and industry, laborers from all
the state come to Port Area. Some of them harbor infection of communicable diseases.It is
recorded that a massive earthquake hit Kachchh on June 16, 1819. Thispartially changed the
course of a section of the river Indus and caused a surface epression that became an inland sea.
LANGUAGE AND PEOPLE
The languages spoken predominantly in Kachchh are Kachchhi and Gujarati. Kachchh is
language that draws heavily from its neighbouring language groups: Sindhi, Punjabi
and Gujarati, however it is usually considered a dialect of Gujarati. Mostly people of the
Kachchh speak Kachchhi, as well as Kachchhi who have moved to more commercial areas. such

as Ahmedabad, Baroda and Rajkot. The Kachchhi language has not historically been a written
language, though in modern times it is occasionally written in the Gujarati script. Kachchhi and
Gujarati are not mutually intelligible though Sindhi and Kachchhi are to some extent. Kachchh
has a strong tradition of crafts and is famous for its embroidery. Some of the finest ari
embroidery was stiched for royalty here whilst women in every village were busy preparing
beautiful clothes and decorations for dowries.[citation needed]
Unfortunately many of these fine skills have now been lost though some are being
Rejuvenated through handicrafts initiatives. Another important art of Kachchh is Bandhani,
which was primarily originated in the region. Women wear sari of Bandhani art in festivals like
Marriages, Navaratri and Diwali. Hand printing is used to make the Bedspreads, pillow covers
and other such furnishing products for household. The dominant religion of Kachchh is a form of
Hinduism.
ADMINISTRATIVE DIVISIONS
The district has an area of 45,612 sq. km. & it covers 23% of the total of state area. The
administrative headquarter of the district is Bhuj. The district has 10 Talukas, 8 cities/towns, 6
nagarpalikas, 951 villages and 614 gram panchayats. (Census 2001).
Kachchh is divided into 5 distinct regions as under.
(i) The Great Rann, or uninhabited waste land in the north
(ii) The Grass lands of Banni
(iii) Main land consisting of planes, hills and dry river beds
(iv) The coast line along the Arabian Sea in the south and
(v) Creeks and mangroves in the west. More loosely, the southern portin of
The Rann is considered an inside, with sea water inundating the land for
Most of the year. The main land is generally plane, but has some hill
ranges and isolated hills.
DEMOGRAPHIC INDICATORS
The district has an area of 45,612 sq. km. & it covers 23% of the total of state
area. The administrative headquarter of the district is Bhuj. The district has 10 Talukas,
8 cities/towns, 6 nagarpalikas, 951 villages and 614 gram panchayats. (Census 2001).
District has total population of 17, 50,000 out of which 30% of people live in urban
areas. Taluka wise details of villages & cities/towns are as under:
No. Taluka No. of villages No. of cities/towns
No. Taluka
No. of
villages
No. of cities/towns
1 BHUJ 159 1
2 ANJAR 68 1
3 GANDHIDHAM 7 2
4 BHACHAU 71 1
5 RAPAR 97 1
6 MANDAVI 91 1
7 MUNDRA 60 1
8 NAKHATRANA 132 0
9 ABDASA 166 0

10 LAKHPAR 100 0
TOTAL 951 08
LITERACY
The literacy rate of the district is 71.04% with 51.93% for males and 49.07% for
females.
SEX RATIO
The sex ratio of the district is 942 which being higher than the states figures and
is favorable for the district.
Sex wise population
Male 815152
Female 768073
SC / ST POPULATION
Out of total 10 talukas of the district, nearly four talukas are under developed and
hence due to unavailability of proper employment because of illiteracy of the
community, population of Schedule Caste & Schedule Tribe is nearly 30% of the total
population. Out of this 30%, community pertaining to SC is 17.42% while 12.15% is ST.
This is directly affected due to large migration of laborers for employment from other
States also.
Population according to SC/CT
S/C Population 185932
S/T population 130138
AGE DISTRIBUTION
Age group wise distribution males & females out of total population of Kachchh is:
(Source: Statistical Branch, District Panchayat, Kachchh)
It has been indicated that there is almost same population among males and females in all age
groups. More than half of total population comprising of young age group which is very potential
for the district. Dependency ratio is not much high but out of total working population more than
25% are from minority group.
Population according to Age
Age 60 years & above 97030
WORK PARTICIPATION
Around 26% of the population is working class out of which 40.42% are males and 10.74% are
females. Male participation is more in both rural and urban areas while in rural areas
participation of females is more compared to urban female participation. In most of rural areas,
community engaged with farming, labour work and home based low investment work of
production of coal and sell it into local market.
Employment / Occupation wise distribution of
population
Agriculturists 112502
Agricultural laborers 142821
Cottage Industries 30211

Other Workers 311232
Small & Marginal farmers 54816
ECONOMIC AND INDUSRTIAL PROFILE
� Kachchh has re-emerged from the ruins of one of the most disastrous earthquakes in the
history that took place in January 2001 and today has become a major industrial hub
� Over 60% of total salt production is contributed by the district
� With large reserves of limestone, bauxite, lignite and bentonite, Kachchh district is one of the
preferred destinations for most of the mineral based industries
� It boasts of being the world’s largest manufacturer of Submerged Arc Welded (SAW) pipes
� A good number of medium /large scale industries are supported by a sizeable number of
small scale industries
� Due to presence of two important ports, Kandla and Mundra, Kachchh district accounts for a
very high cargo movement
� Kachchh is also known for handicrafts. Out of total 136 industrial cooperative societies, 71
belong to handicrafts
� The district accounts for the highest production of date palms in Gujarat, which was 93,597
MT in 2006-2007
� Palaces, temples, fairs and festivals of Kachchh attracts a large number of tourists in the
district
� The district has the highest production of Lignite and China clay in Gujarat. The total
production of lignite in 2005-06 was 6,412,663 MT
Industrial and Business Units the District Engaged In…
INDUSTRIAL UNITS IN THE
DISTRICT ENGAGED IN..
No.
Agriculture & Allied activities 25
Foods and beverages 91
Wood & Coal 112
Chemical Production 60
Mineral & metals 84
Machines & Machine parts 7
Radio,T.V. & Communication equipment 4
Motor vehicle 7
Motor vehicle sales & services 26
Others 75
Total units registered 491
Small Industrial units 299
Joint Stock Cos. 54
BUSINESS UNITS IN THE DISTRIC No.
Mines & Minerals 189
Production & Ancillary Services 6063
Construction 782
Wholesaler & Retail Trade 14866

Transport 3036
Communication 542
Hotels & Restaurants 1648
Others 14014
TOTAL 41140
Bibliography
District Health Action Plan: 2009-2010.
District Health Action plan: 2011-2012.
Kachchh-District-Profile-pdf, Industries Commissionerate, Government of Gujarat.
CHAPTER: 4
DATA ANALYSIS
In India many peoples are living in villages and they are most of medium class and poor
class. So they are not able to expand for get better health facilities. So government provides
financial support for get better health services. In Health sector there are many government
health schemes under the NRHM. like Janni Surksha Yojana, Chiranjivi Yojana, Bal Sakha
Yojana, Rastriya Swasthya Bima Yojana (RSBY) etc. The entire government scheme’s goal is
improvement and increase of human health in rural areas. Some mainly Health schemes which
are very useful in rural areas as under:
� CHIRANJIVI YOJANA
Government of Gujarat announced a “Chiranjeevi Yojana” in April 2005. The objective
of this scheme is to encourage private medical practitioners to provide maternity health services
in remote areas which record the highest infant and maternal mortality and thereby improve the
institutional delivery rate in Gujarat. The scheme was finally launched as a one year pilot project
in December 2005 in five districts viz., Banaskantha, Dahod, Kachchh, Panchmahal, and
Sabarkantha. District Health Society signed a MOU with of them in each five district. The
private empanelled providers are reimbursed on capitation payment basis according to which
they are reimbursed at a fixed rate for deliveries carried out by them. The payments are made for
a batch of 100 deliveries. This is expected to take care of case-mix differences (i.e., normal or
complicated deliveries) and help the providers to keep the costs below the reimbursed amounts.
The scheme proposes to use a voucher system to target the people living below poverty line
(BPL). Under this scheme Rs.1795/- per delivery include all normal and complicated deliveries
(including necessary facilities, investigation and medication).The package also include Rs.200/-
for transportation to the pregnant mother and Rs.50/- for TBA or the person escorting the
pregnant.
Selection criteria for private obgyns for enrolment in to the PPP scheme
1. Doctor must be having post-graduate qualification in Obgyn
2. Must have his/her own hospital - preferably minimum of 15 beds

3. Must have labor room and operating room
4. Must be able to access blood in emergency situation
5. Must be able to arrange for anesthetists and do emergency surgery
6. Facility should be preferably accredited for sterilization procedures for FP by the
government.
7. Norm would be to select 2-3 private obgyns per sub-district All the available and
willing obgyns were contacted
� Bhuj taluka’s data of Chiranjivi Yojana as follows:
Bhuj Taluka block health office
YEAR NORMAL LSCS COMPLOCATED TOTAL MALE FEMALE
2007-
2008
2007 125 1138 3270 1713 1582
2008-
,09
1398 106 1160 2664 1447 1240
2009-
,10
1372 99 302 2273 1165 1122
� JANANI SURAKSHA YOJANA
Janani Suraksha Yojana (JSY) under the overall umbrella of National rural Health
Mission (NRHM) is being proposed by way of modifying the existing National Maternity
Benefit Scheme (NMBS) While NMBS is linked to provision of better diet for pregnant women
from BPL families. This Yojana, launched on 12th April 2005, by the Hon’ble Prime Minister, is
being implemented in all states and UTs with special focus on low
Performing states. JSY integrates the each assistance with antenatal care during the pregnancy
period, institutional care during delivery and immediate post-partum period in a health centre by
establishing a system of coordinated care by field level health worker. The JSY is a 100%
centrally sponsored scheme. The scheme provides a mechanism for individual tracking and
follows up of each woman of the marginalized sections (Scheduled Castes, Scheduled Tribes,
and BPL) during the entire pregnancy and post delivery period. Cash assistance of Rs. 500/- for
nutrition support and Rs. 200/- for transport support is provided to each pregnant woman.
Role of Asha or other link health worker associated with JSY would be:
•Identify pregnant woman as a beneficiary of the scheme and report or facilitate
registration for ANC,
•Assist the pregnant woman to obtain necessary certifications wherever necessary,
•Provide and / or help the women in receiving at least three ANC checkups including TT
injections, IFA tablets,
•Identify a functional Government health centre or an accredited private health institution
for referral and delivery,
•Counsel for institutional delivery,
•Escort the beneficiary women to the pre-determined health centre and stay with her till
the woman is discharged,
•Arrange to immunize the newborn till the age of 14 weeks,

•Inform about the birth or death of the child or mother to the ANM/MO,
•Post natal visit within 7 days of delivery to track mother’s health after delivery and
facilitate in obtaining care, wherever necessary,
•Counsel for initiation of breastfeeding to the newborn within one-hour of delivery and its
continuance till 3-6 Months and promote family planning.
� The Data of Janani Suraksha Yojana as follows:
Rapar Taluka Block
Year Achievement
2005-06 217
2006-‘07 1047
2007-‘08 1149
2008-‘09 1762
2009-‘10 2556
Up tojan.2011 1683
No. Name of
PHC
2009-
‘10
Up tojan.
2011
1 Kodki 501 347
2 Gorevali 771 390
3 Dhori 362 312
4 Dhaneti 301 169
4.2 PRIMARY DATA ANALYSIS
I have collected primary data from questionnaire. These questionnaires are filled up by
local people and medical staffs in at PHC.I have this data as follows:
PRIMARY COLLECTION DATA ANALYSIS
TABLE: 1
SEX OF RESPONDENTS:
NO RESPONDENTS PERCENTAGE
1 MALE 29 29%
2 FEMALE 71 71%
TOTAL 100 100%
29%
71%
0%
10%
20%
30%
40%
50%

60%
70%
80%
MALE FEMALE
As percentage in table form total 100 respondents- 71% are female and 29% are male
respondents.
TABLE: 2
PROFESSION OF RESPONDENTS
1 HOUSE WIFE 49 49 %
2 LABOUR 39 39 %
3 BUSINESS 7 7 %
4 EMPLOYEE 3 3 %
5 OTHER 2 2 %
TOTAL 100 100 %
49%
39%
7%
3% 2%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
HOUSE WIFE LABOUR BUSINESS EMPLOYEE OTHER
`
The table indicated that 49% are found House Wives and 39% are found Laborers and
7% are found to have business, 3% found Employees and 2 % are Others.
TABLE: 3
EDUCATION OF RESPONDENTS
1 PRIMARY EDUCATION 32 32 %
2 SECONDARY EDUCATION 10 10 %
3 HIGHER EDUCATION 0 0 %
4 UNEDUCATED 58 58 %
TOTAL 100 100 %
32%
10%
0%
58%
0%
10%

20%
30%
40%
50%
60%
70%
80%
90%
100%
PRIMARY
EDUCATION
SECONDARY
EDUCATION
HIGHER
EDUCATION
UNEDUCATED
As presented into above table 32% Respondents of the total got Primary education, 10%
of respondents got secondary education and 58% uneducated. According to the table none of the
respondents had higher education.
TABLE: 4
CASTE CATEGORY:
1 S.C. 44 44 %
2 S.T. 19 19 %
3 OBC 28 28 %
4 OTHER 09 09 %
TOTAL 100 100 %
44%
19%
28%
9%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
S.C. S.T. OBC OTHER
It is found above table that from total 100 respondents 44% were from SC category, 19%
were of ST category, while 28% were from OBC and a were from general category.
TABLE: 5
Classification of Respondents in respect of BPL :
1 YES 53 53 %
2 NO 47 47 %
TOTAL 100 100 %
53%
47%

0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
YES NO
As revealed in the table from 100 total respondents 53 % were of BPL category while
47% were from other category.
PRIMARY HEALTH CENTER ENVIROMENT
TABLE: 6
When you go to PHC for treatment, Doctor or Midwife present at there?
1 YES 86 86 %
2 NO 14 14 %
TOTAL 100 100 %
86%
14%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
YES NO
According to above table 86 % reported that when they go to PHC for treatment, doctor
or midwife present at there and 14% reported that when they go to PHC for treatment, doctor or
midwife was not present at PHC.
TABLE: 7
Is delivery facility available in PHC ?
1 YES 90 90 %
2 NO 9 09 %
3 NO OPINION 1 01 %
TOTAL 100 100 %
90%
9% 1%
0%
10%
20%
30%

40%
50%
60%
70%
80%
90%
YES NO NO OPINION
The table indicated that 90 % respondent found delivery facility available in PHC and 9%
found delivery facility not available in PHC and 1% did not give any opinion about delivery
facility available.
TABLE: 8
Are PHC medical staffs trained in primary health staff?
1 YES 91 91 %
2 NO 09 09 %
TOTAL 100 100 %
91%
9%
0%
20%
40%
60%
80%
100%
YES NO
According to above table 91 % believed that medical staff is trained in PHC and 09%
believed that medical staff not trained in PHC.
TABLE: 9
Is an emergency Ambulance facility available in PHC?
1 YES 26 26 %
2 NO 72 72 %
3 NO OPINION 02 02 %
TOTAL 100 100 %
26%
72%
2%
0%
10%
20%
30%
40%
50%
60%
70%
80%
YES NO NO OPINION
. According to above table 26 % believed that an Emergency ambulance facility available
in PHC and 72 % believed that an Emergency ambulance facility is not available in PHC, but
give arrangement of 108 emergency ambulance by PHC and 02 % did not give any opinion.

TABLE: 10
Are you satisfied with the treatment given by the doctor and midwife?
1 YES 84 84 %
2 NO 16 16 %
TOTAL 100 100 %
84%
16%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
YES NO
According to above table10, 84 % respondents satisfied with the treatment given by the
doctor and midwife and 16 % respondents were found not satisfied with the treatment given by
the doctor and midwife.
TABLE: 11
If yes, what kind of treatment was given by the doctor and midwife?
1 Good Treatment 48 48 %
2 More instruction about health 21 21 %
3 Other reason 15 15%
4 Not Treatment given by Doctor or midwife 16 16 %
TOTAL 100 100 %
48%
21%
15% 16%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Good Treatment More Instruction
about Health
Other Reason Not Treatment
Given By Doctor
or Midw ife
The table-11 indicated that 48% respondents found always gave good treatment by doctor
and midwife and 21 % respondents found always give more instruction about health by doctor

and midwife and 16 % respondents found not treatment given by PHC’s doctor and midwife.
TABLE: 12
How is Electricity facility in PHC ?
1 Very Good 44 44 %
2 Good 34 34 %
3 Normal 21 21 %
4 Weak 01 01 %
TOTAL 100 100 %
44%
34%
21%
1%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
Very Good Good Normal Weak
According to above table-12 that 44 % respondents believed very good Electricity facility
in PHC and 34% respondents believed that good Electricity facility in PHC and 21 %
respondents believed that normal Electricity facility in PHC.So We can say that now Good
Electricity facility at PHC.
TABLE: 13
How is water and sanitation system in PHC ?
1 Very Good 38 38 %
2 Good 53 53 %
3 Normal 07 07 %
4 Weak 01 01 %
No Opinion 01 01 %
TOTAL 100 100 %
38%
53%
7%
1% 1%
0%
10%
20%
30%
40%
50%
60%
Very Good Good Normal Weak No Opinion
According to above table-13 that 38 % respondents believed very good Water and

Sanitation facility in PHC and 34% respondents believed that good Water and sanitation facility
in PHC and 21 % respondents believed that normal Water and sanitation facility in PHC and
01% respondents believed that weak sanitation and sanitation facility in PHC and 01 %
respondents did not give his/her opinion. So we can say according above table that there is good
facility of water and sanitation in PHC but not very good.
TABLE: 14
Indoor treatment available in PHC?
91%
9%
0%
20%
40%
60%
80%
100%
YES NO
The table-15 indicated that 91 % respondents found bed facility available in PHC and
09% respondents found bed facility not available in PHC.
1 YES 91 91 %
2 NO 09 09 %
TOTAL 100 100 %
TABLE: 15
Is there 24x7 service available in Primary Health Center ?
1 YES 43 43 %
2 NO 57 57 %
TOTAL 100 100 %
43%
57%
0%
10%
20%
30%
40%
50%
60%
YES NO
According to above table-15, 43% respondents believed 24*7 services available in PHC
and 57% respondents believed 24*7 services not available in PHC. Gorevali and dhaneti PHCs
are cover under 24*7 facility and Kodki and Dhori PHCs are not cover under 24*7 facility. So
we can say according above table that people have not known about 24*7 facility. So need to
advertise for 24*7 facilities.
TABLE: 16
Respondents opinion for available of treatment off the time period.
1 YES 63 63 %

2 NO 37 37 %
TOTAL 100 100 %
.
63%
37%
0%
10%
20%
30%
40%
50%
60%
70%
YES NO
The table-16 indicated that 63% respondents found always when he/she go PHC after
schedule times, to this receive treatment and 37 % respondents found when he/she go PHC after
schedule times, Doctor not give treatment. So we can say that useful 24*7 facility to the people.
TABLE: 17
Do you get free treatment from PHC ?
1 YES 96 96 %
2 NO 03 03 %
TOTAL 100 100 %
96%
3% 1%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
YES NO NO OPINION
The table-17 indicated that 96% respondents found always got free treatment from PHC
and 03 % respondents found did not get free treatment from PHC. So we can say according to
above table that PHC given free treatment to the all people.
TABLE: 18
Regularity of vaccination facility at PHC :
1 YES 89 89 %
2 NO 10 10 %
TOTAL 100 100 %
89%

10% 1%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
YES NO NO OPINION
The table-18 indicated that 89% respondents found always regular vaccination in PHC
and 10% respondents found that not regular held vaccination in PHC and 01% respondents not
given his/her opinion. We can say according to above table that not very good situation about
vaccination matter.
TABLE: 19
Respondents regarding beneficiaries of CHIRANJEEVI Scheme :
1 YES 29 29 %
2 NO 71 71 %
TOTAL 100 100 %
29%
71%
0%
10%
20%
30%
40%
50%
60%
70%
80%
YES NO
The table-19 indicated that 29% respondents take the maternity beneficiary
through CHIRANJEEVI and 71 % respondent did not take the maternity scheme of
CHIRANJEEVI. So we can say that People have not known about the CHIRANJEEVI scheme.
So Government should take the necessary action to advertise the government health scheme in
rural areas.
TABLE: 20
Respondents reflections regarding the benefit of “Janani Suraksha Yojana” :
1 YES 53 53 %
2 NO 47 47 %
TOTAL 100 100 %
53%
47%
44%
46%
48%

50%
52%
54%
YES NO
The table-20 indicated that 53 % respondents had taken the benefit of JANNI
SURAKSHA YOJANA scheme and 47 % respondents did not take benefit of the scheme of
JANNI SURAKSHA YOJANA. So we can say that there has been good progress in this scheme.
TABLE: 21
If yes, How many rupees did you get from above scheme ?
1 RS.500 53 53 %
2 BETWEEN RS.500 TO RS.700 00 00 %
3 RS.700 00 00 %
4 LESS FROM RS.500 00 00 %
5 NOT RECEIVED 47 47 %
6 TOTAL 100 100
53%
0% 0% 0%
47%
0%
10%
20%
30%
40%
50%
60%
Rs.500/- Between
Rs.500/- To
Rs.700/-
Rs.700/- Less From
Rs.500/-
Not
Received
`
The table-21 indicated that 53 % respondents received Rs.500 and 47 % respondents did
not get any rupees because of they did not take ever scheme.
TABLE: 22
Is medicine facility available at PHC ?
1 YES 98 98 %
2 NO 02 02 %
TOTAL 100 100 %
98%
2%
0%
20%
40%
60%
80%

100%
YES NO
According to above table-22, 98 % respondents believed that medicine facility is
available in PHC and 02 % respondents believed that medicine facility not available in PHC.so
we can say that people get good medical facility in PHC.
TABLE: 23
Reasons for visiting PHC :
1 CHEEP TREATMENT 55 55 %
2 FIXED DOCTOR 03 03 %
3 GOOD TREATMENT 18 18 %
4 OTHER REASON 22 22 %
55%
3%
18%
22%
2%
0%
10%
20%
30%
40%
50%
60%
CHEEP DESIDED
DOCTOR
GOOD
TREATMENT
OTHER
REASON
NO OPINION
According to above table-23, 55 respondents believed that it is cheep and 03%
respondents believed that have decided doctor and 18% respondent believed that PHC give good
treatment and 22% respondent believed that they are other reason and 02% respondents did not
give any opinion.
TABLE: 24
Respondents reflections regarding regular visit of ASHA worker :
1 YES 68 68 %
2 NO 32 32 %
TOTAL 100 100 %
68%
32%
0%
10%
20%
30%

40%
50%
60%
70%
YES NO
The table-24 indicated that 68 % respondents found always asha worker come for given
information on vaccination and other scheme and 32 % found that asha worker not come for
given information on vaccination and other scheme.so we can say that Asha worker is great work
for vaccination and any government scheme.
TABLE: 25
Reflections regarding PHC’s approach for preventive care :
1 YES 71 71 %
2 NO 29 29 %
TOTAL 100 100 %
71%
29%
0%
10%
20%
30%
40%
50%
60%
70%
80%
YES NO
According to above table-25 those 71% respondents believed that PHC is participant in
preventive programmed and 29% respondents believed that PHC has not participated in
preventive programmed.
TABLE: 26
Type of preventive program offered by PHC :
46%
25%
0% 0%
29%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
WORKSHOP DOOR TO
DOOR

TELEVISION OTHER
REASON
NO OPINION
According to above table-26 those 46% respondents believed that PHC does participate
in preventive programmed by workshop and 25% respondents believed that PHC does participate
in preventive programmed by door to door and 29 % respondents believed that PHC has not
participated in preventive programmed. So we can say to according table that PHC has not
participant in preventive programmed by television yet.
1 WORKSHOP 46 46 %
2 DOOR TO DOOR 25 25 %
3 TELEVISION 00 00 %
4 OTHER REASON 00 00 %
TOTAL 100 100 %
TABLE: 27
Respondents reflections regarding environment preservation of PHC :
.
10%
24%
54%
11%
0%
10%
20%
30%
40%
50%
60%
According above table-27 those 10% respondents believed that there is very good
cleanness environment in PHC and village and 24% respondents believed that there is good
cleanness environment in PHC and 54% respondents believed that there is normal cleanness
environment in PHC and 11% respondents believed there is weak cleanness environment in PHC
1 Very Good 10 10 %
2 Good 24 24 %
3 Normal 54 54 %
4 Weak 11 11 %
TOTAL 100 100 %
TABLE: 28
How is preservation of environment in PHC ?
14%
26%
40%
20%
0%
5%
10%

15%
20%
25%
30%
35%
40%
According to above table-28 those 14% respondents believed that there is very
good preservation of environment in PHC and 26% respondents believed that there is good
preservation of environment in PHC and 40 % respondents believed that there is normal
preservation environment in PHC and 20% respondents believed that there is weak reservation
environment in PHC.
1 Very Good 14 14 %
2 Good 26 26 %
3 Normal 40 40 %
4 Weak 20 20 %
TOTAL 100 100 %
TABLE: 29
Do you get information on awareness of female health?
1 YES 81 81 %
2 NO 19 19 %
TOTAL 100 100 %
81%
19%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
YES NO
The table-29 indicated that 81 % respondents found always get information on awareness
of female health and 19% respondents found has not got information on awareness of female
health. We can females have not field shy on awareness of female health.
TABLE: 30
If yes, who gives the guidance?
37% 35%
4% 6%
0%
18%
0%
5%
10%
15%

20%
25%
30%
35%
40%
ASHA MIDWIFE NGO DAI OTHER NOT
OPINION
The table-30 indicated that 33 % respondents found that they got guidance by Asha
worker and 20% respondents found that they got guidance by midwife and 04% respondents
found that they got guidance by NGO and 06% respondents found that they got guidance by DAI
and 19 % respondents have not got any guidance on awareness of female health
1 ASHA 37 37%
2 MIDWIFE 35 35%
3 NGO 04 04 %
4 DAI 06 06 %
5 OTHER 00 00 %
6 NOT OPONION 18 18 %
TOTAL 100 100 %
TABLE: 31
Is there NGO presence for the activity of health awareness?
1 YES 13 13 %
2 NO 87 87 %
TOTAL 100 100 %
13%
87%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
YES NO
According to above table-31 those 13% believed that there is NGO is presence for the
activity of health awareness at their and 87% believed that there is no any health awareness
activity by NGO.
INFORMATION PROVIDED BY THE PRIMARY HEALTH CENTER
STAFF :
TABLE: 32
Professional employees are working here?
1 YES 04 100 %
2 NO 00 00 %

TOTAL 04 100 %
100%
0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
YES NO
According to above table-32 those 100 % professional employees are working at PHC.
We can say according to above table that professional employees working in government health
department at rural level.
TABLE: 33
Is there fill up the post of medical officer in PHC?
1 YES 04 100 %
2 NO 00 00 %
TOTAL 04 100 %
100%
0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
YES NO
MEDICAL OFFICER
According to above table-33 that 100 % post has field up to the medical officer .so we
can say that medical office post has filed up in PHC.
TABLE: 34
Is there fill up the post of Ayus doctor in PHC ?
1 YES 03 75 %
2 NO 01 25 %
TOTAL 04 100 %
75% 25%
0%
20%
40%

60%
80%
YES NO
AYUS DOCTOR
According to above table-34 that 75% post has field up to the Ayus doctor, 25 % post has
field up to the Ayus doctor. So we can say that good position to the post of Ayus doctor in PHC
level.
TABLE: 35
Is there fill up the post of Lab technician in PHC ?
1 YES 02 50 %
2 NO 02 50 %
TOTAL 04 100 %
50% 50%
0%
10%
20%
30%
40%
50%
YES NO
LAB TECHNICIAN
According to above table-35 that in 50 % post has field up and 50 % post has vacant. So
we can say according to above table that government should necessary action for fill up the post
of Lab technician because of this lab department is important for PHC.
TABLE: 36
Is there fill up the post of Ward boy in PHC?
1 YES 03 75 %
2 NO 01 25 %
TOTAL 04 100 %
75%
25%
0%
20%
40%
60%
80%
YES NO
WARD BOY
According to above table-36 that 75% post has field up to the Ward boy, 25 % post has
vacant. So we can say that good position to the post of Ward boy in PHC level.
TABLE: 37
Is there fill up the post of Nurse in PHC?
1 YES 03 75 %
2 NO 01 25 %

TOTAL 04 100 %
75%
25%
0%
20%
40%
60%
80%
YES NO
NURSE
According to above table-37 that 75% post has field up to the Nurse, 25 % post has
vacant. So we can say that good position to the post of Nurse in the PHC level. But Nurse post is
important base of Health sector so government should take the necessary action for fill up this
post.
TABLE: 38
Is there fill up the post of MPW and Junior Pharmacist in PHC?
1 YES 04 100 %
2 NO 00 00 %
TOTAL 04 100 %
100%
0%
0%
20%
40%
60%
80%
100%
YES NO
MPW AND JUNIOR PHARMACIST
According to above table-38 that 100% post has field up to the Nurse, So we
can say that very good position to the post of MPW and Junior pharmacist in the PHC level.
TABLE: 39
Which types of treatment available in PHC?
YES NO TOTAL YES NO TOTAL
1 COTTON BANDAGE 04 00 04 100 % 00 % 100 %
2 LABORATORY 03 01 04 75 % 25 % 100 %
3 SICKNESS 04 00 04 100 % 00 % 100 %
4 OTHER FACILITY 04 00 04 100 % 00 % 100 %
100% 75% 100% 100%
0%
10%
20%
30%
40%
50%
60%
70%
80%

90%
100%
COTTON
BANDAGE
LABORATORY SICKNESS OTHER FACILITY
According to above table-39, that 100 % PHCs have facility of cotton
bandage, sickness and other facilities. But 25 % PHCs has not laboratory facility. So we can say
that very good position in Cotton bandage, sickness and other facilities.
TABLE: 40
Is there good facility in PHC regarding the treatment for new born baby?
1 YES 02 50 %
2 NO 02 50 %
TOTAL 04 100 %
50%
50%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
YES NO
The table-40 indicated that 50 % PHCs have good facility in PHC where the
treatment is available of new born baby and 50 % PHCs have not good facility in PHC where the
treatment is available of new born baby.
TABLE: 41
How is awareness seen in mothers for new born baby’s health?
1 YES 03 75 %
2 NO 01 25 %
TOTAL 04 100 %
75% 25%
0%
10%
20%
30%
40%
50%
60%
70%
80%
YES NO
The table-41 indicated that 75 % respondents believed that awareness seen in
mothers for new born baby’s health and 25 % respondents believed that there is no awareness

seen in mother for new born baby’s health.
TABLE: 42
How is awareness in people for vaccination?
1 VERY GOOD 02 50 %
2 GOOD 01 25 %
3 NORMAL 00 00 %
4 WEAK 01 25 %
TOTAL 04 100 %
50%
25%
0%
25%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
VERY GOOD GOOD NORMAL POOR
The table-42 indicated that 50 % respondents field that very good awareness in the people for
vaccination and 25 % respondents field that good awareness in the people for vaccination and 25
% respondents field that weak awareness in the people for vaccination.
TABLE: 43
How is people’s enthusiasms for health awareness program organized by
PHC?
1 VERY GOOD 02 50 %
2 GOOD 01 25 %
3 NORMAL 01 25 %
4 WEAK 00 00 %
TOTAL 04 100 %
50%
25% 25%
0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%

100%
VERY GOOD GOOD NORMAL OTHER FACILITY
The table-43 indicated that 50 % respondents field that very good
enthusiasms for health awareness programmed organized by PHC and 25 % respondents field
that good enthusiasms for health awareness programmed organized by PHC and 25 %
respondents field that normal enthusiasms for health awareness programmed organized by PHC.
TABLE: 44
Are women feeling shy for treatment when doctor is male?
1 YES 01 25 %
2 NO 03 75 %
TOTAL 04 100 %
25%
75%
0%
10%
20%
30%
40%
50%
60%
70%
80%
YES NO
The table-44 indicated that 25 % respondents believed that the women feel
shy for treatment when doctor is male and 75 % respondents believed that the women are not shy
for treatment when doctor is male.
TABLE: 45
Are you satisfied with the infrastructure of PHC?
1 WHOLE 02 50 %
2 NORMAL 02 50 %
3 POOR 00 00 %
TOTAL 04 100%
50% 50%
0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
WHOLE NORMAL POOR
The table-45 indicated that 50 % respondents found whole satisfied with the
infrastructure of PHC and 50 % respondents found normal satisfied with the infrastructure of

PHC. So we can say that government health employees field on good infrastructure of the PHC.
TABLE: 46
Have you felt any administrative improvement in PHC?
1 YES 04 100 %
2 NO 00 00 %
TOTAL 04 100 %
100%
0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
YES NO
According to above table-46 those 100 % respondents have field on
administrative improvement in PHC. So we can say that government has change the health
concept and improved the administrative work and structure.
SECONDARY DATA ANALYSIS
I have collected secondary data from the district health department, Bhuj taluka block
health office and Primary Health Center.
Analysis on PHC vise Delivery
Suvai PHC
Year Total
Delivery
Institutional
Delivery Home Delivery
Number of delivery Per.(%) Number of delivery Per. (%)
2008-‘09 1265 1160 91.70 105 8.30
2009-‘10 1184 1067 90.12 117 9.88
Up to-Jan.2011 1087 1000 92.00 87 8.00
0
200
400
600
800
1000
1200
1400

Total Delivery Insti. Delivery Home Delivery
2008‐09
2009‐10
Up to Jan‐2011
According to above table in year 2008-’09 institutional delivery is 91.70 % and home
deliveries 8.30 % and in year 2009-’10, institutional delivery is 90.12 % and home delivery ratio
9.88 and in year up to-Jan.2011, institutional delivery ratio is 92 % and home delivery ratio is
8.00. So we can say according to above table that home delivery ratio has downed and
institutional delivery ratio is same position in last three years.
Bela PHC
Year Total
Delivery
Institutional
2008-‘09 1397 683 48.90 714 51.10
2009-‘10 1542 834 54.09 708 45.91
Up to-Jan.2011 1287 875 67.99 412 32.01
0
200
400
600
800
1000
1200
1400
1600
2008‐09

2009‐10
Up to Jan‐2011
According to above table in year 2008-’09 institutional delivery ratio is 48.90 % and
home delivery ratio is 51.10% and in year 2009-’10, institutional delivery is 54.09 % and home
delivery ratio 45.91 % and in year up to-Jan.2011, institutional delivery ratio is 67.99 % and
home delivery ratio is 32.01% So We can say according to above table that home delivery ratio
has downed and institutional delivery ration has increased in last three year.
Fatehgadh PHC
Year Total
Delivery
Institutional
2008-‘09 651 512 78.65 139 21.35
2009-‘10 685 591 86.28 94 13.72
Up to-Jan.2011 639 572 89.51 67 10.67
0
100
200
300
400
500
600
700
2008‐09
2009‐10

Up to Jan‐2011
According to above table in year 2008-’09 institutional delivery ratio is 78.65 % and
home delivery ratio is 21.35% and in year 2009-’10, institutional delivery is 86.28 % and home
delivery ratio 13.72 % and in year up to-Jan.2011, institutional delivery ratio is 89.51 % and
home delivery ratio is 10.67% So We can say according to above table that home delivery ratio
has down and institutional delivery ration has increased in last three year.
Bhimasar PHC
Year Total
Delivery
Institutional
Delivery
Home Delivery
Number of delivery Per. (%) Number of delivery Per. (%)
2008-‘09 905 783 86.52 122 13.48
2009-‘10 846 764 90.31 82 9.69
Up to-Jan.2011 830 778 93.73 52 6.27
0
100
200
300
400
500
600
700
800
900
1000
2008‐09
2009‐10

Up to Jan‐2011
Analysis of Total PHC’s Delivery
Name of
PHC
Institutional Home
2008-
‘09
2009-
‘10
upto-
Jan.
2011
Total Per.
(%)
2008
-‘09
2009
-‘10
upto-
Jan.
2011
Tota
l
Per
(%)
Kodki 1160 1067 1000 3227 91.26 105 117 87 309 8.74
Gorevali 683 834 875 2392 56.60 714 708 412 1834 43.40
Dhori 512 591 572 1675 84.81 139 94 67 300 15.19
Dhaneti 783 764 778 2325 90.08 122 82 52 256 9.92
TOTAL 3138 3256 3225 9619 82.21 1080 1001 618 2081 17.79
According to above table in Kodki PHC total institutional delivery 91.26% and Home
delivery 8.74%, in Gorevali PHC total institutional delivery 56.60% and home delivery 43.40%,
in Dhori PHC total institutional delivery ratio 84.81% and home delivery ratio 15.19 and in
Dhaneti PHC total institutional delivery ratio is 90.08% and home delivery ratio is 17.79 % and
in total PHC institutional ratio is 82.21% and Home delivery ratio is 17.79%. So we can say that
the Institutional delivery ratio is up in Gorevali PHC than other PHCs and down in Kodki PHC
than other PHC.
Analysis on PHC vise Immunization
Suvai PHC

Year Target Actual
BCG DTP3 Polio3 Measles Fully
Immunized
(%) (%) (%) (%) (%)
2008-
‘09 1266 1229 98.08 1239 97.87 1239 97.87 1075 84.91 1061 83.81
2009-
‘10 1299 1175 90.45 1125 86.61 1125 86.61 1071 82.45 1035 79.68
Up to-
Jan.20
11
1469 1068 72.70 1055 71.82 1055 71.82 1025 69.77 1025 69.77
According to above table in year 2008-09, immunization target was 1266 and
achievement was 98.08% in BCG immunize, achieved 97.87 % in DTP3 immunize, achieved
97.87 % in Polio3 immunize, achieved 84.91 % in measles immunize and achieved 83.80 % in
fully immunize. In year 2009-’10, immunized target was 1299 and achieved 90.45 % in BCG
immunize, achieved 86.61 % in DTP3 immunize, achieved 86.61 % in Polio3 immunize,
achieved 82.45 % in measles immunize, achieved 79.68 % in fully immunize., In year 2010-’11,
immunized target was 1469 and achieved 72.82 % in BCG immunize, achieved 71.82 % in
DTP3 immunize, achieved 71.82 % in Polio3 immunize, achieved 69.77 % in measles immunize
and achieved 69.77 % in fully immunize. So we can say target have increased but have not
achieved whole target.
Bela PHC
Year Target Actual
Immunized
(%) (%) (%) (%) (%)
2008-
‘09 1033 1166 112.8
8 1084 104.94 1080 104.55 990 95.84 954 92.35
2009-
‘10 1060 1166 110.0
0 1094 103.21 1094 103.21 1164 109.81 1161 109.53
Up to-
Jan.20
11
1625 1295 79.69 1240 76.31 1240 76.31 1191 73.29 1191 73.29
According to above Gorevali’s table in year 2008-09, immunization target was 1033 and
achieved 112.88 % in BCG immunize, achieved 97.87 % in DTP3 immunize, achieved 97.87 %
in Polio3 immunize, 84.91 % achieved in measles immunize and achieved 83.80 % in fully
immunize. In year 2009-’10, immunized target was 1299 and achieved 90.45% in BCG
immunize, achieved 86.61 in % DTP3 immunize, achieved 86.61 % in Polio3 immunize,
achieved 82.45 % in measles immunize and achieved 79.68 %. in fully immunize, In year 2010-
’11, immunization target was 1469 and achieved 72.82% in BCG immunize, achieved 71.82 %
in DTP3 immunize, achieved 71.82 % in Polio3 immunize, achieved 69.77 % in measles
immunize and achieved 69.77 % in fully immunize. So we can say target has increased but have

not achieved whole target
Suvai PHC
Year Target Actual
Immunized
(%) (%) (%) (%) (%)
2008-
‘09 673 654 97.18 710 105.50 710 105.5 618 91.83 618 91.83
2009-
‘10 690 684 99.13 692 100.29 692 100.29 666 96.52 666 96.52
Up to-
Jan.20
11
837 631 75.39 650 77.66 650 77.66 608 72.64 608 72.64
According to above Dhori’s table in year 2008-09,total immunization target was 673 and
achieved 97.18 % in BCG immunize, achieved 105.50 % in DTP3 immunize, achieved 105.50
% in Polio3 immunize, 91.83 % achieved in measles immunize and achieved 91.83 % in fully
immunize. In year 2009-’10, immunized target was 690 and achieved 99.13 % in BCG
achieved 96.52 % in measles immunize and achieved 96.52 % in fully immunize, In year 2010-
’11, immunization target was 837 and achieved 75.39 % in BCG immunize, achieved 77.66 % in
DTP3 immunize, achieved 77.66 % in Polio3 immunize, achieved 72.64 % in measles immunize
and achieved 72.64 % in fully immunize. So we can say target has increased but have not
achieved whole target in last three years.
Bela PHC
Year Target Actual
Immunized
(%) (%) (%) (%) (%)
2008-
‘09 771 876 113.6
2 874 113.36 874 113.36 788 102.2 769 99.74
2009-
‘10 791 852 107.7
1 867 109.61 867 109.61 813 102.78 811 102.53
Up to-
Jan.20
11
977 786 80.45 739 75.64 739 75.64 684 70.00 684 70.00
According to above Dhaneti’s table in year 2008-09,total immunization target was 771
and achieved 113.62 % in BCG immunize, achieved 113.36 % in DTP3 immunize, achieved
113.36 % in Polio3 immunize, 102.20 % achieved in measles immunize and achieved 99.74 %
in fully immunize. In year 2009-’10, immunized target was 791 and achieved 107.71 % in BCG
achieved 102.78 % in measles immunize and achieved 102.53 % in fully immunize, In year
2010-’11, immunization target was 977 and achieved 80.45 % in BCG immunize, achieved

suresh dessertation

Recommended

Recommended

More Related Content

What's hot

What's hot (20)

Viewers also liked

Viewers also liked (13)

Similar to suresh dessertation

Similar to suresh dessertation (20)

suresh dessertation