Family Welfare Infrastructure

 Family Welfare Programme in Kerala is being implemented through a network of 944 PHCs, 105 Community health centres and 5094 sub centres. The achievements under family welfare programmes for the last two years and district wise deatils of family welfare programme relating to 1999-2000 are given in Table 4.

Table 4
I.No. Item Unit 1998-99 1999 2000
. . . Target Achievement Target Achievement

1

2

3

4

5

6

7

I

Familiy Welfare Programme

. .

567

1433

653

a)

Sterilization (Vasectomy/Tubectomy)

,

Target Free

139718

147214

153515

b)

I.U.D. Insertion

Nos

81759

96352

83143

c)

C.C. Users

Nos

185569

.

142869

d)

O.P. Users

Nos

30235

.

30046

II

M.C.H. Programme

. . . . .

a)

Immunisation Programme

. . . . .

i)

D.P.T

Dose

548300

596410

555689

588002

ii)

Polio

Dose

548300

605654

546427

584361

iii)

B.C.G.

Dose

548300

638701

597363

668343

iv)

Measles

Dose

548300

562613

539218

540821

v)

T.T. for Pregnant women

Dose

582700

529307

586096

553752

vi)

T.T. for 5 years

Dose

589600

375378

449606

467215

vii)

T.T. for 10 years

Dose

611300

445647

498763

437773

viii)

T.T. for 16 years

Dose

595000

425850

485485

442381

b)

Prophylaxis against nutritional anaemia

, , , , ,

i)

Women

Dose

582700

214124

537726

615388

ii)

Children

Dose

-

-

-

-

c)

Prophylaxis against Blindness due to vitamin A deficiency

Dose

1723500

1453375

1552965

1486654

Source: Directorate of Health Services
The expenditure on family welfare programmes from 1980-1981 to 1998-1999 amounted to Rs.724.97 crore. The expected expenditure during 1999-2000 and 2000-01 are Rs.84.80 crore and Rs.57.18 crore respectively. The percentage of couple effectively protected by various methods of family planning in Kerala increased steadily from 15% in 1971to 30% in 1981 and 55% in 1991. In 1998, the couple protection rate in Kerala was 64.32 as against the all India average of 60. The number of sterilisations rose sharply from 1,39,718 in 1998-1999 to 1,53,515 in 2000. The number of 100 insertions rose marginally from 81,759 to 83,143. On the other hand, the number of CC users declined from 1,85,569 to 1,42,869 between 1998-1999 and 1999-2000.

Table 5

District

Vascectomy

PPS

Minilap

Laproscopic

Total

Cu-T

Nirodh supplied

Oral pills

Induced Abortion

1

2

3

4

5

6

7

8

9

10

Thiruvananthapuram

3

13183

1755

2753

17691

6269

1622766

32530

5115

Kollam

4

10194

776

615

11585

5652

886112

39165

3584

Alappuzha

37

6676

1818

198

8692

4737

549938

22687

3380

Pathanamthitta

5

3841

1105

935

5881

3440

318521

15334

1974

Kottayam

141

6506

379

1218

8103

10688

948105

32481

5801

Idukki

1

4543

395

878

5816

3784

318137

14245

1220

Ernakulam

179

15526

624

1668

17818

6397

547786

24693

5599

Thrissur

62

10782

1711

1121

13614

6481

987389

36507

4391

Palakkad

4

8700

614

3481

12795

9223

1471555

39935

4142

Malappuram

7

11691

574

326

12591

7326

948228

37025

1113

Kozhikode

82

12665

2435

192

15292

6494

747228

34522

4314

Wayanad

25

6233

438

-

6671

3314

426088

16525

702

Kannur

92

12329

682

130

13141

5539

258489

36956

1812

Kasaragod

11

2469

474

782

3725

3799

264077

7989

221

TOTAL

653

125338

13780

14297

153415

83143

10294419

390594

43368

Source : Directorate of Health Services Expenditure on Health and Family Welfare


able-6 provides data on government expenditure on family welfare programme year-wise since 1980-81. Table-7 provides data on government expenditure on medical and public health excluding family welfare year-wise, for the period since 1975-76. Table-8 provides data on total and per capita State Government expenditure on health including family welfare year-wise since 1985-86. During 1993-94, per capita health expenditure by State Government including family welfare was Rs.98.53. It increased to Rs.168.22 in 1997-98, Rs.177.91 in 1998-99 and 232.68 in 1999-2000.

Table 6
Expenditure on Family Welfare Programme (Rs. in lakh)

Year

Both Plan & Non-Plan
(in current Prices)

1980-81

590.20

1981-82

687.08

1982-83

785.59

1983-84

1176.47

1984-85

1930.99

1985-86

2510.22

1986-87

3130.33




Table 7

Plan and Non-Plan Expenditure on Medical and Public Health-Excluding
Family Welfare Programme-Kerala (Rs.in lakh)

Year

Plan

Non-Plan

Total

1975-76

230.71

2527.38

2758.09

1976-77

236.87

2678.67

2915.54

1977-78

306.96

2867.83

3174.79

1978-79

525.66

3051.48

3577.14

1979-80

472.51

3647.19

4119.70

1980-81

651.38

4229.27

4880.65

1981-82

905.97

4936.88

5842.85

1982-83

880.10

5058.12

5938.22

1983-84

1044.41

5935.02

6979.43

1984-85

1074.00

6354.81

7428.81

1985-86

1102.50

8754.37

9856.87



Table 8

Per Capita Expenditure on Medical and Public Health (Rs.in lakh)

Year Population Expenditure on Health including Family Welfare Index of Growth Expenditure per Head Index of Growth
1985-86 274.05 12681.25 100 46.27 100
1986-87 275.06 14506.88 114 52.74 114
1987-88 288.39 15103.96 119 52.37 113
1988-89 293.58 16368.36 129 55.75 120
1989-90 298.87 19230.44 152 64.34 139
1990-91 290.11 22199.04 175 76.52 165
1991-92 294.91 23180.45 183 78.60 170
1992-93 298.88 23922.90 189 80.04 173
1993-94 302.91 29845.13 235 98.53 213
1994-95 306.99 35661.43 281 116.16 251
1995-96 311.12 41787.82 330 134.31 290
1996-97 315.31 45442.56 358 144.12 311
1997-98 319.56 53758.36 424 168.22 364
1998-99 323.87 57618.22 454 177.91 385
1999-2000 328.23 76373.91 602 232.68 505


The total plan and non - plan government expenditure on health including family welfare increased from Rs.576.18 crore 1998-99 to Rs. 763.74 crore in 1999-2000 (an increase of 32.5% during 1999-2000). The expenditure on health as percentage to state domestic product stood at 1.40 percent.