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obal context Sulated for var. An adverse . Sex ratio va

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urce – world facable literature

es exceeds thrain (1.54), Cbia (1.21) anddives (1.05), Otic improvemeave positive ime worsened as

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ming state ovews that there ovement for t11.

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China (1.12), d United AraOman (1.05),ent in presentmpact in balas the birth sex

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be describedoups, the mosows imbalancunder the influntation of influ

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ab Emirates , Qatar (1.02t by bringing d

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ty

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LANCING SE

d as number ost important ce between nuence of variuencing factor

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r an Emerginfemales per

00 years. Belfrom 1901 (9

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X RATIO

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many Asian ction sex rati43), Maldivesamongst thesbia (1.05) an

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00 female. Sears other tha

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countries. In mio and situatios (1.03), Omse countries Bd United Araover femalesChina (1.12

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Ratio at BIRTH

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ex ratio can ban over all seales in definental and soci

most of the coon is quite cr

man (1.22), QBahrain (1.0ab Emirates s in birth sex) and India (

atio.

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ountries numritical specificaatar (3.29), S

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972964

955950 945 946

941

930

934

927933

943

900

910

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1901 1911 1921 1931 1941 1951 1961 1971 1981 1991 2001 2011

911

964 962

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927 919

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968 963

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860

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920

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1961 1971 1981 1991 2001 2011

TOTAL RURALURBAN

1. P2. E3. A4. A5. T

it

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Preference foEconomic conAcceptance oAccess to preThough Materts relatively h

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4. As perPunjabMaharahavingPuduc(953),

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r a son in socnsideration asf the small fa-natal sex dernal Mortality igh.

quences of Lompetition amxual crimes af brides

ease in anti so

anks 129 of 1r census 201urban area.

verall sex ratiowing a declin

whereas the ovr Census 201b (846), Jamashtra (883),

g better (> =9herry (965), CWest Bengal h, the child scline in Child

mpared to the ared to 2001,sed in rural ain 2011.

pared to 200010, has showeg the major Sryana (848) aaring the resu

oints) and Ovement during

ciety ssociated withmily norm as termination teRate has be

Low Sex Ratimongst unmagainst women

ocial behavio

46 countries 1 total popula

o of the Counning trend. Duverall sex rati1, the State/

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sex ratio in ruSex Ratio (0drop in urban

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-2005 perioded slight imprtates, as per nd highest in

ults of 2002-0Orissa (decling this period.

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h girls a result of th

ests and aboreen decreased

o and declinarried Men– Mn, involuntary

or, social unre

in the UNDPation sex ratio

ntry is showinuring the perio showed anUTs with ala

shmir (859), 886), Gujaratx ratio are M964), Arunach

ural India is 90-6 years) durn India. r of districts inas the numbe

, where sex rrovement (froSRS 2008-10Chattisgarh (4 and 2008-1

ne of 6 poin

ble Causes on India

vailable liternation of fac

e fertility tranrtion has worsd to 178 per

ning Child SeMay lead to y non marriag

est, crimes, AI

gender inequo in Rural Ar

ng a trend of iiod 1991 -20 Improvemenrmingly low (Delhi (866)

t (886), Uttar izoram, (971)hal Pradesh (

19 which is 1ring 2001-201

n the lowest er of districts

ratio dipped cm 892 to 9050, Sex Ratio a(985), followe0, Sex ratio a

nts) whereas

of Low Sex R

rature in thctors are re

sition, sened the situ100000 live b

ex Ratio Delayed mare, out migrati

IDS prevalenc

uality index. rea is 949 wh

improvement011, Child sexnt from 927 to(<900) child s), ChandigarPradesh (899), Meghalaya(960), Kerala

17 points high11 in rural are

category of cs in this cate

continuously (5). at Birth is low

ed by Kerala (at birth declins all the oth

Ratio and de

his context esponsible f

uation relatingbirths as per

rriage amongion of unmarr

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hich is 20 poi

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o 943. sex ratio are, rh (867), Ra9). The State/a (970), A &N

(959), Assam

her than that eas is more th

child sex ratioegory has de

(from 892 to 8

west in Punjab(966). ed in Tamil Nher bigger S

clining Child

suggests thfor declining

g for the girl cAHS 2012 bu

man, prostitried grooms

etc.

nts higher th

e child sex raed from 945

Haryana (830ajasthan (883/ UTs which a

N Islands (966m (957), Tripu

of urban Indhan three tim

o (<= 850) hclined in urb

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x Aberration

e sex ratio in t lags behindistics in the be taken into

urther its deve

Total PopulaRajasthan by

860

880

900

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y facts Total Popusex ratio Rajasthan ispoints less that of India. Child sex raRajasthan is 3Sex ratio inmprovement ratio it has falSex ratio in population ispoints higher There is masstotal populatwhereas dowchild sex ratio

in Rajasthan

Rajasthan ald the nationaRajasthan Ceo consideratioelopment.

ation Sex Ray residence S

911957

951

1961

ulation of

s 15 than

atio of 31 points lessn total popuby 7 points wlen by 21 poiboth child p

s respectivelin rural area sive improvemtion sex rat

wnfall by 13 po of urban are

n

so leaves a lal average byensus 2011 ron by the gov

atio of RajasSource - Cen

964

968

948

1971

TOT

s than that of ulation has whereas in chnts

population any 19 pointsthan that of ument by 24 ptio in urban

points is obseea.

lot to be desiy 10 points. Treveal facts t

vernment in a

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TAL

India. shown

hild sex

nd total & 18

urban. points in n area erved in

ired The that bid

sidence Sou

962

963

959

1981

RURA

rce - Censu

945

948

935

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AL

us India Ch

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URBAN

hild Sex Rat

927

934

906

2001

N

tio of

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Government LEGAL ACT

1. Munthwduse

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911

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840

860

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960

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(Center/StatTION

Medical terminnder certain c

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he Pre-conce94, amended

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& SCHEMES anani Shishu

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nation of Pregcircumstanceife, foetal abl access to smethods of a

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sex selectioed Sonograpdentity can bti Express isssistance froFor Online c

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TO REDUCE Suraksha YoNo user cha

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954

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TOTA

for Improvin

gnancy Act,1s defined by

bnormality, raafe & legal sabortion. How

Prenatal Diag

election, beforent misuse ofminating girlsx of the foetusprisonment w

PCPNDT Acon, provisiophy machinebe kept anons an effort ofom UNFPA. complaint regstering a coach related

E MMR and Pojna – Free M

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e girl child w

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g Sex Ratio

971 (amendethe MTP Act

ape or contraservices, to rewever, the law

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PROMOTE GMedicines, Frfood after del

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ell to implemupon healthcww.hamaribecility of keed in turn faci

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n birth of evnization, and

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909

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– The act maons are, for ere. The objec or to dangerermit abortion

hibition of se

rasound that

rs and fine up

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ment Effort PCcare facilitieseti.nic.infromping anonymlitate quick a

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akes abortionexample Dangctive is to prr to a womann for the reas

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CPNDT Act is and health

m 17.07.2010 mity. Informaction

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6. DgiR

7. JathciAfothhe

8. JystpnapaP 

Review M A one dprogrammmeeting wNRHM, R

Orientatio A three coordinato2014 at SK. Pawan A presentM.L. Jainfacilitated Training districts. Tprogress

Training

Dati Sumanglairl child Rs 10

Rs for girl childanani Expreshe expectant ircumstances

Antyodaya Upor their casuahese people wealth centres yoti Scheme terilization areromote femaational and articipation inreference in s

Meeting Work

day review me was organworkshop was

Rajasthan.

on cum Revi

day reviewors was orgaSIHFW. The o, Additional M

tation on ASn, Director-SI by Dr. MMentor at SThe districts aupdates for A

gs, Worksho

a Sceme - Fir000/- cash to d and Rs. 100ss – The Jana

mothers for during pre achar Yojana l medical treawould be avaor any other – Applicable e given prefeales as role local function

n activities reselection as A

kshop on Fa

meeting wnised at SIHFs chaired by

iew of Distric

w cum orienanised by NRorientation w

Mission Direct

SHA Training IHFW followeamta Chauh

SIHFW, on talso shared t

ASHA training

ops and Meet

rst child after Mother. Afte

00/- cash to Mani Express Ytheir institutio

and post-delivand sick infa

atment under ilable at the gsuitable placefor females w

erence in heamodel for s

ns help in elated to deve

ASHA/ANM.

mily Welfare

workshop on W on FebruaShri Neeraj

Dr. M. LSIHFW Singhal, were alsoworkshop.note. CMHOs, Aalso prese

ct ASHA Coo

ntation of dRHM during Fas chaired bytor, NRHM.

Status was ed by a briehan, Faculty training relatetheir training .

tings at SIHF

two yrs of mr 3 yrs secon

Mother. Yojana aims aonal deliverievery periods. ants would als

the scheme. government hes in the respwith no male

alth services, small familieeducation, Frelopment in s

e Programme

family welary 14, 2014. K. Pawan, A

. Jain, Direcand Dr.

Director-Ro present at Dr. M.L Ja

Additional CMent at the mee

ordinators

istrict ASHAFebruary 5-7y Shri Neera

made by Dref discussion

and ASHAed issues ocalendar and

FW

marriage -Kisand girl child K

at providing bes. It would bBesides, eligso be benefitThe vehicles

hospitals, compective areas

child & 1-2 feducation an

es & Girl chiree Healthcasocial sector

e

lfare The

AMD,

ctor-J.P.

RCH the

ain welcomed

MHOs, Deputyeting.

A ,

aj

r. n A f d

an Vikas Patrisan Vikas Pa

benefit of tranbenefit them agible beneficiated by the tras to be used fommunity healt

female child &nd employmeild. Benefits re facilities ilearning visit

d the particip

y CMHOs and

ra of Rs. 2100atra of Rs 51

nsportation toalso in emergaries of Deenansportation for transportatth centres, pr

& have undeent. Objectiveare; Felicitatiin govt. hospts in different

pants with a

d BCMOs wer

0/- for 00/ of

all of gency ndayal facility tion of rimary

rgone e is to ion At pitals, state

short

re

National RNHSRC o Training State leveDistrict Acand were Training A ToT on Dr. M.L. welcome Neonatal In his prehe sharedthings whdangerouparticipantraining, pSBA trainPartograpANC Clini PDC ValeValedictor2014. Alcompletiovaledictorand notemanageriawhich is th

Resource Perorientated dist

of Accounts

el training of dccount Managtrained in acc

of Trainers-S

SBA was hel

Jain, Direcaddress highMortality duri

esentation, titld key points ohich if an ANs to the life

nts are gettingparticipants wning of healthph, importantic, Labour Ro

edictory Sessry session ofll the parti

on of the coury note appreced that theral, planning ahe ultimate ob

rsons from Ntrict coordinat

Personnel

district accougers (DAMs) counts proced

SBA

ld during Feb

ctor-SIHFW hlighted trendng past deca

ed –Health inon pregnancyM does’nt keof mother ang trained in t

will be entitledh workers. Tht drugs and eoom and Post

sion f PDC XI batcipants wer

urse. Dr. M.Lciated efforts re was a cand presentabjective of the

HSRC includtors about the

nts managersand other fin

dures and fina

ruary 17-19, 2

during keynds of MMR, Iades.

ndicators an y and child bieep in mind, nd newborn. this ToT and as master trhe participanquipment, net Natal Ward.

tch was held re awarded . Jain, Directin performan

considerable ation skills of e course.

ding Dr Rajni e latest Guide

s was organisnance personancial guideli

2014 at SIHF

note and nfant and

overview, irth, basic it can be Nineteen after the

rainers for ts visited Ma

ewborn care, i

on Februarycertificates

tor-SIHFW innce of particip

improvemenf the participa

Baid (Advisoelines of Com

sed by DMHSnnel under NRnes. There w

FW.

ahilla Chikitsainfection prev

y 25, for

n his ants

nt in ants,

or) Ms Garimamunity proce

S during FebRHM participa

were 50 partici

alaya, Jaipur vention follow

a and Dr Shasses.

ruary 13-14, ated in the traipants.

for discussiowed by a visit

alini of

2014. aining

on on to the

Sno N

1 D

2 D

3 M

4 M

PDC visit Participan15, 2014.was made The teamInterventio

Monitorin

Name

Dr M.L Jain, D

Dr. Richa Cha

Mr. Aseem M

Ms Lovely Ac

t to Panchku

nts of the Pro This was ane under guida

visited Geneon System) a

ng/ Visits don

Director-SIHF

aturvedy

Malawat

charya

ula

ofessional Devn Inter-State Eance of SIHFW

eral Hospital oand collected

ne by SIHFW

The participAction Planssame. Particexperiences

Pla

FW ChiBhi

RDHosHFW(DabatcRDHosSanMedJaipJod

velopment CoExposure visW coordinator

of Panchkula.information o

W personnel

ants made prs followed by cipants also ss and learning

ce/District

ttorgarh and lwara

BP Jaipuria spital, Jaipur WTC Jaipur ausa, batch I ach II) BP Jaipuria spital, Jaipurntokba Durlabdical Hospitalpur dhpur

ourse (XI batit envisaged rs Mr Ravi Ga

. Participants f the same.

resentations oopen discuss

shared their pg from PDC se

Activ

Overimpleand hCAC

and SBA

CAC Jaipu

bhji l,

TrainStora

PPIUhandFoun

tch) visited Paunder the PD

arg and Mr Su

met the Noda

on individual Psion on improortfolio basedessions.

vity/Training

rall training ementation prhand holding training

Plan IV

training at Ruria ning for staff oage Unit

UCD and BEmds-on sessionndation trainin

anchkula durDC course cuuneel Kumar

al Officer of D

Problem Solvovements of thd on individua

rogress

DBP

of Blood

mOC s under

ng

ing February urriculum. ThePatel.

DEIS (District

ving he al

10 to e tour

Early

Training on Comprehensive Abortion Care Trainings on Comprehensive Abortion Care (CAC) are under progress in State of Rajasthan under supervision and coordination of SIHFW-RCH team, under directions of Dr. M.L Jain, Director-SIHFW. The training will be in process at Udaipur, Bharatpur, Kota and Jaipur (Gangori and Zenana hospitals) during March 3 to 14, 2014. The training imparts knowledge of the MTP act and is based on skill development of methods of abortion using MVA technique.

Birthday of Dr. Ajapa Abhishek Chomal was celebrated on February 5, 2014 at SIHFW.

Celebrations!

• T• S• T• F• E

ap• In

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ruary11, 2014

ife

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bese children

the earlier weetabolic synd

ofessor of Ped

tart the ball rout then it looky vulnerable t

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India

Polio-free

As India cinfection —March. Pra recogniserved the“After thismany, weworld,” MrDescribingit to stronthe gover“Our succimmunisainfrastructUnion HeaconfidencVirtually evaccine, hIn 1995, tpolio infec

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posure can mdone maturinand changes

studies haveturn leads to ects independ

d obesity maytype 2 diabetdisease, obs

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e India to get

celebrates its— the nationresident Prantion for headeir countries a

s historic victoe have to takr Mukherjee sg eradication g political wilnment. cess in erad

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achieved by dwives and a

andhi, Chairpeywhere in thcation strateg

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make you mug. It may be

s it during a cr

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t WHO certif

s victory overn becomes eab Mukherjee

ds of nations and people. ory of humankke care of nesaid at a functof polio as al, assured fin

dicating poliopreventable dss the needs

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n the country

affected mored but eradica

f the number os to the zero l

involving ov2.3-million-st

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or-General, Wpossible. Thisted this to wo

ebruary 12, 20

ch more prede that childhoritical develop

intuitive caus, but recent

obesity.

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and increasey.

fication

r polio — comntitled to pole received Roor governme

kind where meighbours alstion marked tn impressive

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Minister Ghulaategic investmy was reach

e than 50,000ating polio rem

of polio caseslevel.

ver a million Arong team of

nal Advisory Cs had been ked to dispel

World Health s is likely the grld-class hea

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disposed to cood obesity cpmental time f

sal chain of evidence sh

e outcomes indiovascular, rlycystic ovaried rates of c

mpleting threio-free certifiotary Internatients who hav

millions of liveso. We shouldto celebrate thachievement

mitment and a

us more coversal healthcunder-developm Nabi Azad

ments made ed with the

0 children in tmained a dista

s in the world

Accredited Sopolio volunte

Council, saidmade possibmyths and fe

Organisationgreatest lessolth surveillanc

complicationschanges the frame," she s

childhood obhows that chil

ncluding metaretinal and rean syndrome

cancer, amon Source: Bus

e years withocation by theional’s highese rendered u

s have been sd commit ourhe day. t, Prime Minis robust overs

onfident of accare and strenped societies, said this landunder the Nnew indigeno

the country eant dream.

. By 2011, in

ocial Health Aers and 1.5-la

the successble through teears and stimu

, said, “India on, and the grce systems in

than might eway the wh

said.

besity leadingdhood obesit

abolic syndromenal complicate, infertility, ag others. The

siness Standard

out any casee World Healst award — Aunique service

saved througrselves to cre

ster Manmohasight of the st

chieving our ngthening of ,” he said. dmark achievNational Ruraously develo

every year. So

less than two

Activists (ASHakh superviso

s was unmatceamwork andulated commu

has shown threatest inspira

n India.

exposure onchole metaboli

g to adult obty may also c

me, cardiovastions, nonalco

asthma, orthoe study is recd, February 13

of the debililth Organisat

Award of Honoe to humanity

h tireless effoeating a polio

an Singh attritrategy adopt

objectives oprimary healt

vement rode oal Health Misped bivalent

oon the numb

o years’ time,

HAs) and auxors in vaccina

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he world that ation for the r

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itating ion in our — y and

orts of o-free

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of full thcare

on the ssion. polio

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xiliary ation.

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there rest of

Rajastha

Retiring d

Concerneproposal Pointing ohad pub Since, thehas decidEven, the Dr Sunil Sbasis. It mamount of After retirehealth dep Accordingadd moreretire fromfree medisuccessfu The healthealth ser The depathe deparin district Source: TO

Centre to

With an amedical cFour distrwill be idBarmer arecomme Accordingmedical cThe sourcin construCentre woThe statecolleges. letter abo The medifor the pheadquar

n

doctors to be

ed over doctorto doctors re

out on the shblished 'He

e health depaded to at leas

state cabinet

Singh, joint dmeans that a f pension is in

ement, the dopartment will

g to the health worries for th

m their servicicine and freeul implementa

th departmenrvices departm

artment is alsortment is strughospitals too.

OI, February 20

o fund five ne

aim to give a olleges in thericts where thentified laternd Dungarpundation by the

g to state goolleges. The ces a total of uction of the ould provide te and the CeJoint secretaut the medica

cal colleges patients. Therters.

e asked to st

rs' posts lyingetiring after 6

hortage of docalth depart

artment is facst retain the et has approve

irector (gazedoctor retirin

ncluded in it."

octor will haveoffer him the

h departmenthe health autes. The shorte diagnostic

ation of these

nt sources sament. But, 25

o taking meaggling to find . 0, 2014

ew medical c

fillip to medie state. he medical co. With the op

ur are likely toe state gover

vernment sorest will be thRs189 crore building of ththe fund undeentre would ary of the Unal colleges to

would be attase medical

tay with pay

g vacant in go60 years of a

ctors in govetment in t

cing problemsexperienced ded the propos

tted), health ng from gove

e to show hisjob on 'pay m

t officials, ovethorities, evertage of doctotest schemeshealth schem

id there are 5% of the post

asures on howdoctors for th

colleges in R

ical education

olleges wouldpening of theo improve furrnment.

urces, the Che state gover

would be sphe medical coer the 12th fivealso sign a

nion ministry state's princip

ached to govcolleges wou

and no pens

overnment-runage, to contin

rnment-run hthe 'doc':

s in finding ndoctors retirinsal to recruit th

department, ernment servi

s interest in wminus pension

er 2,800 postsry year at an aors in the stats as it is the

mes in the sta

over 10,700 ts are lying va

w to attract nhe rural areas

Rajasthan

n in Rajastha

d come up hae medical colrther. The fift

Centre would rnment's sharent to establiolleges and de year plan. memorandumof health andpal secretary

vernment hosuld be open

sion

n hospitals, thnue working

hospitals, the 184 docto

new doctors fng soon, or thhe retired doc

said, "It will bces will conti

orking with thn' basis.

s of doctors iaverage morete also affecte doctors whoate.

posts of docacant.

new doctors t. Moreover, p

an, the Centre

ave been idenlleges, healthth district wou

provide 75%re. sh the colleg

development

m of understd family welfa(medical edu

pitals, which ned within th

he health depon 'pay min

Times of Indrs to retir

for governmehose who hactors.

be done on pinue to get th

he health dep

n the state ae than 150 exs the health so play an im

ctors in the st

towards goveposts of docto

e has decide

ntified while oh facilities in uld be selecte

% of the fund

es. The fundsof other facil

tanding (MoUare Dr Vishwucation).

already havehe 10 km ra

partment will ous pension' b

dia on Februare in 201

ent-run hospitave already re

pay minus pehe same pay

partment. The

re lying vacaxperienced doschemes inclportant role i

tate's medica

ernment jobs. ors are lying v

d to fund five

one of the disBharatpur, A

ed on the ba

ds required fo

s would be uities required

U) for the mewas Mehta wr

e 200-bed facadius of a d

offer a basis.

ary 14 4-15'.

tals, it etired.

ension if the

n, the

nt. To octors luding in the

al and

Also, vacant

e new

stricts Alwar, asis of

or the

tilized d. The

edical rote a

cilities district

With the ohealth dea boon fofacilities a Source: T State Gov The StateANMs and The functthe State This was for 11 day State Cabpublic heaobtained. Rural schinformatio

We solicit yo

State InstituJhalana Inst Phone-270 E-mail:-sihf

opening of thpartment in d

or the patientsare concerned

TOI, February

vernment Fo

e government d Medical Off

ioning of fronGovernment

the governmeys.

binet Memberarings. Feedb

ools, hospitalon about their

our feedback

ute of Health &titutional Area6496, 270193fwraj@ymail.c

he new medicdealing with ths. Since Dungd.

21, 2014

ocuses on Ca

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more doctorsof doctors. Moibal district, it

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building of fro

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pur for touringsroot commu

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s passing outoreover, the t would benef

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g remote villanity and adm

man Seva Kences and facilit

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t from the stanew medical fit the area as

rs in the healt

‘Field-Based

doorstep in ea

ages in the villinistration’s re

ndras and gettties.

ate would hecolleges wou

s far as healt

th sector inclu

d Observation

astern Rajast

lage and holdesponse were

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