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Department of Health and Family Welfare

The Crude Death Rate (CDR) indicates the number of deaths occurring during the year, per 1,000 population estimated at midyear. Subtracting the Crude Death Rate from the Crude Birth Rate provides the rate of natural increase, which is equal to the rate of population change in the absence of migration. Primary source of data for births and deaths is the registration of births and deaths under Civil Registration System (CRS) of the Office of Registrar General, India (ORGI).
The Crude Birth Rate (CBR) is defined as the number of live births per thousand population. It is usually the dominant factor in determining the rate of population growth. Primary source of data for births and deaths is the registration of births and deaths under Civil Registration System (CRS) of the Office of Registrar General, India (ORGI). Since the reporting of births under CRS is not complete, ORGI estates CBR annually through Sample Registration System, a large scale demographic Survey Conducted by them.
The number of state-wise and district-wise availability of Sub-Centres, Primary Health Centres, Community Health Centres, Sub Divisional Hospitals and District hospitals In India.
The requirement is based on norm of one Health Worker (Female) / Auxiliary Nurse Midwife (ANM) at each Sub-Centre and Primary Health Centre and one Health Worker (Male) per each existing Sub Centre. Sanctioned and In-Position figures are as reported by the States / UTs. All India figures for Vacancy (Sanctioned In-position) and Shortfall (Requirement In-position) are the totals of State-wise Vacancy and Shortfall ignoring surplus in some States / UTs.
The data refers to total number of Sub Centres (SCs) / Primary Health Centres (PHCs) / Community Health Centres (CHCs) functioning according to the status of their building as per three categories i.e. a Government Building, a rented building and a rent free / panchayat / voluntary society building. It also gives the number of buildings under construction. The requirement of buildings is worked out as follows: Required Number = Total functioning - (Government Buildings + Under construction).
The requirement of infrastructure is calculated using the prescribed norms on the basis of provisional rural population from Census, 2011 and estimated rural tribal population in 2011 using percentage of tribal population out of rural population in 2001. All India shortfall is derived by adding state-wise figures of shortfall ignoring the existing surplus in some of the states.
The Sub Divisional and District Hospitals are government hospitals with more than 30 beds. Mobile Medical Units have been envisaged under National Rural Health Mission (NRHM) to provide preventive, promotive and curative health care in inaccessible areas and difficult terrains, which are underserved or unserved areas under usual circumstances. Functional Mobile Medical Units not only look after the curative aspects but also render Behaviour Change Communication (BCC) activities to promote healthy under the NRHM.
Sub-Centre (SC) is the most peripheral and first contact point between the primary health care system and the community. One Sub Centre is to cover a population of 3000 in Hilly / Tribal / Difficult areas and 5000 in Plain areas. Each Sub-Centre is required to be manned by at least one Auxiliary Nurse Midwife (ANM) / Female Health Worker and one Male Health Worker. Under National Rural Health Mission (NRHM), there is a provision for one additional second ANM on contract basis.

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