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West Bengal Health Concern :
The competition of the world market presents great
opportunities for the economics of the third world. At the same time the world order
possess "a tremendous risks that the less developed countries of
the world may fall even further and even more initiative behind in their ability to
compete with the world economic power centres" (New challenge for the Public Health,
WHO 1995). The concepts of individual medical interventions have escalated but the
State of Health of the people has not improved in relation to expenditure. It has
become an important question as to how best misconception of health, growing national
debts, ravages of long-standing health problems viz. Diarrhea, Acute Respiratory
Infection, Tuberculosis, Malaria, smoking and alchohol abuse. In addition to those
diseases nor got conquered new diseases viz. HIV / AIDS and new epidemic needs to be dealt
with. The world has turned into a global village. "Changing values of
societies present new demands to primary health".
WBVHA has devoted itself to uphold primary health with
community participation. Alike associations are organised in almost all states of India.
All State Voluntary Health Associations are federated to the national body of health
association known as Voluntary Health Association of India (VHAI), New Delhi one of
Indias largest and leading organisation working in health and development.
WBVHA operates at the state level and tries to
make health a reality for the people of West Bengal. It has chosen the means of community
oriented integrated health service system which is essentially preventive, promoting and
rehabilitative in character. WBVHA promotes rational, affordable, acceptable and available
health service culture.
It is a fact that in West
Bengal, public health and Reproductive Child Health need critical overview and
practical support for change. There is need for greater work for community building,
improvement of economic condition, being in healthy condition and possess inner values
like truth, honesty, mutual respect etc. We are living in a computerised age where the
rapid pace of our life is constantly threatened by advanced technology, problem scarcity,
price escalation, population explosion, environmental pollution etc. Our present system is
full of unequal opportunities which necessarily widens the gap between have and have-nots.
In order to bring change in the socio-economic and health sphere Indian Govt. has taken
initiatives to promote the work of community development. Government has given due
importance to the role played by NGOs to strengthen the effort of Government and work in
unison. Presently NGOs are playing important role in aspiring people and working upto the
expectations of Government. NGOs need to be more systematically organised so that they can
free people from the bondage of ill health, economic deprivation and injustice.
LIFE EXPECTANCY * IN WEST BENGAL
CRUDE DEATH RATE * IN WEST BENGAL
INFANT MORTALITY RATE * IN WEST BENGAL
CRUDE BIRTH RATE * IN WEST BENGAL
| % Change over the
Decade |
|
Rate |
Year |
| West Bengal |
-19.69 % |
       |
32 |
1983 |
|
|
      |
25.7 |
1993 |
Source: Based on
Sample Registration Bulletin, Vol.29, No.2, July 1995, New Delhi, Office of the Registrar
General of India.
Note: * Annual number of births per 1,000 population. |
TOTAL FERTILITY RATE * IN WEST BENGAL
| % Change over the
Decade |
|
Rate |
Year |
| West Bengal |
-21.62 % |
   |
3.7 |
1985 |
|
|
  |
2.9 |
1992 |
Source: Based on
Fertility and Mortality Indicators, 1992, Sample Registration System, 1994, New Delhi,
Office of the Registrar General of India.
Note: * Average number of children per women: 15-49 years of age. |
GENERAL FERTILITY RATE * IN WEST BENGAL
| % Change over the
Decade |
Rate |
Year |
| West Bengal |
-19.98 |
          |
123.6 |
1985 |
|
|
        |
98.9 |
1992 |
Source: Based on
Fertility and Mortality Indicators, 1992, Sample Registration System, 1994, New Delhi,
Office of the Registrar General of India.
Note: * Annual number of live births per 1,000 women: 15-49 years of age. |
SEX RATO * IN WEST BENGAL
| % Change over the
Decade |
|
Rate |
Year |
| West Bengal |
0.66 % |
         |
911 |
1981 |
|
|
         |
917 |
1991 |
Source: Based on
Sample Registration Bulletin, Vol.29, No.2, July 1995, New Delhi, Office of the Registrar
General of India.
Note: * No. of females per 1,000 males. |
MOST VULNERABLE DISTRICTS IN WEST BENGAL
West Bengal : Puruliya, Jalpaiguri, Kochbihar, Medinipur,
Bakura, Darjeeling, West Dinajpur, Maldah, Birbhum, Murshidabad.
GOALS FOR HEALTH FOR ALL BY
2000 AD
| Sr. No. |
Indicator |
Current
Level (1983) |
|
Goals Set |
| |
|
1985 |
1990 |
2000 |
| 1. |
Infant mortality rate (1978)
|
136
70
125 |
122
60
106 |
87 |
Below 60 |
| 2. |
Prenatal mortality |
67 |
|
|
30.35 |
| 3. |
Crude death rate |
Around 14 |
12 |
10.4 |
9 |
| 4. |
Pre-school child
(1-5 years) mortality (1976-77) |
24 |
20.24 |
15.20 |
10 |
| 5. |
Maternal mortality rate (1976) |
4.5 |
3.4 |
2.3 |
Below 2 |
| 6. |
Life expectancy at birth (yrs)
(1976 81)
|
52.6
51.6
|
55.1
54.3
|
57.6
57.1
|
64
64
|
| 7. |
Babies with birth weight below 2,500 (%) |
30 |
25 |
18 |
10 |
| 8. |
Crude birth rate |
Around 35 |
31 |
27 |
21 |
| 9. |
Effective couple protection rate (%) (March
1982) |
23.6 |
37 |
42 |
60 |
| 10. |
Net reproduction rate (1981) |
1.48 |
1.34 |
1.17 |
1 |
| 11. |
Annual growth rate (197781) |
2.23 |
1.9 |
1.66 |
1.22 |
| 12. |
Family size (1975) |
4.4 |
3.8 |
|
2.8 |
| 13. |
Pregnant mothers receiving antenatal care
(%) |
40.5 |
50.6 |
60.75 |
100 |
| 14. |
Deliveries by trained birth Attendants (%) |
30.35 |
50 |
80 |
100 |
| 15. |
Immunisation status
(% coverage)
- TT for pregnant women- TT for school children
(up to 10 years)
(up to 16 years)
- DPT (children below 3 yrs)
- Polio infants
- BCG infants
- DT (new school entrants: 5-6 years)
- Typhoid (new school entrants: 5-6 years)
|
20
-
20
25
5
65
20
2 |
60
40
60
70
50
70
80
70 |
100
100
100
85
70
80
85
85 |
100
100
100
85
85
85
85
85 |
| 16. |
Leprosy : percentage of disease-arrested
cases out of those detected. |
20 |
40 |
60 |
80 |
| 17. |
TB : percentage of disease-arrested cases
out of those detected. |
50 |
60 |
75 |
90 |
| 18. |
Blindness incidence (%) |
1.4 |
1 |
0.7 |
0.3 |
NUMBER OF SCs, PHCs, AND CHCs ESTABLISHED, 31.12.95
States/Uts |
SC |
PHC |
CHC |
West
Bengal |
7873 |
1556 |
89 |
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