LAKSHADWEEP STATE REPORT - National Health Mission
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LAKSHADWEEP STATE REPORT
Lakshadweep
Index
S. No. Content Page No.
1 Summary of approvals 2–5
2 Demographic Profile 6–7
3 Progress of NRHM 8 – 11
4 RCH 12 – 15
5 Immunization 16 – 16
6 Revised National Tuberculosis Control Programme (RNTCP) 17 – 17
7 National Vector Borne Disease Control Programme (NVBDCP) 18 – 18
8 National Leprosy Eradication Programme (NLEP) 19 – 19
9 Integrated Disease Surveillance Project (IDSP) 20 – 20
10 National Programme for Control of Blindness (NPCB) 21 – 21
11 National Iodine Deficiency Disorder Control Programme (NIDDCP) 22 – 22
12 RoP approvals under Mission Flexible Pool 23 – 24
13 Analysis of some RCH Indicators 25 – 25
1 LakshadweepLAKSHADWEEP
Summary of approvals
Financial Management under NRHM (Rs. in crore)
%
% Release
Expenditure
Years Allocation Release Expenditure against
against
Allocation
Release
2005-06 1.22 1.62 0.51 132.95 31.33
2006-07 2.47 1.75 0.90 70.98 51.20
2007-08 2.25 0.50 0.37 22.22 73.23
2008-09 2.48 0.53 1.33 21.55 248.77
2009-10 2.37 0.00
Total 10.78 4.41 3.10 40.87 70.36
S. No. Timeline Activities Achievement %
Selection 85 250
1 ASHA
Training 85
2 VHSC 0 0
3 24X7 PHCs 4 100
4 Mobile Medical Unit 0 0
5 Rogi Kalyan Samiti 9 90
Budget Allocations (2005-09) ( Amount in Crores)
Lakshadweep
Allocation Releases Expenditure
RCH Flexipool
2005-06 0.56 0.12 0.07
2006-07 0.54 0.58 0.17
2007-08 0.20 0.01 0.18
2008-09 0.20 0.06 0.73
2009-10 0.12
Total (A) 1.62 0.77 1.15
NRHM Flexipool
2005-06 0.94 0.00
2006-07 0.14 0.28 0.06
2007-08 0.24 0.00 0.07
2008-09 0.17 0.15 0.38
2009-10 0.11
Total (B) 0.66 1.37 0.51
National Disease Control Programme
2005-06 0.27 0.26 0.16
2006-07 1.06 0.20 0.08
2007-08 1.30 0.44 0.10
2008-09 1.42 0.26 0.20
2009-10 1.22 0.00 0.00
Total (C) 5.27 1.17 0.54
Grand Total (A + B + C)
2 LakshadweepRecord of Proceedings (2005-2009) for Mission Flexible Pool
Approval for Infrastructure (Rs. in Crore)
S. No Health Facilities 2005-06 2006-07 2007-08 2008-09 2009-10
1 Sub C 0.01 0.10 0.00 0.00
2 PHC 0.00 0.00 0.00
3 CHC 0.60 0.00 0.00 0.00
4 DH 0.00 0.00 0.00
5 Eqpmt 0.00 0.00 0.05
6 Transp 0.00 0.06
7 Others 0.13 0.00 0.00
Total 0.61 0.00 0.23 0.00 0.11
Approval for Human Resources(Rs. in Crore)
S. No Personnel 2005-06 2006-07 2007-08 2008-09 2009-10
1 Doctors 0.00 0.00 0.46
2 Specialists 0.00 0.00 0.00
3 Staff Nurses 0.00 0.00 0.15
4 ANM 0.00 0.00 0.00
5 Others 0.00 0.00 0.27
Total 0.00 0.00 0.00 0.00 0.89
Approval for other activities (2005-2009) in Rs. Lakh
2005-06 2006-07 2007-08 2008-09 2009-10
S.No Initiative Remarks
Released Approved Approved Approved Approved
ASHAs
1 ASHA 7.18 2.1 6.73
TOTAL 7.18 2.1 6.73
Untied Funds, Annual Maintainence Grants and RKS fundsrelated matters
Hospital
Management
10 17
Society / RKS at
2 PHC, CHC, DH 17
3 Untied Fund 3.9 3.9
Untied Fund for
4 CHC 1.5
Untied Fund for
5 PHC/APHC 1
Untied Fund for SC 1
6 1.6
3 LakshadweepUntied Fund for
1 1
7 VHSC 2.4
Annual
2 6.4
8 Maintenance Grant
Annual 3
Maintenance Grant
9 - CHC
Annual 2
Maintenance Grant
10 -PHC
Annual 1.4
Maintenance Grant-
11 SC
TOTAL 1 16.9 28.3 29.9
Infrastructure related matters
Status of Infrastructure 2005-2010
As per RHS 2008 New Construction Upgradation / Renovation
Number of Sub Centre 14
Number of PHC 4
Number of CHC 3
Number of DH 2
As per State Data
Sheet, NRHM
Status of NRHM as on 15.05.2009
Selection 85
1 ASHA
Training 85
2 VHSC
0
3 Joint A/C
0
4 24X7 Facility
7
5 FRU 1
Doctors & Specialist 7
AYUSH Doctors 0
6 Contractual Manpower Staff Nurse 0
Paramedics 0
ANM 6
7 JSY Beneficiaries (in Lakhs) 0.01
4 LakshadweepNational Disease Control Programme
NLEP
Although state has reached elimination of the disease, still large number of new cases is being
detected every year indicating active transmission in the community. An in-depth situational
analysis with steps to complete treatment etc be started.
IDSP
It is a Phase III state. Data reporting has started all districts.
NVBDCP
Dengue, Japanese Encephalitis and Kala-azar are not reported from the UT .There is no reporting
of Chikungunya cases.
RNTCP
Overall performance of the State is satisfactory.
5 LakshadweepDemographic, Socio-economic and Health profile
HEALTH INDICATORS OF LAKSHADWEEP
The Total Fertility Rate of the State is NA. The Infant Mortality Rate is 24 and
Maternal Mortality Ratio is NA (SRS 2004 - 06). The Sex Ratio in the State is 948 (as
compared to 933 for the country). Comparative figures of major health and demographic
indicators are as follows:
Table I: Demographic, Socio-economic and Health profile of Lakshadweep State as
compared to India figures
S. No. Item Lakshdweep India
1 Total population (Census 2001) (in million) 0.06 1028.61
2 Decadal Growth (Census 2001) (%) 17.30 21.54
3 Crude Birth Rate (SRS 2007) 18.3 23.1
4 Crude Death Rate (SRS 2007) 6.5 7.4
5 Total Fertility Rate (SRS 2007) NA 2.7
6 Infant Mortality Rate (SRS 2007) 24 55
7 Maternal Mortality Ratio (SRS 2004 - 2006) NA 254
8 Sex Ratio (Census 2001) 22 933
9 Population below Poverty line (%) 15.60 26.10
10 Schedule Caste population (in million) 0 166.64
11 Schedule Tribe population (in million) 0.06 84.33
12 Female Literacy Rate (Census 2001) (%) 80.6 53.7
Table II: Health Infrastructure of Lakshadweep
Particulars Required In position shortfall
Sub-centre 11 14 -
Primary Health Centre 1 4 -
Community Health Centre 0 3 -
Multipurpose worker (Female)/ANM at Sub 18 14 4
Centres & PHCs
Health Worker (Male) MPW(M) at Sub Centres 14 13 1
Health Assistant (Female)/LHV at PHCs 4 0 4
Health Assistant (Male) at PHCs 4 0 4
Doctor at PHCs 4 6 -
Obstetricians & Gynaecologists at CHCs 3 0 3
Physicians at CHCs 3 0 3
Paediatricians at CHCs 3 0 3
Total specialists at CHCs 12 0 12
Radiographers 3 3 0
Pharmacist 7 21 -
Laboratory Technicians 7 7 0
Nurse/Midwife 25 31 -
(Source: RHS Bulletin, March 2008, M/O Health & F.W., GOI)
6 LakshadweepThe other Health Institution in the State are detailed as under:
Health Institution Number
Medical College
District Hospitals 2
Referral Hospitals
City Family Welfare Centre
Rural Dispensaries
Ayurvedic Hospitals -
Ayurvedic Dispensaries 2
Unani Hospitals -
Unani Dispensaries -
Homeopathic Hospitals -
Homeopathic Dispensary 1
7 LakshadweepNote on Progress of NRHM in Lakshadweep
(June 2009)
Lakshadweep has progressed over the years in implementing the activities of National Rural
Health Mission. The progress is in different stages for activities like decentralization, management
structures, infrastructure development, human resource management and so however the processes
and systems are being strengthened. Brief information on progress is stated as below
Institutional Framework of NRHM
Progress of institutional setup at state and district level is comparatively slow. Meeting of
State & District Health Mission have not been held regularly. Meeting of State Health Mission held 7
times. No Merger of societies is completed in district. The State needs to constitute VHSCs. Rogi
Kalyan Samities are operational at 2 DH, 3 CHCs & 4 PHCs. The State not yet started developing
IDHAP.
Infrastructure Improvements
In total 4 PHC have been strengthened with three Staff Nurses each for 24x7 work. 3 CHC are
functioning on 24X7 basis & facility survey completed in 3 (including others health institution also).
1 District Hospitals is functioning as FRUs. No Mobile Medical Unit (MMU) in the UT
Human Resources
A total of 85 ASHAs have been selected & all of them are trained upto 1st Module. None of
the ASHAs have been provided with drug kits. No appointments of contractual AYUSH Doctors in
the State. 14 Sub-centres are functional with an ANM and need to strengthen the 2nd ANM at sub
centre level. As far as Manpower augmentation is concerned, 7 Doctors, 6 ANM recruited on
contractual basis to improve the health services.
Services
Institutional deliveries improved from 0.01 lakhs (06-07) to 0.01 lakhs (07-08) and further
there is no reporting of Institutional deliveries in the state for the year 06-07, 07-08 and 2008-09.
Female sterilizations were 22 for the year 07-08 and no reporting for the year 08-09. During year
2008-09, only 2 female & no male sterilization have been reported by the State. The state is not
implementing IMNCI. 156 VHND held since the launch of NRHM.
8 LakshadweepGeneral
Overall improvement in health system since NRHM
Achievements Made
• General public has access to PHCs which are functioning on 24x7 basis in the Union
Territory under NRHM.
Areas for Further Improvement
• Regular meeting of the State Health Mission for proper planning, implementation and
monitoring under NRHM
• Strengthen ASHA scheme through training schedule and provision of drug kits
• All the activities like health mela, VHND must be implemented on a regular basis.
• Establish and strengthen programme management units for proper implementation
• Strengthen implementation of National Disease Control Programmes; ToT under IDSP;
blindness control
Infrastructure
• All the health facilities must achieve IPHS norms.
Human Resources
• Further strengthening AYUSH system-co location and selection of staff. No AYUSH doctors
and paramedics selected in the UT, need to augment the process of co location of AYUSH at
different level of health facilities.
• There are no Specialists. The UT need to augment the process of hiring Specialist on
contractual basis.
• The UT has no State cadre post under MPW,ANM,Nurses etc.
Service Delivery
• Institutional deliveries have been increased in the UT.
• The UT need to improve the immunisation programme.
9 LakshadweepAn Analysis of Financial Monitoring Report for the year 2008-09
A. RCH Flexible Pool
Component wise expenditure & Utilization under RCH Flexiblepool against the
approved PIP for the year 2008-09:-
Lakshdweep Rs. in lakhs
% Utilization
Activities SPIP Expenditure
against PIP
Maternal Health (JSY
13.00) 3.90 8.58 220
Child Health 1.00 0.26 26
Family Planning 2.00
Services 0.00 0
Adolescent 0
Reproductive and
Sexual Health/ ARSH 0 0
Urban RCH 0 0 0
Innovations/PPP/ NGO 0.55 0.67 121.8
Infrastructure & 4.00
Human Resources 45.24 1131
Institutional 0.05
Strengthening 0 0
Training 2.00 3.85 192.5
BCC / IEC 1.00 5.66 566
Programme 1.20
Management 9.16 763.33
Total 15.70 73.42 467.64
General Observations:-
1. Since the launch of RCH-II Programme, during the year 2005-06 to 2008-09 total funds
released to your state are Rs. 0.77 Crore and out of which Rs. 1.14 Crore has been spent
on RCH II activities. During the year 2008-09 the total expenditure is Rs.0.73 Crore
which is much higher than the total expenditure of the previous year i.e. Rs. 0.17 Crore.
2. Activities like Maternal Health, Training, have picked up very well, where expenditure
has been approximaletly double of the approved PIP.
Areas of Concern:-
1. Expenditure incurred by the State is not as per the approved PIP, either there is NIL
expenditure against approved PIP or there is huge gap between the PIP and expenditure.
2. No expenditure has been incurred on Family Planning and Institutional Strengthening
inspite of provision in the PIP.
3. Expenditure on BCC/IEC, Infrastructure & Human Resource and Programme
Management is ranging between 500% to 1100% higher of the approved PIP.
4. Total expenditure is more than the total releases made during the years 2005 to 2009, the
same have to be clarified, as from which fund excess expenditure has been incurred.
10 LakshadweepB. Mission Flexible Pool :-
Component wise expenditure & Utilization under Mission Flexiblepool against the
approved PIP for the year 2008-09:-
Lakshdweep Rs. in lakhs
%Utilisation
Activities SPIP Expenditure
against PIP
ASHA 2.10 12.93 615.71
Untied Funds 3.90 0.20 5.13
Hospital Strengthening - VHSC 1.00 0 0
Annual Maintenance Grants 6.40 2.00 31.25
AYUSH 20.00 0 0
Corpus Grants to HMS/RKS 17.00 4.00 23.53
District Action Plan 0 3.88 0
IEC/ BCC 0 6.40 0
Training 11.16 0 0
Blood Storage Facility 30.00 0 0
Strengthening Laboratories 10.00 0 0
Procurements 0 6.68 N.A.
New Initiatives/ Strategic Interventions (As per
0 1.41 N.A.
State Health Policy)
NRHM Management Costs/ Contingencies 40.00 0 0
TOTAL 141.56 37.50 26.49
General Observation:-
1. Since the start of the programme Rs.1.37 Crore were released to you and out of which the
utilization is only Rs.0.45 Crore (33%) and Rs.0.92 Crores (67%) remains unutilized.
Though there is 3700% increase in the expenditure during the year as compared to the
year 2007-08 (Rs.0.01 Cr.), still overall utilization is low.
Areas of Concern:-
1. Inspite of provision in PIP, no expenditure has been incurred on Hospital Strengthening –
VHSC, AYUSH, Training, Blood Storage Facility, Strengthening Laboratories and
NRHM Management Costs/ Contingencies.
2. Expenditure on ASHA is six times of the approved PIP.
3. Expenditure on District Action Plan, BCC/IEC, Procurements and New Initiatives have
been incurred without any budget.
11 LakshadweepNOTE ON RCH II: LAKSHADWEEP
A. Background/ current status
1. RCH II Goals
MMR and TFR data is not available for the UTs. Lakshadweep’s IMR (SRS 2007) at 24 has reduced
from 26 (SRS 2003) and is better than the national target of 30 for 2012 (refer Annex 1).
2. RCH II Outcomes
Lakshadweep’s progress during the four year period between DLHS 2 (2002-04) to DLHS 3 (2007-
08) is mixed (refer Annex 1):
• Mothers who had 3 or more ANCs decreased from 96.6% to 90.5%.
• Institutional deliveries have increased from 79.9% to 90.0%.
• Full immunisation in children 12-23 months increased from 64.6% to 83.6%.
• Children with diarrhoea receiving ORS decreased sharply from 72.6% to 55.8%.
• Unmet need for family planning increased sharply from 9.8% to 29.0%. Further, use of
modern contraceptives increased from 10.6% to 15.7%.
3. Expenditure
Audited expenditure has increased from Rs. 0.07 crores in 05-06 to Rs. 0.17 crores in 06-07 and then
remained same at Rs. 0.17 crores in 07-08; reported expenditure in 08-09 has increased to Rs. 0.73
crores i.e. 235% of allocation (Rs. 0.31crores).
B. Key achievements
1. Maternal Health, including JSY
• Number of JSY beneficiaries in the state decreased from 114 in 05-06 to 42 in 06-07 and
increased to 200 in 07-08. A total of 200 beneficiaries have availed of the services in 08-09.
• As reported in state plan, 1 MBBS doctor has been trained in Life saving anaesthesia skills
(LSAS) against the target of 3.
• State has operationalised 1 FRU (against the target of 3) and 4 PHCs as 24x7 (against the
target of 2).
2. Child Health
• There is a huge increase of 19% points in full immunisation between DLHS 2 & 3 (64.6% to
83.6%); along with significant increases in antigen-wise coverage.
3. Other initiatives
• 14 Sub Centres are functioning in different island for providing basic health care facilities at
the doorstep of the people. These centres are manned by one ANM and a male MPHW.
• In Lakshadweep helicopter is used as ambulance service for taking patients from island to
Kavaratti / mainland in the critical/ emergency conditions. Further, several patients are taken
to Kavaratti or mainland by ships for getting specialized treatment.
• ISRO has provided telemedicine facility at I.G. hospital Kavaratti, Govt.Hospital, Minicoy
and Community Health Centre, Androth/Amini/Agathi. This facilitates consultation with
specialist doctors of Medical College and Super Specialty Hospital of mainland.
• Due to non-availability of Specialists services in other islands, periodic rural medical camps
are also organised.
• Various awareness programmes such as Family health awareness campaign and school health
programme under RCH programme, Health survey of school children, field visit for assessing
12 LakshadweepAnaemia, Maternal and Child Health Problems. Under Maternal and Child health regular
weekly antenatal clinic is conducted in all islands.
C. Key issues
1. Maternal Health, including JSY
• State is yet to initiate multi skilling of MOs in EmOC and training on SBA has not been
undertaken.
• No C-section deliveries are conducted in EmOC centres.
• Even though there is one referral hospital providing maternal care at Kavaratti, infrastructure
and manpower are insufficient to provide quality care to the patients.
• State plan for 2009-10 acknowledge that, specialized medical care is not available in islands.
The infrastructure and manpower is inadequate in all hospitals.
• Percentage of 3 or more ANC coverage has come down between DLHS 2 and DLHS 3. State
needs to identify reasons.
• Anaemia due to worm infestation is common in the island. A significant number of pregnant
women in peripheral islands suffer from nutritional anaemia. Adequate steps need to be taken
to ensure IFA tablets provision during VHNDs and by field level workers.
2. Child Health
• Children with diarrhoea receiving ORS have decreased from 72.6% in DLHS 2 to 55.8% in
DLHS 3. IEC/ BCC strategy needs to be developed, along with ensuring supplies.
13 LakshadweepANNEX 1
A. Progress on Key Indicators
1. RCH II Goals
INDICATOR LAKSHADWEEP INDIA
Trend (year & source) Current status RCHII/NRHM
(2012) goal
Maternal Mortality Ratio NA NA 254 (SRS 04-06)2. Technical interventions
S. No. Indicators Achievement upto
March 2009
1. No. of First Referral Units (FRUs) operationalised 1
2. No. of PHCs operationalised to provide 24-hour services 4
3. No. of private institutions accredited under JSY 0
4. No. of districts implementing Integrated Management of
0
Neonatal & Childhood Illness (IMNCI)
5. No. of people trained in IMNCI 0
6. No. of Village Health & Nutrition Days (VHNDs) held 156
(Source: NRHM MIS report, April 2009)
15 LakshadweepImmunization
Lakshadweep
Evaluated Immunization Coverage
NFHS 2 NFHS 3 DLHS 2 DLHS3
Survey NFHS 1 CES CES
(1998- (2005- (2002- (2007-
Indicator (1992-93) (2005) (2006)
99) 06) 04) 08)
FI NA NA NA NA 86.0 64.6 83.6
BCG NA NA NA 98.2 100.0 99.2 100.0
Measles NA NA NA 93.8 90.8 89.8 91.9
DPT 3 NA NA NA 94.5 87.7 82.8 91.0
Progress
The UT has full immunization coverage of 83.6 % and impressive coverage of BCG at 100%
while Measles and DPT coverage at 91%.
The health workers training has been completed.
The district level AEFI committees have been constituted.
Issues
The UT should try to reduce the BCG-DPT-3/Measles dropout to further improve the coverage.
In the year 2008 only no case of Serious AEFI has been reported though the immunization rates
are increasing. The UT needs to strengthen AEFI reporting further to improve reporting of AEFI
cases.
The UT had been allocated funds last year also for training of Health Workers on
immunization. Further the UT had reportedly completed the Health Workers training; therefore
details about training progress and future plans need to present for further allocation for this item.
16 LakshadweepBrief On National TB Control Programme in Lakshadweep
1. Infrastructure
Total Districts - 1
Total Population - 60,595
2. Status of Implementation
Lakshadweep is a non SCC district. It is approved for implementation of Revised National
Tuberculosis Control Programme (RNTCP). The district is preparing.
3. District-wise Performance (Based on quarterly reports for 1st quarter of 2009)
Suspects Annualised Annualised new Sputum Cure rate in
examined total case sputum positive conversion rate new smear
District per lakh detection rate case detection in new smear positive cases
population (against >144 rate (against positive cases (against
lac) >53/lac) (against >90%) >85%)
Lakshdweep 61 17 11 15% 100 100
4. Funds Status as on 31st March 2009 (Rs. in lakh)
C/F Release Other Income Expenditure Balance
8.86 3.00 0.75 7.93 4.68
6. Drugs
Drugs for all the smear positive patients are also provided by GOI. Position is satisfactory.
7. Issue
• Three samples of sputum must be examined for diagnosis of TB and quality of sputum
microscopy should be improved.
17 LakshadweepFact Sheet on NVBDCP - Lakshadweep
Background Information: The Union Territory of Lakshadweep has 1 district with a population of
0.06. There are 3CHCs, 4 PHCs and 14 Sub-centres and 24 Villages. There are 22 Multipurpose
Workers (Female)/ANM, 1 Health Worker (Male), 4 Health Assistant (Male) and 7 Laboratory
Technician. No Malaria clinic or Fever Treatment Depots (FTDs) are functioning in the UT.
Malaria:
Epidemiological Situation
Year B.S.Examined Malaria cases Pf cases Deaths
2006 1410 0 0 0
2007 89 0 0 0
2008 441 0 0 0
2009 (Upto Feb.) 36 1 0 0
UT is free for indigenous Malaria, only imported cases are being reported by the UT with no Pf and
Death.
Elimination of Lymphatic Filariasis (ELF):
• Government of India during 2004 initiated massive campaign of Mass Drug Administration
(MDA) with annual single dose of DEC tablets to all the population living at the risk of
filariasis excluding pregnant women, children below 2 years of age and seriously ill persons.
The population coverage of MDA in Lakshadweep was 64.53% in 2004, 84.60% in 2005,
83.16% in 2006, 86.83% in 2007 and 85.98 in 2008 .The mf rate of 0.02% has been reported
in 2007. However, the microfilaria survey in the UT is not being done as per guidelines on
ELF which is a very important parameter.
• Line listing of Lymphoedema and Hydrocele cases was also initiated in 2004 for morbidity
Management and as per updated report (2007), there are 283 Lymphoedema and
87 Hydrocele cases.
Chikungunya: Total of 35 suspected Chikungunya fever cases and no death was reported during
2006. In the year 2007, 5184 suspected Chikungunya fever cases were reported out of which 10 were
found positive serologically. During 2008 and 2009 no suspected Chikungunya fever case has been
reported till 27th May. To strengthen the diagnostic facility, Indira Gandhi Hospital, Kavaratti has
been identified as Sentinel Surveillance Hospital. NIV Pune has been informed to supply test kits.
The UT should send the chikungunya report on monthly basis.
Dengue, Japanese Encephalitis and Kala-azar are not reported from the UT of Daman & Diu
Central Assistance:
(Rs. In lakhs)
Year Allocation Release/Expenditure
Cash Kind Total Cash Kind Total
2004-05 6.00 4.36 10.36 3.00 3.02 6.02
2005-06 6.00 15.53 21.53 20.23 0.06 20.29
2006-07 18.55 0.31 18.86 12.35 0.30 12.65
2007-08 11.32 0.20 11.52 2.80 0 2.80
2008-09 29.69 30.06 59.75 14.37 0 14.37
2009-10(B.E.) 23.02 12.3 24.25
18 LakshadweepSTATUS OF NATIONAL LEPROSY ERADICATION PROGRAMME IN LAKSHADWEEP
• Epidemiological scenario-
Lakshadweep is low prevalent area for leprosy and has already achieved the goal of
elimination of leprosy (i.e. prevalence rate of less than 1 case /10000 population). There is no
leprosy case on record as on March 2009.
• New case detection and treatment completion-
The UT has not reported any new leprosy case for the last 3 years i.e since 2006-07. 1 case
was discharged during the year as cured after completing treatment.
• During 2008-09, NLEP action plan amounting to Rs.4.95 lakh has been approved for the UT.
Issues -
1. During 2008-09, the action plan was approved for Rs.6.7 lakhs, however no funds were
released due to availability of unspent balance with the UT from previous year. The Statement
of expenditure for 2008-09 is still awaited.
19 LakshadweepUT : Lakshadweep
Integrated Disease Surveillance Project (IDSP) –Fact sheet as on 17 June 2009
Lakshadweep is the tiniest union territory of Indian Union consisting of 36 Islands having an area of
32 Sq. Km. lying scattered in the Arabian Sea towards the west coast of Kerala. It has a population of
60595 (2001 census) living in 11 inhabitated islands. The climate is tropical, humid and warm.
Average rainfall is 1500mm. The average temperature varies from 23 to 35 oC and Relative humidity
70-75%.
It is a phase III state and IDSP programme is being implemented since 2007. This union territory is
geographically isolated from the other parts of the country and communication facility is still facing
constraint. Transmission of data from periphery to state headquarters and from there to national
headquarters encounters difficulty. The collected are also incompletes.
The component wise action points are as under
1. Manpower
- One epidemiologist, 2 Microbiologists have been selected under IDSP
- State is yet to give offer letters to the selected candidates
- One Data Manager appointed at State Headquarter
- Appointment of consultant Finance & consultant technical / training pending at state
Hqr.
2. IT
• State SSU Lakshadweep yet to be installed
3. Laboratory Strengthening
One priority district laboratory yet to be identified.
4. Data Reporting
Lakshadweep has 11 inhabitated islands . Weekly Surveillance data and outbreak reports need to be
reported to CSU and entered in IDSP portal i.e. www.idsp.nic.in).
5. Outbreaks:
Reporting of disease out break from the state is yet to be started
6. Training
Training of state & district RRT team pending at state & district level.
Finance
Year Release (in lakhs) Expenditure (in lakhs)
2006-07 00 00
2007-08 15.00 00
2008-09 00 00
Total 15.00 00
Balance Amount 15 lakhs No expenditure has been reported
20 LakshadweepNATIONAL PROGRAMME FOR CONTROL OF BLINDNESS
STATUS NOTE ON LAKSHADEEP
Magnitude:
Prevalence of blindness: 2001 1.10%
Estimated blind persons 0.01 lakh
Cataract Performance
YEAR TARGET ACHIEVEMENT
2007-2008 20 0
2008-2009 100 120
School Eye Screening
YEAR TEACHER TRAINED SCREENED DETECTED PROVIDED
IN SCREENING FOR WITH FREE
REFRACTIVE REFRACTIVE GLASSES
ERRORS ERRORS
2007-2008 0 0 0 0
2008-2009 0 0 0 0
Cash Grants released to the State & Expenditure
(Rs. In lakhs)
YEAR RELEASED EXPENDITURE BALANCE
2007-2008 4.00 4.00
2008-2009
GIA released to Distt.Blindness Control Societies/State Blindness Control Society
(Rs in lakhs)
YEAR RELEASED EXPENDITURE BALANCE
2007-2008 12.00 12.00
2008-2009 6.65
Issues
UCs for GIA released to State Blindness Control Society are not being received timely.
SOE for Cash Grant are also not being received timely.
Performance of School Eye Screening Programme needs to be improved.
21 LakshadweepNIDDCP
Approval issued for the year 2009-10
Activity Proposed Amount Amount Remarks
Proposed Approved
1 Establishment of There is 7.50 The UT Administration may
IDD Control Cell no carry out activities as per the
2 Establishment of proposal 2.50 allocation of fund GOI.
IDD Monitoring for the
Lab NIDDCP
3 Health Education in the PIP 4.75
and Publicity
4 IDD surveys 0.50
Total 12.25
22 LakshadweepMapping of Record of Proceedings of the NPCC of NRHM for 2005-06 to 2009-10
This has been prepared to indicate allocations to the State in the previous years for different
activities as per the State Programme Implementation Plan. The mapping charts the NRHM
Mission Flexipool approvals contained in the RoP in following broad thematic chapters.
1. ASHA (including selection, training, drug kits, mentoring, specific performance
incentives and anything else associated with ASHA)
2. Infrastructure related matters (including construction, strengthening, renovation, new
construction etc), equipments, transport (ambulances, EMRI, associated expenses) and
others)
3. Human Resource related matters (including HR salary, contractual payments,
incentives, etc)
4. Programme Management related matters (including PMUs, SHS/DHS, SHSRC,
IDHAP, M&E, Mobility support to SHS etc)
5. Untied funds, AMG & RKS related mattes
6. Training & Capacity Building related matters (including trainings, workshops, training
institutions including their upgradation or new construction, courses, etc)
7. Innovations (including Procurement of medicines, School Health, Health Mela,
Insurance, Accreditations, Monthly VHND etc)
NATIONAL RURAL HEALTH MISSION
Lakshadweep
Total MFP
60.08 141.56 77.55
Approvals
RoP Approvals for Various Years in Rs. Lakh
2005-06 2006-07 2007-08 2008-09 2009-10
S.No Initiative Remarks
Released Approved Approved Approved Approved
ASHAs
1 ASHA 7.18 2.1 6.73
TOTAL 7.18 2.1 6.73
Infrastructure related matters
Upgradation of
2 60
CHC
Construction of Sub-
10
3 Centres
Strengthening of
4 7 10
laboratories
5 Blood storage facility 5 30
TOTAL 60 22 40
Human Resources related matters
6 Specialists 40
23 Lakshadweep7 Doctors Salary 21
AYUSH-Contractual
8 engagement 20
9 Radiographer 3.6
10 Pharmacist 4.8
11 Nurse Orderly 11.52
TOTAL 60 40.92
Programme Management related matters
12 SHSRC 1 11.16
13 Preparation of DHAP 10
10 1 11.16
Untied Funds, Annual Maintainence Grants and RKS fundsrelated matters
Hospital
Management Society
10 17
/ RKS at PHC, CHC,
14 DH 17
15 Untied Fund 3.9 3.9
Untied Fund for
16 CHC 1.5
Untied Fund for
17 PHC/APHC 1
18 Untied Fund for SC 1 1.6
Untied Fund for
1 1
19 VHSC 2.4
Annual Maintenance
2 6.4
20 Grant
Annual Maintenance 3
21 Grant - CHC
Annual Maintenance 2
22 Grant -PHC
Annual Maintenance 1.4
23 Grant- SC
TOTAL 1 16.9 28.3 29.9
Training & Capacity Building related matters
24
TOTAL 0
Innovations related matters
25 Drug kits 13
Drug supply for
18
26 CHC/FRU
TOTAL 18 13 0
24 LakshadweepDistrict wise Information on Lakshadweep under some RCH indicators
Mother received
Institutional
Districts at least one TT Full Vaccination Contraceptive Use
Deliveries
injection
India 73.5 47 69.6 54.1
Lakshadweep 97.4 90 91.9 25.4
source DLHS-III
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