Statistics - A Glance

Health Facilities - A Glance

The Union Territory of Puducherry consists of four geographically isolated census districts of Puducherry, Karaikal, Mahe and Yanam on the Eastern and Western coasts of India. The Health care provision for the four culturally divergent districts is a logistical challenge due to theirgeographical location as enclaves in the south Indian states of Tamil Nadu, Kerela and Andhra Pradesh.

Health Indicators

Sl. No.	Item	Unit	As on 31-3-2006	As on 31-3-2007	As on 31-3-2008	As on 31-3-2009	As on 31-3-2010
1	Birth Rate	Per 1000 popuation	15.7	15.1	16.4	16.4	16.4
2	Death Rate	Per 1000 popuation	7.3	7.7	7.5	7.5	7.5
3	Infant Mortality Rate	Per 1000 live births	28.0	25.0	25.0	25.0	25.0
4	Bed - Population Ratio	Ratio	1:499	1:460	1:485	1:502	1:527
5	Doctor - Population Ratio	Ratio	1:1972	1:2060	1:2170	1:2283	1:2187
6	Nurse – Population Ratio	Ratio	1:875	1:914	1:964	1:1014	1:1065
7	Doctors : Nurses	Ratio	1:2	1:2	1:2	1:2	1:2
8	Eligible Couples	Nos.	155000	160500	167500	172290	176854
9	Per-Capita Health Expenditure	In Rs.	990	1071	1337	1370	1658
10	Family Welfare Programme:	-	-	-	-	-	-
-	1) Sterilisation	Nos.	10213	10483	10303	9953	9382
-	2) IUD	Nos.	3628	3506	3266	3155	2469
-	3) Conventional Contraceptive users	Nos.	9934	10575	11462	11353	9352
-	4) Oral Pill users	Nos.	1871	1743	1848	1826	2281
11	Health Institutions:	-	-	-	-	-	-
-	1) Primary Health Centres	Nos.	39	39	39	39	39
-	2) Sub-Centres	Nos.	77	77	77	77	78
-	3) Community Health Centres	Nos.	4	4	4	4	4
-	4) Hospitals	Nos.	8	8	8	8	8
-	5) Physical Medicine & Rehabilitation Centre	Nos.	1	1	1	1	1
-	6) ESI Dispensaries	Nos.	14	14	14	14	14
12	Doctors	Nos.	564	564	564	564	564
13	Nurses	Nos.	1270	1270	1270	1270	1270
14	Community Health Guides/Visitors	Nos.	28	28	0	0	0
15	Immunization Coverage	-	-	-	-	-	-
-	T. T. for Preg. Women (2^nd dose)	Nos.	17610	18186	20274	20274	19346
-	T.T. (10 Years) (2^nd dose)	Nos.	19094	18329	20015	20015	17595
-	T.T. (16 Years) (2^nd dose)	Nos.	48981	14649	18931	18931	14208
-	BCG	Nos.	36182	42101	43556	43556	36290
16	Leprosy Prevalence Rate (Per 10000 population)	-	0.26	0.36	0.23	0.37	0.41
17	Blindness incidence (Per thousand)	-	0.5	0.46	0.40	0.40	0.40

Introduction

In Health Care Delivery Services, the Union Territory of Puducherry has been adjudged as the best in the country. The population of Puducherry has an accessible medical care within an average distance of 1.18 kms through a network of Primary Health Centres, Sub Centres, Disease specific clinics besides 8 Hospitals. The per capita expenditure on Health Care Services is Rs.1,658/-. Annually over 48 lakhs out-patients and 1.5 lakhs in-patients are treated at the various Government medical institutions of Union Territory of Puducherry.

The overall health indicators in Puducherry have been very encouraging compared to the national indicators. The U.T. of Puducherry has been able to achieve the Infant Mortality rate of 25 against national goal of 53 during 2008. Since more than 99.8% deliveries are conducted in the health institutions, it has been able to achieve the lowest Maternal Mortality Rate of 18 against the national target of less than 100 / 1 lakh live births. Total Fertility Ratio of 1.6 is the lowest in India against national goal of 2.4. Due to the strict implementation of the PNDT Act in the UT and close monitoring of the sex ratio of children, it is possible to achieve SEX RATIO (0-5 years) of 977 (female to male children / 1000) which sufficed the goal set by the Government of India.

To improve the overall health of adolescent girls in the Union Territory of Puducherry, special school health programmes was initiated comprising of general health check-up, haemoglobin estimation and treatment of anemia, de-worming, nutrition, immunization, health promotion, raising awareness about sexual and reproductive health. The Union Territory of Puducherry has not only provided training to the teacher in health promotion but has also integrated the leprosy, blindness control & prevention programme activities in the School Health Programme. It is a comprehensive programme with long term future vision of promotion of positive health. The Union Territory of Puducherry is declared as Leprosy Free State. 100% Pulse Polio Immunization successfully achieved throughout the state. Medical assistance is extended for treatment of life threatening diseases to patients below poverty line category by the Puducherry Medical Relief Society for the past ten years.

In the treatment of tuberculosis, conversion rate more than 90% and a cure rate above 90% is achieved. To control the incidence of Filarial and Malarial diseases, Anti larval activities and Surveillance activities are carried out to all citizens in the UT of Puducherry.

Kidney transplantation is performed free of cost to the Below Poverty Line category patients. The Hospital has been equipped with latest medical equipments like CT Scan, MRI Scan, Cardiac Monitors, etc. A separate geriatric ward for senior citizens is available. Hospital Information System has been established through computerization and transmission of various investigation results to the wards. Post graduate courses (DNB) in 7 disciplines are offered. C.T Scan facilities have been established at Govt. General Hospital, Mahe. Telemedicine Centre for establishing contact with premier health institutions of the country and abroad is functioning. 25 numbers of Ambulances have been purchased and provided to all the PHCs for transportation of critical patients from rural areas. Monetary incentives are provided to the patients for promotion of Institutional Deliveries under JSY. The pregnant women living below poverty line are assisted with Rs.700 in rural areas and Rs.600 in urban areas in case they deliver in a health institution. A separate 700 bedded hospital for Women & Children with specialized services is to be opened in the 2^nd week of October 2010. Further during the current academic year a Govt. Medical College is also opened. A Health Insurance Scheme has been commissioned in outlying regions of Mahe and Yanam, when by compensation, cash free Secondary and Territory care is made available. The extent of cover is 2,50,000 per family member floater basis.

Unique Facilities (In nutshell):

Anti snake venom, Anti Rabies Vaccine and insulin made available in all PHCs & CHCs.
Sanitary pads issued free of cost to rural Adolescent Girls from Rural Sub Health Centres.
Free Dialysis & Transplant facilities for renal diseases, post transplant immuno suppressant drugs given free of cost.
24 x 7 free ambulance services.
Financial assistance of 1.5 lakhs for tertiary care treatment to BPL families through PMRS.

Hospitals	CHCs	PHC (Urban)	PHC (Rural)	Sub-Centre (Urban)	Sub-Centre (Rural)
8	4	15	24	24	52
Puducherry: 1. General Hospital 2. Maternity Hospital 3. Govt. Hospital For Chest Diseases 4. Mahatma Gandhi Leprosy Hospital 5. ESI Hospital	1.Karikalam pakkam 2. Mannadipet	1. Ariankuppam 2. Gorimedu 3. Kalapet 4. Kosapalayam 5. Lawspet 6. Mettupalayam 7. Mudaliarpet 8. Muthialpet 9. Odiansalai 10. Reddiarpalayam 11. Murungapakkam 12. Villianur	1. Ariyur 2. Abishegapakkam 3. Bahour 4. Karaymputhur 5. Katterikuppam 6. Kirumampakkam 7. Koodapakkam 8. Maducarai 9. Nettapakkam 10. Sedarapet 11. Sorapet 12. Sooramangalam 13. Thavalakuppam 14. Thirubuvanai 15. Thirukanur	1.Kathirkamam 2.Ganapthy Chettikulam 3.Pillaichavady 4. Karuvadikuppam 5.Govt.Qtrs.(Lawspet) 6.Thattanchavady 7.Muthirapalayam 8.Kurumbapet 9.Thengaithittu 10.Solainagar 11.Dubrayapet 12.Kompakkam 13.Odianpet 14.Manaveli 15.Muthupillaichavadi 16.Sulthanpet 17.Alankuppam	1. Aranganur 2. Embalam 3. Uruvaiyar 4. Korkadu 5. T.N. Palayam 6. Sivarantagam 7. Melsathamangalam 8. Kizhour 9. Soriankuppam 10. Seliamedu 11. Manamedu 12. Suthukeny 13. Lingareddipalayam 14. Kodathur 15. Sandaipudukuppam 16. Koravallimedu 17. Manapet 18. Murthikuppam 19. Pillaiyarkuppam 20. Poraiyur 21. Pandasozhanallur 22. Nathamedu 23. Sellipet 24. Andiyarpalayam 25. Poornankuppam 26. kalithirthalkuppam 27. Thiruvandarkoil 28. Sanniyasikuppam 29. Madakadipet 30. Kunichampet 31. Manalipet 32. Periyaveerampattinam 33. Nallavadu 34. Nonankuppam 35. Panayadikuppam
Karaikal: 1. General Hospital, Karaikal	1. Thirunallar	1. Koilpathu 2. Karaikalmedu	1. Kottucherry 2. Ambagarathur 3. Nallambal 4. Nallathur 5. Neravy 6. Nedungadu 7. T.R. Pattinam 8. Varichikudy 9. Vizhithiyur	-	1. Sethur 2. Vadakattalai 3. Akkaravattam 4. Melaoduthurai 5. Kurumbagaram 6. Melakasakuddy 7. Vadamattam 8. Pattinacherry 9. North Vanjoor 10. Rayampalayam 11. Thriuvettakudy 12. Poovam 13. Kotucherrymedu 14. Manapet 15. Karukankudy 16. Muppaithankudy 17. Pettai
Mahe: 1. General Hospital, Mahe	1. Palloor	1. Pandakkal	-	1. Chembra 2. Chalakara 3. Cherukallayee	-
Yanam: 1. General Hospital, Mahe	-	-	-	1. Guriampetta 2. Kanakalpetta 3. Darialthippha 4. Ferampetta	-

Hospitals

Institution	GH, Pondy	MH, Pondy	GHCD, Gorimedu	ESI Hospital, Gorimedu	MGGL Hospital	PMRC	GH, Karaikal	GH, Mahe	GH, Yanam
General Information
Year Established	1816	1938	1963	1978	1842	1997	1908	1954	1925
Population	1089419	52745	823294	238117	NA	800000	187607	41303	39508
Villages / Wards Covered	129	116	81 81	81	NA	Whole Pdy	37	15	10
Beds	733	330	138	75	80	30	506	171	100
Service Rendered
Out-Patient New	711725	38136	1352	18714	0	12153	382765	141113	157112
Out-Patient Old	217993	57775	508	11327	0	29308	138758	71646	65946
Out-Patient Total	929718	95911	1860	30041	0	41461	521523	212759	223058
In-Patient UT	23916	15150	1455	1649	399	580	18220	3141	2282
In-Patient Other States	22880	7799	540	0	69	116	7810	13708	949
In-Patient Total	746796	22949	1995	1649	468	696	26030	16849	3231
Surgical Operations
Minor Elective	2266	0	0	83	0	283	870	638	194
Minor Emergency	5627	13869	0	0	0	0	2244	0	0
Minor Total	7893	13869	0	83	0	283	3114	638	194
Major Elective	7617	0	0	43	0	0	2388	1701	478
Major Emergency	1150	8884	0	0	0	0	2043	389	0
Major Total	8767	8884	0	43	0	0	4431	2090	478

NOTE:*Insured Family Members

Community Health Centers

Institution	Karikalampakkam	Mannadipet	Thirunallar	Palloor
General Information
Year Established	1964	1962	1965	1958
Distance from H.Q. in Kms)	16	30	5	6
Population	26601	8844	23099	17860
Villages / Wards Covered	19	6	25	5
Sub-Centres covered	4	0	3	2
Entries on Register
Eligible Couples	4100	1689	3645	3521
Ante-natal cases	525	139	352	213
Infrastructure
Beds	36	30	30	30
Refrigerators	7	4	1	05
Deep Freezers	1	1	1	02
ILRs	2	1	1	02
I.U.D. Room	Yes	Yes	Nil	Yes
Labour Room	Yes	Yes	Yes	Yes
Operation Theatre	Yes	Yes	Nil	Yes
Laboratory	Yes	Yes	Yes	Yes
Service Rendered
Out-Patient New	192621	72269	117748	89345
Out-Patient Old	39076	13172	45682	19209
Out-Patient Total	231697	85441	163430	108554
In-Patient UT	2176	1200	2279	348
In-Patient Other States	820	779	76	630
In-Patient Total	2996	1979	2355	978

Primary Health Centres

Institution	Ariankuppam	Gorimedu	Kalapet	Kosapalayam	Lawspet	Mettupalayam	Mudaliarpet	Murunga-pakkam
General Information
Year Established	1957	1989	1963	1978	1980	1962	1957	1991
Population	35908	17246	16795	46526	67675	55570	53381	25768
Villages / Wards Covered	8	12	4	47	27	27	7	9
Sub-Centres covered	2	1	2	0	2	3	1	1
Entries on Register
Eligible Couples	5667	3145	2964	7869	10640	9840	8386	4067
Ante-natal cases	673	192	313	689	964	1108	777	401
Infrastructures
Beds	7	1	6	3	1	2	2	5
Refrigerators	1	1	1	1	1	1	2	2
Deep Freezers	1	1	1	1	1	1	1	1
ILRs	1	1	1	2	1	1	1	1
I.U.D. Room	Yes	No	No	Yes	Yes	Yes	Yes	Yes
Labour Room	Yes	No	Yes	Yes	No	Yes	No	Yes
Operation Theatre	Yes	No	No	No	No	No	No	No
Laboratory	No	No	Yes	No	No	Yes	No	No
Service Rendered
Out-Patient New	99918	35901	128466	60098	44261	92417	57639	28370
Out-Patient Old	35993	4172	10164	20321	20708	51196	49456	24678
Out-Patient Total	135911	40073	138630	80419	64969	143613	107095	53048
In-Patient UT	131	0	85	87	70	107	0	22
In-Patient Other States	10l	0	39	0	0	0	0	1
In-Patient Total	231	0	124	87	70	107	0	23

Primary Health Centres

Institution	Muthialpet	Odiensalai	Reddiarpalayam	Villianur	Abishega-pakkam	Ariyur	Bahour	Karayamputhur
General Information
Year Established	1956	1952	1936	1952	1980	1977	1957	1964
Population	44051	30200	48596	50811	6648	11183	25986	7183
Villages / Wards Covered	5	5	26	32	3	6	16	5
Sub-Centres covered	1	0	0	4	1	3	2	2
Entries on Register
Eligible Couples	6421	2636	8159	9010	1094	1851	4178	1175
Ante-natal cases	693	374	759	994	118	209	451	167
Infrastructures
Beds	6	1	2	9	4	3	6	6
Refrigerators	1	1	1	2	1	1	2	1
Deep Freezers	1	1	1	2	1	1	2	2
ILRs	1	1	1	2	1	1	1	1
I.U.D. Room	Yes	No	Yes	Yes	Yes	Yes	Yes	No
Labour Room	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes
Operation Theatre	No	No	No	Yes	No	Yes	No	No
Laboratory	No	No	No	Yes	No	Yes	Yes	No
Service Rendered
Out-Patient New	71111	69540	56356	20929	36044	44396	98879	36381
Out-Patient Old	38505	3951	10502	18207	7725	7111	16371	5216
Out-Patient Total	109616	73491	66858	39136	43769	51507	115250	41597
In-Patient UT	0	0	18	388	101	174	147	154
In-Patient Other States	0	0	0	33	5	39	33	125
In-Patient Total	0	0	18	421	106	213	180	279

Institution	Katterikuppam	Kirumam-pakkam	Koodapakkam	Madukarai	Nettapakkam	Sedarapet	Sorapet	Sooraman-galam
General Information
Year Established	1962	1963	1980	1958	1953	1982	1968	1978
Population	11988	22268	9067	7026	13651	9642	7596	5605
Villages / Wards Covered	7	25	15	1	6	4	4	6
Sub-Centres covered	3	4	1	0	1	1	1	1
Entries on Register
Eligible Couples	1961	3399	1564	1065	2459	1706	1322	845
Ante-natal cases	190	385	168	123	275	168	123	94
Infrastructure
Beds	6	13	6	5	14	2	3	4
Refrigerators	1	1	1	1	2	1	1	1
Deep Freezers	1	1	1	1	1	2	1	1
ILRs	1	2	2	2	1	1	2	1
I.U.D. Room	Yes	Yes	Yes	No	No	Yes	Yes	Yes
Labour Room	Yes	Yes	Yes	Yes	Yes	No	Yes	Yes
Operation Theatre	No	Yes	No	No	Yes	Yes	No	No
Laboratory	Yes	Yes	Yes	No	Yes	No	No	No
Service Rendered
Out-Patient New	16812	94089	31079	41375	80605	25190	28032	19935
Out-Patient Old	17491	5595	7241	15334	13291	8133	8610	6684
Out-Patient Total	34303	99684	38320	56709	93896	33323	36642	26619
In-Patient UT	77	531	13	108	365	60	146	22
In-Patient Other States	12	28	0	3	51	0	17	4
In-Patient Total	89	559	13	111	416	60	163	26

Institution	Thavalakuppam	Thirubuvanai	Thirukkanur	Kovilpathu(U)	Karaikal medu(U)	Ambagarathur	Kottuchery	Nallambal
General Information
Year Established	1962	1940	1940	1978	1993	1976	1957	1960
Population	15455	28843	13442	17355	5991	6759	11600	7980
Villages / Wards Covered	11	13	6	2	4	2	3	10
Sub-Centres covered	3	4	3	0	0	0	0	1
Entries on Register
Eligible Couples	2426	5015	2339	2576	852	989	1848	1193
Ante-natal cases	275	528	251	202	114	91	184	121
Infrastructure
Beds	6	16	6	7	3	10	6	2
Refrigerators	1	1	1	1	1	1	1	1
Deep Freezers	1	1	1	0	0	1	1	0
ILRs	2	2	1	1	1	1	1	1
I.U.D. Room	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Labour Room	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes
Operation Theatre	No	Yes	No	No	No	No	No	Yes
Laboratory	Yes	No	No	No	No	No	No	No
Service Rendered
Out-Patient New	46901	66291	25312	16650	26738	43824	51366	28547
Out-Patient Old	8986	9980	6352	20402	7473	23915	13224	8539
Out-Patient Total	55887	76271	31664	37052	34211	67739	64590	37086
In-Patient UT	538	370	77	38	96	84	90	28
In-Patient Other States	33	0	17	0	9	17	5	4
In-Patient Total	571	370	94	38	105	101	95	32

Institution	Nallathur	Nedungadu	Neravy	T.R.Pattinam	Varichikudy	Vizhithiyur	Pandakkal
General Information
Year Established	1970	1965	1957	1956	1964	1965	1935
Population	3520	12802	15793	19934	12533	5198	11828
Villages / Wards Covered	13	16	7	12	13	7	4
Sub-Centres covered	0	3	2	2	4	1	2
Entries on Register
Eligible Couples	545	2011	2328	3165	2103	802	1783
Ante-natal cases	49	220	201	387	227	87	170
Infrastructure
Beds	2	30	6	17	6	6	2
Refrigerators	1	2	1	1	1	1	2
Deep Freezers	0	1	1	1	1	1	2
ILRs	1	1	1	1	1	1	2
I.U.D. Room	Yes	Yes	No	Yes	Yes	No	Yes
Labour Room	Yes	Yes	Yes	Yes	Yes	Yes	No
Operation Theatre	No	Yes	No	No	No	No	Yes
Laboratory	No	Yes	Yes	Yes	Yes	No	No
Service Rendered
Out-Patient New	12501	68165	29344	56398	51552	37824	17800
Out-Patient Old	6580	15040	18319	15917	15485	6690	5379
Out-Patient Total	19081	83205	47663	72315	67037	44514	23179
In-Patient UT	0	934	213	1253	289	178	0
In-Patient Other States	0	151	17	77	27	109	0
In-Patient Total	0	1085	230	1330	316	287	0

Family Welfare Programme
Family Welfare Programme has focused on the health needs of the women in reproductive age group and of children below the age of 5 years and also to provide contraceptives and spacing services to the desired people. The objectives of the Family Welfare Programme are:
Population Stabilization at a level consistent with the needs of National development
Þ Reducing the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR)
Þ Safe delivery
Þ Safe abortion
Þ Balanced Sex - ratio
Effective Implementation of the Family Welfare Programme in the U.T. has lead to very substantial improvement in health status of the U.T. population.

Family Welfare Programmes
v Post -Partum Programme
v Free Supply of contraceptives to the Government and Private Medical Institutions
v Compensation for Sterilisation
v Implementation of Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex selection) Act
v Monitoring of Medical Termination of Pregnancy (MTP) Act.
Family Welfare Services are provided to the community through a network of 77 Sub-Centres, 39 PHCs and 4 CHCs supported by 4 District Hospitals. The ANMs are the frontline worker providing the Family Welfare Services to the community. They are supervised by the LHVs / PHNs posted in PHCs.

Family Welfare Activities 2004-05 to 2008-09

Method	2004-05	2005-06	2006-07	2007-08	2008-09
Vasectomy	17	19	24	14	25
Tubectomy	11915	10194	10459	10289	9755
I.U.D	3150	3628	3506	3266	2721
Oral Pills	1584	1871	1743	1848	1710
C.C (Condoms)	10379	9934	10575	11462	10612
M.T.P	1683	1996	1726	1579	1230
Institutional Deliveries	27978	26170	*46864	*49660	*47332
Home Deliveries	185	85	116	73	57

*Including JIPMER and Private Intuitions

During the year 2008-09, totally 9,870 persons adopted the permanent method of Sterilisation (9,755 Tubectomy and 25 Vasectomy operations). Under spacing method, 2,721 adopted IUD method, 1,710 adopted Oral Pills method and 10,612 adopted Conventional Contraceptives (Condoms) method.

Comparative statement of sex ratio
(Census 2001 & IPPI Survey 2009)

Districts	As per 2001 Census	IPPI survey 2009	-
Adult sex ratio	Juvenile sex ratio	-	-
Puducherry	990	953	1001
Karaikal	1023	981	1016
Mahe	1148	915	947
Yanam	975	974	945
Total	1001	958	977

Sex Ratio compared with southern states of India

India / State	Total	Male	Female	Sex Ratio
India	1,028,610,328	532,156,772	496,453,556	933
Andhra Pradesh	76,210,007	38,527,413	37,682,594	978
Kerela	31,841,374	15,468,614	16,372,760	1058
Karnataka	52,850,562	26,898,918	25,951,644	965
Puducherry	974,345	486,961	487,384	1001

Comparative Statement of Birth Rate with Southern State

India / State	Total	Rural	Urban
India	22.8	24.4	18.5
Andhra Pradesh	18.4	19.1	16.8
Kerela	14.6	14.6	14.6
Karnataka	19.8	20.9	17.9
Puducherry	16.4	16.4	16.4

Comparative Statement of Infant Mortality Rate with Southern State

India - 53
Andhra Pradesh - 52
Kerela - 12
Karnataka - 45
Puducherry- 25

Universal Immunization Programme

The objective of National Health Policy is to provide comprehensive Health Care System with particular attention to the mother and child.
The Immunisation era has actually begun at the turn of 18th century with the introduction of protective vaccination against small pox. Since then, the phenominal progress in the domain of microbiological and immunological sciences has made over 25 vaccines available against some of the dreaded diseases. Today Diptheria, Pertusis, Tetanus, Typhoid, TB, Polio, Measles and a number of other diseases can be effectively controlled by vaccinations.
An objective is to attain 100% immunization coverage for all antigens.
More than 100% coverage during Pulse Polio Immunization.
Last Polio case reported in 1998
No instance of deaths due to Vaccine Preventable Diseases in last 6 years.
In addition to Universal Immunisation Programme, MMR & Rubella Vaccines are given in UT.

Pondicherry Aids Control Society

AIDS Control Programme was implemented in the U.T. of Pondicherry by JIPMER since 1986 which was directly funded by Govt. of India. In 1992, AIDS Cell was formed by the Govt. of Pondicherry. The funds were released by Govt. of India through the Directorate of Accounts & Treasuries.

Voluntary Counselling and Testing Centres and Integrated Counselling and Testing Centre

There are two VCTC at Puducherry. One is at Odian Salai and the other one is at JIPMER. There are two integrated Counselling and testing centres at Puducherry one is at CHC Mannadipet and the other one is at CHC, Karikalambakkam. In other regions of Karaikal, Mahe and Yanam are provided with one VCTC each.

ART Centre

There is an ART Centre in the Govt. General Hospital (Skin Department). U.T of Puducherry. Nearly 510 HIV positive patients are registered and ART drugs are being supplied free of cost.

Prevention of Parent to Child Transmission (PPTCT) Centre

There are 3 PPTCT centres in the U.T of Puducherry. One is at Maternity Hospital, Puducherry, one at Gynaecology Department, JIPMER and the other one is at maternity Wing of GH, Karaikal. Drugs are supplied to antenatal mothers free of cost and also for babies.

Position of U.T. of Pondicherry

As per National AIDS Control Organization, STD prevalence has fallen from 7.20% in 1998 to 4.03 % in 2006 and prevalence of HIV positive in antenatal case has fallen from 0.5 % in 1998 to 0.25 % during 2006, Sentinel Surveillance. U. T. of Pondicherry is now showing decline in prevalence of HIV infection in comparison to neighbouring states of Tamil Nadu, Andhra Pradesh, which are HIV High Prevalence States.

HIV prevalence: 11000 till 2008. (Approximately 60% from neighbouring states)

Particulars	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008
High Risk Groups (STD Cases)
Puducherry	7.2	5.8	0.5	0.5	2.02	2.45	5.7	4.22	4.03	2.92	3.29

Particulars	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008
Low Risk Groups (Ante Natal Clinic Cases)
Puducherry	7.2	5.8	0.5	0.5	2.02	2.45	5.7	4.22	4.03	2.92	3.29

National Vector Borne Diseases Control Programme

Malaria
No death due to Malaria

Year	BSC & BSE	PV	PF	TOTAL	API	ABER	DEATH
2008	127963	67	5	72	0.067	11.91	-
2009	88277	64	1	65	0.060	08.20	-

Filaria
Non endemic status achieved in 2005, shortly to be declared as filarial free

Year	Parasitological Data					Entomological Data
Persons Examined	+ ve for MF	MF Rate	+ve for Diseases	Disease Rate	Ten Man Hour Density	Infection Rate %	Infectivity Rate %	-
2008	64997	24	0.04	34	0.05	70.02	Nil	Nil
2009	57491	5	0.009	8	0.01	69.00	Nil	Nil

Dengue / DHF

Year	Suspected Cases	Confirmed
2008	527	35
2009	333	66

Chikungunya

Year	Suspected Cases	Confirmed
2008	Nil	Nil
2009	Nil	Nil

Revised National Tuberculosis Control Programme

Particulars	Achievements
% of TB suspects examined out of total new adult outpatient	1.61%
Annualized total cases detection rate	61%
Annualized new smear positive case detection rate (%)	74%
Success rate of new smear positive patients	80%
New sputum +ve defaulter rate	<5%

National Leprosy Eradication Programme

Declared Leprosy Free State in 2005

NLEP Indicators	2006-07	2007-08	2008-09	2009-10 (Nov-09)
No. of new cases detected (ANCDR)	57 (5.24)	50 (4.51)	57 (5.05)	33 (2.92)
No. of cases on record at year end (PR)	39 (0.36)	24 (0.22)	42 (0.37)	35 (0.31)
No. of Grade II disability among new cases (%)	1 (1.75)	0 ( 0 )	(2) (3.5)	0 ( 0 )
Treatment completion rate	100	100	97.4	95
Re-constructive surgery conducted	5	6	3	3

Integrated Disease Surveillance Project

H1N1 Status in UT of Puducherry

Reported for	Cumulative for the state
No. of patient screened	575
No. of patient admitted in hospital (Cat –C )	97
No. of patient whose samples were tested	527
No. of patient found positive with travel history to H1N1 notified countries (imported cases)	4
No. of patient found positive without travel history to H1N1 notified countries (indigenous cases)	112
No. of deaths	Nil

No suspected case were reported from January 2010

890 vials of H1N1 Vaccine received from the Govt. Medical Stores, Mumbai.

Physical Medicine & Rehabilitation Centre

The Artificial Limb Fitting Centre is expanded with physical medicine & Rehabilitation facilities such as Physiotherapy, Occupational Therapy in addition to the fitting of Artificial Limbs and Orthopedic Appliances. It is a 30 Bedded Hospital to provide in-patient treatment facilities to the Physically handicapped persons and fitting of Artificial Limbs. The Outhouses and prostheses are fitted to the physically handicapped persons referred from IGGGH&PGI Puducherry, ESI Mahe / Yanam / Karaikal and other Health institutions. Apart from Orthopedic appliances and Artificial Limbs, special type of appliances such a cervical collar, spinal brace, lumbar sacral belt, Modified surgical boot etc., are also fabricated and fitted to the patients. Fitting of functional Upper extremity prosthesis, partially mutilated hand, cosmetic fingers etc., are also being fabricated and fitted to the needy patients.

The treatment with latest equipments such as Laser Therapy, Microwave, Interferential Therapy, etc., is also available for the chronic patients. The availability of X-Ray unit, Laboratory facilities and operation theatre within the building are of much important to add the facilities in the treatment. The teaching and practical demonstration classes are made available to the students of degree course in Physiotherapy.

National Iodine Deficiency Disorder Control Programme

National Iodine Deficiency Disorder Control Programme (NIDDCP) is implemented in the U.T. of Puducherry from the year 2002-03. The goal of this programme is to reduce the Prevalence of Iodine deficiency disorders below 12 percent in the entire country by the year 2010 AD.

Iodine Deficiency Disorder (IDD) survey

The Iodine Deficiency Disorder survey was conducted by the Central IDD survey team during the month of September 2003 in all the districts of U.T. of Puducherry by covering 1% of village population and 5% school children to assess the Prevalence of goitre. The Prevalence rate of goitre in U.T. of Puducherry was found to be 10.31% (Puducherry-10.52%, Karaikal-7.73%, Mahe-20.0% & Yanam-9.44%)

National Programme for Control of Blindness

National Programme for Control of Blindness was launched in the year 1976 with a goal of reducing avoidable blindness, now the programme is in its 12^th plan, the aim is to reduce the incidence of Blindness to 0.3% by 2020. The major role of community ophthalmology programme is to reach the Blind who reside in the rural, remote and underserved of our country, especially bilaterally blind and women below poverty line.

Surgeries are also done in government general hospital Puducherry, Karaikal and Mahe. The patients are screened the day prior to surgery by the ophthalmologist and operated the next day and followed up on a regular basis.

Year	Number of cases detected				Number of Surgeries Performed
Government			Private	Government			Private
GH	CHC	PHC	-	GH	CHC	PHC	-	-
2005-06	4616	479	702	4922	4499	393	591	4792
2006-07	5313	692	812	5270	5215	580	711	5118
2007-08	5244	632	712	6541	5119	534	623	6379
2008-09	5452	538	668	5923	5368	504	622	5718

Glaucoma and Diabetic Retinopathy Screening

The ophthalmic technicians who are posted in the vision centres screen the patients above 40 years of age for glaucoma by checking their intraocular pressure and if the intraocular pressure is high the ophthalmologist opines on the mode of further management. Similarly all diabetics who come to the diabetic clinic for follow up are screened by the ophthalmologist when they come for cataract screening for diabetic retinopathy and sent to the government general hospital for laser treatment if they show signs of pre proliferative diabetic retinopathy.

School Eye Screening

This is one of the most important components of the NPCB, under which the teachers trained for this purpose, screen the children for defective vision using the Snellen’s chart and then referred to the ophthalmic technician who visits the school and a detailed refraction is done in the vision centre and glasses are provided to the poor and needy children by the NPCB. The children who require further examination are sent to the government general hospital to be seen by a specialist.

The year wise data (2005-06 to 2008-09) of children with refractive error examined and provided free spectacles.

Sl.No.	Particulars	2005-06	2006-07	2007-08	2008-09
1	No. of School children screened	40100	55772	33832	47094
2	No. of children with refractive error	1150	2743	1506	5104
3	No. of children provided with glasses	858	1300	1506	2015