| Current
Health Situation
[The following is an
abridged version of the report prepared for the Chandigarh Administration's
"Chandigarh 2020" planning exercise. The authors are: doctors V.K. Kak,
Gurnam Singh, A.C.Chowdhary, J.L. Chowdhary, P. Kulhara, and Mr Raghbir
Chand.]
Chandigarh is easily accessible and in view of better health care facilities
available in this city, if attracts a large number of sick persons the
surrounding states. It is unlikely that the health care facilities in the
surrounding states will improve by and therefore, while planning the health
requirement of Chandigarh, one has to keep in mind that this city will be
burdened by the people of the surrounding states for health care for a long
time to come. In Chandigarh the Primary Health Care Services are provided
through a chain of dispensaries, Community Health Centre, Manimajra, and
Sub-centres. Hospital Services play a very vital and role in Primary Health
Care Services.
On analysis of the mortality statistics it was found that 1/3 the deaths
occurred due to some disease of the circulatory system, followed by
infections and respiratory system ailments:
Mortality in Residents of Chandigarh (Year -1992)
| |
Cause of Death |
1983(%age) |
1992 (%age) |
|
1 |
Circulatory System |
18.1 |
31.2 |
|
2 |
Infections & Parasitic |
18.7 |
12.3 |
|
3 |
Respiratory System |
10.5 |
5.9 |
|
4 |
Injury |
9.8 |
10.4 |
|
5 |
Neoplasms |
2.9 |
3.3 |
|
6 |
Poison, Burn & Suicide |
3.6 |
5.4 |
|
7 |
Digestive System |
8.4 |
2.9 |
|
8 |
Nervous System & Sense
Organs |
4.8 |
2.2 |
|
9 |
Genito-Urinary System |
4.6 |
1.8 |
|
10 |
Prematurity |
6.1 |
2.0 |
|
11 |
Endocrine Disorders |
3.2 |
0.5 |
|
12 |
Others (ill-defined
Blood, Skin old age etc) |
9.3 |
22.0 |
|
Total |
|
100 |
100 |
Chandigarh is on the verge of
achieving all the National Health goals under the National Policy (1983)
which is evident from the table below
Selected Goals for Health for all by -2000 AD
|
Indicator |
Chandigarh (Present) |
India (Present) |
Govt. Of India Goal
by 2000AD |
|
Infant Mortality Rate |
16/1000 live births |
78/1000 live births |
Below 60/1000 |
|
Crude birth rate |
15.4/1000 population |
30/1000 population |
21/1000 population |
|
Crude death rate |
3.3/1000 population |
10/1000 population |
9/1000 population |
|
Couple protection rate |
61.0% |
42.0% |
60% |
|
Immunisation |
71% of target
assigned |
80-85% |
100% |
Health
Infrastructure in Chandigarh
The health infrastructure available is as follows:
At Primary Health Care Level
| Community Health
Centre/PHC Manimajra |
1 |
| Civil Dispensaries |
25 |
| Rural Dispensaries |
9 |
| Ayurvedic Dispensaries |
5 |
| Homeopathic
Dispensaries |
4 |
| Sub-centres under PHC Manimajra |
15 |
| Private Nursing
Homes |
25 |
At Secondary Level
|
