KARNATAKA - of Planning Commission

Demography, Health and NutritionTABLE 6.31Karnataka Health Vision 2020: TargetsIndicators Year of reference Status as on 2001 Targets for 2020Infant mortality rate SRS 1999 58 25Under-5 mortality rate NFHS-2 69 35Crude birth rate SRS 1999 22.3 13Crude death rate SRS 1999 7.7 6.5Maternal mortality rate SRS 1998 195 90Life expectancy at birth (years) 1996-2001Male 61.770Female 65.4 75Total fertility rate NFHS - 2 2.13 1.6Percentage of institutional deliveries 51.1% 75%Percentage of safe deliveries 59.2% >95%Percentage of low birth weight 1994 35% 10%Percentage of mothers who received ANC 2000 86.3% 100%Percentage of eligible couples protected 2000 59.7% 70 %Percentage of children fully immunised NFHS - 2 60 90%Anaemia among children (6–35 months) NFHS - 2 70.6 % 40 %Nutritional status of childrenSevere under-nutrition Gomez 1996 6.2 % 2 %Moderate under-nutrition 45.4 % 25 %Mild under-nutrition 39 % 43 %Normal 9.4 % 30 %Sex ratio 2001 965 975Sex ratio (0–6 years) 2001 946 970Since more than 70per cent of totalinfant deaths occurat the neonatal stage,interventions must focuson several strategies toprevent neonatal deaths.expenditure actually declined from 1 per centof GSDP in 1990-91 to 0.88 per cent in2002-03. Expenditure on rural healthcaremust be stepped up since the most vulnerablesegment of the population resides here.Expansion in medical and tertiary educationmust not occur at the expense of primaryhealthcare. Population growth will have to come downto about 1.0 per cent per year from thecurrent 1.7 per cent. This can be achieved byreducing CBR to about 16 to begin with(the target is 13), through family planningand reducing CDR to less than 6 throughimproved health. This would stabilise thepopulation. Since more than 70 per cent of totalinfant deaths occur at the neonatalstage, interventions must focus on severalstrategies to prevent neonatal deathsthrough encouraging spacing methodsparticularly in young couples and combiningcommunity healthcare with institutionalfacilities. The causes of neonatal deaths areboth exogenous and endogenous. Many arepreventable through early detection (e.g. lowbirth weight, obstructed labour, asphyxia)and immunisation, which is why full ANC ofthe target population should be 100 per cent.Filling up all vacancies of ANMs and medicaloffi cers, training, orientation, and supervisionare essential.Complete immunisation among childrenbelow two years must be achieved in spiteof substantial investment. High-risk districtssuch as Raichur, also have the least coverage150