Performance Audit of National Family Welfare Programme in Pondicherry (1995-2000)

Date of Publication
2001
Journal Title
Journal ISSN
Volume Title
Publisher
CAG of India
Copyright Holder
Abstract

The infrastructural facilities in Primary Health Centres and Community Health Centres were very poor and the rural people had to depend on district hospitals for their health care. The motivation of the community to adopt small family norms was not effective and there was a decline in the number of acceptors. The implementation of the Programme was not as envisaged by Government of India. There were deficiencies in the health care services provided to expectant mothers and children. Consequently, the national goal of below 2 per 1000 for Maternal Mortality Rate was not achieved in 4 out of 5 years in Post Partum centres and the Union Territory Government goal of achieving Infant Mortality Rate of less than 25 per 1000 by year 2000 was not achieved. Some major points noticed were as follows: Though Government of India released funds in instalments provisionally every year, the Union Territory Government had not worked out the eligible assistance as per the prescribed pattern of assistance for intimation to Government of India to enable adjustment of the excess or shortfall in future releases. There was an excess expenditure of Rs 47.82 lakh over the norms in the Post Partum centres at Pondicherry and Karaikal. Medical Officers in charge of Post Partum centres had spent less amount on payment of compensation to acceptors than the prescribed norms would warrant, even though enough funds were released by Government of India. Though there were more number of Rural Family Welfare centres established than the norms prescribed, the rural population had to depend only on District Hospitals for their emergency obstetric needs as specialist posts were not created in Community Health Centres. There was deficiency in the health care services provided to expectant mothers; consequently the Maternal Mortality Rate exceeded the national goal of ‘below 2 per 1000’ during 1995-99. The declining trend noticed in the number of acceptors of small family norms indicated that motivation under Post Partum Programme was not effective. Of infants to whom BCG vaccine was provided during 1995-2000, only 52 to 60 per cent were provided with other vaccines, though adequate quantity of vaccines was available.

Description
Keywords
Course Tag
Source
Source URI/URL