KOCHI: Even as the State ranks top in achieving immunisation in the Reproductive and Child Health programme, the government does not play a major role in the achievement.
This is indicated by the District-Level Household Survey (2002-04) and Facility Survey (2003) for Reproductive Child Health conducted by the International Institute for Population Sciences. While there is over 90 per cent achievement in immunisation schedule of three injections of DPT and measles and 81.2 per cent achievement in full immunisation schedule that includes BCG vaccination, three doses of polio, three injections of DPT and measles; there is rather little dependency on government institutions in delivering the immunisation cover.
The survey also shows a mean average of 40.5 per cent people from all over the State reaching government institutions for delivering a child. Kozhikode and Thiruvananthapuram average the highest percentage of delivery in government institutions, while Kasaragod, Ernakulam and Idukki show the lowest dependency on government institutions.
Mean percentage of private institutional delivery in the State is high as most districts show nearly 100 percentage points in private institutional delivery cases or home delivery cases attended by qualified doctor or nurse.
In case of Primary Health Centres (PHCs), that are adequately equipped with staff, infrastructure and supply, only Palakkad and Pathanamthitta average above 90 per cent in case of staff. Most of the districts are equipped just up to 50 per cent or less with regard to staff.
In case of infrastructure, only Palakkad PHCs mean average cross the 50 per cent mark.
Supplies from PHCs are also rather inadequate as only two districts of Palakkad and Pathanamthitta average over 50 per cent. The rest show meagre supplies of below 10 per cent also.