1.

AIMS AND OBJECTIVE, METHODOLOGY

5% 5% Tikarpada
1.1 AIM 5% 5% 3%
Bishamkatak
The aim of DHAP is to provide quality health care services to all sections of society, especially for those residing in rural areas, women and
children, by increasing the resources available For the public health system, optimizing and synergizing human resources, reducing regional Kalyanisingpur
imbalances in the health infrastructure, decentralization and district level management of the health programmes and community 19%
participation as well as ownership of the health initiatives. Rayagada
1.2 OBJECTIVE Chandrapur
• Effective management and implementation of NRHM Programme in the district 12% Gunupur
• Strengthening of the Sub Centers through financial support. 46%
• 100 % immunization of all infants and children Gudari
• Provide quality leprosy services with Integrated health care system
• To operationalize the Integrated Disease Surveillance System Muniguda
• To halt the decline in juvenile sex ratio Pie Chart 2. 1 : PERCENTAGE OF URBAN POPULATION
• To create awareness on gender discrimination, equity and equality Source: Primary
• To equip health system with adequate manpower specially as per IPHS to meet the • Ryagada city has highest urban population which is about 46% of total population and Kalyanisingpur is lowest which is about 3% of total
NRHM
1.3 METHODOLOGY population.

• Guideline and Direction of DHAP by DHFW, Odisha

• Preliminary meeting with Chief Medical Officer and Acting Chief Medical Officer along with block level concerned
officials
• Data Collection for Situational Analysis.
• Block level consultations with MOICs, BHMs and BCMs
• Writing of situation analysis PHC and HSC
• District Planning workshop to review situation analysis and prepare outline of District health plan.
• Functionaries at the district level.
• District Consultations for preparation of Draft
• Preliminary appraisal of draft of DHAP and HSC plan
• Final Appraisal
• Final DHAP: Submission to DHS and State
• Printing and Dissemination

2. BACKGROUND STUDY

1. REGIONAL SETTING

• Rayagada district is one of the Southern located district in Odisha.

• Rayagada covers an area of 7584.7 sq. km.
• It is located on 83.41° E longitude and 19.17° N latitude.
• The altitude is 687 feet above mean sea level.
• It is bounded by the Kandhamal district in north, Andhra pradesh in south , Gajapati
district in the east and Koraput district in the west.
• Under sustainable development goals, national health mission and state indicators
rayagada comes under poor category under health sector. Like
3. Poor in maternal mortality ratio
4. Proportional of birth attended by skilled health personal
5. Under-age five mortality rate
6. Total fertility rate
7. Tuberculosis incidents per 100000 population
8. Malaria incidents per 100000 population
9. Coverage of essential health services
10. Less people are vaccinated for vaccine under National program
11. Percentage of people affected by covid -19

MAP 2.4: SHOWING POPULATION RANGE OF RURAL AREA Source: Primary

•From range 5000 – 9999 Muniguda is highest which is about 2%,from range 2000 – 4999 Chandrapur is highest and Rayagada is lowest, from range
1000 – 1999 Gunupur block is highest which is about 16%, from range 500 – 900 Rayagada is the highest and Chandrapur is lowest which is about 1%,
Map 2.3. Connectivity Scale- NTS from 200 to 499 Rayagada is highest which is about 58% and Muniguda is lowest which is about 20%.
Source: Primary
Table 2.2 BLOCK WISE SEX RATIO RANGE OF RAYAGADA DISTRICT (0-6 years)

Range
2.3 DEMOGRAPHY
Blocks Sex Ratio (in Numbers)
Table 2.1 Demography Data 900-930 930-960 960-990 990-1100
Sl. No. Indicators As per census 2011 As per census 2001
Map 2.2. Odisha Map Muniguda 970 🗸
1. Total population 9.63 Lakhs 8.31 Lakhs
Chandrapur 907 🗸
2. Male 4.72 Lakhs 4.09 Lakhs
Map 2.1. India Map Gudari 967 🗸
3. Female 4.96 Lakhs 4.21 Lakhs
2.2 CONNECTIVITY 4. Rural 8.21 Lakhs 7.15 Lakhs Bishamakatak 954 🗸
• During the year 1937, the railway line was laid connection Raipur with Vizayanagaram and in 1940 a direct road was provided with Koraput 5. Urban 1.47 Lakhs 1.15 Lakhs
via Laxmipur. 6. Scheduled cast 1.40 Lakhs 1.15 Lakhs
• National Highway 326 is passing through Rayagada which starts at Asika of Odisha and ends at Chinturu road of Andhra Pradesh and State Kalyanasingpur 952 🗸
Highway 4 which connects Gunupur to Koraput. 7. Scheduled tribe 5.42 Lakhs 4.63 Lakhs
8. Child population (0-6 years) 1.49 Lakhs 1.45 Lakhs Kashipur 1000 🗸
To Reach Rayagada 9. Decadal growth rate 16.46 % 16.40 % Rayagada 980 🗸
• BY ROAD 10. Density/km2 137 118 Kolnara 954 🗸
Direct Express bus services are available from Vishakhapatnam, Vizianagarm, Bhubaneswar, Cuttack, Puri, Jeypore, Koraput, Malkangiri, 11. Average literacy 49.8 % 36.15 %
Phulbani etc. Ramanguda 959 🗸
• BY RAIL 12. Male literacy 61.0 % 48.18 %
Well connected from other parts of India like Delhi, Chennai, Bokaro, Raipur, Gujrat, Nagpur, Kolkata, Hyderabad, Bilaspur and Padmapur 967 🗸
13. Female literacy 39.2 % 24.56 %
Bhubaneswar.
• BYAIRPORT 14. Sex ratio (females per 1000 males) 1051 1028 Gunupur 955 🗸
Nearest airport is at Visakhapatnam (Andhra Pradesh) 200 kms away which is well connected with New Delhi, Kolkata, Chennai,
Mumbai, Nagpur by going flights. • Kashipur block has highest sex ratio which is about 1000 and Chandrapur block is lowest which is about 907.

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2.4 SOCIO-ECONOMIC PROFILE
Table 2.5- Category of Workers 6.3.3: TOTAL NUMBER OF COVID HOSPITALS AND CARE CENTRE IN RAYAGADA DISTRICT:
Bar graph- 2.2
Workers Cultivators Agricultural Workers Other Total NAME TOTAL NO. OF BED ICU BEDS
AREA AND POPULATION The district has an area of 7584.7 sq.kms and 9.63 lakhs of population as per 2011 census. Laborer in Worker Category of Workers
household s COVID HOSPITALS ESI HOSPITAL, (DCHC) 100 10
During the year 2010-11, the net area sown was 135 thousand hectares against 4681 thousand hectares of the industry 80.00% 70.28%
AGRICULTURE state 70.00%
Male 72,596 1,01,221 5,493 78,722 2,58,032 60.00%

IRRIGATION
During 2010-11, it is reported by District Agricultural Officer, Rayagada, that the irrigation potential created 50.00%
39.23%
OAV, GUNUPUR 100 -
during Kharif and Rabi are 47227 hectares and 17691 hectares respectively through different sources.
40.00% 30.51%
Female 26,669 1,46,954 4,466 31,001 2,09,090 30.00% 28.13% SKILL DEV. TRAINING 100 -
There were 1373 nos. of primary schools, 566 nos. of middle schools, 96 no. of secondary schools and 29 nos. of
EDUCATION general colleges in the district during 2010-11. Besides, there is one number of polytechnic schools and 1 nos. of
20.00% 12.75% 14.83% CENTER, BISSAM CUTTACK
engineering colleges in the district during year 2010-11 to impart technical education. 10.00% 2.13%2.14%
Total 75,265 2,48,175 9959 1,09,723 4,67,122 0.00% COVID OAV, TADAMA 150 -
Cultivators Agricultural Workers in Other
HEALTH
There were 2 nos. of the medical institutions, 11 nos. of Homoeopathic dispensaries and 19 nos. of Ayurvedic (16.1%) (53.1%) (2.1%) (28.7%) Labourers household CARE
dispensaries available.
Workers OAV, RAMANAGUDA 150 -
industry CENTRE
VETRINARY SERVICES During the year 2010-11, 19 nos. of Hospitals and dispensaries, 85 nos. of livestock Aid centers were functioning Male ITI, RAJBAHAL, B.CUTTACK 50 -
in Rayagada district of provide veterinary services to the people.
Female
During the year 2010-11, 162 nos. of small scale industries have established with total capital investment of • Female agricultural labourer are higher then male agricultural labourer which is about 70.20% of total worker. BITS, GUNUPUR 50 -
INDUSTRIAL MINING about Rs.1725.00 lakhs with 780 nos. of Employment generated in Rayagada district. •Male cultivator are higher than female cultivator which is about 28.13% of total workers.
•Workers in household industry are lowest which is about 2.1% from total worker. TOTAL 600 -
Consumption of electricity in Rayagada district during the year covers 130.790 million units and villages so far
POWER electrified as on 2010-11 is 710 which constitutes 28.8 % to the total villages of the district. • There is one covid hospital with 100 bed and 10 ICU bed.
2.6 RESOURCES AND INFRASTRUCTURE • No ICU bed available in any of the covid care centre.
There are 7 nos. of tourist center such as Bissam-Cuttack, Chatikona, Devagiri, Hatipathar, Minajhola, Niyamgiri 2.6.1
TOURIST hill and Padmapur identified by department of Tourism and Culture, Odisha. During 2010-11 HealthcareBLOCKSand CHC PHC NO.OF ASHA WORKERS
GAP ANALYSIS OF PHC OF RAYAGADA
During 2010-11, 381 kms. of state highways, 130 kms. Major district roads, 69 kms. of other district roads, 973 DISTRICT Blocks Populatio PHC Required Gap Analysis
kms. of village roads, 4838 kms, of Gram Panchayat roads, 211 kms. of forest roads, 1354 kms. of P.S. roads are BISAMCUTTACK 1 4 208 n (2011)
TRANSPORT AND COMMUNICATION operating in the district. Besides, 154 kms. of Railway lines with 13 nos. of railway stations including passenger
halts are continuing in the district. CHANDRAPUR 1 2 97 Bishamakatak 84,091 4 3 0

GUDARI 0 2 84 Chandrapur 41,129 2 1 0

As on March 2011, there were 63 nos. of schedule commercial banks having 1168 crores rupees deposit and 436
BANKING crores rupees credit in the district. Gudari 42,737 3 1 0
GUNUPUR 1 2 127
Gunupur 76,333 2 3 1
KALYANISINGHPUR 1 3 125
Kalyansinghpur 59,093 3 2 0
2.5 AGRO-ECONOMIC CONDITION KASHIPUR 1 6 250
Kashipur 1,40,633 6 5 0
KOLNARA 1 3 177
4,67,122 (48.5%) Kolnara 73,839 3 2 0
Male- 2,58,032 (55.2%) MUNIGUDA 1 3 191 Muniguda 85,218 3 3 0
Total Number of Workers Female- 2,09,090 (44.8%)
PADMAPUR 1 4 108 Padmapur 56,459 4 2 0
Urban- 53,423 (11.4%)
Rural- 4,13,699 (88.6%) RAMANGUDA 1 2 90 Ramanguda 52,632 2 2 0

48.3 RAYAGADA 1 5 268 Rayagada 1,08,781 5 4 0

Workforce Participation Rate [Population Rate =(Labor force/Working –age population) x100]
URBAN GAP ANALYSIS OF CHC OF RAYAGADA • There is only 1 PHC is needed in Gunupur block.

Major Source of Income Agriculture GUDARI (N.A.C) 0 1 27 DISTRICT

Blocks Population (2011) CHC Required Gap Analysis

Gross District Domestic Product GUNUPUR(N.A.C) 0 0 0 Bishamakatak 84,091 1 1 0

(Rs. in Lakh) 4,19,468
RAYAGADA (M) 1 0 0 Chandrapur 41,129 1 0 0

Net District Domestic Product Gudari 42,737 0 0 0

3,58,727 TOTAL 11 37 1752
(Rs. in Lakh) Gunupur 76,333 1 1 0
Table -2.5 (No of CHC, PHC, Asha Workers) Kalyansinghpur 59,093 1 0 0
Per Capita
Income (In 37,018
• There are total 11 CHC , 37 PHC from which Kashipur has highest having 6 PHC and Gunupur has no PHC. Kashipur 1,40,633 1 1 0
Rs.) • District has total 1752 asha workers from which Rayagada is highest and Gunupur is lowest.
Table 2.3 Worker’s profile Kolnara 73,839 1 1 0
• Agriculture is the main source of income of the district on which more than 70% of the population depends. The tribal people mainly depend upon OVERALL DATA OF COVID-19 IN RAYAGADA Muniguda 85,218 1 1 0
agriculture and forest produces for their livelihood. More traditionally, they also insist upon the wrong method of shifting cultivation which is the most DISTRICT: Padmapur 56,459 1 0 0
unscientific and sometimes harmful to their very existence. POPULATI CONFIRME RECOVER TOTAL COVID CASES BY
• The district is endowed with various natural resources which are found the western part of the district. These can be utilized in the process of BLOCK/ULB ACTIVE DECEASED
O N D ED TOTAL POPULATION (in Ramanguda 52,632 1 0 0
industrialization. %)
Rayagada 1,08,781 1 1 0
BISSAM
Workers Male Female Total 84,091 666 160 505 1 0.7
CUTTAC
Main 1,64,965 62,850 2,27,815 (48.8%) K
GAP ANALYSIS OF DHC OF RAYAGADA
Marginal 93,067 1,46,240 2,39,307 (51.2%) CHANDRAPUR 41,129 314 27 287 0 1.0
DISTRICT
District Population DHC Required Gap Analysis
Rayagada 9.63 Lakh 1 1 0
GUDARI 42,737 435 54 381 0 0.6
Table 2.4 Composition of Workers in the District
GUNUPUR 76,333 512 69 441 2 0.5
Table 6.4.2 GAP ANALYSIS ONAVAILABILITY OF BEDS:
Composition of Workers KALYANSING
59,093 382 46 336 0 0.5
80.00% P UR
72.40% FACILITY TYPE NUMBER OF BEDS (AS PER IPHS) DEMAND SUPPLY GAP
70.00% KASIPUR 1,40,633 687 150 536 1 0.9
61.20%
60.00% KOLNARA 73,839 369 97 271 1 0.6
District Headquarters Hospital For 10 lakhs population the no. of bed required is 275. 265 99 166
50.00% MUNIGUDA 85,218 752 147 602 3 1.6
38.80%
40.00%
PADMAPUR 56,459 395 63 329 3 0.3
27.60% Sub-divisional hospitals For 5 lakhs population the no. of bed required is 50. 97 80 17
30.00%
RAMANAGUDA 52,632 505 88 415 2 0.9
20.00%
RAYAGADA 1,08,781 958 246 709 3 0.6 Community Health Centres Each CHC will have 30 beds. 330 192 138
10.00%
0.00% GUNUPUR MPL 28,870 497 43 449 5 1.7 Primary Health Centres & IDH Each PHC will have 6 beds. 222 80 142
Main Marginal
RAYAGADA
Male Female 71,208 982 73 899 10 1.3 Sub- Centre - - 35 -
MPL

Bar graph 2.1 Composition of

Source: District Industrial Potentiality Survey Report, Rayagada (2017-
18)
OTHERS 44,093 420 420 0 0 0.9 Total - 914 486 428
) workers TOTAL 9,65,116 7874 1626 6140 31 0.8
Table 2.6 Covid-19 Data • In district Head quarters hospital more 166 beds are needed and in sub divisional hospitals more 17 beds are needed then in community health centres
• From total worker male workers are highest which is about 72.40% and female workers are lowest which is about 27.60%.
• In Rayagada district Rayagada city has highest covide confirmed cases which is 982 from total population and lowest is more 138 beds are needed, in Primary health care 142 bed are needed.
• From marginal worker female workers are highest which is about 61.20% and male workers are lowest which is about •Total 428 beds are needed in Rayagada district.
Padamapur.
38.80%. • Highest active cases is found in Rayagada city and lowest in Kalyansingpur.

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 GRAPH 6.5 SUPPLY AND DEMAND OF GRAPH 6.6 PERCENTAGE OF AVAILABILITY OF 45
BEDS BEDS:
41.93 Map 2.5 LAND USE LAND COVER MAP OF RAYAGADA DISTRICT
Spot Sources Percentage of Households
40
1000 District
13% Headquarters Untreated 4.8
900 35
Hospital
800 Tap water Treated 13.77

Percentage of Households
Sub- 30
700 39% 11% divisional Total 18.57
25 23.49
600 hospitals Uncovered 5.68
500 914 Community Health 20 18.57
400 Centers Well Covered 1.57
15 13.77
300 Total 7.25
486 26%
200 Primary Health 41.93 10
11% Centers & Hand pump 7.25
100 4.8
5.68
IDH Tube well 23.49 5
0 1.57
demand supply of Tank 0.29 0
0.29 0.45

of beds 0.45 Tapwater Well HandpumpTubewell Tank Other Sources

Other Sources
• beds
Calculation of Total No. of Bed required in District Headquarters Hospital; Graph: Percentage of Households by Source of Water
Based on the assumptions of the annual rate of admission as 1 per 50 population and average length of stay in a hospital as 5 days, • Most of the households are using hand pump for daily use which is about 41.93% and tank is least use which is about
the number of beds required for a district having a population of 10 lakhs will be as follows: 0.29%.
The total number of admissions per year = 10,00,000 × 1/50 = 20,000 2.7.1 Stage of ground water Development of Rayagada District
Bed days per year = 20,000 × 5 = 100,000
Total number of beds required when occupancy is 100% = 100000/365 = 275 In ha.m
beds And for 967,911 population:
The total number of admissions per year = 967,911 × 1/50 = 19,358.22 1 Net Annual Ground Water Availability 65681
Bed days per year = 19,358.22 × 5 = 96,791.1
Total number of beds required when occupancy is 100% = 96791.1/365 = 265.18
beds = 265 beds(approx.) 2 Existing gross ground water draft for irrigation 6749
• Calculation of Total No. of Bed required in Sub-divisional hospitals;
For 500,000 population the no. of bed required is
50. As per unitary method, 3 Existing gross ground water draft for domestic and industrial 2735
For 967,911 population the no. of bed required is supply
50/500000 × 967,911 = 96.79= 97 beds(approx.)

• Calculation of Total No. of Bed required in

4 Existing gross ground water draft for all uses 9485
Community Health Centres;
Each CHC will have 30 beds
In our study area the total no. CHC is 11 5 Provision for domestic & industrial requirement supply for next 2799
Therefore, the total no. of beds required is 11×30 = 25 years
330 beds

2.6.2
Sl. No.EDUCATIONCategories of Schools / Colleges Teachers EnrolLmen
6 Net ground water availability for future irrigation development 56131
School / / t (in nos)
Table 2.7 – categoryColleges
of educational instituition and nos of Lecturers
students enrolled Source- Ground water information booklet, Rayagada District(2013)
1. Primary 1346 3170 49774

2. Upper-Primary 621 2995 70558

2.8 LAND UTILIZATION PATTERN
Land is a primary factor for all kinds of production. Generally 3 types of soil are found in this district such as Low, medium and high fertile soils.
3. Secondary 233 2142 65114 Its reactions is acidic and red lateral. Sandy loam, black soil are also available to some extent. But the use of land should be judiciously decided to
derive optimum return out of it as the continuous pressure on land makes it a more scarce resource.
4. Colleges 32 357 12037
( Gen. Education )
In Hect.
5. Colleges ( Diploma ) 7 711 3587

6 Colleges 2 17 117 1 Forest Area 95678

( Tech. Degree )

Source : Dist Project Coordinator, OPEPA / Circle Inspector of Schools / Dist Inspector of Schools / Block Development Officer
2 Misc. trees, crops, & groves 11848
NB :
Scale - NTS
1. Primary-I-V 2. Upper-Primary-VI-VII &I-VII, 3. Secondary-VIII-X,VI-X,I-X, 4. College ( Gen) excludes +2 (Govt. includes school /
colleges of Central / State Govt.,Tribal Deptt., Local bodies, Kendriya Vidyalayas, Novodaya Vidyalayas,Sainika School, Project School etc.
Private colleges / Schools consist of Private Aided / Un-aided, Private Mgt. College (Diploma & Degree) includes engineering, polytechnic, 3 Permanent Pasture 10197
Computer Science, Management, Pharmacy , nursing etc )

2.7 GROUND WATER 4 Cultivable waste 13112

• This District has more ground water potential than surface water, as the dependence of surface water for drinking water is approximately 3%.
Source
• Major water source for all purposes: Ground water – through spot sources like Tube well/Sanitary well/Dug wells/Percolation well or
through 5 Land put to non-agricultural use 26527
Piped Water Supply System from deep bore wells either by external electrical energy or Solar energy based pumps.
Requirements to
Type 2017-18 Ongoing cover all water 6 Barren & Uncultivable land 232505
scarcity

Piped Water Supply System (PWSS) and Small Business Wage Subsidy
(SBWS) – including Orissa Tribal Empowerment and Livelihoods 526 35 64
7 Current fallow 32403
Programme (OTELP) • In Rayagada district forest cover 12.61%, agricultural land cover 25.51%, barren and unculturable land
cover 25.51% from total geographical area.
Spot sources 12512 182 76 8 Old fallow 15749
PWS Systems –
– –
14
Solar Based Systems 9 Net area sown 134510
Pumps – 451 Pumps – 110 Pumps – 56

Over Head Tanks (OHT)/ Elevated Storage Reservoir (ESR ) 83 12 – Source- District industrial potentiality Survey Report, Rayagada(2017-
18)

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