Gender Criticism Of Modern Family - 1019 Words

As we all know the term nuclear family is defined as a husband, wife and their two children. However in recent decades we see through many television shows such as Modern Family breaking this ideal hegemonic family structure. The show Modern Family presents its audience a very live action of dysfunctional families, that contains gay parents as promoting a new sense of family value. Although this show attempts to portray a contemporary view of American families, it still emphasizes stereotype of gender roles, patriarchy and hegemonic masculinity. Throughout this essay I will analyze mainly on gender criticism of the Show Modern Family, while touching base of some stereotypes I noticed on race, ethnicity and sexual orientation. Modern Family is a very popular show that features three families who have formed a large extended family. All the character in this show are very easy to relate to, as they appear as the typical 21st century family structure, with a gay couple who have an ado pted vietnamese baby, and a divorced father who married a young Latin women. The first family(the Dunphys) in this show are more of a traditional family. Phil Dunphy, the husband/father has a character of the breadwinner working in as a real estate agent. Claire Dunnphy, his wife is a stay at home mother. They have two daughter, Haley who is known as an attractive and ditzy party goer, and the their other daughter Alexr is very intelligent and prefers doing school work instead of going out andShow MoreRelatedCritical Essay : Critical Nature1561 Words   |  7 PagesCritical Nature Essay The word â€Å"critical† contains the making of negative judgement and careful evaluations. Criticism are widely applied to literary text and art making, and everyone has his/her own critical nature toward these works. At the same time, I am exploring and experiencing my own critical nature. Through my artworks and theories that I learned from Critical Inquiry class, I gradually developed a personal theory of how to think and work critically. (have problem with thesis As an artistRead MoreThe Awakening : Reflective Statement Essay1719 Words   |  7 Pagesera plays a role in the books reaction and criticism. During the end of the 1800’s, the idea of romantism was dying and a more prominent feature of realism was beginning. This makes it easier to compare and contrast it with modern times and we came to see that gender roles of that time. The man was supposed to work and the woman was supposed to stay home and look after the children. In modern times, although many have changed their thoughts on the gender roles in the home, the stigma of what a manRead MoreUnited Nations Adoption of the Universal Declaration1437 Words   |  6 Pagesconstitute torture or cruel, inhuman or degrading treatment--by drawing on that basic concept of anthropology, cultural relativity. Any criticism is read as Eurocentric and yet another an imposition of inappropriate western Enlightenment ideas about liberal individualism. As the ideas and ideals of modernity have waned over the past decade, the particularism of post-modern theory and the politics of multiculturalism have shaken our belief in the existence of unifying universals, including universalRead MoreAccording to Pateman, What is Patriarchy?1345 Words   |  6 Pagespatriarchy? Do you agree or disagree? Discuss critically.† Patriarchy is generally defined as â€Å"a form of social organisation in which the father or eldest male is the head of the family and descent is reckoned through the male line† (Oxford Dictionary, 2006) and therefore it is traditionally referred to within the family context. In her discussion on sexual contracts, Pateman takes the definition of patriarchy to a deeper level by looking at the term patriarchy from various socio-political and economicRead More Criticism of Moll Flanders Essay1352 Words   |  6 PagesCriticism of Moll Flanders   Ã‚  Ã‚  Ã‚  Ã‚   How should readers interpret the seeming contradictory character that Daniel Defoe presents in Moll Flanders?   Is her penitence a construction of irony?   While the question of irony was prominent in the earlier criticism of the 1950s and 1960s, most scholars have moved away from that question, acknowledging the existence of various types of irony and validating the true reformation of Moll.   Critics are now articulating other subtle and complex authorial strategiesRead MoreAnalysis Of Disney Princess Films848 Words   |  4 Pagesprincess films are some of the most common in the world today. Because of their popularity, these works speak and evaluate, in significant detail, by various scholars. Numerous people disapprove these films for their seemingly sexist and oppressive gender messages. They find fault with the princesses serving as role models for young girls. Though, when one attentively scrutinizes the movies and compares the individualities of t he princesses to the progressive woman of their time, one may obviouslyRead MoreAnalysis of Arthur Millers Death of a Salesman1581 Words   |  6 Pagesdifferent interpretations. By analyzing three different critical responses to Death of a Salesman, it will be possible to not only understand the play better, but also actually see how the reception of the play has changed as societys standards of criticism and discourse changed over the intervening years. One is able to see how shifting views on patriarchy lead to a change in the plays reception, and particularly the characterization of Willy Loman, who transforms from a tragic, albeit flawed manRead MoreThe Conventional Nuclear Family in Britain Today Essay755 Words   |  4 PagesThe Conventional Nuclear Family in Britain Today Since the Industrial revelation the nuclear family has been recognised as the norm of British society and although there have been recent changes in family life, is the norm of Britain today still the conventional nuclear family? The nuclear family has always been considered the norm in society ever since the industrial revolution but in society today the single parent family has had a dramatic increase from around 4%Read MoreThe Symbolism Of Birds Throughout Chopin s The Awakening1564 Words   |  7 PagesAwakening, Kate Chopin illustrates the social oppression that women experienced during the Victorian Era (1837-1901). The protagonist in the novella, Edna Pontellier, reflects the progressive women of the late 1800s who began to question the traditional gender roles of society. In contrast to customary women such as Adele Ratignolle, the model character in the story who displays very high standards of being a wife and a mother, Edna acknowledges her sexuality and individual identity. These recognitionsRead MoreMargaret Fuller s Transcendentalist Views1039 Words   |  5 PagesThrough Margaret Fuller’s transcendentalist views, she was able to leave a deep and lasting impact on feminism, from her emphasis on virginity as a means of self-reliance, to her criticism of marriage, and her reinventing of the Madonna or Mary figure. Due to her father’s want of an intellectual heir, Margaret Fuller, born in Cambridge in 1810, had the rare opportunity few girls had during her time- she was properly educated. Influenced momentously by Romanticism and New England Transcendentalism

Michelangelo, A Biography Essay - 1536 Words

Michelangelo Buonarroti was born on March 6, 1475. He lived almost a full century and died on February 18, 1564; he was still working six days before his death. During his life, the western world underwent what was perhaps the most remarkable period of change since the decline of the Roman Empire. The Renaissance saw changes in all aspects of life and culture, with dramatic reforms sweeping through the worlds of religion, politics, and scientific belief. Michelangelo was one of the advocates of this new philosophy, while creating some of the most beautiful and very famous artwork pieces ever created. He was born at Caprese, in Tuscany, he was the second of five sons of Lodovico di Leonardo (a civil servant) and Francesca†¦show more content†¦Other influences on his young mind included two members of the church: one was his local priest and the other was an opinionated monk named Fra Girolamo Savonarola. Michelangelo first heard Savonarola preach in 1492, the year in which his first patron, Lorenzo de Medici, died and Michelangelo returned to his fathers home. The monks sermons and his subsequent violent death had a lifelong effect on the artist and many of his works; the loss of Lorenzo also deeply affected his artistic consciousness. At the age of 21, he made his first trip to Rome, a city that was both to play a prominent part in his life and create many frustrations for him. This time he spent five years in the city, creating some of his best known works. In 1496-97, he completed his first important commission, Bacchus. ( Martindale 78) In 1497-98, Michelangelo created the Pieta, a masterpiece of sculpture that could not be further removed in content from the witty Bacchus. The Pieta is heralded as one of his greatest achievements. The sorrowing face of Mary, contemplating the lifeless body of her eldest child, still wrings the heart today. He took the subject out of a religious context and placed it in a humanist light emphasizing the grief of Mary and the mortality of her dead son. On August 16, 1501, the new republic commissioned Michelangelo to make the statue of David. He was asked to sculpt it from a single block of marble. David isShow MoreRelated Biography of Michelangelo Essay3799 Words   |  16 PagesBiography of Michelangelo The second of five brothers, Michelangelo was born on March 6, 1475, at Caprese, in Tuscany, to Ludovico di Leonardo di Buonarotto Simoni and Francesca Neri. The same day, his father noted down: Today March 6, 1475, a child of the male sex has been born to me and I have named him Michelangelo. He was born on Monday between 4 and 5 in the morning, at Caprese, where I am the Podestà  . Although born in the small village of Caprese, Michelangelo always considered himselfRead More Biography Of Michelangelo Essay1685 Words   |  7 PagesMichelangelo Buonarrati nbsp;nbsp;nbsp;nbsp;nbsp;The typical stereotype of artists of the past, is a lonely, tormented outsider, who creates his art through his pain and anguish. Well Michelangelo was just that. In fact the stereotype is modeled after him. He was an unsociable loner who didn’t have many friends, lovers, or even assistants to help him. His temper and rudeness drove others away from him and kept him lonely. However, even though he was not the most likeable or social guy, heRead MoreHow Does Baxandall Indicate The Product Essay655 Words   |  3 Pagesfor the biography of a â€Å"master† like Michelangelo or Leonardo? How are their biographies presented similarly in The Agony and The Ecstasy and Da Vinci’s Demons. How does the identity of the â€Å"master† serve as a metaphor for Florentine civic identity? Michelangelo is viewed as a person who is unlikely to complete any commissions. He is described as a character that has difficulties when it comes to relationship and love to engage in sexual relationship with the male counterparts (Michelangelo LeonardoRead MoreEssay about Michelangelo880 Words   |  4 Pagesbiography on michelangelo â€Å"Trifles make perfections, and perfection is no trifle,† Michelangelo once stated. He is one of the greatest artists of all time and is unmatched by any other. Michelangelo is the creator of works of sublime beauty that express the full breadth of human condition. Yet, he was caught between conflicting powers and whims of his patrons, the Medici’s of Florence and Papacy’s in Rome. Michelangelo was born on the sixth of March in 1475, the second of five brothersRead More Michelangelo Buonarroti Essay713 Words   |  3 Pages Michelangelo Buonarroti nbsp;nbsp;nbsp;nbsp;nbsp;Michelangelo di Lodovico Buonarroti Simoni, was a very influential man of his time and of all time. Michelangelo was born on March 6, 1475, in a small village a part of the Florentine territory known as Caprese. His father originally did not support his artistic ability, but just a while after Michelangelo’s 13th birthday, his father allowed him to be an apprentice for a famous painter, Domenico Ghirlandaio. Unfortunately there was some conflictRead MoreEssay on Raphael Sanzio Inspired1449 Words   |  6 Pagessurrounding colleagues and then he would combine them with his own personality to create some of the best works from his era. Raphael Sanzios work of the Italian High Renaissance era is the result of influences and incorporation of techniques of Michelangelo Buonarroti, Pietro Perugino, and Leonardo DaVinci. Raphael Sanzio is most well remembered for his dynamic works from his time. Raphael was born in Urbino in the province of Umbria in 1483. Fortunately for him, his father, Giovani di Santi, wasRead MoreMichelangelo Buonarroti Essay2343 Words   |  10 PagesMichelangelo Buonarroti 1 Michelangelo Buonarroti is one of the most famous sculptor, painter, architect and poet during the High Renaissance. He is most famous for his sculpture of David and his fresco painting on the ceiling of the Sistine Chapel. Michelangelo led a very interesting life and had a huge impact on art as we see it today. Michelangelo was considered a contributor of the Mannerism movement. Mannerism is defined as â€Å" an art style in late 16thRead MoreMichelangelo Pieta Essay1407 Words   |  6 PagesMichelangelo’s Pieta Michelangelo once said, â€Å"The true work of art is but a shadow of the divine perfection.† These words have uttered in my mind over and over again, as I read them; a man with such talent and grace in his work giving glory to a higher being, whose work is more divine than we can ever imagine. A work of perfection is hard to come by in the lives of mere men, but Michelangelo’s Pieta was so close to perfection that the images in which the sculpture portrays almost comes to life.Read MoreEssay Comparing the Three Statues of David 955 Words   |  4 PagesComparing the Three Statues of David The pieces of art I will be comparing and contrasting are the three statues of David, by Donatello (Donato di Niccolà ² di Betto Bardi), Michelangelo (Michelangelo di Lodovico Buonarroti Simoni), and Bernini (Gian Lorenzo Bernini). The statues are modeled after the biblical David, who was destined to become the second king of Israel. Also most famously known as the slayer of the Philistine giant Goliath with a stone and a sling. The sculptures are all basedRead MoreThe Story of Michelangelo Essay1090 Words   |  5 Pagesparticularly person stood out and has done great things with his life. Michelangelo wasnt some original person, he was a creative, leader, rebellion, and over all a life changing person that wanted to make a difference in the world. Michelangelo had brought his own style and technique into the public eye, which changed the Renaissance with his originality. In the 1500s, the world of art had started to change in the time period that Michelangelo had lived. Gothic styles that had taken over the times before

Computer reservations system free essay sample

Manila, with its rich history, tourist attractions and spectacular sunset, offers an idyllic escape into a tropical island world. The City, located in the National Capital Region of the Philippines, is just two hours away from Hong Kong, Singapore, and Taiwan. April 2010, China Oceanis Philippines opened the first aquarium-themed urban resort hotel in the Philippines. Great care is being taken to ensure that the architecture blends harmoniously with its natural environment, combining the virtues of comfort and elegance with traditional Philippine design and colours. The hotel, designed by GSN + P Architecture Studio, comprises two floors connected by a long aquarium wall, housing the Club H2O Lounge, Fitness Centre and Spa. The 128 rooms and 19 suites, pleasantly furnished with Turkish Sandalwood marble, natural fabrics and artworks, have the customary upscale amenities, comfortable queen or twin beds, individually controlled air-conditioning, mini bar, personal safe and LCD television with remote control showing in-house movies and cable television. We will write a custom essay sample on Computer reservations system or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page There will never be a dull moment at Hotel H2O. A healthy stroll at the historical Rizal Park in the early morning, a visit to the fitness centre before shopping at the Sunset Quay during midday, an Oceanarium trip in the afternoon, cocktails at the White Moon Bar while observing the sunset, a view of the extravagant Musical Fountain Show at the Acquatica complex in the evening, and a fun night-out at the Liquid Pool Lounge. To round-off a trip to Manila, a diverse selection of tours can be easily organized to some of the many attractive places such as the Old Walled City of Intramuros, the China Town of Binondo and the historical Malate Church. Hotel H2O is a member of the WORLDHOTELS, the largest and most established Europe-based global hotel group for independent hotels and regional hotel brands, with a strong emphasis on properties with character and distinction. Affiliation Hotel H2O is a member of the WORLDHOTELS, the largest and most established Europe-based global hotel group for independent hotels and regional hotel brands, with a strong emphasis on properties with character and distinction. About WORLDHOTELS: WORLDHOTELS is one of the leading global groups for independent hotels and regional hotel brands. The company’s strong emphasis is on properties with character and distinction. It has almost 500 affiliate properties in more than 300 destinations and 70 countries worldwide. Under the banner â€Å"Unique Hotels for Unique People†, WORLDHOTELS offers business and leisure travelers a wide choice of individualistic accommodation options in three distinct collections – Deluxe, First Class and Comfort. WORLDHOTELS’ guests benefit from an extensive portfolio of partnerships, including frequent flyer programs from 19 of the world’s leading international airlines, including Air France/KLM, United Airlines and Lufthansa. To its affiliate hotels, WORLDHOTELS provides a wide range of sales, marketing, distribution and related services. B. MISSION AND VISION MISSION We provide our customers not only a great stay but also an active discovery and distinct experience. More than delivering a unique design and excellent service, we will create feelings of enrichment, social awareness and inspiration VISION We are a unique hotel of choice through our commitment to deliver world-class hospitality and excellent service to our customers. ORGANIZATIONAL STRUCTURE LOCATION MAP Hotel H2O is situated at the northern part of Roxas Boulevard behind Rizal Park, one of the most historical sites in the country. The hotel’s location also provides a spectacular and unobstructed view of the famous Manila Bay sunset. It is only 9 kilometres away from Ninoy Aquino International Airport and 7 kilometres from the Makati Business District. HOTEL ADDRESS: Luneta Manila 1000 Philippines Telephone: +63 2 238 6100 Facsimile: +63 2 238 6188 Email: [emailprotected] Website: www.hotelh2o.com Chapter II : DEPARTMENT/S ASSIGNED AND ITS FUNCTIONS SALES AND MARKETING DEPARTMENT (RESERVATIONS) I was assigned to the Sales and Marketing department particularly in Reservation Department; here I realize that the reservation is usually the first point of contact between perspective clients and the Hotel, thus the responsibility for creating the all important falls to all Reservations personnel. I. The main function of the reservation process is to match room requests with room availability. Below is the detailed process of reservation: a) Conduct the reservation inquiry b) Determine room and rate availability c) Create the reservation record d) Confirm the reservation record e) Maintain the reservation record f) Produce reservation reports The Reservations Department control room and rate availability, operate and update the guest history and maximize room sales through effective use of rate controls, up selling and yield management (once available on the property management system). In addition, the Reservations Department must maintain a good working relationship with other departments within the Hotel and provide same with occupancy forecasts, reports and statistical data. II- Types of Reservations: 1. Guaranteed Reservation: Insures that the hotel will hold a room for the guest until a specific time following the guest’s scheduled arrival date [i.e. Check-out time or start of the hotel’s day Shift or any time the lodging property chooses]. On return, the guest shall guarantee his/her reservation of room unless reservation is properly canceled. In order to guarantee a reservation, guests might opt for one of the following methods: a) Prepayment guaranteed reservation b) Credit card guaranteed reservation c) Advance deposit or partial payment d) Travel agent guaranteed reservation e) Voucher or Miscellaneous Charge Order [MCO] f) Corporate guaranteed reservation 2. Non-guaranteed Reservation: Insures that the hotel agrees to hold a room for the guest until a stated reservation cancellation hour (Usually 6 p.m.) on the day of arrival. ï‚ · Reservation agents shall make sure to encourage their guests to guarantee their reservations especially in the high season III- Reservation Inquiry: ï‚ · Guests can communicate their reservation inquiries in person, over the telephone, via mail, through facsimile, telex, e-mail†¦ Moreover, reservation inquiries can be made through a Central Reservation System or an Intersell Agency. ï‚ · While getting a reservation inquiry, the reservation agent shall obtain the following guest-related information: a) Guest’s name, address and telephone number b) Company or travel agency name c) Date of arrival and departure d) Type and number of rooms requested e) Desired room rate f) Number of people in the group, if applicable g) Method of payment and/or guarantee h) Any other special requests ï‚ · Most of the above mentioned information is used to create a reservation record. IV- Sources of Reservations: 1. Central Reservation Systems 2. Online Travel Agencies (EXAMPLE: Agoda.com, Direct With Hotels.com, Booking.com, Expedia Travel.com) 3. Local Travel Agencies (EXAMPLE: Prie tour, Rajay Travel) V- Group Reservations: ï‚ · Conducting a reservation request for a group shall be treated differently than accommodating a reservation of individual guests (i.e. Frequent Independent Traveler). The main reason is that individual reservation requests are treated by the reservation department, while group reservations are initiated by the Sales Marketing division, and finalized through a careful coordination of the reservation from one hand and the marketing from the other. Here are some other differences between handling individual and group reservations: Individual Reservation Group Reservation Reservation Department Sales Department Usually one person calls to reserve for himself / herself Usually one person reserves for the whole members of the group (Group representative, Group leader, Member of the travel agency / Tour operator†¦) One Reservation record for each potential guest One Reservation rerecord for the whole group One Guest Folio for each potential guest opened as part of the pre-registration process One Master Folio for the whole group opened as part of the pre-registration process Higher price assigned for room Low price assigned for room Upon matching room inquiry with room availability, reservation agent reserves a room Upon signature of allotment contract, first block rooms needed. Later, upon receipt of Final List by Cut-off date, deblock the block, reserve for those rooms conveyed in the List and release the remaining for sale. Reservations can be either Guaranteed or Non-guaranteed. Reservations are usually on a Guaranteed basis. ï‚ · Below is a detailed procedure of how group reservation, in a typical hotel, is conducted: 1. A group representative, a member of the travel agency or the tour operator, not individuals, shall communicate group reservations request to the hotels marketing department 2. Upon availability, the hotels reservation department shall block the requested number of rooms for this very group 3. The Hotel shall give a deadline for the group, in order to receive their final list. That deadline is called Cut-off Date 4. After receiving the final list, the reservation department shall change the desired number of rooms status from blocked to booked (or reserved) rooms, and release the remaining rooms (if any left) as vacant 5. If the hotel did not receive the final list by the cut-off date, then the reservation department has all the right to cancel the group reservation and release all the initially booked rooms into vacant rooms. CHAPTER III : FUNCTIONS OF THE TRAINEE A. THINGS LEARNED THEY say that nothing beats experience they serve as the perfect learning tool. For some students, on-the-job training gives them a taste of the real world–a glimpse of what lies ahead after we graduate. During my On the Job Training at Hotel H2o I learned a lot. I learned how to communicate and understand well what customer service especially in Reservation department where in queries at your hotel takes place. I have many chances of applying all Ive learn in my school as our professors imparted a partial knowledge as we go and have a real battle in our chosen industry. I became more responsible about regulations and follow every standard they have. I reminded my self that Im not here to be lazy, but Im here to prove my self I have an edge in this industry. I have realized that being punctual is more important than being industrious. For showing that you have that eagerness in the job you’re in, is being like you owned it. One of the most important things I’ve learned is that talent alone is not enough. It is important, but it is no guarantee of success. You must be hard working and should practice self-discipline especially in reservation department where it will all started from booking until the guest will check out. Sacrifice is important, too. B. TECHNICAL While working at the Reservation Department, I was provided with the needed learning experiences that gave me due advantage for my upcoming career plans: MATCH ROOM REQUEST WITH ROOM AVAILABILITY. This will be done as you encounter an over the phone reservation. Below is the detailed process of reservation over the phone: g) Conduct the reservation inquiry h) Determine room and rate availability i) Create the reservation record j) Confirm the reservation record k) Maintain the reservation record l) Produce reservation reports CHECKING MICROSOFT OUTLOOK FOR INQUIRIES AND HOTEL RESERVATION BOOKING. Most of the queries and room rate requests are being sent online via Internet. It is the job of the reservation associate to frequently check the mailbox for important messages whether it is in-house or the client itself. We trainees also check for incoming e-mails. Also, we sent contracts via e-mail if Fax is unavailable. CONDUCTING RESERVATION INQUIRY. Guests can communicate their reservation inquiries in person, over the telephone, via mail, through facsimile, e-mail. Moreover, reservation inquiries can be made through an online reservation with specific websites and local travel agencies. While getting a reservation inquiry, the reservation agent shall obtain the following guest-related information: i) Guest’s name, address and telephone number j) Company or travel agency name k) Date of arrival and departure l) Type and number of rooms requested m) Desired room rate n) Number of people in the group, if applicable o) Method of payment and/or guarantee p) Any other special requests SENDING OF CONFIRMATION LETTER. Confirmation letter confirms the important points of the reservation agreement. This very letter might be shown at the registration process in order to accelerate the pace of registration and prove that the guest has the right to have a room at the hotel. The Hotel shall send a confirmation letter to all reserved potential guests, whether their reservations are guaranteed or non-guaranteed. The letter should contain; Name and address of the guest, date and time of arrival, room type and rate, length of stay, Number of persons in a group, if any, reservation confirmation number, Special requests, if any. LEARNED HOW TO USE THE AMADEUS FOR REPORTS, CHECKING GUEST FOLIO. I’m very thankful that I learned how to use this PMS during my stay at Hotel H2o. This Property Management System is very vital to the everyday functions of the hotel. It stores all the vital information and statistics of the hotel such as room occupancy, revenue percentage, group rooming, rooming list, history and forecast, reservations and many more. We use this program everyday in making reports such as the daily report. MAKING EXPECTED ARRIVAL, STAYOVER, AND DEPARTURE REPORT. On a daily basis, the reservation department shall prepare the expected arrival, stay over, and departures lists and communicate them to the front office department. Arrival list are the lists of the names, and surnames along with respective room number of the guests who are expected to arrive the next day. Stay over list are the lists of the names, and surnames along with respective room number of the guests who are expected to continue occupy their rooms the next day Lastly, Departure list these are the lists of the names, and surnames along with respective room number of the guests who are expected to depart the next day. C. PROFESSIONAL It is so exciting in the ‘real’ world, being independent and figuring things out on your own. This also means having to deal with different people more often, so it is really good to know what you’re doing, and to love it. All we can do as students is to learn whatever we can in school, be inspired, love the path we take, and finally do our best in everything we do, with a positive outlook in mind The beginning, working with people you have just first met is something different and something that is hard inside. Hard inside that you cant say anything or do anything that you are usually saying because the near fact the you might offend them or they may think you’re rude. On my experience I have became an observant and a listener to the people I worked with. As days goes on, friendship and understanding with each other is built. I have worked with different people with different kinds of attitude and behavior. I encounter is those who are jolly and friendly. They are the ones that will help you give your who you are. They will ask you many questions personal, past experiences and they will also share some of theirs. As a trainee you will never avoid those who are strict and what they popularly called kill joys. Sometimes you may handle them but sometimes youll just want to avoid them. They are those co-workers that are more of standard operations. But though they are like that I assure youll learn more from them.

The Gods Must Be Crazy free essay sample

Prior to the introduction of the â€Å"Coca Cola† bottle the people of the tribe were peaceful, satisfied, and shared with each other. There was no sense of possession or greed, no jealousy, nor did they physically harm one another physically or purposefully. The tribe found many beneficial uses for this â€Å"gift†, such as making music, pounding on dough, and grinding flour. All of these things were accomplished before the appearance of the bottle, however now the task seemed to have been made easier. Since all of the members of the tribe had different uses and needs for the bottle, it became a commodity, a desired possession of value; it was no longer a worshipped object. This created discourse among the people and led to the physical injury of a child, due to a malicious act that resulted in hitting the child with the bottle. The tribe now felt shame at their behavior and questioned the â€Å"Gods† for sending them this â€Å"evil thing†, which the tribe removed from their presence and returned to their peaceful cultural ways. We will write a custom essay sample on The Gods Must Be Crazy or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page A current example of the above situation would be the introduction of cell phones and laptops to a culture based on home phones and office computers. One would consider the technological advances of cell phones and laptops as a gift, that will simplify their life, free up more personal time and save them money. Instead what has occurred is that you spend more time on learning how to use these items, you are now more easily available and thus more occupied, and you spend more money on the attachments and upgrades needed to keep these items current and functional. Now your life is more complicated and busier than ever, however unlike the Sho tribe most people in our culture cannot or more importantly will not go to the end of the earth (or their trash can) and toss them away. Another important point that this films illustrates is the differences in communications and personal views in different cultures. Such as how in most civilized cultures shaking your head from side to side indicates â€Å"No† or negative, however to the Sho tribe this gesture means â€Å"Yes† or positive. This causes a lot of confusion when communicating between the two cultures. There is a scene in the movie when the man from the Sho tribe sees a white woman for the first time, which accurately portrays the cultural differences in personal views and taste. He contemplates her appearance, her actions and physical build. Though the woman in her own culture would be considered quite pretty, normal and physically fit, to this man of the Sho tribe she was ugly, crazy and too fat. In his view the woman’s skin is too white, it was a very hot day yet she is fully covered in clothing, she has a large body shape and must require too much food to sustain her. This can be seen as a difference in opinion, if it were not for the extremity of the opposite points of view. The two cultures considered the woman in different ways because of what they are accustomed to as well as where and how they were raised. When thinking in terms of Globalization a person generally feels that their culture is the best. That their culture should be universal and those that follow other cultures are primitive, difficult, and wrong. Consider how some cultures attempt to change others through political, business, and religious means. For example the United States tries to influence other countries to change to a democratic system of government because it is the â€Å"best†, however they do this mostly to promote or facilitate the political agendas of the United States. Coca Cola uses the popularity of its products to influence other countries to buy more by inundating them with advertisements and business opportunities. As for religion, look at how many cultures within the United States now celebrate Christmas along with or in place of their cultural holidays that occur during the same time period. The movie for the most part points out the differences between a â€Å"modern civilized society† and â€Å"an old world civilization† and how they view life, religion, and politics in totally different ways. However there were also some similarities in the cultures which assist in the processes of communication, in business transactions, and political dealings with each other.

Assessing The Usefulness Of An Ecological Approach Social Work Essay Essays

Assessing The Usefulness Of An Ecological Approach Social Work Essay Essays Assessing The Usefulness Of An Ecological Approach Social Work Essay Paper Assessing The Usefulness Of An Ecological Approach Social Work Essay Paper Social work theories represent sets of thoughts that assist in explicating the grounds for happening of events or why specific events happened in peculiar ways and are used to foretell likely future actions of present results. It is of import to appreciate that theories, whilst based on concluding and grounds, are non once and for all proved. In societal work pattern they provide alternate models for understanding issues by the linkage of sets of thoughts, and aid people to do sense of specific state of affairss or fortunes. Their application helps societal workers in steering pattern and in accomplishing way in their attempts. This survey takes up the ecological attack for treatment and assesses its utility for societal work pattern. The ecological attack is besides compared with humanitarianism and existential philosophy and its assorted facets are critically analysed with regard to accomplishment of managerialism and answerability in societal work pattern. Discussion Overview of Ecological Approach Kurt Lewin, ( Plas, 1981 ) , states that good theory is basically practical. It provides a manner to look at the universe and ushers action for the accomplishment of vision of the manner things should be. Ecological theory, many experts feel, fits with Lewin s axiom and has the possible to give societal workers, both a practical position for effectual societal intercession, and a larger position for sing and measuring the societal universe ( Pardeck, 1988, p 92-100 ) . Whilst Roger Barker, ( 1968 ) , initiated the application of ecological constructs to analysis of human behavior, the application of such ecological positions to societal work pattern did non happen until it was taken up by Carel Germain in the mid 1970s ( Pardeck, 1988, p 92-100 ) . The ecological attack has since so go increasingly popular among societal workers and is now normally used as a pattern attack for intercession ( Pardeck, 1988, p 92-100 ) . The attack, despite going more normally used, does hold some majo r restrictions, head among which is the deficiency of ( a ) clearly defined processs for battle in appraisal, and ( B ) specific sets of techniques and schemes for intercession ( Pardeck, 1988, p 92-100 ) . The acceptance of the ecological attack enables societal work practicians to understand the significance of the adaptative tantrum between the environment and beings ( Pardeck, 1988, p 92-100 ) . An grasp of such a tantrum in bend enables the outgrowth of a pattern theoretical account that basically focuses on the importance of turn uping ways and agencies to first assist persons in accommodating to their environments and 2nd in the preparation of schemes for altering environmental elements that could do jobs for service users ( Pardeck, 1988, p 92-100 ) . It is of import to understand three constructs, viz. ( a ) behavior scenes, ( B ) the ecosystem and ( degree Celsius ) definition of client jobs, in order to understand and appreciate the tantrum between beings and their environment ( Pardeck, 1988, p 92-100 ) . An apprehension of these constructs helps in understanding the significantly unconventional and different attack of the ecological position ( Pardeck, 1988, p 92-100 ) . The construct of behaviour scenes provides fresh penetrations in the relationship that exists between single behavior and environmental scene. Barker and Gum ( 1964 ) , found that persons react otherwise to different types of environment. Analysis of behavior scene helps societal workers to gestate the jobs of service users and is considered to be a basic unit of analysis for the application of the ecological attack to societal work pattern. The behavior scene, it must nevertheless be clarified, represents more than the traditional construct of behavior as the response to a stimulation and is perceived to be a complex relationship of people, puting, clip and single behavior. A pudding stone of such behaviour scenes signifiers ecology ( Germain A ; Bloom, 1999, p 16-22 ) . Specific persons map in more than one specific ecology. The ecosystem of persons consists of the assorted inter-relationships and the conglobation of such ecologies ( Pardeck, 1988, p 92-100 ) . The ecosystem of a kid, for illustration comprises of the ego, the household, the school and the larger community ( Pardeck, 1988, p 92-100 ) . It is of import to understand that the client, in such a construct of ecosystem is an built-in constituent of the ecological system and can non be juxtaposed with the larger environment ( Pardeck, 1988, p 92-100 ) . The ecosystem of an single consists of four distinct degrees, viz. the micro-system, the meso-system, the exo-system, and the macro-system. The micro-system represents the immediate environment, viz. the impact of personality features of an person on other household members ( Jones, 2010, p 67 ) . The meso-system is more complex and refers to the interactive procedures that occur between multiple micro-systems ( Jones, 2010, p 67 ) . The e xo-system and macro-system likewise refer to more generalized degrees and stand for more extended interaction of ecologies ( Jones, 2010, p 67 ) . A The service user in such fortunes becomes the shaping and primary member of the eco system that in bend comprises of assorted overlapping subsistence like the household, the work topographic point and the larger community ( Pardeck, 1988, p 92-100 ) . The psychosocial development and accommodation of persons are perceived to be the effect of minutess between persons and their environments. The ecological position suggests the happening of cyclic and bidirectional activities between persons and their environments ( Pardeck, 1988, p 92-100 ) . The environment in the first topographic point affects the development and accommodation of persons. The behavior of persons lead to responses inside the environment and the altered environment thenceforth exerts a different force per unit area on the person ( Meinert, et Al, 1994, p 26-33 ) . Social workers can see this procedure as consecutive or coincident common influence, for illustration X affects Y, which once more affects X or X and Y come together to organize a integrity that defines the state of affairs ( Meinert, et Al, 1994, p 26-33 ) . This construct and these position points are of import because they lead to the preparation of new ways for conducting of appraisal and transporting out of intercession in societal work pattern ( Pardeck, 1988, p 92-100 ) . The acceptance of the ecological position point leads to the shifting of focal point from single personality and behavioral features to relationships between persons, their households, their communities and other ecolog ies that are included in their eco systems ( Pardeck, 1988, p 92-100 ) . Most people do run in societal ecologies that are adaptative or congruent and where people are in harmoniousness with the societal norms of their environments ( Norman, 2000, p 11-17 ) . The demand for societal work intercession comes approximately when such adaptative tantrums cease to be and take to mal accommodations ( Norman, 2000, p 11-17 ) . The ecological position differs significantly from traditional societal work position points on definition of jobs of service users ( Tew, 2005, p 31-36 ) . Most conventional positions concentrate on persons for definition of jobs of service users and perceive such service users to be aberrant, behaviourally troubled or emotionally disturbed ( Tew, 2005, p 31-36 ) . The ecological attack really significantly does non comprehend the symptoms of service user s family footings of single pathologies but looks at such symptoms to be declarative of misfunctioning eco systems ( Tew, 2005, p 31-36 ) . Advocates of the ecological attack are likely to comprehend emotional perturbations to be comprehensive jobs that are happening in the uninterrupted version that is taking topographic point between beings and their environments ( Wilson, 1999, p 4-11 ) . Mal-adoptions are therefore felt to shack non merely in the activity of persons upon their environments but besides of the environments upon p ersons ( Wilson, 1999, p 4-11 ) . Individual jobs and troubles in societal operation are therefore perceived to stem from synergistic, dynamic and mutual sets of forces that work between persons and their eco systems ( Wilson, 1999, p 4-11 ) . The relationship between debatable societal operation and ecology has been studied in assorted relationships between ( a ) societal category and hospitalization for psychiatric causes, ( B ) chance of specific types of mental complaints and spacial community forms and ( degree Celsius ) self-destruction rates and societal administration of communities ( Peters A ; Marshall, 1996, p 17-32 ) . It is apparent that the acceptance of the ecological position requires a extremist displacement of attack by societal workers, who must travel off from persons and seek to understand a unit that is termed as individual-in-ecology ( Peters A ; Marshall, 1996, p 17-32 ) . Such an attack requires the screening of single jobs in footings of mal adaptative systems and even differences in labelling of clients, who for illustration should be termed as upseting clients instead than emotionally disturbed ( Peters A ; Marshall, 1996, p 17-32 ) . Application of Ecological Approach for Intervention The ecological scheme for intercession evidently calls for an ecological appraisal of the jobs of service users ( Norman, 2000, p 11-17 ) . Such ecological appraisal basically involves two of import issues, viz. ( a ) the designation of grounds for strife in eco systems and beginnings of strength, which can be utilised to heighten the degree of tantrum between service users and of import people in the lives, and ( B ) specification of the services that will be needed to let service users to come on towards accomplishment of coveted ends ( Norman, 2000, p 11-17 ) . Traditional theoretical accounts of societal work, it is easy to understand, are far more simplistic than the ecological appraisal attack ( Meinert, et Al, 1994, p 26-33 ) . Such methods are narrower and perceive single service users to be the lone focal point of the assessment process ( Meinert, et Al, 1994, p 26-33 ) . The intercession theoretical account in the ecological attack comprises of specific stairss that assist in interlingual rendition of such appraisal into appropriate schemes for intercession ( Meinert, et Al, 1994, p 26-33 ) . Such an intercession attack consists of seven specific phases and can be applied in a figure of pattern countries ( Nash, et Al, 2005, p 32-41 ) . The intercession theoretical account in the ecological attack is similar to other traditional attacks with respect to assemblage of informations but deviates significantly in the ways in which societal work practicians conceptualise and organise the procedures of appraisal and intercession ( Nash, et Al, 2005, p 32-41 ) . The seven of import phases in the intercession procedure comprise of ( a ) come ining the system, ( B ) mapping the ecology, ( degree Celsius ) measuring the ecology, ( vitamin D ) making a vision for alteration, ( vitamin E ) coordinating and communication, ( degree Fahrenheit ) reassessing and ( g ) evaluating ( Nash, et Al, 2005, p 32-41 ) . These stairss are significantly different from traditional methods of appraisal and intercession and plays far greater duties on the shoulders of societal work practicians ( Nash, et Al, 2005, p 32-41 ) . The first measure of the societal work practician concerns come ining the exo-system of the universe of the service user, such a procedure involves appraisal of assorted relationships in the life of the service user and designation of an entry point into the universe of the service user ( Kerson, 2002, p 8-14 ) . Appraisal of relationships in such fortunes involves scrutiny of the assorted sub systems like the immediate household, the workplace and the community that shape the universe of the service user ( Norman, 2000, p 11-17 ) . The societal work practician can obtain important information from scrutiny of such sub systems for the preparation of intercession schemes ( Norman, 2000, p 11-17 ) . Appraisal of assorted subsystems is thenceforth followed by entry into the universe of the client ( Norman, 2000, p 11-17 ) . This is mostly done through an interview affecting the societal worker, the service user and people in his or her immediate household ( Kerson, 2002, p 8-14 ) . The societal worker, after come ining the universe of the service user commences ecological function ( Kerson, 2002, p 8-14 ) . Such mapping involves analysis of assorted sub systems and designation of people and events that are relevant to the challenges facing the service user ( Pardeck, 1988, p 92-100 ) . Such mapping involves interaction with representatives of different sub systems like partner, parents or immediate friends and leads to obtaining of really of import information ( Pardeck, 1988, p 92-100 ) . The function of ecology is followed by reading and appraisal. Social workers, at this phase of the procedure hunt for of import jobs and beginnings of strength in the eco system of service users ( Meinert, et Al, 1994, p 26-33 ) . The description of relationships and repeating subjects in the lives of service users forms an of import facet of this phase and helps in placing jobs every bit good as beginnings of strength that can assist the service users in accomplishing a better tantrum with the environment ( Meinert, et Al, 1994, p 26-33 ) . Appraisal of ecology is followed by turn uping the countries that require to be altered to heighten the societal operation of service users ( Meinert, et Al, 1994, p 26-33 ) . Social workers whilst concentrating on the needed alteration demand to see the service users entire eco system and utilize all available strengths in the ecology ( Meinert, et Al, 1994, p 26-33 ) . Practitioners should be unfastened to different alteration possibilities and implement proposed programs of action after obtaining the understanding of service users ( Meinert, et Al, 1994, p 26-33 ) . Social workers must pass on and organize with people in the eco system during much of the intercession procedure ( Pardeck, 1988, p 92-100 ) . A important portion of the alteration procedure lies in the custodies of of import people in the eco systems of service users and practicians need to offer support and facilitate alteration attempts through place visits and telephone calls ( Pardeck, 1988, p 92-100 ) . Reappraisal and rating besides form of import constituents of the ecological intercession procedure ( Pardeck, 1988, p 92-100 ) . Social workers should be unfastened on remapping the ecology and working through subsequent phases if the intercession attempts do non look to be accomplishing their stated aims ( Pardeck, 1988, p 92-100 ) . The concluding phase of intercession that is the comprehensive rating of the procedure concerns the assemblage of information through informal meetings and the usage of construction questionnaires ( Pardeck, 1988, p 92-100 ) . The rating procedure is of import for practicians because it enables them to heighten the quality of their ecological attack based intervention process ( Pardeck, 1988, p 92-100 ) . Advantages and Disadvantages of the Ecological Approach It is of import to understand that ecological positions help societal workers significantly in understanding human jobs to basically be results of uninterrupted minutess of different types between environments and people ( Ginsburg, 1990, p 12-21 ) . The conceptualising of human jobs in this manner helps societal workers in understanding that strife between people and their environment can take specifically to adverse physical, emotional and societal effects upon people ( Ginsburg, 1990, p 12-21 ) . Such a focal point is besides a consolidative characteristic of societal work pattern. The acceptance of this attack helps societal workers in taking away their focal point from persons as perverts with emotional and mental troubles and helps in puting them merely as persons who have mal-adaption with their environments ( Henderson, 1994, p 38-45 ) . The probe and assessment procedure under this attack besides allows societal workers to interact with assorted people who are of import to t he service user and construct an intercession program that involves non merely the societal worker and the service user but besides other people who are close to the service user, understand his or her jobs and are able to assist the service user in accomplishing the desired aims ( Henderson, 1994, p 38-45 ) . Whilst the ecological attack helps societal workers significantly in gestating the indispensable concerns of societal work pattern, the attack continues to hold some built-in troubles and jobs ( Pardeck, 1988, p 92-100 ) . It does non for illustration provide clearly laid down sets of processs and procedures for appraisal and intercession, every bit good as schemes and concluding for their usage ( Pardeck, 1988, p 92-100 ) . Social workers therefore use the attack for understanding the basic relationships between service users and their environments but have to thereafter devise and explicate their ain appraisal and intercession processs ( Pardeck, 1988, p 92-100 ) . It has besides disturbingly been found that when societal workers intervene in the eco systems of service users by opening up communicating channels with other people in the eco system, such intercessions frequently do non hold lucidity in footings of results and can take to negative effects ( Pardeck, 1988, p 92-100 ) . Critics of the ecological attack besides argue that its application leads practicians to comprehend jobs with such wide positions that practicians attempt to be after so comprehensively that existent effectivity of pattern gets jeopardised ( Henderson, 1994, p 38-45 ) . Whilst such disadvantages and unfavorable judgments do hold virtue and must be considered by workers who opt to utilize the ecological attack, its acceptance and application does enable societal workers to obtain much larger positions and greater and more dynamic apprehension of persons and their societal, cultural and physical environments ( Henderson, 1994, p 38-45 ) . The acceptance of such positions consequences in turning away of blaming of victims and in location of appraisal and intercession of the issue in the ecosystem of service users ( Henderson, 1994, p 38-45 ) . Mentions Barker, R. , 1968, Ecological Psychology: Concepts and Methods for Analyzing the Environment of Human Behaviour, Stanford, California: Stanford University. Barker, R. , A ; Gump, P. , 1964, Big School, Small School, Stanford, California: Stanford University Press. Germain, C. , 1973, An Ecological Position in Casework , Social Casework, 54, 323-330. Germain, C. B. , A ; Bloom, M. , 1999, Human Behavior in the Social Environment: An Ecological View ( 2nd ed. ) , New York: Columbia University Press. Ginsburg, E. H. , 1990, Effective Interventions: Using Learning Theory to School Social Work, New York: Greenwood Press. Henderson, G. , 1994, Social Work Interventions: Helping Peoples of Color, Westport, CT: Bergin A ; Garvey. Jones, P. , 2010, Reacting to the Ecological Crisis: Transformative Nerve pathwaies for Social Work Education, Journal of Social Work Education, 46 ( 1 ) , 67. Kerson, T. S. , 2002, Boundary Spanning: An Ecological Reinterpretation of Social Work Practice in Health and Mental Health Systems, New York: Columbia University Press. Meinert, R. G. , Pardeck, J. T. , A ; Sullivan, W. P. ( Eds. ) , 1994, Issues in Social Work: A Critical Analysis, Westport, CT: Auburn House. Nash, M. , Munford, R. , A ; ODonoghue, K. ( Eds. ) , 2005, Social Work Theories in Action, London: Jessica Kingsley. Norman, E. ( Ed. ) , 2000, Resiliency Enhancement: Puting the Strengths Perspective into Social Work Practice, New York: Columbia University Press. Pardeck, T. J. , 1988, Social Treatment through an Ecological Approach , Clinical Social Work Journal, Vol 16, No 1. Peters, M. , A ; Marshall, J. , 1996, Individualism and Community: Education and Social Policy in the Postmodern Condition, London: Falmer Press. Plas, J. , 1981, The Psychologist in the School Community: A Liaison Role , School Psychology Review, 10, 72-81. Tew, J. ( Ed. ) . , 2005, Social Perspectives in Mental Health: Developing Social Models to Understand and Work with Mental Distress, London: Jessica Kingsley. Wilson, D. J. , 1999, Indigenous South Americans of the Past and Present: An Ecological Position, Boulder, CO: Westview Press.

Modifying Words and Phrases to Express Opinions

Modifying Words and Phrases to Express Opinions There are a number of words and phrases that can help express your opinion. These words and phrases are common in creative writing, writing reports, and other types of writing intended to persuade. Giving Your Opinion Using a modifying word can help you express your opinion when making a statement. For example: Investing in high-tech stocks is risky. You could agree or disagree with this statement. Using a word such as undoubtedly expresses your own opinion about the statement. Here are some other modifying words and phrases that can help: (Most) assuredly adjective: ​These investments will most assuredly help to build equity.Without a doubt clause: Without a doubt, this investment is risky.It is doubtful that clause: It is doubtful that we will succeed with this attitude. Qualifying Your Opinion Sometimes, when giving an opinion it is important to qualify what you say by leaving room for other interpretations. For example, There is hardly any doubt that we will succeed. leaves room for other interpretations (hardly any doubt a little room for doubt). Here are some other modifying words and phrases that can help qualify your opinion: Almost/nearly adjective: Its nearly impossible to make a mistake.Largely/mainly noun: Its largely a matter of getting the facts right.Many ways/some ways it/this/that, etc: In many ways, ​its a sure bet. Making a Strong Assertion Certain words mark strong opinions about something you believe. For example, It is not true that I implied you were wrong. is strengthened by adding the word just: It is just not true that I implied you were wrong. Here are some other modifying words and phrases that can help strengthen an assertion: Simply/just adjective: It is simply wrong to believe that about John.Mere noun: That is a mere distraction from the main point.Merely/only the first, last: This is merely the last in a number of problems.Sheer/utter noun: The sheer idiocy of the project speaks for itself. Emphasizing Your Point When stating that an action is increasingly true, these phrases help to emphasize. For example, We have decided over and over again that we need to continue down this path. Here are some other phrases that help to emphasize your point: More than adjective: It is more than likely he will fail.More and more adjective: Im afraid it is becoming more and more difficult to believe you. Giving Examples When stating your opinion it is important to give examples to support your statements. For example, It is more than likely he will fail. In the case of Mr. Smith, he failed to follow-up and caused us to pay heavy fines. The following phrases are used to give examples to back up your opinion. Such as noun: Critics of this policy, such as Jack Beam of Smith and Sons, say that ...This is an example of clause: This is an example of our need to diversify investments.In the case of noun: In the case of Ms. Anderson, the company decided to ... Summarizing Your Opinion Finally, it is important to summarize your opinion at the end of a report or other persuasive text. For example: In the end, it is important to remember that ... These phrases can be used to summarize your opinion: All in all,: All in all, I feel we need to diversify due to ...In the end,: In the end, we must decide quickly to implement this plan.In conclusion,: In conclusion, let me repeat my strong support for ...

Expansion of the Blue Sun Energy Company Essay Example | Topics and Well Written Essays - 2000 words

Expansion of the Blue Sun Energy Company - Essay Example Being a company that was established in May 2008, it is a young but thriving business. The focus of the company was to successfully introduce products into the growing market through teaming up with foremost partners in China whichwere already established pacesetters in the expertise of LED lighting and Solar Energy (Buchsbaum 42). It also centers on marketing products and services derived from energy with the United States of America andother worldwide renewable energy markets. As discussed in class, it is important to survey a country of interest before making a decision on whether to establish the company. The survey on Nigeria includes some important factors such as the history, economic, political, social, and cultural factors. Overview of Nigeria Nigeria is the most heavily populated country in Africa. It is located on the Guinea Gulf in West Africa. Chad, Benin, Cameroon and Niger are the immediate neighbors of Nigeria. The country gained independence on Oct 1, 1960 making it an official constituent of the Commonwealth of Nations which led to its connection to United Nations. In 1975, Gowon’s rule lasted for 3 years and ended in a coup which went ahead to declare the Army Brig Muritala Mohammed a chief of state. The country experienced an oil boom which maintained the Nigerian economy during the 1980s (Afolabi 54). By this time, it was regarded as a paradigm of economic wellbeing and democracy in Africa. In 1984, the military seized power again and another military coup followed again. After swaying from one coup to another, the country finally attained a solid elected leadership. However, this happened after the government of United States imposed several sanctions on the country. The period that followed was filled with rising strained relations but the replacement of General Abacha by General Abubakar after his death led to a fresh phase which was marked by improved bilateral relations. The transition to democracy permitted the lifting of the b ans on visas leading to augmented high-level trips of United States officials and dialogues of future backing. The counter narcotics provision of Vital National Interest Certification became effective during the month of March 1999 making a way for re-launching quicker ties between Nigeria and U.S as a major partner in the continent as well as the region (Afolabi 56). There has been major improvement since Obasanjo was sworn in as the President of Nigeria with improvement of bilateral relationships. In addition, there has been cooperation on many significant foreign policy objectives such as peacekeeping in the region. Even though there have been reported cases of widespread corruption, attention continues to be paid on Nigeria as a country and its contribution to economy. Political System of Nigeria The country is structured after the US, with decision-making power implemented by the head of state. Goodluck Jonathan is the current head of state for Nigeria after he took over Umaru Musa Yar’Adua in the year 2010. The president controls the country as the national executive and the head of state. He only enters the office if he is voted for by the majority of the population (Kifordu 288). The maximum term that he can spend in the office is four-year terms. The power invested in the head of state is assessed by the House of Representatives and the senate which when combined forms a bicameral body which is referred

A Midsummer Night's Dream by William Shakespeare Essay - 2

A Midsummer Night's Dream by William Shakespeare - Essay Example He has tried to teach people how to dream of the impossible through this very play by letting people know that it is okay to encounter upon obstacles and pitfalls during the course of their lives. The main thing is to go beyond these and try and succeed no matter what the circumstance might be. The theme of the play is based on the darker aspect of what love is in the real world. Through the fairies, the playwright has tried to give a clear picture of how every couple in the world falls into a plethora of problems because of their relationship and how such a stance might be deceiving at times. At the same time, love also helps people to look into the lighter and more real side of things, for example, through the eyes of Puck Hermia and Lysander are able to live life with better ease as he provides them with a comic sense of understanding. The two finally get married as well, not remembering the events that they had encountered with respect to the darker side of their love, while serving time within the forest. It is this very aspect of love that drives all the characters around in their quest for ultimate peace and happiness and with time, they begin to understand how reality can be different if one has the power and ability to embrace the same. Along with this, a very heavy presence of patriarchal control can also be seen during the course of the story as the father always tries to assert his authority on his daughter. Through this, Shakespeare has tried to depict the kind of oppressed society that women at the time were subject to living within. Thus, even though the story initially portrays love to be of an evil kind, it slowly takes the reader into a realm where love is he one sought after emotion that the protagonists of the story are hell bent on complicating. Towards the end of the story one can easily see how love triumphs and emerges victorious as compared to any other emotion that must have

My Ethical Beliefs Essay Example for Free

My Ethical Beliefs Essay As I sat down to write this paper, I really struggled to get it started with this definition. It is one of those things that if spoken about, you know what it is, but the minute you are asked to break it down, the task is not easy. I guess I will begin by saying that ethics is what is generally accepted as right, or correct. Even though ethics are usually use simultaneously with morals, I think morals are more inherited and personal while ethics are what the majority of people in one culture deem to be ethical. In a way, ethics are like a set of rules that govern human behaviors and serve as a basis for right conduct principles. After reviewing the ethical approaches, a few stood out to me as being relevant to my personal beliefs. The first that I recognized was the justice approach for its use of fairness. When I am trying to resolve a problem I always try to weigh the good with the bad as in this approach. The justice approach ultimately asks the question, â€Å"Is this a fair distribution of benefits and burdens?†, which I think is just that. You have to consider how much good or harm will come of your decision. I think that this approach is very important to apply in the classroom. I learned that fair and just does not always mean everyone gets what they want. There are going to be plenty of times when a situation will not have a solution that makes everyone happy, but that is where the justice approach comes into play. In the classroom, I think it is important for teachers to sometimes take their emotions out of a situation and really see it for what it is instead of thinking who will be mad or upset about a decision. For example, if there are ten students out of a class of 30 that can not complete a project on the day it was due for any reason even though it had been clearly set with time in advance, then according to this approach, the teacher may push the due date further down since all the students would benefit from it and the students grades would be harmed if it was not changed. However, the teacher might offer the students that did the project on time to have extra credit or might just penalize the ten students slightly in order to keep it fair for everyone. The other approach that sticks out to me was the one relating to virtues. I like to think that I am non judgemental and respect people’s beliefs but when it comes to making my own decisions, I definitely search within my own beliefs to make choices. The virtue approach asks if your decision reflects the person you want to be which or the views of an organization you represent. I try to hold myself up to a high standard of morality and I find this approach matches that concept well. Every teacher has their own unique style of teaching and their own beliefs, and there is nothing wrong with that. It is actually very important for students to experience different type of people as their teachers so that they can experience how different people can be. When it comes to this virtues approach, I feel like this concept could be hard to implement. Not always, but I believe sometimes teachers have to put aside their own morals to deal with certain situations. But, on the other hand, I think going by this approach can also be helpful, if a teacher has good morals, they are more likely to make good decisions. An example of this could be in a situation where a student acts out in class but you know it is a result of a negative situation that occurred in their home. In most cases, a teacher might scold that child and not take anything else into consideration, but if a teacher were to search into her/his own virtues and try to work out the situation with the student since they know it is not coming from a malicious place. There may be much more than just two options offered as a solution in any given situation. For this reason, teachers have the Florida Department of Education Code of Ethics by which we go by. This code of ethics is set up as a way to set a standard. Not everyone has the same set of morals and ethics but by writing this code the department of education they make it clear to all teachers that in order to work as a teacher in the state of Florida, then you must abide by their rules. The code holds teachers accountable for their actions without any gray areas. It is applied to all teachers in the public school system and affects them directly for that reason. As future teachers, we need to accept that even if we do not always agree with it, we have to abide by the rules in the code of ethics. The guide will dictate how to go about many of the situations we may encounter in our classrooms. Therefore, the Florida Department of Education Code of Ethics is vital to our profession.

Graduation Speech -- Graduation Speech, Commencement Address

Ah, life eh? Hello Class of 2012. There are so many things to say to you. I feel so privileged to get to speak to everyone, and there is so much to say. We have come to this point in our lives that many have come to before us. I almost feel like I have done it already, having watched people grow up and graduate before. But now today it is our turn to really do it. To walk this aisle, to sit in the seats, and to play with these tassels. It seems like so long ago and it seems like just yesterday, those perils of adolescence. Brier Terrace Middle School, just seething with awkwardness and emotions, was where I spent most of my days, chilling out, maxing, relaxing all cool, playing some b-ball outside of my school. One of my most memorable days at Brier was a day my friend Kyle kicked me in the face. We were playing Zebra ball in P.E., probably one of the legendary Mr. Soward's inventions, and I was already out, sitting on the wall waiting for the next round to begin. Kyle was still in the game running around, when he, in an attempt to dodge a ball hurling at him, tried to leap over me, unintentionally kicking me squarely in the face. My glasses broke a little and I was super embarrassed. Kyle had no idea that he did it and kept playing. Casually at lunch later, I told him what happened, as if he would want to know. It is funny what an impact, literally, our experience in school has made on us and also the impact we have made on them. Academically, we have achieved much at our school. Every one of us here has accumulated twenty-two Green Terrace High School credits and individually our very own Senior Project. A big pat on the back seems deserved by everyone here for four years of hard work. Some here get a big slap on... ...e that meant something to others, like Kyle and Mr. Tolstoy didn't, but you undoubtedly have. Don't forget the lessons that we have learned from each other. The ones in friendship, in love and all the lessons of just plain how to live well. My prayer for all of you is that you will not give up this wonderful habit of giving to people in this way, but that separately, as we all diverge from this place, you will live lives knowing that human worth is not dependent on achievement, but on simple existence. Find purpose in what comes naturally to all of us, to love. Class of 2003, you have given me more than I asked for, more than the titles I have received or accomplishments I have made, you have called me sister. Go out and be great because you are able to love greatly. Thank you so much for the honor of speaking. I adore you, my brothers and sisters, Class of 2003

Family Welfare Statistics 2011

FAMILY  WELFARE  STATISTICS  Ã‚   IN  Ã‚   INDIA 2011 Statistics  Division   Ministry  of  Health  and  Family  Welfare   Government  of  IndiaAbbreviations AIDS AHS ANC ANM ANC APL ARI ASHA AWW AYUSH BCG BE BMS BPL CBR CDR CES CHC CNAA CPR CPR DLHS DPT DT EAG ECR EmOC FP FRUs HIV HMIS ICDS IDSP IDDCP IIPS IPHS IEC IFA Acquired Immunodeficiency Syndrome Annual Health Survey Antenatal Care Auxiliary Nurse Mid-wife Ante Natal Care Above Poverty Line Acute Respiratory Infection Accredited Social Health Activist Anganwadi Worker Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy Bacillus Calmette Guerin Budget Estimates Basic Minimum Services Programme Below Poverty Line Crude Birth Rate Crude Death Rate Coverage Evaluation Survey Community Health Centre Community Needs Assessment Approach Contraceptive Prevalence Rate Couples Protection Rate District Level Household Survey Diphtheria, Pertussis and Tetanus Diphtheria and Tetanus Empower ed Action Group Eligible Couple Register Emergency Obstetric Care Family Planning First Referral Units Human Immunodeficiency Virus Health Management Information Systems Integrated Child Development Services Integrated Disease Surveillance Programme Iodine Deficience Disorder Control Programme International Institute for Population Sciences Indian Public Health Standards Information, Education and Communication Iron and Folic Acid IMR IPHS IUCD IUD JSK JSY LHV MCTS M&E MIES MIS MMR MNP MoH&FW MPW-F/M MTP NACP NACO NCP NFHS NGO NLEP NIHFW NNMR NPCB NPP NPSF NRHM NSV NVBDCP NUHM Obs/gyn OP OPV ORS PC&PNDT PHC PHN PIP PMG PMUInfant Mortality Rate Indian Public Health Standards Intra Uterine Contraceptive Device Intra Uterine Device Jansankhya Sthirtha Kosh Janani Suraksha Yojana Lady Health Visitor Mother and Child Tracking System Monitoring and Evaluation Monitoring, Information & Evaluation System Management Information System Maternal Mortality Ratio Minimum Needs Programme Ministry of Health and Family Welfare Multi Purpose Worker – Female / Male Medical Termination of Pregnancy National AIDS Control Program National AIDS Control Organisation National Commission on Population National Family Health Survey Non-Governmental Organization National Leprosy Eradication Programme National Institute of Health and Family Welfare Neonatal Mortality Rate National Programme for Control of Blindness National Population Policy National Population Stabilisation Fund National Rural Health Mission No Scalpel Vasectomy National Vector Borne Disease Control Programme National Urban Health Mission Obstetrics and Gynecology Oral Pills Oral Polio Vaccine Oral Rehydration Solution Pre-conception & Pre-natal Diagnostic Techniques Primary Health Centre Public Health Nurse Programme Implementation Plan Programme Management Group Programme Management Unit PNC PPP PRCs RCH RHS RKS RGI RNTCP RTI SBA SC SC/ST SRS STDs STI TBAs TFR TT UIPPost Natal Care Public Private Partnership Po pulation Research Centres Reproductive and Child Health Rapid Household Survey Rogi Kalyan Samiti, Registrar General of India Revised National Tuberculosis Control Programme Reproductive Tract Infection Skilled Birth Attendants Sub Centre Scheduled- Caste / Scheduled- Tribe Sample Registration System Sexually Transmitted Diseases Sexually Transmitted Infections Traditional Birth Attendants Total Fertility Rate Tetanus Toxoid Universal Immunization Program CONTENTS Page No. Preface †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ Abbreviations Executive Summary and overview of Family Welfare Programme in India (Hindi & English version)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. LIST OF TABLES SECTION – A Population & Vital Statistics TABLE NO. A. 1 TITLEPopulation Growth, Crude Birth Rate, Death Rate & Sex Ratio India 1901-2001 Distribution of Population, Sex Ratio, Density and Growth Rate of Population Census 2001 Rural and Urban Composition of Population, Census 1991 Total Population, Population of Scheduled Castes and Scheduled Tribes and their proportions to the total population Total Urban Population, Population of Cities/Towns Reporting Slums and Slum Population in Slum Areas – India, States, Union Territories Child Population in the age-group 0-6 by sex – Census 2001 & 2011 Population Aged 7 years and above 2011 (Provisional) Literates and Literacy Rates by sex, 2001 and 2011(Provisional) census Sex-ratio of total population and child population in the age-group 0-6 and 7+ years 2001 & 2011 Distribution of Population by Age Groups 2001(Census) Percentage Distribution of Population by Age and Sex, India, 1951-2001 census Projected Population Characteristics 2001-2012 Proportion of Population in Age Groups 0-4 and 5-9 a A. 2 A. 3 A. 3. 1 A. 3. 2 A. 3. 3 A. 3. 4 A. 3. 5 A. 3. 6 A. 4 A. 5 A. 6 A. 7 Child-Woman Ratio, and Dependency Ratio, 2001 A 8. Number of Married Couples (With Wife Aged Between 15-44 Years), All India 2001 Percentage Distribution of Married Couples (With Wife Aged Between 15-44 years) by Age Group, Censuses 1961, 1971 , 1981, 1991 & 2001 Number of Married Females in Rural Areas by Age,2001 Number of Married Females in Urban Areas by Age,2001. A. 9 A. 10 A. 11 A11. 1 Estimated eligible couples per 1000 population – 1991 & 2001 Census A. 12 A. 3 Expectation of Life at Birth 1901-2016 Projected Levels of the Expectation of Life at Birth By Sex ,1996-2016 A13. 1 Expectancy of life at birth by sex and residence, India and bigger States, 2002-06 A. 14 A. 15 A. 16 A. 17 A. 18 Fertility Indicators 1996-2009 – All India Time Series Data on CBR, CDR, IMR and TFR – India Crude Birth and Death Rates in Rural and Urban Areas 1981-2009 Estimated Birth and Death Rates in Different States/UTs – à ¢â‚¬ ¦1981,1991,2001-2009 Estimated Age-specific Death Rates by Sex, 2005-2009- India A. 18. 1 Estimated Age-specific Death Rates by Sex, 2005-2009- Rural A. 18. 2 Estimated Age-specific Death Rates by Sex, 2005-2009- Urban A. 19 A. 20 A. 21 A22 A. 2 A23 A24 Infant Mortality Rates by Sex, 1980 to 2009 – All India Infant Mortality Rates by Sex, 2001 to 2009 – India and Major States Mortality Indicators by Residence: All India 1980-2009 Infant Mortality Rate by Residence – All states/UTs Child Mortality Rate by Residence Mortality Indicators, India and Major States 2005 to 2009 Age Specific Fertility Rates (ASFR*) and Age Specific Marital Fertility Rates (ASMFR*): India, 2005-2009 Fertility Indicators for Major States -2005-2009 Estimated Age Specific Fertility Rates by Major States, 2005-2009 b A. 25 A. 26 A. 27 Age Specific Fertility Rates by Educational Level of the Woman, 2005 to 2009(All India) Mean Age at Effective Marriage (Female), India and Major States, 2005 to 2009 Mean age at effective marriage of females , by residence India and Major States ,2005 to 2009 Percentage of Females by Age at Effective Marriage by Residence, India and Major States, 2005 to 2009 Percent Distribution of Live Births by Order of Birth , India and Major States, 2005-2009 Percentage Distribution of Births By Order of Births By Residence, 2005 to 2009 Average Number of Children Born per Woman by Age – 2001 A. 28 A. 29 A. 30 A. 31 A. 32 A. 33 A. 34Proportion of Ever-married Womwn of parity (i+1) and above to 1000 Ever-married women of parity (i) and above 2001 Percentage of Ever-Married Women (Aged 50 and Above) With No Live Birth 2001 Percent distribution of live Births by Type of Medical Attention Received by the Mother at Delivery by Residence –All India Percentage of Deaths by Causes Related to Child Birth & Pregnancy (Maternal) – All India (Rural) – 1985, 1990 , 1995,1997 & 1998 Percentage Distribution of Deaths due to Specifi c Causes under the Major Group â€Å"Causes Peculiar to Infancy† for selected States 1996-98 Maternal Mortality Ratio, 1997-98 to 2007-09 Under-five Mortality Rates(U5MR) by sex and residence, 2008 & 2009 Sex-ratio of child (age group 0-4) 2004-06 to 2007-09 – SRS A. 35 A. 36 A. 37 A. 38 A. 39 A. 40 A. 41 SECTION – B Family Welfare Programme Statistics i) Immunisation Coverage & MTP Services B. 1 Year-Wise Achievement of Targets of MCH Activities – All India c B. 2 B. 3 B. 4State-wise Targets and Achievements of M. C. H. Activities, 2004-05 to 2007-08 Year-Wise Medical Termination of Pregnancy Performed – All India State-Wise Medical Termination of Pregnancy Performed (ii) Family Planning Acceptance & Impact of the programme B. 5 B. 6 B. 7 B. 8 B. 9 B. 10 B. 11 B. 12 Family Planning Acceptors by Methods – All India Sex-wise Break up of Sterilisation Performed Year-Wise Achievement of Family Planning Methods-All India State-Wise Achievements in respect of Sterilisations State-Wise Achievements in respect of IUD Insertions State-Wise Achievements in respect of Condom Users State-Wise Achievements in respect of O. P.Users State-Wise Vasectomies, Tubectomies and % share of Tubectomy to total Sterilisations State-Wise Number of Laparoscopic Tubectomies Along with Total Number Tubectomy Operations Performed State-wise Number of NSV & Total Number of Vasectomy Operations Performed State-Wise Distribution of Condom Pieces State-Wise Number of Oral Pill Centres Functioning and Distribution of Oral Pill Cycles of B. 13 B. 14 B. 15 B. 16 B. 17 B. 18 B. 19 Number of Condom pieces and Oral Pill Cycles Distributed – All India Information Relating to Maternal Health, 2007 to 2011 Couples Currently and Effectively Protected in India By Various Methods of Family Planning Percentage effective CPR due to all Methods Couples Currently and Effectively Protected Number of Births Averted dB. 20 B. 21 B. 22 SECTION – C HMIS- New Key Indicators C. 1 C. 2 C. 3 C. 4 C. 5 C. 6 C. 7 C. 8 C. 9 C. 10 Number of pregnant women received 3 ANC Checkups Number of women given TT2/Booster Number of women having Hb level < 11 (tested cases) Number of newborn visited within 24 hrs of home delivery Number of women discharged under 48 hrs of delivery from public facility Number of Still Births Number of newborns weighed at Birth Number of newborns having weight less than 2. 5 Kgs Number of Newborns breastfed within 1 hour Number of women receiving post partum check-up within 48 hours after delivery SECTION – D Survey Findings D. 1 D. 2 D. 3 D. Key Indicators NHFS-III Comparative Key Indicators – NFHS-III, NFHS-II and NFHS-I Comparative Key Indicators- DLHS-1, DLHS-2 and DLHS-3 Comparison of Key Indicators – NFHS(2005-06), DLHS (2007-08) and Converage Evaluation Survey(CES) 2009 conducted by UNICEF Concurrent Evaluation NRHM – India Facts (2009) Results of Annual Health Survey, 2010-11 D. 5 D. 6 S ECTION –E Infrastructure facilities E. 1 E. 2 Number of Sub-Centres, PHCs & CHCs functioning as on March, 2010 Facility Survey, DLHS ,2007-2008 e E. 3 E. 4 E. 5 E. 6 E. 7 Health Worker (Female)/ANM at Sub-Centre Health Worker (Female) Sub-Centre and PHCs Number of sub-centres without ANMs or and Health Workers(M) Doctors+ at Primary Health Centres Number of PHCs with Doctors and without Doctors/Lab Technician/Pharmacist SECTION –F Outlay and Expenditure on Family Welfare F. Year Wise BE, RE and Actual Expenditure relating to Department of Family Welfare Plan Outlay on Health Family Welfare in Different Plan Periods Centre, States and Union Territories Scheme-wise breakup of actual expenditure during 2007-08 and outlay for 2008-09 Details of External Assistance fro RCH Programme and Immunization Strengthening Project External Funding Assistance for Polio Programme F. 2 F. 3 F. 4 F. 5 Annexures Annex1 Annex 2 Annex 3 Demographic Indicators Demographic Estimates for Selec ted Countries, 2008 Definitions f SUMMARY  OF  FAMILY  WELFARE   PROGRAMME  IN  INDIA Executive Summary The Ministry of Health and Family Welfare brings out a statistical publication titled â€Å"Family Welfare Statistics in India†. The publication presets the most up-to-date data on the performance of various family welfare programmes and various demographic indicators. The 2011 edition contains six sections. Section â€Å"A† (Tables: A. 1 to A. 1) of the report covers Vital Statistics and captures data on population, sex ratio, rural & urban composition, child population, percentage distribution of population by age and sex, number of married couples, life expectancy at birth, fertility indicators, age specific fertility rates by educational levels, age specific death rates by sex, infant mortality rate by sex, child mortality rate, Maternal Mortality Ratio, etc. Analysis of some of the important indicators, is given in the â€Å"Over View† (Para 1 . 0 to 5. 0). Performance of immunization activities, family planning programmes, MTP services, etc. are covered in Section-B (Tables-B. 1 to B. 22). Para 6. 0 to 6. 9 discusses some of these important parameters in the â€Å"Overview†. The â€Å"Section-C† (Tables C. 1 to C. 0) of the Report covers State-wise data on some of the indicators like; Number of pregnant women received 3 ANC checkups, Number of women given TT2/Booster, Number of women having Hb level < 11 (tested cases), Number of newborn visited within 24 hrs of home delivery, Number of women discharged within 48 hrs of delivery from public facility, Number of Still Births, Number of newborns weighed at Birth, Number of newborns having weight less than 2. 5 Kgs. , Number of Newborns breastfed within 1 hour, Number of women receiving post partum check-up within 48 hours after delivery, etc. This data is an aggregation of district level data which is uploaded on Health Management Information System (HMIS) por tal of the Ministry by States/UTs.A number of large scale surveys are being carried out by the Ministry from time to time to assess the performance of various health and family welfare programmes. These surveys inter-alia include, National Family Health Survey (NFHS), District Level Household and Facility Survey (DLHS), Annual Health Survey (AHS), Facility Survey, Concurrent Evaluation Survey (CES) of NRHM, etc. Section-D focuses on the indicators covered in these large surveys. Data on key indicators (State-wise) covered in NFHS-III (2005-06) as compared with NFHS-II (1998-99) and NFHS-I (1992-93) are given in Tables D. 1 and D. 2. Tables D-3 captures data on key indicators covered in DLHS-III (2007-08) as compared with DLHS-II(2002-04) and DLHS-I (1998-99). Concurrent Evaluation of NRHM was carried out in 2009.The indicators covered include (a) health infrastructure facilities (b) Communitisation of services (c) Functioning of ANM (d) Availability of Human Resources (e) Service Ou tcomes. The results of the evaluation survey i are presented in Table D-5. A comparative data on common indicators covered in NFHS-III, DLHS-III and CES-2009 are brought out in Table D-4. The Ministry of Health & Family Welfare, in collaboration with the Registrar General of India (RGI), had launched an Annual Health Survey (AHS) in the erstwhile Empowered Action Group States (Bihar, Jharkhand, Madhya Pradesh, Chhattishgarh, Uttarakhand, Uttar Pradesh, Orissa and Rajasthan) and Assam.The aim of the survey was to provide feedback on the impact of the schemes under NRHM in reduction of Total Fertility Rate (TFR), Infant Mortality Rate (IMR) at the district level and the Maternal Mortality Ratio (MMR) at the regional level by estimating these rates on an annual basis for around 284 districts in these States. The results of the first round of AHS for some of the indicators viz. Crude Birth Rate (CBR), Crude Death Rate (CDR), Infant Mortality Rate (IMR), Neo-natal Mortality Rate, Under F ive Mortality Rate, Maternal Mortality Ratio (MMR), Sex Ratio, etc. have since become available and are given in Section-D (Tables D. 6. 1 to D. 6. 5).Data on key indicators covered in â€Å"Facility Survey-2007-08† conducted as part of DLHS-III are given in â€Å"Section E†. Latest data received from States /UTs regarding availability of Human resource & infrastructure facilities at Sub Centre, Primary Health Centre (PHC) and Community Health Centre (CHC) are also given in â€Å"Section-E† (Tables E. 1 to E. 7). Section-F covers â€Å"Outlay and Expenditure on Family Welfare† 2010-11 programmes for the year ii Overview Family Welfare Programme in India, 2011 DEMOGRAPHIC PROFILE OF INDIA 1. 0 Vital Statistics 1. 1 As on 1st March, 2011 India's population stood at 1. 21 billion comprising of 623. 72 million (51. 54%) males and 586. 47 million (48. 46%) females. India, which accounts for world's 17. percent population, is the second most populous country in the world next only to China (19. 4%). One of the important features of the present decade is that, 2001-2011 is the first decade (with the exception of 1911-21) which has actually added lesser population compared to the previous decade. In absolute terms, the population of India has increased by about 181. 46 million during the decade 2001-2011. Of the 121 crore Indians, 83. 3 crore (68. 84%) live in rural areas while 37. 7 crore (31. 16%) live in urban areas, as per the Census of India's 2011. Highlights of Census 2011 The average annual exponential growth declined to 1. 64% per annum during 2001-2011 from 1. 97% per annum during 1991-2001.Decadal growth during 2001-2011 declined to 17. 64% from 21. 54% during 1991-2001. The decade is the first, with the exception of 1911-21, which has actually added fewer people compared to the previous decade. The rural population (83. 31 crore) and urban Population (37. 71 crore) constitutes 68. 84% and 31. 16% respectively to the total popula tion of the country. During 2001-2011, for the first time, the growth momentum of population for the EAG States declined by about four percentage points. This, together with a similar reduction in the non-EAG States and Union Territories, has brought down the rate of growth of population for the country by 3. 9 percent as compared to 1991-2001. iiiThough the child-sex ratio [0 to 6 years] has declined from 927 female per 1000 males in 1991-2001 to 914 females per 1000 males, increasing trend in the child sex ratio was seen in Punjab, Haryana, Himachal Pradesh, Gujarat, Tamil Nadu, Mizoram and Andaman and Nicobar Island. Literacy rate increased from 64. 83% in 2001 to 74. 04% in 2011; 82. 14% male literacy, 65. 46% female literacy. Among the States and Union Territories, Uttar Pradesh is the most populous State with 199. 6 million people and Lakshadweep the least populated with 64,429 people. The contribution of Uttar Pradesh (UP) to the total population of the country is 16. 5% foll owed by Maharashtra (9. 3%), Bihar (8. 6%), West Bengal (7. 6%), Andhra Pradesh (7. 0%) and Madhya Pradesh (6. ). The combined contribution of these six most populous States in the country accounts for 55% to the country’s population 1. 2 The country's headcount is almost equal to the combined population of the United States of America (USA), Indonesia, Brazil, Pakistan, Bangladesh and Japan — all put together. The combined population of UP and Maharashtra is bigger than that of the USA. Population of many Indian States is comparable with countries like United Kingdom (UK), Germany, Italy, Japan, Mexico, etc. States in India vs Countries in the World (In Millions) State in India Population- Country @ [email  protected] 2011 Uttar Pradesh 199. 6 Brazil 195. Maharashtra 112. 4 Japan 127. 0 Bihar 103. 8 Mexico 110. 5 iv West Bengal Andhra Pradesh Madhya Pradesh Tamil Nadu Rajasthan Karnataka 91. 3 84. 7 72. 6 72. 1 68. 6 61. 1 Philippines Germany Turkey 93. 6 82. 1 72. 7 Thailand 68. 1 France 62. 8 United 61. 9 Kingdom Gujarat 60. 4 Italy 60. 1 Orissa 41. 9 Argentina 40. 7 Kerala 33. 4 Canada 33. 9 Jharkhand 33. 0 Morocco 32. 4 Assam 31. 2 Iraq 31. 5 Punjab 27. 7 Malaysia 27. 9 Chhattisgarh 25. 5 Saudi 26. 2 Arabia Haryana 25. 4 Australia 21. 5 @Source: State of World Population 2010 1. 3 The Average Annual Exponential Growth Rate (AAEGR) for 2001-2011 dipped sharply to 1. 64 percent per annum from 2. 6 percent during 1981-1991 and 1. 97 percent per annum during 1991-2001. Among the major States, Bihar, J&K, Chattisgarh, Jharkhand, Rajasthan, NCT of Delhi, Madhya Pradesh, Uttar Pradesh, Haryana, Uttarakhand and Gujarat recorded higher annual exponential growth rate as compared to the national average during 2001-2011. The State of Bihar registered the highest (2. 26%) AAEGR and Kerala (0. 48) registered the lowest. v 1. 4 The decadal rate of growth of population has slowed down to 17. 64% in 2001-2011 as compared to 21. 54% in 1991-2001. At the St ate level, growth rates varied widely. Nagaland with (-) 0. 47% had the lowest decadal growth rate.The phenomenon of low growth has started to spread beyond the boundaries of the Southern States during 2001-11, where in addition to Andhra Pradesh, Tamil Nadu and Karnataka in the South, Himachal Pradesh and Punjab in the North, West Bengal and Orissa in the East, and Maharashtra in the West have registered a growth rate between eleven to sixteen percent in 2001-2011 over the previous decade. Among the larger States, Bihar registered the highest decadal growth rate of 25% and Kerala the lowest (4. 86%). It is significant that the percentage decadal growth during 2001-2011 has registered the sharpest decline since independence. It declined from 23. 87 percent for 1981-1991 to 21. 54 percent for the period 1991-2001, a decrease of 2. 33 percentage point. During 20012011, this decadal growth has become 17. 64 percent, a further decrease of 3. 90 percentage points (Table A-1). 1. Traditio nally, for historical reasons, some States depicted a tendency of higher growth in population. Recognizing this phenomenon, and in order to facilitate the creation of area-specific programmes, with special emphasis on eight States that have been lagging behind in containing population growth to manageable limits, the Government of India constituted an Empowered Action Group (EAG) in the Ministry of Health and Family Welfare in March 2001. These eight States were Rajasthan, Uttar Pradesh, Uttarakhand, Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh and Orissa, which came to be known as ‘the EAG States'. During 2001-11, the rate of growth of population in the EAG States except Chhattisgarh has slowed down (Table-A-2).For the first time, the growth momentum of population in the EAG States has given the signal of slowing down, falling by about four percentage points. This, together with a similar reduction in the non-EAG States and Union Territories, has brought down the rate of gr owth for the country by 3. 9 percentage points during 2001-11 as compared to 1991-2001. vi 1. 6 Natural Growth Rate: The natural growth rate, which is the difference between the birth rate and death rate, was estimated as 1. 52% in 2009 against 1. 97 % in 1991. 1. 7 Sex Ratio: According to Census of India 2011, the sex ratio has shown some improvement in the last 10 years. It has gone up from 933 in 2001 census to 940 in 2011 census. Kerala with 1084 has the highest sex ratio followed by Pondicherry with 1038.Daman and Diu has the lowest sex ratio of 618. The Sex Ratio in Arunachal Pradesh (920), Bihar (916), Gujarat (918), Haryana (877), J(883), Madhya Pradesh(930), Maharashtra (925), Nagaland(931), Punjab(893), Rajasthan(926),Sikkim (889) and Uttar Pradesh (908) is lower than the national average. All UTs except Puducherry and Lakshadweep also have lower Sex Ratio as compared to national average (Table A-2). 1. 8 Child Sex Ratio: The child sex ratio (0-6 years), has declined to 91 4 in 2011 Census as compared to 927 in 2001. It showed a continuing preference for male children over females in the last decade. Increasing trend in the child sex ratio was seen in States/UTs viz.Punjab, Haryana, Himachal Pradesh, Gujarat, Tamil Nadu, Mizoram, Chandigarh and Andaman & Nicobar Islands but in all the remaining States / Union Territories, the child sex ratio showed decline over Census 2001 (Table-A-3. 6). Literacy level: According to the provisional data of the 2011 census, the literacy rate 1. 9 went up from 64. 83 per cent in 2001 to 74. 04 per cent in 2011 — showing an increase of 9. 21 percentage points. Significantly, the female literacy level saw a significant jump as compared to males. The female literacy in 2001 was 53 per cent and it has gone up to 65. 46 per cent in 2011. The male literacy, in comparison, rose from 75. 3 to 82. 14 per cent (Table A-3. 5). Kerala, with 93. 1 per cent, continues to occupy the top position among States as far as literacy is concerned while Bihar remained at the bottom of the ladder at 63. 82 per cent. vii Ten States and Union Territories, including Kerala, Lakshadweep, Mizoram, Tripura, Goa, Daman and Diu, Puducherry, Chandigarh, NCT of Delhi and Andaman and Nicobar Islands have achieved a literacy rate of above 85 per cent. 2. 0 POPULATION PROJECTIONS 2. 1 Population Projections: The projections for the country, individual States and Union Territories up to the year 2026 made by the Technical Group constituted by the National Commission on Population (NCP) under the Chairmanship of Registrar General, India, reveals that the country’s population would reach 1. 4 billion by 2026. Projected Population of India (In Millions)The projected population and proportion (percent) of population by broad age-group as on 1st March, 2001-2026 as per â€Å"Report of the Technical Group on Population Projections – Ministry of Health & Family Welfare (May 2006)† are given in the Table below: Ye ar Population (in millions) Proportion (percent) 15-59 15-49 (years) (years) (Female Population) 35. 4 57. 7 51. 1 32. 1 60. 4 53. 1 29. 1 62. 6 54. 5 0-14 (years) 60+ (years) 6. 9 7. 5 8. 3 2001 2006 2011 1029 1112 1193 (1210 )* 1269 1340 1400 2016 2021 2026 26. 8 25. 1 23. 4 63. 9 64. 2 64. 3 54. 8 54. 1 53. 3 9. 3 10. 7 12. 4 *As per provisional figures of Census 2011. viii 2. 2 National Population Policy (NPP), 2000: Government has adopted a National Population Policy in February, 2000. The main objective is to provide or undertake activities aimed to achieve population stabilisation, at a level consistent with the needs of sustainable economic growth, social development and environment protection, by 2045.The other objectives are: †¢ †¢ †¢ To promote and support schemes, programmes, projects and initiatives for meeting the unmet needs for contraception and reproductive and child health care. To promote and support innovative ideas in the Government, private and v oluntary sector with a view to achieve the objectives of the National Population Policy 2000. To facilitate the development of a vigorous people’s movement in favour of the national effort for population stabilisation. 2. 3 National Commission on Population (NCP): With a view to monitor and direct the implementation of the National Population Policy, the NCP was constituted in 2000 and it was re-constituted in 2005.The Chairman of the re-constituted Commission continued to be Hon’ble Prime Minister of India, whereas Deputy Chairman of the Planning Commission and the Minister of Health & FW are the two Vice-Chairmen and Secretary, H, is the Member-Secretary of the Commission. State Population Commissions: State Population Commissions have been 2. 4 constituted in 20 States/UTs. viz. Andhra Pradesh, Arunachal Pradesh, Assam, Haryana, Himachal Pradesh, J, Kerala, Madhya Pradesh, Gujarat, Uttar Pradesh, Maharashtra, West Bengal, Meghalaya, Mizoram, Punjab, Rajasthan, Sikki m, Tamil Nadu, Andaman & Nicobar Island and Lakshadweep. Janasankhya Sthirata Kosh (JSK): The Jansankhya Sthirata Kosh (JSK) has been set 2. 5 up as an autonomous body in the Ministry of Health and Family Welfare, duly registered as a Society under the Societies Registration Act, 1860.The objective of JSK is to facilitate the attainment of the goals of National Population Policy 2000 and support projects, schemes, initiatives and innovative ideas designed to help population stabilization both in the Government and Voluntary sectors and provide a window for canalizing resources through voluntary contributions from individuals, industry, trade organizations and other legal entities in furtherance of the national cause of population stabilization. 3. 0 DEMOGRAPHIC and HEALTH STATUS INDICATORS 3. 1 The demographic and health status indicators have shown significant improvements. The Table below captures data on Crude Birth Rate, Crude Death Rate, and Life Expectancy etc. ix Sl. No. 1 2 3 4Parameters Crude Birth Rate (per 1000 population Crude Death Rate (per 1000 population) Total Fertility Rate Maternal Mortality Ratio (per 100,000 live births) Infant Mortality Rate (per 1000 live births) Child Mortality Rate (0-4 yrs. ) per 1000 children Couple Protection Rate (%) Expectation of life at birth (in years) -Male -Female 1951 40. 8 25. 1 6. 0 NA 1981 33. 9 12. 5 4. 5 NA 1991 29. 5 9. 8 3. 6 398 SRS (199798) 80 26. 5 2001 25. 4 8. 4 3. 1 301 (2001-03) Current Levels 22. 5 (2009) 7. 3 (2009) 2. 6(2009) 212 SRS (2007-09) 50(2009) 14. 1(2009) 5 6 146 (1951-61) 57. 3 (1972) 10. 4 (1971) 110 41. 2 66 19. 3 7 8 22. 8 44. 1 45. 6 40. 4(2011) 37. 1 36. 1 (1951) 54. 1 54. 7 60. 6 61. 7 (199196) 61. 8 63. 5 (1999-03) 62. 6 64. 2 (2002-06)Source: Office of Registrar General of India, except 7 above which is based on estimation done by statistics Division of Ministry of Health and Family Welfare. NA – Not available 3. 2 Crude Birth Rate (CBR): The Crude Birth Rate decline d from 29. 5 in the 1991 to 22. 5 in 2009. The CBR is higher (24. 1) in rural areas as compared to urban areas (18. 3). Uttar Pradesh recorded the highest CBR (28. 7) and Goa the lowest (13. 5). Assam (23. 6), Bihar (28. 5), Chhattisgarh (25. 7), Jharkhand (25. 6), Madhya Pradesh (27. 7), Rajasthan (27. 2), Uttar Pradesh (28. 7) recorded higher CBR as compared to the national average. Among the Smaller States / UTs, D Haveli (27. 0) and Meghalaya (24. ) recorded higher CBR as compared to the national average while Tripura (14. 8) recorded the lowest CBR during 2009-Table A-15, A16 & A17. x 3. 3 Life Expectancy: The life expectancy at birth for male was 62. 6 years as compared to females, 64. 2 years according to 2002-06 estimates. Urban Male (67. 1 years) and Urban Female (70 years) have longer life span as compared to their rural counter parts. The life expectancy in Kerala is the highest (74 years) and the lowest in Madhya Pradesh (58 years) Table A-13. 1. xi 4. 0 MORTALITY INDICA TORS 4. 1 Crude Death Rate (CDR): The CDR, which was stagnant during 2007 and 2008 at 7. 4, came down to 7. 3 in 2009. The CDR is higher in rural areas (7. ) as compared to urban areas (5. 8). The death rate is highest (8. 8) in Orissa and lowest in Nagaland (3. 6) – (Table A-17). Age-specific Death Rates: The ASDR for the year 2009 was 14. 1 per 1000 in the age-group 0-4; it drastically declined in the next age-group (5-9) to 1 per 1000. The ASDR gradually increased in each age-group to reach to the level 20. 4 per 1000 in the age-group 60-64 and continued to increase to reach finally to the level 173. 9 per 1000 in the last age-group, 85+. ) The Age-specific Mortality rates are declining over the years; the rural-urban and Male – Female differentials are still high (Table A-18 to A-18. 3) xii 4. Infant Mortality Rate (IMR): According to SRS 2009, the IMR at national level was 50 per 1000 live births in 2009 as compared to 53 in 2008. The IMR is higher in respect of F emale (52) as compared to Male (49). The highest infant mortality rate has been reported from Madhya Pradesh (67) and lowest from Kerala (12). Assam (61), Bihar (52), Chhattisgarh (54), Haryana (51), Madhya Pradesh (67), Orissa (65), Rajasthan (59) and Uttar Pradesh (63) recorded higher IMR as compared to the national average (Table-A-20) Infant Mortality Rates – Rural/Urban (All India) xiii The IMR is very high in rural areas (55 per 1000 live births) as compared to urban areas (34). Rural areas of Madhya Pradesh registered the highest IMR (72) followed by Orissa (68), Uttar Pradesh (66).Rural areas of Kerala State recorded the Lowest IMR (12) in the country. Uttar Pradesh and Chhattisgarh recorded highest IMR in urban areas. Kerala had the lowest IMR (11) in urban areas. Amongst the smaller states, Rural and Urban areas of Goa recorded lowest IMR during 2009 (Table-A-22). The increase in medical attention to the pregnant women at the time of live births may have resulted in decline in IMR over the period. But in the rural areas, the medical attention is still on the lower side (Table-A36) Distribution of Live Births by Type of Medical Attention Received by the Mother-2009 (%) Neo-natal Mortality Rate: Neo-natal mortality refers to number of infants dying within one month.Neo-natal health care is concerned with the condition of the newborn from birth to 4 weeks (28 days) of age. Neo-natal survival is a very sensitive indicator of population growth and socio-economic development. The survival rate of female infants correlates to subsequent population replacement. The neo-natal mortality rate which was stagnant at 37 per 1000 live births during 2003 to 2006 marginally came down to 36 in 2007, 35 in 2008 and stood at 34 during 2009. The neo-natal mortality rate is very high in rural areas (38 per 1000 live births) as compared to 21 in urban areas in 2009. The neonatal mortality rate also xiv varies considerably among Indian States.Madhya Pradesh (47), Utt ar Pradesh (45), Orissa (43), Rajasthan (41), J (37), Himachal Pradesh (36), Haryana(35), Gujarat(34), Chhattisgarh(38) recorded higher neo-natal mortality rate as compared to national average. The Neo-natal mortality rate is lowest in the Kerala State (7). The significant feature is that, the Neo-natal Mortality Rate came down or remained stagnant in 2009 as compared to 2008 except in the case of Haryana, Himachal Pradesh, Jharkhand and Karnataka (Table A23) Post-Neo-Natal Mortality Rate: Refers to number of infant deaths at 28 days to one year of age per 1000 live births. The Post Neo natal Mortality Rate came down to 16 in 2009 from 24 in 2002.The Post Neo Natal Mortality Rate is high in rural areas (17) as compared to urban areas (13) (Table A-21) Peri–natal Mortality Rate: Refers to number of still birth and deaths within 1st week of delivery per 1000 live births. The Peri-natal Mortality Rate varies in the range of 37 to 35 since 2001 and stood at 35 in 2009. It is high in rural areas (39) as compared to urban areas (23) during 2009. The Peri-natal Mortality Rate significantly varied across the States. Kerala with 13 is the best performing State, Madhya Pradesh and Chhattisgarh (45) are least performing States during 2009. Still Birth Rate (SBR): The SBR came down to 8 in 2008 from 9 in 2007. However, it remained stagnant at 8 in 2009 also.The number of Still Births varied across the States between 1 (Bihar) and 17 (Karnataka) in 2009 (TableA-23). 4. 3 Child Mortality Rate (0-4): Child Mortality Rate is measured in terms of death of number of children (0-4 years) taking place per 1000 children (0-4 year’s age). As per SRS estimates, the Child Mortality Rate (CMR) has come down from 57. 3 in 1972 to 26. 5 in 1991 and 14. 1 in 2009. The CMR is very high in rural areas (15. 7) as compared to urban areas (8. 7) in 2009 and this observation is relevant for almost all States uniformly. The highest Child Mortality Rate was recorded in Madhya Prade sh (21. 4) closely followed by Uttar Pradesh (20. 1) and Assam (19. 0). Kerala with 2. 6 CMR is the best Performing State (Table A22. 1) 5. 0FERTILITY INDICATORS The three common measures of fertility are; (a) Crude Birth Rate (CBR), (b) Age-Specific Fertility Rates (ASFR), and (c) Total Fertility Rate (TFR). CBR has already been discussed in para 3 . 2 above. 5. 1 Age Specific Fertility Rates (ASFR) & Age Specific Marital Fertility Rates (ASMFR): ASFR is defined as the number of children born to women in the said age group per 1000 women in the same age group and ASMFR as the number of children born to married women in the said age group per 1000 women in the same age group. Table A-24 presents ASFR and ASMFR data separately for rural and urban areas, for the years 2004 to 2009. It is xv bserved that ASMFRs are higher than ASFRs in respect of all age groups as ASMFR covers only married women. Throughout the period 2004-2009, the age group 20-24 continued to have peak fertility rate s in rural and urban areas, but both these indicators are lower in urban areas as compared to rural areas. The ASMFR increased to 326 in 2009 from 303 in 2008 and the ASFR increased to 227. 8 in 2009 from 218. 6 in 2008 for the age group 20-24. Data on Age Specific Fertility Rate (ASFR) reveals that the fertility rate in 15 to 19 years age group has moderately declined in 2009 (38. 5) as compared to 2008 (41. 6). Lower fertility rates are observed in U. P. Bihar only after attaining the age 40 years while in Kerala, Tamil Nadu, Andhra Pradesh, Maharashtra, Karnataka, Himachal Pradesh and Punjab, this stage is reached in the earlier age groups namely 30-34 and 35-39 (Table A-26). ASFR is showing a decreasing trend as the literacy level increases in the age group of 20-24 (the peak fertility age group)-Tables A-27. 5. 2 Age at Effective Marriage (AEM): The Mean age at effective marriage is the age at consummation of marriage, is almost stagnant and hovering around 20 years between 200 5 and 2009. The State level data show variations in the AEM. It is the highest in J (23. 6) followed by Kerala (22. 7), Delhi & Tamil Nadu (22. 4), Himachal Pradesh (22. 2), and Punjab (22. 1) in 2009. Rajasthan (19. ) has the lowest AEM. The AEM in urban areas is higher than the rural one but the difference is just two years. The rural- urban difference is highest (3. 1 years) in Assam and least in Kerala (0. 1 years). The AEM in respect of more than 50% female in rural areas is 18-20 years whereas in urban areas, the AEM in respect of more than 60% female is 21+ (Tables A-28 to A-30) xvi 5. 3 Total Fertility Rate (TFR): The TFR for the country remained constant at 2. 6 during 2008 and 2009 with Bihar reporting the highest TFR at 3. 9 while Kerala and Tamil Nadu continued its outstanding performance with the lowest TFR of 1. 7. Among the major States, the TFR level of 2. has been attained by Andhra Pradesh (1. 9), Karnataka (2. 0), Kerala (1. 7), Maharashtra (1. 9), Punjab (1. 9), Tamil Nadu (1. 7) and West Bengal (1. 9). The rural woman is having higher TFR (2. 9) as compared to urban (2. 0) women (TableA-25). 6. 0 FAMILY PLANNING PROGRAMME: In 1952, the Indian Government was one of the first in the world to launch a national family planning programme, which was later expanded to encompass maternal and child health, family welfare and nutrition. The figures given in the publication are based on the data reported by the State/UTs at district level and then consolidated at State and National level on HMIS portal.Percentage of districts reported in 2009-10 and 2010-11 was 98%. 6. 1 Maternal Health: Maternal health refers to the health of women during pregnancy, childbirth and the postpartum period. Antenatal care (ANC) is the systemic medical supervision of women during pregnancy. Its aim is to preserve the physiological aspect of pregnancy and labour and to prevent or detect, as early as possible, all pathological disorders. Early diagnosis during pregnancy ca n prevent maternal ill-health, injury, maternal mortality, foetal death, infant mortality and morbidity. During 2010-11, 28. 30 million women got registered for ANC checkup and more than 20 million underwent 3 check-ups during the pregnancy period. vii The institutional deliveries to total deliveries (Institutional +home) increased from 56. 7% in 2006-07 to 78. 5% in 2010-11. Kerala and Tamil Nadu (99. 8%) are the best performing States in the country during 2010-11 (Table B-18). 6. 2 Medical Termination of Pregnancy: To avoid the misuse of induced abortions, most countries have enacted laws whereby only qualified Gynecologists under conditions laid down and done in clinics/hospitals that have been approved, can do abortions. The Medical Termination of Pregnancy Act was enacted by the Indian Parliament in 1971 and came into force from 01 April, 1972. The MTP Act was again revised in 1975.The MTP Act lays down the condition under which a pregnancy can be terminated, especially the pe rsons and the place to perform it. During 2010-11, 620472 MTPs were performed by 12510 approved institutions in the country. Uttar Pradesh with 576 approved institutions performed maximum number (81420) MTPs in the country followed by Maharashtra (78047) during 2010-11. xviii About 60% MTPs in the country were performed in 6 States viz. Assam, Maharashtra, West Bengal, Tamil Nadu, Uttar Pradesh and Haryana in 2010-11(Table B4). 6. 3 Child Health Immunization programmes aim to reduce mortality and morbidity due to Vaccine Preventable Diseases (VPDs), particularly for children.India's immunization programme is one of the largest in the world in terms of quantities of vaccines used, numbers of beneficiaries, number of immunization sessions organized and the geographical area covered. Under the immunization program, vaccines are used to protect children and pregnant mothers against six diseases. They are: †¢ †¢ †¢ †¢ †¢ †¢ Tuberculosis Diphtheria Pertussis Polio Measles Tetanus In India, under Universal Immunization Programme (UIP) vaccines for six vaccinepreventable diseases (tuberculosis, diphtheria, pertussis (whooping cough), tetanus, poliomyelitis, and measles) are provided free of cost to all. Tetanus Immunization for expectant Mother: During 2010-11, 78. 14% of the estimated need for vaccinating 29. 68 million expectant mothers was achieved. As compared to 200910 the achievement is on lower side (83. 82%).The achievement varied widely across the States, the highest percentage of achievement is observed in Lakshadweep (112. 1%) followed by the Mizoram (106. 8%). Among major States, Tamil Nadu immunized 98. 5% of the targeted numbers and Bihar recorded the lowest immunization (58%). The achievement xix of Bihar is the lowest among the major States consecutively for the third year (TableB1&B2). DPT Immunization for Children: The DPT is an immunization or vaccine to protect against the diseases of Diphtheria (D), Pertussis (P), and Tetanus (T). The III dose of DPT vaccination was to be administered to 25. 54 Million children (Target) and achieved 89. 20% during 201011 as against the achievement of 99. 0% in 2009-10. Andhra Pradesh (100. 3%), Tamil Nadu (102. %), Himachal Pradesh (105. 7%), J&K (105. 3%), Manipur (118. 8%), Meghalaya (108. 5%) and Mizoram (134. 2%) achieved more than 100% targeted numbers (Table- B1&B2). Polio: More than 89 percent children received the third dose of Polio vaccine in 2010-11 but the percentage dropped from 98. 6% in 2009-10. The percentage of children who received third dose of polio ranges from 31. 4% in A&N Islands to 133. 8% in Mizoram. Eight States viz. Andhra Pradesh, Orissa, Tamil Nadu, Himachal Pradesh, J&K, Manipur, Meghalaya and Mizoram achieved more than 100% targeted numbers during 2010-11. Achievement of Bihar State is the lowest (69. 1%) among the major States (Table- B1&B2).BCG: BCG vaccine is given for protection against tuberculosis, mainly severe forms of chil dhood tuberculosis. 23. 88 million Children of below one year were targeted for administering BCG vaccine during 2010-11 as against 25. 19 million in 2009-10. The achievement in 2010-11 was 93. 5% as against 101. 7 % in 2009-10. 14 States / UTs achieved more than 100% immunization during 2010-11 as against 20 States/UTs in 2009-10. Pondicherry achieved the highest percentage immunization (179. 8%) in 2010-11. Measles: 22. 10 million Children of below one year age received measles vaccine during 2010-11 as against 25. 54 million children accounting for an achievement of 86. 6% as against 95. 0% in 2009-10.Himachal Pradesh, J&K, Manipur, Meghalaya and Mizoram achieved more than 100% vaccination in 2010-11 (Table- B1&B2). Tetanus: Vaccination against Tetanus was administered to 9. 7 million (Target: 25. 1 Million) children of 5 years age (DT), 14. 30 million children of 10 years age (Target: 25. 66 million) and 13. 0 million children of 16 years age (Target: 26. 01 Million) during 2010 -11. The achievement as against the set target works out to 38. 6%, 54. 8% and 50. 0% respectively in respect of the above age group of children. Bihar State is lagging behind in achievement as compared to all other major States. The achievement is only 5. 6% (of the target) in the case of children 5 years of age, 14. 8% for children of 10 Years and 20. % for children of 16 years during 2010-11. Except Sikkim (for the age group children 10 years), no other State vaccinated the children to the extent of 100% of the target during 2010-11(Table- B1&B2). 6. 4 Family Planning: Birth control pills, condoms, sterilization, IUD (Intrauterine device) etc. are most commonly practiced Family Planning methods in the country. The efforts of the Government in implementing the Family Planning Programme in the country have significant impact. However, Social factors like reluctance, traditions and socio-cultural beliefs towards large family emerge as the major constraints towards adopting Family Pl anning methods. Female xx iteracy, age at marriage of girls, status of women, strong son preference, and lack of male involvement in family planning, are also significant factors associated with adoption of small family norm. IMPACT OF FAMILY WELFARE ACTIVITIES †¢ †¢ Knowledge of contraception is nearly universal: 98 percent of women and 99 percent of men age 15-49 know one or more methods of contraception. Among the permanent modern Family Planning methods, female sterilization was the most popular Over 97 percent of women and 95 percent men know about female sterilization. Male sterilization, by contrast, is known only by 79 percent of women and 87 percent of men. Ninety-three percent of men know about condoms, compared with 74 percent of women. More than 80 percent women and men know about contraceptive pills.Knowledge of contraception is widespread even among adolescents: 94 percent of young women and 96 percent of young men have heard of a modern method of contracepti on Source: NFHS-3 †¢ †¢ †¢ 6. 5 Family Planning Performance The year 2010-11 ended with 34. 9 million total family planning acceptors at national level comprising of 5. 0 million Sterilizations, 5. 6 million IUD insertions, 16. 0 million condom users and 8. 3 million O. P. users as against 35. 6 million total family planning acceptors in 2009-10 (Table B. 5) xxi Total FP Acceptors 60000 50000 40000 30000 20000 10000 0 6. 6 A total of 50. 09 Lakh sterilizations were performed in the country during 2010-11 as against 49. 98 Lakh in 2009-10. States/UTs viz.Assam, Bihar, Gujarat, Jharkhand, Madhya Pradesh, Orissa, Punjab. Arunachal, Manipur, Meghalaya, Nagaland, Tripura, Uttarakhand, Daman & Diu, Lakshadweep and Puducherry have shown improved performance in 2010-11 as compared to 2009-10. (Nos. 000†²) Sterilisations 6,000 5,000 (Nos. 000†²) 4,000 3,000 2,000 1,000 0 The proportion of tubectomy operations to total sterilizations was 95. 6 percent in 2010-11 as ag ainst 94. 6 percent in 2009-10 (Table B-6). xxii Though the share of vasectomy operations to total sterilizations is increasing, it is quite insignificant. 6. 7 IUD Insertions: During the year 2010-11, 5. 6 million IUD insertions were reported as against 5. 7 million in 2009-10.Assam, Bihar, Gujarat, Jharkhand, Uttar Pradesh, Arunachal Pr, Delhi, Goa, Meghalaya, Mizoram, Sikkim, D&N Haveli reported better performance in 2010-11 than in 2009-10 (Table B-9). 6. 8 Condom Users and O. P. Users: Based on the distribution figures reported, there were 16. 0 million equivalent users of Condoms and 83. 07 million equivalent users of Oral Pills during 2010-11 (Table B-10, B-11). 6. 9 Number of Births Averted: Implementation of various Family Planning measures averted 16. 335 million births in the country during 2010-11 as compared to 16. 605 million in 2009-10. The cumulative total of births avoided in the country up to 2010-11 was 442. 75 million (Table B-22). 7. 0 PROGRAMMES and SCHEMES 7. The National Rural Health Mission (NRHM): NRHM launched by the Hon’ble Prime Minister on 12th April 2005 throughout the country with special focus on 18 States, including eight Empowered Action Group (EAG) States, the North-Eastern States, Jammu & Kashmir and Himachal Pradesh, seeks to provide accessible, affordable and quality health care xxiii services to rural population, especially the vulnerable sections. The NRHM operates as an omnibus broadband programme by integrating all vertical health programmes of the Departments of Health and Family Welfare including Reproductive & Child Health Programme and various diseases control Programmes.The NRHM has emerged as a major financing and health sector reform strategy to strengthen States Health systems. The NRHM has been successful in putting in place large number of voluntary community health workers in the programme, which has contributed in a major way to improved utilisation of health facilities and increased health awarenes s. NRHM has also contributed by increasing the human resources in the public health sector, by up-gradation of health facilities and their flexible financing, and by professionalization of health management. The current policy shift is towards addressing inequities, through a special focus on inaccessible and difficult areas and poor performing districts.This requires also improving the Health Management Information System, an expansion of NGO participation, a greater engagement with the private sector to harness their resources for public health goals, and a greater emphasis on the role of the public sector in the social protection for the poor. †¢ †¢ †¢ †¢ †¢ †¢ †¢ 7. 2 NRHM GOALS Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR) Universal access to public health services such as Women’s health, child health, water, sanitation & hygiene, immunization, and Nutrition. Prevention and control of communicable and nonco mmunicable diseases, including locally endemic diseases Access to integrated comprehensive primary healthcare Population stabilization, gender and demographic balance. Revitalize local health traditions and mainstream AYUSH. Promotion of healthy life styles.Primary Health Care services Health Services are provided to the community through a network of Sub-centres, Primary Health Centres (PHCs) and Community Health Centres (CHCs) in the rural areas and Hospitals and Dispensaries etc. in the urban areas. The Primary Health Care infrastructure in rural areas has been developed as a three-tier system. The norms for establishing Sub centres, PHCs and CHCs are as under: xxiv Centre Plain Area Sub Centre PHC CHC 5000 30000 120000 Population Norms Hilly/Tribal Area 3000 20000 80000 7. 3 Sub-Centres (SCs): The Sub-Centre is the most peripheral and first contact point between the primary health care system and the community.Each Sub-Centre is manned by one Auxiliary Nurse Midwife (ANM) and on e Male Health Worker MPW (M). One Lady Health Worker (LHV) is entrusted with the task of supervision of six Sub-Centres. SubCentres are assigned tasks relating to interpersonal communication in order to bring about behavioural change and provide services in relation to maternal and child health, family welfare, nutrition, immunization, diarrhoea control and control of communicable diseases programmes. The Sub-Centres are provided with basic drugs for minor ailments needed for taking care of essential health needs of men, women and children. There were 147069 Sub Centres functioning in the country as on March 2010. An Auxiliary Nurse Midwife (ANM), a female aramedical worker posted at the Sub-Centre and supported by a Male Multipurpose Worker MPW (M) is the front line worker in providing the Family Welfare services to the community. ANM is supervised by the Lady Health Visitor (LHV) posted at PHC. 7. 4 Primary Health Centres (PHCs): PHC is the first contact point between village comm unity and the Medical Officer. The PHCs were envisaged to provide an integrated curative and preventive health care to the rural population with emphasis on preventive and promotive aspects of health care. The PHCs are established and maintained by the State Governments under the Minimum Needs Programme (MNP)/Basic Minimum Services Programme (BMS).There were 23673 PHCs functioning as on March 2010 in the country. A PHC is manned by a Medical Officer supported by 14 paramedical and other staff. It acts as a referral unit for 6 Sub Centres. It has 4-6 beds for patients. The activities of PHC involve curative, preventive, primitive and Family Welfare Services. 7. 5 Community Health Centres (CHCs): CHCs are being established and maintained by the State Government under MNP/BMS programme . It is manned by four medical specialists i. e. Surgeon, Physician, Gynaecologist and Paediatrician supported by 21 paramedical and other staff. It has 30 in-door beds with one OT, X-ray, Labour Room an d Laboratory facilities.It serves as a referral centre for 4 PHCs and also provides facilities for obstetric care and specialist consultations. As on March, 2010, there were 4535 CHCs functioning in the country. 7. 6 Reproductive Child Health (RCH) Programme: Reproductive and Child Health Programme is a major component of NRHM and aims at reduction of Infant Mortality Rate, Maternal Mortality Ratio and Total Fertility Rate xxv 7. 7 Janani Suraksha Yojana: The Jannani Suraksha Yojana (JSY) is a 100% centrally sponsored scheme and it integrates cash assistance with delivery and post delivery care. The scheme was launched with focus on demand promotion for institutional deliveries in States and regions where these are low.It targeted lowering of MMR by ensuring that deliveries were conducted by Skilled Birth Attendants at every birth. The Yojana has identified the Accredited Social Health Activist (ASHA), as an effective link between the Government and the poor pregnant women in 18 low performing States, namely the 8 EAG States and Assam and J&K and the remaining NE States. In other States and UTs, wherever, AWW and TBAs or ASHA like activist has been engaged for this purpose, they can be associated with this Yojana for providing the services. The JSY scheme has shown phenomenal growth in the last three years. Starting with a modest number of 7. 39 Lakhs beneficiaries in 2006-07, the total number reached 113. 89 lakh during 2010-11. 7. Family Welfare Linked Health Insurance Scheme: Family Planning Linked Insurance Scheme was introduced w. e. f. 29th November, 2005 to take care of the cases of failure of Sterilisation, medical complications for death resulting from Sterilisation, and also provide indemnity cover to the doctor / health facility performing Sterilisation procedure. The scheme is in operation for the last 5 years and is renewed with ICICI Lombard Insurance Company for the sixth year w. e. f. 01-01-2011 based on 50 lakh sterilization acceptors. The tot al liability of the company is limited to Rs. 25 crore under Section-I and Rs. 1 crore under Section-II. Benefits of the Scheme w. e. f. 1. 1. 011( 6th Year) Section Coverage Financial compensation I following IA Death sterilization (inclusive of Rs. 2 Lakhs death during process of sterilization operation) within 7 days from the date of discharge from the hospital. IB Death following Rs. 50,000 sterilization within 8 – 30 days from the date of discharge from the hospital IC Failure of Sterilization Rs. 30,000 ID Cost of treatment upto Actual not exceeding 60 days arising out of Rs. 25,000 complication following the sterilization operation (inclusive of xxvi II complication during process of sterilization operation) from the date of discharge. Indemnity Insurance per Upto Rs. 2 Lakh per Doctor/facility but not claim more than 4 cases in a year. 7. Compensation for Acceptors of Sterilisation: As a measure to encourage people to adopt permanent method of Family Planning, this Mi nistry has been implementing a Centrally Sponsored Scheme since 1981 to compensate the acceptors of sterilization for the loss of wages for the day on which he/she attended the medical facility for undergoing sterilization. Compensation for Acceptors of Sterilisation Public facilities Vasectomy Tubectomy Focus 1500 1000 1500 (Rs. ) Accredited Private/NGO facilities Vasectomy Tubectomy 1500 1500 1500 (BPL/SC/ST) High States Non-high Focus States 1000 (BPL/SC/ST) 1500 650 (APL) 8. 0 MONITORING AND EVALUATION SYSTEMThe Information System to measure the process and impact of the NRHM including Family Welfare Programme is as below: a) Service Statistics through HMIS and Routine Monitoring b) Sample Registration System & Population Census, Office of Registrar General India c) Large scale surveys- National Family Health Surveys, District Level Household and Facility Surveys. Annual Health Survey d) Area specific surveys by Population Research Centres e) Other specific surveys by National & International agencies f) Field Evaluation through Regional Evaluation Teams xxvii 8. 1 Service Statistics/Routine Monitoring The Statistics Division in the Ministry of Health & Family Welfare is responsible for Monitoring & Evaluation activities. 8. 2 Health Management Information System (HMIS) Health services are provided through the network of health centers spread throughout rural and urban areas of the country. Each centre maintains record of its activities in one or more of the primary registers.The performance data collected and compiled primarily at peripheral levels (Rural/Urban) such as Sub-centre, Primary Health Centres, Urban Family Welfare Centres / Post Partum Centres / Hospitals / Dispensaries are presented in Tables C-1 to C-10. For capturing information on the service statistics from the peripheral institutions, an exercise was undertaken to rationalize the facility level data capturing format by removing redundant information, reducing the number of forms and focu sed on facility based reporting. The revised forms were finalized in September 2008 and disseminated to the States. A web based Health MIS (HMIS) portal was also launched in October, 2008 http://nrhm-mis. nic. n to facilitate data capturing at District level. The HMIS portal has led to faster flow of information from the district level and about 98% of the districts are reporting monthly data since 2009-10. The HMIS portal is now being rolled out to capture information at the facility level. Some of indicators for which data has been captured through HMIS portal (district level) are included for the first time in the publication (Detailed tables are given in Section–C (Tables C1 to C-10). Data for these indicators are provisional and may only be compared with DLHS-III indicators keeping in view the methodological differences. 8. 3 Tracking of Mothers and ChildrenIt has been decided to have a name-based tracking whereby pregnant women and children can be tracked for their ANCs and immunisation along with a feedback system for the ANM, ASHA etc to ensure that all pregnant women receive their Ante-Natal Care (ANCs) and postnatal care (PNCs) Checkups; and the children receive their full immunisation. All new pregnancies detected/being registered from 1st April, 2010 at the first point of contact of the pregnant mother are being captured as also all births occurring from 1st December, 2009. A number of States have established the system and other are putting in place systems to capture such information on a regular basis. Mother and Child Tracking System require intense capacity building at various levels primarily at the Block and Sub-Centre levels. The National Informatics Centre (NIC) has developed software application. The rollout is being monitored centrally. xxviii 8. 4 Large Scale/Demographic SurveysA number of large scale surveys are being conducted by the Ministry of Health & Family Welfare as enumerated below: National Family Health Survey (NFHS): The 2005-06, National Family Health Survey (NFHS-3) was the third in a series of national surveys preceded by earlier NFHS surveys carried out in 1992-93 (NFHS-1) and 1998-99 (NFHS-2) with the objective to provide essential data on health and family welfare needed by the Ministry of Health and Family Welfare and other agencies for policy and programme purposes, and to provide information on important emerging health and family welfare issues. Annual Health Survey (AHS): The Ministry of Health & Family Welfare, in collaboration with the Registrar General of India (RGI), had launched an Annual Health Survey (AHS) in the erstwhile Empowered Action Group States (Bihar, Jharkhand, Madhya Pradesh, Chhattishgarh, Uttarakhand, Uttar Pradesh, Orissa and Rajasthan) and Assam. AHS will provide District-wise data on Total Fertility Rate (TFR), Infant Mortality Rate (IMR) and the Maternal Mortality Ratio (MMR) at the regional level. Other RCH indicators like Ante-natal care, Institutional delive ry, immunisation, use of contraceptives will also be available.The aim of the survey was to provide feedback on the impact of the schemes under NRHM in reduction of Total Fertility Rate (TFR), Infant Mortality Rate (IMR) at the district level and the Maternal Mortality Ratio (MMR) at the regional level by estimating these rates on an annual basis for around 284 districts in these States. The results of the first round of AHS for some of the indicators viz. Crude Birth Rate (CBR), Crude Death Rate (CDR), Infant Mortality Rate (IMR), Neo-natal Mortality Rate, Under Five Mortality Rate, Maternal Mortality Ratio (MMR), Sex Ratio at Birth (SRB), Sex Ratio (0-4 years) and Total Sex Ratio have been released by the Registrar General of India (RGI).The District-wise data in respect of the above indicators for the nine States viz. Bihar, Jharkhand, Madhya Pradesh, Chhattishgarh, Uttarakhand, Uttar Pradesh, Orissa, Rajasthan and Assam are given in Table D. 6. 0 (Section D). Comparison of State -wise AHS results and SRS: 2009, in respect of five indicators namely Crude Birth Rate (CBR), Crude Death Rate (CDR), Infant Mortality Rate (IMR), Neo-natal Mortality Rate and Maternal Mortality Ratio (MMR), Sex Ratio at Birth (SRB) reveals that they are broadly comparable (Table D. 6. 1). All 284 districts covered in the AHS (first round) have been ranked by arranging them in ascending order based on the rank of the individual indicators viz.Infant Mortality Rate (IMR), Neo-natal Mortality Rate, Under 5 Mortality Rate and Maternal Mortality Ratio (MMR) and presented in Table D. 6. 2. Tables D. 6. 3 and D. 6. 4 give details of bottom 100 districts as per the rankings and also covered under High Focus Districts identified under National Rural Health Mission, xxix The second Round of AHS (2011-12) would also cover additional parameters viz. height & weight measurement, blood test for anemia and sugar, blood pressure measurement and testing of iodine in the salt used by households thro ugh a separate questionnaire on Clinical, Anthropometric and Biochemical (CAB) test and measurements in addition to the indictors covered in AHS first round.District Level Household and Facility Survey (DLHS): The District Level Household and Facility S