Geography

Karnataka is the eighth largest state in India in both area and population. It was formerly known as Mysore. On November 1,1973, the name Mysore was changed to Karnataka.

Karnataka lies between 74^o and 78^o East longitudes and 11^o and 18^o North latitudes. It is situated on the western edge of the Deccan plateau and is surrounded by Maharashtra and Goa on the north, Andhra Pradesh on the east, and Tamil Nadu and Kerala on the south. On the west, it opens out on the Arabian Sea.

Geographically, Karnataka occupies three natural regions like the Coastal strip, the Sahyadris and the Deccan plateau. They are known in Kannada as Paschima Karavali, Malnad and Maidan respectively.

The topography of Karnataka is largely a reflection of the geology of the state. The Sahyadris are covered with evergreen forests. They drop abruptly towards the Arabian Sea, thus forming a natural barrier between the plateau and the coastal regions. Four passes provide access to the coast. They are the Subrahmanya Ghat, the Charmadi Ghat, the Shiradi Ghat, and the famous Agumbe Ghat. The western Ghats slope gently towards the Bay of Bengal. This is the plateau region drained by the two principal rivers namely Krishna and the Kaveri. The average elevation of the plateau is about 610 meters above sea-level.

History

The plateau of Karnataka is said to have been associated to the happenings in the Epic Ramayana. It witnessed a horde of historical activities since the ancient prehistoric civilization. Having the Arabian Sea on its west it is said to have been influenced by new cultures from the west coast. This region had a considerable influence of the Jain culture. The Magadhan ruler Chandragupta Maurya, influenced this region till his death at Shravana Belagola. Karnataka witnessed the rule of the Satavahanas for nearly 300 years, followed by the Kadambas and the Pallavas. The Gangadikaras ruled till 11th century. The Chalukyas of Badami and later the Rashtrakutas ruled over this region. The Kalacharis, Hoysalas, Yadavas, Kakatiyas exercised their control. Karnataka also witnessed the onslaught of the Muslims under Malik Kafur. The Hindu power established itself in 1336 at Vijayanagar by Harihara (Hakka) and Bukka. Vijayanagar period was an age of glory and prosperity. The Bahamanis also established themselves in 1337. In 1565 the empire of Vijayanagar was shattered by the Sultans of the Deccan at the famous battle of Talikota. Meanwhile in 1399 AD, the Wodeyar dynasty established itself in Mysore, a small principality and made Srirangapatnam its capital. Wodeyar's were overthrown by Hyder Ali. Mysore witnessed the strong rule of Hyder Ali and his son Tipu Sultan. In 1799 the British controlled Mysore, the hub of Karnataka, and it remained as a princely state up to 1947. The state of Karnataka earlier called as Mysore, became a state of the Indian Union in 1973.

The state of Karnataka has an area of 191,791 sq. km. and a population of 52.85 million. There are 29 districts, 176 blocks and 29406 villages. The State has population density of 275 per sq. km. (as against the national average of 312). The decadal growth rate of the state is 17.51% (against 21.54% for the country) and the population of the state is growing at a slower rate than the national rate.

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HEALTH INDICATORS OF KARNATAKA

The Total Fertility Rate of the State is 2.0. The Infant Mortality Rate is 45 and Maternal Mortality Ratio is 213 (SRS 2004 - 2006) which are lower than the National average. The Sex Ratio in the State is 965 (as compared to 933 for the country). Comparative figures of major health and demographic indicators are as follows :

Table I: Demographic, Socio-economic and Health profile of Karnataka State as compared to India figures

S. No.	Item	Karnataka	India
1	Total population (Census 2001) (in million)	52.85	1028.61
2	Decadal Growth (Census 2001) (%)	17.51	21.54
3	Crude Birth Rate (SRS 2008)	19.8	22.8
4	Crude Death Rate (SRS 2008)	7.4	7.4
5	Total Fertility Rate (SRS 2008)	2.0	2.6
6	Infant Mortality Rate (SRS 2008)	45	53
7	Maternal Mortality Ratio (SRS 2004 - 2006)	213	254
8	Sex Ratio (Census 2001)	965	933
9	Population below Poverty line (%)	20.04	26.10
10	Schedule Caste population (in million)	8.56	166.64
11	Schedule Tribe population (in million)	3.46	84.33
12	Female Literacy Rate (Census 2001) (%)	56.9	53.7

Table II: Health Infrastructure Karnataka

Particulars	Required	In position	shortfall
Sub-centre	7369	8143	-
Primary Health Centre	1211	2195	-
Community Health Centre	302	323	-
Multipurpose worker (Female)/ANM at Sub Centres & PHCs	10338	8028	2310
Health Worker (Male) MPW(M) at Sub Centres	8143	3762	4381
Health Assistant (Female)/LHV at PHCs	2195	1170	1025
Health Assistant (Male) at PHCs	2195	837	1358
Doctor at PHCs	2195	2814	-
Obstetricians & Gynaecologists at CHCs	323	215	108
Physicians at CHCs	323	192	131
Paediatricians at CHCs	323	116	207
Total specialists at CHCs	1292	691	601
Radiographers	323	30	293
Pharmacist	2518	1983	535
Laboratory Technicians	2518	1242	1276
Nurse/Midwife	4456	1647	2809

(Source: RHS Bulletin, March 2008, M/O Health & F.W., GOI)

The other Health Institution in the State are detailed as under:

Health Institution	Number
Medical College	36
District Hospitals	27
Referral Hospitals	57
City Family Welfare Centre	2
Rural Dispensaries	176
Ayurvedic Hospitals	122
Ayurvedic Dispensaries	589
Unani Hospitals	13
Unani Dispensaries	51
Homeopathic Hospitals	20
Homeopathic Dispensary	42

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Organogram

List and Addresses of State Officers

Principal Secy
Dr. E. V. Ramana Reddy, Principal Secretary, Health and FW Department, Room No. 105, Ist Floor, Vikas Soudha, Bangalore-560001, Karnataka office: +91-80-22255324, +91-80-22034233 Fax: +91-80-22353916 Mob: +91-9844068698 E Mail: prs_hfw@karnataka.gov.in, secy-hfw-krn@nic.in
Mission Director
Sh. S. Selva Kumar Mission Director (NRHM) Directorate of Health & FW Services, 3rd Floor, IPP Building, Anand Rao Circle, Bangalore- 560009 Telfax. Off. +91-80-22373587 Email: mdnrhmkar@gmail.com, md-krn-nrhm@nic.in
Regional Director
Dr. P. Anbazhgian, Sr. Regional Director Health and Family Welfare, Government of India, 2nd Floor, F wing, Kendriya Sadan, Koramangal, Bangalore - 560034 Tel. :+91-80-25537310 Fax.: +91-80-25537688 Mob: +91-9886845962 Email: rohfw.bng@kar.nic.in
Director Health and Family Welfare Services
Ms. Usha wasunkar, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore - 560009 Tel. :+91-80-22870943 Fax.: +91-80-22201813 Mob: +91-9449843004 Email: dirhfw@gmail.com
Director Medical Education
Dr. A. R. Aruna, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore - 560009 Tel. :+91-80-22870060 Fax.: +91-80-22875798 Mob: +91-9845043985 Email: dmekarnataka@yahoo.com
Project Director (RCH) Officer
Dr. M. R. Mohanraju, Directorate of Health and Family Welfare Services, IPP Building, Anand Rao Circle, Bangalore - 560009 Tel. :+91-80-22201980 Fax.: +91-80-22870224 Mob: +91-9449843005 Email: pdrchkar@gmail.com
Research Officer RCH (Nodal Officer for Immunisation)
Dr. Y. Ramesh Babu, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore - 560009		Tel. +91-80-22354765 Res: +91-9449843152 Email: ddrorchkar@gmail.com
Nodal Officer for NGO (Joint Director Planning)
Dr. Suresh S.Shapeti, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore – 560009.		Telefax: +91-80-22875875 Mob: +91-9449843131 Email: sureshshapeti@gmail.com
Nodal Officers for IEC (JD IEC)
Dr. M.C. Guttal, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore - 560009			Tel. :+91-80-22871046 Fax.: +91-80-22871046 Mob: +91-9980094631 Email: jdieckar@gmail.com
Nodal Officer for Disease Control Programs
Dr. B. Vasudeva Murthy Directorate of Health & F.W. Services, Ananda Rao Circle, Bangalore- 560009			Tel: +91-80-22208541 Fax: +91-80-22370895 Mob: +91-988024329 Email: ssubangalore@yahoo.co.in
Disease Control Programs
1. NPCB (National Programme for Control of Blindness)	Dr. R.V. Halakatti JD Optholmology New IPP – Block, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore - 560009, Karnataka Telefax: Off. +91-80-22875909 Tel. Resi: +91-80-41744013 Mob: +91-9449843008 Email: jdopthkar@gmail.com
2. NLEP (National Leprosy Eradication Programme)	Dr. H. V. Halakatti I/c JD Leprosy New IPP – Block, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore – 560 009, Karnataka. Tel. Off. +91-80-22351568 Fax: +91-80-22207815 Email: karsls@vsnl.net
3. RNTCP (Revised National Tuberculosis Control Programme)	Dr. Kumara Swamy Lal JD, RNTCP Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore-560 009 Tel. Off. +91-80-22249364, Mob: +91-9900475292
4. IDSP (Integrated Disease Survlliance Programme)	Dr. Usha Wasukar PD IDSP Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore-560 009 Tel. Off. +91-80-22355843 Telefax: +91-80-22386331 Mob: +91-9986188639 Email: karpdidsp@yahoo.com
5. NVBDCP (National Vector Borne Disease Control Programme)	Dr. Heera raiker JD, NVBDCP Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore-560 009 Telefax: +91-80-22871472 Res: +91-80-64513399 Mob: +91-9449843137 Email: jdmfkar@gmail.com
6. NIDDCP (National Iodine Deficiency Disorder Control Programme)	Dr. S. I. Bendigeri Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore-560 009 Tel. Off. +91-80-22873151 Mob: +91-9449843154 Email: sibendigeri@yahoo.co.in
SPM (State Programme Manager)	Sh. H.S.Udayashankara Room No. 112, New IPP – Block, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore-560 009 Tel. Off. +91-80-22342023 Res: +91-80-26588409 Mob: +91-9449843128 Email: nrhmspmukar@gmail.com
Lead Consultant	Dr. P.K. Srinivas (Lead Consultant) Room No. 112, New IPP – Block, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore-560 009 Tel. Off. +91-80-22732171 Res: +91-80-26481599 Mob: +91-9448247129 Email: lcnrhmkar@gmail.com
Child Health Consultant	Dr. Sadhana (Child Health Consultant) Room No. 112, New IPP – Block, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore-560 009 Res: +91-80-23594339 Mob: +91-9448474377 Email: chconsultant@gmail.com
MH Consultant	Dr. Neena Nanda (MH Consultant) Room No. 112, New IPP – Block, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore-560 009 Tel. Off. +91-80-22370821 Mob: +91-9901300183 Email: mchconkar@gmail.com
Legal Consultant	Smt. Rajeshwari (Legal Consultant) Room No. 112, New IPP – Block, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore-560 009 Res: +91-80-23480464 Mob: +91-9449843355 Email: rdevi1363@yahoo.com
PIP Consultant	Smt. A. Vasuki (PIP Consultant) Room No. 112, New IPP – Block, Directorate of Health and Family Welfare Services, Anand Rao Circle, Bangalore-560 009 Res: +91-80-23489257 Mob: +91-9449843276 Email: conieckar@gmail.com
NRHM Consultant	Dr. Sanjay John Deodhar (NRHM Consultant) Room No. 112, New IPP Block, Directorate of H & FW. Services, Anand Rao Circle, Bangalore-560 009 Res: +91-80-41654710 Mob: +91-9945231225 Email: nrhmconsultant@gmail.com

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