Health & Family Welfare Department
There has been manifold improvement in infrastructures, capacity building, manpower placement and in delivery of comprehensive services through 148 Primary Health Sub Centers, 24 Primary Health Centers, 2 Community Health Centers, 4 District Hospitals, one State Referral Hospital and 1 Medical College on public private partnership mode. The remarkable milestones achieved by Government of Sikkim in health sector are reflected by drastic change in many health indicators which has made great impact on the health of the people in Sikkim which are as follows:
Demographic Indicators
1. Birth rate per 1000 population declined by 43.85% i.e. 24.6 in 1994 to 16.5 in 2019 (SRS).
2. Total Fertility Rate declined by 129% i.e. 2.75 in 1998-99 to 1.1 in 2019-20 (NFHS-V).
Mortality Indicators
1. Crude Death Rate per 1000 population decreased by 35.29% i.e. 6.9 in 1994 to 4.2 in 2019 (SRS).
2. Infant Mortality Rate (IMR) per 1000 live births declined by 142% i.e. 46 in 1994 to 5 in 2019 (SRS).
3. Under five Mortality Rate declined by 121.87% i.e. from 71 in 1998-99 to 11.2 in 2019-20 (NFHS-V).
4. Major causes of deaths shifted from Communicable to Non Communicable Diseases as per 1989-90 (Survey) and Medically Certified Causes of Deaths 2006 to 2016.
Service Indicators
1. Complete immunization coverage increased by 100.63% i.e. 48% in 1998-99 to 96.3% in 2020-21 (as per state report).
2. Cure rate of tuberculosis improved by 21.42% i.e. 70% in 1994 to 85% in 2020 (State Report).
3. Institutional delivery increased by 100.82% i.e. 49% in 2005-06 to 98.4% in 2020-21 (State report).
4. 3 or more ante natal checkups improved by 66% i.e. from 45% in 1998-99 to 74.7% in 2020-21 (State report).
5. Civil Registration of birth improved by 279.46% from 22.4% in 1994 to 85% in 2020 (State report).
6. Civil Registration of details improved by 288.63% i.e. 22% in 1994 to 85.5% in 2020 (State report).
Disease Prevalence
1. Goiter prevalence decreased by 376.87% i.e. 54.03% in 1991 to 14.17% in 2005 and 11.33% in 2016-17 (State Survey report).
2. Sikkim has been declared as Cretin Free State. The prevalence in 1989-91 survey was 3.36%.
3. Prevalence Rate of leprosy per 1000 population declined by 450% i.e. 1.10 in 1995 to 0.2 in 2014-15.
Demographic Indicators
1. Birth rate per 1000 population declined by 43.85% i.e. 24.6 in 1994 to 16.5 in 2019 (SRS).
2. Total Fertility Rate declined by 129% i.e. 2.75 in 1998-99 to 1.1 in 2019-20 (NFHS-V).
Mortality Indicators
1. Crude Death Rate per 1000 population decreased by 35.29% i.e. 6.9 in 1994 to 4.2 in 2019 (SRS).
2. Infant Mortality Rate (IMR) per 1000 live births declined by 142% i.e. 46 in 1994 to 5 in 2019 (SRS).
3. Under five Mortality Rate declined by 121.87% i.e. from 71 in 1998-99 to 11.2 in 2019-20 (NFHS-V).
4. Major causes of deaths shifted from Communicable to Non Communicable Diseases as per 1989-90 (Survey) and Medically Certified Causes of Deaths 2006 to 2016.
Service Indicators
1. Complete immunization coverage increased by 100.63% i.e. 48% in 1998-99 to 96.3% in 2020-21 (as per state report).
2. Cure rate of tuberculosis improved by 21.42% i.e. 70% in 1994 to 85% in 2020 (State Report).
3. Institutional delivery increased by 100.82% i.e. 49% in 2005-06 to 98.4% in 2020-21 (State report).
4. 3 or more ante natal checkups improved by 66% i.e. from 45% in 1998-99 to 74.7% in 2020-21 (State report).
5. Civil Registration of birth improved by 279.46% from 22.4% in 1994 to 85% in 2020 (State report).
6. Civil Registration of details improved by 288.63% i.e. 22% in 1994 to 85.5% in 2020 (State report).
Disease Prevalence
1. Goiter prevalence decreased by 376.87% i.e. 54.03% in 1991 to 14.17% in 2005 and 11.33% in 2016-17 (State Survey report).
2. Sikkim has been declared as Cretin Free State. The prevalence in 1989-91 survey was 3.36%.
3. Prevalence Rate of leprosy per 1000 population declined by 450% i.e. 1.10 in 1995 to 0.2 in 2014-15.
