Health & Family Welfare Department
There has been manifold improvement in infrastructures, capacity building, manpower placement and in delivery of comprehensive services through 147 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 17.1 in 2014 (SRS).
2. Total Fertility Rate declined by 129% i.e. 2.75 in 1998-99 to 1.2 in 2015-16 (NFHS-IV).
Mortality Indicators
1. Crude Death Rate per 1000 population decreased by 35.29% i.e. 6.9 in 1994 to 5.1 in 2014 (SRS).
2. Infant Mortality Rate (IMR) per 1000 live births declined by 142% i.e. 46 in 1994 to 19 in 2014 (SRS).
3. Under five Mortality Rate declined by 121.87% i.e. from 71 in 1998-99 to 32 in 2015-16 (NFHS-IV).
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 93.75% i.e. 48% in 1998-99 to 93% in 2014-15 (as per state report).
2. Cure rate of tuberculosis improved by 11.43% i.e. 70% in 1994 to 78% in 2014-15 (SRS).
3. Institutional delivery increased by 100.82% i.e. 49% in 2005-06 to 98.4% in 2014-15 (State report).
4. 3 or more ante natal checkups improved by 93.33% i.e. from 45% in 1998-99 to 87% in 2014-15 (State report).
5. Civil Registration of birth improved by 337.5% from 22.4% in 1994-95 to 98% in 2014-15 (State report).
6. Civil Registration of details improved by 381.8% i.e. 22% in 1994 to 106% in 2014-15 (State report).
Disease Prevalence
1. Goiter prevalence decreased by 304% i.e. 54.03% in 1991 to 14.17% in 2005 and 13.37% in 2012 (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 17.1 in 2014 (SRS).
2. Total Fertility Rate declined by 129% i.e. 2.75 in 1998-99 to 1.2 in 2015-16 (NFHS-IV).
Mortality Indicators
1. Crude Death Rate per 1000 population decreased by 35.29% i.e. 6.9 in 1994 to 5.1 in 2014 (SRS).
2. Infant Mortality Rate (IMR) per 1000 live births declined by 142% i.e. 46 in 1994 to 19 in 2014 (SRS).
3. Under five Mortality Rate declined by 121.87% i.e. from 71 in 1998-99 to 32 in 2015-16 (NFHS-IV).
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 93.75% i.e. 48% in 1998-99 to 93% in 2014-15 (as per state report).
2. Cure rate of tuberculosis improved by 11.43% i.e. 70% in 1994 to 78% in 2014-15 (SRS).
3. Institutional delivery increased by 100.82% i.e. 49% in 2005-06 to 98.4% in 2014-15 (State report).
4. 3 or more ante natal checkups improved by 93.33% i.e. from 45% in 1998-99 to 87% in 2014-15 (State report).
5. Civil Registration of birth improved by 337.5% from 22.4% in 1994-95 to 98% in 2014-15 (State report).
6. Civil Registration of details improved by 381.8% i.e. 22% in 1994 to 106% in 2014-15 (State report).
Disease Prevalence
1. Goiter prevalence decreased by 304% i.e. 54.03% in 1991 to 14.17% in 2005 and 13.37% in 2012 (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.
