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Geography: Tamil Nadu is situated on the southeastern side of the Indian peninsula. It is bounded on the east by Bay of Bengal, in the south by the Indian ocean, in the west by the states of Kerala and Karnataka and in the North by the Karnataka and Andhra Pradesh. The land mass of the state can be divided into two natural divisions, (1) The Eastern coastal plain (2) The hilly region along the North and the West Along the whole length of the western part, the sea varying at a distance from, 80 to 160 km runs the range of the western Ghats, a steep and rugged mass averaging 1220 metres above the sea level and rising to 2440 metres at the highest point. The Palghat Gap about 25 km in width is the only marked break in the great mountain wall. To the south of this gap, the range is known as Anamalai (Elephant Hills) Palani Hills is on the east, on which the famous hill station Kodaikanal is situated. The slopes of the western Ghats are covered with heavy ever green forests. The Nilgiris and the Anamalai are the hill groups with the maximum height. In the famous Ootacamund area of the Nilgiris district, is the highest peak Doddabetta, 2640 metres above the sea level. Ootacamund is known as the 'Queen of hill stations' in India. Almost every district has a hill-station or a sea-side resort. History Tamil Nadu which holds in itself a land, a language and a culture existed since the prehistoric times. Human settlement here is said to have existed cotemporary to the civilizations in other parts of world. Tamil Nadu was earlier known as Tamilhanu. The existence of ports such as Arikamedu, Karipattinam, Korkai were proofs of the Tamilian advancement in establishing relations with other regions of the world. The Tamilians were said to be of Dravidian origin and they originally resided in the north west. With the advancement of the Indo-Aryans the Dravidians were e pushed south. The Sangam literature is the basis of Tamil History, culture and organisations from the 3rd century AD. The Cholas, the Pallavas, the Pandyas and the Cheras had their influence on Tamil Nadu and established their kingdoms. The Pallavas established their reign at kanchipuram in about the 4th century Ad. They held power over the land of the Tamils from 6th and 9th centuries. At the end of the 9th century the Cholas established themselves and they extended their empire and also established contacts with South East Asia. In the 13th the century the Pandyas dominated. The establishment of the Vijayanagar empire brought the downfall of the Pandyas. This empire ruled till the 16th century preserving and promoting Hindu culture. The Muslim powers influenced this region politically. The Marathas also influenced Madurai and Thanjavur till the advent of the English who wrested power from the French. During the 17th and the 18th centuries, conflicts started between the trading companies of Europe for control of the major parts in the east. The British managed to control this region in the 19th century. This region was under the domain of the East India Company and continued till independence after which the three states of Tamil Nadu, Andhra Pradesh and Orissa were formed. The region under the jurisdiction of the Madras Presidency formed into a single unit and named Tamil Nadu in 1969 The state of Tamil Nadu has an area of 130058 sq. km. and a population of 62.41 million. There are 30 districts, 385 blocks and 16317 villages. The State has population density of 479 per sq. km. (as against the national average of 312). The decadal growth rate of the state is 11.72% (against 21.54% for the country) and the population of the state continues to grow at a much faster rate than the national rate. HEALTH INDICATORS OF TAMIL NADU The Total Fertility Rate of the State is 1.7. The Infant Mortality Rate is 31 and Maternal Mortality Ratio is 111 (SRS 2004 - 2006) which are lower than the National average. The Sex Ratio in the State is 987 (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 Tamil Nadu State as compared to India figures
Table II: Health Infrastructure of Tamil Nadu
(Source: RHS Bulletin, March 2008, M/O Health & F.W., GOI) The other Health Institution in the State are detailed as under:
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Organogram
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List and Addresses of State Officials
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