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Mission Antyodaya 2022-23
Health, Nutrition, Mother and Child Development & Family Welfare
State Name: District Name:
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Block Name No. Of
Villages
Where
Survey
Completed 		Population Total
Household 		Availability of Sub-Centre / PHC / CHC Availability of Jan Aushadhi Kendra No. of Anganwadis available Total No.
of children
in the
age group
of 0-3 years
in the Village
as on today 		Total No.
of children
aged 0-3 years
currently
registered in
Aanganwadi/s
located 		Total No.
of children
in the age
group of 3-6
years in the
Village as
on today 		Total No.
of children
aged 3-6
years currently
registered in
Aanganwadi/s
located 		No. of
children aged
0-6 years
in the
village
immunized 		No. of
children aged
0-3 years
in the
village
immunized 		No. of
children aged
3-6 years
in the
village
immunized 		No of children
in this
village
categorized
as Stunted as
per ICDS
record as
on today 		Total No.
of Pregnant
women
currently
in the
village 		No. of
Anemic
Adolescent
Girls
currently in
the village 		No. of
chidlren
(6-14 years)
who are
found to
be anemic 		No. of
Low Birth
Weight (LBW)
children born
during the
last financial
year
(2021-22) 		No of
Male
Children
(0-6 Years)
in the
village 		No of
Female
Children
(0-6 Years)
in the
village 		No. of
missing
children
in the
2021-2022 		No. of
missing women in
reference year
(18 years and
above Not having
contact in past
6 months from
their home) 		No. of
HHDs with
more than
2 Children 		No. of
Anemic
Pregnant
Women
currently
in the
village 		No. of
pregnant
women receiving
services under
ICDS currently
in the village 		Total
No. of
lactating
mothers
currently
in the
village 		No. of
lactating mothers
receiving
services under
ICDS currently
in the village 		Total No.
of women in
the village
delivered
babies
in last
financial year
(2021-22) 		Total No.
of institutional
deliveries in
the Village during
the last
financial year
(2021-22) 		Total No.
of eligible
beneficiaries
in under Pradhan
Mantri Matru
Vandana Yojana
in this village
in FY 2021-22 		No. of
beneficiaries
received benefits
under Pradhan
Mantri Matru
Vandana Yojana
in this village
in FY 2021-22 		Total No.
of newly born
children in
the village
in last
financial year
(2021-22) 		Total No.
of children
from the village
who are currently
in ICDS Common
Application
Software 		No. of
young anemic
children
(0-59 months)
from the village
in ICDS Common
Application
Software 		No. of
Maternal
Death
in the village
in reference
year
(2021-22) 		No. of
Child death
(0-5 years)
in the village
in reference
year
(2021-22) 		No. of
children
aged under 5
Year in the
village wasted
in reference
year (2021-22) 		No. of
Tuberculosis
cases in the
village in
reference
year
(2021-22) 		Whether village has institutional arrangements
for Mentally Challenged persons
Total Male Female Sub-centre PHC CHC Available <1
Km. 		1-2
Km. 		2-5
Km. 		5-10
Km. 		> 10
Km. 		Available With
requisite
infrastructure
 <1
Km. 		1-2
Km. 		2-5
Km. 		5-10
Km. 		> 10
Km. 		Available <1
Km. 		1-2
Km. 		2-5
Km. 		5-10
Km. 		> 10
Km.
Available <1
Km. 		1-2
Km. 		2-5
Km. 		5-10
Km. 		> 10
Km. 		Available <1
Km. 		1-2
Km. 		2-5
Km. 		5-10
Km. 		> 10
Km. 		Available <1
Km. 		1-2
Km. 		2-5
Km. 		5-10
Km. 		> 10
Km.
District Total
 .

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