CONTENTS
List of Figures viii
1. Introduction 1
1.1 Background 1
1.2 Problem statement 5
1.3 Aim . 8
1.4 Objectives 8
1.5 Method of each objective 8
1.5.1 Analyzing the episodes of water borne diseases 8
1.5.2 Assessing the how the basic infrastructure leads to water borne diseases in different communities in Jaipur district 9
1.5.3 Understanding the policies & programs to help reduce water borne disease morbidity in Jaipur District . 14
2. Literature review 16
2.1 Transmission Pathways of water borne diseases 16
2.2 Health consequences of Water related Diseases 17
2.3 Morbidity and Mortality trend Analysis 18
2. 4 Strategies adopted for improving public health of the citizens 21
2.5 Various strategies adopted to reduce water borne disease incidence 22
2.6 Learnings from literature review 27
2.7 Research Gap 27
2.8 Scope . 28
3. Analyzing the episodes of water borne disease. 30
3.1 Diarrhoea 30
3.2 Enteric fever (Typhoid) 31
3.3 Fluorosis 32
3.4 Cholera 34
4. Condition of basic infrastructure and prevalent water related disease in selected urban study areas 37
4.1 Demographic and socio-economic profile of the urban study areas 37
4.2 Household amenities and public infrastructure provisions in both the urban study areas 41
4.3 Health conditions in the chosen urban study area 52
5. Conditions of basic infrastructure and prevalent water related diseases in selected rural study areas 67
5.1 Demographic and socio-economic profile of the 3 rural study areas 67
5.2 Household amenities and public infrastructure provisions in the rural study areas 73
5.3 Health conditions in the chosen rural study area 82
6. To understand the health policies and programs to help reduce the water related disease morbidity in Jaipur district 92
6.1 Past national health policies 92
6.1.1 Aim of NHP 2017 92
6.1.2 Objectives of national health policy 2017 92
6.2 Policy thrust emphasizes on 3 main parameters: 93
6.3 National health Programs adopted by the country 94
6.4 Successful projects of Health ministry 96
6.4.1 Asha 96
6.4.2 e-VIN Project (Electronic Vaccine Intelligence network) 97
6.4.3 National health insurance scheme 97
6.5 Health institutional mechanism in Rajasthan 97
6.5.1 Successful programs launched in the state 98
6.5.2 People’s review and response on the state programs launch 99
6.5.3 E-health initiatives launched in Rajasthan . 100
7. Conclusion 103
7.1 Findings from Urban area site analysis 103
7.1.1 Barkat nagar 103
7.1.2 Malviya nagar 103
7.1.3 Jawahar nagar Tila 6B 104
7.2 Findings from rural area site analysis 105
7.2.1 Acharawalla 105
7.2.2 Jagannathpura 105
7.2.3 Kanota 106
7.3 Policy interventions and recommendations 107
7.3.1 For the urban local level 107
7.3.2 For the Non-government organisations (NGOs) 108
7.3.3 For the state government 108
7.4 Main finding of research 109
8. References 110
9. Annexure 115
Questionnaire for Primary survey 115