The EPI-target diseases have decreased remarkably. An increasing trend is seen with ARIs and diarrhoeal diseases. Newer disease control strategies have been adopted where applicable. There is no formal reporting or assessment of disability. The sequelae of cretinism and leprosy are evident, but an effective control programme is now in place.
Disability following road and work related accidents are on the increase.
Community based rehabilitation and mental health programmes were initiated in 1996. The lack of proper baseline data is a major constraint.