I deem it a great privilege to express my profound respect and deep sense of gratitude to my research supervisor Dr.M. Venkateswarlu, Associate Professor, Department of Commerce, S.V. University, Tirupati, for his constant encouragement and able guidance throughout the period of research. The meticulous case with which he scrutinised the earlier drafts and offered constructive suggestions helped me in preparing this dissertation successfully.
I take this opportunity to express my gratitude to other faculty members of the department of Commerce, S. V. University, Tirupati, for their kind Co-operation.
I express my gratitude to the Executive Officer of TTD who gave me permission to do research in TTD health institutions.
I convey my special thanks to Senior Medical Officer Sri Subbarayudu. I am also greatly indebted to Sri Jagadesh, Director of B.I.R.R.D. I am very much indebted to a number of officials and staff of the health institutions for providing me necessary information and collection of data. I am thankful to Sri Raghupathi for the keen interest he has evinced in my linguistic expression.
But for the timely inspiration of my family members my Father Sri V. O.KrishnaMurthy, my mother K. Vijayalakshmi, this dissertation would not have seen the light of the day. This inspiration added to the moral support of my sisters Haritha, Sunitha, my Brother-in-law Gangadhar, my brothers V.K.Sreenivas, Durga Prasad, Sudhakar, Raman a, Sreehari, Narendra and my Uncle and Aunty V. O.Ramakrishna, Sunanda.
My thanks due to Mr. K.L.Durga Kiran Kumar, Research Scholar, Department of Statistics, S.V. University, Tirupati, who helped me in employing statistical tools. And for typing out of my dissertation giving it an impressive form.
Last but not the least my good friends Geetha, Kavitha, Amrutha, Malliswari, Swarna and Narasimhulu.
More than all, I am ever grateful to the all pervading Lord Venkateswara, who has been my real guide in silence and an object of inspiration throughout my study and write-up and whose graceful blessings I always cherish.
Finally, I thank all those who have indirectly helped me in the successful completion of this work.
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