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2005-06 National Family Health Survey (NFHS-3). Key Findings. Contents. About NFHS-3 Household and individual haracteristics Fertility, marriage and family planning Maternal health Immunization and child health care Nutritional status HIV knowledge, behaviour and prevalence. Overview.
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2005-06 National Family Health Survey (NFHS-3) Key Findings
Contents • About NFHS-3 • Household and individual haracteristics • Fertility, marriage and family planning • Maternal health • Immunization and child health care • Nutritional status • HIV knowledge, behaviour and prevalence NFHS-3, India, 2005-06
Overview • NFHS-3 is the third in the NFHS series of surveys, preceded by NFHS-1 in 1992-93 and NFHS-2 in 1998-99 • NFHS surveys are conducted under the stewardship of MoHFW • IIPS is the nodal agency for the National Family Health Surveys NFHS-3, India, 2005-06
Contd.… • NFHS-3 is funded by USAID, DFID, the Bill and Melinda Gates Foundation, UNICEF, and UNFPA • Macro International provided technical assistance to NFHS-3 • NACO and NARI provided assistance for the HIV component • NFHS-3 fieldwork was carried out by 18 Research Organizations including some Population Research Centres NFHS-3, India, 2005-06
Scope of NFHS-3 • All 29 states are covered • Slum and non-slum areas of eight cities, i.e. Chennai, Delhi, Hyderabad, Indore, Kolkata, Meerut, Mumbai, Nagpur • Interviews were conducted with • Women age 15-49 • Men age 15-54 NFHS-3, India, 2005-06
Biomarkers Measured in NFHS-3 • Height and weight • Haemoglobin content in the blood to measure anaemia • Collection of blood samples for HIV testing NFHS-3, India, 2005-06
NFHS-3 Sample for 29 states NFHS-3, India, 2005-06
Contents • About NFHS-3 • Household and Individual Characteristics • Fertility, Marriage and Family Planning • Maternal Health • Immunization and Child Health • Nutritional Status of Children and Adults • HIV Knowledge, Behaviour and Prevalence NFHS-3, India, 2005-06
Selected Household Characteristics Percent of households NFHS-3, India, 2005-06
NFHS-3 finds some improvements in the household environment since NFHS-2 • 68% of households have electricity, up from 60% in NFHS-2 • 88% of households use an improved source of drinking water • Only 29% of households have improved toilet facilities NFHS-3, India, 2005-06
Media Exposure 73% of urban households and 30% of rural households possess a TV NFHS-3, India, 2005-06
NFHS-3 shows that even among those in the age group 15-19, only 89% of men and 74% of women are literate Education NFHS-3, India, 2005-06
Measuring Health Inequities • NFHS-3 provides information on key population, health, and nutrition indicators for socially and economically vulnerable groups to examine health inequities • Caste/tribe status • Wealth status • Slum/non-slum population in eight cities NFHS-3, India, 2005-06
What is the wealth index? • Uses information on 33 household assets and housing characteristics, such as ownership of consumer items, type of dwelling, source of water, and availability of electricity • Combines this information into a single wealth index, using a scientific method of assigning weights to individual components • The household population is divided into five equal groups of 20% each (quintiles) at the national level from 1 (lowest, poorest) to 5 (highest, wealthiest) NFHS-3, India, 2005-06
Caste/Tribe Status NFHS-3, India, 2005-06
Distribution of Households by Wealth Index and Residence NFHS-3, India, 2005-06
Distribution of Households by Wealth Index and Caste NFHS-3, India, 2005-06
Proportion of Households in the Highest Two Wealth Quintiles by State NFHS-3, India, 2005-06
Contents • About NFHS-3 • Household and Individual Characteristics • Fertility, Marriage and Family Planning • Maternal Health • Immunization and Child Health • Nutritional Status of Children and Adults • HIV Knowledge, Behaviour and Prevalence NFHS-3, India, 2005-06
Total Fertility Rate NFHS-3, India, 2005-06
Marital Status Percent of women age 20-24 married by age 18 NFHS-3 NFHS-3, India, 2005-06
Current Contraceptive Use by Method Percent of currently married women age 15-49 NFHS-3, India, 2005-06
Trends in Contraceptive Use by Method Percent of currently married women age 15-49 NFHS-3, India, 2005-06
Desire for No More Children among Women with 2 Children Percent NFHS-3, India, 2005-06
Contents • About NFHS-3 • Household and individual characteristics • Fertility, Marriage and Family Planning • Maternal health care • Immunization and child health care • Nutritional status of children and adults • HIV knowledge, behaviour and Prevalence NFHS-3, India, 2005-06
Trends in Antenatal Care NFHS-3, India, 2005-06 * For last births in the past 3 years
Maternity Care (for most recent birth in the last 5 years) Percent NFHS-3, India, 2005-06
Institutional Delivery NFHS-3, India, 2005-06
Contents • About NFHS-3 • Household and Individual characteristics • Fertility, Marriage and Family Planning • Maternal Health • Immunization and Child Health • Nutritional Status of Children and Adults • HIV Knowledge, Behaviour and Prevalence NFHS-3, India, 2005-06
Infant Mortality Rate Deaths at age 0-11 months per 1,000 live births NFHS-3, India, 2005-06
Infant Mortality Rates Deaths at age 0-11 months per 1,000 live births NFHS-3, India, 2005-06
Child Immunization Trends Percent of children age 12-23 months vaccinated NFHS-3, India, 2005-06
Trends in Treatment of Childhood Diarrhoea with ORS Percent of children under age 3 with diarrhoea in the past 2 weeks NFHS-3, India, 2005-06
Percentage of Children with Diarrhoea in the Past 2 Weeks who Received Any ORT or Increased Fluids by State NFHS-3, India, 2005-06
Contents • About NFHS-3 • Household and individual characteristics • Fertility and its determinants • Maternal health care • Immunization and child health care • Nutritional status of children and adults • HIV knowledge, behaviour and Prevalence NFHS-3, India, 2005-06
Trends in Child Nutritional Status Percent of children age under 3 years (Low-height-for-age) (Low-weight-for-height) (Low-weight-for- age) NFHS-3, India, 2005-06
Anaemia among Children Percent of children 6-35 months with anaemia NFHS-3, India, 2005-06
How Many Children Receive Services from an AWC? Percent of age-eligible children in areas with an AWC NFHS-3, India, 2005-06
Nutritional Status of Adults Percent of women and men age 15-49 NFHS-3, India, 2005-06
Malnutrition of Women by Residence and Education Percent of women age 15-49 NFHS-3, India, 2005-06
Malnutrition of Men by Residence and Education Percent of men age 15-49 NFHS-3, India, 2005-06
Contents • About NFHS-3 • Household and individual characteristics • Fertility, Marriage and Family Planning • Maternal health care • Immunization and child health care • Nutritional status of children and adults • HIV knowledge, behaviour and prevalence NFHS-3, India, 2005-06
AIDS Awareness Percent of women and men age 15-49 who have heard of AIDS Women Men NFHS-3, India, 2005-06
Most Adults Support Family Life Education in Schools • 63% women and 81% men think that information about HIV/AIDS should be taught in schools to both boys and girls • More than 40% of women and 60% of men are in favour of teaching both boys and girls about sexual behaviour and condom use to avoid sexually transmitted diseases • Adults are less likely to favour teaching about contraception than about HIV/AIDS NFHS-3, India, 2005-06
Coverage of HIV Testing in NFHS-3 • Percent of eligible women age 15-49 and men age 15-54 whose blood was tested for HIV • Women: 85 percent • Men: 78 percent • Response rates are comparable to HIV test response rates on national household surveys worldwide NFHS-3, India, 2005-06
HIV Prevalence HIV prevalence estimates are based on HIV tests of 102,946 blood samples: 52,853 from de facto women age 15-49 + 50,093 from de facto men age 15-54 NFHS-3, India, 2005-06
HIV Prevalence by Residence and Sex, India HIV prevalence rate is 60% higher among males than females and 40% higher in urban areas than rural areas NFHS-3, India, 2005-06
Summary and Highlights • Substantial improvements have been seen in child survival • Fertility continues to decline • Urban women have already reached replacement level fertility, but rural women even now have an average of three children • For the first time more than half of currently married women are using a contraceptive method NFHS-3, India, 2005-06