1 / 62

ANNUAL HEALTH SURVEY FACT SHEET KEY FINDINGS

ANNUAL HEALTH SURVEY FACT SHEET KEY FINDINGS. Dr. C. Chandramouli Registrar General & Census Commissioner, India.

shawna
Download Presentation

ANNUAL HEALTH SURVEY FACT SHEET KEY FINDINGS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. ANNUAL HEALTH SURVEYFACT SHEETKEY FINDINGS Dr. C. ChandramouliRegistrar General & Census Commissioner, India

  2. “ Reproductive health and rights are integral to sustainable development and poverty reduction. Investing in universal access to reproductive health is crucial investment in healthy societies and a more sustainable future”. – Ban Ki-moon, Secretary-General, UN on World Population Day, 2012

  3. “ Working for the survival and the well being of women and girls is a human right imperative. And in order to take advantage of women’s full potential in the development of their nations, they must be able to plan their lives and families.” – Babatunde Osotimehin, Executive Director, UNFPA on World Population Day, 2012

  4. AHS provides key indicators on Reproductive and Child Health at District level in 8 EAG States and Assam Vital inputs for evidence based intervention and monitoring

  5. “ There should be an Annual Health Survey of all districts which could be published/monitored and compared against benchmarks” -Dr. Manmohan Singh, Prime Minister of India – In the meeting of National Commission of Population, 2005

  6. OBJECTIVE OF AHS • AHS yields a comprehensive, representative and reliable dataset on core vital indicators including composite ones like IMR, MMR and TFR along with their co-variates (process and outcome indicators) at the district level and maps changes therein on an annual basis. • These benchmarks would help in better and holistic understanding and timely monitoring of various determinants on well-being and health of population particularly Reproductive and Child Health.

  7. Coverage : Annual Health Survey

  8. WHY AHS? • AHS States constitute: • 48 percent of country’s Population • 59 percent of Births • 70 percent of Infant Deaths • 75 percent of Under 5 Deaths • 62 percent of Maternal Deaths • Enable direct monitoring of UN Millennium Development Goals on Child Mortality and Maternal Health at the district(s) level. • Help in identifying high focus districts meriting special attention in view of stark inter-district variations in these States. • Provide critical inputs to assess the milestones of various interventions including NRHM and pave the way for evidence based planning.

  9. KEY FEATURES • Coverage- All the 284 districts of 8 EAG States and Assam. • Sample Units- 20,694 statistically selected sample unit (Census Enumeration Blocks in urban areas and Villages or a part thereof in rural areas) • Sample Identification Work- to uniquely identify the sample units on ground, firm up its boundaries, demarcate the localities and prepare a notional map of the sample unit was done by the staff of ORGI. • Sample Units per district- 73. • Sample Population- About 20.1 million The Largest Sample Survey in the World

  10. KEY FEATURES Contd… • Sample Population per district -About 71 thousand. • Sample Households - 4.1 million households. • Sample households per district - About 14.5 thousand. • Conduct of Field Work - hybrid approach wherein fieldwork has been outsourced and supervision is being done by the ORGI. • Primary Level of Aggregation – District • Periodicity-Annual

  11. Indicators under AHS • In all, 161 indicators are available from AHS baseline: • Fertility- 13  Sex Ratio- 3 • Marriage- 5  Mortality- 7 • Mother & Child Care- 63 • Ante Natal Care: 11  Delivery Care: 8 • Post Natal Care: 5  JananiSurakshaYojana (JSY): 3 • Immunization: 8  Vitamin A & Iron Supplements: 2 • Birth Weight: 2  Childhood Disease: 6 • Birth Registration: 2  Breastfeeding & Supplementation: 12 • Awareness in Mothers: 4 • Abortion- 6  Family Planning Practices- 15 • Disability- 1  Morbidity- 19 • Personal Habits:adults-4  Housing & HH Characteristics- 13 • Others- 12

  12. Indicators under AHS Contd… • Under 1st phase of AHS following 9 indicators have already been released: • Crude Birth Rate (CBR)  Crude Death Rate (CDR) • Infant Mortality Rate (IMR)  Neo-Natal Mortality Rate (NNMR) • Under Five Mortality Rate (U5MR)  Maternal Mortality Ratio (MMR) • Sex Ratio at Birth (SRB)  Sex Ratio (0-4 years) and • Sex Ratio (All ages) • Remaining 152 indicators are being released under present phase of dissemination.

  13. Five Core Themes Covered • The presentation focuses on results pertaining to 5 core themes: • Total Fertility Rate • Family Planning: Current Usage & Total Unmet Need • Ante Natal Care • Delivery & Post Natal Care • Immunization and Breast Feeding Practices

  14. Total Fertility Rate (TFR) • TFR is the average number of children born to a woman during her entire reproductive span. • Uttarakhand & Odisha and UP & Bihar reflects the two extremes. • Significant Rural-Urban variation across all 9 AHS States, the max. in Uttar Pradesh.

  15. Total Fertility Rate (TFR) Contd… • Within a State, the minimum variability of 1.3 reported in Chhattisgarh and the maximum, 3.6 in Uttar Pradesh. • Across 284 districts in 9 AHS States, it ranges from 1.7 in Pitthoragarh (Uttarakhand) to 5.9 in Shrawasti (UP)- a variability of more than 4 children.

  16. Total Fertility Rate (TFR) Contd… • 20 districts namely Kamrup, NC Hills, Nalbari (Assam); Puri, Khordha, Angul, Jajpur, Jagatsinghpur, Baleshwar, Sundargarh, Doegarh, Jharsugdha, Bargarh (Odisha); Nainital, Almora, Bageshwar, Pitthoragarh, Rudraprayag, Chamoli, Uttarkashi (Uttarakhand)have already achieved the replacement level of 2.1. • 46 districts have TFR below the current National average of 2.5 (SRS 2010). • 164 districts have recorded TFR of 3.1 and above, the National level TFR of 2001 (SRS).

  17. Total Fertility Rate (TFR) Contd…

  18. Family Planning: Current Usage • Contraceptive Prevalence Rate (CPR) is the percentage of currently married women aged 15-49 yrs who are using any method of contraception (modern/traditional). • Current usage of any method varies from 37.6 in Bihar to 64.5 per cent in Rajasthan. • Rural – Urban divide is significant in Jharkhand and Bihar.

  19. Family Planning: Current Usage Contd… • Within a State, the least variation is reported in Uttarakhand whereas the most, in Uttar Pradesh. • At district level, current usage of family planning ranges from 21.9 in Sitapur (UP) to 79.2 in Ganganagar (Rajasthan) exhibiting a variability of 4 times.

  20. Family Planning: Current Usage Contd… • As high as 98 districts are reporting less than 50% current usage of any method of family planning. • Only 12 districts namely Damoh, Betul, Jabalpur (MP), Baleshwar (Odisha), Ganganagar, Hanumangarh, Jhunjhunu, Alwar, Udaipur, Dungarpur, Banswara (Rajasthan) and Jhansi (UP) feature in 70% & above category. • 35 out of 37 districts of Bihar have reported less than 50% usage of any method of family planning.

  21. Family Planning: Current Usage Contd…

  22. Family Planning: Current Usage Contd…

  23. Unmet Need for Family Planning • Currently Married Women who are not using any method of contraception but who do not want any more children or want after a period of 2 years are defined as having an unmet need. • Total unmet need varies from a minimum of 19.6% in Rajasthan to 39.2% in Bihar. • Rural- Urban gap is prominent in Jharkhand, Bihar and Uttar Pradesh. • Unmet need for Family Planning is a crucial indicator for assessing the future demand for Family Planning services / supplies.

  24. Unmet Need for Family Planning Contd… • The minimum variability within a State is in Uttarakhand whereas the maximum in Uttar Pradesh. • Baleshwar (6.1%) in Odisha and Sitapur (61.3%) in Uttar Pradesh are the two extremes across 284 districts.

  25. Unmet Need for Family Planning Contd… • Only in 69 out of 284 districts, the total unmet need for family planning is below 20%. • Bihar and Uttar Pradesh dominate in 40% & above category.

  26. Mean Age at Marriage- Female • Mean Age at Marriage is based on the marriages taken place during 2007-2009. • Mean age at marriage of females varies from 19.7 in Rajasthan to 22.0 years in Uttarakhand. • Rural – Urban differential is of at least 1.4 years in all AHS States. This is quite prominent (2.3 years) in Madhya Pradesh & Rajasthan.

  27. Marriages among Females below Legal Age (18 yrs) • Based on marriages taken place during 2007-2009. • Varies from 3.0% in Uttarakhand to 21.9% in Rajasthan. • In rural areas, every 4th marriage among females in Rajasthan and every 5th in Bihar & Jharkhand take place below the legal age. • Rural- Urban differential is quite significant across all AHS State.

  28. Ante Natal Care (ANC) • Any ANC exceeds 80% in all AHS States. • ANC in 1st trimester: 40% in UP & Bihar to 65% in Chhattisgarh and Madhya Pradesh. • Mothers receiving 3 or more ANCs: UP-29.6% to Orissa -76.0 % • Mothers who consumed IFA 100 days or more: 6.5% in UP to 23.8% in Chhattisgarh. • Low performance in IFA consumption is the main reason for sluggish full ANC: 3.9% in UP to 19.5% in Chhattisgarh.

  29. Full Ante Natal Check-up • Full ANC comprise 3 or more ANC, at least one TT injection and consumption of IFA for 100 or more days. • Uttar Pradesh reports the minimum coverage of 3.9%; Chhattisgarh, the maximum 19.5%. • Full ANC coverage in urban areas is remarkably better than the rural areas. • In 5 States, namely Bihar, UP, Rajasthan, Uttarakhand and Jharkhand urban coverage is more than double that of Rural.

  30. Full Ante Natal Check-up Contd… • Bihar has reported the minimum variability among the districts compared to Odisha reporting the maximum. • Less than 1% coverage of full ANC has been reported in Balrampur of Uttar Pradesh; on the other hand Jagatsinghpur of Odisha has reported the maximum 36%.

  31. Full Ante Natal Check-up Contd… • As high as 94 out of 284 districts report less than 5% coverage of full ANC. • Only 15 districts namely Raigarh, Mahasamund, Dhamtari (Chhattisgarh), PurbiSinghbhum (Jharkhand), Indore, Bhopal, Narsimhapur, Balaghat (MP) and Jharsuguda, Mayurbhanj, Jagatsinghpur, Cuttack, Ganjam, Kandhamal, Naupada (Odisha) have reported 25% & above coverage of full ANC.

  32. Ante Natal Check-up

  33. Institutional Delivery • Institutional Delivery: Ranges from 34.9% in Chhattisgarh to 76.1% in MP. • More than 85% of total births have taken place in Govt. Institutions in Madhya Pradesh & Odisha and it is more than 60% in remaining States except Jharkhand & Uttarakhand. • Jharkhand is the only State where lessthan 50% of the births are taking place in Private Hospitals.

  34. Balrampur, UP Indore, MP • Institutional delivery is below 60% in 170 districts. • Balrampur (UP) recorded the least 16.8% institutional delivery whereas Indore (MP) the most 92.5%, showing a variability of more than 5 times.

  35. Safe Delivery • Safe delivery comprise institutional deliveries and domiciliary deliveries assisted by doctor/nurse/ANM/LHV. • Safe Delivery: 47.1 % in Jharkhand to 82.2% in Madhya Pradesh. • Rural- Urban differential is quite prominent in Jharkhand, Chhattisgarh and Uttarakhand.

  36. Safe Delivery Contd… • Uttarakhand has exhibited the least variability among districts whereas Uttar Pradesh, the most. • Balrampur (UP) has reported the minimum against Indore (MP) reporting the maximum.

  37. Safe Delivery Contd… • About 1/4th of the districts have reported less than 50% of the safe deliveries. • Out of 14 districts reporting 90% & above safe deliveries, 10 belongs to Madhya Pradesh.

  38. JananiSurakshaYojana • Mothers availing JSY: 14.6% in Jharkhand to 61.6% in Odisha. • Rural- Urban differential is acute in the States of Madhya Pradesh, Odisha and Jharkhand.

  39. Post Natal Care • Mothers receiving PNC within 48 hrs of delivery varies from 57% in Assam to 74.5% in Odisha. • At least 1 in every 5 mothers did not receive any post natal check up across all AHS States..

  40. New Born Check up • New born checked up within 24 hrs of birth exceeds 50% in all AHS States. • It varies from 52.6% in Bihar to 74.9% in Odisha. • Significant Rural- Urban divide is noticed in Uttarakhand, Jharkhand, Assam and Chhattisgarh.

  41. Full Immunization • Children are considered fully immunized when they have received vaccination against Tuberculosis, 3 doses of DPT & Polio and 1 dose of measles. • All States except Uttar Pradesh have at least half of their children aged 12-23 months fully immunized. • Uttar Pradesh reports the minimum percentage of children fully immunized whereas Uttarakhand, the maximum. • Rural-Urban gap exceeds 10% in Madhya Pradesh & Jharkhand.

  42. Full Immunization Contd… • The variability among the districts within a State ranges from 32.2% in Uttarakhand to 70.0% in Odisha. • Across all 284 districts, the minimum has been observed in Rayagada of Odisha and the maximum in Kanker of Chhattisgarh.

  43. Full Immunization Contd… • 90 districts are below 50% level of full immunization. • Only 2 districts 1 each from Chhattisgarh & Rajasthan feature in 90% & above category.

More Related