Transcript NFHS-3 Maternal Health

2005-06 National Family Health
Survey (NFHS-3)
Maternal Health
Content
Antenatal Care and Use of
Ultrasound
Delivery Care
Postnatal Care
NFHS-3, India, 2005-06
Women* Who Received Antenatal
Care
Percent
91
77
Total
72
Urban
NFHS-1
NFHS-2
* For last births in the past 3 years
Rural
NFHS-3
NFHS-3, India, 2005-06
Women* Who Received Antenatal
Care
Percent
Up 11 pts
77
65
83
86
Up 12 pts
91
72
66
59
Total
Urban
NFHS-1
NFHS-2
* For last births in the past 3 years
60
Rural
NFHS-3
NFHS-3, India, 2005-06
Women* Who Received 3+ ANC Visits
Percent
44
51
Total
70
74
37
Urban
43
NFHS-2
NFHS-3
Rural
* For last births in the past 3 years
• Only two-thirds of women who receive any
ANC, have the recommended 3+ ANC visits
• The share receiving 3+ ANC visits among
women who have any ANC is nearly unchanged
since NFHS-2
NFHS-3, India, 2005-06
Women* Who Received ANC In the First
Trimester
Percent
33
43
56
63
Total
Urban
* For last births in the past 3years
27
36
NFHS-2
NFHS-3
Rural
• 56% of women who receive any ANC, received
ANC in the first trimester
• The share receiving ANC in their first trimester
among women who have any ANC is up by 6
percentage points since NFHS-2
NFHS-3, India, 2005-06
Are women* receiving
appropriate ANC?
76% of women received two or more
tetanus toxoid injections
Among women who received ANC:
 Less than two-thirds had weight, blood, or
urine taken, or blood pressure measured
 Three-fourths had their abdomen
examined
 36% were told about pregnancy
complications

* For last births in the past 5 years
NFHS-3, India, 2005-06
56% of married and 59% of pregnant women
are anaemic. So, are pregnant women* getting
iron and folic acid (IFA) supplementation?
76
Percent
65
61
35
23
Total
19
Urban
Given or purchased IFA
*For last births in the past 5 years
Rural
Consumed IFA for 90 days
NFHS-3, India, 2005-06
What are some notable differentials
in access to ANC*?
Percent
Wealth Index
Birth Order
88
82
90
97
80
64
69
47
1
2-3
4-5
6+
*For last births in the past 5 years
59
Lowest
Highest
NFHS-3, India, 2005-06
Pregnancies with an Ultrasound
Percent of pregnancies in the past 5 years
65
62
44
24
16
9
Total
Rural
Urban
Residence
None
4
12+
Education
Lowest
Highest
Wealth Index
NFHS-3, India, 2005-06
Are ultrasounds being conducted for
sex-selection?


There is evidence of sex selection,
when the sex ratio at birth deviates
from the normal of about 960-970
girls per 1,000 boys
Thus, the question can be answered
by examining the sex ratio of births
that result after a pregnancy with an
ultrasound
NFHS-3, India, 2005-06
Are ultrasounds being conducted for
sex-selection?
Girls per 1,000 boys born in the past 5 years (for pregnancies with an
ultrasound)
988
849
908
876
751
665
570
Total
0 sons
1 child
1 son
0 sons
2 sons
2 children
0 sons
2-3 sons
3 children
NFHS-3, India, 2005-06
Content
Antenatal Care and Use of
Ultrasound
Delivery Care
Postnatal Care
NFHS-3, India, 2005-06
Only about 1 in 7
home deliveries
are assisted by a
skilled provider
Trends in Delivery Care
Percent
Institutional
Delivery
Delivery assisted by
health personnel
41
49
42
34
35
26
NFHS-1
NFHS-2
NFHS-3
*For live births in the past 5 years
NFHS-1
NFHS-2
NFHS-3
NFHS-3, India, 2005-06
Trends in Institutional Deliveries by State
Percentage point change
between NFHS-2 and NFHS-3
States
Remained unchanged
(2 states)
Arunachal Pradesh, Nagaland
Increased less than 7 percentage
point
(7 states)
Assam, Chhattisgarh, Delhi,
Goa, Jharkhand, Tripura, West
Bengal
Increased by 7-14 percentage
points
(10 states)
Bihar, Gujarat, Maharashtra,
Madhya Pradesh, Meghalaya,
Rajasthan, Tamil Nadu,
Kerala, Uttar Pradesh ,
Mizoram
Increased by 15 or more
percentage points
(10 states)
Andhra Pradesh, Haryana,
Himachal Pradesh, Jammu &
Kashmir, Karnataka, Manipur,
Orissa, Punjab, Sikkim,
NFHS-3, India, 2005-06
Uttaranchal
Selected Differentials in
Institutional Deliveries*
84
Percent
68
39
33
29
18
13
Total
Urban
Rural
Lowest
Residence
*For live births in the past five years
Highest
Wealth index
SC
ST
Caste/tribe
NFHS-3, India, 2005-06
Are women* using the public sector
for their deliveries?
Percent
84
68
39
33
20
18
13
29
18
Total
24
14
Urban
Rural
Residence
*For live births in the past 5 years
19
8
Lowest
Highest
Wealth index
SC
12
ST
Caste/tribe
NFHS-3, India, 2005-06
How common are caesareansection deliveries?
9% of live births in the past 5 years were
delivered by c-section
 16% of first births are delivered by a csection
 C-sections increase sharply with women’s
education and wealth
 C-sections are almost twice as common
for deliveries in the private sector than in
the public sector: 28 vs. 15 percent
NFHS-3, India, 2005-06
Content
Antenatal Care and Use of
Ultrasound
Delivery Care
Postnatal Care
NFHS-3, India, 2005-06
Are women receiving postnatal
care?
Percent
Any
Within 2 days
66
42
61
37
Total
34
Urban
29
Rural
*For last births in the past 5 years
For births whose mothers
received postnatal care,
care was provided:
-By doctors for 72%
-By ANMs and other
health personnel by 20%
-By dais or TBAs by 8%
• For only 20% of home
births was there any
postnatal care
NFHS-3, India, 2005-06
Postnatal Care
120
Percent
Institutional Deliveries
100
85
80
87
76
56 57
60
37
40
41
46
43 45
48
58 59 59
62 64
51
33
30 32
29
29
29
28
23
TN
KE
GA
AP
PJ
MH
KA
DL
GJ
HR
MZ
JK
MN
SK
HP
WB
IN
OR
UT
TR
RJ
MG
MP
CH
AR
JH
16 17
BH
AS
0
NA
11
13 14
UP
20
NFHS-3, India, 2005-06
Summary
 Any ANC increased by 11 percentage points and 3+
ANC visits by 7 percentage points between NFHS-2
and NFHS-3

Still, half or less than half of women get ANC in the
first trimester and get 3+ ANC visits
 Institutional deliveries increased by 7 percentage
points between NFHS-2 and NFHS-3

Nonetheless, more than half the deliveries still
take place at home; half are not assisted by health
personnel
 The majority of mothers with a recent delivery did
not receive any postnatal care
NFHS-3, India, 2005-06
Conclusion
Despite improvements in the provision
of maternal health care, at the current
rate of change at no more than one
percentage point a year, women’s
reproductive health will continue to
suffer well into this century.
NFHS-3, India, 2005-06