Transcript Slide 1

ANNUAL HEALTH SURVEY
FACT SHEET
Second Updation round(2012-13)
KEY FINDINGS
Dr. C. Chandramouli
Registrar General & Census Commissioner, India
1
“ 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
2
“ 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
3
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
4
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.
5
Coverage : Annual Health Survey
Uttarakhand
Rajasthan
Uttar Pradesh
Assam
Bihar
Madhya Pradesh
Jharkhand
Chhattisgarh
Odisha
6
WHY AHS?
o
o
o
o
AHS States constitute:
• 50 percent of country’s Population
• 60 percent of Births
• 71 percent of Infant Deaths
• 72 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.
7
KEY FEATURES
Contd…
 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 20.94 million whereas it was 20.1 million as per
baseline survey.
The Largest Sample Survey in the World
8
KEY FEATURES
Contd…
 Sample Population per district - About 73 thousand whereas it was 71
thousand as per baseline survey.
 Sample Households - 4.32 million households whereas it was 4.1 million as
per baseline survey.
 Sample households per district - About 15.2 thousand whereas it was 14.5
thousand as per baseline survey.
 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
9
Indicators under AHS
• In all, 161 indicators are available from AHS :
 Fertility- 13
 Marriage- 5
 Mother & Child Care- 63
 Sex Ratio- 3
 Mortality- 7






Ante Natal Care: 11
Post Natal Care: 5
Immunization: 8
Birth Weight: 2
Birth Registration: 2
Awareness in Mothers: 4
 Delivery Care: 8
 Janani Suraksha Yojana (JSY): 3
 Vitamin A & Iron Supplements: 2
 Childhood Disease: 6
 Breastfeeding & Supplementation: 12




Abortion- 6
Disability- 1
Personal Habits:adults-4
Others- 12
 Family Planning Practices- 15
 Morbidity- 19
 Housing & HH Characteristics- 13
10
Indicators under AHS
Contd…
• Data release of the second updation round
 Under 1st phase of release, following 9 indicators have already been
released in the Bulletin 2012-13:
 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 indicators are being released under present phase of
dissemination.
11
Progress so far





Field work for all the three rounds is completed.
State level Bulletins of all the three rounds containing the district level vital
indicators viz. Crude Birth Rate, Crude Death Rate ,Infant Mortality Rate ,NeoNatal Mortality Rate ,Under Five Mortality Rate ,Maternal Mortality Ratio ,Sex
Ratio at Birth ,Ratio(0-4 Years) ,Sex Ratio(All Ages) were released in 2011 and
2013 and 2014.
District level fact sheets of the previous two rounds containing the 161
indicators on fertility, Mother and child care, Family planning practices ,
Mortality, disability ,marriage etc. were released in 2012 and 2013.
The data now presented is of the factsheet of the second updation round.
With this, all activities related to Annual Health Survey except for CAB have
been completed.
12
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
13
KEY FINDINGS
 Improvement has been noticed in most of the indicators
as compared to Baseline.
 Replacement level of TFR 2.1 has been achieved in only 35
out of 284 AHS districts whereas in Baseline it was 20
districts.
 In 125 districts, on an average a woman bears more than
3 children.
 More than half of currently married women aged 15-49
years are not using any method of family planning in
Bihar. The phenomenon remained the same over the
three rounds.
14
KEY FINDINGS
 Female Sterilization continues to remain the most
dominant method of family planning among the
modern methods across all AHS States except Assam,
over the three rounds.
 At least one in 8 currently married women is yet to
meet their family planning requirement (Unmet
Need) across all AHS States. This was one in 5 in
Baseline.
 This is due to increase in usage of primarily
Modern methods except for Assam and Odisha
where
usage of Traditional methods has
dominated.
15
KEY FINDINGS
 Poor performance of full ANC is primarily due to low
IFA consumption.
 Despite wider penetration of `Any ANC’, the coverage
under `first trimester ANC’ as well as `3 or more ANCs’
needs further improvement.
 Universal coverage of Janani Suraksha Yojana(JSY)
remains a concern. Only Odisha and Rajasthan have
shown 70%+ coverage in the second updation round.
 Seven out of every 10 deliveries are `safe’ in Madhya
Pradesh, Rajasthan, Odisha and Assam ,the same in
Baseline.
16
KEY FINDINGS
• At least 1 in 8 mothers has not received any PNC
among all the AHS States, in Assam and Uttarakhand,
it is about 1 in 3 mothers.
• In full immunization, even the better performing
States like Uttarakhand, Chhattisgarh and Rajasthan
fall short by 20-25 percentage points in achieving
universal coverage.
• Percent of usage of traditional method of family
planning is more than 20% in Uttar Pradesh, Assam,
Jharkhand & Odisha.
17
KEY FINDINGS
 Among AHS districts: 67 districts are common in top 100 districts in female literacy
and full ANC exhibiting a definite correlation between the two.
i.e. the higher the female literacy the higher will be the ANC.
 Higher female literacy and less MMR - Out of the 5 top States
in these two indicators , 4 are common.
 Higher coverage of Full immunization and less NNMR- Top 4
States in both the indicators are common.
 Higher coverage of Full immunization and less IMR- Top 5
States are common.
18
Hotspot Districts
• Districts which are common among worst performing in
IMR and MMR(Top 100 IMR districts and top 25
administrative divisions of MMR).
• There are 42 hotspot districts spread in Uttar Pradesh-28,
MP-10, Rajasthan-3 and Assam-1.
• These districts do not perform very well on other fertility
and program indicators.
• Needs urgent attention.
19
Uttar Pradesh-28
Madhya Pradesh-10
Rajasthan-3
Assam-1
20
• Performance of 42 hotspot districts in
terms of
• Total Fertility Rate(TFR)
• Full Ante Natal Care(ANC)
• Institutional Delivery
• Full Immunization
21
Performance of Hotspot districts w.r.t TFR
6,0
UP
5,0
4,0
3,0
TFR India: 2.4
2,0
1,0
0,0
MP
4,5
4,0
3,5
TFR India: 2.4
3,0
2,5
2,0
1,5
1,0
0,5
0,0
Shahdol
Madhya
Pradesh
Tikamgarh
Sagar
Dindori
Rewa
Sidhi
Damoh
Satna
Chhatarpur
Panna
22
Performance of Hotspot districts w.r.t TFR
Rajasthan
4,0
3,5
3,0
TFR India-2.4
2,5
2,0
1,5
1,0
0,5
0,0
Chittaurgarh
Rajasthan
Dungarpur
Udaipur
Assam
3,5
3,0
TFR India- 2.4
2,5
2,0
1,5
1,0
0,5
0,0
Assam
Karimganj
23
Performance of Hotspot districts w.r.t Full ANC
Uttar Pradesh
12,0
10,0
8,0
6,0
4,0
2,0
0,0
25,0
Madhya Pradesh
20,0
15,0
10,0
5,0
0,0
Sidhi
Tikamgarh
Satna
Rewa
Damoh
Dindori
Panna Madhya Pradesh Sagar
Shahdol
Chhatarpur
24
Performance of Hotspot districts w.r.t Full ANC
12,0
Rajasthan
10,0
8,0
6,0
Dungarpur
Chittaurgarh
Rajasthan
Udaipur
Assam
20,0
18,0
16,0
14,0
12,0
10,0
8,0
6,0
Karimganj
Assam
25
Performance of Hotspot districts w.r.t Full Immunization
80,0
Uttar Pradesh
60,0
40,0
20,0
0,0
Madhya Pradesh
100,0
80,0
60,0
40,0
20,0
0,0
Dindori
Sidhi
Damoh
Shahdol
Sagar
Satna
Panna
Chhatarpur Tikamgarh
Rewa
Madhya
Pradesh
26
Performance of Hotspot districts w.r.t Full Immunization
Rajasthan
90,0
80,0
70,0
60,0
Udaipur
Dungarpur
Rajasthan
Chittaurgarh
Assam
80,0
60,0
40,0
20,0
0,0
Karimganj
Assam
27
Performance of Hotspot districts w.r.t Institutional Delivery
80,0
Uttar Pradesh
60,0
40,0
20,0
0,0
Madhya Pradesh
80,0
60,0
40,0
20,0
0,0
Tikamgarh
Panna
Damoh
Chhatarpur
Shahdol
Satna
Sagar
Sidhi
Rewa
Madhya
Pradesh
Dindori
28
Performance of Hotspot districts w.r.t Institutional Delivery
90,0
Rajasthan
80,0
70,0
60,0
Chittaurgarh
Rajasthan
Dungarpur
Udaipur
Assam
70,0
65,0
60,0
Assam
Karimganj
29
TOTAL FERTILITY RATE (TFR)
• TFR is the average number of children born to a woman during her entire
reproductive span.
4,0
Total Fertility Rate
Second updation
3,5
First updation
3,0
Baseline
3,7
3,6
3,2
3,1
3,1
2,9
2,5
2,6
2,3
2,3
2,0
3,6
3,4
1,5
3,1
2,9
2,4
2,3
2,1
1,0
3,1
2,8
0,5
2,1
2,2
2,4
2,7
2,7
2,9
3,0
3,3
3,5
0,0
UTTARAKHAND
ODISHA
ASSAM
JHARKHAND
CHHATTISGARH
RAJASTHAN
MADHYA
PRADESH
UTTAR PRADESH
BIHAR
• Uttarakhand & Odisha and UP & Bihar continue to remain two extremes of the
spectrum over the three rounds.
30
TOTAL FERTILITY RATE (TFR)
Total Fertility Rate
State value
State
District with Minimum TFR
District with Maximum TFR
Second
updation
Baseline
Second Updation
Second
Updation
Baseline
Assam
2.4
2.6
Kamrup (1.9)
Kamrup (2.0),
Nalbari(2.0)
Hailakandi (3.7)
Hailakandi (4.2)
1.8
2.2
Bihar
3.5
3.7
Patna (2.6)
Patna (2.8)
Sheohar (4.6)
Sheohar (4.6)
2.0
1.9
Chhattisgarh
2.7
2.9
Koriya (2.3),
Kanker (2.3),
Durg (2.3)
Koriya (2.4)
Kawardha (3.6)
Kawardha (3.7)
1.3
1.3
Jharkhand
2.7
3.1
Purbi Singhbhum
(2.2)
Purbi Singhbhum
(2.4)
Pakaur,
Lohardagga
(3.7)
Lohardagga
(4.0)
1.5
1.6
Madhya
Pradesh
3.0
3.1
Bhopal (2.0)
Indore (2.2)
Panna(4.1)
Shivpuri (4.5)
2.1
2.3
Odisha
2.2
2.3
Jharsuguda (1.8)
Jharsuguda (2.0)
Baudh (3.5)
Boudh (3.5)
1.7
1.7
Rajasthan
2.9
3.2
Kota (2.4)
Kota (2.6)
Barmer (4.4)
Barmer (4.7)
2.0
2.1
Uttar Pradesh
3.3
3.6
Kanpur Nagar (2.1)
Kanpur Nagar (2.3)
Shrawasti
(5.4)
Shrawasti (5.9)
3.3
3.6
Uttarakhand
2.1
2.3
Pithoragarh (1.7)
1.0
1.4
Baseline
Pithoragarh (1.7)
Second
Updation
Range
Haridwar (2.7)
Baseline
Haridwar (3.1)
 Within a State, the minimum variability of 1.0 is reported in Uttarakhand and the
maximum of 3.3 in Uttar Pradesh whereas in Baseline it was 1.3 in Chhattisgarh and 3.6
in Uttar Pradesh respectively .
 Across 284 districts in 9 AHS States, it ranges from 1.7 in Pithoragarh to 5.4 in
Shrawasti. In Baseline this varied from 1.7 in Pithoragarh (Uttarakhand) to 5.9 in
31
Shrawasti (UP)- a variability of more than 4 children.
TOTAL FERTILITY RATE (TFR)
Frequency distribution of TFR in terms of No. of Districts in each State
State
0 - 2.1
2.2 - 3.0
3.1 - 4.0
4.1 and above
Grand Total
Assam
8 (3)
13 (16)
2 (3)
0 (1)
23
Bihar
0 (0)
4 (1)
27 (26)
6 (10)
37
Chhattisgarh
0 (0)
14 (12)
2 (4)
0 (0)
16
Jharkhand
0 (0)
14 (8)
4 (10)
0 (0)
18
Madhya Pradesh
2 (0)
21 (15)
21 (25)
1 (5)
45
14 (10)
15 (18)
1 (2)
0 (0)
30
0 (0)
20 (16)
11 (13)
1 (3)
32
1 (0)
20 (9)
39(48)
10 (13)
70
10 (7)
3 (5)
0 (1)
0 (0)
13
35 (20)
124 (100)
107 (132)
18 (32)
284
Odisha
Rajasthan
Uttar Pradesh
Uttarakhand
All States
• 35 districts have already achieved the replacement level of 2.1 whereas it was 20 in baseline.
• 63 districts have TFR below the current National average of 2.4 (SRS 2012).
Distribution of 63 Districts among States
Less than 2.4
Assam
Bihar
15
0
Chhattisgarh Jharkhand
3
2
Madhya
Pradesh
Odisha
6
21
Rajasthan Uttarakhand
1
11
Uttar
Pradesh
Total
4
63
32
TOTAL FERTILITY RATE (TFR)
Frequency Distribution of change in TFR in Terms of No. Districts in Each State
State
Decreased Decreased Decreased Decreased Decreased by Increased Remained Total
by 0.1
by 0.2
by 0.3
by 0.4
0.5 or more
Same
Uttarakhand
1
3
1
2
0
0
6
13
Rajasthan
4
13
13
2
0
0
0
32
Uttar Pradesh
8
26
19
8
5
0
4
70
Bihar
6
7
12
7
2
0
3
37
Assam
2
8
8
2
1
0
2
23
Jharkhand
0
7
11
0
0
0
0
18
Odisha
14
12
2
0
0
0
2
30
Chhattisgarh
5
7
2
0
0
0
2
16
Madhya Pradesh
9
17
10
3
3
0
3
45
Total
49
100
78
24
11
0
22
284
262 districts have recorded less TFR than the baseline estimates in TFR and
22 districts remained the same.
33
TOTAL FERTILITY RATE (TFR)
Second Updation
Baseline
Total Fertility Rate
34
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 Family Planning
80
Second updation
First updation
Baseline
70
70,2
67,2
60
57,5
63,2
62,7
62,4
60,7
59,0
50
40
41,2
30
20
58,6
56,5
66,4
65,1
63,4
61,7
59,4
58,6
43,0
10
37,6
47,8
49,9
53,9
56,2
62,7
61,2
57,9
64,5
0
BIHAR
JHARKHAND
UTTAR
PRADESH
CHHATTISGARH
ODISHA
UTTARAKHAND
MADHYA
PRADESH
ASSAM
RAJASTHAN
 Current usage of any method varies from 41.2 in Bihar to 70.2 in Rajasthan whereas it
was 37.6 in Bihar to 64.5 per cent in Rajasthan in Baseline.
35
Family Planning: Current Usage
Any Method of Family Planning (%)
State
State Value
District with Minimum FP
District with Maximum FP
Second
Updation
baseline
Second
Updation
Second
Updation
baseline
Assam
67.2
57.9
Karimganj (49.4)
Dhubri (33.2)
Kamrup (79.0)
Lakhimpur (67.6)
29.6
34.4
Bihar
41.2
37.6
Siwan(27.9)
Siwan (26.0)
Supaul (56.3)
Muzaffarpur (52.2)
28.4
26.2
Jharkhand
57.5
47.8
Paschimi
Singhbhum(39.4)
Paschimi Singhbhum
(32.7)
Hazaribagh (69.8)
Dhanbad (66.8)
30.4
29.2
Madhya
Pradesh
63.2
61.2
Raisen(47.0)
Sidhi (45.9)
Damoh (84.9)
Damoh (74.9)
37.9
29.0
Chhattisgarh
60.7
53.9
Dantewada (36.5)
Dantewada (33.4)
Kawardha (74.7)
Dhamtari (68.7)
38.2
35.3
Odisha
62.4
56.2
Baudh (32.5)
Kandhamal (28.6)
Baleshwar (78.9)
Baleshwar (73.4)
46.4
44.8
Rajasthan
70.2
64.5
Tonk(54.8)
Dhaulpur (49.0)
Hanumangarh (90.4)
Ganganagar (79.2)
35.6
30.2
Uttar
Pradesh
59.0
49.9
Balrampur(38.2)
Sitapur (21.9)
Lalitpur(75.3)
Jhansi (74.1)
37.1
52.2
Uttarakhand
62.7
62.7
Haridwar (56.8)
Haridwar (53.7)
Rudraprayag(79.0)
Dehradun (67.1)
22.2
13.4
baseline
Second
Updation
Range
baseline
 Within a State, the least variation is reported in Uttarakhand and the most, in Odisha whereas
in Baseline it was Uttarakhand and Uttar Pradesh respectively.
 At district level, current usage of family planning ranges from 27.9 in Siwan (Bihar) to 90.4 in
Hanumangarh (Rajasthan)- a variability of 3 times-whereas in Baseline it varied from 21.9 in
Sitapur (UP) to 79.2 in Ganganagar (Rajasthan) exhibiting a variability of 4 times.
36
Family Planning: Current Usage
Frequency distribution of current usage in terms of number of districts in each State
State
0-30
30-50
50-70
70 & above
Total Districts
Assam
0 (0)
2 (3)
12 (20)
9(0)
23
Bihar
1 (4)
29 (31)
7 (2)
0 (0)
37
Chhattisgarh
0 (0)
3 (7)
11 (9)
2 (0)
16
Jharkhand
0 (0)
7 (13)
11 (5)
0 (0)
18
Madhya Pradesh
0 (0)
1 (2)
39 (40)
5 (3)
45
Odisha
0 (1)
9 (9)
13 (19)
8 (1)
30
Rajasthan
0 (0)
0 (1)
17 (24)
15 (7)
32
Uttar Pradesh
0 (3)
13 (24)
50 (42)
7(1)
70
Uttarakhand
0 (0)
0 (0)
6 (13)
7 (0)
13
All States
1 (8)
64 (90)
166(174)
53 (12)
284
65 districts are reporting less than 50% current usage of any method of family
planning whereas in Baseline it was 98.
 53 districts feature in 70% & above category whereas in Baseline it was only 12
districts.
 30 out of 37 districts of Bihar have reported less than 50% usage of any method
of family planning. In Baseline it was 35 districts.
37
Family Planning: Current Usage
Second Updation
Baseline
38
Family Planning: Current Usage
Second Updation
Baseline
Share of sterilization in any modern method of family planning (%)
Chhattisgarh
Female 86.5 (92.3)
Male
1.9 (2.0)
Bihar
Madhya
Pradesh
Jharkhand Rajasthan
Odisha
84.1 (86.7) 82.0 (83.6) 76.7 (76.3) 76.0 (76.7) 70.8 (68.4)
0.8 (0.9)
2.0(1.7)
1.1 (1.2)
1.0 (0.7)
0.6 (0.7)
Uttarakhand Uttar Pradesh
Assam
50.8 (58.7)
48.9 (55.0)
35.2 (35.3)
2.4 (2.8)
0.8(0.6)
0.8 (0.6)
39
Unmet Need for Family Planning
 Unmet need of Family Planning broadly means requirement of Family Planning
methods among Currently Married Women but not using any method of Family
Planning .
45
Unmet need of Family Planning
40
Second updation
35
First updation
39,2
Baseline
30
30,5
29,7
25
26,4
24,0
23,2
20
23,2
22,4
19,6
33,5
15
24,1
10
18,1
15,9
12,6
5
13,1
24,8
22,6
21,6
19,1
13,5
15,3
18,9
20,7
21,6
22,3
24,4
31,5
0
ASSAM
RAJASTHAN
UTTARAKHAND
ODISHA
UTTAR
PRADESH
MADHYA
PRADESH
JHARKHAND
CHHATTISGARH
BIHAR
 Total unmet need varies from a minimum of 13.1 % in Assam to 31.5% in Bihar.
In Baseline it varied from 19.6% in Rajasthan to 39.2% in Bihar.
 Unmet need for Family Planning is a crucial indicator for assessing the future
demand for Family Planning services / supplies.
40
Unmet Need for Family Planning
Total Unmet need (%)
State
State Value
Second
Updation
Assam
Bihar
Jharkhand
Madhya
Pradesh
Chhattisgarh
13.1
31.5
22.3
21.6
24.4
District with Minimum unmet need
District with Maximum unmet need
baseline
Second
Updation
Second
Updation
baseline
24.0
Kamrup (5.8)
Sibsagar (15.3)
Karimganj (28.0)
Dhubri (42.9)
22.2
27.6
39.2
Patna (20.7)
Patna (24.6)
Siwan(56.4)
Kishanganj (52.5)
35.7
27.9
30.5
Dhanbad(11.3)
Bokaro (18.2)
Paschimi
Singhbhum(41.2)
Godda (42.8)
29.9
24.6
22.4
Damoh(9.9)
Jabalpur (14.3)
Raisen(44.3)
Rewa (34.2)
34.4
19.9
26.4
Bastar(12.3)
Dhamtari (14.5)
Koriya(32.6)
Bastar (36.0)
20.3
21.5
baseline
Second
Updation
Range
baseline
Odisha
18.9
23.2
Jharsuguda(8.5)
Baleshwar (6.1)
Baudh (48.4)
Boudh (48.3)
39.9
42.2
Rajasthan
13.5
19.6
Hanumangarh(4.2)
Ganganagar (10.0)
Churu(26.9)
Dhaulpur (32.4)
22.7
22.4
29.7
Lucknow(6.0)
Mahoba (15.1)
Kannauj(29.6)
Sitapur (29.6)
23.6
14.5
23.2
Dehradun (8.3)
Dehradun (16.8)
Haridwar(26.2)
Haridwar (29.2)
17.9
12.4
Uttar Pradesh
Uttarakhand
20.7
15.3
 The minimum variability within a State is in Uttarakhand and the maximum in Odisha whereas
in Baseline it was in Uttarakhand and in Uttar Pradesh respectively.
 Hanumangarh(4.2) in Rajasthan and Siwan (56.4) in Bihar are the two extremes across 284
districts. In Baseline it was Baleshwar (6.1) in Odisha and Sitapur (61.3) in Uttar Pradesh.
41
Unmet Need for Family Planning
Frequency distribution of unmet need in terms of number of districts in each State
State
0-20
20-40
40-60
60 & above
Total Districts
Assam
22 (6)
1 (16)
0 (1)
0 (0)
23
Bihar
0 (0)
31 (20)
6 (17)
0 (0)
37
Chhattisgarh
3 (4)
13 (12)
0 (0)
0 (0)
16
Jharkhand
5 (2)
12 (13)
1 (3)
0 (0)
18
Madhya Pradesh
14 (18)
30 (27)
1 (0)
0 (0)
45
Odisha
16 (12)
11 (15)
3 (3)
0 (0)
30
Rajasthan
27 (16)
5 (16)
0 (0)
0 (0)
32
Uttar Pradesh
43 (9)
27 (52)
0(8)
0 (1)
70
Uttarakhand
11 (2)
2 (11)
0 (0)
0 (0)
13
141(69)
132(182)
11 (32)
0 (1)
284
All States
 In 141 out of 284 districts, the total unmet need for family planning is below
20%. It was 69 in Baseline.
 Bihar continues to dominate in 40% & above category. Uttar Pradesh
moved out from this category in Second updation.
42
Unmet Need for Family Planning
Second Updation
Baseline
43
Mean Age at Marriage- Female
 Mean Age at Marriage is based on the marriages taken place during 2009-2011.
25
Second Updation
First Updation
Baseline
22,1
22,3
22,1
21,6
21,2
20
20,8
20,7
20,2
20,2
20,6
20,4
20,1
19,7
21,1
20,9
19,7
20,2
RAJASTHAN
JHARKHAND
20,6
20,9
22,4
22,0
21,5
21,0
21,8
22,2
21,7
22,0
15
BIHAR
MADHYA
PRADESH
CHHATTISGARH
UTTAR
PRADESH
ASSAM
ODISHA
UTTARAKHAND
 Mean age at marriage of females varies from 20.2 in Bihar and Rajasthan to 22.3
years in Uttarakhand whereas in Baseline it was 19.7 in Bihar & Rajasthan to 22.0
years in Uttarakhand.
44
Marriages among Females below Legal Age (18 yrs)
 Based on marriages taken place during 2009-2011.
30
Second Updation
First Updation
Baseline
21,9
20
20,2
17,6
12,5
10
10,2
16,5
8,9
6,0
1,8 2,3 3,0
4,3
4,7
5,9
4,4
4,6
5,4
7,4
12,6
10,4
8,0
6,3
10,6
16,3
11,0
13,8
14,3
0
UTTARAKHAND
CHHATTISGARH
ODISHA
UTTAR PRADESH
ASSAM
MADHYA PRADESH
JHARKHAND
BIHAR
RAJASTHAN
 Varies from 1.8 % in Uttarakhand to 14.3% in Rajasthan whereas in Baseline it
was 3.0% in Uttarakhand to 21.9% in Rajasthan.
45
Marriages among Females below Legal Age (18 yrs)
Second Updation
Baseline
46
Ante Natal Care (ANC)
 Any ANC exceeds 85% in all AHS States.
 ANC in 1st trimester: 50 % in UP & Bihar to 73% in Chhattisgarh &
Madhya Pradesh. In Baseline, this was 40% in UP & Bihar to 65% in
Chhattisgarh & Madhya Pradesh.
 Mothers receiving 3 or more ANCs: Bihar-36.7% to Odisha-81.9%.
This was UP-29.6% to Odisha-76.0 % in Baseline.
 Mothers who consumed IFA 100 days or more: 9.7 % in UP to 30.3%
in Odisha. It was 6.5% in UP to 23.8% in Chhattisgarh in Baseline.
Low performance in IFA consumption is the main reason for sluggish
full ANC: 6.8 % in UP to 27.8% in Odisha. In Baseline, 3.9% in UP to
19.5% in Chhattisgarh.
47
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.
Full Ante Natal Checkup
30
27,8
25
Second Updation
First Updation
Baseline
22,5
20
15
18,4
17,1
16,2
13,6
9,5
5
22,7
20,2
10
6,8
16,0
15,3
14,4
7,8
13,3
9,2
5,0
6,1
3,9
5,9
8,5
13,1
RAJASTHAN
JHARKHAND
13,3
11,1
11,9
19,5
18,6
0
UTTAR
PRADESH
BIHAR
MADHYA
PRADESH
UTTARAKHAND
ASSAM
CHHATTISGARH
ODISHA
 Uttar Pradesh reports the minimum coverage of 6.6 % and Odisha, the maximum
27.8 whereas in Baseline it was 3.9% in Uttar Pradesh & 19.5% in Chhattisgarh.
48
Full Ante Natal Check-up
Mothers who had Full Antenatal Check-up (%)
State
State Value
District with Minimum value
District with Maximum value
Second
Updation
Baseline
Second
Updation
Second
Updation
Baseline
Assam
18.4
11.9
Karbi Anglong
(7.2)
Dhubri (2.1)
Kamrup (29.9)
Jorhat (18.2)
22.7
16.1
Bihar
7.8
5.9
Samastipur (2.7)
Madhepura (2.4)
Paschim
Champaran
(15.3)
Patna (16.4)
12.6
14.0
Jharkhand
13.6
13.1
Garhwa (5.1)
Garhwa (3.6)
Purbi Singhbhum
(28.9)
Purbi Singhbhum
(31.6)
23.8
28.0
Madhya Pradesh
16.2
13.3
Morena(3.7)
Sheopur (1.8)
Indore (30.6)
Balaghat (30.8)
26.9
29.0
Chhattisgarh
22.5
19.5
Jashpur(12.0)
Korba (10.9)
Dhamtari (47.4)
Dhamtari (34.5)
35.4
Odisha
27.8
18.6
Koraput (16.8)
Jajapur (5.4)
Jagatsinghapur
(54.6)
Jagatsinghapur
(36.0)
37.8
30.6
Rajasthan
9.5
8.5
Nagaur(3.2)
Karauli (1.7)
Jaipur (20.0)
Jaipur (19.5)
16.8
17.8
Uttar Pradesh
6.8
3.9
Balrampur (1.0)
Balrampur (0.6)
Jhansi (19.5)
Kanpur Nagar (14.8)
18.5
14.2
Uttarakhand
17.1
11.1
Rudraprayag (4.0)
Dehradun (22.7)
26.3
19.0
Baseline
Second
Updation
Range
Rudraprayag (3.7) Dehradun (30.3)
Baseline
23.6
 Bihar has reported the minimum variability among the districts in a State compared to Odisha
reporting the maximum. It was same in Baseline.
 Balrampur (1.0) with 1% has minimum coverage and Jagatsinghapur (54.6), the maximum
coverage of full ANC. In Baseline also the position was same with values 0.6 and 36.0
respectively.
49
Full Ante Natal Check-up
Frequency distribution of full ANC in terms of number of districts in each State
<5
5 - 10
10 - 15
15-20
20-25
25 &
above
Total
Districts
0 (6)
3 (7)
5 (6)
9 (4)
3 (0)
3 (0)
23
6 (17)
24 (17)
6 (2)
1 (1)
0 (0)
0 (0)
37
Chhattisgarh
0 (0)
0 (0)
3 (4)
4(4)
4(5)
5 (3)
16
Jharkhand
0 (3)
8 (7)
6 (4)
2 (3)
1 (0)
1 (1)
18
Madhya Pradesh
1 (7)
8 (11)
13 (10)
13 (7)
2 (6)
8 (4)
45
Odisha
0 (0)
0 (3)
0 (7)
4 (10)
8 (3)
18 (7)
30
Rajasthan
5 (7)
16 (16)
8 (7)
2 (2)
1 (0)
0 (0)
32
23 (52)
31 (15)
11(3)
4 (0)
1(0)
0 (0)
70
1 (2)
1 (7)
4 (2)
5 (1)
1 (1)
1 (0)
13
36 (94)
91(83)
56 (45)
44(32)
21 (15)
36 (15)
284
State
Assam
Bihar
Uttar Pradesh
Uttarakhand
All States
 36 out of 284 districts report less than 5% coverage of full ANC whereas in
Baseline it was 94.
 36 districts reported 25% & above coverage of full ANC . In Baseline it was only
15 districts.
50
Full Ante Natal Check-up
Second Updation
Baseline
51
Ante Natal Check-up
Second Updation
Baseline
52
Ante Natal Check-up
Second Updation
Baseline
53
Ante Natal Check-up
Second Updation
Baseline
54
Institutional Delivery
Institutional Delivery
90,0
80,0
68
70,0
65,9
56,7
55,4
60,0
46
50,0
46,2
39,5
40,0
62
55
55
56
74,4
77,7
49
40
51,9
60,8
54,6
51,7
79,7
41,2
40,4
10,0
58,3
36
30,0
20,0
82,6
80,8
78,0
34,9
37,6
47,7
45,6
50,5
57,7
70,2
71,3
76,1
0,0
CHHATTISGARH JHARKHAND
BIHAR
UTTAR
PRADESH
Second Updation
UTTARAKHAND
ASSAM
Inst delivery
RAJASTHAN
Baseline
ODISHA
MADHYA
PRADESH
IMR
22.7
16,8
16,7
38,8
34,2
31
55,3
51,9
46,3
31
28,4
71,3
2nd
29,1
30,5
68,5
BL
25,8
73,3
1st
25,1
73,9
2nd
13,8
86
BL
13,7
86,1
1st
13,5
86,2
2nd
12,9
12
20,7
21,7
23.9
40,2
36,4
80
33.7
100
11,8
Share of Govt. & Private Hospitals in Total Institutional Delivery
77,1
82,9
60,7
BL
82,9
65,6
1st
42,6
BL
68,6
46,1
1st
2nd
51,1
69
BL
20
2nd
70,6
86,4
BL
1st
87,5
1st
78,6
BL
87,6
77,8
1st
59,1
BL
75.7
62,8
1st
2nd
64,8
40
2nd
60
Uttarakhand
Rajasthan
Odisha
Madhya Pradesh
Chhattisgarh
Govt.
Bihar
Jharkhand
Uttar Pradesh
BL
1st
2nd
2nd
0
Assam
Private
No direct relation is established between IMR and institutional delivery
55
Institutional Delivery
 Institutional Delivery: Ranges from 39.5 % in Chhattisgarh to
82.6 % in MP. In Baseline it was 34.9% in Chhattisgarh &
76.1% in MP.
 Share of Government hospital in total institutional delivery is
more than 85% in Madhya Pradesh & Odisha . It is more than
60% in remaining States except Jharkhand. In Baseline also,
the situation was same except for Uttarakhand, which stood at
58.3 % from 50.5 % in Baseline.
Kawardha (Chhattisgarh) recorded the least (23.8 %)
institutional delivery whereas Jagatsinghapur (Odisha) , the
most (95.9%), showing a variability of more than 4 times. In
Baseline, Balrampur was in the least category with 16.8% and
Indore(MP),the highest with 92.5%.
56
Institutional Delivery
Second Updation
Baseline
Balrampur,
UP
Kawardha,Chhattisgarh
Indore, MP
Jagatsinghapur,Odisha
 Institutional delivery is below 60% in 114 districts whereas it was 170 districts in
baseline.
57
Safe Delivery
 Safe delivery comprise institutional deliveries and domiciliary deliveries assisted
by doctor/nurse/ANM/LHV.
Safe Delivery
100
Second Updation
First Updation
Baseline
89,8
80
83,8
83,7
71,6
60
64,7
64,5
63,3
59,1
56,2
80,8
40
51,8
68,1
61,0
59,9
57,4
56,9
85,9
80,0
20
47,1
49,5
51,3
53,5
56,9
70,1
75,2
76,2
82,2
0
JHARKHAND

CHHATTISGARH UTTAR PRADESH
BIHAR
UTTARAKHAND
ASSAM
ODISHA
RAJASTHAN
MADHYA
PRADESH
Safe Delivery: 56.2% in Jharkhand to 89.8% in Madhya Pradesh. It was 47.1% in
Jharkhand & 82.2% in MP.
58
Safe Delivery
Safe Delivery (%)
State
State Value
District with Minimum Value
District with Maximum Value
Second
Updation
Baseline
Second
Updation
Second
Updation
Baseline
Assam
71.6
64.2
Karimganj (44.1)
Karimganj,
Hailakandi (34.8)
Sibsagar (90.5)
Sibsagar (88.2)
46.4
53.4
Bihar
64.5
53.5
Sitamarhi (42.9)
Sheohar (30.2)
Patna (83.1)
Munger (80.4)
40.2
50.2
Jharkhand
56.2
47.1
Pakaur (38.5)
Pakaur (24.8)
Purbi Singhbhum
(75.8)
Purbi Singhbhum
(69.0)
37.3
44.2
Madhya
Pradesh
89.2
82.2
Dindori (61.9)
Dindori (45.5)
Indore (97.9)
Indore (96.3)
36.0
50.8
Chhattisgarh
59.1
49.5
Surguja (42.8)
Surguja (32.6)
Kanker (80.9)
Kanker (69.4)
38.1
36.8
Odisha
83.7
75.2
Malkangiri (56.9)
Nabarangpur (35.6)
Jagatsinghapur
(96.2)
Puri (92.7)
39.3
57.1
Rajasthan
83.8
76.2
Jaisalmer (60.8)
Jaisalmer (48.6)
Jaipur (94.8)
Jaipur (92.2)
34.0
43.6
Uttar Pradesh
63.3
51.3
Balrampur (39.1)
Balrampur (22.0)
Jhansi (90.5)
Jhansi (89.4)
51.4
67.4
Uttarakhand
64.7
56.9
Tehri Garhwal
(54.3)
Tehri Garhwal
(43.1)
Nainital (85.4)
Nainital (79.5)
31.1
36.4
Baseline
Second
Updation
Range
Baseline
 Madhya Pradesh has exhibited the least variability among districts of a State and Uttar Pradesh,
the most. In Baseline, Uttarakhand and UP were at the extremes.
 Pakaur(38.5),Jharkhand & Indore(97.9) (MP) are the minimum and maximum in safe delivery. In
baseline, Balrampur (UP) was in the lower side.
59
Safe Delivery
Frequency distribution of safe delivery in terms of No. of districts in each State
<30
30-50
50-70
70-90
90 & above
Total
Districts
Assam
0 (0)
2 (2)
10 (12)
10 (9)
1 (0)
23
Bihar
0 (0)
6 (12)
14 (19)
17 (6)
0 (0)
37
Chhattisgarh
0 (0)
3 (9)
10 (7)
3 (0)
0 (0)
16
Jharkhand
0 (3)
7 (9)
9 (6)
2 (0)
0 (0)
18
Madhya Pradesh
0 (0)
0 (1)
3 (5)
22 (29)
20 (10)
45
Odisha
0 (0)
0 (3)
4 (5)
21 (20)
5 (2)
30
Rajasthan
0 (0)
0 (1)
2 (8)
26 (21)
4 (2)
32
Uttar Pradesh
0 (4)
5 (20)
37 (39)
27 (7)
1 (0)
70
Uttarakhand
0 (0)
0 (3)
8 (7)
5 (3)
0 (0)
13
All States
0 (7)
23 (60)
97(108)
133 (95)
31 (14)
284
State
 Less than 1/10th of the districts have reported below 50% in safe delivery. It was as
high as 1/4th in baseline.
 Out of 31 districts reporting 90% & above safe deliveries, 20 districts belong to
Madhya Pradesh. It was 10 for MP in Baseline.
60
Safe Delivery
Second Updation
Baseline
61
Janani Suraksha Yojana
Second Updation
First Updation
Baseline
70,3
70
72,9
Mothers who availed financial assistance for delivery under JSY
80
50
35,2
31,1
30,8
61,1
61,6
53,9
44,8
30,4
15,8
21,7
26,9
14,6
10
19,9
30,1
20
23,9
51,2
57,7
36,4
34,0
33,8
30
67,7
40,9
40
69,3
55,5
59,5
60
0
JHARKHAND
UTTARAKHAND CHHATTISGARH
UTTAR
PRADESH
BIHAR
ASSAM
RAJASTHAN
ODISHA
MADHYA
PRADESH
 Mothers availing JSY: 23.9% in Jharkhand to 72.9 % in MP. It was 14.6% in
Jharkhand to 61.6% in Odisha in Baseline.
62
Janani Suraksha Yojana
Second Updation
Baseline
63
Abortion
Pregnancy resulting in Abortion
8
7,6
7
Second Updation
First updation
7,1
6,4
Baseline
6,7
6,5
6
6,7
5,4
5,0
5,4
5
5,0
4,4
4,5
4
3,5
3
3,3
3,2
5,8
2,1
2
1
1,4
2,5
4,0
4,5
5,3
4,2
4,5
6,8
5,6
4,6
0
CHHATTISGARH
MADHYA
PRADESH
RAJASTHAN
BIHAR
JHARKHAND
UTTARAKHAND
ASSAM
ODISHA
UTTAR PRADESH
 Varies from 1.4 % in Chhattisgarh to 7.1 % in Uttar Pradesh, in Baseline , Assam
was at the higher end.
 Across 284 districts in 9 AHS States, it ranges
Dantewada(Chhattisgarh) to 16.1 % in Jorhat(Assam).
from
0.3
% in
64
Abortion
Average month of pregnancy at the time of abortion
3,6
Second Updation
3,4
First updation
3,4
Baseline
3,2
3,3
3,0
3,0
2,8
2,8
2,8
2,6
3,3
3,2
2,6
2,4
3,0
2,9
2,6
2,9
2,7
2,9
2,8
3,2
3,0
2,6
2,2
2,8
2,7
2,9
2,9
3,0
3,3
3,0
3,3
3,1
2,0
UTTARAKHAND
ASSAM
UTTAR PRADESH
JHARKHAND
ODISHA
RAJASTHAN
BIHAR
CHHATTISGARH
 Varies from 2.6 in Uttarakhand and Assam to 3.4 in Madhya Pradesh.
MADHYA
PRADESH
 Across 284 districts in 9 AHS States, it ranges from 2.2 in Dhemaji & Kamrup
(Assam) to 4.8 in Nuapada (Odisha).
65
Abortion
Abortion taking place in institution
80
Second Updation
First updation
72,1
70
Baseline
56,6
73,9
57,8
49,0
51,8
49,6
48,4
49,1
47,7
46,5
45,9
45,4
40,4
20
32,0
30
33,8
40
51,7
50
58,2
60
75,0
60,5
44,7
54,3
47,7
49,4
40,5
56,5
32,2
10
0
CHHATTISGARH
ODISHA
BIHAR
UTTAR PRADESH
JHARKHAND
UTTARAKHAND MADHYA PRADESH
RAJASTHAN
ASSAM
 Abortion taking place in institution varies from 33.8 % in Chhattisgarh to 72.1 %
in Assam.
 Across 284 districts in 9 AHS States, it ranges from 11.4 % in Nabarangapur
(Odisha) to 92.9 in Jodhpur(Rajasthan).
66
Abortion
Abortion performed by Skilled health Personnel
90
80
First updation
Baseline
75,2
Second Updation
58,6
56,0
55,3
76,4
77,8
60,5
52,1
49,4
57,4
49,2
50,3
55,0
52,1
54,3
52,9
51,9
60,0
40,4
10
41,8
20
52,2
30
52,4
49,0
42,8
40
50,4
50
62,4
60
64,9
70
0
CHHATTISGARH
ODISHA
UTTAR PRADESH
JHARKHAND
UTTARAKHAND
BIHAR
MADHYA
PRADESH
RAJASTHAN
ASSAM
 Varies from 42.8% in Chhattisgarh to 75.2% in Assam.
 Across 284 districts in 9 AHS States, it ranges from 11.4 % in Nabarangapur
(Odisha) to 100% in Jaisalmer (Rajasthan) – a variability of more thsan 5 times.
 More than 50% of the abortion is performed by skilled health personnel in all
the States except Chhattisgarh and Odisha. Odisha is newly added in the second
67
updation round.
Post Natal Care
Mothers who received PNC in 48 hours of delivery
100
Second Updation
First Updation
Baseline
80
60
60,9
70,3
68,4
66,2
64,3
40
61,7
59,7
80,0
77,8
76,6
71,4
69,5
64,6
59,6
82,8
80,5
79,6
77,6
20
60,8
59,1
57,0
59,1
64,8
68,4
73,3
74,2
74,5
0
BIHAR
UTTARAKHAND
ASSAM
JHARKHAND
CHHATTISGARH UTTAR PRADESH
RAJASTHAN
MADHYA
PRADESH
ODISHA
 Mothers receiving PNC within 48 hrs of delivery varies from 60.9% in Assam to 82.8% in
Odisha. It was 57.0 in Assam and 74.5% in Odisha in Baseline.
40
Mothers who didn’t receive any PNC
Second Updation
First Updation
36,9
Baseline
35,8
34,4
30
30,4
28,1
20
23,2
23,0
22,1
19,6
34,7
33,0
29,8
10
14,8
12,1
14,1
23,1
19,9
18,6
16,8
17,9
20,9
20,7
19,4
22,0
26,1
28,5
30,1
0
ODISHA
MADHYA
PRADESH
RAJASTHAN
UTTAR PRADESH
BIHAR
CHHATTISGARH
JHARKHAND
ASSAM
UTTARAKHAND
 At least 1 in every 8 mothers did not receive any post natal check up across all AHS States. The
situation was 1 in 5 in baseline.
68
Post Natal Care
Second Updation
Second Updation
Baseline
69
Post Natal Care
Second Updation
Baseline
70
New Born Check up
New borns who were checked up within 24 hours of birth
90
Second Updation
80
First Updation
Baseline
81,7
79,1
77,7
76,3
70
60
61,9
65,9
64,8
64,0
62,9
73,4
50
60,6
57,6
52,6
59,3
64,2
60,3
58,2
55,3
79,7
76,3
71,9
55,9
60,6
70,0
68,2
73,1
74,9
40
BIHAR
UTTARAKHAND
ASSAM
JHARKHAND
CHHATTISGARH
RAJASTHAN
UTTAR PRADESH
MADHYA
PRADESH
ODISHA

New born checked up within 24 hrs of birth exceeds 50% in all AHS States. Across
the 284 districts, as high as 268 districts reported more than 50% coverage.

It varies from 61.9% in Bihar to 81.7% in Odisha whereas in Baseline it was 52.6%
in Bihar and 74.9 in Odisha.
 Across 284 districts in 9 AHS States, it ranges from 37.8 in Karimganj(Assam) to
93.2 in Bargarh(Odisha) and Guna(Madhya Pradesh). In Baseline, this varied from
24.2 in Karimganj & Hailakandi (Assam) to 92.9 in Allahabad(Uttar Pradesh).
71
New Born Check up
Second Updation
Baseline
72
Full Immunization
 Children are considered fully immunized when they have received vaccination
against Tuberculosis, 3 doses of DPT & Polio and 1 dose of measles.
Children 12-23 months fully immunized
90
Second Updation
80
First Updation
Baseline
79,6
70
60
50
69,9
68,8
66,4
64,4
74,9
74,2
69,9
52,7
40
61,4
30
20
69,1
62,3
59,7
77,9
74,1
69,2
65,6
48,1
10
45,3
59,0
54,9
55,0
63,7
64,5
70,8
74,1
75,4
0
UTTAR PRADESH
ASSAM
MADHYA PRADESH
ODISHA
JHARKHAND
BIHAR
RAJASTHAN
CHHATTISGARH UTTARAKHAND
 All States have reported at least half of their children aged 12-23 months fully
immunized. Uttar Pradesh is newly added in this category in the second updation
round.
 Uttar Pradesh & Uttarakhand continue to remain minimum & maximum in
children fully immunized.
73
Full Immunization
Children aged 12-23 months Fully Immunized (%)
State
State Value
Minimum
Maximum
Second
Updation
Baseline
Second
Updation
Second
Updation
Baseline
Assam
64.4
59.0
Goalpara (46.6)
Dhubri (29.9)
Sibsagar (83.5)
Dibrugarh (83.8)
36.9
53.9
Bihar
69.9
64.5
Kishanganj
(32.2)
Kishanganj
(26.6)
Madhubani (87.8)
Samastipur (83.9)
55.6
57.3
Jharkhand
69.9
63.7
Giridih (46.5)
Giridih (28.0)
Lohardaga (88.1)
Purbi Singhbhum
(82.7)
41.6
54.7
Madhya
Pradesh
66.4
54.9
Tikamgarh (31.5)
Jhabua (23.8)
Indore (85.5)
Indore (77.6)
54.0
53.8
Chhattisgarh
74.9
74.1
Surguja (59.1)
Surguja (55.3)
Kanker (90.0)
Kanker (93.2)
30.9
37.9
Odisha
68.8
55.0
Malkangiri (29.6)
Kendrapara (82.0)
57.8
70.1
Rajasthan
74.2
70.8
Karauli (39.8)
Dhaulpur (37.4)
Hanumangarh
(92.1)
Hanumangarh (91.4)
52.3
54.0
Uttar Pradesh
52.7
45.3
Siddharthnagar
(24.9)
Etah (13.5)
Saharanpur (77.4)
Basti (73.8)
52.5
60.3
Uttarakhand
79.6
75.4
Haridwar (60.8)
Pithoragarh (87.5)
27.9
32.2
Baseline
Second
Updation
Range
Rayagada (11.9) Kendrapara (87.4)
Haridwar (55.3) Pithoragarh (88.7)
Baseline
 The variability among the districts within a State ranges from 27.9% in Uttarakhand to 57.8% in
Odisha, it was 32.2% in Uttarakhand to 70.1% in Odisha in Baseline.
 Across all 284 districts, Siddharthnagar of UP reported the minimum. However the maximum is
observed in Hanumangarh of Rajasthan. In Baseline, Rayagada of Odisha and Kanker of
Chhattisgarh reported the minimum and maximum respectively.
74
Full Immunization
Frequency distribution of Full Immunization in terms of number of districts in each State
0-30
30-50
50-70
70-90
90 & above
Total
Districts
Assam
0 (1)
2 (4)
15 (14)
6 (4)
0 (0)
23
Bihar
0 (1)
2 (2)
16 (23)
19 (11)
0 (0)
37
Chhattisgarh
0 (0)
0 (0)
5 (6)
10 (9)
1 (1)
16
Jharkhand
0 (1)
2 (4)
8 (7)
8 (6)
0 (0)
18
Madhya Pradesh
0 (2)
7 (14)
23 (24)
15 (5)
0 (0)
45
Odisha
1 (8)
7 (7)
8 (6)
14 (9)
0 (0)
30
Rajasthan
0 (0)
3 (4)
9 (10)
19 (17)
1 (1)
32
2 (11)
21 (31)
43 (20)
4 (8)
0 (0)
70
0 (0)
0 (0)
1 (2)
12 (11)
0 (0)
13
3 (24)
44 (66)
128 (112)
107 (80)
2 (2)
284
State
Uttar Pradesh
Uttarakhand
All States
 47 districts are below 50% level of full immunization whereas it was 90 in
Baseline.
 Only 2 districts 1 each from Chhattisgarh & Rajasthan continue to remain in 90% &
above category in all the three rounds. The districts are Hanumangarh in Rajasthan
75
and Kanker in Chhattisgarh.
20
0
83,0
60
Second Updation
First Updation
87,9
86,7
80,7
89,4
87,8
82,6
84,5
90,0
89,2
85,4
85,2
83,5
Constituents
of full
immunization
82,6
81,5
81,9
82,9
83,2
82,3
79,9
74,7
78,1
77,5
75,5
69,4
58,5
84,8
83,0
80,4
78,9
78,1
79,9
76,6
73,1
60,9
98,2
85,8
83,3
82,7
82,0
80,8
80,0
78,1
77,1
64,1
97,8
96,6
95,7
94,8
94,7
94,1
93,3
80
81,8
79,0
70
77,3
80
80,9
75
79,3
97,5
96,8
20
75,7
90
85,2
96,8
40
80,3
80
82,8
94,2
94,7
93,6
93,5
94,0
92,9
91,5
60
76,7
100
81,8
91,8
93,9
93,3
91,9
90,6
91,1
100
65,8
63,1
60,5
84,1
100
81,6
80,0
79,6
DPT
72,9
77,9
81,7
79,6
78,0
76,1
77,6
76,3
95
81,6
78,7
71,8
77,0
72,2
74,8
71,5
90
66,6
40
55,9
60
86,3
84,8
83,4
80
63,2
85
59,8
BCG
Polio
100
0
Measles
50
Baseline
76
Constituents of Full Immunization
Second Updation
Baseline
77
Constituents of Full Immunization
Second Updation
Baseline
78
Constituents of Full Immunization
Second Updation
Baseline
79
Constituents of Full Immunization
Second Updation
Baseline
80
Full Immunization
Second Updation
Baseline
81
Vitamin A Supplementation to Children
Children who received Vitamin A during last 6 months
Second Updation
First Updation
Baseline
74,2
80
71,3
68,3
68,6
66,1
56,6
61,9
70,7
58,6
58,1
57,3
39,2
30
20
57,1
56,2
58,8
40
40,8
50
63,2
60
68,6
70
59,4
63,4
71,7
72,0
60,1
54,5
55,0
61,9
37,2
10
0
UTTAR PRADESH
BIHAR
UTTARAKHAND
MADHYA
PRADESH
JHARKHAND
ASSAM
CHHATTISGARH
ODISHA
RAJASTHAN
 At least every 2nd child aged 6-35 months has received Vitamin A supplement in all
AHS States except Uttar Pradesh where it is about 3rd child.
 Across 284 districts in 9 AHS States, it ranges from 16.1 in Shrawasti(Uttar Pradesh)
to 87.5 in Banswara(Rajasthan). In Baseline, it varied form 15.1 in Shrawasti to 91.3
in Lohardaga(Jharkhand).
 Across the 284 districts,197 districts have reported more than 50 % coverage.
82
Vitamin A Supplementation to Children
Second Updation
Baseline
83
IFA Supplement to Children
Children who received IFA tablets/dose during last 6 months
50
First Updation
Baseline
42,7
Second Updation
33,8
40
38,7
31,3
37,7
29,0
24,8
23,3
27,7
14,3
14,2
15,5
24,0
26,3
24,7
25,3
25,1
17,2
16,9
15,9
10,6
13,2
13,5
9,4
10,9
10
11,6
20
29,1
30
0
RAJASTHAN
UTTAR PRADESH
JHARKHAND
UTTARAKHAND
ASSAM
ODISHA
MADHYA
PRADESH
BIHAR
CHHATTISGARH
 IFA supplement to children aged 6-35 months during last 3 months ranges from
11.6 % in Rajasthan to 42.7% in Chhattisgarh. It was 9.4% in Rajasthan to 37.7%
in Chhattisgarh in Baseline.
 Situation merit attention across all AHS States however it is quite alarming in
Rajasthan, Uttar Pradesh, Jharkhand & Uttarakhand.
84
IFA Supplement to Children
Second Updation
Baseline
85
Breast Feeding Practices
Children breastfed within 1 hour of birth
100
Second Updation
First Updation
Baseline
66,3
65,1
74,3
70,9
65,0
63,7
71,5
69,6
61,5
63,9
63,2
48,6
50,1
37,9
41,2
32,9
30,3
34,6
20
36,0
37,0
39,4
40
65,7
43,3
54,1
60
66,8
75,6
78,7
80
0
BIHAR
UTTAR PRADESH
JHARKHAND
RAJASTHAN
UTTARAKHAND
CHHATTISGARH MADHYA PRADESH
ASSAM
ODISHA
 Bihar & UP and Assam & Odisha continue to remain two extremes of the spectrum
over the three rounds.
86
Breast Feeding Practices
Children exclusively breastfed for at least six months
60
Second Updation
50
First Updation
Baseline
50,8
50,2
40
41,5
40,4
37,3
30
32,1
31,0
30,7
49,9
48,4
20
30,3
26,6
10
40,1
39,0
20,8
39,7
29,4
19,4
17,7
24,8
28,5
24,7
38,2
39,2
36,8
45,6
47,5
0
UTTAR
PRADESH
ODISHA
BIHAR
RAJASTHAN
UTTARAKHAND
ASSAM
MADHYA
PRADESH
JHARKHAND
CHHATTISGARH
 Children exclusively breastfed for at least 6 months ranges from 20.8 % in UP to
50.8 % in Chhattisgarh whereas it was 17.7% in UP to 47.5 % in Chhattisgarh in
Baseline.
87
Breast Feeding Practices
Second Updation
Baseline
88
Breast Feeding Practices
Second Updation
Second Updation
Baseline
89
WAY FORWARD
• The Clinical-Anthropometric & Bio-chemical (CAB) Test is in progress . It is
likely to be completed by December 2014.
90
91