Transcript 2005-06 National Family Health Survey (NFHS-3)

2005-06 National Family Health Survey
(NFHS-3)
KEY FINDINGS ON
CHILD MORTALITY AND
CHILD HEALTH
Topics
 Infant and child mortality
 Treatment of childhood
diseases
 Child immunizations
NFHS-3, India, 2005-06
Infant Mortality Rates
Per 1,000 live births
90
79
80
70
65
57
57
60
48
50
40
27
30
20
11
6
10
C
hi
na
a
La
nk
Sr
i
N
ep
al
n
Pa
ki
st
a
C
B
an
gl
ad
es
h
D
M
LD
C
In
di
a
0
NFHS-3, India, 2005-06
Early Childhood Mortality Rates
80
74
Per 1,000
70
57
60
50
39
40
30
18
18
20
10
0
Neonatal
mortality
Postneonatal
mortality
Infant
mortality
Child
mortality
Under-five
mortality
More than half of deaths to children who die in the first
five years of life occur in the first month after birth
Steady Decline in Infant Mortality Rates
80
Per 1,000 live births
79
68
70
57
60
50
40
30
20
10
0
NFHS-1
NFHS-2
NFHS-3
NFHS-3, India, 2005-06
Infant Mortality Rates by State
80
73
70
Per 1,000 live births
71 70
69
66 65 65
62 61
57
60
54
52
50
50
48
45 45
43 42 42 42
40
40
38 38
36
34 34
30 30
30
20
15 15
KE
GO
MN
TN
SK
MZ
HP
NA
MH
DL
HR
UT
PJ
KA
JK
MG
WB
GJ
TR
AP
IN
AR
BH
RJ
OR
JH
MP
CH
UP
0
AS
10
NFHS-3, India, 2005-06
Childhood Mortality Rates by Sex
90
Per 1,000
79
80
70
70
58
60
50
40
37
56
41
30
23
21
15
20
14
10
0
Neonatal
Mortality
Postneonatal
Mortality
Infant Mortality
Female
Child Mortality
Under-five
Mortality
Male
NFHS-3, India, 2005-06
Infant Mortality Rates by Demographic
Characteristics
Per 1,000 live births
PREVIOUS BIRTH INTERVAL
< 2 years
2 years
3 years
4 years or more
86
50
30
37
BIRTH ORDER
1
2-3
4-6
7 or more
64
47
62
80
MOTHER'S AGE AT BIRTH
< 20
20-29
30-39
40-49
77
50
56
72
0
10
20
30
40
50
60
70
80
90
100
NFHS-3, India, 2005-06
Infant Mortality Rates by Wealth
80
Per 1,000 live births
70
70
69
58
60
50
44
40
29
30
20
10
0
Lowest
Second
Middle
Fourth
Highest
NFHS-3, India, 2005-06
Perinatal Mortality Rates
by Residence
Per 1,000 pregnancies of 7 or more months duration
60
53
49
50
40
36
30
20
10
0
Urban
Rural
Total
NFHS-3, India, 2005-06
Topics
 Infant and child mortality
 Treatment of childhood
diseases
 Child immunizations
NFHS-3, India, 2005-06
Treatment of Childhood Diseases
Percentage of children with childhood diseases
taken to a health facility or provider
 Diarrhoea:
 Acute
60 percent
respiratory infection (ARI): 69 percent
 Fever:
71 percent
NFHS-3, India, 2005-06
Treatment of Diarrhoea

39% of children under age 5 with diarrhoea in the
two weeks before the survey received some kind
of oral rehydration therapy

26% were treated with a solution prepared from
oral rehydration salt (ORS) packets and 20%
received gruel

More than one-quarter did not receive any kind of
treatment

16% received antibiotics, which are not normally
recommended for treating childhood diarrhoea
NFHS-3, India, 2005-06
Knowledge of ORS Packets
Nearly three-quarters of women know
about ORS packets (up from 43% in
NFHS-1 and 62% in NFHS-2).
However, use of ORS is low and
virtually unchanged since NFHS-2.
NFHS-3, India, 2005-06
Trends in Treatment of Childhood
Diarrhoea with ORS
Percentage of children age 0-3 with diarrhoea in the past 2 weeks
100
80
60
40
33
33
25
24
20
0
Urban
Rural
NFHS-2
NFHS-3
NFHS-3, India, 2005-06
Highest and Lowest Use of ORS
Percentage of children age five with diarrhoea in the past 2 weeks
State
Highest Meghalaya
Tripura
use
Lowest
use
Percent Using ORS
Himachal Pradesh
Goa
Mizoram
65
58
56
51
48
Uttar Pradesh
Assam
Rajasthan
Nagaland
Jharkhand
13
15
17
17
17
NFHS-3, India, 2005-06
Feeding Practices during Diarrhoea
 Children
with diarrhoea should be given
more liquids to drink than usual, but only
10% of children with diarrhoea actually
receive more liquids and almost 4 in 10
receive less to drink
 Children
with diarrhoea should continue to
be fed, but 45% receive less food than
usual or no food at all when they have
diarrhoea
NFHS-3, India, 2005-06
Topics
 Infant and child mortality
 Treatment of childhood
diseases
 Child immunizations
NFHS-3, India, 2005-06
Trends in Immunizations by
Vaccine
100
Percentage of children age 12-23 months
78
80
78
72
63
62
60
59
54
51
52
55 55
42
40
20
30
14
5
0
None
BCG
NFHS-1
Polio3
NFHS-2
Measles
DPT3
NFHS-3
NFHS-3, India, 2005-06
Drop-outs Are a Problem for Polio
and DPT Vaccine
100
80
Percentage of children age 12-23 months
93
89
78
76
67
55
60
40
20
0
DPT
1st dose
Polio
2nd dose
3rd dose
NFHS-3, India, 2005-06
Full Vaccination
 Only
44% of children age 12-23 months are
fully vaccinated (only a slight increase in
coverage from 42% in NFHS-2)
 Between
NFHS-2 and NFHS-3, full
vaccination coverage for children increased
in 19 of the 29 states and dropped in the
remaining 10 states
NFHS-3, India, 2005-06
Full Immunization of Children
80
Percent of children age 12-23 months
70
70
64
Sikkim
60
West Bengal
50
40
49
47
44
42
INDIA
34
33
Chhattisgarh
30
20
10
22
12
9
44
Bihar
Jharkhandh
0
NFHS-2 (1998-99)
NFHS-3 (2005-06)
Full Immunization of Children
Percent of children age 12-23 months
100
89
90
Tamil Nadu
83
78
80
72
70
60
50
65
64
62
57
Maharashtra
Punjab
Mizoram
50
45
HP
53
Gujarat
40
74
60
59
60
59
Andhra PradeshA
81
46
45
30
20
10
0
NFHS-1 (1992-93)
NFHS-2 (1998-99)
NFHS-3 (2005-06)
Summary of Vaccination
Coverage

Almost all children age 12-23 months (95%)
receive at least some of the recommended
vaccinations
 Vaccination coverage against vaccinepreventable diseases has been improving for all
recommended vaccinations EXCEPT DPT
 Vaccination coverage is highest for BCG and
three doses of polio vaccine, but nearly onequarter of children have not received these
vaccinations
NFHS-3, India, 2005-06
Summary of Vaccination
Coverage
 Drop-outs
between the first and third doses
of DPT and polio vaccine are a substantial
problem
 Less than half of children age 12-23
months are fully vaccinated
 Vaccination coverage has improved in most
states, but there has been a notable
decrease in vaccination coverage in
several states
NFHS-3, India, 2005-06
Thank
You
NFHS-3, India, 2005-06