2005-06 national family health survey (nfhs-3)

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

KEY FINDINGS ON KEY FINDINGS ON CHILD MORTALITY AND CHILD MORTALITY AND

CHILD HEALTHCHILD HEALTH

NFHS-3, India, 2005-06

TopicsTopics

Infant and child mortalityInfant and child mortality

Treatment of childhood Treatment of childhood

diseasesdiseases

Child immunizationsChild immunizations


Infant Mortality RatesInfant Mortality Rates

57 57

6

65

79

48

11

27

0

10

20

30

40

50

60

70

80

90

Per 1,000 live births

Early Childhood Mortality RatesEarly Childhood Mortality Rates

39

18

57

18

74

0

10

20

30

40

50

60

70

80

Neonatalmortality

Postneonatalmortality

Infantmortality

Childmortality

Under-fivemortality

More than half of deaths to children who die in the first five years of life occur in the first month after birth

Per 1,000


Steady Decline in Infant Mortality RatesSteady Decline in Infant Mortality Rates

79

68

57

0

10

20

30

40

50

60

70

80

NFHS-1 NFHS-2 NFHS-3



Infant Mortality Rates by StateInfant Mortality Rates by State

7371 70 69

66 65 6562 61

5754

5250

4845 45

43 42 42 4240

38 3836

34 3430 30

15 15

0

10

20

30

40

50

60

70

80

UP

CH

MP

JH AS

OR RJ

BH

AR IN AP

TR GJ

WB

MG JK KA

PJ

UT

HR

DL

MH

NA

HP

MZ

SK

TN

MN

GO

KE



Childhood Mortality Rates by SexChildhood Mortality Rates by Sex

37

21

58

23

79

41

15

56

14

70

0

10

20

30

40

50

60

70

80

90

NeonatalMortality

PostneonatalMortality

Infant Mortality Child Mortality Under-fiveMortality

Female Male

Per 1,000


Infant Mortality Rates by Demographic Infant Mortality Rates by Demographic CharacteristicsCharacteristics

72

56

50

77

80

62

47

64

37

30

50

86

0 10 20 30 40 50 60 70 80 90 100

40-4930-3920-29

< 20MOTHER'S AGE AT BIRTH

7 or more 4-6 2-3

1BIRTH ORDER

4 years or more3 years2 years

< 2 yearsPREVIOUS BIRTH INTERVAL



Infant Mortality Rates by WealthInfant Mortality Rates by Wealth

70 69

58

44

29

0

10

20

30

40

50

60

70

80

Lowest Second Middle Fourth Highest



Perinatal Mortality Rates Perinatal Mortality Rates by Residenceby Residence

36

5349

0

10

20

30

40

50

60

Urban Rural Total

Per 1,000 pregnancies of 7 or more months duration


TopicsTopics



diseasesdiseases



Treatment of Childhood DiseasesTreatment of Childhood Diseases

Percentage of children with childhood diseasesPercentage of children with childhood diseasestaken to a health facility or providertaken to a health facility or provider

Diarrhoea: 60 percentDiarrhoea: 60 percent

Acute respiratory infection (ARI): 69 percentAcute respiratory infection (ARI): 69 percent

Fever: 71 percentFever: 71 percent


Treatment of DiarrhoeaTreatment of Diarrhoea

39% of children under age 5 with diarrhoea in the 39% of children under age 5 with diarrhoea in the two weeks before the survey received some kind of two weeks before the survey received some kind of oral rehydration therapyoral rehydration therapy

26% were treated with a solution prepared from oral 26% were treated with a solution prepared from oral rehydration salt (ORS) packets and 20% received rehydration salt (ORS) packets and 20% received gruelgruel

More than one-quarter did not receive any kind of More than one-quarter did not receive any kind of treatmenttreatment

16% received antibiotics, which are not normally 16% received antibiotics, which are not normally recommended for treating childhood diarrhoearecommended for treating childhood diarrhoea


Knowledge of ORS PacketsKnowledge of ORS Packets

Nearly three-quarters of women know Nearly three-quarters of women know

about ORS packets (up from 43% in about ORS packets (up from 43% in

NFHS-1 and 62% in NFHS-2).NFHS-1 and 62% in NFHS-2).

However, use of ORS is low and However, use of ORS is low and

virtually unchanged since NFHS-2.virtually unchanged since NFHS-2.


Trends in Treatment of Childhood Trends in Treatment of Childhood Diarrhoea with ORSDiarrhoea with ORS

33 3325 24

0

20

40

60

80

100

Urban Rural

NFHS-2 NFHS-3

Percentage of children age 0-3 with diarrhoea in the past 2 weeks


StateState Percent Using ORSPercent Using ORS

Highest Highest useuse

MeghalayaMeghalaya

TripuraTripura

Himachal PradeshHimachal Pradesh

GoaGoa

MizoramMizoram

6565

5858

5656

5151

4848

Lowest Lowest useuse

Uttar PradeshUttar Pradesh

AssamAssam

RajasthanRajasthan

NagalandNagaland

JharkhandJharkhand

1313

1515

1717

1717

1717

Highest and Lowest Use of ORSHighest and Lowest Use of ORS

Percentage of children age five with diarrhoea in the past 2 weeks


Feeding Practices during DiarrhoeaFeeding Practices during Diarrhoea

Children with diarrhoea should be given Children with diarrhoea should be given more liquids to drink than usualmore liquids to drink than usual, but only , but only 10% of children with diarrhoea actually 10% of children with diarrhoea actually receive more liquids and almost 4 in 10 receive more liquids and almost 4 in 10 receive less to drinkreceive less to drink

Children with diarrhoea should continue to Children with diarrhoea should continue to be fed, but 45% receive less food than be fed, but 45% receive less food than usual or no food at all when they have usual or no food at all when they have diarrhoeadiarrhoea


TopicsTopics



diseasesdiseases



Trends in Immunizations by Trends in Immunizations by VaccineVaccine

Percentage of children age 12-23 months

30

6254

42

52

14

72

63

5155

5

78 78

5955

0

20

40

60

80

100

None BCG Polio3 Measles DPT3

NFHS-1 NFHS-2 NFHS-3


Drop-outs Are a Problem for Polio Drop-outs Are a Problem for Polio and DPT Vaccineand DPT Vaccine

Percentage of children age 12-23 months

76

67

89

55

78

93

0

20

40

60

80

100

DPT Polio

1st dose 2nd dose 3rd dose


Full VaccinationFull Vaccination

Only 44% of children age 12-23 months are Only 44% of children age 12-23 months are fully vaccinated (only a slight increase in fully vaccinated (only a slight increase in coverage from 42% in NFHS-2)coverage from 42% in NFHS-2)

Between NFHS-2 and NFHS-3, full Between NFHS-2 and NFHS-3, full vaccination coverage for children increased vaccination coverage for children increased in 19 of the 29 states and dropped in the in 19 of the 29 states and dropped in the remaining 10 statesremaining 10 states

49

22

33

12

34

9

70

47

64

44 4442

0

10

20

30

40

50

60

70

80

NFHS-2 (1998-99) NFHS-3 (2005-06)

Jharkhandh

Bihar

Chhattisgarh

INDIA

West Bengal

Sikkim

Percent of children age 12-23 months

Full Immunization of ChildrenFull Immunization of Children

81

60

8378

64

5959

45

89

65

5350

45

72

6260

46

57

74

0

10

20

30

40

50

60

70

80

90

100

NFHS-1 (1992-93) NFHS-2 (1998-99) NFHS-3 (2005-06)

Andhra PradeshAGujarat

Mizoram

Punjab

Maharashtra

Tamil Nadu

HP

Percent of children age 12-23 months

Full Immunization of ChildrenFull Immunization of Children


Summary of Vaccination Summary of Vaccination CoverageCoverage

Almost all children age 12-23 months (95%) Almost all children age 12-23 months (95%) receive at least some of the recommended receive at least some of the recommended vaccinationsvaccinations

Vaccination coverage against vaccine-Vaccination coverage against vaccine-preventable diseases has been improving for all preventable diseases has been improving for all recommended vaccinations EXCEPT DPTrecommended vaccinations EXCEPT DPT

Vaccination coverage is highest for BCG and Vaccination coverage is highest for BCG and three doses of polio vaccine, but nearly one-three doses of polio vaccine, but nearly one-quarter of children have not received these quarter of children have not received these vaccinationsvaccinations


Summary of Vaccination Summary of Vaccination CoverageCoverage

Drop-outs between the first and third doses Drop-outs between the first and third doses of DPT and polio vaccine are a substantial of DPT and polio vaccine are a substantial problemproblem

Less than half of children age 12-23 Less than half of children age 12-23 months are fully vaccinatedmonths are fully vaccinated

Vaccination coverage has improved in most Vaccination coverage has improved in most states, but there has been a notable states, but there has been a notable decrease in vaccination coverage in decrease in vaccination coverage in several statesseveral states


Thank Thank YouYou

2005-06 national family health survey (nfhs-3)

Documents