Presentation

on

Selected Indicators

based onDLHS-III (2007-08)

and

DLHS-II(2002-04)

District Level House Hold Survey (DLHS)

• Conducted by Indian Institute of Population Science• Initiated in 1997 ( I: 98-99, II : 2002-04 and

III : 2007-08)• One of the largest ever demographic and health

surveys carried out in India, with a sample size of about 1000-1500 hhs. per district

• To assess the utilization of Govt. services & peoples’ perception about quality & Services

• To provide estimate on important indicators on1. Maternal & Child Health 2. Family Planning & other reproductive health services.3. Important interventions of NRHM ( DLHS – III)

• Field work in Gujarat was conducted during April 2008 to Sept ’08

• Information from 26,145 households collected

Antenatal care

Indicators

Guj. -Total Guj.- Rural Guj -Urban

DLHS DLHS DLHS DLHS DLHS DLHS

II III II III II III

Mothers who received any antenatal check-up (%)

87.6 71.5 84.9 66.4 88.4 93.6

Mothers who had antenatal check-up in first trimester (%)

47.1 52.4 39.9 45.9 63.5 73.4

Mothers who had three or more ANC (%)

57.3 56.8 48.3 50.0 77.8 79.0

Mothers who had at least one TT inj (%)

82.5 68.6 78.8 63.1 91.0 86.4

Mothers whose BP taken (%) 53.8 51.0 43.3 44.8 77.6 71.3

Mothers who consumed 100 IFA Tablet(%)

29.9 50.7 25.3 52.3 40.4 45.4

Mothers who had full ANC (%) 25.2 19.9 19.6 16.0 37.9 32.8

Mothers received at least 3 ANC visits during the last pregnancy (%)

86.9

61.4

71.7

60.4

60.2

70.4

67.2 68

.9

77.6

69.8

62.6 64

.3

57.7

61.5

79.5

56.5

55.3

38.4

60.2

71.1

58.1

47.8 49

36.2 37.3

81.1

79.6

76.5

75.4

73.5

71.4

70.5

67.7

65.7

64.6

64.4

61.5

59.2

57.3

56.6

56.4

55

48.5

48.4

47

45.1

44.5

40.6

28.5

19.3

57.3

56.8

0

10

20

30

40

50

60

70

80

90

100

Na

vsa

ri

Ra

jko

t

Su

rat

Jun

ag

ad

h

Jam

na

ga

r

Po

rba

nd

ar

An

an

d

Kh

ed

a

A'b

ad

G'n

ag

ar

Am

reli

Bh

aru

ch

Ma

he

san

a

Bh

avn

ag

ar

Gu

jara

t

Va

lsa

d

Pa

tan

P'm

ah

als

Da

ho

d

S'k

an

tha

Va

do

da

ra

Na

rma

da

Ka

chch

h

S'n

ag

ar

B'k

an

tha

Da

ng

s

DLHS- II DLHS- III

Mothers Received 3 ANCImproved more than 10 percent

points

Rajkot (18.2),Junagadh(15.0),Jamnagar (13.3),Dahod(10.1)

Improvement below 10 percent points

Surat (4.8),Porbandar (1.0), Anand (3.3), Amreli(1.8),Mehsana(1.5),

Decreased up to 5 per-points

Kheda(1.2),Bharuch(2.8),Bhavnagar(4.2),Patan(0.1),P.Ms(0.3) and Kachcha(3.3)

Decreased more than 5 percent points

A’bad (11.9),Navsari(5.8),Gandhinagar (5.2),Valsad(22.9),S.K.(11.8),Vadodara(24.1),Narmada(13.0),S’nagar(8.4), B.K.(7.7) and Dangs(18.0

Institutional Delivery - DLHS III over DLHS-II, India and Major states

86.1

60.9

58.0

57.9

48.9 52

.2

46.3

45.1

28.2

70.5

40.5

35.1

31.4 34

.4

26.8

23.7

23.0

22.4

20.2 22

.4

97.8

94.1

99.4

71.8

65.1

63.6

63.3

56.5

55.3

49.2

48.2

47.1

47.0

46.9

45.5

44.3

35.3

30.0

27.7

24.5

18.1

17.8

0

20

40

60

80

100

120

Kera

la

T.N

adu AP

Karn

atak

a

Mah

aras

htra

Punj

ab

Guj

arat

J & K

W. B

enga

l

H.P

rd

M.P

.

Indi

a

Har

yana

Raja

stha

n

Ori

ssa

Ass

am

Utt

arak

hand

Biha

r

U.P

.

Chha

tisga

rh

Jhar

khan

d

DLHS-II

DLHS-III

All-India improved by6.5 per-point

whereas Gujarat

Improved by 4.3 per-points

Delivery care (%)

IndicatorsGuj – Total Guj – Rural Guj - Urban

DLHS I

DLHS II

DLHS III

DLHS I

DLHS II

DLHS III

DLHS I

DLHS II

DLHS III

Institutional delivery 41.1 52.2 56.5 32.1 41.2 48.1 69.9 77.4 83.7

Delivery at home 58.9 47.5 42.2 67.9 58.4 50.3 30.1 22.5 15.8

Delivery at home conducted by skilled health personnel

10.2 20.8 12.4 11.6 18.3 12.0 8.4 35.9 16.9

Mothers who received PNC within two weeks of delivery

- - 59.5 - - 52.9 - - 81.1

Mothers who received FA for delivery under JSY

- - 9.5 - - 10.4 - - 6.3

Institutional Delivery ( % )74

.1

70.7 71

.7

69.7

73.6

56.5

49.7 51

.3

66

55.7

50.4

47.7

52.3

57.6

43.2

43.6

40.3

52.2

35.8

55.8

34.5

40.1 41

.4

37.7

19.3

10.7

84.2

80.8

80.3

78.3

77.0

72.3

69.3

69.0

68.4

68.3

68.1

61.8

61.8

61.5

60.4

58.4

57.1

56.5

56.3

54.4

54.2

50.8

49.0

47.8

28.4

9.4

0

10

20

30

40

50

60

70

80

90

Ma

he

san

a

Na

vsa

ri

A'B

ad

An

an

d

G.N

ag

ar

Su

rat

Jam

na

ga

r

Kh

ed

a

Va

lsa

d

Ra

jko

t

Po

rba

nd

ar

B.K

an

tha

Pa

tan

S.K

an

tha

Da

ho

d

Bh

avn

ag

ar

Ka

chch

h

Gu

jara

t

Jun

ag

ad

h

Va

do

da

ra

PM

S

Am

reli

S'N

ag

ar

Bh

aru

ch

Na

rma

da

Da

ng

s

DLHS- II DLHS- III

Institutional Delivery

Improved more than 15 percent

points

Surat, Jamnagar, Kheda, Porbandar, P.Mahals, Kachchh, Junagadh, Bharuch and Dohad

Improvement between 10 to 15 per-points

Mehsana, Navsari, Rajkot, Banaskantha, Amreli and Bhavnagar

Improvement between 5 to 10 per-points

Ahmedabad, Anand, Patan, Narmada and Surendranagar

Improvement below 5 percent points

Gandhinagar, Sabarkantha and Valsad

Decline Vadodara and Dangs

Percent Children Immunization (12-23 months)Indicators Guj. –Total Guj.- Rural Guj-Urban

DLHS DLHS DLHS DLHS DLHS DLHSII III II III II III

Fully immunized 54.0 55.5 48.1 51.4 66.2 66.8

Not received any vaccination

7.3 9.4 9.1 10.6 3.8 5.3

Received BCG vaccine 85.4 87.9 83.2 86.7 89.9 92.4

Received 3 doses of DPT 66.1 63.4 61.7 60.3 74.9 74.1

Received 3 doses of Polio

67.9 71.7 64.1 69.5 75.6 79.4

Children who have Received Measles

65.2 72.6 59.5 70.1 76.8 81.3

Received at least one dose of vitamin-A supplement

31.7 56.2 31.7 54.2 31.8 63.6

Percentage of children age 12-23 months

19

77

56

64 64

50

7

84

64 64

69

5

86

66 65

2

95.6

91.9

89.7

92

82.5

53 45.2

65 66.8

77.5

78.2

79.7

7.5

91.2

0

20

40

60

80

100

None BCG Measles DPT3 Polio3 %FI

NFHS-1 NFHS-2 NFHS-3 CES,2006 TALEEM

Full Immunization Coverage is increased as per evaluated coverage to 82.5

Trends in Immunization coverage in Gujarat

54.0 55.5

85.487.9

66.10 63.4067.90

71.70

66.50

72.60

31.70

56.20

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

FI (%) BCG (%) DPT3 (%) Polio (%) Measles (%) Vit A (%)

DLHS 2 (2002-04)

DLHS 3 (2007-08)

Dropout tracking is a re-emerging concern

Children (12-23) months who received BCG (%)

87.7

93.4 96

.7

84.0

97.0

81.0

91.6

87.4

94.3 97

.4

70.7

90.5

81.6

90.6

90.5

95.5

79.1

93.8

89.6

74.9

79.1

60.0

87.1

92.7

78.3

98.8

98.0

96.6

96.4

95.9

95.5

95.3

94.9

94.5

94.0

93.9

93.9

92.8

92.6

92.3

91.7

88.3

86.2

83.9

81.1

80.7

77.0

76.9

75.5

70.8

85.4 87

.9

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

110.0

Kh

ed

a

Pa

tan

Bh

aru

ch

Su

rat

An

an

d

Jun

ag

ad

h

Ra

jko

t

A'b

ad

Jam

na

ga

r

Na

vsa

ri

Na

rma

da

Va

do

da

ra

Am

reli

Po

rba

nd

ar

G'n

ag

ar

Ma

he

san

a

PM

s

Gu

jara

t

Va

lsa

d

S.K

.

B.K

.

Bh

avn

ag

ar

Da

ho

d

Da

ng

s

Ka

chch

h

S'n

ag

ar

DLHS- II DLHS- III

Children (12-23) months who received 3 doses of DPT Vaccine

77.8

95.3

84.5

76.8

66 66.8

80

78.9

57.5

67

54.5

95.5

77.4

63.4

74.1 76

.7

64.5

84.3

68.8

43.7

62.7

72.6

55.9

52.9

22.8

33.5

89.9

86.8

86.4

83 82

78.5

78.2

73.3

68.8

67.8

67.6

67.1

67.1

66.1

63.5

62.6

61.7

60.4

56.4

54.2

54.1

52.4

51.7

44.7

44.1

42.3

0

10

20

30

40

50

60

70

80

90

100

110

Su

rat

Na

vsa

ri

Po

rba

nd

ar

Ra

jko

t

Pa

tan

Jun

ag

ad

h

An

an

d

Ma

he

san

a

G'n

ag

ar

Jam

na

ga

r

Na

rma

da

Bh

aru

ch

Va

do

da

ra

Gu

jara

t

Kh

ed

a

Am

reli

Bh

avn

ag

ar

Va

lsa

d

A'B

ad

P.M

s.

S.K

.

Ka

chch

h

S'n

ag

ar

Da

ng

s

Da

ho

d

B.K

.

DLHS- II DLHS- III

Percent Fully Immunised Children DLHS-III over DLHS-II

India and Major States79

.3

91.4

78.6

72.9

71.3

50.4

70.9

62.7

44.3

53.6

32.0

59.2

58.1

54.0

26.6

45.8

17.2

24.7

23.0

30.2

26.4

82.6

81.6

79.0

78.9

76.8

75.5

69.3

68.5

63.3

63.1

63.0

61.8

60.8

54.9

54.8

54.1

51.0

50.0

41.4

38.5

31.1

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

H. P

rd

T. N

adu

Kera

la

Punj

ab

Karn

atak

a

W. B

enga

l

Mah

aras

htra

And

hra

Utt

arak

hand

Ori

ssa

J & K

Har

yana

Chha

tisga

rh

Guj

arat

Jhar

khan

d

Indi

a

Ass

am

Raja

stha

n

Biha

r

M.P

.

U.P

.

DLHS -II

DLHS -III

India improved by 8 per-points,

Gujarat improved by 1 per-point

Fully Immunized Children

Improvement by more than 15 per-points

Surat (+35.9%),Mehsana(+18.4%),Dahod (+17%), Junagadh (+16.4%), Patan(15.5%), Panchmahals(15.3),Narmada (16.1)

Improvement between 10 to 15 per-points

Anand (13.4),Gandhinagar (12.9)

Improvement below 10 per-points

Porbandar(2.1), Rajkot (3.5),Kheda (1.1),Surendranagar (0), Dangs(6.9),Banaskantha(9.0),S.K(3.7)

Decrease below 10 per-points

Amreli (1.7),Jamnagar (1.7), Bhavnagar (0.6), Kachchh(4.6),

Decrease more than 10 per-points

Navsari (11.0),Bharuch (22.6), Vadodara (17.8), Valsad (13.6),Ahmedabad (15.4),

Fully Immunized Children

51.9

91.4

61.1 63

.6

72.7

70.5

54.3

53.7

60.7

44.8 47

.9

62.2

82.5

56.8

54.0

69.8

64.7

51.4

65.6

54.0

48.7

32.2

43.1

29.5

26.1

87.8

80.4

77.6

77

74.8

74

72.7

69.2

61.8

60.9

60.8

60.5

59.9

55.1

55.5

52 51.1

50.8

50.2

49.4

48.7

47.5

46.8

36.4

35.1

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

Su

rat

Na

vsa

ri

Jun

ag

ad

h

An

an

d

Po

rba

nd

ar

Ra

jko

t

Ma

he

san

a

Pa

tan

Kh

ed

a

Na

rma

da

G'n

ag

ar

Am

reli

Bh

aru

ch

Jam

na

ga

r

Gu

jara

t

Va

do

da

ra

Va

lsa

d

Bh

avn

ag

ar

A'B

ad

Ka

chch

h

S'n

ag

ar

PM

S

SK

Th

e D

an

gs

B.K

an

tah

a

DLHS- II DLHS- III

Districtwise Immunization Performance (Children 12-23 Months Fully Immunized(%)

DLHS-2 DLHS-3

Child feeding practices

IndicatorsGuj. -Total Guj.- Rural Guj -Urban

DLHS II

DLHS III

DLHS II

DLHS III

DLHS II

DLHS III

Breastfed started within one hour of birth *

24.3 48.3 22.8 47.4 27.7 51.6

Children age 0-5 months exclusively breastfed

-- 41.4 -- 41.6 -- 40.6

Children exclu. breastfed for at least 6 months

11.1 28.8 -- 29.6 -- 25.9

* Excellent improvement in Starting of Breast feeding within one hour

Initiation of breast feeding within 1 hour of birth

DLHS-3, 2007-08

Use of Family Planning- Any Modern Method - DLHS-III over DLHS -II, India and Major states

62.4

57.2

60.8

57.7

55.0

26.2

54.4

52.4

42.3

51.0

54.7

47.3

45.7

41.7

51.9

41.9

28.7

33.3

27.3

26.2

68.1

65.1

62.9

62.6

60.8

57.8

57.7

54.5

54.3

54.0

53.3

53.1

53.1

47.3

47.1

41.2

37.8

31.2

30.8

28.4

26.7

65.4

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

Him

acha

l Pra

desh

And

hra

Prad

esh

Punj

ab

Mah

aras

htra

Karn

atak

a

Tam

il N

adu

Utt

arak

hand

Har

yana

Guj

arat

Raja

stha

n

Wes

t Ben

gal

Kera

la

M.P

.

Indi

a

Chha

tisga

rh

J & K

Ori

ssa

Ass

am

Jhar

khan

d

Biha

r

U.P

.

DLHS-II DLHS-IIIIndia Improved 2.4 percent

point, Gujarat improved 1.9 percent point

Current use of family planning methods - Gujarat

Indicators

Guj. -Total Guj.- Rural Guj -Urban

DLHS II

DLHS III

DLHS II

DLHS III

DLHS II

DLHS

III

Any method (%) 59.2 61.6 56.4 60.6 64.6 64.4

Any Modern Method (%)

52.4 54.3 50.6 53.8 55.7 55.8

Female Sterilization (%)

39.3 41.5 42.9 43.7 32.4 35.5

Male Sterilization (%)

1.3 1.7 1.4 2.2 1.3 0.4

IUD (%) 3.8 3.5 2.1 2.5 7.0 6.3

Pill (%) 3.2 3.0 1.8 2.4 5.8 4.8

Condom (%) 4.8 4.5 2.4 3.0 9.1 8.8

Current Use of Family Planning Any Modern Method ( % )

60.3

59.2

58.2

65.5

55.5

58

55.4

54.1

58.8

56.9

53.8

59.5

48.9

54.7

53.3

53.1

47.2

53.5

50.2

42.6

41.4

50.7

36.1

45.5

26.7

65.9

65.1

64.9

63.4

62.3

61.7

60.8

60.3

59.9

59.9

59.8

59.5

57.6

57.1

56.9

56.2

54.6

54.5

53.4

52.1

50.4

50

48.4

44.8

37.9

52.4 54

.3

0

10

20

30

40

50

60

70

Su

rat

Am

reli

Bh

aru

ch

Na

vsa

ri

Va

do

da

ra

Jam

na

ga

r

Ra

jko

t

Kh

ed

a

Na

rma

da

Jun

ag

ad

h

G'N

ag

ar

Bh

avn

ag

ar

Ma

he

san

a

An

an

d

Va

lsa

d

S'n

ag

ar

Pa

tan

Po

rba

nd

ar

Gu

jara

t

A'b

ad

Da

ng

s

P.M

s.

S.K

.

B.K

.

Ka

chch

h

Da

ho

d

DLHS - II

DLHS - III

Current Use of Any Modern Method Of Family Planning

Improvement more than 5

percent points

Surat (+5.6 %), Amreli (5.9),Bharuch (6.7),Vadodara(6.8), Rajkot (5.4), Kheda (6.2),Gandhinagar (6.0), Mehsana (8.7),Patan (7.4),Dangs (9.5), PMs(9.0), Banaskantha(12.3),Dahod (11.2)

Improvement below 5 points

Jamnagar (3.7),Narmada (1.1), Junagadh(3.0), Anand (2.4), Valsad(3.6), S’nagar(3.1), Porbandar(1.0) and A’bad(3.2),

Decline Navsari(-2.1),Bhavnagar (0), Sabarkantha(-0.7) and Kachchha(-0.7)

Unmet Need of Family Planning DLHS-III over DLHS-II,

India and Major states

36.7

33.6

32.9

22.5

19.1

26.9

21.1

24.8

21

21.7

15.216

.3

21.8

14.7

12.6

15.1

18.1

11.8

11.1

10.4

25.1

23.8

21.3

17.3

15.2

14.8

14.6

13.5

13.1

12.6

12.4

16.5

11.3

10.6

10.2

109.6

9.1

11.4

8.5

0

5

10

15

20

25

30

35

40

Punj

ab

Wes

t Ben

gal

HP

Tam

il N

adu

Karn

atak

a

Mah

aras

htra

Har

yana

Raja

stha

n

Guj

arat

Kera

la

Chha

tisga

rh MP

J&K

Indi

a

Utt

arak

hand

Ori

ssa

Ass

am

Jhar

khan

d UP

Biha

r

Unmet Need DLHS-II

Unmet Need DLHS-III

`

Unmet need remains stagnant in Guj.,At

National Level increased to 5.5

percent Point

Unmet need for family planning-Gujarat

IndicatorsTotal Rural Urban

DLHS II

DLHS III

DLHS II

DLHS III

DLHS II

DLHS III

Total unmet need (%)

16.3 16.5 17.0 16.8 15.0 16.0

For spacing (%) 6.8 6.5 7.3 7.0 5.9 5.3

For limiting (%) 9.5 10.0 9.7 9.8 9.2 10.7

Unmet Need for Family Planning9.

1

14.4

20.3

19.6

9.8

16.5

12.3

15.5 16

.3

13.4

20.5

12.4

12.5

15.4

14.9

16.4

17

18.2

14.2

18.7

10.1

24.3

19.8

28.7

27.8

10.7

14.4

14.6 15

.2 15.5

15.5 16 16

16.5

16.6

16.8

17

17.5

18.5 19

.2 20

20.4

20.5

20.5

20.5 20.8 21

.5 21.8

24.8

26.2

0

5

10

15

20

25

30

Am

reli

Ra

jko

t

Pa

tan

Jam

na

ga

r

Kh

ed

a

Va

do

da

ra

Bh

aru

ch

G'n

ag

ar

Gu

jara

t

Na

vsa

ri

Ma

he

san

a

Su

rat

Jun

ag

ad

h

P.M

ah

als

Na

rma

da

An

an

d

S'n

ag

ar

A'b

ad

Po

rba

nd

ar

Va

lsa

d

Bh

avn

ag

ar

B.K

an

tha

S.K

an

tha

Ka

chch

h

Da

ng

s

DLHS- II DLHS- III

12.3

11.2

9.5

9.08.7

7.4

6.8 6.76.2 6.0 5.9

5.65.4

3.7 3.63.2 3.1 3.0

2.41.9

1.1 1.0

0.0

-0.7

-2.1

-2.8

10.7

-1.6

3.1

-3.7

-5.7

3.7

5.7

0.5

1.6

4.6

0.0

-4.4

1.82.3

3.4

5.0

3.6

0.2

4.3

6.3

10.7

2.0

-3.9

3.2

-0.7

-1.0

-8.0

-6.0

-4.0

-2.0

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

B.K

.

Dah

od

Dan

gs

P.M

s.

Mah

esan

a

Pat

an

Vad

od

ara

Bh

aru

ch

Kh

eda

G'N

agar

Am

reli

Su

rat

Raj

kot

Jam

nag

ar

Val

sad

A'b

ad

S'n

agar

Jun

agad

h

An

and

Gu

jara

t

Nar

mad

a

Po

rban

dar

Bh

avn

agar

S.K

.

Kac

hch

h

Nav

sari

Percent point Use of Any modern method increased between 2 Surveys

Percent point unmet needs increased between 2 Surveys

Indicators started Improved..

Total Fertility Rate

3.1 3 2.92.62.72.8

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

1991 1995 2001 2005 2006 2007

Maternal Mortality Rate ( Per Lakh Live Births)

202172

389

160

0

100

200

300

400

500

1989 1999-01 2001-03 2005-07

Continuous Improving Sex Ratio at birth

862

855

844

865

891

820

830

840

850

860

870

880

890

900

2003 2004 2005 2006 2007

Trend of Crude Birth Rate per'000 Pop.

25.7 25.6 25.5 25.425.2

24.924.7 24.6

24.3

23.723.5

23.0

21

22

23

24

25

26

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Facility Survey DLHS-III Gujarat and Selected States

% CHC having Obstetrician/Gynaecologist

47.8

11.3

33.940.3

7.8

0.0

10.0

20.0

30.0

40.0

50.0

60.0

AP GUJ KA MH TN

% PHC functioning on 24 hours basis

51.1 46.9 47.0

78.1

50.6

0.0

20.0

40.0

60.0

80.0

100.0

AP GUJ KA MH TN

% CHC designated as FRUs

89.474.1 75.4

58.7

42.4

0.0

20.0

40.0

60.0

80.0

100.0

AP GUJ KA MH TN

% FRU having blood storage facility

28.5

8.95.6

11.5

1.3

0.0

5.0

10.0

15.0

20.0

25.0

30.0

AP GUJ KA MH TN

Thanks