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( A s o n A p r i l 2 0 1 6 ) I n d i a | P a g e 1 | 12

Ministry of Women and Child Development Government of India

Rapid Survey on Children 2013-2014

INDIA Fact Sheet

The results of Rapid Survey on Children (RSOC) are intended to strengthen the data system on children and women, based on a nationwide household cum facility based survey in 28 states and Delhi. This survey provides level of selected indicators at national and state level. The indicators mainly focus on the wellbeing of children below 6 years and their mothers covering aspects of child development, maternal care, school /college attendance among persons aged 5-24 years. Early childhood care and the enabling environment, like access to drinking water and use of toilet facilities are also covered in the survey. The survey maps the ICDS programme in terms of its infrastructural facilities, awareness and utilization of the six services by the target groups.

Respondents: Head of the selected household, all ever married women (EMW) aged 15-49 years; currently married women aged 15-49 pregnant at the time of survey in the selected households and Anganwadi workers (AWW) in the selected AWC.

Selection of Primary Sampling Unit (PSU), Household and AWC: Selection of PSUs was similar to the National Family Health Survey 2005-06. PSUs were selected using Probability Proportional to Size

(PPS) with replacement and from each PSU, selection of 26 households was done by circular systematic random sampling in a manner that 20 households from households having at least one child below 6 years of age and 6 households from other households. All AWC in the selected PSU / Segmented PSUs were selected in the sample. Overall 2655 rural PSUs and 1497 urban PSUs were covered.

RSOC covered 105,483 households and 5630 Anganwadi centres (AWC) leading to more than 210,000 interviews. For compiling nutritional status, measurement of height and weight of over 90,000 children aged 0-4 and over 28,000 adolescent girls aged 10-18 have been collected across all states. The anthropometric equipment used for the measurement are of international specifications. More than 167 exclusive health investigators were trained and engaged for taking anthropometric measurements in this survey.

RSOC fieldwork was completed in 23 weeks (3rd week of November 2013 to 2nd week of May 2014), by 188 listing teams and 167 survey teams. The survey was conducted on CAPI mode.


Key Indicators

Residence Gender Social category Wealth index

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A Women who had live-birth in 35 months prior to survey by specific maternal health care (Percentage)

1 Prenatal Care1

1.1 Registered pregnancy 84.1 82.7 87.4 82.0 86.1 82.4 87.1 75.9 89.1

1.2 Received Mother and Child Protection (MCP) card at the time of pregnancy registration

73.1 72.0 75.4 71.8 71.2 70.8 77.6 62.0 78.2

1.3 Received at least one ante-natal check-up (ANC)

85.2 83.0 90.3 83.8 81.8 84.2 88.8 74.7 94.0

1.4 Received first ANC in first trimester 61.8 58.5 69.7 59.6 54.7 62.8 65.1 47.0 77.0

1.5 Received three or more ANCs 63.4 58.5 74.9 58.9 56.4 60.8 72.9 43.7 80.1

1.6 Received four or more ANCs 45.4 39.6 58.9 41.8 37.0 43.3 54.4 24.5 64.4

1.7 Received two or more Tetanus Toxoid (TT) injections

89.8 88.8 92.2 89.2 86.1 89.4 92.3 84.4 94.8

1.8 Received/purchased 100 or more IFA tablets /syrup during pregnancy

31.2 29.1 36.1 29.3 30.5 30.3 34.3 20.7 41.8

1.9 Consumed 100 or more IFA tablets /syrup during pregnancy

23.6 21.4 28.8 21.6 20.6 23.6 26.6 13.8 35.0

1.10 Received full ANC2 19.7 17.3 25.2 18.0 15.0 19.6 23.2 9.5 31.3

1.11 Visited at least once during pregnancy3 by

ANM 13.9 14.9 11.4 14.3 13.8 14.3 13.0 10.5 11.1

AWW 34.8 38.7 25.7 36.1 42.5 33.6 32.5 33.5 27.2

ASHA 31.6 39.4 13.3 33.3 37.4 29.4 30.6 36.8 19.7

1.12 Received ANC at

Anganwadi centre 22.4 27.4 10.6

24.3 36.5 23.0 14.4 32.4 12.3

Government health facility 43.3 42.7 44.6

48.8 43.1 38.0 46.1 37.8 36.1

Private health facility 38.1 33.1 49.7

30.3 22.8 41.1 45.8 19.3 63.9

2 Natal Care

2.1 Institutional delivery 78.7 74.6 88.5

76.0 70.1 79.2 84.2 60.8 93.0

2.2 Delivered by skilled health provider 81.1 77.2 90.2

78.8 72.7 81.6 86.1 64.1 94.5

2.3 Stay at health facility after delivery

Less than 12 hours 20.6 25.1 11.7

25.4 17.0 22.0 16.8 32.9 12.6

48 hours or more 57.8 51.5 70.2

54.1 55.1 58.8 60.1 39.1 70.1

1 It is based on births taken place during the last three years

2 Full ANC- receipt of 3 + ANC, atleast 1 dose of TT and consumption of 100 IFA tablets/ syrup

3 Out of those that have AWC in their area


Key Indicators


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3 Post Natal Check-up (PNC)

3.1 Received PNC within 48 hours of discharge/delivery

All 39.2 34.2 51.1

35.3 36.6 43.3 38.0 23.0 48.8

Home delivery (after birth) 13.0 12.4 15.9

12.8 12.1 15.4 9.5 9.9 23.6

Institutional delivery (after discharge) 46.3 41.6 55.7

42.4 47.0 50.6 43.3 31.5 50.8

3.2 New born who received first check up within 24 hours of birth/discharge

All 33.6 31.0 39.8

31.2 34.0 35.8 32.6 22.9 37.6

Home delivery (after birth) 13.0 12.6 15.0

13.2 11.6 15.4 9.6 10.0 22.9

Institutional birth (after discharge) 39.2 37.2 43.1

36.9 43.5 41.1 36.9 31.2 38.7

3.3 Visited by primary health worker (AWW/ ANM/ ASHA) at home within one week of delivery/ discharge from health Institution

51.0 49.4 54.7

49.0 53.5 53.5 48.4 40.9 53.2

3.4 Availed benefit from national programme for safe motherhood4

Janani Suraksha Yojana (JSY) 47.7 51.8 36.6

54.5 54.7 47.7 39.4 54.3 31.9

Janani Shishu Suraksha Karyakrama (JSSK) 14.0 14.2 13.6

15.2 16.1 12.8 14.2 11.6 11.0

Both JSY and JSSK 7.8 8.3 6.5

9.6 8.4 7.3 7.0 7.1 5.8

B Birth Weight (Percentage of children aged 0 35 months)

1 Weighed with 24 hours of birth 68.7 64.1 79.7

65.3 63.7 67.4 75.5 49.9 83.0

2 With birth weight less than 2500 grams (out of those weighed)

18.6 18.7 18.4

19.6 21.6 18.0 17.6 22.3 15.6

C Immunization (Percentage of children aged 12 23 months)

1 Percentage of children aged 12-23 months

1.1 Having MCP/ immunization card 84.3 82.8 87.8 84.4 84.2 83.6 79.3 82.9 88.9 75.7 90.9

1.2 Fully immunized5 65.3 62.4 72.0 65.0 65.6 61.6 55.7 65.4 71.6 50.6 80.0

1.3 Received DPT 3 injection 74.8 72.2 80.7 74.3 75.3 72.0 65.0 74.9 80.5 62.4 87.2

1.4 Received first dose of Measles vaccine 78.9 77.0 83.1 79.4 78.3 76.7 75.4 77.5 83.8 66.5 88.5

1.5 Received no vaccination 6.6 7.6 4.5 6.6 6.7 8.8 7.4 7.1 4.1 12.6 2.0

2 Drop out in vaccination

DPT 2 to DPT 3 11.1 12.6 8.0 11.7 10.5 12.4 17.3 10.6 8.7 16.9 6.0

OPV 2 to OPV 3 11.9 12.9 9.9 12.4 11.4 13.6 16.9 11.7 9.1 17.4 6.7

4 Out of mothers who are aware JSY / JSSK schemes

5 Full Immunization- BCG, Measles, 3 doses each of DPT and Polio vaccine (excluding polio vaccine given at birth)


Key Indicators


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3 Place of the vaccination

Anganwadi centre 49.3 59.7 26.3

55.0 63.1 52.4 36.3 69.7 25.8

Government health facility 35.3 29.9 47.2

36.3 27.7 29.6 44.7 23.1 40.5

Private health facility 11.7 5.8 24.6

5.5 6.3 13.3 16.0 2.1 30.7

D IYCF (Infant and Young Child Feeding Practices) (Percentage)6

1 Children aged 0-23 months breastfed immediately/ within an hour of birth

44.6 44.2 45.6 43.8 45.5 43.1 54.7 42.3 44.8 42.5 42.3

2 Children aged 0-5 months who were exclusively breastfed7

64.9 65.1 64.2 64.9 64.8 67.1 64.3 64.0 64.5 70.0 61.7

3 Children aged 6-8 months who were fed complementary foods

50.5 47.1 58.1 52.9 47.8 45.2 45.5 50.8 55.6 41.2 62.1

4 Breastfed children (6 -23 months)

4.1 Fed a minimum number of times8 36.3 35.7 37.7 36.8 35.8 35.8 37.8 36.8 34.8 35.9 40.1

4.2 Had a minimum dietary diversity9 19.9 18.6 23.0 20.7 19.0 17.9 16.6 19.1 24.1 14.2 26.5

E Nutritional Status of Children (Percentage)10


1.1 Stunted (Height for age below -2SD) 38.7 41.6 32.0 39.5 37.9 42.4 42.3 38.9 33.9 50.7 26.7

1.2 Severely stunted (Height for age below -3SD) 17.3 19.1 13.2 17.6 16.9 19.3 19.5 17.8 14.2 25.8 10.7

1.3 Wasted (Weight for height below -2SD) 15.1 15.1 15.0 15.6 14.5 15.5 18.7 14.8 13.6 17.0 13.0

1.4 Severely wasted (Weight for height below -3SD)

4.6 4.5 4.8 4.8 4.4 4.9 5.3 4.4 4.4 5.0 4.4

1.5 Underweight (Weight for age below -2SD) 29.4 31.6 24.3 30.0 28.7 32.7 36.7 29.3 23.6 42.1 18.6

1.6 Severely underweight (Weight for age below -3SD)

9.5 10.6 6.9 10.0 8.9 10.8 13.0 9.3 7.0 16.3 5.1

F Micronutrient and Deworming (Percentage)

1 Percentage of children aged 6-59 months received in six months prior to survey

1.1 Vitamin A dose 45.2 43.8 48.3

43.4 46.0 45.5 46.4 37.5 48.8

1.2 Iron and Folic Acid supplement 13.4 12.7 15.2

12.3 15.4 13.7 13.5 8.7 15.1

1.3 Deworming medication 27.6 26.6 30.0

24.4 28.2 25.5 32.8 23.0 31.2

6 Based on standard set of questions as given in Indicators for Assessing IYCF practices part 2 Measurement 2010 by USAID, WHO, UNICEF etc.

7 Exclusive breastfeeding- children who are fed breast milk exclusively for first six months (excluding pre-lacteals given at birth) and including ORS/medicine during

sickness; 8 At least twice a day for breastfed infants 6-8 months old; at least three times a day for breastfed children 9-23 months old;

9 Minimum Dietary Diversity refers to four or more food groups to children age 6-23 months.

10 Based on WHO Growth Standards


Key Indicators


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G Morbidity - Percentage of children aged 0-59 months (Percentage)

1 Diarrhoea

1.1 Had diarrhoea in 15 days prior to survey 6.5 6.5 6.3 6.5 6.4 6.7 6.3 7.0 5.7 6.8 5.8

1.2 For whom advice or treatment was sought 77.9 78.5 76.4 79.8 75.7 78.9 73.0 77.3 79.8 77.2 77.6

1.3 Children with diarrhoea given

Oral Re-hydration Solution (ORS) including Home Available Fluids (HAF)

54.4 51.7 60.9 56.3 52.4 56.2 51.4 52.9 56.8 48.1 61.8

ORS and Zinc 12.6 11.2 16.1 12.4 12.8 12.8 13.2 12.3 13.0 9.2 14.8

2 Fever

2.1 Had fever in 15 days prior to survey 13.6 13.8 13.2 13.8 13.5 14.4 11.6 13.8 13.5 14.8 12.4

2.2 Given anti-malarial drug during fever 18.4 19.2 16.4 19.2 17.5 18.9 22.6 19.8 15.1 19.0 17.5

3 Prevalence of symptoms of ARI

3.1 Had symptoms of ARI in 15 days prior to survey

8.6 9.1 7.6 8.9 8.3 9.0 7.9 8.8 8.3 10.6 7.0

3.2 For whom advice or treatment was sought 76.9 75.8 79.9 78.1 75.4 78.0 66.4 78.1 78.1 73.9 83.2

H Pre-School Education and Literacy (Percentage)

1 Percent of children aged 3-6 years currently attending pre-school education (PSE) at11

Anganwadi centre 38.7 46.0 22.2 37.5 40.1 42.3 52.0 35.9 34.3 51.9 16.0

Privately run institution (Play school, nursery etc.)

30.7 22.0 50.4 31.7 29.6 24.9 17.4 31.9 39.3 8.6 61.6

Not attending 27.1 28.3 24.5 27.4 26.9 29.4 26.9 28.3 23.6 34.8 20.3

2 Pre-School Education (PSE)

Percentage of children aged 36-71 months attended PSE in AWC for 16 or more days in

the month prior to survey (among children attending PSE at AWC)

58.1 58.6 55.5 57.2 58.9 57.2 58.0 58.5 58.9 56.6 56.7

3 Literacy Rate 5 Years & above 71.9 67.0 82.2 79.0 64.6 65.9 61.9 72.2 79.3 52.1 88.6

4 Literacy Rate 6 Year & above 73.2 68.3 83.5 80.6 65.7 67.2 63.2 73.6 80.5 53.4 89.9

5 Literacy Rate 7 Year & above 73.4 68.5 83.7 81.0 65.8 67.4 63.2 73.9 80.7 53.5 90.0

6 Youth Literacy rate (Aged 15-24) 88.7 87.0 92.5 91.9 85.6 86.2 81.5 89.1 92.8 74.3 97.5

11

Out of those households which are covered by an AWC


Key Indicators


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I Birth Registration and Marriage (percentage)

1 Children aged below 5 Years whose birth is registered

1.1 Birth registered 71.9 67.0 83.0 71.2 72.6 67.5 70.6 68.3 80.7 57.0 85.9

1.2 Have birth certificate 37.1 32.6 47.4 36.2 38.0 36.5 32.2 34.1 43.6 22.0 48.6

2 Mean age at marriage

Female 21.1 20.5 22.2

20.5 21.4 20.9 21.6 20.2 22.8

Male 25.0 24.3 26.3

24.5 24.7 24.8 25.9 23.5 26.9

3 Women aged 20-24 married before age 18 30.1 33.4 22.1

34.8 30.8 30.4 25.5 43.9 15.3

4 Men aged 25-29 married before age 21 30.0 34.2 20.7

33.6 36.5 30.2 24.0 47.3 17.6

J Adolescent Girls (10-19 years) (Percentage)

1 Adolescent girls ever married

Age 10-19 6.4 7.2 4.5 7.5 6.4 6.0 5.8 6.7 3.2

1.1 Aged 10-14 0.3 0.4 0.1

0.5 0.6 0.3 0.1 0.4 0.2

1.2 Aged 15-19 12.8 14.4 8.9

15.1 12.7 12.0 11.5 15.3 5.9

2 Girls aged 15 -18 whose Body Mass Index (BMI) was (Height/Weight)12

2.1 Less than 18.5 (low weight) 44.7 44.9 44.2

46.7 49.2 44.7 40.8 45.9 41.1

2.2 More than 25 (over weight) 4.5 3.1 7.9

3.2 4.4 4.3 5.9 2.9 6.0

K Awareness and use of ICDS services (Percentage)

1 Mothers of children aged 0-35 months aware of services at AWC

Supplementary food 85.1 87.2 79.3 86.5 89.2 84.0 83.6 86.0 79.1

Immunization 57.4 59.2 52.5 56.0 62.8 61.8 50.9 55.3 58.3

Health check-up 29.4 28.8 31.0 27.6 29.8 28.7 32.0 21.0 33.3

Referral service 12.2 11.8 13.3 11.6 11.9 13.5 11.2 7.1 14.8

Nutrition and health education 17.2 16.7 18.4 15.6 17.6 17.9 17.6 10.5 20.7

All Services13 9.3 8.9 10.3 8.6 9.4 10.2 8.8 4.4 11.6


Supplementary food 91.0 91.5 89.5 91.5 93.1 89.5 91.7 90.7 89.5

Immunization 59.8 60.1 59.0 56.3 64.7 64.5 54.3 55.8 65.5

Pre-School Education 49.9 49.3 51.6 46.3 50.1 49.4 54.0 42.1 56.3

Health check-up 30.5 28.9 35.2 27.6 31.6 29.8 34.1 21.6 37.1

12

BMI in kg/m2 13 All ICDS services as applicable for the mothers of children aged 0-35 months


Key Indicators


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All Services14 9.7 8.8 12.2 8.4 9.1 10.1 10.6 4.2 13.7

3 Currently pregnant women aware of services at AWC

Supplementary food 87.7 88.3 85.8 88.4 91.0 86.2 87.6 86.4 87.3 Immunization 59.6 59.9 58.6 59.1 62.5 62.7 55.4 53.5 62.5

Health check-up 29.9 28.6 34.3 33.1 27.7 27.2 33.7 20.8 34.0



All Services15 8.3 7.2 11.9 9.5 9.0 7.8 8.0 2.6 10.8

4 Percentage availing various Anganwadi services

4.1 Supplementary food

Children aged 6-35 months 49.2 53.8 36.7 53.0 62.8 45.1 45.7 57.0 32.0

Children aged 36-71 months 44.2 48.7 31.1 46.6 57.9 39.1 43.0 53.7 24.0

Pregnant women 40.7 44.0 29.8 43.9 55.6 36.7 36.7 43.7 27.1

Lactating mothers 42.4 46.7 28.7 46.7 53.8 40.4 35.9 53.1 26.8

4.2 Percentage who received supplementary nutrition for 21 or more days in the month prior to survey16

Children aged 6-35 months 21.3 20.5 24.3 20.8 24.7 23.7 16.7 16.8 28.0 Children aged 36-71 months 31.0 30.9 31.7 31.6 33.1 29.8 31.3 29.9 33.9

Pregnant women 27.8 27.0 31.4 37.1 26.8 23.3 25.4 26.6 29.3

Lactating mothers 20.3 20.5 18.9 22.3 26.0 19.9 15.8 16.5 26.4

L Household characteristics (Percentage)

1 Access to any improved source of drinking water

91.0 90.2 92.8

92.7 85.3 90.3 93.1 88.7 91.2

2 Using improved sanitation facility17 41.8 29.9 66.0

29.8 22.2 43.3 55.4 4.5 84.5

3 Households practicing open defecation 45.5 61.6 12.8

58.1 68.9 45.7 28.0 91.1 2.3

4 Households using adequately iodized salt (> =15 ppm)

67.4 61.3 79.7

61.1 62.1 65.6 75.8 49.6 86.6

14 All ICDS services as applicable for the mothers of children aged 36-71 months 15 All ICDS services as applicable for the currently pregnant women 16 Calendar month prior to survey refers to September, 2013 17 Using Improved sanitation means households using improved toilets as per JMP definition and this excludes those households, who are using improved toilets but sharing toilet facilities with other households


Key Indicators on Anganwadi Centre

Key Indicators Total Rural Urban CHARACTERISTICS A General Information about Anganwadi worker (AWW) and AWC (Percentage)

1 AWWs living in the AWC village/ward 74.1 75.5 60.9

2 AWW having 10 or more years of schooling 84.8 83.8 94.4

3 AWW below 45 years 78.4 78.9 74.7

4 Median age of AWW 38.0 37.0 39.0

5 AWCs serving to population more than the stipulated norm 56.9 54.5 78.0

6 AWW Received Flexi fund 43.9 43.5 48.2

B Infrastructure Facilities at AWC (Percentage of AWC)

1 AWC functioning in

Own ICDS building 40.5 42.8 19.6

Rented building 21.3 17.1 60.9

Out of those not functioning from ICDS or rented building

School building 49.8 50.9 26.4

Panchayat Building 12.8

Anganwadi worker or Anganwadi helpers house 11.1 10.1 32.8

2 Various infrastructure facilities in AWCs

2.1 Separate kitchen (among those centres that are cooking supplementary food in the AWC)

52.7 52.6 54.5

2.2 Cooking supplementary food in the same room where PSE sessions are conducted18

15.9 15.4 21.9

2.3 Cooking supplementary food in open space 19.9 20.5 13.0

2.4 Barrier free access for physically challenged children 25.3 25.6 22.3

2.5 Having toilet facility 43.4 42.0 56.7

2.6 Access to drinking water

Within the premises of AWC 44.7 43.5 56.1

Outside the premises of AWC but within 50 meters of AWC 62.9 61.9 74.2

2.7 Having electricity connection 32.4 28.6 68.0

3 Percentage of AWCs open for at least for 4 hours per day 93.1 92.8 96.2

4 AWCs functioning in rooms (other than kitchen space)

one room 65.6 64.5 75.0

Two or more rooms 25.5 26.1 20.2

5 AWCs providing services

Supplementary nutrition 96.7 96.5 98.0

18

Out of those AWCs where Supplementary food is cooked in the AWC


Key Indicators Total Rural Urban Pre-School Education 90.6 90.3 92.9

Immunization 82.1 82.2 81.1

Nutrition and health education 64.7 63.4 77.2

Health check-up 60.8 60.1 66.9

Referral 43.1 42.3 50.4

Four or more services 71.5 70.6 80.2

All six services 29.3 28.8 34.7

6 Percentage of AWCs functioned for 25 or more days in the calendar month prior to survey

62.6 63.1 57.4

C Supplementary Nutrition (Percentage )

1 Coverage of Beneficiaries (Supplementary Food)

Children aged 6-35 months 79.7 80.1 76.4


Pregnant women 84.1 84.3 82.8

Lactating mothers 83.4 83.7 81.0

2 Beneficiaries received supplementary food for at least 21 days in the month19 prior to survey

Children aged 6 -35 months 25.2 24.2 33.1


Pregnant women 30.0 28.8 40.7

Lactating mothers 29.8 28.7 38.9

D Growth Monitoring (Percentage of AWCs)

1 AWCs having functional weighing scale

Baby weighing scale 72.4 72.4 72.1

Adult weighing scale 51.6 51.3 53.8

2 Availability of WHO growth chart at AWC20 89.7 89.9 88.1

3 Children for whom Growth chart was prepared

0 -35 months 43.8 43.1 49.5

E Pre-School Education

1 Average number of days spent on PSE sessions in the month prior to survey21 (Days)

23.7 23.7 23.4

2 Percentage of AWCs conducted PSE sessions in one calendar month prior to survey

19

Month prior to survey refers to September, 2013 20 Includes both- shown and not shown 21 Month prior to survey refers to September, 2013


Key Indicators Total Rural Urban 2.1 One or more hours a day 86.4 86.4 86.4

2.2 Sixteen or more days 95.2 95.3 94.4

3 Percentage of children aged 36-71 months attended PSE for 16 or more days in one calendar month prior to survey

Boys 55.9 57.1 46.8

Girls 57.2 58.3 48.5

4 Average number of activities per day conducted in the week prior to survey 4.8 4.8 5.0

F Convergence with health (Percentage of AWCs)

1 AWCs that organized three Village Health and Nutrition Day (VHND) meetings during three calendar months prior to survey22

65.2 65.2

2 AWCs reporting three visits by ANM during the three months prior to survey 83.6 83.6

3 AWCs having Anganwadi level Management Committee (ALMC) 50.7 52.1 37.8

4 AWW reporting support from Panchayat/ward member 43.2 44.2 33.5

G Training & Comprehensive Knowledge (Percentage of Anganwadi workers)

1 Trainings received by AWWs

1.1 Refresher training in two years prior to survey 42.5 42.5 41.8

Special Training

IMNCI 50.5 50.2 52.8

IYCF 55.1 54.8 58.7

PSE 69.5 69.5 69.9

Growth monitoring 59.6 59.3 62.2

Early childhood care and development 49.1 48.6 53.6

Joint ICDS-Health Training 44.4 43.9 48.3

Revised ICDS MIS training 30.8 30.4 34.4

2 AWW having correct knowledge of

2.1 Intake of food by Pregnant women 91.4 91.1 94.1

2.2 Normal Birth weight of a child 80.4 80.1 82.8

2.3 Initiation of breast feeding within one hour 96.0 96.1 95.3

2.4 Exclusive breast feeding for the first six months 92.9 92.7 94.9

2.5 Appropriate age of child for complementary food 63.8 63.6 65.8

22

Three Calendar month prior to survey refers to July, August, September, 2013


Population, sample coverage on key parameters and survey duration RSOC, 2013-14

Population (Census 2011) 1,210,854,977

Sample coverage

Number of primary sampling units (PSUs) covered 4,157

Households interviewed 105,483

Number of ever married women aged 15-49 years interviewed 111,636

Number of children 0-59 months for whom anthropometric measurements done 90,908

Number of Adolescent girls aged 10-18 years for whom anthropometric measurements done 28,521

Number of children aged 12-23 months 17,311

Month and year of field work

From 11/2013

To 5/2014


Sampling errors of selected indicators, RSOC 20013-14

Key Indicators Value (R)

Standard error (SE)

Design effect (DEFT)

Relative standard error

(SE/R)

Confidence limits

R-2SE R+2SE

Received at least one ante-natal check-up (ANC) 0.852 0.002 1.325 0.002 0.848 0.856

Received three or more ANCs 0.634 0.003 1.350 0.004 0.628 0.639

Consumed 100 or more IFA tablets /syrup during pregnancy 0.236 0.003 1.384 0.011 0.231 0.241

Institutional delivery 0.787 0.002 1.342 0.003 0.783 0.792

Delivered by skilled health provider 0.811 0.002 1.318 0.003 0.807 0.815

Fully immunized (children age 12-23 months) 0.653 0.005 1.422 0.008 0.643 0.663

Received BCG (children age 12-23 months) 0.911 0.003 1.375 0.003 0.905 0.917

Received DPT 3 injection (children age 12-23 months) 0.748 0.005 1.385 0.006 0.739 0.757

Received first dose of Measles vaccine (children age 12-23 months) 0.789 0.004 1.343 0.005 0.780 0.797

Children aged 0-5 months who were exclusively breastfed 0.649 0.007 1.404 0.011 0.635 0.663

Stunted (Height for age below -2SD) (children age 0-59 months) 0.387 0.002 1.435 0.006 0.382 0.392

Severely stunted (Height for age below -3SD) (children age 0-59 months) 0.173 0.002 1.436 0.011 0.169 0.176

Wasted (Weight for height below -2SD) (children age 0-59 months) 0.151 0.002 1.447 0.012 0.147 0.154

Severely wasted (Weight for height below -3SD) (children age 0-59 months) 0.046 0.001 1.468 0.023 0.044 0.048

Underweight (Weight for age below -2SD) (children age 0-59 months) 0.294 0.002 1.456 0.008 0.290 0.298

Severely underweight (Weight for age below -3SD) (children age 0-59 months) 0.095 0.001 1.444 0.015 0.092 0.097

Given vitamin A supplement in last 6 months (children age 6-59 months) 0.452 0.002 1.342 0.005 0.447 0.456

Had diarrhoea in 15 days prior to survey (children age 0-59 months) 0.065 0.001 1.465 0.018 0.062 0.067

Children with diarrhoea given ORS (children age 0-59 months) 0.393 0.009 1.332 0.023 0.376 0.411

Children with diarrhoea given ORS and HAF* (children age 0-59 months) 0.544 0.009 1.349 0.017 0.526 0.562

Households access to any improved source of drinking water 0.910 0.002 1.813 0.002 0.907 0.914

Households using improved sanitation facility 0.418 0.003 1.911 0.007 0.412 0.424

Households practicing open defecation 0.455 0.003 1.834 0.006 0.450 0.461

*Oral Re-hydration Solution (ORS) including Home Available Fluids (HAF)

( A s o n A p r i l 2 0 1 6 ) J a m m u & K a s h m i r | P a g e 1 | 11



JAMMU & KASHMIR Fact Sheet



Selection of Primary Sampling Unit (PSU), Household and AWC: Selection of PSUs was similar to the National Family Health Survey 2005-06. PSUs were selected using Probability Proportional to Size (PPS) with replacement and from each PSU, selection of 26 households was done by circular systematic random sampling in a manner that 20 households from households having at least one child below 6 years of age and 6 households from other households. All AWC in the selected PSU / Segmented PSUs were selected in

the sample. Overall 2655 rural PSUs and 1497 urban PSUs were covered.



Note:

* Percentage not shown; based on fewer than 25

unweighted samples

( ) Based on 25 49 unweighted samples


Key Indicators

Residence Social category

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1 Prenatal Care

1.1 Registered pregnancy 82.6 79.5 91.7 84.5 67.6 71.8 88.2


70.8 66.5 83.4 70.0 47.0 61.5 77.7

1.3 Received at least one ante-natal check-up (ANC) 79.1 75.8 88.6 77.2 74.4 70.5 82.8

1.4 Received first ANC in first trimester 55.8 52.5 65.5 48.3 49.7 38.7 62.9

1.5 Received three or more ANCs 57.7 54.9 65.8 47.3 52.9 46.6 63.3

1.6 Received four or more ANCs 44.4 39.5 58.6 31.6 32.7 31.4 51.8

1.7 Received two or more Tetanus Toxoid (TT) injections 83.9 82.0 89.4 83.5 67.7 81.7 87.3


27.9 23.2 41.5 31.8 12.7 17.5 33.0

1.9 Consumed 100 or more IFA tablets /syrup during pregnancy 23.1 18.1 37.2 25.5 9.6 14.0 27.7

1.10 Received full ANC1 16.0 12.6 25.7 14.7 7.0 6.1 20.6


ANM 2.3 2.6 1.4 3.5 1.9 2.4 2.1

AWW 15.6 17.5 9.9 16.3 30.8 18.6 12.1

ASHA 25.7 30.7 11.5 32.4 19.4 34.6 23.1


Anganwadi centre 7.4 8.5 4.1 8.0 14.5 3.4 7.4

Government health facility 66.1 65.9 66.7 64.7 67.9 60.8 67.8

Private health facility 22.9 18.5 35.6 13.4 17.9 12.1 28.3

2 Natal Care

2.1 Institutional delivery 72.9 68.4 85.7 66.5 54.4 64.5 79.2

2.2 Delivered by skilled health provider 74.9 70.3 88.0 69.4 57.1 67.3 80.7

2.3 Stay at Health facility after delivery

Less than 12 hours 13.2 16.7 5.0 16.6 16.3 20.8 10.7

48 hours or more 57.8 54.4 65.7 60.2 58.4 43.4 60.7



All 10.3 12.1 5.2 10.3 3.2 5.2 12.9

Home delivery 5.2 5.3 (5.0) (14.7) 2.8 1.5 4.9

1 Full ANC- receipt of 3 ANC, 1 dose of TT and consumption of 100 IFA tablets/3 bottles of IFA syrup



Key Indicators


Tota

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Urb

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SC

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OB

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Institutional delivery (after discharge) 12.2 15.3 5.4 6.4 3.6 7.2 15.1


All 12.0 13.6 7.3 6.2 6.2 9.0 14.4

Home birth 4.3 3.6 (10.0) (14.7) 2.1 1.5 4.1

Institutional birth (after discharge) 14.9 18.2 7.2 1.9 9.6 13.1 17.2


21.6 25.4 10.5 14.9 11.5 24.7 23.2


Janani Suraksha Yojana (JSY) 58.7 64.0 43.4 60.3 59.5 57.3 58.6

Janani Shishu Suraksha Karyakrama (JSSK) 10.2 11.8 5.5 11.7 8.4 11.7 9.9

Both JSY and JSSK 9.0 10.9 3.5 11.1 7.7 10.0 8.6


1 Weighed with 24 hours of birth 45.9 38.3 67.5 46.0 32.1 33.2 51.8


16.2 17.0 15.0 14.4 18.9 11.3 17.2



1.1 Having MCP/ immunization card 87.2 86.4 90.0 (90.7) 66.5 90.7 90.0

1.2 Fully immunized4 59.0 55.8 70.3 (69.8) 51.3 37.5 66.0

1.3 Received DPT 3 injection 65.7 63.0 75.2 (76.7) 55.6 43.8 73.6

1.4 Received first dose of Measles vaccine 75.3 73.1 83.4 (79.1) 63.7 61.7 81.2

1.5 Received no vaccination 11.0 11.3 9.8 (4.7) 28.4 16.6 6.8


DPT 2 to DPT 3 18.6 20.2 13.8 (15.4) 17.5 30.6 15.5

OPV 2 to OPV 3 13.5 13.2 14.4 (12.5) 4.6 22.2 12.1


Anganwadi centre 4.3 5.6 0.0 (4.9) (13.0) (4.5) 3.0

Government health facility 88.4 88.3 88.8 (92.7) (82.6) (88.6) 88.9

Private health facility 7.0 5.7 11.2 (2.4) (4.3) (4.5) 8.0

3 Mothers who are aware of either or both the schemes



Key Indicators


Tota

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Ru

ral

Urb

an

SC

ST

OB

C

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D IYCF (Infant and Young Child Feeding Practices) (Percentage)


20.8 24.4 10.0 13.4 13.2 21.9 22.7

2 Children aged 0-5 months who were exclusively breastfed5 60.4 63.3 52.0 * (46.2) (55.9) 62.5


47.4 51.9 (40.0) * * * 45.2


4.1 Fed a minimum number of times6 41.0 44.5 29.3 (34.8) 41.6 45.8 39.5

4.2 Had a minimum dietary diversity7 16.9 15.7 21.0 (19.6) 11.1 14.3 19.6

E Nutritional Status of Children (Percentage)


1.1 Stunted (Height for age below -2SD) 31.7 32.5 29.6 37.2 37.9 37.3 28.3

1.2 Severely stunted (Height for age below -3SD) 12.6 12.8 12.0 18.2 14.0 17.4 10.2

1.3 Wasted (Weight for height below -2SD) 7.1 7.0 7.5 9.7 6.0 6.9 7.0

1.4 Severely wasted (Weight for height below -3SD) 2.5 2.4 2.9 1.6 0.6 4.6 2.4

1.5 Underweight (Weight for age below -2SD) 15.4 16.4 12.7 22.6 21.2 18.9 12.6

1.6 Severely underweight (Weight for age below -3SD) 5.3 5.9 3.4 4.9 7.5 7.7 4.3



1.1 Vitamin A dose 38.8 37.0 43.9 19.9 22.9 34.4 45.3

1.2 Iron and Folic Acid supplement 4.8 3.2 9.4 4.2 3.0 3.0 5.7

1.3 Deworming medication 15.7 14.6 19.0 11.3 14.3 11.6 17.7


1 Diarrhoea

1.1 Had diarrhoea in 15 days prior to survey 4.4 4.6 3.6 1.9 7.9 2.1 4.7

1.2 For whom advice or treatment was sought 79.7 80.8 * * * * 77.9



68.8 75.6 * * * * 73.5

ORS and Zinc 19.8 22.5 * * * * 23.0

5 Exclusive breastfeeding- children who are fed breast milk exclusively for six months since birth (excluding pre-lacteals given at birth) and including ORS/medicine

during sickness 6 At least twice a day for breastfed infants 6-8 months old; at least three times a day for breastfed children 9-23 months old;



Key Indicators


Tota

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Urb

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OB

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2 Fever

2.1 Had fever in 15 days prior to survey 12.2 12.1 12.4 6.9 18.4 8.4 13.2

2.2 Given anti-malarial drug during fever 14.8 14.9 14.5 * (12.1) (19.2) 14.3


3.1 Had symptoms of ARI in 15 days prior to survey 10.6 9.8 13.0 6.6 15.5 10.4 10.5

3.2 For whom advice or treatment was sought 86.3 86.9 85.0 * (90.9) (75.9) 86.1




Privately run institution (Play school, nursery etc.) 42.7 37.0 58.3 40.7 28.4 36.9 47.1

Not attending 29.6 32.2 22.5 34.4 34.8 34.0 26.9


Percentage of children aged 36-71 months attended PSE in AWC for 16 or more days in the month prior to survey

(among children attending PSE at AWC)

35.6 38.0 (25.0) * * * 30.6

3 Literacy Rate 5 Years & above 69.7 66.8 77.8 68.8 62.0 68.3 71.4

4 Literacy Rate 6 Year & above 70.6 67.7 78.6 69.7 63.3 69.1 72.3


6 Youth Literacy rate (Aged 15-24) 92.2 91.7 93.7 97.9 84.8 91.2 93.4



1.1 Birth registered 64.5 56.7 85.7 80.5 49.4 46.3 69.8

1.2 Have birth certificate 14.2 11.4 21.8 12.3 7.7 9.5 16.8


Female 23.1 22.3 25.2 22.6 22.5 22.2 23.6

Male 26.3 25.6 28.5 26.5 26.5 24.6 26.8

3 Women aged 20-24 married before age 18 16.7 16.3 19.7 (29.4) (24.2) 15.5 15.3

4 Men aged 25-29 married before age 21 21.0 20.3 23.4 (11.1) (22.5) 20.0 20.7



1.1 Age 10-19 1.5 1.7 0.8 1.0 8.5 1.7 0.4

1.2 Aged 10-14 0.0 0.0 0.2 0.0 0.0 0.0 0.1

1.3 Aged 15-19 2.8 3.3 1.4 (6.7) 18.0 3.2 0.7

8 Out of those households which are covered by an AWC


Key Indicators


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2.1 Less than 18.5 (low weight) 30.5 36.1 12.9 * (33.3) 41.8 28.4

2.2 More than 25 (over weight) 10.8 10.7 11.0 * (6.7) 10.5 11.1



Supplementary food 82.0 82.1 81.9 74.9 81.6 89.1 81.5

Immunization 31.3 32.2 28.5 33.5 20.7 38.7 30.9

Health check-up 17.9 19.1 14.2 14.6 13.0 28.9 16.4

Referral service 8.3 8.0 9.3 0.5 5.0 19.7 7.1

Nutrition and health education 11.6 11.5 11.9 2.1 8.3 18.7 11.7

All Services10 5.8 4.9 8.4 0.0 2.6 15.6 4.6



Immunization 34.2 36.0 29.1 40.3 14.7 49.0 32.7

Pre-School Education 62.0 60.0 67.4 68.8 58.3 63.0 61.2

Health check-up 22.3 23.1 20.1 17.8 10.2 38.9 21.2



All Services11 8.3 7.2 11.3 1.4 4.0 20.5 7.4


Supplementary food 87.5 85.8 (90.3) * * * 91.5

Immunization 27.5 27.0 (32.3) * * * 33.9

Health check-up 14.0 14.2 (16.1) * * * 16.1

Referral service 4.7 2.3 (12.9) * * * 6.4

Nutrition and health education 14.5 13.6 (16.1) * * * 16.1

All Services12 3.2 1.3 (9.7) * * * 4.4



Children aged 6-35 months 28.8 32.6 16.8 27.0 29.2 35.7 27.6


9 BMI in kg/m2

10 All ICDS services as applicable for the mothers of children aged 0-35 months

11 All ICDS services as applicable for the mothers of children aged 36-71 months

12 All ICDS services as applicable for the currently pregnant women


Key Indicators


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Pregnant women 14.9 17.4 (6.5) * * * 13.5

Lactating mothers 14.2 16.5 (5.0) * (32.0) * 12.8


Children aged 6-35 months 25.0 26.0 (19.5) * (27.1) (27.3) 26.1

Children aged 36-71 months 18.9 21.2 (10.2) (11.1) (28.0) (24.4) 22.8

Pregnant women 31.6 * * * * * *

Lactating mothers 35.1 * * * * * *


1 Access to any improved source of drinking water 86.7 83.1 96.6 89.4 77.6 83.6 89.0

2 Using improved sanitation facility14 44.1 33.9 71.9 27.7 18.4 44.2 50.9

3 Households practicing open defecation 33.1 42.6 7.2 64.3 63.2 37.2 23.1

4 Households using adequately iodized salt (> =15 ppm) 84.3 81.1 93.2 91.0 71.8 76.8 87.3

13 Calendar month prior to survey refers to September, 2013 14

Using Improved sanitation means households using improved toilets as per JMP definition and this excludes those households, who are using improved toilets but sharing toilet facilities with other households



CHARACTERISTICS Total

Number of Anganwadi Centres (AWC) surveyed 209

A General Information about Anganwadi worker (AWW) and AWC (Percentage)

1 AWWs living in the AWC village/ward 59.8

2 AWW having 10 or more years of schooling 88.4

3 Median age of AWW 36.0

4 AWCs serving to population more than the stipulated norm 2.6

B Infrastructure Facilities at AWC (Percentage)


Own ICDS building 1.8

Rented building 87.7

Panchayat/ school building 3.8

Other 6.7


2.1 Separate kitchen (among those centres which are cooking supplementary food in the AWC) 50.0

2.2 Cooking supplementary food in the same room where PSE sessions are conducted 27.4

2.3 Cooking supplementary food in open space 6.1

2.4 Barrier free access for physically challenged children 7.7

2.5 Having toilet facility 37.4


Within the premises of AWC 52.7

Outside the premises of AWC but within 50 meters of AWC 62.4

2.7 Having electricity connection 67.4

3 Percentage of AWCs open for at least for 4 hours per day 92.9


Supplementary nutrition 93.8

Pre-School Education 87.9

Immunization 58.6

Nutrition and health education 61.9

Health check-up 48.6

Referral 27.9

Four or more services 52.5

All six services 19.2

5 Percentage of AWCs functioned for 25 or more days in the calendar month prior to survey 81.4

C Supplementary Nutrition (Percentage)


Children aged 6-35 months 67.0


Pregnant women 67.7

Lactating mothers 68.8



2 Beneficiaries received supplementary food for at least 21 days in the month prior to survey

Children aged 6 -35 months 49.2

Pregnant women 43.1


D Growth Monitoring (Percentage)

1 Percentage of AWCs having functional weighing scale

Baby weighing scale 74.0

Adult weighing scale 23.1

2 Availability of WHO growth chart at AWC 29.9


0 -35 months 7.0

E Pre-School Education (Percentage)

1 Average number of days spent on PSE sessions in the month prior to survey 23.7

2 AWCs conducted PSE sessions in one calendar month prior to survey

2.1 One or more hours a day 72.5

2.2 Sixteen or more days 95.1

3 Children aged 36-71 months attended PSE for 16 or more days in one calendar month prior to survey

Boys 53.9

Girls 55.7

4 Average number of activities per day conducted in the week prior to survey 4.7

F Convergence with health (Percentage)

1 AWCs that organized three Village Health and Nutrition Day (VHND) meetings during three calendar months prior to survey

15.0

2 AWCs reporting three visits by ANM during the three months prior to survey 53.6

3 AWCs having Anganwadi level Management Committee (ALMC) 32.6

4 AWW reporting support from Panchayat/ward member 38.5

G Training & Comprehensive Knowledge (Percentage)


1.1 Refresher training in two years prior to survey 13.7


2.1 Intake of food by Pregnant women 85.3

2.2 Normal Birth weight of a child 76.0

2.3 Initiation of breast feeding within one hour 90.5

2.4 Exclusive breast feeding for the first six months 88.6

2.5 Appropriate age of child for complementary food 80.5



Population (Census 2011) 12,541,302

Sample coverage

Number of primary sampling units (PSUs) covered 91




Number of Adolescent girls aged 10-18 years for whom anthropometric measurements done 686

Number of children aged 12-23 months 403


From 12/2013

To 5/2014




Standard error (SE)



(SE/R)

Confidence limits

R-2SE R+2SE

























( A s o n A p r i l 2 0 1 6 ) H i m a c h a l P r a d e s h | P a g e 1 | 11



HIMACHAL PRADESH Fact Sheet



Selection of Primary Sampling Unit (PSU), Household and AWC: Selection of PSUs was similar to the National Family Health Survey 2005-06. PSUs were selected using Probability Proportional to Size (PPS) with replacement and from each PSU, selection of 26 households was done by circular systematic random sampling in a manner that 20 households from households having at least one child below 6 years of age and 6 households from other households. All AWC in the selected PSU / Segmented PSUs were selected

in the sample. Overall 2655 rural PSUs and 1497 urban PSUs were covered.



Note:


unweighted samples



Key Indicators


Tota

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ral

Urb

an

SC

ST

OB

C

Oth

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1 Prenatal Care



85.8 87.0 72.8 84.8 83.6 87.4 86.5







50.5 50.8 46.5 52.7 53.7 48.0 49.2

1.9 Consumed 100 or more IFA tablets /syrup during pregnancy 40.0 40.3 37.7 42.2 32.8 29.9 43.4



ANM 5.9 6.1 3.8 4.7 4.3 13.4 4.3

AWW 34.8 36.4 18.0 43.0 21.5 40.6 27.8

ASHA 5.9 6.2 2.2 3.6 2.6 20.5 2.5





2 Natal Care




Less than 12 hours 10.3 10.6 7.3 5.3 7.9 8.4 14.6

48 hours or more 55.7 55.6 56.1 62.2 52.1 60.2 50.4



All 13.1 12.5 19.6 11.7 10.9 5.7 17.6

Home delivery 9.4 9.1 16.8 9.2 (6.7) 8.6 10.9





Key Indicators


Tota

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Urb

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All 14.4 13.3 25.7 11.6 12.9 6.6 19.9

Home birth 9.7 9.4 16.8 7.2 (6.7) 10.1 13.4



23.5 24.1 17.0 27.8 14.7 19.6 22.7




Both JSY and JSSK 5.6 5.5 6.9 6.7 5.0 1.9 6.3



2 With birth weight less than 2500 grams (out of those weighed) 17.7 18.1 13.4 18.9 15.7 12.3 19.3



1.1 Having MCP/ immunization card 95.2 95.7 89.5 97.0 (85.7) 93.6 94.1

1.2 Fully immunized4 80.2 81.5 66.9 75.1 (67.9) 91.1 81.7

1.3 Received DPT 3 injection 86.0 87.6 69.3 84.1 (67.9) 92.2 86.8

1.4 Received first dose of Measles vaccine 93.1 93.7 86.7 90.2 (85.7) 94.3 95.5

1.5 Received no vaccination 1.6 1.1 6.7 2.3 (14.3) 0.7 0.4


DPT 2 to DPT 3 10.7 9.6 22.9 11.4 (13.6) 3.8 12.5

OPV 2 to OPV 3 8.6 7.9 15.5 8.6 (9.2) 1.9 10.8


Anganwadi centre 22.8 24.1 9.0 20.7 * 9.2 30.3

Government health facility 70.2 69.3 79.7 73.5 * 86.0 60.4

Private health facility 4.9 4.4 10.5 2.7 * 2.5 7.8



50.1 50.9 41.4 53.8 59.8 35.5 51.4

2 Children aged 0-5 months who were exclusively breastfed5 55.2 55.4 52.7 50.4 * (60.7) 66.4




during sickness


Key Indicators


Tota

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Urb

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3 Children aged 6-8 months who were fed complementary foods 61.8 61.3 * (55.6) * * (60.4)


4.1 Fed a minimum number of times6 46.4 47.7 33.6 51.6 (30.0) 56.9 39.5

4.2 Had a minimum dietary diversity7 20.8 21.0 18.4 15.9 (23.3) 24.8 21.1











1.1 Vitamin A dose 57.0 56.7 60.6 57.1 45.2 47.8 61.9




1 Diarrhoea


1.2 For whom advice or treatment was sought 76.3 77.0 (67.9) 75.5 * * 75.4



74.7 76.2 (53.6) 67.0 * * 83.5

ORS and Zinc 15.0 15.2 (10.7) 5.9 * * 20.5

2 Fever

2.1 Had fever in 15 days prior to survey 13.6 14.1 8.9 18.8 17.1 9.0 10.9

2.2 Given anti-malarial drug during fever 8.4 7.7 (18.4) 6.6 * (11.4) 7.6


3.1 Had symptoms of ARI in 15 days prior to survey 7.1 7.2 5.3 9.8 6.9 4.5 6.1

3.2 For whom advice or treatment was sought 92.1 93.2 * 95.0 * * 94.4

6 At least twice a day for breastfed infants 6-8 months old; at least three times a day for breastfed children 9-23 months old;



Key Indicators


Tota

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Privately run institution (Play school, nursery etc.) 49.5 48.8 56.4 38.5 49.6 58.0 53.4

Not attending 16.8 15.4 29.5 15.6 16.9 17.5 17.2


Percentage of children aged 36-71 months attended PSE in AWC for 16 or more days in the month prior to survey (among

children attending PSE at AWC)

62.9 62.9 (56.3) 66.3 (55.6) 68.4 58.7

3 Literacy Rate 5 Years & above 84.5 84.0 89.9 82.3 73.4 82.1 87.4



6 Youth Literacy rate (Aged 15-24) 99.0 99.1 97.7 99.0 96.6 99.4 99.1



1.1 Birth registered 88.7 88.8 87.2 88.3 88.7 85.2 90.3

1.2 Have birth certificate 31.8 30.8 42.0 29.9 24.9 21.8 37.7


Female 22.3 22.1 23.5 21.3 21.4 22.1 22.8

Male 26.3 26.3 27.0 25.4 25.4 26.1 26.9

3 Women aged 20-24 married before age 18 9.5 9.0 15.7 9.5 (25.0) 15.8 6.8

4 Men aged 25-29 married before age 21 10.2 8.9 19.7 15.5 (23.1) 4.8 7.0



1.1 Age 10-19 1.8 1.8 1.0 3.0 1.0 2.6 0.8

1.2 Aged 10-14 0.0 0.0 0.0 0.0 (0.0) 0.0 0.0

1.3 Aged 15-19 3.5 3.6 (8.3) 6.6 * 4.3 1.5


2.1 Less than 18.5 (low weight) 51.6 53.8 (34.4) 54.5 * 41.7 55.8

2.2 More than 25 (over weight) 1.2 0.6 (9.4) 0.0 * 2.6 1.3

8 Out of those households which are covered by an AWC

9 BMI in kg/m2


Key Indicators


Tota

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Ru

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Urb

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SC

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OB

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Immunization 47.3 47.4 46.5 48.1 34.2 41.4 51.1

Health check-up 42.6 42.9 38.6 40.9 37.1 54.0 40.2



All Services10 17.0 16.9 18.3 16.2 15.4 16.2 18.3



Immunization 51.5 50.9 58.8 54.1 45.8 43.6 53.9

Pre-School Education 61.2 60.8 65.4 61.3 51.9 64.6 61.2

Health check-up 46.2 46.4 43.8 43.2 34.7 54.2 46.8



All Services11 21.6 21.7 20.4 20.1 10.1 19.3 25.2


Supplementary food 96.3 97.1 * (93.2) * * 96.3

Immunization 47.1 46.8 * (52.3) * * 51.3

Health check-up 36.1 35.6 * (47.7) * * 34.1

Referral service 17.5 17.3 * (20.5) * * 12.0

Nutrition and health education 29.0 28.9 * (25.0) * * 25.3

All Services12 13.4 12.9 * (15.9) * * 9.1





Pregnant women 65.7 68.0 * (61.4) * * 62.3

Lactating mothers 65.2 68.6 (29.8) 66.1 * (66.7) 62.4

10

All ICDS services as applicable for the mothers of children aged 0-35 months 11

All ICDS services as applicable for the mothers of children aged 36-71 months 12 All ICDS services as applicable for the currently pregnant women


Key Indicators


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Children aged 36-71 months 42.1 41.7 (50.0) 46.1 (27.3) 45.1 40.7

Pregnant women 37.9 37.8 * (48.1) * * (38.2)

Lactating mothers 44.0 43.5 * 48.3 * * (55.8)


1 Access to any improved source of drinking water 97.0 96.8 98.6 98.0 95.8 96.2 96.8

2 Using improved sanitation facility14 63.5 62.3 73.3 58.0 53.0 53.6 69.9

3 Households practicing open defecation 21.8 23.6 6.7 25.1 26.8 28.7 17.8

4 Households using adequately iodized salt (> =15 ppm) 88.3 88.6 85.7 87.9 93.7 87.3 88.3

13 Calendar month prior to survey refers to September, 2013 14

Using Improved sanitation means households using improved toilets as per JMP definition and this excludes those households, who are using improved toilets but sharing toilet facilities with other households




Number of Anganwadi Centres (AWC) surveyed 165

A General Information about Anganwadi worker (AWW) and AWC (Percentage)

1 AWWs living in the AWC village/ward 82.2

2 AWW having 10 or more years of schooling 94.2

3 Median age of AWW 38.0

4 AWCs serving to population more than the stipulated norm 2.3

B Infrastructure Facilities at AWC (Percentage)


Own ICDS building 10.9

Rented building 44.4

Panchayat/ school building 24.1

Other 20.6


2.1 Separate kitchen (among those centres which are cooking supplementary food in the AWC)

20.9

2.2 Cooking supplementary food in the same room where PSE sessions are conducted 74.4

2.3 Cooking supplementary food in open space 2.3

2.4 Barrier free access for physically challenged children 22.9

2.5 Having toilet facility 70.5


Within the premises of AWC 53.7

Outside the premises of AWC but within 50 meters of AWC 60.3

2.7 Having electricity connection 46.3

3 Percentage of AWCs open for at least for 4 hours per day 100.0


Supplementary nutrition 99.2

Pre-School Education 93.3

Immunization 89.5

Nutrition and health education 77.0

Health check-up 79.2

Referral 63.8

Four or more services 85.9

All six services 52.7

5 Percentage of AWCs functioned for 25 or more days in the calendar month prior to survey 57.6

C Supplementary Nutrition (Percentage)




Pregnant women 98.1




2 Beneficiaries received supplementary food for at least 21 days in the month prior to survey

Children aged 6 -35 months 4.9


Pregnant women 8.1


D Growth Monitoring (Percentage)

1 Percentage of AWCs having functional weighing scale

Baby weighing scale 87.3

Adult weighing scale 11.4

2 Availability of WHO growth chart at AWC 93.5


0 -35 months 65.2

E Pre-School Education (Percentage)

1 Average number of days spent on PSE sessions in the month prior to survey 24.1

2 AWCs conducted PSE sessions in one calendar month prior to survey

2.1 One or more hours a day 87.8

2.2 Sixteen or more days 97.8

3 Children aged 36-71 months attended PSE for 16 or more days in one calendar month prior to survey

Boys 52.8

Girls 55.1

4 Average number of activities per day conducted in the week prior to survey 5.4

F Convergence with health (Percentage)

1 AWCs that organized three Village Health and Nutrition Day (VHND) meetings during three calendar months prior to survey

80.0

2 AWCs reporting three visits by ANM during the three months prior to survey 50.4

3 AWCs having Anganwadi level Management Committee (ALMC) 86.7

4 AWW reporting support from Panchayat/ward member 48.2

G Training & Comprehensive Knowledge (Percentage)


1.1 Refresher training in two years prior to survey 42.3


2.1 Intake of food by Pregnant women 94.2

2.2 Normal Birth weight of a child 89.6

2.3 Initiation of breast feeding within one hour 98.5

2.4 Exclusive breast feeding for the first six months 96.4

2.5 Appropriate age of child for complementary food 76.8



Population (Census 2011) 6,864,602

Sample coverage

Number of primary sampling units (PSUs) covered 105




Number of Adolescent girls aged 10-18 years for whom anthropometric measurements done 531

Number of children aged 12-23 months 463


From 1/2014

To 4/2014




Standard error (SE)



(SE/R)

Confidence limits

R-2SE R+2SE

























( A s o n A p r i l 2 0 1 6 ) P u n j a b P a g e 1 | 11



PUNJAB Fact Sheet



Selection of Primary Sampling Unit (PSU), Household and AWC: Selection of PSUs was similar to the National Family Health Survey 2005-06. PSUs were selected using Probability Proportional to Size (PPS) with replacement and from each PSU, selection of 26 households was done by circular systematic random sampling in a manner that 20 households from households having at least one child below 6 years of age and 6 households from other households. All AWC in the selected PSU / Segmented PSUs were selected

in the sample. Overall 2655 rural PSUs and 1497 urban PSUs were covered.



Note:


unweighted samples


( A s o n A p r i l 2 0 1 6 ) P u n j a b | P a g e 2 | 11

Key Indicators


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1 Prenatal Care



71.0 68.4 75.8 76.9 59.7 70.9 68.8







25.6 23.1 30.1 24.7 15.6 17.7 31.6

1.9 Consumed 100 or more IFA tablets /syrup during pregnancy

19.7 17.2 24.5 20.2 7.0 13.4 24.6



ANM 5.1 5.7 4.0 4.1 3.9 12.2 2.5

AWW 25.8 34.7 9.4 34.5 48.6 23.9 16.9

ASHA 24.6 33.8 7.6 36.2 45.7 25.5 12.8





2 Natal Care




Less than 12 hours 21.5 23.4 18.2 24.6 37.1 23.1 16.5

48 hours or more 53.3 50.2 58.8 47.7 36.9 49.0 61.3



All 15.6 16.2 14.5 16.5 43.7 18.4 8.9

Home delivery 28.6 24.2 38.2 41.4 * 23.6 22.6




Key Indicators


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All 16.5 17.1 15.5 17.2 45.8 18.3 10.3

Home birth 26.9 24.0 33.1 38.9 * 22.3 20.7



20.3 23.8 13.8 26.0 45.7 16.2 14.4




Both JSY and JSSK 11.3 13.4 7.8 16.5 12.9 11.0 7.1




20.7 21.2 20.0 19.1 44.2 19.4 17.7



1.1 Having MCP/ immunization card 89.8 89.0 91.4 93.0 (77.8) 86.1 94.0

1.2 Fully immunized4 78.6 78.4 78.9 74.3 (59.3) 79.1 87.4

1.3 Received DPT 3 injection 85.2 84.4 86.7 82.8 (59.3) 84.7 94.2

1.4 Received first dose of Measles vaccine 87.1 88.8 83.6 84.5 (88.9) 81.8 91.3

1.5 Received no vaccination 2.3 1.8 3.3 1.2 (0.0) 6.1 1.7


DPT 2 to DPT 3 9.4 11.3 5.5 11.0 (36.0) 8.5 1.4

OPV 2 to OPV 3 8.3 9.4 6.0 13.7 (24.0) 5.6 0.9


Anganwadi centre 30.5 42.3 6.4 33.3 (37.0) 35.5 23.8

Government health facility 46.8 41.8 56.8 55.4 (37.0) 54.7 37.0

Private health facility 19.0 10.6 36.1 4.9 (25.9) 7.0 36.6




Key Indicators


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32.9 36.9 25.3 32.0 68.5 39.2 25.7

2 Children aged 0-5 months who were exclusively breastfed5

60.2 62.3 56.3 50.9 * (54.5) 66.4


53.8 47.8 (64.4) (47.1) * (53.1) 56.0


4.1 Fed a minimum number of times6 35.2 31.7 41.7 42.0 (26.7) 32.8 34.1

4.2 Had a minimum dietary diversity7 19.1 16.1 24.7 21.0 (6.7) 15.4 22.5











1.1 Vitamin A dose 39.6 42.0 35.3 36.9 63.4 40.3 36.3




1 Diarrhoea


1.2 For whom advice or treatment was sought 74.4 (70.5) * (76.9) * * (69.0)



26.4 (34.1) * (42.3) * * (31.0)


during sickness 6 At least twice a day for breastfed infants 6-8 months old; at least three times a day for breastfed children 9-23 months old;


( A s o n A p r i l 2 0 1 6 )

rapid survey on children - goiwcd.nic.in/sites/default/files/rsoc fact sheets final.pdf · the...

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