Tuesday, 25 July 2017

Findings of NFHS – 4

Key results containing national, State and district factsheets from National Family Health Survey 4 (NFHS 4) 2015-16 have been released so far.  NFHS 4 reveals overall improvement of health indicators in comparison to NFHS-3 (2005-06) estimates.  A statement containing estimates of some key health indicators State/UT wise from NFHS 4 in comparison to NFHS-3 is given below:
Some Key indicators from NFHS 4(20015-16) and NFHS 3(2005-06)
S.No.
India/States/UTs
Total fertility rate
Institutional births (%)
All women age 15-49 years who are anaemic (%)
 Children age 12-23 months fully immunized (%)
NFHS-4
NFHS-3
NFHS-4
NFHS-3
NFHS-4
NFHS-3
NFHS-4
NFHS-3

India
2.2
2.7
78.9
38.7
53.0
55.3
62.0
43.5
1
Andhra Pradesh
1.8

91.6

60.0

65.3

2
Assam
2.2
2.4
70.6
22.4
46.0
69.3
47.1
31.4
3
Bihar
3.4
4.0
63.8
19.9
60.3
67.4
61.7
32.8
4
Chhattisgarh
2.2
2.6
70.2
14.3
47.0
57.5
76.4
48.7
5
Gujarat
2.0
2.4
88.7
52.7
54.9
55.3
50.4
45.2
6
Haryana
2.1
2.7
80.5
35.7
62.7
56.1
62.2
65.3
7
Jharkhand
2.6
3.3
61.9
18.3
65.2
69.5
61.9
34.2
8
Karnataka
1.8
2.1
94.3
64.7
44.8
51.2
62.6
55.0
9
Kerala
1.6
1.9
99.9
99.3
34.2
32.8
82.1
75.3
10
Madhya Pradesh
2.3
3.1
80.8
26.2
52.5
55.9
53.6
40.3
11
Maharashtra
1.9
2.1
90.3
64.6
48.0
48.4
56.3
58.8
12
Odisha
2.1
2.4
85.4
35.6
51.0
61.1
78.6
51.8
13
Punjab
1.6
2.0
90.5
51.3
53.5
38.0
89.1
60.1
14
Rajasthan
2.4
3.2
84.0
29.6
46.8
53.1
54.8
26.5
15
Tamil Nadu
1.7
1.8
99.0
87.8
55.1
53.2
69.7
80.9
16
Telangana
1.8

91.5

56.7

68.1

17
Uttar Pradesh
2.7
3.8
67.8
20.6
52.4
49.9
51.1
23.0
18
West Bengal
1.8
2.3
75.2
42.0
62.5
63.2
84.4
64.3
19
Arunachal Pradesh
2.1
3.0
52.3
28.5
40.3
50.5
38.2
28.4
20
Delhi
1.7
2.1
84.4
59.0
52.5
44.3
66.4
63.2
21
Goa
1.7
1.8
96.9
92.3
31.3
38.0
88.4
78.6
22
Himachal Pradesh
1.9
1.9
76.4
43.1
53.4
43.0
69.5
74.2
23
Jammu & Kashmir
2.0
2.4
85.7
50.2
40.3
52.0
75.1
66.7
24
Manipur
2.6
2.8
69.1
45.9
26.4
35.7
65.9
46.8
25
Meghalaya
3.0
3.8
51.4
29.0
56.2
46.2
61.5
32.9
26
Mizoram
2.3
2.9
80.1
59.8
22.5
38.1
50.5
46.5
27
Nagaland
2.7
3.7
32.8
11.6
23.9
*
35.7
21.0
28
Sikkim
1.2
2.0
94.7
47.2
34.9
59.5
83.0
69.6
29
Tripura
1.7
2.2
79.9
46.9
54.5
65.1
54.5
49.7
30
Uttarakhand
2.1
2.6
68.6
32.6
45.2
54.7
57.7
60.0
31
A&N Islands
1.5

96.6

65.7

73.2

32
Chandigarh
1.6

91.6

75.9

(79.5)

33
Dadra & Nagar Haveli
2.3

88.0

79.5

43.2

34
Daman & Diu
1.7

90.1

58.9

66.3

35
Lakshadweep
1.8

99.9

45.7

86.9

36
Puducherry
1.7

99.9

52.4

91.3

* Percentage not given because of less than 25 unweighted cases  ( ) Based on 25-49 unweighted cases


 Some Key indicators from  NFHS-4 as compared to NFHS-3 (contd…)
S.No.
India/States/UTs
Children under 5 years who are underweight (weight-for-age) (%)
Children age 6-59 months who are anaemic (<11.0 g/dl) (%)
Current Use of Family Planning Methods (currently married women age 15–49 years)
Under Five Mortality Rate
NFHS-4
NFHS-3
NFHS-4
NFHS-3
NFHS-4
NFHS-3
NFHS-4
NFHS-3

India
35.7
42.5
58.4
69.4
47.8
48.5
50
74
1
Andhra Pradesh
31.9

58.6

69.4

41

2
Assam
29.8
36.4
35.7
69.4
37.0
27.0
56
84
3
Bihar
43.9
55.9
63.5
78.0
23.3
28.9
58
84
4
Chhattisgarh
37.7
47.1
41.6
71.2
54.5
49.1
64
90
5
Gujarat
39.3
44.6
62.6
69.7
43.1
56.5
43
61
6
Haryana
29.4
39.6
71.7
72.3
59.4
58.3
41
52
7
Jharkhand
47.8
56.5
69.9
70.3
37.5
31.1
54
93
8
Karnataka
35.2
37.6
60.9
70.3
51.3
62.5
32
54
9
Kerala
16.1
22.9
35.6
44.5
50.3
57.9
7
16
10
Madhya Pradesh
42.8
60.0
68.9
74.0
49.6
52.8
65
93
11
Maharashtra
36.0
37.0
53.8
63.4
62.6
64.9
29
46
12
Odisha
34.4
40.7
44.6
65.0
45.4
44.7
49
91
13
Punjab
21.6
24.9
56.6
66.4
66.3
56.1
33
52
14
Rajasthan
36.7
39.9
60.3
69.6
53.5
44.4
51
85
15
Tamil Nadu
23.8
29.8
50.7
64.2
52.6
60.0
27
35
16
Telangana
28.5

60.7

56.9

32

17
Uttar Pradesh
39.5
42.4
63.2
73.9
31.7
29.3
78
96
18
West Bengal
31.5
38.7
54.2
61.0
57.0
49.9
32
59
19
Arunachal Pradesh
19.5
32.5
50.7
56.9
26.6
37.3
33
88
20
Delhi
27.0
26.1
62.6
57.0
47.3
56.5
47
47
21
Goa
23.8
25.0
48.3
38.2
24.8
37.2
13
20
22
Himachal Pradesh
21.2
36.5
53.7
54.4
52.1
71.0
38
42
23
Jammu & Kashmir
16.6
25.6
43.3
58.5
46.1
44.9
38
51
24
Manipur
13.8
22.2
23.9
41.1
12.7
23.6
26
42
25
Meghalaya
29.0
48.8
48.0
63.8
21.9
18.5
40
70
26
Mizoram
11.9
19.9
17.7
43.8
35.3
59.6
46
53
27
Nagaland
16.8
25.2
21.6
*
21.4
22.5
37
65
28
Sikkim
14.2
19.7
55.1
58.1
45.9
48.7
32
40
29
Tripura
24.1
39.6
48.3
62.9
42.8
44.9
33
59
30
Uttarakhand
26.6
38.0
59.8
60.7
49.3
55.5
47
56
31
A&N Islands
21.6

49.0

48.3

13

32
Chandigarh
24.5

73.1

58.2

*

33
Dadra & Nagar Haveli
38.9

84.6

37.9

(42)

34
Daman & Diu
26.7

73.8

31.6

(34)

35
Lakshadweep
23.4

51.9

14.9

23

36
Puducherry
22.0

44.9

61.2

16

* Percentage not given because of less than 25 unweighted cases  ( ) Based on 25-49 unweighted cases

The NFHS 4 results demonstrate that the improvements over NFHS 3 are significant for many key indicators, but there are considerable rural, urban and inter State disparities in key indicators.  Health is a state subject and the lag in improvement of indicators is linked to low baselines, limited investment and inefficiencies in spending by States. The data also indicate that the country is undergoing a demographic and epidemiological transition and that life style related diseases are on the rise. There is also a significant influence on non-health determinants – such as education, income level, access to water, sanitation and nutrition, clean fuel, etc, that impact health status.

These actions require significant multi-sectoral convergence, and are beyond the purview of the Ministry of Health Family welfare alone. Though the health is a state subject, yet under National Health Mission (NHM), support is provided to the States/UTs to strengthen their health care system based on the requirements proposed by them under Programme Implementation Plans. NHM envisages achievement of universal access to equitable, affordable & quality healthcare services that are accountable and responsive to people’s needs. The main programmatic components include Health System Strengthening in rural and urban areas, Reproductive, Maternal, New-born, Child and Adolescent Health (RMNCH+A) interventions and control of Communicable and Non-Communicable Diseases. Based on the emerging issues some of the recent initiatives taken include:
·             Launching of PradhanMantri National Dialysis Services Programme,
·         Launching Mother’s Absolute Affection (MAA) Programme
  • Launching of   PradhanMantriSurakshitMatritvaAbhiyan, 
  • Introduction of Rubella vaccine- it is an Universal Immunization Programme as Measles-Rubella combination vaccine to provide protection against congenital birth defects caused by Rubella infection,   
  • Launching of “Mission ParivarVikas” in 145 high focus districts having higher total fertility rates(TFR) in the country,
  • Expansion of basket of choices, to include new contraceptives like Injectable contraceptive, Centchroman and Progestogen Only Pills (POP),
  • Launching of a universal population based screening programme for early detection, management and control of common non-communicable diseases such as hypertension, diabetes, and cancers (breast, cervix and oral).
  • Swachh Swasth Sarvatra (SSS), a joint initiative of the Ministry of Health & Family Welfare (MoHFW) and the Ministry of Drinking Water and Sanitation (MoDWS) to leverage the achievements of the two Ministries for convergence of the interventions to maximize the health gains.

The Minister of State (Health and Family Welfare), Sh Faggan Singh Kulaste stated this in a written reply in the Rajya Sabha here today.



Courtesy: pib.nic.in

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