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Page 1: 04 Moradabad-factsheet UP

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For further information, please contact:

Additional Director General (Stat.)

Ministry of Health and Family Welfare

Government of India

Nirman BhavanNew Delhi - 110 011

 Telephone: 011-23061334

Fax: 011-23061334

E-mail: [email protected]

Chief Director (Stat.)

Ministry of Health and Family WelfareGovernment of India

Nirman Bhavan

New Delhi - 110 011

 Telephone: 011-23062699

Fax: 011-23062699

E-mail: [email protected]

Director/ Project Coordinator (DLHS -3)

International Institute for Population Sciences (IIPS)

Govandi Station Road, Deonar

Mumbai - 400 088

 Telephone: 022- 2556 3254/5/6

Fax: 022- 2556 3257, 2555 5895

E-mail: [email protected], [email protected]: http://www.rchiips.org

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Uttar Pradesh DLHS-3 District : Moradabad

About DLHS - 3:

 view to assess the utilization of services provided by government healthcare facilities and people’s perception about the quality of services. TheDistrict Level Household Survey - 3 (DLHS -3) is the third in the series of district survey, preceded by DLHS-1 in 1998-99 and DLHS-2 in 2002-04.As in DLHS-3, the International Institute for Population Sciences (IIPS) wasthe nodal agency to conduct DLHS-1 and DLHS-2. DLHS-3, like other twoearlier round, is designed to provide estimates on important indicators onmaternal and child health, family planning and other reproductive health

services. In addition, DLHS-3 provides information on importantinterventions of National Rural Health Mission (NRHM). Unlike other tworounds in which only currently married women age 15-44 years wereinterviewed, DLHS -3 interviewed ever-married women (age 15-49) andnever married women (age 15-24).

e samp e s ze among e s r c s n e coun ry var es accor ng otheir performance in terms of ante-natal care (ANC), institutional delivery,immunization, etc. and it was fixed based on information related to suchindicators from DLHS-2. For low performing districts, 1500 Households

(HHs), for medium performing districts, 1200 HHs and for goodperforming districts, 1000 HHs were fixed as sample size. In case of Moradabad, sample size was 1500 households with 10% additional HHs totake care of non-response/refusal, etc.

 The survey used two-stage stratified random sampling in rural and three-stage stratified sampling in urban areas of each district. The informationfrom 2001 Census was used as sampling frame for selecting primarysampling units (PSUs). In rural areas, all the villages in the district were

stratified into different strata based on population /HH size, percentage of SC/ ST population, female literacy (7+), etc. The required number of villages from each strata were selected with probability proportional tosize (PPS). In selected primary sampling units (villages), household listingwas done and required number of households were selected using

For larger villages (more than 300 HHs) segmentation was carried out. Incase of 300 to 600 HHs, two segments of equal size were made and onewas selected using PPS. For PSUs having more than 600 HHs, segments of 150 HHs were created depending on the size and then two segments

were selected using PPS. In case of urban areas, number of wards wereselected using PPS at first stage. In a selected ward, one enumerationblock from 2001 census was selected again using PPS. Procedure for

language, were used in DLHS-3 viz., Household, Ever Married Women(age 15-49), Unmarried Women (age 15-24), Village and Health facilityquestionnaires.

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 - ,

assets possessed, number of marriages to usual members of thehousehold since January 2004 and deaths in the household since January

2004 etc. was collected. In case of female deaths, attempts were madeto assess maternal death. The household questionnaire also collectedinformation on respondent’s knowledge (seen/read/heard) aboutmessages related to various government health programmes beingspread through media and other sources.

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Uttar Pradesh DLHS-3 District : Moradabad

Note:

Unmet need for spacing

Unmet need for limiting

Unmet need

Unmet need refers to unmet for limiting and spacing.

# It is adjusted according to DLHS - 3 definition.

Correct Knowledge of HIV/AIDS

 characteristics, maternal care, immunization and child care,

contraception and fertility preferences, reproductive health includingknowledge about HIV/AIDS.

  The unmarried women's questionnaire contained information on hercharacteristics, family life education and age at marriage, reproductivehealth-knowledge and awareness about contraception, HIV / AIDS, etc. education and other facilities in the village and whether the healthfacilities are accessible throughout the year. DLHS-3. In a district, all Community Health Centres (CHCs) and District

Hospital (DH) were covered. Further, all Sub-centres (SC) and PrimaryHealth Centres (PHC) which were expected to serve the population of theselected PSU were also covered. There were separate questionnaires forSC, PHC, CHC and DH. They broadly include questions on infrastructure,human resources, supply of drugs & instruments, and performance.

DLHS -2 information is based on data collected from currently marriedwomen 15-44 yearsDLHS -3 information is based on data collected from ever married

women 15-49 yearsDLHS -2 in total percentage is adjusted for indicators considering oversampling of urban PSUs in DLHS-2. This adjustment is done in thosedistricts where urban percentage is less than 30. Residency/Yard/Plot),Tap(Shared/public),Hand pump/Bore well,Well-Covered.DLHS -3 Includes Pipe into Dwelling, Piped to yard/Plot, Public Tap/Standpipe.

 women who are neither in menopause or had hysterectomy nor arecurrently pregnant and who want more children after two years or laterand are currently not using any family planning method. The women whoare not sure about whether and when to have next child are also includedin unmet need for spacing.

women who are neither in menopause or had hysterectomy nor arecurrently pregnant and do not want any more children but are currentlynot using any family planning method.

 The Women who heard about HIV/AIDS and have correct knowledge aboutt i i f HIV/AIDS d k l d f ti f HIV/AIDS

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Uttar Pradesh DLHS-3 District : Moradabad

District Indicators, Moradabad, (2001 Census).

Indicators Census 2001

Population (in thousands) 3811

Decadal Growth Rate (1991-01) 26.5

Sex Ratio * 875

Percent Urban population 30.7

Percent SC population 15.9

Percent ST population 0.0

Female Literacy Rate (7 years and above) 26.2

Male Literacy Rate (7 years and above) 44.0

Sample outcome, DLHS -3, 2007-08Category No. covered Response Rate

Households 1600 97.0

Ever Married Women (15-49 years) 1439 90.5

Unmarried Women (15-24 years) 625 88.8

Sub Centres (SC) 30 100

Primary Health Centres (P H C) 12 100

Community Health Centres (C H C) 4 100

District Hospital (D H) 2 100Population and Household Characteristics, 2007-08

Background CharacteristicsDLHS - 3 DLHS - 2

Total Rural Total Rural

59.9 57.6 - -

71.1 70.7 - -

48.2 43.8 - -

97.7 98.2 - -

97.8 97.6 - -

Have Electricity connection (%) 41.5 25.3 36.8 18.6

Have Access to toilet facility (%) 57.8 42.6 43.3 24.2

Use piped drinking water (%) 10.5 1 13.1 3.1

Use LPG for cooking (%) 16.9 3.5 16.3 3

Live in a pucca house (%) 27.5 13.8 24.8 7.6

Own a house (%) 96.7 99 - -

Have a BPL card (%) 13.3 16.8 - -

Own Agriculture Land (%) 50.1 66.6

Have a television (%) 30.7 21.1 34.2 23

Have a mobile phone (%) 30.1 20.8 - -

Have a Motorized Vehicle (%) 18.1 13.8 15.8 11

Standard of Living Index

Low (%) 63.3 76.4 53.8 68.5

Medium (%) 18 8 16 6 28 4 26 4

Percent total literate Population (Age 7+)Percent literate Male Population (Age7+)Percent literate Female Population(Age 7+)Percent girls (age 6-11) attendingSchools

Percent boys (age 6-11) attendingSchools

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Use of Family Planning Methods (%) 1.3 1.9 - -

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Uttar Pradesh DLHS-3 District :

Village

Indicators Nu

Villages that have implemented Janani Suraksha Yojana (JSY) 3

Villages with Health & Sanitation Committee

Villages with Rogi Kalyan Samiti (RKS)

Villages where PRI aware of untied fund by Government

Health facility within village - ICDS (Anganwadi) 3

Health facility within village- Sub-Centre 1

2

Health facility within village- PHC

3

Health facility within village- Block PHC

3

Health facility within village- Govt. Dispensary

3

Health facility within village- Private Clinic 1

2

Health facility within village- AYUSH Health Facility

3

Facility SurveyCommunity Health Centre (CHC) N = 4

Indicators Number Indicators Nu

Infrastructure : Performance

CHC having Personal Computer 2 In-patients admission in last one month. 1

CHC having Operation Theatre 4 1

CHC having Labour Room 4 Deliveries performed in last one month. 7CHC having Blood Storage Facility 1 Blood transfusion done in last one month.

CHC having large deep freezer 2 Sterilization conducted in last one month. 1

4

CHC having water supply for 24 hou 4

CHC having Ambulance on road. 2

If health facility is not in the village, whether accessible to the nearest health facility throughoutthe year-ICDS (Anganwadi)

If health facility is not in the village, whether accessible to the nearest health facility throughoutthe year-Sub-Centre

If health facility is not in the village, whether accessible to the nearest health facility throughoutthe year-PHC

If health facility is not in the village, whether accessible to the nearest health facility throughoutthe year-Block PHC

If health facility is not in the village, whether accessible to the nearest health facility throughoutthe year-Govt. Dispensary

If health facility is not in the village, whether accessible to the nearest health facility throughoutthe year-Private Clinic

If health facility is not in the village, whether accessible to the nearest health facility throughout

the year-AYUSH Health Facility

Referred cases for serious ailments from CHC tohigher centres during last one month.

CHC prepared a CHC plan for thecurrent year

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oradabad

ber

0

3

1

4

2

4

3

3

2

3

ber

1

8

8

9

6

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Uttar Pradesh DLHS-3 District : Moradabad

Facility SurveyCommunity Health Centre (CHC) N = 4 (Contd..)

Indicators Number Indicators Number

Human Resource : Supply :

CHC having General Surgeon 1 4

CHC having Obstetrician/ Gynecologi 2 CHC with 24 hours New born care 3

1 0

6

3

3

Primary Health Centre (PHC) N= 12

Infrastructure : Performance :

9 0

PHC having separate Labour Room 10 1040

PHC having Personal Computer 0 666

PHC having Normal Delivery Kit 7 126

PHC having Large Deep Freezer 6 329

PHC having regular water supply 12 456

1 334

5 393

CHC with 24 hours normal deliveryservices.

M.O. received training of Non-Scalpel Vasectomy (NSV) during lastfive years.

CHC recognized as IntegratedCounseling and Testing Centre(ICTC).

M.O. received training forPrevention, Care and Support forHIV/AIDS during last five years.

M.O. received training of basicEmergency Obstetric Care duringlast five years.

M.O. received training of IntegratedManagement of Neonatal andChildhood illness during last fiveyears.

PHC having Residential Quarter forMedical Officer

Hemoglobin tests (TLC/DLC)conducted during last one month

Blood smear examinations for

malaria parasite conducted duringlast one month

In-patient admissions during lastone month

Referral cases for serious ailmentsfrom PHC to higher centres duringlast one month

Deliveries performed during last onemonth

Beneficiaries of JSY during last onemonth

PHC having Neonatal Warmer(Incubator)

Women provided with post-natalcare services during last one month

PHC having Operation Theater withBoyles Apparatus

New born care provided during lastone month

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Uttar Pradesh DLHS-3 District : Moradabad

Facility SurveyPrimary Health Centre (PHC) N = 17 (Contd..)

Indicators Number Indicators Number

Human Resource : Supply :

PHC having Lady Medical Officer (LM 3 10

PHC having Laboratory Technician 7

11

5

2

Sub Centre (SC) N =30

Infrastructure : Performance :

7 2282

1

17

ANM staying in Sub Centre village 0

5

28

Human Resource : Supply :

3 30

7 21

14 3

12 28

PHC that received the untied fund inprevious financial year.

PHC organized any trainingprogramme in their PHC during lastyear.

PHC having at least one MO ,whoreceived Integrated SkillDevelopment Training for 12 daysduring last five years.

PHC having at least one MO, whoreceived IMNCI training during lastfive years.

Sub Centre located in governmentbuilding

Number of Infants and childrenimmunized

Sub Centre having communicationfacility

Sub Centre having separate labourroom

Sub Centre having staff quarter forANM

 supply

Sub Centre where Male HealthWorker in position

Sub-Centre having auto-disposablesyringes

ANM had Integrated Skill

Development Training in last 5 years

Sub-Centre reporting IFA tablets outof stock for more than 10 days

during last one month

ANM ever been trained in IntegratedSkill Development Training

Sub-Centre reporting Vitamin A outof stock for more than 10 daysduring last one month

ANM trained in integratedmanagement of neonatal andchildhood Illnesses (IMNCI) in last 5years

Sub-Centre reporting ORS packetsout of stock for more than 10 daysduring last one month

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Uttar Pradesh DLHS-3 District : Moradabad

Performance at a Glance

0

20

40

60

80

100

had Minimum of Three Anti-natal Check-up by Res

DLHS - 2 DLHS - 3

      P     e      r     c 

     e      n

      t

0

20

40

60

80

100

men Received Atleast One TT Injection by Reside

DLHS - 2 DLHS - 3

       P      e       r      c 

      e       n

       t

0

10

20

30

40

50

60

70

80

90

100

Contraceptive Use (Any Method) by Residence

DLHS - 2 DLHS - 3

       P      e       r      c       e       n

       t

0

10

20

30

40

50

60

70

Institutional Deliveries by Residence

DLHS - 2 DLHS - 3

       P      e       r      c       e       n

       t

0

10

20

3040

50

60

70

80

90

100

ren (Age 12-23 Months) Received Measles Vacci

DLHS - 2 DLHS - 3

       P

      e       r      c       e       n

       t

0

10

20

30

40

50

60

70

otal Unmet Need for Family Planning by Residenc

DLHS - 2 DLHS - 3

       P

      e       r      c       e       n

       t

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