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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 : Ballia

    About DLHS - 3:

    and peoples perception about the quality of services. The District LevelHousehold Survey - 3 (DLHS -3) is the third in the series of district surveys,preceded by DLHS-1 in 1998-99 and DLHS-2 in 2002-04. As in DLHS-3, theInternational Institute for Population Sciences (IIPS) was the nodal agency toconduct DLHS-1 and DLHS-2. DLHS-3, like other two earlier rounds, is designedto provide estimates on important indicators on maternal and child health, familyplanning and other reproductive health services. In addition, DLHS-3 provides

    information on important interventions of National Rural Health Mission (NRHM).Unlike other two rounds in which all the currently married women age 15-44years in the selected households (HHs) were interviewed, DLHS -3 interviewed allever-married women (age 15-49) and all un-married (UM) women (age 15-24) inthe selected households (HHs).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 good performing districts, 1000HHs were fixed as sample size. In case of Ballia, sample size was 1000households with 10% additional HHs to take care of non-response/refusal, etc.

    The survey used two-stage stratified random sampling in rural and three-stagestratified sampling in urban areas of each district. The information from 2001Census was used as sampling frame for selecting primary sampling 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(Age 7+), etc. The required number of villages from each stratum were selectedwith probability proportional to size (PPS). In selected primary sampling units

    For larger villages (more than 300 HHs) segmentation was carried out. In case of300 to 600 HHs, two segments of equal size were made and one was selectedusing PPS. For PSUs having more than 600 HHs, segments of 150 HHs werecreated depending on the size and then two segments were selected using PPS.

    In case of urban areas, required number of wards were selected using PPS at firststage. In a selected ward, one enumeration block from 2001 census was selected

    The uniform bilingual questionnaires, both in English and in local language, wereused in DLHS-3 viz., Household, Ever Married Women (age 15-49), UnmarriedWomen (age 15-24) and Village and Health facility questionnaires.

    , ,number of marriages to usual members of the household since January 2004 and

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    Uttar Pradesh DLHS-3 District : Ballia

    Note:

    Unmet need for spacing

    Unmet need for limiting

    Unmet need

    Unmet need refers to unmet need for limiting and spacing put together.

    characteristics, maternal care, immunization and child care, contraception

    and fertility preferences, reproductive health including knowledge aboutHIV/AIDS.

    The unmarried woman's questionnaire contained information on hercharacteristics, family life education and age at marriage, reproductivehealth, awareness about contraception, RTI/STI and HIV / AIDS, etc.education and other facilities in the village and whether the healthfacilities are accessible throughout the year.

    District Hospital (DH) were covered. Further, all Sub-centres (SCs) andPrimary Health Centres (PHCs), which were expected to serve thepopulation of the selected PSUs were also covered. There were separatequestionnaires for SC, PHC, CHC and DH. They broadly include questionson infrastructure, human resources, supply of drugs & instruments, andperformance.

    women aged 15-44 yearswomen aged 15-49 years

    DLHS-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.

    DLHS-2: Includes Tap (Inside Residency/Yard/Plot), Tap (Shared/Public),Hand pump / Bore well, Well covered.

    DLHS-3: Includes Pipe into Dwelling, Piped to Yard/Plot, Public Tap/Standpi,

    currently 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 nor had hysterectomy norcurrently pregnant and do not want any more children but are currentlynot using any family planning method.

    # It is adjusted according to DLHS -3 definition.

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    Uttar Pradesh DLHS-3 istrict : Ballia

    District Indicators, Ballia, (2001 Census).

    Indicators Census 2001

    Population (in thousands) 2,761

    Decadal Growth Rate (1991-01) 21.67

    Sex Ratio * 953

    Percent Urban population 9.77

    Percent SC population 16.46

    Percent ST population 0.00

    Female Literacy Rate (7 years and above) 43.15

    Male Literacy Rate (7 years and above) 71.91

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

    Households 1,052 95.64

    Ever Married Women (15-49 years) 1,159 88.54

    Unmarried Women (15-24 years) 311 90.17

    Sub Centres (SCs) 40 100.0

    Primary Health Centres (PHCs) 11 100.0

    Community Health Centres (CHCs) 22 100.0

    District Hospital (D H) 1 100.0Population and Household Characteristics, 2007-08

    Background CharacteristicsDLHS - 3 DLHS - 2

    Total Rural Total Rural

    64.8 63.4 - -

    77.0 76.3 - -

    52.8 50.9 - -

    99.2 99.6 - -

    99.1 99.3 - -

    Have Electricity connection (%) 35.2 30.4 46.4 35.2

    Have Access to toilet facility (%) 15.3 11.1 28.3 15.7

    Use piped drinking water (%) 2.5 1.4 5.1 0.5

    Use LPG for cooking (%) 5.5 3.3 11.9 3.1

    Live in a pucca house (%) 14.8 11.6 24.4 13.2

    Own a house (%) 98.9 99.0 - -

    Have a BPL card (%) 40.8 41.5 - -Own Agriculture Land (%) 66.6 70.0 - -

    Have a television (%) 20.5 17.2 27.7 19.1

    Have a mobile phone (%) 31.5 29.3 - -Have a Motorized Vehicle (%) 7.9 7.4 12.4 11.9

    Percent total literate Population (Age 7+)

    Percent literate Male Population (Age7+)

    Percent literate Female Population (Age7+)

    Percent girls (age 6-11) attendingSchools

    Percent boys (age 6-11) attendingSchools

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    Uttar Pradesh DLHS-3 District : Ballia

    Indicators DLHS - 3 DLHS - 2

    Marriage and Fertility, (Jan 2004 to 2007-08)Total Rural Total Rural

    32.3 33.2 41.1 44.0

    47.8 48.5 53.3 55.0

    Sex Ratio at birth 120 116 - -

    61.7 63.2 - -

    9.8 10.4 - -

    Family planning (currently married women, age 15-49)

    Current Use :

    Any Method (%) 42.9 41.5 31.5 27.6

    Any Modern method (%) 25.2 25.0 25.9 23.2

    Female Sterilization (%) 21.6 21.7 17.6 16.6

    Male Sterilization (%) 0.4 0.4 0.3 0.0

    IUD (%) 0.3 0.1 1.2 0.8

    Pill (%) 0.6 0.7 2.5 2.7Condom (%) 2.1 2.3 4.0 2.9

    Total unmet need (%) 30.3 32.1 42.8 43.6

    For spacing (%) 10.1 11.0 15.2 15.6

    For limiting (%) 20.2 21.1 27.6 28.0

    Maternal Health:

    28.8 26.3 - -

    41.7 40.0 45.5 46.6

    82.6 81.5 87.5 87.4

    Institutional births (%) 34.6 32.4 33.5 31.1

    13.1 11.4 22.2 15.2

    24.1 23.3 - -

    Child Immunization and Vitamin A supplementation:

    44.5 43.9 51.7 48.0

    Percentage of girl's marryingbefore completing 18 years

    Percentage of Births of Order 3and above

    Percentage of women age 20-24reporting birth of order 2 &

    during age 15-19 out of total

    births

    Unmet Need for FamilyPlannin :

    Mothers registered in the firsttrimester when they were

    pregnant with last live birth/still

    Mothers who had at least 3 Ante-Natal care visits during the last

    Mothers who got at least one TTinjection when they werepregnant with their last live birth

    Delivery at home assisted by adoctor/nurse /LHV/ANM(%)

    Mothers who received post natalcare within 48 hours of deliveryof their last child (%)

    C i ren 12-23 mont s u yimmunized (BCG, 3 doses eachof DPT, and Polio and one doseof Measles) (%)

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    Use of Family Planning Methods (%) 1.2 1.4 - -

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    Uttar Pradesh DLHS-3 District : Ballia

    Facility SurveyCommunity Health Centre (CHC) N = 2 (Contd..)

    Indicators Number Indicators Number

    Human Resource : Supply :

    CHCs having General Surgeon 5 18

    CHCs having Obstetrician/ Gynecolog 1 CHC with 24 hours New born care 8

    7 2

    23

    6

    6

    Primary Health Centre (PHC) N= 11

    Infrastructure : Performance :

    5 20

    PHCs having separate Labour Room 4 65

    PHCs having Personal Computer 0 14

    PHCs having Normal Delivery Kit 2 33

    PHCs having Large Deep Freezer 1 35

    PHCs having regular water supply 10 33

    0 39

    0 39

    CHC with 24 hours normal deliveryservices.

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

    CHC recognized as IntegratedCounseling and Testing Centre(ICTC).

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

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

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

    PHCs having Residential Quarter forMedical Officer

    Haemogram 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

    PHCs having Neonatal Warmer(Incubator)

    Women provided with post-natalcare services during last one month

    PHCs having Operation Theater withBoyles Apparatus

    New born care provided during lastone month

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    Uttar Pradesh DLHS-3 District : Ballia

    Facility SurveyPrimary Health Centre (PHC) N = 11 (Contd..)

    Indicators Number Indicators Number

    Human Resource : Supply :

    PHCs having Lady Medical Officer (LM 0 0

    PHCs having Laboratory Technician 2

    0

    4

    0

    Sub Centre (SC) N =40

    Infrastructure : Performance :

    16 3,154

    0

    32

    ANMs staying in Sub Centre village 2

    21

    29

    Human Resource : Supply :

    0 39

    24 30

    40 12

    15 26

    PHCs that received the untied fundin previous financial year.

    PHCs organized any trainingprogramme in their PHCss duringlast year.

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

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

    Sub Centres located in governmentbuilding

    Number of Infants and childrenimmunized

    Sub Centres having communicationfacility

    Sub Centres having separate labourroom

    Sub Centres having staff quarter forANM

    supply

    Sub Centres where Male HealthWorker was in position

    Sub-Centres having auto-disposablesyringes

    ANMs had Integrated Skill

    Development Training in last 5 years

    Sub-Centres reporting IFA tabletsout of stock for more than 10 days

    during last one month

    ANMs ever been trained inIntegrated Skill DevelopmentTraining

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

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

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

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    Uttar Pradesh DLHS-3 District : Ballia

    Performance at a Glance

    0

    20

    40

    60

    had Minimum of Three Ante-natal Check-up by Re

    DLHS - 2 DLHS - 3

    Percen

    t

    0

    20

    40

    60

    80

    100

    men Received Atleast One TT Injection by Reside

    DLHS - 2 DLHS - 3

    Percen

    t

    0

    10

    20

    30

    40

    50

    60

    Contraceptive Use (Any Method) by Residence

    DLHS - 2 DLHS - 3

    Percen

    t

    0

    10

    20

    30

    40

    50

    Institutional Deliveries by Residence

    DLHS - 2 DLHS - 3

    Percen

    t

    0

    10

    20

    30

    40

    50

    60

    70

    80

    ren (Age 12-23 Months) Received Measles Vacci

    DLHS - 2 DLHS - 3

    Percen

    t

    0

    10

    20

    30

    40

    50

    60

    otal Unmet Need for Family Planning by Residenc

    DLHS - 2 DLHS - 3

    Percen

    t

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