data analysis gujarat 2010 k.k.panchal additional director(vs)
TRANSCRIPT
Data Analysis Gujarat
2010
K.K.PANCHAL
Additional Director(VS)
Demographic ProfileArea (Sq. km) 196024
Total Population (2011) (‘000) 60383
% of Urban Population 42.6
Literacy Rate-2011 79.3
Sex Ratio, 2011 918
Sex Ratio in 0-6 age group 886
Sex Ratio in 0 age group,2001 census 859
Decadal Growth Rate 19.2
% of SC Population-2001 7.1
% of ST Population-2001 14.8
Literacy Rate in SCs-2001 70.5
Literacy Rate in ST-2001 47.7
Birth Rate SRS 2009 22.3
Death Rate SRS 2009 6.9
IMR SRS 2009 44
MMR SRS 2007-2009 148
Sex Ratio at Birth SRS 2008 898
Sex Ratio in 0-4 age group SRS 2008 883
No. of inhabited Villages 18066
Village Panchayat 13753
N.Panchayat/Municipalities 172
Municipal Corporation 7
No. of Reporting Unit –Rural 18131
No. of Reporting Unit - Urban 162
Registration Units - Urban Units: 162 & Rural Units: 18131
Vital Events Trends
Trend in receipt of returns
Year Rural Urban Overall
2004 97.3 98.5 97.4
2005 100.0 100.0 100.0
2006 98.8 100.0 98.8
2007 100.0 100.0 100.0
2008 100.0 100.0 100.0
2009 100.0 100.0 100.0
2010 100.0 100.0 100.0
Trend in Registration of vital events
2009 2010%
increase over 2009
Live Births
1345861 1327404 -1.4
Deaths 317985 323689 1.8
Infant Deaths
9578 8954 -6.5
Maternal Deaths
321 151 -53
Still Births 7791 8385 7.6
Trends in Vital Registrations
Year Registration Trend
Birth (%)
Death (%)
2004 84.2 64.0
2005 89.2 64.8
2006 96.7 73.9
2007 97.7 75.4
2008 102.4 79.4
2009 103.2 79.7
2010 101.8 80.2
84.2
89.2
96.797.7
102.4 103.2 101.8
64.064.8
73.975.4
79.4 79.7 80.2
50.0
60.0
70.0
80.0
90.0
100.0
110.0
2004 2005 2006 2007 2008 2009 2010
Per
cent
% Level of Registration -Birth
% Level of Registration -death
Birth Registration by Time
Time of
Registration
2005 2006 2007 2008 2009 2010
Within time 95.1 93.5 94.7 94.6 94.5 94.3
Within 21 to 30 days
2.4 2.7 2.3 2.6 2.5 2.5
After 30 days but within one year
1.8 2.7 1.8 1.7 1.8 2.0
After one year 0.7 1.1 1.2 1.1 1.2 1.2
Birth Registration by Time - Rural
Time of Registration
2005 2006 2007 2008 2009 2010
Within time 94.7 93.6 93.8 93.7 93.2 92.9
Within 21 to 30 days 2.3 2.5 2.8 2.6 2.9 2.9
After 30 days but within one year
2.0 2.6 2.1 2.2 2.3 2.5
After one year 1.0 1.3 1.4 1.5 1.6 1.8
Birth Registration by Time - Urban
Time of Registration 2005 2006 2007 2008 2009 2010
Within time 95.4 93.3 95.5 95.3 95.4 95.2
Within 21 to 30 days 2.5 2.9 2.0 2.1 2.1 2.3
After 30 days but within one year
1.6 2.8 1.6 1.6 1.5 1.6
After one year 0.5 1.0 1.0 1.0 1.0 0.8
Percent Birth Registration by Time, Sex and Residence - 2010
Time of Registration Rural Urban Combined
Male
Within time 92.8 95.3 94.3
Within 21 to 30 days 2.9 2.3 2.5
After 30 days but within one year 2.5 1.6 2.0
After one year 1.8 0.8 1.2
Female
Within time 92.9 95.2 94.3
Within 21 to 30 days 2.8 2.3 2.5
After 30 days but within one year 2.5 1.7 2.0
After one year 1.8 0.8 1.2
Combined
Within time 92.9 95.2 94.3
Within 21 to 30 days 2.9 2.3 2.5
After 30 days but within one year 2.5 1.6 2.0
After one year 1.8 0.8 1.2
Crude Birth Rates
CRS - SRS Comaprison of Crude Birth Rate - Gujarat (1995 and 2001 to 2010`)
25
.2
21
.7
21
.0
20
.9
23
.0
21
.1
22
.5
22
.2
23
.1
23
.0
22
.7
26
.7
25
.0
24
.7
24
.6
24
.3
23
.7
23
.7
23
.0
22
.6
22
.6
22
.3
15.0
17.0
19.0
21.0
23.0
25.0
27.0
29.0
1995 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
CRS SRS
13
1.4
13
0.5
13
0.4
12
2.8
12
3
12
1.9
12
2.3
10
6.9
10
4
11
6.3
10
3.2 1
07
.3
10
0.7
98
94
91
.8
90
.5 92
90
.7
87
.4
74
.2 77
14
9.1
14
8.7
13
5.6
13
5.3
12
9.7
12
5.6
11
8.9
11
6.4
11
2.3
11
0.8
10
6.9
10
3.1
10
3.0
10
2.8
10
2.2
10
0.7
94
.6
90
.4
90
.3
89
.0
88
.1
86
.8
85
.0
74
.2
73
.8
14
0.6
14
4.9
11
4.8
70.0
80.0
90.0
100.0
110.0
120.0
130.0
140.0
150.0
160.0
P.m
ahal
s
Dan
gs
Doh
ad
B'K
anth
a
Pata
n
s' K
anth
a
Bha
vnag
ar
Kac
hchh
Am
reli
Nar
mad
a
Mah
esan
a
S'n
agar
Ana
nd
Raj
kot
Khe
da
Juna
gadh
Porb
anda
r
Bha
ruch
Jam
naga
r
Gan
dhin
agar
Val
sad
Ahm
adab
ad
Vad
odar
a
Sur
at
Nav
sari
2009 2010
Guj-2009 Guj-2010
District wise level of Birth Registration CRS 2009 and 2010
103.2
101.8
District wise CBR Based on Registration -2010
33.2
33.2
30.2
30.2
28.9
28.0
26.5
26.0
25.0
24.7
23.8
23.0
23.0
22.9
22.8
22.5
21.1
20.2
20.1
19.8
19.7
19.4
19.0
16.5
16.5
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0T
he D
angs
Pan
ch M
ahal
s
Doh
ad
Ban
as K
anth
a
Pat
an
Sab
ar K
anth
a
Bha
vnag
ar
Kac
hchh
Am
reli
Nar
mad
a
Mah
esan
a
Ana
nd
Sur
endr
anag
ar
Raj
kot
Khe
da
Juna
gadh
Por
band
ar
Bha
ruch
Jam
naga
r
Gan
dhin
agar
Val
sad
Ahm
adab
ad
Vad
odar
a
Nav
sari
Sur
at
CBRState - CRS
State - SRS, 2009
22.7
22.6
%age Distribution of Birth Registered by type of Medical Attention – CRS 2010
Institutional Delivery by type – CRS 2010
Birth Registration by Birth Order, Total-2010
2nd child, 415914, 31%
3rd Child, 156505, 12%
1st Child, 629719, 48%
4th & above, 125266,
9%
Birth Registration by Birth order- CRS, 2010
Rural Urban
1st Child, 241568, 45%
4th & above, 72069, 14%
3rd Child, 63789, 12%
2nd child, 154800, 29%
1st Child, 241568,
45%
4th & above, 72069, 14%3rd Child, 63789,
12%
2nd child, 154800,
29%
Children by level of
Mother’s Education
2+ Children
3+ Children
Primary but below Matric
27%
Not stated8%
Graduate and above
1%Matric but below Graduate
9% Illiterate30%
Below Primary25%
Graduate and above
2%
Matric but below Graduate
12%
Primary but below Matric
29%
Not stated5%
Below Primary27%
Illiterate25%
Crude Death Rates
CRS-SRS Comparison of Death Rate -Gujarat (1995 and 2001 to 2010)
5.4
4.6 4
.9
4.5
4.9 5
.1
4.6
5.3 5.4 5.5
5.5
5.5
7.6
7.5 7
.8
7.7
7.6
6.9 7
.1
7.1 7.2
6.9
6.9
6.9
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
9.0
1995 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
CRS SRS
Death Registered by Medical Attention - 2010
90949, 28%
20486, 6%
212254, 66%
Institutional
Medical Attention other thanInstitution
No Medical Attention
Percent Death Registration by Time, Sex and Residence -2010
Time of Registration Rural Urban Combined
Male
Within time 94.2 88.2 91.5
Within 21 to 30 days 2.0 2.5 2.2
After 30 days but within one year 2.8 7.5 4.9
After one year 1.1 1.6 1.3
Female
Within time 94.1 88.0 91.1
Within 21 to 30 days 2.1 2.6 2.4
After 30 days but within one year 2.7 7.7 5.1
After one year 1.2 1.6 1.4
Combined
Within time 94.1 88.2 91.3
Within 21 to 30 days 2.0 2.6 2.3
After 30 days but within one year 2.7 7.6 5.0
After one year 1.1 1.6 1.4
10
6.5
10
4.0
10
1.8
10
1.0
95
.8
95
.1
92
.9
88
.7
88
.6
81
.9
81
.9
80
.1
79
.3
78
.4
78
.1
75
.2
74
.6
74
.2
72
.8
69
.1
67
.6
64
.2
63
.2
52
.6
41
.8
10
0.7 10
4.1
10
2.9
88
.9
10
0.9
96
.6
94
.0
92
.6
74
.8
92
.4
91
.3
83
.0
82
.5
83
.5
74
.0
73
.4
77
.5
76
.8
75
.7
70
.8
86
.7
72
.5
64
.1
55
.9
41
.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
110.0
Ana
nd
Nav
sari
Bha
ruch
Dan
gs
Nar
mad
a
A'B
ad
Khe
da
Mah
esan
a
Raj
kot
Vad
odar
a
Val
sad
Am
reli
Por
band
ar
Pat
an
Juna
gadh
Bha
vnag
ar
Gan
dhin
agar
S'K
anth
a
Jam
naga
r
Sur
at
P'M
ahal
s
S.n
agar
Kac
hchh
B'K
anth
a
Doh
ad
2009 2010
Guj-2009 Gug-2010
District wise level of Death Registration 2009 and 2010
District wise CDR based CRS–20107.
2
7.1
7.0
6.9
6.7
6.5
6.4
6.4
6.3
6.1
5.8
5.7
5.7
5.3
5.3
5.2
5.1
5.1
5.1
5.0
4.9
4.6
4.4
3.9
2.8
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
Nav
sari
Bha
ruch
Nar
mad
a
Ana
nd
Ahm
adab
ad
Khe
da
Vad
odar
a
Mah
esan
a
Val
sad
Dan
gs
Pat
an
Por
band
ar
Am
reli
Gan
dhin
agar
Sab
ar K
anth
a
Jam
naga
r
Raj
kot
Juna
gadh
Bha
vnag
ar
Sur
endr
anag
ar
Sur
at
Pan
ch M
ahal
s
Kac
hchh
Ban
as K
anth
a
Doh
ad
CDR as per CRS 2008
State CDR as per CRS
CDR as per SRS, 2008
6.9
6.9
Sex Ratio at Birth
Sex Ratio at Birth, Comparison with SRS & CRS
Year SRS Estimates As per CRS
1 2003
Total 862 835
Rural 876 855
Urban 827 813
2 2005
Total 855 824
Rural 876 842
Urban 807 806
3 2007
Total 891 879
Rural 915 881
Urban 848 877
4 2008
Total 898 883
Rural 922 886
Urban 856 881
5 2009
Total 904 905
Rural 929 907
Urban 859 904
6 2010
Total NA 902
Rural NA 920
Urban NA 890
802
826
835
824
845
870
879883
905902
800
820
840
860
880
900
920
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
SEX RATIO AT BIRTH REGISTRATION Gujarat: 2001-10 (CRS)
Comparision of Sex Ratio 0-6 Age Group, 2011 and CRS - 2010
750
800
850
900
950
1000A
hmad
abad
Am
reli
Ana
nd
Bha
ruch
Bha
vnag
ar
B'K
anth
a
Dan
gs
Doh
ad
Gan
dhin
agar
Jam
naga
r
Juna
gadh
Kac
hchh
Khe
da
Mah
esan
a
Nar
mad
a
Nav
sari
P.m
ahal
s
Pat
an
Por
band
ar
Raj
kot
s' K
anth
a
S'n
agar
Sur
at
Vad
odar
a
Val
sad
2011 (0-6 age Group)
2010
CRS 2009
CRS 2010
Medical certification of cause of death
Importance of Mortality dataImpact of health services in community –
Deciding prioritiesAccess the effectiveness of health
programme Detect changes in mortality pattern Scientific base for Medical ResearchEvaluation of Health Indicators
Based on provision of Registration of Birth and Death Act 1969
Part of Civil Registration System, operational in many states in the beginning of 70s.
Based on ICD 10 of WHO National List of Mortality 21 Major Groups (chapter), 3 volumes and
structure of coding pattern is alphanumeric of ICD 10.
MEDICAL CERTIFICATION OF CAUSE OF DEATH
However, the implementation and coverage of
MCCD scheme is not uniform at all levels. The office
of the Registrar General, India is reviewing proper
implementation of MCCD scheme along with the
implementation of RBD Act.
Medical Certification of Cause of Death (Cont..)
The Registration of Births and Deaths Act, 1969
came into force in the state of Gujarat from 01-04-
1970. With the introduction of Gujarat Registration
of Births and Deaths Rules, 1973 from 18-04-1973,
all civil surgeons and medical officers of referral
hospitals were intimated to introduce the
certification of death as per prescribed Performa
under the rule.
Medical Certification of Cause of Death In Gujarat
Medical Certification of Cause of Death under Civil Registration System has got statutory backing under sections 10(2) and 10(3) of the Registration of Births & Deaths Act, 1969.
The Act also incorporates a clause (section 17(1)(b)) about the confidentiality of the information on cause of death, forbidding to disclose this in any extract provided from the registration records.
Legal Provisions
Legal ProvisionsSection 10(2):
In any area, the state Govt. having regard to the
facilities available therein in this behalf, may
require that a certificate as to the cause of death
shall be obtained by the Registrar from such
person and in such form as may be prescribed.
Section 10(3):
Where the state Govt. has required under subsection 10(2)
that a certificate as to the cause of death shall be
obtained, in the event of the death of any person who
during his last illness, was attended by a medical
practitioner, the medical practitioner shall, after the death
of that person, forthwith, issue cause of death certificate
according to best of his/her knowledge and experience,
without charging any fee, to the person required under this
Act to give information concerning the death.
Legal Provisions
Legal Provisions
Section 17(1)(b):
Subject to any rules made in this behalf by the
State Govt. including rules relating to the payment
of fees and postal charges, any person may obtain
an extract from such registrar relating to any birth
or death; provided that no extract relating to any
person, shall disclose the particulars regarding the
cause of death as entered in the register.
Legal Provisions
Under Section 23(3) of the RBD Act, any Medical
Practitioner who neglects or refuses to issue a
certificate under section 10(3) and any person who
neglects or refuses to deliver such certificate shall
be punishable with fine, which may extend to fifty
rupees.
Status of MCCD in Gujarat
The MCCD scheme has initially been implemented at four
teaching hospitals- Ahmedabad, Vadodara, Surat and
Jamnagar. Later Rajkot and Bhavnagar included in the
scheme. Currently apart from above all six medical college, all
municipal corporation reports MCCD data. And From 2009 all
27 district hospitals are going to report MCCD data.
Presently we are in phase III of the training schedule. Means
training of CHC’s doctors and coders with sub district
hospitals. Then letter on PHC’s doctors and some of remaining
private doctors will train.
Medical certified deaths reported 2002- 10
1771919367
18052
22140
3221035122
51248
58940
67181
10000
20000
30000
40000
50000
60000
70000
2002 2003 2004 2005 2006 2007 2008 2009 2010
Units 2002 2003 2004 2005 2006 2007 2008 2009 2010
AHMEDABAD* 4727 4933 3627 5025 14762 17212 18455 19074 19057
VADODARA* 2619 3006 3130 2069 3029 3001 5387 7117 6943
SURAT* 5409 5881 6349 8576 8033 7394 17212 16753 18626
JAMNAGAR* 1518 1632 1375 1309 2178 1748 1785 2371 5104
RAJKOT* 1706 2222 1950 2397 2598 3281 2851 6517 8379
BHAVNAGAR* 1743 1693 1621 1764 1610 1870 676 1483 2929
KARMSAD - - - - - - - - 577
DIST. HOSP.** - - - - - 616 4973 5625 4489
CHC - - - - - - - - 1077
TOTAL 17719 19367 18052 22140 32210 35122 51248 58940 67181
* = INCLUDE DATA OF MUNICIPAL CORPORATION AREA & PRIVATE HOSPITAL
** = INCLUDE ALL DIST. HOSPITAL DATA
Year wise deaths covered under MCCD 2002 to 2010
AGE AND GENDER WISE DISTRIBUTION OF DEATHS
Age
Group
Male Female Total
Nos. % age Nos. % age Nos. % age
<1 3918 9.5 2702 10.5 6620 9.8
1 – 4 782 1.9 671 2.6 1453 2.2
5 – 14 1097 2.6 822 3.2 1919 2.9
15 – 24 2699 6.5 2371 9.2 5070 7.5
25 – 34 3784 9.1 2491 9.6 6275 9.3
35 – 44 5044 12.2 2353 6.1 7397 11.0
45 – 54 6413 15.5 2708 10.5 9121 13.6
55 – 64 6457 15.6 2969 11.3 9426 14.0
65 – 69 3268 7.9 1846 7.1 5114 7.6
70+ 7916 19.1 6871 26.6 14786 22.0
Total 41378 100.0 25803 100.3 67181 100.0
SIX major causes of deaths 2005 to 2010
MG Major Categories of ICD10 2005 2006 2007 2008 2009 2010
IXDiseases of the Circulatory System (I00-I99)
16.88 22.64 20.66 20.50 20.92 18.62
ICertain Infectious and Parasitic Diseases (A00-A99)
21.01 18.68 16.41 14.36 13.49 14.66
XDiseases of the Respiratory System (J00-J99)
4.14 5.67 6.31 6.06 9.46 10.52
XVICertain Conditions Originating in the Peri natal Period (P00-P99)
11.79 10.15 8.50 6.60 6.48 5.93
XIXInjury, Poisoning, and certain other Consequences of External Causes (S00-T98)
12.70 4.67 10.31 6.34 5.77 7.10
XVIII
Symptoms, Signs and Abnormal Clinical and Laboratory Findings- Not classified Else where
(R00-R99)
16.78 17.20 14.28 25.69 24.13 23.29
Leading cause of deaths according to Major categories MCCD, 2010
Symptom Signs and Abnormal
clinical Findings NEC
(R00-R99) 23.3%
Diseases of the Circulatory
System (I00-I99) 18.6%
Certain Infectious and
Parasitic diseases (A00-
B99) 14.7%
Diseases of the
Respiratory System (J00-
J98) 10.6%
Injury, Poisoning and Certain Other Consequences of External Cause (S00-
T98) 7.1%
Certain Condition
Originating in the perinatal period (P00-
P96) 5.9%
Other Groups 19.8%
I Certain Infectious and Parasitic Diseases
XVI Certain condition originating in the perinatal period
IX Diseases of circulatory system XVIII Symptoms, signs and abnormal clinical and laboratory findings not elsewhere classified
X Diseases of the respiratory system XIX Injury, poisoning and certain other consequences of external causes
Death by Six Major Category and Age Group
CATEGORY XVIII CATEGORY IX CATEGORY I
CATEGORY X CATEGORY XVI CATEGORY XIX
PREGNANCY, CHILD BIRTH AND PUERPERIUM (O00-O99)
PREGNANCY WITH ABORTIVE OUTCOME
(O00-O08) 3.57%
OTHER DIRECT OBSTETRIC DEATHS (O10-O92)
79%
OTHER OBSTETRIC CONDITIONS, NOT
ELSEWHERE CLASSIFIED (O95-O99)
17.43%
Oedema, proteinuria and hypertensive disorder 17.56%
obstructed labour 1.35%
Complication pre-dominantly related to
the puerperium 17.56%
Other complication of pregnancy 63.51%
INFANT DEATHS <1 YEARS(SPECIFIC CAUSE OF MORTALITY)-2010
CAT:XVI Certain Conditions Originating in the Perinatal Period (P00-
P96) 60.2%
CAT: I Certain Infectious & Parasitic Dis (A00-B99)
15.5%
CAT: X Diseases of Respiratory System (J00-
J98) 7.4%
CAT: XVII Congenital Malformation, Deformation & Chromosomal
Abnormalities(Q00-Q99) 6.7%
CAT: IX Diseases of the Circulatory system (I00-
I99) 1.9% Other major Groups 8.1%
Slow fe tal grow th, fe tal m alnutrition and
im m atury 23.6%
Birth traum a 0.35%
Hypoxia,birth traum a and other respiratory
conditions 41.29%
Haem olytic diseases of fe tus and new -born
0.88%
All other conditions orignating in the
perinatal periosd 33.98%
COMPERISION OF CERTAIN CONDITION ORIGINATING IN THE PERINATAL PERIOD
(<1YEAR)
CERTAIN CONDITION ORIGINATING IN THE PERINATAL PERIOD (P00-P96)
2008 2009 2010
NO. % NO. % NO. %
SLOW FETAL GROWTH, FETAL MALNUTRITION AND IMMATURITY (P05-P07)
1802 53.30
1313
34.37
941 23.6
BIRTH TRAUMA (P10-P15) 2 0.06 17 0.45 14 0.35
HYPOXIA,BIRTH ASPHYXIA AND OTHER RESPIRATORY CONDITIONS (P20-P28)
977 28.90
1337
35.00
1645
41.29
HAEMOLYTIC DISEASES OF FETUS AND NEW BORN (P55)
10 0.30 15 0.39 35 0.88
OTHER PERINATAL JAUNDICE (P58-P59) 8 0.24 8 0.21 5 0.12
ALL OTHER CONDITIONS ORIGINATING IN THE PERINATAL PERIOD (P00-P04,P08,P29-P54,P56-P57,P60-P96)
582 17.21
1130
29.58
1354
33.98
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