presentation on selected indicators based on dlhs-iii (2007-08) and dlhs-ii(2002-04)
TRANSCRIPT
Presentation
on
Selected Indicators
based onDLHS-III (2007-08)
and
DLHS-II(2002-04)
District Level House Hold Survey (DLHS)
• Conducted by Indian Institute of Population Science• Initiated in 1997 ( I: 98-99, II : 2002-04 and
III : 2007-08)• One of the largest ever demographic and health
surveys carried out in India, with a sample size of about 1000-1500 hhs. per district
• To assess the utilization of Govt. services & peoples’ perception about quality & Services
• To provide estimate on important indicators on1. Maternal & Child Health 2. Family Planning & other reproductive health services.3. Important interventions of NRHM ( DLHS – III)
• Field work in Gujarat was conducted during April 2008 to Sept ’08
• Information from 26,145 households collected
Antenatal care
Indicators
Guj. -Total Guj.- Rural Guj -Urban
DLHS DLHS DLHS DLHS DLHS DLHS
II III II III II III
Mothers who received any antenatal check-up (%)
87.6 71.5 84.9 66.4 88.4 93.6
Mothers who had antenatal check-up in first trimester (%)
47.1 52.4 39.9 45.9 63.5 73.4
Mothers who had three or more ANC (%)
57.3 56.8 48.3 50.0 77.8 79.0
Mothers who had at least one TT inj (%)
82.5 68.6 78.8 63.1 91.0 86.4
Mothers whose BP taken (%) 53.8 51.0 43.3 44.8 77.6 71.3
Mothers who consumed 100 IFA Tablet(%)
29.9 50.7 25.3 52.3 40.4 45.4
Mothers who had full ANC (%) 25.2 19.9 19.6 16.0 37.9 32.8
Mothers received at least 3 ANC visits during the last pregnancy (%)
86.9
61.4
71.7
60.4
60.2
70.4
67.2 68
.9
77.6
69.8
62.6 64
.3
57.7
61.5
79.5
56.5
55.3
38.4
60.2
71.1
58.1
47.8 49
36.2 37.3
81.1
79.6
76.5
75.4
73.5
71.4
70.5
67.7
65.7
64.6
64.4
61.5
59.2
57.3
56.6
56.4
55
48.5
48.4
47
45.1
44.5
40.6
28.5
19.3
57.3
56.8
0
10
20
30
40
50
60
70
80
90
100
Na
vsa
ri
Ra
jko
t
Su
rat
Jun
ag
ad
h
Jam
na
ga
r
Po
rba
nd
ar
An
an
d
Kh
ed
a
A'b
ad
G'n
ag
ar
Am
reli
Bh
aru
ch
Ma
he
san
a
Bh
avn
ag
ar
Gu
jara
t
Va
lsa
d
Pa
tan
P'm
ah
als
Da
ho
d
S'k
an
tha
Va
do
da
ra
Na
rma
da
Ka
chch
h
S'n
ag
ar
B'k
an
tha
Da
ng
s
DLHS- II DLHS- III
Mothers Received 3 ANCImproved more than 10 percent
points
Rajkot (18.2),Junagadh(15.0),Jamnagar (13.3),Dahod(10.1)
Improvement below 10 percent points
Surat (4.8),Porbandar (1.0), Anand (3.3), Amreli(1.8),Mehsana(1.5),
Decreased up to 5 per-points
Kheda(1.2),Bharuch(2.8),Bhavnagar(4.2),Patan(0.1),P.Ms(0.3) and Kachcha(3.3)
Decreased more than 5 percent points
A’bad (11.9),Navsari(5.8),Gandhinagar (5.2),Valsad(22.9),S.K.(11.8),Vadodara(24.1),Narmada(13.0),S’nagar(8.4), B.K.(7.7) and Dangs(18.0
Institutional Delivery - DLHS III over DLHS-II, India and Major states
86.1
60.9
58.0
57.9
48.9 52
.2
46.3
45.1
28.2
70.5
40.5
35.1
31.4 34
.4
26.8
23.7
23.0
22.4
20.2 22
.4
97.8
94.1
99.4
71.8
65.1
63.6
63.3
56.5
55.3
49.2
48.2
47.1
47.0
46.9
45.5
44.3
35.3
30.0
27.7
24.5
18.1
17.8
0
20
40
60
80
100
120
Kera
la
T.N
adu AP
Karn
atak
a
Mah
aras
htra
Punj
ab
Guj
arat
J & K
W. B
enga
l
H.P
rd
M.P
.
Indi
a
Har
yana
Raja
stha
n
Ori
ssa
Ass
am
Utt
arak
hand
Biha
r
U.P
.
Chha
tisga
rh
Jhar
khan
d
DLHS-II
DLHS-III
All-India improved by6.5 per-point
whereas Gujarat
Improved by 4.3 per-points
Delivery care (%)
IndicatorsGuj – Total Guj – Rural Guj - Urban
DLHS I
DLHS II
DLHS III
DLHS I
DLHS II
DLHS III
DLHS I
DLHS II
DLHS III
Institutional delivery 41.1 52.2 56.5 32.1 41.2 48.1 69.9 77.4 83.7
Delivery at home 58.9 47.5 42.2 67.9 58.4 50.3 30.1 22.5 15.8
Delivery at home conducted by skilled health personnel
10.2 20.8 12.4 11.6 18.3 12.0 8.4 35.9 16.9
Mothers who received PNC within two weeks of delivery
- - 59.5 - - 52.9 - - 81.1
Mothers who received FA for delivery under JSY
- - 9.5 - - 10.4 - - 6.3
Institutional Delivery ( % )74
.1
70.7 71
.7
69.7
73.6
56.5
49.7 51
.3
66
55.7
50.4
47.7
52.3
57.6
43.2
43.6
40.3
52.2
35.8
55.8
34.5
40.1 41
.4
37.7
19.3
10.7
84.2
80.8
80.3
78.3
77.0
72.3
69.3
69.0
68.4
68.3
68.1
61.8
61.8
61.5
60.4
58.4
57.1
56.5
56.3
54.4
54.2
50.8
49.0
47.8
28.4
9.4
0
10
20
30
40
50
60
70
80
90
Ma
he
san
a
Na
vsa
ri
A'B
ad
An
an
d
G.N
ag
ar
Su
rat
Jam
na
ga
r
Kh
ed
a
Va
lsa
d
Ra
jko
t
Po
rba
nd
ar
B.K
an
tha
Pa
tan
S.K
an
tha
Da
ho
d
Bh
avn
ag
ar
Ka
chch
h
Gu
jara
t
Jun
ag
ad
h
Va
do
da
ra
PM
S
Am
reli
S'N
ag
ar
Bh
aru
ch
Na
rma
da
Da
ng
s
DLHS- II DLHS- III
Institutional Delivery
Improved more than 15 percent
points
Surat, Jamnagar, Kheda, Porbandar, P.Mahals, Kachchh, Junagadh, Bharuch and Dohad
Improvement between 10 to 15 per-points
Mehsana, Navsari, Rajkot, Banaskantha, Amreli and Bhavnagar
Improvement between 5 to 10 per-points
Ahmedabad, Anand, Patan, Narmada and Surendranagar
Improvement below 5 percent points
Gandhinagar, Sabarkantha and Valsad
Decline Vadodara and Dangs
Percent Children Immunization (12-23 months)Indicators Guj. –Total Guj.- Rural Guj-Urban
DLHS DLHS DLHS DLHS DLHS DLHSII III II III II III
Fully immunized 54.0 55.5 48.1 51.4 66.2 66.8
Not received any vaccination
7.3 9.4 9.1 10.6 3.8 5.3
Received BCG vaccine 85.4 87.9 83.2 86.7 89.9 92.4
Received 3 doses of DPT 66.1 63.4 61.7 60.3 74.9 74.1
Received 3 doses of Polio
67.9 71.7 64.1 69.5 75.6 79.4
Children who have Received Measles
65.2 72.6 59.5 70.1 76.8 81.3
Received at least one dose of vitamin-A supplement
31.7 56.2 31.7 54.2 31.8 63.6
Percentage of children age 12-23 months
19
77
56
64 64
50
7
84
64 64
69
5
86
66 65
2
95.6
91.9
89.7
92
82.5
53 45.2
65 66.8
77.5
78.2
79.7
7.5
91.2
0
20
40
60
80
100
None BCG Measles DPT3 Polio3 %FI
NFHS-1 NFHS-2 NFHS-3 CES,2006 TALEEM
Full Immunization Coverage is increased as per evaluated coverage to 82.5
Trends in Immunization coverage in Gujarat
54.0 55.5
85.487.9
66.10 63.4067.90
71.70
66.50
72.60
31.70
56.20
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
FI (%) BCG (%) DPT3 (%) Polio (%) Measles (%) Vit A (%)
DLHS 2 (2002-04)
DLHS 3 (2007-08)
Dropout tracking is a re-emerging concern
Children (12-23) months who received BCG (%)
87.7
93.4 96
.7
84.0
97.0
81.0
91.6
87.4
94.3 97
.4
70.7
90.5
81.6
90.6
90.5
95.5
79.1
93.8
89.6
74.9
79.1
60.0
87.1
92.7
78.3
98.8
98.0
96.6
96.4
95.9
95.5
95.3
94.9
94.5
94.0
93.9
93.9
92.8
92.6
92.3
91.7
88.3
86.2
83.9
81.1
80.7
77.0
76.9
75.5
70.8
85.4 87
.9
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
110.0
Kh
ed
a
Pa
tan
Bh
aru
ch
Su
rat
An
an
d
Jun
ag
ad
h
Ra
jko
t
A'b
ad
Jam
na
ga
r
Na
vsa
ri
Na
rma
da
Va
do
da
ra
Am
reli
Po
rba
nd
ar
G'n
ag
ar
Ma
he
san
a
PM
s
Gu
jara
t
Va
lsa
d
S.K
.
B.K
.
Bh
avn
ag
ar
Da
ho
d
Da
ng
s
Ka
chch
h
S'n
ag
ar
DLHS- II DLHS- III
Children (12-23) months who received 3 doses of DPT Vaccine
77.8
95.3
84.5
76.8
66 66.8
80
78.9
57.5
67
54.5
95.5
77.4
63.4
74.1 76
.7
64.5
84.3
68.8
43.7
62.7
72.6
55.9
52.9
22.8
33.5
89.9
86.8
86.4
83 82
78.5
78.2
73.3
68.8
67.8
67.6
67.1
67.1
66.1
63.5
62.6
61.7
60.4
56.4
54.2
54.1
52.4
51.7
44.7
44.1
42.3
0
10
20
30
40
50
60
70
80
90
100
110
Su
rat
Na
vsa
ri
Po
rba
nd
ar
Ra
jko
t
Pa
tan
Jun
ag
ad
h
An
an
d
Ma
he
san
a
G'n
ag
ar
Jam
na
ga
r
Na
rma
da
Bh
aru
ch
Va
do
da
ra
Gu
jara
t
Kh
ed
a
Am
reli
Bh
avn
ag
ar
Va
lsa
d
A'B
ad
P.M
s.
S.K
.
Ka
chch
h
S'n
ag
ar
Da
ng
s
Da
ho
d
B.K
.
DLHS- II DLHS- III
Percent Fully Immunised Children DLHS-III over DLHS-II
India and Major States79
.3
91.4
78.6
72.9
71.3
50.4
70.9
62.7
44.3
53.6
32.0
59.2
58.1
54.0
26.6
45.8
17.2
24.7
23.0
30.2
26.4
82.6
81.6
79.0
78.9
76.8
75.5
69.3
68.5
63.3
63.1
63.0
61.8
60.8
54.9
54.8
54.1
51.0
50.0
41.4
38.5
31.1
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
H. P
rd
T. N
adu
Kera
la
Punj
ab
Karn
atak
a
W. B
enga
l
Mah
aras
htra
And
hra
Utt
arak
hand
Ori
ssa
J & K
Har
yana
Chha
tisga
rh
Guj
arat
Jhar
khan
d
Indi
a
Ass
am
Raja
stha
n
Biha
r
M.P
.
U.P
.
DLHS -II
DLHS -III
India improved by 8 per-points,
Gujarat improved by 1 per-point
Fully Immunized Children
Improvement by more than 15 per-points
Surat (+35.9%),Mehsana(+18.4%),Dahod (+17%), Junagadh (+16.4%), Patan(15.5%), Panchmahals(15.3),Narmada (16.1)
Improvement between 10 to 15 per-points
Anand (13.4),Gandhinagar (12.9)
Improvement below 10 per-points
Porbandar(2.1), Rajkot (3.5),Kheda (1.1),Surendranagar (0), Dangs(6.9),Banaskantha(9.0),S.K(3.7)
Decrease below 10 per-points
Amreli (1.7),Jamnagar (1.7), Bhavnagar (0.6), Kachchh(4.6),
Decrease more than 10 per-points
Navsari (11.0),Bharuch (22.6), Vadodara (17.8), Valsad (13.6),Ahmedabad (15.4),
Fully Immunized Children
51.9
91.4
61.1 63
.6
72.7
70.5
54.3
53.7
60.7
44.8 47
.9
62.2
82.5
56.8
54.0
69.8
64.7
51.4
65.6
54.0
48.7
32.2
43.1
29.5
26.1
87.8
80.4
77.6
77
74.8
74
72.7
69.2
61.8
60.9
60.8
60.5
59.9
55.1
55.5
52 51.1
50.8
50.2
49.4
48.7
47.5
46.8
36.4
35.1
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
Su
rat
Na
vsa
ri
Jun
ag
ad
h
An
an
d
Po
rba
nd
ar
Ra
jko
t
Ma
he
san
a
Pa
tan
Kh
ed
a
Na
rma
da
G'n
ag
ar
Am
reli
Bh
aru
ch
Jam
na
ga
r
Gu
jara
t
Va
do
da
ra
Va
lsa
d
Bh
avn
ag
ar
A'B
ad
Ka
chch
h
S'n
ag
ar
PM
S
SK
Th
e D
an
gs
B.K
an
tah
a
DLHS- II DLHS- III
Districtwise Immunization Performance (Children 12-23 Months Fully Immunized(%)
DLHS-2 DLHS-3
Child feeding practices
IndicatorsGuj. -Total Guj.- Rural Guj -Urban
DLHS II
DLHS III
DLHS II
DLHS III
DLHS II
DLHS III
Breastfed started within one hour of birth *
24.3 48.3 22.8 47.4 27.7 51.6
Children age 0-5 months exclusively breastfed
-- 41.4 -- 41.6 -- 40.6
Children exclu. breastfed for at least 6 months
11.1 28.8 -- 29.6 -- 25.9
* Excellent improvement in Starting of Breast feeding within one hour
Initiation of breast feeding within 1 hour of birth
DLHS-3, 2007-08
Use of Family Planning- Any Modern Method - DLHS-III over DLHS -II, India and Major states
62.4
57.2
60.8
57.7
55.0
26.2
54.4
52.4
42.3
51.0
54.7
47.3
45.7
41.7
51.9
41.9
28.7
33.3
27.3
26.2
68.1
65.1
62.9
62.6
60.8
57.8
57.7
54.5
54.3
54.0
53.3
53.1
53.1
47.3
47.1
41.2
37.8
31.2
30.8
28.4
26.7
65.4
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Him
acha
l Pra
desh
And
hra
Prad
esh
Punj
ab
Mah
aras
htra
Karn
atak
a
Tam
il N
adu
Utt
arak
hand
Har
yana
Guj
arat
Raja
stha
n
Wes
t Ben
gal
Kera
la
M.P
.
Indi
a
Chha
tisga
rh
J & K
Ori
ssa
Ass
am
Jhar
khan
d
Biha
r
U.P
.
DLHS-II DLHS-IIIIndia Improved 2.4 percent
point, Gujarat improved 1.9 percent point
Current use of family planning methods - Gujarat
Indicators
Guj. -Total Guj.- Rural Guj -Urban
DLHS II
DLHS III
DLHS II
DLHS III
DLHS II
DLHS
III
Any method (%) 59.2 61.6 56.4 60.6 64.6 64.4
Any Modern Method (%)
52.4 54.3 50.6 53.8 55.7 55.8
Female Sterilization (%)
39.3 41.5 42.9 43.7 32.4 35.5
Male Sterilization (%)
1.3 1.7 1.4 2.2 1.3 0.4
IUD (%) 3.8 3.5 2.1 2.5 7.0 6.3
Pill (%) 3.2 3.0 1.8 2.4 5.8 4.8
Condom (%) 4.8 4.5 2.4 3.0 9.1 8.8
Current Use of Family Planning Any Modern Method ( % )
60.3
59.2
58.2
65.5
55.5
58
55.4
54.1
58.8
56.9
53.8
59.5
48.9
54.7
53.3
53.1
47.2
53.5
50.2
42.6
41.4
50.7
36.1
45.5
26.7
65.9
65.1
64.9
63.4
62.3
61.7
60.8
60.3
59.9
59.9
59.8
59.5
57.6
57.1
56.9
56.2
54.6
54.5
53.4
52.1
50.4
50
48.4
44.8
37.9
52.4 54
.3
0
10
20
30
40
50
60
70
Su
rat
Am
reli
Bh
aru
ch
Na
vsa
ri
Va
do
da
ra
Jam
na
ga
r
Ra
jko
t
Kh
ed
a
Na
rma
da
Jun
ag
ad
h
G'N
ag
ar
Bh
avn
ag
ar
Ma
he
san
a
An
an
d
Va
lsa
d
S'n
ag
ar
Pa
tan
Po
rba
nd
ar
Gu
jara
t
A'b
ad
Da
ng
s
P.M
s.
S.K
.
B.K
.
Ka
chch
h
Da
ho
d
DLHS - II
DLHS - III
Current Use of Any Modern Method Of Family Planning
Improvement more than 5
percent points
Surat (+5.6 %), Amreli (5.9),Bharuch (6.7),Vadodara(6.8), Rajkot (5.4), Kheda (6.2),Gandhinagar (6.0), Mehsana (8.7),Patan (7.4),Dangs (9.5), PMs(9.0), Banaskantha(12.3),Dahod (11.2)
Improvement below 5 points
Jamnagar (3.7),Narmada (1.1), Junagadh(3.0), Anand (2.4), Valsad(3.6), S’nagar(3.1), Porbandar(1.0) and A’bad(3.2),
Decline Navsari(-2.1),Bhavnagar (0), Sabarkantha(-0.7) and Kachchha(-0.7)
Unmet Need of Family Planning DLHS-III over DLHS-II,
India and Major states
36.7
33.6
32.9
22.5
19.1
26.9
21.1
24.8
21
21.7
15.216
.3
21.8
14.7
12.6
15.1
18.1
11.8
11.1
10.4
25.1
23.8
21.3
17.3
15.2
14.8
14.6
13.5
13.1
12.6
12.4
16.5
11.3
10.6
10.2
109.6
9.1
11.4
8.5
0
5
10
15
20
25
30
35
40
Punj
ab
Wes
t Ben
gal
HP
Tam
il N
adu
Karn
atak
a
Mah
aras
htra
Har
yana
Raja
stha
n
Guj
arat
Kera
la
Chha
tisga
rh MP
J&K
Indi
a
Utt
arak
hand
Ori
ssa
Ass
am
Jhar
khan
d UP
Biha
r
Unmet Need DLHS-II
Unmet Need DLHS-III
`
Unmet need remains stagnant in Guj.,At
National Level increased to 5.5
percent Point
Unmet need for family planning-Gujarat
IndicatorsTotal Rural Urban
DLHS II
DLHS III
DLHS II
DLHS III
DLHS II
DLHS III
Total unmet need (%)
16.3 16.5 17.0 16.8 15.0 16.0
For spacing (%) 6.8 6.5 7.3 7.0 5.9 5.3
For limiting (%) 9.5 10.0 9.7 9.8 9.2 10.7
Unmet Need for Family Planning9.
1
14.4
20.3
19.6
9.8
16.5
12.3
15.5 16
.3
13.4
20.5
12.4
12.5
15.4
14.9
16.4
17
18.2
14.2
18.7
10.1
24.3
19.8
28.7
27.8
10.7
14.4
14.6 15
.2 15.5
15.5 16 16
16.5
16.6
16.8
17
17.5
18.5 19
.2 20
20.4
20.5
20.5
20.5 20.8 21
.5 21.8
24.8
26.2
0
5
10
15
20
25
30
Am
reli
Ra
jko
t
Pa
tan
Jam
na
ga
r
Kh
ed
a
Va
do
da
ra
Bh
aru
ch
G'n
ag
ar
Gu
jara
t
Na
vsa
ri
Ma
he
san
a
Su
rat
Jun
ag
ad
h
P.M
ah
als
Na
rma
da
An
an
d
S'n
ag
ar
A'b
ad
Po
rba
nd
ar
Va
lsa
d
Bh
avn
ag
ar
B.K
an
tha
S.K
an
tha
Ka
chch
h
Da
ng
s
DLHS- II DLHS- III
12.3
11.2
9.5
9.08.7
7.4
6.8 6.76.2 6.0 5.9
5.65.4
3.7 3.63.2 3.1 3.0
2.41.9
1.1 1.0
0.0
-0.7
-2.1
-2.8
10.7
-1.6
3.1
-3.7
-5.7
3.7
5.7
0.5
1.6
4.6
0.0
-4.4
1.82.3
3.4
5.0
3.6
0.2
4.3
6.3
10.7
2.0
-3.9
3.2
-0.7
-1.0
-8.0
-6.0
-4.0
-2.0
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
B.K
.
Dah
od
Dan
gs
P.M
s.
Mah
esan
a
Pat
an
Vad
od
ara
Bh
aru
ch
Kh
eda
G'N
agar
Am
reli
Su
rat
Raj
kot
Jam
nag
ar
Val
sad
A'b
ad
S'n
agar
Jun
agad
h
An
and
Gu
jara
t
Nar
mad
a
Po
rban
dar
Bh
avn
agar
S.K
.
Kac
hch
h
Nav
sari
Percent point Use of Any modern method increased between 2 Surveys
Percent point unmet needs increased between 2 Surveys
Indicators started Improved..
Total Fertility Rate
3.1 3 2.92.62.72.8
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
1991 1995 2001 2005 2006 2007
Maternal Mortality Rate ( Per Lakh Live Births)
202172
389
160
0
100
200
300
400
500
1989 1999-01 2001-03 2005-07
Continuous Improving Sex Ratio at birth
862
855
844
865
891
820
830
840
850
860
870
880
890
900
2003 2004 2005 2006 2007
Trend of Crude Birth Rate per'000 Pop.
25.7 25.6 25.5 25.425.2
24.924.7 24.6
24.3
23.723.5
23.0
21
22
23
24
25
26
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Facility Survey DLHS-III Gujarat and Selected States
% CHC having Obstetrician/Gynaecologist
47.8
11.3
33.940.3
7.8
0.0
10.0
20.0
30.0
40.0
50.0
60.0
AP GUJ KA MH TN
% PHC functioning on 24 hours basis
51.1 46.9 47.0
78.1
50.6
0.0
20.0
40.0
60.0
80.0
100.0
AP GUJ KA MH TN
% CHC designated as FRUs
89.474.1 75.4
58.7
42.4
0.0
20.0
40.0
60.0
80.0
100.0
AP GUJ KA MH TN
% FRU having blood storage facility
28.5
8.95.6
11.5
1.3
0.0
5.0
10.0
15.0
20.0
25.0
30.0
AP GUJ KA MH TN
Thanks