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Page 1: 21 Pilibhit 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 : Pilibhit

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 on

maternal and child health, family planning and other reproductive healthservices. 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).

 their 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 Pilibhit, 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 werestratified 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 segmentswere selected using PPS. In case of urban areas, number of wards wereselected using PPS at first stage. In a selected ward, one enumerationbl k f 2001 l t d i i PPS P d f

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assets possessed, number of marriages to usual members of thehousehold since January 2004 and deaths in the household since January2004 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 : Pilibhit

Note:

Unmet need for spacing

Unmet need for limiting

Unmet need

 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.

 The village questionnaire contained information on availability of health,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 DistrictHospital (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.

women 15-44 yearsDLHS -3 information is based on data collected from evermarried women15-49 years

DLHS -2 in total percentage is adujusted for indicators considering oversampling of urban PSUs in DLHS-2. This adujustment 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 who

are 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.

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Uttar Pradesh DLHS-3 District : Pilibhit

District Indicators, Pilibhit, (2001 Census).

Indicators Census 2001

Population (in thousands) 1645

Decadal Growth Rate (1991-01) 28.1

Sex Ratio * 877

Percent Urban population 17.9

Percent SC population 15.2

Percent ST population 0.1

Female Literacy Rate (7 years and above) 35.1

Male Literacy Rate (7 years and above) 62.5

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

Households 1529 93.0

Ever Married Women (15-49 years) 1387 88.0

Unmarried Women (15-24 years) 396 84.0

Sub Centres (SC) 31 100

Primary Health Centres (P H C) 8 100

Community Health Centres (C H C) 5 100

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

Background CharacteristicsDLHS - 3 DLHS - 2

Total Rural Total Rural

63.9 63.6 - -

76.2 76.4 - -

50.4 49.4 - -

97.7 97.6 - -

98.5 98.3 - -

Have Electricity connection (%) 24.4 17.3 26.4 15.0

Have Access to toilet facility (%) 36.1 24.9 25.5 12.4

Use piped drinking water (%) 4.0 2.7 44.9 47.1

Use LPG for cooking (%) 9.4 4.0 10.0 1.2

Live in a pucca house (%) 15.5 9.3 17.8 9.9

Own a house (%) 96.2 97.7 - -

Have a BPL card (%) 19.5 22.1 - -

Own Agriculture Land (%) 61.8 71.1

Have a television (%) 26.8 23.1 21.4 12.1

Have a mobile phone (%) 22.0 18.9 - -

Have a Motorized Vehicle (%) 15.5 15.1 9.5 7.4

Standard of Living Index

Low (%) 72.9 79.6 62.5 71.9

M di (%) 14 5 11 7 26 0 24 9

Percent total literate Population (Age7 +)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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Uttar Pradesh DLHS-3 District : Pilibhit

Indicators DLHS - 3 DLHS - 2

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

Percentage of girl's marrying before completing 18 years 25.8 28.4 53.2 57.4

Percentage of Births of Order 3 and above 48.0 46.9 57.3 60.4

Sex Ratio at birth 111 110 - -

64.9 64.3 - -

12.4 12.6 - -

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

Current Use :

Any Method (%) 40.1 39.7 27.3 23

Any Modern method (%) 28.4 26.5 25.1 20.7

Female Sterilization (%) 15.5 15.9 13 10.8

Male Sterilization (%) 0.4 0.3 0.2 0.1

IUD (%) 1.0 1.0 1.6 1.0

Pill (%) 2.2 1.7 2.4 1.7

Condom (%) 9.2 7.5 7.5 6.9

Unmet Need for Family Planning: Total unmet need (%) 35.7 35.3 39.1 41.2

For spacing (%) 10.1 10.4 14.8 16.1

For limiting (%) 25.6 24.9 24.4 25.2

Maternal Health:

18.6 19.1 - -

19.0 19.2 17.4 15.1

57.9 60.7 35.7 32.2

Institutional births (%) 18.7 15.7 9.8 7.6

Delivery at home assisted by a doctor/nurse /LHV/ANM(%) 2.9 1.9 2.6 1.4

13.9 13.6 - -

Child Immunization and Vitamin A supplementation:

19.0 15.7 9.8 7.6

Children (12-23 months) who have received BCG (%) 72.3 72.6 41.7 41.0

30.0 29.1 22.9 22.0

28.2 28.6 23.1 22.2

43.7 45.1 24.4 23.2

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Percentage o women age 20-24 reporting irt o or er 2 &above.Percentage of births to women during age 15-19 out of totalbirths

Mothers registered in the first trimester when they werepregnant with last live birth/still birth (%)

Mothers who had at least 3 Ante-Natal care visits during thelast pregnancy (%)

Mothers who got at least one TT injection when they werepregnant with their last live birth / still birth (%)#

Mothers who received post natal care within 48 hours of delivery of their last child (%)

Children (12-23 months) fully immunized (BCG, 3 doseseach of DPT, and Polio and Measles) (%)

ren - mon s w o ave rece ve oses o o o

Children (12-23 months) who have received 3 doses of DPTVaccine (%)

ren - mon s w o ave rece ve eas es

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Uttar Pradesh DLHS-3 District : Pilibhit

IndicatorsDLHS - 3 DLHS - 2

Total Rural Total Rural

25.7 27.0 - -

3.6 2.9 - -

Treatment of childhood diseases (children under 3 years based on last two surviving children)

19.2 19.1 11.8 4.8

71.9 73.1 76.6 72.7

72.4 72.4 - -

13.3 12.3 - -

11.5 10.5 - -

Child feeding practices (Children under 3 years)Children breastfed within one hour of birth (%) 6.4 7.2 - -

6.7 7.4 - -

79.3 79.1 - -

Knowledge of HIV/AIDS and RTI/STI among Ever married Women (age 15-49)

Women heard of HIV/AIDS (%) 25 20.6 17.7 10.5

47.0 41.9 10.4 6.9

Women having correct knowledge of HIV/ AIDS (%) 82.5 80.6 - -

Women underwent test for detecting HIV/ AIDS (%) 1.2 1.8 - -

Women heard of RTI/STI (%) 11.1 11.1 15.5 12.0

Knowledge of HIV/AIDS among Un-married Women (age 15-24)

Women heard of HIV/AIDS (%) 53.4 46.4 - -

30.1 30.2 - -

Women having correct knowledge of HIV/ AIDS (%) 88.8 86.0 - -Women underwent test for detecting HIV/ AIDS (%) 0.0 0.0 - -

Women heard of RTI/STI (%) 17.0 16.5 - -

Women facilitated/motivated by ASHA for

Ante-natal Care (%) 1.8 2.2 - -

Delivery at Health Facility (%) 0.0 0.0 - -

Use of Family Planning Methods (%) 2.4 2.0 - -

Child Immunization and Vitamin A supplementation: (Contd..)

Children (9-35 months) who have received at leastone dose of Vitamin A (%)

Children (above 21 months) who have received threedoses of Vitamin A (%)

Children with Diarrhoea in the last two weeks whoreceived ORS (%)

Children with Diarrhoea in the last two weeks whowere given treatment (%)

Children with acute respiratory infection/fever in thelast two weeks who were given treatment (%)

Children had check-up within 24 hours after delivery(based on last live birth)(%)

Children had check-up within 10 days after delivery(based on last live birth) (%)

Children (age 6 months above) exclusively breastfed(%)Children (6-24 months) who received solid orsemisolid food and still being breastfed (%).

Women who knew that consistent condom use can

reduce the chances of getting HIV/AIDS (%)

Women who knew that consistent condom use canreduce the chances of getting HIV/AIDS (%)

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Uttar Pradesh DLHS-3 District : PilibhitVillage

Indicators NumberVillages that have implemented Janani Suraksha Yojana (JSY) 29

Villages with Health & Sanitation Committee 6

Villages with Rogi Kalyan Samiti (RKS) 3

Villages where PRI aware of untied fund by Government 6

Health facility within village - ICDS (Anganwadi) 36

5

Health facility within village- Sub-Centre 8

33

Health facility within village- PHS 1

40

Health facility within village- Block PHC 1

40

Health facility within village- Govt. Dispensary 0

40

Health facility within village- Private Clinic 4

36

Health facility within village- AYUSH Health Facility 0

40

Facility Survey

Community Health Centre (CHC) N = 5

Indicators Number Indicators Number

Infrastructure : Performance

CHC having Personal Computer 0 In-patients admission in last one month. 376

CHC having Operation Theatre 5 65

CHC having Labour Room 5 Deliveries performed in last one month. 87

CHC having Blood Storage Facility 0 Blood transfusion done in last one month. 0

CHC having large deep freezer 0 Sterilization conducted in last one month. 210

0

CHC having water supply for 24 hou 5

CHC having Ambulance on road. 2

6

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 throughoutthe 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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Uttar Pradesh DLHS-3 District : Pilibhit

Facility SurveyCommunity Health Centre (CHC) N = 5 (Contd..)

Indicators Number Indicators Number

Human Resource : Supply :

CHC having General Surgeon 2 2

CHC having Obstetrician/ Gynecologi 1 CHC with 24 hours New born care 2

0 1

3

1

1

Primary Health Centre (PHC) N= 8

Infrastructure : Performance :

7 18

PHC having separate Labour Room 6 139

PHC having Personal Computer 0 9

PHC having Normal Delivery Kit 5 14

PHC having Large Deep Freezer 3 53

PHC having regular water supply 8 40

1 73

5 123

5 856

1008

3

7

CHC with 24 hours normal deliveryservices.

. .Scalpel Vasectomy (NSV) during lastfive years.

CHC recongnized as IntegratedCounselling and Testing Centre (ICTC).

M.O. received training forPrevention, Care and Support for

HIV/AIDS during last five years.

M.O. received training of basicEmergency Obstetric Care duringlast five years. Management of Neonatal andChildhood illness during last fiveyears.

PHC having Residential Quarter forMedical Officer

Haemoglobin tests (TLC/DLC) conductedduring last one month

 parasite conducted during last onemonthIn-patient admissions during last onemonth

 PHC to higher centres during last onemonthDeliveries performed during last onemonthBeneficiaries of JSY during last onemonth

PHC having Neonatal Warmer(Incubator)

Women provided with post-natal careservices during last one month

PHC having Operation Theater withBoyles Apparatus

New born care provided during last onemonth

PHC having Operation Theater withanaesthetic medicine

Infants and children immunized duringlast one monthCondoms distributed during last onemonthPHC prepared the PHC plan for currentyear

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Uttar Pradesh DLHS-3 District : PilibhitFacility Survey

Primary Health Centre (PHC) N = 8 (Contd..)Indicators Number Indicators Number

Human Resource : Supply :

PHC having Lady Medical Officer (LMO) 0 2

PHC having Laboratory Technician 4

6

4

1

Sub Centre (SC) N =31

Infrastructure : Performance :

11 1470

1

8

ANM staying in Sub Centre village 2

Sub Centre having staff quarter for ANM 11

Sub Centre having regular water supply 30

Human Resource : Supply :

3 30

19 23

26 7

15 29

20 21

17

8

PHC that received the untied fund inprevious financial year.

PHC organized any training programmein their PHC during last year.

,received Integrated Skill Development Training for 12 days during last fiveyears. received IMNCI training during last fiveyears.

Sub Centre located in governmentbuilding

Number of Infants and childrenimmunizedSub Centre having communication

facilitySub Centre having separate labourroom

Sub Centre where Male Health Workerin position

Sub-Centre having auto-disposablesyringes

ANM had Integrated Skill Development Training in last 5 years

u - en re repor ng a e s ou ostock for more than 10 days during lastone month

ANM ever been trained in IntegratedSkill Development Training

Sub-Centre reporting Vitamin A out of 

stock for more than 10 days during lastone month

ANM trained in integrated managementof neonatal and childhood Illnesses(IMNCI) in last 5 years

Sub-Centre reporting ORS packets out of stock for more than 10 days during lastone month

 management of neonatal and childhoodIllnesses (IMNCI)

Sub-Centre that received untied fund inprevious financial year

ANM who attended Skilled birthattendant (SBA) training

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Uttar Pradesh DLHS-3 District : Pilibhit

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

30

40

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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