annual health survey 21.07 - sihfw) rajasthan health survey.pdf · annual health survey: ... s t...
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Annual Health Survey: 2010 11Annual Health Survey: 2010-11
State Institute of Health and Family welfare,State Institute of Health and Family welfare,Jaipur
1SIHFW: an ISO 9001:2008 certified Institution
Objectivej
T i ld b h k f it l dTo yield benchmarks of core vital and
health indicators at the district level and
to map changes therein on an annual
basis
3SIHFW: an ISO 9001:2008 certified Institution
Background
• Initiated by National Commission on Population• Initiated by National Commission on Population,
PMO and Planning Commission.
• Entrusted to ORGI [experience of Sample
R i t ti S t (SRS)]Registration System (SRS)]
• Sponsored by Ministry of Health & Familyp y y y
Welfare (MOHFW)
4SIHFW: an ISO 9001:2008 certified Institution
Need for AHS
Nine AHS States –Nine AHS StatesRajasthan, UP, UK, Bihar, Jharkhand,Orissa, MP, Chhattisgarh and Assam, , g
• 48 percent of country’s Population• 59 percent of Births59 percent of Births• 70 percent of Infant Deaths• 75 percent of Under 5 Deaths75 percent of Under 5 Deaths• 62 percent of Maternal Deaths
5SIHFW: an ISO 9001:2008 certified Institution
Justification:
– large inter-district variations.– In the absence of District level vital data, State
level estimates from Sample Registration S t (SRS) d f f l ti di t i tSystem (SRS) are used for formulating district level plans.
6SIHFW: an ISO 9001:2008 certified Institution
Key Features
• Coverage- All the 284 districts of 8 EAG Statesand Assam
• Sample Units- 20,694 statistically selectedsample units (Census Enumeration Blocks inurban areas and Villages in rural areas)S l P l ti Ab t 18 2 illi• Sample Population- About 18.2 million
• Sample Households- 3.6 million households• Average Sample households per district- About
13 thousandL t S l S i th W ld• Largest Sample Survey in the World
7SIHFW: an ISO 9001:2008 certified Institution
• Sample Size- District level sample size isbased on Infant Mortality Rate
• Field Work- Hybrid approach whereinffieldwork has been outsourced and supervisiondone by the ORGIThi d P t A dit Thi d P t A dit• Third Party Audit- Third Party Audit wasimplemented under AHS to verify thecorrectness of data through an independentcorrectness of data through an independentarrangement.
• This was over and above the regularThis was over and above the regularsupervision by ORGI
• Exhaustive Training manual and three daysExhaustive Training manual and three daysToT, state/zone level training
8SIHFW: an ISO 9001:2008 certified Institution
Allocation of Sample
• India (9 States)India (9 States)– Districts: 284 – Total Sample Population:18127089Total Sample Population:18127089– No. of households: 3625418
• Rajasthan• Rajasthan– Districts: 32
Total Sample Population: 1621710– Total Sample Population: 1621710– No. of households: 324342
9SIHFW: an ISO 9001:2008 certified Institution
Survey Toolsy
• The baseline surveyThe baseline survey – Nine States
• Time frameTime frame– July 2010-March 2011
• Four type of Schedules administered• Four type of Schedules administered– House listing
Household– Household– Women
M t lit– Mortality10SIHFW: an ISO 9001:2008 certified Institution
Indicators Covered
• Crude Birth Rate (CBR)Crude Birth Rate (CBR)• Crude Death Rate (CDR)• Infant Mortality Rate (IMR)Infant Mortality Rate (IMR)• Neo-Natal Mortality Rate (NNMR)• Under Five Mortality Rate (U5MR)• Under Five Mortality Rate (U5MR)• Maternal Mortality Ratio (MMR)(only for Zone)• Sex Ratio• Sex Ratio
– at Birth (SRB)– 0-4 years & All ages– 0-4 years & All ages
11SIHFW: an ISO 9001:2008 certified Institution
Crude Birth Rate
25 5 26.7
18.6 2021.9
23.7 23.9 24.7 25 25.5 26.7
al sa m nd rh an sh sh ar
Uttr
anch
a
Oris
s
Ass
am
Jhar
khan
Cha
ttisg
ar
Raj
asth
a
dhya
Pra
des
Utta
r Pra
des
Bih
a
Mad U
13SIHFW: an ISO 9001:2008 certified Institution
Crude Death Rate
8 8 3 8.6
6.16.6 6.6
7.2 7.2 7.6 8 8.3
hand
chal
than
Bih
ar
sam
garh
desh
issa
desh
Jhar
kh
Uttr
anc
Raj
ast B
Ass
Cha
ttisg
Mad
hya
Prad Or
Utta
r Pra
d
M
14SIHFW: an ISO 9001:2008 certified Institution
Natural Growth Rate
17 6 18 219.5
11.6 1214.7
16.3 16.9 17.1 17.6 18.2
issa
chal
sam
garh
desh
desh
hand
than
Bih
ar
Or
Uttr
anc
Ass
Cha
ttisg
Utta
r Pra
d
Mad
hya
Prad
Jhar
kh
Raj
ast B
M
15SIHFW: an ISO 9001:2008 certified Institution
Infant Mortality Ratey
71
41 4353 55
60 60 6267 71
41
hand
chal
garh
Bih
ar
sam
than
issa
desh
desh
Jhar
kh
Uttr
anc
Cha
ttisg B
Ass
Raj
ast
Or
Mad
hya
Prad
Utta
r Pra
d
M16SIHFW: an ISO 9001:2008 certified Institution
Neonatal Mortality Ratey
4450
2630
35 3539 40 40
44
26
hand
chal
garh
Bih
ar
sam
issa
than
desh
desh
Jhar
kh
Uttr
anc
Cha
ttisg B
Ass Or
Raj
ast
Mad
hya
Prad
Utta
r Pra
d
M17SIHFW: an ISO 9001:2008 certified Institution
Post Natal Mortality Ratey
22 22
1315
1719 20 20 21 22 22
13
chal
hand
garh
Bih
ar
sam
than
desh
issa
desh
Uttr
anc
Jhar
kh
Cha
ttisg B
Ass
Raj
ast
Utta
r Pra
d
Or
Mad
hya
Prad
M
18SIHFW: an ISO 9001:2008 certified Institution
Under 5 Mortality Ratey
89 94
5359
7077 78 79 82
89
53
chal
hand
garh
Bih
ar
sam
than
issa
desh
desh
Uttr
anc
Jhar
kh
Cha
ttisg B
Ass
Raj
ast
Or
Mad
hya
Prad
Utta
r Pra
d
M19SIHFW: an ISO 9001:2008 certified Institution
Sex Ratio (at Birth)( )
951
904 904 905919 923 925
951
866878
chal
than
desh
desh
issa
Bih
ar
hand
sam
garh
Uttr
anc
Raj
ast
Utta
r Pra
d
Mad
hya
Prad Or B
Jhar
kh Ass
Cha
ttisg
M
20SIHFW: an ISO 9001:2008 certified Institution
Sex Ratio (0-4 yrs)( y )
978
911 913931 933 937
956
870 877
than
chal
desh
desh
Bih
ar
issa
hand
sam
garh
Raj
ast
Uttr
anc
Mad
hya
Prad
Utta
r Pra
d B Or
Jhar
kh Ass
Cha
ttisg
M
21SIHFW: an ISO 9001:2008 certified Institution
Sex Ratio (All Ages)( g )
992 994
942 943 950 953968
912925
desh
than
hand
desh
Bih
ar
sam
garh
chal
issa
Mad
hya
Prad
Raj
ast
Jhar
kh
Utta
r Pra
d B
Ass
Cha
ttisg
Uttr
anc
Or
M
22SIHFW: an ISO 9001:2008 certified Institution
MMR
381
88
275 277 278305 310 331 345
188
chal
garh
issa
hand
Bih
ar
desh
than
desh
sam
Uttr
anc
Cha
ttisg Or
Jhar
kh B
Mad
hya
Prad
Raj
ast
Utta
r Pra
d
Ass
M
23SIHFW: an ISO 9001:2008 certified Institution
IndiaCBR 22 5
Rajasthan• CBR: 22.5• CDR: 7.3
• CBR: 24.7• CDR: 6.6
• NGR: 15.2• IMR: 50
• NGR: 18.2• IMR: 60
• NNMR: 34• PNMR: 16
• NNMR: 40• PNMR: 20
• U-5 MR: 64 • U-5 MR: 79
24SIHFW: an ISO 9001:2008 certified Institution
India Rajasthan
• MMR: 212
j
• MMR: 331(on Zone • Sex ratio:
• 0-6 Yr: 914
(basis)
• Sex ratio 0 6 Yr: 914• all ages: 940 • at birth: 878
• 0-4 Yr: 870• all ages: 925
25SIHFW: an ISO 9001:2008 certified Institution
Natural Growth Rate26.1
23 1 23 123.1 23.1
18.215.7 15.7 14.9
er ur ra an nk rh ra
Bar
me
Dha
ulpu
Ban
swar
Raj
asth
a
Ton
Chi
ttorg
ar
Ban
swar
C27SIHFW: an ISO 9001:2008 certified Institution
Natural Growth Rate
26.1
23.1
21.3
2020.6
19 4
21.6 21.5
23.1
18.2
16.417.4
18.517.217.4 17
17.9
15.8
17.217.9
16.9
17.617.5 17.2
16.717.4
15.7 15.914 9
19.4
15.716.3
18.9
17.2
14.9
jast
han
anag
aran
garh
Bik
aner
Chu
runj
hunu
Alw
arar
atpu
rD
holp
urK
arau
lidh
opur
Dau
saJa
ipur
Sika
rN
agau
rod
hpur
isal
mer
Bar
mer
Jalo
reSi
rohi
Pali
Ajm
erTo
nk
Bun
dihi
lwar
asa
man
dU
daip
urng
arpu
rns
war
ato
rgar
hK
ota
Bar
anha
law
ar
Raj
Gan
gH
anum
B
Jhu
Bh a D
Saw
ai M
ad N Jo Jai B Bh
Raj
s UD
un Ban
Chi
tt Jh
28SIHFW: an ISO 9001:2008 certified Institution
35Crude Birth Rate
29.1
32.5
29.930.8
30
24.7 24.9
27.527.427.9 28.1 28
24.7 2525
22.723.6 23.423.322.9
23.8
22.423.1
2423.4
23.924.2 24.123.523.8
23.323.7
22.421.4
22
25
20
15
stha
nna
gar
man
g…ka
ner
huru
hunu
Alw
arat
pur
olpu
rar
auli
Saw
ai …
ausa
aipu
rSi
kar
agau
rhp
ural
mer
arm
eral
ore
Siro
hiPa
liA
jmer
Tonk
B
undi
war
am
and
aipu
rar
pur
war
arg
arh
Kot
aB
aran
awar
Raj
asG
anga
nH
anum Bik C
Jhun
j h AB
hara
Dho Ka S D J a S
Na
Jod
Jais
aB
a Ja S A T BB
hilw
Raj
sam
Uda
Dun
gaB
answ
Chi
ttor B
Jhal
29SIHFW: an ISO 9001:2008 certified Institution
Crude Death Rate
8.7
7.4 7.47.6
7.87.5
8.2
7.7 7.8
6.66.36.36.46.3
5.95.9 6 5.96.2
6.6
5.96.1
6.56.3
6.76.4
6.96.86.4 6.5
5 75 7
6.8
5.75.7
han
gar
man
…ne
rur
uun
uw
ar pur
pur
auli
wai
…us
apu
rka
rau
rpu
rm
erm
er ore
ohi
Pali
mer nk
nd
iar
aan
dpu
rpu
rar
aar
hot
ara
nw
ar
Raj
asth
Gan
gana
gH
anum
Bik
anC
huJh
unjh
uA
lwB
hara
tpD
holp
Kar
aSa
wD
auJa
ip Sik
Nag
aJo
dhp
Jais
alm
Bar
mJa
loSi
ro PA
jm To Bu n
Bhi
lwa
Raj
sam
aU
daip
Dun
garp
Ban
swa
Chi
ttorg
a Ko
Bar
Jhal
aw
31SIHFW: an ISO 9001:2008 certified Institution
Infant Mortality Rate (Raj.)
6569
6064
5559
65
49
60
43
38
Total Rural Urban
Male Female
Total Rural Urban
33SIHFW: an ISO 9001:2008 certified Institution
4345
50 Neo-Natal Mortality Rate 25 Post Natal Mortality Rate
4043
40
45
2021
20
3030
35
1415
20
25
10
10
15
5
0
5
0Total Rural Urban Total Rural Urban
35SIHFW: an ISO 9001:2008 certified Institution
Under 5 Mortality Rate (Raj.)
7985
80
90
8792
90
100
5760
70 7279
6560
70
80
90
30
40
50 50
40
50
60
10
20
30
10
20
30
0Total Rural Urban
0Total Rural Urban
Male FemaleMale Female
36SIHFW: an ISO 9001:2008 certified Institution
Infant Mortality Rate85
68 72
79
6865
6762
65
75
6060
54
5559
63
67
5759
5862
57 65
65
62
62
6262
55
65
54 54 54 55 55 56 54 5551
45
36
25
35
25
Raj
asth
anan
gana
gar
uman
garh
Bik
aner
Chu
ruJh
unjh
unu
Alw
arB
hara
tpur
Dho
lpur
Kar
auli
Mad
hopu
rD
ausa
Jaip
urSi
kar
Nag
aur
Jodh
pur
Jais
alm
erB
arm
erJa
lore
Siro
hiPa
liA
jmer
Tonk
B
undi
Bhi
lwar
aR
ajsa
man
dU
daip
urD
unga
rpur
Ban
swar
ahi
ttorg
arh
Kot
aB
aran
Jhal
awar
Ga
Han
J
Saw
ai R D C
37SIHFW: an ISO 9001:2008 certified Institution
Post Natal & Neo-Natal Mortality Rate85
2165
75
85
PNMR NNMR
20
2120 18 19 16 24 13 26
24 21
24 1617
20 28
18
2117
22
2020
24 2223
21 17 2118
45
55
65
42 44 46 42
54 58
41 45 4841 43 41 45 41
47
20 19 24 23 20 28 2218
1025
35
45
40 39 35 37 36 39 3542
3644
3339
3242
3530
41 3934 33
45 41 40 43 41 45
25
41
5
15
25
Raj
asth
anan
gana
gar
num
anga
rhB
ikan
erC
huru
Jhun
jhun
uA
lwar
Bha
ratp
urD
holp
urK
arau
liM
adho
pur
Dau
saJa
ipur
Sika
rN
agau
rJo
dhpu
rJa
isal
mer
Bar
mer
Jalo
reSi
rohi
Pali
Ajm
erTo
nk
Bun
diB
hilw
ara
Raj
sam
and
Uda
ipur
Dun
garp
urB
answ
ara
Chi
ttorg
arh
Kot
aB
aran
Jhal
awar
GH
an
J
Saw
ai R C
38SIHFW: an ISO 9001:2008 certified Institution
Under 5 Mortality Rate
99 99100
110
79 7973 72 74
82
75 7780 78
87
74
82
7571
78
86 85
78 7773
8185
89 88 87
7579
8280
90
7269 71
60
70
45
40
50
n ar h er u u ar ur ur li ur a ur ar ur ur er er e hi li er k di a d ur ur a h a n ar
Raj
asth
anG
anga
naga
num
anga
rhB
ikan
eC
huru
Jhun
jhun
uA
lwa
Bha
ratp
uD
holp
uK
arau
li M
adho
puD
ausa
Jaip
uSi
kaN
agau
Jodh
puJa
isal
me
Bar
me
Jalo
reSi
roh
Pal
Ajm
eTo
nkB
und
Bhi
lwar
aR
ajsa
man
dU
daip
uD
unga
rpu
Ban
swar
aC
hitto
rgar
hK
ota
Bar
anJh
alaw
a
GH
an
Saw
ai C
39SIHFW: an ISO 9001:2008 certified Institution
Sex Ratio (Raj.)
925932
Total Rural Urban
888
905
Total Rural Urban
878870
876 872
888
865865
At birth (0-4) Yr All ages
40SIHFW: an ISO 9001:2008 certified Institution
Sex Ratio (All ages)1055
10301050
1100
965
961
960 986
1002
983
952
1030
9821001
975951950
1000
925
883
911 882
874
889
881
922
913
938
905908
952 951
906
929
928900
950
882874
819
827
872 851
800
850
819
750
han
gar
arh
ner
uru
unu
war pur
pur
auli
pur
usa
pur
kar
aur
pur
mer
mer ore
ohi
Pali
mer nk
nd
iar
aan
dpu
rpu
rar
aar
hot
ara
nw
ar
All ages
Raj
asth
Gan
gana
gH
anum
anga
Bik
anC
huJh
unjh
uA
lwB
hara
tpD
holp
Kar
aw
ai M
adho
pD
auJa
ip Sik
Nag
aJo
dhp
Jais
alm
Bar
mJa
loSi
ro PA
jm To Bun
Bhi
lwa
Raj
sam
aU
daip
Dun
garp
Ban
swa
Chi
ttorg
a Ko
Bar
Jhal
aw
H
Saw
41SIHFW: an ISO 9001:2008 certified Institution
Sex Ratio (at Birth)925
968950
1000
889
905
894
914
882
909 922887 887
925
870
927912
923
900
950
878 874
894 882865
830841
846
856
844 841
882 883 894
836
870872
846
864850
820
782800
700
750
700
ajas
than
gana
gar
man
garh
Bik
aner
Chu
ruun
jhun
uA
lwar
hara
tpur
Dho
lpur
Kar
auli
adho
pur
Dau
saJa
ipur
Sika
rN
agau
rJo
dhpu
rai
salm
erB
arm
erJa
lore
Siro
hiPa
liA
jmer
Tonk
B
undi
Bhi
lwar
asa
man
dU
daip
urng
arpu
ran
swar
atto
rgar
hK
ota
Bar
anha
law
ar
Ra
Gan
gH
anum Jh
u
Bh D
Saw
ai M
a J Ja BR
ajs
Du Ba
Chi
t J
42SIHFW: an ISO 9001:2008 certified Institution
Sex Ratio (0-4 yr)98
1000
1050
919 916900 910
987934
907
950
870 874 870
834847
837
857
860
870882
875875
894865
893908
855
907
883850
900
861843 847
834
826789
826
860
817
875845
855
800
700
750
700
Raj
asth
anng
anag
arm
anga
rhB
ikan
erC
huru
hunj
hunu
Alw
arB
hara
tpur
Dho
lpur
Kar
auli
Mad
hopu
rD
ausa
Jaip
urSi
kar
Nag
aur
Jodh
pur
aisa
lmer
Bar
mer
Jalo
reSi
rohi
Pali
Ajm
erTo
nk
Bun
diB
hilw
ara
ajsa
man
dU
daip
urun
garp
urB
answ
ara
ittor
garh
Kot
aB
aran
Jhal
awar
RG
anH
anum Jh B
Saw
ai M J
Ra Du B
Ch J
43SIHFW: an ISO 9001:2008 certified Institution
State/Zone /(Districts) Sample Female Population
Sample Live Births
Maternal Deaths
MMR
p
Rajasthan 434673 129984 430 331Bikaner(Ganganagaer, Hanumangarh,Churu, Bikaner)
53055 14854 51 343)
Jaipur(Jhunjhunu, Alwar, Dausa jaipur Sikar)
90722 25099 80 319Dausa,jaipur, Sikar)
Bharatpur(Bharatpur, Dhaulpur, Karauli, 42892 14726 43 292Sawaimadhopur)
45SIHFW: an ISO 9001:2008 certified Institution
State/Zone/(Districts) Sample Female
Sample Live
Maternal Deaths
MMRFemale Population
Live Births
Deaths
Ajmerj(Nagaur, Ajmer, Tonk, Bhilwara)
57230 15976 54 338
JodhpurJodhpur(Jodhpur, Jaisalmer, Barmer, Jalor, Sirohi, Pali)
81627 26117 84 322Pali)
Kota(Bundi, Kota, Baran, 46845 13134 343Jhalawar)
46845 13134 343
Udaipur(Rajsamand Udaipur(Rajsamand, Udaipur, Chittorgarh, Dungarpur, Banswara)
62302 20078 73 36446SIHFW: an ISO 9001:2008 certified Institution
Maternal Mortality Ratio(at Zonal level)
410( )
364370
390
410
343 343 338 331322 319330
350
292
270
290
310
250
270
pur
ner
Kot
a
mer
han
pur
pur
pur
Uda
i
Bik
a K Ajm
Raj
asth
Jodh Ja
i
Bha
rat
Administrative Division
47SIHFW: an ISO 9001:2008 certified Institution
Thank You
For more details log on towww.sihfwrajasthan.com
or contact : Director-SIHFW
48SIHFW: an ISO 9001:2008 certified Institution