ANNUAL HEALTH SURVEY 2012-13 FACT SHEETcensusindia.gov.in/vital_statistics/AHSBulletins/AHS... ·...

ANNUAL HEALTH SURVEY2012-13

FACT SHEET

ANNUAL HEALTH SURVEY2012-13

FACT SHEET

BIHAR

Vital Statistics DivisionOffice of the Registrar General & Census Commissioner, India

New DelhiWebsite : www.censusindia.gov.in

BIHARA

nnual Health Survey 2012-13

IndexPage No.

1. Introduction i-xiv

2. Sample Particulars 1-5

3. Household Characteristics 6-7

4. Sex Ratio 8-9

5. Effective Literacy Rate 10

6. Marriage 11-13

7. Schooling Status 14-15

8. Work Status 16-17

9. Disability 18-19

10. Injury 20-23

11. Acute Illness 24-31

12. Chronic Illness 32-47

13. Fertility 48-56

14. Abortion 57-60

15. Family Planning Practices 61-65

16. Unmet Need for Family Planning 66

17. Ante Natal Care 67-73

18. Delivery Care 74-79

19. Post Natal Care 80-82

20. Janani Suraksha Yojana (JSY) 83-84

21. Immunization, Vitamin A & Iron Supplement and Birth Weight 85-90

22. Childhood Diseases 91-93

23. Breastfeeding and Supplementation 94-99

24. Birth Registration 100-101

25. Awareness 102-104

26. Mortality 105-114

27. Confidence Interval (95%) for some important Indicators 115-117

28. Annexure 119-146

i

BIHARA


Introduction Decentralized district-based health planning is essential in India because of the large inter-district variations. In the absence of vital data at the district level, the State level estimates are being used for formulating district level plans as well as setting the milestones thereof. In the process, the hotspots (districts requiring special attention) very often get masked by the State average. This statistical fallacy compounds the problems of the districts acutely, more so in the health sector. At present, none of the Surveys provides estimates of core vital indicators on fertility and mortality at district level. The District Level Household Survey conducted with periodicity of five years mainly focuses on indicators pertaining to maternal health and child welfare programmes. There has, therefore, been a surge in demand from various quarters, in recent years, to generate timely and reliable statistics at the district level for informed decision making in the health sector.

Genesis2. The Annual Health Survey (AHS) was conceived during a meeting of the National Commission of Population held in 2005 under the Chairmanship of the Prime Minister wherein it was decided that “there should be an Annual Health Survey of all districts which could be published / monitored and compared against benchmarks”. The objective was to monitor the performance and outcome of various health interventions of the Government including those under National Rural Health Mission (NRHM) at closer intervals through these benchmark indicators. The AHS has been made an integral part of the NRHM, Ministry of Health & Family Welfare. The responsibility of the project has been entrusted to the Office of the Registrar General, India on behalf of the Ministry of Health & Family Welfare in view its expertise in handling the Sample Registration System, one of the largest demographic surveys in the world.

Objective3. Realizing the need for preparing a comprehensive district health profile on key parameters based on a community set up, the AHS has been designed to yield benchmarks of core vital and health indicators at the district level; prevalence of disabilities, injuries, acute and chronic illness and access to health care for identified morbidities; and access to maternal, child health and family planning services. By virtue of being a panel survey, it has the unique ability to map the rate of change in these indicators on a yearly basis. AHS would, thus, enable better capturing of the health seeking behaviour of the public as compared to other periodic cross-sectional surveys, and also help needed corrections in the strategies.

Coverage 4. The sample size at the district level has been derived taking Infant Mortality Rate as the decisive indicator and host of other practical issues related to execution of the survey. Keeping in view the mammoth size of the sample, it was a conscious decision of the Government to initially confine the survey to the 284 districts (as per 2001 Census) of the 8 Empowered Action Group States (Bihar, Jharkhand, Uttar Pradesh, Bihar, Madhya Pradesh, Chhattisgarh, Orissa and Rajasthan) and Assam for a three year period starting from 2010-11. These 9 high focus States with relatively high fertility and mortality account for about 48 percent of the total population in the country. A representative sample of 20,694 statistically selected Primary Sample Units (PSUs - Census Enumeration Blocks in case of urban areas and villages or a segment thereof in case of larger villages in rural areas) based on 2001 Census has been drawn from these AHS States which would cover about 18 million population and 3.6 million households each year. However, during the

ii

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

Base line Survey in 2010-11, a total of 20.1 million population and 4.14 million households and during the first updation survey in 2012-13, 20.61 million population and 4.28 million households have actually been covered. The second updation survey (third and final round) covered a total of 20.94 million population and 4.32 million households in 2012-13. Despite being restricted to 9 States, the AHS is the largest demographic survey in the world and covers two and a half times that of the Sample Registration System.

Fieldwork Strategy 5. The project is being implemented as a hybrid model wherein the actual field work has been outsourced to seven selected Survey Agencies on the pattern of National Family Health Survey (NFHS) and District Level Household Survey (DLHS). The co-ordination, supervision and monitoring of the fieldwork in the States are being carried out by dedicated staff posted at various levels in the respective Directorate of Census Operations (DCOs). The responsibility for overall co-ordination, supervision and monitoring across the nine AHS States rests with the AHS Division of ORGI. For smooth and effective execution of the survey, the AHS States have been divided into 18 mutually exclusive and exhaustive zones, each having a group of contiguous districts with more or less equal workload.

Technical Consultation6. The outline of the survey such as approach, periodicity, coverage, sampling strategy, sample size, permissible levels of relative standard errors, and levels of aggregation, was finalized after a series of deliberations with the representatives from Ministry of Health & Family Welfare, National Sample Survey Office (NSSO), Central Statistics Office (CSO), Ministry of Woman & Child Development, Indian Council of Medical Research, Planning Commission, International Institute for Population Sciences and other subject experts. Based on the recommendations, various technical details including preparation of sample design, derivation of sample size etc. were worked out and vetted by the Technical Advisory Group (TAG) constituted for the purpose.

Sample Design 7. The Sample design adopted for Annual Health Survey is a uni-stage stratified simple random sample without replacement except in case of larger villages in rural areas ( population more than or equal to 2000 as per 2001 Census), wherein a two stage stratified sampling has been applied. The sample units are Census Enumeration Blocks (CEBs) in urban areas and villages in rural areas. In rural areas, the villages have been divided into two strata. Stratum I comprises villages with population less than 2000 and Stratum II contains villages with population 2000 or more. Smaller villages with population less than 200 were excluded from the sampling frame in such a manner that the total population of villages so excluded did not exceed 2 per cent of the total population of the district. In case of Stratum I, the entire village is the sample unit. In case of Stratum II, the village has been divided into mutually exclusive (non-overlapping) and geographically contiguous units comprising group of EBs called segments of more or less equal size and population not exceeding 2000 in any case. One segment from the frame of segments thus prepared was selected in a random manner to represent the selected village at the second stage of sampling.

8. The number of sample villages in each district was allocated between the two strata proportionally to their size (population). The villages within each size stratum were further ordered by the female literacy rate based on the Census 2001 data, and three disjoint and equal size substrata were established. The sample villages within each substratum were selected by simple random sampling without replacement. Similarly, in urban areas, the Census Enumeration Blocks within a district were ordered by the female literacy rate based

iii

BIHARA


on the Census 2001 data, and three disjoint and equal size substrata were established. The sample Census Enumeration Blocks within each substratum were selected by simple random sampling without replacement. Thus, female literacy which has a direct bearing on the fertility behaviour was used for implicit stratification. Further, the process of selection ensured equal representation across three sub-strata both in rural as well as in urban areas of a district besides rendering the sample design as self-weighting.

Sample Size9. Generating robust estimates of Infant Mortality Rate at the district level has become an utmost necessity as reduction in Infant Mortality constitutes one of the key targets in the Reproductive & Child Health Programme (RCH) under the umbrella of NRHM. This would also facilitate effective tracking of the Millennium Development Goal 4 on Child Mortality. The Infant Mortality Rate has therefore been taken as the decisive indicator for estimation of sample size at the district level. The permissible level of error has been taken as 10 percentage relative standard error (prse) at the district level. The sample size so worked out would yield relatively better estimates of Crude Birth Rate / Crude Death Rate and may also enable generation of rarer indicators like MMR (for a group of districts) with good precision. In the absence of district level estimates from any other reliable source, the district level derived estimates of IMR based on SRS pooled data have been used for estimation of sample size for each district.

Sample Identification Work10. One of the essential prerequisites for the commencement of the survey was to uniquely identify the sample units on ground. This was done in all the sample units across the nine AHS States by the regular staff of ORGI. The work involved firming up of the boundary of the selected villages / Enumeration Blocks; resorting to segmentation in case of villages exceeding the population 2000, random selection of segment thereof and drawing of appropriate notional maps of the sample units to serve as the base map for the survey work.

Survey Tools11. The Second updation survey in all the nine AHS States was carried out during November 2012 to May 2013 * and four Schedules, in all, were administered. These are: (i) House-listing Schedule, (ii) Household Schedule, (iii) Woman Schedule and (iv) Mortality Schedule. In the House-listing Schedule, the mapping, listing and some key particulars like type and ownership details collected in the first updation survey in 2012-13 were updated for the existing houses and households and recorded afresh for the new houses and households in the second updation round.

12. During the Second updation survey, all the Usual Residents as on 01.01.2012 were listed In the Household Schedule wherein the information on a few back ground characteristics viz. Name, Sex, Identification Code, Date of Birth and Date at first Marriage were copied from the first updation Household Schedule for the Usual Residents of first updation survey and other characteristics like Relationship to Head, Age, Religion, Social Group, Marital Status, Education and Occupation/Activity Status were captured afresh for them . For the new Usual Residents as on 01.01.2012, all the details were captured afresh. Besides, information in respect of Disability, morbidity (Injuries, Acute Illness, and Chronic Illness) and access to health insurance is also captured for all the usual residents as on 01.01.2012.

13. Woman Schedule comprised two sections. Section-I was administered to all Ever Married Women (EMW) aged 15-49 years and information relating to the outcome of

* Except for a few districts in Chhattisgarh where the field work is completed in October 2013 due to naxal issues.

iv

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

pregnancy(s) (live birth/still birth/abortion); birth history; type of medical attention at delivery; details of maternal health care(ante-natal/natal/post-natal); immunization of (*Except for a few districts in Chhattisgarh where the field work is completed in October 2013 due to naxal issues.) children; breast feeding practices including supplements; occurrence of child diseases (Pneumonia, Diarrhoea and fever); registration of births, etc. taken place during the reference period (i.e. 01.01.2011 to 31.12.2011) was collected. Section II focused on information on pregnancy; use, sources and practices of family planning methods; details relating to future use of contraceptives and unmet need; awareness about RTI/STI, HIV/AIDS, administration of HAF/ORT/ORS during diarrhoea and danger signs of ARI/Pneumonia; and these details were collected from all Currently Married Women aged 15-49 years. Information relating the Ever Married Women (EMW) like conception details, usage of NPT kit, registration of pregnancy, health problems and subsequent treatments during ante-natal/natal/post-natal period, cost incurred by the woman during delivery etc. is also collected during the second updation survey.

14. Through the Mortality Schedule, details relating to death occurred to usual residents of sample household during the reference period (01.01.2011 to 31.12.2011) were captured and it included information on name & sex of deceased, date of death, age at death, registration of death and source of medical attention received before death. For infant deaths, a question on symptoms preceding death was also probed. In case of deaths associated with pregnancy, information on a variety of questions on factors leading/contributing to death, symptoms preceding death, time between onset of complications and death, etc. were asked to yield data on various determinants of maternal mortality.

Supervision and Third Party Audit15. In addition to the multilayer supervision mechanism adopted by the Survey Agencies, regular inspections were carried out by the officers/officials of respective DCOs and those from ORGI headquarters to ensure the data quality. The inspections were a judicious mix of concurrent as well as post survey audit. Over and above, a component of Third Party Audit was included to verify and authenticate the surveyed data through an independent mechanism. The Third Party Audit work was carried out in 20 randomly selected AHS units in each of the districts covering every household thereof by following a standard protocol prescribed by ORGI. Truncated versions of Household, Women and Mortality Schedules were filled in afresh by the field staff of the Third Party Audit Agencies. The findings in respect of key indicators were matched and re-survey was undertaken by the Survey Agencies in units where the variation was outside the permissible limit. The third party audit also helped in netting of missed vital events, particularly rarer ones like infant and maternal deaths.

Dissemination of Results 16. In view of the large volume of data collected under AHS and significant time required for validation and processing, dissemination of AHS results is done in two phases. The first set of data is released in the form of State-wise bulletins and second in the form of factsheets. The bulletins of the second updation survey was released in March 2014, which contained the district level data on crude birth rate, crude death rate, natural growth rate, infant mortality rate, neo-natal and post neo-natal mortality rates, under 5 mortality rate, sex ratio at birth, sex ratio (0-4 years) and overall sex ratio . In addition, the Maternal Mortality Ratio (MMR), Maternal Mortality Rate and life time risk were released for a group of districts. In order to facilitate direct intervention, the maternal mortality indicators were combined and released for a group of districts on the basis of existing administrative divisions in the respective AHS States.

v

BIHARA


17. Under the present phase of dissemination, data of on host of other important parameters covered in AHS under Household and Woman Schedules are being released in the form of State and District Level Factsheets of the second updation survey. Though the sample size has been calculated for the district as a whole, the rural and urban estimates at the district level have also been published as byproduct. Users are advised to keep the above fact into consideration while using the rural / urban estimates of a district. In order to ward off unusual sampling fluctuations, the urban estimates have not been published in respect of some indicators for the districts where the number of urban sample units was less than six. To begin with, number of PSUs, Households, Population, Ever Married Women, Currently Married Women, Children aged 12-23 months (as on date of survey) covered in the sample of each district and the State along with their rural-urban breakup have been given to provide the users requisite insight on the metadata. The indicators contained in the AHS Bulletin have also been reproduced in these Factsheets so that the users may have access to complete set of indicators at one place. However, they may refer to the AHS Bulletin for details on metadata.

Marriage 18. The information on marital status as on 01.01.2012 was probed in respect of all household members (Usual Residents) irrespective of their age. For those who were married, the date of first marriage was recorded. Using this, age at first marriage, which has a direct impact on child bearing as women marrying early have on an average a longer period of exposure to pregnancy and a greater number of lifetime births, was obtained. Using the age data, the mean age at marriage for males and females has been worked out and included in the Factsheet. The mean age at marriage is based on the marriages to the members of the household (Usual Residents as on 1.1.2012) taken place during 2009-11. The proportion of marriages among males and females taking place below the legal age, i.e., 21 and 18 years respectively, has also been tabulated. Such proportions are also based on the marriages to the members of the household (Usual Residents as on 1.1.2012) taken place during 2009-11. Besides, the percentage of Currently Married Women aged 20-24 years marrying before legal age (18 years) and percentage of Currently Married Men aged 25-29 years marrying before legal age (21 years) have been worked out and presented.

Disability and Injury19. The data on any type of disability as on date of survey was collected in respect of all the usual residents. The type of disability included `mental’, `visual’, `hearing’, `speech’, `loco-motor’, `multiple’ and ‘others’ . The prevalence of any type of disability per 1, 00,000 population by gender and residence at the district and State levels has been presented in the factsheet. Since it is difficult to capture the type of injury and its severity from lay reporting, an attempt has been made to assess the severity of injury from the type and duration of hospitalization required. This would also provide an assessment of the workload on hospitals / doctors on account of injury. Accordingly, the type of treatment meted to the injury during last one year of the date of survey has been collected. The categories by type of treatment included `treated in intensive care unit for any time-1, treated as in-patient with stay more than two weeks-2, treated as in-patient with stay one to two weeks-3, treated as in-patient with stay less than one week-4, treated as out-patient-5, treated by traditional healers-6, and treated at home-7’. Based on these categories, the number of persons injured by type of treatment received per 1, 00,000 population, have been categorized into severe (by including categories 1 & 2), major (by including categories 3 & 4) and minor (by including categories 5 & 6) groups. Those treated at home have been excluded from the above categorization and thus from the analysis also.

vi

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

Acute Illness20. On the morbidity front, if any member (usual resident) of the household suffered from any ‘acute illness’ during last fifteen days prior to the date of survey, the type of illness has been ascertained. Based on this data, persons suffering from acute illness per 1,00,000 population has been presented for a few select diseases like diarrhoea / dysentery; acute respiratory infection & all types of fever and also for any type of acute illness. Besides, the source from where the treatment for the acute illness was taken has also been included. Accordingly, two important indicators, viz., percentage of persons suffering from acute illness and taking treatment from any source and percentage of persons suffering from acute illness and taking treatment from Government source have been presented. The latter gives the share of Government source across all types of sources availed for taking treatment. It may be noted that the entire fieldwork was carried out over a period of six to seven months and in the process, districts were covered at different points of time (i.e., months / seasons). The seasonality effect may be taken note of while interpreting the results.

Chronic Illness 21. The data in respect of chronic illness has been collected based on the symptoms pertaining to a particular illness persisting for more than one month and also in respect of illnesses where it was diagnosed. For both the cases, the reference period was last one year preceding the date of survey. For ascertaining information on symptoms, a list of symptoms associated with various types of diseases was provided along with a separate category for asymptomatic (i.e., having no symptoms). The asymptomatic included those who were not suffering from any illness as well as those who were suffering but had no symptoms. Using this data, percentage of persons having any kind of symptoms of chronic illness along with their source of treatment has been presented. As regards chronic illnesses diagnosed, this was included to measure the extent to which facilities for diagnosis and treatment of some major chronic illnesses set up by centre/State/local Government / private agencies have been utilized. A list of common chronic diseases and those pertaining to major health intervention programmes was provided. Based on this data, percentage of persons diagnosed for a few important diseases such as diabetes, hypertension, tuberculosis, asthma / chronic respiratory disease and arthritis per 1, 00,000 population has been presented besides those diagnosed for any type of chronic illness. Using the data collected on source of diagnosis, status with regard to getting regular treatment and source of treatment, percentage of persons having diagnosed for any kind of chronic illness and getting regular treatment as well as those getting regular treatment from Government source has been worked out and included in the Factsheet. Since the data on morbidity has been elicited as reported by the respondents, it may suffer on account of accuracy. Nevertheless, the availability of such a rich data set at the district level would fill in the much awaited void and pave the way for evidence-based health planning and appropriate interventions.

Fertility22. The Total Fertility Rate (TFR), which is an age-period fertility rate for a synthetic cohort of women, measures the average number of births a group of women would have by the time they reach 50 years of age if they were to give birth at the current age-specific fertility rates. The TFR is expressed as the average number of births per woman. Under AHS, TFR has been calculated by dividing three years average of all births reported during 2009-11 by all the women in respective age group. The seven five-yearly age-specific fertility rates for all women in the age groups from 15-19 to 45-49 have been added and

vii

BIHARA


thereafter multiplied by 5 to yield the TFR. Due to lack of adequate number of births, the TFR by residence could not be worked out and hence is not being published.

23. The distribution of births by birth order is another way to understand the dynamics on spacing of children and level of fertility. In this regard, two key indicators namely, `percentage of women aged 20-24 reporting birth of order 2 & above’ and `percentage of women reporting birth of order 3 & above’ based on last two live births taken place to Ever Married Women aged 15-49 years during 2009-11, have been presented. ‘Percentage of Currently Married Women aged 15-49 years with two living children wanting no more children’ is one of the most crucial indicators on desire to limit child bearing. While deriving this indicator, sterilized women or their husbands have not been taken into account whereas women who were currently pregnant have been included.

24. Teen-age pregnancy and motherhood is an important subject in the settings where the marriage of girls takes place at very young ages. This is not only important from the fertility perspective but also its consequent implication on the health of the mother and child. Accordingly, `percentage of women aged 15-19 who were already mothers or pregnant at the time of survey’ has been tabulated and it depicts the percentage of women who have begun child bearing among all ever married women aged 15-19 years. The ever married sample denominator for the age group 15-19 years has not been adjusted by the all women factors for the same age group. This factor should be taken into consideration while interpreting the results.

Median age at first live birth25. Median age at first live birth of women aged 15-49 years has been presented to reflect the age at which 50 percent of the women have given their first live birth. This indicator covers women of all marital status and ever married sample denominator has been adjusted by the all women factors in this age group. Ever Married Women not yet having first live birth and Never Married Women have been included as a separate category for computation. Median has been calculated from cumulated single year of age percent distributions of age at first birth. Median is linearly interpolated by the age values by which 50 percent or more of the women had a first birth. In order to gauge the same for older women of the same cohort, median age at first live birth for women aged 25-49 years has also been calculated and presented. These two indicators in conjunction would help in comparing the age with regard to entry into parenthood between the two cohorts.

Birth interval26. The information on birth interval, which is defined as the length of time between two successive live births, has been collected in respect of last two live births which took place during 2009-11 for birth order 2 & above. Short birth intervals are likely to have adverse bearing on the mother’s health as also on the chances of survival of the neonates and infants. In the Indian context, the birth interval of 36 months may be taken as the bare minimum from the perspective of reducing neonatal and infant mortality and also for achieving the requisite nutritional outcomes. The information on percentage of live births taking place after an interval of 36 months has been calculated and presented to provide insight into the pace of child bearing.

Mean number of children ever born and surviving27. The number of children ever born and surviving has been collected for all Ever Married Women aged 15-49 years. The survival status has been assessed as on 1.1.2012 (the reference point for the population). The number of children ever born to women provides an estimate of cohort fertility against the period measures of fertility such as the

viii

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

CBR and the TFR. In order to facilitate comparison of completed cohort fertility with the current fertility, the mean number of ever born children to women aged 45-49 years has been calculated and presented. The gap between the two would demonstrate the decline in fertility levels in the recent past.

Abortion28. Abortion as an option was probed for all the pregnancies which resulted into any kind of outcome i.e. live birth, still birth, spontaneous and induced abortion during 2009-2011. This was followed by a series of questions such as when the abortion had taken place (month & year), month of pregnancy when the abortion had occurred, whether any ANC was received, whether ultrasound was performed before the abortion, the place of abortion and who performed the abortion. Based on these data, various indicators such as percentage of pregnancy(s) to women aged 15-49 years resulting in abortion, percentage of women who received any ANC before abortion, percentage of women who went for ultrasound before abortion, average month of pregnancy at the time of abortion, percentage of abortions performed by skilled health personnel (doctor / nurse / ANM / LHV / trained dai), and abortions which took place in institutions have been tabulated and presented.

Family Planning Practices29. The information on awareness as well as the usage in respect of Family Planning Practices was probed from Currently Married Women aged 15-49 years. There were a few women whose marital status as on 1.1.2012 (reference date) was Currently Married but on date of survey, their marital status was widow / divorcee / separated. In such cases, questions on only awareness were probed from them.

Current usage of Family Planning Methods 30. Currently Married Women aged 15-49 years, who were currently menstruating or who were in lactating status or secondary amenorrhoea as on date of survey, were asked whether they or their husbands are currently using any method(s) of family planning. In other words, those CMW who were currently pregnant or in menopause status or who have undergone hysterectomy or never menstruated were excluded from the sample. The family planning methods included both modern as well as traditional methods. Modern methods included Tubectomy, Vasectomy, Copper-T/IUD, Pills (Daily), Pills (Weekly), Emergency Contraceptive Pill, Condom/Nirodh, etc., while the traditional ones were Contraceptive Herbs, Rhythm/Periodic abstinence, Withdrawal, Lactational Amenorrhoea Method, etc. Accordingly, percentage of CMW reporting use of various types of family planning methods (most used method) has been tabulated. In addition, percentage of CMW using any method (Contraceptive Prevalence Rate), any modern method and any traditional method has also been tabulated. Levels of use of contraceptives provide the most obvious and widely accepted criterion for assessing the success of FP programme.

Unmet Need for Family Planning31. The unmet need for Family Planning is a crucial indicator for assessing the future demand for Family Planning services / supplies. Currently Married Women who are not using any method of contraception but who do not want any more children are defined as having an unmet need for limiting and those who are not using contraception but want to wait for two years or more before having another child are defined as having an unmet need for spacing. The sum total of unmet need for limiting and spacing is the unmet need for Family Planning. In order to ensure comparability with DHS Estimates, similar set of questions were probed from CMW aged 15-49 years under AHS also.

ix

BIHARA


32. For working out the estimates on unmet need, the unmet need for spacing has been calculated as the “proportion of pregnant CMW whose pregnancy was mistimed; CMW in lactational amenorrhoea who are not using any family planning method and whose last birth was mistimed, or whose last birth was unwanted but now they say they want more children; fecund CMW who are neither currently pregnant nor in amenorrhoea, and who are not using any family planning method and say that they want to wait for two or more years for the next birth, including those who say that they are unsure whether they want another child, or want another child but are unsure when to have the birth”.

33. The unmet need for limiting has been worked out as the “proportion of pregnant CMW whose pregnancy was unwanted; CMW in lactational amenorrhoea who are not using any family planning method, whose last child was unwanted and who do not want any more children; and fecund CMW who are neither pregnant nor in amenorrhoea who are not using any method of family planning and who want no more children”. Using the met demand for contraception (current contraceptive users) and the unmet need for contraception, the total demand for family planning as well as the percentage demand satisfied can be assessed. The classification for the need for family planning is illustrated as under:

x

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

Ante-natal Care34. Ante-natal care constitutes one of the key elements towards initiatives to promote safe motherhood. A series of questions to capture various aspects of ante-natal care such as, number of ante-natal check-ups received, months of pregnancy at the time of first ANC, main source of ANC, type of tests performed during ANC, number of Tetanus Toxoid (TT) injections received and number of days of consumption of Iron & Folic Acid (IFA) tablets/syrup, were asked from the EMW aged 15-49 years in respect of their last two outcomes of pregnancies which have resulted into live births / still births during 2009-11. However, appropriate indicators based on the above aspects have been tabulated in respect of responses recorded for last live / still births.

35. The indicators included in the Factsheets are percentage of mothers who received any ANC, percentage of mothers who had ANC in first trimester, percentage of mothers who received 3 or more ANC, percentage of mothers who received at least one TT injection, percentage of mothers who consumed IFA for 100 days or more and percentage of mothers who had full ante-natal check-up. The full ante-natal check-up comprises at least three visits for ANC, at least one TT injection received and IFA consumption for 100 days or more. In addition, percentage of mothers who received ANC from Government source, percentage of mothers whose blood pressure & blood (for Hb) were taken and percentage of mothers who underwent ultrasound have been calculated and presented. Besides, percentage of Currently Married Pregnant Women aged 15-49 years registered for ANC has also been presented.

Delivery Care 36. Under Delivery Care, the details about place of delivery, source of transport provided/availed for reaching the institution, length of stay in the institution after delivery, type of delivery (normal / caesarean / assisted) and the personnel conducting delivery in case of domiciliary births were inquired from the EMW aged 15-49 years for their last two pregnancy outcomes resulting into live births/still births during 2009-11. As in the case of ante-natal care, indicators based on these parameters have been tabulated in respect of responses for last live/still births. Percentage of deliveries taken place in institutions and their distribution into Government and Private institutions; percentage of deliveries taken place at home; percentage of home deliveries conducted by skilled health personnel; and percentage of Safe deliveries are the key indicators presented in the Factsheet. Safe delivery comprises institutional deliveries and home deliveries conducted by doctor/ nurse / ANM / LHV and it does not include those attended by trained dai. However, trained dai is included under skilled health personnel. If the respondent has mentioned more than one person attending delivery, only the most qualified person is taken into consideration.

37. As regards the extent of stay in institutions after delivery which is very crucial and has a direct bearing on the new born care as also on the health of the mother, the percentage of less than 24 hours stay in the institution after delivery has been worked out and presented. Besides, percentage of Caesarean deliveries out of total deliveries taken place in Government and Private Institutions respectively has also been presented.

Post-natal Care38. Getting a Post partum / Post-natal check-up soon after the birth of baby or within 48 hours is crucial for the health of both the mother and the child. Accordingly, three indicators, viz., percentage of mothers who received Post-natal check-up within 48 hours of delivery, percentage of mothers who received Post-natal check-up within one week of delivery and percentage of mothers who did not receive any Post-natal check-up have been calculated and presented. In case of institutional delivery where the woman had stayed

xi

BIHARA


there for at least 48 hours, it was presumed that the post-natal care was given within 48 hours. These indicators are based on the last outcome of pregnancy which resulted into live / still birth during 2009-11.

39. Along with the first post-natal check-up of mother, check-up of the new borns is essential. It was therefore probed from the mothers, whose last outcome of pregnancy resulted into live birth during 2009-12, when was the new born checked up. Based on this, the percentage of new born who received check up within 24 hours of birth has been worked out and presented. In case of institutional delivery if the baby remained there for at least 24 hours, it was presumed that the first check-up was done within 24 hours.

Financial assistance under Janani Suraksha Yojana40. The Janani Suraksha Yojana (JSY) is one of the most important programmes under the overall umbrella of NRHM aimed at reducing Maternal Mortality Ratio and Neo-natal Mortality Rate by promoting institutional deliveries. Under the Scheme, cash incentives are provided to mothers and they are facilitated by Accredited Social Health Activists (ASHAs) to deliver their babies in a health facility. There are also provisions for cost reimbursement for transport and incentives to ASHAs for encouraging mothers to opt for institutional delivery. The scheme is fully sponsored by the Central Government and is implemented in all States and Union Territories, with special focus on low-performing States. There is also a provision for roping in the private sector by giving accreditation to willing private hospitals/nursing homes for providing delivery services. The Scheme has been implemented in all the 9 AHS States since 2005.

41. In order to gauge the spread and effectiveness of the JSY, Ever Married Women aged 15-49 years were probed whether they had availed the maternity financial assistance for safe motherhood under the scheme in respect of their last two outcomes of delivery resulting in live / still births during 2009-11. The percentage of mothers who availed financial assistance for delivery, percentage of mothers who availed financial assistance for institutional delivery and percentage of mothers who availed financial assistance for Government institutional delivery under JSY, all in respect of the last outcome of delivery resulting in live birth / still birth, have been calculated and presented. Since the scope of JSY has been extended to domiciliary births also, these three sets of indicators would present a holistic picture.

Immunization42. The information on childhood immunization, i.e., vaccination coverage, has been collected for all living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11]. Information on six vaccine preventable diseases namely, tuberculosis, diphtheria, whooping cough (Pertussis), tetanus, polio and measles, has been collected with reference to the status as on date of survey. Universal immunization of children against these six diseases is vital for reducing infant and child mortality. Whenever the mother had the vaccination card (Immunization / MCH) and if the card was available at the time of interview, the responses were recorded based on entries in the card. Otherwise, the responses as reported by the mother were noted down. For those living children who did not receive any vaccination, the main reason thereof has also been noted.

43. In conformity with the International and Govt. of India guidelines which specify that children should be fully vaccinated by the time they complete their first year of life, the 12-23 months age group has been chosen for analysis. The percentage of children having Immunization Card, percentage of children aged 12-23 months who have received BCG, percentage of children who have received 3 doses of polio vaccine, percentage of children

xii

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

who have received polio dose at birth, percentage of children who have received three doses of DPT vaccine and percentage of children who have received measles vaccine, all for the age group 12-23 months, have been calculated and presented. Besides the percentage of children aged 12-23 months who have been fully immunized, the percentage of children aged 12-23 months who did not receive any vaccination have also been tabulated in order to portray the complete picture of immunization. According to the WHO guidelines, children are considered fully immunized when they have received vaccination against tuberculosis, three doses of DPT, three doses of the poliomyelitis and one dose of measles.

Administration of Vitamin-A and Iron & Folic Acid supplements44. Proper and sufficient intake of Vitamin-A and Iron supplements is essential to thwart childhood morbidity and mortality. Vitamin-A is an essential micro nutrient for the immune system and plays an important role in maintaining the epithelial tissues in the body. Severe Vitamin-A deficiency (VAD) can cause eye damage. VAD has also the potential to increase the severity of measles and diarrhoeal diseases in children and slow recovery from illness. Since the human liver can store an adequate amount of the vitamin for 4-6 months, Vitamin-A dosing every six months is one of the usual methods for ensuring that children at risk are protected from developing VAD. The National Programme on Prevention of Blindness mandates that children of age 9 months to 5 years should be administered oral doses of Vitamin-A every six months. In order to assess the situation, information on children aged 6-35 months who have received at least one dose of Vitamin-A during the last six months has been collected and presented.

45. Anaemia, which is characterised by a low level of haemoglobin in the blood, is a great concern in young children because it can result in impaired cognitive performance, behavioural and motor coordination, language development and scholastic achievement. It also enhances the risk of morbidity from other infectious diseases. One of the most vulnerable groups to anaemia is children aged 6-23 months. It was probed from the mothers of all living children older than 6 months whether IFA tablet / syrup was administered to the children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] in the last 3 months. IFA tablet/syrup as supplements is given to child beyond six months to prevent anaemia. Based on this, the percentage of children aged 6-35 months who have received IFA tablets / syrup during last three months has been calculated and presented.

Birth weight46. Birth weight is an important indicator to measure the vulnerability of a new born to the risk of childhood illness and chances of survival. The information on birth weight assists in monitoring programmes to reduce neo-natal and infant mortality through a reduction in low birth weight infants. The information on birth weight has been collected in respect of all living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11]. Based on this data, the percentage of children whose birth weight was taken and percentage of children whose birth weight was less than 2.5 Kg. have been worked out and presented.

Childhood diseases47. Treatment practices and contact with health services among children with the 3 most important childhood illnesses namely, Acute Respiratory Infection (ARI), Fever and Diarrhoea, help in the assessment of National Programmes aimed at reducing the mortality impact of these illnesses. The information on children suffering from Acute Respiratory Infection, Fever and Diarrhoea in respect of all the living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] during fifteen days preceding the date of survey has been collected. This has been done to minimise the recall lapse. Besides the

xiii

BIHARA


prevalence, the information on treatment of ARI with antibiotics, treatment of fever and the treatment of diarrhoea with Home Available Fluids (HAF) / fluids prepared from ORS packet has been collected. The treatment of diarrhoeal diseases with Oral Rehydration Therapy (ORT) aids in the assessment of programmes that recommends such treatment. Based on these data, the percentage of children suffering from Diarrhoea and received HAF / ORS / ORT, percentage of children suffering from ARI and sought treatment, and percentage of children suffering from fever and sought treatment have been calculated and presented.

Child feeding practices 48. Early breastfeeding practices determine the successful establishment and duration of breastfeeding. It is recommended that children be put to the breast immediately or within one hour of birth. There is growing evidence of the benefits to mother and child of early initiation of breastfeeding preferably in the first hour of the birth. Early initiation of breastfeeding contributes to reducing neo-natal mortality. It ensures early skin to skin contact which is important in preventing hypothermia and establishing the bond between the mother and her child. Early initiation of breastfeeding also reduces the mother’s risk of post partum haemorrhage, one of the leading causes of maternal mortality. Although breastfeeding is nearly universal in India, very few children are put to breastfeed immediately after birth. In order to have an assessment with regard to the time of initiation of breastfeeding, the mothers of all living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] were asked when did they first breastfeed their baby. Based on this, the percentage of children breastfed within one hour of birth has been calculated and presented.

49. Exclusive breastfeeding for the first six months of the child’s life is an essential component of the optimal infant and young child feeding practices. The Government of India recommends that children should be exclusively breastfed for the first six months of life (i.e., the child should be given only breast milk and nothing else, not even water). In order to assess the situation on ground, the mothers of all living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] were asked how many days/months did they exclusively breastfeed their baby. Based on the responses, percentage of children aged 6-35 months exclusively breastfed for at least six months has been worked out and presented.

Complementary feeding50. The introduction of complementary feeding at six months of age, solid and semi-solid food and the diverse food combinations fed to children also constitute part of the optimal feeding practices. The purpose of complementary feeding is to complement the breast milk and sustain the growth and development of the child. WHO recommends introduction of solid or semi-solid foods to infants around the age of 6 months because by that age, breast milk by itself is no longer sufficient to maintain the child’s optimal growth. Information on supplementation was obtained by asking mothers of all living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] at what age did they start feeding the baby food other than breast milk. The type of food included water, animal milk / formula milk, semi-solid mashed food, solid (adult) food and vegetables/fruits. Based on these, the percentage of children who received foods other than breast milk such as water, animal/formula milk, semi-solid mashed food, solid (adult) food and vegetables/fruits during first six months has been worked out and presented. Besides, the average month by which children received these foods have also been worked out and presented.

xiv

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

Birth Registration51. India, being a signatory to the UN Convention on the Rights of the Child, 1989 which recognizes birth registration as one of the first rights of child, is committed to achieve universalization of birth registration. In India, registration of birth is compulsory under the Registration of Births and Deaths (RBD) Act, 1969. The Act mandates that every birth should be registered and a birth certificate provided free of charge to the informant. Despite significant efforts to improve the Civil Registration System, especially during the past decade, the overall level of registration of births still falls short by about 25 percent. The registration system in the country functions at different levels of efficiency across States/UTs. In order to assess the functioning of the Civil Registration System in the community, information on whether the birth of the baby was registered with the civil authority and if so, the birth certificate was received or not in respect of all living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] has been collected. Based on this, the percentage of children whose births were registered and the percentage of children whose births were registered & who also received the Birth Certificates have been arrived at and presented.

52. Under the RBD Act, the institutions where birth takes place is to register the birth and issue the birth certificate in case they have been declared as the registration units or to report the event to the local Registrar of Births & Deaths. Of late, majority of the Government institutions have been declared as registration units. Since a review of the system across different States/UTs has revealed that due to lack of a proper and complete reporting system, the institutional births which have already been registered are not being reflected in the final figures compiled and therefore in order to net all such cases, it was presumed that the birth would have been registered. However, even in these cases it was probed whether the birth certificate has been received.

53. This Factsheet of the second updation survey pertains to the State of Bihar. The field work for the AHS has been carried out by M/s Development & Research Services Pvt. Ltd., New Delhi and M/s TNS India Pvt. Ltd., Gurgaon in the allotted zones. The third party audit work in the State has been done by M/s. Research and Development Initiative Pvt. Ltd., New Delhi.

54. The survey reference period of this Factsheet is 01.01.2011 to 31.12.2011 and the results presented are based on the data for the period 2009, 2010 and 2011.

1

BIHARA


SAMPLE PARTICULARS

State / DistrictSample Units Households Population

Total Rural Urban Total Rural Urban Total Rural Urban1 2 3 4 5 6 7 8 9 10

Bihar 2356 1981 375 612684 568030 44654 3227867 2993906 233961Araria 48 43 5 16028 15342 686 81612 77999 3613

Aurangabad 59 51 8 10693 9839 854 63068 58263 4805

Banka 68 63 5 16677 16131 546 81445 78689 2756

Begusarai 56 52 4 18320 17683 637 92242 89013 3229

Bhagalpur 53 39 14 14684 13043 1641 73983 65856 8127

Bhojpur 83 66 17 17517 16012 1505 100271 91547 8724

Buxar 74 64 10 17148 16241 907 100061 95048 5013

Darbhanga 55 48 7 17074 16476 598 84212 81316 2896

Gaya 51 41 10 8931 7471 1460 50695 42329 8366

Gopalganj 72 65 7 16006 15225 781 95703 91371 4332

Jamui 43 38 5 9045 8597 448 49514 46921 2593

Jehanabad 98 87 11 21897 20629 1268 113895 107006 6889

Kaimur (Bhabua) 57 54 3 10555 10181 374 62188 60063 2125

Katihar 53 46 7 18411 17653 758 87988 84271 3717

Khagaria 74 67 7 24783 23925 858 132692 128255 4437

Kishanganj 38 32 6 12616 11633 983 61807 57103 4704

Lakhisarai 86 68 18 21059 19457 1602 117494 108830 8664

Madhepura 50 46 4 20109 19539 570 103525 100899 2626

Madhubani 82 77 5 25902 25639 263 129408 128092 1316

Munger 86 54 32 18539 15325 3214 94844 77808 17036

Muzaffarpur 72 62 10 21181 20284 897 107391 103139 4252

Nalanda 74 58 16 15101 13648 1453 80637 72727 7910

Nawada 60 53 7 12068 11363 705 71744 67568 4176

Pashchim Champaran 35 29 6 9613 9106 507 49614 47113 2501

Patna 128 61 67 26624 17158 9466 141204 93687 47517

Purba Champaran 47 42 5 16381 15515 866 90990 86127 4863

Purnia 36 31 5 10344 9421 923 48915 44326 4589

Rohtas 59 47 12 12288 11044 1244 72643 65401 7242

Saharsa 43 37 6 14545 13201 1344 72565 65945 6620

Samastipur 65 61 4 17185 16734 451 86613 84410 2203

Saran 65 56 9 14459 13370 1089 79081 73074 6007

Sheikhpura 63 49 14 12180 11109 1071 67490 61398 6092

Sheohar 41 38 3 14986 14537 449 71690 69401 2289

Sitamarhi 49 44 5 15302 14372 930 71440 67274 4166

Siwan 101 92 9 25888 23838 2050 148425 137164 11261

Supaul 64 59 5 19597 18936 661 95947 92714 3233

Vaishali 68 61 7 18948 18353 595 94831 91759 3072

2

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

Rural84%

Urban16%

Bihar: Sample Units

0

10

20

30

40

50

60

70

80

90

100

Bihar: District wise Sample Units

Rural Urban

3

BIHARA


Rural93%

Urban7%

Bihar: Sample Households

0

3000

6000

9000

12000

15000

18000

21000

24000

Bihar: District wise Sample Households

Rural Urban

4

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

Rural93%

Urban7%

Bihar: Sample Population

0

20000

40000

60000

80000

100000

120000

140000

160000Bihar: District wise Sample Population

Rural Urban

5

BIHARA


SAMPLE PARTICULARS

State / DistrictEver Married Women (aged 15-49 years)

Currently Married Women (aged 15-49 years) Children 12-23 months


Bihar 593599 550509 43090 577096 535700 41396 129530 121987 7543Araria 14375 13745 630 13858 13248 610 3367 3238 129

Aurangabad 12204 11279 925 11827 10936 891 2652 2477 175

Banka 15734 15207 527 15148 14633 515 3695 3584 111

Begusarai 17631 17010 621 17080 16485 595 3903 3806 97

Bhagalpur 13440 11960 1480 12944 11525 1419 2980 2775 205

Bhojpur 19221 17667 1554 18571 17073 1498 4162 3864 298

Buxar 18678 17768 910 18172 17301 871 4314 4148 166

Darbhanga 14613 14070 543 14289 13763 526 2905 2802 103

Gaya 10001 8421 1580 9637 8119 1518 2188 1869 319

Gopalganj 16210 15467 743 15942 15206 736 3785 3636 149

Jamui 10168 9709 459 9892 9451 441 2176 2097 79

Jehanabad 21855 20575 1280 21206 19981 1225 4321 4088 233

Kaimur (Bhabua) 11679 11291 388 11381 11006 375 2905 2833 72

Katihar 15611 14931 680 15169 14519 650 3447 3340 107

Khagaria 23414 22620 794 22999 22221 778 4745 4626 119

Kishanganj 10371 9582 789 9917 9165 752 2316 2179 137

Lakhisarai 22366 20713 1653 21621 20033 1588 4487 4231 256

Madhepura 19056 18532 524 18594 18086 508 4547 4495 52

Madhubani 23393 23150 243 22939 22700 239 5630 5562 68

Munger 17250 14183 3067 16572 13661 2911 3775 3261 514

Muzaffarpur 19254 18445 809 18748 17967 781 3555 3458 97

Nalanda 16120 14706 1414 15523 14174 1349 2969 2694 275

Nawada 14427 13637 790 13948 13188 760 2691 2551 140


Patna 26935 17868 9067 25872 17230 8642 5352 4029 1323

Purba Champaran 16330 15428 902 16108 15220 888 3802 3622 180

Purnia 8697 7861 836 8458 7659 799 2093 1935 158

Rohtas 13549 12291 1258 13130 11931 1199 3373 3092 281

Saharsa 13043 11807 1236 12712 11500 1212 3140 2945 195

Samastipur 16003 15579 424 15694 15282 412 3037 2969 68

Saran 13847 12821 1026 13498 12505 993 3172 2962 210

Sheikhpura 13112 11971 1141 12683 11586 1097 3359 3157 202

Sheohar 12576 12153 423 12323 11916 407 3709 3520 189

Sitamarhi 12834 12074 760 12505 11773 732 3002 2809 193

Siwan 24853 22856 1997 24313 22391 1922 4584 4201 383

Supaul 17982 17399 583 17668 17098 570 4229 4122 107

Vaishali 17818 17235 583 17379 16831 548 3126 3058 68

6

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

HOUSEHOLD CHARACTERISTICS

State / DistrictAverage Household Size

SC ST AllTotal Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 5.2 5.2 5.2 5.1 5.1 4.9 5.2 5.3 5.2Araria 5.0 5.0 5.3 4.9 4.9 4.8 5.1 5.1 5.3

Aurangabad 5.7 5.7 5.3 6.3 6.4 6.3 5.9 5.9 5.6

Banka 4.8 4.8 5.0 4.6 4.6 4.0 4.9 4.9 5.0

Begusarai 4.9 4.8 5.6 5.5 5.6 4.7 5.0 5.0 5.1

Bhagalpur 5.0 5.0 5.1 5.1 5.1 5.4 5.0 5.0 5.0

Bhojpur 5.3 5.3 5.4 5.8 5.6 6.3 5.8 5.7 5.8

Buxar 5.6 5.6 5.4 5.6 5.8 4.1 5.8 5.8 5.5

Darbhanga 5.1 5.1 4.8 4.6 4.7 1.0 4.9 4.9 4.8

Gaya 5.4 5.4 5.4 4.9 4.7 6.0 5.7 5.7 5.7

Gopalganj 5.7 5.6 6.0 6.1 6.1 6.0 6.0 6.0 5.5

Jamui 4.9 4.9 5.7 5.3 5.3 4.0 5.5 5.5 5.8

Jehanabad 5.0 5.0 5.2 4.7 4.4 7.3 5.2 5.2 5.4

Kaimur (Bhabua) 5.6 5.6 5.2 5.9 5.8 7.8 5.9 5.9 5.7

Katihar 4.6 4.6 4.6 4.5 4.5 4.5 4.8 4.8 4.9

Khagaria 5.3 5.3 5.6 5.5 5.6 4.5 5.4 5.4 5.2

Kishanganj 4.5 4.6 4.4 4.5 4.5 9.0 4.9 4.9 4.8

Lakhisarai 5.5 5.5 5.4 5.0 5.1 4.8 5.6 5.6 5.4

Madhepura 5.3 5.3 4.4 5.5 5.5 - 5.1 5.2 4.6

Madhubani 4.8 4.8 5.6 5.7 5.7 - 5.0 5.0 5.0

Munger 5.2 5.2 5.1 4.8 4.8 5.0 5.1 5.1 5.3

Muzaffarpur 5.0 5.0 4.9 5.0 5.0 5.0 5.1 5.1 4.7

Nalanda 5.3 5.3 5.2 4.6 4.0 6.3 5.4 5.3 5.4

Nawada 5.6 5.6 6.3 6.0 6.0 3.5 5.9 5.9 5.9

Pashchim Champaran 4.8 4.8 4.8 5.4 5.5 4.2 5.1 5.2 4.9

Patna 5.1 5.1 5.1 4.8 4.7 5.0 5.2 5.5 5.0

Purba Champaran 5.3 5.3 5.6 5.6 5.6 5.8 5.6 5.6 5.6

Purnia 4.8 4.8 5.1 4.5 4.6 4.4 4.8 4.7 5.0

Rohtas 5.7 5.7 5.7 5.1 5.1 4.9 5.9 5.9 5.8

Saharsa 5.0 5.0 4.9 5.0 5.1 4.7 5.0 5.0 4.9

Samastipur 5.0 4.9 5.5 3.6 4.0 1.5 5.0 5.0 4.9

Saran 5.2 5.3 5.0 5.6 5.6 5.0 5.5 5.5 5.5

Sheikhpura 5.5 5.4 6.1 7.2 6.6 11.0 5.5 5.5 5.7

Sheohar 4.8 4.8 5.7 5.7 5.8 5.0 4.8 4.8 5.1

Sitamarhi 4.7 4.8 4.4 4.7 4.5 15.0 4.7 4.7 4.5

Siwan 5.6 5.6 4.9 5.8 5.8 5.9 5.7 5.7 5.5

Supaul 5.0 5.0 5.1 5.6 5.3 7.8 4.9 4.9 4.9

Vaishali 5.0 5.0 5.1 4.8 4.8 4.7 5.0 5.0 5.2

7

BIHARA


HOUSEHOLD CHARACTERISTICS

State / DistrictPopulation below age 15

years (%) Dependency Ratio Currently Married Illiterate Women aged 15-49 years (%)


Bihar 38.9 39.7 32.8 87.2 90.7 65.9 56.7 60.9 27.5Araria 41.8 42.2 37.3 92.0 93.4 75.6 68.6 70.8 38.5

Aurangabad 39.2 39.4 37.1 87.2 88.6 76.0 51.3 52.4 41.3

Banka 39.1 39.4 33.5 90.8 91.8 70.2 58.7 60.0 29.3

Begusarai 39.5 40.2 30.8 87.4 90.2 59.9 47.9 50.4 18.8

Bhagalpur 38.0 39.5 31.7 83.5 89.3 62.9 50.8 56.9 23.3

Bhojpur 37.1 37.9 32.4 83.5 86.3 69.3 50.8 54.2 30.1

Buxar 37.0 37.3 33.8 85.1 87.1 67.6 48.9 51.1 26.4

Darbhanga 39.3 39.9 30.2 87.5 89.2 65.1 55.2 57.4 26.5

Gaya 38.9 40.2 34.2 86.9 92.6 70.0 52.7 58.2 34.6

Gopalganj 36.2 36.2 35.9 82.0 82.5 75.7 46.2 46.9 37.0

Jamui 40.5 40.9 34.9 90.3 92.4 66.8 68.5 70.9 33.9

Jehanabad 39.4 39.5 38.6 90.1 91.3 80.8 57.7 58.9 46.2

Kaimur (Bhabua) 38.9 39.2 33.3 88.0 88.8 67.7 47.5 48.6 16.6

Katihar 42.1 42.9 31.5 94.4 97.7 60.1 68.9 72.4 21.9

Khagaria 41.0 41.5 32.7 89.6 91.5 65.1 60.9 63.6 20.3

Kishanganj 43.6 44.7 35.3 106.4 111.4 75.9 70.1 75.4 31.3

Lakhisarai 38.3 38.7 35.7 87.2 88.6 78.6 54.6 57.6 34.9

Madhepura 40.7 41.0 32.9 89.3 90.1 69.6 56.4 57.9 20.2

Madhubani 38.1 38.2 36.2 85.2 85.4 75.2 67.8 68.4 37.2

Munger 35.6 37.6 30.9 79.2 87.1 63.3 42.7 51.3 22.8

Muzaffarpur 37.0 37.9 27.6 85.9 89.2 55.5 45.7 49.2 9.6

Nalanda 39.0 39.2 37.6 87.3 89.2 77.7 57.1 60.3 38.6

Nawada 39.2 39.5 35.7 92.3 94.6 72.8 61.3 63.5 40.4


Patna 34.5 39.0 29.4 71.3 88.1 55.7 40.8 57.1 23.1

Purba Champaran 41.3 41.9 35.9 89.5 91.6 72.6 72.4 75.8 43.2

Purnia 41.7 42.4 38.0 93.4 96.6 79.7 70.9 78.7 35.3

Rohtas 37.1 37.5 33.8 83.2 85.0 71.2 43.1 45.5 24.5

Saharsa 41.3 42.1 36.3 93.8 97.3 74.6 51.0 56.6 17.5

Samastipur 38.6 39.0 31.8 86.3 87.7 64.0 62.1 64.3 20.7

Saran 37.1 37.3 35.2 98.0 101.3 77.9 42.4 44.7 27.0

Sheikhpura 39.4 40.3 34.4 89.6 93.8 68.6 57.3 61.1 34.6

Sheohar 41.9 41.8 43.0 98.2 98.5 93.7 72.0 71.5 80.1

Sitamarhi 40.5 41.0 35.7 88.2 89.5 76.0 68.8 72.0 36.3

Siwan 36.0 36.4 32.6 81.2 83.7 64.1 50.1 54.6 16.3

Supaul 40.9 41.4 34.8 90.8 93.0 67.5 65.6 68.7 21.6

Vaishali 36.8 37.1 32.8 89.8 91.2 68.9 49.3 50.8 24.4

8

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

SEX RATIO

State / DistrictSex Ratio at Birth Sex Ratio (0- 4 years) Sex Ratio (All ages)


Bihar 925 925 923 922 924 912 956 962 915Araria 909 910 898 903 901 943 919 916 946

Aurangabad 985 979 1045 973 970 1008 1015 1021 964

Banka 989 994 876 984 984 1000 992 995 922

Begusarai 969 982 800 956 962 881 986 990 935

Bhagalpur 959 963 940 932 942 877 923 930 894

Bhojpur 936 936 933 922 916 969 1003 1021 910

Buxar 997 991 1065 963 963 968 991 997 941

Darbhanga 878 873 977 869 870 854 915 921 841

Gaya 967 951 1039 977 968 1015 1046 1071 965

Gopalganj 901 907 825 892 901 775 949 950 930

Jamui 976 983 876 955 957 920 1006 1010 958

Jehanabad 952 950 969 932 927 983 1010 1009 1018

Kaimur (Bhabua) 887 892 719 923 929 755 960 963 896

Katihar 934 929 1028 948 941 1073 990 996 920

Khagaria 927 932 830 921 924 858 900 902 869

Kishanganj 967 978 862 990 1004 862 1036 1039 1008

Lakhisarai 940 931 1012 919 916 936 963 967 936

Madhepura 939 937 1013 938 937 961 914 915 869

Madhubani 905 902 1103 889 888 971 920 920 869

Munger 940 945 927 925 941 881 930 943 901

Muzaffarpur 896 904 776 897 898 883 938 942 895

Nalanda 939 956 841 959 971 893 1014 1022 972

Nawada 926 922 961 955 956 941 1069 1080 974


Patna 922 913 936 932 931 933 935 980 888

Purba Champaran 896 899 859 902 905 871 901 902 893

Purnia 887 886 893 882 889 844 961 971 916

Rohtas 918 922 880 932 944 845 998 1003 966

Saharsa 920 923 891 915 918 889 919 919 923

Samastipur 881 880 918 863 861 901 913 914 889

Saran 921 934 833 918 927 861 999 1006 950

Sheikhpura 895 897 878 924 924 927 1022 1038 936

Sheohar 927 919 1108 902 893 1072 928 929 900

Sitamarhi 869 867 882 855 852 879 931 932 923

Siwan 949 953 916 937 948 845 965 969 938

Supaul 951 952 934 955 958 925 940 950 821

Vaishali 885 884 905 874 878 789 956 959 907

9

BIHARA


880

890

900

910

920

930

940

950

960

970

Total Rural Urban

Bihar : Sex Ratio

Sex Ratio at Birth Sex Ratio (0- 4 years) Sex Ratio (All ages)

850

900

950

1000

1050

1100Bihar : Sex Ratio

Sex Ratio at Birth Sex Ratio (0- 4 years) Sex Ratio (All ages)

10

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

EFFECTIVE LITERACY RATE

State / DistrictEffective Literacy Rate

Person Male FemaleTotal Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 68.7 66.4 84.1 78.2 76.4 89.5 58.9 56.2 78.0Araria 63.5 62.1 80.0 73.2 72.1 86.3 53.5 51.8 73.2

Aurangabad 73.0 72.3 79.0 83.8 83.3 87.0 62.6 61.7 70.4

Banka 66.2 65.5 82.9 77.1 76.6 89.7 55.7 54.9 75.4

Begusarai 72.9 71.5 88.3 81.9 80.9 92.6 64.2 62.6 83.6

Bhagalpur 72.2 68.6 85.8 80.3 77.6 90.1 63.7 59.3 81.1

Bhojpur 75.8 74.0 85.5 87.9 87.0 92.7 63.7 61.3 77.2

Buxar 74.6 73.4 86.1 85.3 84.7 91.2 63.8 62.2 80.5

Darbhanga 62.9 61.7 78.8 72.7 71.8 83.7 53.1 51.7 73.0

Gaya 70.9 68.0 80.0 81.5 79.7 86.6 61.0 57.4 73.1

Gopalganj 70.0 69.3 78.3 79.4 78.9 85.7 60.0 59.2 70.2

Jamui 63.5 62.0 81.8 76.1 75.2 86.7 51.5 49.4 76.7

Jehanabad 71.3 70.7 76.5 83.2 83.1 83.5 59.6 58.5 69.5

Kaimur (Bhabua) 76.0 75.5 90.3 85.8 85.4 94.4 65.9 65.1 85.7

Katihar 61.5 59.2 89.4 69.5 67.1 95.9 53.9 51.8 82.0

Khagaria 69.0 67.6 88.7 76.9 75.8 92.8 59.9 58.3 83.6

Kishanganj 62.6 59.8 81.9 71.3 68.7 88.3 54.7 51.8 75.5

Lakhisarai 69.5 68.1 78.0 80.0 79.1 85.7 59.1 57.5 69.8

Madhepura 65.6 64.9 84.6 76.4 75.9 90.2 54.0 53.1 78.1

Madhubani 63.1 62.8 78.2 73.4 73.2 84.8 52.6 52.3 70.4

Munger 75.6 70.9 85.7 84.3 81.1 90.9 66.5 60.6 79.9

Muzaffarpur 68.5 66.3 91.2 75.4 73.7 93.1 61.2 58.6 89.1

Nalanda 69.0 67.4 77.3 80.2 79.6 83.0 58.5 56.0 71.6

Nawada 64.6 63.3 76.7 76.1 75.2 83.6 54.5 52.9 69.6


Patna 78.7 69.8 87.8 87.2 81.3 93.0 69.4 58.2 81.9

Purba Champaran 63.4 61.9 75.8 72.8 71.8 80.7 52.8 50.8 70.2

Purnia 60.6 56.7 78.3 67.4 64.0 82.6 53.6 49.3 73.8

Rohtas 76.6 75.5 84.7 87.0 86.4 90.7 66.5 64.8 78.5

Saharsa 66.9 63.5 86.5 78.0 75.6 91.3 55.2 50.8 81.1

Samastipur 66.5 65.4 87.6 76.2 75.3 92.8 56.2 54.9 81.8

Saran 72.2 71.1 80.2 82.1 81.5 85.9 62.4 60.7 74.4

Sheikhpura 69.3 66.9 82.5 81.0 79.2 89.7 58.6 55.8 74.8

Sheohar 61.9 62.1 57.5 71.4 71.5 69.6 51.5 51.9 43.4

Sitamarhi 63.1 61.5 78.7 71.6 70.3 84.4 54.0 52.2 72.5

Siwan 74.1 72.3 87.4 82.3 81.0 91.7 65.5 63.2 82.8

Supaul 65.9 64.1 88.8 76.9 75.3 95.7 54.3 52.5 80.1

Vaishali 72.3 71.4 86.6 81.1 80.4 91.3 63.1 62.0 81.2

11

BIHARA


MARRIAGE

State / District

Marriages among Females below legal age

(18 years) (%)#

Marriages among Males below legal age (21 years)

(%)#

Currently Married Women aged 20-24 years married

before legal age (18 years) (%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 13.8 15.1 6.3 20.6 22.4 11.0 49.2 50.3 39.7Araria 12.2 13.3 - 14.5 15.4 - 50.0 51.3 -Aurangabad 15.2 15.9 8.6 31.8 33.0 21.4 55.1 56.0 46.0Banka 16.3 17.0 - 18.8 19.3 - 53.2 54.0 -Begusarai 17.8 18.8 - 20.5 21.5 - 52.0 52.3 -Bhagalpur 9.8 10.6 5.5 10.6 12.4 2.6 42.3 43.0 38.9Bhojpur 17.2 18.9 6.7 26.6 29.4 11.9 49.9 51.8 33.1Buxar 21.0 22.4 7.7 25.3 27.9 5.2 46.4 48.0 27.3Darbhanga 7.5 7.7 4.0 16.9 17.7 9.4 51.3 52.1 39.1Gaya 27.5 30.1 18.8 35.9 40.8 24.1 63.9 66.8 50.4Gopalganj 3.8 3.9 2.4 14.9 15.7 5.9 38.7 38.6 41.0Jamui 31.6 33.1 - 33.1 35.5 - 68.4 70.1 -Jehanabad 16.6 16.6 17.0 31.0 32.7 19.2 58.6 59.2 52.1Kaimur (Bhabua) 22.1 23.0 - 31.7 32.9 - 56.4 57.3 -Katihar 9.5 9.6 7.1 8.4 9.0 3.3 42.7 43.0 36.2Khagaria 16.2 16.7 9.6 14.0 14.5 7.8 50.5 51.1 35.4Kishanganj 4.7 5.1 2.2 11.2 11.1 11.9 26.0 26.1 24.7Lakhisarai 21.5 22.4 15.1 25.5 27.9 8.2 62.9 64.2 52.0Madhepura 14.1 14.6 - 20.9 21.6 - 40.1 40.0 -Madhubani 11.1 11.0 - 18.9 19.0 - 50.5 50.4 -Munger 10.2 12.2 6.3 10.4 12.4 6.7 43.6 47.9 30.1Muzaffarpur 5.1 5.2 4.1 13.7 14.5 4.8 35.7 35.4 39.7Nalanda 22.5 25.0 7.7 29.7 32.3 16.8 60.9 63.0 45.2Nawada 36.4 38.1 18.9 48.3 50.6 33.3 69.8 71.0 59.2Pashchim Champaran 21.1 22.5 7.1 30.9 33.1 15.2 54.4 54.8 47.6Patna 8.1 12.8 2.8 20.5 31.4 9.7 46.3 52.2 35.9Purba Champaran 14.1 15.0 - 22.2 24.0 - 45.7 46.1 -Purnia 7.2 8.5 - 13.2 13.1 - 45.2 45.3 -Rohtas 14.9 16.2 6.1 23.5 25.7 9.6 46.4 48.6 24.6Saharsa 17.1 18.4 10.1 23.8 25.1 15.2 48.4 47.8 52.8Samastipur 8.9 8.7 - 16.2 16.6 - 47.2 47.0 -Saran 6.8 7.3 4.2 14.6 16.1 9.1 40.7 41.1 36.8Sheikhpura 21.7 24.5 6.9 31.7 35.0 18.4 66.8 68.5 52.4Sheohar 9.8 9.5 - 20.8 20.9 - 41.9 41.2 -Sitamarhi 11.7 12.8 - 19.7 21.8 - 49.9 51.4 -Siwan 3.5 3.6 3.2 13.7 15.4 6.8 36.0 38.1 19.8Supaul 20.4 21.2 - 27.1 29.3 - 49.8 50.1 -Vaishali 8.7 9.1 2.4 13.8 13.8 14.3 44.2 44.2 43.9

# Based on marriages taken place during 2009-2011

12

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

MARRIAGE

State / District

Currently Married Men aged 25-29 years

married before legal age ( 21 years) (%)

Mean age at Marriage#

Male Female


Bihar 39.1 40.4 29.0 23.4 23.0 25.6 20.2 20.0 21.8Araria 24.7 25.7 - 23.5 23.4 - 20.3 20.1 -Aurangabad 48.5 49.1 43.4 22.2 22.0 23.3 19.9 19.8 20.6Banka 31.6 32.3 - 23.6 23.5 - 19.8 19.8 -Begusarai 39.3 39.7 - 23.1 22.9 - 20.0 19.8 -Bhagalpur 27.9 28.9 22.8 25.2 24.7 27.9 20.8 20.4 22.8Bhojpur 41.3 42.3 34.8 23.2 22.7 26.2 20.3 20.1 21.9Buxar 37.2 38.6 21.7 23.0 22.8 24.8 19.9 19.8 21.0Darbhanga 41.8 43.3 16.0 23.6 23.3 25.7 20.3 20.2 21.0Gaya 57.5 62.8 40.9 22.3 21.7 23.9 19.4 19.1 20.4Gopalganj 38.6 38.8 35.2 23.8 23.8 23.8 21.2 21.2 21.6Jamui 54.4 56.9 - 21.9 21.6 - 18.8 18.6 -Jehanabad 56.1 57.1 46.7 22.3 22.0 24.5 20.1 20.0 21.1Kaimur (Bhabua) 54.1 55.0 - 22.0 21.9 - 19.8 19.7 -Katihar 22.9 23.3 17.2 24.7 24.4 26.7 20.3 20.2 21.8Khagaria 32.0 32.7 20.2 23.8 23.7 26.3 19.8 19.7 21.2Kishanganj 17.2 17.5 14.7 24.5 24.4 25.9 20.8 20.6 21.8Lakhisarai 53.5 55.4 38.9 22.8 22.6 24.5 19.7 19.6 20.4Madhepura 27.2 27.2 - 22.9 22.8 - 19.7 19.6 -Madhubani 41.7 42.0 - 23.2 23.1 - 20.1 20.1 -Munger 26.9 30.2 16.9 25.4 24.7 26.8 20.9 20.5 21.9Muzaffarpur 33.0 34.1 19.5 23.6 23.4 25.6 20.6 20.6 21.2Nalanda 52.8 55.5 36.4 22.6 22.2 24.6 19.7 19.5 21.1Nawada 68.2 70.6 46.2 21.0 20.7 23.5 18.9 18.7 20.7Pashchim Champaran 50.3 51.6 30.4 22.4 22.0 24.9 19.5 19.3 21.2Patna 41.1 48.0 31.8 24.4 22.4 26.5 21.3 20.2 22.7Purba Champaran 39.9 41.4 - 22.9 22.5 - 20.3 20.0 -Purnia 25.9 26.9 - 24.0 23.8 - 20.3 20.2 -Rohtas 41.4 43.7 21.3 23.2 22.8 25.9 20.4 20.1 22.3Saharsa 31.6 31.5 32.6 22.9 22.6 25.0 19.9 19.6 21.7Samastipur 38.7 39.3 - 23.1 23.1 - 20.3 20.3 -Saran 34.5 35.3 27.9 24.3 23.6 27.0 20.9 20.7 22.0Sheikhpura 58.7 60.9 45.6 22.7 22.2 25.1 20.0 19.6 22.1Sheohar 36.3 36.9 - 22.9 22.9 - 20.2 20.2 -Sitamarhi 40.8 41.6 - 23.2 23.0 - 20.2 20.0 -Siwan 36.3 38.0 21.3 24.2 23.8 25.9 21.6 21.4 22.5Supaul 37.9 38.8 - 22.4 22.2 - 19.5 19.5 -Vaishali 34.6 34.5 36.1 23.5 23.4 25.7 20.5 20.4 22.2

# Based on marriages taken place during 2009-2011

13

BIHARA


0481216202428

Biha

r: Me

an ag

e at M

arria

ge (b

ased

on m

arria

ges t

aken

plac

e dur

ing 20

09-20

11)

Male

Fema

le

14

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

SCHOOLING STATUS

State / DistrictChildren currently attending school (Age 6-17 years) (%)


1 2 3 4 5 6 7 8 9 10Bihar 95.5 95.5 95.7 95.9 96.0 95.1 95.1 94.9 96.3Araria 94.4 94.1 - 95.7 95.5 - 93.0 92.5 -

Aurangabad 95.9 95.9 95.9 95.7 95.8 94.6 96.2 96.1 97.2

Banka 92.8 92.7 - 93.5 93.4 - 92.0 91.9 -

Begusarai 94.4 94.5 - 94.0 94.1 - 94.9 94.9 -

Bhagalpur 93.5 93.0 95.6 93.9 93.8 94.4 92.9 92.1 96.9

Bhojpur 94.3 94.0 95.8 95.7 95.8 95.0 92.8 92.2 96.7

Buxar 95.3 95.2 96.3 95.6 95.4 96.8 94.9 94.9 95.8

Darbhanga 96.3 96.4 95.1 97.7 97.9 94.6 94.7 94.7 95.7

Gaya 93.5 93.0 95.2 94.8 94.8 94.8 92.2 91.3 95.6

Gopalganj 98.6 98.5 99.2 98.7 98.6 99.1 98.5 98.4 99.2

Jamui 91.6 91.4 - 94.2 94.1 - 88.8 88.5 -

Jehanabad 96.0 96.1 95.4 96.6 96.8 95.2 95.4 95.4 95.7

Kaimur (Bhabua) 97.0 97.1 - 96.5 96.5 - 97.6 97.7 -

Katihar 93.0 92.6 98.7 93.4 93.0 99.0 92.6 92.3 98.5

Khagaria 97.0 96.8 99.7 97.1 97.0 99.5 96.8 96.6 99.8

Kishanganj 90.9 90.5 93.8 91.7 91.7 91.7 90.0 89.3 95.8

Lakhisarai 93.6 93.5 94.2 93.9 93.9 93.3 93.3 93.0 95.3

Madhepura 96.3 96.3 - 96.7 96.6 - 95.9 95.9 -

Madhubani 96.6 96.5 - 98.0 98.0 - 95.0 95.0 -

Munger 94.3 93.8 95.5 94.0 94.0 94.0 94.7 93.7 97.1

Muzaffarpur 97.6 97.5 98.7 97.5 97.4 98.2 97.8 97.7 99.3

Nalanda 93.9 93.3 97.1 95.4 95.1 97.2 92.4 91.6 96.9

Nawada 93.1 92.8 95.9 94.6 94.3 97.4 91.6 91.3 94.2


Patna 94.2 92.0 96.9 94.2 92.7 96.1 94.2 91.3 97.9

Purba Champaran 94.6 96.5 - 93.6 95.6 - 95.8 97.6 -

Purnia 96.3 96.2 - 96.4 96.5 - 96.2 95.9 -

Rohtas 95.8 95.9 94.9 95.4 95.6 93.7 96.2 96.2 96.3

Saharsa 92.9 92.4 96.4 94.6 94.5 95.3 91.0 90.0 97.6

Samastipur 99.0 99.0 - 98.9 98.9 - 99.3 99.2 -

Saran 98.4 98.6 97.0 98.4 98.6 97.1 98.5 98.7 96.8

Sheikhpura 93.4 92.8 96.8 95.1 94.4 99.1 91.7 91.2 94.4

Sheohar 94.0 94.9 - 94.5 94.9 - 93.4 94.9 -

Sitamarhi 95.5 95.4 - 95.7 95.6 - 95.4 95.2 -

Siwan 98.6 98.6 98.9 98.6 98.6 98.7 98.7 98.6 99.0

Supaul 96.3 96.2 - 96.9 96.8 - 95.7 95.6 -

Vaishali 98.0 97.9 98.8 97.7 97.6 98.3 98.4 98.3 99.5

15

BIHARA


SCHOOLING STATUS

State / DistrictChildren attended before / Drop out (Age 6-17 years) (%)


1 2 3 4 5 6 7 8 9 10Bihar 2.9 2.8 3.2 2.9 2.7 3.8 2.9 2.9 2.5Araria 2.7 2.8 - 1.7 1.7 - 3.8 4.0 -

Aurangabad 3.0 3.0 3.2 3.5 3.4 4.6 2.4 2.5 1.6

Banka 4.5 4.5 - 4.3 4.4 - 4.7 4.7 -

Begusarai 3.3 3.1 - 3.8 3.6 - 2.7 2.5 -

Bhagalpur 4.3 4.6 2.7 4.9 4.9 4.7 3.7 4.4 0.5

Bhojpur 4.6 4.8 3.3 3.8 3.7 4.1 5.4 6.0 2.2

Buxar 3.2 3.2 3.0 3.5 3.6 2.5 2.8 2.8 3.5

Darbhanga 2.3 2.2 3.2 1.2 1.0 4.4 3.4 3.5 1.7

Gaya 4.4 4.7 3.2 3.7 3.7 3.6 5.1 5.7 2.8

Gopalganj 1.0 1.1 0.5 1.3 1.3 0.6 0.7 0.8 0.3

Jamui 5.8 5.8 - 4.7 4.8 - 6.9 7.0 -

Jehanabad 2.8 2.8 2.8 2.8 2.7 3.4 2.7 2.8 2.2

Kaimur (Bhabua) 2.2 2.2 - 3.0 3.0 - 1.3 1.2 -

Katihar 5.4 5.7 0.7 5.3 5.6 0.6 5.6 5.9 0.9

Khagaria 1.7 1.7 0.2 1.7 1.8 0.3 1.6 1.7 0.2

Kishanganj 7.1 7.4 3.9 6.4 6.4 5.8 7.7 8.4 2.0

Lakhisarai 3.6 3.7 3.2 3.9 3.9 3.9 3.3 3.4 2.4

Madhepura 1.9 1.9 - 2.0 2.0 - 1.8 1.8 -

Madhubani 2.2 2.2 - 1.1 1.1 - 3.3 3.3 -

Munger 3.9 4.0 3.5 4.4 4.2 4.8 3.4 3.9 2.1

Muzaffarpur 1.3 1.3 1.2 1.6 1.5 1.8 1.0 1.1 0.5

Nalanda 3.7 4.4 0.0 3.3 3.9 0.0 4.2 5.0 0.0

Nawada 3.6 3.9 0.4 3.2 3.6 0.0 4.0 4.3 0.8


Patna 3.8 4.8 2.4 4.1 4.9 3.3 3.3 4.8 1.4

Purba Champaran 4.3 2.4 - 5.4 3.5 - 3.0 1.1 -

Purnia 1.4 1.3 - 1.8 1.7 - 1.0 1.0 -

Rohtas 3.2 3.1 3.3 3.6 3.5 4.3 2.7 2.7 2.2

Saharsa 3.9 4.2 1.9 3.1 3.1 2.8 4.8 5.4 0.9

Samastipur 0.6 0.6 - 0.7 0.7 - 0.4 0.4 -

Saran 0.8 0.7 1.6 0.8 0.7 1.7 0.7 0.6 1.5

Sheikhpura 3.9 4.2 2.0 3.5 4.1 0.0 4.3 4.3 4.1

Sheohar 3.8 3.3 - 3.3 3.3 - 4.3 3.3 -

Sitamarhi 1.8 1.9 - 2.0 2.1 - 1.7 1.8 -

Siwan 0.8 0.8 0.5 0.8 0.8 0.6 0.7 0.7 0.4

Supaul 1.8 1.8 - 1.9 1.9 - 1.8 1.8 -

Vaishali 1.1 1.1 1.0 1.4 1.4 1.5 0.7 0.8 0.5

16

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

WORK STATUS

State / DistrictChildren aged 5-14 years engaged in work (%)


1 2 3 4 5 6 7 8 9 10Bihar 2.9 3.0 2.1 3.2 3.3 2.5 2.4 2.6 1.6Araria 7.0 7.2 - 7.2 7.4 - 6.9 7.0 -

Aurangabad 1.6 1.6 1.0 1.7 1.8 0.7 1.4 1.4 1.4

Banka 2.1 2.2 - 2.7 2.8 - 1.5 1.5 -

Begusarai 2.6 2.7 - 3.2 3.4 - 1.9 2.0 -

Bhagalpur 1.6 1.6 1.4 1.8 1.9 1.4 1.3 1.3 1.3

Bhojpur 1.6 1.6 1.7 1.8 1.7 2.0 1.4 1.4 1.3

Buxar 1.3 1.4 0.5 1.5 1.6 0.7 1.2 1.3 0.4

Darbhanga 8.1 8.5 1.5 7.7 7.9 2.7 8.7 9.1 0.0

Gaya 2.3 2.3 2.5 2.7 2.6 3.2 1.9 1.9 1.7

Gopalganj 2.3 2.3 2.1 2.7 2.7 3.2 1.8 1.9 1.0

Jamui 2.1 2.0 - 1.9 1.8 - 2.2 2.3 -

Jehanabad 1.9 1.8 2.2 1.9 1.9 1.7 1.8 1.7 2.8

Kaimur (Bhabua) 1.5 1.5 - 1.7 1.7 - 1.2 1.2 -

Katihar 1.6 1.5 2.8 1.9 1.9 3.2 1.2 1.2 2.4

Khagaria 2.0 2.1 0.5 2.7 2.9 0.6 1.3 1.3 0.4

Kishanganj 11.3 11.9 5.8 11.9 12.5 6.7 10.6 11.3 4.9

Lakhisarai 2.0 2.0 1.7 2.7 2.7 2.7 1.3 1.4 0.4

Madhepura 1.8 1.8 - 1.9 1.9 - 1.8 1.7 -

Madhubani 3.0 3.0 - 5.4 5.4 - 0.4 0.4 -

Munger 2.6 2.6 2.5 3.1 3.0 3.4 2.0 2.2 1.6

Muzaffarpur 3.0 3.1 1.3 3.2 3.3 2.0 2.9 3.0 0.5

Nalanda 2.9 2.8 3.3 2.7 2.4 3.9 3.1 3.1 2.7

Nawada 2.8 2.9 2.2 2.8 2.9 1.8 2.8 2.8 2.7


Patna 2.0 2.6 1.1 2.6 3.5 1.4 1.3 1.8 0.8

Purba Champaran 1.5 1.5 - 1.6 1.5 - 1.4 1.5 -

Purnia 11.6 12.5 - 12.9 13.8 - 10.4 11.2 -

Rohtas 1.1 1.1 1.3 1.7 1.6 2.0 0.6 0.6 0.6

Saharsa 2.4 2.6 1.0 2.7 2.9 1.4 2.1 2.3 0.6

Samastipur 1.8 1.8 - 3.0 3.1 - 0.4 0.3 -

Saran 3.0 2.8 4.5 3.1 2.8 5.9 2.9 2.9 3.0

Sheikhpura 2.4 2.6 1.7 2.3 2.3 2.3 2.6 2.9 1.1

Sheohar 3.2 3.3 - 3.2 3.3 - 3.2 3.3 -

Sitamarhi 1.6 1.7 - 1.8 1.9 - 1.4 1.4 -

Siwan 1.8 1.8 1.4 2.3 2.3 1.8 1.2 1.2 0.9

Supaul 1.1 1.1 - 0.9 0.8 - 1.3 1.4 -

Vaishali 2.0 2.1 1.1 2.6 2.7 0.7 1.4 1.4 1.5

17

BIHARA


WORK STATUS

State / DistrictWork Participation Rate (15 years and above)


1 2 3 4 5 6 7 8 9 10Bihar 41.0 41.4 38.5 70.9 71.8 65.7 10.7 11.1 8.1Araria 48.8 49.5 - 78.4 79.0 - 18.7 19.6 -

Aurangabad 39.3 39.1 40.9 68.2 68.1 68.6 11.9 12.0 10.9

Banka 40.6 40.8 - 73.8 74.0 - 9.8 10.0 -

Begusarai 37.5 37.7 - 67.3 67.9 - 9.7 9.9 -

Bhagalpur 40.1 40.4 39.1 69.3 70.3 66.3 9.0 9.3 7.5

Bhojpur 34.3 34.5 33.0 62.8 64.1 57.0 5.9 6.0 5.7

Buxar 37.6 37.9 34.8 66.2 66.7 62.2 9.4 9.9 4.8

Darbhanga 38.1 38.0 38.9 70.7 71.1 66.5 6.8 6.7 7.4

Gaya 40.0 39.5 41.3 69.5 70.2 67.8 13.1 13.0 13.5

Gopalganj 37.6 37.6 37.3 65.8 65.8 65.1 7.8 7.9 7.0

Jamui 42.4 42.3 - 73.7 74.1 - 13.4 13.5 -

Jehanabad 39.8 40.0 38.4 68.7 69.0 65.8 12.2 12.3 11.4

Kaimur (Bhabua) 42.1 42.1 - 70.3 70.4 - 12.9 13.0 -

Katihar 42.9 43.5 36.5 76.5 77.8 63.6 11.9 12.5 5.6

Khagaria 41.5 41.9 36.7 68.0 68.5 61.9 10.9 11.3 5.7

Kishanganj 47.0 47.6 43.6 82.4 84.0 73.9 16.8 17.3 13.6

Lakhisarai 39.1 39.3 37.8 68.3 68.2 68.7 11.4 12.2 6.4

Madhepura 45.2 45.6 - 72.2 72.7 - 16.7 17.0 -

Madhubani 39.7 39.7 - 71.7 71.7 - 8.5 8.5 -

Munger 37.7 38.4 36.2 65.2 66.2 63.4 9.6 11.2 6.1

Muzaffarpur 40.2 40.2 40.3 71.3 71.5 69.4 7.6 7.5 8.3

Nalanda 43.7 44.3 40.6 70.5 71.0 68.0 19.2 20.3 13.5

Nawada 37.3 37.2 37.8 67.2 67.6 64.3 12.0 12.1 10.3


Patna 38.7 40.4 37.0 66.9 72.3 62.1 7.5 8.1 6.9

Purba Champaran 44.2 44.2 - 77.7 78.1 - 6.3 6.1 -

Purnia 50.8 52.0 - 79.8 81.0 - 20.7 22.7 -

Rohtas 37.4 37.5 36.8 68.4 68.9 65.5 7.6 7.7 6.7

Saharsa 43.3 44.1 39.0 70.6 71.2 67.4 14.8 16.1 7.7

Samastipur 40.1 40.2 - 70.3 70.6 - 8.6 8.6 -

Saran 35.9 35.5 38.5 63.7 63.3 66.8 9.2 9.1 9.8

Sheikhpura 40.6 40.9 39.0 69.2 69.5 67.4 14.9 16.1 7.9

Sheohar 42.2 42.4 - 76.2 77.0 - 6.0 5.6 -

Sitamarhi 42.4 42.8 - 78.0 78.8 - 5.2 5.2 -

Siwan 36.5 36.8 34.5 63.0 63.4 60.4 9.2 9.5 7.0

Supaul 52.5 53.6 - 77.6 78.5 - 26.7 28.3 -

Vaishali 38.7 38.9 34.4 66.7 67.1 60.7 10.0 10.2 5.7

18

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

DISABILITY

State / DistrictPrevalence of any type of Disability (Per 100,000 Population)


1 2 3 4 5 6 7 8 9 10 Bihar 1905 1945 1631 2284 2339 1920 1513 1541 1311 Araria 1889 1885 - 2190 2199 - 1574 1557 -

Aurangabad 2284 2304 2114 2720 2722 2707 1859 1900 1484

Banka 2257 2269 - 2887 2904 - 1645 1656 -

Begusarai 2050 2125 - 2448 2573 - 1661 1691 -

Bhagalpur 2430 2648 1553 3023 3353 1747 1798 1910 1333

Bhojpur 1819 1748 2208 2259 2226 2432 1371 1272 1953

Buxar 1705 1730 1461 2043 2092 1581 1365 1369 1332

Darbhanga 2014 2051 1488 2496 2571 1511 1522 1525 1462

Gaya 2651 2817 2106 3211 3433 2520 2119 2246 1674

Gopalganj 1656 1627 2037 1883 1879 1937 1413 1358 2149

Jamui 2141 2140 - 2676 2698 - 1621 1602 -

Jehanabad 2244 2251 2181 2765 2783 2605 1723 1719 1761

Kaimur (Bhabua) 1936 1953 - 2372 2390 - 1481 1500 -

Katihar 1865 1885 1603 2289 2313 2001 1451 1472 1163

Khagaria 2052 2058 1959 2438 2425 2622 1617 1646 1166

Kishanganj 1303 1367 837 1371 1403 1145 1240 1334 529

Lakhisarai 2183 2203 2054 2742 2804 2358 1621 1605 1727

Madhepura 1459 1490 - 1643 1670 - 1262 1296 -

Madhubani 1982 1984 - 2334 2327 - 1621 1633 -

Munger 2138 2109 2202 2724 2692 2793 1526 1517 1546

Muzaffarpur 1703 1744 1259 2006 2070 1329 1380 1397 1181

Nalanda 2570 2692 1939 3188 3311 2577 1980 2108 1288

Nawada 2676 2694 2503 3320 3400 2622 2088 2058 2381


Patna 1863 2275 1410 2243 2827 1633 1451 1707 1151

Purba Champaran 1506 1528 - 1796 1800 - 1181 1224 -

Purnia 1690 1829 - 2000 2161 - 1367 1487 -

Rohtas 2100 2149 1757 2551 2636 1979 1653 1671 1522

Saharsa 1935 1955 1818 2261 2319 1910 1587 1567 1716

Samastipur 1774 1794 - 2197 2208 - 1316 1347 -

Saran 1679 1694 1578 2095 2106 2020 1261 1282 1119

Sheikhpura 2482 2562 2028 3039 3167 2370 1956 2004 1663

Sheohar 1815 1804 - 2238 2245 - 1352 1321 -

Sitamarhi 1805 1839 - 2036 2062 - 1555 1597 -

Siwan 1319 1324 1281 1553 1557 1523 1073 1080 1018

Supaul 1626 1636 - 1904 1935 - 1334 1325 -

Vaishali 1564 1579 1310 1853 1888 1299 1257 1254 1323

19

BIHARA


0

500

1000

1500

2000

2500

Person Male Female

Bihar: Prevalence of any type of Disability (Per 100,000 Population)

TotalRuralUrban

0

500

1000

1500

2000

2500

3000

Bihar: Prevalence of any type of Disability (Per 100,000 Population)

20

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

INJURY

State / District

Number of Injured Persons by type of Treatment received (Per 100,000 Population)Severe


1 2 3 4 5 6 7 8 9 10 Bihar 362 357 398 407 404 422 317 309 371 Araria 68 73 - 97 104 - 37 40 - Aurangabad 572 540 855 642 646 611 504 438 1113 Banka 823 822 - 910 924 - 738 723 - Begusarai 842 878 - 1023 1064 - 666 698 - Bhagalpur 629 693 370 670 738 408 584 646 327 Bhojpur 682 700 580 785 846 473 577 556 702 Buxar 667 648 854 809 768 1192 525 528 489 Darbhanga 203 193 354 201 171 591 205 214 77 Gaya 717 735 656 762 808 618 674 668 695 Gopalganj 142 141 166 158 160 135 126 121 200 Jamui 682 689 - 805 821 - 562 561 - Jehanabad 443 422 622 408 381 647 477 463 597 Kaimur (Bhabua) 798 796 - 916 912 - 675 676 - Katihar 315 329 138 441 469 105 193 195 175 Khagaria 263 262 277 323 322 338 196 196 203 Kishanganj 50 57 0 42 49 0 56 64 0 Lakhisarai 648 682 428 777 830 448 517 534 406 Madhepura 145 116 - 201 158 - 84 71 - Madhubani 315 318 - 389 391 - 238 243 - Munger 487 496 468 520 534 491 453 457 442 Muzaffarpur 120 100 339 138 117 367 101 83 308 Nalanda 726 725 729 796 811 721 659 645 736 Nawada 835 851 690 1025 1061 706 663 662 673 Pashchim Champaran 118 79 570 147 100 682 85 55 441 Patna 462 531 387 504 602 401 417 458 370 Purba Champaran 155 163 - 169 180 - 139 145 - Purnia 95 105 - 92 112 - 98 99 - Rohtas 908 899 973 979 936 1272 837 862 657 Saharsa 153 157 125 183 183 179 121 130 66 Samastipur 223 235 - 280 294 - 162 170 - Saran 163 130 395 159 128 370 167 131 420 Sheikhpura 810 799 872 846 849 827 776 753 920 Sheohar 199 174 - 239 217 - 156 126 - Sitamarhi 113 116 - 125 132 - 99 99 - Siwan 112 113 108 133 132 138 90 92 75 Supaul 269 275 - 286 285 - 251 264 - Vaishali 129 126 172 150 144 260 106 108 73

21

BIHARA


INJURY

State / District

Number of Injured Persons by type of Treatment received (Per 100,000 Population)Major



22

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

INJURY

State / District

Number of Injured Persons by type of Treatment received (Per 100,000 Population)Minor



23

BIHARA


0

100

200

300

400

500

600

700

800

Severe Major Minor

Bihar: Number of Injured Persons by type of Treatment received (Per 100,000 Population)

PersonMaleFemale

0

100

200

300

400

500

600

700

800

900

Bihar: Number of Injured Persons by type of Treatment received (Per 100,000 Population)

Severe Major

24

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

ACUTE ILLNESS

State / District

Persons suffering from Acute Illness (Per 100,000 Population)Diarrhoea/Dysentery


1 2 3 4 5 6 7 8 9 10Bihar 1876 2064 592 1885 2080 596 1867 2046 588Araria 3134 3360 - 3080 3305 - 3190 3418 -Aurangabad 535 561 315 565 596 306 506 526 325Banka 412 423 - 391 405 - 433 440 -Begusarai 890 936 - 924 962 - 857 911 -Bhagalpur 316 334 242 322 319 336 309 350 136Bhojpur 255 272 161 246 259 180 264 285 140Buxar 237 214 470 207 185 411 268 243 533Darbhanga 2514 2606 1205 2643 2744 1314 2382 2467 1077Gaya 554 618 340 565 612 420 543 624 257Gopalganj 2025 2152 379 2031 2166 315 2019 2138 450Jamui 390 370 - 388 374 - 392 365 -Jehanabad 263 281 105 264 280 120 262 282 90Kaimur (Bhabua) 390 403 - 402 414 - 379 392 -Katihar 2176 2289 719 2156 2270 790 2194 2308 640Khagaria 2464 2620 138 2417 2573 169 2516 2673 101Kishanganj 3899 4350 617 3751 4201 616 4036 4488 617Lakhisarai 388 413 232 365 413 71 412 412 406Madhepura 1849 1870 - 1894 1932 - 1801 1804 -Madhubani 2280 2317 - 2280 2311 - 2280 2322 -Munger 172 197 117 200 228 140 143 165 91Muzaffarpur 2698 2814 1429 2732 2859 1375 2662 2767 1489Nalanda 783 844 468 755 823 412 810 863 526Nawada 671 663 741 634 643 555 704 681 932Pashchim Champaran 3384 3563 1304 3315 3492 1289 3462 3644 1322Patna 202 153 256 208 174 243 196 131 271Purba Champaran 4435 4708 - 4250 4505 - 4644 4936 -Purnia 4736 5520 - 4688 5464 - 4785 5578 -Rohtas 307 293 407 303 281 452 312 305 358Saharsa 3430 3667 1975 3384 3594 2119 3480 3746 1815Samastipur 2500 2613 - 2651 2782 - 2336 2430 -Saran 1519 1690 343 1514 1688 337 1524 1691 350Sheikhpura 428 362 798 400 376 529 454 350 1086Sheohar 3915 4001 - 3912 3980 - 3918 4024 -Sitamarhi 4792 5183 - 4659 5038 - 4938 5342 -Siwan 1347 1438 650 1383 1495 537 1310 1378 773Supaul 2126 2191 - 2272 2360 - 1973 2015 -Vaishali 1519 1542 1138 1526 1556 1039 1511 1526 1249

25

BIHARA


ACUTE ILLNESS

State / District

Persons suffering from Acute Illness (Per 100,000 Population)Acute Respiratory Infection (ARI)



26

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

ACUTE ILLNESS

State / District

Persons suffering from Acute Illness (Per 100,000 Population)Fever (All Types)



27

BIHARA


ACUTE ILLNESS

State / District

Persons suffering from Acute Illness (Per 100,000 Population)Any type of Acute Illness



28

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

0

250

500

750

1000

1250

1500

1750

2000

2250

Person Male Female

Bihar: Persons suffering from Diarrhoea/Dysentery (Per 100,000 Population)

TotalRuralUrban

0500

100015002000250030003500400045005000

Person Male Female

Bihar: Persons suffering from Acute Respiratory Infection (ARI) (Per 100,000 Population)

TotalRuralUrban

0

1000

2000

3000

4000

5000

6000

7000

8000

Person Male Female

Bihar: Persons suffering from Fever (All Types) (Per 100,000 Population)

TotalRuralUrban

0

2000

4000

6000

8000

10000

12000

14000

16000

Person Male Female

Bihar: Persons suffering from any type of Acute Illness (Per 100,000 Population)

TotalRuralUrban

29

BIHARA


0

1000

2000

3000

4000

5000

6000

7000

8000

Diarrhoea/Dysentery Acute Respiratory Infection (ARI)

Fever (All Types)

Persons suffering from Acute Illness (Per 100,000 Population)

TotalRuralUrban

0100020003000400050006000700080009000

1000011000120001300014000150001600017000

Bihar: Persons suffering from Acute Illness (Per 100,000 Population)

Diarrhoea/Dysentery Acute Respiratory Infection Fever (All Types)

30

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

ACUTE ILLNESS

State / DistrictPersons suffering from Acute Illness and taking treatment from Any Source (%)


1 2 3 4 5 6 7 8 9 10Bihar 98.0 98.0 97.5 98.1 98.1 97.3 97.9 97.9 97.6Araria 99.4 99.4 - 99.4 99.4 - 99.3 99.3 -

Aurangabad 96.2 96.3 95.9 96.6 96.6 97.1 95.9 96.0 94.6

Banka 92.0 92.5 - 92.4 93.0 - 91.5 92.1 -

Begusarai 97.0 97.1 - 97.2 97.2 - 96.8 96.9 -

Bhagalpur 92.9 94.5 87.0 93.0 95.3 84.9 92.9 93.8 89.4

Bhojpur 98.3 98.2 98.9 98.7 98.7 98.8 98.0 97.8 98.9

Buxar 95.6 95.9 93.9 95.1 95.8 91.0 96.1 96.0 96.9

Darbhanga 95.5 95.1 100.0 95.9 95.5 100.0 95.0 94.6 100.0

Gaya 96.7 96.9 95.4 97.0 97.1 96.2 96.4 96.7 94.6

Gopalganj 99.1 99.1 99.5 99.2 99.2 99.5 99.0 99.0 99.5

Jamui 93.9 93.4 - 94.2 93.7 - 93.7 93.1 -

Jehanabad 99.2 99.1 99.7 99.3 99.2 100.0 99.1 99.0 99.4

Kaimur (Bhabua) 96.8 96.8 - 97.3 97.3 - 96.1 96.1 -

Katihar 96.7 96.8 96.2 96.8 96.9 95.8 96.7 96.7 96.5

Khagaria 98.4 98.3 99.7 98.4 98.3 99.4 98.4 98.3 100.0

Kishanganj 99.4 99.4 99.7 99.3 99.3 99.6 99.5 99.4 99.8

Lakhisarai 95.1 94.1 99.6 95.0 94.1 99.6 95.1 94.1 99.6

Madhepura 99.0 99.1 - 99.2 99.2 - 98.9 99.0 -

Madhubani 94.6 94.5 - 94.8 94.7 - 94.4 94.3 -

Munger 90.2 88.8 94.4 90.2 89.0 93.8 90.1 88.5 95.0

Muzaffarpur 99.4 99.4 99.5 99.4 99.4 99.5 99.4 99.4 99.5

Nalanda 98.5 98.4 99.1 98.6 98.4 99.5 98.3 98.3 98.6

Nawada 96.5 96.3 98.7 96.2 96.0 99.3 96.8 96.6 98.3


Patna 98.7 98.5 99.0 98.7 98.5 99.0 98.8 98.6 99.1

Purba Champaran 99.5 99.6 - 99.6 99.7 - 99.4 99.5 -

Purnia 99.6 99.7 - 99.6 99.6 - 99.7 99.7 -

Rohtas 96.2 96.5 94.6 96.1 96.5 93.7 96.3 96.4 95.5

Saharsa 99.0 99.2 96.6 99.0 99.1 97.9 98.9 99.3 95.0

Samastipur 99.6 99.6 - 99.6 99.7 - 99.5 99.5 -

Saran 99.5 99.7 97.0 99.5 99.7 96.9 99.4 99.6 97.1

Sheikhpura 97.3 97.0 98.7 97.6 97.3 99.0 97.0 96.6 98.5

Sheohar 99.7 99.7 - 99.7 99.7 - 99.6 99.6 -

Sitamarhi 99.7 99.8 - 99.8 99.8 - 99.7 99.7 -

Siwan 99.6 99.5 99.8 99.5 99.5 99.6 99.6 99.5 100.0

Supaul 97.8 97.8 - 97.6 97.7 - 97.9 97.9 -

Vaishali 99.4 99.4 100.0 99.6 99.6 100.0 99.2 99.1 100.0

31

BIHARA


ACUTE ILLNESS

State / DistrictPersons suffering from Acute Illness and taking treatment from Government Source (%)


1 2 3 4 5 6 7 8 9 10Bihar 5.2 5.3 4.9 5.4 5.4 4.8 5.1 5.1 4.9Araria 2.6 2.5 - 2.5 2.5 - 2.6 2.5 -

Aurangabad 3.9 3.9 4.3 3.4 3.4 4.0 4.4 4.4 4.6

Banka 3.6 3.6 - 3.7 3.7 - 3.6 3.5 -

Begusarai 7.2 7.2 - 7.5 7.4 - 6.8 7.0 -

Bhagalpur 4.9 5.1 4.3 5.0 5.4 3.3 4.9 4.7 5.4

Bhojpur 5.2 5.4 4.2 5.2 5.5 3.7 5.2 5.3 4.8

Buxar 6.0 6.0 5.9 6.0 5.9 6.6 5.9 6.0 5.3

Darbhanga 1.4 1.5 0.1 1.3 1.4 0.0 1.4 1.6 0.3

Gaya 2.9 2.1 7.6 3.1 2.0 8.9 2.8 2.2 6.4

Gopalganj 3.3 3.4 1.5 3.5 3.6 1.0 3.1 3.2 2.1

Jamui 2.8 2.9 - 2.6 2.7 - 3.0 3.2 -

Jehanabad 3.5 3.7 2.5 3.6 3.7 2.9 3.5 3.7 2.2

Kaimur (Bhabua) 18.1 18.2 - 27.1 27.7 - 6.4 5.9 -

Katihar 4.7 4.2 12.4 4.7 4.2 12.2 4.8 4.3 12.5

Khagaria 12.4 13.0 0.9 16.0 16.8 1.7 8.4 8.8 0.0

Kishanganj 1.1 1.1 1.5 1.2 1.2 1.3 1.0 1.0 1.6

Lakhisarai 3.3 3.5 2.2 3.0 3.3 1.8 3.6 3.8 2.7

Madhepura 2.3 2.3 - 2.2 2.2 - 2.4 2.5 -

Madhubani 11.8 11.9 - 11.5 11.5 - 12.0 12.2 -

Munger 4.4 4.6 4.1 4.0 4.1 3.7 4.9 5.0 4.6

Muzaffarpur 5.7 5.9 3.3 6.1 6.3 2.5 5.4 5.5 4.1

Nalanda 3.5 4.0 1.2 3.6 4.1 1.5 3.4 4.0 0.9

Nawada 2.4 2.5 1.8 2.0 2.0 2.0 2.8 2.9 1.7


Patna 2.9 1.6 4.7 2.8 1.6 4.4 3.0 1.7 4.9

Purba Champaran 9.0 9.4 - 8.8 9.1 - 9.3 9.7 -

Purnia 2.8 2.0 - 2.6 1.9 - 3.0 2.1 -

Rohtas 6.8 7.0 5.6 6.6 6.7 6.1 7.0 7.3 5.1

Saharsa 2.5 2.3 5.6 2.5 2.2 5.3 2.6 2.4 6.0

Samastipur 3.5 3.5 - 3.4 3.4 - 3.6 3.6 -

Saran 9.5 9.9 2.7 13.3 14.0 3.2 5.6 5.9 2.2

Sheikhpura 4.5 3.9 6.6 4.5 3.8 7.0 4.5 4.0 6.2

Sheohar 3.8 2.9 - 4.2 2.9 - 3.2 2.8 -

Sitamarhi 2.6 2.6 - 2.4 2.4 - 2.7 2.7 -

Siwan 17.9 20.6 3.4 14.3 16.3 3.4 21.7 25.0 3.3

Supaul 7.0 6.3 - 6.8 6.2 - 7.2 6.5 -

Vaishali 5.3 4.8 30.4 6.2 5.5 41.1 4.4 4.0 22.4

32

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

CHRONIC ILLNESS

State / DistrictHaving any kind of Symptoms of Chronic Illness (Per 100,000 Population)


1 2 3 4 5 6 7 8 9 10Bihar 13258 13578 11061 11472 11756 9591 15110 15448 12691Araria 15061 15481 - 12864 13217 - 17362 17847 -

Aurangabad 14307 13971 17252 12127 11833 14585 16436 16039 20084

Banka 13684 13741 - 12008 12071 - 15309 15353 -

Begusarai 24780 24810 - 21972 22036 - 27521 27498 -

Bhagalpur 13089 13268 12367 11769 11816 11587 14493 14790 13252

Bhojpur 9521 9535 9442 8106 8044 8429 10957 11019 10592

Buxar 16168 16576 12168 14116 14444 11024 18237 18712 13403

Darbhanga 10672 10587 11871 9923 9859 10775 11435 11323 13154

Gaya 15738 16180 14280 12626 13126 11070 18702 19010 17626

Gopalganj 11473 11488 11277 10198 10214 10000 12835 12845 12694

Jamui 10732 10911 - 9545 9633 - 11884 12145 -

Jehanabad 8760 9126 5567 7222 7499 4787 10296 10750 6341

Kaimur (Bhabua) 10435 10508 - 9162 9205 - 11760 11859 -

Katihar 15990 16295 12078 14284 14535 11269 17652 17992 12973

Khagaria 12991 12843 15191 11918 11806 13531 14201 14008 17182

Kishanganj 12238 12613 9513 11248 11415 10084 13159 13716 8943

Lakhisarai 21557 21469 22126 18630 18625 18664 24498 24295 25855

Madhepura 11862 11873 - 10470 10433 - 13358 13416 -

Madhubani 12696 12802 - 11697 11806 - 13717 13818 -

Munger 11881 12531 10429 10297 10868 9079 13533 14217 11930

Muzaffarpur 14243 14912 6925 12622 13235 6095 15970 16692 7854

Nalanda 14057 14308 12752 12011 12456 9789 16013 16057 15774

Nawada 16097 15906 17880 13195 13135 13717 18744 18402 22153


Patna 8265 8591 7906 7013 7212 6805 9626 10010 9177

Purba Champaran 12661 12246 - 10950 10510 - 14581 14190 -

Purnia 12200 12724 - 10637 11057 - 13829 14441 -

Rohtas 20260 20526 18397 16839 17063 15324 23646 23922 21642

Saharsa 11823 12100 10125 10241 10286 9970 13517 14032 10297

Samastipur 17830 18065 - 15167 15289 - 20709 21058 -

Saran 12476 13034 8646 10203 10672 7037 14764 15400 10318

Sheikhpura 17212 18002 12762 14290 15054 10295 19971 20724 15402

Sheohar 11363 11403 - 9954 9992 - 12906 12943 -

Sitamarhi 13341 13350 - 12109 12187 - 14680 14612 -

Siwan 5253 4719 9366 4599 4080 8517 5940 5386 10290

Supaul 8239 8474 - 7017 7271 - 9527 9726 -

Vaishali 13583 14017 6343 11421 11763 5909 15875 16397 6833

33

BIHARA


CHRONIC ILLNESS

State / DistrictHaving any kind of Symptoms of Chronic Illness and sought Medical Care (%)


1 2 3 4 5 6 7 8 9 10Bihar 85.2 84.8 88.8 86.2 85.8 89.1 84.4 83.9 88.5Araria 87.9 88.6 - 88.1 88.7 - 87.8 88.5 -

Aurangabad 82.2 81.6 86.8 84.3 83.9 87.4 80.7 79.9 86.4

Banka 75.1 75.0 - 77.6 77.5 - 73.2 73.0 -

Begusarai 91.3 90.9 - 91.6 91.2 - 91.0 90.8 -

Bhagalpur 74.7 75.0 73.7 75.9 75.7 76.4 73.7 74.3 71.0

Bhojpur 87.4 86.8 90.7 87.6 87.2 89.6 87.3 86.5 91.8

Buxar 83.8 83.5 88.3 83.9 83.5 89.2 83.7 83.4 87.4

Darbhanga 85.7 86.8 72.8 88.3 89.3 75.6 83.5 84.5 70.2

Gaya 80.7 79.1 86.8 81.5 80.7 84.6 80.2 78.1 88.2

Gopalganj 81.2 80.9 85.9 81.7 81.5 84.2 80.8 80.3 87.4

Jamui 75.3 75.0 - 77.1 77.0 - 73.9 73.5 -

Jehanabad 91.0 91.3 87.2 91.3 91.3 92.1 90.7 91.2 83.5

Kaimur (Bhabua) 77.6 77.8 - 77.7 77.9 - 77.5 77.7 -

Katihar 75.8 75.0 90.4 73.3 72.0 92.5 77.9 77.3 88.3

Khagaria 89.8 89.3 95.8 88.8 88.3 95.0 90.7 90.3 96.5

Kishanganj 76.6 76.7 75.9 77.2 77.6 73.8 76.1 75.9 78.3

Lakhisarai 90.4 89.5 96.2 90.6 89.7 96.7 90.3 89.4 95.8

Madhepura 66.3 65.5 - 70.5 69.7 - 62.7 62.0 -

Madhubani 91.2 91.2 - 90.2 90.2 - 92.0 92.0 -

Munger 77.7 76.1 81.9 78.6 77.0 82.6 77.0 75.4 81.4

Muzaffarpur 89.0 88.8 92.3 92.5 92.3 97.0 86.0 85.9 88.2

Nalanda 76.8 76.3 80.0 76.7 75.7 82.9 76.9 76.6 78.2

Nawada 78.5 77.3 88.1 80.4 79.9 85.3 77.2 75.6 90.0


Patna 92.3 88.9 96.2 92.7 89.1 96.8 91.9 88.8 95.7

Purba Champaran 93.6 93.2 - 96.4 96.8 - 91.2 90.2 -

Purnia 88.6 88.3 - 89.1 90.3 - 88.3 86.7 -

Rohtas 86.9 86.6 89.0 87.0 86.6 89.9 86.9 86.7 88.4

Saharsa 82.2 79.9 99.2 85.2 83.0 99.1 79.7 77.4 99.4

Samastipur 85.2 85.1 - 86.0 85.8 - 84.6 84.6 -

Saran 86.0 86.7 79.0 86.0 86.1 84.7 86.0 87.1 74.9

Sheikhpura 81.4 82.0 76.2 81.9 82.8 75.4 81.0 81.5 76.9

Sheohar 91.3 91.5 - 90.3 90.4 - 92.1 92.4 -

Sitamarhi 91.9 91.9 - 93.3 92.9 - 90.7 91.0 -

Siwan 87.5 86.8 90.1 90.1 89.4 92.5 85.3 84.7 87.9

Supaul 93.7 93.5 - 92.9 92.6 - 94.3 94.1 -

Vaishali 82.3 82.2 86.4 83.2 83.2 84.6 81.6 81.5 88.2

34

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

CHRONIC ILLNESS

State / District

Having diagnosed for Chronic Illness (Per 100,000 Population)Diabetes



35

BIHARA


0

200

400

600

800

1000

1200

1400

Person Male Female

Bihar: Having diagnosed for Diabetes (Per 100,000 Population)

TotalRuralUrban

0

200

400

600

800

1000

1200

Bihar: Having diagnosed for Diabetes (Per 100,000 Population)

36

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

CHRONIC ILLNESS

State / District

Having diagnosed for Chronic Illness (Per 100,000 Population)Hypertension



37

BIHARA


0

200

400

600

800

1000

1200

1400

Person Male Female

Bihar: Having diagnosed for Hypertension (Per 100,000 Population)

TotalRuralUrban

0

200

400

600

800

1000

1200

1400

Bihar: Having diagnosed for Hypertension (Per 100,000 Population)

38

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

CHRONIC ILLNESS

State / District

Having diagnosed for Chronic Illness (Per 100,000 Population)Tuberculosis (TB)



39

BIHARA


0

50

100

150

200

250

300

350

400

450

Person Male Female

Bihar: Having diagnosed for Tuberculosis (TB) (Per 100,000 Population)

TotalRuralUrban

0

100

200

300

400

500

600

700

800

900

1000

Bihar: Having diagnosed for Tuberculosis (TB) (Per 100,000 Population)

40

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

CHRONIC ILLNESS

State / District

Having diagnosed for Chronic Illness (Per 100,000 Population)Asthma / Chronic Respiratory Disease



41

BIHARA


0

200

400

600

800

1,000

1,200

1,400

Person Male Female

Bihar: Having diagnosed for Asthma/Chronic Respiratory Disease Per 100,000 Population)

TotalRuralUrban

0

400

800

1200

1600

2000

2400

2800

3200

3600

4000

Bihar: Having diagnosed for Asthma/Chronic Respiratory Disease (Per 100,000 Population)

42

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

CHRONIC ILLNESS

State / District

Having diagnosed for Chronic Illness (Per 100,000 Population)Arthritis



43

BIHARA


0

500

1000

1500

2000

2500

Person Male Female

Bihar: Having diagnosed for Arthritis (Per 100,000 Population)

TotalRuralUrban

0

500

1000

1500

2000

2500

3000

3500

4000

Bihar: Having diagnosed for Arthritis (Per 100,000 Population)

44

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

CHRONIC ILLNESS

State / District

Having diagnosed for Chronic Illness (Per 100,000 Population)Any kind of Chronic Illness



45

BIHARA


0

2000

4000

6000

8000

10000

12000

Person Male Female

Bihar: Having diagnosed for any kind of Chronic Illness (Per 100,000 Population)

TotalRuralUrban

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

20000

Bihar: Having diagnosed for any kind of Chronic Illness (Per 100,000 Population)

46

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

CHRONIC ILLNESS

State / DistrictHaving diagnosed for any kind of Chronic Illness and getting Regular Treatment (%)


1 2 3 4 5 6 7 8 9 10Bihar 48.4 47.5 54.6 49.9 49.0 56.3 47.1 46.3 53.1Araria 50.5 50.1 - 48.3 47.4 - 52.2 52.2 -

Aurangabad 43.4 42.5 52.5 44.7 43.8 52.4 42.4 41.5 52.5

Banka 48.1 48.0 - 50.8 51.0 - 45.6 45.3 -

Begusarai 42.2 41.8 - 42.9 42.9 - 41.7 41.0 -

Bhagalpur 51.0 48.6 61.0 51.5 49.9 58.2 50.5 47.4 64.1

Bhojpur 43.9 40.9 59.2 45.8 42.7 59.5 42.3 39.5 58.8

Buxar 41.1 40.1 51.3 42.1 41.2 51.4 40.2 39.3 51.2

Darbhanga 63.4 70.0 11.9 65.8 72.5 15.8 61.6 68.2 8.9

Gaya 36.9 33.5 49.3 38.3 33.9 52.1 35.8 33.3 46.5

Gopalganj 57.1 57.3 54.7 58.6 58.4 60.6 55.6 56.2 49.3

Jamui 46.8 47.7 - 47.5 48.4 - 46.1 47.0 -

Jehanabad 39.2 36.7 61.5 41.4 38.6 64.8 37.5 35.4 58.7

Kaimur (Bhabua) 46.3 45.8 - 47.2 46.6 - 45.4 45.1 -

Katihar 38.3 36.5 61.6 39.3 37.1 62.7 37.5 36.0 60.3

Khagaria 51.2 51.4 49.1 49.1 49.0 50.7 53.0 53.4 47.7

Kishanganj 32.8 31.9 40.9 34.4 33.1 44.6 31.6 31.0 37.1

Lakhisarai 36.9 36.6 38.9 37.8 37.5 39.6 36.2 35.9 38.3

Madhepura 42.9 42.9 - 43.8 44.3 - 42.1 41.6 -

Madhubani 68.2 68.0 - 68.2 68.2 - 68.1 67.9 -

Munger 48.6 45.1 63.0 49.0 45.6 62.6 48.2 44.7 63.3

Muzaffarpur 49.5 48.2 69.3 50.6 49.4 69.5 48.6 47.2 69.1

Nalanda 47.5 44.5 61.8 47.9 45.4 61.9 47.2 43.8 61.8

Nawada 40.7 39.6 50.5 39.9 39.2 45.1 41.4 39.8 54.6


Patna 52.5 45.0 62.8 54.0 45.8 64.1 51.2 44.2 61.5

Purba Champaran 62.0 62.8 - 64.6 65.8 - 59.5 59.8 -

Purnia 52.6 52.2 - 55.2 54.5 - 50.6 50.5 -

Rohtas 35.5 34.2 43.7 37.0 35.4 46.3 34.4 33.3 41.6

Saharsa 43.0 41.7 49.7 43.3 41.3 52.9 42.6 42.0 46.4

Samastipur 40.6 40.0 - 42.1 41.3 - 39.4 39.1 -

Saran 47.5 47.8 44.8 49.1 48.7 53.0 46.3 47.1 38.6

Sheikhpura 39.6 38.1 47.4 41.5 40.3 47.7 38.1 36.3 47.1

Sheohar 43.5 45.0 - 45.3 46.7 - 41.9 43.6 -

Sitamarhi 70.2 70.5 - 72.1 72.4 - 68.3 68.8 -

Siwan 59.2 60.3 54.9 60.9 61.2 59.7 57.8 59.6 50.7

Supaul 42.5 41.6 - 46.1 45.1 - 39.4 38.5 -

Vaishali 45.7 45.9 40.1 44.0 43.9 45.6 47.2 47.7 34.9

47

BIHARA


CHRONIC ILLNESS

State / District

Having diagnosed for any kind of Chronic Illness and getting Regular Treatment from Government Source (%)


1 2 3 40 5 6 7 8 9 10Bihar 9.2 8.8 11.9 10.0 9.7 12.1 8.6 8.1 11.8Araria 4.8 4.4 - 5.3 5.0 - 4.4 4.0 -

Aurangabad 8.5 8.2 11.0 9.6 9.4 11.4 7.5 7.2 10.6

Banka 7.4 7.2 - 8.0 7.8 - 6.8 6.7 -

Begusarai 9.4 9.3 - 9.3 9.2 - 9.4 9.3 -

Bhagalpur 6.5 7.1 4.2 6.6 7.3 4.1 6.5 7.0 4.4

Bhojpur 11.1 10.3 14.8 11.3 10.3 15.7 10.8 10.3 13.8

Buxar 7.2 7.2 7.4 7.9 7.9 7.7 6.6 6.5 7.1

Darbhanga 11.5 12.1 6.4 11.9 12.9 5.1 11.1 11.6 7.4

Gaya 6.3 5.7 8.6 7.6 6.8 10.2 5.3 4.9 7.0

Gopalganj 9.6 9.8 7.1 10.7 11.0 7.7 8.5 8.7 6.5

Jamui 6.7 6.7 - 6.4 6.4 - 7.0 7.0 -

Jehanabad 10.1 10.5 7.3 11.2 11.5 8.4 9.3 9.7 6.3

Kaimur (Bhabua) 9.8 10.0 - 10.3 10.4 - 9.4 9.6 -

Katihar 9.4 8.2 23.9 10.9 9.7 23.0 8.2 7.0 25.0

Khagaria 8.5 8.7 6.9 10.9 11.4 6.1 6.5 6.4 7.6

Kishanganj 5.2 5.3 4.3 2.9 2.7 4.7 7.0 7.3 4.0

Lakhisarai 6.7 7.0 4.8 6.7 6.9 5.5 6.7 7.1 4.2

Madhepura 11.6 11.3 - 12.1 11.7 - 11.2 10.8 -

Madhubani 9.1 9.1 - 10.1 10.0 - 8.3 8.3 -

Munger 11.3 11.1 12.0 10.8 11.0 10.0 11.7 11.3 13.8

Muzaffarpur 9.1 8.8 13.6 10.0 9.7 13.5 8.4 8.0 13.6

Nalanda 5.9 5.9 5.9 6.2 6.0 7.1 5.7 5.8 5.0

Nawada 6.4 6.3 6.9 7.0 6.8 8.5 6.0 6.0 5.8


Patna 11.1 8.4 14.6 11.5 8.6 14.9 10.7 8.2 14.2

Purba Champaran 8.9 7.8 - 10.6 10.1 - 7.2 5.6 -

Purnia 8.4 7.4 - 9.1 8.1 - 7.8 6.9 -

Rohtas 6.9 7.1 5.6 7.6 8.1 4.2 6.4 6.4 6.7

Saharsa 8.0 8.6 4.7 8.7 9.6 4.6 7.3 7.8 4.8

Samastipur 14.6 14.2 - 18.3 17.9 - 11.5 11.3 -

Saran 9.5 9.8 6.2 9.9 10.4 5.5 9.2 9.4 6.9

Sheikhpura 7.0 7.0 7.2 7.6 7.7 7.4 6.5 6.4 7.0

Sheohar 14.1 14.4 - 14.3 14.7 - 13.8 14.2 -

Sitamarhi 12.1 10.3 - 11.9 10.1 - 12.3 10.5 -

Siwan 22.1 23.1 17.9 25.8 27.5 19.1 19.0 19.6 16.8

Supaul 15.5 14.5 - 14.9 14.6 - 16.0 14.4 -

Vaishali 10.7 10.3 22.1 10.6 10.3 18.3 10.8 10.4 26.1

48

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

FERTILITY

State / District Crude Birth Rate (CBR) Natural Growth Rate Total Fertility Rate Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 26.1 26.9 20.4 19.3 19.9 14.7 3.5 3.7 2.5Araria 30.6 30.9 26.8 23.2 23.4 20.2 4.3 - -

Aurangabad 24.7 25.0 22.7 19.1 19.3 17.3 3.1 - -

Banka 25.1 25.2 24.7 19.5 19.6 19.2 3.2 - -

Begusarai 25.8 26.2 21.1 19.9 20.2 16.2 3.3 - -

Bhagalpur 25.5 26.0 23.4 20.8 21.3 18.5 3.3 - -

Bhojpur 23.5 24.3 19.3 18.1 18.8 14.2 3.0 - -

Buxar 24.1 24.4 21.6 17.9 18.1 15.8 3.2 - -

Darbhanga 26.2 26.6 20.6 17.7 18.1 11.8 3.8 - -

Gaya 24.0 25.3 19.5 17.2 18.3 13.3 3.0 - -

Gopalganj 25.0 25.1 23.9 18.9 18.9 18.9 3.5 - -

Jamui 25.7 26.0 22.2 19.7 20.0 16.5 3.1 - -

Jehanabad 23.9 24.1 22.3 18.6 18.8 16.9 3.1 - -

Kaimur (Bhabua) 24.3 24.5 17.9 18.9 19.2 12.9 3.2 - -

Katihar 28.1 28.7 20.4 21.8 22.4 13.7 3.9 - -

Khagaria 30.3 30.8 22.7 21.2 21.5 16.2 4.2 - -

Kishanganj 30.4 31.5 22.9 24.1 25.0 18.1 4.4 - -

Lakhisarai 23.2 23.8 19.6 17.3 17.9 13.5 3.0 - -

Madhepura 29.4 29.8 20.2 22.4 22.8 12.0 4.0 - -

Madhubani 24.2 24.3 21.5 17.1 17.2 13.1 3.4 - -

Munger 24.3 25.1 22.4 18.0 18.8 16.2 3.2 - -

Muzaffarpur 24.9 25.7 16.7 16.5 16.9 11.7 3.4 - -

Nalanda 25.5 26.0 22.6 18.0 18.5 15.7 3.1 - -

Nawada 24.1 24.5 20.7 18.4 18.7 15.9 3.1 - -

Pashchim Champaran 28.0 28.6 20.5 19.4 20.2 9.5 4.0 - -

Patna 21.1 25.0 16.9 16.4 20.1 12.3 2.6 - -

Purba Champaran 29.2 29.8 23.4 21.6 22.2 15.9 4.2 - -

Purnia 27.3 28.5 21.3 20.3 21.4 15.2 3.7 - -

Rohtas 25.3 25.7 22.2 18.9 19.3 16.1 3.3 - -

Saharsa 31.2 32.6 22.6 23.7 24.7 17.9 4.3 - -

Samastipur 28.3 28.8 18.3 21.7 22.1 14.1 3.8 - -

Saran 23.9 24.0 23.3 16.6 16.6 16.7 3.2 - -

Sheikhpura 28.0 29.2 21.7 20.4 21.5 14.4 3.6 - -

Sheohar 30.7 30.6 32.5 23.3 23.1 26.0 4.6 - -

Sitamarhi 27.6 28.0 23.9 18.4 18.5 17.7 3.9 - -

Siwan 25.5 26.1 20.9 18.2 18.7 14.6 3.5 - -

Supaul 27.7 27.9 25.3 21.4 21.5 20.7 3.8 - -

Vaishali 26.5 27.0 18.0 19.0 19.5 11.7 3.4 - -

49

BIHARA


0.0

5.0

10.0

15.0

20.0

25.0

30.0

Total Rural Urban

Bihar : Crude Birth Rate and Natural Growth Rate

Crude Birth Rate (CBR) Natural Growth Rate

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

Assam : Crude Birth Rate and Natural Growth Rate

Crude Birth Rate (CBR) Natural Growth Rate

50

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

Total Rural Urban

Bihar: Total Fertility Rate

0.0

1.0

2.0

3.0

4.0

5.0

Bihar: Total Fertility Rate

51

BIHARA


FERTILITY

State / District Women aged 20-24 reporting birth

of order 2 & above (%) Women reporting birth of order 3 &

above (%) Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7Bihar 51.1 51.1 50.7 44.9 45.6 37.9Araria 49.6 49.2 - 50.6 50.6 -

Aurangabad 57.2 57.7 52.2 45.0 44.9 46.3

Banka 54.5 54.8 - 42.9 43.3 -

Begusarai 55.7 55.8 - 44.3 44.5 -

Bhagalpur 50.8 51.5 45.1 41.8 42.5 37.5

Bhojpur 59.7 59.5 61.6 41.9 42.2 39.6

Buxar 56.6 57.1 49.3 42.2 42.8 35.4

Darbhanga 44.9 45.3 40.0 44.5 45.6 30.2

Gaya 60.3 60.3 60.0 44.5 45.4 40.7

Gopalganj 40.0 39.5 47.5 45.8 46.0 44.2

Jamui 60.9 60.8 - 44.0 43.5 -

Jehanabad 52.2 52.4 50.5 40.8 41.1 37.4

Kaimur (Bhabua) 52.8 53.4 - 45.0 45.3 -

Katihar 49.6 49.9 41.8 50.2 50.7 38.7

Khagaria 49.5 50.3 32.9 46.1 46.3 42.1

Kishanganj 48.6 48.5 49.4 53.6 54.6 43.3

Lakhisarai 62.0 62.6 57.4 43.9 44.9 35.4

Madhepura 50.6 50.4 - 48.2 48.4 -

Madhubani 43.0 43.2 - 42.6 42.9 -

Munger 51.7 53.5 46.3 40.2 42.5 33.0

Muzaffarpur 46.5 46.5 44.7 43.4 44.3 27.8

Nalanda 63.9 61.4 79.5 44.1 44.0 44.6

Nawada 56.4 56.4 56.6 42.8 43.4 36.3

Pashchim Champaran 51.3 50.8 59.4 45.8 45.6 48.8

Patna 53.9 57.8 46.8 37.2 42.4 27.9

Purba Champaran 48.8 48.4 - 46.3 46.8 -

Purnia 49.1 49.0 - 50.6 51.3 -

Rohtas 55.3 55.5 53.1 43.5 43.8 40.2

Saharsa 51.2 51.7 47.3 47.8 49.1 35.4

Samastipur 43.4 42.8 - 41.9 42.2 -

Saran 45.6 46.2 40.6 49.7 50.0 46.9

Sheikhpura 61.7 61.2 66.7 45.9 45.6 48.9

Sheohar 45.0 44.6 - 50.8 50.8 -

Sitamarhi 44.7 44.9 - 45.6 45.8 -

Siwan 42.3 41.7 47.1 42.3 42.2 42.7

Supaul 51.1 50.4 - 43.7 44.2 -

Vaishali 51.1 51.2 47.7 41.7 41.8 38.8

52

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

FERTILITY

State / District Women with two children wanting

no more children (%)

Women aged 15-19 years who were already mothers or pregnant at the

time of survey (%) Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7Bihar 43.7 43.3 46.8 42.7 42.6 43.8Araria 37.0 36.7 - 46.6 47.4 -

Aurangabad 44.4 43.8 51.0 45.8 45.5 50.0

Banka 43.7 43.3 - 37.8 37.8 -

Begusarai 47.6 46.2 - 40.6 40.1 -

Bhagalpur 47.1 45.1 55.7 42.2 43.3 31.6

Bhojpur 53.6 51.6 66.3 50.7 51.2 42.1

Buxar 52.4 51.2 64.2 44.3 44.7 33.3

Darbhanga 37.9 37.5 44.6 49.7 49.1 55.6

Gaya 48.4 48.0 50.1 48.6 46.8 56.5

Gopalganj 53.1 52.5 62.8 44.9 49.2 0.0

Jamui 48.8 46.8 - 39.9 40.4 -

Jehanabad 45.9 45.2 52.2 40.1 39.4 46.7

Kaimur (Bhabua) 51.5 51.1 - 31.1 31.7 -

Katihar 37.7 36.7 58.7 33.6 33.4 37.5

Khagaria 33.9 32.8 49.7 41.7 42.5 22.2

Kishanganj 40.1 39.5 46.0 30.8 31.0 30.0

Lakhisarai 50.7 50.1 55.1 44.3 42.9 57.1

Madhepura 43.9 43.5 - 33.4 33.3 -

Madhubani 44.9 45.0 - 43.8 43.5 -

Munger 47.4 44.6 54.4 44.0 43.8 44.4

Muzaffarpur 34.4 34.2 37.0 30.0 31.5 18.2

Nalanda 43.6 40.5 59.3 48.7 48.9 45.8

Nawada 51.3 50.5 57.9 41.8 41.8 42.3


Patna 45.5 43.9 47.6 46.2 45.9 47.1

Purba Champaran 35.0 37.0 - 39.2 39.0 -

Purnia 38.9 41.2 - 40.0 39.4 -

Rohtas 48.4 47.9 51.4 37.3 37.2 38.5

Saharsa 36.1 35.9 37.5 39.1 38.4 46.7

Samastipur 42.2 42.4 - 33.0 33.0 -

Saran 46.8 47.1 44.3 41.4 40.2 50.0

Sheikhpura 50.5 49.8 55.0 49.7 49.4 52.9

Sheohar 44.6 45.2 - 35.0 35.1 -

Sitamarhi 41.3 41.8 - 47.6 46.9 -

Siwan 55.0 55.4 52.1 39.5 46.5 15.0

Supaul 31.1 30.0 - 51.8 50.9 -

Vaishali 39.5 39.6 38.9 52.1 53.1 20.0

53

BIHARA


0102030405060

Biha

r: Wo

men a

ged 1

5-19 y

ears

who w

ere al

ready

moth

ers or

preg

nant

at the

time o

f sur

vey (

%)

54

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

FERTILITY

State / District

Median age at first live birth of Women aged 15-49

years

Median age at first live birth of Women aged 25-49

years

Live Births taking place after an interval of 36

months (%) Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 21.8 21.7 22.6 21.4 21.3 21.8 45.2 45.1 45.9Araria 21.4 21.4 - 21.1 21.1 - 43.3 42.5 -

Aurangabad 21.7 21.6 22.1 20.9 20.9 21.4 49.2 49.3 48.8

Banka 20.9 20.9 - 20.4 20.4 - 55.4 55.6 -

Begusarai 21.3 21.2 - 20.7 20.6 - 50.3 49.7 -

Bhagalpur 22.0 21.6 23.9 21.2 20.9 22.6 49.4 49.4 49.8

Bhojpur 21.8 21.6 23.1 21.1 20.9 22.0 43.6 44.1 40.4

Buxar 22.2 22.1 23.0 21.4 21.4 21.9 46.3 46.2 47.4

Darbhanga 22.0 21.9 22.6 21.7 21.7 22.3 44.0 44.0 43.8

Gaya 21.7 21.7 21.8 21.0 21.0 21.0 49.6 51.0 43.7

Gopalganj 22.8 22.8 22.8 22.4 22.4 22.2 47.8 48.2 42.8

Jamui 21.3 21.3 - 20.6 20.6 - 51.1 51.2 -

Jehanabad 21.6 21.6 21.8 21.0 21.0 21.0 49.5 49.8 45.6

Kaimur (Bhabua) 22.1 22.1 - 21.5 21.5 - 46.7 46.7 -

Katihar 21.5 21.5 22.3 21.2 21.2 21.7 45.4 45.7 37.8

Khagaria 21.5 21.4 22.1 21.2 21.1 21.6 38.5 38.2 43.3

Kishanganj 22.0 21.9 22.7 21.7 21.7 22.4 40.3 40.2 42.2

Lakhisarai 21.6 21.5 22.2 20.9 20.8 21.4 50.4 50.9 46.2

Madhepura 21.4 21.4 - 21.1 21.1 - 44.0 44.3 -

Madhubani 21.8 21.8 - 21.6 21.6 - 46.4 46.7 -

Munger 21.7 21.4 22.4 20.9 20.8 21.3 50.0 49.6 51.2

Muzaffarpur 22.3 22.2 23.0 22.0 22.0 22.3 41.9 42.4 32.2

Nalanda 21.3 21.2 22.0 20.6 20.5 20.9 48.4 49.9 40.4

Nawada 21.7 21.7 22.2 20.9 20.9 21.4 51.5 51.0 57.0


Patna 22.2 21.4 22.9 21.4 20.8 22.1 48.4 47.0 51.3

Purba Champaran 22.6 22.6 - 22.5 22.5 - 42.9 43.0 -

Purnia 22.1 22.2 - 21.9 22.0 - 45.1 44.4 -

Rohtas 21.9 21.7 23.0 21.2 21.1 22.3 44.0 44.3 42.0

Saharsa 21.7 21.6 22.3 21.5 21.5 22.0 37.3 37.0 40.0

Samastipur 21.4 21.4 - 21.1 21.1 - 46.1 45.9 -

Saran 21.7 21.5 23.3 21.2 21.0 22.8 45.9 46.1 44.0

Sheikhpura 21.4 21.3 21.9 20.8 20.8 21.1 46.6 46.4 47.5

Sheohar 21.5 21.5 - 21.2 21.1 - 49.4 49.4 -

Sitamarhi 20.9 20.9 - 20.8 20.8 - 49.1 49.0 -

Siwan 22.9 22.9 23.0 22.4 22.5 22.2 49.6 50.0 45.8

Supaul 21.7 21.6 - 21.5 21.5 - 39.0 39.1 -

Vaishali 21.5 21.5 22.0 21.0 21.0 21.1 42.1 42.2 41.3

55

BIHARA


101112131415161718192021222324

Biha

r: Me

dian a

ge of

Wom

en at

first

live b

irth

Age 1

5-49 y

ears

Age 2

5-49 y

ears

56

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

FERTILITY

State / District

Mean number of children ever born to Women aged

15-49 years

Mean number of children surviving to Women aged

15-49 years

Mean number of children ever born to Women aged

45-49 years Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 3.2 3.2 3.0 3.0 3.0 2.8 4.6 4.7 4.1Araria 3.4 3.4 - 3.1 3.1 - 5.2 5.2 -

Aurangabad 3.5 3.5 3.4 3.1 3.1 3.1 5.1 5.1 4.9

Banka 3.3 3.3 - 2.9 2.9 - 5.0 5.0 -

Begusarai 3.3 3.4 - 3.1 3.1 - 5.1 5.2 -

Bhagalpur 3.4 3.4 3.0 3.1 3.1 2.9 5.1 5.2 4.3

Bhojpur 3.4 3.5 3.3 3.1 3.1 3.0 5.1 5.1 4.8

Buxar 3.4 3.5 3.3 3.0 3.0 2.9 5.1 5.1 5.1

Darbhanga 3.0 3.0 2.6 2.9 2.9 2.5 4.1 4.1 3.2

Gaya 3.4 3.5 3.2 3.1 3.1 2.9 5.1 5.2 5.0

Gopalganj 2.8 2.8 2.9 2.8 2.8 2.9 3.5 3.6 2.6

Jamui 3.3 3.3 - 3.0 2.9 - 5.3 5.2 -

Jehanabad 3.3 3.3 3.5 3.0 3.0 3.1 4.9 4.8 4.9

Kaimur (Bhabua) 3.5 3.5 - 3.1 3.1 - 5.2 5.3 -

Katihar 3.6 3.6 2.7 3.2 3.2 2.6 5.6 5.8 3.7

Khagaria 3.2 3.2 2.9 3.1 3.1 2.9 4.1 4.1 3.7

Kishanganj 3.7 3.8 3.0 3.3 3.4 2.8 5.4 5.5 4.4

Lakhisarai 3.5 3.5 3.2 3.1 3.1 2.9 5.0 5.1 4.4

Madhepura 3.3 3.3 - 3.0 3.0 - 5.0 5.1 -

Madhubani 3.0 3.0 - 2.8 2.8 - 4.1 4.1 -

Munger 3.3 3.4 3.1 3.0 3.1 2.9 4.8 5.0 4.4

Muzaffarpur 3.1 3.1 2.6 2.8 2.9 2.5 4.4 4.5 3.4

Nalanda 3.4 3.4 3.4 3.0 3.0 3.1 5.1 5.2 4.8

Nawada 3.4 3.4 3.3 3.1 3.1 3.0 5.1 5.1 4.8


Patna 3.2 3.5 2.8 2.9 3.0 2.7 4.4 5.2 3.8

Purba Champaran 3.1 3.1 - 2.9 3.0 - 4.2 4.2 -

Purnia 3.3 3.4 - 3.1 3.2 - 5.0 5.1 -

Rohtas 3.4 3.4 3.1 3.0 3.0 2.9 5.0 5.0 5.0

Saharsa 3.2 3.3 2.9 3.0 3.1 2.8 4.9 5.1 3.8

Samastipur 3.0 3.0 - 2.9 2.9 - 4.1 4.2 -

Saran 3.0 3.0 3.0 2.9 3.0 2.8 3.9 3.8 4.4

Sheikhpura 3.5 3.5 3.4 3.2 3.1 3.2 5.1 5.1 5.1

Sheohar 3.0 3.0 - 2.9 2.9 - 4.1 4.1 -

Sitamarhi 2.9 2.9 - 2.9 2.9 - 3.6 3.7 -

Siwan 2.8 2.8 3.0 2.8 2.8 2.8 3.6 3.6 4.0

Supaul 3.1 3.1 - 2.9 2.9 - 4.6 4.6 -

Vaishali 3.1 3.1 3.1 2.9 2.9 2.9 4.4 4.4 4.6

57

BIHARA


ABORTION

State / District

Pregnancy to Women aged 15-49 years resulting

in abortion (%)

Women who received any ANC before abortion (%)

Women who went for Ultrasound before

abortion (%) Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 4.5 4.5 4.3 42.0 40.7 54.8 20.6 19.7 29.6Araria 2.9 3.0 - 47.9 46.2 - 18.9 17.8 -

Aurangabad 7.5 7.8 4.1 43.1 42.7 50.0 14.0 14.7 0.0

Banka 2.2 2.3 - 36.1 35.4 - 10.2 9.3 -

Begusarai 2.6 2.7 - 44.3 43.2 - 26.3 27.7 -

Bhagalpur 1.7 1.8 1.6 48.9 47.3 60.0 23.2 20.8 40.0

Bhojpur 6.0 5.7 8.8 42.7 43.4 39.4 17.5 18.6 12.1

Buxar 5.4 5.2 8.4 44.5 46.2 31.6 14.1 14.6 10.5

Darbhanga 5.3 4.8 12.2 62.8 56.2 95.8 49.9 42.4 87.5

Gaya 6.9 6.7 7.8 43.7 43.6 43.8 17.2 15.9 21.9

Gopalganj 6.7 6.9 4.2 41.1 39.9 70.0 19.1 19.0 20.0

Jamui 3.6 3.4 - 37.1 37.6 - 17.5 16.9 -

Jehanabad 3.8 3.6 5.4 44.3 44.3 44.4 10.6 12.1 0.0

Kaimur (Bhabua) 6.0 6.0 - 49.4 48.9 - 17.6 16.9 -

Katihar 4.9 4.8 5.7 37.8 37.1 50.0 18.1 18.6 10.0

Khagaria 4.0 4.2 1.6 39.5 39.8 25.0 16.6 16.4 25.0

Kishanganj 3.0 2.9 3.8 35.3 34.3 44.4 12.5 12.7 11.1

Lakhisarai 3.1 2.9 4.7 46.0 46.9 41.2 26.1 27.7 17.6

Madhepura 2.6 2.6 - 40.4 38.4 - 13.2 11.4 -

Madhubani 6.6 6.7 - 51.1 51.3 - 40.7 40.8 -

Munger 2.5 2.3 3.1 48.8 46.4 54.2 20.1 19.8 20.8

Muzaffarpur 5.7 5.7 6.1 44.4 43.5 60.0 22.1 21.1 40.0

Nalanda 7.5 7.1 9.8 43.1 42.0 47.7 13.8 12.3 20.5

Nawada 7.0 7.0 7.1 44.2 42.8 60.0 16.8 15.3 33.3


Patna 4.0 4.5 3.0 42.5 40.7 47.2 20.6 16.4 32.1

Purba Champaran 6.7 7.1 - 25.9 23.2 - 21.3 18.2 -

Purnia 2.7 3.0 - 24.7 21.8 - 12.9 13.4 -

Rohtas 6.2 6.1 6.9 44.9 42.9 60.0 14.1 13.4 20.0

Saharsa 2.6 2.6 2.2 40.4 38.9 57.1 13.0 11.6 28.6

Samastipur 3.9 4.0 - 38.5 37.9 - 13.9 14.0 -

Saran 3.5 3.7 2.2 43.5 42.5 57.1 21.0 20.5 28.6

Sheikhpura 4.8 4.6 6.7 49.9 51.6 40.0 15.6 16.5 10.0

Sheohar 4.2 4.5 - 23.1 23.1 - 24.9 24.9 -

Sitamarhi 2.0 2.2 - 23.8 24.2 - 10.7 10.8 -

Siwan 3.9 3.9 4.2 45.5 45.2 48.0 18.5 18.3 20.0

Supaul 3.9 3.9 - 27.9 27.4 - 11.0 10.5 -

Vaishali 4.1 4.2 0.7 41.6 41.2 100.0 25.3 25.5 0.0

58

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

012345678

Biha

r: Pr

egna

ncy t

o Wom

en ag

ed 15

-49 ye

ars re

sultin

g in a

borti

on (%

)

59

BIHARA


ABORTION

State / District

Average Month of pregnancy at the time of

abortion

Abortion performed by skilled health personnel

(%)

Abortion taking place in Institution (%)

Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10

Bihar 3.0 3.0 2.8 56.0 54.4 71.4 45.9 44.4 60.8Araria 3.1 3.1 - 46.6 45.9 - 38.0 36.8 -

Aurangabad 2.8 2.8 2.4 63.4 63.5 60.0 52.4 52.0 60.0

Banka 3.4 3.4 - 72.3 72.0 - 53.0 52.4 -

Begusarai 3.4 3.4 - 61.7 61.4 - 47.4 49.7 -

Bhagalpur 3.3 3.4 2.8 65.4 60.6 100.0 58.8 53.1 100.0

Bhojpur 2.8 2.9 2.3 57.8 58.5 54.5 51.3 52.6 45.5

Buxar 3.0 3.0 2.8 51.4 51.9 47.4 41.0 41.5 36.8

Darbhanga 2.9 2.8 3.0 56.5 49.5 91.7 52.7 44.9 91.7

Gaya 3.0 2.9 3.3 68.8 70.6 62.5 57.9 59.3 53.1

Gopalganj 2.7 2.8 2.6 50.9 50.5 60.0 39.4 39.4 40.0

Jamui 2.9 2.9 - 66.2 63.2 - 56.1 53.3 -

Jehanabad 3.3 3.4 2.6 82.1 81.1 88.9 68.2 69.2 61.1

Kaimur (Bhabua) 3.0 3.0 - 74.0 74.0 - 64.9 64.7 -

Katihar 3.0 3.0 3.2 50.5 50.5 50.0 36.9 36.2 50.0

Khagaria 3.0 3.0 2.3 43.3 43.7 25.0 33.9 34.1 25.0

Kishanganj 3.0 3.0 3.1 24.7 22.3 44.4 13.2 12.1 22.2

Lakhisarai 3.3 3.5 2.7 64.8 63.7 70.6 56.4 54.9 64.7

Madhepura 3.2 3.2 - 22.0 21.5 - 13.9 13.0 -

Madhubani 3.2 3.2 - 59.5 59.8 - 53.8 54.0 -

Munger 2.9 3.1 2.6 76.1 70.9 87.5 66.6 60.8 79.2

Muzaffarpur 2.9 2.9 2.3 47.1 47.6 40.0 37.6 37.5 40.0

Nalanda 3.0 3.0 2.9 76.3 74.0 86.4 58.7 57.0 65.9

Nawada 2.9 2.9 2.9 80.8 79.7 93.3 64.8 65.2 60.0


Patna 3.0 3.0 3.0 75.9 73.3 83.0 62.6 57.9 75.5

Purba Champaran 3.3 3.3 - 56.1 55.0 - 48.5 46.9 -

Purnia 3.0 3.0 - 30.1 29.3 - 21.8 20.7 -

Rohtas 3.0 3.1 2.4 59.8 57.7 76.0 48.7 46.2 68.0

Saharsa 3.1 3.1 3.4 29.3 25.5 71.4 23.1 20.1 57.1

Samastipur 2.9 2.9 - 34.1 33.5 - 23.4 22.6 -

Saran 2.5 2.6 2.4 59.3 58.4 71.4 53.5 54.2 42.9

Sheikhpura 2.9 2.9 2.4 77.9 77.6 80.0 68.1 67.8 70.0

Sheohar 2.9 2.9 - 30.3 30.3 - 23.0 23.0 -

Sitamarhi 3.3 3.3 - 41.0 41.6 - 36.1 36.7 -

Siwan 2.9 2.9 2.7 45.1 46.3 36.0 40.9 41.5 36.0

Supaul 3.4 3.4 - 28.1 26.6 - 20.9 19.1 -

Vaishali 3.0 3.0 3.0 56.6 56.3 100.0 36.6 36.1 100.0

60

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

01020304050607080

Biha

r: Abo

rtion

whe

re ult

rasou

nd w

as pe

rform

ed/ A

borti

on pe

rform

ed by

skille

d hea

lth pe

rsonn

el (%

)

Ultras

ound

befor

e abo

rtion

Perfo

rmed

by sk

illed h

ealth

perso

nnel

61

BIHARA


FAMILY PLANNING PRACTICES (CMW AGED 15-49 YEARS)

State / DistrictCurrent Usage

Any Method (%) Any Modern Method (%) Female Sterilization (%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 41.2 39.7 51.7 36.5 35.1 46.7 30.7 29.8 36.8Araria 43.1 43.5 - 39.6 39.8 - 38.1 38.5 -

Aurangabad 39.6 38.4 50.6 33.8 33.0 41.2 31.5 30.9 36.6

Banka 38.5 38.2 - 33.9 33.5 - 31.2 31.0 -

Begusarai 38.8 38.4 - 34.4 34.2 - 31.2 31.2 -

Bhagalpur 39.8 39.2 42.7 35.7 35.4 36.9 33.3 33.6 32.1

Bhojpur 39.8 37.9 51.2 35.7 34.5 43.8 29.5 28.7 34.6

Buxar 37.3 36.8 42.1 33.2 32.8 37.6 27.5 27.7 25.5

Darbhanga 48.4 48.0 53.1 43.7 43.7 43.6 37.0 36.5 42.1

Gaya 39.3 36.1 50.0 31.4 28.1 42.1 27.4 24.9 35.4

Gopalganj 32.4 30.9 50.3 27.3 26.0 43.6 21.4 20.3 34.8

Jamui 39.5 39.6 - 35.0 34.9 - 25.2 25.4 -

Jehanabad 41.3 41.7 37.3 37.0 37.3 34.4 28.8 29.2 25.4

Kaimur (Bhabua) 42.3 42.1 - 38.0 37.9 - 31.4 31.5 -

Katihar 41.2 37.9 79.5 34.0 30.9 69.8 25.4 23.4 49.8

Khagaria 52.8 52.8 52.8 43.2 43.1 45.8 37.4 37.0 43.3

Kishanganj 39.5 36.8 59.4 38.3 35.4 59.2 25.4 23.2 41.3

Lakhisarai 38.9 37.0 51.5 35.6 34.2 44.9 31.6 30.5 39.2

Madhepura 47.1 46.4 - 41.5 40.6 - 37.7 36.9 -

Madhubani 47.0 46.9 - 47.0 46.9 - 39.2 39.3 -

Munger 42.6 41.2 45.8 37.8 36.4 41.1 35.0 34.2 36.7

Muzaffarpur 55.0 53.0 78.5 50.2 47.9 77.3 47.6 45.8 68.0

Nalanda 35.0 34.0 40.8 27.9 27.3 31.4 23.6 24.0 21.5

Nawada 32.7 32.6 33.4 24.8 24.6 27.2 21.3 21.5 19.6


Patna 50.6 42.8 58.9 45.5 37.7 54.1 37.7 31.9 44.1

Purba Champaran 48.9 47.3 - 40.4 39.0 - 26.4 26.2 -

Purnia 45.3 42.8 - 42.5 39.8 - 30.5 28.1 -

Rohtas 44.3 43.5 50.7 40.3 39.8 44.5 33.4 33.8 30.4

Saharsa 50.6 48.2 64.9 42.2 38.6 64.3 36.3 34.8 45.3

Samastipur 50.1 49.9 - 36.4 36.6 - 32.0 32.0 -

Saran 37.6 36.3 46.5 35.6 34.2 45.0 30.9 30.7 32.5

Sheikhpura 38.8 37.1 48.5 29.1 27.5 38.4 25.2 24.1 31.6

Sheohar 45.9 46.1 - 41.4 41.8 - 32.9 33.5 -

Sitamarhi 42.4 40.5 - 40.7 39.0 - 36.3 35.6 -

Siwan 27.9 25.7 43.7 26.8 24.5 43.5 20.4 18.9 30.8

Supaul 56.3 56.2 - 49.2 48.9 - 47.0 47.1 -

Vaishali 56.1 55.6 63.4 49.9 49.4 57.7 43.4 43.0 49.6

62

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3



Male Sterilization (%) Copper-T/IUD (%) Pills (%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 0.3 0.3 0.5 0.6 0.5 1.5 1.4 1.3 1.9Araria 0.2 0.3 - 0.1 0.1 - 0.3 0.3 -

Aurangabad 0.3 0.3 0.6 0.3 0.2 1.2 0.4 0.4 0.6

Banka 0.3 0.3 - 0.9 0.8 - 0.5 0.4 -

Begusarai 0.4 0.4 - 0.5 0.5 - 0.7 0.7 -

Bhagalpur 0.3 0.3 0.4 0.4 0.3 0.6 0.6 0.5 1.1

Bhojpur 0.7 0.6 1.0 1.2 1.0 2.7 2.8 2.8 2.4

Buxar 0.2 0.2 0.6 0.7 0.7 0.7 1.0 0.8 2.7

Darbhanga 0.2 0.2 0.4 0.6 0.6 0.0 3.0 3.2 0.0

Gaya 0.3 0.2 0.5 0.8 0.3 2.1 0.8 0.7 1.2

Gopalganj 0.2 0.2 0.3 0.4 0.4 0.3 0.7 0.7 0.8

Jamui 0.2 0.2 - 1.6 1.5 - 2.6 2.5 -

Jehanabad 0.9 0.9 1.2 1.0 1.0 0.9 4.6 4.5 4.8

Kaimur (Bhabua) 0.3 0.3 - 1.2 1.1 - 0.6 0.6 -

Katihar 0.1 0.1 0.0 0.7 0.7 0.2 1.2 1.2 1.3

Khagaria 0.2 0.2 0.4 0.1 0.1 0.0 1.3 1.3 0.4

Kishanganj 0.3 0.4 0.0 0.4 0.5 0.0 0.7 0.8 0.1

Lakhisarai 0.4 0.4 0.6 1.6 1.6 1.2 0.8 0.8 0.7

Madhepura 0.3 0.3 - 0.3 0.3 - 2.0 2.0 -

Madhubani 0.2 0.2 - 0.3 0.3 - 0.0 0.0 -

Munger 0.2 0.1 0.2 0.9 0.6 1.6 0.6 0.5 0.9

Muzaffarpur 0.4 0.4 0.0 0.5 0.5 0.3 0.8 0.8 0.7

Nalanda 0.3 0.3 0.4 1.6 1.4 2.9 0.7 0.5 1.7

Nawada 0.5 0.4 1.2 0.6 0.5 1.5 0.7 0.6 1.4


Patna 0.3 0.3 0.2 1.9 1.4 2.5 2.7 2.6 2.8

Purba Champaran 0.4 0.3 - 0.3 0.3 - 6.4 6.1 -

Purnia 0.1 0.1 - 0.4 0.5 - 0.9 0.6 -

Rohtas 0.7 0.7 0.7 1.2 1.2 1.7 0.9 0.7 2.1

Saharsa 0.2 0.2 0.1 1.6 0.7 7.1 0.9 0.9 0.9

Samastipur 0.4 0.4 - 0.1 0.1 - 0.4 0.4 -

Saran 0.2 0.1 1.3 0.6 0.6 0.5 1.2 1.4 0.1

Sheikhpura 0.3 0.3 0.5 1.9 1.9 1.7 0.6 0.5 0.8

Sheohar 0.2 0.2 - 0.1 0.1 - 0.6 0.4 -

Sitamarhi 0.6 0.5 - 0.1 0.1 - 0.5 0.5 -

Siwan 0.2 0.2 0.0 0.2 0.2 0.1 1.1 0.9 2.8

Supaul 0.1 0.1 - 0.0 0.0 - 0.0 0.0 -

Vaishali 0.7 0.5 4.6 0.4 0.4 0.0 1.8 1.9 1.3

63

BIHARA



State / District

Current Usage

Condom/Nirodh (%) Emergency Contraceptive Pills (%)

Any Traditional Method (%)


Bihar 2.8 2.5 5.4 0.1 0.1 0.1 4.7 4.6 5.0Araria 0.8 0.5 - 0.0 0.0 - 3.6 3.8 -

Aurangabad 0.9 0.8 1.7 0.0 0.0 0.1 6.4 6.1 9.4

Banka 0.5 0.5 - 0.1 0.1 - 4.6 4.7 -

Begusarai 1.1 1.0 - 0.0 0.0 - 4.4 4.2 -

Bhagalpur 0.6 0.4 1.5 0.1 0.0 0.4 4.1 3.8 5.8

Bhojpur 1.0 0.8 2.3 0.1 0.1 0.1 4.0 3.5 7.4

Buxar 3.2 2.9 6.2 0.1 0.1 0.0 4.1 4.1 4.5

Darbhanga 1.8 1.9 1.2 0.0 0.0 0.0 4.7 4.3 9.5

Gaya 1.6 1.4 2.3 0.0 0.0 0.1 7.9 7.9 7.9

Gopalganj 4.6 4.4 7.4 0.0 0.0 0.0 5.0 4.9 6.7

Jamui 4.8 4.9 - 0.0 0.0 - 4.5 4.7 -

Jehanabad 1.5 1.5 1.6 0.0 0.0 0.1 4.3 4.4 2.9

Kaimur (Bhabua) 4.0 3.9 - 0.0 0.0 - 4.2 4.1 -

Katihar 5.5 4.4 18.5 0.8 0.8 0.0 7.2 7.0 9.7

Khagaria 3.7 3.9 1.6 0.1 0.1 0.2 9.6 9.7 7.0

Kishanganj 5.8 4.7 14.1 1.0 0.6 3.6 1.2 1.3 0.1

Lakhisarai 0.8 0.5 2.5 0.1 0.1 0.0 3.3 2.9 6.6

Madhepura 1.0 1.0 - 0.0 0.0 - 5.7 5.8 -

Madhubani 7.2 7.1 - 0.0 0.0 - 0.0 0.0 -

Munger 0.9 0.7 1.3 0.1 0.1 0.0 4.7 4.7 4.7

Muzaffarpur 0.9 0.2 8.1 0.0 0.0 0.0 4.8 5.1 1.2

Nalanda 1.3 0.8 4.4 0.0 0.0 0.0 7.0 6.6 9.3

Nawada 1.1 1.0 2.6 0.1 0.1 0.0 7.8 8.0 6.2


Patna 2.4 0.9 4.0 0.0 0.0 0.0 5.0 5.2 4.9

Purba Champaran 5.9 5.0 - 0.0 0.0 - 8.5 8.3 -

Purnia 9.2 8.8 - 0.9 1.0 - 2.8 3.0 -

Rohtas 3.6 3.0 8.7 0.1 0.1 0.2 4.0 3.7 6.3

Saharsa 2.4 1.0 11.0 0.6 0.7 0.0 8.3 9.6 0.6

Samastipur 2.0 2.1 - 0.1 0.1 - 13.7 13.3 -

Saran 2.3 1.2 9.8 0.1 0.0 0.4 2.0 2.1 1.5

Sheikhpura 0.7 0.4 2.5 0.0 0.0 0.0 9.7 9.6 10.1

Sheohar 7.5 7.4 - 0.0 0.0 - 4.4 4.2 -

Sitamarhi 3.0 2.0 - 0.0 0.0 - 1.7 1.6 -

Siwan 4.7 4.0 9.7 0.0 0.0 0.0 1.1 1.2 0.2

Supaul 2.1 1.7 - 0.0 0.0 - 7.0 7.3 -

Vaishali 2.1 2.1 1.7 1.1 1.2 0.0 6.2 6.3 5.6

64

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3



Periodic Abstinence (%) Withdrawal (%) LAM (%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 1.9 1.8 2.6 0.9 0.8 1.6 0.6 0.6 0.7Araria 1.6 1.6 - 0.3 0.3 - 0.0 0.0 -

Aurangabad 3.5 3.1 6.6 1.3 1.3 1.5 1.5 1.5 1.1

Banka 2.3 2.4 - 0.7 0.7 - 0.6 0.6 -

Begusarai 3.0 2.8 - 0.4 0.4 - 0.8 0.9 -

Bhagalpur 2.1 1.9 2.9 1.3 1.0 2.6 0.3 0.3 0.1

Bhojpur 2.5 2.0 5.2 0.5 0.4 1.2 0.9 1.0 0.6

Buxar 2.9 3.0 2.5 0.9 0.8 2.0 0.2 0.2 0.0

Darbhanga 2.1 1.5 9.5 2.2 2.4 0.0 0.0 0.0 0.0

Gaya 4.1 4.4 3.0 1.7 1.2 3.4 2.0 2.2 1.4

Gopalganj 3.5 3.3 5.9 0.3 0.3 0.0 0.8 0.9 0.0

Jamui 2.1 2.1 - 1.0 1.0 - 0.8 0.8 -

Jehanabad 2.1 2.1 1.3 0.5 0.5 0.6 1.6 1.7 1.0

Kaimur (Bhabua) 2.3 2.2 - 1.3 1.2 - 0.6 0.6 -

Katihar 1.3 1.4 0.0 2.4 2.3 3.9 0.8 0.4 5.7

Khagaria 0.7 0.3 6.8 0.1 0.1 0.2 0.1 0.1 0.0

Kishanganj 0.6 0.7 0.0 0.1 0.1 0.0 0.3 0.3 0.0

Lakhisarai 2.2 1.9 3.9 0.8 0.6 2.3 0.2 0.2 0.2

Madhepura 1.3 1.4 - 0.8 0.8 - 0.8 0.7 -

Madhubani 0.0 0.0 - 0.0 0.0 - 0.0 0.0 -

Munger 2.1 2.1 2.2 1.2 1.0 1.4 0.8 0.9 0.6

Muzaffarpur 0.3 0.3 0.3 0.1 0.1 0.0 0.6 0.7 0.3

Nalanda 3.4 3.0 5.6 1.5 1.4 2.0 2.0 2.1 1.7

Nawada 4.2 4.3 3.6 1.8 1.9 0.6 1.7 1.7 1.8


Patna 2.6 2.1 3.2 0.5 0.2 0.9 1.8 2.7 0.7

Purba Champaran 3.6 3.8 - 2.4 1.7 - 0.7 0.7 -

Purnia 0.7 0.7 - 1.5 1.8 - 0.3 0.3 -

Rohtas 2.7 2.4 4.8 1.0 1.0 1.4 0.2 0.3 0.1

Saharsa 3.0 3.5 0.1 1.5 1.7 0.0 0.6 0.6 0.3

Samastipur 1.2 1.3 - 1.3 0.2 - 0.0 0.0 -

Saran 1.3 1.5 0.0 0.1 0.1 0.1 0.6 0.4 1.4

Sheikhpura 5.7 5.6 6.2 1.3 1.2 1.8 2.5 2.6 1.8

Sheohar 0.3 0.0 - 1.6 1.6 - 0.1 0.1 -

Sitamarhi 0.5 0.4 - 0.2 0.2 - 0.0 0.0 -

Siwan 0.4 0.4 0.0 0.2 0.2 0.1 0.5 0.5 0.1

Supaul 6.3 6.6 - 0.0 0.0 - 0.0 0.0 -

Vaishali 2.3 2.1 5.6 1.5 1.6 0.0 0.3 0.3 0.0

65

BIHARA


0102030405060

Biha

r: Cu

rrent

Usag

e of F

amily

Plan

ning P

ractic

es (C

MW ag

ed 15

-49 ye

ars) (%

)

Any M

ethod

Any M

odern

Meth

odAn

y Trad

itiona

l Meth

odFe

male

Sterili

zatio

n

66

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

UNMET NEED FOR FAMILY PLANNING

State / DistrictUnmet need for Spacing (%) Unmet need for Limiting (%) Total Unmet need (%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 17.3 17.8 13.9 14.2 14.6 11.3 31.5 32.4 25.2Araria 27.9 27.8 - 15.3 15.3 - 43.2 43.1 -

Aurangabad 16.0 16.3 13.3 11.9 12.3 8.7 27.9 28.6 22.0

Banka 18.4 18.6 - 16.0 15.9 - 34.4 34.4 -

Begusarai 17.8 18.0 - 15.5 15.2 - 33.3 33.2 -

Bhagalpur 18.2 19.4 12.7 15.9 15.0 19.8 34.1 34.4 32.5

Bhojpur 13.3 13.9 9.7 16.3 16.3 15.7 29.6 30.2 25.5

Buxar 15.5 15.7 14.4 17.9 17.9 18.5 33.5 33.5 33.0

Darbhanga 14.7 15.4 5.1 16.5 16.2 20.5 31.2 31.6 25.5

Gaya 14.8 16.3 9.7 14.2 15.5 10.0 29.0 31.9 19.7

Gopalganj 26.2 27.2 14.5 27.5 28.2 17.8 53.7 55.4 32.3

Jamui 16.4 16.9 - 17.6 16.8 - 34.0 33.7 -

Jehanabad 12.1 12.0 13.1 13.8 13.3 18.6 26.0 25.3 31.6

Kaimur (Bhabua) 13.0 13.2 - 16.1 16.1 - 29.1 29.3 -

Katihar 23.5 24.3 13.8 15.7 16.6 3.9 39.2 40.9 17.7

Khagaria 19.4 18.9 26.9 12.8 12.7 14.9 32.2 31.5 41.8

Kishanganj 19.7 21.3 8.0 19.0 18.8 20.2 38.7 40.1 28.3

Lakhisarai 14.9 15.2 13.3 17.2 17.8 13.4 32.1 32.9 26.7

Madhepura 17.4 17.8 - 17.3 17.5 - 34.7 35.3 -

Madhubani 16.9 16.9 - 17.9 18.0 - 34.8 34.9 -

Munger 16.8 18.1 13.9 15.1 14.2 17.0 31.9 32.3 30.9

Muzaffarpur 22.4 22.8 18.8 13.3 13.6 9.3 35.7 36.4 28.2

Nalanda 16.2 16.7 13.7 13.2 12.4 17.6 29.4 29.1 31.3

Nawada 14.7 14.5 16.7 17.8 17.3 22.6 32.5 31.8 39.4


Patna 11.4 14.0 8.5 9.3 10.6 7.9 20.7 24.6 16.4

Purba Champaran 23.6 22.0 - 16.7 18.3 - 40.3 40.3 -

Purnia 19.3 18.6 - 17.6 18.8 - 36.9 37.4 -

Rohtas 13.4 13.4 13.3 13.1 13.3 11.0 26.5 26.8 24.3

Saharsa 22.3 23.7 14.0 12.3 12.8 9.1 34.6 36.5 23.1

Samastipur 25.2 25.4 - 12.8 12.9 - 38.0 38.4 -

Saran 24.4 23.6 29.6 21.0 22.0 13.9 45.3 45.6 43.5

Sheikhpura 15.9 16.6 11.9 15.3 15.8 12.1 31.2 32.5 24.0

Sheohar 20.0 19.6 - 18.7 18.6 - 38.7 38.1 -

Sitamarhi 22.7 22.9 - 17.9 18.9 - 40.6 41.8 -

Siwan 22.6 23.4 17.2 33.8 34.7 26.8 56.4 58.1 44.0

Supaul 17.3 17.4 - 11.2 10.5 - 28.5 27.8 -

Vaishali 19.0 19.0 19.6 15.8 16.1 9.8 34.8 35.1 29.5

67

BIHARA


ANTE NATAL CARE

State / District

Currently Married Pregnant Women aged 15-49 years

registered for ANC (%)

Mothers who received any Antenatal Check-up (%)

Mothers who had Antenatal Check-up in

First Trimester (%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10 Bihar 54.4 53.0 68.0 85.4 84.9 90.5 49.9 48.6 61.8 Araria 22.0 20.8 - 87.0 87.6 - 38.8 38.4 -

Aurangabad 78.8 77.8 88.9 96.0 95.9 97.2 53.2 53.2 53.0

Banka 78.2 78.0 - 89.7 89.5 - 59.5 59.2 -

Begusarai 67.2 66.8 - 86.1 85.5 - 50.0 48.3 -

Bhagalpur 62.5 64.6 39.3 89.3 88.6 93.7 54.9 53.1 66.4

Bhojpur 71.1 70.2 81.3 91.2 91.5 89.5 57.6 56.4 66.5

Buxar 71.5 72.1 61.5 88.2 88.5 84.4 53.9 53.6 58.1

Darbhanga 49.3 48.3 84.6 74.1 72.8 93.2 36.1 36.4 32.9

Gaya 70.4 70.0 72.3 92.5 91.6 96.1 50.9 49.7 56.3

Gopalganj 68.5 70.4 42.2 83.1 82.2 94.8 60.5 60.7 58.0

Jamui 59.9 60.2 - 76.6 75.9 - 50.9 50.0 -

Jehanabad 90.2 89.1 100.0 92.5 92.6 90.8 58.9 59.4 53.4

Kaimur (Bhabua) 73.6 72.9 - 89.2 89.1 - 42.0 42.0 -

Katihar 61.4 60.4 78.6 85.6 86.1 74.3 48.2 48.1 50.0

Khagaria 63.9 64.9 47.7 83.0 82.4 93.3 58.5 57.9 70.3

Kishanganj 58.9 58.1 68.2 84.5 83.4 96.4 41.8 39.8 63.2

Lakhisarai 63.5 62.1 73.7 86.5 86.0 90.0 54.0 53.0 62.0

Madhepura 40.7 39.8 - 78.1 78.2 - 48.3 48.2 -

Madhubani 54.9 55.0 - 78.1 77.8 - 35.9 35.8 -

Munger 68.7 68.5 69.6 92.5 91.7 94.6 57.4 57.4 57.3

Muzaffarpur 62.1 61.9 63.8 76.8 76.4 83.7 51.5 50.3 73.3

Nalanda 67.7 68.0 65.7 91.1 90.6 93.8 58.0 57.6 60.8

Nawada 74.9 74.2 81.8 90.9 90.7 94.2 54.9 54.0 64.7


Patna 64.6 65.2 63.2 93.6 93.5 93.8 64.9 59.8 73.9

Purba Champaran 42.0 40.3 - 84.0 83.8 - 43.6 42.2 -

Purnia 26.8 21.4 - 86.3 86.0 - 46.9 44.9 -

Rohtas 70.3 70.3 70.3 91.5 91.5 91.3 48.7 47.9 55.4

Saharsa 36.0 30.6 79.2 81.4 82.0 76.1 51.2 49.9 63.0

Samastipur 28.5 27.4 - 90.0 89.9 - 48.9 48.9 -

Saran 43.4 37.4 72.6 86.8 87.4 81.9 51.4 50.8 55.8

Sheikhpura 74.9 73.3 87.8 93.2 93.2 93.2 58.1 58.1 58.4

Sheohar 29.8 29.9 - 82.4 82.4 - 35.2 34.8 -

Sitamarhi 31.9 29.7 - 77.6 76.8 - 29.1 27.8 -

Siwan 73.0 73.6 70.2 85.2 85.0 86.6 58.1 57.7 61.5

Supaul 45.1 42.0 - 78.1 77.1 - 47.7 46.8 -

Vaishali 61.6 60.8 73.7 92.9 92.7 97.6 52.4 50.8 84.8

68

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

0102030405060708090100

Biha

r: Ante

natal

Care

(%)

Curre

ntly M

arried

Preg

nant

Wome

n age

d 15-4

9 yea

rs reg

istere

d for

ANC

Mothe

rs wh

o rec

eived

any A

ntena

tal C

heck

-upMo

thers

who h

ad An

tenata

l Che

ck-up

in Fi

rst Tr

imes

ter

69

BIHARA


ANTE NATAL CARE

State / District

Mothers who received 3 or more Antenatal Care

(%)

Mothers who received at least one Tetanus Toxoid

(TT) injection(%)

Mothers who consumed IFA for 100 days or more

(%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10 Bihar 36.7 35.1 51.5 84.6 84.1 89.5 12.7 11.7 21.3 Araria 48.6 48.5 - 85.8 86.4 - 18.5 18.9 -

Aurangabad 39.3 39.1 41.9 95.6 95.5 97.2 11.6 11.8 10.1

Banka 34.1 33.4 - 89.6 89.4 - 9.8 9.6 -

Begusarai 32.7 31.3 - 86.0 85.3 - 10.4 9.5 -

Bhagalpur 30.8 28.4 45.5 88.9 88.2 93.4 10.2 9.5 14.3

Bhojpur 39.3 38.0 48.6 91.0 91.2 89.5 8.5 7.9 13.1

Buxar 36.4 36.0 41.9 87.5 87.8 83.9 9.1 9.1 9.1

Darbhanga 35.0 33.8 51.4 73.4 72.0 92.5 13.0 10.0 55.5

Gaya 39.1 37.3 46.7 92.2 91.3 95.8 8.7 7.8 12.2

Gopalganj 49.2 48.7 56.5 78.4 77.4 91.7 17.3 17.6 13.0

Jamui 34.9 34.6 - 81.2 80.9 - 8.6 8.1 -

Jehanabad 37.4 36.9 42.4 92.2 92.3 90.8 7.6 7.5 8.5

Kaimur (Bhabua) 31.9 31.7 - 89.0 88.9 - 10.2 9.9 -

Katihar 44.9 44.6 52.1 84.9 85.5 74.3 7.4 6.5 25.0

Khagaria 38.1 36.9 58.9 82.2 81.6 92.8 13.2 13.2 12.9

Kishanganj 43.2 42.6 49.7 81.0 80.3 88.6 9.0 7.6 23.3

Lakhisarai 32.2 31.2 41.1 85.9 85.6 88.8 7.9 7.8 8.7

Madhepura 28.2 27.9 - 77.1 77.2 - 11.0 10.6 -

Madhubani 37.1 37.1 - 77.1 76.8 - 21.4 21.4 -

Munger 38.2 35.8 44.9 92.0 91.2 94.3 13.3 11.4 19.0

Muzaffarpur 38.1 36.2 72.6 75.7 75.9 71.9 12.4 11.7 25.9

Nalanda 34.6 33.3 42.3 90.7 90.3 93.0 8.2 7.4 13.4

Nawada 33.3 32.1 47.4 90.6 90.2 94.2 7.7 7.5 9.2


Patna 44.3 32.5 64.4 93.1 93.0 93.3 16.0 10.6 25.2

Purba Champaran 34.2 33.1 - 83.3 83.1 - 17.4 16.4 -

Purnia 27.9 25.4 - 84.3 84.4 - 17.4 16.3 -

Rohtas 38.9 37.6 50.0 91.2 91.2 90.9 10.0 9.2 16.8

Saharsa 31.9 30.4 45.7 80.8 81.4 75.4 15.5 12.2 45.3

Samastipur 28.2 27.1 - 88.9 88.8 - 7.1 6.8 -

Saran 27.6 26.0 40.2 85.7 86.3 81.2 13.4 12.7 18.8

Sheikhpura 36.7 36.2 40.8 93.0 93.0 93.2 9.0 8.6 12.0

Sheohar 22.6 21.8 - 81.4 81.4 - 14.4 14.0 -

Sitamarhi 30.2 29.2 - 76.7 75.8 - 16.9 16.9 -

Siwan 44.0 41.5 64.2 84.6 84.4 86.4 13.8 11.8 30.6

Supaul 30.1 29.7 - 74.6 73.6 - 10.7 9.5 -

Vaishali 37.4 35.9 70.4 90.4 90.1 95.2 8.1 7.8 15.2

70

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

ANTE NATAL CARE

State / DistrictMothers who had Full

Antenatal Check up (%)

Mothers who received ANC from Govt. Source

(%)

Mothers whose Blood Pressure (BP) taken (%)


Bihar 7.8 6.8 16.1 23.9 23.9 24.3 49.7 48.0 65.4 Araria 14.9 15.1 - 26.0 25.5 - 68.6 69.0 -

Aurangabad 7.7 7.7 6.9 20.0 19.6 23.7 49.4 48.8 55.8

Banka 4.7 4.4 - 13.5 13.4 - 38.0 37.2 -

Begusarai 6.6 5.9 - 12.4 12.6 - 39.4 38.0 -

Bhagalpur 5.3 4.6 9.8 13.7 13.3 16.0 40.3 36.1 65.7

Bhojpur 5.6 5.2 9.3 18.7 18.3 22.1 50.6 48.6 65.2

Buxar 5.6 5.5 6.5 14.2 14.0 17.2 42.7 42.2 48.4

Darbhanga 6.4 5.0 26.7 27.5 27.2 30.1 40.6 37.3 87.7

Gaya 5.9 5.2 8.9 12.6 11.7 16.1 42.1 40.7 48.2

Gopalganj 10.5 10.6 8.8 31.1 30.9 33.9 60.6 59.8 72.5

Jamui 5.1 4.9 - 12.2 11.6 - 41.7 40.5 -

Jehanabad 4.5 4.3 5.7 20.5 19.9 26.1 41.7 41.1 48.4

Kaimur (Bhabua) 5.4 5.2 - 16.6 16.2 - 39.6 39.2 -

Katihar 4.1 3.2 22.9 22.7 22.2 34.6 52.6 52.8 46.5

Khagaria 9.6 9.5 12.0 31.8 31.6 34.9 53.7 52.1 82.8

Kishanganj 6.0 5.1 15.0 38.4 37.4 47.3 52.2 49.6 79.8

Lakhisarai 4.8 4.7 5.9 17.1 17.5 13.8 37.3 36.7 42.4

Madhepura 5.6 5.2 - 29.4 29.7 - 41.7 41.4 -

Madhubani 14.8 15.0 - 33.5 33.1 - 53.0 52.4 -

Munger 8.9 7.4 13.1 15.9 15.2 17.9 43.2 39.1 55.2

Muzaffarpur 6.5 5.6 23.0 28.4 28.7 22.1 58.8 57.8 77.0

Nalanda 5.3 4.4 11.2 15.3 14.2 22.1 38.9 36.6 52.9

Nawada 5.0 4.8 7.5 21.5 20.7 30.7 40.2 39.0 54.3


Patna 11.5 5.7 21.5 18.7 15.6 24.0 48.8 35.7 71.6

Purba Champaran 7.5 6.4 - 26.2 27.8 - 59.8 58.4 -

Purnia 7.0 5.6 - 28.0 27.5 - 38.0 36.5 -

Rohtas 6.1 5.3 13.1 16.8 17.0 14.7 47.9 46.6 59.1

Saharsa 9.4 6.4 37.0 25.4 25.3 26.7 44.7 42.6 63.8

Samastipur 2.7 2.5 - 23.5 24.1 - 43.4 42.4 -

Saran 7.7 6.7 15.9 22.5 22.7 20.8 54.2 53.1 63.0

Sheikhpura 4.6 4.3 7.2 17.8 17.9 16.7 38.7 37.0 53.2

Sheohar 6.1 5.2 - 28.5 27.2 - 42.5 42.0 -

Sitamarhi 11.5 11.6 - 27.6 26.4 - 50.7 48.2 -

Siwan 10.1 8.1 26.5 45.6 47.3 32.0 65.4 63.7 79.4

Supaul 5.1 4.3 - 34.7 35.3 - 47.7 45.9 -

Vaishali 5.0 4.7 11.2 19.4 19.4 19.7 60.8 59.6 85.6

71

BIHARA


0102030405060708090100

Biha

r: Mo

thers

who r

eceiv

ed Fu

ll Ante

natal

Che

ck-up

(%)

3 or m

ore An

tenata

l Care

At

least

one T

etanu

s Tox

oid (T

T) inj

ectio

nIFA

for 1

00 da

ys or

more

Fu

ll Ante

natal

Che

ck-up

72

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

ANTE NATAL CARE

State / District Mothers whose Blood

taken for Hb (%) Mothers who underwent

Ultrasound (%) Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 Bihar 35.1 33.3 51.6 24.8 23.1 40.0 Araria 44.1 43.6 - 28.2 28.6 -

Aurangabad 36.8 36.2 42.9 25.1 25.1 24.4

Banka 29.5 28.6 - 18.9 18.4 -

Begusarai 28.5 26.7 - 24.1 22.4 -

Bhagalpur 32.2 29.4 49.3 22.4 19.7 39.5

Bhojpur 41.2 39.5 54.3 34.1 32.6 45.0

Buxar 32.5 31.8 40.3 26.9 26.4 32.8

Darbhanga 29.2 29.1 30.8 21.2 21.2 21.2

Gaya 31.9 30.6 37.2 24.5 23.2 29.8

Gopalganj 45.8 45.3 52.8 33.9 34.0 32.6

Jamui 30.1 29.2 - 22.0 21.7 -

Jehanabad 32.7 31.8 41.7 22.1 20.8 36.0

Kaimur (Bhabua) 31.4 30.7 - 25.9 25.7 -

Katihar 31.7 31.4 37.5 24.6 24.6 25.7

Khagaria 28.8 27.4 52.6 20.0 19.5 28.7

Kishanganj 35.9 33.6 60.6 24.0 22.7 37.8

Lakhisarai 27.3 26.7 32.7 22.0 21.3 28.0

Madhepura 29.2 28.9 - 16.0 15.6 -

Madhubani 32.3 31.6 - 21.6 21.4 -

Munger 33.2 28.5 46.8 25.4 20.7 38.8

Muzaffarpur 33.4 31.3 71.1 29.7 27.4 71.9

Nalanda 27.6 26.6 33.9 20.5 19.7 25.5

Nawada 30.0 29.1 39.9 22.3 21.9 27.2


Patna 40.8 27.7 63.4 34.1 22.1 54.7

Purba Champaran 46.5 46.4 - 20.1 18.5 -

Purnia 26.9 25.0 - 26.0 23.9 -

Rohtas 37.6 36.5 47.3 26.9 25.4 39.9

Saharsa 34.2 31.6 58.0 26.3 26.3 26.4

Samastipur 28.1 26.8 - 17.1 16.3 -

Saran 36.8 35.5 48.2 24.0 22.0 40.6

Sheikhpura 30.2 28.2 47.6 22.2 20.2 39.2

Sheohar 31.8 32.0 - 22.3 22.6 -

Sitamarhi 35.2 33.9 - 17.1 14.7 -

Siwan 42.0 39.8 59.7 31.6 29.4 49.6

Supaul 34.8 33.5 - 23.0 22.7 -

Vaishali 41.2 40.0 66.4 25.5 24.8 41.6

73

BIHARA


01020304050607080

Biha

r: M

others

who

rece

ived t

ests

durin

g Ante

Nata

l Che

ckup

(%)

Blood

test

for H

bUlt

rasou

ndBlo

od Pr

essu

re

74

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

DELIVERY CARE

State / DistrictInstitutional Delivery (%) Delivery at Government

Institution (%)Delivery at Private

Institution (%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 55.4 53.6 71.5 39.5 39.7 37.2 15.7 13.7 34.0 Araria 46.8 45.7 - 37.4 37.0 - 9.2 8.6 -

Aurangabad 61.8 61.7 63.6 46.0 45.9 47.0 15.8 15.7 16.6

Banka 65.8 64.9 - 52.5 52.3 - 13.3 12.6 -

Begusarai 67.3 66.6 - 50.0 51.0 - 17.3 15.6 -

Bhagalpur 64.2 62.8 73.1 46.8 48.3 37.4 17.4 14.5 35.7

Bhojpur 72.1 70.3 85.3 45.6 45.7 44.7 26.5 24.6 40.6

Buxar 71.0 71.5 65.1 45.9 47.5 25.8 25.1 24.0 38.7

Darbhanga 32.9 30.8 63.0 22.1 21.9 24.7 10.1 8.3 35.6

Gaya 48.5 45.5 61.0 28.3 29.0 25.6 20.0 16.4 35.1

Gopalganj 61.8 61.4 67.4 43.2 43.3 40.9 18.4 17.8 26.4

Jamui 50.7 49.2 - 37.5 36.5 - 13.2 12.6 -

Jehanabad 72.8 73.0 70.0 54.2 55.8 37.8 18.5 17.3 31.8

Kaimur (Bhabua) 70.3 70.0 - 45.4 45.2 - 24.9 24.8 -

Katihar 34.4 32.2 79.9 26.9 26.2 43.1 7.4 6.0 36.1

Khagaria 66.2 65.4 81.3 56.5 56.3 60.8 9.2 8.6 20.6

Kishanganj 38.4 34.8 76.7 30.5 27.8 59.6 7.6 6.8 16.6

Lakhisarai 63.6 62.2 75.4 45.1 44.9 46.4 18.5 17.2 29.0

Madhepura 46.1 45.7 - 39.0 39.1 - 7.0 6.4 -

Madhubani 41.3 40.6 - 28.4 28.1 - 12.1 11.6 -

Munger 77.3 76.4 79.9 54.6 59.7 39.9 22.2 16.6 38.5

Muzaffarpur 53.4 51.9 80.0 35.7 36.1 28.1 16.9 14.9 51.9

Nalanda 68.1 67.9 69.2 48.6 50.1 38.7 19.5 17.8 30.5

Nawada 60.9 59.6 75.7 44.5 44.3 47.4 16.3 15.3 28.3


Patna 78.0 73.3 86.1 44.7 49.7 36.1 32.9 23.5 49.2

Purba Champaran 35.2 33.4 - 24.2 23.6 - 11.0 9.7 -

Purnia 58.5 60.6 - 47.0 50.2 - 11.5 10.3 -

Rohtas 72.5 72.1 75.5 39.7 41.5 24.2 32.7 30.5 51.3

Saharsa 43.9 40.4 75.4 37.0 36.0 45.7 6.8 4.3 29.7

Samastipur 61.6 60.9 - 53.9 54.4 - 7.5 6.3 -

Saran 52.9 52.7 54.3 40.8 40.9 39.9 12.0 11.7 14.1

Sheikhpura 72.8 72.1 78.8 55.5 56.5 46.8 17.3 15.6 32.0

Sheohar 31.8 32.2 - 23.6 23.8 - 8.0 8.2 -

Sitamarhi 29.6 28.0 - 21.7 20.6 - 7.5 7.0 -

Siwan 59.3 57.8 71.5 39.5 39.7 38.5 19.6 17.9 33.0

Supaul 57.4 56.4 - 46.7 46.4 - 10.5 9.8 -

Vaishali 65.1 64.6 76.0 45.5 45.8 38.4 19.5 18.7 36.0

75

BIHARA


0 10

20

30

40

50

60

Biha

r: Ins

titutio

nal D

elive

ry (%

)

Gove

rnmen

tPr

ivate

76

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

DELIVERY CARE

State / DistrictDelivery at Home (%)

Delivery at home conducted by skilled health personnel (%)

Safe Delivery (%)


Bihar 42.1 43.9 25.8 30.0 29.6 36.1 64.5 63.0 78.1 Araria 52.2 53.2 - 28.9 29.3 - 57.7 56.9 -

Aurangabad 37.8 37.9 36.4 34.2 34.9 27.8 71.4 71.2 73.3

Banka 33.9 34.8 - 32.1 31.9 - 73.9 73.2 -

Begusarai 32.4 33.1 - 31.9 31.8 - 73.8 73.2 -

Bhagalpur 35.4 36.8 26.9 28.5 29.1 23.4 71.6 70.6 78.0

Bhojpur 27.7 29.6 14.4 29.1 29.3 26.7 77.1 75.8 86.9

Buxar 26.0 25.6 30.6 33.4 32.4 43.9 77.2 77.3 76.3

Darbhanga 66.3 68.9 30.1 24.9 25.2 13.6 44.5 43.1 64.4

Gaya 46.5 49.1 36.0 35.4 34.9 38.0 60.0 57.5 70.5

Gopalganj 38.0 38.4 32.1 35.5 34.4 54.8 72.7 72.0 83.4

Jamui 43.6 44.8 - 32.4 32.7 - 61.7 60.7 -

Jehanabad 27.0 26.7 29.7 40.2 38.6 54.8 80.0 80.1 78.4

Kaimur (Bhabua) 28.0 28.4 - 36.0 35.6 - 78.1 77.9 -

Katihar 58.1 60.0 20.1 27.8 27.8 31.0 46.7 44.9 83.3

Khagaria 33.5 34.4 18.7 31.1 30.8 41.0 74.6 73.9 87.6

Kishanganj 50.4 52.9 23.3 32.3 31.1 62.2 49.8 46.8 81.9

Lakhisarai 36.0 37.4 24.6 39.4 39.4 40.5 74.0 72.8 83.5

Madhepura 49.2 49.5 - 36.7 36.5 - 60.7 60.3 -

Madhubani 58.2 59.0 - 29.5 29.4 - 53.6 53.0 -

Munger 21.7 23.3 17.2 41.5 40.6 44.9 82.3 81.4 84.8

Muzaffarpur 46.2 47.7 20.0 28.0 28.0 25.9 63.1 62.0 83.7

Nalanda 29.1 29.1 29.1 29.3 28.8 32.7 74.5 74.2 76.2

Nawada 35.2 36.2 24.3 32.7 33.2 23.8 68.2 67.3 79.2


Patna 21.6 26.4 13.5 36.1 32.5 48.4 83.1 79.2 89.7

Purba Champaran 58.8 60.0 - 22.7 22.9 - 44.4 42.7 -

Purnia 37.5 39.2 - 27.5 24.5 - 65.7 66.8 -

Rohtas 26.6 27.3 20.1 35.4 35.3 36.7 79.6 79.3 81.5

Saharsa 46.5 48.9 24.6 35.9 34.4 63.2 54.8 51.3 87.0

Samastipur 38.2 39.0 - 35.1 34.9 - 72.7 72.2 -

Saran 45.6 46.2 40.6 25.2 24.3 33.0 61.6 61.2 64.9

Sheikhpura 26.8 27.5 20.8 26.5 26.1 30.8 78.3 77.8 82.4

Sheohar 59.4 58.7 - 29.8 29.0 - 45.7 46.3 -

Sitamarhi 61.7 63.2 - 31.4 31.6 - 42.9 41.5 -

Siwan 40.3 41.8 28.3 27.8 27.5 31.4 67.7 66.6 76.7

Supaul 42.2 43.1 - 27.4 27.5 - 65.9 65.3 -

Vaishali 34.1 35.1 12.8 26.0 26.1 18.8 69.6 69.2 78.4

77

BIHARA


0 10

20

30

40

50

60

70

80

90

Biha

r: Sa

fe De

livery

(%)

78

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

DELIVERY CARE

State / District

Caesarean out of total delivery taken place in Government

Institutions (%)

Caesarean out of total delivery taken place in Private Institutions

(%)Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7Bihar 4.7 4.6 5.3 21.9 21.0 25.1 Araria 4.6 4.7 - 23.0 23.0 -

Aurangabad 4.4 4.7 1.0 33.6 33.1 38.9

Banka 2.9 2.8 - 22.3 22.5 -

Begusarai 2.2 2.1 - 22.5 20.2 -

Bhagalpur 3.5 3.5 3.7 26.1 25.2 28.4

Bhojpur 2.7 2.7 2.1 21.7 21.1 24.4

Buxar 2.6 2.5 4.2 16.0 15.1 23.6

Darbhanga 8.9 9.0 8.3 21.7 21.9 21.2

Gaya 4.8 4.1 8.1 29.6 30.9 27.1

Gopalganj 4.6 4.8 2.5 15.5 14.9 21.6

Jamui 3.8 3.4 - 22.4 23.5 -

Jehanabad 3.3 3.1 7.5 31.5 32.6 25.6

Kaimur (Bhabua) 2.0 2.0 - 17.7 17.7 -

Katihar 6.7 7.1 1.6 23.9 24.7 21.2

Khagaria 6.8 5.4 29.1 17.8 18.0 16.3

Kishanganj 5.2 5.5 3.5 27.1 29.7 15.6

Lakhisarai 2.5 2.7 1.3 22.9 22.1 26.9

Madhepura 5.8 5.9 - 21.6 22.0 -

Madhubani 10.0 10.2 - 16.2 16.4 -

Munger 2.9 2.8 2.9 20.7 20.3 21.2

Muzaffarpur 10.5 11.0 0.0 15.3 14.6 18.6

Nalanda 4.7 4.6 5.8 26.2 27.9 20.2

Nawada 3.7 3.7 3.7 26.1 25.7 28.6


Patna 6.0 4.9 8.7 30.2 28.3 31.8

Purba Champaran 3.6 3.4 - 16.7 17.1 -

Purnia 3.3 3.2 - 24.4 23.2 -

Rohtas 3.2 3.1 5.6 17.3 17.3 17.6

Saharsa 9.0 9.8 3.2 17.5 22.6 11.0

Samastipur 2.7 2.7 - 23.9 25.3 -

Saran 2.6 2.7 1.8 26.5 25.1 35.9

Sheikhpura 3.1 2.9 4.3 25.0 25.0 25.0

Sheohar 8.4 8.9 - 21.9 22.2 -

Sitamarhi 9.9 11.0 - 26.9 27.0 -

Siwan 4.6 4.7 3.7 11.3 10.9 12.9

Supaul 3.1 3.2 - 17.2 17.7 -

Vaishali 3.2 3.2 4.2 18.4 17.9 24.4

79

BIHARA


0 5 10

15

20

25

30

35

40

Biha

r: Ca

esare

an ou

t of to

tal de

livery

take

n plac

e in G

overn

ment/

Priva

te Ins

titutio

ns (%

)

Gove

rnmen

t Pr

ivate

80

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

POST NATAL CARE

State / District

Less than 24 hrs. stay in institution after delivery

(%)

Mothers who received Post-natal Check-up within

48 hrs. of delivery (%)

Mothers who received Post-natal Check-up within

1 week of delivery (%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 65.2 66.0 59.5 60.9 59.2 76.4 63.8 62.2 78.5 Araria 77.5 77.2 - 49.8 48.3 - 50.7 49.3 -

Aurangabad 68.1 67.7 71.7 73.1 73.2 72.4 75.1 75.3 73.3

Banka 60.9 61.1 - 71.6 71.2 - 73.8 73.5 -

Begusarai 72.7 74.3 - 69.8 69.1 - 72.1 71.6 -

Bhagalpur 53.4 53.5 52.9 68.2 67.2 74.1 70.5 69.7 75.5

Bhojpur 77.5 77.5 77.2 74.3 72.9 84.3 77.1 75.6 88.2

Buxar 70.2 70.4 67.5 75.7 75.8 74.7 77.7 77.8 75.8

Darbhanga 58.4 64.4 16.3 44.0 41.2 84.2 46.5 43.9 84.2

Gaya 71.6 73.3 66.3 71.4 70.1 76.8 73.9 73.1 77.4

Gopalganj 70.2 70.2 69.2 55.5 54.8 64.8 57.7 57.1 65.8

Jamui 76.1 76.9 - 63.9 63.1 - 67.4 66.3 -

Jehanabad 76.1 76.3 73.7 78.9 78.9 78.8 82.2 82.2 82.3

Kaimur (Bhabua) 80.5 80.7 - 72.8 72.8 - 76.5 76.5 -

Katihar 79.1 80.5 67.8 51.1 49.4 86.8 55.7 53.7 97.2

Khagaria 74.5 74.2 78.8 58.8 57.0 90.0 61.8 60.0 93.8

Kishanganj 48.1 48.5 45.9 85.8 85.4 90.7 90.5 90.1 94.8

Lakhisarai 67.2 67.0 68.2 68.5 67.2 80.1 70.9 69.5 82.2

Madhepura 72.3 72.0 - 78.4 78.3 - 83.4 83.3 -

Madhubani 54.9 54.5 - 51.5 51.3 - 66.8 66.8 -

Munger 73.3 73.7 72.1 77.8 76.4 82.1 80.7 79.3 84.7

Muzaffarpur 47.1 48.4 31.5 44.5 42.6 80.0 44.9 43.0 80.0

Nalanda 71.3 71.7 68.8 75.0 74.9 75.9 77.5 77.3 78.7

Nawada 77.2 76.7 81.7 74.0 73.5 79.2 75.5 75.1 79.2


Patna 64.4 70.9 54.9 79.8 77.1 84.4 81.3 78.9 85.6

Purba Champaran 70.0 71.2 - 36.2 34.8 - 39.4 38.2 -

Purnia 76.9 78.9 - 55.6 53.4 - 57.8 54.4 -

Rohtas 74.8 75.0 72.9 78.3 77.6 84.6 79.7 79.2 84.9

Saharsa 85.1 93.9 42.8 73.7 72.5 84.4 77.5 76.3 88.8

Samastipur 77.0 77.7 - 69.7 69.5 - 73.0 73.0 -

Saran 18.6 11.4 76.0 55.1 54.6 59.1 58.0 57.5 62.0

Sheikhpura 73.5 74.6 64.5 78.7 79.7 70.0 80.7 81.5 73.6

Sheohar 63.3 62.2 - 30.7 31.1 - 34.1 34.7 -

Sitamarhi 84.1 95.1 - 33.3 30.9 - 34.9 32.7 -

Siwan 46.3 45.5 51.3 46.2 43.5 67.6 48.7 46.1 70.0

Supaul 16.3 12.0 - 58.5 56.9 - 60.1 58.4 -

Vaishali 47.5 46.6 64.2 52.5 50.8 89.6 54.3 52.6 91.2

81

BIHARA


POST NATAL CARE

State / DistrictMothers who did not receive any

Post-natal Check-up (%)New borns who were checked up

within 24 hrs. of birth (%)Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7Bihar 19.4 19.9 14.3 61.9 60.8 72.2 Araria 33.5 34.4 - 62.5 61.4 -

Aurangabad 24.3 24.1 26.7 57.7 57.4 60.0

Banka 25.4 25.8 - 71.0 70.5 -

Begusarai 27.0 27.5 - 56.8 55.8 -

Bhagalpur 28.7 29.5 24.1 58.4 58.2 59.0

Bhojpur 21.5 23.0 10.5 71.2 69.4 84.7

Buxar 21.6 21.6 22.0 65.2 65.5 60.9

Darbhanga 51.2 53.7 15.8 45.0 43.0 73.1

Gaya 25.1 25.9 22.0 69.5 68.3 74.5

Gopalganj 31.3 31.8 24.4 68.5 68.5 69.6

Jamui 32.0 33.2 - 50.0 48.6 -

Jehanabad 16.9 17.0 15.5 74.5 74.3 76.4

Kaimur (Bhabua) 22.3 22.2 - 69.8 69.7 -

Katihar 25.4 26.6 2.1 60.2 59.1 83.1

Khagaria 20.4 21.5 0.5 68.8 68.0 82.7

Kishanganj 4.0 4.2 2.1 84.2 84.0 86.5

Lakhisarai 28.1 29.5 17.1 61.4 61.0 64.8

Madhepura 7.0 7.0 - 73.1 73.1 -

Madhubani 20.4 20.5 - 50.9 50.6 -

Munger 18.9 20.2 15.2 73.4 71.7 78.6

Muzaffarpur 27.4 28.3 11.9 53.7 52.3 78.8

Nalanda 21.8 21.9 20.7 55.3 54.6 59.4

Nawada 24.0 24.3 20.8 55.0 54.5 60.1


Patna 18.1 20.5 14.0 63.3 57.7 72.8

Purba Champaran 32.0 33.2 - 42.6 40.1 -

Purnia 21.7 23.6 - 72.6 72.5 -

Rohtas 19.5 20.2 14.1 72.5 71.1 84.4

Saharsa 19.6 21.1 6.2 66.5 65.0 79.6

Samastipur 19.4 19.4 - 72.3 71.9 -

Saran 19.4 19.8 15.9 67.2 67.3 66.3

Sheikhpura 18.1 17.3 25.2 71.3 72.2 63.3

Sheohar 35.3 35.0 - 44.6 45.3 -

Sitamarhi 60.9 63.0 - 39.3 36.6 -

Siwan 38.8 41.0 21.3 67.1 66.3 74.4

Supaul 29.5 30.7 - 65.9 66.2 -

Vaishali 35.4 36.7 8.8 67.4 66.4 88.0

82

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

0 10

20

30

40

50

60

70

80

90

100

Biha

r: Mo

thers

by st

atus o

f rec

eipt o

f Pos

t-nata

l Che

ck-up

(%)

Did n

ot rec

eive

Chec

k-up w

ithin

48 hr

s.

83

BIHARA


JANANI SURAKSHA YOJANA (JSY)

State / District

Mothers who availed financial assistance for delivery under JSY (%)

Mothers who availed financial assistance for

institutional delivery under JSY (%)

Mothers who availed financial assistance for

Government Institutional delivery under JSY (%)


Bihar 40.9 41.4 36.1 69.8 72.8 49.1 91.2 91.7 86.1 Araria 40.2 39.2 - 82.8 83.3 - 97.6 97.9 -Aurangabad 43.9 43.7 45.2 70.2 70.1 71.0 93.1 93.0 94.1 Banka 50.9 50.6 - 76.6 77.1 - 95.1 95.0 -Begusarai 46.3 47.2 - 67.9 70.1 - 89.9 90.0 -Bhagalpur 44.4 46.5 31.8 68.4 73.0 43.5 92.8 93.8 85.0 Bhojpur 42.7 42.9 40.9 58.6 60.3 47.9 90.9 91.0 90.0 Buxar 44.6 46.5 20.4 61.2 63.3 31.7 93.6 94.2 79.2 Darbhanga 24.7 23.8 37.0 73.1 74.8 61.4 90.5 92.0 72.2 Gaya 30.6 31.4 27.4 56.6 61.4 41.7 94.9 94.3 97.7 Gopalganj 49.4 49.9 42.0 78.0 79.2 61.5 92.5 93.2 81.0 Jamui 40.1 39.3 - 70.2 70.3 - 93.6 93.5 -Jehanabad 52.9 54.4 37.1 71.7 73.5 51.8 94.7 94.7 94.4 Kaimur (Bhabua) 43.3 42.9 - 59.8 59.6 - 91.4 91.1 -Katihar 33.9 33.5 42.4 75.6 78.2 53.5 89.2 90.1 77.4 Khagaria 57.2 57.0 60.8 85.7 86.5 74.7 93.3 93.1 96.9 Kishanganj 40.8 39.2 59.1 75.6 75.3 76.9 89.8 90.0 88.7 Lakhisarai 41.7 41.7 41.7 65.6 67.1 55.4 91.1 91.2 89.9 Madhepura 39.7 39.7 - 74.5 75.1 - 84.4 84.6 -Madhubani 27.7 27.5 - 66.8 67.7 - 81.5 81.5 -Munger 52.6 57.8 37.6 67.1 75.0 44.8 93.1 94.7 86.1 Muzaffarpur 36.8 37.5 25.2 68.7 72.0 31.5 86.5 87.2 71.1 Nalanda 47.6 49.2 37.5 67.1 69.5 52.2 93.0 92.9 93.5 Nawada 42.0 41.8 43.9 64.8 65.6 58.0 87.5 87.1 91.5 Pashchim Champaran 49.5 49.6 48.2 78.4 79.3 66.7 95.6 95.8 92.6 Patna 41.0 46.7 31.3 52.5 63.5 36.3 89.7 92.4 83.3 Purba Champaran 28.7 29.4 - 63.4 67.1 - 84.4 87.3 -Purnia 47.5 51.3 - 80.2 83.7 - 94.7 95.5 -Rohtas 39.1 40.9 23.2 53.0 56.1 27.1 93.6 94.1 84.7 Saharsa 39.7 38.1 55.1 83.8 86.1 73.1 93.3 93.5 92.1 Samastipur 55.8 56.4 - 86.2 88.1 - 96.3 96.4 -Saran 41.1 41.8 34.8 75.2 76.8 62.4 91.6 92.9 80.9 Sheikhpura 54.2 55.3 44.4 74.0 76.3 56.3 96.3 96.5 94.0 Sheohar 23.2 23.0 - 69.7 68.8 - 90.0 89.5 -Sitamarhi 31.0 29.6 - 73.3 72.4 - 89.2 88.4 -Siwan 43.9 43.9 43.9 73.2 75.1 60.6 86.5 87.4 79.5 Supaul 47.7 46.9 - 80.8 81.7 - 93.2 93.2 -Vaishali 46.3 46.7 37.6 70.6 71.7 49.5 83.3 83.6 77.1

84

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

0 20

40

60

80

100

120

Biha

r: M

others

who

avail

ed fin

ancia

l ass

istan

ce fo

r deli

very

unde

r JSY

(%)

Any d

elive

ryIns

titutio

nal d

elive

ryGo

vernm

ent In

stitut

ional

delive

ry

85

BIHARA


IMMUNIZATION, VITAMIN A & IRON SUPPLEMENT AND BIRTH WEIGHT

State / District

Children aged 12-23 months having

Immunization Card (%)

Children aged 12-23 months who have received

BCG (%)

Children aged 12-23 months who have received 3 doses

of Polio vaccine (%) Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 85.4 85.2 87.5 94.7 94.6 95.2 82.7 82.7 82.2Araria 78.5 77.5 - 91.3 91.0 - 83.0 83.5 -

Aurangabad 83.6 84.1 78.9 96.7 96.9 94.3 90.7 91.0 87.4

Banka 77.6 77.4 - 96.3 96.2 - 76.0 76.3 -

Begusarai 74.9 74.3 - 96.9 96.9 - 80.0 79.2 -

Bhagalpur 82.7 83.9 74.1 97.0 97.2 95.6 80.5 80.3 82.0

Bhojpur 85.6 85.6 85.2 95.7 95.8 95.3 80.3 80.7 77.9

Buxar 82.6 82.6 81.9 94.0 94.0 93.4 81.0 81.3 77.7

Darbhanga 94.5 94.3 97.1 97.9 97.8 99.0 81.7 82.1 76.7

Gaya 77.5 77.7 76.8 94.8 95.4 92.5 79.6 81.3 73.0

Gopalganj 91.2 90.9 94.6 95.6 95.4 98.0 83.3 82.9 89.3

Jamui 71.9 71.3 - 89.6 89.5 - 59.8 59.8 -

Jehanabad 89.5 89.5 89.3 97.7 98.0 94.8 91.0 91.5 85.8

Kaimur (Bhabua) 86.5 86.5 - 96.7 96.7 - 81.9 81.7 -

Katihar 83.6 83.0 93.5 93.6 93.4 96.3 81.9 81.3 93.5

Khagaria 91.5 91.3 94.1 91.4 91.1 97.5 88.7 88.5 94.1

Kishanganj 74.7 72.9 92.7 86.3 85.1 98.5 56.5 54.3 78.1

Lakhisarai 76.6 76.6 77.0 95.3 95.5 93.8 81.7 82.2 77.3

Madhepura 85.1 85.0 - 97.3 97.3 - 91.3 91.3 -

Madhubani 95.5 95.5 - 95.3 95.3 - 92.9 93.1 -

Munger 82.8 82.1 84.8 98.0 98.2 97.5 83.4 83.3 83.7

Muzaffarpur 88.7 88.3 94.8 96.6 96.5 97.9 82.3 82.8 74.2

Nalanda 79.4 80.5 73.5 96.6 97.4 92.0 84.0 85.3 76.7

Nawada 78.0 77.5 83.6 95.9 96.1 92.9 82.3 82.1 84.3


Patna 85.6 81.5 92.7 97.4 97.3 97.5 87.8 87.7 87.9

Purba Champaran 77.9 76.9 - 85.9 85.5 - 68.2 68.5 -

Purnia 85.8 86.3 - 94.9 96.2 - 91.4 92.2 -

Rohtas 85.3 85.7 81.9 95.8 95.8 95.7 84.3 84.6 81.9

Saharsa 86.4 85.6 93.8 95.5 95.4 96.9 83.6 85.9 61.5

Samastipur 95.8 96.0 - 96.4 96.5 - 92.4 92.6 -

Saran 92.0 91.9 92.4 94.0 93.4 98.1 88.4 88.2 90.0

Sheikhpura 79.2 79.6 75.7 96.3 96.5 94.6 88.6 89.2 82.7

Sheohar 87.7 90.6 - 93.2 93.6 - 81.0 81.9 -

Sitamarhi 89.9 89.4 - 92.2 92.5 - 85.4 85.1 -

Siwan 93.3 93.0 95.3 95.0 95.3 93.2 86.1 85.7 89.0

Supaul 85.5 84.9 - 94.3 94.0 - 86.3 86.7 -

Vaishali 89.7 89.9 83.8 96.0 95.9 98.5 84.3 83.9 95.6

86

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3


State / District

Children aged 12-23 months who have received 3 doses of DPT vaccine (%)

Children aged 12-23 months who have received

Measles vaccine (%)

Children aged 12-23 months Fully Immunized (%)


Bihar 81.6 81.5 82.6 80.3 80.2 81.6 69.9 69.7 72.1Araria 80.9 81.5 - 67.2 66.8 - 59.9 59.9 -

Aurangabad 92.1 92.3 89.1 82.9 83.4 77.7 78.6 79.2 73.1

Banka 80.6 80.5 - 81.5 81.7 - 65.7 65.9 -

Begusarai 81.0 80.3 - 78.0 77.1 - 65.2 63.8 -

Bhagalpur 83.1 82.8 85.4 81.3 81.6 79.0 68.0 67.3 72.7

Bhojpur 80.9 81.7 75.2 77.9 77.1 83.2 67.9 67.7 69.1

Buxar 80.2 80.2 80.7 75.7 75.5 78.3 67.8 67.7 68.7

Darbhanga 78.5 78.7 74.8 86.7 86.1 95.1 68.9 68.6 72.8

Gaya 80.5 81.6 76.5 74.7 77.1 65.2 69.3 71.5 60.5

Gopalganj 81.8 81.3 89.3 90.0 89.9 91.9 74.8 74.3 81.9

Jamui 66.6 65.7 - 65.4 64.8 - 50.0 49.8 -

Jehanabad 90.2 90.9 83.7 84.0 85.3 71.2 79.1 80.4 66.5

Kaimur (Bhabua) 82.1 81.9 - 78.5 78.2 - 69.1 68.8 -

Katihar 80.7 79.9 93.5 78.4 78.1 84.1 69.3 68.5 83.2

Khagaria 88.7 88.5 93.3 88.0 87.8 90.8 84.8 84.7 87.4

Kishanganj 57.0 54.6 81.0 40.6 38.3 63.5 32.2 29.7 57.7

Lakhisarai 81.0 81.7 75.4 75.9 76.4 71.9 67.3 67.7 63.3

Madhepura 91.0 90.9 - 86.0 85.9 - 80.2 80.1 -

Madhubani 92.0 92.0 - 90.4 90.5 - 87.8 87.9 -

Munger 86.5 86.9 85.2 86.1 86.1 86.0 74.4 74.3 74.7

Muzaffarpur 75.4 76.3 60.8 86.1 86.1 86.6 64.2 65.0 51.5

Nalanda 88.7 89.6 84.0 82.5 82.6 82.2 74.8 75.8 69.1

Nawada 84.2 84.2 83.6 79.6 79.7 79.3 73.1 72.6 77.9


Patna 86.6 86.7 86.2 82.4 79.3 87.8 76.0 74.1 79.4

Purba Champaran 57.1 56.1 - 66.7 65.3 - 44.0 42.4 -

Purnia 92.7 93.5 - 84.1 85.3 - 80.9 81.9 -

Rohtas 84.2 84.1 84.3 77.4 77.3 77.9 70.4 70.4 69.8

Saharsa 83.3 85.4 64.1 83.2 84.5 71.8 74.8 77.4 50.8

Samastipur 88.2 88.4 - 91.2 91.7 - 84.3 84.6 -

Saran 88.5 88.2 91.0 85.4 86.2 79.0 79.7 80.6 71.9

Sheikhpura 88.7 89.3 83.7 82.8 83.1 80.2 78.2 78.7 73.8

Sheohar 87.1 88.5 - 80.1 81.2 - 69.1 69.7 -

Sitamarhi 84.2 83.8 - 78.5 77.6 - 69.6 68.2 -

Siwan 82.9 82.5 85.6 91.0 91.3 88.5 76.6 75.9 81.5

Supaul 84.7 85.0 - 82.6 82.1 - 72.6 72.6 -

Vaishali 85.9 85.6 91.2 87.3 87.2 88.2 76.5 76.2 82.4

87

BIHARA


0102030405060708090100

Biha

r: Ch

ildren

aged

12-23

mon

ths ha

ving I

mmun

izatio

n Card

vs. F

ully I

mmun

ized (

%)

Havin

g Imm

umiza

tion C

ardCh

ildren

Fully

Immu

nized

88

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3


State / District

Children who have received Polio dose at

birth (%)

Children who did not receive any vaccination

Children (aged 6-35 months) who received at least one Vitamin A dose during last

six months (%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Bihar 69.0 67.7 79.9 3.7 3.7 3.2 56.2 56.4 54.7Araria 58.1 56.5 - 5.2 5.4 - 65.0 66.0 -

Aurangabad 85.5 85.8 82.3 1.9 1.7 3.4 57.7 57.8 56.6

Banka 83.1 82.9 - 1.7 1.8 - 54.6 54.4 -

Begusarai 81.2 80.5 - 1.6 1.6 - 53.5 53.1 -

Bhagalpur 85.7 85.8 85.4 1.8 1.5 3.9 57.8 58.1 56.1

Bhojpur 80.5 80.1 83.6 2.7 2.9 1.3 54.9 53.5 65.1

Buxar 79.8 79.3 86.7 4.4 4.3 6.0 41.1 41.1 40.4

Darbhanga 34.8 33.6 51.5 1.3 1.3 1.0 56.1 55.0 72.8

Gaya 75.9 76.0 75.9 2.0 2.1 1.6 52.9 54.7 46.1

Gopalganj 73.1 72.9 75.8 3.7 3.8 2.0 50.4 50.8 45.0

Jamui 76.9 77.0 - 4.4 4.5 - 40.7 40.7 -

Jehanabad 86.5 87.3 78.5 1.6 1.5 2.6 60.2 60.9 53.6

Kaimur (Bhabua) 84.1 84.0 - 1.9 1.9 - 46.6 46.9 -

Katihar 78.0 77.3 89.7 4.9 5.1 2.8 65.5 65.2 72.0

Khagaria 69.0 68.3 84.0 8.1 8.4 1.7 61.6 61.3 68.9

Kishanganj 64.8 61.9 93.4 8.9 9.7 0.0 61.7 58.6 92.7

Lakhisarai 77.8 78.2 74.2 3.3 3.1 4.7 52.3 52.9 47.3

Madhepura 46.5 46.1 - 1.2 1.2 - 59.2 59.6 -

Madhubani 47.7 47.3 - 4.4 4.4 - 69.7 69.6 -

Munger 84.0 83.6 85.0 1.0 1.1 0.8 60.0 59.5 61.3

Muzaffarpur 72.2 71.4 86.6 2.3 2.3 2.1 60.5 59.7 73.2

Nalanda 86.4 85.9 88.7 2.0 1.8 2.9 57.1 59.0 46.2

Nawada 81.1 81.3 78.6 1.9 1.9 2.1 53.1 53.9 44.3


Patna 83.5 81.3 87.4 1.6 1.7 1.6 55.3 55.7 54.6

Purba Champaran 63.2 61.4 - 9.9 10.0 - 41.8 41.6 -Purnia 53.5 53.2 - 3.5 2.4 - 68.8 68.9 -Rohtas 92.1 93.3 81.9 2.8 2.7 3.6 47.6 47.2 50.9Saharsa 47.9 44.3 81.5 3.4 3.4 3.1 69.8 71.7 52.3Samastipur 65.9 66.0 - 3.3 3.1 - 68.9 69.4 -Saran 56.4 56.0 59.5 5.2 5.6 1.9 53.6 55.2 41.4Sheikhpura 85.6 85.5 87.1 1.8 1.7 2.0 54.5 54.4 55.4Sheohar 32.5 32.7 - 4.6 4.0 - 63.2 64.1 -Sitamarhi 43.1 40.2 - 6.2 5.9 - 44.9 42.8 -Siwan 70.1 67.7 86.9 4.4 4.1 6.5 47.0 47.4 44.4Supaul 51.4 49.3 - 2.9 3.0 - 60.9 60.5 -Vaishali 71.3 70.6 89.7 3.6 3.6 1.5 64.1 64.3 58.8

89

BIHARA



State / District

Children (aged 6-35 months) who received IFA tablets/syrup during last 3

months (%)

Children whose birth weight was taken (%)

Children with birth weight less than 2.5 Kg. (%)


Bihar 33.8 33.7 34.2 42.9 40.9 61.4 21.9 21.7 23.2Araria 42.5 41.0 - 37.4 36.6 - 9.8 9.4 -

Aurangabad 24.3 23.6 31.4 47.2 46.6 53.4 20.1 19.6 24.4

Banka 24.2 24.0 - 50.2 49.9 - 21.0 20.8 -

Begusarai 22.3 22.4 - 50.1 48.6 - 27.5 28.0 -

Bhagalpur 28.6 26.8 41.5 52.9 51.8 60.2 19.0 18.8 20.2

Bhojpur 22.2 21.2 29.5 56.0 54.2 69.5 18.4 18.0 20.7

Buxar 20.9 20.9 20.5 49.0 49.1 48.2 17.8 17.3 23.4

Darbhanga 55.4 54.1 73.8 26.8 25.0 50.0 23.9 23.3 27.9

Gaya 19.3 19.5 18.8 41.9 39.7 51.1 23.4 24.6 19.7

Gopalganj 39.8 40.7 26.2 48.6 48.8 45.4 15.3 15.8 9.4

Jamui 25.2 25.9 - 43.5 42.0 - 19.7 19.8 -

Jehanabad 23.9 23.5 27.5 61.3 61.9 55.2 18.2 18.3 17.0

Kaimur (Bhabua) 24.4 24.5 - 45.4 45.4 - 20.5 20.2 -

Katihar 36.0 35.6 43.0 29.5 28.5 51.0 22.6 22.7 20.0

Khagaria 30.4 30.7 23.5 55.9 54.4 83.3 19.5 21.0 8.1

Kishanganj 34.2 33.8 38.0 25.0 21.6 62.1 28.1 29.7 19.4

Lakhisarai 26.7 26.9 25.4 49.0 48.6 52.5 20.9 21.6 15.1

Madhepura 31.6 31.1 - 29.5 29.2 - 27.2 26.5 -

Madhubani 61.4 61.4 - 33.0 32.4 - 22.3 21.4 -

Munger 25.8 24.9 28.4 63.0 60.7 69.8 19.3 19.1 19.8

Muzaffarpur 32.7 31.3 55.7 46.6 44.9 77.9 26.8 27.2 21.4

Nalanda 19.7 20.2 17.1 54.7 54.1 57.8 23.7 23.5 25.2

Nawada 20.0 19.1 30.0 44.2 43.9 46.7 21.7 21.9 20.3


Patna 21.5 17.7 28.0 63.9 54.7 79.5 20.1 21.7 18.3

Purba Champaran 38.8 38.1 - 28.6 26.9 - 31.0 32.2 -Purnia 54.2 56.2 - 34.3 30.9 - 39.8 30.5 -Rohtas 19.7 20.3 13.9 49.2 48.1 59.0 18.0 18.2 16.7Saharsa 47.8 46.4 61.0 25.9 22.7 55.9 17.8 16.5 29.5Samastipur 34.9 34.7 - 53.9 53.3 - 18.0 17.9 -Saran 31.8 32.3 28.6 40.8 41.0 39.2 28.0 29.0 19.7Sheikhpura 20.0 20.4 16.3 55.2 54.5 62.1 24.2 24.2 24.2Sheohar 47.4 49.5 - 24.5 25.2 - 43.9 44.2 -Sitamarhi 41.3 39.1 - 26.7 24.4 - 6.8 6.5 -Siwan 35.3 33.9 44.6 47.5 45.7 62.2 28.1 25.3 41.3Supaul 39.6 39.9 - 33.9 32.4 - 12.5 10.3 -Vaishali 30.0 30.6 14.7 55.8 54.9 74.3 16.7 16.2 22.1

90

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

0

3

5

8

10

13

15

18

20

23

25

Total Rural Urban

Bihar: Children with birth weight less than 2.5 Kg. (%).

0

5

10

15

20

25

30

35

40

45

50

Bihar: Children with birth weight less than 2.5 Kg. (%).

91

BIHARA


CHILDHOOD DISEASES

State / DistrictChildren suffering from

Diarrhoea (%)

Children suffering from Diarrhoea who received HAF/ORS/ORT/Zinc (%)

Children suffering from Acute Respiratory Infection


1 2 3 4 5 6 7 8 9 10Bihar 10.0 10.0 10.0 83.3 82.9 87.5 28.2 27.9 30.4 Araria 8.8 8.9 - 96.9 96.8 - 23.9 23.7 -

Aurangabad 8.9 9.1 7.0 49.2 46.8 80.0 19.9 16.5 53.5

Banka 6.6 6.1 - 39.7 39.1 - 27.1 27.0 -

Begusarai 11.9 11.5 - 46.3 42.4 - 23.2 22.0 -

Bhagalpur 5.5 6.0 2.0 52.1 49.4 100.0 20.9 20.1 25.5

Bhojpur 6.6 6.0 12.3 44.4 42.2 55.6 9.1 7.4 26.0

Buxar 8.4 8.2 12.5 46.8 44.2 71.4 20.0 18.7 39.3

Darbhanga 7.3 7.3 6.0 92.0 91.6 100.0 31.8 31.5 37.3

Gaya 11.6 12.7 6.9 52.0 53.1 42.9 22.1 14.3 56.9

Gopalganj 15.7 16.4 4.6 90.5 90.8 75.0 15.5 15.0 23.0

Jamui 5.1 4.6 - 46.5 49.9 - 17.5 17.2 -

Jehanabad 5.6 5.8 3.6 46.9 45.7 66.7 22.1 21.2 32.1

Kaimur (Bhabua) 7.6 7.5 - 46.5 45.6 - 24.1 24.0 -

Katihar 15.4 15.8 2.0 94.1 94.1 100.0 22.9 23.0 20.0

Khagaria 19.9 20.7 0.0 96.8 96.8 0.0 25.1 25.2 23.5

Kishanganj 13.9 14.4 7.2 96.6 96.5 100.0 33.3 32.7 39.8

Lakhisarai 6.6 6.4 7.9 60.1 64.7 25.0 17.1 16.8 19.8

Madhepura 12.7 12.7 - 94.8 94.7 - 18.7 18.8 -

Madhubani 9.1 9.3 - 90.5 90.5 - 27.2 27.3 -

Munger 4.0 4.1 3.6 41.0 36.8 57.1 13.0 8.4 28.6

Muzaffarpur 9.8 10.0 6.5 96.8 96.7 100.0 49.8 51.7 19.4

Nalanda 6.1 5.5 10.0 57.6 55.9 63.6 27.4 23.0 55.5

Nawada 8.4 8.8 4.5 40.7 39.3 66.7 21.3 19.7 35.8


Patna 4.5 4.1 5.2 52.6 41.7 66.7 15.5 15.1 16.1

Purba Champaran 15.3 14.6 - 82.8 80.2 - 30.9 32.3 -

Purnia 9.9 8.2 - 94.2 91.7 - 32.2 31.7 -

Rohtas 6.4 6.8 2.2 54.7 53.2 100.0 21.3 18.8 46.1

Saharsa 9.8 10.6 2.9 93.5 93.3 100.0 27.0 27.8 19.7

Samastipur 10.9 10.8 - 84.1 83.4 - 43.6 43.3 -

Saran 4.5 3.7 11.8 87.0 84.8 93.3 29.1 28.2 37.8

Sheikhpura 5.2 5.5 2.8 45.6 45.3 50.0 30.9 30.3 36.1

Sheohar 13.9 14.4 - 96.1 96.6 - 28.5 29.0 -

Sitamarhi 10.8 8.6 - 93.4 91.7 - 35.5 34.9 -

Siwan 7.4 6.9 11.0 90.9 89.9 95.7 29.1 29.1 28.7

Supaul 7.4 7.5 - 85.8 85.1 - 19.2 19.5 -

Vaishali 12.4 12.5 9.5 90.6 90.3 100.0 48.1 49.0 26.2

92

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

CHILDHOOD DISEASES

State / District

Children suffering from Acute Respiratory Infection who sought treatment (%)

Children suffering from Fever (%)

Children suffering from Fever who sought treatment


1 2 3 4 5 6 7 8 9 10Bihar 99.2 99.3 99.0 36.7 37.2 31.9 91.8 91.5 95.5 Araria 99.3 99.2 - 41.0 40.5 - 97.1 96.8 -

Aurangabad 98.0 98.2 97.4 52.3 53.3 42.3 97.4 97.4 96.7

Banka 98.4 99.3 - 33.4 34.0 - 96.1 97.1 -

Begusarai 98.2 98.6 - 49.0 47.8 - 93.8 93.3 -

Bhagalpur 100.0 100.0 100.0 34.4 36.7 20.4 96.4 96.1 100.0

Bhojpur 97.3 100.0 89.5 23.1 21.2 42.5 97.9 97.4 100.0

Buxar 98.5 98.3 100.0 36.7 36.7 37.5 95.8 96.5 85.7

Darbhanga 100.0 100.0 100.0 36.3 35.7 44.6 95.7 95.3 100.0

Gaya 99.1 98.4 100.0 51.8 51.4 53.9 96.7 96.0 100.0

Gopalganj 99.4 99.3 100.0 30.5 30.9 25.3 68.5 66.8 100.0

Jamui 97.9 97.8 - 22.1 22.3 - 91.8 91.5 -

Jehanabad 98.4 98.7 96.3 19.7 20.9 7.1 98.7 98.7 100.0

Kaimur (Bhabua) 94.2 94.0 - 26.7 26.5 - 93.1 93.3 -

Katihar 99.0 98.9 100.0 46.4 47.4 20.0 96.6 96.6 100.0

Khagaria 99.1 99.0 100.0 32.9 33.5 17.3 94.7 94.6 100.0

Kishanganj 100.0 100.0 100.0 47.5 49.4 24.1 95.2 95.8 80.0

Lakhisarai 98.8 98.7 100.0 45.9 44.9 55.4 95.1 95.4 92.9

Madhepura 99.1 99.1 - 34.0 34.3 - 96.4 96.4 -

Madhubani 99.5 99.5 - 20.1 20.1 - 93.4 93.5 -

Munger 100.0 100.0 100.0 31.4 32.0 29.2 94.0 94.4 92.9

Muzaffarpur 99.8 99.8 100.0 46.3 47.7 24.2 87.1 86.7 100.0

Nalanda 99.4 99.2 100.0 36.3 35.9 39.1 98.6 98.4 100.0

Nawada 99.0 98.9 100.0 38.7 40.9 17.9 97.4 97.3 100.0


Patna 98.8 99.6 97.6 15.0 13.3 17.9 97.4 97.1 97.8

Purba Champaran 99.2 99.2 - 34.7 34.3 - 87.9 86.5 -

Purnia 100.0 100.0 - 34.5 34.5 - 97.3 97.2 -

Rohtas 98.3 98.5 97.6 37.0 36.8 39.3 93.6 93.6 94.3

Saharsa 99.1 99.6 92.6 37.0 38.2 26.3 96.4 97.0 88.9

Samastipur 99.0 98.9 - 42.7 43.4 - 96.4 96.4 -

Saran 99.7 99.7 100.0 37.0 36.5 41.7 84.3 82.6 98.1

Sheikhpura 99.3 99.2 100.0 40.7 42.1 27.8 96.9 97.1 95.0

Sheohar 99.5 99.5 - 44.0 44.4 - 91.2 91.2 -

Sitamarhi 97.6 97.3 - 35.2 34.7 - 85.7 85.4 -

Siwan 99.9 99.9 100.0 32.4 32.6 31.1 76.5 77.0 72.3

Supaul 99.8 99.8 - 32.0 32.9 - 96.4 96.3 -

Vaishali 99.2 99.2 100.0 46.0 46.8 26.2 84.6 84.3 100.0

93

BIHARA


0 10

20

30

40

50

60

Biha

r: Ch

ildho

od D

iseas

es (%

)

Diarrh

oea

Acute

Res

pirato

ry Inf

ectio

nFe

ver

94

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

BREASTFEEDING AND SUPPLEMENTATION

State / DistrictChildren breastfed within one hour

of birth (%)

Children (aged 6-35 months) exclusively breastfed for at least six

months (%)Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7Bihar 37.0 36.7 38.9 31.0 31.5 27.1Araria 37.3 38.3 - 11.6 12.0 -Aurangabad 35.6 35.8 33.9 19.1 18.8 21.9Banka 44.2 43.9 - 40.5 40.4 -Begusarai 35.8 35.5 - 33.4 33.4 -Bhagalpur 41.7 41.5 42.9 40.3 40.8 37.4Bhojpur 32.7 32.3 35.7 21.7 21.6 22.5Buxar 35.7 35.7 35.6 31.1 31.0 31.9Darbhanga 33.5 33.2 38.6 16.6 17.5 4.8Gaya 33.4 35.6 24.4 18.6 19.6 14.3Gopalganj 37.5 37.5 36.6 41.3 40.5 51.7Jamui 36.6 36.2 - 33.1 33.1 -Jehanabad 45.0 45.6 39.3 21.2 20.6 27.9Kaimur (Bhabua) 43.7 43.8 - 30.5 30.1 -Katihar 32.8 31.9 51.0 41.6 42.4 23.7Khagaria 57.8 57.0 72.8 42.2 41.9 47.2Kishanganj 26.0 24.8 39.3 52.2 54.8 25.2Lakhisarai 39.1 39.8 32.8 29.5 29.7 27.3Madhepura 32.7 32.6 - 29.4 29.3 -Madhubani 34.0 33.5 - 27.6 27.7 -Munger 45.4 44.8 47.3 37.4 39.3 31.4Muzaffarpur 41.6 41.2 49.0 12.6 12.8 8.0Nalanda 40.6 40.5 40.8 21.5 21.1 23.6Nawada 33.2 33.3 32.1 19.3 19.6 15.8Pashchim Champaran 21.7 22.1 15.8 42.9 42.7 46.6Patna 38.0 37.3 39.2 26.8 27.8 25.1Purba Champaran 15.8 15.5 - 47.1 48.2 -Purnia 57.5 56.7 - 24.3 24.5 -Rohtas 36.4 37.0 30.9 26.3 26.4 25.1Saharsa 33.7 33.3 37.1 15.6 15.7 14.6Samastipur 41.9 41.4 - 31.8 32.4 -Saran 34.4 33.8 40.3 27.9 27.8 29.1Sheikhpura 37.2 37.7 32.8 26.6 26.3 29.4Sheohar 35.0 31.6 - 23.2 23.0 -Sitamarhi 33.9 34.4 - 37.5 37.6 -Siwan 48.0 48.1 47.4 56.8 58.0 46.6Supaul 35.9 35.5 - 12.1 11.8 -Vaishali 54.9 54.7 59.6 58.8 58.7 59.0

95

BIHARA


0

10

20

30

40

50

60

70

Bihar: Children breastfed within one hour of birth (%)

0

10

20

30

40

50

60

70

Bihar: Children (aged 6-35 months) exclusively breastfed for at least six months (%)

96

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

CHILDREN WHO RECEIVED FOODS OTHER THAN BREAST MILK DURING FIRST 6 MONTHS

State / DistrictWater (%) Animal/Formula Milk (%) Semi-Solid mashed food (%)


Bihar 61.0 60.8 62.1 58.3 58.0 60.6 7.1 7.1 7.9Araria 84.9 84.4 - 59.9 60.8 - 7.0 7.0 -

Aurangabad 67.9 67.4 72.4 67.2 67.2 67.4 9.0 9.1 8.1

Banka 43.6 43.3 - 45.5 44.9 - 4.0 3.8 -

Begusarai 51.4 51.3 - 60.4 61.1 - 5.7 5.7 -

Bhagalpur 41.8 42.4 37.4 51.2 51.8 47.6 4.7 4.0 8.8

Bhojpur 67.2 67.1 68.0 70.5 71.1 65.9 11.3 11.2 12.5

Buxar 59.7 59.7 59.3 70.7 72.0 54.1 8.1 8.3 5.2

Darbhanga 79.6 78.6 92.8 68.2 67.3 80.7 14.8 15.3 7.8

Gaya 71.0 70.6 72.7 74.0 73.6 75.9 7.4 7.4 7.4

Gopalganj 55.8 56.4 46.3 54.9 55.9 40.7 5.4 5.2 7.9

Jamui 45.8 44.8 - 50.6 49.9 - 6.3 6.4 -

Jehanabad 64.6 64.8 62.7 72.9 72.9 73.1 7.9 7.8 8.1

Kaimur (Bhabua) 55.9 56.1 - 64.3 64.6 - 5.5 5.3 -

Katihar 53.9 53.0 73.2 50.6 49.8 66.7 3.9 3.6 9.8

Khagaria 51.0 51.7 39.3 42.6 43.0 36.8 8.6 8.9 3.3

Kishanganj 46.1 44.3 65.4 43.0 42.7 46.3 3.6 3.2 8.4

Lakhisarai 63.7 63.7 63.8 62.7 61.9 69.3 6.2 6.3 5.3

Madhepura 64.4 64.5 - 54.4 54.3 - 3.6 3.7 -

Madhubani 70.4 70.3 - 54.2 53.8 - 12.7 12.9 -

Munger 48.7 49.1 47.6 52.2 50.4 57.5 5.5 5.1 6.7

Muzaffarpur 82.5 82.3 86.2 48.4 47.9 57.2 6.1 6.1 5.5

Nalanda 67.3 67.1 68.4 65.3 64.9 67.8 6.0 6.3 4.6

Nawada 67.5 67.3 69.6 71.0 71.0 71.7 9.0 9.0 9.8


Patna 55.6 54.8 56.9 60.1 61.6 57.7 8.5 7.6 10.1

Purba Champaran 52.0 51.2 - 45.6 45.1 - 6.9 7.0 -

Purnia 72.2 72.2 - 69.8 70.2 - 4.1 2.9 -

Rohtas 57.3 57.5 55.5 67.1 67.1 67.2 7.9 8.1 6.3

Saharsa 78.9 78.6 81.9 67.5 67.5 67.9 7.0 6.9 8.0

Samastipur 62.1 61.7 - 58.0 57.3 - 3.6 3.5 -

Saran 66.3 66.0 69.4 70.1 69.8 72.6 8.5 8.6 7.3

Sheikhpura 61.0 62.0 52.7 72.0 71.3 78.9 5.8 6.0 3.9

Sheohar 70.4 71.7 - 70.0 70.4 - 6.6 6.6 -

Sitamarhi 54.1 54.1 - 47.9 48.0 - 6.0 5.6 -

Siwan 38.1 36.9 48.1 37.8 36.0 52.0 3.8 4.0 2.4

Supaul 83.3 84.1 - 79.3 80.3 - 8.2 8.3 -

Vaishali 34.3 34.3 32.4 42.4 42.6 39.0 3.5 3.5 2.9

97

BIHARA



State / DistrictSolid (Adult) Food (%) Vegetables/Fruits (%)

Total Rural Urban Total Rural Urban1 2 3 4 5 6 7

Bihar 3.0 2.9 3.2 2.3 2.2 2.8Araria 1.4 1.4 - 0.9 1.0 -

Aurangabad 5.4 5.3 7.2 5.2 5.0 7.2

Banka 2.9 2.9 - 2.5 2.5 -

Begusarai 3.9 4.0 - 2.7 2.7 -

Bhagalpur 3.9 4.0 3.7 2.7 2.8 2.4

Bhojpur 7.6 7.6 7.9 6.7 6.9 5.2

Buxar 4.7 4.7 4.6 4.3 4.4 3.6

Darbhanga 1.5 1.5 1.2 0.3 0.3 0.6

Gaya 3.8 4.0 2.8 3.6 3.7 3.4

Gopalganj 1.1 1.1 0.9 0.6 0.6 0.5

Jamui 3.8 3.9 - 2.8 2.9 -

Jehanabad 5.1 4.9 6.5 4.6 4.2 7.8

Kaimur (Bhabua) 4.1 3.9 - 3.6 3.5 -

Katihar 0.9 0.9 1.3 0.6 0.6 1.3

Khagaria 1.8 1.8 0.4 0.8 0.8 0.0

Kishanganj 0.7 0.7 0.9 0.4 0.4 0.5

Lakhisarai 4.7 4.8 3.4 3.4 3.4 3.4

Madhepura 0.8 0.9 - 0.6 0.6 -

Madhubani 3.0 3.0 - 1.1 1.1 -

Munger 3.9 3.6 5.1 2.8 2.4 4.3

Muzaffarpur 1.0 1.0 0.0 0.6 0.7 0.0

Nalanda 3.6 3.8 2.7 3.2 3.2 3.0

Nawada 5.1 5.0 6.0 5.0 4.8 6.5


Patna 5.5 5.5 5.5 5.2 5.5 4.7

Purba Champaran 2.6 2.6 - 2.0 1.8 -

Purnia 1.3 1.0 - 0.8 0.6 -

Rohtas 6.0 6.1 4.7 4.7 4.7 4.7

Saharsa 2.1 2.3 0.0 0.9 0.9 0.3

Samastipur 1.4 1.5 - 1.1 1.1 -

Saran 2.7 2.9 1.0 1.4 1.5 0.7

Sheikhpura 3.0 3.1 2.3 2.7 2.7 2.7

Sheohar 1.6 1.6 - 0.6 0.6 -

Sitamarhi 1.2 1.1 - 0.7 0.7 -

Siwan 1.2 1.3 0.6 1.0 1.1 0.6

Supaul 1.5 1.4 - 1.0 0.9 -

Vaishali 2.2 2.3 0.7 2.0 2.1 0.7

98

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

AVERAGE MONTH BY WHICH CHILDREN RECEIVED FOODS OTHER THAN BREAST MILK

State / District Water Animal/Formula Milk Semi-Solid mashed food


Bihar 4.2 4.3 4.0 4.8 4.8 4.5 7.6 7.6 7.4Araria 3.5 3.5 - 4.9 4.9 - 7.5 7.5 -

Aurangabad 3.4 3.4 2.9 3.8 3.8 3.7 7.0 7.0 7.1

Banka 5.1 5.1 - 5.0 5.0 - 7.7 7.7 -

Begusarai 4.7 4.6 - 4.7 4.6 - 7.9 7.9 -

Bhagalpur 5.1 5.1 5.0 4.8 4.7 4.9 7.8 7.8 7.5

Bhojpur 3.6 3.7 3.4 3.9 3.9 3.9 6.9 7.0 6.8

Buxar 3.4 3.4 3.4 4.2 4.2 4.5 7.4 7.4 7.6

Darbhanga 3.8 3.8 3.6 4.8 4.8 4.5 6.9 6.9 6.7

Gaya 3.0 3.0 2.8 3.3 3.4 3.1 7.1 7.1 6.9

Gopalganj 4.8 4.8 5.4 5.5 5.4 6.0 8.1 8.1 8.0

Jamui 4.9 4.9 - 4.7 4.7 - 7.4 7.4 -

Jehanabad 3.8 3.8 3.6 3.7 3.8 3.7 7.0 7.0 7.1

Kaimur (Bhabua) 4.4 4.4 - 4.3 4.3 - 7.5 7.5 -

Katihar 4.7 4.8 3.8 5.3 5.3 4.2 8.2 8.3 6.9

Khagaria 4.7 4.7 4.9 5.4 5.5 5.2 7.8 7.8 7.9

Kishanganj 4.6 4.6 3.9 5.6 5.6 4.7 7.8 7.9 7.4

Lakhisarai 3.4 3.4 3.2 4.6 4.6 4.3 7.7 7.7 7.7

Madhepura 4.5 4.5 - 5.3 5.3 - 7.9 7.9 -

Madhubani 3.8 3.8 - 5.2 5.3 - 7.2 7.2 -

Munger 4.7 4.8 4.5 4.7 4.8 4.4 7.7 7.7 7.5

Muzaffarpur 4.0 4.0 3.5 5.5 5.6 5.1 8.0 8.0 7.6

Nalanda 3.7 3.7 3.6 4.1 4.1 3.9 7.2 7.2 7.2

Nawada 3.4 3.5 3.1 3.6 3.6 3.4 7.1 7.1 6.7


Patna 4.1 4.2 4.0 4.3 4.3 4.4 7.2 7.3 7.1

Purba Champaran 4.2 4.2 - 5.4 5.4 - 8.0 8.0 -

Purnia 4.5 4.5 - 4.9 4.9 - 7.8 7.9 -

Rohtas 4.2 4.2 4.0 4.1 4.1 3.9 7.2 7.2 7.0

Saharsa 4.0 4.0 4.0 4.7 4.7 4.6 7.5 7.4 7.7

Samastipur 4.8 4.8 - 5.4 5.4 - 8.0 8.0 -

Saran 4.2 4.3 3.5 4.6 4.7 3.9 7.5 7.5 7.7

Sheikhpura 3.8 3.8 3.8 3.7 3.8 3.6 7.2 7.1 7.4

Sheohar 4.3 4.3 - 5.0 5.0 - 7.6 7.6 -

Sitamarhi 4.8 4.8 - 5.6 5.6 - 8.0 8.0 -

Siwan 5.1 5.2 4.7 5.8 5.8 5.4 8.1 8.1 8.2

Supaul 3.9 3.9 - 4.4 4.3 - 7.1 7.0 -

Vaishali 5.1 5.1 5.5 5.1 5.1 5.2 7.9 7.8 8.3

99

BIHARA



State / District Solid (Adult) Food Vegetables/Fruits

Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7

Bihar 9.6 9.6 9.5 10.9 11.0 10.7Araria 9.5 9.5 - 11.1 11.1 -

Aurangabad 8.9 8.9 9.0 10.0 10.0 10.0

Banka 9.4 9.4 - 10.4 10.4 -

Begusarai 9.7 9.7 - 10.9 10.9 -

Bhagalpur 9.4 9.5 9.2 10.4 10.4 10.2

Bhojpur 8.9 8.9 8.5 9.7 9.7 9.6

Buxar 9.2 9.1 9.3 9.8 9.8 10.0

Darbhanga 8.9 8.9 9.7 10.6 10.6 11.6

Gaya 9.3 9.4 9.2 10.5 10.6 10.2

Gopalganj 9.9 9.9 9.9 11.4 11.5 11.3

Jamui 9.1 9.1 - 10.0 10.0 -

Jehanabad 9.4 9.4 9.3 10.4 10.4 10.4

Kaimur (Bhabua) 9.5 9.5 - 10.2 10.2 -

Katihar 10.3 10.3 10.0 11.6 11.6 11.2

Khagaria 9.7 9.6 10.1 11.1 11.0 11.7

Kishanganj 9.7 9.7 9.6 11.2 11.2 11.4

Lakhisarai 9.4 9.4 9.5 10.5 10.5 10.5

Madhepura 9.8 9.8 - 11.3 11.3 -

Madhubani 9.1 9.1 - 10.6 10.5 -

Munger 9.5 9.4 9.5 10.5 10.5 10.5

Muzaffarpur 9.9 9.9 9.7 11.8 11.8 11.7

Nalanda 9.2 9.2 9.3 10.2 10.2 10.1

Nawada 9.2 9.2 9.2 10.2 10.2 9.5


Patna 9.1 9.1 9.1 10.0 10.0 9.9

Purba Champaran 10.0 10.0 - 11.6 11.6 -

Purnia 10.0 10.1 - 11.3 11.4 -

Rohtas 9.1 9.0 9.2 10.0 10.0 10.3

Saharsa 9.7 9.6 10.2 10.9 10.9 11.1

Samastipur 10.0 10.0 - 11.5 11.5 -

Saran 9.6 9.6 9.9 11.4 11.4 12.0

Sheikhpura 9.3 9.2 9.8 10.5 10.4 10.7

Sheohar 9.8 9.7 - 11.4 11.4 -

Sitamarhi 9.9 10.0 - 11.5 11.5 -

Siwan 10.0 10.0 10.2 11.7 11.7 11.8

Supaul 9.2 9.2 - 10.6 10.6 -

Vaishali 10.0 10.0 10.1 11.9 11.9 11.8

100

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

BIRTH REGISTRATION

State / DistrictBirth Registered (%)

Children whose birth was registered and received Birth

Certificate (%)Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 Bihar 63.2 61.8 76.3 32.8 32.0 41.0 Araria 45.9 44.5 - 14.1 12.8 -

Aurangabad 63.1 62.1 73.3 25.5 24.9 32.1

Banka 70.9 70.6 - 30.7 30.4 -

Begusarai 70.2 69.6 - 31.2 30.9 -

Bhagalpur 70.1 70.0 70.7 31.5 31.4 31.6

Bhojpur 79.2 78.6 83.5 36.1 35.1 43.6

Buxar 78.6 79.2 70.8 42.3 43.2 31.3

Darbhanga 43.5 41.7 67.5 21.8 20.2 42.2

Gaya 63.9 61.1 75.3 21.1 19.4 28.1

Gopalganj 71.4 71.5 70.4 48.8 49.2 42.6

Jamui 59.9 58.4 - 25.1 24.5 -

Jehanabad 76.4 75.9 81.8 35.1 34.6 40.3

Kaimur (Bhabua) 76.5 76.4 - 36.3 36.0 -

Katihar 56.9 55.7 82.4 37.1 36.0 60.1

Khagaria 75.1 74.5 85.8 35.3 34.8 45.2

Kishanganj 56.5 54.6 77.1 32.9 31.9 44.4

Lakhisarai 66.9 65.9 75.9 30.6 29.7 38.6

Madhepura 49.0 48.4 - 20.4 19.9 -

Madhubani 56.4 56.2 - 25.5 25.5 -

Munger 80.6 79.6 83.6 38.6 36.5 44.7

Muzaffarpur 62.0 60.9 80.7 38.2 37.6 49.0

Nalanda 71.7 71.5 73.2 28.5 27.8 32.7

Nawada 64.2 62.7 80.4 20.5 20.1 25.0


Patna 85.9 83.0 91.0 43.1 36.9 53.9

Purba Champaran 41.1 40.0 - 29.2 28.2 -

Purnia 61.3 60.9 - 23.9 23.6 -

Rohtas 74.2 73.8 77.9 36.7 36.6 38.2

Saharsa 52.3 48.8 84.3 23.1 21.9 34.1

Samastipur 65.3 65.0 - 34.1 33.6 -

Saran 64.9 65.0 64.2 43.7 45.4 29.2

Sheikhpura 79.1 78.8 82.0 28.5 28.2 31.3

Sheohar 42.4 43.5 - 23.4 24.3 -

Sitamarhi 43.5 41.9 - 25.2 23.7 -

Siwan 69.4 68.8 74.1 42.5 42.0 47.2

Supaul 56.5 54.9 - 28.9 27.7 -

Vaishali 76.3 76.3 76.5 52.9 53.1 48.5

101

BIHARA


0102030405060708090100

Biha

r: Bi

rth R

egist

ratio

n (%)

Birth

Regis

tered

Rece

ived B

irth C

ertific

ate

102

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

AWARENESS ON HIV/AIDS, RTI/STI, HAF/ORS/ORT/ZINC AND ARI/PNEUMONIA

State / DistrictWomen who are aware of

HIV/AIDS (%)Women who are aware of

RTI/STI (%)Women who are aware of HAF/ORS/ORT/ZINC (%)


Bihar 75.2 74.3 85.7 77.5 77.3 80.8 99.0 98.9 99.7 Araria 88.5 88.4 - 65.2 66.3 - 98.0 97.9 -

Aurangabad 82.2 82.2 82.2 67.6 67.6 67.0 98.6 98.6 99.4

Banka 50.6 49.5 - 93.7 93.6 - 100.0 100.0 -

Begusarai 63.2 62.0 - 93.4 93.2 - 100.0 100.0 -

Bhagalpur 54.4 52.3 72.2 74.2 74.8 68.9 99.2 99.3 98.9

Bhojpur 76.6 75.9 84.4 88.7 89.4 80.9 99.5 99.5 99.2

Buxar 56.3 54.6 90.0 92.2 92.3 90.0 100.0 100.0 99.7

Darbhanga 81.0 80.5 94.5 77.7 76.9 99.8 97.8 97.7 100.0

Gaya 61.7 59.7 71.3 86.5 86.4 87.2 99.9 99.9 99.9

Gopalganj 89.9 90.1 85.9 81.9 81.4 91.8 100.0 100.0 99.7

Jamui 72.1 71.1 - 66.9 66.5 - 97.9 97.9 -

Jehanabad 78.8 79.0 75.8 84.5 84.3 86.5 99.9 99.9 100.0

Kaimur (Bhabua) 58.7 57.8 - 91.5 91.8 - 99.6 99.7 -

Katihar 85.5 84.9 98.2 48.1 48.1 48.6 99.4 99.4 99.7

Khagaria 91.3 91.0 99.1 88.9 88.5 99.4 100.0 100.0 100.0

Kishanganj 65.5 63.6 88.6 76.5 75.3 90.6 98.1 98.0 99.9

Lakhisarai 66.0 65.9 67.5 82.8 82.4 88.1 100.0 100.0 100.0

Madhepura 52.8 51.5 - 47.7 47.1 - 97.5 97.4 -

Madhubani 82.9 82.7 - 65.8 65.8 - 94.1 94.1 -

Munger 64.7 61.3 80.4 87.6 88.7 82.0 99.3 99.2 100.0

Muzaffarpur 83.8 83.0 100.0 71.3 70.8 82.7 99.5 99.5 100.0

Nalanda 77.2 76.3 86.7 87.2 87.4 84.8 99.9 100.0 99.4

Nawada 64.0 64.4 56.2 77.4 78.0 66.8 98.8 98.8 99.2


Patna 82.4 77.6 91.4 77.4 77.9 76.4 100.0 100.0 100.0

Purba Champaran 86.1 85.4 - 87.4 86.8 - 100.0 100.0 -

Purnia 65.4 64.1 - 46.7 44.8 - 96.4 96.2 -

Rohtas 59.8 58.9 68.4 71.1 70.8 74.2 99.8 99.7 100.0

Saharsa 60.6 58.8 77.8 54.3 51.8 79.3 97.6 97.4 99.5

Samastipur 88.2 88.0 - 80.9 80.8 - 100.0 100.0 -

Saran 89.1 88.3 98.7 94.9 94.6 98.5 100.0 100.0 99.6

Sheikhpura 67.5 67.3 69.2 91.8 91.9 90.7 100.0 100.0 100.0

Sheohar 82.5 83.5 - 72.0 71.5 - 96.7 96.6 -

Sitamarhi 91.6 91.4 - 80.6 80.3 - 99.3 99.3 -

Siwan 86.9 85.8 99.2 90.8 91.0 87.8 100.0 100.0 99.8

Supaul 53.4 52.7 - 46.8 46.7 - 96.1 95.9 -

Vaishali 93.7 93.5 100.0 92.7 92.5 98.8 100.0 100.0 100.0

103

BIHARA


AWARENESS ON HIV/AIDS, RTI/STI, HAF/ORS/ORT/ZINC AND ARI/PNEUMONIA

State / DistrictWomen who are aware of danger signs of ARI/Pneumonia (%)Total Rural Urban

1 2 3 4 Bihar 96.3 96.1 98.9 Araria 96.5 96.4 -

Aurangabad 99.2 99.1 100.0

Banka 100.0 100.0 -

Begusarai 99.0 99.0 -

Bhagalpur 99.3 99.3 99.5

Bhojpur 98.9 98.9 99.1

Buxar 99.4 99.3 100.0

Darbhanga 95.2 95.0 99.4

Gaya 99.6 99.5 100.0

Gopalganj 95.9 95.8 97.4

Jamui 98.0 97.9 -

Jehanabad 99.1 99.1 100.0

Kaimur (Bhabua) 99.1 99.2 -

Katihar 97.6 97.5 99.4

Khagaria 99.9 99.9 99.1

Kishanganj 99.5 99.5 98.8

Lakhisarai 99.2 99.2 99.9

Madhepura 73.4 72.7 -

Madhubani 92.6 92.6 -

Munger 99.4 99.3 99.7

Muzaffarpur 95.6 95.5 97.7

Nalanda 99.9 100.0 98.5

Nawada 99.6 99.6 100.0

Pashchim Champaran 99.0 99.0 100.0

Patna 99.8 100.0 99.4

Purba Champaran 99.2 99.2 -

Purnia 83.0 82.6 -

Rohtas 99.4 99.3 99.9

Saharsa 91.9 91.1 99.5

Samastipur 99.6 99.6 -

Saran 99.9 99.9 100.0

Sheikhpura 99.7 99.7 100.0

Sheohar 99.8 99.8 -

Sitamarhi 99.8 99.8 -

Siwan 94.2 93.7 99.6

Supaul 74.2 73.7 -

Vaishali 99.5 99.5 100.0

104

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

0

10

20

30

40

50

60

70

80

90

100

Total Rural Urban

Bihar: Women who are aware of HIV/AIDS (%)

0102030405060708090

100

Total Rural Urban

Bihar: Women who are aware of RTI/STI (%)

0102030405060708090

100

Total Rural Urban

Bihar: Women who are aware of HAF/ORS/ORT/ZINC(%)

105

BIHARA


MORTALITY

State / District Crude Death Rate (CDR)

Total Rural UrbanPerson Male Female Person Male Female Person Male Female

1 2 3 4 5 6 7 8 9 10 Bihar 6.8 6.9 6.7 7.0 7.1 6.9 5.7 5.8 5.6 Araria 7.5 7.3 7.6 7.5 7.3 7.7 6.5 6.5 6.5

Aurangabad 5.6 5.8 5.5 5.7 5.9 5.4 5.5 4.8 6.1

Banka 5.6 5.8 5.3 5.6 5.8 5.4 5.5 5.8 5.2

Begusarai 5.9 6.2 5.7 6.0 6.3 5.8 4.9 5.4 4.4

Bhagalpur 4.7 4.9 4.6 4.7 4.8 4.6 4.8 5.1 4.5

Bhojpur 5.4 5.7 5.1 5.5 5.8 5.3 5.1 5.7 4.4

Buxar 6.2 6.5 6.0 6.3 6.5 6.0 5.8 5.8 5.8

Darbhanga 8.5 8.3 8.6 8.5 8.3 8.6 8.7 9.1 8.3

Gaya 6.8 7.4 6.2 7.0 7.6 6.3 6.2 6.6 5.8

Gopalganj 6.2 6.4 5.9 6.2 6.6 5.9 5.1 4.0 6.2

Jamui 6.0 6.5 5.5 6.0 6.6 5.5 5.7 6.0 5.4

Jehanabad 5.3 5.4 5.2 5.3 5.5 5.1 5.4 4.8 5.9

Kaimur(Bhabua) 5.3 5.3 5.4 5.3 5.3 5.4 5.0 5.6 4.5

Katihar 6.3 6.8 5.9 6.3 6.7 5.9 6.7 7.0 6.4

Khagaria 9.1 8.8 9.5 9.3 8.9 9.6 6.6 6.3 6.9

Kishanganj 6.3 6.7 5.9 6.5 6.9 6.1 4.9 5.2 4.6

Lakhisarai 5.9 6.0 5.8 5.9 6.0 5.8 6.1 6.5 5.8

Madhepura 7.0 6.8 7.3 7.0 6.8 7.2 8.2 6.7 10.0

Madhubani 7.1 7.0 7.2 7.0 6.9 7.2 8.4 9.3 7.3

Munger 6.2 6.7 5.8 6.3 6.7 5.8 6.2 6.6 5.7

Muzaffarpur 8.5 8.0 8.9 8.8 8.2 9.3 5.0 5.7 4.3

Nalanda 7.5 8.2 6.8 7.6 8.2 7.0 6.9 7.9 5.9

Nawada 5.7 6.1 5.3 5.8 6.2 5.4 4.8 5.0 4.5


Patna 4.7 4.5 4.9 4.9 4.8 5.0 4.6 4.3 4.9

Purba Champaran 7.6 7.4 7.8 7.6 7.6 7.6 7.5 6.2 9.1

Purnia 7.0 7.1 6.8 7.2 7.1 7.2 6.0 7.2 4.7

Rohtas 6.4 6.9 6.0 6.5 6.9 6.0 6.1 6.2 6.0

Saharsa 7.4 7.0 7.9 7.9 7.4 8.4 4.7 4.8 4.6

Samastipur 6.6 6.6 6.6 6.7 6.7 6.8 4.2 4.1 4.3

Saran 7.3 7.6 7.0 7.4 7.8 7.1 6.5 6.7 6.3

Sheikhpura 7.6 8.0 7.3 7.7 8.0 7.4 7.3 7.8 6.6

Sheohar 7.4 7.0 7.9 7.5 7.0 8.0 6.5 5.7 7.3

Sitamarhi 9.2 9.3 9.1 9.5 9.5 9.4 6.2 6.9 5.5

Siwan 7.3 7.8 6.8 7.4 7.9 7.0 6.3 6.7 5.9

Supaul 6.3 6.6 5.9 6.4 6.6 6.1 4.6 5.8 3.1

Vaishali 7.4 7.6 7.3 7.5 7.6 7.4 6.3 7.5 5.0

106

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

Total Rural Urban

Bihar : Crude Death Rate (CDR)

PersonMaleFemale

4

5

6

7

8

9

10Bihar : Crude Death Rate (CDR)

Male Female

107

BIHARA


MORTALITY

State / District Infant Mortality Rate (IMR)


1 2 3 4 5 6 7 8 9 10 Bihar 48 47 49 49 48 50 41 40 43 Araria 52 50 54 53 51 55 - - -

Aurangabad 40 42 39 40 42 38 - - -

Banka 44 46 41 43 46 41 - - -

Begusarai 40 39 41 40 40 40 - - -

Bhagalpur 49 53 46 51 54 47 44 49 37

Bhojpur 41 41 42 41 41 42 43 43 42

Buxar 48 51 45 48 52 45 44 39 49

Darbhanga 44 43 46 43 42 44 63 45 81

Gaya 49 51 48 50 51 50 44 47 41

Gopalganj 46 44 48 46 46 47 36 18 58

Jamui 51 50 52 51 50 52 - - -

Jehanabad 47 46 48 48 47 50 36 35 36

Kaimur(Bhabua) 48 51 44 48 51 44 - - -

Katihar 52 54 50 52 54 50 46 46 45

Khagaria 59 59 59 60 60 60 - - -

Kishanganj 56 57 56 58 57 59 - - -

Lakhisarai 45 44 46 46 45 47 - - -

Madhepura 64 63 65 65 64 66 - - -

Madhubani 48 42 55 48 42 55 - - -

Munger 43 42 44 44 43 45 40 40 41

Muzaffarpur 55 52 60 58 53 62 - - -

Nalanda 47 49 44 47 49 45 44 46 42

Nawada 46 47 46 46 46 47 - - -

Pashchim Champaran 48 42 53 46 40 52 - - -

Patna 31 30 33 35 34 37 25 23 27

Purba Champaran 48 48 48 46 47 45 - - -

Purnia 53 52 54 52 50 55 - - -

Rohtas 44 43 46 44 43 45 47 40 55

Saharsa 55 55 55 55 56 54 - - -

Samastipur 49 44 55 50 45 56 - - -

Saran 49 45 53 48 43 53 54 54 54

Sheikhpura 51 47 55 51 47 55 52 49 56

Sheohar 43 36 51 44 36 52 - - -

Sitamarhi 60 61 60 63 63 62 - - -

Siwan 43 44 42 45 45 44 - - -

Supaul 58 58 59 60 60 60 - - -

Vaishali 40 40 41 39 39 39 75 48 105

108

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

0

5

10

15

20

25

30

35

40

45

50

Total Rural Urban

Bihar : Infant Mortality Rate (IMR)

PersonMaleFemale

30

35

40

45

50

55

60

65

70

75

80

Bihar : Infant Mortality Rate (IMR)

Male Female

109

BIHARA


MORTALITY

State / District Neo-natal Mortality Rate Post Neo-natal Mortality Rate

Total Rural Urban Total Rural Urban1 2 3 4 5 6 7

Bihar 32 32 26 16 16 16 Araria 41 41 - 12 12 -

Aurangabad 25 25 - 15 15 -

Banka 28 28 - 16 15 -

Begusarai 23 23 - 17 17 -

Bhagalpur 28 28 27 21 22 16

Bhojpur 25 25 24 16 16 18

Buxar 29 29 19 19 19 25

Darbhanga 28 28 29 16 15 34

Gaya 28 29 23 21 21 21

Gopalganj 36 37 30 9 10 7

Jamui 29 29 - 21 22 -

Jehanabad 26 27 22 21 22 13

Kaimur(Bhabua) 25 25 - 23 23 -

Katihar 38 38 41 14 14 5

Khagaria 44 45 - 14 15 -

Kishanganj 44 46 - 12 12 -

Lakhisarai 25 25 - 20 21 -

Madhepura 45 46 - 19 19 -

Madhubani 30 30 - 19 18 -

Munger 26 27 23 17 17 17

Muzaffarpur 36 38 - 19 20 -

Nalanda 23 23 29 23 24 15

Nawada 28 28 - 18 18 -

Pashchim Champaran 32 31 - 16 15 -

Patna 18 20 14 14 16 11

Purba Champaran 32 30 - 16 16 -

Purnia 40 41 - 13 11 -

Rohtas 25 25 30 19 19 17

Saharsa 37 38 - 18 17 -

Samastipur 34 35 - 15 15 -

Saran 36 35 42 13 13 12

Sheikhpura 23 22 29 28 29 23

Sheohar 28 28 - 16 16 -

Sitamarhi 39 42 - 21 21 -

Siwan 32 33 - 11 11 -

Supaul 42 44 - 17 16 -

Vaishali 29 28 38 12 11 38

110

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

010203040506070

Biha

r: Inf

ant M

ortal

ity R

ate (IM

R) w

ith it'

s com

pone

nt

Post

Neo-n

atal M

ortali

ty Ra

teNe

o-nata

l Mort

ality

Rate

111

BIHARA


MORTALITY

State / District Under Five Mortality Rate (U5MR)


1 2 3 4 5 6 7 8 9 10 Bihar 70 67 73 72 69 75 51 49 54 Araria 76 72 80 78 74 82 - - -

Aurangabad 51 50 52 51 50 51 - - -

Banka 57 59 56 57 59 56 - - -

Begusarai 61 58 64 62 60 65 - - -

Bhagalpur 64 67 60 67 70 63 50 56 45

Bhojpur 55 52 57 56 54 59 46 43 49

Buxar 70 72 68 72 76 69 50 39 61

Darbhanga 77 70 85 77 70 85 76 61 90

Gaya 62 63 62 65 65 65 54 56 51

Gopalganj 59 54 64 60 57 64 40 25 58

Jamui 69 71 66 70 73 67 - - -

Jehanabad 61 58 64 62 59 66 44 43 44

Kaimur (Bhabua) 64 68 61 65 68 62 - - -

Katihar 79 81 77 80 83 78 58 52 64

Khagaria 95 90 100 97 93 102 - - -

Kishanganj 84 87 81 88 91 86 - - -

Lakhisarai 62 60 65 64 63 65 - - -

Madhepura 92 86 99 93 87 100 - - -

Madhubani 66 59 74 66 58 74 - - -

Munger 57 57 58 62 62 61 47 44 49

Muzaffarpur 84 74 95 89 77 100 - - -

Nalanda 73 75 71 75 77 72 63 64 61

Nawada 53 53 53 53 53 54 - - -

Pashchim Champaran 72 64 80 71 63 79 - - -

Patna 46 44 48 58 57 60 29 27 32

Purba Champaran 65 61 69 62 60 64 - - -

Purnia 91 90 92 94 90 98 - - -

Rohtas 59 58 60 60 60 60 49 44 55

Saharsa 82 75 88 83 78 88 - - -

Samastipur 71 65 78 73 66 81 - - -

Saran 63 58 69 63 57 70 66 68 64

Sheikhpura 72 68 77 74 70 78 62 57 68

Sheohar 79 67 92 80 68 94 - - -

Sitamarhi 97 92 103 102 97 107 - - -

Siwan 66 67 65 70 70 69 - - -

Supaul 82 82 82 84 84 84 - - -

Vaishali 60 54 67 59 53 65 96 64 130

112

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

0

10

20

30

40

50

60

70

80

90

Total Rural Urban

Bihar : Under Five Mortality Rate (U5MR)

PersonMaleFemale

40

50

60

70

80

90

100

110

120

Bihar : Under Five Mortality Rate (U5MR)

Male Female

113

BIHARA


MORTALITY

State / Commissionrait

Maternal Mortality Ratio (MMR), Maternal Mortality Rate and Life Time Risk

Sample Female

Population

Sample Live

BirthsMaternal Deaths MMR

95% Confidence Interval Maternal

Mortality Rate

Life Time RiskLower

LimitUpper Limit

1 2 3 4 5 6 7 8 9BIHAR 758930 246456 675 274 253 295 30 1.03 %

TIRHUT (Pashchim Champaran, Purba Champaran, Sheohar, Sitamarhi, Muzaffarpur, Vaishali)

110215 38988 110 282 229 335 33 1.16 %

PURNIA (Araria, Kishanganj, Purnia, Katihar)

63581 23761 83 349 274 424 44 1.51%

KOSI (Madhepura, Saharsa, Supaul)

60384 23185 59 254 190 319 33 1.13 %

DHARBHANGA (Madhubani, Darbhanga, Samastipur)

68145 22569 60 266 199 333 29 1.02 %

SARAN (Gopalganj, Siwan, Saran)

78824 23538 62 263 198 329 26 0.91 %

BHAGALPUR (Bhagalpur, Banka) 36252 11583 33 285 188 382 30 1.06 %

MUNGER (Begusarai, Khagaria, Munger, Lakhisarai, Sheikhpura, Jamui)

129728 42842 114 266 217 315 29 1.02 %

PATNA (Nalanda, Patna, Bhojpur, Buxar, Kaimur (Bhabua), Rohtas)

137680 38980 86 221 174 267 21 0.73 %

MAGADH (Jehanabad, Aurangabad, Gaya, Nawada)

74121 21010 68 324 247 400 31 1.06 %

DISTRIBUTION OF MATERNAL AND NON-MATERNAL DEATHS BY BROAD AGE GROUP

Age GroupSample Female Deaths

Maternal Deaths

Proportion

95% Confidence Interval

Non Maternal Deaths

Proportion

95% Confidence Interval

Lower Limit

Upper Limit

Lower Limit

Upper Limit

1 2 3 4 5 6 7 8 9 10

15-19 614 85 13 10 15 529 14 12 15

20-24 725 188 28 24 31 537 14 13 15

25-29 681 143 21 18 24 538 14 13 15

30-34 609 124 18 15 21 485 12 11 13

35-39 638 80 12 9 14 558 14 13 15

40-44 636 34 5 3 7 602 15 14 17

45-49 676 21 3 2 4 655 17 16 18

Total 4579 675 100 3904 100

114

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

050100

150

200

250

300

350

400

Biha

r: Ma

terna

l Mor

tality

Rati

o (MM

R) at

Com

miss

ionrai

t leve

l

115

BIHARA


CONFIDENCE INTERVAL (95%) FOR SOME IMPORTANT INDICATORS

State/District Name

Crude Birth Rate Crude Death RateTotal Rural Urban Total Rural Urban

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

1 2 3 4 5 6 7 8 9 10 11 12 13 Bihar 26 26.3 26.6 27.2 19.7 21.2 6.7 6.9 6.9 7.0 5.4 6.1 Araria 29 32.7 28.7 33.2 21.2 32.4 6.9 8.0 7.0 8.1 3.5 9.5

Aurangabad 24 25.6 24.0 25.9 19.8 25.6 5.2 6.1 5.1 6.2 4.4 6.5

Banka 24 26.0 24.3 26.0 20.8 28.6 5.3 5.9 5.3 5.9 3.6 7.4

Begusarai 25 26.9 25.1 27.3 16.1 26.2 5.5 6.4 5.6 6.5 4.0 5.8

Bhagalpur 24 27.3 24.6 27.5 16.6 30.1 4.3 5.2 4.2 5.2 3.6 6.1

Bhojpur 23 24.5 23.3 25.2 16.9 21.7 5.1 5.8 5.1 5.9 4.1 6.0

Buxar 23.0 25.3 23.4 25.4 15.3 28.0 5.9 6.6 5.9 6.6 4.8 6.8

Darbhanga 25.0 27.3 25.3 27.8 18.6 22.5 8.0 9.0 7.9 9.0 6.8 10.7

Gaya 23 25.0 24.2 26.4 17.9 21.1 6.2 7.4 6.2 7.7 4.9 7.5

Gopalganj 24 26.1 23.9 26.2 20.5 27.3 5.6 6.7 5.7 6.8 3.8 6.3

Jamui 25 26.7 24.9 27.0 19.6 24.9 5.5 6.5 5.5 6.5 3.4 8.0

Jehanabad 23 24.7 23.3 25.0 19.7 24.9 5.0 5.6 5.0 5.6 4.2 6.6

Kaimur(Bhabua) 24 25.0 23.8 25.3 12.1 23.7 4.9 5.7 4.9 5.7 2.7 7.4

Katihar 27 29.6 27.1 30.3 16.6 24.2 5.7 6.9 5.7 6.9 4.4 9.0

Khagaria 29.0 31.6 29.5 32.1 17.2 28.2 8.6 9.6 8.7 9.8 5.0 8.2

Kishanganj 28 33.1 28.6 34.4 18.5 27.4 5.7 6.9 5.9 7.1 3.6 6.1

Lakhisarai 22 24.0 23.0 24.6 17.5 21.8 5.7 6.2 5.6 6.2 5.4 6.8

Madhepura 28 30.9 28.2 31.3 13.7 26.8 6.5 7.6 6.4 7.5 5.4 11.0

Madhubani 23 25.3 23.1 25.4 18.0 25.0 6.7 7.4 6.7 7.4 6.2 10.6

Munger 23 25.3 23.9 26.3 20.6 24.2 5.9 6.6 5.9 6.7 5.4 7.0

Muzaffarpur 24 26.0 24.6 26.8 14.4 19.1 8.0 8.9 8.3 9.2 3.9 6.2

Nalanda 25 26.3 25.1 27.0 21.2 24.0 6.9 8.1 7.0 8.2 5.4 8.4

Nawada 23 24.9 23.7 25.2 17.6 23.7 5.3 6.1 5.4 6.2 3.3 6.2

Pashchim Champaran 26 30.4 26.1 31.2 16.0 25.0 8.0 9.2 7.8 9.0 7.8 14.0

Patna 20 22.2 24.0 25.9 15.5 18.2 4.3 5.1 4.5 5.2 3.8 5.3

Purba Champaran 28 30.9 27.9 31.7 20.4 26.4 7.1 8.1 7.1 8.1 6.1 9.0

Purnia 26 29.1 26.5 30.6 16.2 26.3 6.3 7.7 6.5 7.8 4.0 8.0

Rohtas 24 26.4 24.6 26.8 18.8 25.7 6.0 6.8 6.0 6.9 5.0 7.2

Saharsa 28.0 34.4 29.8 35.3 13.0 32.2 6.7 8.2 7.3 8.5 2.9 6.5

Samastipur 27 29.5 27.5 30.1 16.0 20.6 6.2 7.0 6.3 7.1 2.6 5.8

Saran 23 25.3 22.5 25.6 20.3 26.2 6.8 7.8 6.9 7.9 5.3 7.7

Sheikhpura 27.0 29.1 28.2 30.1 18.0 25.3 7.2 8.1 7.2 8.2 6.6 7.9

Sheohar 29 32.1 29.2 32.1 28.8 36.2 7.0 7.9 7.0 8.0 6.3 6.7

Sitamarhi 26 29.1 26.4 29.6 18.8 29.0 8.5 9.9 8.8 10.1 3.9 8.6

Siwan 25 26.4 25.2 27.1 18.7 23.0 6.9 7.7 7.0 7.9 5.1 7.5

Supaul 27 28.9 26.6 29.2 20.9 29.7 5.9 6.6 6.1 6.7 3.3 5.9

Vaishali 25 27.7 25.7 28.3 14.2 21.9 7.0 7.9 7.0 8.0 4.8 7.9

116

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3


State/District Name

Infant Mortality Rate U5MRTotal Rural Urban Total Rural Urban

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

1 2 3 4 5 6 7 8 9 10 11 12 13Bihar 47 49 48 50 38 45 69 71 71 73 48 55 Araria 46 59 47 60 - - 70 82 72 84 - -

Aurangabad 34 46 34 46 - - 44 57 44 57 - -

Banka 37 50 37 50 - - 52 63 51 63 - -

Begusarai 35 45 35 45 - - 56 67 57 68 - -

Bhagalpur 43 56 43 58 31 56 57 70 60 74 32 68

Bhojpur 36 47 36 47 19 66 49 60 51 62 27 64

Buxar 43 53 44 53 22 67 64 76 66 78 26 74

Darbhanga 38 50 37 49 28 98 70 83 71 84 36 115

Gaya 42 57 42 59 28 61 54 70 56 73 33 74

Gopalganj 39 53 39 54 22 51 53 64 55 66 18 62

Jamui 41 60 40 61 - - 61 77 62 78 - -

Jehanabad 42 52 43 54 18 54 55 66 57 68 25 63

Kaimur(Bhabua) 41 54 41 54 - - 57 72 58 72 - -

Katihar 45 59 45 60 22 69 73 85 74 87 27 89

Khagaria 54 64 55 65 - - 89 100 92 103 - -

Kishanganj 47 66 48 68 - - 77 91 81 96 - -

Lakhisarai 40 50 41 51 - - 57 67 58 70 - -

Madhepura 57 71 58 72 - - 86 98 87 100 - -

Madhubani 43 54 43 54 - - 61 71 60 71 - -

Munger 38 48 39 49 27 53 52 63 55 68 34 59

Muzaffarpur 49 62 51 65 - - 78 90 82 95 - -

Nalanda 41 52 41 53 23 65 66 80 68 82 42 84

Nawada 39 54 39 54 - - 47 60 47 60 - -

Pashchim Champaran 38 58 36 56 - - 64 80 63 79 - -

Patna 27 35 31 40 18 32 41 50 52 64 23 36

Purba Champaran 41 55 39 53 - - 59 70 56 67 - -

Purnia 45 61 44 61 - - 82 100 84 103 - -

Rohtas 40 49 40 49 26 67 52 65 53 67 29 68

Saharsa 48 62 47 63 - - 75 88 76 89 - -

Samastipur 44 55 45 56 - - 65 77 67 79 - -

Saran 42 56 41 55 35 73 57 70 56 70 42 90

Sheikhpura 46 57 46 56 24 79 65 79 67 81 38 86

Sheohar 38 48 39 49 - - 72 85 74 87 - -

Sitamarhi 51 70 53 72 - - 90 105 94 110 - -

Siwan 39 47 40 49 - - 62 71 65 75 - -

Supaul 51 65 53 67 - - 76 88 78 91 - -

Vaishali 35 46 34 44 52 98 55 66 53 64 50 141

117

BIHARA



State/District NameSex Ratio at Birth

Total Rural Urban Lower Limit Upper Limit Lower Limit Upper Limit Lower Limit Upper Limit

1 2 3 4 5 6 7Bihar 918 932 918 933 893 953 Araria 868 953 868 955 706 1139

Aurangabad 929 1045 921 1041 837 1306

Banka 940 1040 944 1046 659 1159

Begusarai 924 1016 935 1031 601 1055

Bhagalpur 910 1010 911 1017 799 1105

Bhojpur 893 981 891 983 783 1111

Buxar 951 1045 945 1040 855 1330

Darbhanga 835 923 830 918 725 1315

Gaya 905 1033 886 1021 868 1244

Gopalganj 859 945 864 952 655 1034

Jamui 916 1041 921 1050 649 1177

Jehanabad 912 994 909 993 806 1165

Kaimur(Bhabua) 836 941 840 947 482 1046

Katihar 892 978 887 974 787 1343

Khagaria 894 961 898 967 658 1042

Kishanganj 916 1021 925 1034 687 1078

Lakhisarai 900 982 890 974 850 1206

Madhepura 900 980 898 978 730 1408

Madhubani 868 944 865 941 - -

Munger 897 985 897 995 826 1041

Muzaffarpur 857 936 864 945 592 1007

Nalanda 894 987 908 1007 708 997

Nawada 876 978 871 976 751 1227

Pashchim Champaran 921 1042 912 1035 810 1542

Patna 885 960 871 958 864 1014

Purba Champaran 856 937 858 941 687 1069

Purnia 832 945 830 946 697 1139

Rohtas 870 968 872 976 733 1054

Saharsa 875 966 877 971 732 1081

Samastipur 840 924 839 923 635 1319

Saran 874 970 885 986 682 1015

Sheikhpura 849 943 850 947 720 1068

Sheohar 883 975 873 966 846 1456

Sitamarhi 824 915 822 915 698 1111

Siwan 914 985 916 990 786 1066

Supaul 908 995 909 997 714 1221

Vaishali 845 926 844 926 670 1216

119

BIHARA

nnual Health Survey 2012-13A

NN

UA

L H

EA

LTH

SU

RV

EY

HO

US

ELI

STI

NG

S

CH

ED

ULE

Serial No. 12

34

56

78

91

011

12

13

14

Cod

e fo

r C

ol.

(4)

Item

Cod

e

Res

iden

tial

1

Non

-res

iden

tial

2

Vaca

nt3

New

Hou

se4

Con

fiden

tial

whe

n fil

led

Pag

e N

o.

Ho

use

listi

ng

par

ticu

lars

as

per

bas

elin

e su

rvey

(fo

r ex

isti

ng

Ho

use

s/H

ou

seh

old

s) a

nd

fo

r n

ew H

ou

ses/

Ho

use

ho

lds

for

up

dat

ion

su

rvey

Building Number

House No. (4 digits)

Status of the House(Code)

Ho

use

listi

ng

par

ticu

lars

fo

r fi

rst

up

dat

ion

ro

un

dH

ou

selis

tin

g p

arti

cula

rs f

or

seco

nd

up

dat

ion

ro

un

d

Sta

tus

of

Ho

use

/H

ou

seh

old

Household No.(2 digits)

Nam

e of

Hea

d of

the

Ho

use

ho

ld

Status of the House (as ondate of survey) (Code)

Status of the Household(existing as on 01.01.2011)

(Code)

If Head of the Household ischanged, write ‘1’, if not, ‘2’

If C

ode

‘1’

in C

ol.

9, w

rite

the

nam

e o

f th

e n

ew H

ead

of t

he H

ouse

hold

as

ond

ate

of

surv

ey

Sta

tus

of

Ho

use

/H

ou

seh

old

To b

e fil

led

for

Cod

es ‘

1’ a

nd ‘

3’ i

n C

ol.

12

Status of the House (as ondate of survey) (Code)

Status of the Household(existing as on 01.01.2012) #

(Code)

If Head of the Household ischanged, write ‘1’, if not, ‘2’

If C

od

e ‘1

’ in

Co

l. 13

, w

rite

the

nam

e o

f th

e n

ew H

ead

of t

he H

ouse

hold

as

on d

ate

of

surv

ey

For

new

hou

ses,

the

rec

ord

is t

o be

app

ende

d at

the

end

of

the

hous

elis

t an

d C

ode

‘4’

is t

o be

ass

igne

d in

Col

. 4

durin

g up

datio

n ro

unds

. N

ew h

ouse

s ca

n be

in

an e

xist

ing

stru

ctur

e or

, al

toge

ther

a n

ew s

truc

ture

.In

cas

e of

add

ition

of

new

hou

seho

lds

in a

n ex

istin

g ho

use

or r

epla

cem

ent

of a

n ex

istin

g ho

useh

old

by a

new

hou

seho

ld o

r ch

ange

in

stat

us f

rom

non

res

iden

tial/

vaca

nt t

o re

side

ntia

l/par

tly r

esid

entia

l, th

ere

cord

s sh

ould

als

o be

app

ende

d at

the

end

of

hous

elis

t. F

or s

uch

case

s, C

ode

give

n fo

r st

atus

of

hous

e in

Col

. 7

durin

g fir

st u

pdat

ion

shou

ld b

e co

pied

in

Col

. 4.

In

all

case

s (in

clud

ing

hous

es/h

ouse

hold

s ha

ving

no c

hang

e in

sta

tus)

, re

cord

pre

sent

sta

tus

of h

ouse

/hou

seho

ld i

n C

ols.

11-

12.

For

new

hou

seho

ld(s

), r

ecor

d th

e na

me

of h

ead

of t

he h

ouse

hold

in

Col

. 6

only

. C

ols.

13

& 1

4 ar

e to

be

fille

d on

ly w

hen

ther

e is

a ch

ange

in

nam

e of

hea

d of

the

hou

seho

ld a

s on

dat

e of

sur

vey.

Col

s. 7

-10

are

not

to b

e fil

led

in d

urin

g th

is u

pdat

ion

roun

d.

#S

tatu

s as

on

01.0

1.20

12 i

s to

be

reco

rded

.

(For

Hou

seho

lds

not

exis

ting

as o

n 01

.01.

2012

, pu

t ‘–

’ in

Col

. 12

)

Cod

e fo

r C

ol.

(7,

11)

Item

Cod

e

Res

iden

tial/P

artly

resi

dent

ial

1

Non

-res

iden

tial

2

Vaca

nt3

Doe

s no

t exi

st0

Cod

e fo

r C

ol.

(8,

12)

Item

Cod

e

Hou

seho

ld c

ontin

ues

in th

esa

me

hous

e1

Out

-mig

rate

d(o

ut o

f the

uni

t)2

Shi

fted

with

in th

e un

it3

In-m

igra

ted

(fro

m o

utsi

de th

e un

it)4

Spl

it ho

useh

old

5

Mer

ged

hous

ehol

d6

To b

e fil

led

for

Cod

es ‘

1’ a

nd ‘

3’ i

n C

ol.

8

Sta

teZ

one

Dis

tric

tR

ural

-1,

Urb

an-2

Str

atum

Sam

ple

Uni

t

ANNEXURE

121

BIHARA


SID

E -

‘A’

AN

NU

AL

HE

ALT

H S

UR

VE

YH

OU

SE

HO

LD

SC

HE

DU

LES

tate

Zon

eD

istr

ict

Rur

al-1

,U

rban

-2S

tratu

mS

ampl

eU

nit

Hou

seN

o.*

Hou

seho

ldN

o.*

(i)

Col

s. 2

, 3,

6,

8 &

13

are

to b

e co

pied

for

all

usua

l re

side

nts

(Cod

e 01

-06

in C

ol.

4 of

the

fir

st u

pdat

ion

HH

Sch

edul

e) l

iste

d du

ring

fir

st u

pdat

ion

surv

ey.

In C

ol.1

, ru

nnin

g se

rial

num

bers

sta

rtin

g w

ith

1 is

to

begi

ven

to e

ach

copi

ed r

ecor

d an

d se

rial

num

ber

next

to

the

last

ser

ial

num

ber

is t

o be

giv

en f

or n

ew m

embe

rs b

eing

lis

ted

duri

ng c

urre

nt u

pdat

ion

roun

d.(i

i)C

ols.

1–3

are

to

be f

illed

in

for

all

usua

l re

side

nts

as

on d

ate

of s

urve

y ex

clud

ing

thos

e w

ho h

ave

been

cov

ered

in

(i)

abov

e.(i

ii)C

ols.

1–3

are

als

o to

be

fille

d fo

r ne

w b

orn

died

dur

ing

(iv

)Fo

r th

e ab

ove

thre

e ca

tego

ries

, R

esid

enti

al S

tatu

s(v

)C

ol.

5 on

war

ds a

re t

o be

fill

ed o

nly

in r

espe

ct o

f us

ual

resi

dent

s as

on

01.0

1.20

1201

.01.

2011

to

31.1

2.20

11.

is t

o be

upd

ated

in

Col

. 4.

(i.e

. C

odes

‘01

’ to

‘06

’ in

Col

. 4)

.

Serial No.

Nam

e

(In

cas

e o

f n

ewh

ou

seh

old

, st

art

wit

h t

he

Hea

d o

f th

eH

ou

seh

old

)

12

34

56

78

91

011

12

13

14

15

16

17

Sex (Male-1, Female-2)

Residential Status ason 01.01.2012

Relationship to Head(Code)

Iden

tifi

cati

on

Cod

e of

mem

ber

s o

f th

eH

ou

seh

old

To b

e re

cord

edfr

om C

ol.

1

Serial No. offather

Serial No. ofmother

D D

M M

YY

YY

Age as on 01.01.2012(in completed years)

Religion (Code)

Social Group (Code)

Marital Status as on01.01.2012 (Code)

D D

M M

YY

YY

Dat

e of

Bir

thD

ate

of

firs

t m

arri

age

Whether currentlyattending school (Yes - 1,No: Attended before -2,

Never attended - 3)

Fo

r ag

e g

rou

p6-

17 y

ears If Code ‘2’ or ‘3’ in Col. 14,

main reason thereof(Code)

Highest educational qualificationattained (for age 7 years and

above) (Code)

Occupation / Activity Statusduring last 365 days (for age 5

years and above) (Code)

Cod

e fo

r C

ol.

(4)

Cod

e fo

r C

ol.

(5)

Cod

e fo

r C

ol.

(10)

Cod

e fo

r C

ol.

(12)

Item

Cod

eC

ontin

ue t

o be

in

the

sam

e h

ou

seh

old

01

But

die

d or

out

mig

rate

dth

erea

fter

#0

2

In m

igra

ted

from

ou

tsid

e t

he

un

it0

3

Shi

fted

int

o th

e ho

use-

hold

(W

ithin

the

uni

t)0

4

New

ly b

orn

05

Tem

pora

ry A

bsen

tees

#0

6

Usu

alR

esid

ent

as o

n 0

1.01

.201

2

Out

mig

rate

d0

7

Shi

fted

out

of

the

hous

ehol

d(W

ithin

the

uni

t)0

8

Die

d0

9

New

bor

n di

ed (

01.0

1.20

11 –

31.1

2.20

11)

10

Not

a u

sual

res

iden

t of

the

ho

use

ho

ld11

Item

Cod

eH

ea

d0

1

Wife

or

Hu

sba

nd

02

Son

or

Dau

ghte

r0

3

Son

-in-

law

or

Da

ug

hte

r-in

-la

w0

4

Gra

nd c

hild

05

Pa

ren

t0

6

Pa

ren

t-in

-la

w0

7

Bro

ther

or

Sis

ter

08

Bro

ther

-in-

law

or

Sis

ter-

in l

aw

09

Nie

ce o

r N

ephe

w1

0

Oth

er r

elat

ives

11

Ad

op

ted

/Fo

ste

r ch

ild1

2

Not

rel

ated

13

Hin

du

1

Mu

slim

2

Ch

rist

ian

3

Sik

h4

Bu

dd

his

t5

Jain

6

Oth

ers

7

No

re

ligio

n8

Item

Cod

e

Cod

e fo

r C

ol.

(11)

SC

1

ST

2

Oth

ers

3

Item

Cod

e

Item

Cod

eN

ever

mar

ried

1

Mar

ried

but,

Gau

na n

ot p

erfo

rmed

2

Mar

ried

and

, G

auna

per

form

ed3

Re

ma

rrie

d4

Wid

ow

/Wid

ow

er

5

Div

orc

ed

6

Se

pa

rate

d7

Not

sta

ted

8

*=

To b

e co

pied

fro

m H

ouse

listin

g S

ched

ule

#=

To b

e fil

led

upto

Col

. 13

onl

y

Cod

e fo

r C

ol.

(15)

Item

Cod

eS

choo

l to

o fa

r1

Fur

ther

edu

catio

n no

t co

nsid

ered

ne

cess

ary

2

Req

uire

d fo

r w

ork

in H

ouse

hold

act

ivit

ies/

Fa

rm/F

am

ily b

usi

ne

ss3

Req

uire

d fo

r ou

tsid

e w

ork

4

No

t in

tere

ste

d i

n s

tud

ies

5

Co

st t

oo

mu

ch6

Re

pe

ate

d f

ailu

res

7

Got

mar

ried

8

Oth

ers

9

Cod

e fo

r C

ol.

(16)

Item

Cod

eIl

lite

rate

0

Lite

rate

with

out

For

mal

edu

catio

n1

Lit

erat

e w

ith

Fo

rmal

Ed

uca

tio

n

Be

low

Pri

ma

ry2

Pri

mar

y (5

th p

asse

d)3

Mid

dle

(8th

pas

sed)

4

Se

con

da

ry/M

atr

ic/C

lass

-X5

Hr.

Sec

onda

ry/S

r. S

econ

dary

/P

re-u

niv

ers

ity/

Cla

ss-X

II6

Gra

du

ate

/B.T

ech

/BB

A/M

BB

S/

Eq

uiv

ale

nt

7

Pos

t G

radu

ate/

M.T

ech/

MB

A/M

D/

Equ

ival

ent

or h

ighe

r8

Non

-Tec

hnic

al/T

echn

ical

dip

lom

aor

cer

tific

ate

not

equi

vale

nt t

o de

gree

9

Cod

e fo

r C

ol.

(17)

Item

Cod

eC

ultiv

ator

01

Ag

ricu

ltura

l W

ag

e L

ab

ou

rer

02

No

n-a

gri

cultu

ral

Wa

ge

La

bo

ure

r0

3

Sel

f E

mp

loye

d (

excl

ud

ing

Cu

ltiv

ato

rs)

Ow

n A

ccou

nt W

orke

r0

4

Em

plo

yer

05

Unp

aid

Fam

ily L

abou

rer

06

Re

gu

lar

Sa

lari

ed

/Wa

ge

Em

plo

yee

07

Did

not

wor

k bu

t w

as s

eeki

ng a

nd/o

r av

aila

ble

for

wor

k0

8

Att

en

din

g e

du

cati

on

al

inst

itu

tio

n0

9

Att

en

din

g r

ou

tine

do

me

stic

ch

ore

s, e

tc.

10

Be

gg

ar

11

Sex

wor

ker/

Pro

stitu

te1

2

Ren

tier,

pen

sion

er,

othe

r re

mitt

ance

reci

pie

nts

13

Not

abl

e to

wor

k du

e to

dis

abili

ty1

4

Too

old

to w

ork

15

Oth

ers

16

Con

fiden

tial

whe

n fil

led

Pag

e N

o. .

......

...

122

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

SID

E -

‘B’

Con

fiden

tial

whe

n fil

led

AN

NU

AL

HE

ALT

H S

UR

VE

YH

OU

SE

HO

LD

SC

HE

DU

LESerial Number

Nam

e

(Sta

rt w

ith

Hea

d of

the

Ho

use

ho

ld)

12

1819

2021

2223

2425

2627

2829

Whether having any form ofDisability as on date of

survey? (Code)

Type of Treatment forinjury during last 1

year (Code)

Type of illness (Code)

P1

P2

Acc

ess

to H

ealt

h s

chem

e/In

sura

nce

Cod

e fo

r C

ol.

(18)

Item

Cod

eM

enta

l1

Vis

ua

l2

Hea

ring

3

Spe

ech

4

Loco

mot

or5

Mul

tiple

6

Oth

ers

7

No

Dis

abili

ty0

Inju

ryA

cute

illn

ess

(Dur

ing

last

15

days

)

Source of Treatment(Code)

Symptom(s) pertainingto illness persisting

for more than 1 month(Code)

Sought medical care(Code) (Applicable

for Codes ‘01’ to ‘13’in Col. 22)

Has diagnosed for(Code)

Telephone/Mobile Number:

Name & signature/thumb impres-sion of the Respondent with date

Name and signature of theEnumerator with date

If C

ode

‘1’

in C

ol.

28,

then

top

tw

ohe

alth

sch

emes

/he

alth

ins

uran

ce i

nor

der

of p

rior

ity(C

ode)

Whether coveredby any health

scheme or healthinsurance? (Yes -1, No - 2, Don’t

know - 3)

Chr

onic

illn

ess

(Dur

ing

last

1 y

ear)

Not

to

be a

sked

if

Cod

e ‘0

0’ i

n C

ol.

24

Source ofdiagnosis

(Code)

Getting regulartreatment

(Code)

If Code ‘1’ or ‘2’in Col. 26, source

of treatment(Code)

Cod

e fo

r C

ol.

(19)

Item

Cod

eT

reat

ed in

inte

nsiv

e ca

re u

nit f

or a

ny ti

me

1

Tre

ated

as

in p

atie

nt w

ith s

tay

> 2

wee

ks2

Trea

ted

as in

pat

ient

with

sta

y 1

to 2

wee

ks3

Tre

ated

as

in p

atie

nt w

ith s

tay

< 1

wee

k4

Tre

ated

as

out p

atie

nt5

Tre

ated

by

trad

ition

al h

eale

rs6

Tre

ated

at h

ome

7

No

inju

ry0

Cod

e fo

r C

ol.

(20)

Item

Cod

e

Acu

te Il

lnes

ses

Dia

rrho

ea1

Dys

ente

ry2

Acu

te re

spira

tory

infe

ctio

n3

Jaun

dice

with

feve

r4

Fev

er w

ith c

hill/

rigor

s(m

alar

ia e

tc.)

5

Feve

r of s

hort

dura

tion

with

rash

es6

Oth

er ty

pes

of fe

ver

7

Rep

rodu

ctiv

e tra

ct in

fect

ions

(RT

I)8

Oth

ers

9

No

Illne

ss0

Cod

e fo

r C

ol.

(21,

25,

27)

Item

Cod

e

GO

VER

NM

ENT

Sub

cen

ter

01

PH

C02

CH

C03

UH

C/U

HP

/UFW

C04

Dis

pens

ary/

Clin

ic05

Hos

pita

l06

AY

US

H H

ospi

tal/C

linic

07

PR

IVAT

E

Dis

pens

ary/

Clin

ic08

Hos

pita

l09

AY

US

H H

ospi

tal/C

linic

10

NG

O o

r Tru

st H

ospi

tal/C

linic

11

DO

T C

ente

r (on

ly fo

r Col

. 27)

12

At H

ome

13

Oth

ers

99

No

Trea

tmen

t00

Cod

e fo

r C

ol.

(22)

Item

Cod

eD

isea

ses

of r

espi

rato

ry s

yste

m01

Dis

ease

s of

car

diov

ascu

lar

syst

em02

Dis

ease

s of

cen

tral

ner

vous

sys

tem

03D

isea

ses

of m

uscu

lo-s

kele

tal s

yste

m04

Dis

ease

s of

gas

troi

ntes

tinal

sys

tem

05D

isea

ses

of g

enito

urin

ary

syst

em06

Ski

n di

seas

es07

Goi

tre

08E

leph

antia

sis

09E

ye p

robl

ems/

dise

ases

10E

NT

pro

blem

s/di

seas

es11

Mou

th a

nd d

enta

l pro

blem

s12

Oth

ers

13

No

sym

ptom

s of

chr

onic

dis

ease

99

Cod

e fo

r C

ol.

(23)

Item

Cod

eD

etai

ls o

f di

agno

sis/

trea

tmen

tno

t ava

ilabl

e1

Det

ails

of

diag

nosi

s/tr

eatm

ent

avai

labl

e2

No

3

Yes

Cod

e fo

r C

ol.

(24)

Con

td.

Item

Cod

eR

heum

atic

feve

r/R

heum

atic

hea

rt d

isea

se26

Tum

our (

any

type

)27

Blo

od C

ance

r/Le

ukem

ia28

Ski

n C

ance

r29

Pile

s, A

nal

Fis

sure

, A

nal

Fis

tula

30A

naem

ia31

Oth

ers

(Her

nia,

Hyd

roce

le, P

eptic

Ulc

er, e

tc.

99N

ot d

iagn

osed

00

Cod

e fo

r C

ol.

(24)

Item

Cod

eD

iabe

tes

01H

yper

tens

ion

02C

hron

ic h

eart

dis

ease

03M

yoca

rdin

al in

farc

tion/

Hea

rt a

ttac

k04

Str

oke/

Cer

ebro

vasc

ular

acc

iden

t05

Epi

leps

y06

Ast

hma/

Chr

onic

resp

irat

ory

dise

ase

07G

oitr

e/T

hyro

id d

isor

der

08T

ub

erc

ulo

sis

09Le

pros

y10

Can

cer-

Res

pira

tory

Sys

tem

11C

ance

r-G

astr

oint

estin

al s

yste

m12

Can

cer-

Gen

itour

inar

y sy

stem

13C

ance

r-B

reas

t14

Ren

al s

tone

15C

hron

ic r

enal

dis

ease

16G

all

ston

e/C

hole

cyst

itis

17C

hron

ic li

ver

dise

ase

18R

heum

atoi

d ar

thri

tis/O

steo

arth

ritis

19C

hron

ic s

kin

dise

ases

/Pso

rias

is20

Cat

arac

t21

Gla

ucom

a22

Sin

usi

tis,

Ton

silli

tis23

Flo

uros

is24

Pyo

rrhe

a25

Cod

e fo

r C

ol.

(29)

Item

Cod

eE

mpl

oyee

s S

tate

Insu

ranc

e S

chem

e(E

SIS

)1

Ras

htriy

a S

was

thya

Bim

a Yo

jana

(RS

BY

)2

Cen

tral

/Sta

te G

over

nmen

t Hea

lth S

chem

eot

her

than

RS

BY

3M

edic

al re

imbu

rsem

ent f

rom

em

ploy

er4

Com

mun

ity H

ealth

Insu

ranc

e P

rogr

amm

e5

Med

icla

im6

Oth

ers

7

Cod

e fo

r C

ol.

(26)

Item

Cod

eN

ot re

gula

rly1

Reg

ular

ly2 3

Yes

Mor

bidi

ty S

tatu

s

No

123

BIHARA


1

ANNUAL HEALTH SURVEYWOMAN SCHEDULE

State Zone

District Rural - 1/ Urban - 2 Stratum

Sample Unit

House No. Household No.

Section I – Ever Married Woman (Aged 15–49 years)Sl. No., Name, Identification Code, Age, Marital Status, Highest educational qualification and Occupation/ Activity Status areto be copied from Col. 1, 2, 6, 9, 12, 16 & 17 respectively of the Household Schedule. However, Marital Status, Highesteducational qualification and Occupation/ Activity Status should be probed from the woman and in case of any variations,the response given by the woman should be recorded in the relevant columns of the Household Schedule by accordingpriority.

Marital Highest educational Occupation/Sl. No. Name Identification Code Age Status Qualification Activity

(Code) * attained (Code) Status (Code)

* If Code ‘2’ (Married but, Gauna not performed), go to Section II of the Schedule.

Q. No. Questions and Codes Responses

Yes-1, No-2Q.1 Have you ever conceived? If Code '2', go to Section II

of the Schedule

Record the numberQ.2 If Yes, how many times have you

conceived?

Q.3 What was your age at first conception ?(in completed years)

Q.4 Have you delivered a live baby before Yes-1, No-201.01.2012? If Code '2', go to Q.7

Q.5 How many children have been born aliveever before 01.01.2011 and out of themhow many are surviving as on 01.01.2011?

Q.6 What was your age at first live birth?(in completed years)

Q.7 Has the outcome of any pregnancy(s) Yes-1, No-2resulted in live birth/still birth/abortion If Code '2', go to Section IIduring 01.01.2011 to 31.12.2011? of the Schedule

Confidential when filled

Male Female Total

Record the number

Born Alive

Surviving

124

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

2

Q.8 If Code ‘1’ (Yes) in Q.7, record the history of outcome(s) of pregnancy(s). Start with the last pregnancy excludingthe current one. Use separate lines for twins/triplets. Same pregnancy number to be recorded for twins/triplets.

To be filled for Induced or Spontaneous abortions (Code '3' or '4' in Col. 2)

If Code '1' Whether At what Did you Did you go Where Who Only foror '2' in pregnancy month of receive for was the performed/ inducedCol. 2, confirmation pregnancy any ultrasound abortion completed abortion

Pregnancy Outcome of record test did ANC? before this performed/ theNumber Pregnancy the sex of was done abortion (Yes-1, abortion? completed? abortion? Why did

(to be the baby by using happen? No-2) (Yes-1, (Code) (Code) you abortrecorded) (Male-1, NPT kit? No-2) the

Female-2) (Yes-1, pregnancy?No-2) (Code)

1 2 3 4 5 6 7 8 9 10

(........)Live Birth-1

LastStill Birth-2

pregnancyInduced Abr.-3Spont Abr.-4

(........) Live Birth-1

Previous Still Birth-2

to last Induced Abr.-3pregnancy Spont Abr.-4

(........) Live Birth-1

SecondStill Birth- 2

from last Induced Abr.-3

pregnancy Spont Abr.-4

Code for Col.10 (Q.8)

Item Code

Unplanned pregnancy 1

Due to contraceptive failure 2

Complication(s) in pregnancy 3

Health did not permit 4

Female foetus 5

Economic reason(s) 6

Last child too young 7

Foetus had congenital abnormality 8

Others 9


Item Code

GOVERNMENT

Sub - Center 01

PHC 02

CHC 03

UHC / UHP / UFWC 04

Dispensary / Clinic 05

Hospital 06

AYUSH Hospital / Clinic 07

PRIVATE


Hospital 09


NGO or Trust Hosp. / Clinic 11

At HomeSelf 12

Elsewhere 13

Others 99


Item Code

Doctor 1

Nurse / ANM / LHV 2

Trained dai 3

Untrained dai 4

Family members / Relatives / Friends 5

None / Self 6

Others 7

Note: If outcome(s) of pregnancy(s) resulted in ‘only Abortion(s)’, go to Section II of Schedule after fillingColumns 4 to 10 of Q.8.

125

BIHARA


3

(If Code '3' is recorded for any of thebirths, go to Q.9 (6) for that particular birth)

D D M M Y Y Y Y D D M M Y Y Y Y

Q.9 Details about the last two outcome of pregnancy(s) which resulted in live birth (surviving / not surviving) / stillbirth during 01.01.2011 to 31.12.2011. Begin with last birth. Survival status to be assessed as on 01.01.2012.

Questions 9 (1) to 9 (45) are to be probed for live births (surviving/not surviving) as well as still births unless otherwise specified.

Q. No. Questions and Codes Responses

Q.9 (1) Pregnancy number of last two live /still birth(s) in Chronological order Last birth Previous to last birth[Copy from Col. 1 (Q.8)] Pregnancy

Number

Q.9 (2) What kind of birth is / was it?

Item CodeLive birth surviving 1 Last birth Previous to last birthLive birth not surviving 2

Still birth 3

Order of liveLast birth Previous to last birth

Q.9 (3) What is the order of live birth? birth(If more than 9, record '9' only)

Q.9 (4) Only if birth order >= 2

IntervalLast birth Previous to last birth

What is the interval between the previous(in completedand current live births?

months)(If more than 99 months, record '99' only)

Last birth Previous to last birthQ.9 (5) Identification Code (only for live birth Identification

surviving) – To be copied from Col. 6 Codeof the Household Schedule

Q.9 (6) What is/was the date of birth of the baby?

Date of Birth

Last birth Previous to last birth

(In case of still birth, record only monthand year)

Q.9 (7) What type of birth was it?Last birth Previous to last birth

Item Code

Single 1

Multiple 2

ANTE NATAL CARE (ANC)

Q.9 (8) Did you get your pregnancy registeredfor each birth? Last birth Previous to last birth

Item Code

Yes 1

No 2

(Record Code '2' only after ascertainingthat the woman has not received anyANC for that particular birth)

If Code ‘2’, go toQ.9 (15)

126

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

4

Q.9 (9) How many months pregnant were you Number of Last birth Previous to last birthat the time of first ANC ? completed

months

Q.9 (10) How many ANCs did you receive during Last birth Previous to last birthpregnancy associated with each birth?

(If more than 9 ANCs, record '9' only)

Q.9 (11) What was the main source of ANC ?

Item Code

GOVERNMENT

Anganwadi 00

Sub - Center 01

PHC 02

CHC 03 Last birth Previous to last birthUHC / UHP / UFWC 04


Hospital 06


PRIVATE


Hospital 09


NGO or Trust Hospital/Clinic 11

Others 99

Q.9 (12) What were the type of tests performed Type of tests Last birth Previous to last birthduring the ANC? performed (in numbers) (in numbers)(Read out the type of tests performed)

AbdominalExamination

Blood Pressure

BreastExamination

WeightMeasurement

Urine test

Blood (for Hbestimation)

Blood group test

Blood (for othertests)

Ultrasound

(Record the total number of testsperformed across all ANCs. If any ofthe tests were performed more than9 times, record ‘9’ only)

Number ofANCs

127

BIHARA


5

Q.9 (13) (i) How many TT injections did youLast birth Previous to last birthreceive?

Number of TTinjections

(ii) How many months pregnant were you Number of Last birth Previous to last birthat the time of 2nd TT injection? completed

months

Q.9 (14) For how many days did you consume Last birth Previous to last birthIron & Folic Acid (IFA) tablets / tablespoons (Number of days) (Number of days)of IFA syrup during pregnancy?

(Record '000' if not consumed) Tablets

Syrup

Q.9 (15) If Code '2' is recorded for any of the birthsin Q.9 (8), what was the main reason of notgoing for any ANC for that particular birth?

Item Code

Not needed 1

Not customary 2 Last birth Previous to last birthCost too much 3

Too far / no transport 4

Poor quality service 5

Family did not allow 6

No time to go 7

Lack of knowledge 8Others 9

Q.9 (16) Did you suffer from any of the health Healthproblem(s) during pregnancy associated Problems Last birth Previous to last birthwith each birth?

(Read out the health problems)Swelling of hands,

feet and face

Paleness/Giddiness/Weakness

Visualdisturbances

ExcessiveFatigue

Convulsions notfrom fever

Weak or nomovement of foetus

Abnormal positionof foetus

Excessivevomiting

Item Code

Yes 1

No 2

128

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

6

Q.9 (17) If Code '1' is recorded for any of thehealth problem(s) in Q.9 (16), did youseek treatment? Last birth Previous to last birth

Q.9 (18) If Code '1' in Q.9 (17), where did you gofor consultation or to seek treatment?

Item Code

GOVERNMENTSub - Center 01PHC 02CHC 03UHC / UHP / UFWC 04 Last birth Previous to last birthDispensary / Clinic 05Hospital 06AYUSH Hospital / Clinic 07

PRIVATEDispensary / Clinic 08Hospital 09AYUSH Hospital / Clinic 10

NGO or Trust Hospital / Clinic 11At Home 12Others 99

Q.9 (19) Where did your delivery take place?

Item Code

GOVERNMENTSub - Center 01PHC 02CHC 03UHC / UHP / UFWC 04 Last birth Previous to last birthDispensary / Clinic 05Hospital 06AYUSH Hospital / Clinic 07

PRIVATEDispensary / Clinic 08Hospital 09AYUSH Hospital / Clinic 10

NGO or Trust Hospital / Clinic 11At Home 12Others 99

Hypertension/High BP

Jaundice

Excessive bleeding

Vaginal discharge

Others

HealthProblems

Item Code

Yes 1

No 2

NATAL CARE


129

BIHARA


7

Q.9 (20) If Code '12' in Q.9 (19), what was themain reason for not going to healthfacility for delivery?

Item Code

Not needed 01

Not customary 02 Last birth Previous to last birthCost too much 03

Too far / no transport 04

Poor quality service 05

Family decision 06

No time to go 07

Lack of knowledge 08

Better care at home 09

Others 10

Q.9 (21) In case of institutional delivery [for Code‘1-11’ in Q.9 (19)], who facilitated or Last birth Previous to last birthmotivated you to go to the health facilityfor delivery and where did she/he adviseyou to go?

(Read out all facilitators/ motivatorsmentioned)

Code for Facilitator/Motivator

Code for health facility

Item Code

Government

Sub - Center 01

PHC 02

CHC 03

UHC/UHP/UFWC 04

Dispensary/Clinic 05

Hospital 06

AYUSH Hospital/Clinic 07

Private


Hospital 09



Others 99

Item Code

Yes 1

No 2

Facilitator/Motivator

Recom-mendedhealthfacility

Facilitator/Motivator

Recom-mendedhealthfacility

Doctor

ANM

HealthWorker

AnganwadiWorker

ASHA

NGO/CBO

Husband

Mother-in-law

Mother

Relatives/Friends

Self

Others

130

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

8

Q.9 (22) In case of institutional delivery [forCode ‘1-11’ in Q.9 (19)], what was thesource of transport provided/availedby you for reaching the institution?

Item Code

Arranged by family 1

Arranged by ASHA 2

Provided by panchayat/other govt. sources 3

Provided by others 4

Not required(< 1 Km) 5

Not provided 6

Q.9 (23) In case of institutional delivery [for Code‘1-11’ in Q.9 (19)], what was the mainmode of transportation used by you toreach the health facility for delivery?

Q.9 (24) In case of institutional delivery [forCode ‘1-11’ in Q.9 (19)], how long didyou stay in the institution after delivery?

(Record in Hours (H), if stay <= 48 hrs, inDays (D) otherwise)

Q.9 (25) In case of institutional delivery [forCode ‘1-11’ in Q.9 (19)], how much it costout of your pocket on the followingitems during delivery?

(Cost should exclude the amountreimbursed / to be reimbursed)

Q.9 (26) Did you avail any maternity financialassistance?

Item Code

Janani Suraksha 1 Last birth Previous to last birthYojana (JSY)

Availed Other Govt schemes(Other than JSY) 2

Any Other 3

Not Availed 4

Item Code

Ambulance 1

Jeep/Car 2

Motor Cycle/Scooter 3

Bus/Train 4

Tempo/Auto/Tractor 5

Rickshaw/Cart 6

On foot 7

Others 8




H/D No. H/D No.

Transporation

Others

Last birth Previous to last birth(Amount in Rs.) (Amount in Rs.)

131

BIHARA


9

Q.9 (27) If Code ‘1’ in Q.9 (26), then

(i) How many days after the delivery,did you receive financialassistance?

(ii) What was the total amountreceived by you during pregnacyand/or after delivery?

Q.9 (28) Was the delivery normal, caesarean orassisted?

Item Code

Normal 1

Caesarean 2

Assisted 3

Q.9 (29) During delivery, did you experienceany of the health problems associatedwith each birth?

(Read out all health problems)

Q.9 (30) In case of delivery at home [Code ‘12’ inQ. 9 (19)], who conducted your delivery?

Item Code

Doctor 1

Nurse / ANM / LHV 2

Trained dai 3

Untrained dai 4

Family members / 5Relatives / Friends

None 6

Last birth Previous to last birth(Number of days) (Number of days)

Last birth Previous to last birth(Amount in Rs.) (Amount in Rs.)


Item Code

Yes 1

No 2

Health Problems Last birth Previous to last birth

Prematurelabour

Excessivebleeding

Prolongedlabour (More than

12 hours)

Obstructedlabour

BreechPresentation

Convulsion/High BP

Others


132

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

10

POST NATAL CARE

Q.9 (31) Did you have any check-up within

48 hours of delivery?

Item Code Last birth Previous to last birth

Yes 1

No 2

Q.9 (32) If Code ‘2’ in Q.9 (31), after how manydays of delivery, the first check-up

Last birth Previous to last birthtook place?Number of

Days[If no check-up was done at all for anyof the births, record '00' for thatparticular birth and go to Q.9 (35)]

Q.9 (33) Where did your Post Natal check-uptake place?

Item Code

GOVERNMENT

Sub Center 01

PHC 02 Last birth Previous to last birth

CHC 03

UHC / UHP / UFWC 04


Hospital 06


PRIVATE


Hospital 09



Others 99

Q.9 (34) Did any of the following happen whenyou had the check-up after each birth?

(Read out all options mentioned)

Item Code

Yes 1

No 2


Abdomenexamined

Advice on breastfeeding

Advice onbaby care

Advice on familyplanning

133

BIHARA


11

Q.9 (35) When was the new born baby checked upafter birth?

(To be asked only in respect of live birthssurviving or not surviving)

Q.9 (36) If Code ‘1’ or ‘2’ or ‘3’ in Q.9 (35), number ofcheck-up(s) during one week of delivery

Q.9 (37) If Code ‘1-4’ in Q.9 (35), where was thebaby's first check-up done?

Q.9 (38) If Code ‘12’ in Q.9 (37), who did the check-upat home?

Item Code

Doctor 1

ANM 2

Health worker 3

Anganwadi worker 4

ASHA 5

Others 6

Item Code

Within 24 hrs 1

24 hrs to 72 hrs 2

4th day to 7th day 3

After the 7th day 4

Not checked up 5




Item Code

Government

Sub - Center 01

PHC 02

CHC 03

UHC/UHP/UFWC 04


Hospital 06


Private


Hospital 09


NGO or Trust Hosp/Clinic 11

At Home 12

Others 99


Checked

Up

134

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

12

Q.9 (39) During the first 6 weeks after delivery,did you experience any of the healthproblems?

(Read out all health problems)

Q.9 (40) If Code '1' in any of the health problemsin Q.9 (39), did you seek treatment?

Q.9 (41) If Code '1' in Q.9 (40), where did you go forconsultation or to seek treatment?

Q.9 (42) Whether birth weight of the baby wastaken?

(To be asked only in respect of livebirths surviving or not surviving)

Item Code

Yes 1

No 2

Item Code

Yes 1

No 2



Item Code

Yes 1

No 2

Don’t Know 3


Health Problems Last birth Previous to last birth

High fever

Lower abdominalpain

Foul smellingvaginal discharge

Excessivebleeding

Convulsions

Head ache

Others

Item Code

Government

Sub - Center 01

PHC 02

CHC 03

UHC/UHP/UFWC 04


Hospital 06


Private


Hospital 09



Others 99

135

BIHARA


13

Q.9 (43) If Code ‘1’ in Q.9 (42), what was the birthweight of the baby?

Q.9 (44) When did you first breast feed yourbaby?


Q.9 (45) Did you feed “milk colostrum/khees”(yellowish thick milk) to your baby,secreted during the first few days afterchild birth?


Q.9 (46) Are you currently breastfeeding yourbaby?

Q.9 (47) How many days/months did youexclusively breastfeed your baby?

(If duration of breastfeeding is less thanone month, record no. of days and ifduration is in months, record no.of months)

Last birth Previous to last birthKg gms Kg gms

Birth weight

Item Code

Immediately within 1 hourof birth 1

1 hour to 24 hours of birth 2

2-3 days 3

After 3 days 4

Never breast-fed 5


If Code '5'go to Q.9 (48)

Item Code

Yes 1

No 2


The following questions are to be probed only for live births and surviving.

BREAST FEEDING PRACTISE

Item Code

Yes 1

No 2


Baby’s Name

Unit Code

Days D

Months M


D/M No. D/M No.

136

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

14

Q.9 (48) At what age (in months/days) did you startfeeding the baby, food other thanbreast milk?

(If only breast feeding, record ‘00’)

(If duration of starting other types of foodis less than one month, record no. ofdays and if duration is in months, recordno. of months)

Q.9 (49) Do you have an Immunization/MCH cardfor your baby?

Q.9 (50) If Code '1' in Q.9 (49), whetherImmunization card made availableat the time of interview?

Q.9 (51) If card made available, whetherinformation recorded by usingthe card?

Q.9 (52) Has the baby ever received anyvaccination?

(If Code '2' for any births, go to Q.9 (56) forthat particular birth)

Unit Code

Days D

Month M


D/M No. D/M No.

Animal Milk/Formula Milk

Semi SolidMashed

Solid (Adultfood)

Vegetables/Fruits

Item Code

Yes 1

No 2

IMMUNIZATION


Item Code

Yes 1

No 2


Item Code

Yes 1

No 2


Item Code

Yes 1

No 2


Water

Type of food

137

BIHARA


15

Q.9 (53) Was the baby given BCG vaccine?

Q.9 (54) Were the following vaccinesadministered to your baby?

(Read out the type of vaccines)

# If more than 9 doses, record ‘9’ onlyfor that particular birth.

* If no vaccination received, record ‘0’for that particular birth.

Q.9 (55) From where did the baby receivemost of his/her vaccinations?

Item Code

At birth 1

Yes Within 6 weeks 2

Thereafter 3

No 4


Type of Vaccine Last birth Previous to last birth

Polio birth dose(Yes-1, No-2, Don’t

Know-3)

* No. of Polio dosesin routine

immunization (RI)other than the birth

dose

# No. of Polio dosesin PP (Pulse Polio)

immunization duringlast one year

* No. of DPTinjections

Measles (Yes-1,No-2, Don’t Know -3)

* No. of doses ofHepatitis B during

last one year

Item Code

Government

Anganwadi 00

Sub - Center 01

PHC 02

CHC 03

UHC/UHP/UFWC 04


Hospital 06


Private


Hospital 09



Others 99


138

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

16

Q.9 (56) If no vaccination was received by yourbaby, what was the main reason thereof?

Item Code

Child is weak/sick 1

Not aware of the need 2

Place of immunization is 3not known

Session site too far 4

Fear of side effects 5

Nobody to take child to 6session site

Not customary 7

Child too young 8

Others 9


Q.9(57) Number of Vitamin A doses received byyour baby during last six months?

(If not received, record ‘0’)

Q.9 (58) Was IFA tablet/syrup administered toyour baby, in the last 3 months?

(To be asked for babies older than 6months)

Q.9 (59) If Code '1' or '2' in Q.9 (58), then for howmany days was it given in the last 3months?

Q.9 (60) Did the baby suffer from AcuteRespiratory Infection (ARI) duringlast 15 days?

Q.9 (61) If Code ‘1’ in Q.9 (60), was the baby givenany treatment?

Last birth Previous to last birthNo. of

Vitamin Adoses

Item Code

Tablets 1

Yes Syrup 2

No 3




Item Code

Yes 1

No 2

Item Code

Antibiotic 1

Other treatment 2

No treatment 3


CHILD HEALTH

No. ofDays

139

BIHARA


17

Q.9(62) Did the baby suffer from fever duringlast 15 days?

Q.9 (63) If Code ‘1’ in Q.9 (62), was the baby givenany treatment?

Q.9 (64) Did the baby suffer from diarrhoeaduring last 15 days?

Q.9 (65) If Code ‘1’ in Q.9 (64), did you administerHAF/ ORT/ ORS and Zinc to the baby?

Q.9 (66) Have you availed Anganwadi servicesduring the pregnancy and/or lactationassociated with each birth?

Q.9 (67) Is the birth of your baby registered ?

Q.9 (68) If Code ‘1’ in Q.9 (67), did you receiveBirth Certificate for your baby ?

Item Code

Yes 1

No 2


Item Code

Yes 1

No 2


Item Code

Yes 1

No 2


Item Code

Yes 1

No 2


HAF

ORT/ORS

ORT/ORS & Zinc

Item Code

Yes 1

No 2


During Pregnancy

During Lactation

REGISTRATION OF BIRTH

Item Code

Yes 1

No 2

Don’t know 3


Item Code

Yes 1

No 2


140

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

18

Q.1 Which of the family planningmethod (s) are you aware of?

(Read out all the family planningmethods)

[For Married but, Gauna notperformedgo to Q.21 directly afterrecording response of Q.1]

Q.2 Are you currently pregnant?

Q.3 Are you registered for ANC?(Ensure that the woman has notreceived any ANC, before recordingCode ‘2’)

Q.4 How many months pregnant were youat the time of first ANC?

Q.5 When you became pregnant this time,did you want to become pregnant now,did you want to wait until later, or did younot want to have any (more) children atall?(After recording the response, go toQ.13)

Q.6 Are you currently menstruating?

Codes Family Planning Methods Awareness(Yes - 1, No - 2)

Modern

01 Tubectomy

02 Vasectomy

03 Copper-T / IUD

04 Pills (Daily)

05 Pills (Weekly)

06 Emergency Contraceptive Pill

07 Condom / Nirodh

08 Injectable Contraceptives

09 Other modern method

Traditional

10 Contraceptive Herbs

11 Rhythm / Periodic Abstinence

12 Withdrawal

13 Lactational Amenorrhoea Method (LAM)

14 Other traditional method

Yes-1, No-2, Not sure-3

If Code ‘1’, record no. of completed monthsof pregnancy.

Yes-1, No-2

Number of completed months

Now 1

LaterWithin 2 years 22 years or more 3

Did not want any (more) children at all 4

CODE Go toQ.13

Yes 1 Go toLactational Amenorrhoea 2 Q.7Secondary Amenorrhoea 3

No In Menopause 4 Go toUterus Removed 5 Q.13Never Menstruated 6 Go to

Q. 21CODE

Section II – Currently Married Woman (Aged 15-49 years)

If Code ‘2’go to Q.5

If Code ‘2’or ‘3’, go

to Q.6

141

BIHARA


19

Then 1Later Within 2 years 2

2 years or more 3Did not want any (more) children at all 4

CODE

Yes-1, No-2

Yes-1, No-2

(Use Codes from Q.1)

GOVERNMENT

Govt. / Municipal hospital 1

Govt. Dispensary 2UHC / UHP / UFWC 3

CHC 4

PHC 5

Camp 6

PRIVATEHospital 7


Others 9

CODE

Yes-1, No-2

Before /At the time of discharge 1

At the time of first follow up 2

After several visit 3

CODE

Amount (In Rs.)

Less than 6 months 1

6 months to < 1 year 2

1 year to < 2 years 3

2 years or more 4

Not remember 5

CODE

Yes-1, No-2

Q.7 When you became mother last time,did you want this child then, did youwant to wait until later or did you notwant to have any (more) children atall?

(Applicable for those who have givenatleast one live birth)

Q.8 Is your husband living with you?

Q.9 (i) Are you or your husband currentlyusing any method(s) of familyplanning?

(ii) If Code ‘1’ in Q.9 (i), specify the mostused method

(iii) If Code ‘01’ or ‘02’ in Q.9 (ii), wheredid you or your husband got theoperation done?

(iv) Did you/your husband receive thecompensation after sterilization?

(v) If Yes, when did you/your husbandreceive compensation forsterilization?

(vi) How much compensation did you/your husband receive?

Q.10 (i) How long have you or yourhusband been using this methodcontinuously?

(ii) Have you/your husband had anyhealth problems after you/yourhusband started using thismethod?

If Code‘2’, go to

Q.12

If Code‘03-14’,

go toQ.10


Q.13


Q.20

Go toQ.20

142

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

20

PUBLIC MEDICAL SECTOR

Govt. / Municipal hospital 01

Govt. Dispensary 02

UHC / UHP / UFWC 03

CHC 04

PHC 05

Sub centre 06

Govt. AYUSH hospital /clinic 07

Govt. Mobile clinic 08

Camp 09

Anganwadi / ICDS Centre 10

ASHA / ANM 11

Other community based worker 12

Other public sector health facility 13

PRIVATE MEDICAL SECTOR

Pvt. Hospital / clinic 14

Pvt. AYUSH Hospital / clinic 15

ANY OTHER SOURCE

Pharmacy / Shop 16

Husband 17

Friends / Relatives 18

Vending machine 19

Others 20

CODE Go toQ.17

Wanted child now / soon 01Lack of knowledge about family planning 02Against the religion 03Opposed to family planning 04Husband opposed 05Other family members opposed 06Not liking existing methods 07Afraid of sterilization/operation 08Cannot work after sterilization/operation 09Worry about side effects 10Costs too much 11Health does not permit 12Difficult / inconvenient to get method 13Inconvenient to use method 14Lack of access / Too far 15Infertility 16Others 17

CODE

Yes-1, No-2


Q.11 From where did you obtain thismethod last time?

[Not applicable for Code ‘11’ or ‘12’or ‘13’ if recorded in Q.9 (ii)]

(After recording the response, go toQ.17)

Q.12 What is the main reason for currentlynot using any method of familyplanning?

Q.13* (i) Have you /your husband usedany method in the past anddiscontinued?

(ii) If Code ‘1’ in Q.13 (i), specify themost used method?

If Code ‘2’,go to Q.15

If Code ‘01’or ‘02’, go

to Q.21

143

BIHARA


21

Wanted child 01Method failed/became pregnant 02Supply not available 03Difficult/inconvenient to get method 04Weakness/inability to work 05Body ache/back ache 06Cramps 07Weight gain 08Dizziness 09Nausea/Vomiting 10Breast tenderness 11Irregular periods 12Excessive bleeding 13Spotting 14White discharge 15Lack of pleasure 16Method was inconvenient 17Others 18

CODE

Yes-1, No-2

Within 6 months 16 months to < 1 year 21 year to < 2 years 32 years or after 4

CODE


Want more children 1

Want no more children 2

Not decided 3

CODE

Boy 1Girl 2Doesn’t matter 3

CODE

Soon/Now/Less than 1 year 11 year to < 2 years 22 years to < 3 years 33 years or more 4Not decided 5

CODE

Q.14* What was the main reason fordiscontinuing the use of themethod in the past?

* For Code ‘4’ or ‘5’ in Q.6, skip andgo to Q.21 after recording theresponse(s) in Q.13/Q.14

Q.15 Do you intend to use any method offamily planning, any time in the future?

Q.16 If Code ‘1’ in Q.15, then

(i) When do you want to use?

, (ii) Which method would you preferto use?

Q.17 Would you like to have another child?

(For Currently Pregnant Woman,response should pertain to child otherthan she is expecting now)

Q.18 What would you prefer as your nextchild?

Q.19 How long would you like to wait tohave another child?


Q. 20


Q.17

144

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

22

Q.20 Did an ANM /Health worker visit youduring the last three months?

(Applicable only for currently pregnantwomen/lactating mother)

Q.21 Have you ever been counselled byHealth Functionaries for menstrualhygiene?

Q.22 Have you heard of RTI/STI?

Q.23 Have you heard of HIV/AIDS?

Q.24 Are you aware about theadministration of HAF/ORT/ORSand Zinc during diarrhoea?

Q.25 Are you aware of the danger signs ofAcute Respiratory Infection (ARI)/Pneumonia?

Q.26 Are you aware of the danger signs ofnew born?

Yes-1, No-2

Yes-1, No-2

Yes-1, No-2

Yes-1, No-2

Home Available Fluids (HAF)

ORT/ORS

ORT/ORS and Zinc

Yes-1, No-2

Yes-1, No-2

Item Code

Yes 1

No 2

Result of Interview

Completed 1

Not completed

Refused 2

Incapacitated 3

Partly completed 4

Not at Home 5

Others (Please specify) 6

CODE Name & Signature of Name & Signature/Thumbthe Enumerator Impression of the Respondent

Date of InterviewD D M M Y Y Y Y

145

BIHARA


Remarks of Enumerator

Remarks of Supervisor

Name & Signature with Date:

Name & Signature with Date:

146

BIHARA

nnua

l Hea

lth S

urve

y 20

12-1

3

Col

. 1

to 3

to

be f

illed

for

all

Hou

seho

lds

& C

ol.

4 to

23

for

deat

hs o

ccur

red

to t

he u

sual

res

iden

ts o

f th

e sa

mpl

e un

it d

urin

g 01

.01.

2011

to

31.1

2.20

11.

Sti

ll bi

rths

not

to

be i

nclu

ded.

Serial No.

Hou

se N

o.(4

dig

its)

*

12

34

56

78

910

1112

1314

1516

1718

1920

2122

23

Source of medical attentionbefore death (Code)

Dat

e of

Dea

th

Cod

e fo

r C

ol.

(18)

Item

Cod

e

Dur

ing

ante

nata

l per

iod

1

Dur

ing

deliv

ery

2

Dur

ing

abor

tion

3

With

in 4

2 da

ys o

f del

iver

y4

Afte

r 42

days

of d

eliv

ery

5

With

in 4

2 da

ys o

f abo

rtion

6

Afte

r 42

days

of a

borti

on7

Cod

e fo

r C

ol.

(20)

Item

Cod

eD

elay

in

rece

ivin

g he

alth

car

e1

at f

acili

ty

Inad

equa

te c

are

at h

ealth

fac

ility

2

Lack

of

tran

spor

t in

shi

ftin

g to

3fa

cilit

y

Lack

of

fund

s4

Ser

ious

ness

of

the

cond

ition

5no

t re

aliz

ed

Ser

ious

ness

of

the

cond

ition

6re

aliz

ed b

ut d

ecis

ion

not

mad

eby

fam

ily m

embe

rs

Oth

ers

7

Cod

e fo

r C

ol.

(21)

Item

Cod

e

Exc

ess

blee

ding

1

Sep

sis

2

Pre

gnan

cy In

duce

dH

yper

tens

ion

(PIH

)3

Pro

long

ed L

abou

r/4

Obs

truct

ed la

bour

Inju

ry to

ute

rus

& o

ther

orga

ns5

Ana

emia

6

Jaun

dice

7

Mal

aria

8

Oth

er m

edic

al c

ondi

tions

inpr

egna

ncy

9

Oth

er c

ondi

tions

not

rela

ted

to p

regn

ancy

0

Cod

e fo

r C

ol.

(22)

Item

Cod

e

< 2

hour

s1

2 ho

urs

to <

24

hour

s2

24 h

ours

to <

2da

ys3

2 da

ys to

< 7

day

s4

7 da

ys <

14

days

5

14 d

ays

or m

ore

6

Household No. (2 digits)*

Nam

e of

the

dec

ease

d

Sex of deceased (Male-1, Female-2)

Below 1 month (in days)

1 to 11 months (in completed months)

1 year and above (in completed years)

Place of death (Code)

D D

M M

YY

YY

AN

NU

AL

HE

ALT

H S

UR

VE

YM

OR

TALI

TY S

CH

ED

ULE

Sta

teZ

one

Dis

trict

Rur

al-1

,U

rban

-2S

tratu

mS

ampl

eU

nit

Con

fiden

tial

whe

n fil

led

Pag

e N

o. .

......

...

Is the death registered?(Yes-1, No-2, Don't know-3)

If Code ‘1’ in Col. 12,whether received the Death

certificate? (Yes-1, No-2)

Serial number of motheras in Household Schedule

Order of birth

Symptoms precedingdeath (Code)

Was the death associatedwith pregnancy? (Yes-1, No-2)

Period when the deathoccurred? (Code)

If Code ‘1’ or ‘2’ or ‘3’ inCol.18, how many monthswas she pregnant at the

time of death?

Top two factors contributing to death in order of priority (Code)

Symptoms preceding death(Code)

Time between onset ofcomplications and death (Code)

Distance from place (where thedeceased was staying) to the nearest

medical facility (in kms)#

P1P2

Age

at

deat

hR

egis

trat

ion

of d

eath

For

Infa

nt d

eath

(<

1 ye

ar)

For

fem

ale

dece

ased

age

d 15

-49

year

sIf

‘Yes

’ in

Col

. 17

, as

k th

e fo

llow

ing

Cod

e fo

r C

ol.

(10)

Item

Cod

e

GO

VE

RN

ME

NT

Sub

Cen

ter

01

PH

C0

2C

HC

03

UH

C/U

HP

/UF

WC

04

Dis

pe

nsa

ry/C

linic

05

Ho

spit

al

06

AY

US

H H

osp

ita

l/C

linic

07

PR

IVA

TE

Dis

pe

nsa

ry/C

linic

08

Ho

spit

al

09

AY

US

H H

osp

ita

l/C

linic

10

NG

O o

r T

rust

Hos

p/C

linic

11

At

Hom

e1

2O

ther

s9

9N

o M

edic

al A

tten

tion

00

*=

To b

e co

pied

fro

m H

ouse

hold

Sch

edul

e

#=

if di

stan

ce i

s le

ss t

han

1 km

, re

cord

‘0’

Cod

e fo

r C

ol. (

16) C

ontd

.

Item

Cod

eP

re-t

erm

/Low

bir

th0

9w

eigh

t ba

by n

otth

rivi

ngR

espi

rato

ry i

nfec

tion

10

Dia

rrho

ea /

Dys

ente

ry1

1F

ever

with

ras

h1

2F

ever

with

con

vuls

ion

13

Fev

er w

ith j

aund

ice

14

Oth

ers

15

Neo

nata

l mor

talit

y (0

-28

days

):C

odes

01-

09 &

15

Pos

t ne

onat

al m

orta

lity

(29-

365

days

): C

odes

08-

15

Nam

e an

d S

igna

ture

of t

he E

num

erat

or

SI.

No.

Nam

eS

igna

ture

Dat

e

Enu

mer

ator

-1:

Enu

mer

ator

-2:

Cod

e fo

r C

ol.

(11)

Item

Cod

eA

t ho

me

1In

-tra

nsit

2In

hea

lth f

acili

ty3

Oth

er p

lace

s4

Cod

e fo

r C

ol.

(16)

Item

Cod

e

Asp

hyxi

a0

1H

ypot

herm

ia0

2In

fect

ion

s0

3B

irth

Inj

urie

s0

4C

on

vuls

ion

s so

on

05

afte

r bi

rth

Jau

nd

ice

06

Ble

ed

ing

fro

m u

mb

ilicu

s0

7&

els

ewhe

re

Con

geni

tal/

Bir

th d

efec

ts0

8

147

BIHARA


LIST OF OFFICERS ASSOCIATED WITH THE FACTSHEET

Vital Statistics Division(Annual Health Survey)

Sl. No. Name Designation

1 Dr. Vijay P. Goel Deputy Director General & Project Director

2 Shri Rohit Bhardwaj Deputy Registrar General

3 Shri Rajeev Kumar Senior Research Officer

4 Shri Muhammed Yasir. F Senior Research Officer

5 Shri Rajesh N. Malvia Deputy Director

6 Shri Deepak Dhanawat Research Officer

7 Shri Narendra Singh Research Officer

8 Shri Harmeet Singh Maddh Assistant Director

9 Shri Mohan K. Tiwary Assistant Director

10 Shri Suresh Kumar Assistant Director

11 Shri Pankaj Shrivastava Statistical Investigator Gr. I

12 Shri Ravinder Kumar Statistical Investigator Gr. I

13 Shri Sandeep Goel Senior Compiler

14 Shri Tufail Ahmad Compiler

15 Smt. Navita Bhatia Compiler

91.8

83.3

99.2

69.9

56.2

80.3

81.6

58.3

31

37

60.9

64.5

24.8

7.8

49.9

85.4

41.2

0 10 20 30 40 50 60 70 80 90 100

Care sought for Fever

Care sought for Diarrhoea

Care sought for ARI

Fully Immunized

Received at least one Vitamin A dose

Received Measles vaccine

Received 3 doses of DPT vaccine

Animal/Formula Milk

Exclusively breastfed for at least six months

Children breastfed within one hour of birth

Check up within 48 hrs

Safe Delivery

Ultrasound

Full Antenatal Check up

Antenatal Check-up in First Trimester

Received any Antenatal Check-up

Family Planning (Any Method) (%)

Bihar: Coverage along the continuum of care

Pregnancy

Birth

Infancy

Childhood

Pre pregnancy

ANNUAL HEALTH SURVEY 2012-13 FACT SHEETcensusindia.gov.in/vital_statistics/AHSBulletins/AHS... ·...

Documents

Transcript of ANNUAL HEALTH SURVEY 2012-13 FACT SHEETcensusindia.gov.in/vital_statistics/AHSBulletins/AHS... ·...