Annual Health Survey 21.07 - SIHFW) Rajasthan Health Survey.pdf · Annual Health Survey: ... S t...

Annual Health Survey: 2010 11Annual Health Survey: 2010-11

State Institute of Health and Family welfare,State Institute of Health and Family welfare,Jaipur

1SIHFW: an ISO 9001:2008 certified Institution

Objectivej

T i ld b h k f it l dTo yield benchmarks of core vital and

health indicators at the district level and

to map changes therein on an annual

basis


Background

• Initiated by National Commission on Population• Initiated by National Commission on Population,

PMO and Planning Commission.

• Entrusted to ORGI [experience of Sample

R i t ti S t (SRS)]Registration System (SRS)]

• Sponsored by Ministry of Health & Familyp y y y

Welfare (MOHFW)


Need for AHS

Nine AHS States –Nine AHS StatesRajasthan, UP, UK, Bihar, Jharkhand,Orissa, MP, Chhattisgarh and Assam, , g

• 48 percent of country’s Population• 59 percent of Births59 percent of Births• 70 percent of Infant Deaths• 75 percent of Under 5 Deaths75 percent of Under 5 Deaths• 62 percent of Maternal Deaths


Justification:

– large inter-district variations.– In the absence of District level vital data, State

level estimates from Sample Registration S t (SRS) d f f l ti di t i tSystem (SRS) are used for formulating district level plans.


Key Features

• Coverage- All the 284 districts of 8 EAG Statesand Assam

• Sample Units- 20,694 statistically selectedsample units (Census Enumeration Blocks inurban areas and Villages in rural areas)S l P l ti Ab t 18 2 illi• Sample Population- About 18.2 million

• Sample Households- 3.6 million households• Average Sample households per district- About

13 thousandL t S l S i th W ld• Largest Sample Survey in the World


• Sample Size- District level sample size isbased on Infant Mortality Rate

• Field Work- Hybrid approach whereinffieldwork has been outsourced and supervisiondone by the ORGIThi d P t A dit Thi d P t A dit• Third Party Audit- Third Party Audit wasimplemented under AHS to verify thecorrectness of data through an independentcorrectness of data through an independentarrangement.

• This was over and above the regularThis was over and above the regularsupervision by ORGI

• Exhaustive Training manual and three daysExhaustive Training manual and three daysToT, state/zone level training


Allocation of Sample

• India (9 States)India (9 States)– Districts: 284 – Total Sample Population:18127089Total Sample Population:18127089– No. of households: 3625418

• Rajasthan• Rajasthan– Districts: 32

Total Sample Population: 1621710– Total Sample Population: 1621710– No. of households: 324342


Survey Toolsy

• The baseline surveyThe baseline survey – Nine States

• Time frameTime frame– July 2010-March 2011

• Four type of Schedules administered• Four type of Schedules administered– House listing

Household– Household– Women

M t lit– Mortality10SIHFW: an ISO 9001:2008 certified Institution

Indicators Covered

• Crude Birth Rate (CBR)Crude Birth Rate (CBR)• Crude Death Rate (CDR)• Infant Mortality Rate (IMR)Infant Mortality Rate (IMR)• Neo-Natal Mortality Rate (NNMR)• Under Five Mortality Rate (U5MR)• Under Five Mortality Rate (U5MR)• Maternal Mortality Ratio (MMR)(only for Zone)• Sex Ratio• Sex Ratio

– at Birth (SRB)– 0-4 years & All ages– 0-4 years & All ages


Rajasthan vs Other StatesRajasthan vs. Other States


Crude Birth Rate

25 5 26.7

18.6 2021.9

23.7 23.9 24.7 25 25.5 26.7

al sa m nd rh an sh sh ar

Uttr

anch

a

Oris

s

Ass

am

Jhar

khan

Cha

ttisg

ar

Raj

asth

a

dhya

Pra

des

Utta

r Pra

des

Bih

a

Mad U


Crude Death Rate

8 8 3 8.6

6.16.6 6.6

7.2 7.2 7.6 8 8.3

hand

chal

than

Bih

ar

sam

garh

desh

issa

desh

Jhar

kh

Uttr

anc

Raj

ast B

Ass

Cha

ttisg

Mad

hya

Prad Or

Utta

r Pra

d

M


Natural Growth Rate

17 6 18 219.5

11.6 1214.7

16.3 16.9 17.1 17.6 18.2

issa

chal

sam

garh

desh

desh

hand

than

Bih

ar

Or

Uttr

anc

Ass

Cha

ttisg

Utta

r Pra

d

Mad

hya

Prad

Jhar

kh

Raj

ast B

M


Infant Mortality Ratey

71

41 4353 55

60 60 6267 71

41

hand

chal

garh

Bih

ar

sam

than

issa

desh

desh

Jhar

kh

Uttr

anc

Cha

ttisg B

Ass

Raj

ast

Or

Mad

hya

Prad

Utta

r Pra

d

M16SIHFW: an ISO 9001:2008 certified Institution

Neonatal Mortality Ratey

4450

2630

35 3539 40 40

44

26

hand

chal

garh

Bih

ar

sam

issa

than

desh

desh

Jhar

kh

Uttr

anc

Cha

ttisg B

Ass Or

Raj

ast

Mad

hya

Prad

Utta

r Pra

d


Post Natal Mortality Ratey

22 22

1315

1719 20 20 21 22 22

13

chal

hand

garh

Bih

ar

sam

than

desh

issa

desh

Uttr

anc

Jhar

kh

Cha

ttisg B

Ass

Raj

ast

Utta

r Pra

d

Or

Mad

hya

Prad

M


Under 5 Mortality Ratey

89 94

5359

7077 78 79 82

89

53

chal

hand

garh

Bih

ar

sam

than

issa

desh

desh

Uttr

anc

Jhar

kh

Cha

ttisg B

Ass

Raj

ast

Or

Mad

hya

Prad

Utta

r Pra

d


Sex Ratio (at Birth)( )

951

904 904 905919 923 925

951

866878

chal

than

desh

desh

issa

Bih

ar

hand

sam

garh

Uttr

anc

Raj

ast

Utta

r Pra

d

Mad

hya

Prad Or B

Jhar

kh Ass

Cha

ttisg

M


Sex Ratio (0-4 yrs)( y )

978

911 913931 933 937

956

870 877

than

chal

desh

desh

Bih

ar

issa

hand

sam

garh

Raj

ast

Uttr

anc

Mad

hya

Prad

Utta

r Pra

d B Or

Jhar

kh Ass

Cha

ttisg

M


Sex Ratio (All Ages)( g )

992 994

942 943 950 953968

912925

desh

than

hand

desh

Bih

ar

sam

garh

chal

issa

Mad

hya

Prad

Raj

ast

Jhar

kh

Utta

r Pra

d B

Ass

Cha

ttisg

Uttr

anc

Or

M


MMR

381

88

275 277 278305 310 331 345

188

chal

garh

issa

hand

Bih

ar

desh

than

desh

sam

Uttr

anc

Cha

ttisg Or

Jhar

kh B

Mad

hya

Prad

Raj

ast

Utta

r Pra

d

Ass

M


IndiaCBR 22 5

Rajasthan• CBR: 22.5• CDR: 7.3

• CBR: 24.7• CDR: 6.6

• NGR: 15.2• IMR: 50

• NGR: 18.2• IMR: 60

• NNMR: 34• PNMR: 16

• NNMR: 40• PNMR: 20

• U-5 MR: 64 • U-5 MR: 79


India Rajasthan

• MMR: 212

j

• MMR: 331(on Zone • Sex ratio:

• 0-6 Yr: 914

(basis)

• Sex ratio 0 6 Yr: 914• all ages: 940 • at birth: 878

• 0-4 Yr: 870• all ages: 925


Rajasthan: District-wise Findings


Natural Growth Rate26.1

23 1 23 123.1 23.1

18.215.7 15.7 14.9

er ur ra an nk rh ra

Bar

me

Dha

ulpu

Ban

swar

Raj

asth

a

Ton

Chi

ttorg

ar

Ban

swar

C27SIHFW: an ISO 9001:2008 certified Institution

Natural Growth Rate

26.1

23.1

21.3

2020.6

19 4

21.6 21.5

23.1

18.2

16.417.4

18.517.217.4 17

17.9

15.8

17.217.9

16.9

17.617.5 17.2

16.717.4

15.7 15.914 9

19.4

15.716.3

18.9

17.2

14.9

jast

han

anag

aran

garh

Bik

aner

Chu

runj

hunu

Alw

arar

atpu

rD

holp

urK

arau

lidh

opur

Dau

saJa

ipur

Sika

rN

agau

rod

hpur

isal

mer

Bar

mer

Jalo

reSi

rohi

Pali

Ajm

erTo

nk

Bun

dihi

lwar

asa

man

dU

daip

urng

arpu

rns

war

ato

rgar

hK

ota

Bar

anha

law

ar

Raj

Gan

gH

anum

B

Jhu

Bh a D

Saw

ai M

ad N Jo Jai B Bh

Raj

s UD

un Ban

Chi

tt Jh


35Crude Birth Rate

29.1

32.5

29.930.8

30

24.7 24.9

27.527.427.9 28.1 28

24.7 2525

22.723.6 23.423.322.9

23.8

22.423.1

2423.4

23.924.2 24.123.523.8

23.323.7

22.421.4

22

25

20

15

stha

nna

gar

man

g…ka

ner

huru

hunu

Alw

arat

pur

olpu

rar

auli

Saw

ai …

ausa

aipu

rSi

kar

agau

rhp

ural

mer

arm

eral

ore

Siro

hiPa

liA

jmer

Tonk

B

undi

war

am

and

aipu

rar

pur

war

arg

arh

Kot

aB

aran

awar

Raj

asG

anga

nH

anum Bik C

Jhun

j h AB

hara

Dho Ka S D J a S

Na

Jod

Jais

aB

a Ja S A T BB

hilw

Raj

sam

Uda

Dun

gaB

answ

Chi

ttor B

Jhal


Crude Death Rate

8.7

7.4 7.47.6

7.87.5

8.2

7.7 7.8

6.66.36.36.46.3

5.95.9 6 5.96.2

6.6

5.96.1

6.56.3

6.76.4

6.96.86.4 6.5

5 75 7

6.8

5.75.7

han

gar

man

…ne

rur

uun

uw

ar pur

pur

auli

wai

…us

apu

rka

rau

rpu

rm

erm

er ore

ohi

Pali

mer nk

nd

iar

aan

dpu

rpu

rar

aar

hot

ara

nw

ar

Raj

asth

Gan

gana

gH

anum

Bik

anC

huJh

unjh

uA

lwB

hara

tpD

holp

Kar

aSa

wD

auJa

ip Sik

Nag

aJo

dhp

Jais

alm

Bar

mJa

loSi

ro PA

jm To Bu n

Bhi

lwa

Raj

sam

aU

daip

Dun

garp

Ban

swa

Chi

ttorg

a Ko

Bar

Jhal

aw


Infant Mortality Rate (Raj.)

6569

6064

5559

65

49

60

43

38

Total Rural Urban

Male Female

Total Rural Urban


4345

50 Neo-Natal Mortality Rate 25 Post Natal Mortality Rate

4043

40

45

2021

20

3030

35

1415

20

25

10

10

15

5

0

5

0Total Rural Urban Total Rural Urban


Under 5 Mortality Rate (Raj.)

7985

80

90

8792

90

100

5760

70 7279

6560

70

80

90

30

40

50 50

40

50

60

10

20

30

10

20

30

0Total Rural Urban

0Total Rural Urban

Male FemaleMale Female


Infant Mortality Rate85

68 72

79

6865

6762

65

75

6060

54

5559

63

67

5759

5862

57 65

65

62

62

6262

55

65

54 54 54 55 55 56 54 5551

45

36

25

35

25

Raj

asth

anan

gana

gar

uman

garh

Bik

aner

Chu

ruJh

unjh

unu

Alw

arB

hara

tpur

Dho

lpur

Kar

auli

Mad

hopu

rD

ausa

Jaip

urSi

kar

Nag

aur

Jodh

pur

Jais

alm

erB

arm

erJa

lore

Siro

hiPa

liA

jmer

Tonk

B

undi

Bhi

lwar

aR

ajsa

man

dU

daip

urD

unga

rpur

Ban

swar

ahi

ttorg

arh

Kot

aB

aran

Jhal

awar

Ga

Han

J

Saw

ai R D C


Post Natal & Neo-Natal Mortality Rate85

2165

75

85

PNMR NNMR

20

2120 18 19 16 24 13 26

24 21

24 1617

20 28

18

2117

22

2020

24 2223

21 17 2118

45

55

65

42 44 46 42

54 58

41 45 4841 43 41 45 41

47

20 19 24 23 20 28 2218

1025

35

45

40 39 35 37 36 39 3542

3644

3339

3242

3530

41 3934 33

45 41 40 43 41 45

25

41

5

15

25

Raj

asth

anan

gana

gar

num

anga

rhB

ikan

erC

huru

Jhun

jhun

uA

lwar

Bha

ratp

urD

holp

urK

arau

liM

adho

pur

Dau

saJa

ipur

Sika

rN

agau

rJo

dhpu

rJa

isal

mer

Bar

mer

Jalo

reSi

rohi

Pali

Ajm

erTo

nk

Bun

diB

hilw

ara

Raj

sam

and

Uda

ipur

Dun

garp

urB

answ

ara

Chi

ttorg

arh

Kot

aB

aran

Jhal

awar

GH

an

J

Saw

ai R C


Under 5 Mortality Rate

99 99100

110

79 7973 72 74

82

75 7780 78

87

74

82

7571

78

86 85

78 7773

8185

89 88 87

7579

8280

90

7269 71

60

70

45

40

50

n ar h er u u ar ur ur li ur a ur ar ur ur er er e hi li er k di a d ur ur a h a n ar

Raj

asth

anG

anga

naga

num

anga

rhB

ikan

eC

huru

Jhun

jhun

uA

lwa

Bha

ratp

uD

holp

uK

arau

li M

adho

puD

ausa

Jaip

uSi

kaN

agau

Jodh

puJa

isal

me

Bar

me

Jalo

reSi

roh

Pal

Ajm

eTo

nkB

und

Bhi

lwar

aR

ajsa

man

dU

daip

uD

unga

rpu

Ban

swar

aC

hitto

rgar

hK

ota

Bar

anJh

alaw

a

GH

an

Saw

ai C


Sex Ratio (Raj.)

925932

Total Rural Urban

888

905

Total Rural Urban

878870

876 872

888

865865

At birth (0-4) Yr All ages


Sex Ratio (All ages)1055

10301050

1100

965

961

960 986

1002

983

952

1030

9821001

975951950

1000

925

883

911 882

874

889

881

922

913

938

905908

952 951

906

929

928900

950

882874

819

827

872 851

800

850

819

750

han

gar

arh

ner

uru

unu

war pur

pur

auli

pur

usa

pur

kar

aur

pur

mer

mer ore

ohi

Pali

mer nk

nd

iar

aan

dpu

rpu

rar

aar

hot

ara

nw

ar

All ages

Raj

asth

Gan

gana

gH

anum

anga

Bik

anC

huJh

unjh

uA

lwB

hara

tpD

holp

Kar

aw

ai M

adho

pD

auJa

ip Sik

Nag

aJo

dhp

Jais

alm

Bar

mJa

loSi

ro PA

jm To Bun

Bhi

lwa

Raj

sam

aU

daip

Dun

garp

Ban

swa

Chi

ttorg

a Ko

Bar

Jhal

aw

H

Saw


Sex Ratio (at Birth)925

968950

1000

889

905

894

914

882

909 922887 887

925

870

927912

923

900

950

878 874

894 882865

830841

846

856

844 841

882 883 894

836

870872

846

864850

820

782800

700

750

700

ajas

than

gana

gar

man

garh

Bik

aner

Chu

ruun

jhun

uA

lwar

hara

tpur

Dho

lpur

Kar

auli

adho

pur

Dau

saJa

ipur

Sika

rN

agau

rJo

dhpu

rai

salm

erB

arm

erJa

lore

Siro

hiPa

liA

jmer

Tonk

B

undi

Bhi

lwar

asa

man

dU

daip

urng

arpu

ran

swar

atto

rgar

hK

ota

Bar

anha

law

ar

Ra

Gan

gH

anum Jh

u

Bh D

Saw

ai M

a J Ja BR

ajs

Du Ba

Chi

t J


Sex Ratio (0-4 yr)98

1000

1050

919 916900 910

987934

907

950

870 874 870

834847

837

857

860

870882

875875

894865

893908

855

907

883850

900

861843 847

834

826789

826

860

817

875845

855

800

700

750

700

Raj

asth

anng

anag

arm

anga

rhB

ikan

erC

huru

hunj

hunu

Alw

arB

hara

tpur

Dho

lpur

Kar

auli

Mad

hopu

rD

ausa

Jaip

urSi

kar

Nag

aur

Jodh

pur

aisa

lmer

Bar

mer

Jalo

reSi

rohi

Pali

Ajm

erTo

nk

Bun

diB

hilw

ara

ajsa

man

dU

daip

urun

garp

urB

answ

ara

ittor

garh

Kot

aB

aran

Jhal

awar

RG

anH

anum Jh B

Saw

ai M J

Ra Du B

Ch J


State/Zone /(Districts) Sample Female Population

Sample Live Births

Maternal Deaths

MMR

p

Rajasthan 434673 129984 430 331Bikaner(Ganganagaer, Hanumangarh,Churu, Bikaner)

53055 14854 51 343)

Jaipur(Jhunjhunu, Alwar, Dausa jaipur Sikar)

90722 25099 80 319Dausa,jaipur, Sikar)

Bharatpur(Bharatpur, Dhaulpur, Karauli, 42892 14726 43 292Sawaimadhopur)


State/Zone/(Districts) Sample Female

Sample Live

Maternal Deaths

MMRFemale Population

Live Births

Deaths

Ajmerj(Nagaur, Ajmer, Tonk, Bhilwara)

57230 15976 54 338

JodhpurJodhpur(Jodhpur, Jaisalmer, Barmer, Jalor, Sirohi, Pali)

81627 26117 84 322Pali)

Kota(Bundi, Kota, Baran, 46845 13134 343Jhalawar)

46845 13134 343

Udaipur(Rajsamand Udaipur(Rajsamand, Udaipur, Chittorgarh, Dungarpur, Banswara)

62302 20078 73 36446SIHFW: an ISO 9001:2008 certified Institution

Maternal Mortality Ratio(at Zonal level)

410( )

364370

390

410

343 343 338 331322 319330

350

292

270

290

310

250

270

pur

ner

Kot

a

mer

han

pur

pur

pur

Uda

i

Bik

a K Ajm

Raj

asth

Jodh Ja

i

Bha

rat

Administrative Division


Thank You

For more details log on towww.sihfwrajasthan.com

or contact : Director-SIHFW

on [email protected]


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