Annual Health Survey

8/11/2019 Annual Health Survey

1/48

Annual Health Survey: 2010 11

nnual Health Survey: 2010-11

State Institute of Health and Famil welfare

Jaipur

1SIHFW: an ISO 9001:2008 certified Institution


2/48



3/48

Objective

o y e enc mar s o core v a an

health indicators at the district level and

to map changes therein on an annual

basis



4/48

Background

,

PMO and Planning Commission.

Entrusted to ORGI [experience of Sample

eg s ra on ys em

S onsored b Ministr of Health & Famil

Welfare (MOHFW)



5/48

Need for AHS

Nine AHS States

Rajasthan, UP, UK, Bihar, Jharkhand,Orissa MP Chhattis arh and Assam

48 percent of countrys Population

59 ercent of Births

70 percent of Infant Deaths

62 percent of Maternal Deaths



6/48

Justification:

large inter-district variations.

In the absence of District level vital data, State

level estimates from Sample Registrationys em are use or ormu a ng s r c

level plans.



7/48

Key Features

Coverage-All the 284 districts of 8 EAG States

and Assam Sample Units- 20,694 statistically selected

sample units (Census Enumeration Blocks in

urban areas and Villages in rural areas) amp e opu a on- ou . m on

Sample Households- 3.6 million households

Average Sample households per district- About13 thousand

arges amp e urvey n e or



8/48

Sample Size- District level sample size is

based on Infant Mortality Rate

Field Work- Hybrid approach wherein

ieldwork has been outsourced and supervision

done by the ORGI

r ar y u - r ar y u was

implemented under AHS to verify the

arrangement.

supervision by ORGI

Exhaustive Trainin manual and three da s

ToT, state/zone level training8SIHFW: an ISO 9001:2008 certified Institution


9/48

Allocation of Sample

Districts: 284

No. of households: 3625418

Districts: 32

No. of households: 324342



10/48

Survey Tools

Nine States

July 2010-March 2011

House listing

Women

or a y



11/48

Indicators Covered

Crude Death Rate (CDR)

Neo-Natal Mortality Rate (NNMR)

Maternal Mortality Ratio (MMR)(only for Zone)

at Birth (SRB)

-



12/48

Rajasthan vs Other Statesajasthan vs. Other States



13/48

Crude Birth Rate

18.6 20

21.923.7 23.9 24.7

25 .

al a m d h n h h

r

Uttranc

h

Oris

Assa

Jhark

ha

Cha

ttisga

Ra

jasth

hya

Pra

de

ttar

Pra

de Bih

Ma



14/48

Crude Death Rate

8.6

6.1 6.6 6.6 7.2 7.2

7.6.

an

d

cha

l

han

ihar

sam

arh

es

h

issa

es

h

Jhark

Uttran

Rajas

As

Cha

ttis

adhya

Pra O

r

Uttar

Pra



15/48

Natural Growth Rate

19.5

11.6 12

14.716.3 16.9 17.1

. .

issa

cha

l

sam

arh

es

hes

h

an

d

han

ihar

O

r

Uttran

As

Cha

ttis

Uttar

Pra

adhya

Pra

Jhark

Rajas



16/48

Infant Mortality Rate

43

53 55 60 60 62

67

an

d

cha

l

arh

ihar

sam

han

issa

es

hes

h

Jhark

Uttran

Cha

ttis

As

Rajas

O

r

adhya

Pra

Uttar

Pra



17/48

Neonatal Mortality Rate

50

3035 35 39 40 40

an

d

cha

l

arh

ihar

sam

issa

han

es

hes

h

Jhark

Uttran

Cha

ttis

As

O

r

Rajas

adhya

Pra

Uttar

Pra



18/48

Post Natal Mortality Rate

1517 19

20 20 21

cha

l

an

darh

ihar

sam

han

es

h

issa

es

h

Uttran

Jhark

Cha

ttis

A

s

Rajas

Uttar

Pra O

r

adhya

Pra



19/48

Under 5 Mortality Rate

94

53 59

70 77 78 79

82

cha

l

an

darh

ihar

sam

han

issa

es

hes

h

Uttran

Jhark

Cha

ttis

A

s

Rajas

O

r

adhya

Pra

Uttar

Pra



20/48

Sex Ratio (at Birth))

951

904 904 905919 923 925

866878

cha

l

han

es

hes

h

issa

ihar

an

d

sam

arh

Uttra

n

Rajas

Uttar

Pra

adhya

Pra O

r

Jhark A

s

Chattis



21/48

Sex Ratio (0-4 yrs)y )

978

911 913931 933 937

956

870 877

han

cha

l

es

hes

h

ihar

issa

an

d

sam

arh

Rajas

Uttra

n

adhya

Pra

Uttar

Pra O

r

Jhark A

s

Chattis



22/48

Sex Ratio (All Ages)g )

992 994

942 943 950 953

968

912925

es

h

han

an

des

h

ihar

sam

arh

cha

l

issa

adhya

PraRajas

Jhark

Uttar

Pra A

s

Chattis

Uttra

n

O

r



23/48

MMR

381

275 277 278 305 310

331 345

188

cha

l

arh

issa

an

d

ihar

es

h

han

es

h

sam

Uttra

n

Chattis

O

r

Jhark

adhya

Pra

Raja

s

Uttar

Pra

A

s



24/48

India Rajasthan

: .

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



25/48

India Rajasthan

MMR: 212 MMR: 331 on Zone

Sex ratio:

0-6 Yr: 914

basis)

Sex ratio

all ages: 940 at birth: 878

0-4 Yr: 870

all ages: 925



26/48

Rajasthan: District-wise Findings



27/48

Natural Growth Rate

26.1

. .

18.215.7 15.7 14.9

r r a n k h a

Barm

Dhaulp

Banswa

Rajasth To

hittorga

Banswa



28/48

Natural Growth Rate

26.1

23.1

21.3

2020.6

21.621.5

23.1

18.2

16.4

17.4

18.5

17.217.417

17.9

15.8

17.217.9

16.9

17.617.5 17.2

16.717.4

15.7 15.9

.

15.716.3

18.9

17.2

.

as

than

anagar

angarh

ikaner

Churu

njhunu

Alwar

ratpur

ho

lpur

Karau

li

dhopur

Dausa

Ja

ipur

Sikar

Nagaur

odhpur

sa

lmer

armer

Ja

lore

Siro

hi

Pa

li

Ajmer

Ton

k

Bun

di

ilwara

aman

d

da

ipur

garpur

swara

orgarh

Ko

ta

Baran

alawar

Ra

j

Gang

H

anum

Jhu

Bh

Saw

aiMa J

Ja

iB

Ra

jDuB

a

Chit J



29/48

35Crude Birth Rate

29.1

32.5

29.9

30.8

30

24.7 24.9

27.527.427.9 28.1 28

24.725

22.7

23.6 23.423.322.9

23.8

22.423.1

2423.4

23.924.2 24.1

23.523.8

23.323.7

22.4

21.422

20

15

than

agar

ang

aner

huru

unu

lwar

tpur

lpur

rau

li

awa

i

ausa

ipur

ikar

gaur

hpur

lmer

rmer

lore

iro

hi

Pa

li

jmer

on

k

un

di

wara

an

d

ipur

rpur

wara

garh

Ko

ta

aran

awar

Ra

ja

Ganga

H

anuB

i C

J

hun

j

Bhar

Dh K D J N

Jo

d

Ja

is Ba J

Bhil

R

ajsa

Ud

D

ung

Bans

C

hitto

Jha

l



30/48



31/48

Crude Death Rate

8.7

7.4 7.47.67.87.5

8.2

7.7 7.8

6.6

6.36.36.46.3

5.95.96 5.9

6.2

6.6

5.96.1

6.56.3

6.7

6.4

6.96.8

6.4 6.5

6.8

. .

an a

ran e

rru n

u ar

ur

ur

uli a

isa u

rkar

ur

ur

er

er

reo

hi

ali e

rn

kn

di

ara n

d ur

ur

ara rh

ota a

n ar

Ra

jas

t

Gan

gana

H

anu

Bika

Ch

Jh

un

jh Al

Bhara

t

Dho

l

Kar

Sa

Da

Ja

iSi

Nag

Jo

dh

Ja

isa

l

Bar

Ja

lSir

Aj

To

Bu

Bhilw

Rajsam

Uda

i

Du

ngar

B

answ

Chittorg KB

a

Jha

la



32/48



33/48

Infant Mortality Rate (Raj.)

6964

55

59

4943

38

Total Rural Urban

Male Female

Total Rural Urban



34/48



35/48

50 Neo-Natal Mortali ty Rate 25 Post Natal Mortality Rate

4040

2021

20

3030

35

1415

20

25

10

10

15

5

0

5

0

Total Rural Urban Total Rural Urban



36/48

Under 5 Mortality Rate (Raj.)

79

85

80

90

8792

100

5760

70 72

79

6570

80

40

50 50

40

50

10

20

10

20

30

0

Total Rural Urban

0

Total Rural Urban



37/48

Infant Mortality Rate

85

68 72

79

68 6765

75

60

6055

5963

67

57 5958

62 57 65 6262

62

55

65

5454

55 55 56 54 55

5145

3635

Ra

jas

than

nganagar

umangarh

Bikaner

Churu

hun

jhunu

Alwar

Bhara

tpur

Dho

lpur

Karaul

i

Ma

dhopur

Dausa

Ja

ipur

Sikar

Nagaur

Jo

dhpur

Ja

isa

lmer

Barmer

Ja

lore

Siroh

i

Pali

Ajmer

Tonk

Bund

i

Bhilwara

ajsamand

Uda

ipur

ungarpur

Banswara

hittorgarh

Kota

Baran

Jha

lawar

GHan

Sawa

i C



38/48

Post Natal Neo-Natal Mortality

Rate

21

75PNMR NNMR

20

2118 16 24

1326

2421

1617

18

21

17

2020

2422

2321

1721

1855

46

5458

48 47

23 18

10

35

4039353736

3935 36 33

3932 35 30

41 393433

4140 41

25

41

5

15

Ra

jas

than

anganaga

r

umangar

h

Bikane

r

Churu

Jhun

jhunu

Alwa

r

Bhara

tpu

r

Dho

lpu

r

Karau

li

Ma

dhopu

r

Daus

a

Ja

ipu

r

Sika

r

Nagau

r

Jo

dhpu

r

Ja

isa

lme

r

Barme

r

Ja

lor

e

Siroh

i

Pa

li

Ajme

r

Tonk

Bund

i

Bhilwar

a

ajsaman

d

Uda

ipu

r

Dungarpu

r

Banswar

a

hittorgar

h

Kot

a

Baran

Jha

lawa

r

GHa

Sawa

i



39/48

Under 5 Mortality Rate

99 99100

110

79 79

73 74

82

7577

8078

87

74

82

7578

86 85

78 7773

81

8589 88 87

7579 82

80

90

69

60

70

45

40

50

n r h r u u r r r li r a r r r r r r e i li r i a r r a h a n r

Ra

jasth

a

anganag

umangar

Bikan

Chu

r

Jhun

jhu

n

Alw

Bharatp

u

Dholp

u

Kara

u

iMa

dhop

u

Dau

s

Jaip

u

Sik

Nagau

Jo

dhp

u

Ja

isalm

BarmJal

or

Siro

P

a

AjmTon

Bun

Bhilwar

Ra

jsama

n

Udaip

u

Dungarp

u

Banswar

hittorgar

Ko

t

Bara

Jha

law

Ha

Sawa



40/48

Sex Ratio (Raj.)

925932

905

878

870

876872

At birth (0-4) Yr All ages


(All )1100


41/48

Sex Ratio (Allages)10551050

965

961

960 986

1002

983 982

1001

975

1000

925

883

911 882 889

881

922

913

938

905908

906

929

928900

882

827

872 851

800

850

750

ana

rrh

ner

runua

rur

ur

uli u

rsau

rkar

ur

ur

er

er

reo

hi

ali e

rn

kn

di

aran

dur

ur

ararh

ota

rana

r

All ages

Ra

jas

t

Gangan

a

anuman

g

Bik

a

C

h

Jhunj

h A

l

Bhara

t

Dho

l

Ka

r

aiMa

dh

o

D

a

Ja

iSi

Na

g

Jod

h

Ja

isa

l

Ba

r

Ja

l

S

ir

A

j

T

o

B

u

Bhilw

Ra

jsamUd

ai

Dungar

Bans

w

Chittorg K

B

a

Jhala

Sa


( Bi h)1000


42/48

Sex Ratio (atBirth)968

950

889

905914

909 922

887 887

927

912

923

900

878 874 865

830841

846

856

844 841

882 883 894

836

872

846

864850

820

782

800

750

jas

than

anagar

angarh

Bikaner

Churu

njhunu

Alwar

ara

tpur

Dho

lpur

Karauli

dhopur

Dausa

Ja

ipur

Sikar

Nagaur

odhpur

isa

lmer

Barmer

Ja

lore

Siro

hiPali

Ajmer

Tonk

Bun

di

hilwara

samand

Uda

ipur

ngarpur

nswara

torgarh

Ko

ta

Baran

ha

lawar

RGan

Hanu J

h B

Sawa

iM J

Ra

jDuB

Chi J


1050


43/48

Sex Ratio (0-4 yr)

1000

919 916900 910

987

934950

870874 870

834847

837

857 870

882

875

894865

893

908

883850

900

861843 847

826

789

826 817

845

800

750

ajas

than

ganagar

mangarh

Bikaner

Churu

un

jhunu

Alwar

hara

tpur

Dho

lpur

Karaul

i

adhopur

Dausa

Ja

ipur

Sikar

Nagaur

Jo

dhpur

aisa

lmer

Barmer

Ja

lore

Siroh

i

Pali

Ajmer

Tonk

Bund

i

Bhilwara

jsamand

Uda

ipur

ngarpur

answara

ittorgarh

Kota

Baran

ha

lawar

RGa

Hanu J B

Sa

wa

iM J

Ra

DBCh



44/48



45/48

State/Zone /(Districts) Sample

Female

Po ulation

Sample

Live

Births

Maternal

Deaths

MMR

Rajasthan 434673 129984 430 331

Bikaner

(Ganganagaer, Hanumangarh,

Churu, Bikaner)

53055 14854 51 343

Jaipur(Jhunjhunu, Alwar, 90722 25099 80 319

, ,

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



46/48

State/Zone/(Districts) Sample

Female

Sample

Live

Maternal

Deaths

MMR

Population

Births

Ajmer

(Nagaur, Ajmer, Tonk,

Bhilwara)

57230 15976 54 338

(Jodhpur, Jaisalmer,

Barmer, Jalor, Sirohi, 81627 26117 84 322

Kota

(Bundi, Kota, Baran, 46845 13134 343

Jhalawar)

Udaipur

, ,

Chittorgarh, Dungarpur,

Banswara)

62302 20078 73 364



47/48

Maternal Mortality Ratio

(at Zonal level)

364370

390

343 343

338 331322 319330

350

292290

310

250

pur

ner

ota e

ran

pur

pur

pur

Ud

ai

Bika

A

j

Rajast

Jod

h

J

ai

Bharat

Administrative Division



48/48

Thank You

For more details log on to

www.sihfwrajasthan.comor

contact : Director-SIHFW

[email protected]


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