Presentation on Selected Indicators based on DLHS-III ( ) and DLHS-II( )

District Level House Hold Survey (DLHS) Conducted by Indian Institute of Population Science Initiated in 1997 ( I: 98-99, II : and III : ) One of the largest ever demographic and health surveys carried out in India, with a sample size of about hhs. per district To assess the utilization of Govt. services & peoples’ perception about quality & Services To provide estimate on important indicators on 1.Maternal & Child Health 2.Family Planning & other reproductive health services. 3.Important interventions of NRHM ( DLHS – III) Field work in Gujarat was conducted during April 2008 to Sept ’08 Information from 26,145 households collected

Antenatal care Indicators Guj. -TotalGuj.- RuralGuj -Urban DLHS IIIIIIIIIIIIIII Mothers who received any antenatal check-up (%) Mothers who had antenatal check-up in first trimester (%) Mothers who had three or more ANC (%) Mothers who had at least one TT inj (%) Mothers whose BP taken (%) Mothers who consumed 100 IFA Tablet(%) Mothers who had full ANC (%)

Mothers Received 3 ANC Improved more than 10 percent points Rajkot (18.2),Junagadh(15.0), Jamnagar (13.3),Dahod(10.1) Improvement below 10 percent points Surat (4.8),Porbandar (1.0), Anand (3.3), Amreli(1.8),Mehsana(1.5), Decreased up to 5 per-points Kheda(1.2),Bharuch(2.8),Bhavnagar (4.2),Patan(0.1),P.Ms(0.3) and Kachcha(3.3) Decreased more than 5 percent points A’bad (11.9),Navsari(5.8),Gandhinagar (5.2),Valsad(22.9),S.K.(11.8),Vadodara( 24.1),Narmada(13.0),S’nagar(8.4), B.K.(7.7) and Dangs(18.0

All-India improved by 6.5 per-point whereas Gujarat Improved by 4.3 per-points

Delivery care (%) Indicators Guj – TotalGuj – RuralGuj - Urban DLHS I DLHS II DLHS III DLHS I DLH S II DLHS III DLHS I DLHS II DLHS III Institutional delivery Delivery at home Delivery at home conducted by skilled health personnel Mothers who received PNC within two weeks of delivery Mothers who received FA for delivery under JSY

Institutional Delivery Improved more than 15 percent points Surat, Jamnagar, Kheda, Porbandar, P.Mahals, Kachchh, Junagadh, Bharuch and Dohad Improvement between 10 to 15 per-points Mehsana, Navsari, Rajkot, Banaskantha, Amreli and Bhavnagar Improvement between 5 to 10 per-points Ahmedabad, Anand, Patan, Narmada and Surendranagar Improvement below 5 percent points Gandhinagar, Sabarkantha and Valsad DeclineVadodara and Dangs

Percent Children Immunization (12-23 months) Indicators Guj. –TotalGuj.- RuralGuj-Urban DLHS IIIIIIIIIIIIIII Fully immunized Not received any vaccination Received BCG vaccine Received 3 doses of DPT Received 3 doses of Polio Children who have Received Measles Received at least one dose of vitamin-A supplement

Full Immunization Coverage is increased as per evaluated coverage to 82.5

Trends in Immunization coverage in Gujarat Dropout tracking is a re-emerging concern

India improved by 8 per-points, Gujarat improved by 1 per-point

Fully Immunized Children Improvement by more than 15 per-points Surat (+35.9%),Mehsana(+18.4%),Dahod (+17%), Junagadh (+16.4%), Patan(15.5%), Panchmahals(15.3),Narmada (16.1) Improvement between 10 to 15 per-points Anand (13.4),Gandhinagar (12.9) Improvement below 10 per- points Porbandar(2.1), Rajkot (3.5),Kheda (1.1),Surendranagar (0), Dangs(6.9),Banaskantha(9.0),S.K(3.7) Decrease below 10 per-points Amreli (1.7),Jamnagar (1.7), Bhavnagar (0.6), Kachchh(4.6), Decrease more than 10 per- points Navsari (11.0),Bharuch (22.6), Vadodara (17.8), Valsad (13.6),Ahmedabad (15.4),

Districtwise Immunization Performance (Children Months Fully Immunized(%) DLHS-2DLHS-3

Child feeding practices Indicators Guj. -TotalGuj.- RuralGuj -Urban DLHS II DLHS III DLHS II DLHS III DLHS II DLHS III Breastfed started within one hour of birth * Children age 0- 5 months exclusively breastfed Children exclu. breastfed for at least 6 months * Excellent improvement in Starting of Breast feeding within one hour

Initiation of breast feeding within 1 hour of birth DLHS-3,

India Improved 2.4 percent point, Gujarat improved 1.9 percent point

Current use of family planning methods - Gujarat Indicators Guj. -TotalGuj.- RuralGuj -Urban DLHS II DLHS III DLHS II DLHS III DLHS II DLHS III Any method (%) Any Modern Method (%) Female Sterilization (%) Male Sterilization (%) IUD (%) Pill (%) Condom (%)

Current Use of Any Modern Method Of Family Planning Improvement more than 5 percent points Surat (+5.6 %), Amreli (5.9),Bharuch (6.7),Vadodara(6.8), Rajkot (5.4), Kheda (6.2),Gandhinagar (6.0), Mehsana (8.7),Patan (7.4),Dangs (9.5), PMs (9.0), Banaskantha (12.3),Dahod (11.2) Improvement below 5 points Jamnagar (3.7),Narmada (1.1), Junagadh(3.0), Anand (2.4), Valsad(3.6), S’nagar(3.1), Porbandar(1.0) and A’bad(3.2), DeclineNavsari(-2.1),Bhavnagar (0), Sabarkantha(-0.7) and Kachchha(-0.7)

Unmet need remains stagnant in Guj.,At National Level increased to 5.5 percent Point

Unmet need for family planning-Gujarat Indicators TotalRuralUrban DLHS II DLHS III DLHS II DLHS III DLHS II DLHS III Total unmet need (%) For spacing (%) For limiting (%)

Indicators started Improved..

Facility Survey DLHS-III Gujarat and Selected States

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