Download NFHS-3 Key Findings - District Level Household Survey

2005-06 National Family
Health Survey (NFHS-3)
Key Findings
Contents
1. About NFHS-3
2. Household and individual haracteristics
3. Fertility, marriage and family planning
4. Maternal health
5. Immunization and child health care
6. Nutritional status
7. HIV knowledge, behaviour and prevalence
NFHS-3, India, 2005-06
Overview
 NFHS-3 is the third in the NFHS series of
surveys, preceded by NFHS-1 in 1992-93
and NFHS-2 in 1998-99
 NFHS surveys are conducted under the
stewardship of MoHFW
 IIPS is the nodal agency for the National
Family Health Surveys
NFHS-3, India, 2005-06
Contd.…
 NFHS-3 is funded by USAID, DFID, the Bill and
Melinda Gates Foundation, UNICEF, and UNFPA
 Macro International provided technical assistance to
NFHS-3
 NACO and NARI provided assistance for the HIV
component
 NFHS-3 fieldwork was carried out by 18 Research
Organizations including some Population Research
Centres
NFHS-3, India, 2005-06
Scope of NFHS-3
 All 29 states are covered
 Slum and non-slum areas of eight
cities, i.e. Chennai, Delhi, Hyderabad,
Indore, Kolkata, Meerut, Mumbai,
Nagpur
 Interviews were conducted with
 Women age 15-49
 Men age 15-54
NFHS-3, India, 2005-06
Biomarkers Measured in
NFHS-3
 Height and weight
 Haemoglobin content in the blood
to measure anaemia
 Collection of blood samples for
HIV testing
NFHS-3, India, 2005-06
NFHS-3 Sample
for 29 states
Number
Interviewed
Response
Rate
Households
109,041
97.7
Women (age 15-49)
124,385
94.5
Men (age 15-54)
74,369
87.1
NFHS-3, India, 2005-06
Contents
1. About NFHS-3
2. Household and Individual Characteristics
3. Fertility, Marriage and Family Planning
4. Maternal Health
5. Immunization and Child Health
6. Nutritional Status of Children and Adults
7. HIV Knowledge, Behaviour and Prevalence
NFHS-3, India, 2005-06
Selected Household Characteristics
Percent of households
93
56
Electricity
68
51
Piped water
12
25
83
Any toilet facility
26
45
Urban
Rural
Total
NFHS-3, India, 2005-06
NFHS-3 finds some improvements in the household
environment since NFHS-2
68% of households have
electricity, up from 60%
in NFHS-2
88% of households use
an improved source of
drinking water
Only 29% of households
have improved toilet
facilities
NFHS-3, India, 2005-06
Media Exposure
Percent with exposure to TV, radio, or
newspaper at least once a week
87
93
75
55
82
65
73% of urban households and 30% of
rural households possess a TV
Urban
Rural
Women age 15-49
Total
Men age 15-49
NFHS-3, India, 2005-06
Education
Percent distribution of men and women age 15-49 by
highest level of education
No education
Men
18
27
20
35
< 8 years
complete
8-9 years
complete
Women
41
23
14
22
10 years
complete and
above
NFHS-3 shows that even among
those in the age group 15-19, only 89%
of men and 74% of women are literate
NFHS-3, India, 2005-06
Measuring Health Inequities
NFHS-3 provides information on key
population, health, and nutrition indicators
for socially and economically vulnerable
groups to examine health inequities
– Caste/tribe status
– Wealth status
– Slum/non-slum population in eight cities
NFHS-3, India, 2005-06
What is the wealth index?
Uses information on 33 household assets and
housing characteristics, such as ownership of
consumer items, type of dwelling, source of
water, and availability of electricity
Combines this information into a single wealth
index, using a scientific method of assigning
weights to individual components
The household population is divided into five
equal groups of 20% each (quintiles) at the
national level from 1 (lowest, poorest) to 5
(highest, wealthiest)
NFHS-3, India, 2005-06
Caste/Tribe Status
OTHER
32%
SC
19%
ST 8%
OBC
41%
NFHS-3, India, 2005-06
Distribution of Households by Wealth
Index and Residence
National
20
Urban 3 6
Rural
20
14
20
29
28
Lowest
20
48
26
Second
20
Middle
23
Fourth
16
7
Highest
NFHS-3, India, 2005-06
Distribution of Households by Wealth
Index and Caste
5
8
10
13
17
16
36
21
21
24
24
23
25
17
22
50
14
28
ST
18
SC
Lowest
Second
10
OBC
Middle
Fourth
Other
Highest
NFHS-3, India, 2005-06
Proportion of Households in the
Highest Two Wealth Quintiles by State
100
90
89
83
78 77
80
72
66 65
70
60 59
60
57 57 55
49
50
44 43 43
41 40 40
36
40
33 32
30
30
27 26
24 24 23 23
19
20
10
NFHS-3, India, 2005-06
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Contents
1. About NFHS-3
2. Household and Individual Characteristics
3. Fertility, Marriage and Family Planning
4. Maternal Health
5. Immunization and Child Health
6. Nutritional Status of Children and Adults
7. HIV Knowledge, Behaviour and Prevalence
NFHS-3, India, 2005-06
Total Fertility Rate
4.0
3.5
3.5
3.4
3.0
3.0
2.7
2.9
3.0
2.7
2.5
2.1
2.5
2.0
2.0
1.5
1.5
1.0
1.0
NFHS-1
NFHS-2
NFHS-3
NFHS-3
Urban
Rural
Total
NFHS-3, India, 2005-06
Marital Status
Percent of women age 20-24 married by age 18
54
53
50
45
28
NFHS-1
NFHS-2
NFHS-3
Urban
Rural
NFHS-3
NFHS-3, India, 2005-06
Current Contraceptive Use by
Method
Percent of currently married women age 15-49
56
49
37
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NFHS-3, India, 2005-06
Trends in Contraceptive Use by
Method
Percent of currently married women age 15-49
56
NFHS-1
49
48
43
41
37
34
NFHS-2
NFHS-3
37
27
3
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2
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4
NFHS-3, India, 2005-06
Desire for No More Children
among Women with 2 Children
Percent
72
83
90
88
76
66
61
47
37
NFHS-1
2 sons
NFHS-2
1 son and 1 daughter
NFHS-3
2 daughters
NFHS-3, India, 2005-06
Contents
1. About NFHS-3
2. Household and individual characteristics
3. Fertility, Marriage and Family Planning
4. Maternal health care
5. Immunization and child health care
6. Nutritional status of children and adults
7. HIV knowledge, behaviour and Prevalence
NFHS-3, India, 2005-06
Trends in Antenatal Care
Percent of women who had any ANC*
84
86
NFHS-1
91
NFHS-2
72
59
Urban
* For last births in the past 3 years
60
Rural
NFHS-3
77
65
66
Total
NFHS-3, India, 2005-06
Maternity Care
(for most recent birth in the last 5 years)
Urban
75
Rural
Total
Percent
61
52
44
35
29
19
3+ ANC
37
23
IFA for 90+ days
Postnatal care
within 2 days
NFHS-3, India, 2005-06
Institutional Delivery
NFHS-3, India, 2005-06
Contents
1. About NFHS-3
2. Household and Individual characteristics
3. Fertility, Marriage and Family Planning
4. Maternal Health
5. Immunization and Child Health
6. Nutritional Status of Children and Adults
7. HIV Knowledge, Behaviour and Prevalence
NFHS-3, India, 2005-06
Infant Mortality Rate
NFHS-1
NFHS-2
Deaths at age 0-11 months
per 1,000 live births
NFHS-3
85
79
73
68
62
57
56
47
Urban
42
Rural
Total
NFHS-3, India, 2005-06
Infant Mortality Rates
79
Deaths at age 0-11 months per
1,000 live births
65
57
57
48
27
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NFHS-3, India, 2005-06
Child Immunization Trends
Percent of children age 12-23 months vaccinated
62
BCG
54
Polio3
63
72
78
78
52
55
55
DPT3
42
Measles
35
All Vaccines
NFHS-1
NFHS-2
51
59
42
44
NFHS-3
NFHS-3, India, 2005-06
NFHS-3, India, 2005-06
Trends in Treatment of
Childhood Diarrhoea with ORS
Percent of children under age 3 with diarrhoea in the past 2 weeks
NFHS-2
33
NFHS-3
33
25
Urban
Rural
24
27
26
Total
NFHS-3, India, 2005-06
Percentage of Children with Diarrhoea in the
Past 2 Weeks who Received Any ORT or
Increased Fluids by State
85
75
72
65
63
69
67 68
59
55
53 53 54
48 48 49
46 47 47 47 47
43 43 43
39 40
33
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NFHS-3, India, 2005-06
Contents
1. About NFHS-3
2. Household and individual characteristics
3. Fertility and its determinants
4. Maternal health care
5. Immunization and child health care
6. Nutritional status of children and adults
7. HIV knowledge, behaviour and Prevalence
NFHS-3, India, 2005-06
Trends in Child Nutritional Status
Percent of children age under 3 years
NFHS-3
NFHS-2
51
45
43
20
Stunted
(Low-height-for-age)
40
23
Wasted
(Low-weight-for-height)
Underweight
(Low-weight-for- age)
NFHS-3, India, 2005-06
NFHS-3, India, 2005-06
Anaemia among Children
Percent of children 6-35 months with anaemia
81
79
74
72
Total
Urban
Rural
NFHS-2
NFHS-3, India, 2005-06
How Many Children Receive
Services from an AWC?
80
Percent of age-eligible children in areas with an AWC
70
60
50
40
33
26
30
23
20
20
18
16
10
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0
NFHS-3, India, 2005-06
Nutritional Status of Adults
Percent of women and men age 15-49
W omen
36
Men
55
34
24
13
BMI below normal
9
Overweight/Obese
Anaemic
NFHS-3, India, 2005-06
Malnutrition of Women by
Residence and Education
60
Percent of women age 15-49
50
40
7
7
13
14
13
11
24
21
30
20
42
41
36
35
36
35
25
10
25
Underweight
to
ta
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ar
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10
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ye
ar
s
89
ye
ar
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io
n
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Overweight
NFHS-3, India, 2005-06
Malnutrition of Men by
Residence and Education
50
Percent of men age 15-49
45
40
3
5
8
35
6
5
14
14
30
25
20
15
40
38
34
40
38
Overweight
27
25
10
Underweight
5
s
ye
ar
s
10
+
ye
ar
rs
89
ye
a
n
<8
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NFHS-3, India, 2005-06
Contents
1. About NFHS-3
2. Household and individual characteristics
3. Fertility, Marriage and Family Planning
4. Maternal health care
5. Immunization and child health care
6. Nutritional status of children and adults
7. HIV knowledge, behaviour and prevalence
NFHS-3, India, 2005-06
AIDS Awareness
Percent of women and men age 15-49 who have heard of AIDS
Urban
Rural
Total
Women
81
46
57
Men
94
73
80
NFHS-3, India, 2005-06
Most Adults Support Family Life
Education in Schools
63% women and 81% men think that information about
HIV/AIDS should be taught in schools to both boys and
girls
More than 40% of women and 60% of men are in favour
of teaching both boys and girls about sexual behaviour
and condom use to avoid sexually transmitted diseases
Adults are less likely to favour teaching about
contraception than about HIV/AIDS
NFHS-3, India, 2005-06
Coverage of HIV Testing in
NFHS-3
•
Percent of eligible women age 15-49
and men age 15-54 whose blood was
tested for HIV
•
•
•
Women: 85 percent
Men: 78 percent
Response rates are comparable to
HIV test response rates on national
household surveys worldwide
NFHS-3, India, 2005-06
HIV Prevalence
HIV prevalence estimates are based on HIV
tests of 102,946 blood samples:
52,853 from de facto women age 15-49
+
50,093 from de facto men age 15-54
NFHS-3, India, 2005-06
HIV Prevalence by Residence
and Sex, India
Sex
Urban
Rural
India
Women
(%)
Men
(%)
Total
(%)
HIV prevalence
rate is 60%
higher
0.29
0.41
among males than females and 40%
higher in urban areas than rural areas
0.35
0.18
0.32
0.25
0.22
0.36
0.28
NFHS-3, India, 2005-06
Summary and Highlights
Substantial improvements have been seen in
child survival
Fertility continues to decline
– Urban women have already reached replacement
level fertility, but rural women even now have an
average of three children
For the first time more than half of currently
married women are using a contraceptive
method
NFHS-3, India, 2005-06
Summary and Highlights (contd.)
There is steady decline in the proportion of
women age 20-24 marrying before the legal
minimum age of marriage
There have been improvements in antenatal
care, institutional deliveries, and assistance
at delivery by a health professional, but the
changes over time have been slow
Immunization coverage for children has
improved for all vaccines except DPT
NFHS-3, India, 2005-06
Summary and Highlights (contd.)
Full immunization coverage has not
changed much in the last 7 years
Undernutrition and anaemia among
children remain major challenges
Adults suffer a dual burden of
undernutrition and overnutrition
NFHS-3, India, 2005-06
Summary and Highlights (contd.)
HIV prevalence among the NFHS-3
household population of men and
women age 15-49 is 0.28 percent.
Based on this estimate and other
data, the Government of India has
reduced its official HIV estimate for
the adult population. However, strong
programmes are still required to
prevent the further spread of HIV.
NFHS-3, India, 2005-06
Thank you…
And now, on to the rest
of the NFHS-3 National
Dissemination
Seminar!
NFHS-3, India, 2005-06