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1 Annual Health Survey: State Institute of Health and Family welfare, Jaipur 1

2 2

3 Objective To yield benchmarks of core vital and health indicators at the district level and to map changes therein on an annual basis 3

4 Background Initiated by National Commission on Population, PMO and Planning Commission. Entrusted to ORGI [experience of Sample Registration ti System (SRS)] Sponsored by Ministry of Health & Family Welfare (MOHFW) 4

5 Need for AHS Nine AHS States Rajasthan, UP, UK, Bihar, Jharkhand, Orissa, MP, Chhattisgarh and Assam 48 percent of country s Population 59 percent of Births 70 percent of Infant Deaths 75 percent of Under 5 Deaths 62 percent of Maternal Deaths 5

6 Justification: large inter-district variations. In the absence of District level vital data, State level estimates from Sample Registration System (SRS) are used for formulating district i t level plans. 6

7 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) Sample Population- About 18.2 million Sample Households- 3.6 million households Average Sample households per district- About 13 thousand Largest Sample Survey in the World 7

8 Sample Size- District level sample size is based on Infant Mortality Rate Field Work- Hybrid approach wherein fieldwork has been outsourced and supervision done by the ORGI Third Party Audit- Third Party Audit was implemented under AHS to verify the correctness of data through an independent arrangement. This was over and above the regular supervision by ORGI Exhaustive Training manual and three days ToT, state/zone level training 8

9 Allocation of Sample India (9 States) Districts: 284 Total Sample Population: No. of households: Rajasthan Districts: 32 Total Sample Population: No. of households:

10 Survey Tools The baseline survey Nine States Time frame July 2010-March 2011 Four type of Schedules administered House listing Household Women Mortality 10

11 Indicators Covered Crude Birth Rate (CBR) Crude Death Rate (CDR) Infant Mortality Rate (IMR) Neo-Natal Mortality Rate (NNMR) Under Five Mortality Rate (U5MR) Maternal Mortality Ratio (MMR)(only for Zone) Sex Ratio at Birth (SRB) 0-4 years & All ages 11

12 Rajasthan vs. Other States 12

13 Crude Birth Rate Uttranchal Orissa Pradesh Pradesh Assam Jharkhand Chattisgarh Rajasthan Madhya Uttar Bihar 13

14 6.1 Crude Death Rate Jharkhand Uttranchal Rajasthan Bihar Assam Chattisgarh Madhya Pradesh Orissa Uttar Pradesh

15 Natural Growth Rate Orissa Uttranchal Assam Chattisgarh Uttar Pradesh Madhya Pradesh Jharkhand Rajasthan Bihar 15

16 41 43 Infant Mortality Rate Jharkhand Uttranchal Chattisgarh Bihar Assam Rajasthan Orissa Madhya Pradesh Uttar Pradesh 16

17 26 Neonatal Mortality Rate Jharkhand Uttranchal Chattisgarh Bihar Assam Orissa Rajasthan Madhya Pradesh Uttar Pradesh 17

18 13 Post Natal Mortality Rate Uttranchal Jharkhand Chattisgarh Bihar Assam Rajasthan Uttar Pradesh Orissa Madhya Pradesh

19 53 Under 5 Mortality Rate Uttranchal Jharkhand Chattisgarh Bihar Assam Rajasthan Orissa Madhya Pradesh Uttar Pradesh 19

20 Sex Ratio (at Birth) Uttranchal Rajasthan Uttar Pradesh Madhya Pradesh Orissa Bihar Jharkhand Assam Chattisgarh 20

21 Sex Ratio (0-4 yrs) Rajasthan Uttranchal Madhya Pradesh Uttar Pradesh Bihar Orissa Jharkhand Assam Chattisgarh 21

22 Sex Ratio (All Ages) Madhya Pradesh Rajasthan Jharkhand Uttar Pradesh Bihar Assam Chattisgarh Uttranchal Orissa

23 188 MMR Uttranchal Chattisgarh Orissa Jharkhand Bihar Madhya Pradesh Rajasthan Uttar Pradesh Assam 23

24 India CBR: 22.5 CDR: 7.3 NGR: 15.2 IMR: 50 NNMR: 34 PNMR: 16 Rajasthan CBR: 24.7 CDR: 6.6 NGR: 18.2 IMR: 60 NNMR: 40 PNMR: 20 U-5 MR: 64 U-5 MR: 79 24

25 India Rajasthan MMR: 212 MMR: 331(on Zone Sex ratio: basis) 0-6 Yr: 914 Sex ratio all ages: 940 at birth: Yr: 870 all ages:

26 Rajasthan: District-wise Findings 26

27 26.1 Natural Growth Rate Barmer Dhaulpur Banswara Rajasthan Tonk Chittorgar rh Banswara

28 Natural Growth Rate Dungarpur Banswara Chittorgarh Kota Baran Jhalawar Rajasthan Ganganagar Hanumangarh Bikaner Churu Jhunjhunu Alwar Bharatpur Dholpur Karauli Sawai Madhopur Dausa Jaipur Sikar Nagaur Jodhpur Jaisalmer Barmer Jalore Sirohi Pali Ajmer Tonk Bundi Bhilwara Rajsamand Udaipur 28

29 Crude Birth Rate Banswara Chittorgarh Kota Baran Jhalawar 29 Rajasthan Ganganagar Hanumang Bikaner Churu Jhunjhunu Alwar Bharatpur Dholpur Karauli Sawai Dausa Jaipur Sikar Nagaur Jodhpur Jaisalmer Barmer Jalore Sirohi Pali Ajmer Tonk Bundi Bhilwara Rajsamand Udaipur Dungarpur

30 30

31 Crude Death Rate Dungarpur Banswara Chittorgarh Kota Baran Jhalawar Rajasthan Ganganagar Hanuman Bikaner Churu Jhunjhunu Alwar Bharatpur Dholpur Karauli Sawai Dausa Jaipur Sikar Nagaur Jodhpur Jaisalmer Barmer Jalore Sirohi Pali Ajmer Tonk Bundi Bhilwara Rajsamand Udaipur 31

32 32

33 Infant Mortality Rate (Raj.) Total Rural Urban Total Rural Urban Male Female 33

34 34

35 50 Neo-Natal Mortality Rate 25 Post Natal Mortality Rate Total Rural Urban Total Rural Urban 0 35

36 Under 5 Mortality Rate (Raj.) Total Rural Urban Total Rural Urban Male Female 36

37 Infant Mortality Rate Dungarpur Banswara Chittorgarh Rajasthan Ganganagar Hanumangarh Bikaner Churu Jhunjhunu Alwar Bharatpur Dholpur Karauli Sawai Madhopur Dausa Jaipur Sikar Nagaur Jodhpur Jaisalmer Barmer Jalore Sirohi Pali Ajmer Tonk Bundi Bhilwara Rajsamand Udaipur Kota Baran Jhalawar 37

38 Post Natal & Neo-Natal Mortality Rate PNMR NNMR Rajasthan Ganganagar Hanumangarh Bikaner Churu Jhunjhunu Alwar Bharatpur Dholpur Karauli Sawai Madhopur Dausa Jaipur Sikar Nagaur Jodhpur Jaisalmer Barmer Jalore Sirohi Pali Ajmer Tonk Bundi Bhilwara Rajsamand Udaipur Dungarpur Banswara Chittorgarh Kota Baran Jhalawar 38

39 Under 5 Mortality Rate Banswaraa Chittorgarh h Kota Baran Rajasthan Ganganaga ar Hanumangarh Bikaner Churuu Jhunjhunuu Alwar Bharatpur Dholpur Karauli Sawai Madhopur Dausaa Jaipur Sikar Nagaur Jodhpur Jaisalmer Barmer Jalore Sirohi Pali Ajmer Tonk Bundi Bhilwaraa Rajsamand Udaipur Dungarpur Jhalawar 39

40 Sex Ratio (Raj.) Total Rural Urban At birth (0-4) Yr All ages 40

41 Sex Ratio (All ages) All ages Rajasthan Ganganagar Hanumanga arh Bikaner Churu Jhunjhunu Alwar Bharatpur Dholpur Karauli Sawai Madhopur Dausa Jaipur Sikar Nagaur Jodhpur Jaisalmer Barmer Jalore Sirohi Pali Ajmer Tonk Bundi Bhilwara Rajsamand Udaipur Dungarpur Banswara Chittorgarh Kota Baran Jhalawar 41

42 Sex Ratio (at Birth) Rajasthan Ganganagar Hanumangarh Bikaner Churu Jhunjhunu Alwar Bharatpur Dholpur Karauli Sawai Madhopur Dausa Jaipur Sikar Nagaur Jodhpur Jaisalmer Barmer Jalore Sirohi Pali Ajmer Tonk Bundi Bhilwara Rajsamand Udaipur Dungarpur Banswara Chittorgarh Kota Baran Jhalawar 42

43 Sex Ratio (0-4 yr) Rajasthan Ganganagar Hanumangarh Bikaner Churu Jhunjhunu Alwar Bharatpur Dholpur Karauli Sawai Madhopur Dausa Jaipur Sikar Nagaur Jodhpur Jaisalmer Barmer Jalore Sirohi Pali Ajmer Tonk Bundi Bhilwara Rajsamand Udaipur Dungarpur Banswara Chittorgarh Kota Baran Jhalawar 43

44 44

45 State/Zone /(Districts) Sample Female Population Sample Live Births Maternal Deaths MMR Rajasthan Bikaner (Ganganagaer, Hanumangarh, Churu, Bikaner) Jaipur (Jhunjhunu, Alwar, Dausa,jaipur, Sikar) Bharatpur (Bharatpur, Dhaulpur, Karauli, Sawaimadhopur) 45

46 State/Zone/(Districts) Sample Female Population Sample Live Births Maternal Deaths MMR Ajmer (Nagaur, Ajmer, Tonk, Bhilwara) Jodhpur (Jodhpur, Jaisalmer, Barmer, Jalor, Sirohi, Pali) Kota (Bundi, Kota, Baran, Jhalawar) Udaipur (Rajsamand, Udaipur, Chittorgarh, Dungarpur, Banswara)

47 410 Maternal Mortality Ratio (at Zonal level) Udai pur Bika ner Kota Ajm mer Rajasth han Jodh pur Jai pur Bharat pur Administrative Division 47

48 Thank You For more details log on to or contact : Director-SIHFW on 48

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