NFHS III

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NFHS III

  1. 1. National Family Health Survey NFHS-3(2005-06) State Institute Of Health & Family Welfare Jaipur
  2. 2. Overview Ø NFHS-3(2005-06): third in the series ØNFHS-1(1992-93) ØNFHS-2(1998-99) Ø Conducted under MOHFW; Nodal agency- IIPS Ø Funded by ØUSAID, DFID, The Bill & Melinda Gates Foundation, ØUNICEF and UNFPA ØTechnical assistance by Macro International ØHIV assistance : NACO & NARI ØFieldwork by 18 Research Organizations/Population Research Centers SIHFW: An ISO:9001:2008 certified Institution 2
  3. 3. Ø NFHS-I: 1992-93 Ø88,562 households Ø89,777 ever-married women age 13-49 years in Ø24 states and the National Capital Territory of Delhi Ø NFHS-II: 1998-99 Ødatabase for implementation of the Reproductive and Child Health (RCH) Ø91,000 ever-married women age 15-49 yrs. Øall 26 states of India Ø NFHS-III:2005-06 Ø124,385 women age 15-49 and 74,369 men age 15-54 Øfrom all 29 states throughout India Ø102,946 women and men were tested for HIV SIHFW: An ISO:9001:2008 certified Institution 3
  4. 4. Scope of NFHS-3 Ø Coverage Ø All 29 states covered Ø Slum and non-slum areas of (Chennai, Delhi, Hyderabad, Indore, Kolkata, Meerut, Mumbai, Nagpur) Ø Interviewees Ø Women age 15-49 Ø Men age 15-54 SIHFW: An ISO:9001:2008 certified Institution 4
  5. 5. Biomarkers Measured in NFHS-3 Ø Height and weight Ø Hemoglobin content in the blood to measure anemia Ø Collection of blood samples for HIV testing SIHFW: An ISO:9001:2008 certified Institution 5
  6. 6. Household & individual characteristics Sample for 29 states Number Response Interviewed Rate Households 109,041 97.7 Women (age 15-49) 124,385 94.5 Men (age 15-54) 74,369 87.1 SIHFW: An ISO:9001:2008 certified Institution 6
  7. 7. NFHS-3 finds some improvements in the household environment since NFHS-2 Ø 68% have electricity, up from 60% in NFHS-2 Ø 88% use an improved source of drinking water Ø Only 29% have improved toilet facilities SIHFW: An ISO:9001:2008 certified Institution 7
  8. 8. Fertility, Marriage and Family Planning SIHFW: An ISO:9001:2008 certified Institution 8
  9. 9. Trends in Fertility Total Fertility Rate by Residence of Rajasthan SIHFW: An ISO:9001:2008 certified Institution 9
  10. 10. Wanted and Actual Fertility Rates TFR TFR 2.7 2.1 3.0 If unwanted fertility is averted TFR will reach replacement level. SIHFW: An ISO:9001:2008 certified Institution 10
  11. 11. Age at Marriage 60 54 53 50 50 45 40 28 30 20 10 0 NFHS-1 NFHS-2 Total Urban Rural NFHS-3 Percentage of women age 20-24 married by age 18 SIHFW: An ISO:9001:2008 certified Institution 11
  12. 12. Marital Status Percent of women age 20-24 married by age 18 54 60 50 53 45 50 40 28 Percent 30 20 10 0 NFHS-1 NFHS-2 NFHS-3 Urban rural NFHS-3 SIHFW: An ISO:9001:2008 certified Institution 12
  13. 13. Trends in Knowledge of Modern Contraceptive Methods SIHFW: An ISO:9001:2008 certified Institution 13
  14. 14. Knowledge of Modern Methods Percent of women and men 15-49 aware of family planning methods SIHFW: An ISO:9001:2008 certified Institution 14
  15. 15. Percentage use of contraception by married Women (15-49) - Total SIHFW: An ISO:9001:2008 certified Institution 15
  16. 16. Desire for No More Children among Women with 2 Children 90 88 NFHS-1 90 83 NFHS-2 80 76 NFHS-3 72 70 66 61 60 47 50 37 40 30 20 10 0 2 sons 1 son&1 daughter 2 daughters SIHFW: An ISO:9001:2008 certified Institution 16
  17. 17. Trends in Antenatal Care ANC visits in 80 74.7 Rajasthan) 100 91 90 84 86 70 77 60 80 72 70 65 66 50 59 60 41.2 60 40 32.5 50 30 40 20 30 20 10 10 Urban 0 0 Rural Urban Rural Total NFHS-1 NFHS-2 NFHS-3 Total SIHFW: An ISO:9001:2008 certified Institution 17
  18. 18. Percentage women(15-49) who received Full ANC SIHFW: An ISO:9001:2008 certified Institution 18
  19. 19. Maternity Care (for most recent birth in the last 5 years) 80 75 70 61 60 52 50 44 35 37 40 29 30 23 19 20 10 0 Urban 3+ANC IFA for Post natal care Rural 90+days with in 2 days Total SIHFW: An ISO:9001:2008 certified Institution 19
  20. 20. Infant Mortality Rate IMR of Rajasthan 90 80.4 80 72.6 70 63 60 50 40 30 20 10 0 NFHS-1 NFHS-2 NFHS-3 SIHFW: An ISO:9001:2008 certified Institution 20
  21. 21. Immunization and Child Health 78 78 80 72 Child Immunization Trends 70 62 63 59 60 54 55 55 52 51 50 42 4244 40 35 30 NFHS-1 20 NFHS-2 NFHS-3 10 0 BCG Polio 3 DPT 3 Measles All Vaccines Percent of children age 12-23 months vaccinated SIHFW: An ISO:9001:2008 certified Institution 21
  22. 22. % of children age 12-23 months who received Measles vaccines at any time before the survey SIHFW: An ISO:9001:2008 certified Institution 22
  23. 23. Trends in Child Nutritional Status Percent of children age under 3 years 60 51 50 45 43 40 40 30 23 20 NFHS-3 20 NFHS-2 10 0 Stunted Wasted Under weight (Low-height- (Low-weight- (Low-weight- for-age) for-height) for- age) SIHFW: An ISO:9001:2008 certified Institution 23
  24. 24. Malnutrition of Women by Residence and Education Percent of women age 15-49 SIHFW: An ISO:9001:2008 certified Institution 24
  25. 25. Malnutrition of Men by Residence and Education Percent of men age 15-49 SIHFW: An ISO:9001:2008 certified Institution 25
  26. 26. HIV Knowledge, Behavior and Prevalence Percent of women and men age 15-49 who 100 94 have heard of AIDS 90 81 80 80 73 70 57 60 Percent 46 50 40 30 20 10 0 Men Urban Rural Total Women AIDS Awareness SIHFW: An ISO:9001:2008 certified Institution 26
  27. 27. Percentage of women age (15-49) who have heard of AIDS SIHFW: An ISO:9001:2008 certified Institution 27
  28. 28. Percentage of men age (15-49) who have heard of AIDS SIHFW: An ISO:9001:2008 certified Institution 28
  29. 29. Most Adults Support Family Life Education in Schools Ø 63% women and 81% men think that Ø information about HIV/AIDS should be taught in schools to both boys and girls Ø More than 40% of women and 60% of men Øare in favor of teaching about sexual behavior and condom use to avoid sexually transmitted diseases Ø Adults are less likely to favor teaching about contraception than about HIV/AIDS SIHFW: An ISO:9001:2008 certified Institution 29
  30. 30. Coverage of HIV Testing Ø % of eligible women age 15-49 and men age 15-54 whose blood was tested for HIV Ø Women: 85 percent Ø Men: 78 percent Ø Response rates are comparable to HIV test on national household surveys worldwide SIHFW: An ISO:9001:2008 certified Institution 30
  31. 31. HIV Prevalence Ø 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) Ø 60% higher among males than females and 40% higher in urban than rural(by Residence and Sex, India) SIHFW: An ISO:9001:2008 certified Institution 31
  32. 32. Summary and Highlights Ø Improvements seen in child survival Ø Fertility continues to decline ØUrban women Øreached replacement level fertility Ørural women Øan average of three children Ø First time more than half of currently married women are using a contraceptive method SIHFW: An ISO:9001:2008 certified Institution 32
  33. 33. Ø Steady decline in the proportion of women age 20-24 marrying before the legal minimum age of marriage Ø Improvements in ANC,ID, & assistance at delivery by a health professional, but the changes over time have been slow Ø Immunization coverage has improved for all vaccines except DPT SIHFW: An ISO:9001:2008 certified Institution 33
  34. 34. Ø Full immunization coverage not changed much in the last 7 years Ø Under nutrition and anemia among children remain major challenges Ø Adults suffer a dual burden of under nutrition and over nutrition Ø HIV prevalence of men and women age 15- 49 is 0.28 % SIHFW: An ISO:9001:2008 certified Institution 34
  35. 35. Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in

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