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National Family Health Survey
      NFHS-3(2005-06)




State Institute Of Health & Family Welfare
                   Jaipur
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
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
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
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
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
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
Fertility, Marriage and
   Family Planning




     SIHFW: An ISO:9001:2008 certified Institution   8
Trends in Fertility                        Total Fertility Rate
  by Residence                                of Rajasthan




              SIHFW: An ISO:9001:2008 certified Institution   9
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
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
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
Trends in Knowledge of Modern
    Contraceptive Methods




         SIHFW: An ISO:9001:2008 certified Institution   13
Knowledge of Modern Methods




   Percent of women and men 15-49 aware of family
                 planning methods
              SIHFW: An ISO:9001:2008 certified Institution   14
Percentage use of
                contraception by married
                 Women (15-49) - Total




SIHFW: An ISO:9001:2008 certified Institution   15
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
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
Percentage women(15-49)
            who received Full ANC




SIHFW: An ISO:9001:2008 certified Institution   18
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
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
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
% of children age 12-23
         months who received
        Measles vaccines at any
        time before the survey




SIHFW: An ISO:9001:2008 certified Institution   22
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
Malnutrition of Women by Residence
           and Education
Percent of women age 15-49




                       SIHFW: An ISO:9001:2008 certified Institution   24
Malnutrition of Men by Residence and
              Education
         Percent of men age 15-49




               SIHFW: An ISO:9001:2008 certified Institution   25
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
Percentage of women
               age (15-49) who have
                   heard of AIDS




SIHFW: An ISO:9001:2008 certified Institution   27
Percentage of men age
                   (15-49) who have
                     heard of AIDS




SIHFW: An ISO:9001:2008 certified Institution   28
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
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
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
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
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
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
Thank You

For more details log on to
www. sihfwrajasthan.com
             or
 contact : Director-SIHFW
            on

  sihfwraj@yahoo.co.in

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National Family Health Survey 2005-06 Overview

  • 1. National Family Health Survey NFHS-3(2005-06) State Institute Of Health & Family Welfare Jaipur
  • 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. 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. 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. 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. 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. 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. Fertility, Marriage and Family Planning SIHFW: An ISO:9001:2008 certified Institution 8
  • 9. Trends in Fertility Total Fertility Rate by Residence of Rajasthan SIHFW: An ISO:9001:2008 certified Institution 9
  • 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. 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. 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. Trends in Knowledge of Modern Contraceptive Methods SIHFW: An ISO:9001:2008 certified Institution 13
  • 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. Percentage use of contraception by married Women (15-49) - Total SIHFW: An ISO:9001:2008 certified Institution 15
  • 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. 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. Percentage women(15-49) who received Full ANC SIHFW: An ISO:9001:2008 certified Institution 18
  • 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. 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. 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. % 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. 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. Malnutrition of Women by Residence and Education Percent of women age 15-49 SIHFW: An ISO:9001:2008 certified Institution 24
  • 25. Malnutrition of Men by Residence and Education Percent of men age 15-49 SIHFW: An ISO:9001:2008 certified Institution 25
  • 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. Percentage of women age (15-49) who have heard of AIDS SIHFW: An ISO:9001:2008 certified Institution 27
  • 28. Percentage of men age (15-49) who have heard of AIDS SIHFW: An ISO:9001:2008 certified Institution 28
  • 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. 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. 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. 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. 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. 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. Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in