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
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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
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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
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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
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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
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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
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9. Trends in Fertility Total Fertility Rate
by Residence of Rajasthan
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10. Wanted and Actual Fertility Rates
TFR TFR
2.7
2.1
3.0
If unwanted fertility is averted TFR
will reach replacement level.
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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
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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
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13. Trends in Knowledge of Modern
Contraceptive Methods
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14. Knowledge of Modern Methods
Percent of women and men 15-49 aware of family
planning methods
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15. Percentage use of
contraception by married
Women (15-49) - Total
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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
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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
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18. Percentage women(15-49)
who received Full ANC
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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
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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
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22. % of children age 12-23
months who received
Measles vaccines at any
time before the survey
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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)
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24. Malnutrition of Women by Residence
and Education
Percent of women age 15-49
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25. Malnutrition of Men by Residence and
Education
Percent of men age 15-49
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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
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27. Percentage of women
age (15-49) who have
heard of AIDS
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28. Percentage of men age
(15-49) who have
heard of AIDS
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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
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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
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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)
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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
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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
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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 %
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35. Thank You
For more details log on to
www. sihfwrajasthan.com
or
contact : Director-SIHFW
on
sihfwraj@yahoo.co.in