The document summarizes key findings from the National Family Health Survey (NFHS-3) conducted in India in 2005-2006. Some of the main results include: declines in fertility rates, child mortality, and the proportion of women marrying under 18; improvements in antenatal care, immunizations and facility deliveries but challenges remain; continued high levels of malnutrition among children and adults; and an HIV prevalence of 0.28% among men and women aged 15-49. The NFHS is conducted periodically to evaluate health and family welfare programs in India.

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