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ANNUAL HEALTH SURVEY2012-13

FACT SHEET

ANNUAL HEALTH SURVEY2012-13

FACT SHEET

JHARKHAND

Vital Statistics DivisionOffice of the Registrar General & Census Commissioner, India

New DelhiWebsite : www.censusindia.gov.in

JHARKHANDA

nnual Health Survey 2012-13

IndexPage No.

1. Introduction i-xiv

2. Sample Particulars 1-4

3. Household Characteristics 5

4. Sex Ratio 6-7

5. Effective Literacy Rate 8

6. Marriage 9-10

7. Schooling Status 11

8. Work Status 12

9. Disability 13-14

10. Injury 15-17

11. Acute Illness 18-22

12. Chronic Illness 23-33

13. Fertility 34-39

14. Abortion 40-41

15. Family Planning Practices 42-44

16. Unmet Need for Family Planning 45

17. Ante Natal Care 46-49

18. Delivery Care 50-52

19. Post Natal Care 53-54

20. Janani Suraksha Yojana (JSY) 55

21. Immunization, Vitamin A & Iron Supplement and Birth Weight 56-59

22. Childhood Diseases 60-61

23. Breastfeeding and Supplementation 62-65

24. Birth Registration 66

25. Awareness 67-68

26. Mortality 69-76

27. Confidence Interval (95%) for some important Indicators 77-78

28. Annexure 79-106

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Introduction Decentralized district-based health planning is essential in India because of the large inter-district variations. In the absence of vital data at the district level, the State level estimates are being used for formulating district level plans as well as setting the milestones thereof. In the process, the hotspots (districts requiring special attention) very often get masked by the State average. This statistical fallacy compounds the problems of the districts acutely, more so in the health sector. At present, none of the Surveys provides estimates of core vital indicators on fertility and mortality at district level. The District Level Household Survey conducted with periodicity of five years mainly focuses on indicators pertaining to maternal health and child welfare programmes. There has, therefore, been a surge in demand from various quarters, in recent years, to generate timely and reliable statistics at the district level for informed decision making in the health sector.

Genesis2. The Annual Health Survey (AHS) was conceived during a meeting of the National Commission of Population held in 2005 under the Chairmanship of the Prime Minister wherein it was decided that “there should be an Annual Health Survey of all districts which could be published / monitored and compared against benchmarks”. The objective was to monitor the performance and outcome of various health interventions of the Government including those under National Rural Health Mission (NRHM) at closer intervals through these benchmark indicators. The AHS has been made an integral part of the NRHM, Ministry of Health & Family Welfare. The responsibility of the project has been entrusted to the Office of the Registrar General, India on behalf of the Ministry of Health & Family Welfare in view its expertise in handling the Sample Registration System, one of the largest demographic surveys in the world.

Objective3. Realizing the need for preparing a comprehensive district health profile on key parameters based on a community set up, the AHS has been designed to yield benchmarks of core vital and health indicators at the district level; prevalence of disabilities, injuries, acute and chronic illness and access to health care for identified morbidities; and access to maternal, child health and family planning services. By virtue of being a panel survey, it has the unique ability to map the rate of change in these indicators on a yearly basis. AHS would, thus, enable better capturing of the health seeking behaviour of the public as compared to other periodic cross-sectional surveys, and also help needed corrections in the strategies.

Coverage 4. The sample size at the district level has been derived taking Infant Mortality Rate as the decisive indicator and host of other practical issues related to execution of the survey. Keeping in view the mammoth size of the sample, it was a conscious decision of the Government to initially confine the survey to the 284 districts (as per 2001 Census) of the 8 Empowered Action Group States (Bihar, Jharkhand, Uttar Pradesh, Uttarakhand, Madhya Pradesh, Chhattisgarh, Orissa and Rajasthan) and Assam for a three year period starting from 2010-11. These 9 high focus States with relatively high fertility and mortality account for about 48 percent of the total population in the country. A representative sample of 20,694 statistically selected Primary Sample Units (PSUs - Census Enumeration Blocks in case of urban areas and villages or a segment thereof in case of larger villages in rural areas) based on 2001 Census has been drawn from these AHS States which would cover about 18 million population and 3.6 million households each year. However,

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during the Base line Survey in 2010-11, a total of 20.1 million population and 4.14 million households and during the first updation survey in 2012-13, 20.61 million population and 4.28 million households have actually been covered. The second updation survey (third and final round) covered a total of 20.94 million population and 4.32 million households in 2012-13. Despite being restricted to 9 States, the AHS is the largest demographic survey in the world and covers two and a half times that of the Sample Registration System.

Fieldwork Strategy 5. The project is being implemented as a hybrid model wherein the actual field work has been outsourced to seven selected Survey Agencies on the pattern of National Family Health Survey (NFHS) and District Level Household Survey (DLHS). The co-ordination, supervision and monitoring of the fieldwork in the States are being carried out by dedicated staff posted at various levels in the respective Directorate of Census Operations (DCOs). The responsibility for overall co-ordination, supervision and monitoring across the nine AHS States rests with the AHS Division of ORGI. For smooth and effective execution of the survey, the AHS States have been divided into 18 mutually exclusive and exhaustive zones, each having a group of contiguous districts with more or less equal workload.

Technical Consultation6. The outline of the survey such as approach, periodicity, coverage, sampling strategy, sample size, permissible levels of relative standard errors, and levels of aggregation, was finalized after a series of deliberations with the representatives from Ministry of Health & Family Welfare, National Sample Survey Office (NSSO), Central Statistics Office (CSO), Ministry of Woman & Child Development, Indian Council of Medical Research, Planning Commission, International Institute for Population Sciences and other subject experts. Based on the recommendations, various technical details including preparation of sample design, derivation of sample size etc. were worked out and vetted by the Technical Advisory Group (TAG) constituted for the purpose.

Sample Design 7. The Sample design adopted for Annual Health Survey is a uni-stage stratified simple random sample without replacement except in case of larger villages in rural areas ( population more than or equal to 2000 as per 2001 Census), wherein a two stage stratified sampling has been applied. The sample units are Census Enumeration Blocks (CEBs) in urban areas and villages in rural areas. In rural areas, the villages have been divided into two strata. Stratum I comprises villages with population less than 2000 and Stratum II contains villages with population 2000 or more. Smaller villages with population less than 200 were excluded from the sampling frame in such a manner that the total population of villages so excluded did not exceed 2 per cent of the total population of the district. In case of Stratum I, the entire village is the sample unit. In case of Stratum II, the village has been divided into mutually exclusive (non-overlapping) and geographically contiguous units comprising group of EBs called segments of more or less equal size and population not exceeding 2000 in any case. One segment from the frame of segments thus prepared was selected in a random manner to represent the selected village at the second stage of sampling.

8. The number of sample villages in each district was allocated between the two strata proportionally to their size (population). The villages within each size stratum were further ordered by the female literacy rate based on the Census 2001 data, and three disjoint and equal size substrata were established. The sample villages within each substratum were selected by simple random sampling without replacement. Similarly, in urban areas, the Census Enumeration Blocks within a district were ordered by the female literacy rate based

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on the Census 2001 data, and three disjoint and equal size substrata were established. The sample Census Enumeration Blocks within each substratum were selected by simple random sampling without replacement. Thus, female literacy which has a direct bearing on the fertility behaviour was used for implicit stratification. Further, the process of selection ensured equal representation across three sub-strata both in rural as well as in urban areas of a district besides rendering the sample design as self-weighting.

Sample Size9. Generating robust estimates of Infant Mortality Rate at the district level has become an utmost necessity as reduction in Infant Mortality constitutes one of the key targets in the Reproductive & Child Health Programme (RCH) under the umbrella of NRHM. This would also facilitate effective tracking of the Millennium Development Goal 4 on Child Mortality. The Infant Mortality Rate has therefore been taken as the decisive indicator for estimation of sample size at the district level. The permissible level of error has been taken as 10 percentage relative standard error (prse) at the district level. The sample size so worked out would yield relatively better estimates of Crude Birth Rate / Crude Death Rate and may also enable generation of rarer indicators like MMR (for a group of districts) with good precision. In the absence of district level estimates from any other reliable source, the district level derived estimates of IMR based on SRS pooled data have been used for estimation of sample size for each district.

Sample Identification Work10. One of the essential prerequisites for the commencement of the survey was to uniquely identify the sample units on ground. This was done in all the sample units across the nine AHS States by the regular staff of ORGI. The work involved firming up of the boundary of the selected villages / Enumeration Blocks; resorting to segmentation in case of villages exceeding the population 2000, random selection of segment thereof and drawing of appropriate notional maps of the sample units to serve as the base map for the survey work.

Survey Tools11. The Second updation survey in all the nine AHS States was carried out during November 2012 to May 2013 * and four Schedules, in all, were administered. These are: (i) House-listing Schedule, (ii) Household Schedule, (iii) Woman Schedule and (iv) Mortality Schedule. In the House-listing Schedule, the mapping, listing and some key particulars like type and ownership details collected in the first updation survey in 2012-13 were updated for the existing houses and households and recorded afresh for the new houses and households in the second updation round.

12. During the Second updation survey, all the Usual Residents as on 01.01.2012 were listed In the Household Schedule wherein the information on a few back ground characteristics viz. Name, Sex, Identification Code, Date of Birth and Date at first Marriage were copied from the first updation Household Schedule for the Usual Residents of first updation survey and other characteristics like Relationship to Head, Age, Religion, Social Group, Marital Status, Education and Occupation/Activity Status were captured afresh for them . For the new Usual Residents as on 01.01.2012, all the details were captured afresh. Besides, information in respect of Disability, morbidity (Injuries, Acute Illness, and Chronic Illness) and access to health insurance is also captured for all the usual residents as on 01.01.2012.

13. Woman Schedule comprised two sections. Section-I was administered to all Ever Married Women (EMW) aged 15-49 years and information relating to the outcome of

* Except for a few districts in Chhattisgarh where the field work is completed in October 2013 due to naxal issues.

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pregnancy(s) (live birth/still birth/abortion); birth history; type of medical attention at delivery; details of maternal health care(ante-natal/natal/post-natal); immunization of (*Except for a few districts in Chhattisgarh where the field work is completed in October 2013 due to naxal issues.) children; breast feeding practices including supplements; occurrence of child diseases (Pneumonia, Diarrhoea and fever); registration of births, etc. taken place during the reference period (i.e. 01.01.2011 to 31.12.2011) was collected. Section II focused on information on pregnancy; use, sources and practices of family planning methods; details relating to future use of contraceptives and unmet need; awareness about RTI/STI, HIV/AIDS, administration of HAF/ORT/ORS during diarrhoea and danger signs of ARI/Pneumonia; and these details were collected from all Currently Married Women aged 15-49 years. Information relating the Ever Married Women (EMW) like conception details, usage of NPT kit, registration of pregnancy, health problems and subsequent treatments during ante-natal/natal/post-natal period, cost incurred by the woman during delivery etc. is also collected during the second updation survey.

14. Through the Mortality Schedule, details relating to death occurred to usual residents of sample household during the reference period (01.01.2011 to 31.12.2011) were captured and it included information on name & sex of deceased, date of death, age at death, registration of death and source of medical attention received before death. For infant deaths, a question on symptoms preceding death was also probed. In case of deaths associated with pregnancy, information on a variety of questions on factors leading/contributing to death, symptoms preceding death, time between onset of complications and death, etc. were asked to yield data on various determinants of maternal mortality.

Supervision and Third Party Audit15. In addition to the multilayer supervision mechanism adopted by the Survey Agencies, regular inspections were carried out by the officers/officials of respective DCOs and those from ORGI headquarters to ensure the data quality. The inspections were a judicious mix of concurrent as well as post survey audit. Over and above, a component of Third Party Audit was included to verify and authenticate the surveyed data through an independent mechanism. The Third Party Audit work was carried out in 20 randomly selected AHS units in each of the districts covering every household thereof by following a standard protocol prescribed by ORGI. Truncated versions of Household, Women and Mortality Schedules were filled in afresh by the field staff of the Third Party Audit Agencies. The findings in respect of key indicators were matched and re-survey was undertaken by the Survey Agencies in units where the variation was outside the permissible limit. The third party audit also helped in netting of missed vital events, particularly rarer ones like infant and maternal deaths.

Dissemination of Results 16. In view of the large volume of data collected under AHS and significant time required for validation and processing, dissemination of AHS results is done in two phases. The first set of data is released in the form of State-wise bulletins and second in the form of factsheets. The bulletins of the second updation survey was released in March 2014, which contained the district level data on crude birth rate, crude death rate, natural growth rate, infant mortality rate, neo-natal and post neo-natal mortality rates, under 5 mortality rate, sex ratio at birth, sex ratio (0-4 years) and overall sex ratio . In addition, the Maternal Mortality Ratio (MMR), Maternal Mortality Rate and life time risk were released for a group of districts. In order to facilitate direct intervention, the maternal mortality indicators were combined and released for a group of districts on the basis of existing administrative divisions in the respective AHS States.

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17. Under the present phase of dissemination, data of on host of other important parameters covered in AHS under Household and Woman Schedules are being released in the form of State and District Level Factsheets of the second updation survey. Though the sample size has been calculated for the district as a whole, the rural and urban estimates at the district level have also been published as byproduct. Users are advised to keep the above fact into consideration while using the rural / urban estimates of a district. In order to ward off unusual sampling fluctuations, the urban estimates have not been published in respect of some indicators for the districts where the number of urban sample units was less than six. To begin with, number of PSUs, Households, Population, Ever Married Women, Currently Married Women, Children aged 12-23 months (as on date of survey) covered in the sample of each district and the State along with their rural-urban breakup have been given to provide the users requisite insight on the metadata. The indicators contained in the AHS Bulletin have also been reproduced in these Factsheets so that the users may have access to complete set of indicators at one place. However, they may refer to the AHS Bulletin for details on metadata.

Marriage 18. The information on marital status as on 01.01.2012 was probed in respect of all household members (Usual Residents) irrespective of their age. For those who were married, the date of first marriage was recorded. Using this, age at first marriage, which has a direct impact on child bearing as women marrying early have on an average a longer period of exposure to pregnancy and a greater number of lifetime births, was obtained. Using the age data, the mean age at marriage for males and females has been worked out and included in the Factsheet. The mean age at marriage is based on the marriages to the members of the household (Usual Residents as on 1.1.2012) taken place during 2009-11. The proportion of marriages among males and females taking place below the legal age, i.e., 21 and 18 years respectively, has also been tabulated. Such proportions are also based on the marriages to the members of the household (Usual Residents as on 1.1.2012) taken place during 2009-11. Besides, the percentage of Currently Married Women aged 20-24 years marrying before legal age (18 years) and percentage of Currently Married Men aged 25-29 years marrying before legal age (21 years) have been worked out and presented.

Disability and Injury19. The data on any type of disability as on date of survey was collected in respect of all the usual residents. The type of disability included `mental’, `visual’, `hearing’, `speech’, `loco-motor’, `multiple’ and ‘others’ . The prevalence of any type of disability per 1, 00,000 population by gender and residence at the district and State levels has been presented in the factsheet. Since it is difficult to capture the type of injury and its severity from lay reporting, an attempt has been made to assess the severity of injury from the type and duration of hospitalization required. This would also provide an assessment of the workload on hospitals / doctors on account of injury. Accordingly, the type of treatment meted to the injury during last one year of the date of survey has been collected. The categories by type of treatment included `treated in intensive care unit for any time-1, treated as in-patient with stay more than two weeks-2, treated as in-patient with stay one to two weeks-3, treated as in-patient with stay less than one week-4, treated as out-patient-5, treated by traditional healers-6, and treated at home-7’. Based on these categories, the number of persons injured by type of treatment received per 1, 00,000 population, have been categorized into severe (by including categories 1 & 2), major (by including categories 3 & 4) and minor (by including categories 5 & 6) groups. Those treated at home have been excluded from the above categorization and thus from the analysis also.

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Acute Illness20. On the morbidity front, if any member (usual resident) of the household suffered from any ‘acute illness’ during last fifteen days prior to the date of survey, the type of illness has been ascertained. Based on this data, persons suffering from acute illness per 1,00,000 population has been presented for a few select diseases like diarrhoea / dysentery; acute respiratory infection & all types of fever and also for any type of acute illness. Besides, the source from where the treatment for the acute illness was taken has also been included. Accordingly, two important indicators, viz., percentage of persons suffering from acute illness and taking treatment from any source and percentage of persons suffering from acute illness and taking treatment from Government source have been presented. The latter gives the share of Government source across all types of sources availed for taking treatment. It may be noted that the entire fieldwork was carried out over a period of six to seven months and in the process, districts were covered at different points of time (i.e., months / seasons). The seasonality effect may be taken note of while interpreting the results.

Chronic Illness 21. The data in respect of chronic illness has been collected based on the symptoms pertaining to a particular illness persisting for more than one month and also in respect of illnesses where it was diagnosed. For both the cases, the reference period was last one year preceding the date of survey. For ascertaining information on symptoms, a list of symptoms associated with various types of diseases was provided along with a separate category for asymptomatic (i.e., having no symptoms). The asymptomatic included those who were not suffering from any illness as well as those who were suffering but had no symptoms. Using this data, percentage of persons having any kind of symptoms of chronic illness along with their source of treatment has been presented. As regards chronic illnesses diagnosed, this was included to measure the extent to which facilities for diagnosis and treatment of some major chronic illnesses set up by centre/State/local Government / private agencies have been utilized. A list of common chronic diseases and those pertaining to major health intervention programmes was provided. Based on this data, percentage of persons diagnosed for a few important diseases such as diabetes, hypertension, tuberculosis, asthma / chronic respiratory disease and arthritis per 1, 00,000 population has been presented besides those diagnosed for any type of chronic illness. Using the data collected on source of diagnosis, status with regard to getting regular treatment and source of treatment, percentage of persons having diagnosed for any kind of chronic illness and getting regular treatment as well as those getting regular treatment from Government source has been worked out and included in the Factsheet. Since the data on morbidity has been elicited as reported by the respondents, it may suffer on account of accuracy. Nevertheless, the availability of such a rich data set at the district level would fill in the much awaited void and pave the way for evidence-based health planning and appropriate interventions.

Fertility22. The Total Fertility Rate (TFR), which is an age-period fertility rate for a synthetic cohort of women, measures the average number of births a group of women would have by the time they reach 50 years of age if they were to give birth at the current age-specific fertility rates. The TFR is expressed as the average number of births per woman. Under AHS, TFR has been calculated by dividing three years average of all births reported during 2009-11 by all the women in respective age group. The seven five-yearly age-specific fertility rates for all women in the age groups from 15-19 to 45-49 have been added and

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thereafter multiplied by 5 to yield the TFR. Due to lack of adequate number of births, the TFR by residence could not be worked out and hence is not being published.

23. The distribution of births by birth order is another way to understand the dynamics on spacing of children and level of fertility. In this regard, two key indicators namely, `percentage of women aged 20-24 reporting birth of order 2 & above’ and `percentage of women reporting birth of order 3 & above’ based on last two live births taken place to Ever Married Women aged 15-49 years during 2009-11, have been presented. ‘Percentage of Currently Married Women aged 15-49 years with two living children wanting no more children’ is one of the most crucial indicators on desire to limit child bearing. While deriving this indicator, sterilized women or their husbands have not been taken into account whereas women who were currently pregnant have been included.

24. Teen-age pregnancy and motherhood is an important subject in the settings where the marriage of girls takes place at very young ages. This is not only important from the fertility perspective but also its consequent implication on the health of the mother and child. Accordingly, `percentage of women aged 15-19 who were already mothers or pregnant at the time of survey’ has been tabulated and it depicts the percentage of women who have begun child bearing among all ever married women aged 15-19 years. The ever married sample denominator for the age group 15-19 years has not been adjusted by the all women factors for the same age group. This factor should be taken into consideration while interpreting the results.

Median age at first live birth25. Median age at first live birth of women aged 15-49 years has been presented to reflect the age at which 50 percent of the women have given their first live birth. This indicator covers women of all marital status and ever married sample denominator has been adjusted by the all women factors in this age group. Ever Married Women not yet having first live birth and Never Married Women have been included as a separate category for computation. Median has been calculated from cumulated single year of age percent distributions of age at first birth. Median is linearly interpolated by the age values by which 50 percent or more of the women had a first birth. In order to gauge the same for older women of the same cohort, median age at first live birth for women aged 25-49 years has also been calculated and presented. These two indicators in conjunction would help in comparing the age with regard to entry into parenthood between the two cohorts.

Birth interval26. The information on birth interval, which is defined as the length of time between two successive live births, has been collected in respect of last two live births which took place during 2009-11 for birth order 2 & above. Short birth intervals are likely to have adverse bearing on the mother’s health as also on the chances of survival of the neonates and infants. In the Indian context, the birth interval of 36 months may be taken as the bare minimum from the perspective of reducing neonatal and infant mortality and also for achieving the requisite nutritional outcomes. The information on percentage of live births taking place after an interval of 36 months has been calculated and presented to provide insight into the pace of child bearing.

Mean number of children ever born and surviving27. The number of children ever born and surviving has been collected for all Ever Married Women aged 15-49 years. The survival status has been assessed as on 1.1.2012 (the reference point for the population). The number of children ever born to women provides an estimate of cohort fertility against the period measures of fertility such as the

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CBR and the TFR. In order to facilitate comparison of completed cohort fertility with the current fertility, the mean number of ever born children to women aged 45-49 years has been calculated and presented. The gap between the two would demonstrate the decline in fertility levels in the recent past.

Abortion28. Abortion as an option was probed for all the pregnancies which resulted into any kind of outcome i.e. live birth, still birth, spontaneous and induced abortion during 2009-2011. This was followed by a series of questions such as when the abortion had taken place (month & year), month of pregnancy when the abortion had occurred, whether any ANC was received, whether ultrasound was performed before the abortion, the place of abortion and who performed the abortion. Based on these data, various indicators such as percentage of pregnancy(s) to women aged 15-49 years resulting in abortion, percentage of women who received any ANC before abortion, percentage of women who went for ultrasound before abortion, average month of pregnancy at the time of abortion, percentage of abortions performed by skilled health personnel (doctor / nurse / ANM / LHV / trained dai), and abortions which took place in institutions have been tabulated and presented.

Family Planning Practices29. The information on awareness as well as the usage in respect of Family Planning Practices was probed from Currently Married Women aged 15-49 years. There were a few women whose marital status as on 1.1.2012 (reference date) was Currently Married but on date of survey, their marital status was widow / divorcee / separated. In such cases, questions on only awareness were probed from them.

Current usage of Family Planning Methods 30. Currently Married Women aged 15-49 years, who were currently menstruating or who were in lactating status or secondary amenorrhoea as on date of survey, were asked whether they or their husbands are currently using any method(s) of family planning. In other words, those CMW who were currently pregnant or in menopause status or who have undergone hysterectomy or never menstruated were excluded from the sample. The family planning methods included both modern as well as traditional methods. Modern methods included Tubectomy, Vasectomy, Copper-T/IUD, Pills (Daily), Pills (Weekly), Emergency Contraceptive Pill, Condom/Nirodh, etc., while the traditional ones were Contraceptive Herbs, Rhythm/Periodic abstinence, Withdrawal, Lactational Amenorrhoea Method, etc. Accordingly, percentage of CMW reporting use of various types of family planning methods (most used method) has been tabulated. In addition, percentage of CMW using any method (Contraceptive Prevalence Rate), any modern method and any traditional method has also been tabulated. Levels of use of contraceptives provide the most obvious and widely accepted criterion for assessing the success of FP programme.

Unmet Need for Family Planning31. The unmet need for Family Planning is a crucial indicator for assessing the future demand for Family Planning services / supplies. Currently Married Women who are not using any method of contraception but who do not want any more children are defined as having an unmet need for limiting and those who are not using contraception but want to wait for two years or more before having another child are defined as having an unmet need for spacing. The sum total of unmet need for limiting and spacing is the unmet need for Family Planning. In order to ensure comparability with DHS Estimates, similar set of questions were probed from CMW aged 15-49 years under AHS also.

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32. For working out the estimates on unmet need, the unmet need for spacing has been calculated as the “proportion of pregnant CMW whose pregnancy was mistimed; CMW in lactational amenorrhoea who are not using any family planning method and whose last birth was mistimed, or whose last birth was unwanted but now they say they want more children; fecund CMW who are neither currently pregnant nor in amenorrhoea, and who are not using any family planning method and say that they want to wait for two or more years for the next birth, including those who say that they are unsure whether they want another child, or want another child but are unsure when to have the birth”.

33. The unmet need for limiting has been worked out as the “proportion of pregnant CMW whose pregnancy was unwanted; CMW in lactational amenorrhoea who are not using any family planning method, whose last child was unwanted and who do not want any more children; and fecund CMW who are neither pregnant nor in amenorrhoea who are not using any method of family planning and who want no more children”. Using the met demand for contraception (current contraceptive users) and the unmet need for contraception, the total demand for family planning as well as the percentage demand satisfied can be assessed. The classification for the need for family planning is illustrated as under:

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Ante-natal Care34. Ante-natal care constitutes one of the key elements towards initiatives to promote safe motherhood. A series of questions to capture various aspects of ante-natal care such as, number of ante-natal check-ups received, months of pregnancy at the time of first ANC, main source of ANC, type of tests performed during ANC, number of Tetanus Toxoid (TT) injections received and number of days of consumption of Iron & Folic Acid (IFA) tablets/syrup, were asked from the EMW aged 15-49 years in respect of their last two outcomes of pregnancies which have resulted into live births / still births during 2009-11. However, appropriate indicators based on the above aspects have been tabulated in respect of responses recorded for last live / still births.

35. The indicators included in the Factsheets are percentage of mothers who received any ANC, percentage of mothers who had ANC in first trimester, percentage of mothers who received 3 or more ANC, percentage of mothers who received at least one TT injection, percentage of mothers who consumed IFA for 100 days or more and percentage of mothers who had full ante-natal check-up. The full ante-natal check-up comprises at least three visits for ANC, at least one TT injection received and IFA consumption for 100 days or more. In addition, percentage of mothers who received ANC from Government source, percentage of mothers whose blood pressure & blood (for Hb) were taken and percentage of mothers who underwent ultrasound have been calculated and presented. Besides, percentage of Currently Married Pregnant Women aged 15-49 years registered for ANC has also been presented.

Delivery Care 36. Under Delivery Care, the details about place of delivery, source of transport provided/availed for reaching the institution, length of stay in the institution after delivery, type of delivery (normal / caesarean / assisted) and the personnel conducting delivery in case of domiciliary births were inquired from the EMW aged 15-49 years for their last two pregnancy outcomes resulting into live births/still births during 2009-11. As in the case of ante-natal care, indicators based on these parameters have been tabulated in respect of responses for last live/still births. Percentage of deliveries taken place in institutions and their distribution into Government and Private institutions; percentage of deliveries taken place at home; percentage of home deliveries conducted by skilled health personnel; and percentage of Safe deliveries are the key indicators presented in the Factsheet. Safe delivery comprises institutional deliveries and home deliveries conducted by doctor/ nurse / ANM / LHV and it does not include those attended by trained dai. However, trained dai is included under skilled health personnel. If the respondent has mentioned more than one person attending delivery, only the most qualified person is taken into consideration.

37. As regards the extent of stay in institutions after delivery which is very crucial and has a direct bearing on the new born care as also on the health of the mother, the percentage of less than 24 hours stay in the institution after delivery has been worked out and presented. Besides, percentage of Caesarean deliveries out of total deliveries taken place in Government and Private Institutions respectively has also been presented.

Post-natal Care38. Getting a Post partum / Post-natal check-up soon after the birth of baby or within 48 hours is crucial for the health of both the mother and the child. Accordingly, three indicators, viz., percentage of mothers who received Post-natal check-up within 48 hours of delivery, percentage of mothers who received Post-natal check-up within one week of delivery and percentage of mothers who did not receive any Post-natal check-up have been calculated and presented. In case of institutional delivery where the woman had stayed

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there for at least 48 hours, it was presumed that the post-natal care was given within 48 hours. These indicators are based on the last outcome of pregnancy which resulted into live / still birth during 2009-11.

39. Along with the first post-natal check-up of mother, check-up of the new borns is essential. It was therefore probed from the mothers, whose last outcome of pregnancy resulted into live birth during 2009-12, when was the new born checked up. Based on this, the percentage of new born who received check up within 24 hours of birth has been worked out and presented. In case of institutional delivery if the baby remained there for at least 24 hours, it was presumed that the first check-up was done within 24 hours.

Financial assistance under Janani Suraksha Yojana40. The Janani Suraksha Yojana (JSY) is one of the most important programmes under the overall umbrella of NRHM aimed at reducing Maternal Mortality Ratio and Neo-natal Mortality Rate by promoting institutional deliveries. Under the Scheme, cash incentives are provided to mothers and they are facilitated by Accredited Social Health Activists (ASHAs) to deliver their babies in a health facility. There are also provisions for cost reimbursement for transport and incentives to ASHAs for encouraging mothers to opt for institutional delivery. The scheme is fully sponsored by the Central Government and is implemented in all States and Union Territories, with special focus on low-performing States. There is also a provision for roping in the private sector by giving accreditation to willing private hospitals/nursing homes for providing delivery services. The Scheme has been implemented in all the 9 AHS States since 2005.

41. In order to gauge the spread and effectiveness of the JSY, Ever Married Women aged 15-49 years were probed whether they had availed the maternity financial assistance for safe motherhood under the scheme in respect of their last two outcomes of delivery resulting in live / still births during 2009-11. The percentage of mothers who availed financial assistance for delivery, percentage of mothers who availed financial assistance for institutional delivery and percentage of mothers who availed financial assistance for Government institutional delivery under JSY, all in respect of the last outcome of delivery resulting in live birth / still birth, have been calculated and presented. Since the scope of JSY has been extended to domiciliary births also, these three sets of indicators would present a holistic picture.

Immunization42. The information on childhood immunization, i.e., vaccination coverage, has been collected for all living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11]. Information on six vaccine preventable diseases namely, tuberculosis, diphtheria, whooping cough (Pertussis), tetanus, polio and measles, has been collected with reference to the status as on date of survey. Universal immunization of children against these six diseases is vital for reducing infant and child mortality. Whenever the mother had the vaccination card (Immunization / MCH) and if the card was available at the time of interview, the responses were recorded based on entries in the card. Otherwise, the responses as reported by the mother were noted down. For those living children who did not receive any vaccination, the main reason thereof has also been noted.

43. In conformity with the International and Govt. of India guidelines which specify that children should be fully vaccinated by the time they complete their first year of life, the 12-23 months age group has been chosen for analysis. The percentage of children having Immunization Card, percentage of children aged 12-23 months who have received BCG, percentage of children who have received 3 doses of polio vaccine, percentage of children

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who have received polio dose at birth, percentage of children who have received three doses of DPT vaccine and percentage of children who have received measles vaccine, all for the age group 12-23 months, have been calculated and presented. Besides the percentage of children aged 12-23 months who have been fully immunized, the percentage of children aged 12-23 months who did not receive any vaccination have also been tabulated in order to portray the complete picture of immunization. According to the WHO guidelines, children are considered fully immunized when they have received vaccination against tuberculosis, three doses of DPT, three doses of the poliomyelitis and one dose of measles.

Administration of Vitamin-A and Iron & Folic Acid supplements44. Proper and sufficient intake of Vitamin-A and Iron supplements is essential to thwart childhood morbidity and mortality. Vitamin-A is an essential micro nutrient for the immune system and plays an important role in maintaining the epithelial tissues in the body. Severe Vitamin-A deficiency (VAD) can cause eye damage. VAD has also the potential to increase the severity of measles and diarrhoeal diseases in children and slow recovery from illness. Since the human liver can store an adequate amount of the vitamin for 4-6 months, Vitamin-A dosing every six months is one of the usual methods for ensuring that children at risk are protected from developing VAD. The National Programme on Prevention of Blindness mandates that children of age 9 months to 5 years should be administered oral doses of Vitamin-A every six months. In order to assess the situation, information on children aged 6-35 months who have received at least one dose of Vitamin-A during the last six months has been collected and presented.

45. Anaemia, which is characterised by a low level of haemoglobin in the blood, is a great concern in young children because it can result in impaired cognitive performance, behavioural and motor coordination, language development and scholastic achievement. It also enhances the risk of morbidity from other infectious diseases. One of the most vulnerable groups to anaemia is children aged 6-23 months. It was probed from the mothers of all living children older than 6 months whether IFA tablet / syrup was administered to the children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] in the last 3 months. IFA tablet/syrup as supplements is given to child beyond six months to prevent anaemia. Based on this, the percentage of children aged 6-35 months who have received IFA tablets / syrup during last three months has been calculated and presented.

Birth weight46. Birth weight is an important indicator to measure the vulnerability of a new born to the risk of childhood illness and chances of survival. The information on birth weight assists in monitoring programmes to reduce neo-natal and infant mortality through a reduction in low birth weight infants. The information on birth weight has been collected in respect of all living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11]. Based on this data, the percentage of children whose birth weight was taken and percentage of children whose birth weight was less than 2.5 Kg. have been worked out and presented.

Childhood diseases47. Treatment practices and contact with health services among children with the 3 most important childhood illnesses namely, Acute Respiratory Infection (ARI), Fever and Diarrhoea, help in the assessment of National Programmes aimed at reducing the mortality impact of these illnesses. The information on children suffering from Acute Respiratory Infection, Fever and Diarrhoea in respect of all the living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] during fifteen days preceding the date of survey has been collected. This has been done to minimise the recall lapse. Besides the

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prevalence, the information on treatment of ARI with antibiotics, treatment of fever and the treatment of diarrhoea with Home Available Fluids (HAF) / fluids prepared from ORS packet has been collected. The treatment of diarrhoeal diseases with Oral Rehydration Therapy (ORT) aids in the assessment of programmes that recommends such treatment. Based on these data, the percentage of children suffering from Diarrhoea and received HAF / ORS / ORT, percentage of children suffering from ARI and sought treatment, and percentage of children suffering from fever and sought treatment have been calculated and presented.

Child feeding practices 48. Early breastfeeding practices determine the successful establishment and duration of breastfeeding. It is recommended that children be put to the breast immediately or within one hour of birth. There is growing evidence of the benefits to mother and child of early initiation of breastfeeding preferably in the first hour of the birth. Early initiation of breastfeeding contributes to reducing neo-natal mortality. It ensures early skin to skin contact which is important in preventing hypothermia and establishing the bond between the mother and her child. Early initiation of breastfeeding also reduces the mother’s risk of post partum haemorrhage, one of the leading causes of maternal mortality. Although breastfeeding is nearly universal in India, very few children are put to breastfeed immediately after birth. In order to have an assessment with regard to the time of initiation of breastfeeding, the mothers of all living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] were asked when did they first breastfeed their baby. Based on this, the percentage of children breastfed within one hour of birth has been calculated and presented.

49. Exclusive breastfeeding for the first six months of the child’s life is an essential component of the optimal infant and young child feeding practices. The Government of India recommends that children should be exclusively breastfed for the first six months of life (i.e., the child should be given only breast milk and nothing else, not even water). In order to assess the situation on ground, the mothers of all living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] were asked how many days/months did they exclusively breastfeed their baby. Based on the responses, percentage of children aged 6-35 months exclusively breastfed for at least six months has been worked out and presented.

Complementary feeding50. The introduction of complementary feeding at six months of age, solid and semi-solid food and the diverse food combinations fed to children also constitute part of the optimal feeding practices. The purpose of complementary feeding is to complement the breast milk and sustain the growth and development of the child. WHO recommends introduction of solid or semi-solid foods to infants around the age of 6 months because by that age, breast milk by itself is no longer sufficient to maintain the child’s optimal growth. Information on supplementation was obtained by asking mothers of all living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] at what age did they start feeding the baby food other than breast milk. The type of food included water, animal milk / formula milk, semi-solid mashed food, solid (adult) food and vegetables/fruits. Based on these, the percentage of children who received foods other than breast milk such as water, animal/formula milk, semi-solid mashed food, solid (adult) food and vegetables/fruits during first six months has been worked out and presented. Besides, the average month by which children received these foods have also been worked out and presented.

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Birth Registration51. India, being a signatory to the UN Convention on the Rights of the Child, 1989 which recognizes birth registration as one of the first rights of child, is committed to achieve universalization of birth registration. In India, registration of birth is compulsory under the Registration of Births and Deaths (RBD) Act, 1969. The Act mandates that every birth should be registered and a birth certificate provided free of charge to the informant. Despite significant efforts to improve the Civil Registration System, especially during the past decade, the overall level of registration of births still falls short by about 25 percent. The registration system in the country functions at different levels of efficiency across States/UTs. In order to assess the functioning of the Civil Registration System in the community, information on whether the birth of the baby was registered with the civil authority and if so, the birth certificate was received or not in respect of all living children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] has been collected. Based on this, the percentage of children whose births were registered and the percentage of children whose births were registered & who also received the Birth Certificates have been arrived at and presented.

52. Under the RBD Act, the institutions where birth takes place is to register the birth and issue the birth certificate in case they have been declared as the registration units or to report the event to the local Registrar of Births & Deaths. Of late, majority of the Government institutions have been declared as registration units. Since a review of the system across different States/UTs has revealed that due to lack of a proper and complete reporting system, the institutional births which have already been registered are not being reflected in the final figures compiled and therefore in order to net all such cases, it was presumed that the birth would have been registered. However, even in these cases it was probed whether the birth certificate has been received.

53. This Factsheet of the second updation survey pertains to the State of Jharkhand. The field work for the AHS has been carried out by M/s TNS India Pvt. Ltd. Gurgaon and M/s Nielsen (India) Pvt. Ltd.), New Delhi in the allotted zones. The third party audit work in the State has been done by M/s. Research and Development Initiative Pvt. Ltd., New Delhi.

54. The survey reference period of this Factsheet is 01.01.2011 to 31.12.2011 and the results presented as based on the data for the period 2009, 2010 and 2011.

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SAMPLE PARTICULARS

State / DistrictSample Units Household Population

Total Rural Urban Total Rural Urban Total Rural Urban1 2 3 4 5 6 7 8 9 10

Jharkhand 2108 1513 595 392734 318142 74592 2019298 1644036 375262Bokaro 106 47 59 21645 13042 8603 109548 65779 43769Chatra 72 66 6 12282 11282 1000 69267 63510 5757Deoghar 67 54 13 10177 8261 1916 54269 44608 9661Dhanbad 121 45 76 22724 11849 10875 118510 61300 57210Dumka 83 75 8 11265 10339 926 55026 50636 4390Garhwa 79 74 5 20717 19654 1063 106313 100822 5491Giridih 112 101 11 20259 19266 993 117241 111633 5608Godda 60 56 4 13249 12550 699 67445 63911 3534Gumla 154 141 13 33467 31471 1996 166488 156732 9756Hazaribagh 98 67 31 22829 19252 3577 124592 105798 18794Kodarma 72 54 18 12349 10701 1648 72466 63071 9395Lohardaga 107 87 20 22851 20510 2341 118200 106222 11978Pakaur 33 30 3 6472 6007 465 31934 29825 2109Palamu 131 119 12 25256 24045 1211 134018 127246 6772Pashchimi Singhbhum 126 96 30 21904 18551 3353 104482 88412 16070Purbi Singhbhum 279 97 182 37470 16513 20957 174472 75210 99262Ranchi 137 75 62 26129 17666 8463 133247 90577 42670Sahibganj 271 229 42 51689 47183 4506 261780 238744 23036

State / DistrictEver Married Women

(aged 15-49 years)Currently Married Women

(aged 15-49 years) Children 12-23 months


Jharkhand 385476 313668 71808 363844 296205 67639 79774 67806 11968Bokaro 21646 13218 8428 20497 12471 8026 4644 3046 1598Chatra 12987 12013 974 12476 11550 926 2398 2206 192Deoghar 11067 9159 1908 10598 8760 1838 1815 1569 246Dhanbad 22763 12085 10678 21277 11314 9963 4769 2939 1830Dumka 11408 10492 916 10648 9798 850 2734 2600 134Garhwa 19725 18659 1066 19177 18156 1021 3129 2968 161Giridih 23850 22803 1047 22975 21992 983 4090 3941 149Godda 12790 12108 682 12224 11569 655 2704 2601 103Gumla 29190 27485 1705 26940 25386 1554 7514 7174 340Hazaribagh 24930 21400 3530 23816 20481 3335 4328 3831 497Kodarma 14701 12869 1832 14026 12290 1736 2589 2299 290Lohardaga 20995 18815 2180 19514 17456 2058 5394 4964 430Pakaur 6344 5909 435 5902 5486 416 1652 1597 55Palamu 24457 23300 1157 23587 22486 1101 4188 3996 192Pashchimi Singhbhum 18686 15546 3140 17333 14386 2947 4816 4254 562Purbi Singhbhum 35135 15307 19828 32951 14287 18664 5993 2974 3019Ranchi 24887 16779 8108 23089 15461 7628 5203 3776 1427Sahibganj 49915 45721 4194 46814 42876 3938 11814 11071 743

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Rural72%

Urban28%

Jharkhand: Sample Units

0

50

100

150

200

250

Jharkhand: District wise Sample Units

Rural Urban

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Rural81%

Urban19%

Jharkhand: Sample Households

0

5000

10000

15000

20000

25000

30000

35000

40000

45000

50000

Jharkhand: District wise Sample Households

Rural Urban

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Rural81%

Urban19%

Jharkhand: Sample Population

0

50000

100000

150000

200000

250000

300000

Jharkhand: District wise Sample Population

Rural Urban

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HOUSEHOLD CHARACTERISTICS

State / DistrictAverage Household Size

SC ST AllTotal Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Jharkhand 5.1 5.1 5.1 4.9 5.0 4.6 5.2 5.2 5.1Bokaro 5.0 5.0 5.1 4.8 4.9 4.8 5.1 5.0 5.1Chatra 5.4 5.4 5.4 5.8 5.8 5.5 5.6 5.6 5.8Deoghar 5.0 5.0 5.0 5.1 5.1 5.2 5.3 5.3 5.0Dhanbad 5.2 5.0 5.3 5.2 5.2 5.0 5.2 5.2 5.3Dumka 4.5 4.5 4.5 4.7 4.7 4.7 4.9 4.9 4.7Garhwa 5.1 5.1 5.0 5.1 5.1 5.4 5.2 5.2 5.2Giridih 5.4 5.4 5.4 5.6 5.6 5.3 5.9 5.9 5.7Godda 5.1 5.1 5.3 4.5 4.5 4.3 5.1 5.1 5.1Gumla 4.8 4.8 4.8 5.0 5.0 4.6 5.0 5.0 4.9Hazaribagh 5.2 5.3 5.1 5.2 5.2 4.9 5.4 5.5 5.3Kodarma 5.5 5.5 5.3 5.1 5.4 4.7 5.9 6.0 5.7Lohardaga 4.9 4.9 4.8 5.3 5.3 4.7 5.2 5.2 5.1Pakaur 5.0 5.0 5.1 4.7 4.7 4.1 4.9 4.9 4.5Palamu 5.2 5.2 5.2 5.5 5.5 5.2 5.3 5.3 5.6Pashchimi Singhbhum 4.6 4.6 5.0 4.9 4.9 4.5 4.8 4.8 4.8Purbi Singhbhum 4.6 4.4 4.8 4.6 4.7 4.4 4.7 4.6 4.7Ranchi 4.8 4.7 4.8 5.0 5.1 4.7 5.1 5.1 5.0Sahibganj 4.9 4.9 5.0 4.6 4.6 5.0 5.0 5.0 5.1

State / DistrictPopulation below age 15

years (%) Dependency Ratio Currently Married Illiterate Women aged 15-49 years (%)


Jharkhand 33.8 35.7 28.4 69.3 75.4 54.1 46.7 55.4 21.9Bokaro 30.4 33.3 27.7 60.0 68.2 53.3 38.5 53.8 24.0Chatra 37.6 38.1 33.3 79.4 81.2 63.8 52.3 55.1 21.6Deoghar 35.8 37.2 28.7 73.5 77.4 56.9 51.3 57.1 20.5Dhanbad 31.2 33.5 29.6 58.8 66.1 54.4 37.9 49.9 29.6Dumka 33.9 34.4 27.8 71.2 72.6 55.2 56.4 58.7 28.3Garhwa 37.0 37.4 31.8 81.0 82.5 63.2 61.4 64.3 26.7Giridih 37.9 38.4 30.4 80.9 82.8 56.5 55.8 58.0 17.7Godda 37.1 37.5 28.7 81.8 83.1 59.4 60.6 62.9 17.5Gumla 35.0 35.3 30.8 76.7 78.2 57.8 49.6 51.8 18.9Hazaribagh 33.3 34.6 28.6 66.4 71.0 52.0 40.1 45.4 19.3Kodarma 36.5 37.5 32.2 77.9 81.3 64.0 44.6 48.3 25.8Lohardaga 36.1 36.9 29.8 77.2 80.4 57.9 47.5 52.5 14.0Pakaur 37.6 38.3 24.9 76.6 78.6 48.4 64.1 67.6 10.0Palamu 37.0 37.4 31.8 80.6 81.7 64.9 56.6 58.6 25.3Pashchimi Singhbhum 33.6 35.1 26.6 69.8 73.8 52.7 54.3 62.0 21.3Purbi Singhbhum 27.4 29.8 25.6 55.5 62.5 50.8 32.8 52.0 19.1Ranchi 31.7 34.1 28.0 63.2 69.6 54.0 31.0 44.2 11.3Sahibganj 36.8 37.5 31.6 76.3 78.1 63.9 61.5 65.3 31.1

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SEX RATIO

State / DistrictSex Ratio at Birth Sex Ratio (0- 4 years) Sex Ratio (All ages)

Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10

Jharkhand 930 943 884 948 961 903 954 967 915

Bokaro 885 913 851 913 942 883 917 942 895

Chatra 950 947 985 1036 1031 1086 962 964 938

Deoghar 952 952 947 979 989 916 929 936 898

Dhanbad 896 907 887 941 940 942 913 937 898

Dumka 927 936 782 915 918 849 965 970 905

Garhwa 980 980 975 966 971 888 930 933 891

Giridih 994 984 1206 975 968 1119 982 983 957

Godda 952 951 980 1007 1002 1146 942 943 922

Gumla 945 942 1004 970 969 977 992 995 957

Hazaribagh 896 908 848 907 918 860 959 974 909

Kodarma 979 992 914 997 1011 926 971 979 934

Lohardaga 919 923 875 973 979 913 984 988 954

Pakaur 914 929 586 888 897 674 954 957 903

Palamu 964 975 794 991 994 951 958 960 929

Pashchimi Singhbhum 977 983 939 974 992 860 993 1005 936

Purbi Singhbhum 881 868 894 916 911 920 942 978 917

Ranchi 906 926 868 918 963 838 969 981 951

Sahibganj 936 940 895 948 953 900 948 956 887

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840

860

880

900

920

940

960

980

Total Rural Urban

Jharkhand: Sex Ratio

Sex Ratio at Birth Sex Ratio (0- 4 years) Sex Ratio (All ages)

850

870

890

910

930

950

970

990

1010

1030

1050

Jharkhand: Sex Ratio

Sex Ratio at Birth Sex Ratio (0- 4 years) Sex Ratio (All ages)

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EFFECTIVE LITERACY RATE

State / District

Effective Literacy Rate

Person Male Female


1 2 3 4 5 6 7 8 9 10

Jharkhand 73.3 68.2 87.0 83.4 79.6 93.3 63.1 56.9 80.2

Bokaro 79.0 70.2 86.7 89.5 83.6 94.4 67.9 56.3 78.3

Chatra 69.9 67.8 87.0 79.3 77.8 91.2 60.9 58.6 82.6

Deoghar 72.0 68.5 88.5 83.3 80.9 93.9 60.2 55.6 82.4

Dhanbad 79.4 73.0 83.5 88.7 84.9 91.1 69.3 60.4 75.0

Dumka 66.7 65.3 83.2 79.7 78.7 91.5 53.4 51.8 74.2

Garhwa 67.4 65.9 85.4 78.0 76.7 92.6 57.0 55.3 77.7

Giridih 69.2 67.8 88.7 82.9 82.1 92.9 56.9 55.1 84.2

Godda 63.3 62.0 87.5 72.5 71.4 91.9 53.8 52.2 82.9

Gumla 70.9 69.6 88.5 80.3 79.4 93.0 61.6 60.0 84.0

Hazaribagh 76.5 73.1 87.6 86.1 83.7 93.7 67.0 63.0 81.0

Kodarma 73.9 71.3 85.3 85.5 83.9 92.0 62.9 59.5 78.3

Lohardaga 74.0 71.6 90.7 84.3 82.7 95.1 64.0 60.7 86.2

Pakaur 59.3 57.1 92.2 68.0 66.1 96.2 50.2 47.7 87.8

Palamu 69.4 68.3 85.2 79.4 78.5 91.6 59.6 58.3 78.3

Pashchimi Singhbhum 67.6 63.5 86.2 80.4 77.4 93.1 55.2 50.0 78.9

Purbi Singhbhum 78.7 65.9 87.5 86.8 77.3 93.1 70.0 54.3 81.3

Ranchi 82.3 75.4 92.5 90.0 85.5 96.5 74.4 65.2 88.2

Sahibganj 63.5 61.0 81.4 72.0 69.7 87.8 54.6 52.0 74.3

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MARRIAGE

State / District

Marriages among Females below legal age

(18 years) (%)#

Marriages among Males below legal age (21 years)

(%)#

Currently Married Women aged 20-24 years married

before legal age (18 years) (%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Jharkhand 11.0 13.2 5.2 15.0 18.3 6.6 45.2 48.4 32.1Bokaro 4.7 5.5 3.9 8.5 12.1 5.3 29.8 31.6 27.6Chatra 10.7 12.0 2.0 19.2 20.8 7.7 49.9 51.9 21.7Deoghar 19.6 22.0 7.6 22.4 25.6 8.0 63.5 66.2 37.7Dhanbad 9.5 12.8 7.5 12.3 15.5 10.4 42.4 47.9 37.8Dumka 17.3 18.1 8.1 21.2 22.5 6.7 56.8 57.9 37.7Garhwa 12.4 13.6 - 20.8 22.9 - 49.0 49.6 -Giridih 17.6 18.7 1.1 24.5 26.2 4.0 62.8 63.7 43.0Godda 17.7 18.5 - 16.9 17.7 - 58.0 58.5 -Gumla 7.7 8.1 2.1 14.5 15.3 5.5 30.5 30.7 26.6Hazaribagh 11.4 12.9 6.2 13.5 15.8 5.8 42.7 44.9 31.0Kodarma 12.1 13.5 5.2 18.6 20.2 11.0 54.0 56.8 35.9Lohardaga 5.8 6.1 4.7 15.6 17.8 4.4 24.4 25.0 19.1Pakaur 24.3 25.9 - 23.8 25.5 - 51.4 52.1 -Palamu 10.1 10.5 5.5 20.6 21.6 7.3 46.2 46.7 35.8Pashchimi Singhbhum 8.3 9.0 5.2 12.5 14.3 4.2 33.8 34.1 31.8Purbi Singhbhum 6.2 8.0 4.9 6.9 10.6 4.4 32.8 36.0 29.4Ranchi 5.6 7.1 3.4 9.9 12.7 5.6 29.3 31.7 24.6Sahibganj 14.6 15.8 6.2 17.3 18.6 8.8 45.6 46.8 35.3

# Based on marriages taken place during 2009-2011

State / District

Currently Married Men aged 25-29 years

married before legal age (21 years) (%)

Mean age at Marriage#

Male Female


Jharkhand 32.0 34.4 23.4 24.5 23.7 26.6 20.7 20.3 22.1Bokaro 24.8 25.2 24.2 25.5 24.2 26.6 21.4 20.6 22.1Chatra 43.0 45.1 12.2 23.2 22.8 26.9 20.2 20.0 22.0Deoghar 46.5 49.5 25.0 23.3 22.6 26.8 19.9 19.5 21.8Dhanbad 28.8 31.3 26.8 24.9 23.9 25.5 20.8 20.1 21.4Dumka 33.1 33.9 20.0 23.6 23.4 26.0 20.1 20.0 21.3Garhwa 43.3 44.7 - 22.9 22.6 - 20.0 19.8 -Giridih 48.1 49.3 27.0 22.7 22.4 26.1 19.5 19.3 21.7Godda 34.8 35.3 - 24.0 23.8 - 20.2 20.0 -Gumla 25.5 25.8 20.5 24.9 24.7 27.3 21.8 21.7 23.3Hazaribagh 29.2 30.7 22.3 24.2 23.7 26.2 20.3 20.0 21.4Kodarma 38.5 40.9 25.5 22.9 22.7 24.2 19.7 19.5 21.0Lohardaga 23.6 24.7 12.8 24.2 23.5 28.1 21.3 21.0 22.6Pakaur 31.1 31.5 - 23.4 22.9 - 19.9 19.7 -Palamu 41.6 42.6 23.7 23.1 22.9 26.5 20.2 20.1 22.3Pashchimi Singhbhum 21.2 21.4 20.0 25.2 24.7 27.6 21.3 21.1 22.7Purbi Singhbhum 20.5 19.5 21.3 26.6 25.4 27.4 21.9 20.8 22.7Ranchi 22.5 23.4 20.8 25.8 24.8 27.3 21.9 21.2 23.0Sahibganj 30.4 31.3 21.7 24.1 23.8 26.4 20.4 20.3 21.2

# Based on marriages taken place during 2009-2011

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051015202530

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SCHOOLING STATUS

State / DistrictChildren currently attending school (Age 6-17 years) (%)

Person Male FemaleTotal Rural Urban Total Rural Urban Total Rural Urban


State / DistrictChildren attended before / Drop out (Age 6-17 years) (%)



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vey

2012

-13

WORK STATUS

State / DistrictChildren aged 5-14 years engaged in work (%)



State / DistrictWork Participation Rate (15 years and above)



JHARKHAND

13

Annual H


0

500

1000

1500

2000

2500

Person Male Female

Jharkhand: Prevalence of any type of Disability (Per 100,000 Population)

TotalRuralUrban

DISABILITY

State / DistrictPrevalence of any type of Disability (Per 100,000 Population)


1 2 3 4 5 6 7 8 9 10Jharkhand 2046 2049 2035 2407 2415 2386 1677 1686 1653Bokaro 2455 2857 2093 2896 3395 2460 1979 2296 1684Chatra 1877 1922 1480 2241 2330 1490 1533 1540 1469Deoghar 1477 1522 1257 1875 1957 1492 1061 1074 994Dhanbad 2344 2641 2150 2694 2928 2544 1964 2335 1717Dumka 2062 2072 1940 2404 2425 2159 1712 1713 1697Garhwa 1913 1977 - 2221 2315 - 1605 1643 -Giridih 1393 1391 1426 1713 1711 1746 1098 1099 1091Godda 1869 1925 - 2333 2396 - 1395 1445 -Gumla 2324 2333 2191 2679 2685 2592 1973 1985 1790Hazaribagh 1509 1563 1327 1859 1932 1624 1158 1202 997Kodarma 1812 1908 1375 2218 2340 1698 1423 1504 1035Lohardaga 2282 2337 1901 2665 2712 2337 1905 1968 1457Pakaur 1349 1352 - 1487 1506 - 1203 1189 -Palamu 1933 1944 1769 2264 2281 2026 1608 1616 1495Pashchimi Singhbhum 1965 1894 2298 2242 2139 2702 1694 1657 1871Purbi Singhbhum 2311 2477 2194 2611 2779 2495 1992 2166 1865Ranchi 2808 3079 2394 3272 3566 2831 2329 2583 1932Sahibganj 1608 1590 1739 1902 1874 2104 1301 1297 1332

JHARKHAND

14

Ann

ual H

ealth

Sur

vey

2012

-13

0

500

1000

1500

2000

2500

3000

Jhark

hand

: Prev

alenc

e of a

ny ty

pe of

Disa

bility

(Per

100,0

00 Po

pulat

ion)

JHARKHAND

15

Annual H


INJURY

State / District

Number of Injured Persons by type of Treatment received (Per 100,000 Population)Severe


1 2 3 4 5 6 7 8 9 10 Jharkhand 376 416 265 427 467 320 325 365 206 Bokaro 137 126 147 190 181 198 80 69 90 Chatra 841 848 777 836 827 909 846 868 640 Deoghar 634 681 401 625 660 462 643 704 331 Dhanbad 148 109 174 200 137 241 92 80 100 Dumka 67 69 47 84 87 45 50 50 50 Garhwa 346 356 - 375 391 - 318 321 - Giridih 673 660 856 735 729 817 615 597 896 Godda 725 696 - 616 611 - 836 783 - Gumla 117 102 338 163 142 457 72 62 218 Hazaribagh 770 767 781 897 925 810 642 612 750 Kodarma 844 869 730 957 987 828 736 758 628 Lohardaga 122 106 232 157 136 301 87 76 162 Pakaur 1044 1061 - 1167 1177 - 914 938 - Palamu 492 492 487 594 593 609 391 393 357 Pashchimi Singhbhum 122 92 266 177 144 328 68 41 201 Purbi Singhbhum 90 35 129 122 52 170 56 18 84 Ranchi 183 204 150 255 273 227 109 135 69 Sahibganj 701 717 581 762 773 679 638 659 473

State / District

Number of Injured Persons by type of Treatment received (Per 100,000 Population)Major



JHARKHAND

16

Ann

ual H

ealth

Sur

vey

2012

-13

0

200

400

600

800

1000

1200

1400

1600

Severe Major Minor

Jharkhand: Number of Injured Persons by type of Treatment received (Per 100,000 Population)

PersonMaleFemale

INJURY

State / District

Number of Injured Persons by type of Treatment received (Per 100,000 Population)Minor


1 2 3 4 5 6 7 8 9 10 Jharkhand 1049 1045 1059 1438 1433 1453 652 660 629 Bokaro 1049 1061 1039 1484 1512 1460 581 590 572 Chatra 1027 1021 1073 1455 1442 1563 622 628 565 Deoghar 926 979 668 1278 1384 777 559 562 544 Dhanbad 1058 696 1295 1427 907 1762 657 470 782 Dumka 430 423 520 586 586 585 270 256 449 Garhwa 1042 1053 - 1353 1374 - 732 736 - Giridih 1103 1102 1122 1460 1461 1449 774 774 779 Godda 1041 1062 - 1364 1387 - 711 731 - Gumla 801 757 1417 1139 1074 2047 467 444 786 Hazaribagh 1082 1142 876 1494 1559 1285 668 735 422 Kodarma 1870 1935 1577 2449 2584 1872 1316 1327 1266 Lohardaga 875 801 1392 1212 1092 2036 544 517 738 Pakaur 1246 1252 - 1731 1736 - 734 742 - Palamu 1922 1939 1683 2656 2670 2467 1202 1226 847 Pashchimi Singhbhum 717 711 747 1050 1059 1010 389 373 468 Purbi Singhbhum 486 301 617 677 407 864 282 192 348 Ranchi 1284 1282 1288 1761 1763 1759 792 793 790 Sahibganj 1266 1274 1204 1744 1763 1607 767 769 755

JHARKHAND

17

Annual H


0

100

200

300

400

500

600

700

800

900

1000

1100

Jhar

khan

d: N

umbe

r of I

njur

ed P

erso

ns b

y ty

pe o

f Tre

atm

ent r

ecei

ved

(Per

100

,000

Pop

ulat

ion)

Seve

re Ma

jor

JHARKHAND

18

Ann

ual H

ealth

Sur

vey

2012

-13

ACUTE ILLNESS

State / District

Persons suffering from Acute Illness (Per 100,000 Population)Diarrhoea/Dysentery



State / District

Persons suffering from Acute Illness (Per 100,000 P opulation)Acute Respiratory Infection (ARI)



JHARKHAND

19

Annual H


ACUTE ILLNESS

State / District

Persons suffering from Acute Illness (Per 100,000 Population)Fever (All Types)



State / District

Persons suffering from Acute Illness (Per 100,000 Population)Any type of Acute Illness



JHARKHAND

20

Ann

ual H

ealth

Sur

vey

2012

-13

0

50

100

150

200

250

300

350

400

Person Male Female

Jharkhand: Persons suffering from Diarrhoea/Dysentery (Per 100,000 Population)

TotalRuralUrban

0

500

1000

1500

2000

2500

3000

3500

4000

4500

Person Male Female

Jharkhand: Persons suffering from Acute Respiratory Infection (ARI) (Per 100,000 Population)

TotalRuralUrban

0

500

1000

1500

2000

2500

3000

3500

Person Male Female

Jharkhand: Persons suffering from Fever (All Types) (Per 100,000 Population)

TotalRuralUrban

5800

6000

6200

6400

6600

6800

7000

7200

7400

7600

Person Male Female

Jharkhand: Persons suffering from any type of Acute Illness (Per 100,000 Population)

TotalRuralUrban

JHARKHAND

21

Annual H


0

500

1000

1500

2000

2500

3000

3500

4000

Diarrhoea/Dysentery Acute Respiratory Infection (ARI) Fever (All Types)

Jharkhand: Persons suffering from Acute Illness (Per 100,000 Population)

TotalRuralUrban

0

1000

2000

3000

4000

5000

6000

7000

8000

Jharkhand: Persons suffering from Acute Illness (Per 100,000 Population)

Diarrhoea/Dysentery Acute Respiratory Infection (ARI) Fever (All Types)

JHARKHAND

22

Ann

ual H

ealth

Sur

vey

2012

-13

ACUTE ILLNESS

State / DistrictPersons suffering from Acute Illness and taking treatment from Any Source (%)



State / DistrictPersons suffering from Acute Illness and taking treatment from Government Source (%)



JHARKHAND

23

Annual H


CHRONIC ILLNESS

State / DistrictHaving any kind of Symptoms of Chronic Illness (Per 100,000 Population)



State / DistrictHaving any kind of Symptoms of Chronic Illness and sought Medical Care (%)



JHARKHAND

24

Ann

ual H

ealth

Sur

vey

2012

-13

CHRONIC ILLNESS

State / District

Having diagnosed for Chronic Illness (Per 100,000 Population)Diabetes

Person Male RuralTotal Rural Urban Total Rural Urban Total Rural Urban


State / District

Having diagnosed for Chronic Illness (Per 100,000 Population)Hypertension



JHARKHAND

25

Annual H


0

500

1000

1500

2000

2500

Person Male Female

Jharkhand: Having diagnosed for Diabetes (Per 100,000 Population)

TotalRuralUrban

0

200

400

600

800

1000

1200

1400

1600

Jharkhand: Having diagnosed for Diabetes (Per 100,000 Population)

JHARKHAND

26

Ann

ual H

ealth

Sur

vey

2012

-13

0

500

1000

1500

2000

2500

Person Male Female

Jharkhand: Having diagnosed for Hypertension (Per 100,000 Population)

TotalRuralUrban

0

200

400

600

800

1000

1200

1400

1600

Jharkhand: Having diagnosed for Hypertension (Per 100,000 Population)

JHARKHAND

27

Annual H


CHRONIC ILLNESS

State / District

Having diagnosed for Chronic Illness (Per 100,000 Population)Tuberculosis (TB)



State / District

Having diagnosed for Chronic Illness (Per 100,000 Population)Asthma / Chronic Respiratory Disease



JHARKHAND

28

Ann

ual H

ealth

Sur

vey

2012

-13

0

50

100

150

200

250

300

350

400

450

500

Person Male Female

Jharkhand: Having diagnosed for Tuberculosis (TB) (Per 100,000 Population)

TotalRuralUrban

0

100

200

300

400

500

600

Jharkhand: Having diagnosed for Tuberculosis (TB) (Per 100,000 Population)

JHARKHAND

29

Annual H


0

100

200

300

400

500

600

Person Male Female

Jharkhand: Having diagnosed for Asthma/Chronic Respiratory Disease (Per 100,000 Population)

TotalRuralUrban

0

100

200

300

400

500

600

700Jharkhand: Having diagnosed for Asthma/Chronic Respiratory Disease (Per 100,000 Population)

JHARKHAND

30

Ann

ual H

ealth

Sur

vey

2012

-13

CHRONIC ILLNESS

State / District

Having diagnosed for Chronic Illness (Per 100,000 Population)Arthritis



State / District

Having diagnosed for Chronic Illness (Per 100,000 Population)Any kind of Chronic Illness



JHARKHAND

31

Annual H


0

500

1000

1500

2000

2500

3000

Person Male Female

Jharkhand: Having diagnosed for Arthritis (Per 100,000 Population)

TotalRuralUrban

0

1000

2000

3000

4000

Jharkhand: Having diagnosed for Arthritis (Per 100,000 Population)

JHARKHAND

32

Ann

ual H

ealth

Sur

vey

2012

-13

0

2000

4000

6000

8000

10000

12000

Person Male Female

Jharkhand: Having diagnosed for any kind of Chronic Illness (Per 100,000 Population)

TotalRuralUrban

0

2000

4000

6000

8000

10000

12000

14000

Jharkhand: Having diagnosed for any kind of Chronic Illness (Per 100,000 Population)

JHARKHAND

33

Annual H


CHRONIC ILLNESS

State / DistrictHaving diagnosed for any kind of Chronic Illness and getting Regular Treatment (%)


1 2 3 4 5 6 7 8 9 10Jharkhand 56.3 48.4 70.9 56.7 48.6 71.6 55.9 48.2 70.2Bokaro 68.7 56.0 77.4 69.0 54.3 78.3 68.5 57.4 76.5 Chatra 51.6 49.3 63.3 52.1 50.0 65.3 51.7 49.6 64.3 Deoghar 53.0 49.4 65.5 51.7 48.2 65.3 52.3 48.7 65.4 Dhanbad 58.6 49.9 63.3 59.3 51.7 63.4 57.9 48.4 63.1 Dumka 43.0 42.6 48.9 43.3 42.6 51.8 42.7 42.5 46.1 Garhwa 50.6 49.3 - 50.5 48.8 - 50.5 49.0 - Giridih 52.3 51.8 57.0 52.8 52.3 59.3 52.5 52.1 58.1 Godda 36.0 33.9 - 43.9 42.7 - 39.9 38.2 - Gumla 40.2 37.4 58.8 39.0 36.2 57.8 41.5 38.5 59.8 Hazaribagh 62.0 58.7 69.5 61.6 58.8 68.5 61.8 58.7 69.0 Kodarma 57.1 53.5 72.9 58.2 54.7 73.9 57.6 54.1 73.4 Lohardaga 49.5 43.5 67.1 49.6 43.6 67.9 49.5 43.5 66.5 Pakaur 53.0 51.3 - 53.8 52.5 - 53.3 51.8 - Palamu 47.6 46.9 57.6 46.9 46.2 59.4 47.2 46.5 58.5 Pashchimi Singhbhum 44.9 39.9 65.2 47.6 42.6 67.2 42.7 37.5 63.5 Purbi Singhbhum 69.6 48.1 78.5 71.2 50.3 79.9 68.0 45.9 77.1 Ranchi 72.8 60.6 85.4 73.0 61.4 85.5 72.7 59.9 85.4 Sahibganj 48.0 45.9 61.2 48.3 46.6 57.6 48.1 46.2 59.3

State / District

Having diagnosed for any kind of Chronic Illness and getting Regular Treatment from Government Source (%)



JHARKHAND

34

Ann

ual H

ealth

Sur

vey

2012

-13

FERTILITY State / District

Crude Birth Rate (CBR) Natural Growth Rate Total Fertility Rate Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Jharkhand 23.0 24.3 19.4 17.3 18.2 14.5 2.7 2.9 2.2Bokaro 22.9 26.5 19.6 17.5 20.2 15.0 2.6 - -Chatra 23.6 23.6 23.4 19.1 19.0 19.4 3.0 - -Deoghar 21.7 22.4 18.6 17.4 17.9 14.8 2.5 - -Dhanbad 23.6 28.0 20.8 18.4 21.7 16.3 2.7 - -Dumka 25.4 26.0 18.7 18.7 19.2 12.7 3.0 - -Garhwa 23.3 23.6 19.5 18.7 19.0 15.3 3.0 - -Giridih 21.6 21.8 18.5 17.5 17.7 14.3 2.5 - -Godda 23.2 23.4 19.1 16.5 16.7 14.4 3.0 - -Gumla 25.2 25.6 19.0 16.3 16.5 12.3 3.5 - -Hazaribagh 19.9 20.7 16.8 15.4 16.3 12.6 2.3 - -Kodarma 22.6 23.1 20.6 18.2 18.6 16.1 2.7 - -Lohardaga 27.0 27.9 20.4 18.8 19.6 13.5 3.7 - -Pakaur 29.2 29.8 18.2 22.5 23.1 13.4 3.7 - -Palamu 21.9 22.0 19.9 16.8 17.0 14.7 2.9 - -Pashchimi Singhbhum 25.4 26.5 19.9 17.3 17.8 15.0 3.1 - -Purbi Singhbhum 20.1 23.4 17.8 14.7 17.1 13.0 2.2 - -Ranchi 22.7 24.8 19.5 16.5 18.4 13.6 2.7 - -Sahibganj 23.5 24.3 17.8 17.1 17.6 12.8 3.0 - -

State / District Women aged 20-24 reporting birth of

order 2 & above (%) Women reporting birth of order 3 &

above (%) Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7Jharkhand 51.8 53.1 47.4 36.2 38.7 27.0Bokaro 49.3 50.9 46.8 30.1 33.6 25.9 Chatra 52.2 52.3 50.6 35.6 34.9 41.7 Deoghar 57.6 58.7 44.7 37.6 38.6 29.7 Dhanbad 55.9 59.4 52.4 32.3 35.6 29.2 Dumka 55.7 56.6 44.0 36.6 37.9 14.2 Garhwa 46.5 47.0 - 35.9 36.4 - Giridih 57.5 57.6 55.7 36.0 36.2 31.8 Godda 60.0 60.3 - 41.4 42.2 - Gumla 49.5 49.9 43.7 48.3 49.1 35.4 Hazaribagh 49.2 50.1 44.5 29.1 29.0 29.8 Kodarma 53.1 54.3 46.7 35.7 37.4 26.6 Lohardaga 48.1 48.7 42.6 45.2 46.9 30.4 Pakaur 57.8 57.8 - 43.4 43.8 - Palamu 48.3 48.2 50.6 38.0 38.2 34.0 Pashchimi Singhbhum 50.8 52.1 43.4 43.4 45.9 26.3 Purbi Singhbhum 48.1 48.9 47.2 26.5 30.5 22.6 Ranchi 46.1 48.8 40.7 34.4 38.9 25.2 Sahibganj 53.6 53.8 52.3 42.3 43.0 35.0

JHARKHAND

35

Annual H


0.0

5.0

10.0

15.0

20.0

25.0

30.0

Total Rural Urban

Jharkhand: Crude Birth Rate and Natural Growth Rate

Crude Birth Rate (CBR) Natural Growth Rate

0.0

5.0

10.0

15.0

20.0

25.0

30.0

Jharkhand: Crude Birth Rate and Natural Growth Rate

Crude Birth Rate (CBR) Natural Growth Rate

JHARKHAND

36

Ann

ual H

ealth

Sur

vey

2012

-13

0

0.5

1.0

1.5

2.0

2.5

3.0

Jharkhand: Total Fertility Rate

1.0

1.5

2.0

2.5

3.0

3.5

4.0Jharkhand: Total Fertility Rate

JHARKHAND

37

Annual H


0

10

20

30

40

50

60

Jharkhand: Women aged 15-19 years who were already mothers or pregnant at the time of survey (%)

FERTILITY

State / District Women with two children wanting no

more children (%)

Women aged 15-19 years who were already mothers or pregnant at the time

of survey (%) Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7Jharkhand 65.2 59.1 79.8 41.5 40.7 45.6Bokaro 76.0 68.3 81.3 36.8 33.6 41.1Chatra 39.8 37.8 58.8 30.4 30.5 27.3Deoghar 59.3 56.1 77.2 45.7 46.6 32.5Dhanbad 78.5 73.9 81.5 46.9 46.1 47.7Dumka 65.3 65.5 62.1 45.3 44.9 54.2Garhwa 49.0 48.0 - 32.9 33.1 -Giridih 60.9 60.5 69.1 36.1 36.1 36.8Godda 57.2 56.4 - 43.8 44.1 -Gumla 48.7 47.0 66.3 50.3 49.8 63.1Hazaribagh 54.5 51.8 64.9 43.8 44.0 41.7Kodarma 50.7 51.3 47.7 38.1 37.2 50.0Lohardaga 61.0 57.3 79.4 37.5 37.1 41.2Pakaur 53.9 56.5 - 47.3 47.1 -Palamu 61.8 62.6 48.4 32.0 31.5 47.1Pashchimi Singhbhum 69.1 65.3 83.5 39.0 37.3 50.9Purbi Singhbhum 80.4 75.0 83.6 45.0 43.3 47.5Ranchi 72.7 63.9 82.6 42.0 39.9 49.0Sahibganj 45.7 44.8 54.8 40.0 40.1 38.9

JHARKHAND

38

Ann

ual H

ealth

Sur

vey

2012

-13

FERTILITY

State / District

Median age at first live birth of Women aged 15-

49 years

Median age at first live birth of Women aged 25-49 years

Live Births taking place after an interval of 36

months (%) Total Rural Urban Total Rural Urban Total Rural Urban


State / District

Mean number of children ever born to

Women aged 15-49 years

Mean number of children surviving to Women aged

15-49 years

Mean number of children ever born to Women aged

45-49 years Total Rural Urban Total Rural Urban Total Rural Urban


JHARKHAND

39

Annual H


101112131415161718192021222324

Jhar

khan

d: M

edia

n ag

e of

Wom

en a

t firs

t liv

e bi

rth

Age 1

5-49 y

ears

Age 2

5-49 y

ears

JHARKHAND

40

Ann

ual H

ealth

Sur

vey

2012

-13

ABORTION

State / District

Pregnancy to Women aged 15-49 years

resulting in abortion (%)

Women who received any ANC before abortion (%)

Women who went for Ultrasound before abortion

(%) Total Rural Urban Total Rural Urban Total Rural Urban


State / District

Average Month of pregnancy at the time of

abortion

Abortion performed by skilled health personnel (%)

Abortion taking place in Institution (%)

Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10

Jharkhand 2.8 2.9 2.6 52.4 46.6 65.9 47.7 41.7 61.8Bokaro 2.9 3.2 2.6 66.1 56.6 75.2 56.0 47.5 64.1 Chatra 3.2 3.3 2.5 44.6 41.0 62.5 38.1 33.2 62.5 Deoghar 3.2 3.2 3.8 58.3 57.6 75.0 51.2 50.2 75.0 Dhanbad 2.6 2.8 2.4 70.4 66.3 73.0 67.2 63.2 69.7 Dumka 3.0 3.0 2.5 48.6 48.6 50.3 44.7 44.6 50.3 Garhwa 2.7 2.7 - 60.3 59.1 - 57.4 56.1 - Giridih 3.2 3.3 2.4 63.5 62.5 80.0 56.6 55.8 70.0 Godda 2.5 2.4 - 46.9 43.3 - 40.1 35.8 - Gumla 2.8 2.8 2.3 28.6 27.4 42.1 25.8 24.9 36.8 Hazaribagh 2.9 2.9 2.9 59.4 57.3 76.2 56.9 55.1 71.4 Kodarma 3.0 3.1 2.6 56.4 55.2 71.4 47.2 45.3 71.4 Lohardaga 2.8 2.8 2.7 39.5 36.1 62.8 36.2 33.1 57.2 Pakaur 3.1 3.1 - 46.0 44.8 - 30.5 28.4 - Palamu 2.6 2.6 3.0 57.8 57.8 58.3 46.5 46.1 54.5 Pashchimi Singhbhum 3.1 3.1 2.8 30.4 23.7 57.1 24.7 19.1 47.1 Purbi Singhbhum 2.9 2.9 2.8 47.1 33.0 50.9 46.0 28.8 50.6 Ranchi 2.7 2.8 2.4 43.0 34.3 59.9 40.4 31.7 57.0 Sahibganj 3.2 3.3 2.9 46.6 43.2 70.0 34.1 29.9 63.3

JHARKHAND

41

Annual H


0

10

20

30

40

50

60

70

80

90

100

Jharkhand: Abortion where ultrasound was performed/Abortion performed by skilled health personnel (%)

Ultrasound before abortion Performed by skilled health personnel

0

1

2

3

4

5

6

7

8

9

10

Jharkhand: Pregnancy to Women aged 15-49 years resulting in abortion (%)

JHARKHAND

42

Ann

ual H

ealth

Sur

vey

2012

-13

FAMILY PLANNING PRACTICES (CMW AGED 15-49 YEARS)

State / DistrictCurrent Usage

Any Method (%) Any Modern Method (%) Female Sterilization (%)Total Rural Urban Total Rural Urban Total Rural Urban



Male Sterilization (%) Copper-T/IUD (%) Pills (%)Total Rural Urban Total Rural Urban Total Rural Urban


JHARKHAND

43

Annual H


FAMILY PLANNING PRACTICES (CMW AGED 15-49 YEARS)

State / District

Current Usage

Condom/Nirodh (%) Emergency Contraceptive Pills (%) Any Traditional Method (%)




Periodic Abstinence (%) Withdrawal (%) LAM (%)Total Rural Urban Total Rural Urban Total Rural Urban


JHARKHAND

44

Ann

ual H

ealth

Sur

vey

2012

-13

010203040506070

Jhar

khan

d: C

urre

nt U

sage

of F

amily

Pla

nnin

g Pr

actic

es (C

MW

age

d 15

-49 y

ears

) (%

)

Any M

ethod

Any M

odern

Meth

od

Any T

raditio

nal M

ethod

Fe

male

Sterili

zatio

n

JHARKHAND

45

Annual H


UNMET NEED FOR FAMILY PLANNING

State / DistrictUnmet need for Spacing (%) Unmet need for Limiting (%) Total Unmet need (%)


1 2 3 4 5 6 7 8 9 10

Jharkhand 11.5 12.9 7.4 10.8 12.1 7.4 22.3 24.9 14.8

Bokaro 7.8 9.1 6.6 7.0 7.4 6.7 14.8 16.6 13.2

Chatra 18.0 18.4 13.4 12.4 12.0 16.2 30.4 30.4 29.6

Deoghar 15.8 16.6 11.2 17.2 17.5 15.9 33.0 34.1 27.1

Dhanbad 5.8 6.0 5.7 5.5 5.4 5.5 11.3 11.5 11.2

Dumka 10.7 10.9 8.0 9.7 10.0 7.2 20.5 20.9 15.2

Garhwa 10.0 10.3 - 8.7 8.5 - 18.6 18.8 -

Giridih 13.6 13.9 7.7 15.8 16.2 8.6 29.3 30.1 16.3

Godda 11.8 12.1 - 16.1 16.4 - 27.9 28.5 -

Gumla 17.7 18.2 11.6 15.8 15.9 15.6 33.6 34.0 27.2

Hazaribagh 8.4 9.5 4.2 8.8 7.3 14.5 17.2 16.9 18.6

Kodarma 11.2 11.4 10.3 15.7 16.9 9.6 26.9 28.3 19.9

Lohardaga 14.5 15.4 7.9 12.3 12.7 9.7 26.8 28.2 17.6

Pakaur 12.7 13.2 - 23.8 25.0 - 36.5 38.2 -

Palamu 10.7 10.9 7.2 12.5 12.9 5.7 23.2 23.9 12.9

Pashchimi Singhbhum 20.9 23.1 11.6 20.3 21.0 17.4 41.2 44.1 29.0

Purbi Singhbhum 8.2 8.3 8.1 5.7 6.6 5.1 13.9 15.0 13.2

Ranchi 11.0 13.3 7.6 10.6 12.6 7.8 21.7 25.8 15.4

Sahibganj 17.1 17.9 10.8 13.8 14.4 8.9 30.9 32.3 19.8

JHARKHAND

46

Ann

ual H

ealth

Sur

vey

2012

-13

0

10

20

30

40

50

60

70

80

90

100

Jharkhand: Antenatal Care (%)

Currently Married Pregnant Women aged 15-49 years registered for ANC Mothers who received any Antenatal Check-up Mothers who had Antenatal Check-up in First Trimester

ANTE NATAL CARE

State / District

Currently Married Pregnant Women aged 15-49 years registered

for ANC (%)

Mothers who received any Antenatal Check-up (%)

Mothers who had Antenatal Check-up in First Trimester

(%)

Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10

Jharkhand 71.8 70.0 79.5 92.4 91.1 96.8 62.1 58.3 76.0 Bokaro 78.2 75.1 82.1 97.1 96.6 97.7 66.2 57.5 76.4 Chatra 60.7 60.5 63.3 86.4 86.5 85.2 54.7 54.5 56.4 Deoghar 67.6 66.2 82.9 89.1 89.2 88.0 64.8 64.0 70.8 Dhanbad 77.3 75.9 78.2 95.3 94.6 96.0 64.0 54.2 72.7 Dumka 70.5 70.1 75.8 92.9 92.6 99.5 59.0 58.0 78.6 Garhwa 64.4 64.3 - 87.1 86.5 - 51.1 49.5 - Giridih 61.8 62.2 51.5 86.1 85.7 94.8 56.2 55.6 68.2 Godda 64.1 63.8 - 85.7 85.4 - 54.3 53.8 - Gumla 75.4 74.8 88.1 95.3 95.2 97.2 62.8 62.0 77.0 Hazaribagh 76.0 75.7 77.2 95.2 94.5 98.8 65.3 63.0 76.1 Kodarma 71.1 70.7 74.5 93.9 93.8 94.3 66.6 66.0 69.9 Lohardaga 78.0 76.9 90.2 97.1 96.9 98.8 62.5 60.2 82.4 Pakaur 61.6 61.8 - 90.7 90.6 - 48.2 47.6 - Palamu 63.2 63.2 62.5 87.8 87.3 96.0 52.7 51.5 72.1 Pashchimi Singhbhum 75.1 73.9 83.3 87.6 86.2 96.6 58.8 55.9 78.0 Purbi Singhbhum 84.2 87.3 81.3 97.9 98.1 97.7 70.4 64.2 76.2 Ranchi 85.5 84.8 86.7 96.9 96.2 98.3 75.4 71.0 84.1 Sahibganj 64.3 64.2 65.5 86.7 86.0 93.6 56.9 56.1 65.3

JHARKHAND

47

Annual H


ANTE NATAL CARE

State / District

Mothers who received 3 or more Antenatal Care

(%)

Mothers who received at least one Tetanus Toxoid

(TT) injection(%)

Mothers who consumed IFA for 100 days or more

(%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10 Jharkhand 60.2 55.2 78.3 91.8 90.6 96.3 16.9 13.9 27.5 Bokaro 73.4 67.9 80.0 96.7 96.3 97.1 21.7 15.6 28.9 Chatra 37.6 36.7 47.0 85.9 86.0 84.7 11.8 11.4 14.8 Deoghar 48.7 47.9 55.5 88.5 88.6 87.6 9.2 8.7 13.5 Dhanbad 72.9 70.2 75.4 94.7 94.0 95.3 20.0 16.6 23.1 Dumka 60.7 59.6 80.2 92.3 91.9 98.9 13.9 13.0 29.1 Garhwa 34.9 32.5 - 86.8 86.2 - 9.2 8.9 - Giridih 56.7 56.4 64.6 85.4 85.0 92.7 11.3 11.1 15.1 Godda 36.0 35.3 - 85.1 84.8 - 9.7 9.4 - Gumla 53.1 51.7 78.2 95.0 94.9 97.0 16.4 16.1 22.8 Hazaribagh 68.2 66.1 78.3 94.8 94.1 98.4 12.8 11.8 17.6 Kodarma 66.7 66.1 70.5 93.4 93.4 93.5 15.3 14.6 19.3 Lohardaga 63.2 60.7 86.3 96.5 96.3 98.0 17.1 15.0 35.4 Pakaur 48.4 48.1 - 90.0 89.9 - 10.4 10.0 - Palamu 39.5 38.6 55.3 87.4 86.9 96.0 12.3 12.4 11.5 Pashchimi Singhbhum 61.4 58.5 80.4 86.7 85.3 96.2 18.3 15.6 35.6 Purbi Singhbhum 81.9 76.6 87.0 97.4 97.5 97.3 31.7 24.5 38.6 Ranchi 69.5 61.8 84.9 96.6 95.9 98.0 24.8 21.0 32.3 Sahibganj 35.8 34.6 49.3 86.0 85.3 93.2 9.5 8.9 16.3

State / DistrictMothers who had Full

Antenatal Check up (%)Mothers who received ANC

from Govt. Source (%)Mothers whose Blood

Pressure (BP) taken (%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10 Jharkhand 13.6 10.4 25.2 16.9 15.8 20.6 57.8 51.3 81.3 Bokaro 19.8 13.6 27.1 14.9 15.3 14.4 75.0 66.0 85.6 Chatra 6.7 6.5 8.9 14.4 12.5 32.8 42.8 42.1 50.0 Deoghar 6.5 5.8 11.7 15.2 14.8 18.3 44.0 42.3 57.7 Dhanbad 18.3 14.8 21.4 13.9 12.2 15.3 73.0 64.1 80.7 Dumka 11.4 10.5 26.4 11.9 10.1 43.1 48.2 46.6 76.4 Garhwa 5.1 4.5 - 17.1 15.3 - 37.1 35.9 - Giridih 8.3 8.2 11.5 11.6 11.3 15.9 58.7 58.3 67.2 Godda 6.0 5.7 - 16.3 16.0 - 34.0 33.5 - Gumla 10.5 9.9 20.3 21.4 19.2 60.4 48.9 47.7 70.6 Hazaribagh 10.6 9.9 14.1 18.6 17.7 22.8 59.4 56.7 72.4 Kodarma 13.2 12.8 15.8 12.0 11.9 12.9 66.9 67.3 64.9 Lohardaga 13.3 11.2 32.2 25.0 24.0 33.8 63.3 60.1 91.5 Pakaur 7.7 7.5 - 20.9 20.2 - 46.2 45.9 - Palamu 8.1 8.0 9.3 12.3 12.0 17.1 43.5 43.0 52.2 Pashchimi Singhbhum 14.6 12.0 31.9 17.1 15.7 25.0 51.8 47.1 81.9 Purbi Singhbhum 28.9 20.7 36.6 19.3 17.2 21.3 80.5 71.7 88.7 Ranchi 20.5 15.6 30.2 24.1 24.5 23.2 69.3 58.3 91.0 Sahibganj 5.4 5.0 10.3 17.7 15.3 41.0 40.8 39.1 59.0

JHARKHAND

48

Ann

ual H

ealth

Sur

vey

2012

-13

0

10

20

30

40

50

60

70

80

90

100

Jharkhand: Mothers who received Full Antenatal Check-up (%)

3 or more Antenatal Care At least one Tetanus Toxoid (TT) injection IFA for 100 days or more Full Antenatal Check-up

ANTE NATAL CARE

State / District Mothers whose Blood

taken for Hb (%) Mothers who underwent Ultrasound (%)

Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7

Jharkhand 43.5 36.9 67.4 27.3 20.2 53.0 Bokaro 63.5 54.6 73.8 42.0 26.5 60.1

Chatra 31.7 30.8 39.8 21.8 21.2 28.4

Deoghar 35.3 33.9 46.4 18.6 15.8 40.1

Dhanbad 51.5 42.6 59.3 34.4 24.9 42.8

Dumka 27.8 25.7 64.8 10.6 9.3 34.6

Garhwa 29.7 28.6 - 15.3 13.0 -

Giridih 42.8 41.7 64.1 26.2 24.9 53.1

Godda 27.4 26.8 - 15.6 15.0 -

Gumla 31.7 29.9 65.3 14.6 13.2 39.2

Hazaribagh 50.1 48.6 57.2 36.5 33.5 51.1

Kodarma 59.1 57.4 68.7 39.0 38.1 44.0

Lohardaga 46.3 42.4 81.4 19.4 15.3 55.5

Pakaur 29.6 28.9 - 19.6 18.9 -

Palamu 32.5 31.5 48.7 20.8 19.9 34.5

Pashchimi Singhbhum 36.9 31.4 72.8 19.2 13.1 58.2

Purbi Singhbhum 61.7 44.0 78.5 43.8 19.9 66.4

Ranchi 55.9 45.2 77.1 39.8 29.1 61.0

Sahibganj 29.6 28.1 45.4 13.9 12.4 30.9

JHARKHAND

49

Annual H


0102030405060708090

Jhar

khan

d: M

othe

rs w

ho re

ceive

d te

sts d

urin

g An

te N

atal

Chec

k-up

(%)

Blood

Test

for (H

B)Ult

rasou

ndBlo

od Pr

essu

re

JHARKHAND

50

Ann

ual H

ealth

Sur

vey

2012

-13

0

5

10

15

20

25

30

35

40

Jharkhand: Institutional Delivery (%)

Government Private

DELIVERY CARE

State / DistrictInstitutional Delivery (%) Delivery at Government

Institution (%)Delivery at Private

Institution (%)Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10Jharkhand 46.2 38.3 74.9 23.6 23.2 25.1 21.4 14.3 47.2 Bokaro 54.8 40.0 72.1 16.3 11.9 21.5 36.6 25.3 50.0 Chatra 35.6 33.5 55.5 14.9 13.4 29.2 20.4 19.8 26.3 Deoghar 39.0 35.1 69.3 23.5 23.0 27.0 15.5 12.1 42.0 Dhanbad 52.0 37.0 65.3 13.0 9.2 16.2 36.3 27.2 44.3 Dumka 28.8 26.3 72.0 19.2 18.2 37.9 9.1 7.8 34.1 Garhwa 39.2 36.0 - 28.5 27.0 - 10.5 8.7 -Giridih 35.1 33.5 67.2 15.5 15.1 22.4 19.5 18.3 44.3 Godda 31.2 30.3 - 18.6 18.2 - 12.5 11.8 -Gumla 45.7 43.7 80.5 37.4 36.6 51.4 6.8 5.7 26.8 Hazaribagh 54.2 49.5 76.6 29.0 28.1 33.3 24.6 21.2 41.4 Kodarma 54.9 51.4 74.1 25.8 26.7 20.5 27.2 23.0 50.6 Lohardaga 54.7 50.9 87.9 37.0 37.8 29.4 12.3 9.0 41.7 Pakaur 27.7 26.1 - 21.7 20.8 - 5.8 5.1 -Palamu 39.3 37.6 68.6 24.4 23.5 39.4 14.3 13.4 28.8 Pashchimi Singhbhum 38.5 32.2 78.6 24.4 24.1 26.2 13.5 7.8 50.7 Purbi Singhbhum 70.0 56.1 83.1 32.2 38.9 25.9 35.5 16.1 53.9 Ranchi 64.2 53.3 85.8 32.2 33.8 29.0 30.6 18.2 55.3 Sahibganj 29.5 25.0 78.2 21.1 17.5 60.0 8.1 7.1 18.2

JHARKHAND

51

Annual H


0

10

20

30

40

50

60

70

80

90

100 Jharkhand: Safe Delivery (%)

DELIVERY CARE

State / DistrictDelivery at Home (%) Delivery at home conducted by

skilled health personnel (%) Safe Delivery (%)


Jharkhand 53.4 61.3 24.5 27.4 26.6 34.7 56.2 49.5 80.5 Bokaro 44.1 59.3 26.2 25.6 23.5 30.9 63.1 50.6 77.7 Chatra 64.1 66.2 44.5 19.3 18.4 32.4 43.4 41.4 62.3 Deoghar 60.7 64.6 30.3 30.0 29.4 41.0 51.4 48.5 73.4 Dhanbad 47.4 62.6 34.0 33.4 31.4 36.8 64.4 53.2 74.4 Dumka 71.0 73.4 28.0 26.0 26.0 23.5 43.6 41.6 78.6 Garhwa 60.4 63.7 - 30.7 29.8 - 50.6 47.4 -Giridih 64.4 66.0 32.3 27.0 26.8 37.1 46.8 45.6 70.3 Godda 68.5 69.5 - 25.8 25.7 - 44.8 44.0 -Gumla 54.1 56.0 19.5 21.4 21.3 28.6 51.5 49.7 82.8 Hazaribagh 45.5 50.2 23.2 33.9 33.5 37.1 65.5 62.2 81.5 Kodarma 44.7 48.1 25.9 43.9 44.9 33.3 69.8 68.0 80.4 Lohardaga 44.9 48.6 11.7 22.3 22.4 16.9 59.8 56.5 88.9 Pakaur 72.2 73.8 - 22.6 22.5 - 38.5 37.1 -Palamu 60.3 62.0 31.4 28.1 27.9 35.2 52.2 51.0 74.3 Pashchimi Singhbhum 61.3 67.5 21.2 23.5 23.3 27.3 45.6 39.9 81.9 Purbi Singhbhum 29.8 43.8 16.7 31.0 29.8 34.2 75.8 64.7 86.1 Ranchi 35.3 46.1 13.9 30.8 30.0 35.7 70.3 60.7 89.5 Sahibganj 70.1 74.7 20.4 21.5 21.2 33.5 39.6 35.7 81.4

JHARKHAND

52

Ann

ual H

ealth

Sur

vey

2012

-13

0

5

10

15

20

25

30

35

40

Jharkhand: Caesarean out of total delivery taken place in Government/Private Institutions (%)

Government Private

DELIVERY CARE

State / DistrictCaesarean out of total delivery taken place in Government Institutions (%)

Caesarean out of total delivery taken place in Private Institutions (%)

Total Rural Urban Total Rural Urban1 2 3 4 5 6 7

Jharkhand 7.7 6.5 11.5 30.5 28.1 33.1 Bokaro 15.1 10.9 17.9 30.5 28.2 31.9 Chatra 6.6 6.2 8.7 27.2 26.9 29.0 Deoghar 3.7 4.2 0.0 27.9 26.4 31.3 Dhanbad 11.6 13.3 10.8 28.7 27.8 29.2 Dumka 5.5 5.8 2.9 31.0 27.5 45.2 Garhwa 4.5 4.0 - 25.9 27.8 -Giridih 6.6 6.4 9.3 26.9 27.5 22.4 Godda 4.0 4.0 - 24.8 24.0 -Gumla 4.4 4.0 9.9 35.7 31.2 52.8 Hazaribagh 7.4 7.5 6.9 30.2 30.4 29.8 Kodarma 6.9 6.7 8.7 31.9 33.9 27.1 Lohardaga 4.6 4.4 6.7 30.7 29.9 32.2 Pakaur 4.8 4.7 - 33.5 32.7 -Palamu 6.6 6.7 5.6 28.2 29.2 20.0 Pashchimi Singhbhum 5.9 5.0 11.4 28.9 21.4 36.4 Purbi Singhbhum 9.7 7.1 13.3 31.0 19.9 34.2 Ranchi 11.2 10.0 14.1 36.3 31.7 39.4 Sahibganj 6.3 6.3 6.2 27.9 28.4 25.7

JHARKHAND

53

Annual H


POST NATAL CARE

State / District

Less than 24 hrs. stay in institution after delivery

(%)

Mothers who received Post-natal Check-up within 48 hrs.

of delivery (%)

Mothers who received post-natal Check-up within

1 week of delivery (%)Total Rural Urban Total Rural Urban Total Rural Urban


State / DistrictMothers who did not receive any Post-

natal Check-up (%)New borns who were checked up within

24 hrs. of birth (%)Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7Jharkhand 26.1 29.8 12.7 64.8 60.0 82.2 Bokaro 16.0 20.1 11.1 78.2 72.1 85.3 Chatra 26.6 26.1 30.9 59.0 58.4 65.1 Deoghar 28.2 29.3 19.7 61.8 60.0 76.1 Dhanbad 12.5 13.2 11.8 81.9 80.6 83.1 Dumka 28.3 29.2 12.6 65.4 64.5 80.5 Garhwa 36.7 38.5 - 54.7 52.4 -Giridih 26.1 26.3 21.4 65.3 64.9 74.7 Godda 40.3 41.2 - 50.9 49.9 -Gumla 38.0 39.3 15.4 49.1 47.7 74.4 Hazaribagh 18.0 19.7 9.9 71.6 68.8 84.5 Kodarma 15.8 15.5 17.6 78.5 78.1 81.2 Lohardaga 32.1 34.6 9.9 60.0 57.2 85.1 Pakaur 28.0 28.3 - 61.2 60.6 -Palamu 31.0 31.5 23.0 59.6 59.0 69.9 Pashchimi Singhbhum 38.8 42.9 12.2 44.3 39.5 76.3 Purbi Singhbhum 20.4 28.2 12.9 70.6 60.9 79.8 Ranchi 23.2 28.9 11.8 71.5 64.4 85.6 Sahibganj 38.3 40.5 14.3 50.4 47.7 79.3

JHARKHAND

54

Ann

ual H

ealth

Sur

vey

2012

-13

0 10

20

30

40

50

60

70

80

90

100

Jhar

khan

d: M

othe

rs b

y st

atus

of r

ecei

pt o

f Pos

t-nat

al C

heck

-up

(%)

Did no

t rece

iveCh

eck-u

p within

48 hr

s

JHARKHAND

55

Annual H


0

10

20

30

40

50

60

70

80

90

100

Jharkhand: Mothers who availed financial assistance for delivery under JSY (%)

Any delivery Institutional delivery Government Institutional delivery

JANANI SURAKSHA YOJANA (JSY)

State / District

Mothers who availed financial assistance for delivery under JSY (%)

Mothers who availed financial assistance for institutional

delivery under JSY (%)

Mothers who availed financial assistance for

Government Institutional delivery under JSY (%)



JHARKHAND

56

Ann

ual H

ealth

Sur

vey

2012

-13

IMMUNIZATION VITAMIN A & IRON SUPPLEMENT AND BIRTH WEIGHT

State / District

Children aged 12-23 months having

Immunization Card (%)

Children aged 12-23 months who have received BCG (%)

Children aged 12-23 months who have received 3 doses

of Polio vaccine (%) Total Rural Urban Total Rural Urban Total Rural Urban


State / District

Children aged 12-23 months who have

received 3 doses of DPT vaccine (%)

Children aged 12-23 months who have received Measles

vaccine (%)

Children aged 12-23 months Fully Immunized (%)



JHARKHAND

57

Annual H


0102030405060708090100

Jhar

khan

d: C

hild

ren

aged

12-2

3 mon

ths h

avin

g Im

mun

izatio

n Ca

rd v

s. Fu

lly im

mun

ized

(%)

Havin

g imm

uniza

tion C

ardCh

ildren

Fully

Immu

nized

JHARKHAND

58

Ann

ual H

ealth

Sur

vey

2012

-13

IMMUNIZATION VITAMIN A & IRON SUPPLEMENT AND BIRTH WEIGHT

State / District

Children who have received Polio dose at

birth (%)

Children who did not receive any vaccination (%)

Children (aged 6-35 months) who received at least one Vitamin A dose during last

six months (%)Total Rural Urban Total Rural Urban Total Rural Urban


State / District

Children (aged 6-35 months) who received

IFA tablets/syrup during last 3 months (%)

Children whose birth weight was taken (%)

Children with birth weight less than 2.5 Kg. (%)



JHARKHAND

59

Annual H


0

5

10

15

20

25

30

35

40Jharkhand:Children with birthweight less than 2.5 Kg. (%)

0

5

10

15

20

25

30

35

Total Rural Urban

Jharkhand:Children with birthweight less than 2.5 Kg. (%)

JHARKHAND

60

Ann

ual H

ealth

Sur

vey

2012

-13

CHILDHOOD DISEASES

State / DistrictChildren suffering from

Diarrhoea (%)

Children suffering from Diarrhoea who received

HAF/ORS/ORT & Zinc (%)

Children suffering from Acute Respiratory Infection

(%)Total Rural Urban Total Rural Urban Total Rural Urban


State / District

Children suffering from Acute Respiratory

Infection who sought treatment (%)

Children suffering from Fever (%)

Children suffering from Fever who sought

treatment (%)



JHARKHAND

61

Annual H


0 5 10

15

20

25

30

35

Jhar

khan

d: C

hild

hood

Dis

ease

s (%

)

Diarrh

oea

Acute

Res

pirato

ry Inf

ectio

n Fe

ver

JHARKHAND

62

Ann

ual H

ealth

Sur

vey

2012

-13

0

10

20

30

40

50

60Jharkhand: Children breastfed within one hour of birth (%)

BREASTFEEDING AND SUPPLEMENTATION

State / DistrictChildren breastfed within one

hour of birth (%) Children (aged 6-35 months) exclusively

breastfed for at least six months (%)Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7Jharkhand 43.3 43.2 43.9 50.2 50.6 49.1Bokaro 46.3 52.2 39.0 66.0 68.7 62.7Chatra 34.6 35.1 30.0 29.2 29.6 24.9Deoghar 35.6 34.3 45.2 45.8 47.0 36.8Dhanbad 33.4 31.5 35.1 44.4 45.6 43.2Dumka 41.6 41.1 49.7 54.2 54.6 48.1Garhwa 35.9 36.6 - 33.8 34.2 -Giridih 36.3 35.5 53.7 39.5 39.1 48.7Godda 45.7 45.7 - 49.3 49.5 -Gumla 44.9 45.0 42.3 48.9 48.6 54.4Hazaribagh 45.7 45.0 49.0 41.8 42.3 39.5Kodarma 41.2 41.7 38.2 40.0 41.3 33.1Lohardaga 53.7 54.7 45.1 77.5 78.4 69.9Pakaur 36.2 36.1 - 31.1 31.1 -Palamu 40.0 39.3 52.5 34.0 33.8 38.0Pashchimi Singhbhum 47.3 45.7 58.0 78.5 82.1 53.4Purbi Singhbhum 53.3 57.6 49.2 56.4 54.0 58.8Ranchi 55.3 57.1 51.7 55.4 60.4 45.7Sahibganj 38.2 37.9 41.2 34.3 35.0 26.9

JHARKHAND

63

Annual H


01020304050607080

Jhark

hand

: Chil

dren

(age

d 6-35

mon

ths) e

xclus

ively

brea

stfed

for a

t leas

t six

month

s (%)

JHARKHAND

64

Ann

ual H

ealth

Sur

vey

2012

-13

CHILDREN WHO RECEIVED FOODS OTHER THAN BREAST MILK DURING FIRST 6 MONTHSState / District

Water (%) Animal/Formula Milk (%) Semi-Solid mashed food (%)Total Rural Urban Total Rural Urban Total Rural Urban


State / DistrictSolid (Adult) Food (%) Vegetables/Fruits (%)

Total Rural Urban Total Rural Urban1 2 3 4 5 6 7

Jharkhand 5.3 5.6 4.5 3.9 4.0 3.5Bokaro 2.2 1.8 2.6 1.4 1.4 1.4Chatra 3.4 2.7 9.5 2.5 2.1 6.3Deoghar 4.6 4.8 2.8 2.8 2.9 1.8Dhanbad 5.6 6.0 5.2 4.3 4.5 4.0Dumka 5.5 5.5 5.1 4.6 4.6 4.6Garhwa 4.7 4.7 - 4.3 4.3 -Giridih 2.0 2.0 2.0 2.1 2.2 2.0Godda 6.5 6.6 - 2.2 2.2 -Gumla 1.8 1.8 2.0 1.2 1.2 1.3Hazaribagh 3.4 3.2 4.5 3.0 2.8 3.8Kodarma 2.4 2.5 1.9 2.0 2.0 1.9Lohardaga 1.6 1.4 4.0 1.2 1.2 1.2Pakaur 5.0 4.9 - 3.8 3.8 -Palamu 5.1 5.1 5.9 3.7 3.7 4.2Pashchimi Singhbhum 1.7 1.7 1.8 3.0 2.6 5.7Purbi Singhbhum 1.3 1.3 1.4 1.2 1.0 1.5Ranchi 4.0 3.6 5.0 2.4 2.0 3.2Sahibganj 7.3 7.4 5.7 4.1 4.3 2.0

JHARKHAND

65

Annual H


AVERAGE MONTH BY WHICH CHILDREN RECEIVED FOODS OTHER THAN BREAST MILK State / District

Water Animal / Formula Milk Semi-Solid mashed food Total Rural Urban Total Rural Urban Total Rural Urban


State / District Solid (Adult) Food Vegetables/Fruits

Total Rural Urban Total Rural Urban 11 12 13 14 15 16

Jharkhand 9.2 9.2 9.3 9.9 9.8 9.9Bokaro 9.0 9.1 9.0 9.7 9.8 9.6Chatra 9.2 9.3 9.0 10.5 10.5 10.5Deoghar 8.5 8.5 8.8 9.5 9.5 9.6Dhanbad 9.8 9.8 9.9 10.4 10.3 10.4Dumka 9.9 10.0 9.2 10.4 10.4 9.8Garhwa 8.5 8.6 - 9.5 9.5 -Giridih 9.3 9.3 8.8 10.1 10.1 9.8Godda 8.7 8.6 - 9.7 9.7 -Gumla 9.4 9.4 9.3 10.2 10.2 9.9Hazaribagh 8.8 8.8 8.5 9.5 9.6 9.2Kodarma 9.2 9.2 8.8 9.8 9.8 9.5Lohardaga 9.3 9.3 9.2 9.8 9.8 9.8Pakaur 8.5 8.5 - 9.1 9.1 -Palamu 8.8 8.8 8.3 9.6 9.6 9.2Pashchimi Singhbhum 9.2 9.2 9.3 9.5 9.5 9.6Purbi Singhbhum 10.0 10.0 10.0 10.4 10.6 10.3Ranchi 9.0 9.1 8.9 9.5 9.6 9.4Sahibganj 8.6 8.5 8.8 9.6 9.6 9.9

JHARKHAND

66

Ann

ual H

ealth

Sur

vey

2012

-13

0

10

20

30

40

50

60

70

80

90Jharkhand: Birth Registration (%)

Birth Registered Received Birth Certificate

BIRTH REGISTRATION

State / DistrictBirth Registered (%) Children whose birth was registered and

received Birth Certificate (%)Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 Jharkhand 62.1 55.8 84.6 27.8 22.1 48.5 Bokaro 69.3 57.4 83.8 31.5 22.5 42.4 Chatra 40.6 38.1 63.2 19.4 17.9 33.6 Deoghar 52.7 49.7 75.8 23.2 21.0 40.2 Dhanbad 71.6 61.9 80.3 34.3 25.2 42.6 Dumka 57.0 55.8 78.6 19.6 18.2 45.3 Garhwa 49.3 45.7 - 21.0 20.4 - Giridih 43.5 42.1 71.1 21.4 20.1 46.8 Godda 46.7 45.4 - 21.3 20.2 - Gumla 70.9 70.0 85.8 16.8 15.4 41.3 Hazaribagh 61.1 56.2 85.1 36.1 32.0 56.2 Kodarma 62.1 59.5 76.2 33.2 30.0 50.1 Lohardaga 76.4 74.7 91.2 19.0 15.8 46.8 Pakaur 37.1 35.7 - 18.6 17.5 - Palamu 45.5 44.3 66.0 20.4 19.6 34.0 Pashchimi Singhbhum 68.1 64.8 89.5 19.4 14.5 51.5 Purbi Singhbhum 84.6 78.1 90.6 56.6 44.9 67.5 Ranchi 78.6 72.5 90.9 36.0 29.6 48.7 Sahibganj 36.7 32.6 79.3 18.0 15.7 42.1

JHARKHAND

67

Annual H


AWARENESS ON HIV/AIDS, RTI/STI, HAF/ORS/ORT & ZINC AND ARI/PNEUMONIA

State / DistrictWomen who are aware

of HIV/AIDS (%)Women who are aware of

RTI/STI (%)Women who are aware of HAF/ORS/ORT & ZINC (%)


Jharkhand 64.7 59.6 86.6 69.4 67.4 77.8 96.1 95.6 97.8 Bokaro 91.7 88.5 96.7 86.2 80.2 95.6 99.1 99.1 99.2 Chatra 61.9 59.9 87.4 75.3 75.2 76.3 96.0 96.4 91.0 Deoghar 50.6 46.4 71.2 63.9 59.1 87.0 95.9 95.3 98.9 Dhanbad 60.1 50.2 71.6 71.8 73.4 69.9 96.5 95.2 98.1 Dumka 34.1 31.4 65.7 73.0 72.8 74.9 77.8 76.9 88.3 Garhwa 58.5 56.1 - 69.1 67.4 - 96.5 96.3 - Giridih 63.8 63.3 74.3 88.1 88.4 80.8 97.2 97.9 82.2 Godda 57.8 55.5 - 77.6 76.6 - 98.8 98.8 - Gumla 55.1 53.4 83.5 60.7 59.6 77.8 90.3 89.8 98.4 Hazaribagh 80.2 78.1 93.2 76.3 75.0 84.8 98.4 98.1 100.0 Kodarma 73.5 72.1 84.4 75.3 74.9 78.5 99.9 99.9 100.0 Lohardaga 54.8 51.0 86.9 52.5 49.5 77.7 97.8 97.6 99.1 Pakaur 54.5 51.3 - 62.4 59.9 - 96.8 96.6 - Palamu 61.3 61.0 68.1 70.9 71.2 65.0 97.6 98.3 84.4 Pashchimi Singhbhum 58.6 51.3 94.6 59.7 56.1 77.4 94.6 93.8 98.8 Purbi Singhbhum 78.2 60.5 91.8 63.2 57.6 67.6 97.4 95.5 98.8 Ranchi 76.5 69.0 91.9 68.9 57.4 92.2 95.7 93.9 99.4 Sahibganj 59.1 58.1 70.8 64.5 64.3 67.3 96.7 97.2 91.0

State / DistrictWomen who are aware of danger signs of ARI/Pneumonia (%)Total Rural Urban

1 2 3 4 Jharkhand 88.5 87.4 93.0 Bokaro 98.0 97.4 99.1 Chatra 92.0 91.5 98.1 Deoghar 75.9 72.6 92.0 Dhanbad 80.7 76.1 86.1 Dumka 67.6 67.2 71.7 Garhwa 90.2 89.7 - Giridih 97.4 97.6 93.6 Godda 91.6 91.1 - Gumla 93.5 93.6 92.0 Hazaribagh 79.5 78.0 88.8 Kodarma 97.2 97.4 96.0 Lohardaga 94.3 93.8 98.3 Pakaur 76.2 74.4 - Palamu 94.4 94.5 91.6 Pashchimi Singhbhum 78.8 76.2 91.5 Purbi Singhbhum 84.5 75.6 91.4 Ranchi 91.8 88.1 99.1 Sahibganj 89.1 88.5 95.9

JHARKHAND

68

Ann

ual H

ealth

Sur

vey

2012

-13

0

20

40

60

80

100

Total Rural Urban

Jharkhand: Women who are aware of HIV/AIDS (%)

0

20

40

60

80

100

Total Rural Urban

Jharkhand: Women who are aware of RTI/STI (%)

0

20

40

60

80

100

Total Rural Urban

JHARKHAND

69

Annual H


MORTALITY

State/District Crude Death Rate (CDR)

Total Rural UrbanPerson Male Female Person Male Female Person Male Female

1 2 3 4 5 6 7 8 9 10Jharkhand 5.7 6.1 5.3 6.0 6.4 5.7 4.8 5.3 4.3 Bokaro 5.4 5.7 5.1 6.4 6.6 6.1 4.6 5.0 4.2 Chatra 4.5 4.6 4.4 4.5 4.6 4.5 4.0 4.5 3.4 Deoghar 4.3 4.8 3.8 4.5 5.1 3.8 3.8 3.5 4.0 Dhanbad 5.2 5.5 4.9 6.3 6.5 6.2 4.4 4.8 4.0 Dumka 6.7 7.0 6.3 6.7 7.1 6.4 6.0 6.3 5.6 Garhwa 4.6 4.7 4.4 4.6 4.7 4.5 4.2 4.8 3.6 Giridih 4.1 4.6 3.6 4.1 4.6 3.6 4.3 4.6 3.9 Godda 6.7 6.8 6.6 6.8 6.9 6.7 4.7 4.7 4.7 Gumla 8.9 10.0 7.8 9.1 10.2 8.0 6.6 8.2 5.0 Hazaribagh 4.4 4.7 4.1 4.5 4.8 4.2 4.2 4.6 3.8 Kodarma 4.5 4.7 4.2 4.5 4.8 4.1 4.5 4.4 4.6 Lohardaga 8.1 8.6 7.7 8.3 8.8 7.8 6.8 7.0 6.7 Pakaur 6.6 6.9 6.4 6.8 7.1 6.4 4.8 4.4 5.2 Palamu 5.1 5.0 5.1 5.0 5.0 5.1 5.2 5.6 4.9 Pashchimi Singhbhum 8.1 8.7 7.5 8.7 9.3 8.1 4.9 5.6 4.2 Purbi Singhbhum 5.5 6.0 4.8 6.4 7.1 5.6 4.8 5.3 4.3 Ranchi 6.2 6.9 5.5 6.4 6.9 5.9 5.9 6.8 4.9 Sahibganj 6.5 6.7 6.2 6.6 6.9 6.3 5.0 5.2 4.8

State / DistrictInfant Mortality Rate (IMR)


1 2 3 4 5 6 7 8 9 10Jharkhand 36 36 37 40 40 41 22 21 23Bokaro 28 27 29 35 36 35 19 16 22Chatra 42 40 45 43 41 45 - - -Deoghar 31 27 34 31 27 35 31 30 32Dhanbad 26 25 27 35 36 33 19 16 21Dumka 45 44 46 45 45 46 - - -Garhwa 33 35 31 33 35 32 - - -Giridih 28 28 28 29 29 29 - - -Godda 54 55 53 55 56 54 - - -Gumla 45 48 42 46 50 42 24 22 26Hazaribagh 29 27 33 30 28 32 26 20 33Kodarma 27 27 27 27 27 27 - - -Lohardaga 53 53 53 55 56 54 30 24 36Pakaur 52 44 60 52 45 59 - - -Palamu 40 39 40 40 40 41 26 23 29Pashchimi Singhbhum 53 53 53 57 56 57 28 31 25Purbi Singhbhum 25 25 25 31 31 30 19 19 20Ranchi 30 30 30 35 34 36 21 23 18Sahibganj 52 51 53 53 52 54 33 32 34

JHARKHAND

70

Ann

ual H

ealth

Sur

vey

2012

-13

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

Total Rural Urban

Jharkhand: Crude Death Rate (CDR)

PersonMaleFemale

3.0

4.0

5.0

6.0

7.0

8.0

9.0

10.0

11.0

Jharkhand : Crude Death Rate (CDR)

Male Female

JHARKHAND

71

Annual H


0

5

10

15

20

25

30

35

40

45

Total Rural Urban

Jharkhand: Infant Mortality Rate (IMR)

PersonMaleFemale

20

25

30

35

40

45

50

55

60

65Jharkhand: Infant Mortality Rate (IMR)

Male Female

JHARKHAND

72

Ann

ual H

ealth

Sur

vey

2012

-13

MORTALITYState / District

Neo-natal Mortality Rate Post Neo-natal Mortality RateTotal Rural Urban Total Rural Urban

1 2 3 4 5 6 7Jharkhand 23 26 14 13 14 8Bokaro 20 27 12 8 8 7Chatra 25 25 - 18 18 -Deoghar 16 16 12 15 14 19Dhanbad 20 27 14 6 7 5Dumka 33 33 - 12 13 -Garhwa 19 20 - 13 13 -Giridih 18 18 - 10 11 -Godda 29 29 - 25 26 -Gumla 34 34 24 11 12 -Hazaribagh 14 15 12 15 15 14Kodarma 18 18 - 9 9 -Lohardaga 39 41 20 14 15 10Pakaur 30 30 - 21 22 -Palamu 23 23 13 17 17 13Pashchimi Singhbhum 35 37 21 18 20 8Purbi Singhbhum 17 21 12 8 10 7Ranchi 21 26 13 9 9 8Sahibganj 30 30 23 22 23 10

State / DistrictUnder Five Mortality Rate (U5MR)


1 2 3 4 5 6 7 8 9 10Jharkhand 51 49 52 57 56 58 29 27 31Bokaro 38 37 38 50 52 48 24 22 28Chatra 53 49 57 54 50 58 - - -Deoghar 40 37 43 41 38 45 35 33 37Dhanbad 37 35 39 52 53 51 25 21 30Dumka 55 50 60 55 50 61 - - -Garhwa 47 49 44 47 49 44 - - -Giridih 37 37 37 38 38 38 - - -Godda 76 74 79 78 76 80 - - -Gumla 70 73 66 72 76 67 35 28 43Hazaribagh 35 32 38 37 34 39 30 26 35Kodarma 33 33 33 33 33 33 - - -Lohardaga 70 69 70 74 74 74 33 28 39Pakaur 78 71 86 80 73 87 - - -Palamu 52 50 54 54 52 55 30 23 37Pashchimi Singhbhum 87 85 89 96 93 98 38 40 37Purbi Singhbhum 34 34 34 45 47 43 24 22 27Ranchi 44 44 44 50 48 52 32 36 28Sahibganj 76 73 79 80 77 83 40 36 43

JHARKHAND

73

Annual H


0102030405060

Jhar

khan

d: In

fant

Mor

talit

y R

ate

(IMR

) with

it's

com

pone

nt

Post

Neo-n

atal M

ortali

ty Ra

teNe

o-nata

l Mort

ality

Rate

JHARKHAND

74

Ann

ual H

ealth

Sur

vey

2012

-13

0

10

20

30

40

50

60

Total Rural Urban

Jharkhand: Under Five Mortality Rate (U5MR)

PersonMaleFemale

30

40

50

60

70

80

90

100

Jharkhand: Under Five Mortality Rate (U5MR)

Male Female

JHARKHAND

75

Annual H


MORTALITY

State / Commissionrait

Maternal Mortality Ratio (MMR), Maternal Mortality Rate and Life Time Risk

Sample Female

Population

Sample Live

Births

Maternal Deaths MMR

95% Confidence Interval Maternal

Mortality Rate

Life Time RiskLower

LimitUpper Limit

1 2 3 4 5 6 7 8 9

Jharkhand 508851 136108 334 245 219 272 22 0.76 %

DAKSHINI CHOTA NAGPUR (Ranchi, Lohardaga, Gumla)

106386 30346 74 244 188 299 23 0.81 %

SANTHAL PARAGANA (Deoghar, Godda, Sahibganj, Pakaur, Dumka)

114359 32893 96 292 234 350 28 0.97 %

KOLHAN(Pashchimi Singhbhum, Purbi Singhbhum)

74980 17839 45 252 179 326 20 0.7 %

UTTARI CHOTA NAGPUR (Dhanbad, Bokaro, Chatra, Hazaribagh, Kodarma, Giridih)

155526 39486 72 182 140 224 15 0.54 %

PALAMU(Garhwa, Palamu)

57600 15544 47 302 216 389 27 0.95 %

DISTRIBUTION OF MATERNAL AND NON-MATERNAL DEATHS BY BROAD AGE GROUP

Age GroupSample Female Deaths

Maternal Deaths Proportion

95% Confidence Interval Non

Maternal Deaths

Proportion

95% Confidence Interval

Lower Limit

Upper Limit

Lower Limit

Upper Limit

1 2 3 4 5 6 7 8 9 10

15-19 472 44 13 10 17 428 15 14 16

20-24 475 93 28 23 33 382 13 12 15

25-29 457 84 25 20 30 373 13 12 14

30-34 407 50 15 11 19 357 12 11 14

35-39 429 34 10 7 13 395 14 13 15

40-44 440 21 6 4 9 419 15 13 16

45-49 516 8 2 1 4 508 18 16 19

Total 3196 334 100 2862 100

JHARKHAND

76

Ann

ual H

ealth

Sur

vey

2012

-13

050100

150

200

250

300

350

Uttar

i cho

ta na

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Daks

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ater

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orta

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Ratio

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JHARKHAND

77

Annual H


CONFIDENCE INTERVAL (95%) FOR SOME IMPORTANT INDICATORS

State / District

Crude Birth Rate Crude Death RateTotal Rural Urban Total Rural Urban

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

1 2 3 4 5 6 7 8 9 10 11 12 13Jharkhand 22.7 23.3 24.0 24.6 18.8 19.9 5.6 5.8 5.9 6.2 4.6 5.0 Bokaro 22.1 23.7 25.5 27.6 18.5 20.6 5.1 5.8 5.9 6.8 4.2 5.1 Chatra 22.4 24.7 22.4 24.8 20.3 26.5 4.2 4.8 4.3 4.8 2.8 5.1 Deoghar 20.3 23.1 21.1 23.7 13.1 24.0 3.8 4.9 3.8 5.1 2.7 4.8 Dhanbad 22.6 24.7 26.2 29.9 19.6 21.9 4.9 5.5 5.8 6.9 4.1 4.8 Dumka 24.1 26.7 24.6 27.3 13.9 23.5 6.2 7.2 6.2 7.3 4.2 7.8 Garhwa 22.1 24.5 22.3 24.9 16.6 22.4 4.2 4.9 4.2 4.9 3.1 5.3 Giridih 20.8 22.4 21.0 22.6 14.5 22.5 3.8 4.4 3.8 4.4 2.5 6.0 Godda 22.1 24.3 22.3 24.6 13.8 24.5 6.3 7.1 6.4 7.2 4.0 5.4 Gumla 24.5 25.8 24.9 26.3 16.1 21.8 8.6 9.3 8.7 9.4 5.6 7.6 Hazaribagh 19.0 20.7 19.9 21.6 14.2 19.4 4.2 4.6 4.2 4.7 3.7 4.8 Kodarma 21.6 23.7 22.0 24.2 17.7 23.6 4.1 4.8 4.1 4.9 3.6 5.4 Lohardaga 26.3 27.6 27.2 28.6 18.8 21.9 7.8 8.5 8.0 8.7 5.7 8.0 Pakaur 27.4 31.0 28.1 31.6 11.2 25.2 5.8 7.5 5.9 7.6 2.5 7.0 Palamu 20.9 22.9 21.0 23.1 17.0 22.9 4.8 5.3 4.8 5.3 4.2 6.3 Pashchimi Singhbhum 24.4 26.4 25.4 27.7 18.0 21.9 7.5 8.6 8.1 9.3 3.9 6.0 Purbi Singhbhum 19.6 20.7 22.8 24.1 17.0 18.6 5.2 5.7 6.0 6.7 4.5 5.1 Ranchi 21.9 23.6 23.8 25.8 18.2 20.7 5.8 6.7 5.9 6.9 5.1 6.7 Sahibganj 23.0 24.1 23.7 24.9 16.7 18.9 6.3 6.7 6.5 6.8 4.3 5.8

State / District

Infant Mortality Rate U5MRTotal Rural Urban Total Rural Urban

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

Lower Limit

Upper Limit

1 2 3 4 5 6 7 8 9 10 11 12 13 Jharkhand 35 38 39 42 19 24 50 52 56 58 27 31 Bokaro 24 32 30 41 13 25 33 42 44 56 18 31 Chatra 35 50 35 51 - - 46 59 47 61 - - Deoghar 23 39 22 40 16 45 34 47 34 49 19 51 Dhanbad 22 30 28 42 14 23 33 41 46 58 20 31 Dumka 37 53 37 54 - - 48 62 48 63 - - Garhwa 28 38 28 38 - - 42 51 42 52 - - Giridih 23 34 23 35 - - 33 41 33 43 - - Godda 46 63 46 64 - - 69 84 70 86 - - Gumla 41 49 42 51 11 38 65 74 67 76 20 51 Hazaribagh 25 34 26 35 15 37 31 40 32 41 19 41 Kodarma 22 32 22 32 - - 28 38 28 39 - - Lohardaga 47 59 49 62 17 42 65 75 68 79 20 46 Pakaur 39 64 39 65 - - 68 88 70 90 - - Palamu 34 45 35 46 11 40 47 57 49 59 13 46 Pashchimi Singhbhum 47 58 50 63 16 40 81 93 89 103 26 51 Purbi Singhbhum 22 28 26 36 15 23 30 37 40 51 20 29 Ranchi 26 35 29 40 14 28 39 48 44 55 25 39 Sahibganj 48 55 50 57 20 46 72 80 76 84 28 51

JHARKHAND

78

Ann

ual H

ealth

Sur

vey

2012

-13

CONFIDENCE INTERVAL (95%) FOR SOME IMPORTANT INDICATORS

State / District

Sex ratio at Birth

Total Rural Urban

Lower Limit Upper Limit Lower Limit Upper Limit Lower Limit Upper Limit

1 2 3 4 5 6 7

Jharkhand 920 940 932 954 860 909

Bokaro 846 926 864 965 786 921

Chatra 897 1007 891 1005 806 1203

Deoghar 887 1021 883 1027 783 1144

Dhanbad 859 935 858 959 829 948

Dumka 870 987 877 999 601 1009

Garhwa 935 1026 934 1028 777 1221

Giridih 949 1041 938 1031 971 1504

Godda 898 1009 896 1009 737 1302

Gumla 912 978 908 976 847 1189

Hazaribagh 855 939 863 954 745 965

Kodarma 924 1037 934 1055 772 1081

Lohardaga 882 957 885 963 751 1017

Pakaur 848 986 860 1003 391 844

Palamu 924 1006 934 1019 647 969

Pashchimi Singhbhum 935 1022 938 1031 827 1067

Purbi Singhbhum 848 917 821 917 846 945

Ranchi 869 945 882 973 801 940

Sahibganj 909 964 912 969 797 1004

JHARKHAND

79

Annual H

ealth Survey 2012-13AN

NU

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ANNEXURE

JHARKHAND

81

Annual H


SID

E -

‘A’

AN

NU

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ALT

H S

UR

VE

YH

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SE

HO

LD

SC

HE

DU

LES

tate

Zon

eD

istr

ict

Rur

al-1

,U

rban

-2S

tratu

mS

ampl

eU

nit

Hou

seN

o.*

Hou

seho

ldN

o.*

(i)

Col

s. 2

, 3,

6,

8 &

13

are

to b

e co

pied

for

all

usua

l re

side

nts

(Cod

e 01

-06

in C

ol.

4 of

the

fir

st u

pdat

ion

HH

Sch

edul

e) l

iste

d du

ring

fir

st u

pdat

ion

surv

ey.

In C

ol.1

, ru

nnin

g se

rial

num

bers

sta

rtin

g w

ith

1 is

to

begi

ven

to e

ach

copi

ed r

ecor

d an

d se

rial

num

ber

next

to

the

last

ser

ial

num

ber

is t

o be

giv

en f

or n

ew m

embe

rs b

eing

lis

ted

duri

ng c

urre

nt u

pdat

ion

roun

d.(i

i)C

ols.

1–3

are

to

be f

illed

in

for

all

usua

l re

side

nts

as

on d

ate

of s

urve

y ex

clud

ing

thos

e w

ho h

ave

been

cov

ered

in

(i)

abov

e.(i

ii)C

ols.

1–3

are

als

o to

be

fille

d fo

r ne

w b

orn

died

dur

ing

(iv

)Fo

r th

e ab

ove

thre

e ca

tego

ries

, R

esid

enti

al S

tatu

s(v

)C

ol.

5 on

war

ds a

re t

o be

fill

ed o

nly

in r

espe

ct o

f us

ual

resi

dent

s as

on

01.0

1.20

1201

.01.

2011

to

31.1

2.20

11.

is t

o be

upd

ated

in

Col

. 4.

(i.e

. C

odes

‘01

’ to

‘06

’ in

Col

. 4)

.

Serial No.

Nam

e

(In

cas

e o

f n

ewh

ou

seh

old

, st

art

wit

h t

he

Hea

d o

f th

eH

ou

seh

old

)

12

34

56

78

91

011

12

13

14

15

16

17

Sex (Male-1, Female-2)

Residential Status ason 01.01.2012

Relationship to Head(Code)

Iden

tifi

cati

on

Cod

e of

mem

ber

s o

f th

eH

ou

seh

old

To b

e re

cord

edfr

om C

ol.

1

Serial No. offather

Serial No. ofmother

D D

M M

YY

YY

Age as on 01.01.2012(in completed years)

Religion (Code)

Social Group (Code)

Marital Status as on01.01.2012 (Code)

D D

M M

YY

YY

Dat

e of

Bir

thD

ate

of

firs

t m

arri

age

Whether currentlyattending school (Yes - 1,No: Attended before -2,

Never attended - 3)

Fo

r ag

e g

rou

p6-

17 y

ears If Code ‘2’ or ‘3’ in Col. 14,

main reason thereof(Code)

Highest educational qualificationattained (for age 7 years and

above) (Code)

Occupation / Activity Statusduring last 365 days (for age 5

years and above) (Code)

Cod

e fo

r C

ol.

(4)

Cod

e fo

r C

ol.

(5)

Cod

e fo

r C

ol.

(10)

Cod

e fo

r C

ol.

(12)

Item

Cod

eC

ontin

ue t

o be

in

the

sam

e h

ou

seh

old

01

But

die

d or

out

mig

rate

dth

erea

fter

#0

2

In m

igra

ted

from

ou

tsid

e t

he

un

it0

3

Shi

fted

int

o th

e ho

use-

hold

(W

ithin

the

uni

t)0

4

New

ly b

orn

05

Tem

pora

ry A

bsen

tees

#0

6

Usu

alR

esid

ent

as o

n 0

1.01

.201

2

Out

mig

rate

d0

7

Shi

fted

out

of

the

hous

ehol

d(W

ithin

the

uni

t)0

8

Die

d0

9

New

bor

n di

ed (

01.0

1.20

11 –

31.1

2.20

11)

10

Not

a u

sual

res

iden

t of

the

ho

use

ho

ld11

Item

Cod

eH

ea

d0

1

Wife

or

Hu

sba

nd

02

Son

or

Dau

ghte

r0

3

Son

-in-

law

or

Da

ug

hte

r-in

-la

w0

4

Gra

nd c

hild

05

Pa

ren

t0

6

Pa

ren

t-in

-la

w0

7

Bro

ther

or

Sis

ter

08

Bro

ther

-in-

law

or

Sis

ter-

in l

aw

09

Nie

ce o

r N

ephe

w1

0

Oth

er r

elat

ives

11

Ad

op

ted

/Fo

ste

r ch

ild1

2

Not

rel

ated

13

Hin

du

1

Mu

slim

2

Ch

rist

ian

3

Sik

h4

Bu

dd

his

t5

Jain

6

Oth

ers

7

No

re

ligio

n8

Item

Cod

e

Cod

e fo

r C

ol.

(11)

SC

1

ST

2

Oth

ers

3

Item

Cod

e

Item

Cod

eN

ever

mar

ried

1

Mar

ried

but,

Gau

na n

ot p

erfo

rmed

2

Mar

ried

and

, G

auna

per

form

ed3

Re

ma

rrie

d4

Wid

ow

/Wid

ow

er

5

Div

orc

ed

6

Se

pa

rate

d7

Not

sta

ted

8

*=

To b

e co

pied

fro

m H

ouse

listin

g S

ched

ule

#=

To b

e fil

led

upto

Col

. 13

onl

y

Cod

e fo

r C

ol.

(15)

Item

Cod

eS

choo

l to

o fa

r1

Fur

ther

edu

catio

n no

t co

nsid

ered

ne

cess

ary

2

Req

uire

d fo

r w

ork

in H

ouse

hold

act

ivit

ies/

Fa

rm/F

am

ily b

usi

ne

ss3

Req

uire

d fo

r ou

tsid

e w

ork

4

No

t in

tere

ste

d i

n s

tud

ies

5

Co

st t

oo

mu

ch6

Re

pe

ate

d f

ailu

res

7

Got

mar

ried

8

Oth

ers

9

Cod

e fo

r C

ol.

(16)

Item

Cod

eIl

lite

rate

0

Lite

rate

with

out

For

mal

edu

catio

n1

Lit

erat

e w

ith

Fo

rmal

Ed

uca

tio

n

Be

low

Pri

ma

ry2

Pri

mar

y (5

th p

asse

d)3

Mid

dle

(8th

pas

sed)

4

Se

con

da

ry/M

atr

ic/C

lass

-X5

Hr.

Sec

onda

ry/S

r. S

econ

dary

/P

re-u

niv

ers

ity/

Cla

ss-X

II6

Gra

du

ate

/B.T

ech

/BB

A/M

BB

S/

Eq

uiv

ale

nt

7

Pos

t G

radu

ate/

M.T

ech/

MB

A/M

D/

Equ

ival

ent

or h

ighe

r8

Non

-Tec

hnic

al/T

echn

ical

dip

lom

aor

cer

tific

ate

not

equi

vale

nt t

o de

gree

9

Cod

e fo

r C

ol.

(17)

Item

Cod

eC

ultiv

ator

01

Ag

ricu

ltura

l W

ag

e L

ab

ou

rer

02

No

n-a

gri

cultu

ral

Wa

ge

La

bo

ure

r0

3

Sel

f E

mp

loye

d (

excl

ud

ing

Cu

ltiv

ato

rs)

Ow

n A

ccou

nt W

orke

r0

4

Em

plo

yer

05

Unp

aid

Fam

ily L

abou

rer

06

Re

gu

lar

Sa

lari

ed

/Wa

ge

Em

plo

yee

07

Did

not

wor

k bu

t w

as s

eeki

ng a

nd/o

r av

aila

ble

for

wor

k0

8

Att

en

din

g e

du

cati

on

al

inst

itu

tio

n0

9

Att

en

din

g r

ou

tine

do

me

stic

ch

ore

s, e

tc.

10

Be

gg

ar

11

Sex

wor

ker/

Pro

stitu

te1

2

Ren

tier,

pen

sion

er,

othe

r re

mitt

ance

reci

pie

nts

13

Not

abl

e to

wor

k du

e to

dis

abili

ty1

4

Too

old

to w

ork

15

Oth

ers

16

Con

fiden

tial

whe

n fil

led

Pag

e N

o. .

......

...

JHARKHAND

82

Ann

ual H

ealth

Sur

vey

2012

-13

SID

E -

‘B’

Con

fiden

tial

whe

n fil

led

AN

NU

AL

HE

ALT

H S

UR

VE

YH

OU

SE

HO

LD

SC

HE

DU

LESerial Number

Nam

e

(Sta

rt w

ith

Hea

d of

the

Ho

use

ho

ld)

12

1819

2021

2223

2425

2627

2829

Whether having any form ofDisability as on date of

survey? (Code)

Type of Treatment forinjury during last 1

year (Code)

Type of illness (Code)

P1

P2

Acc

ess

to H

ealt

h s

chem

e/In

sura

nce

Cod

e fo

r C

ol.

(18)

Item

Cod

eM

enta

l1

Vis

ua

l2

Hea

ring

3

Spe

ech

4

Loco

mot

or5

Mul

tiple

6

Oth

ers

7

No

Dis

abili

ty0

Inju

ryA

cute

illn

ess

(Dur

ing

last

15

days

)

Source of Treatment(Code)

Symptom(s) pertainingto illness persisting

for more than 1 month(Code)

Sought medical care(Code) (Applicable

for Codes ‘01’ to ‘13’in Col. 22)

Has diagnosed for(Code)

Telephone/Mobile Number:

Name & signature/thumb impres-sion of the Respondent with date

Name and signature of theEnumerator with date

If C

ode

‘1’

in C

ol.

28,

then

top

tw

ohe

alth

sch

emes

/he

alth

ins

uran

ce i

nor

der

of p

rior

ity(C

ode)

Whether coveredby any health

scheme or healthinsurance? (Yes -1, No - 2, Don’t

know - 3)

Chr

onic

illn

ess

(Dur

ing

last

1 y

ear)

Not

to

be a

sked

if

Cod

e ‘0

0’ i

n C

ol.

24

Source ofdiagnosis

(Code)

Getting regulartreatment

(Code)

If Code ‘1’ or ‘2’in Col. 26, source

of treatment(Code)

Cod

e fo

r C

ol.

(19)

Item

Cod

eT

reat

ed in

inte

nsiv

e ca

re u

nit f

or a

ny ti

me

1

Tre

ated

as

in p

atie

nt w

ith s

tay

> 2

wee

ks2

Trea

ted

as in

pat

ient

with

sta

y 1

to 2

wee

ks3

Tre

ated

as

in p

atie

nt w

ith s

tay

< 1

wee

k4

Tre

ated

as

out p

atie

nt5

Tre

ated

by

trad

ition

al h

eale

rs6

Tre

ated

at h

ome

7

No

inju

ry0

Cod

e fo

r C

ol.

(20)

Item

Cod

e

Acu

te Il

lnes

ses

Dia

rrho

ea1

Dys

ente

ry2

Acu

te re

spira

tory

infe

ctio

n3

Jaun

dice

with

feve

r4

Fev

er w

ith c

hill/

rigor

s(m

alar

ia e

tc.)

5

Feve

r of s

hort

dura

tion

with

rash

es6

Oth

er ty

pes

of fe

ver

7

Rep

rodu

ctiv

e tra

ct in

fect

ions

(RT

I)8

Oth

ers

9

No

Illne

ss0

Cod

e fo

r C

ol.

(21,

25,

27)

Item

Cod

e

GO

VER

NM

ENT

Sub

cen

ter

01

PH

C02

CH

C03

UH

C/U

HP

/UFW

C04

Dis

pens

ary/

Clin

ic05

Hos

pita

l06

AY

US

H H

ospi

tal/C

linic

07

PR

IVAT

E

Dis

pens

ary/

Clin

ic08

Hos

pita

l09

AY

US

H H

ospi

tal/C

linic

10

NG

O o

r Tru

st H

ospi

tal/C

linic

11

DO

T C

ente

r (on

ly fo

r Col

. 27)

12

At H

ome

13

Oth

ers

99

No

Trea

tmen

t00

Cod

e fo

r C

ol.

(22)

Item

Cod

eD

isea

ses

of r

espi

rato

ry s

yste

m01

Dis

ease

s of

car

diov

ascu

lar

syst

em02

Dis

ease

s of

cen

tral

ner

vous

sys

tem

03D

isea

ses

of m

uscu

lo-s

kele

tal s

yste

m04

Dis

ease

s of

gas

troi

ntes

tinal

sys

tem

05D

isea

ses

of g

enito

urin

ary

syst

em06

Ski

n di

seas

es07

Goi

tre

08E

leph

antia

sis

09E

ye p

robl

ems/

dise

ases

10E

NT

pro

blem

s/di

seas

es11

Mou

th a

nd d

enta

l pro

blem

s12

Oth

ers

13

No

sym

ptom

s of

chr

onic

dis

ease

99

Cod

e fo

r C

ol.

(23)

Item

Cod

eD

etai

ls o

f di

agno

sis/

trea

tmen

tno

t ava

ilabl

e1

Det

ails

of

diag

nosi

s/tr

eatm

ent

avai

labl

e2

No

3

Yes

Cod

e fo

r C

ol.

(24)

Con

td.

Item

Cod

eR

heum

atic

feve

r/R

heum

atic

hea

rt d

isea

se26

Tum

our (

any

type

)27

Blo

od C

ance

r/Le

ukem

ia28

Ski

n C

ance

r29

Pile

s, A

nal

Fis

sure

, A

nal

Fis

tula

30A

naem

ia31

Oth

ers

(Her

nia,

Hyd

roce

le, P

eptic

Ulc

er, e

tc.

99N

ot d

iagn

osed

00

Cod

e fo

r C

ol.

(24)

Item

Cod

eD

iabe

tes

01H

yper

tens

ion

02C

hron

ic h

eart

dis

ease

03M

yoca

rdin

al in

farc

tion/

Hea

rt a

ttac

k04

Str

oke/

Cer

ebro

vasc

ular

acc

iden

t05

Epi

leps

y06

Ast

hma/

Chr

onic

resp

irat

ory

dise

ase

07G

oitr

e/T

hyro

id d

isor

der

08T

ub

erc

ulo

sis

09Le

pros

y10

Can

cer-

Res

pira

tory

Sys

tem

11C

ance

r-G

astr

oint

estin

al s

yste

m12

Can

cer-

Gen

itour

inar

y sy

stem

13C

ance

r-B

reas

t14

Ren

al s

tone

15C

hron

ic r

enal

dis

ease

16G

all

ston

e/C

hole

cyst

itis

17C

hron

ic li

ver

dise

ase

18R

heum

atoi

d ar

thri

tis/O

steo

arth

ritis

19C

hron

ic s

kin

dise

ases

/Pso

rias

is20

Cat

arac

t21

Gla

ucom

a22

Sin

usi

tis,

Ton

silli

tis23

Flo

uros

is24

Pyo

rrhe

a25

Cod

e fo

r C

ol.

(29)

Item

Cod

eE

mpl

oyee

s S

tate

Insu

ranc

e S

chem

e(E

SIS

)1

Ras

htriy

a S

was

thya

Bim

a Yo

jana

(RS

BY

)2

Cen

tral

/Sta

te G

over

nmen

t Hea

lth S

chem

eot

her

than

RS

BY

3M

edic

al re

imbu

rsem

ent f

rom

em

ploy

er4

Com

mun

ity H

ealth

Insu

ranc

e P

rogr

amm

e5

Med

icla

im6

Oth

ers

7

Cod

e fo

r C

ol.

(26)

Item

Cod

eN

ot re

gula

rly1

Reg

ular

ly2 3

Yes

Mor

bidi

ty S

tatu

s

No

JHARKHAND

83

Annual H


1

ANNUAL HEALTH SURVEYWOMAN SCHEDULE

State Zone

District Rural - 1/ Urban - 2 Stratum

Sample Unit

House No. Household No.

Section I – Ever Married Woman (Aged 15–49 years)Sl. No., Name, Identification Code, Age, Marital Status, Highest educational qualification and Occupation/ Activity Status areto be copied from Col. 1, 2, 6, 9, 12, 16 & 17 respectively of the Household Schedule. However, Marital Status, Highesteducational qualification and Occupation/ Activity Status should be probed from the woman and in case of any variations,the response given by the woman should be recorded in the relevant columns of the Household Schedule by accordingpriority.

Marital Highest educational Occupation/Sl. No. Name Identification Code Age Status Qualification Activity

(Code) * attained (Code) Status (Code)

* If Code ‘2’ (Married but, Gauna not performed), go to Section II of the Schedule.

Q. No. Questions and Codes Responses

Yes-1, No-2Q.1 Have you ever conceived? If Code '2', go to Section II

of the Schedule

Record the numberQ.2 If Yes, how many times have you

conceived?

Q.3 What was your age at first conception ?(in completed years)

Q.4 Have you delivered a live baby before Yes-1, No-201.01.2012? If Code '2', go to Q.7

Q.5 How many children have been born aliveever before 01.01.2012 and out of themhow many are surviving as on 01.01.2012?

Q.6 What was your age at first live birth?(in completed years)

Q.7 Has the outcome of any pregnancy(s) Yes-1, No-2resulted in live birth/still birth/abortion If Code '2', go to Section IIduring 01.01.2011 to 31.12.2011? of the Schedule

Confidential when filled

Male Female Total

Record the number

Born Alive

Surviving

JHARKHAND

84

Ann

ual H

ealth

Sur

vey

2012

-13

2

Q.8 If Code ‘1’ (Yes) in Q.7, record the history of outcome(s) of pregnancy(s). Start with the last pregnancy excludingthe current one. Use separate lines for twins/triplets. Same pregnancy number to be recorded for twins/triplets.

To be filled for Induced or Spontaneous abortions (Code '3' or '4' in Col. 2)

If Code '1' Whether At what Did you Did you go Where Who Only foror '2' in pregnancy month of receive for was the performed/ inducedCol. 2, confirmation pregnancy any ultrasound abortion completed abortion

Pregnancy Outcome of record test did ANC? before this performed/ theNumber Pregnancy the sex of was done abortion (Yes-1, abortion? completed? abortion? Why did

(to be the baby by using happen? No-2) (Yes-1, (Code) (Code) you abortrecorded) (Male-1, NPT kit? No-2) the

Female-2) (Yes-1, pregnancy?No-2) (Code)

1 2 3 4 5 6 7 8 9 10

(........)Live Birth-1

LastStill Birth-2

pregnancyInduced Abr.-3Spont Abr.-4

(........) Live Birth-1

Previous Still Birth-2

to last Induced Abr.-3pregnancy Spont Abr.-4

(........) Live Birth-1

SecondStill Birth- 2

from last Induced Abr.-3

pregnancy Spont Abr.-4

Code for Col.10 (Q.8)

Item Code

Unplanned pregnancy 1

Due to contraceptive failure 2

Complication(s) in pregnancy 3

Health did not permit 4

Female foetus 5

Economic reason(s) 6

Last child too young 7

Foetus had congenital abnormality 8

Others 9


Item Code

GOVERNMENT

Sub - Center 01

PHC 02

CHC 03

UHC / UHP / UFWC 04

Dispensary / Clinic 05

Hospital 06

AYUSH Hospital / Clinic 07

PRIVATE


Hospital 09


NGO or Trust Hosp. / Clinic 11

At HomeSelf 12

Elsewhere 13

Others 99


Item Code

Doctor 1

Nurse / ANM / LHV 2

Trained dai 3

Untrained dai 4

Family members / Relatives / Friends 5

None / Self 6

Others 7

Note: If outcome(s) of pregnancy(s) resulted in ‘only Abortion(s)’, go to Section II of Schedule after fillingColumns 4 to 10 of Q.8.

JHARKHAND

85

Annual H


3

(If Code '3' is recorded for any of thebirths, go to Q.9 (6) for that particular birth)

D D M M Y Y Y Y D D M M Y Y Y Y

Q.9 Details about the last two outcome of pregnancy(s) which resulted in live birth (surviving / not surviving) / stillbirth during 01.01.2011 to 31.12.2011. Begin with last birth. Survival status to be assessed as on 01.01.2012.

Questions 9 (1) to 9 (45) are to be probed for live births (surviving/not surviving) as well as still births unless otherwise specified.

Q. No. Questions and Codes Responses

Q.9 (1) Pregnancy number of last two live /still birth(s) in Chronological order Last birth Previous to last birth[Copy from Col. 1 (Q.8)] Pregnancy

Number

Q.9 (2) What kind of birth is / was it?

Item CodeLive birth surviving 1 Last birth Previous to last birthLive birth not surviving 2

Still birth 3

Order of liveLast birth Previous to last birth

Q.9 (3) What is the order of live birth? birth(If more than 9, record '9' only)

Q.9 (4) Only if birth order >= 2

IntervalLast birth Previous to last birth

What is the interval between the previous(in completedand current live births?

months)(If more than 99 months, record '99' only)

Last birth Previous to last birthQ.9 (5) Identification Code (only for live birth Identification

surviving) – To be copied from Col. 6 Codeof the Household Schedule

Q.9 (6) What is/was the date of birth of the baby?

Date of Birth

Last birth Previous to last birth

(In case of still birth, record only monthand year)

Q.9 (7) What type of birth was it?Last birth Previous to last birth

Item Code

Single 1

Multiple 2

ANTE NATAL CARE (ANC)

Q.9 (8) Did you get your pregnancy registeredfor each birth? Last birth Previous to last birth

Item Code

Yes 1

No 2

(Record Code '2' only after ascertainingthat the woman has not received anyANC for that particular birth)

If Code ‘2’, go toQ.9 (15)

JHARKHAND

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4

Q.9 (9) How many months pregnant were you Number of Last birth Previous to last birthat the time of first ANC ? completed

months

Q.9 (10) How many ANCs did you receive during Last birth Previous to last birthpregnancy associated with each birth?

(If more than 9 ANCs, record '9' only)

Q.9 (11) What was the main source of ANC ?

Item Code

GOVERNMENT

Anganwadi 00

Sub - Center 01

PHC 02

CHC 03 Last birth Previous to last birthUHC / UHP / UFWC 04


Hospital 06


PRIVATE


Hospital 09


NGO or Trust Hospital/Clinic 11

Others 99

Q.9 (12) What were the type of tests performed Type of tests Last birth Previous to last birthduring the ANC? performed (in numbers) (in numbers)(Read out the type of tests performed)

AbdominalExamination

Blood Pressure

BreastExamination

WeightMeasurement

Urine test

Blood (for Hbestimation)

Blood group test

Blood (for othertests)

Ultrasound

(Record the total number of testsperformed across all ANCs. If any ofthe tests were performed more than9 times, record ‘9’ only)

Number ofANCs

JHARKHAND

87

Annual H


5

Q.9 (13) (i) How many TT injections did youLast birth Previous to last birthreceive?

Number of TTinjections

(ii) How many months pregnant were you Number of Last birth Previous to last birthat the time of 2nd TT injection? completed

months

Q.9 (14) For how many days did you consume Last birth Previous to last birthIron & Folic Acid (IFA) tablets / tablespoons (Number of days) (Number of days)of IFA syrup during pregnancy?

(Record '000' if not consumed) Tablets

Syrup

Q.9 (15) If Code '2' is recorded for any of the birthsin Q.9 (8), what was the main reason of notgoing for any ANC for that particular birth?

Item Code

Not needed 1

Not customary 2 Last birth Previous to last birthCost too much 3

Too far / no transport 4

Poor quality service 5

Family did not allow 6

No time to go 7

Lack of knowledge 8Others 9

Q.9 (16) Did you suffer from any of the health Healthproblem(s) during pregnancy associated Problems Last birth Previous to last birthwith each birth?

(Read out the health problems)Swelling of hands,

feet and face

Paleness/Giddiness/Weakness

Visualdisturbances

ExcessiveFatigue

Convulsions notfrom fever

Weak or nomovement of foetus

Abnormal positionof foetus

Excessivevomiting

Item Code

Yes 1

No 2

JHARKHAND

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Q.9 (17) If Code '1' is recorded for any of thehealth problem(s) in Q.9 (16), did youseek treatment? Last birth Previous to last birth

Q.9 (18) If Code '1' in Q.9 (17), where did you gofor consultation or to seek treatment?

Item Code

GOVERNMENTSub - Center 01PHC 02CHC 03UHC / UHP / UFWC 04 Last birth Previous to last birthDispensary / Clinic 05Hospital 06AYUSH Hospital / Clinic 07

PRIVATEDispensary / Clinic 08Hospital 09AYUSH Hospital / Clinic 10

NGO or Trust Hospital / Clinic 11At Home 12Others 99

Q.9 (19) Where did your delivery take place?

Item Code

GOVERNMENTSub - Center 01PHC 02CHC 03UHC / UHP / UFWC 04 Last birth Previous to last birthDispensary / Clinic 05Hospital 06AYUSH Hospital / Clinic 07

PRIVATEDispensary / Clinic 08Hospital 09AYUSH Hospital / Clinic 10

NGO or Trust Hospital / Clinic 11At Home 12Others 99

Hypertension/High BP

Jaundice

Excessive bleeding

Vaginal discharge

Others

HealthProblems

Item Code

Yes 1

No 2

NATAL CARE


JHARKHAND

89

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7

Q.9 (20) If Code '12' in Q.9 (19), what was themain reason for not going to healthfacility for delivery?

Item Code

Not needed 01

Not customary 02 Last birth Previous to last birthCost too much 03

Too far / no transport 04

Poor quality service 05

Family decision 06

No time to go 07

Lack of knowledge 08

Better care at home 09

Others 10

Q.9 (21) In case of institutional delivery [for Code‘1-11’ in Q.9 (19)], who facilitated or Last birth Previous to last birthmotivated you to go to the health facilityfor delivery and where did she/he adviseyou to go?

(Read out all facilitators/ motivatorsmentioned)

Code for Facilitator/Motivator

Code for health facility

Item Code

Government

Sub - Center 01

PHC 02

CHC 03

UHC/UHP/UFWC 04

Dispensary/Clinic 05

Hospital 06

AYUSH Hospital/Clinic 07

Private


Hospital 09



Others 99

Item Code

Yes 1

No 2

Facilitator/Motivator

Recom-mendedhealthfacility

Facilitator/Motivator

Recom-mendedhealthfacility

Doctor

ANM

HealthWorker

AnganwadiWorker

ASHA

NGO/CBO

Husband

Mother-in-law

Mother

Relatives/Friends

Self

Others

JHARKHAND

90

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ealth

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vey

2012

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8

Q.9 (22) In case of institutional delivery [forCode ‘1-11’ in Q.9 (19)], what was thesource of transport provided/availedby you for reaching the institution?

Item Code

Arranged by family 1

Arranged by ASHA 2

Provided by panchayat/other govt. sources 3

Provided by others 4

Not required(< 1 Km) 5

Not provided 6

Q.9 (23) In case of institutional delivery [for Code‘1-11’ in Q.9 (19)], what was the mainmode of transportation used by you toreach the health facility for delivery?

Q.9 (24) In case of institutional delivery [forCode ‘1-11’ in Q.9 (19)], how long didyou stay in the institution after delivery?

(Record in Hours (H), if stay <= 48 hrs, inDays (D) otherwise)

Q.9 (25) In case of institutional delivery [forCode ‘1-11’ in Q.9 (19)], how much it costout of your pocket on the followingitems during delivery?

(Cost should exclude the amountreimbursed / to be reimbursed)

Q.9 (26) Did you avail any maternity financialassistance?

Item Code

Janani Suraksha 1 Last birth Previous to last birthYojana (JSY)

Availed Other Govt schemes(Other than JSY) 2

Any Other 3

Not Availed 4

Item Code

Ambulance 1

Jeep/Car 2

Motor Cycle/Scooter 3

Bus/Train 4

Tempo/Auto/Tractor 5

Rickshaw/Cart 6

On foot 7

Others 8




H/D No. H/D No.

Transporation

Others

Last birth Previous to last birth(Amount in Rs.) (Amount in Rs.)

JHARKHAND

91

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9

Q.9 (27) If Code ‘1’ in Q.9 (26), then

(i) How many days after the delivery,did you receive financialassistance?

(ii) What was the total amountreceived by you during pregnacyand/or after delivery?

Q.9 (28) Was the delivery normal, caesarean orassisted?

Item Code

Normal 1

Caesarean 2

Assisted 3

Q.9 (29) During delivery, did you experienceany of the health problems associatedwith each birth?

(Read out all health problems)

Q.9 (30) In case of delivery at home [Code ‘12’ inQ. 9 (19)], who conducted your delivery?

Item Code

Doctor 1

Nurse / ANM / LHV 2

Trained dai 3

Untrained dai 4

Family members / 5Relatives / Friends

None 6

Last birth Previous to last birth(Number of days) (Number of days)

Last birth Previous to last birth(Amount in Rs.) (Amount in Rs.)


Item Code

Yes 1

No 2

Health Problems Last birth Previous to last birth

Prematurelabour

Excessivebleeding

Prolongedlabour (More than

12 hours)

Obstructedlabour

BreechPresentation

Convulsion/High BP

Others


JHARKHAND

92

Ann

ual H

ealth

Sur

vey

2012

-13

10

POST NATAL CARE

Q.9 (31) Did you have any check-up within

48 hours of delivery?

Item Code Last birth Previous to last birth

Yes 1

No 2

Q.9 (32) If Code ‘2’ in Q.9 (31), after how manydays of delivery, the first check-up

Last birth Previous to last birthtook place?Number of

Days[If no check-up was done at all for anyof the births, record '00' for thatparticular birth and go to Q.9 (35)]

Q.9 (33) Where did your Post Natal check-uptake place?

Item Code

GOVERNMENT

Sub Center 01

PHC 02 Last birth Previous to last birth

CHC 03

UHC / UHP / UFWC 04


Hospital 06


PRIVATE


Hospital 09



Others 99

Q.9 (34) Did any of the following happen whenyou had the check-up after each birth?

(Read out all options mentioned)

Item Code

Yes 1

No 2


Abdomenexamined

Advice on breastfeeding

Advice onbaby care

Advice on familyplanning

JHARKHAND

93

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11

Q.9 (35) When was the new born baby checked upafter birth?

(To be asked only in respect of live birthssurviving or not surviving)

Q.9 (36) If Code ‘1’ or ‘2’ or ‘3’ in Q.9 (35), number ofcheck-up(s) during one week of delivery

Q.9 (37) If Code ‘1-4’ in Q.9 (35), where was thebaby's first check-up done?

Q.9 (38) If Code ‘12’ in Q.9 (37), who did the check-upat home?

Item Code

Doctor 1

ANM 2

Health worker 3

Anganwadi worker 4

ASHA 5

Others 6

Item Code

Within 24 hrs 1

24 hrs to 72 hrs 2

4th day to 7th day 3

After the 7th day 4

Not checked up 5




Item Code

Government

Sub - Center 01

PHC 02

CHC 03

UHC/UHP/UFWC 04


Hospital 06


Private


Hospital 09


NGO or Trust Hosp/Clinic 11

At Home 12

Others 99


Checked

Up

JHARKHAND

94

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ual H

ealth

Sur

vey

2012

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12

Q.9 (39) During the first 6 weeks after delivery,did you experience any of the healthproblems?

(Read out all health problems)

Q.9 (40) If Code '1' in any of the health problemsin Q.9 (39), did you seek treatment?

Q.9 (41) If Code '1' in Q.9 (40), where did you go forconsultation or to seek treatment?

Q.9 (42) Whether birth weight of the baby wastaken?

(To be asked only in respect of livebirths surviving or not surviving)

Item Code

Yes 1

No 2

Item Code

Yes 1

No 2



Item Code

Yes 1

No 2

Don’t Know 3


Health Problems Last birth Previous to last birth

High fever

Lower abdominalpain

Foul smellingvaginal discharge

Excessivebleeding

Convulsions

Head ache

Others

Item Code

Government

Sub - Center 01

PHC 02

CHC 03

UHC/UHP/UFWC 04


Hospital 06


Private


Hospital 09



Others 99

JHARKHAND

95

Annual H


13

Q.9 (43) If Code ‘1’ in Q.9 (42), what was the birthweight of the baby?

Q.9 (44) When did you first breast feed yourbaby?


Q.9 (45) Did you feed “milk colostrum/khees”(yellowish thick milk) to your baby,secreted during the first few days afterchild birth?


Q.9 (46) Are you currently breastfeeding yourbaby?

Q.9 (47) How many days/months did youexclusively breastfeed your baby?

(If duration of breastfeeding is less thanone month, record no. of days and ifduration is in months, record no.of months)

Last birth Previous to last birthKg gms Kg gms

Birth weight

Item Code

Immediately within 1 hourof birth 1

1 hour to 24 hours of birth 2

2-3 days 3

After 3 days 4

Never breast-fed 5


If Code '5'go to Q.9 (48)

Item Code

Yes 1

No 2


The following questions are to be probed only for live births and surviving.

BREAST FEEDING PRACTISE

Item Code

Yes 1

No 2


Baby’s Name

Unit Code

Days D

Months M


D/M No. D/M No.

JHARKHAND

96

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2012

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14

Q.9 (48) At what age (in months/days) did you startfeeding the baby, food other thanbreast milk?

(If only breast feeding, record ‘00’)

(If duration of starting other types of foodis less than one month, record no. ofdays and if duration is in months, recordno. of months)

Q.9 (49) Do you have an Immunization/MCH cardfor your baby?

Q.9 (50) If Code '1' in Q.9 (49), whetherImmunization card made availableat the time of interview?

Q.9 (51) If card made available, whetherinformation recorded by usingthe card?

Q.9 (52) Has the baby ever received anyvaccination?

(If Code '2' for any births, go to Q.9 (56) forthat particular birth)

Unit Code

Days D

Month M


D/M No. D/M No.

Animal Milk/Formula Milk

Semi SolidMashed

Solid (Adultfood)

Vegetables/Fruits

Item Code

Yes 1

No 2

IMMUNIZATION


Item Code

Yes 1

No 2


Item Code

Yes 1

No 2


Item Code

Yes 1

No 2


Water

Type of food

JHARKHAND

97

Annual H


15

Q.9 (53) Was the baby given BCG vaccine?

Q.9 (54) Were the following vaccinesadministered to your baby?

(Read out the type of vaccines)

# If more than 9 doses, record ‘9’ onlyfor that particular birth.

* If no vaccination received, record ‘0’for that particular birth.

Q.9 (55) From where did the baby receivemost of his/her vaccinations?

Item Code

At birth 1

Yes Within 6 weeks 2

Thereafter 3

No 4


Type of Vaccine Last birth Previous to last birth

Polio birth dose(Yes-1, No-2, Don’t

Know-3)

* No. of Polio dosesin routine

immunization (RI)other than the birth

dose

# No. of Polio dosesin PP (Pulse Polio)

immunization duringlast one year

* No. of DPTinjections

Measles (Yes-1,No-2, Don’t Know -3)

* No. of doses ofHepatitis B during

last one year

Item Code

Government

Anganwadi 00

Sub - Center 01

PHC 02

CHC 03

UHC/UHP/UFWC 04


Hospital 06


Private


Hospital 09



Others 99


JHARKHAND

98

Ann

ual H

ealth

Sur

vey

2012

-13

16

Q.9 (56) If no vaccination was received by yourbaby, what was the main reason thereof?

Item Code

Child is weak/sick 1

Not aware of the need 2

Place of immunization is 3not known

Session site too far 4

Fear of side effects 5

Nobody to take child to 6session site

Not customary 7

Child too young 8

Others 9


Q.9(57) Number of Vitamin A doses received byyour baby during last six months?

(If not received, record ‘0’)

Q.9 (58) Was IFA tablet/syrup administered toyour baby, in the last 3 months?

(To be asked for babies older than 6months)

Q.9 (59) If Code '1' or '2' in Q.9 (58), then for howmany days was it given in the last 3months?

Q.9 (60) Did the baby suffer from AcuteRespiratory Infection (ARI) duringlast 15 days?

Q.9 (61) If Code ‘1’ in Q.9 (60), was the baby givenany treatment?

Last birth Previous to last birthNo. of

Vitamin Adoses

Item Code

Tablets 1

Yes Syrup 2

No 3




Item Code

Yes 1

No 2

Item Code

Antibiotic 1

Other treatment 2

No treatment 3


CHILD HEALTH

No. ofDays

JHARKHAND

99

Annual H


17

Q.9(62) Did the baby suffer from fever duringlast 15 days?

Q.9 (63) If Code ‘1’ in Q.9 (62), was the baby givenany treatment?

Q.9 (64) Did the baby suffer from diarrhoeaduring last 15 days?

Q.9 (65) If Code ‘1’ in Q.9 (64), did you administerHAF/ ORT/ ORS and Zinc to the baby?

Q.9 (66) Have you availed Anganwadi servicesduring the pregnancy and/or lactationassociated with each birth?

Q.9 (67) Is the birth of your baby registered ?

Q.9 (68) If Code ‘1’ in Q.9 (67), did you receiveBirth Certificate for your baby ?

Item Code

Yes 1

No 2


Item Code

Yes 1

No 2


Item Code

Yes 1

No 2


Item Code

Yes 1

No 2


HAF

ORT/ORS

ORT/ORS & Zinc

Item Code

Yes 1

No 2


During Pregnancy

During Lactation

REGISTRATION OF BIRTH

Item Code

Yes 1

No 2

Don’t know 3


Item Code

Yes 1

No 2


JHARKHAND

100

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ual H

ealth

Sur

vey

2012

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18

Q.1 Which of the family planningmethod (s) are you aware of?

(Read out all the family planningmethods)

[For Married but, Gauna notperformedgo to Q.21 directly afterrecording response of Q.1]

Q.2 Are you currently pregnant?

Q.3 Are you registered for ANC?(Ensure that the woman has notreceived any ANC, before recordingCode ‘2’)

Q.4 How many months pregnant were youat the time of first ANC?

Q.5 When you became pregnant this time,did you want to become pregnant now,did you want to wait until later, or did younot want to have any (more) children atall?(After recording the response, go toQ.13)

Q.6 Are you currently menstruating?

Codes Family Planning Methods Awareness(Yes - 1, No - 2)

Modern

01 Tubectomy

02 Vasectomy

03 Copper-T / IUD

04 Pills (Daily)

05 Pills (Weekly)

06 Emergency Contraceptive Pill

07 Condom / Nirodh

08 Injectable Contraceptives

09 Other modern method

Traditional

10 Contraceptive Herbs

11 Rhythm / Periodic Abstinence

12 Withdrawal

13 Lactational Amenorrhoea Method (LAM)

14 Other traditional method

Yes-1, No-2, Not sure-3

If Code ‘1’, record no. of completed monthsof pregnancy.

Yes-1, No-2

Number of completed months

Now 1

LaterWithin 2 years 22 years or more 3

Did not want any (more) children at all 4

CODE Go toQ.13

Yes 1 Go toLactational Amenorrhoea 2 Q.7Secondary Amenorrhoea 3

No In Menopause 4 Go toUterus Removed 5 Q.13Never Menstruated 6 Go to

Q. 21CODE

Section II – Currently Married Woman (Aged 15-49 years)

If Code ‘2’go to Q.5

If Code ‘2’or ‘3’, go

to Q.6

JHARKHAND

101

Annual H


19

Then 1Later Within 2 years 2

2 years or more 3Did not want any (more) children at all 4

CODE

Yes-1, No-2

Yes-1, No-2

(Use Codes from Q.1)

GOVERNMENT

Govt. / Municipal hospital 1

Govt. Dispensary 2UHC / UHP / UFWC 3

CHC 4

PHC 5

Camp 6

PRIVATEHospital 7


Others 9

CODE

Yes-1, No-2

Before /At the time of discharge 1

At the time of first follow up 2

After several visit 3

CODE

Amount (In Rs.)

Less than 6 months 1

6 months to < 1 year 2

1 year to < 2 years 3

2 years or more 4

Not remember 5

CODE

Yes-1, No-2

Q.7 When you became mother last time,did you want this child then, did youwant to wait until later or did you notwant to have any (more) children atall?

(Applicable for those who have givenatleast one live birth)

Q.8 Is your husband living with you?

Q.9 (i) Are you or your husband currentlyusing any method(s) of familyplanning?

(ii) If Code ‘1’ in Q.9 (i), specify the mostused method

(iii) If Code ‘01’ or ‘02’ in Q.9 (ii), wheredid you or your husband got theoperation done?

(iv) Did you/your husband receive thecompensation after sterilization?

(v) If Yes, when did you/your husbandreceive compensation forsterilization?

(vi) How much compensation did you/your husband receive?

Q.10 (i) How long have you or yourhusband been using this methodcontinuously?

(ii) Have you/your husband had anyhealth problems after you/yourhusband started using thismethod?

If Code‘2’, go to

Q.12

If Code‘03-14’,

go toQ.10


Q.13


Q.20

Go toQ.20

JHARKHAND

102

Ann

ual H

ealth

Sur

vey

2012

-13

20

PUBLIC MEDICAL SECTOR

Govt. / Municipal hospital 01

Govt. Dispensary 02

UHC / UHP / UFWC 03

CHC 04

PHC 05

Sub centre 06

Govt. AYUSH hospital /clinic 07

Govt. Mobile clinic 08

Camp 09

Anganwadi / ICDS Centre 10

ASHA / ANM 11

Other community based worker 12

Other public sector health facility 13

PRIVATE MEDICAL SECTOR

Pvt. Hospital / clinic 14

Pvt. AYUSH Hospital / clinic 15

ANY OTHER SOURCE

Pharmacy / Shop 16

Husband 17

Friends / Relatives 18

Vending machine 19

Others 20

CODE Go toQ.17

Wanted child now / soon 01Lack of knowledge about family planning 02Against the religion 03Opposed to family planning 04Husband opposed 05Other family members opposed 06Not liking existing methods 07Afraid of sterilization/operation 08Cannot work after sterilization/operation 09Worry about side effects 10Costs too much 11Health does not permit 12Difficult / inconvenient to get method 13Inconvenient to use method 14Lack of access / Too far 15Infertility 16Others 17

CODE

Yes-1, No-2


Q.11 From where did you obtain thismethod last time?

[Not applicable for Code ‘11’ or ‘12’or ‘13’ if recorded in Q.9 (ii)]

(After recording the response, go toQ.17)

Q.12 What is the main reason for currentlynot using any method of familyplanning?

Q.13* (i) Have you /your husband usedany method in the past anddiscontinued?

(ii) If Code ‘1’ in Q.13 (i), specify themost used method?

If Code ‘2’,go to Q.15

If Code ‘01’or ‘02’, go

to Q.21

JHARKHAND

103

Annual H


21

Wanted child 01Method failed/became pregnant 02Supply not available 03Difficult/inconvenient to get method 04Weakness/inability to work 05Body ache/back ache 06Cramps 07Weight gain 08Dizziness 09Nausea/Vomiting 10Breast tenderness 11Irregular periods 12Excessive bleeding 13Spotting 14White discharge 15Lack of pleasure 16Method was inconvenient 17Others 18

CODE

Yes-1, No-2

Within 6 months 16 months to < 1 year 21 year to < 2 years 32 years or after 4

CODE


Want more children 1

Want no more children 2

Not decided 3

CODE

Boy 1Girl 2Doesn’t matter 3

CODE

Soon/Now/Less than 1 year 11 year to < 2 years 22 years to < 3 years 33 years or more 4Not decided 5

CODE

Q.14* What was the main reason fordiscontinuing the use of themethod in the past?

* For Code ‘4’ or ‘5’ in Q.6, skip andgo to Q.21 after recording theresponse(s) in Q.13/Q.14

Q.15 Do you intend to use any method offamily planning, any time in the future?

Q.16 If Code ‘1’ in Q.15, then

(i) When do you want to use?

, (ii) Which method would you preferto use?

Q.17 Would you like to have another child?

(For Currently Pregnant Woman,response should pertain to child otherthan she is expecting now)

Q.18 What would you prefer as your nextchild?

Q.19 How long would you like to wait tohave another child?


Q. 20


Q.17

JHARKHAND

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ual H

ealth

Sur

vey

2012

-13

22

Q.20 Did an ANM /Health worker visit youduring the last three months?

(Applicable only for currently pregnantwomen/lactating mother)

Q.21 Have you ever been counselled byHealth Functionaries for menstrualhygiene?

Q.22 Have you heard of RTI/STI?

Q.23 Have you heard of HIV/AIDS?

Q.24 Are you aware about theadministration of HAF/ORT/ORSand Zinc during diarrhoea?

Q.25 Are you aware of the danger signs ofAcute Respiratory Infection (ARI)/Pneumonia?

Q.26 Are you aware of the danger signs ofnew born?

Yes-1, No-2

Yes-1, No-2

Yes-1, No-2

Yes-1, No-2

Home Available Fluids (HAF)

ORT/ORS

ORT/ORS and Zinc

Yes-1, No-2

Yes-1, No-2

Item Code

Yes 1

No 2

Result of Interview

Completed 1

Not completed

Refused 2

Incapacitated 3

Partly completed 4

Not at Home 5

Others (Please specify) 6

CODE Name & Signature of Name & Signature/Thumbthe Enumerator Impression of the Respondent

Date of InterviewD D M M Y Y Y Y

JHARKHAND

105

Annual H


Remarks of Enumerator

Remarks of Supervisor

Name & Signature with Date:

Name & Signature with Date:

JHARKHAND

106

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ual H

ealth

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vey

2012

-13

Col

. 1

to 3

to

be f

illed

for

all

Hou

seho

lds

& C

ol.

4 to

23

for

deat

hs o

ccur

red

to t

he u

sual

res

iden

ts o

f th

e sa

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e un

it d

urin

g 01

.01.

2011

to

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11.

Sti

ll bi

rths

not

to

be i

nclu

ded.

Serial No.

Hou

se N

o.(4

dig

its)

*

12

34

56

78

910

1112

1314

1516

1718

1920

2122

23

Source of medical attentionbefore death (Code)

Dat

e of

Dea

th

Cod

e fo

r C

ol.

(18)

Item

Cod

e

Dur

ing

ante

nata

l per

iod

1

Dur

ing

deliv

ery

2

Dur

ing

abor

tion

3

With

in 4

2 da

ys o

f del

iver

y4

Afte

r 42

days

of d

eliv

ery

5

With

in 4

2 da

ys o

f abo

rtion

6

Afte

r 42

days

of a

borti

on7

Cod

e fo

r C

ol.

(20)

Item

Cod

eD

elay

in

rece

ivin

g he

alth

car

e1

at f

acili

ty

Inad

equa

te c

are

at h

ealth

fac

ility

2

Lack

of

tran

spor

t in

shi

ftin

g to

3fa

cilit

y

Lack

of

fund

s4

Ser

ious

ness

of

the

cond

ition

5no

t re

aliz

ed

Ser

ious

ness

of

the

cond

ition

6re

aliz

ed b

ut d

ecis

ion

not

mad

eby

fam

ily m

embe

rs

Oth

ers

7

Cod

e fo

r C

ol.

(21)

Item

Cod

e

Exc

ess

blee

ding

1

Sep

sis

2

Pre

gnan

cy In

duce

dH

yper

tens

ion

(PIH

)3

Pro

long

ed L

abou

r/4

Obs

truct

ed la

bour

Inju

ry to

ute

rus

& o

ther

orga

ns5

Ana

emia

6

Jaun

dice

7

Mal

aria

8

Oth

er m

edic

al c

ondi

tions

inpr

egna

ncy

9

Oth

er c

ondi

tions

not

rela

ted

to p

regn

ancy

0

Cod

e fo

r C

ol.

(22)

Item

Cod

e

< 2

hour

s1

2 ho

urs

to <

24

hour

s2

24 h

ours

to <

2da

ys3

2 da

ys to

< 7

day

s4

7 da

ys <

14

days

5

14 d

ays

or m

ore

6

Household No. (2 digits)*

Nam

e of

the

dec

ease

d

Sex of deceased (Male-1, Female-2)

Below 1 month (in days)

1 to 11 months (in completed months)

1 year and above (in completed years)

Place of death (Code)

D D

M M

YY

YY

AN

NU

AL

HE

ALT

H S

UR

VE

YM

OR

TALI

TY S

CH

ED

ULE

Sta

teZ

one

Dis

trict

Rur

al-1

,U

rban

-2S

tratu

mS

ampl

eU

nit

Con

fiden

tial

whe

n fil

led

Pag

e N

o. .

......

...

Is the death registered?(Yes-1, No-2, Don't know-3)

If Code ‘1’ in Col. 12,whether received the Death

certificate? (Yes-1, No-2)

Serial number of motheras in Household Schedule

Order of birth

Symptoms precedingdeath (Code)

Was the death associatedwith pregnancy? (Yes-1, No-2)

Period when the deathoccurred? (Code)

If Code ‘1’ or ‘2’ or ‘3’ inCol.18, how many monthswas she pregnant at the

time of death?

Top two factors contributing to death in order of priority (Code)

Symptoms preceding death(Code)

Time between onset ofcomplications and death (Code)

Distance from place (where thedeceased was staying) to the nearest

medical facility (in kms)#

P1P2

Age

at

deat

hR

egis

trat

ion

of d

eath

For

Infa

nt d

eath

(<

1 ye

ar)

For

fem

ale

dece

ased

age

d 15

-49

year

sIf

‘Yes

’ in

Col

. 17

, as

k th

e fo

llow

ing

Cod

e fo

r C

ol.

(10)

Item

Cod

e

GO

VE

RN

ME

NT

Sub

Cen

ter

01

PH

C0

2C

HC

03

UH

C/U

HP

/UF

WC

04

Dis

pe

nsa

ry/C

linic

05

Ho

spit

al

06

AY

US

H H

osp

ita

l/C

linic

07

PR

IVA

TE

Dis

pe

nsa

ry/C

linic

08

Ho

spit

al

09

AY

US

H H

osp

ita

l/C

linic

10

NG

O o

r T

rust

Hos

p/C

linic

11

At

Hom

e1

2O

ther

s9

9N

o M

edic

al A

tten

tion

00

*=

To b

e co

pied

fro

m H

ouse

hold

Sch

edul

e

#=

if di

stan

ce i

s le

ss t

han

1 km

, re

cord

‘0’

Cod

e fo

r C

ol. (

16) C

ontd

.

Item

Cod

eP

re-t

erm

/Low

bir

th0

9w

eigh

t ba

by n

otth

rivi

ngR

espi

rato

ry i

nfec

tion

10

Dia

rrho

ea /

Dys

ente

ry1

1F

ever

with

ras

h1

2F

ever

with

con

vuls

ion

13

Fev

er w

ith j

aund

ice

14

Oth

ers

15

Neo

nata

l mor

talit

y (0

-28

days

):C

odes

01-

09 &

15

Pos

t ne

onat

al m

orta

lity

(29-

365

days

): C

odes

08-

15

Nam

e an

d S

igna

ture

of t

he E

num

erat

or

SI.

No.

Nam

eS

igna

ture

Dat

e

Enu

mer

ator

-1:

Enu

mer

ator

-2:

Cod

e fo

r C

ol.

(11)

Item

Cod

eA

t ho

me

1In

-tra

nsit

2In

hea

lth f

acili

ty3

Oth

er p

lace

s4

Cod

e fo

r C

ol.

(16)

Item

Cod

e

Asp

hyxi

a0

1H

ypot

herm

ia0

2In

fect

ion

s0

3B

irth

Inj

urie

s0

4C

on

vuls

ion

s so

on

05

afte

r bi

rth

Jau

nd

ice

06

Ble

ed

ing

fro

m u

mb

ilicu

s0

7&

els

ewhe

re

Con

geni

tal/

Bir

th d

efec

ts0

8

JHARKHAND

107

Annual H


LIST OF OFFICERS ASSOCIATED WITH THE FACTSHEET

Vital Statistics Division(Annual Health Survey)

Sl. No. Name Designation

1 Dr. Vijay P. Goel Deputy Director General & Project Director

2 Shri Rohit Bhardwaj Deputy Registrar General

3 Shri Rajeev Kumar Senior Research Officer

4 Shri Muhammed Yasir. F Senior Research Officer

5 Shri Rajesh N. Malvia Deputy Director

6 Shri Deepak Dhanawat Research Officer

7 Shri Narendra Singh Research Officer

8 Shri Harmeet Singh Maddh Assistant Director

9 Shri Mohan K. Tiwary Assistant Director

10 Shri Suresh Kumar Assistant Director

11 Shri Pankaj Shrivastava Statistical Investigator Gr. I

12 Shri Ravinder Kumar Statistical Investigator Gr. I

13 Shri Sandeep Goel Senior Compiler

14 Shri Tufail Ahmad Compiler

15 Smt. Navita Bhatia Compiler

90.3

84.1

91.4

69.9

58.6

82.9

80.0

53.7

50.2

43.3

68.4

56.2

27.3

13.6

62.1

92.4

57.5

0 10 20 30 40 50 60 70 80 90 100

Care sought for Fever

Care sought for Diarrhoea

Care sought for ARI

Fully Immunized

Received at least one Vitamin A dose

Received Measles vaccine

Received 3 doses of DPT vaccine

Animal/Formula Milk

Exclusively breastfed for at least six months

Children breastfed within one hour of birth

Check up within 48 hrs

Safe Delivery

Ultrasound

Full Antenatal Check up

Antenatal Check-up in First Trimester

Received any Antenatal Check-up

Family Planning (Any Method) (%)

Jharkhand: Coverage along the continuum of care

Pregnancy

Birth

Infancy

Childhood

Prepregnancy

annual health survey 2012-13 fact sheet€¦ · 2012-13 fact sheet jharkhand ... in the absence of...

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