annual health survey
TRANSCRIPT
-
8/11/2019 Annual Health Survey
1/48
Annual Health Survey: 2010 11
nnual Health Survey: 2010-11
State Institute of Health and Famil welfare
Jaipur
1SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
2/48
2SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
3/48
Objective
o y e enc mar s o core v a an
health indicators at the district level and
to map changes therein on an annual
basis
3SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
4/48
Background
,
PMO and Planning Commission.
Entrusted to ORGI [experience of Sample
eg s ra on ys em
S onsored b Ministr of Health & Famil
Welfare (MOHFW)
4SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
5/48
Need for AHS
Nine AHS States
Rajasthan, UP, UK, Bihar, Jharkhand,Orissa MP Chhattis arh and Assam
48 percent of countrys Population
59 ercent of Births
70 percent of Infant Deaths
62 percent of Maternal Deaths
5SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
6/48
Justification:
large inter-district variations.
In the absence of District level vital data, State
level estimates from Sample Registrationys em are use or ormu a ng s r c
level plans.
6SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
7/48
Key Features
Coverage-All the 284 districts of 8 EAG States
and Assam Sample Units- 20,694 statistically selected
sample units (Census Enumeration Blocks in
urban areas and Villages in rural areas) amp e opu a on- ou . m on
Sample Households- 3.6 million households
Average Sample households per district- About13 thousand
arges amp e urvey n e or
7SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
8/48
Sample Size- District level sample size is
based on Infant Mortality Rate
Field Work- Hybrid approach wherein
ieldwork has been outsourced and supervision
done by the ORGI
r ar y u - r ar y u was
implemented under AHS to verify the
arrangement.
supervision by ORGI
Exhaustive Trainin manual and three da s
ToT, state/zone level training8SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
9/48
Allocation of Sample
Districts: 284
No. of households: 3625418
Districts: 32
No. of households: 324342
9SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
10/48
Survey Tools
Nine States
July 2010-March 2011
House listing
Women
or a y
10SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
11/48
Indicators Covered
Crude Death Rate (CDR)
Neo-Natal Mortality Rate (NNMR)
Maternal Mortality Ratio (MMR)(only for Zone)
at Birth (SRB)
-
11SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
12/48
Rajasthan vs Other Statesajasthan vs. Other States
12SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
13/48
Crude Birth Rate
18.6 20
21.923.7 23.9 24.7
25 .
al a m d h n h h
r
Uttranc
h
Oris
Assa
Jhark
ha
Cha
ttisga
Ra
jasth
hya
Pra
de
ttar
Pra
de Bih
Ma
13SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
14/48
Crude Death Rate
8.6
6.1 6.6 6.6 7.2 7.2
7.6.
an
d
cha
l
han
ihar
sam
arh
es
h
issa
es
h
Jhark
Uttran
Rajas
As
Cha
ttis
adhya
Pra O
r
Uttar
Pra
14SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
15/48
Natural Growth Rate
19.5
11.6 12
14.716.3 16.9 17.1
. .
issa
cha
l
sam
arh
es
hes
h
an
d
han
ihar
O
r
Uttran
As
Cha
ttis
Uttar
Pra
adhya
Pra
Jhark
Rajas
15SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
16/48
Infant Mortality Rate
43
53 55 60 60 62
67
an
d
cha
l
arh
ihar
sam
han
issa
es
hes
h
Jhark
Uttran
Cha
ttis
As
Rajas
O
r
adhya
Pra
Uttar
Pra
16SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
17/48
Neonatal Mortality Rate
50
3035 35 39 40 40
an
d
cha
l
arh
ihar
sam
issa
han
es
hes
h
Jhark
Uttran
Cha
ttis
As
O
r
Rajas
adhya
Pra
Uttar
Pra
17SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
18/48
Post Natal Mortality Rate
1517 19
20 20 21
cha
l
an
darh
ihar
sam
han
es
h
issa
es
h
Uttran
Jhark
Cha
ttis
A
s
Rajas
Uttar
Pra O
r
adhya
Pra
18SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
19/48
Under 5 Mortality Rate
94
53 59
70 77 78 79
82
cha
l
an
darh
ihar
sam
han
issa
es
hes
h
Uttran
Jhark
Cha
ttis
A
s
Rajas
O
r
adhya
Pra
Uttar
Pra
19SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
20/48
Sex Ratio (at Birth))
951
904 904 905919 923 925
866878
cha
l
han
es
hes
h
issa
ihar
an
d
sam
arh
Uttra
n
Rajas
Uttar
Pra
adhya
Pra O
r
Jhark A
s
Chattis
20SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
21/48
Sex Ratio (0-4 yrs)y )
978
911 913931 933 937
956
870 877
han
cha
l
es
hes
h
ihar
issa
an
d
sam
arh
Rajas
Uttra
n
adhya
Pra
Uttar
Pra O
r
Jhark A
s
Chattis
21SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
22/48
Sex Ratio (All Ages)g )
992 994
942 943 950 953
968
912925
es
h
han
an
des
h
ihar
sam
arh
cha
l
issa
adhya
PraRajas
Jhark
Uttar
Pra A
s
Chattis
Uttra
n
O
r
22SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
23/48
MMR
381
275 277 278 305 310
331 345
188
cha
l
arh
issa
an
d
ihar
es
h
han
es
h
sam
Uttra
n
Chattis
O
r
Jhark
adhya
Pra
Raja
s
Uttar
Pra
A
s
23SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
24/48
India Rajasthan
: .
CDR: 7.3 CBR: 24.7 CDR: 6.6
NGR: 15.2
IMR: 50
NGR: 18.2
IMR: 60 NNMR: 34
PNMR: 16
NNMR: 40
PNMR: 20
U-5 MR: 64 U-5 MR: 79
24SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
25/48
India Rajasthan
MMR: 212 MMR: 331 on Zone
Sex ratio:
0-6 Yr: 914
basis)
Sex ratio
all ages: 940 at birth: 878
0-4 Yr: 870
all ages: 925
25SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
26/48
Rajasthan: District-wise Findings
26SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
27/48
Natural Growth Rate
26.1
. .
18.215.7 15.7 14.9
r r a n k h a
Barm
Dhaulp
Banswa
Rajasth To
hittorga
Banswa
27SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
28/48
Natural Growth Rate
26.1
23.1
21.3
2020.6
21.621.5
23.1
18.2
16.4
17.4
18.5
17.217.417
17.9
15.8
17.217.9
16.9
17.617.5 17.2
16.717.4
15.7 15.9
.
15.716.3
18.9
17.2
.
as
than
anagar
angarh
ikaner
Churu
njhunu
Alwar
ratpur
ho
lpur
Karau
li
dhopur
Dausa
Ja
ipur
Sikar
Nagaur
odhpur
sa
lmer
armer
Ja
lore
Siro
hi
Pa
li
Ajmer
Ton
k
Bun
di
ilwara
aman
d
da
ipur
garpur
swara
orgarh
Ko
ta
Baran
alawar
Ra
j
Gang
H
anum
Jhu
Bh
Saw
aiMa J
Ja
iB
Ra
jDuB
a
Chit J
28SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
29/48
35Crude Birth Rate
29.1
32.5
29.9
30.8
30
24.7 24.9
27.527.427.9 28.1 28
24.725
22.7
23.6 23.423.322.9
23.8
22.423.1
2423.4
23.924.2 24.1
23.523.8
23.323.7
22.4
21.422
20
15
than
agar
ang
aner
huru
unu
lwar
tpur
lpur
rau
li
awa
i
ausa
ipur
ikar
gaur
hpur
lmer
rmer
lore
iro
hi
Pa
li
jmer
on
k
un
di
wara
an
d
ipur
rpur
wara
garh
Ko
ta
aran
awar
Ra
ja
Ganga
H
anuB
i C
J
hun
j
Bhar
Dh K D J N
Jo
d
Ja
is Ba J
Bhil
R
ajsa
Ud
D
ung
Bans
C
hitto
Jha
l
29SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
30/48
30SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
31/48
Crude Death Rate
8.7
7.4 7.47.67.87.5
8.2
7.7 7.8
6.6
6.36.36.46.3
5.95.96 5.9
6.2
6.6
5.96.1
6.56.3
6.7
6.4
6.96.8
6.4 6.5
6.8
. .
an a
ran e
rru n
u ar
ur
ur
uli a
isa u
rkar
ur
ur
er
er
reo
hi
ali e
rn
kn
di
ara n
d ur
ur
ara rh
ota a
n ar
Ra
jas
t
Gan
gana
H
anu
Bika
Ch
Jh
un
jh Al
Bhara
t
Dho
l
Kar
Sa
Da
Ja
iSi
Nag
Jo
dh
Ja
isa
l
Bar
Ja
lSir
Aj
To
Bu
Bhilw
Rajsam
Uda
i
Du
ngar
B
answ
Chittorg KB
a
Jha
la
31SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
32/48
32SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
33/48
Infant Mortality Rate (Raj.)
6964
55
59
4943
38
Total Rural Urban
Male Female
Total Rural Urban
33SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
34/48
34SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
35/48
50 Neo-Natal Mortali ty Rate 25 Post Natal Mortality Rate
4040
2021
20
3030
35
1415
20
25
10
10
15
5
0
5
0
Total Rural Urban Total Rural Urban
35SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
36/48
Under 5 Mortality Rate (Raj.)
79
85
80
90
8792
100
5760
70 72
79
6570
80
40
50 50
40
50
10
20
10
20
30
0
Total Rural Urban
0
Total Rural Urban
36SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
37/48
Infant Mortality Rate
85
68 72
79
68 6765
75
60
6055
5963
67
57 5958
62 57 65 6262
62
55
65
5454
55 55 56 54 55
5145
3635
Ra
jas
than
nganagar
umangarh
Bikaner
Churu
hun
jhunu
Alwar
Bhara
tpur
Dho
lpur
Karaul
i
Ma
dhopur
Dausa
Ja
ipur
Sikar
Nagaur
Jo
dhpur
Ja
isa
lmer
Barmer
Ja
lore
Siroh
i
Pali
Ajmer
Tonk
Bund
i
Bhilwara
ajsamand
Uda
ipur
ungarpur
Banswara
hittorgarh
Kota
Baran
Jha
lawar
GHan
Sawa
i C
37SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
38/48
Post Natal Neo-Natal Mortality
Rate
21
75PNMR NNMR
20
2118 16 24
1326
2421
1617
18
21
17
2020
2422
2321
1721
1855
46
5458
48 47
23 18
10
35
4039353736
3935 36 33
3932 35 30
41 393433
4140 41
25
41
5
15
Ra
jas
than
anganaga
r
umangar
h
Bikane
r
Churu
Jhun
jhunu
Alwa
r
Bhara
tpu
r
Dho
lpu
r
Karau
li
Ma
dhopu
r
Daus
a
Ja
ipu
r
Sika
r
Nagau
r
Jo
dhpu
r
Ja
isa
lme
r
Barme
r
Ja
lor
e
Siroh
i
Pa
li
Ajme
r
Tonk
Bund
i
Bhilwar
a
ajsaman
d
Uda
ipu
r
Dungarpu
r
Banswar
a
hittorgar
h
Kot
a
Baran
Jha
lawa
r
GHa
Sawa
i
38SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
39/48
Under 5 Mortality Rate
99 99100
110
79 79
73 74
82
7577
8078
87
74
82
7578
86 85
78 7773
81
8589 88 87
7579 82
80
90
69
60
70
45
40
50
n r h r u u r r r li r a r r r r r r e i li r i a r r a h a n r
Ra
jasth
a
anganag
umangar
Bikan
Chu
r
Jhun
jhu
n
Alw
Bharatp
u
Dholp
u
Kara
u
iMa
dhop
u
Dau
s
Jaip
u
Sik
Nagau
Jo
dhp
u
Ja
isalm
BarmJal
or
Siro
P
a
AjmTon
Bun
Bhilwar
Ra
jsama
n
Udaip
u
Dungarp
u
Banswar
hittorgar
Ko
t
Bara
Jha
law
Ha
Sawa
39SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
40/48
Sex Ratio (Raj.)
925932
905
878
870
876872
At birth (0-4) Yr All ages
40SIHFW: an ISO 9001:2008 certified Institution
(All )1100
-
8/11/2019 Annual Health Survey
41/48
Sex Ratio (Allages)10551050
965
961
960 986
1002
983 982
1001
975
1000
925
883
911 882 889
881
922
913
938
905908
906
929
928900
882
827
872 851
800
850
750
ana
rrh
ner
runua
rur
ur
uli u
rsau
rkar
ur
ur
er
er
reo
hi
ali e
rn
kn
di
aran
dur
ur
ararh
ota
rana
r
All ages
Ra
jas
t
Gangan
a
anuman
g
Bik
a
C
h
Jhunj
h A
l
Bhara
t
Dho
l
Ka
r
aiMa
dh
o
D
a
Ja
iSi
Na
g
Jod
h
Ja
isa
l
Ba
r
Ja
l
S
ir
A
j
T
o
B
u
Bhilw
Ra
jsamUd
ai
Dungar
Bans
w
Chittorg K
B
a
Jhala
Sa
41SIHFW: an ISO 9001:2008 certified Institution
( Bi h)1000
-
8/11/2019 Annual Health Survey
42/48
Sex Ratio (atBirth)968
950
889
905914
909 922
887 887
927
912
923
900
878 874 865
830841
846
856
844 841
882 883 894
836
872
846
864850
820
782
800
750
jas
than
anagar
angarh
Bikaner
Churu
njhunu
Alwar
ara
tpur
Dho
lpur
Karauli
dhopur
Dausa
Ja
ipur
Sikar
Nagaur
odhpur
isa
lmer
Barmer
Ja
lore
Siro
hiPali
Ajmer
Tonk
Bun
di
hilwara
samand
Uda
ipur
ngarpur
nswara
torgarh
Ko
ta
Baran
ha
lawar
RGan
Hanu J
h B
Sawa
iM J
Ra
jDuB
Chi J
42SIHFW: an ISO 9001:2008 certified Institution
1050
-
8/11/2019 Annual Health Survey
43/48
Sex Ratio (0-4 yr)
1000
919 916900 910
987
934950
870874 870
834847
837
857 870
882
875
894865
893
908
883850
900
861843 847
826
789
826 817
845
800
750
ajas
than
ganagar
mangarh
Bikaner
Churu
un
jhunu
Alwar
hara
tpur
Dho
lpur
Karaul
i
adhopur
Dausa
Ja
ipur
Sikar
Nagaur
Jo
dhpur
aisa
lmer
Barmer
Ja
lore
Siroh
i
Pali
Ajmer
Tonk
Bund
i
Bhilwara
jsamand
Uda
ipur
ngarpur
answara
ittorgarh
Kota
Baran
ha
lawar
RGa
Hanu J B
Sa
wa
iM J
Ra
DBCh
43SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
44/48
44SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
45/48
State/Zone /(Districts) Sample
Female
Po ulation
Sample
Live
Births
Maternal
Deaths
MMR
Rajasthan 434673 129984 430 331
Bikaner
(Ganganagaer, Hanumangarh,
Churu, Bikaner)
53055 14854 51 343
Jaipur(Jhunjhunu, Alwar, 90722 25099 80 319
, ,
Bharatpur(Bharatpur, Dhaulpur, Karauli, 42892 14726 43 292Sawaimadhopur)
45SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
46/48
State/Zone/(Districts) Sample
Female
Sample
Live
Maternal
Deaths
MMR
Population
Births
Ajmer
(Nagaur, Ajmer, Tonk,
Bhilwara)
57230 15976 54 338
(Jodhpur, Jaisalmer,
Barmer, Jalor, Sirohi, 81627 26117 84 322
Kota
(Bundi, Kota, Baran, 46845 13134 343
Jhalawar)
Udaipur
, ,
Chittorgarh, Dungarpur,
Banswara)
62302 20078 73 364
46SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
47/48
Maternal Mortality Ratio
(at Zonal level)
364370
390
343 343
338 331322 319330
350
292290
310
250
pur
ner
ota e
ran
pur
pur
pur
Ud
ai
Bika
A
j
Rajast
Jod
h
J
ai
Bharat
Administrative Division
47SIHFW: an ISO 9001:2008 certified Institution
-
8/11/2019 Annual Health Survey
48/48
Thank You
For more details log on to
www.sihfwrajasthan.comor
contact : Director-SIHFW
48SIHFW: an ISO 9001:2008 certified Institution