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Coverage of Nutrition and Health Interventions in CHHATTISGARH Insights from the National Family Health Survey-4

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Coverage of Nutrition and Health Interventions in CHHATTISGARH Insights from the National Family Health Survey-4 No. 9 | SEPTEMBER 2018 Coverage of Nutrition and Health Interventions in CHHATTISGARH Insights from the National Family Health Survey-4 ABOUT THIS DATA NOTE Nutrition-specific interventions are aimed at improving the proximal food, health, and care environment for women and children during the first 1000 days. They can help improve maternal and child health, improve diets and other nutrition practices, and reduce infections. These interventions span pregnancy, postnatal, and early childhood periods and include food and micronutrient supplementation, nutrition education and/or counselling, growth monitoring and promotion, as well as routine immunization, deworming, and care during illness. At 90% coverage, these interventions can contribute to 20% reduction in stunting and 61% reduction in severe wasting1. India’s policy framework for health and nutrition is robust and includes most evidence-based nutrition and health interventions. Two large-scale national program platforms – the Integrated Child Development Services and the National Health Mission together provide the public sector delivery platforms with the mandate to deliver these interventions across the country. India’s efforts at scaling up nutrition interventions are now also supported by the National Nutrition Mission. This Data Note describes the coverage of a set of key nutrition and health interventions. The findings here are based on data from the National Family Health Survey 2015-2016. Indicators to capture the coverage of the interventions here are all calculated for women (15-49 years) with a child under five years of age. All analyses are based on the last-born child for each woman and indicator definitions are provided in Annex 1 of this Note. For some indicators, age categories may vary. FIGURE 1 Coverage of interventions across the continuum of care, in 2016 100 90 80 70 60 % 50 40 30 20 10 0 ≥ 4ANC Weighing Weighing Vitamin A Vitamin Deworming Iodized salt Deworming Pediatric IFA Any ANC visits Tetanus injection Institutional birthInstitutional Full immunization Received MCP card MCP Received Zinc during diarrhea Care seeking for ARI for seeking Care ORS during diarrhea Skilled birth attendant Skilled birth Received IFA tab/syrup Food supplementation Food supplementation Food supplementation Demand for FPDemand for satisfied Postnatal care for babies Postnatal care for Consumed IFA 100+Consumed days Breastfeeding counselling Postnatal care for mothers Postnatal care for Counselling on child growth Health & nutrition education Health & nutrition education Pre- Pregnancy Delivery and postnatal Early childhood pregnancy Note: ANC = Antenatal care; ARI = Acute respiratory infection; FP = Family planning; IFA = Iron and folic acid; MCP = Mother and child protection; ORS = Oral rehydration salts; The bars represent state average, the dots represent India average. Source: NFHS-4. 1Bhutta, Z.A., J.K. Das, A. Rizvi, M.F. Gaffey, N. Walker, S. Horton, P. Webb, A. Lartey, R.E. Black, Lancet Nutrition Interventions Review G, et al. 2013. “Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost?” The Lancet 382(9890):452-477. MAP 1 Percentage of women who received 4 or more ANC visits, by district, 2016 Top 5 districts, % Dhamtari 76.3 Raipur 76.2 Uttar Bastar Kanker 72.1 Raigarh 67.6 Rajnandgaon 64.2 Bottom 5 districts, % Jashpur 34.6 Narayanpur 40.9 Surguja 41.7 Kabirdham 43.8 Janjgir Champa 44.3 Source: NFHS-4. MAP 2 Percentage of women who were weighed during pregnancy, by district, 2016 Top 5 districts, % Dhamtari 99.6 Mahasamund 99.4 Rajnandgaon 99.3 Bijapur 99.0 Bilaspur 98.4 Bottom 5 districts, % Surguja 79.7 Kabirdham 86.1 Jashpur 87.3 Koriya 88.4 Janjgir Champa 89.2 Source: NFHS-4. MAP 3 Percentage of women who received or bought any IFA during pregnancy, by district, 2016 Top 5 districts, % Korba 93.8 Dhamtari 93.7 Rajnandgaon 93.5 Bilaspur 93.3 Raigarh 93.3 Bottom 5 districts, % Narayanpur 78.9 Dakshin Bastar Dantewada 85.8 Bijapur 86.3 Janjgir Champa 86.5 Surguja 86.9 Source: NFHS-4. MAP 4 Percentage of women who consumed IFA for 100+ days during pregnancy, by district, 2016 Top 5 districts, % Dhamtari 43.0 Rajnandgaon 40.0 Koriya 39.6 Bilaspur 39.4 Uttar Bastar Kanker 38.5 Bottom 5 districts, % Surguja 18.5 Janjgir Champa 18.5 Kabirdham 19.1 Bijapur 21.3 Raigarh 21.3 Source: NFHS-4. MAP 5 Percentage of women who received breastfeeding counselling during pregnancy, by district, 2016 Top 5 districts, % Bilaspur 85.2 Dhamtari 79.6 Rajnandgaon 78.4 Korba 75.2 Durg 73.6 Bottom 5 districts, % Jashpur 52.6 Raigarh 58.2 Surguja 59.1 Janjgir Champa 59.9 Kabirdham 62.0 Source: NFHS-4. MAP 6 Percentage of women who received food supplements during pregnancy, by district, 2016 Top 5 districts, % Dhamtari 94.3 Mahasamund 94.2 Bastar 93.3 Kabirdham 93.1 Rajnandgaon 91.9 Bottom 5 districts, % Durg 82.0 Raipur 83.0 Korba 83.2 Janjgir Champa 84.2 Source: NFHS-4. Koriya 84.3 MAP 7 Percentage of women who gave birth in a health facility, by district, 2016 Top 5 districts, % Rajnandgaon 86.7 Dhamtari 83.4 Bilaspur 80.8 Uttar Bastar Kanker 79.9 Bijapur 78.4 Bottom 5 districts, % Kabirdham 49.3 Janjgir Champa 62.6 Jashpur 62.9 Dakshin Bastar Dantewada 63.9 Narayanpur 66.2 Source: NFHS-4. MAP 8 Percentage of women who received food supplements during lactation, by district, 2016 Top 5 districts, % Kabirdham 90.9 Dhamtari 90.1 Bastar 89.4 Mahasamund 88.2 Uttar Bastar Kanker 87.9 Bottom 5 districts, % Koriya 78.6 Raipur 80.8 Durg 81.2 Korba 81.3 Source: NFHS-4. Narayanpur 81.4 MAP 9 Percentage of mothers who received postnatal care within two days of childbirth, by district, 2016 Top 5 districts, % Rajnandgaon 86.8 Bilaspur 81.6 Dhamtari 76.9 Raigarh 68.6 Raipur 67.6 Bottom 5 districts, % Jashpur 41.7 Surguja 45.5 Dakshin Bastar Dantewada 46.2 Kabirdham 49.4 Source: NFHS-4. Janjgir Champa 49.6 MAP 10 Percentage of children (0-59 months) who received postnatal care within two days of their birth, by district, 2016 Top 5 districts, % Dhamtari 55.5 Rajnandgaon 54.5 Raipur 47.6 Narayanpur 42.5 Bilaspur 42.5 Bottom 5 districts. % Surguja 13.1 Jashpur 15.5 Korba 20.0 Durg 21.3 Janjgir Champa 24.5 Source: NFHS-4. MAP 11 Percentage of children (12-23 months) who were fully immunized, by district, 2016 Top 5 districts, % Durg 91.1 Dhamtari 89.1 Rajnandgaon 86.5 Bijapur 85.7 Korba 81.0 Bottom 5 districts, % Jashpur 52.3 Narayanpur 61.5 Kabirdham 61.7 Surguja 65.7 Dakshin Bastar Dantewada 67.0 Source: NFHS-4. MAP 12 Percentage of children (6-35 months) who received food supplements, by district, 2016 Top 5 districts, % Kabirdham 93.7 Uttar Bastar Kanker 93.2 Janjgir Champa 93.1 Rajnandgaon 92.5 Bilaspur 92.5 Bottom 5 districts, % Durg 81.5 Raipur 82.2 Korba 83.1 Koriya 83.8 Dakshin Bastar Source: NFHS-4. Dantewada 84.0 MAP 13 Percentage of children (6-59 months) who received vitamin A supplements, by district, 2016 Top 5 districts, % Raigarh 77.7 Bijapur 77.6 Bilaspur 77.5 Rajnandgaon 76.9 Kabirdham 72.9 Bottom 5 districts, % Surguja 59.1 Mahasamund 60.4 Dhamtari 61.5 Korba 62.1 Jashpur 63.2 Source: NFHS-4. MAP 14 Percentage of children (0-59 months) with diarrhea who received ORS, by district, 2016 Top 5 districts, % Bijapur 100.0 Dhamtari 81.4 Koriya 76.0 Kabirdham 75.0 Bilaspur 74.4 Bottom 5 districts, % Jashpur 46.5 Raipur 46.6 Surguja 53.3 Durg 59.1 Uttar Bastar Source: NFHS-4. Kanker 59.2 MAP 15 Percentage of children (0-59 months) who were weighed in the last 12 months, by district, 2016 Top 5 districts, % Rajnandgaon 85.7 Uttar Bastar Kanker 85.1 Bilaspur 84.8 Bijapur 84.2 Bastar 83.3 Bottom 5 districts, % Janjgir Champa 72.4 Koriya 73.4 Narayanpur 73.9 Raipur 74.6 Source: NFHS-4. Durg 75.3 MAP 16 Percentage of mothers with children (0-59 months) who were counselled about child growth after their child was weighed, by district, 2016 Top 5 districts, % Uttar Bastar Kanker 75.6 Dhamtari 71.1 Bilaspur 66.5 Bastar 66.2 Mahasamund 65.8 Bottom 5 districts, % Dakshin Bastar Dantewada 44.0 Surguja 48.9 Jashpur 49.3 Korba 49.4 Source: NFHS-4. Koriya 51.4 DASHBOARD: Coverage of nutrition-specific interventions, by district, 2016 <25% 25-<50% 50-<75% ≥75% Durg Korba Bastar Koriya Raipur Bijapur Surguja Raigarh Jashpur Bilaspur Dhamtari Kabirdham Narayanpur Mahasamund Rajnandgaon State/District Janjgir Champa CHHATTISGARH UttarBastar Kanker Dakshin Bastar Dantew Demand for FP satisfied 79.6 75.4 84.3 84.3 60.6 90.2 82.4 80.9 70.0 83.3 76.3 76.2 85.6 74.1 76.0 80.7 86.9 70.9 80.4 Pre- Iodized salt 98.8 98.5 99.3 99.0 99.6 99.6 99.2 98.6 99.1 96.6 98.9 98.6 98.7 99.4 98.2 99.0 98.7 98.6 99.0 pregnancy Any ANC visits 96.2 98.3 99.3 99.1 95.1 100 98.9 94 .4 89.4 92.2 95.4 91.1 99.8 91.1 96.0 97.9 99.3 85.1 96.1 ≥4ANC 59.1 55.7 4 9.1 60.7 60.5 76.3 59.9 44.3 34.6 43.8 52.9 45.1 60.8 40.9 67.6 76.2 64 .2 41.7 72.1 Received MCP card 86.0 86.0 95.5 94 .9 82.0 91.5 91.8 81.0 75.8 77.4 84.1 89.5 94 .9 79.4 79.2 81.2 98.1 68.5 92.9 Received IFA tab/syrup 91.4 90.4 86.3 93.3 85.8 93.7 92.4 86.5 89.3 92.8 93.8 90.8 92.8 78.9 93.3 92.0 93.5 86.9 92.7 Consumed IFA 100+ days 30.6 29.2 21.3 39.4 26.2 43.0 37.6 18.5 26.1 19.1 24 .3 39.6 23.8 23.7 21.3 31.6 40.0 18.5 38.5 Deworming 23.9 17.8 28.7 39.1 13.7 18.7 22.5 15.5 13.8 17.0 24 .4 27.8 24 .9 23.4 15.3 17.9 35.2 24 .7 17.2 Pregnancy Weighing 93.9 97.3 99.0 98.4 93.3 99.6 98.2 89.2 87.3 86.1 93.3 88.4 99.4 90.4 91.6 94 .4 99.3 79.7 94 .3 Breastfeeding counselling 70.0 67.3 69.4 85.2 64 .6 79.6 73.6 59.9 52.6 62.0 75.2 64 .0 70.0 62.8 58.2 67.9 78.4 59.1 71.8 Food supplementation 87.2 93.3 89.7
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