ANNUAL HEALTH SURVEY 2012-13 FACT SHEET

ANNUAL HEALTH SURVEY 2012-13 FACT SHEET

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Vital Statistics Division Office of the Registrar General & Census Commissioner, India New Delhi Website : www.censusindia.gov.in

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Index Page 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 Annual Health Survey 2012-13 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. Genesis 2. 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. Objective 3. 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. Annual Health Survey 2012-13 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, i CHHATTISGARH

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 2011-12, 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 Consultation 6. 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

Annual Health Survey 2012-13 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 ii CHHATTISGARH

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 Size 9. 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 Work 10. 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 Tools 11. 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 2011-12 were updated for the existing houses and households and recorded afresh for the new houses Annual Health Survey 2012-13 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 iii * Except for a few districts in Chhattisgarh where the field work is completed in October 2013 due to naxal issues. CHHATTISGARH

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 Audit 15. 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

Annual Health Survey 2012-13 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. iv CHHATTISGARH

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 Injury 19. 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 Annual Health Survey 2012-13 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. v CHHATTISGARH

Acute Illness 20. 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. Fertility 22. 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 Annual Health Survey 2012-13 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 vi CHHATTISGARH

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 birth 25. 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 interval

26. The information on birth interval, which is defined as the length of time between Annual Health Survey 2012-13 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 surviving 27. 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. Abortion 28. 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 Practices 29. 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 Planning 31. 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 Annual Health Survey 2012-13 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. viii CHHATTISGARH

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: Annual Health Survey 2012-13

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Ante-natal Care 34. 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 Care 38. 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

Annual Health Survey 2012-13 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 x CHHATTISGARH

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 Yojana 40. 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. Immunization 42. 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 Annual Health Survey 2012-13 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

xi CHHATTISGARH

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 supplements 44. 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 weight 46. 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 diseases 47. 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

Annual Health Survey 2012-13 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 xii CHHATTISGARH

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 feeding 50. 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 Annual Health Survey 2012-13 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.

xiii CHHATTISGARH

Birth Registration 51. 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 Chhattisgarh. The field work for the AHS has been carried out by M/s Developement & Research Service Pvt. Ltd., New Delhi in the alloted zones. The third party audit work in the State has been done by M/s. Research & 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.

 Annual Health Survey 2012-13

xiv CHHATTISGARH

SAMPLE PARTICULARS Sample Units Households Population State / District Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 1255 926 329 287085 226554 60531 1264309 994416 269893 Bastar 70 59 11 15806 14306 1500 71531 64521 7010 Bilaspur 90 60 30 25088 16995 8093 106626 69602 37024 Dantewada 81 72 9 15125 12951 2174 68561 59583 8978 97 78 19 23223 20373 2850 106459 94023 12436 119 61 58 25646 15496 10150 120957 74687 46270 Janjgir-Champa 77 64 13 22495 20254 2241 96586 87836 8750 Jashpur 54 50 4 12120 11508 612 56239 53556 2683 Kanker 61 56 5 11799 11049 750 51645 48397 3248 Kawardha 31 27 4 6639 5359 1280 28592 23342 5250 Korba 117 62 55 28153 16965 11188 117747 68935 48812 Koriya 61 37 24 11402 8093 3309 48871 33664 15207 Mahasamund 62 52 10 13895 12304 1591 56921 50427 6494 Raigarh 91 73 18 19317 16505 2812 77735 64938 12797 115 69 46 27085 19007 8078 124335 86636 37699 63 47 16 12470 9853 2617 58000 46595 11405 Surguja 66 59 7 16822 15536 1286 73504 67674 5830

Ever Married Women Currently Married Women Children 12-23 months State / District (aged 15-49 years) (aged 15-49 years) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 251943 197335 54608 233563 183215 50348 34864 28513 6351 Bastar 13396 12049 1347 12331 11088 1243 2113 1930 183 Bilaspur 21042 13790 7252 19553 12853 6700 2676 1968 708 Dantewada 13204 11258 1946 12027 10277 1750 1951 1644 307 Dhamtari 21814 19315 2499 20156 17922 2234 3105 2766 339

Durg 24660 15106 9554 23077 14157 8920 3231 2075 1156 Annual Health Survey 2012-13 Janjgir-Champa 18061 16406 1655 16952 15426 1526 2370 2209 161 Jashpur 10863 10312 551 10082 9575 507 1526 1475 51 Kanker 10568 9910 658 9511 8934 577 1291 1215 76 Kawardha 5780 4724 1056 5416 4432 984 716 576 140 Korba 24064 13887 10177 22278 12790 9488 3665 2406 1259 Koriya 10148 7167 2981 9432 6697 2735 1416 1084 332 Mahasamund 11557 10248 1309 10701 9533 1168 1398 1253 145 Raigarh 15535 13005 2530 14406 12093 2313 2583 2203 380 Raipur 24665 17053 7612 22933 15916 7017 2309 1607 702 Rajnandgaon 11824 9550 2274 10902 8831 2071 1477 1229 248 Surguja 14762 13555 1207 13806 12691 1115 3037 2873 164

1 CHHATTISGARH

Chhattisgarh: Sample Units

Urban 26%

Rural 74%

Chhattisgarh: District wise Sample Units 90

80

70

60

50

40

30

20

10

0

Rural Urban Annual Health Survey 2012-13

2 CHHATTISGARH

Chhattisgarh: Sample Households

Urban 21%

Rural 79%

Chhattisgarh: District wise Sample Households 25000

20000

15000 Annual Health Survey 2012-13 10000

5000

0

Rural Urban

3 CHHATTISGARH

Chhattisgarh: Sample Population

Urban 21%

Rural 79%

Chhattisgarh: District wise Sample Population

100000 90000 80000 70000 60000 50000 40000 30000 20000 10000 0

Rural Urban Annual Health Survey 2012-13

4 CHHATTISGARH

HOUSEHOLD CHARACTERISTICS Average Household Size State / District SC ST ALL Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 4.3 4.2 4.5 4.4 4.4 4.3 4.4 4.4 4.5 Bastar 4.1 4.1 4.4 4.5 4.5 4.6 4.5 4.5 4.7 Bilaspur 4.3 4.2 4.7 3.9 3.8 4.5 4.2 4.1 4.6 Dantewada 4.5 4.6 4.1 4.5 4.6 4.1 4.5 4.6 4.1 Dhamtari 4.2 4.3 4.1 4.3 4.3 3.9 4.6 4.6 4.4 Durg 4.5 4.5 4.5 4.7 4.8 4.4 4.7 4.8 4.6 Janjgir-Champa 4.3 4.3 3.5 4.3 4.3 4.1 4.3 4.3 3.9 Jashpur 4.2 4.2 4.6 4.7 4.7 4.0 4.7 4.7 4.4 Kanker 4.2 4.2 3.5 4.4 4.4 3.9 4.4 4.4 4.3 Kawardha 4.1 4.1 4.2 4.2 4.2 3.9 4.3 4.4 4.1 Korba 4.1 4.0 4.3 4.0 4.0 4.2 4.2 4.0 4.4 Koriya 4.5 4.3 4.8 4.1 4.1 4.2 4.3 4.1 4.6 Mahasamund 3.9 3.9 4.0 4.1 4.1 4.0 4.1 4.1 4.1 Raigarh 3.8 3.7 4.4 4.1 4.1 4.2 4.0 3.9 4.6 Raipur 4.3 4.3 4.5 4.4 4.3 4.5 4.6 4.5 4.7 Rajnandgaon 4.5 4.5 4.2 4.8 4.9 4.1 4.7 4.8 4.4 Surguja 4.3 4.2 5.1 4.4 4.4 4.2 4.4 4.3 4.5

Population below age 15 Currently Married Illiterate Dependency Ratio State / District years (%) Women aged 15-49 years (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 30.4 31.4 26.6 61.0 63.9 50.8 36.5 41.9 16.5 Bastar 30.3 30.7 26.0 57.5 58.5 47.6 55.7 59.1 20.8 Bilaspur 30.8 32.9 26.5 61.5 66.4 52.4 34.9 44.1 15.9 Dantewada 33.2 34.0 26.7 58.3 60.3 44.9 72.0 79.0 23.0 Dhamtari 28.9 29.2 26.6 58.4 59.1 53.5 21.9 22.6 16.3

Durg 28.0 29.3 25.6 57.2 61.6 49.7 21.5 25.5 14.4 Annual Health Survey 2012-13 Janjgir-Champa 30.4 30.8 26.4 65.1 66.5 53.9 38.2 40.4 19.4 Jashpur 31.0 31.1 26.6 64.0 64.8 47.4 45.1 46.3 12.8 Kanker 26.6 26.7 24.8 50.7 51.1 43.0 25.1 25.9 5.9 Kawardha 34.5 35.4 29.0 70.5 73.3 54.9 46.9 51.6 16.0 Korba 29.9 31.5 27.5 56.3 62.0 48.4 34.7 47.0 16.9 Koriya 29.3 31.4 24.1 55.8 61.5 43.3 36.4 43.7 16.2 Mahasamund 29.4 29.7 27.2 61.5 62.5 53.2 36.4 37.9 22.5 Raigarh 28.5 28.9 26.5 61.4 63.3 50.8 36.8 38.7 23.6 Raipur 31.3 32.5 28.3 62.5 66.2 54.3 35.6 42.4 18.9 Rajnandgaon 29.9 30.9 24.5 60.0 62.2 49.8 24.9 28.1 8.6 Surguja 33.7 34.3 26.1 69.6 71.9 47.0 51.0 54.0 14.7

5 CHHATTISGARH

SEX RATIO Sex Ratio at Birth Sex Ratio (0- 4 Years) Sex Ratio (All Ages) State / District Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10

Chhattisgarh 956 958 945 965 970 944 974 978 956

Bastar 930 943 792 933 956 703 987 989 959

Bilaspur 924 935 898 946 958 913 948 950 945

Dantewada 918 937 787 932 940 866 1005 1009 977

Dhamtari 995 991 1033 991 991 993 995 992 1022

Durg 996 1003 980 986 994 969 989 1002 964

Janjgir-Champa 893 883 1000 920 916 956 967 967 965

Jashpur 981 984 871 969 971 905 970 973 880

Kanker 904 907 809 936 934 992 999 1001 959

Kawardha 994 994 994 1001 1011 926 985 990 952

Korba 1007 1011 999 997 1011 970 960 971 944

Koriya 883 884 876 879 881 872 937 950 907

Mahasamund 941 933 1031 938 929 1027 1006 1008 990

Raigarh 994 1008 908 981 1000 868 986 987 979

Raipur 974 975 973 1001 992 1025 963 967 954

Rajnandgaon 1020 1032 934 1001 1024 860 988 988 989

Surguja 903 905 871 940 949 777 951 953 917 Annual Health Survey 2012-13

6 CHHATTISGARH

Chhattisgarh : Sex Ratio

980

970

960

950

940

930

920

910 Total Rural Urban

Sex Ratio at Birth Sex Ratio (0- 4 Years) Sex Ratio (All Ages)

Chhattisgarh : Sex Ratio 1050

1000

950

900 Annual Health Survey 2012-13 850

800

Sex Ratio at Birth Sex Ratio (0- 4 Years) Sex Ratio (All Ages)

7 CHHATTISGARH

EFFECTIVE LITERACY RATE Person Male Female State / District Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10

Chhattisgarh 76.4 73.1 88.8 85.6 83.1 94.5 67.1 62.8 82.8

Bastar 66.3 64.4 86.4 75.1 73.5 91.7 57.3 55.1 81.0

Bilaspur 78.8 73.0 90.1 87.7 83.7 95.4 69.5 61.7 84.4

Dantewada 52.3 47.7 85.5 60.2 55.8 92.3 44.5 39.7 78.7

Dhamtari 84.3 83.9 87.3 92.7 92.5 94.0 75.8 75.2 80.7

Durg 83.5 80.8 88.2 91.1 89.7 93.4 75.7 72.0 82.5

Janjgir-Champa 77.1 76.0 86.6 87.6 86.8 93.5 66.4 65.0 78.9

Jashpur 71.3 70.5 92.1 81.1 80.5 95.9 61.3 60.3 87.7

Kanker 81.4 80.8 94.8 89.9 89.5 98.4 72.9 72.1 90.9

Kawardha 72.3 69.3 90.5 84.9 82.8 97.7 59.4 55.7 82.9

Korba 79.7 72.7 89.9 88.1 82.7 95.7 70.9 62.2 83.8

Koriya 74.8 68.3 90.2 83.3 77.8 95.8 65.8 58.3 83.9

Mahasamund 76.0 75.2 83.2 87.2 86.7 91.3 64.9 63.7 75.0

Raigarh 75.8 73.8 87.4 86.3 84.7 96.3 65.1 62.8 78.4

Raipur 78.6 74.7 87.6 87.3 84.8 92.9 69.5 64.2 82.0

Rajnandgaon 81.7 79.6 91.7 89.4 88.0 96.4 73.9 71.0 87.1

Surguja 68.7 66.5 93.0 79.7 77.9 99.5 57.1 54.5 86.1 Annual Health Survey 2012-13

8 CHHATTISGARH

MARRIAGE Marriages among Marriages among Males Currently Married Women Females below legal age below legal age aged 20-24 years married State / District (18 years) (%)# (21 years) (%)# before legal age (18 years) (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 4.3 4.8 2.5 11.4 13.2 5.1 33.1 34.8 23.9 Bastar 1.4 1.2 3.6 11.7 12.6 5.3 46.1 44.8 59.2 Bilaspur 6.3 7.9 3.5 11.8 16.0 5.1 39.3 43.6 25.8 Dantewada 3.5 3.9 2.6 15.3 17.7 8.3 35.5 39.1 7.0 Dhamtari 2.3 2.3 2.7 7.0 7.4 3.5 18.1 18.3 15.9 Durg 3.2 3.6 2.4 7.5 9.7 3.6 24.3 26.3 18.9 Janjgir-Champa 4.3 4.5 2.5 10.1 10.7 3.0 28.2 29.9 2.7 Jashpur 8.8 8.9 - 16.0 16.4 - 39.1 38.3 - Kanker 2.9 3.0 - 4.6 4.7 - 23.4 23.9 - Kawardha 11.9 12.7 - 27.3 30.9 - 52.2 54.3 - Korba 3.7 4.5 2.5 9.6 12.0 6.4 30.2 32.6 25.6 Koriya 7.7 9.9 2.1 16.2 20.8 5.1 50.3 54.7 31.4 Mahasamund 2.0 2.2 0.0 9.8 10.3 5.2 21.5 21.3 24.1 Raigarh 1.4 1.3 2.4 10.7 11.7 5.6 25.0 25.4 21.5 Raipur 3.6 4.2 2.0 10.8 12.7 5.4 29.6 31.1 23.8 Rajnandgaon 2.2 2.2 2.2 6.3 6.7 4.6 24.1 25.1 16.6 Surguja 8.0 8.7 1.0 21.9 23.3 7.5 47.2 48.0 34.6 # Based on marriages taken place during 2009-2011

Currently Married Mean age at Marriage# Men aged 25-29 years State / District married before legal age Male Female ( 21 years) (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 30.6 33.4 17.6 24.1 23.5 26.0 21.2 20.9 22.2 Bastar 38.1 38.5 32.9 24.4 24.1 26.0 21.6 21.4 23.0 Bilaspur 31.8 38.3 15.3 24.6 23.4 26.6 21.3 20.7 22.4 Dantewada 33.3 37.5 4.1 24.6 24.1 26.0 21.4 21.1 22.1

Dhamtari 17.8 18.2 13.8 24.0 23.9 25.0 20.8 20.8 21.3 Annual Health Survey 2012-13 Durg 23.9 27.8 14.7 24.5 23.6 26.3 21.0 20.6 21.9 Janjgir-Champa 25.8 26.2 21.6 24.2 24.0 26.4 21.4 21.2 22.6 Jashpur 33.5 33.9 - 23.7 23.6 - 21.1 21.0 - Kanker 18.8 19.0 - 25.4 25.3 - 21.9 21.9 - Kawardha 55.8 60.0 - 22.4 21.8 - 20.4 20.1 - Korba 27.0 32.8 17.4 24.2 23.5 25.2 21.0 20.5 21.7 Koriya 49.4 55.2 27.2 24.4 23.5 26.7 21.3 20.9 22.6 Mahasamund 23.2 24.1 12.7 23.6 23.5 24.8 21.2 21.1 22.2 Raigarh 27.6 28.9 17.8 24.0 23.6 25.8 21.2 21.0 22.4 Raipur 27.0 29.5 19.8 24.0 23.5 25.5 21.3 21.0 22.2 Rajnandgaon 24.4 26.3 10.5 24.4 23.9 26.7 21.4 21.1 22.8 Surguja 47.3 48.5 28.8 22.7 22.4 25.7 20.5 20.3 22.9 # Based on marriages taken place during 2009-2011 9 CHHATTISGARH 2011) - Female Male Chhattisgarh: Mean age at Marriage (based on marriages taken place during 2009 during place taken on marriages (based Marriage age at Mean Chhattisgarh: 8 4 0 28 24 20 16 12 Annual Health Survey 2012-13

10 CHHATTISGARH

SCHOOLING STATUS Children currently attending School (Age 6-17 years) (%) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 94.3 93.8 96.2 94.1 93.7 95.5 94.5 93.9 96.9 Bastar 94.0 93.6 98.0 94.2 94.0 97.3 93.7 93.2 98.6 Bilaspur 93.2 92.6 94.5 93.1 92.9 93.4 93.3 92.3 95.6 Dantewada 88.6 87.7 97.0 90.0 89.4 95.9 87.1 85.9 98.1 Dhamtari 95.0 95.1 93.7 94.1 94.4 91.5 95.9 95.9 95.8 Durg 95.3 94.5 97.1 94.8 93.9 96.4 95.9 95.1 97.9 Janjgir-Champa 95.1 95.0 96.2 95.1 95.0 96.1 95.1 95.0 96.3 Jashpur 93.8 93.7 - 93.4 93.2 - 94.3 94.1 - Kanker 97.5 97.4 - 97.3 97.2 - 97.7 97.7 - Kawardha 93.3 92.8 - 94.0 93.6 - 92.5 91.9 - Korba 94.8 93.7 96.6 94.6 93.4 96.3 95.1 93.9 96.9 Koriya 96.8 96.3 97.9 96.6 96.2 97.7 96.9 96.4 98.2 Mahasamund 93.4 93.5 92.7 93.3 93.2 93.6 93.6 93.8 91.7 Raigarh 93.6 93.2 96.3 93.2 92.8 96.0 94.1 93.6 96.7 Raipur 94.5 94.0 95.8 94.2 93.8 95.2 94.7 94.1 96.4 Rajnandgaon 96.2 96.1 96.3 95.8 95.9 94.7 96.6 96.4 98.1 Surguja 93.5 93.2 97.7 93.2 92.9 97.0 93.8 93.4 98.6

Children attended before / Drop out (Age 6-17 years) (%) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 4.6 4.9 3.4 5.0 5.2 4.0 4.2 4.5 2.7 Bastar 3.6 3.8 1.6 3.7 3.8 2.3 3.6 3.8 1.0 Bilaspur 5.4 5.7 4.8 5.8 5.8 5.7 5.0 5.5 3.7 Dantewada 4.8 5.1 2.4 5.0 5.2 3.3 4.7 5.0 1.6 Dhamtari 4.9 4.8 6.0 5.8 5.5 8.2 4.0 4.0 3.9 Durg 4.3 5.1 2.6 4.9 5.8 3.2 3.8 4.5 2.0 Annual Health Survey 2012-13 Janjgir-Champa 4.0 4.1 3.5 4.2 4.3 3.6 3.8 3.9 3.4 Jashpur 5.0 5.1 - 5.6 5.8 - 4.3 4.4 - Kanker 2.4 2.4 - 2.5 2.6 - 2.2 2.2 - Kawardha 5.4 5.7 - 5.0 5.3 - 5.7 6.2 - Korba 4.4 5.5 2.9 4.7 5.8 3.3 4.1 5.2 2.5 Koriya 2.9 3.2 1.9 3.0 3.3 2.2 2.7 3.1 1.6 Mahasamund 6.0 6.0 5.9 6.3 6.4 5.2 5.8 5.7 6.6 Raigarh 6.0 6.5 3.2 6.5 7.0 3.4 5.5 5.9 3.0 Raipur 4.7 5.1 3.8 5.1 5.4 4.3 4.3 4.7 3.2 Rajnandgaon 3.7 3.7 3.5 4.1 3.9 5.0 3.2 3.5 1.9 Surguja 4.8 5.0 1.8 5.4 5.6 2.3 4.2 4.4 1.1

11 CHHATTISGARH

WORK STATUS Children aged 5-14 years engaged in work (%) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 2.7 2.9 1.8 2.8 2.9 2.1 2.6 2.8 1.5 Bastar 3.8 4.0 1.4 3.9 4.0 2.0 3.7 3.9 0.7 Bilaspur 2.6 2.8 2.1 2.7 2.8 2.7 2.5 2.9 1.4 Dantewada 5.4 5.6 3.3 5.1 5.3 3.1 5.7 5.9 3.5 Dhamtari 1.0 1.0 1.2 1.1 1.1 1.2 0.9 0.9 1.2 Durg 2.5 2.9 1.7 2.3 2.6 1.7 2.7 3.1 1.8 Janjgir-Champa 2.6 2.6 2.5 2.5 2.5 3.0 2.7 2.8 1.9 Jashpur 2.7 2.7 - 2.5 2.5 - 2.9 2.9 - Kanker 1.6 1.7 - 1.8 1.9 - 1.4 1.5 - Kawardha 2.2 2.3 - 1.8 1.7 - 2.7 2.9 - Korba 1.9 2.4 1.1 2.2 2.9 1.1 1.5 1.8 1.0 Koriya 2.7 2.1 4.5 3.3 2.9 4.4 2.0 1.3 4.5 Mahasamund 2.1 2.0 3.3 1.5 1.2 4.1 2.8 2.9 2.4 Raigarh 3.1 3.1 2.7 4.7 4.8 4.1 1.4 1.4 1.3 Raipur 2.5 2.8 1.5 2.4 2.6 1.7 2.6 3.1 1.2 Rajnandgaon 1.4 1.4 1.0 1.3 1.4 0.9 1.5 1.5 1.1 Surguja 4.0 4.2 1.6 4.5 4.7 2.1 3.5 3.7 1.0

Work Participation Rate (15 years and above) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 54.4 57.5 43.5 72.8 74.0 68.6 35.5 40.7 17.3 Bastar 61.0 63.6 35.4 72.0 73.7 55.6 50.1 53.6 15.3 Bilaspur 51.7 56.5 42.9 70.9 73.1 66.9 31.3 38.8 17.7 Dantewada 54.8 56.2 45.2 79.0 80.3 70.2 31.3 33.0 19.7 Dhamtari 64.4 66.1 51.1 73.0 73.3 71.0 55.6 58.9 31.4 Durg 56.9 65.4 42.5 72.2 74.4 68.6 41.3 56.3 15.4 Janjgir-Champa 54.5 56.0 42.1 69.2 69.7 65.0 39.3 41.9 18.8 Jashpur 47.3 47.4 - 76.4 76.9 - 17.5 17.4 - Kanker 60.3 61.0 - 73.0 73.4 - 47.6 48.6 - Kawardha 62.1 65.0 - 74.4 75.3 - 49.6 54.5 - Korba 45.6 47.8 42.5 72.2 74.0 69.7 17.5 20.3 13.5 Koriya 42.5 44.5 37.9 71.0 73.9 64.7 12.2 13.7 8.8 Mahasamund 63.0 64.8 48.1 76.4 76.7 74.3 49.9 53.2 22.1 Raigarh 51.9 53.1 44.3 73.7 74.1 71.7 29.7 31.9 16.6 Raipur 51.7 54.0 46.4 71.3 71.1 71.9 31.2 36.3 19.7

Annual Health Survey 2012-13 Rajnandgaon 64.7 68.7 46.4 75.4 76.7 69.0 53.9 60.6 23.9 Surguja 46.3 47.1 37.9 73.8 74.8 63.6 17.9 18.6 10.6

12 CHHATTISGARH

DISABILITY Prevalence of any type of Disability (Per 100,000 Population) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 1871 1972 1495 2150 2264 1729 1583 1672 1249 Bastar 1409 1418 1314 1453 1463 1344 1365 1372 1283 Bilaspur 2229 2580 1524 2612 2984 1869 1825 2156 1159 Dantewada 1053 894 2244 1107 924 2450 1000 864 2033 Dhamtari 2062 2094 1804 2425 2465 2110 1693 1718 1501 Durg 1554 1788 1135 1771 2028 1318 1333 1546 945 Janjgir-Champa 2399 2375 2602 2682 2672 2773 2106 2068 2426 Jashpur 1996 1989 - 2343 2340 - 1638 1629 - Kanker 1674 1694 - 1979 2002 - 1365 1382 - Kawardha 2428 2492 - 2868 2894 - 1980 2083 - Korba 1693 1805 1523 1969 2129 1729 1404 1469 1304 Koriya 2099 2192 1871 2424 2586 2033 1751 1775 1691 Mahasamund 1568 1593 1348 1694 1724 1431 1442 1462 1264 Raigarh 2196 2235 1958 2724 2768 2458 1660 1694 1448 Raipur 1793 2014 1267 2026 2300 1377 1551 1718 1151 Rajnandgaon 2239 2204 2415 2654 2592 2959 1818 1810 1861 Surguja 1778 1835 1107 2024 2081 1359 1519 1576 832

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

2500

2000

Total Annual Health Survey 2012-13 1500 Rural Urban

1000

500

0 Person Male Female

13 CHHATTISGARH Prevalence of any type of Disability (Per 100,000 Population) (Per 100,000 Disability of type any of Prevalence Chhattisgarh: Chhattisgarh: 0 500 2500 2000 1500 1000 Annual Health Survey 2012-13

14 CHHATTISGARH

INJURY Number of Injured Persons by type of Treatment received (Per 100,000 Population) Severe State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 260 257 271 369 365 382 149 147 155 Bastar 89 91 71 118 119 112 60 63 29 Bilaspur 223 209 250 305 298 317 137 116 179 Dantewada 285 129 1452 394 181 1965 177 79 926 Dhamtari 304 297 353 475 473 494 130 119 212 Durg 145 136 162 186 163 228 103 108 94 Janjgir-Champa 529 534 493 737 736 744 315 324 233 Jashpur 273 275 - 405 407 - 137 139 - Kanker 350 357 - 495 509 - 204 204 - Kawardha 1046 1065 - 1387 1381 - 698 744 - Korba 350 330 381 516 510 525 176 143 227 Koriya 215 182 299 300 257 404 125 102 182 Mahasamund 159 156 188 263 258 311 55 54 63 Raigarh 385 376 440 548 536 622 219 214 255 Raipur 175 188 144 257 271 224 90 102 60 Rajnandgaon 164 151 231 237 207 388 90 94 72 Surguja 247 231 432 368 354 530 119 102 326

Number of Injured Persons by type of Treatment received (Per 100,000 Population) Major State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 229 224 248 335 329 359 119 116 132 Bastar 110 114 71 162 167 112 58 61 29 Bilaspur 288 278 307 395 381 422 175 169 185 Dantewada 129 89 424 163 104 596 95 74 249 Dhamtari 548 560 459 778 799 610 315 316 310 Annual Health Survey 2012-13 Durg 137 121 164 202 168 262 70 74 63 Janjgir-Champa 474 468 527 667 660 721 275 269 327 Jashpur 257 263 - 397 405 - 113 117 - Kanker 284 282 - 435 436 - 131 126 - Kawardha 356 382 - 484 531 - 226 230 - Korba 203 174 248 310 273 365 92 71 124 Koriya 260 228 338 351 307 455 163 144 210 Mahasamund 219 194 439 344 322 529 94 65 348 Raigarh 367 357 425 531 516 622 200 196 223 Raipur 135 125 160 238 235 245 29 11 71 Rajnandgaon 283 265 373 407 376 564 157 152 179 Surguja 98 93 156 144 133 265 50 51 36

15 CHHATTISGARH

INJURY Number of Injured Persons by type of Treatment received (Per 100,000 Population) Minor State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 503 453 690 723 647 1004 277 254 361 Bastar 147 158 29 184 198 28 109 116 29 Bilaspur 610 338 1155 817 428 1595 392 244 688 Dantewada 172 176 145 198 204 155 147 148 136 Dhamtari 1877 1918 1558 2781 2840 2308 962 981 816 Durg 388 259 620 556 354 914 216 163 313 Janjgir-Champa 402 418 264 488 503 361 313 331 163 Jashpur 804 780 - 1278 1239 - 314 307 - Kanker 406 392 - 530 514 - 281 269 - Kawardha 252 276 - 367 407 - 135 144 - Korba 429 191 790 628 260 1179 221 119 376 Koriya 362 261 610 513 354 897 200 163 293 Mahasamund 452 398 925 681 595 1431 221 199 411 Raigarh 947 899 1243 1418 1355 1805 468 435 668 Raipur 305 304 305 449 444 459 155 160 143 Rajnandgaon 1150 1108 1358 1715 1638 2096 577 570 608 Surguja 190 198 104 280 290 166 96 101 36

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

800

700

600

500 Person Male 400 Female

300

200

100

0 Severe Major Minor Annual Health Survey 2012-13

16 CHHATTISGARH Major Severe Annual Health Survey 2012-13 Chhattisgarh: Number of Injured Persons by type of Treatment received (Per received(Per 100,000 Population)of Number Chhattisgarh: InjuredPersons by type of Treatment 0 900 800 700 600 500 400 300 200 100 1000

17 CHHATTISGARH

ACUTE ILLNESS Persons suffering from Acute Illness (Per 100,000 Population) Diarrhoea/Dysentery State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 841 925 529 828 912 516 855 938 543 Bastar 1043 1109 328 1055 1131 252 1030 1087 408 Bilaspur 708 594 937 679 567 903 739 622 974 Dantewada 2149 2384 391 2093 2320 419 2205 2448 362 Dhamtari 2259 2438 861 2323 2491 989 2195 2383 734 Durg 463 566 278 461 574 262 466 559 296 Janjgir-Champa 816 856 470 818 841 631 813 873 303 Jashpur 1018 1000 - 1046 1038 - 990 960 - Kanker 396 409 - 402 420 - 389 397 - Kawardha 2010 2257 - 1915 2141 - 2107 2375 - Korba 920 1180 526 893 1136 530 949 1226 521 Koriya 1081 1205 776 1058 1200 720 1105 1211 838 Mahasamund 746 776 486 722 769 311 771 783 664 Raigarh 880 900 763 855 873 747 906 926 780 Raipur 286 253 364 254 221 334 319 287 395 Rajnandgaon 1292 1423 639 1356 1484 722 1226 1361 555 Surguja 688 696 588 655 663 563 722 731 615

Persons suffering from Acute Illness (Per 100,000 Population) Acute Respiratory Infection (ARI) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 3252 3080 3892 3143 2999 3671 3364 3163 4125 Bastar 880 890 771 858 881 616 903 900 933 Bilaspur 4945 4476 5885 4500 4040 5418 5414 4934 6381 Dantewada 433 397 703 463 433 684 403 361 723 Dhamtari 12212 11792 15505 11576 11238 14257 12857 12355 16740 Durg 1545 1476 1668 1556 1536 1593 1533 1416 1746 Janjgir-Champa 4530 4554 4322 4402 4368 4689 4662 4746 3942 Jashpur 5692 5432 - 5504 5251 - 5886 5618 - Kanker 2443 2467 - 2288 2300 - 2601 2635 - Kawardha 4097 2965 - 4135 3001 - 4057 2928 - Korba 3121 1621 5397 2944 1499 5107 3306 1747 5706 Koriya 1304 1352 1187 1358 1403 1250 1246 1298 1118 Mahasamund 1896 1701 3590 1843 1668 3359 1949 1734 3824 Raigarh 6471 6149 8440 6184 5920 7794 6762 6381 9100 Raipur 2783 2713 2949 2694 2688 2708 2876 2740 3202

Annual Health Survey 2012-13 Rajnandgaon 2897 2918 2796 2827 2846 2730 2969 2990 2863 Surguja 1779 1678 2975 1985 1894 3048 1562 1452 2895

18 CHHATTISGARH

ACUTE ILLNESS Persons suffering from Acute Illness (Per 100,000 Population) Fever (All Types) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 6253 6178 6534 6071 6032 6217 6440 6327 6866 Bastar 1903 1900 1928 1737 1748 1624 2071 2055 2245 Bilaspur 3459 4206 1962 3488 4408 1653 3429 3994 2289 Dantewada 5201 5382 3852 5056 5236 3731 5346 5526 3977 Dhamtari 4129 4319 2640 4146 4309 2851 4111 4328 2431 Durg 4111 4259 3844 3941 4108 3645 4284 4411 4052 Janjgir-Champa 9323 8849 13344 9062 8623 12782 9593 9082 13926 Jashpur 10033 10234 - 9837 10045 - 10235 10428 - Kanker 3450 3486 - 3245 3289 - 3658 3686 - Kawardha 8770 9286 - 8390 8904 - 9157 9674 - Korba 6780 7029 6402 6542 6726 6266 7030 7344 6548 Koriya 4878 5477 3410 4568 5124 3233 5211 5850 3605 Mahasamund 18010 11630 73538 17743 11384 72815 18280 11878 74273 Raigarh 10047 10750 5750 9954 10675 5554 10143 10826 5950 Raipur 2525 2885 1668 2431 2805 1550 2621 2967 1793 Rajnandgaon 13756 10136 31727 13180 9673 30580 14340 10606 32892 Surguja 6295 6491 3979 6191 6416 3579 6405 6569 4415

Persons suffering from Acute Illness (Per 100,000 Population) Any type of Acute Illness State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 10724 10529 11450 10406 10275 10889 11051 10789 12039 Bastar 4655 4711 4056 4392 4474 3527 4921 4950 4606 Bilaspur 9818 9749 9956 9396 9530 9130 10261 9978 10831 Dantewada 8237 8560 5817 8020 8346 5629 8452 8773 6010 Dhamtari 19132 19116 19260 18524 18549 18329 19749 19693 20183

Durg 6508 6650 6253 6334 6543 5963 6686 6758 6555 Annual Health Survey 2012-13 Janjgir-Champa 14853 14452 18251 14447 14003 18215 15272 14916 18288 Jashpur 17074 16932 - 16737 16623 - 17421 17249 - Kanker 6452 6525 - 6090 6167 - 6820 6887 - Kawardha 15471 15055 - 15011 14577 - 15941 15539 - Korba 11010 10007 12532 10579 9530 12151 11461 10502 12938 Koriya 7542 8332 5606 7259 8021 5431 7846 8660 5799 Mahasamund 20789 14254 77661 20439 13960 76547 21142 14550 78793 Raigarh 17579 17998 15015 17163 17658 14141 18002 18343 15908 Raipur 5721 5983 5098 5527 5864 4732 5923 6107 5482 Rajnandgaon 18358 14914 35455 17740 14424 34191 18985 15411 36739 Surguja 9252 9298 8718 9273 9367 8184 9231 9225 9301

19 CHHATTISGARH

ACUTE ILLNESS Persons suffering from Acute Illness and taking treatment from Any Source (%) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 99.4 99.4 99.5 99.5 99.5 99.4 99.3 99.2 99.5 Bastar 99.7 99.8 97.9 99.7 99.9 97.6 99.7 99.8 98.1 Bilaspur 99.9 99.9 99.9 99.9 99.9 99.9 99.9 99.9 99.9 Dantewada 99.7 99.8 98.1 99.7 99.8 98.0 99.6 99.8 98.1 Dhamtari 99.7 99.9 98.7 99.7 99.9 98.3 99.8 99.9 99.0 Durg 99.9 99.9 99.8 99.8 99.9 99.7 99.9 99.9 99.9 Janjgir-Champa 100.0 100.0 99.9 100.0 100.0 99.9 100.0 100.0 100.0 Jashpur 96.3 96.5 - 96.5 96.7 - 96.2 96.3 - Kanker 99.8 99.9 - 99.9 99.9 - 99.8 99.8 - Kawardha 99.9 100.0 - 99.9 99.9 - 99.9 100.0 - Korba 98.1 96.5 100.0 99.1 98.4 100.0 97.1 94.8 100.0 Koriya 99.2 99.3 98.8 99.4 99.9 97.9 98.9 98.7 99.8 Mahasamund 99.5 99.5 99.5 99.5 99.5 99.5 99.6 99.6 99.6 Raigarh 100.0 100.0 99.9 100.0 100.0 99.9 100.0 100.0 99.9 Raipur 99.4 99.5 99.2 99.5 99.5 99.4 99.3 99.5 98.9 Rajnandgaon 99.5 99.6 99.1 99.4 99.6 99.1 99.5 99.7 99.2 Surguja 98.9 98.8 100.0 99.4 99.3 100.0 98.4 98.2 100.0

Persons suffering from Acute Illness and taking treatment from Government Source (%) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 29.9 29.4 31.5 28.4 29.0 26.2 31.3 29.7 36.6 Bastar 69.0 69.6 61.5 70.4 70.9 64.2 67.6 68.3 59.4 Bilaspur 27.6 21.0 40.4 27.4 21.1 40.6 27.7 21.0 40.1 Dantewada 54.2 56.9 24.3 53.1 55.9 21.6 55.3 57.8 26.8 Dhamtari 41.8 44.5 20.6 45.5 47.5 28.6 38.3 41.6 13.5 Durg 18.1 14.6 24.8 22.8 21.5 25.3 13.7 8.0 24.4 Janjgir-Champa 34.3 35.6 25.6 34.4 35.2 28.9 34.2 35.9 22.3 Jashpur 52.6 51.4 - 54.7 53.6 - 50.6 49.3 - Kanker 32.5 32.1 - 33.1 32.6 - 31.9 31.5 - Kawardha 17.4 9.1 - 17.6 8.9 - 17.1 9.3 - Korba 23.3 21.8 25.0 22.2 21.1 23.4 24.3 22.4 26.6 Koriya 45.6 50.0 29.8 46.4 51.2 29.0 44.9 48.7 30.7 Mahasamund 10.8 6.6 17.6 1.4 1.9 0.5 20.0 11.2 34.4 Raigarh 32.1 29.7 49.9 33.3 31.2 49.4 30.9 28.2 50.4 Raipur 9.8 3.7 27.0 4.0 3.7 5.0 15.5 3.8 47.0 Rajnandgaon 32.0 31.3 33.3 31.3 34.2 25.2 32.6 28.6 41.0 Annual Health Survey 2012-13 Surguja 36.7 35.4 53.8 25.0 22.3 61.5 49.2 49.5 46.3

20 CHHATTISGARH

Chhattisgarh: Persons suffering from Diarrhoea/Dysentery (Per 100,000 Population) 1200

1000

800 Total Rural 600 Urban

400

200

0 Person Male Female

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

4500

4000

3500

3000 Total Rural 2500 Urban

2000

1500

1000

500

0 Person Male Female

Chhattisgarh: Persons suffering from Fever (All Types) (Per 100,000 Population) 8000

7000

6000

5000 Total Rural 4000 Urban

3000

2000

1000

0 Person Male Female Annual Health Survey 2012-13

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

14000

12000

10000 Total 8000 Rural Urban 6000

4000

2000

0 Person Male Female

21 CHHATTISGARH

Chhattisgarh: Persons suffering from Acute Illness (Per 100,000 Population) 8000

7000

6000

5000

4000

3000

2000

1000

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

Total Rural Urban

Chhattisgarh: Persons suffering from Acute Illness (Per 100,000 Population) 25000

20000

15000

10000

5000

0

Diarrhoea/Dysentery Acute Respiratory Infection (ARI) Fever (All Types) Annual Health Survey 2012-13

22 CHHATTISGARH

CHRONIC ILLNESS Having any kind of Symptoms of Chronic Illness (Per 100,000 Population) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 4176 3842 5420 4020 3741 5047 4337 3946 5812 Bastar 1991 1939 2542 1962 1927 2324 2021 1952 2770 Bilaspur 4325 3541 5896 4004 3373 5265 4662 3718 6566 Dantewada 1940 1650 4109 1898 1648 3731 1982 1652 4496 Dhamtari 9867 9930 9372 8605 8630 8406 11146 11252 10328 Durg 3785 3235 4771 3498 3011 4357 4078 3462 5203 Janjgir-Champa 5250 5170 5927 4895 4863 5162 5618 5488 6718 Jashpur 7352 7419 - 7167 7238 - 7543 7605 - Kanker 3329 3255 - 3038 2969 - 3624 3545 - Kawardha 4534 4380 - 5531 5580 - 3517 3161 - Korba 4130 3129 5649 4131 3132 5628 4128 3125 5672 Koriya 4055 3928 4365 4050 3927 4345 4060 3930 4388 Mahasamund 4520 4270 6694 4291 4086 6065 4750 4455 7332 Raigarh 6461 6360 7079 6410 6351 6767 6514 6370 7397 Raipur 2753 1726 5197 2666 1686 4978 2844 1767 5428 Rajnandgaon 5291 4891 7279 5115 4790 6729 5470 4993 7838 Surguja 3077 2984 4169 3177 3099 4076 2971 2864 4271

Having any kind of Symptoms of Chronic Illness and sought Medical Care (%) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 87.5 84.8 94.5 87.2 84.7 94.0 87.8 85.0 94.9 Bastar 85.7 86.9 75.8 83.3 81.7 97.6 88.0 92.1 56.8 Bilaspur 90.6 85.2 97.1 88.6 84.1 94.3 92.4 86.3 99.4 Dantewada 70.3 65.2 85.6 73.1 69.2 85.8 67.6 61.2 85.4 Dhamtari 96.0 96.0 96.0 94.5 94.1 97.6 97.2 97.5 94.6

Durg 97.1 99.9 93.8 95.2 99.9 89.4 98.9 99.9 97.6 Annual Health Survey 2012-13 Janjgir-Champa 98.8 98.8 98.8 97.7 97.5 98.7 99.8 99.9 99.0 Jashpur 57.6 56.7 - 59.0 58.1 - 56.2 55.3 - Kanker 92.3 91.8 - 91.8 91.2 - 92.8 92.3 - Kawardha 93.6 94.1 - 95.4 96.2 - 90.8 90.3 - Korba 79.1 62.3 93.2 79.0 60.6 94.3 79.2 64.1 91.9 Koriya 77.6 70.8 92.7 80.0 73.5 94.2 75.1 68.0 91.1 Mahasamund 85.9 86.3 83.6 85.9 86.0 85.1 85.9 86.5 82.3 Raigarh 92.0 91.4 95.3 91.2 90.6 94.7 92.8 92.2 95.9 Raipur 86.8 76.5 95.0 90.3 81.5 97.4 83.4 71.5 92.6 Rajnandgaon 93.2 92.2 96.2 93.8 93.4 95.0 92.6 91.1 97.3 Surguja 68.4 64.9 97.9 69.5 66.1 99.2 67.2 63.5 96.6

23 CHHATTISGARH

CHRONIC ILLNESS Having diagnosed for Chronic Illness (Per 100,000 Population) Diabetes State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 541 318 1373 664 403 1626 414 231 1107 Bastar 307 246 957 406 328 1232 206 164 671 Bilaspur 821 167 2133 943 222 2381 693 110 1870 Dantewada 186 134 569 227 164 684 145 105 452 Dhamtari 612 324 2870 720 352 3643 502 295 2105 Durg 722 567 1002 855 712 1108 587 420 891 Janjgir-Champa 293 282 390 341 328 451 244 234 327 Jashpur 290 255 - 351 291 - 227 217 - Kanker 510 493 - 621 608 - 398 377 - Kawardha 331 217 - 416 279 - 244 154 - Korba 716 546 975 905 668 1260 519 419 671 Koriya 741 661 935 858 794 1010 616 521 852 Mahasamund 441 409 721 593 575 747 287 241 695 Raigarh 500 388 1188 649 516 1462 349 258 907 Raipur 608 96 1829 768 129 2275 443 61 1360 Rajnandgaon 572 439 1234 687 513 1550 455 363 913 Surguja 317 272 848 447 394 1060 180 144 615

Having diagnosed for Chronic Illness (Per 100,000 Population) Hypertension State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 571 336 1447 488 281 1249 657 393 1655 Bastar 220 134 1143 184 116 896 257 152 1399 Bilaspur 779 267 1807 668 233 1537 896 303 2093 Dantewada 128 60 636 118 50 618 138 70 655 Dhamtari 1042 910 2074 660 544 1582 1429 1283 2562 Durg 784 468 1350 680 451 1086 889 486 1625 Janjgir-Champa 433 407 653 370 341 609 499 475 700 Jashpur 232 217 - 212 203 - 252 231 - Kanker 366 325 - 245 198 - 489 453 - Kawardha 305 217 - 203 152 - 408 284 - Korba 691 122 1554 660 126 1460 723 118 1654 Koriya 443 266 876 414 249 808 474 285 950 Mahasamund 529 457 1160 464 388 1120 596 526 1201 Raigarh 554 404 1471 446 310 1276 664 500 1670 Raipur 589 288 1307 534 246 1216 647 332 1404

Annual Health Survey 2012-13 Rajnandgaon 879 591 2308 718 483 1885 1041 699 2738 Surguja 354 226 1868 325 214 1624 383 238 2135

24 CHHATTISGARH

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

1800

1600

1400

1200 Total 1000 Rural Urban 800

600

400

200

0 Person Male Female

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

1000 900 800 700 600 500

400 Annual Health Survey 2012-13 300 200 100 0

25 CHHATTISGARH

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

1800

1600

1400

1200 Total 1000 Rural Urban 800

600

400

200

0 Person Male Female

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

1200

1000

800

600

400

200

0 Annual Health Survey 2012-13

26 CHHATTISGARH

CHRONIC ILLNESS Having diagnosed for Chronic Illness (Per 100,000 Population) Tuberculosis (TB) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 190 193 181 245 256 204 133 127 156 Bastar 66 67 57 83 88 28 48 45 87 Bilaspur 145 105 226 193 146 285 96 62 162 Dantewada 116 101 223 130 126 155 102 76 294 Dhamtari 237 209 459 305 258 676 169 159 245 Durg 109 114 101 130 140 112 88 87 90 Janjgir-Champa 262 278 126 299 318 135 225 238 117 Jashpur 325 329 - 439 449 - 207 206 - Kanker 151 148 - 173 173 - 128 123 - Kawardha 253 266 - 384 421 - 120 108 - Korba 235 283 163 267 331 172 202 233 154 Koriya 197 218 146 294 348 164 94 81 126 Mahasamund 244 248 204 290 302 187 197 194 221 Raigarh 321 280 574 405 349 747 236 209 398 Raipur 190 185 201 231 245 198 147 124 203 Rajnandgaon 161 175 89 242 266 123 78 83 54 Surguja 240 249 138 359 376 166 115 115 109

Having diagnosed for Chronic Illness (Per 100,000 Population) Asthma / Chronic Respiratory Disease State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 419 393 513 480 460 550 356 325 473 Bastar 256 271 100 332 353 112 180 188 87 Bilaspur 601 196 1413 684 236 1579 513 154 1237 Dantewada 470 484 368 588 617 375 353 351 362 Dhamtari 568 547 738 611 644 346 525 448 1126

Durg 589 784 239 592 783 253 586 785 224 Annual Health Survey 2012-13 Janjgir-Champa 387 406 229 484 525 135 287 283 327 Jashpur 565 581 - 669 697 - 457 462 - Kanker 680 697 - 817 848 - 540 544 - Kawardha 994 1121 - 1105 1239 - 880 1002 - Korba 315 367 236 280 311 233 352 426 239 Koriya 553 700 192 602 779 177 501 616 210 Mahasamund 161 167 110 161 165 124 161 169 95 Raigarh 142 126 236 169 132 389 115 120 80 Raipur 257 99 634 283 118 673 231 81 592 Rajnandgaon 373 418 151 449 504 176 297 331 125 Surguja 277 293 86 448 478 99 97 99 72

27 CHHATTISGARH

Chhattisgarh: Having diagnosed for Tuberculosis (TB) (Per 100,000 Population) 300

250

200 Total Rural 150 Urban

100

50

0 Person Male Female

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

400

350

300

250

200

150

100

50

0 Annual Health Survey 2012-13

28 CHHATTISGARH

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

600

500

400 Total Rural 300 Urban

200

100

0 Person Male Female

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

1200

1000

800

600 Annual Health Survey 2012-13

400

200

0

29 CHHATTISGARH

CHRONIC ILLNESS Having diagnosed for Chronic Illness (Per 100,000 Population) Arthritis State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 600 609 566 439 457 373 765 764 770 Bastar 163 165 143 123 130 56 203 200 233 Bilaspur 562 425 837 387 314 533 746 542 1159 Dantewada 330 303 536 273 244 486 387 361 587 Dhamtari 1316 1355 1009 894 934 577 1744 1784 1436 Durg 507 564 405 295 335 223 724 794 596 Janjgir-Champa 1396 1456 894 1116 1176 609 1686 1745 1190 Jashpur 1017 1028 - 860 868 - 1179 1193 - Kanker 372 371 - 219 220 - 527 523 - Kawardha 519 549 - 365 375 - 676 725 - Korba 570 403 824 419 299 598 729 511 1064 Koriya 368 390 312 319 357 227 420 426 405 Mahasamund 987 1016 737 708 732 498 1268 1301 980 Raigarh 762 798 543 699 742 436 827 856 652 Raipur 364 321 465 255 235 303 477 411 636 Rajnandgaon 926 985 630 624 664 423 1232 1311 841 Surguja 250 255 190 222 227 166 279 285 217

Having diagnosed for Chronic Illness (Per 100,000 Population) Any kind of Chronic Illness State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 3821 3279 5840 3774 3263 5660 3868 3296 6029 Bastar 2213 2126 3142 2155 2067 3080 2271 2185 3207 Bilaspur 5297 3646 8608 5124 3576 8216 5478 3720 9023 Dantewada 1542 1331 3115 1643 1458 3002 1441 1206 3231 Dhamtari 6886 6518 9774 6086 5666 9428 7697 7384 10116 Durg 4252 3812 5043 4080 3707 4739 4428 3918 5360 Janjgir-Champa 4088 3991 4907 3857 3833 4058 4327 4155 5785 Jashpur 4156 4130 - 4307 4278 - 3999 3978 - Kanker 3632 3605 - 3493 3481 - 3772 3731 - Kawardha 4083 3791 - 3706 3573 - 4469 4011 - Korba 3690 2808 5028 3680 2842 4934 3701 2772 5129 Koriya 4391 3866 5679 4453 3998 5544 4325 3727 5827 Mahasamund 3778 3683 4609 3691 3614 4355 3866 3751 4867 Raigarh 3981 3696 5726 4108 3817 5881 3852 3572 5568 Raipur 2860 1687 5651 2966 1751 5833 2751 1622 5461

Annual Health Survey 2012-13 Rajnandgaon 4224 3931 5681 4036 3752 5443 4415 4112 5923 Surguja 2954 2813 4619 3353 3225 4838 2534 2381 4379

30 CHHATTISGARH

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

900

800

700

600 Total 500 Rural Urban 400

300

200

100

0 Person Male Female

Chhattisgarh: Having diagnosed for Arthritis ( Per 100,000 Population) 1600

1400

1200

1000

800

600 Annual Health Survey 2012-13

400

200

0

31 CHHATTISGARH

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

7000

6000

5000 Total 4000 Rural Urban 3000

2000

1000

0 Person Male Female

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

8000

7000

6000

5000

4000

3000

2000

1000

0 Annual Health Survey 2012-13

32 CHHATTISGARH

CHRONIC ILLNESS Having diagnosed for any kind of Chronic Illness and getting Regular Treatment (%) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 53.7 47.4 66.9 52.8 46.0 67.1 54.7 48.9 66.7 Bastar 43.7 40.0 70.5 42.6 38.1 74.5 44.8 41.8 66.4 Bilaspur 57.4 52.6 61.6 57.8 52.3 62.7 57.0 52.8 60.5 Dantewada 31.8 25.0 53.8 32.6 26.7 53.7 31.0 22.9 53.8 Dhamtari 68.2 69.0 64.2 67.0 67.8 63.3 69.2 69.9 65.0 Durg 61.1 50.4 75.6 60.7 48.8 77.0 61.5 51.9 74.4 Janjgir-Champa 46.0 43.2 65.2 46.4 43.7 67.8 45.7 42.8 63.3 Jashpur 34.8 32.9 - 36.6 34.5 - 32.9 31.1 - Kanker 47.8 46.0 - 44.3 42.2 - 51.1 49.6 - Kawardha 44.0 38.9 - 42.8 38.9 - 45.1 38.9 - Korba 50.0 29.4 67.4 51.4 29.1 70.7 48.4 29.6 64.1 Koriya 44.7 30.5 68.3 42.1 27.3 67.7 47.5 34.1 69.1 Mahasamund 53.0 53.8 47.3 52.0 52.8 46.4 53.9 54.8 48.1 Raigarh 53.7 48.6 73.8 53.3 48.1 73.8 54.2 49.3 73.7 Raipur 62.4 60.6 63.7 59.6 59.0 60.0 65.5 62.3 67.8 Rajnandgaon 57.8 54.2 70.3 56.5 51.6 73.1 59.1 56.6 67.7 Surguja 40.3 35.6 74.2 39.3 34.7 74.7 41.6 36.8 73.6

Having diagnosed for any kind of Chronic Illness and getting Regular Treatment from Government Source (%) State / District Person Male Female Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 30.2 33.0 25.0 31.5 34.2 26.6 28.9 31.8 23.5 Bastar 55.6 56.3 51.9 55.9 56.1 55.0 55.4 56.5 48.6 Bilaspur 28.1 30.3 26.0 29.5 30.8 28.2 26.7 29.8 23.8 Dantewada 59.2 68.5 45.6 64.9 69.1 57.9 53.7 67.9 35.5 Dhamtari 23.3 24.2 17.3 23.3 23.7 21.0 23.3 24.6 14.0

Durg 20.8 19.9 21.9 21.5 19.8 23.3 20.3 19.9 20.7 Annual Health Survey 2012-13 Janjgir-Champa 28.2 30.2 16.0 29.9 31.4 20.4 26.7 29.2 12.8 Jashpur 57.0 58.7 - 56.0 58.1 - 58.3 59.4 - Kanker 46.9 47.0 - 46.3 46.9 - 47.5 47.1 - Kawardha 36.5 33.4 - 41.1 41.0 - 32.5 26.4 - Korba 31.3 32.6 30.7 30.5 30.4 30.5 32.3 34.8 31.0 Koriya 65.4 76.3 53.0 65.5 77.4 51.7 65.4 75.3 54.2 Mahasamund 22.5 22.4 22.7 25.6 25.6 25.2 19.6 19.5 20.6 Raigarh 29.5 30.4 26.4 30.8 31.4 29.0 28.0 29.4 23.6 Raipur 18.8 25.1 13.4 20.0 24.5 15.8 17.5 25.8 11.0 Rajnandgaon 25.7 28.8 17.1 28.5 33.0 16.9 23.3 25.3 17.3 Surguja 46.0 45.4 48.8 46.8 46.2 49.6 45.0 44.4 47.7

33 CHHATTISGARH

FERTILITY Crude Birth Rate(CBR) Natural Growth Rate Total Fertility Rate State / District Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 23.2 24.1 19.8 15.9 16.4 14.0 2.7 2.9 2.1 Bastar 21.0 21.1 19.7 13.6 13.7 12.3 2.5 - - Bilaspur 25.6 27.1 22.5 18.6 19.8 16.2 2.9 - - Dantewada 23.9 24.0 23.3 15.4 15.6 14.2 2.7 - - Dhamtari 21.3 21.7 18.4 13.8 14.2 10.8 2.5 - - Durg 20.3 21.4 18.5 14.2 14.5 13.5 2.3 - - Janjgir-Champa 20.7 21.0 18.2 13.4 13.5 12.7 2.6 - - Jashpur 22.6 22.8 16.6 13.5 13.6 12.0 2.8 - - Kanker 20.8 20.9 17.8 15.1 15.1 13.7 2.3 - - Kawardha 29.4 30.7 21.3 20.9 22.0 14.4 3.6 - - Korba 22.5 25.1 18.6 16.2 17.7 14.0 2.5 - - Koriya 20.6 22.8 15.2 14.2 16.2 9.3 2.3 - - Mahasamund 22.9 23.2 20.6 14.5 14.6 12.9 2.8 - - Raigarh 21.5 21.7 20.0 13.7 13.7 14.1 2.5 - - Raipur 25.2 26.5 21.9 18.4 19.4 15.9 2.9 - - Rajnandgaon 24.0 25.3 17.6 16.4 17.5 10.9 2.8 - - Surguja 26.2 27.1 15.4 17.6 18.2 10.7 3.2 - -

Women aged 20-24 reporting birth of Women reporting birth of order 3 & State / District order 2 & above (%) above (%) Total Rural Urban Total Rural Urban 1 5 6 7 8 9 10 Chhattisgarh 42.8 44.1 36.1 28.0 29.6 20.1 Bastar 55.2 55.9 47.7 18.3 18.8 12.2 Bilaspur 41.6 44.3 32.8 32.1 35.7 21.5 Dantewada 43.7 45.9 30.1 36.8 38.9 19.2 Dhamtari 41.4 41.5 41.1 21.7 21.7 21.8 Durg 38.5 40.6 33.0 21.8 24.3 16.7 Janjgir-Champa 38.0 38.3 34.3 29.0 30.1 17.9 Jashpur 40.0 40.3 - 30.6 30.9 - Kanker 37.6 37.5 - 18.4 18.5 - Kawardha 51.3 52.3 - 32.8 34.1 - Korba 34.1 33.9 34.5 28.8 32.2 22.1 Koriya 45.6 47.9 34.5 31.8 34.1 22.3 Mahasamund 38.2 37.8 43.7 23.5 23.9 19.5 Raigarh 41.1 41.5 37.1 28.3 29.3 21.3 Raipur 46.0 47.9 39.3 28.5 30.0 23.9

Annual Health Survey 2012-13 Rajnandgaon 44.2 45.0 37.4 26.0 27.6 15.5 Surguja 47.2 47.5 40.5 36.3 37.1 21.5

34 CHHATTISGARH

Chhattisgarh: Crude Birth Rate and Natural Growth Rate

30

25

20

15

10

5

0 Total Rural Urban

Crude Birth Rate Natural Growth Rate

Chhattisgarh: Crude Birth Rate and Natural Growth Rate

35

30

25

20

15

10 Annual Health Survey 2012-13

5

0

Crude Birth Rate(CBR) Natural Growth Rate

35 CHHATTISGARH

Chhattisgarh: Total Fertility Rate

3.0

2.5

2.0

1.5

1.0

0.5

0.0 Total Rural Urban

Chhattisgarh: Total Fertility Rate 4.0

3.5

3.0

2.5

2.0

1.5

1.0

0.5

0.0 Annual Health Survey 2012-13

36 CHHATTISGARH

FERTILITY Women aged 15-19 years who were Women with two children wanting no already mothers or pregnant at the time State / District more children (%) of survey (%) Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 Chhattisgarh 34.0 33.9 34.2 40.2 40.1 40.9 Bastar 30.4 29.7 40.7 52.7 55.6 33.3 Bilaspur 38.2 31.4 52.7 47.7 48.4 45.5 Dantewada 35.6 34.9 41.2 39.9 36.4 50.0 Dhamtari 36.3 37.7 26.6 40.6 40.9 37.5 Durg 37.5 42.0 31.6 34.2 34.0 35.0 Janjgir-Champa 24.3 25.7 16.6 38.6 39.4 14.3 Jashpur 34.5 34.7 - 47.0 46.9 - Kanker 44.4 43.5 - 51.2 50.8 - Kawardha 10.4 10.2 - 44.5 45.5 - Korba 20.9 23.2 16.6 33.5 32.8 35.1 Koriya 30.2 28.1 36.7 39.2 38.9 42.9 Mahasamund 37.1 39.4 21.6 48.6 48.1 60.0 Raigarh 33.6 32.2 40.0 37.9 36.5 52.9 Raipur 30.2 30.2 30.1 43.7 42.2 53.3 Rajnandgaon 46.4 47.5 42.8 35.0 34.0 41.2 Surguja 39.2 39.2 38.4 36.6 36.6 40.0

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

60

50

40 Annual Health Survey 2012-13

30

20

10

0

37 CHHATTISGARH

FERTILITY Median age at first live Live Births taking place Median age at first live birth birth of Women aged after an interval of 36 State / District of Women aged 25-49 years 15-49 years months (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 21.7 21.4 22.8 21.0 20.9 22.0 46.4 46.1 48.1 Bastar 22.6 22.6 23.4 21.8 21.7 22.6 57.6 56.9 66.1 Bilaspur 21.9 21.4 22.8 21.2 20.7 22.0 47.2 47.3 46.8 Dantewada 23.1 23.2 22.8 22.3 22.3 21.9 31.5 29.8 46.4 Dhamtari 21.5 21.4 22.7 20.9 20.8 22.1 37.6 37.0 42.3 Durg 21.6 21.1 22.5 20.9 20.5 21.9 42.6 41.2 46.1 Janjgir-Champa 21.7 21.7 22.2 21.0 21.0 21.3 46.4 46.6 44.9 Jashpur 22.8 22.8 - 22.4 22.4 - 49.0 49.2 - Kanker 22.2 22.2 - 21.3 21.3 - 53.8 54.3 - Kawardha 20.5 20.3 - 20.2 20.1 - 51.0 50.8 - Korba 22.4 22.0 22.8 21.8 21.5 22.2 52.1 52.2 51.8 Koriya 21.3 20.9 23.2 20.8 20.6 22.0 55.5 56.0 53.0 Mahasamund 22.0 22.0 22.7 21.5 21.4 21.8 45.7 46.5 37.5 Raigarh 21.7 21.5 23.0 21.0 20.9 22.2 51.4 50.8 56.6 Raipur 21.4 20.9 22.7 20.8 20.5 22.0 44.0 42.7 48.5 Rajnandgaon 21.4 21.0 24.2 20.9 20.7 23.8 42.8 42.9 41.8 Surguja 21.2 21.0 22.5 20.8 20.7 21.8 45.3 45.3 45.6

Mean number of Mean number of children Mean number of children children ever born to surviving to Women aged ever born to Women aged State / District Women aged 15-49 years 15-49 years 45-49 years Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 2.5 2.6 2.2 2.4 2.5 2.2 3.2 3.3 2.8 Bastar 2.5 2.6 2.2 2.5 2.5 2.1 2.7 2.8 2.3 Bilaspur 2.6 2.8 2.2 2.5 2.6 2.1 3.2 3.6 2.7 Dantewada 2.5 2.5 2.0 2.4 2.5 2.0 3.1 3.2 2.4 Dhamtari 2.6 2.6 2.5 2.5 2.5 2.4 3.5 3.5 3.2 Durg 2.6 2.7 2.3 2.4 2.5 2.2 3.4 3.6 3.1 Janjgir-Champa 2.6 2.7 2.2 2.5 2.6 2.2 3.5 3.6 2.8 Jashpur 2.5 2.5 - 2.4 2.4 - 3.0 3.0 - Kanker 2.3 2.3 - 2.3 2.3 - 2.9 3.0 - Kawardha 2.7 2.8 - 2.6 2.6 - 3.6 3.7 - Korba 2.5 2.6 2.4 2.4 2.5 2.3 3.5 3.7 3.3 Koriya 2.3 2.3 2.3 2.3 2.3 2.3 2.7 2.6 2.9 Mahasamund 2.6 2.6 2.4 2.4 2.4 2.3 3.5 3.5 3.5 Raigarh 2.4 2.5 2.2 2.3 2.3 2.1 3.2 3.2 2.6 Raipur 2.5 2.7 2.2 2.5 2.6 2.2 3.1 3.4 2.5

Annual Health Survey 2012-13 Rajnandgaon 2.4 2.5 2.1 2.3 2.4 2.1 2.9 3.0 2.7 Surguja 2.5 2.5 2.2 2.4 2.5 2.2 3.0 3.0 2.5

38 CHHATTISGARH 49 years - Age 25 49 years - Age15 Chhattisgarh: Median age of Women live age at Median first birth of Women Chhattisgarh: Annual Health Survey 2012-13 24 22 20 18 16 14 12 10

39 CHHATTISGARH

ABORTION Pregnancy to Women Women who went for Women who received any aged 15-49 years Ultrasound before abortion State / District ANC before abortion (%) resulting in abortion (%) (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 1.4 1.2 2.2 63.6 60.4 72.0 31.9 27.4 43.8 Bastar 0.4 0.4 0.6 57.1 52.5 100.0 14.9 16.5 0.0 Bilaspur 2.3 2.0 3.2 50.4 50.7 50.0 31.3 26.2 40.5 Dantewada 0.3 0.2 0.7 31.8 5.1 100.0 14.1 0.0 50.0 Dhamtari 2.7 2.7 2.8 67.3 69.0 53.3 29.8 31.0 20.0 Durg 1.2 1.0 1.6 66.0 54.9 80.0 38.5 24.2 56.7 Janjgir-Champa 0.9 0.9 0.6 58.0 55.4 100.0 31.9 27.7 100.0 Jashpur 2.2 2.1 - 44.7 42.9 - 25.0 25.0 - Kanker 0.6 0.6 - 91.3 91.3 - 17.5 17.5 - Kawardha 0.6 0.7 - 62.0 59.1 - 25.4 27.3 - Korba 1.9 1.7 2.2 60.4 46.2 82.2 37.9 30.7 48.9 Koriya 2.3 2.3 2.3 67.5 69.7 58.3 37.1 38.1 33.3 Mahasamund 1.2 1.1 2.2 75.6 73.9 83.3 23.2 21.1 33.3 Raigarh 1.2 1.2 1.2 77.7 76.6 85.7 32.7 27.4 71.4 Raipur 1.3 1.0 2.3 69.0 61.6 79.4 33.4 25.7 44.1 Rajnandgaon 2.4 1.8 5.9 75.1 71.7 82.1 29.9 27.0 35.7 Surguja 1.2 1.2 2.2 61.3 63.7 40.0 34.8 34.3 40.0

Average Month of Abortion performed by Abortion taking place in pregnancy at the time of State / District skilled health personnel (%) Institution (%) abortion Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 3.3 3.5 3.0 42.8 37.8 56.5 33.8 27.3 51.4 Bastar 3.3 3.4 2.5 22.1 24.5 0.0 14.9 16.5 0.0 Bilaspur 3.1 3.3 2.8 33.2 31.8 35.7 27.0 23.4 33.3 Dantewada 4.0 4.3 3.0 35.5 10.3 100.0 35.5 10.3 100.0 Dhamtari 3.4 3.4 2.9 48.8 49.1 46.7 19.9 17.5 40.0 Durg 3.1 3.7 2.3 57.2 54.9 60.0 45.3 36.3 56.7 Janjgir-Champa 3.5 3.5 3.0 38.0 34.2 100.0 18.9 14.0 100.0 Jashpur 3.7 3.6 - 36.6 34.3 - 29.2 26.4 - Kanker 2.7 2.7 - 30.0 30.0 - 30.0 30.0 - Kawardha 4.2 4.2 - 59.1 63.6 - 33.8 36.4 - Korba 3.3 3.3 3.3 39.8 32.5 51.1 35.5 26.8 48.9 Koriya 3.1 3.2 2.7 45.9 44.9 50.0 39.0 34.3 58.3 Mahasamund 3.6 3.5 4.2 41.3 39.5 50.0 46.8 46.1 50.0 Raigarh 3.7 3.8 2.4 32.2 24.9 85.7 34.6 27.6 85.7 Raipur 3.3 3.5 3.1 51.8 36.3 73.5 40.9 26.1 61.8

Annual Health Survey 2012-13 Rajnandgaon 3.3 3.3 3.4 47.3 39.0 64.3 40.6 34.3 53.6 Surguja 3.4 3.4 3.4 37.6 37.4 40.0 26.9 25.5 40.0

40 CHHATTISGARH

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

4

3

2

1

0

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

70

60

50

40 Annual Health Survey 2012-13 30

20

10

0

Ultrasound before abortion Performed by skilled health personnel

41 CHHATTISGARH

FAMILY PLANNING PRACTICES (CMW AGED 15-49 YEARS) Current Usage State / District Any Method (%) Any Modern Method (%) Female Sterilization (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 60.7 60.3 61.9 57.2 56.7 59.0 49.5 50.1 47.3 Bastar 66.4 67.6 53.5 48.2 47.7 53.5 33.9 32.5 48.6 Bilaspur 63.1 63.4 62.5 56.1 54.2 60.0 47.2 47.1 47.3 Dantewada 37.4 34.9 54.8 36.1 33.7 52.7 24.9 22.6 40.2 Dhamtari 67.3 68.0 62.1 65.4 66.0 60.4 58.8 59.5 52.9 Durg 67.0 69.4 62.6 66.0 68.9 60.8 61.0 65.7 52.4 Janjgir-Champa 61.3 62.0 55.2 60.1 60.7 54.8 52.1 53.3 41.6 Jashpur 55.1 54.8 - 53.3 53.0 - 46.9 47.1 - Kanker 64.5 64.3 - 63.5 63.3 - 57.5 57.3 - Kawardha 74.7 73.0 - 62.0 62.3 - 54.9 56.0 - Korba 54.1 48.9 61.6 49.7 45.6 55.6 41.3 38.7 45.0 Koriya 45.9 46.3 44.7 45.0 45.3 44.2 41.2 41.7 39.7 Mahasamund 72.5 73.4 64.1 68.3 69.1 59.9 58.2 59.4 46.2 Raigarh 61.2 61.5 59.4 60.1 60.4 57.7 57.0 58.9 44.1 Raipur 61.0 59.3 65.2 59.7 58.4 62.9 52.2 54.3 47.1 Rajnandgaon 62.4 63.8 55.1 61.9 63.7 52.2 53.8 56.4 39.3 Surguja 46.5 44.8 66.9 44.2 42.6 63.0 35.6 34.6 47.2

Current Usage State / District Male Sterilization (%) Copper-T/IUD (%) Pills (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 1.1 1.2 0.8 0.6 0.5 0.9 1.2 1.2 1.5 Bastar 3.8 4.0 1.1 1.4 1.5 0.0 2.7 2.9 0.0 Bilaspur 0.7 0.7 0.5 0.8 0.5 1.4 1.3 1.2 1.6 Dantewada 3.8 4.3 0.4 0.6 0.5 1.6 1.9 1.7 3.3 Dhamtari 0.7 0.6 1.9 0.9 0.9 0.5 0.1 0.1 0.1 Durg 1.4 1.5 1.3 0.5 0.1 1.1 0.2 0.2 0.3 Janjgir-Champa 0.7 0.8 0.0 1.1 0.9 2.5 0.8 0.8 1.1 Jashpur 0.6 0.5 - 0.2 0.2 - 1.4 1.2 - Kanker 1.8 1.8 - 0.4 0.4 - 0.3 0.3 - Kawardha 0.6 0.6 - 0.2 0.1 - 2.5 2.6 - Korba 0.6 0.3 1.0 0.7 0.7 0.8 1.4 2.3 0.0 Koriya 0.2 0.1 0.4 0.6 0.3 1.3 0.9 0.9 0.9 Mahasamund 2.0 2.1 0.4 1.4 1.4 1.1 1.6 1.4 3.9 Raigarh 0.2 0.3 0.1 0.2 0.1 0.6 0.9 0.8 1.6 Raipur 0.6 0.8 0.2 0.2 0.1 0.3 1.9 1.2 3.6

Annual Health Survey 2012-13 Rajnandgaon 0.8 0.8 0.8 0.5 0.6 0.0 1.8 1.9 0.9 Surguja 1.0 0.9 3.1 0.5 0.4 0.9 0.7 0.6 2.6

42 CHHATTISGARH

FAMILY PLANNING PRACTICES (CMW AGED 15-49 YEARS) Current Usage Emergency Contraceptive State / District Condom/Nirodh (%) Any Traditional Method (%) Pills (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 3.6 2.7 7.0 0.5 0.5 0.3 3.5 3.6 2.9 Bastar 6.1 6.3 3.8 0.3 0.3 0.0 18.2 19.9 0.0 Bilaspur 5.8 4.3 8.9 0.2 0.2 0.2 7.0 9.2 2.5 Dantewada 4.3 4.0 6.5 0.2 0.2 0.6 1.3 1.2 2.1 Dhamtari 4.5 4.8 2.2 0.2 0.1 1.8 1.9 2.0 1.8 Durg 2.2 0.6 5.1 0.3 0.4 0.1 0.9 0.5 1.8 Janjgir-Champa 3.8 3.2 9.5 0.7 0.8 0.1 1.2 1.2 0.4 Jashpur 1.5 1.3 - 0.5 0.3 - 1.9 1.8 - Kanker 1.8 1.8 - 0.3 0.2 - 1.0 1.0 - Kawardha 3.9 2.9 - 0.0 0.0 - 12.7 10.8 - Korba 4.5 1.8 8.3 0.5 0.9 0.0 4.4 3.3 6.0 Koriya 1.1 1.1 1.2 0.5 0.5 0.4 0.9 1.0 0.5 Mahasamund 2.0 1.7 5.1 1.8 1.6 3.2 4.2 4.2 4.2 Raigarh 1.5 0.1 11.0 0.2 0.3 0.0 1.1 1.1 1.7 Raipur 2.8 0.8 7.5 0.6 0.8 0.0 1.3 1.0 2.3 Rajnandgaon 3.7 2.8 9.1 1.0 1.2 0.0 0.5 0.1 2.9 Surguja 5.9 5.9 6.3 0.4 0.2 2.4 2.3 2.2 3.9

Current Usage State / District Periodic Abstinence (%) Withdrawal (%) LAM (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 0.2 0.2 0.3 0.5 0.5 0.7 0.7 0.7 0.7 Bastar 0.1 0.2 0.0 0.6 0.6 0.0 0.0 0.0 0.0 Bilaspur 0.0 0.0 0.0 1.0 0.5 1.8 0.2 0.1 0.3 Dantewada 0.5 0.4 1.4 0.4 0.4 0.1 0.3 0.3 0.3 Dhamtari 0.3 0.3 0.5 0.8 0.9 0.5 0.1 0.1 0.4

Durg 0.0 0.0 0.1 0.1 0.1 0.2 0.2 0.2 0.1 Annual Health Survey 2012-13 Janjgir-Champa 0.3 0.3 0.0 0.1 0.1 0.1 0.6 0.7 0.1 Jashpur 0.5 0.5 - 0.5 0.4 - 0.7 0.8 - Kanker 0.0 0.0 - 0.6 0.6 - 0.3 0.3 - Kawardha 0.0 0.0 - 0.0 0.0 - 9.4 10.2 - Korba 0.8 0.3 1.5 1.2 0.3 2.4 2.3 2.6 1.9 Koriya 0.1 0.1 0.1 0.3 0.3 0.3 0.1 0.1 0.0 Mahasamund 1.2 1.2 1.1 0.4 0.4 0.6 1.4 1.4 2.1 Raigarh 0.3 0.3 0.4 0.4 0.4 0.5 0.4 0.4 0.6 Raipur 0.1 0.2 0.1 0.2 0.2 0.0 0.3 0.2 0.5 Rajnandgaon 0.0 0.0 0.0 0.1 0.0 0.4 0.2 0.0 1.4 Surguja 0.0 0.0 0.4 1.7 1.7 0.9 0.6 0.4 2.4

43 CHHATTISGARH 49 (%) years) - Female Sterilization Any Traditional Method Any Traditional Any Modern Method Any Method Chhattisgarh: Current Usage of Family Planning Practices (CMW aged aged Usage 15 Planning Practices (CMW Current of Family Chhattisgarh: 0 Annual Health Survey 2012-13 80 70 60 50 40 30 20 10

44 CHHATTISGARH

UNMET NEED FOR FAMILY PLANNING Unmet need for Spacing (%) Unmet need for Limiting (%) Total Unmet need (%) State / District Total Rural Urban Total Rural Urban Total Rural Urban

1 2 3 4 5 6 7 8 9 10

Chhattisgarh 14.2 13.8 15.8 10.2 10.3 10.1 24.4 24.1 25.9

Bastar 8.6 8.3 11.7 3.7 2.8 13.6 12.3 11.1 25.3

Bilaspur 17.1 16.7 18.1 12.5 11.0 15.6 29.7 27.7 33.6

Dantewada 13.7 14.1 10.8 17.2 17.4 15.6 30.9 31.5 26.4

Dhamtari 13.0 13.3 10.4 8.2 8.2 8.0 21.2 21.5 18.4

Durg 12.3 12.0 12.9 9.7 9.9 9.2 22.0 22.0 22.2

Janjgir-Champa 18.0 15.7 37.0 7.0 7.1 6.5 25.0 22.8 43.5

Jashpur 18.2 18.4 - 13.2 13.3 - 31.4 31.7 -

Kanker 12.1 12.4 - 12.7 12.6 - 24.8 25.0 -

Kawardha 14.9 16.0 - 3.3 3.1 - 18.2 19.1 -

Korba 12.0 12.7 11.0 7.1 9.1 4.1 19.0 21.8 15.1

Koriya 20.4 19.5 23.1 12.2 11.8 13.4 32.6 31.2 36.5

Mahasamund 14.7 15.0 11.6 8.9 9.0 7.7 23.6 24.1 19.3

Raigarh 12.1 12.2 11.5 10.3 9.5 15.5 22.4 21.8 27.0

Raipur 18.5 18.6 18.4 8.3 9.0 6.7 26.8 27.5 25.1

Rajnandgaon 13.2 11.1 23.5 15.5 15.1 17.7 28.7 26.2 41.2

Surguja 11.5 11.5 12.3 15.1 15.6 8.3 26.6 27.1 20.7 Annual Health Survey 2012-13

45 CHHATTISGARH

ANTE NATAL CARE Currently Married Mothers who had Antenatal Pregnant Women aged Mothers who received any Check-up in First Trimester 15-49 years registered Antenatal Check-up (%) State / District (%) for ANC (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 83.9 83.1 86.0 91.8 91.5 93.2 73.6 72.1 80.9 Bastar 79.1 79.7 73.7 89.2 89.3 89.0 82.1 81.9 84.4 Bilaspur 78.3 78.0 78.5 91.3 92.6 87.9 66.8 66.7 67.1 Dantewada 84.4 83.7 88.1 89.2 89.2 89.5 45.2 39.5 81.7 Dhamtari 89.6 89.6 89.8 97.8 97.8 98.3 85.0 84.6 88.3 Durg 86.6 87.1 85.7 93.5 92.2 96.3 84.8 82.0 90.5 Janjgir-Champa 75.7 75.1 78.8 96.6 96.6 96.6 83.7 83.5 85.8 Jashpur 80.2 79.6 - 92.6 92.6 - 61.8 61.5 - Kanker 81.3 81.7 - 93.0 92.7 - 83.4 82.9 - Kawardha 77.6 77.1 - 90.6 89.8 - 60.1 56.2 - Korba 73.0 66.3 83.5 90.3 87.2 96.2 62.1 52.1 81.6 Koriya 75.7 73.7 84.8 87.5 85.3 96.3 75.0 73.9 79.3 Mahasamund 88.3 88.9 73.1 93.1 92.5 98.7 70.3 68.4 88.6 Raigarh 90.7 91.2 85.2 90.7 89.9 96.8 81.0 79.3 93.3 Raipur 92.5 91.1 94.6 91.3 91.0 92.2 73.2 72.7 74.7 Rajnandgaon 85.7 83.6 90.2 92.3 94.3 80.0 75.5 76.2 71.5 Surguja 67.1 65.1 100.0 90.1 89.6 98.1 69.4 68.0 91.7

Chhattisgarh: Antenatal Care (%)

100 90 80 70 60 50 40 30 20 10 0

Annual Health Survey 2012-13 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

46 CHHATTISGARH

ANTE NATAL CARE Mothers who received 3 Mothers who received at Mothers who consumed or more Antenatal Care least one Tetanus Toxoid IFA for 100 days or more State / District (%) (TT) injection(%) (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 65.9 62.8 79.9 90.8 90.4 92.5 28.1 27.4 31.6 Bastar 69.4 68.8 76.0 88.7 88.6 89.0 26.7 26.1 33.5 Bilaspur 66.4 65.8 68.0 90.5 91.8 86.7 20.4 21.1 18.6 Dantewada 68.5 66.0 84.8 88.8 88.8 88.8 32.4 33.0 28.6 Dhamtari 81.2 81.9 75.6 97.7 97.7 98.1 52.2 51.6 56.8 Durg 78.7 74.3 87.6 93.4 92.2 96.1 37.1 36.8 37.8 Janjgir-Champa 54.0 51.0 85.4 95.8 96.3 90.2 20.2 19.5 27.5 Jashpur 48.3 47.7 - 92.3 92.3 - 22.5 21.9 - Kanker 76.5 75.8 - 92.8 92.6 - 39.3 39.2 - Kawardha 61.7 59.2 - 90.2 89.6 - 21.5 17.7 - Korba 60.9 49.6 82.9 89.8 86.5 96.1 18.3 13.7 27.1 Koriya 52.3 48.5 68.0 86.6 84.2 96.3 26.8 24.9 34.6 Mahasamund 76.6 75.9 83.0 92.2 91.5 98.7 32.9 32.3 38.4 Raigarh 71.6 69.3 87.7 90.7 89.8 96.8 34.2 33.4 40.3 Raipur 70.6 67.7 79.2 91.1 90.9 91.6 20.0 18.5 24.3 Rajnandgaon 69.7 69.3 72.8 92.2 94.2 80.0 32.4 31.1 40.6 Surguja 43.1 40.6 83.0 83.8 83.0 98.1 31.7 30.6 50.0

Mothers who had Full Mothers who received ANC Mothers whose Blood State / District Antenatal Check-up (%) from Govt. Source (%) Pressure (BP) taken (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 22.5 21.2 28.5 42.8 43.1 41.3 78.7 76.6 88.2 Bastar 23.4 22.6 31.9 49.7 48.8 60.3 85.3 85.3 84.4 Bilaspur 15.0 14.7 16.0 38.7 38.8 38.5 73.7 72.5 76.9 Dantewada 24.9 24.7 26.2 49.4 51.0 39.1 84.0 83.1 89.5 Dhamtari 47.4 47.3 48.4 52.1 52.6 47.5 91.9 91.2 97.6

Durg 34.1 33.4 35.5 41.8 46.0 33.7 88.4 85.7 94.0 Annual Health Survey 2012-13 Janjgir-Champa 14.9 14.1 23.7 47.6 47.9 45.3 87.5 86.7 95.3 Jashpur 14.2 13.4 - 44.0 44.2 - 71.8 71.2 - Kanker 35.9 35.7 - 43.6 43.1 - 90.2 90.0 - Kawardha 18.3 15.1 - 43.1 44.6 - 64.0 60.6 - Korba 14.8 9.5 25.1 43.0 41.3 45.9 70.0 59.7 90.0 Koriya 21.5 19.5 29.6 55.4 54.7 57.8 75.5 70.7 94.8 Mahasamund 30.5 30.0 35.4 52.3 51.4 61.1 85.7 85.1 91.7 Raigarh 28.2 27.1 36.5 44.4 42.7 55.7 83.1 81.3 95.2 Raipur 15.8 14.1 20.9 41.7 43.1 37.7 75.8 72.6 85.4 Rajnandgaon 24.4 22.3 38.1 41.3 41.5 39.3 86.8 88.0 79.2 Surguja 18.6 17.1 43.7 29.8 28.0 55.9 60.3 58.0 97.1

47 CHHATTISGARH

ANTE NATAL CARE Mothers whose Blood taken for Hb (%) Mothers who underwent Ultrasound (%) State / District Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 Chhattisgarh 57.3 52.6 78.9 32.9 27.7 56.6 Bastar 68.0 66.6 82.9 51.7 50.1 69.2 Bilaspur 46.7 42.6 58.4 28.8 22.5 46.5 Dantewada 49.7 44.1 85.6 36.8 32.4 65.0 Dhamtari 76.7 74.4 95.0 33.2 30.8 52.3 Durg 69.2 59.3 89.5 40.5 27.6 67.0 Janjgir-Champa 70.3 68.4 90.5 26.5 24.4 48.1 Jashpur 34.8 34.7 - 19.9 19.0 - Kanker 76.9 76.2 - 48.9 48.6 - Kawardha 35.9 32.8 - 15.2 13.6 - Korba 49.7 36.3 75.5 28.8 20.1 45.6 Koriya 59.9 55.9 76.1 38.9 34.0 58.9 Mahasamund 66.5 64.8 82.1 31.8 30.3 45.4 Raigarh 59.5 56.0 84.1 41.8 38.0 68.5 Raipur 59.6 52.2 81.6 32.8 24.8 56.5 Rajnandgaon 67.1 65.8 75.5 28.9 23.9 60.1 Surguja 34.1 31.2 81.1 24.2 21.8 62.6

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

100 90 80 70 60 50 40 30 20 10 0

Annual Health Survey 2012-13 3 or more Antenatal Care At least one Tetanus Toxoid (TT) injection IFA for 100 days or more Full Antenatal Check-up

48 CHHATTISGARH up (%) - Blood Pressure Ultrasound Blood Test for Hb Test Blood Annual Health Survey 2012-13 Chhattisgarh: Mothers who received tests during Ante Natal Check Natal Ante during tests who received Mothers Chhattisgarh: 0 90 80 70 60 50 40 30 20 10 100

49 CHHATTISGARH

DELIVERY CARE Delivery at Government Delivery at Private Institutional Delivery (%) State / District Institution (%) Institution (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 39.5 35.4 58.4 29.2 29.2 29.5 9.9 5.9 28.3 Bastar 67.1 66.4 74.9 60.5 61.0 54.8 6.5 5.3 19.8 Bilaspur 28.2 24.1 39.8 20.2 18.5 25.2 7.7 5.4 14.3 Dantewada 49.7 46.2 72.1 37.7 39.6 25.4 11.6 6.4 45.7 Dhamtari 52.2 50.4 66.5 38.7 39.2 34.6 11.6 9.5 28.5 Durg 39.9 31.1 57.9 22.9 25.1 18.5 16.6 5.8 38.9 Janjgir-Champa 27.1 25.7 41.7 20.9 19.9 31.2 5.7 5.2 10.5 Jashpur 37.8 37.0 - 30.7 30.3 - 6.8 6.4 - Kanker 68.4 67.5 - 60.3 60.4 - 7.7 6.7 - Kawardha 23.8 22.6 - 19.8 19.3 - 3.9 3.2 - Korba 42.6 33.9 59.5 28.6 28.5 28.9 13.0 4.7 28.9 Koriya 40.1 34.1 64.6 31.4 29.4 39.3 8.5 4.6 24.3 Mahasamund 49.5 47.6 67.7 37.7 38.3 31.4 11.6 9.1 35.4 Raigarh 42.2 37.3 77.2 33.2 30.8 49.8 8.4 5.8 26.2 Raipur 34.5 26.0 59.8 22.0 19.5 29.1 12.2 6.0 30.6 Rajnandgaon 43.5 38.9 72.8 32.6 31.0 42.6 10.8 7.7 30.2 Surguja 32.0 29.2 76.7 25.7 24.1 51.9 6.0 4.8 24.8

Chhattisgarh: Institutional Delivery (%)

70

60

50

40

30

20

10

0

Annual Health Survey 2012-13 Government Private

50 CHHATTISGARH

DELIVERY CARE Delivery at home conducted by Delivery at Home (%) Safe Delivery (%) State / District skilled health personnel (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 59.4 63.7 39.6 50.5 49.5 57.9 59.1 55.4 75.8 Bastar 32.8 33.5 24.7 51.0 51.6 41.5 79.3 79.3 79.5 Bilaspur 69.4 75.8 51.5 63.7 63.4 64.8 44.9 37.1 67.0 Dantewada 50.2 53.7 27.9 25.3 23.1 52.6 56.7 52.8 81.4 Dhamtari 47.7 49.5 33.3 64.5 66.2 43.5 76.8 76.6 78.0 Durg 55.4 61.9 42.0 57.8 54.9 66.7 62.6 54.5 79.2 Janjgir-Champa 72.7 74.2 57.3 63.5 64.0 56.8 47.3 45.9 62.0 Jashpur 62.1 63.0 - 36.5 36.1 - 52.4 51.5 - Kanker 31.6 32.5 - 57.9 58.1 - 80.9 80.3 - Kawardha 75.9 77.1 - 82.4 82.2 - 66.8 65.9 - Korba 55.4 66.1 34.9 40.7 34.6 62.9 57.8 48.7 75.4 Koriya 59.8 65.9 35.0 39.6 39.5 41.0 58.3 54.6 73.3 Mahasamund 50.4 52.3 31.9 51.5 50.4 68.5 65.4 63.7 82.5 Raigarh 57.5 62.4 22.6 46.6 45.7 64.9 65.0 61.4 90.3 Raipur 65.4 73.9 40.1 50.7 51.8 44.8 62.8 59.0 74.3 Rajnandgaon 56.4 61.1 26.7 48.0 48.9 34.3 61.8 59.2 78.5 Surguja 67.8 70.5 23.3 24.9 25.0 20.8 42.8 40.5 81.1

Chhattisgarh: Safe Delivery (%) 90

80

70

60

50 Annual Health Survey 2012-13

40

30

20

10

0

51 CHHATTISGARH

DELIVERY CARE Caesarean out of total delivery taken Caesarean out of total delivery taken State / District place in Government Institutions (%) place in Private Institutions (%) Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 Chhattisgarh 9.0 8.2 12.9 37.6 39.1 36.1 Bastar 4.1 4.0 4.9 29.2 30.0 26.9 Bilaspur 10.5 9.4 12.9 65.9 76.4 54.8 Dantewada 7.2 7.0 9.6 21.9 17.1 26.2 Dhamtari 5.1 4.8 7.5 46.0 45.4 47.7 Durg 14.6 13.6 17.5 35.8 41.7 34.0 Janjgir-Champa 11.3 11.7 8.7 32.1 32.6 29.0 Jashpur 13.6 13.5 - 27.6 27.2 - Kanker 5.2 5.3 - 39.9 38.3 - Kawardha 3.6 3.6 - 59.7 59.6 - Korba 10.6 10.1 11.5 28.5 29.4 28.2 Koriya 12.7 10.1 20.4 34.5 40.0 30.4 Mahasamund 8.1 8.2 6.9 37.9 39.8 33.3 Raigarh 9.9 8.9 13.9 36.5 37.6 34.8 Raipur 11.1 9.3 14.8 36.1 34.4 37.1 Rajnandgaon 7.8 6.8 12.8 43.6 40.7 48.4 Surguja 7.4 7.1 9.3 26.1 26.9 23.5

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

70

60

50

40

30

20

10

0

Government Private Annual Health Survey 2012-13

52 CHHATTISGARH

POST NATAL CARE Less than 24 hrs stay in Mothers who received Post- Mothers who received institution after delivery natal Check-up within 48 Post-natal Check-up within State / District (%) hrs. of delivery (%) 1 week of delivery (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 37.9 40.1 31.6 70.3 66.9 85.8 75.3 72.3 89.4 Bastar 23.1 24.5 9.6 77.2 76.3 87.8 84.1 83.6 90.1 Bilaspur 35.4 35.9 34.5 62.8 57.8 76.8 69.3 65.5 79.8 Dantewada 36.2 41.0 15.9 66.6 63.0 89.7 69.5 66.0 92.2 Dhamtari 50.7 54.1 29.9 86.3 86.3 86.6 91.0 91.1 90.7 Durg 36.5 40.7 31.9 85.2 83.3 89.1 91.3 89.4 95.2 Janjgir-Champa 32.8 35.3 17.1 67.9 66.0 88.1 72.4 70.6 91.2 Jashpur 37.0 37.5 - 48.9 48.2 - 54.1 53.4 - Kanker 32.0 32.3 - 85.9 85.4 - 92.6 92.4 - Kawardha 65.5 71.9 - 78.4 79.4 - 83.5 84.5 - Korba 39.3 41.8 36.7 61.2 48.3 86.2 64.2 51.7 88.2 Koriya 25.6 23.8 29.3 60.2 54.0 85.4 64.1 58.2 88.0 Mahasamund 46.7 48.2 36.1 84.8 84.4 88.6 88.4 88.2 90.8 Raigarh 28.5 30.8 20.6 64.2 60.8 88.9 69.4 66.4 90.9 Raipur 42.3 44.8 39.0 72.4 67.8 86.1 77.6 73.5 89.6 Rajnandgaon 51.7 57.0 34.0 85.1 83.8 93.3 89.8 88.9 95.3 Surguja 38.9 41.8 21.5 45.6 43.1 85.9 49.7 47.3 88.3

Mothers who did not receive any Post- New borns who were checked up within State / District natal Check up (%) 24 hrs. of birth (%) Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 Chhattisgarh 22.0 24.9 9.1 65.9 62.3 82.0 Bastar 11.8 12.2 7.6 77.8 76.4 93.1 Bilaspur 28.1 31.5 18.5 58.1 52.8 72.9 Dantewada 29.8 33.3 7.1 61.2 58.0 82.2 Dhamtari 6.7 6.6 7.6 86.9 86.4 90.8

Durg 7.3 9.0 4.0 83.8 82.8 85.8 Annual Health Survey 2012-13 Janjgir-Champa 21.3 22.9 4.1 51.1 49.7 65.1 Jashpur 41.0 41.6 - 45.4 44.8 - Kanker 5.3 5.4 - 83.8 83.4 - Kawardha 13.9 13.1 - 74.5 73.9 - Korba 33.3 45.5 9.6 53.5 41.3 77.0 Koriya 32.7 38.2 10.4 58.8 52.8 83.3 Mahasamund 9.7 9.9 7.9 81.7 81.5 83.7 Raigarh 28.5 31.2 8.7 59.9 56.3 85.7 Raipur 20.5 24.4 8.8 66.2 60.2 83.9 Rajnandgaon 8.0 8.7 3.7 83.5 82.2 91.5 Surguja 47.0 49.3 10.7 41.5 38.9 82.4

53 CHHATTISGARH up (%) - natal Check natal - Checkup within 48 hrs. Did not receive Chhattisgarh: Mothers by status of receipt of Post of receipt of status by Mothers Chhattisgarh: 0 90 80 70 60 50 40 30 20 10 100 Annual Health Survey 2012-13

54 CHHATTISGARH

JANANI SURAKSHA YOJANA (JSY) Mothers who availed Mothers who availed Mothers who availed financial assistance for financial assistance for financial assistance for State / District institutional delivery under Government Institutional delivery under JSY (%) JSY (%) delivery under JSY (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 34.0 32.9 39.0 75.1 80.5 60.0 85.1 87.3 75.4 Bastar 67.3 67.6 63.9 96.3 97.6 83.2 98.5 99.1 91.0 Bilaspur 26.3 22.2 38.0 72.0 76.7 63.9 81.1 81.5 80.3 Dantewada 44.4 44.5 43.8 84.7 91.6 56.0 92.7 94.7 72.1 Dhamtari 46.7 46.1 51.8 85.1 86.7 75.0 96.5 96.9 93.1 Durg 33.1 33.6 32.2 63.3 73.5 52.0 79.9 81.8 74.6 Janjgir-Champa 21.4 20.9 26.4 66.5 67.7 58.5 75.8 76.9 68.5 Jashpur 34.2 33.8 - 82.4 83.4 - 83.5 83.3 - Kanker 63.1 63.3 - 89.5 90.9 - 95.9 96.2 - Kawardha 25.3 25.6 - 78.9 81.5 - 89.1 89.5 - Korba 35.2 29.5 46.2 72.0 78.1 65.3 82.5 84.5 78.5 Koriya 36.4 37.0 33.7 71.6 81.7 49.8 79.3 87.7 53.6 Mahasamund 40.1 39.9 42.4 75.6 78.0 59.5 85.6 86.3 77.8 Raigarh 33.1 30.3 53.0 73.8 75.6 67.9 82.9 83.7 79.7 Raipur 25.9 21.9 37.6 65.7 69.8 60.4 78.0 79.9 74.4 Rajnandgaon 38.6 37.2 48.0 78.8 83.3 63.6 88.1 90.8 75.6 Surguja 26.5 25.8 38.3 70.6 74.2 48.7 77.6 80.9 52.3

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

100 90 80 70 Annual Health Survey 2012-13 60 50 40 30 20 10 0

Any delivery Institutional delivery Government Institutional delivery

55 CHHATTISGARH

IMMUNIZATION, VITAMIN A & IRON SUPPLEMENT AND BIRTH WEIGHT Children aged 12- Children aged 12-23 months Children aged 12-23 months 23 months having who have received 3 doses State / District who have received BCG (%) Immunization Card (%) of Polio vaccine(%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 89.2 87.9 95.3 96.6 96.4 97.3 83.3 82.5 87.3 Bastar 89.1 88.4 98.4 96.0 95.8 97.8 90.8 90.7 91.3 Bilaspur 86.4 85.8 88.4 96.4 97.0 94.5 87.9 90.0 81.5 Dantewada 85.3 83.9 94.5 92.4 91.9 95.8 78.7 77.9 84.0 Dhamtari 92.7 92.7 93.2 97.8 97.8 97.6 93.5 93.4 95.0 Durg 97.0 96.4 98.2 97.3 96.8 98.2 90.5 88.4 95.0 Janjgir-Champa 94.2 94.1 95.0 97.1 97.1 97.5 82.1 83.6 64.0 Jashpur 90.1 89.9 - 97.3 97.3 - 68.2 68.4 - Kanker 95.5 95.3 - 97.6 97.6 - 93.0 93.0 - Kawardha 85.2 83.2 - 96.4 96.3 - 79.7 78.9 - Korba 89.7 85.9 97.6 97.0 96.1 99.0 70.7 68.5 75.4 Koriya 90.8 88.9 98.2 96.9 97.0 96.7 96.5 96.9 95.2 Mahasamund 95.5 95.3 97.2 97.3 97.2 97.9 92.3 91.8 96.6 Raigarh 84.9 83.5 94.5 96.6 96.5 97.9 78.5 77.5 85.8 Raipur 83.7 78.6 95.7 96.6 96.4 97.0 86.3 85.4 88.3 Rajnandgaon 90.3 90.9 87.1 96.0 95.8 96.8 88.5 88.8 86.7 Surguja 83.7 82.7 100.0 96.2 96.0 100.0 68.8 67.4 93.3

Children aged 12-23 Children aged 12-23 months Children aged 12-23 months who have who have received Measles months Fully Immunized State / District received 3 doses of DPT vaccine (%) (%) vaccine (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 81.8 81.0 85.7 90.0 89.7 91.4 74.9 73.9 79.4 Bastar 89.7 89.5 91.8 87.7 87.3 92.3 82.5 82.1 88.0 Bilaspur 77.3 78.0 75.3 85.8 86.3 84.0 68.9 70.5 64.1 Dantewada 76.6 75.6 83.1 83.4 81.8 94.1 66.0 63.8 80.5 Dhamtari 95.8 95.8 95.6 93.1 92.9 94.4 88.9 88.6 91.4 Durg 91.2 89.2 95.2 93.0 93.1 92.6 86.8 85.0 90.4 Janjgir-Champa 89.7 90.0 85.7 91.9 91.7 94.4 75.7 77.1 58.4 Jashpur 80.2 80.7 - 88.4 88.6 - 61.4 61.7 - Kanker 92.6 92.4 - 95.1 94.9 - 90.0 90.0 - Kawardha 81.6 80.0 - 88.4 88.0 - 71.8 69.8 - Korba 69.0 66.7 73.7 90.6 88.0 96.0 63.1 60.0 69.6 Koriya 79.3 79.9 77.4 90.9 91.3 89.5 76.0 76.8 73.2 Mahasamund 86.3 86.1 89.0 90.8 90.2 96.6 81.8 81.2 87.6 Raigarh 80.3 79.8 83.4 92.0 92.4 88.7 72.9 72.4 76.6 Raipur 85.4 84.7 87.0 92.9 93.1 92.5 80.3 79.4 82.3

Annual Health Survey 2012-13 Rajnandgaon 87.3 87.9 83.9 92.4 92.4 92.3 83.0 83.6 79.4 Surguja 65.3 63.8 90.9 86.5 86.4 89.0 59.1 57.8 82.3

56 CHHATTISGARH Children Fully Immunized 23 months having Immunization Card vs. Fully Immunized (%) Immunized Fully vs. Card Immunization having months 23 - Having Immunization Card Annual Health Survey 2012-13 Chhattisgarh: Children 12 aged Children Chhattisgarh: 0 80 60 40 20 100

57 CHHATTISGARH

IMMUNIZATION, VITAMIN A & IRON SUPPLEMENT AND BIRTH WEIGHT Children (aged 6-35 Children who have Children who did not months) who received at received Polio dose at State / District receive any vaccination (%) least one Vitamin A dose birth (%) during last six months (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 87.8 86.7 92.7 2.9 3.1 2.3 68.3 67.3 73.4 Bastar 92.5 92.4 93.4 3.3 3.4 1.6 68.4 68.0 73.8 Bilaspur 89.2 89.2 89.1 2.9 2.5 4.0 62.1 61.2 64.5 Dantewada 84.8 83.2 94.8 6.5 6.9 3.9 65.9 65.6 68.1 Dhamtari 96.9 97.0 96.5 2.2 2.1 2.4 73.1 73.4 70.5 Durg 92.5 91.8 93.9 2.5 2.9 1.8 68.8 67.4 71.5 Janjgir-Champa 90.8 90.6 93.2 2.1 2.2 1.2 67.3 67.1 69.6 Jashpur 87.2 87.2 - 2.1 2.2 - 66.0 66.5 - Kanker 92.2 92.0 - 2.1 2.2 - 78.8 78.7 - Kawardha 95.4 95.9 - 3.2 3.3 - 56.9 58.7 - Korba 88.7 84.3 97.8 2.5 3.3 0.8 72.7 68.2 81.9 Koriya 77.4 75.1 86.1 2.6 2.5 2.7 61.7 60.6 65.7 Mahasamund 83.0 82.4 89.0 2.7 2.8 2.1 58.4 56.6 76.6 Raigarh 90.5 89.8 95.8 3.0 3.1 1.8 65.4 64.5 72.1 Raipur 89.9 89.8 90.2 3.0 3.1 3.0 72.8 69.0 81.8 Rajnandgaon 87.9 87.6 89.9 2.8 2.7 3.2 73.6 72.2 82.3 Surguja 74.9 73.6 98.2 3.6 3.8 0.0 71.3 70.9 78.7

Children (aged 6-35 months) who received Children whose birth weight Children with birth weight State / District IFA tablets/syrup during was taken (%) less than 2.5 Kg. (%) last 3 months (%)) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 42.7 43.6 38.7 67.9 65.4 79.9 13.2 13.0 14.2 Bastar 65.8 65.5 70.5 81.8 81.2 90.3 5.4 5.0 10.3 Bilaspur 46.9 48.4 42.7 55.7 51.2 69.0 13.8 15.2 9.2 Dantewada 43.5 41.6 55.7 57.2 53.8 87.4 18.6 19.0 15.5 Dhamtari 41.0 41.1 39.8 91.3 91.8 87.6 16.0 16.1 15.1 Durg 40.3 45.0 30.9 85.1 85.6 84.1 12.0 10.9 13.9 Janjgir-Champa 43.8 42.9 54.7 60.4 59.0 75.8 12.8 13.6 6.6 Jashpur 45.1 44.8 - 71.7 71.2 - 16.3 16.3 - Kanker 73.7 73.7 - 94.0 93.8 - 7.2 7.1 - Kawardha 29.9 32.8 - 69.8 70.0 - 7.6 7.4 - Korba 45.7 41.6 54.0 58.6 46.5 81.7 14.9 16.0 13.5 Koriya 48.8 47.1 55.1 60.3 56.9 74.2 17.7 19.0 14.2 Mahasamund 48.6 50.0 34.5 70.8 71.0 68.7 11.2 10.7 16.3 Raigarh 41.8 41.0 47.1 62.9 59.4 87.5 8.6 7.8 12.6 Raipur 33.0 35.6 26.9 67.9 64.2 79.1 17.3 16.5 19.5

Annual Health Survey 2012-13 Rajnandgaon 40.8 42.2 32.7 84.8 84.4 87.1 14.7 14.9 13.0 Surguja 30.5 30.6 30.5 39.0 36.9 75.7 14.9 14.3 21.4

58 CHHATTISGARH

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

18

16

14

12

10

8

6

4

2

0 Total Rural Urban

Chhattisgarh: Children with birth weight less than 2.5 Kg. (%). 25

20

15 Annual Health Survey 2012-13

10

5

0

59 CHHATTISGARH

CHILDHOOD DISEASES Children suffering from Children suffering from Children suffering from Diarrhoea who received Acute Respiratory Infection State / District Diarrhoea (%) HAF/ORS/ORT & Zinc (%) (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 12.2 12.6 10.0 93.7 94.2 90.4 15.5 15.3 17.0 Bastar 25.4 26.5 6.9 99.0 99.0 100.0 20.8 20.5 26.2 Bilaspur 14.9 18.6 5.3 99.2 99.1 100.0 20.8 22.0 17.6 Dantewada 18.4 18.0 22.7 95.2 94.6 100.0 6.5 6.3 8.8 Dhamtari 11.3 12.0 5.4 81.3 81.7 72.7 33.9 35.8 17.7 Durg 8.4 7.5 10.6 89.4 92.1 84.7 12.4 11.2 15.4 Janjgir-Champa 9.9 10.5 1.0 96.4 96.3 100.0 17.6 18.4 7.2 Jashpur 9.2 9.3 - 91.6 91.5 - 12.4 12.3 - Kanker 3.8 3.9 - 83.4 83.4 - 11.5 11.7 - Kawardha 33.8 33.2 - 97.5 97.0 - 26.3 26.3 - Korba 13.7 14.8 11.5 90.7 95.8 77.8 18.9 16.8 23.2 Koriya 12.6 9.8 23.1 92.9 93.8 91.5 12.8 10.5 21.2 Mahasamund 6.9 6.7 8.7 91.8 90.7 100.0 14.1 13.6 18.5 Raigarh 7.9 8.1 6.1 96.7 96.4 100.0 19.0 18.7 20.7 Raipur 8.1 7.8 9.2 81.6 80.2 85.7 8.4 6.3 16.1 Rajnandgaon 15.3 16.3 8.2 88.7 87.9 100.0 9.4 9.3 10.1 Surguja 2.3 2.2 3.6 94.6 94.1 100.0 15.7 16.0 9.6

Children suffering from Children suffering Acute Respiratory Children suffering from from Fever who sought State / District Infection who sought Fever (%) treatment (%) treatment (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 97.9 97.9 98.4 16.3 16.0 17.7 95.2 95.1 95.5 Bastar 96.8 96.6 100.0 30.6 31.3 20.0 96.5 96.7 92.3 Bilaspur 99.8 99.7 100.0 19.5 18.7 21.6 96.4 96.7 95.8 Dantewada 98.8 98.6 100.0 21.6 21.6 21.3 92.8 92.6 95.7 Dhamtari 100.0 100.0 100.0 22.5 23.2 17.2 96.5 96.2 100.0 Durg 93.2 90.4 98.1 9.2 8.6 10.7 94.8 92.9 98.6 Janjgir-Champa 98.5 98.5 100.0 13.9 14.6 3.1 95.5 95.4 100.0 Jashpur 98.5 98.5 - 5.0 4.8 - 100.0 100.0 - Kanker 100.0 100.0 - 11.7 12.2 - 100.0 100.0 - Kawardha 99.7 99.7 - 17.9 16.5 - 90.5 89.1 - Korba 99.0 98.2 100.0 19.0 17.0 22.9 95.1 95.2 95.0 Koriya 94.8 92.0 100.0 21.4 17.3 36.9 94.9 93.2 97.9 Mahasamund 95.1 94.4 100.0 13.3 8.0 66.3 92.3 85.9 100.0 Raigarh 99.6 99.5 100.0 10.2 10.6 7.0 93.4 94.5 80.0 Raipur 97.9 100.0 95.1 17.2 17.3 16.8 95.4 95.9 93.8 Annual Health Survey 2012-13 Rajnandgaon 95.8 98.0 81.3 15.8 17.1 7.0 91.1 92.1 72.7 Surguja 99.2 99.2 100.0 11.1 11.3 8.4 97.9 98.4 85.7

60 CHHATTISGARH Fever Acute Respiratory Infection Chhattisgarh: Childhood Diseases (%) Childhood Chhattisgarh: Diarrhoea Annual Health Survey 2012-13 5 0 40 35 30 25 20 15 10

61 CHHATTISGARH

BREASTFEEDING AND SUPPLEMENTATION Children breastfed within one hour of Children (aged 6-35 months) exclusively State / District birth (%) breastfed for at least six months (%) Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 Chhattisgarh 66.3 65.6 69.6 50.8 52.3 43.8 Bastar 92.5 92.7 89.3 73.2 73.7 66.3 Bilaspur 53.5 52.1 57.8 42.0 40.7 45.9 Dantewada 83.6 83.9 81.3 70.6 68.4 90.3 Dhamtari 80.3 80.4 79.5 52.6 53.5 45.7 Durg 83.5 86.7 77.0 47.0 50.1 40.8 Janjgir-Champa 48.1 46.9 60.5 53.1 55.3 29.1 Jashpur 50.3 50.3 - 49.8 49.7 - Kanker 81.8 82.5 - 71.1 72.7 - Kawardha 74.5 74.5 - 30.6 31.1 - Korba 54.2 47.3 67.1 43.0 40.6 47.4 Koriya 57.5 55.9 64.1 34.8 34.5 36.2 Mahasamund 68.7 68.3 72.4 54.0 55.1 43.6 Raigarh 47.3 45.1 62.2 46.9 47.6 41.5 Raipur 69.3 68.4 72.2 52.4 56.1 40.9 Rajnandgaon 64.9 65.3 61.9 44.3 46.2 31.6 Surguja 51.1 50.4 64.4 48.2 48.2 49.8

Chhattisgarh: Children breastfed within one hour of birth (%)

100 90 80 70 60 50 40 30 20 10 0 Annual Health Survey 2012-13

62 CHHATTISGARH 35 months) exclusively breastfed for at least six months (%) months six least at for breastfed exclusively months) 35 - Annual Health Survey 2012-13 Chhattisgarh: Children 6 (aged Children Chhattisgarh: 0 90 80 70 60 50 40 30 20 10 100

63 CHHATTISGARH

CHILDREN WHO RECEIVED FOODS OTHER THAN BREAST MILK DURING FIRST 6 MONTHS Water (%) Animal/Formula Milk (%) Semi-Solid mashed food (%) State / District Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 44.5 43.1 51.4 44.0 42.4 52.2 7.7 7.3 9.5 Bastar 19.0 18.4 27.7 21.7 21.1 29.3 3.9 4.1 1.7 Bilaspur 52.7 54.8 46.6 47.6 46.0 52.4 3.6 3.5 4.2 Dantewada 26.6 28.8 7.3 33.4 34.3 25.0 4.3 4.4 3.6 Dhamtari 28.3 27.9 31.7 45.5 44.9 50.2 6.5 6.5 6.0 Durg 51.9 49.1 57.6 52.0 49.7 56.6 9.4 8.1 12.2 Janjgir-Champa 43.2 41.5 61.5 38.7 36.8 58.9 6.2 4.7 22.9 Jashpur 47.9 48.0 - 39.7 39.5 - 8.9 9.1 - Kanker 16.9 16.7 - 31.0 29.8 - 4.3 4.4 - Kawardha 69.0 68.9 - 58.0 59.3 - 9.9 10.9 - Korba 55.7 57.7 51.8 47.6 48.9 45.3 12.4 13.1 11.0 Koriya 62.2 61.8 63.6 46.2 46.2 46.2 13.4 15.2 6.2 Mahasamund 24.3 24.3 24.3 47.2 46.2 56.8 7.5 6.5 16.9 Raigarh 50.7 49.7 57.1 43.7 43.0 48.4 10.3 10.1 11.4 Raipur 44.8 41.1 56.6 48.9 46.0 58.0 7.0 6.2 9.4 Rajnandgaon 52.7 51.0 64.0 55.6 53.6 69.3 10.4 10.2 12.0 Surguja 48.7 49.0 43.1 39.4 39.7 33.2 8.6 8.7 6.9

Solid (Adult) Food (%) Vegetables/Fruits (%) State / District Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 Chhattisgarh 5.4 5.0 7.3 5.3 4.9 7.5 Bastar 3.0 3.2 1.3 3.0 3.1 1.7 Bilaspur 2.0 1.9 2.2 1.8 1.8 1.7 Dantewada 2.7 2.7 2.8 2.4 2.4 2.4 Dhamtari 4.1 4.3 2.6 4.2 3.9 6.4 Durg 7.0 5.8 9.5 7.2 5.6 10.5 Janjgir-Champa 4.0 2.5 19.4 3.8 2.3 20.4 Jashpur 4.5 4.6 - 5.4 5.6 - Kanker 3.2 3.3 - 2.8 2.9 - Kawardha 5.4 5.8 - 4.7 5.2 - Korba 10.6 11.9 8.3 7.9 8.0 7.8 Koriya 5.5 6.0 3.5 6.9 6.4 8.7 Mahasamund 5.4 4.6 12.8 5.0 4.4 10.7 Raigarh 7.9 7.5 10.3 9.2 9.3 9.0 Raipur 5.3 4.2 9.0 5.2 4.1 8.6

Annual Health Survey 2012-13 Rajnandgaon 6.7 6.7 7.2 6.9 6.9 7.2 Surguja 6.9 7.0 5.0 6.9 7.1 3.0

64 CHHATTISGARH

AVERAGE MONTH BY WHICH CHILDREN RECEIVED FOODS OTHER THAN BREAST MILK Water Animal/Formula Milk Semi-Solid mashed food State / District Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 5.4 5.4 5.3 5.4 5.5 5.2 7.4 7.4 7.3 Bastar 6.0 6.0 5.9 6.0 6.1 5.8 7.6 7.6 7.7 Bilaspur 5.3 5.3 5.4 5.5 5.6 5.3 7.7 7.7 7.5 Dantewada 5.6 5.5 6.4 5.7 5.7 5.7 7.4 7.3 7.6 Dhamtari 5.8 5.8 5.7 5.3 5.3 5.3 7.3 7.3 7.3 Durg 5.2 5.2 5.1 5.2 5.2 5.1 7.3 7.3 7.2 Janjgir-Champa 5.4 5.4 5.0 5.6 5.6 5.0 7.6 7.6 7.2 Jashpur 5.3 5.3 - 5.5 5.5 - 7.1 7.1 - Kanker 6.2 6.2 - 5.9 5.9 - 7.7 7.6 - Kawardha 4.6 4.6 - 5.1 5.1 - 7.3 7.2 - Korba 5.2 5.1 5.3 5.3 5.3 5.3 7.2 7.1 7.2 Koriya 4.9 4.8 5.2 5.4 5.4 5.4 7.0 6.8 7.5 Mahasamund 6.1 6.1 5.8 5.4 5.4 5.1 7.3 7.3 7.2 Raigarh 5.2 5.2 5.1 5.4 5.4 5.3 7.3 7.3 7.2 Raipur 5.3 5.4 5.1 5.1 5.3 4.8 7.4 7.5 7.3 Rajnandgaon 5.1 5.1 5.1 5.1 5.2 4.7 7.2 7.2 7.3 Surguja 5.2 5.2 5.3 5.6 5.5 5.6 7.4 7.4 7.5

Solid (Adult) Food Vegetables/Fruits State / District Total Rural Urban Total Rural Urban 11 12 13 14 15 16 Chhattisgarh 8.7 8.7 8.7 10.8 10.7 10.9 Bastar 9.0 9.0 9.2 10.3 10.2 10.9 Bilaspur 9.0 9.0 8.9 10.8 10.9 10.5 Dantewada 8.8 8.7 9.2 10.4 10.3 11.2 Dhamtari 8.7 8.7 8.7 11.2 11.2 10.9 Durg 8.5 8.5 8.5 10.6 10.6 10.6 Annual Health Survey 2012-13 Janjgir-Champa 8.8 8.8 8.4 10.6 10.7 9.9 Jashpur 8.3 8.3 - 9.9 9.9 - Kanker 9.1 9.0 - 11.4 11.4 - Kawardha 8.9 8.8 - 11.3 11.3 - Korba 8.4 8.3 8.6 10.5 10.4 10.9 Koriya 8.3 8.0 9.3 10.0 9.7 11.4 Mahasamund 8.7 8.7 8.5 11.1 11.0 11.3 Raigarh 8.4 8.4 8.2 10.2 10.2 10.3 Raipur 8.7 8.7 8.7 11.5 11.4 11.7 Rajnandgaon 8.7 8.7 8.7 11.2 11.2 10.9 Surguja 8.6 8.6 8.7 10.7 10.7 10.6

65 CHHATTISGARH

BIRTH REGISTRATION Children whose birth was registered and Birth Registered (%) State / District received Birth Certificate (%) Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 Chhattisgarh 85.3 83.8 92.7 54.1 51.0 68.9 Bastar 83.9 83.1 95.7 61.7 60.5 78.0 Bilaspur 87.9 87.4 89.4 61.3 59.6 66.6 Dantewada 85.9 84.8 94.9 56.9 54.4 78.5 Dhamtari 90.7 90.4 93.4 55.9 54.3 69.5 Durg 92.1 91.1 94.3 60.9 56.8 69.2 Janjgir-Champa 85.9 86.6 79.3 52.6 51.5 65.0 Jashpur 86.3 86.3 - 46.4 46.1 - Kanker 83.5 82.9 - 55.9 55.0 - Kawardha 85.6 84.8 - 57.8 57.2 - Korba 88.1 86.1 91.8 54.5 47.6 67.4 Koriya 78.1 75.0 91.2 49.8 43.1 77.5 Mahasamund 95.9 96.0 94.7 49.4 48.4 59.3 Raigarh 93.8 93.4 97.2 52.8 50.0 72.6 Raipur 86.1 83.6 93.6 48.9 43.3 66.1 Rajnandgaon 93.8 93.5 95.9 62.6 60.6 76.5 Surguja 57.6 55.8 90.1 37.4 35.4 73.8

Chhattisgarh: Birth Registration (%)

100 90 80 70 60 50 40 30 20 10 0

Annual Health Survey 2012-13 Received Birth Certificate Birth Registered

66 CHHATTISGARH

AWARENESS ON HIV/AIDS, RTI/STI, HAF/ORS/ORT & ZINC AND ARI/PNEUMONIA Women who are aware Women who are aware of Women who are aware of State / District of HIV/AIDS (%) RTI/STI (%) HAF/ORS/ORT & Zinc (%) Total Rural Urban Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 8 9 10 Chhattisgarh 86.8 84.2 96.3 81.8 79.4 90.7 99.3 99.3 99.4 Bastar 74.7 72.5 94.4 64.4 61.5 90.5 99.3 99.3 99.4 Bilaspur 91.1 89.1 94.8 80.5 77.9 85.3 99.9 100.0 99.8 Dantewada 56.3 50.1 93.7 54.1 49.1 84.6 99.3 99.2 99.6 Dhamtari 91.4 90.8 96.3 97.6 97.3 99.8 98.9 99.3 96.1 Durg 96.9 95.5 99.1 90.2 87.8 94.0 99.9 100.0 99.8 Janjgir-Champa 94.7 94.1 99.7 88.9 88.1 96.0 98.5 98.3 99.9 Jashpur 68.1 67.0 - 67.2 65.8 - 99.5 99.5 - Kanker 93.8 93.7 - 85.7 85.5 - 99.0 98.9 - Kawardha 80.2 78.4 - 89.9 88.1 - 99.0 99.2 - Korba 91.1 89.5 93.3 77.4 73.8 82.2 98.7 98.6 98.7 Koriya 80.5 75.5 93.1 84.5 81.2 92.7 99.1 98.9 99.5 Mahasamund 92.2 91.6 96.6 83.1 81.8 93.8 99.6 99.5 100.0 Raigarh 81.9 78.9 98.2 72.7 69.8 88.8 99.7 99.7 99.6 Raipur 99.9 99.9 99.8 93.5 92.3 96.4 99.8 99.8 99.9 Rajnandgaon 89.5 87.1 99.6 83.6 80.7 95.8 98.8 98.6 99.7 Surguja 71.7 69.3 98.9 76.8 74.8 99.6 99.5 99.5 99.7

Women who are aware of danger signs of ARI/Pneumonia (%) State / District Total Rural Urban 1 2 3 4 Chhattisgarh 92.4 90.8 98.0 Bastar 76.3 74.3 94.0 Bilaspur 96.4 95.6 97.9 Dantewada 70.8 68.9 82.6 Dhamtari 97.5 97.2 99.7 Durg 96.4 95.3 98.1

Janjgir-Champa 97.3 97.1 99.5 Annual Health Survey 2012-13 Jashpur 85.6 85.1 - Kanker 95.1 94.9 - Kawardha 95.8 95.0 - Korba 88.5 81.4 98.2 Koriya 96.7 95.4 99.7 Mahasamund 94.2 93.5 99.5 Raigarh 95.5 94.8 99.3 Raipur 95.9 94.2 99.7 Rajnandgaon 96.1 95.4 98.7 Surguja 91.6 90.9 99.2

67 CHHATTISGARH

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

100

80

60

40

20

0 Total Rural Urban

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

100

80

60

40

20

0 Total Rural Urban

100

80

60

40

20

Annual Health Survey 2012-13 0 Total Rural Urban

68 CHHATTISGARH

MORTALITY Crude Death Rate State/District Name Total Rural Urban Total Male Female Total Male Female Total Male Female 1 2 3 4 5 6 7 8 9 10 CHHATTISGARH 7.3 7.8 6.7 7.7 8.1 7.2 5.8 6.7 4.9 Bastar 7.4 8.9 5.9 7.4 8.9 5.9 7.5 8.8 6.1 Bilaspur 7.0 7.5 6.4 7.3 7.5 7.1 6.3 7.4 5.1 Dantewada 8.5 10.1 7.0 8.4 9.8 7.0 9.2 12.1 6.2 Dhamtari 7.5 8.0 6.9 7.5 8.0 6.9 7.6 8.6 6.7 Durg 6.2 6.6 5.8 6.8 6.9 6.7 5.0 5.9 4.1 Janjgir-Champa 7.3 7.6 7.0 7.5 7.8 7.2 5.6 6.0 5.1 Jashpur 9.1 9.3 8.9 9.3 9.4 9.1 4.6 4.8 4.3 Kanker 5.7 6.0 5.3 5.7 6.1 5.4 4.1 4.7 3.4 Kawardha 8.5 9.0 7.9 8.7 9.3 8.1 6.9 7.3 6.4 Korba 6.3 6.9 5.7 7.5 8.1 6.8 4.6 5.0 4.1 Koriya 6.4 6.7 6.1 6.6 6.7 6.5 5.9 6.7 5.0 Mahasamund 8.4 9.0 7.9 8.5 8.9 8.1 7.6 9.2 6.0 Raigarh 7.7 8.2 7.3 8.0 8.5 7.6 5.9 6.6 5.2 Raipur 6.8 7.2 6.4 7.1 7.3 6.9 6.0 6.9 5.1 Rajnandgaon 7.6 8.1 7.0 7.7 8.3 7.2 6.7 7.4 5.9 Surguja 8.6 9.0 8.2 8.9 9.3 8.6 4.6 4.7 4.5

Infant Mortality Rate State/District Name Total Rural Urban Total Male Female Total Male Female Total Male Female 1 2 3 4 5 6 7 8 9 10 CHHATTISGARH 46 43 49 48 45 52 34 32 36 Bastar 40 37 42 41 39 43 - - - Bilaspur 38 37 40 37 36 38 42 41 42 Dantewada 44 40 48 47 43 51 21 20 22 Dhamtari 47 46 48 49 48 50 31 24 38

Durg 35 29 41 43 35 50 18 17 20 Annual Health Survey 2012-13 Janjgir-Champa 46 41 52 48 43 54 - - - Jashpur 56 51 61 57 52 63 - - - Kanker 46 38 54 46 38 55 - - - Kawardha 57 59 55 58 61 55 - - - Korba 48 48 48 56 56 56 32 32 33 Koriya 52 49 55 57 52 63 32 36 28 Mahasamund 57 51 64 59 51 66 44 47 40 Raigarh 55 51 59 54 51 58 59 53 64 Raipur 45 43 47 46 45 48 41 38 45 Rajnandgaon 49 47 51 51 49 52 34 30 39 Surguja 50 49 53 52 50 53 - - -

69 CHHATTISGARH

Chhattisgarh: Crude Death Rate (CDR)

9

8

7 Person 6 Male Female 5

4

3

2

1

0 Total Rural Urban

Chhattisgarh: Crude Death Rate(CDR)

12

11

10

9

8

7

6

5

4

Male Female Annual Health Survey 2012-13

70 CHHATTISGARH

Chhattisgarh: Infant Mortality Rate (IMR)

60

50

40

Person Male 30 Female

20

10

0 Total Rural Urban

Chhattisgarh:Infant Mortality Rate(IMR)

70 65 60 55 50 45 40

35 Annual Health Survey 2012-13 30 25 20

Male Female

71 CHHATTISGARH

MORTALITY Neo-natal Mortality Rate Post Neo-natal Mortality Rate State/District Name Total Rural Urban Total Rural Urban 1 2 3 4 5 6 7 CHHATTISGARH 32 34 25 14 15 9 Bastar 26 27 - 14 14 - Bilaspur 27 26 30 12 11 12 Dantewada 29 31 18 15 16 3 Dhamtari 36 37 25 12 12 6 Durg 24 29 14 11 13 5 Janjgir-Champa 32 34 - 14 14 - Jashpur 36 36 - 21 21 - Kanker 27 27 - 19 19 - Kawardha 42 42 - 15 16 - Korba 38 44 26 10 12 7 Koriya 36 40 21 16 17 12 Mahasamund 38 39 31 19 20 13 Raigarh 39 38 47 16 16 12 Raipur 36 38 32 9 9 10 Rajnandgaon 38 39 29 11 12 5 Surguja 29 29 - 22 23 -

Under Five Mortality Rate (U5MR) State/District Name Total Rural Urban Total Male Female Total Male Female Total Male Female 1 2 3 4 5 6 7 8 9 10 CHHATTISGARH 60 58 63 65 62 69 40 38 42 Bastar 52 51 52 54 54 53 - - - Bilaspur 50 48 52 52 49 55 47 47 46 Dantewada 61 55 67 65 59 72 26 27 25 Dhamtari 56 56 56 58 59 58 35 27 44 Durg 43 34 51 52 42 63 23 19 26 Janjgir-Champa 58 56 61 60 59 62 - - - Jashpur 84 76 93 87 78 96 - - - Kanker 62 61 64 63 61 65 - - - Kawardha 73 73 72 74 76 72 - - - Korba 57 57 57 66 66 67 38 38 38 Koriya 67 65 70 75 73 78 41 42 40 Mahasamund 68 65 72 70 67 74 49 47 51 Raigarh 67 64 71 68 65 72 60 56 64 Raipur 55 53 58 58 55 61 48 47 49 Rajnandgaon 57 54 60 60 57 62 39 36 42 Annual Health Survey 2012-13 Surguja 90 89 91 93 92 95 - - -

72 CHHATTISGARH natal Mortality Rate - Neo natal Mortality Rate - Post Neo Annual Health Survey 2012-13 Chhattisgarh: Infant Mortality Rate(IMR)with it's Component Rate(IMR)with Mortality Infant Chhattisgarh: 0 70 60 50 40 30 20 10

73 CHHATTISGARH

Chhattisgarh: Under Five Mortality Rate (U5MR)

70

60

Person 50 Male Female 40

30

20

10

0 Total Rural Urban

Chhattisgarh: Under Five Mortality Rate (U5MR)

100

90

80

70

60

50

40

30

Male Female Annual Health Survey 2012-13

74 CHHATTISGARH

MORTALITY Maternal Mortality Ratio (MMR), Maternal Mortality Rate and Life Time Risk 95% Confidence Sample Sample Maternal State/Commissionary Maternal Interval Life Time Female Live MMR Mortality Deaths Risk Population Births Lower Upper Rate Limit Limit 1 2 3 4 5 6 7 8 9 CHHATTISGARH 346285 83041 203 244 211 278 20 0.68% SURGUJA DIVISION Koriya, Surguja, 47544 12156 33 271 179 364 23 0.81% Jashpur BILASPUR DIVISION Raigarh, Korba, Janjgir- 108526 26047 68 261 199 323 21 0.73% Champa, Bilaspur RAIPUR DIVISION Kawardha, Rajnandgaon, Durg, 135830 32692 69 211 161 261 17 0.59% Raipur, Mahasamund, Dhamtari BASTAR DIVISION Kanker, Bastar, 54385 12146 33 272 179 364 20 0.71% Dantewada

DISTRIBUTION OF MATERNAL AND NON MATERNAL DEATHS BY BROAD AGE GROUP 95% Confidence 95% Confidence Sample Non Maternal Interval Interval Age Group Female Proportion Maternal Proportion Deaths Lower Upper Lower Upper Deaths Deaths Limit Limit Limit Limit 1 2 3 4 5 6 7 8 9 10

15-19 355 16 8 3 13 339 13 12 15

20-24 456 66 33 26 39 390 15 14 17 Annual Health Survey 2012-13

25-29 374 55 27 20 34 319 13 11 14

30-34 334 38 19 12 25 296 12 10 13

35-39 391 17 8 3 14 374 15 13 16

40-44 396 6 3 0 6 390 15 14 17

45-49 428 5 2 -1 5 423 17 15 18

Total 2734 203 100 2531 100

75 CHHATTISGARH BASTAR DIVISION BASTAR SURGUJA DIVISION SURGUJA BILASPUR DIVISION CHHATTISGARH CHHATTISGARH: Maternal Mortality Maternal Mortality Ratio (MMR) at Commissionraitlevel CHHATTISGARH: RAIPUR DIVISION 0 50 300 250 200 150 100 Annual Health Survey 2012-13

76 CHHATTISGARH

95% Confidence Interval for Selected Indicators Crude Birth Rate Crude Death Rate Total Rural Urban Total Rural Urban State/District Name Lower Upper Lower Upper Lower Upper Lower Upper Lower Upper Lower Upper Limit Limit Limit Limit Limit Limit Limit Limit Limit Limit Limit Limit 1 2 3 4 5 6 7 8 9 10 11 12 13 CHHATTISGARH 22.9 23.5 23.7 24.5 19.3 20.4 7.1 7.4 7.5 7.8 5.6 6.0 Bastar 19.4 22.5 19.4 22.7 16.9 22.6 6.5 8.2 6.4 8.3 6.2 8.7 Bilaspur 24.6 26.6 25.9 28.3 20.8 24.1 6.5 7.5 6.6 8.0 5.7 6.9 Dantewada 21.4 26.5 21.2 26.8 19.4 27.3 7.6 9.4 7.5 9.4 6.6 11.8 Dhamtari 20.5 22.0 20.8 22.5 16.6 20.3 7.0 7.9 7.0 7.9 6.2 9.0 Durg 19.5 21.1 20.2 22.5 17.4 19.5 5.8 6.5 6.3 7.3 4.5 5.5 Janjgir-Champa 19.8 21.7 20.0 22.0 15.1 21.3 6.9 7.7 7.1 7.9 3.9 7.2 Jashpur 21.2 24.0 21.4 24.3 13.8 19.4 8.3 9.9 8.5 10.1 3.7 5.5 Kanker 19.6 22.0 19.6 22.2 14.3 21.4 5.1 6.3 5.1 6.3 3.4 4.7 Kawardha 27.4 31.4 28.4 32.9 16.7 26.0 7.6 9.3 7.8 9.7 4.7 9.0 Korba 21.8 23.3 24.1 26.2 17.6 19.6 6.0 6.7 7.0 8.0 4.1 5.0 Koriya 19.5 21.7 21.5 24.2 13.7 16.7 5.9 7.0 5.9 7.4 5.1 6.7 Mahasamund 21.8 24.0 22.0 24.4 17.2 24.0 7.9 9.0 7.9 9.1 6.2 9.1 Raigarh 20.4 22.5 20.5 22.9 18.4 21.7 7.3 8.2 7.6 8.5 4.5 7.3 Raipur 24.2 26.1 25.3 27.8 20.5 23.3 6.4 7.2 6.6 7.6 5.5 6.6 Rajnandgaon 23.0 25.0 24.2 26.4 15.0 20.2 7.0 8.2 7.1 8.4 5.0 8.4 Surguja 24.8 27.5 25.7 28.5 12.9 17.8 8.0 9.2 8.3 9.5 3.5 5.8

Infant Mortality Rate Under Five Mortality Rate (U5MR) Total Rural Urban Total Rural Urban State/District Name Lower Upper Lower Upper Lower Upper Lower Upper Lower Upper Lower Upper Limit Limit Limit Limit Limit Limit Limit Limit Limit Limit Limit Limit 1 2 3 4 5 6 7 8 9 10 11 12 13 CHHATTISGARH 44 48 46 51 30 37 59 62 63 67 37 43 Bastar 31 48 32 50 - - 45 58 47 61 - - Bilaspur 33 43 31 43 33 50 45 55 46 58 38 55 Dantewada 35 53 37 57 9 33 54 68 58 73 14 39 Dhamtari 41 54 42 56 19 44 50 62 52 64 21 49

Durg 30 40 35 51 14 23 38 47 46 59 17 28 Annual Health Survey 2012-13 Janjgir-Champa 40 53 41 55 - - 52 64 54 67 - - Jashpur 45 67 46 69 - - 75 93 77 96 - - Kanker 36 55 36 56 - - 54 71 54 71 - - Kawardha 45 70 45 71 - - 62 83 62 85 - - Korba 42 55 46 65 26 39 52 62 60 73 31 46 Koriya 44 60 48 66 18 47 58 77 64 86 26 56 Mahasamund 47 67 48 70 26 61 60 76 62 79 28 70 Raigarh 46 64 45 63 29 89 60 74 61 76 43 77 Raipur 40 50 40 53 32 51 51 60 53 64 39 56 Rajnandgaon 41 57 42 60 20 48 50 64 52 68 23 54 Surguja 43 58 44 59 - - 82 97 85 101 - -

77 CHHATTISGARH

95% CONFIDENCE INTERVAL FOR SOME IMPORTANT INDICATORS Sex Ratio at Birth

State/District Name Total Rural Urban

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

1 2 3 4 5 6 7

CHHATTISGARH 943 969 944 973 916 975

Bastar 876 988 886 1005 652 958

Bilaspur 884 965 886 986 830 972

Dantewada 867 972 881 996 671 920

Dhamtari 948 1044 941 1042 887 1203

Durg 951 1043 947 1063 907 1059

Janjgir-Champa 848 940 837 932 837 1195

Jashpur 919 1046 921 1051 607 1239

Kanker 842 970 843 976 604 1072

Kawardha 915 1080 909 1087 796 1240

Korba 962 1054 955 1069 925 1080

Koriya 820 950 813 962 751 1021

Mahasamund 882 1004 871 999 843 1263

Raigarh 939 1052 947 1072 787 1048

Raipur 935 1016 929 1024 898 1053

Rajnandgaon 957 1086 964 1105 792 1100

Surguja 857 952 857 955 681 1111 Annual Health Survey 2012-13

78 CHHATTISGARH ANNEXURE 3 1 2 5 6 14 Code of survey Page No. the name of new Head If Code ‘1’ in Col. 13, write If Code

of the Household as on date

Item

changed, write ‘1’, if not, ‘2’ not, if ‘1’, write changed, If Head of the Household is Household the of Head If Code for Col. (8, 12)

To be filled for Codes ‘1’ and ‘3’ in Col. 12 and ‘3’ be filled for Codes ‘1’ To same house Out-migrated unit) of the (out Shifted within the unit In-migrated (from outside the unit) household Split Merged household 4 Household continues in the in continues Household

(Code)

(existing as on 01.01.2012) on as (existing # Status of the Household the of Status

Sample Unit

date of survey) (Code) survey) of date Status of the House (as on (as House the of Status 0 2 3 Houselisting particulars for second updation round updation second for particulars Houselisting Household 11 12 13 Code Status of House/ Confidential when filled Stratum Item in status from non residential/ vacant to residential/partly residential, the Code for Col. (7, 11) 10 the household in Col. 6 only. Cols. 13 & 14 are to be filled only when there is the household in Col. 6 only. Does not exist Residential/Partly residentialNon-residential 1 Vacant on rounds. New houses can be in an existing structure or, altogether a new structure. on rounds. New houses can be in an existing structure or, date of survey of date of the Household as on

If Code ‘1’ in Col. 9, write Rural-1, Urban-2 the name of new Head changed, write ‘1’, if not, ‘2’ not, if ‘1’, write changed, 1 3 2 4

Code If Head of the Household is Household the of Head If

HOUSELISTING SCHEDULE HOUSELISTING To be filled for Codes ‘1’ and ‘3’ in Col. 8 and ‘3’ be filled for Codes ‘1’ To

(Code)

(existing as on 01.01.2011) on as (existing Status of the Household the of Status

Item

date of survey) (Code) survey) of date Code for Col. (4)

Houselisting particulars for first updation round updation first for particulars Houselisting Household on (as House the of Status 7 8 9 Status of House/ Residential Non-residential Vacant House New 6 District Household

Name of Head the

(2 digits) (2 Annual Health Survey 2012-13 Household No. Household

Zone

(Code)

Status of the House the of Status 4 5 House No. (4 digits) (4 No. House

3 Building Number Building

Households) and for new Houses/Households for updation survey updation for Houses/Households new for and Households) ANNUAL HEALTH SURVEY HEALTH ANNUAL Houselisting particulars as per baseline survey (for existing Houses/ existing (for survey baseline per as particulars Houselisting No. Serial 1 2 State records should also be appended at the end of houselist. For such cases, Code given for status house in Col. 7 during first updation copied 4. In all cases (including houses/households having For new household(s), record the name of head no change in status), record present status of house/household Cols. 11-12. round. updation this during in filled be to not are 7-10 Cols. survey. of date on as household the of head of name in change a # Status as on 01.01.2012 is to be recorded. (For Households not existing as on 01.01.2012, put ‘–’ in Col. 12) In case of addition new households in an existing house or replacement household by a change For new houses, the record is to be appended at the end of the houselist and Code ‘4’ is to be assigned in Col. 4 during updati For new houses, the record is to be appended at end of houselist and Code ‘4’

79 CHHATTISGARH Annual Health Survey 2012-13

80

CHHATTISGARH

years and above) (Code) above) and years during last 365 days (for age 5 age (for days 365 last during 11 09 14 01 02 07 08 12 13 15 16 05 06 04 03

Code Occupation / Activity Status Activity / Occupation

above) (Code) above)

attained (for age 7 years and years 7 age (for attained

Highest educational qualification educational Highest

(Code)

main reason thereof reason main

No.* 14, Col. in ‘3’ or ‘2’ Code If

Page No...... 3) - attended Never Household

No: Attended before -2, before Attended No: Item attending school (Yes - 1, - (Yes school attending

14 15 16 17 6-17 years Whether currently Whether Code for Col. (17) For age group Own Account Worker Account Own Employer Unpaid Family Labourer Cultivator Agricultural Wage Labourer Non-agricultural Wage Labourer Self Employed (excluding Cultivators) Employee Salaried/Wage Regular Did not work but was seeking and/or available work for Attending educational institution Attending routine domestic chores, etc.Beggar Sex worker/Prostitute 10 Rentier, pensioner, other remittance recipients Not able to work due disability old to work Too Others serial numbers starting with 1 is to be serial numbers starting 2 0 8 3 7 4 No.* Code House 13 Date of first marriage ech/MBA/MD/

Item

D DM M YY YY YY M DM D Confidential when filled 01.01.2012 (Code) 01.01.2012

Code for Col. (16) Marital Status as on as Status Marital

Below Primary Primary (5th passed) Middle (8th passed) Secondary/Matric/Class-X Secondary/ Secondary/Sr. Hr. Pre-university/Class-XII 5 6 Social Group (Code) Group Social

Graduate/B.Tech/BBA/MBBS/ Illiterate Formalwithout Literate education 1 Formal Education Literate with Equivalent Post Graduate/M.T Equivalent or higher diploma Non-Technical/Technical or certificate not equivalent to degree 9 Religion (Code) Religion 4 7 1 2 6 8 9 5

Code

current updation round.

(in completed years) completed (in (i.e. Codes ‘01’ to ‘06’ in Col. 4). Col. in ‘06’ to Codes ‘01’ (i.e. 01.01.2012 on as Age 9 10 11 12 Unit ted during first updation survey. In Col.1, running running Col.1, In survey. updation first during ted Sample Item Code for Col. (15) HOUSEHOLD SCHEDULE Further education not considered Required for work in Household Others School too far necessary activities/Farm/Family business 3 Required for outside work Not interested in studies Cost too much failures Repeated Got married 8 Stratum 1 5 4 6 7 8 Date of Birth of Date Code DD M M Y Y Y Y

Rural-1, Urban-2

mother Serial No. of No. Serial Item

7

Code for Col. (12) father Serial No. of No. Serial from Col. 1 from Col. Never married Married but, Gauna not performedMarried and, Gauna performed 2 Remarried 3 Widow/Widower Divorced Separated Not stated * = be copied from Houselisting Schedule To # = be filled upto Col. 13 only To To be recorded be To 1 2 3 4 5 6 7 8 1 2 3 Code Code is to be updated in Col. 4. Col. in updated be to is For For the above three categories, Residential Status (v) 0 1.01.2012 on as residents usual of respect in only filled be to are onwards 5 Col. Code of Household Identification

Item Item

members of the (Code) Code for Col. (10) Code for Col. (11)

Hindu Muslim Christian Sikh Buddhist Jain Others No religion SC ST Others Relationship to Head to Relationship Annual Health Survey 2012-13 District

01 05 06 07 09 13

on 01.01.2012 on Code Residential Status as Status Residential

Zone Sex (Male-1, Female-2) (Male-1, Sex Item 3 4 5 6 Code for Col. (5) Head Wife or HusbandSon or Daughter 02 Son-in-law or Daughter-in-law 03 child Grand Parent 04 Parent-in-law Brother or SisterBrother-in-law or law Sister-in 08 Niece or NephewOther relatives 10 Adopted/Foster child 12 Not related 11 11 03 05 02 09 07 08 10 Code 2.2011. 2 Name Household) (In case of new household, start Item with the Head of

In migrated from Shifted into the house- Absentees #Temporary 06 Continue to be in the same householdBut died or outmigrated thereafter # 01 outside the unit hold (Within the unit) born Newly 04

Code for Col. (4) given to each copied record and serial number next the last is be for new members being listed during Cols. 1–3 are to be filled in for all usual residents as on date of survey excluding those who have been covered (i) above. Cols. 1–3 are also to be filled for new born died during(iv) No. Serial 01.01.2011 to 31.1 ANNUAL HEALTH SURVEY HEALTH ANNUAL 1 SIDE - ‘A’ as on Usual State (i)lis Schedule) HH updation first the of 4 Col. in 01-06 (Code residents usual all for copied be to are 13 & 8 3, 6, 2, Cols. (ii) (iii) Out migrated Shifted out of the household the unit) (Within Died – New born died (01.01.2011 31.12.2011) Not a usual resident of the household Resident 01.01.2012

81

CHHATTISGARH Telephone/Mobile Number: Telephone/Mobile 3 6 7 27 28 29 30 31 00 Code Code

1 2 3

sion of the Respondent with date with Respondent the of sion Code

Name & signature/thumb impres- signature/thumb & Name Contd.

Enumerator with date with Enumerator Name and signature of the of signature and Name Item Item Item Code for Col. (26) Not regularly Regularly Code for Col. (29) rnia, Hydrocele, Peptic Ulcer, etc. 99 Code for Col. (24) priority No Yes Confidential when filled 29 (Code) Rheumatic fever/Rheumatic heart diseaseTumour (any type) 26 Blood Cancer/Leukemia Skin Cancer Piles, Anal Fissure, Fistula Anaemia Others (He Not diagnosed Employees State Insurance Scheme(ESIS)Insurance State Employees (RSBY) Yojana Bima Swasthya Rashtriya 1 Central/State Government Health Scheme other than RSBY 2 employer from reimbursement Medical Community Health Insurance ProgrammeMediclaim 5 4 Others P1 P2 28, then top two health schemes/ order of If Code ‘1’ in Col. health insurance in 11

02 10 13 14 18 21 22 23 24 01 03 06 09 15 16 17 08 25

Code know - 3) - know

Insurance 1, No - 2, Don’t 2, - No 1,

insurance? (Yes - (Yes insurance? scheme or health or scheme

28 by any health any by

Access to Health scheme/ Health to Access Whether covered Whether

Item (Code)

Code for Col. (24) of treatment of

in Col. 26, source 26, Col. in If Code ‘1’ or ‘2’ or ‘1’ Code If

Flourosis Diabetes Hypertension Chronic heart disease attack infarction/Heart Myocardinal Stroke/Cerebrovascular accidentEpilepsy 04 Asthma/Chronic respiratory diseaseGoitre/Thyroid disorder 05 Tuberculosis 07 Leprosy System Cancer-Respiratory Cancer-Gastrointestinal system system Cancer-Genitourinary Cancer-Breast Renal stone 12 Chronic renal disease Gall stone/Cholecystitis Chronic liver disease arthritis/OsteoarthritisRheumatoid Chronic skin diseases/PsoriasisCataract 19 Glaucoma Tonsillitis Sinusitis, 20 Pyorrhea (Code)

2 1 3

11

08 01 07 09 10 12 13

treatment Code Code

Getting regular Getting

(Code)

diagnosis Source of Source Item Item HOUSEHOLD SCHEDULE Not to be asked if Code ‘00’ in Col. 24 Col. in ‘00’ Code asked if be to Not Code for Col. (22) Code for Col. (23)

Details of diagnosis/treatment not available Details of diagnosis/treatment available

(Code) Has diagnosed for diagnosed Has Yes No No symptoms of chronic disease 99 Diseases of respiratory system Diseases of cardiovascular systemDiseases of central nervous systemDiseases of musculo-skeletal system 02 Diseases of gastrointestinal system 03 04 Diseases of genitourinary systemSkin diseases 05 Goitre Elephantiasis 06 Eye problems/diseases ENT problems/diseases problems dental and Mouth Others

Chronic illness (During last 1 year) in Col. 22) Col. in 11

01 06 09 12 13 99 00 02 03 05 08 04

Code for Codes ‘01’ to ‘13’ to ‘01’ Codes for

Morbidity Status (Code) (Applicable (Code)

Sought medical care medical Sought

(Code)

for more than 1 month 1 than more for

to illness persisting illness to Item

Hospital/Clinic 07 Hospital/Clinic 10 Symptom(s) pertaining Symptom(s)

Sub center PHC CHC UHC/UHP/UFWC Dispensary/Clinic Hospital AYUSH Dispensary/Clinic Hospital AYUSH Code for Col. (21, 25, 27)

(Code) GOVERNMENT PRIVATE Hospital/Clinic Trust or NGO for Col. 27) DOT Center (only At Home Others No Treatment Source of Treatment of Source 4 5 1 2 6 7 8 9 0

Code Acute illness (Code) illness of Type

(During last 15 days)

year (Code) year

injury during last 1 last during injury Type of Treatment for Treatment of Type

Item

Injury Acute Illnesses

survey? (Code) survey?

Code for Col. (20) Disability as on date of date on as Disability

18 19 20 21 22 23 24 25 26 27 Whether having any form of form any having Whether Diarrhoea Dysentery infectionrespiratory Acute Jaundice with fever 3 Fever with chill/rigors etc.) (malaria Fever of short duration with rashes fever of types Other Reproductive tract infections (RTI) Others No Illness 7 0 5 6 Code 1 2 3 4 5 6 7 0 Code 2 Name the Household) Item Item (Start with Head of

Code for Col. (18) Code for Col. (19) Annual Health Survey 2012-13 Number Serial ANNUAL HEALTH SURVEY HEALTH ANNUAL 1 Mental Visual Hearing Speech Locomotor Multiple Others Disability No SIDE - ‘B’ Treated in intensive care unit for any timeany for unit care intensive in Treated Treated as in patient with stay > 2 weeks 1 Treated as in patient with stay 1 to 2 weeks 2 Treated as in patient with stay < 1 week 3 Treated as out patient 4 Treated by traditional healers Treated at home No injury

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Confidential when filled ANNUAL HEALTH SURVEY WOMAN 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 are to be copied from Col. 1, 2, 6, 9, 12, 16 & 17 respectively of the Household Schedule. However, Marital Status, Highest educational 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 according priority.

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-2 Q.1 Have you ever conceived? If Code '2', go to Section II of the Schedule

Record the number Q.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-2 01.01.2012? If Code '2', go to Q.7 Annual Health Survey 2012-13

Record the number Q.5 How many children have been born alive Male Female Total ever before 01.01.2012 and out of them how many are surviving as on 01.01.2012? Born Alive

Surviving

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-2 resulted in live birth/still birth/abortion If Code '2', go to Section II during 01.01.2011 to 31.12.2011? of the Schedule

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Q.8 If Code ‘1’ (Yes) in Q.7, record the history of outcome(s) of pregnancy(s). Start with the last pregnancy excluding the 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 for or '2' in pregnancy month of receive for was the performed/ induced Col. 2, confirmation pregnancy any ultrasound abortion completed abortion Pregnancy Outcome of record test did ANC? before this performed/ the Number 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 abort recorded) (Male-1, NPT kit? No-2) the Female-2) (Yes-1, pregnancy? No-2) (Code) 1 2 3 45678910 Live Birth-1 (...... ) Still Birth-2 Last Induced Abr.-3 pregnancy Spont Abr.-4

(...... ) Live Birth-1 Still Birth-2 Previous to last Induced Abr.-3 pregnancy Spont Abr.-4 Live Birth-1 (...... ) Still Birth- 2 Second Induced Abr.-3 from last pregnancy Spont Abr.-4

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

Code for Col.8 (Q.8) Code for Col.9 (Q.8) Item Code Item Code GOVERNMENT Doctor 1 Sub - Center 01 Nurse / ANM / LHV 2 Trained dai 3 PHC 02 Untrained dai 4 CHC 03 Family members / Relatives / Friends 5 UHC / UHP / UFWC 04 None / Self 6 Dispensary / Clinic 05 Others 7 Hospital 06 Code for Col.10 (Q.8) AYUSH Hospital / Clinic 07 Item Code PRIVATE Unplanned pregnancy 1 Dispensary / Clinic 08 Due to contraceptive failure 2 Hospital 09 Complication(s) in pregnancy 3 AYUSH Hospital / Clinic 10 Health did not permit 4 Female foetus 5 NGO or Trust Hosp. / Clinic 11 Economic reason(s) 6 Self 12 At Home Last child too young 7 Elsewhere 13 Foetus had congenital abnormality 8 Others 99 Others 9 Annual Health Survey 2012-13

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Q.9 Details about the last two outcome of pregnancy(s) which resulted in live birth (surviving / not surviving) / still birth 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 Code Live birth surviving 1 Last birth Previous to last birth Live birth not surviving 2 Still birth 3

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

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

Q.9 (4) Only if birth order >= 2 Last birth Previous to last birth Interval What is the interval between the previous (in completed and current live births? months) (If more than 99 months, record '99' only)

Last birth Previous to last birth Q.9 (5) Identification Code (only for live birth Identification surviving) – To be copied from Col. 6 Code of the Household Schedule

Q.9 (6) What is/was the date of birth of the baby? Last birth Previous to last birth (In case of still birth, record only month Date of Birth D D MMY YY YD D MMY YY Y and year)

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

Item Code Annual Health Survey 2012-13 Single 1 Multiple 2

ANTE NATAL CARE (ANC) Q.9 (8) Did you get your pregnancy registered for each birth? Last birth Previous to last birth Item Code Yes 1 No 2

(Record Code '2' only after ascertaining If Code ‘2’, go to that the woman has not received any Q.9 (15) ANC for that particular birth)

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

Q.9 (10) How many ANCs did you receive during Last birth Previous to last birth pregnancy associated with each birth? Number of (If more than 9 ANCs, record '9' only) ANCs

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 birth UHC / UHP / UFWC 04 Dispensary / Clinic 05 Hospital 06 AYUSH Hospital / Clinic 07 PRIVATE Dispensary / Clinic 08 Hospital 09 AYUSH Hospital / Clinic 10 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 birth during the ANC? performed (in numbers) (in numbers) (Read out the type of tests performed) Abdominal Examination

Blood Pressure (Record the total number of tests Breast performed across all ANCs. If any of Examination the tests were performed more than 9 times, record ‘9’ only) Weight Measurement

Urine test

Blood (for Hb estimation)

Blood group test

Blood (for other tests)

Ultrasound Annual Health Survey 2012-13

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Q.9 (13) (i) How many TT injections did you Last birth Previous to last birth receive? Number of TT injections

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

Q.9 (14) For how many days did you consume Last birth Previous to last birth Iron & 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 births in Q.9 (8), what was the main reason of not going for any ANC for that particular birth? Item Code Not needed 1 Not customary 2 Last birth Previous to last birth Cost 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 8 Others 9

Q.9 (16) Did you suffer from any of the health Health problem(s) during pregnancy associated Problems Last birth Previous to last birth with each birth? Swelling of hands, (Read out the health problems) feet and face Paleness/ Giddiness/ Weakness

Item Code Visual Annual Health Survey 2012-13 disturbances Yes 1 Excessive No 2 Fatigue Convulsions not from fever Weak or no movement of foetus Abnormal position of foetus

Excessive vomiting

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Health Last birth Previous to last birth Problems Hypertension/ High BP

Jaundice

Excessive bleeding

Vaginal discharge

Others

Q.9 (17) If Code '1' is recorded for any of the health problem(s) in Q.9 (16), did you seek treatment? Last birth Previous to last birth Item Code Yes 1 No 2

Q.9 (18) If Code '1' in Q.9 (17), where did you go for consultation or to seek treatment? Item Code GOVERNMENT Sub - Center 01 PHC 02 CHC 03 UHC / UHP / UFWC 04 Last birth Previous to last birth Dispensary / Clinic 05 Hospital 06 AYUSH Hospital / Clinic 07 PRIVATE Dispensary / Clinic 08 Hospital 09 AYUSH Hospital / Clinic 10 NGO or Trust Hospital / Clinic 11 At Home 12 Others 99 NATAL CARE Q.9 (19) Where did your delivery take place?

Item Code GOVERNMENT Sub - Center 01 PHC 02 CHC 03 UHC / UHP / UFWC 04 Last birth Previous to last birth Dispensary / Clinic 05 Hospital 06 AYUSH Hospital / Clinic 07 PRIVATE Dispensary / Clinic 08 Hospital 09 AYUSH Hospital / Clinic 10 NGO or Trust Hospital / Clinic 11 At Home 12 Others 99 Annual Health Survey 2012-13

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Q.9 (20) If Code '12' in Q.9 (19), what was the main reason for not going to health facility for delivery?

Item Code Not needed 01 Not customary 02 Last birth Previous to last birth Cost 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 birth motivated you to go to the health facility for delivery and where did she/he advise Facilitator/ Recom- Facilitator/ Recom- you to go? Motivator mended Motivator mended health health (Read out all facilitators/ motivators facility facility mentioned) Code for Facilitator/Motivator Doctor

Item Code ANM Yes 1 No 2 Health Worker Code for health facility Anganwadi Item Code Worker

Government ASHA Sub - Center 01 PHC 02 NGO/CBO CHC 03 UHC/UHP/UFWC 04 Husband Dispensary/Clinic 05 Hospital 06 Mother-in-law AYUSH Hospital/Clinic 07

Private Mother Annual Health Survey 2012-13 Dispensary/Clinic 08 Relatives/ Hospital 09 Friends AYUSH Hospital/Clinic 10 NGO or Trust Hospital/Clinic 11 Self Others 99 Others

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

Item Code Last birth Previous to last birth 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 main mode of transportation used by you to reach the health facility for delivery?

Item Code Ambulance 1 Last birth Previous to last birth Jeep/Car 2 Motor Cycle/Scooter 3 Bus/Train 4 Tempo/Auto/Tractor 5 Rickshaw/Cart 6 On foot 7 Others 8

Q.9 (24) In case of institutional delivery [for Last birth Previous to last birth Code ‘1-11’ in Q.9 (19)], how long did you stay in the institution after delivery? H/D No. H/D No. (Record in Hours (H), if stay <= 48 hrs, in Days (D) otherwise)

Q.9 (25) In case of institutional delivery [for Last birth Previous to last birth Code ‘1-11’ in Q.9 (19)], how much it cost (Amount in Rs.) (Amount in Rs.) out of your pocket on the following items during delivery? Transporation (Cost should exclude the amount reimbursed / to be reimbursed) Others

Q.9 (26) Did you avail any maternity financial assistance? Item Code Janani Suraksha 1 Last birth Previous to last birth Yojana (JSY) Availed Other Govt schemes (Other than JSY) 2 Any Other 3 Not Availed 4 Annual Health Survey 2012-13

8

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Q.9 (27) If Code ‘1’ in Q.9 (26), then Last birth Previous to last birth (i) How many days after the delivery, (Number of days) (Number of days) did you receive financial assistance? (ii) What was the total amount received by you during pregnacy and/or after delivery? Last birth Previous to last birth (Amount in Rs.) (Amount in Rs.)

Q.9 (28) Was the delivery normal, caesarean or assisted? Last birth Previous to last birth

Item Code Normal 1 Caesarean 2 Assisted 3

Q.9 (29) During delivery, did you experience Health Problems Last birth Previous to last birth any of the health problems associated with each birth? Premature labour (Read out all health problems) Excessive Item Code bleeding Yes 1 No 2 Prolonged labour (More than 12 hours) Obstructed labour

Breech Presentation Convulsion/ High BP

Others

Q.9 (30) In case of delivery at home [Code ‘12’ in Q. 9 (19)], who conducted your delivery? Annual Health Survey 2012-13 Item Code Last birth Previous to last birth Doctor 1 Nurse / ANM / LHV 2 Trained dai 3 Untrained dai 4 Family members / 5 Relatives / Friends None 6

9

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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 many days of delivery, the first check-up took place? Last birth Previous to last birth Number of Days [If no check-up was done at all for any of the births, record '00' for that particular birth and go to Q.9 (35)]

Q.9 (33) Where did your Post Natal check-up take place? Item Code GOVERNMENT Sub Center 01 PHC 02 Last birth Previous to last birth CHC 03 UHC / UHP / UFWC 04 Dispensary / Clinic 05 Hospital 06 AYUSH Hospital / Clinic 07 PRIVATE Dispensary / Clinic 08 Hospital 09 AYUSH Hospital / Clinic 10 NGO or Trust Hospital/Clinic 11 Others 99

Q.9 (34) Did any of the following happen when Last birth Previous to last birth you had the check-up after each birth? Abdomen (Read out all options mentioned) examined Item Code Advice on breast Yes 1 feeding No 2 Advice on baby care

Advice on family planning Annual Health Survey 2012-13

10

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

(To be asked only in respect of live births surviving or not surviving) Item Code Last birth Previous to last birth Within 24 hrs 1

Checked 24 hrs to 72 hrs 2 Up 4th day to 7th day 3 After the 7th day 4 Not checked up 5

Q.9 (36) If Code ‘1’ or ‘2’ or ‘3’ in Q.9 (35), number of check-up(s) during one week of delivery Last birth Previous to last birth

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

Item Code Government Sub - Center 01 PHC 02 CHC 03 Last birth Previous to last birth UHC/UHP/UFWC 04 Dispensary/Clinic 05 Hospital 06 AYUSH Hospital/Clinic 07 Private Dispensary/Clinic 08 Hospital 09 AYUSH Hospital/Clinic 10 NGO or Trust Hosp/Clinic 11 At Home 12 Others 99 Annual Health Survey 2012-13

Q.9 (38) If Code ‘12’ in Q.9 (37), who did the check-up at home? Item Code Doctor 1 Last birth Previous to last birth ANM 2 Health worker 3 Anganwadi worker 4 ASHA 5 Others 6

11

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Q.9 (39) During the first 6 weeks after delivery, Health Problems Last birth Previous to last birth did you experience any of the health problems? High fever (Read out all health problems) Item Code Lower abdominal pain Yes 1 No 2 Foul smelling vaginal discharge

Excessive bleeding

Convulsions

Head ache

Others

Q.9 (40) If Code '1' in any of the health problems in Q.9 (39), did you seek treatment? Last birth Previous to last birth Item Code Yes 1 No 2

Q.9 (41) If Code '1' in Q.9 (40), where did you go for consultation or to seek treatment? Item Code Government Sub - Center 01 PHC 02 Last birth Previous to last birth CHC 03 UHC/UHP/UFWC 04 Dispensary/Clinic 05 Hospital 06 AYUSH Hospital/Clinic 07 Private Dispensary/Clinic 08 Hospital 09 AYUSH Hospital/Clinic 10 NGO or Trust Hosp/Clinic 11 Others 99

Q.9 (42) Whether birth weight of the baby was taken? (To be asked only in respect of live Last birth Previous to last birth births surviving or not surviving) Item Code Yes 1 No 2 Don’t Know 3 Annual Health Survey 2012-13

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Q.9 (43) If Code ‘1’ in Q.9 (42), what was the birth Last birth Previous to last birth weight of the baby? Kg gms Kg gms Birth weight

Q.9 (44) When did you first breast feed your baby? (To be asked only in respect of live births surviving or not surviving) Last birth Previous to last birth Item Code Immediately within 1 hour of birth 1 1 hour to 24 hours of birth 2 If Code '5' 2-3 days 3 go to Q.9 (48) After 3 days 4 Never breast-fed 5

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

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

Item Code Yes 1 No 2

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

Q.9 (46) Are you currently breastfeeding your Baby’s Name baby?

Item Code Last birth Previous to last birth Yes 1 No 2

Q.9 (47) How many days/months did you Annual Health Survey 2012-13 exclusively breastfeed your baby?

(If duration of breastfeeding is less than Last birth Previous to last birth one month, record no. of days and if duration is in months, record no. D/M No. D/M No. of months)

Unit Code Days D Months M

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Q.9 (48) At what age (in months/days) did you start Last birth Previous to last birth Type of food feeding the baby, food other than D/M No. D/M No. breast milk? (If only breast feeding, record ‘00’) Water

(If duration of starting other types of food Animal Milk/ is less than one month, record no. of Formula Milk days and if duration is in months, record Semi Solid no. of months) Mashed Unit Code Solid (Adult Days D food) Month M Vegetables/ Fruits

IMMUNIZATION

Q.9 (49) Do you have an Immunization/MCH card for your baby? Last birth Previous to last birth Item Code Yes 1 No 2

Q.9 (50) If Code '1' in Q.9 (49), whether Immunization card made available Last birth Previous to last birth at the time of interview? Item Code Yes 1 No 2

Q.9 (51) If card made available, whether information recorded by using the card? Last birth Previous to last birth Item Code Yes 1 No 2

Q.9 (52) Has the baby ever received any vaccination? Last birth Previous to last birth Item Code Yes 1 No 2

(If Code '2' for any births, go to Q.9 (56) for that particular birth) Annual Health Survey 2012-13

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

Item Code At birth 1 Last birth Previous to last birth Yes Within 6 weeks 2 Thereafter 3 No 4

Q.9 (54) Were the following vaccines administered to your baby? Type of Vaccine Last birth Previous to last birth

(Read out the type of vaccines) Polio birth dose (Yes-1, No-2, Don’t # If more than 9 doses, record ‘9’ only Know-3) for that particular birth. * No. of Polio doses in routine * If no vaccination received, record ‘0’ immunization (RI) for that particular birth. other than the birth dose # No. of Polio doses in PP (Pulse Polio) immunization during last one year * No. of DPT injections Measles (Yes-1, No-2, Don’t Know -3) * No. of doses of Hepatitis B during last one year

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

Item Code Government Anganwadi 00 Sub - Center 01 Last birth Previous to last birth PHC 02 CHC 03 UHC/UHP/UFWC 04 Dispensary/Clinic 05 Annual Health Survey 2012-13 Hospital 06 AYUSH Hospital/Clinic 07 Private Dispensary/Clinic 08 Hospital 09 AYUSH Hospital/Clinic 10 NGO or Trust Hosp/Clinic 11 Others 99

15

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Q.9 (56) If no vaccination was received by your baby, what was the main reason thereof? Item Code Last birth Previous to last birth Child is weak/sick 1 Not aware of the need 2 Place of immunization is 3 not known Session site too far 4 Fear of side effects 5 Nobody to take child to 6 session site Not customary 7 Child too young 8 Others 9

Q.9(57) Number of Vitamin A doses received by Last birth Previous to last birth your baby during last six months? No. of Vitamin A (If not received, record ‘0’) doses

Q.9 (58) Was IFA tablet/syrup administered to your baby, in the last 3 months? Last birth Previous to last birth

(To be asked for babies older than 6 months) Item Code Tablets 1 Yes Syrup 2

No 3

Q.9 (59) If Code '1' or '2' in Q.9 (58), then for how Last birth Previous to last birth many days was it given in the last 3 No. of months? Days

CHILD HEALTH

Q.9 (60) Did the baby suffer from Acute Respiratory Infection (ARI) during last 15 days? Last birth Previous to last birth Item Code Yes 1 No 2

Q.9 (61) If Code ‘1’ in Q.9 (60), was the baby given any treatment? Last birth Previous to last birth Item Code Antibiotic 1 Other treatment 2 No treatment 3 Annual Health Survey 2012-13

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Q.9(62) Did the baby suffer from fever during last 15 days? Last birth Previous to last birth Item Code Yes 1 No 2

Q.9 (63) If Code ‘1’ in Q.9 (62), was the baby given any treatment? Last birth Previous to last birth Item Code Yes 1 No 2

Q.9 (64) Did the baby suffer from diarrhoea during last 15 days? Last birth Previous to last birth Item Code Yes 1 No 2

Q.9 (65) If Code ‘1’ in Q.9 (64), did you administer Last birth Previous to last birth HAF/ ORT/ ORS and Zinc to the baby?

Item Code HAF Yes 1 No 2 ORT/ORS

ORT/ORS & Zinc

Q.9 (66) Have you availed Anganwadi services during the pregnancy and/or lactation Last birth Previous to last birth associated with each birth? During Pregnancy Item Code Yes 1 During Lactation No 2

REGISTRATION OF BIRTH

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

Last birth Previous to last birth Annual Health Survey 2012-13 Item Code Yes 1 No 2 Don’t know 3

Q.9 (68) If Code ‘1’ in Q.9 (67), did you receive Birth Certificate for your baby ? Last birth Previous to last birth

Item Code Yes 1 No 2

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

Q.1 Which of the family planning Codes Family Planning Methods Awareness method (s) are you aware of? (Yes - 1, No - 2)

(Read out all the family planning Modern methods) 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 [For Married but, Gauna not 13 Lactational Amenorrhoea Method (LAM) performedgo to Q.21 directly after recording response of Q.1] 14 Other traditional method

Q.2 Are you currently pregnant? Yes-1, No-2, Not sure-3 If Code ‘2’ or ‘3’, go If Code ‘1’, record no. of completed months to Q.6 of pregnancy.

Q.3 Are you registered for ANC? (Ensure that the woman has not Yes-1, No-2 If Code ‘2’ received any ANC, before recording go to Q.5 Code ‘2’)

Q.4 How many months pregnant were you Number of completed months at the time of first ANC?

Q.5 When you became pregnant this time, Now 1 did you want to become pregnant now, Within 2 years 2 did you want to wait until later, or did you Later 2 years or more 3 not want to have any (more) children at Did not want any (more) children at all 4 all? (After recording the response, go to CODE Go to Q.13) Q.13 Q.6 Are you currently menstruating? Yes 1 Go to Lactational Amenorrhoea 2 Q.7 Secondary Amenorrhoea 3 No In Menopause 4 Go to Uterus Removed 5 Q.13 Never Menstruated 6 Go to Q. 21 CODE Annual Health Survey 2012-13

18 100 CHHATTISGARH

Q.7 When you became mother last time, Then 1 did you want this child then, did you Later Within 2 years 2 want to wait until later or did you not want to have any (more) children at 2 years or more 3 all? Did not want any (more) children at all 4 (Applicable for those who have given CODE atleast one live birth) If Code Q.8 Is your husband living with you? Yes-1, No-2 ‘2’, go to Q.13

Q.9 (i) Are you or your husband currently Yes-1, No-2 If Code using any method(s) of family ‘2’, go to planning? Q.12 (ii) If Code ‘1’ in Q.9 (i), specify the most (Use Codes from Q.1) If Code used method ‘03-14’, go to (iii) If Code ‘01’ or ‘02’ in Q.9 (ii), where GOVERNMENT Q.10 did you or your husband got the Govt. / Municipal hospital 1 operation done? Govt. Dispensary 2 UHC / UHP / UFWC 3 CHC 4 PHC 5 Camp 6 PRIVATE Hospital 7 Dispensary / Clinic 8 Others 9 CODE

If Code (iv) Did you/your husband receive the Yes-1, No-2 compensation after sterilization? ‘2’, go to Q.20 (v) If Yes, when did you/your husband Before /At the time of discharge 1 receive compensation for At the time of first follow up 2 sterilization? After several visit 3

CODE

(vi) How much compensation did you/ Amount (In Rs.) Go to your husband receive? Q.20

Q.10 (i) How long have you or your Less than 6 months 1 husband been using this method 6 months to < 1 year 2 continuously? Annual Health Survey 2012-13 1 year to < 2 years 3 2 years or more 4 Not remember 5

CODE

(ii) Have you/your husband had any Yes-1, No-2 health problems after you/your husband started using this method?

19

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Q.11 From where did you obtain this PUBLIC MEDICAL SECTOR method last time? Govt. / Municipal hospital 01 [Not applicable for Code ‘11’ or ‘12’ Govt. Dispensary 02 or ‘13’ if recorded in Q.9 (ii)] UHC / UHP / UFWC 03 CHC 04 (After recording the response, go to PHC 05 Q.17) 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 to Q.17 Q.12 What is the main reason for currently Wanted child now / soon 01 not using any method of family Lack of knowledge about family planning 02 planning? Against the religion 03 Opposed to family planning 04 Husband opposed 05 Other family members opposed 06 Not liking existing methods 07 Afraid of sterilization/operation 08 Cannot work after sterilization/operation 09 Worry about side effects 10 Costs too much 11 Health does not permit 12 Difficult / inconvenient to get method 13 Inconvenient to use method 14 Lack of access / Too far 15 Infertility 16 Others 17 CODE

Q.13* (i) Have you /your husband used If Code ‘2’, any method in the past and Yes-1, No-2 go to Q.15 discontinued?

(ii) If Code ‘1’ in Q.13 (i), specify the (Use Codes from Q.1) If Code ‘01’ most used method? or ‘02’, go to Q.21 Annual Health Survey 2012-13

20

102 CHHATTISGARH

Q.14* What was the main reason for Wanted child 01 discontinuing the use of the Method failed/became pregnant 02 method in the past? Supply not available 03 Difficult/inconvenient to get method 04 Weakness/inability to work 05 * For Code ‘4’ or ‘5’ in Q.6, skip and go to Q.21 after recording the Body ache/back ache 06 response(s) in Q.13/Q.14 Cramps 07 Weight gain 08 Dizziness 09 Nausea/Vomiting 10 Breast tenderness 11 Irregular periods 12 Excessive bleeding 13 Spotting 14 White discharge 15 Lack of pleasure 16 Method was inconvenient 17 Others 18

CODE

Q.15 Do you intend to use any method of If Code Yes-1, No-2 family planning, any time in the future? ‘2’, go to Q.17

Q.16 If Code ‘1’ in Q.15, then Within 6 months 1 6 months to < 1 year 2 1 year to < 2 years 3 (i) When do you want to use? 2 years or after 4 CODE

, (ii) Which method would you prefer (Use Codes from Q.1) to use?

Want more children 1 Q.17 Would you like to have another child? Want no more children 2 Not decided 3 If Code (For Currently Pregnant Woman, CODE ‘2’, go to response should pertain to child other Q. 20 than she is expecting now)

Q.18 What would you prefer as your next Boy 1 child? Girl 2 Doesn’t matter 3 Annual Health Survey 2012-13

CODE

Soon/Now/Less than 1 year 1 Q.19 How long would you like to wait to 1 year to < 2 years 2 have another child? 2 years to < 3 years 3 3 years or more 4 Not decided 5 CODE

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103 CHHATTISGARH

Q.20 Did an ANM /Health worker visit you during the last three months? Yes-1, No-2 (Applicable only for currently pregnant women/lactating mother)

Q.21 Have you ever been counselled by Health Functionaries for menstrual Yes-1, No-2 hygiene?

Q.22 Have you heard of RTI/STI? Yes-1, No-2

Q.23 Have you heard of HIV/AIDS? Yes-1, No-2

Q.24 Are you aware about the administration of HAF/ORT/ORS Home Available Fluids (HAF) and Zinc during diarrhoea?

Item Code ORT/ORS Yes 1 ORT/ORS and Zinc No 2

Q.25 Are you aware of the danger signs of Acute Respiratory Infection (ARI)/ Yes-1, No-2 Pneumonia?

Q.26 Are you aware of the danger signs of new born? Yes-1, No-2

Result of Interview CODE Name & Signature of Name & Signature/Thumb the Enumerator Impression of the Respondent Completed 1 Not completed Refused 2 Incapacitated 3 Partly completed 4 Not at Home 5 D DMMYYYY Date of Interview Others (Please specify) 6 Annual Health Survey 2012-13

22

104 CHHATTISGARH

Remarks of Enumerator

Name & Signature with Date:

Remarks of Supervisor Annual Health Survey 2012-13

Name & Signature with Date:

105

CHHATTISGARH medical facility (in kms)# (in facility medical

1 2 3 4 5 6

deceased was staying) to the nearest the to staying) was deceased

Code

Distance from place (where the (where place from Distance

complications and death (Code) death and complications

Time between onset of onset between Time

(Code)

Symptoms preceding death preceding Symptoms Page No...... (Code) priority of order

Item contributing to death in death to contributing Top two factors two Top

Code for Col. (22)

P1 P2

time of death? of time

was she pregnant at the at pregnant she was

Col.18, how many months many how Col.18,

If Code ‘1’ or ‘2’ or ‘3’ in ‘3’ or ‘2’ or ‘1’ Code If < 2 hours 2 hours to < 24 24 hours to < 2days 7 days < 2 days to 7 days < 14 14 days or more

If ‘Yes’ in Col. 17, ask the following If ‘Yes’ (Code) occurred? Period when the death the when Period

1 2 3 4 5 6 7 8 9 0

For female deceased aged 15-49 years No-2) (Yes-1, pregnancy? with Code Was the death associated death the Was

Unit death (Code) death

Sample Symptoms preceding Symptoms

Confidential when filled Order of birth of Order Item

as in Household Schedule Household in as

(< 1 year) Code for Col. (21) Serial number of mother of number Serial For Infant death

01.01.2011 to 31.12.2011. Still births not to be included. Still to 31.12.2011. 01.01.2011

certificate? (Yes-1, No-2) (Yes-1, certificate? Excess bleeding Sepsis Pregnancy Induced (PIH) Hypertension Prolonged Labour/ Obstructed labour Injury to uterus & other organs Anaemia Jaundice Malaria Other medical conditions in pregnancy Other conditions not related to pregnancy

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

Stratum 4 7 (Yes-1, No-2, Don't know-3) Don't No-2, (Yes-1, Code

of death Is the death registered? death the Is

Registration

Date

Place of death (Code) death of Place before death (Code) death before

Item Source of medical attention medical of Source

Code for Col. (20)

Rural-1, Urban-2

MORTALITY SCHEDULE MORTALITY (in completed years) completed (in 1 year and above and year 1

Delay in receiving health careat facility Inadequate care at health facility 1 2 Lack of transport in shifting tofacility Lack of funds 3 condition the of Seriousness not realized condition the of Seriousness 5 realized but decision not made by family members 6 Others Signature (in completed months) completed (in

1 2 3 4 5 6 7 1 to 11 months 11 to 1 Code

Age at death Below 1 month (in days) (in month 1 Below 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Item Code for Col. (18) Name Name and Signature of the Enumerator During antenatal period During delivery abortion During delivery of days 42 Within After 42 days of delivery abortion of days 42 Within After 42 days of abortion 6 09 10 11 12 13 14 15 Code Date of Death of Date District

D DM M YY YY YY M DM D

Item

(Male-1, Female-2) (Male-1,

SI. No. Sex of deceased of Sex 5 Enumerator -1: Enumerator -2: Code for Col. (16) Contd. Pre-term/Low birth weight baby not thriving Respiratory infection Diarrhoea / Dysentery rash with Fever Fever with convulsion Fever with jaundice Others days): (0-28 mortality Neonatal 15 & 01-09 Codes Post neonatal mortality (29-365 days): Codes 08-15 Zone 1 2 3 4 01 02 03 04 05 06 07 08 Code Code 4 Item deceased Item Name of the Code for Col. (16) Code for Col. (11)

At home In-transit In health facility Other places Other Asphyxia Hypothermia Infections Birth Injuries Convulsions soon birth after Jaundice Bleeding from umbilicus & elsewhere defects Congenital/Birth Household No. (2 digits)* (2 No. Household 01 02 03 04 05 06 07 08 09 10 11 12 99 00 Code Schedule (4 digits)* House No. Item ANNUAL HEALTH SURVEY HEALTH ANNUAL

Code for Col. (10)

Annual Health Survey 2012-13 Col. 1 to 3 to be filled for all Households & Col. 4 to 23 for deaths occurred to the usual residents of the sample unit during Col. 1 to 3 be filled for all Households & 4 23 deaths occurred the usual residents No. Serial State Sub Center PHC CHC UHC/UHP/UFWC Dispensary/Clinic Hospital Hospital/Clinic AYUSH Dispensary/Clinic Hospital Hospital/Clinic AYUSH NGO or Trust Hosp/Clinic 1 2 3 * = be copied from House hold To # = if distance is less than 1 km, record ‘0’ GOVERNMENT PRIVATE At Home Others No Medical Attention

106 CHHATTISGARH

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 Annual Health Survey 2012-13

107

Chhattisgarh: Coverage along the continuum of care

Pre Family Planning (Any Method) (%) 60.2 pregnancy

Received any Antenatal Check-up 91.8

Antenatal Check-up in First Trimester 73.6 Pregnancy

Full Antenatal Check up 22.3

Ultrasound 31.9

Safe Delivery 59.1

Check up within 48 hrs 70.3 Birth

Children breastfed within one hour of birth 66.3

Exclusively breastfed for at least six months 50.8

Animal/Formula Milk 44.0 Infancy

Received 3 doses of DPT vaccine 81.8

Received Measles vaccine 90.0

Received at least one Vitamin A dose 68.3

Fully Immunized 74.9

Care sought for ARI 97.9

Care sought for Diarrhoea 93.0 Childhood

Care sought for Fever 95.2

0 10 20 30 40 50 60 70 80 90 100