OFFICE OF THE REGISTRAR GENERAL & CENSUS COMMISSIONER, INDIA MINISTRY OF HOME AFFAIRS, GOVERNMENT OF INDIA 2/A, MANSINGH ROAD, NEW DELHI-110011 ANNUAL HEALTH SURVEY REPORT A REPORT ON CORE AND VITAL HEALTH INDICATORS PART I IN COLLABORATION WITH INSTITUTE OF ECONOMIC GROWTH DELHI UNIVERSITY ENCLAVE, NORTH CAMPUS DELHI 110007 ii CONTENTS CONTENTS ................................................................................................................................................................... III LIST OF TABLES .......................................................................................................................................................... IV LIST OF FIGURES ........................................................................................................................................................ VII LIST OF MAPS ............................................................................................................................................................. IX LIST OF ABBREVIATIONS .............................................................................................................................................. X EXECUTIVE SUMMARY ................................................................................................................................................ XI INTRODUCTION ............................................................................................................................................................ 1 HOUSEHOLD POPULATION AND CHARACTERISTICS .................................................................................................... 17 FERTILITY AND FAMILY PLANNING ............................................................................................................................ 36 MATERNAL HEALTH AND HEALTH CARE .................................................................................................................. 57 MATERNAL MORTALITY ............................................................................................................................................ 76 CHAPTERS CHILD HEALTH AND HEALTH CARE ........................................................................................................................... 91 NEONATAL, INFANT AND UNDER-FIVE MORTALITY ................................................................................................ 113 ACUTE AND CHRONIC ILLNESS ................................................................................................................................ 132 DISABILITY AND INJURY .......................................................................................................................................... 148 MATERNAL AND CHILD HEALTH DEPRIVATION INDEX ............................................................................................ 161 iii LIST OF TABLES Table 1.1: AHS sample particulars for all the nine AHS States ........................................................................................................ 7 Table 1.2: Population distribution of the nine AHS States, Census of India 2011 ......................................................................... 10 Table 1.3: Key economic and employment indicators for the nine AHS States ............................................................................. 12 Table 1.4: Estimates of consumption expenditure and inequality in nine AHS States .................................................................. 13 Table 1.5: Source of drinking water for households in nine AHS States ........................................................................................ 14 Table 1.6: Source of lighting for households in nine AHS States .................................................................................................... 15 Table 2.1 Household Size .................................................................................................................................................................... 17 Table 2.2 Rural and Urban Household Size (2012-13) ..................................................................................................................... 19 Table 2.3: Sex Ratio at Birth, Child Sex Ratio and Sex Ratio at State-level (2012-13) ................................................................. 19 Table 2.4 Child Sex ratio and Sex ratio at Birth at District Level (2012-13).................................................................................. 22 Table 2.5 Rural and Urban Sex Ratio at District Level (2012-13) .................................................................................................. 22 Table 2.6 Frequency Distribution of Sex Ratio (2012-13) ................................................................................................................ 25 Table 2.7 Frequency distribution of child sex ratio (2012-13) ......................................................................................................... 25 Table 2.8 Dependency Ratio ............................................................................................................................................................... 26 Table 2.9 Frequency distribution of dependency ratio (2012-13) ................................................................................................... 26 Table 2.10 Rural and Urban Dependency Ratio (2012-13) .............................................................................................................. 27 Table 2.11 Effective Literacy Rates (%) ........................................................................................................................................... 27 Table 2.12 Frequency of Effective Literacy Rates (2012-13) ........................................................................................................... 28 Table 2.13 Rural and Urban Effective Literacy Rates (2012-13) .................................................................................................... 28 Table 2.14 Differentials in Effective Literacy Rates (2012-13) ........................................................................................................ 29 Table 2.15: Married Illiterate Women (%) ....................................................................................................................................... 29 Table 2.16: District level Married Illiterate Women (2012-13) ....................................................................................................... 30 Table 2.17: Marriages below Legal Age (2012-13) ........................................................................................................................... 30 Table 2.18: Frequency of Districts with % Marriages below the Legal Age among Women (2012-13) ...................................... 31 Table 2.19 Children Currently Attending School (%) ..................................................................................................................... 31 Table 2.20 Levels of School Dropout, Child Labour and Adult Work Participation (2012-13) ................................................... 32 Table 3.1: Total Fertility Rates (%) .................................................................................................................................................. 37 Table 3.2: Frequency Distribution of Total Fertility Rates in 2012-13 (2010-11) .......................................................................... 37 Table 3.3: District-wise trends in Total Fertility Rates .................................................................................................................... 38 Table 3.4: List of 100 districts with highest total fertility rates, 2012-13 ........................................................................................ 39 Table 3.5: Family Planning Methods and Unmet Need for Family Planning (%) ......................................................................... 42 Table 3.6: District-wise trends in family planning practices and Unmet Need for Family Planning ........................................... 42 Table 3.7: Frequency Distribution of Family Planning Methods and Unmet Need for Family Planning ................................... 43 Table 3.8: Unmet need for Family Planning Methods for Spacing and Limiting Pregnancy in 2010-11 and 2012-13 (%) ....... 44 Table 3.9: Current Usage of Family Planning Methods .................................................................................................................. 45 Table 3.10: List of 100 districts with lowest use of any method of Family Planning and highest unmet need for Family Planning, 2012-13 ................................................................................................................................................................................ 46 Table 3.11: Coefficient of Variation of District Level Total Fertility Rate in each State .............................................................. 52 Table 4.1: Levels of Ante-natal Care (ANC) (%) ............................................................................................................................. 59 iv Table 4.2: Ante-natal Care related Indicators .................................................................................................................................. 61 Table 4.3: Tetanus Toxoid Injection and Iron and Folic Acid Consumption................................................................................