DLHS -2 DLHS-2 Uttar Pradesh Reproductive and Child Health District Level Household Survey 2002-04 International Institute for Ministry of Health & Family TNS India Private Limited Population Sciences Welfare, Government of India New Delhi – 110 016 (Deemed University) New Delhi – 110 011 Mumbai – 400 088 Reproductive and Child Health District Level Household Survey (DLHS - 2) Uttar Pradesh 2002-04 International Institute for Ministry of Health & Family Population Sciences, Welfare, Government of India, TNS India Pvt. Ltd., (Deemed University) New Delhi – 110 011 New Delhi – 110 016 Mumbai – 400 088 Contributors TNS India Private Limited, New Delhi Tilak Mukherji U.V.Somayajulu S. Anil Chandran B. S. Singh International Institute for Population Sciences, Mumbai F. Ram B. Paswan L. Ladu Singh Rajiv Ranjan Akash Wankhede CONTENTS Page Tables ................................................................................................................................ iv Figures ................................................................................................................................ vii Maps ................................................................................................................................... vii Preface and Acknowledgement ......................................................................................... ix Key Indicators ................................................................................................................... xi Salient Findings ................................................................................................................. xiii CHAPTER I INTRODUCTION 1.1 Background and Objectives of the Survey ................................................................ 1 1.2 Survey Design .......................................................................................................... 2 1.3 House Listing and Sample Selection ....................................................................... 2 1.4 Questionnaire ........................................................................................................... 3 1.5 Fieldwork and Sample Coverage ............................................................................ 5 1.6 Data Processing ....................................................................................................... 5 1.7 Sample Weights ........................................................................................................ 5 1.8 Sample Implementation ........................................................................................... 7 1.9 Basic Demographic Profile of the State ................................................................... 11 CHAPTER II BACKGROUND CHARACTERISTICS OF HOUSEHOLD 2.1 Age –Sex Structure ................................................................................................... 15 2.2 Household Characteristics ....................................................................................... 16 2.3 Educational Level of the Household Population ...................................................... 18 2.4 Marital Status of the Household Population ............................................................ 21 2.5 Marriage .................................................................................................................. 22 2.6 Morbidity Rates ....................................................................................................... 25 2.7 Morbidity Rates by Districts .................................................................................... 26 2.8 Housing Characteristics ........................................................................................... 28 2.9 Housing Characteristics by Districts ........................................................................ 32 2.10 Iodization of Salt ..................................................................................................... 34 2.11 Iodization of Salt by Districts ................................................................................... 36 2.12 Availability of Facility and Services to the Rural Population ................................. 38 2.13 Availability of Education Facility and Health Services by Districts ........................ 40 CHAPTER III CHARACTRERISTICS OF WOMEN, HUSBANDS AND FERTILITY 3.1 Background Characteristics of Women .................................................................... 45 3.2 Educational Level of Women .................................................................................. 47 3.3 Background Characteristics of Husbands of Eligible Women ................................ 49 3.4 Educational Level of Husbands of Eligible Women ............................................... 50 3.5 Children Ever Born and Surviving .......................................................................... 51 3.6 Completed Fertility by District ................................................................................. 53 3.7 Birth Order .............................................................................................................. 56 3.8 Birth Order by District ............................................................................................ 57 3.9 Fertility Preference .................................................................................................. 60 3.10 Pregnancy Outcomes ............................................................................................... 62 Page CHAPTER IV MATERNAL HEALTH CARE 4.1 Antenatal Check-Ups ............................................................................................... 66 4.2 Antenatal Check-Ups at Health Facility .................................................................. 68 4.3 Antenatal Check-Ups by District ............................................................................. 70 4.4 Reasons for Not Seeking Antenatal Check-Ups ...................................................... 72 4.5 Components of Antenatal Check-Ups ...................................................................... 73 4.6 Antenatal Care Services ........................................................................................... 74 4.7 Antenatal Care Indicator by District ........................................................................ 79 4.8 Pregnancy Complications and Treatment ................................................................ 82 4.9 Delivery Care ........................................................................................................... 85 4.9.1 Place of Delivery ...................................................................................................... 85 4.9.2 Assistance During Home Delivery .......................................................................... 87 4.9.3 Delivery Assisted by Skilled Persons ...................................................................... 89 4.10 Reasons for Not Going to Health Institutions for Delivery ..................................... 91 4.11 Delivery Characteristics by District ......................................................................... 92 4.12 Complications during Delivery ................................................................................ 94 4.13 Post Delivery Complications and Treatment ........................................................... 96 4.14 Obstetric Morbidity by District ................................................................................ 100 CHAPTER V CHILD CARE AND IMMUNIZATION 5.1 Breastfeeding .......................................................................................................... 105 5.1.1 Breastfeeding by Districts ....................................................................................... 108 5.2 Immunization of Children ....................................................................................... 110 5.3 Source of Immunization.......................................................................................... 116 5.4 Reasons for Not Immunizing the Children ............................................................. 116 5.5 Vitamin A and Iron Supplements ........................................................................... 117 5.6 Immunization Coverage by District ........................................................................ 119 5.7 Child Morbidity and Treatment .............................................................................. 121 5.7.1 Awareness of Diarrhoea .......................................................................................... 122 5.7.2 Treatment of Diarrhoea ........................................................................................... 123 5.7.3 Awareness of Pneumonia ....................................................................................... 125 5.7.4 Treatment of Pneumonia ......................................................................................... 125 5.7.5 Awareness of Diarrhoea, ORS and Pneumonia and Incidence of Diarrhoea and Pneumonia by District ............................................................................................ 127 CHAPTER VI FAMILY PLANNING 6.1 Knowledge of Family Planning Methods ............................................................... 131 6.1.1 Knowledge of Family Planning Methods by Districts............................................ 135 6.1.2 Knowledge of No-Scalpel Vasectomy (NSV) ......................................................