NATIONAL FAMILY HEALTH SURVEY (NFHS-5) INDIA 2019-20 National Family Health 2019-20 Survey (NFHS-5) BIHAR MARCH 2021 Suggested citation: International Institute for Population Sciences (IIPS) and ICF. 2021. National Family Health Survey (NFHS-5), India, 2019-20: Bihar. Mumbai: IIPS. For additional information about the 2019-20 National Family Health Survey (NFHS-5), please contact: International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai-400088 Telephone: 022-4237 2442 Email: [email protected], [email protected] For related information, visit http://www.rchiips.org/nfhs or http://www.iipsindia.ac.in CONTRIBUTORS S.K. Singh Laxmi Kant Dwivedi Chander Shekhar Brajesh CONTENTS Page KEY FINDINGS Introduction .............................................................................................................................................. 1 Household Characteristics ...................................................................................................................... 3 Education ................................................................................................................................................... 6 Fertility ...................................................................................................................................................... 7 Family Planning ..................................................................................................................................... 10 Infant and Child Mortality .................................................................................................................... 13 Maternal Health ...................................................................................................................................... 14 Child Health ............................................................................................................................................ 19 Breastfeeding, Nutrition, and Anaemia .............................................................................................. 22 Adult Health and Health Care ............................................................................................................. 26 HIV/AIDS ............................................................................................................................................... 28 Sexual Behaviour .................................................................................................................................... 30 Women’s Empowerment ...................................................................................................................... 30 Domestic Violence .................................................................................................................................. 33 TABLES Table 1 Results of the household and individual interviews ..................................................... 35 Table 2 Results of the household and individual interviews by district................................... 36 Table 3 Household population by age, schooling, residence, and sex ...................................... 37 Table 4 Household and housing characteristics ........................................................................... 38 Table 5 Access to a toilet facility ..................................................................................................... 41 Table 6 Access to a toilet facility by district .................................................................................. 42 Table 7 Household possessions and land ownership .................................................................. 43 Table 8 Preschool attendance .......................................................................................................... 44 Table 9 Preschool attendance by district ........................................................................................ 45 Table 10 School attendance ................................................................................................................ 46 Table 11 Children's living arrangements and orphanhood .......................................................... 47 Table 12 Birth registration of children under age five ................................................................... 48 Table 13 Birth registration of children under age five by district ................................................ 49 Table 14 Death registration ................................................................................................................ 50 Table 15 Death registration by district ............................................................................................. 51 Table 16 Disability ............................................................................................................................... 52 Table 17 Background characteristics of respondents ..................................................................... 53 Table 18 Fertility trends ...................................................................................................................... 55 Table 19 Fertility by background characteristics ............................................................................ 56 Table 20 Teenage pregnancy and motherhood ............................................................................... 57 Table 21 Birth order ........................................................................................................................... 58 Table 22 Birth intervals ...................................................................................................................... 59 Table 23 Fertility preferences by number of living children ........................................................ 60 Page Table 24 Desire not to have any more children .............................................................................. 61 Table 25 Ideal number of children ................................................................................................... 62 Table 26 Indicators of sex preference ............................................................................................... 63 Table 27 Knowledge of contraceptive methods .............................................................................. 64 Table 28 Current use of contraception by background characteristics ....................................... 67 Table 29 Current use of contraceptive methods by district .......................................................... 69 Table 30 Contraceptive use by men with last sexual partner ....................................................... 70 Table 31 Source of modern contraceptive methods ....................................................................... 72 Table 32 Informed choice ................................................................................................................... 75 Table 33 Twelve-month contraceptive discontinuation rates ....................................................... 76 Table 34 Men's contraception-related perceptions and knowledge ............................................ 77 Table 35 Need and demand for family planning among currently married women ................................................................................................................. 78 Table 36 Unmet need for family planning by district .................................................................... 79 Table 37 Hysterectomy ....................................................................................................................... 80 Table 38 Pregnancy outcome ............................................................................................................. 81 Table 39 Characteristics of abortions ................................................................................................ 82 Table 40 Age at first marriage ........................................................................................................... 84 Table 41 Early childhood mortality rates ......................................................................................... 85 Table 42 Early childhood mortality rates by background characteristics ................................... 86 Table 43 High-risk fertility behaviour .............................................................................................. 87 Table 44 Antenatal care ...................................................................................................................... 88 Table 45 Antenatal care services and information received ......................................................... 89 Table 46 Antenatal care indicators .................................................................................................... 90 Table 47 Antenatal care indicators by district ................................................................................. 91 Table 48 Advice received during pregnancy .................................................................................. 93 Table 49 Pregnancies for which an ultrasound test was done ...................................................... 94 Table 50 Pregnancy registration and Mother and Child Protection Card .................................. 96 Table 51 Delivery and postnatal care ............................................................................................... 97 Table 52 Delivery and postnatal care by background characteristics ........................................