16_Firozabad Factsheet UP

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    For further information, please contact:

    Additional Director General (Stat.)Ministry of Health and Family WelfareGovernment of India

    Nirman BhavanNew Delhi - 110 011

    Telephone: 011-23061334Fax: 011-23061334E-mail: [email protected]

    Chief Director (Stat.)

    Ministry of Health and Family WelfareGovernment of IndiaNirman BhavanNew Delhi - 110 011

    Telephone: 011-23062699Fax: 011-23062699E-mail: [email protected]

    Director/ Project Coordinator (DLHS -3)International Institute for Population Sciences (IIPS)Govandi Station Road, DeonarMumbai - 400 088

    Telephone: 022- 2556 3254/5/6Fax: 022- 2556 3257, 2555 5895

    E-mail: [email protected], [email protected]: http://www.rchiips.org

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    Uttar Pradesh DLHS-3 District : FirozabadAbout DLHS - 3: view to assess the utilization of services provided by government healthcare facilities and peoples perception about the quality of services. TheDistrict Level Household Survey - 3 (DLHS -3) is the third in the series of district survey, preceded by DLHS-1 in 1998-99 and DLHS-2 in 2002-04.As in DLHS-3, the International Institute for Population Sciences (IIPS) wasthe nodal agency to conduct DLHS-1 and DLHS-2. DLHS-3, like other twoearlier round, is designed to provide estimates on important indicators onmaternal and child health, family planning and other reproductive healthservices. In addition, DLHS-3 provides information on importantinterventions of National Rural Health Mission (NRHM). Unlike other tworounds in which only currently married women age 15-44 years wereinterviewed, DLHS -3 interviewed ever-married women (age 15-49) andnever married women (age 15-24).

    their performance in terms of ante-natal care (ANC), institutional delivery,immunization, etc. and it was fixed based on information related to suchindicators from DLHS-2. For low performing districts, 1500 Households(HHs), for medium performing districts, 1200 HHs and for goodperforming districts, 1000 HHs were fixed as sample size. In case of Firozabad, sample size was 1500 households with 10% additional HHs totake care of non-response/refusal, etc.

    The survey used two-stage stratified random sampling in rural and three-stage stratified sampling in urban areas of each district. The informationfrom 2001 Census was used as sampling frame for selecting primarysampling units (PSUs). In rural areas, all the villages in the district werestratified into different strata based on population /HH size, percentage of

    SC/ ST population, female literacy (7+), etc. The required number of villages from each strata were selected with probability proportional tosize (PPS). In selected primary sampling units (villages), household listingwas done and required number of households were selected usingFor larger villages (more than 300 HHs) segmentation was carried out. In

    case of 300 to 600 HHs, two segments of equal size were made and onewas selected using PPS. For PSUs having more than 600 HHs, segments of 150 HHs were created depending on the size and then two segmentswere selected using PPS. In case of urban areas, number of wards wereselected using PPS at first stage. In a selected ward, one enumerationblock from 2001 census was selected again using PPS. Procedure forse mentation, houshold selection, etc, was same as in the case of rurallanguage, were used in DLHS-3 viz., Household, Ever Married Women(age 15-49), Unmarried Women (age 15-24), Village and Health facilityquestionnaires.

    - ,t d b f i t l b f th

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    Uttar Pradesh DLHS-3 District : Firozabad

    Note:

    Unmet need for spacing

    Unmet need for limiting

    Unmet needUnmet need refers to unmet for limiting and spacing.# It is adjusted according to DLHS - 3 definition.Correct Knowledge of HIV/AIDS

    characteristics, maternal care, immunization and child care,

    contraception and fertility preferences, reproductive health includingknowledge about HIV/AIDS.

    The unmarried women's questionnaire contained information on hercharacteristics, family life education and age at marriage, reproductivehealth-knowledge and awareness about contraception, HIV / AIDS, etc.

    The village questionnaire contained information on availability of health,education and other facilities in the village and whether the healthfacilities are accessible throughout the year.

    or e rs me, popu a on- n e ac y survey as een con uc e nDLHS-3. In a district, all Community Health Centres (CHCs) and DistrictHospital (DH) were covered. Further, all Sub-centres (SC) and PrimaryHealth Centres (PHC) which were expected to serve the population of theselected PSU were also covered. There were separate questionnaires forSC, PHC, CHC and DH. They broadly include questions on infrastructure,human resources, supply of drugs & instruments, and performance.

    women 15-44 yearsDLHS -3 information is based on data collected from ever marriedwomen 15-49 years

    DLHS -2 in total percentage is adjusted for indicators considering oversampling of urban PSUs in DLHS-2. This adjustment is done in thosedistricts where urban percentage is less than 30. Residency/Yard/Plot),Tap(Shared/public),Hand pump/Bore well,Well-Covered.DLHS -3 Includes Pipe into Dwelling, Piped to yard/Plot, Public Tap/Standpipe.

    women who are neither in menopause or had hysterectomy nor arecurrently pregnant and who want more children after two years or laterand are currently not using any family planning method. The women whoare not sure about whether and when to have next child are also includedin unmet need for spacing.

    women who are neither in menopause or had hysterectomy nor are

    currently pregnant and do not want any more children but are currentlynot using any family planning method.

    The Women who heard about HIV/AIDS and have correct knowledge about

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    Uttar Pradesh DLHS-3 District : FirozabadDistrict Indicators, Firozabad, (2001 Census).

    Indicators Census 2001Population (in thousands) 2052

    Decadal Growth Rate (1991-01) 33.4Sex Ratio * 852

    Percent Urban population 30.3Percent SC population 18.9

    Percent ST population 0.0

    Female Literacy Rate (7 years and above) 51.0Male Literacy Rate (7 years and above) 75.9

    Sample outcome, DLHS -3, 2007-08Category No. covered Response Rate

    Households 1563 95.0

    Ever Married Women (15-49 years) 1484 91.3Unmarried Women (15-24 years) 437 91.0

    Sub Centres (SC) 26 100Primary Health Centres (P H C) 6 100

    Community Health Centres (C H C) 3 100

    District Hospital (D H) 2 100Population and Household Characteristics, 2007-08

    Background CharacteristicsDLHS - 3 DLHS - 2

    Total Rural Total Rural74.3 72.2 - -85.1 84.9 - -62.7 58.6 - -98.9 98.7 - -98.6 99.4 - -

    Have Electricity connection (%) 51.5 35.1 53.8 41.9Have Access to toilet facility (%) 29.5 5.3 27.3 10.4Use piped drinking water (%) 22.7 1.2 78.9 78.4Use LPG for cooking (%) 20.2 1.5 16.1 4.4

    Live in a pucca house (%) 33.9 12.9 32.2 15.6

    Own a house (%) 93.4 98.6 - -Have a BPL card (%) 21.4 26.7 - -Own Agriculture Land (%) 60.2 81.2Have a television (%) 33.1 16.3 31.9 20.3

    Have a mobile phone (%) 34.3 23.3 - -Have a Motorized Vehicle (%) 18.1 14.2 12.3 11.0

    Standard of Living Index

    Low (%) 63.2 83.6 50.1 64.0

    Medium (%) 17 0 13 9 32 6 28 4

    Percent total literate Population (Age 7+)Percent literate Male Population (Age7+)Percent literate Female Population (Age7+)Percent girls (age 6-11) attendingSchools

    Percent boys (age 6-11) attendingSchools

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    Uttar Pradesh DLHS-3 District : Firozabad

    Indicators DLHS - 3 DLHS - 2

    Marriage and Fertility, (Jan 2004 to 2007-08)Total Rural Total Rural

    Percentage of girl's marrying before completing 18 years 28.5 36.8 29.3 30.0

    Percentage of Births of Order 3 and above 46.0 48.3 59.5 63.0

    Sex Ratio at birth 96.0 95.0 - -

    60.4 66.8 - -13.4 15.4 - -

    Family planning (currently married women, age 15-49)Current Use :

    Any Method (%) 23.5 19.9 34.6 35Any Modern method (%) 19.2 14.9 24.9 23.3Female Sterilization (%) 11.1 9.4 9.3 8.9Male Sterilization (%) 0.0 0.0 0.0 0.0IUD (%) 1.2 0.9 3.6 3.8Pill (%) 1.2 0.7 4.3 4.6Condom (%) 5.8 3.9 7.1 5.4Unmet Need for Family Planning:

    Total unmet need (%) 50.6 55.2 38.6 38.9For spacing (%) 13.1 14.2 17.5 19.6

    For limiting (%) 37.5 41.0 21.1 19.3

    Maternal Health:

    36.1 33.6 - -

    21.6 15.9 11.9 8.9

    65.3 62.1 37.7 33.4

    Institutional births (%) 25.7 16.9 22.3 21.5Delivery at home assisted by a doctor/nurse /LHV/ANM(%) 5.6 4.2 2.3 0.9

    48.3 41.3 - -

    Child Immunization and Vitamin A supplementation:

    29.3 28.6 22.5 24.0

    Children (12-23 months) who have received BCG (%) 67.4 68.7 42.2 45.5

    46.0 47.9 26.2 28.3

    35.1 37.7 26.2 28.3

    Children (12-23 months) who have received Measles Vaccine (%) 41.2 40.9 26.7 29.0

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    Percentage of women age 20-24 reporting birth of order 2 &above.

    irt s

    Mothers registered in the first trimester when they were pregnantwith last live birth/still birth (%)

    Mothers who had at least 3 Ante-Natal care visits during the last

    Mothers who got at least one TT injection when they werepregnant with their last live birth / still birth (%)#

    Mothers who received post natal care within 48 hours of deliveryof their last child (%)

    Children (12-23 months) fully immunized (BCG, 3 doses each of DPT, and Polio and Measles) (%)

    C i ren 12-23 mont s w o ave receive 3 oses o Po ioVaccine %C i ren 12-23 mont s w o ave receive 3 oses o DPTVaccine (%)

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    Uttar Pradesh DLHS-3 District : Firozabad

    IndicatorsDLHS - 3 DLHS - 2

    Total Rural Total Rural

    32.5 31.9 - -

    10.3 6.7 - -

    Treatment of childhood diseases (children under 3 years based on last two surviving children)Children with Diarrhoea in the last two weeks who received ORS (%) 13.5 10.6 5.2 2.5

    75.2 73.0 81.5 87.4

    71.5 69.3 - -

    46.1 38.7 - -

    47.4 40.2 - -

    Child feeding practices (Children under 3 years)Children breastfed within one hour of birth (%) 7.0 4.9 - -

    Children (age 6 months above) exclusively breastfed (%) 1.3 0.7 - -

    69.6 68.8 - -

    Knowledge of HIV/AIDS and RTI/STI among Ever married Women (age 15-49)Women heard of HIV/AIDS (%) 36.8 26.3 23.2 21.3

    20.8 16.2 14.2 13.7

    Women having correct knowledge of HIV/ AIDS (%) 90.7 89.1 - -

    Women underwent test for detecting HIV/ AIDS (%) 1.4 0.7 - -

    Women heard of RTI/STI (%) 34.5 31.6 4.70 3.9

    Knowledge of HIV/AIDS among Un-married Women (age 15-24)

    Women heard of HIV/AIDS (%) 53.4 39.3 - -16.1 18.6 - -

    Women having correct knowledge of HIV/ AIDS (%) 94.3 94.7 - -

    Women underwent test for detecting HIV/ AIDS (%) 0.4 0.00 - -

    Women heard of RTI/STI (%) 26.7 23.4 - -

    Women facilitated/motivated by ASHA for

    Ante-natal Care (%) 0.6 0.7 - -

    Delivery at Health Facility (%) 0.2 0.00 - -

    Use of Family Planning Methods (%) 1.3 2.1 - -

    5

    Child Immunization and Vitamin A supplementation: (Contd..)Children (9-35 months) who have received at least one dose of VitaminA (%)Children (above 21 months) who have received three doses of VitaminA (%)

    Children with Diarrhoea in the last two weeks who were giventreatment (%)Children with acute respiratory infection/fever in the last two weekswho were given treatment (%)

    Children had check-up within 24 hours after delivery (based on lastlive birth)(%)

    Children had check-up within 10 days after delivery (based on last livebirth) (%)

    Children (6-24 months) who received solid or semisolid food and stillbeing breastfed (%).

    Women who knew that consistent condom use can reduce the chancesof getting HIV/AIDS (%)

    Women who knew that consistent condom use can reduce the chancesof getting HIV/AIDS (%)

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    Uttar Pradesh DLHS-3 ict : Firozabad

    Village

    Indicators NumberVillages that have implemented Janani Suraksha Yojana (JSY) 26Villages with Health & Sanitation Committee 7

    Villages with Rogi Kalyan Samiti (RKS) 1

    Villages where PRI aware of untied fund by Government 7

    Health facility within village - ICDS (Anganwadi) 34

    1

    Health facility within village- Sub-Centre 14

    21Health facility within village- PHC 3

    32

    Health facility within village- Block PHC 0

    35

    Health facility within village- Govt. Dispensary 4

    31

    Health facility within village- Private Clinic 3

    32

    Health facility within village- AYUSH Health Facility 1

    29

    Facility SurveyCommunity Health Centre (CHC) N = 3

    Indicators Number Indicators NumberInfrastructure : Performance

    CHC having Personal Computer 0 In-patients admission in last one month. 2103

    CHC having Operation Theatre 3 16

    CHC having Labour Room 3 Deliveries performed in last one month. 254

    CHC having Blood Storage Facility 0 Blood transfusion done in last one month. 0

    CHC having large deep freezer 2 Sterilization conducted in last one month. 72

    3

    CHC having water supply for 24 hours 3

    CHC having Ambulance on road. 06

    If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-ICDS (Anganwadi)

    If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-Sub-Centre

    If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-PHC

    If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-Block PHC

    If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-Govt. Dispensary

    If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-Private Clinic

    If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-AYUSH Health Facility

    Referred cases for serious ailments from CHC tohigher centres during last one month.

    CHC prepared a CHC plan for thecurrent year

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    Uttar Pradesh DLHS-3 District : Firozabad

    Facility SurveyCommunity Health Centre (CHC) N = 3 (Contd..)

    Indicators Number Indicators Number

    Human Resource : Supply :

    CHC having General Surgeon 1 3

    CHC having Obstetrician/ Gynecologi 1 CHC with 24 hours New born care 2

    0 1

    9

    1

    1

    Primary Health Centre (PHC) N= 6

    Infrastructure : Performance :

    6 72

    PHC having separate Labour Room 6 358

    PHC having Personal Computer 0 302

    PHC having Normal Delivery Kit 4 20

    PHC having Large Deep Freezer 3 1208

    PHC having regular water supply 5 141

    0 1052

    1 1305

    CHC with 24 hours normal deliveryservices.

    M.O. received training of Non-Scalpel Vasectomy (NSV) during lastfive years.

    CHC recognized as IntegratedCounseling and Testing Centre(ICTC).

    M.O. received training forPrevention, Care and Support forHIV/AIDS during last five years.

    M.O. received training of basicEmergency Obstetric Care duringlast five years.

    M.O. received training of Integrated

    Management of Neonatal andChildhood illness during last fiveyears.

    PHC having Residential Quarter forMedical Officer

    Hemoglobin tests (TLC/DLC)conducted during last one month

    Blood smear examinations for

    malaria parasite conducted duringlast one month

    In-patient admissions during lastone month

    Referral cases for serious ailmentsfrom PHC to higher centres duringlast one month

    Deliveries performed during last onemonth

    Beneficiaries of JSY during last onemonth

    PHC having Neonatal Warmer(Incubator)

    Women provided with post-natalcare services during last one month

    PHC having Operation Theater withBoyles Apparatus

    New born care provided during lastone month

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    Uttar Pradesh DLHS-3 District : Firozabad

    Facility SurveyPrimary Health Centre (PHC) N = 6 (Contd..)

    Indicators Number Indicators NumberHuman Resource : Supply :

    PHC having Lady Medical Officer (LM 0 6

    PHC having Laboratory Technician 6

    5

    2

    0

    Sub Centre (SC) N =26

    Infrastructure : Performance :

    7 1226

    0

    12

    ANM staying in Sub Centre village 2

    12

    24

    Human Resource : Supply :

    1 24

    9 23

    15 4

    7 23

    PHC that received the untied fund inprevious financial year.

    PHC organized any trainingprogramme in their PHC during lastyear.

    PHC having at least one MO ,whoreceived Integrated SkillDevelopment Training for 12 daysduring last five years.

    PHC having at least one MO, whoreceived IMNCI training during lastfive years.

    Sub Centre located in governmentbuilding

    Number of Infants and childrenimmunized

    Sub Centre having communicationfacility

    Sub Centre having separate labourroom

    Sub Centre having staff quarter forANM

    supply

    Sub Centre where Male HealthWorker in position

    Sub-Centre having auto-disposablesyringes

    ANM had Integrated Skill

    Development Training in last 5 years

    Sub-Centre reporting IFA tablets outof stock for more than 10 days

    during last one month

    ANM ever been trained in IntegratedSkill Development Training

    Sub-Centre reporting Vitamin A outof stock for more than 10 daysduring last one month

    ANM trained in integratedmanagement of neonatal andchildhood Illnesses (IMNCI) in last 5

    Sub-Centre reporting ORS packetsout of stock for more than 10 daysd i l h

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    Uttar Pradesh DLHS-3 District : Firozabad

    Performance at a Glance

    0

    20

    40

    60

    80

    100had Minimum of Three Anti-natal Check-up by Res

    DLHS - 2 DLHS - 3

    P e r c

    e n t

    0

    20

    40

    60

    80

    100men Received Atleast One TT Injection by Reside

    DLHS - 2 DLHS - 3

    P e r c

    e n t

    01020304050

    60708090

    100Contraceptive Use (Any Method) by Residence

    DLHS - 2 DLHS - 3

    P e r c

    e n t

    0

    10

    20

    30

    40

    50

    60

    70Institutional Deliveries by Residence

    DLHS - 2 DLHS - 3

    P e r c e n t

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100ren (Age 12-23 Months) Received Measles Vacci

    DLHS - 2 DLHS - 3

    P e r c e n t

    0

    10

    20

    30

    40

    50

    60

    70otal Unmet Need for Family Planning by Residenc

    DLHS - 2 DLHS - 3

    P e r c e n t

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