17_Etah Factsheet UP

8/6/2019 17_Etah Factsheet UP

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For further information, please contact:

Additional Director General (Stat.)

Ministry of Health and Family Welfare

Government of India

Nirman BhavanNew Delhi - 110 011

Telephone: 011-23061334

Fax: 011-23061334

E-mail: [email protected]

Chief Director (Stat.)

Ministry of Health and Family WelfareGovernment of India

Nirman Bhavan

New Delhi - 110 011

Telephone: 011-23062699

Fax: 011-23062699

E-mail: [email protected]

Director/ Project Coordinator (DLHS -3)

International Institute for Population Sciences (IIPS)

Govandi Station Road, Deonar

Mumbai - 400 088

Telephone: 022- 2556 3254/5/6

Fax: 022- 2556 3257, 2555 5895

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


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Uttar Pradesh DLHS-3 District : EtahAbout 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 ofdistrict 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 on

maternal 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 ofEtah, sample size was 1200 households with 10% additional HHs to takecare 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 ofSC/ ST population, female literacy (7+), etc. The required number ofvillages 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 using

For larger villages (more than 300 HHs) segmentation was carried out. Incase 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 of150 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 for


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assets possessed, number of marriages to usual members of thehousehold since January 2004 and deaths in the household since January2004 etc. was collected. In case of female deaths, attempts were madeto assess maternal death. The household questionnaire also collectedinformation on respondents knowledge (seen/read/heard) aboutmessages related to various government health programmes beingspread through media and other sources.


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Uttar Pradesh DLHS-3 District : Etah

o e:

Unmet need for spacing

Unmet need for limiting

Unmet need

Unmet 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.

, -DLHS-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 married

women 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 arecurrently pregnant and do not want any more children but are currently

not using any family planning method.

The Women who heard about HIV/AIDS and have correct knowledge abouttransmission of HIV/AIDS and knowledge of prevention from HIV/AIDS


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District Indicators, Etah, (2001 Census).

Indicators Census 2001

Population (in thousands) 2790

Decadal Growth Rate (1991-01) 24.2

Sex Ratio * 849

Percent Urban population 17.3

Percent SC population 17.2

Percent ST population 0.0

Female Literacy Rate (7 years and above) 39.3

Male Literacy Rate (7 years and above) 67.5

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

Households 1276 95.0

Ever Married Women (15-49 years) 1200 91.0

Unmarried Women (15-24 years) 312 89.0

Sub Centres (SC) 33 100

Primary Health Centres (P H C) 11 100

Community Health Centres (C H C) 8 100

District Hospital (D H) 1 100Population and Household Characteristics, 2007-08

Background CharacteristicsDLHS - 3 DLHS - 2

Total Rural Total Rural

68.1 67.7 - -

80.2 80.6 - -

54.7 53.4 - -

98.3 98.2 - -

99 99.5 - -Have Electricity connection (%) 26.3 17.6 20.5 8.9

Have Access to toilet facility (%) 18 6.5 16.2 3.6

Use piped drinking water (%) 4.9 3.8 52.9 49.5

Use LPG for cooking (%) 7.9 1.9 13.2 4.5

Live in a pucca house (%) 22.4 14.0 21.7 11.3

Own a house (%) 97.3 98.9 - -Have a BPL card (%) 20.6 23.1 - -Own Agriculture Land (%) 74.0 85.2

Have a television (%) 21.8 16.3 21.8 13.0

Have a mobile phone (%) 25.6 22.8 - -Have a Motorized Vehicle (%) 12.1 11.6 11.0 8.1

Standard of Living Index

Low (%) 77.0 85.5 65.4 75.7

Medium (%) 14 8 11 6 22 6 20 4

Percent total literate Population (Age 7 +)

Percent literate Male Population (Age 7+)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 istrict : EtahIndicators DLHS - 3 DLHS - 2

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

31.1 34.3 61.9 72.7

Percentage of Births of Order 3 and above 49.4 50 67.9 68.2

Sex Ratio at birth 111 111 - -

69.9 69.7 - -

17.3 17.8 - -

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

Current Use :

Any Method (%) 26 24.4 33.3 30.8

Any Modern method (%) 16.4 13.8 19.6 16.5

Female Sterilization (%) 6.6 6.9 5.9 5.4

Male Sterilization (%) 0.2 0.2 0.2 0.1

IUD (%) 1.2 0.8 1.3 1.2

Pill (%) 2.1 1.3 2.8 2.6

Condom (%) 6.0 4.6 9.1 6.9

Unmet Need for Family Planning:

Total unmet need (%) 47.0 47.9 35.3 35.8

For spacing (%) 12.1 12.5 11.7 12.3

For limiting (%) 34.9 35.4 23.6 23.4

Maternal Health:

19.6 18.6 - -

8.0 6.7 13.2 9.7

46.7 43.7 32.6 27.3

Institutional births (%) 20.0 19.3 20.6 16.3

8.2 7.1 6.1 3.2

66.7 65.6 - -

Child Immunization and Vitamin A supplementation:

11.6 10.0 11.1 7.3

48.5 45.9 40.5 34.1

25.1 23.2 15.6 10.5

16 5 13 0 16 9 12 1

Percentage of girl's marrying beforecompleting 18 years

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

Percentage of births to women during age 15-19 out of total births

Mothers registered in the first trimester whenthey were pregnant with last live birth/stillbirth (%)

Mothers who had at least 3 Ante-Natal carevisits during the last pregnancy (%)

Mothers who got at least one TT injectionwhen they were pregnant with their last live

Delivery at home assisted by adoctor/nurse /LHV/ANM(%)

Mothers who received post natal care within48 hours of delivery of their last child (%)

C i ren 12-23 mont s u y immunize(BCG, 3 doses each of DPT, and Polio andMeasles) (%)Children (12-23 months) who have received

Children (12-23 months) who have received 3doses of Polio Vaccine (%)

Children (12-23 months) who have received 3


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IndicatorsDLHS - 3 DLHS - 2

Total Rural Total Rural

17.3 15.0 - -

4.5 3.9 - -

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 (%) 9.5 8.0 8.7 6.3

75.5 74.7 62.2 58.7

76.9 73.4 - -

62.9 62.8 - -

64.1 63.9 - -

Child feeding practices (Children under 3 years)

Children breastfed within one hour of birth (%) 5.6 5.8 - -

Children (age 6 months above) exclusively breastfed (%) 2.6 2.3 - -

74.4 74.4 - -

Knowledge of HIV/AIDS and RTI/STI among Ever married Women (age 15-49)

Women heard of HIV/AIDS (%) 26.6 20.3 20.5 13.7

30.6 26.7 10.6 6.6

Women having correct knowledge of HIV/ AIDS (%) 79.9 76.3 - -

Women underwent test for detecting HIV/ AIDS (%) 0.3 0.5 - -

Women heard of RTI/STI (%) 25.4 24.1 27.4 29.5

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

Women heard of HIV/AIDS (%) 42.1 37.2 - -

27.5 25.5 - -

Women having correct knowledge of HIV/ AIDS (%) 81.5 78.3 - -

Women underwent test for detecting HIV/ AIDS (%) 0.0 0.0 - -

Women heard of RTI/STI (%) 17.3 17.0 - -

Women facilitated/motivated by ASHA for

Ante-natal Care (%) 0.5 0.6 - -Delivery at Health Facility (%) 0.0 0.0 - -

Use of Family Planning Methods (%) 1.6 1.7 - -

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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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Village

Indicators NumberVillages that have implemented Janani Suraksha Yojana (JSY) 25

Villages with Health & Sanitation Committee 3

Villages with Rogi Kalyan Samiti (RKS) 1

Villages where PRI aware of untied fund by Government 0

Health facility within village - ICDS (Anganwadi) 38

3

Health facility within village- Sub-Centre 8

33

Health facility within village- PHC 0

41

Health facility within village- Block PHC 0

41

Health facility within village- Govt. Dispensary 0

40

Health facility within village- Private Clinic 6

35

Health facility within village- AYUSH Health Facility 1

40

Facility SurveyCommunity Health Centre (CHC) N = 8

Indicators Number Indicators Number

Infrastructure : Performance

CHC having Personal Computer 0 In-patients admission in last one month. 23

CHC having Operation Theatre 7 37

CHC having Labour Room 6 Deliveries performed in last one month. 187

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. 280

5

CHC having water supply for 24 hou 7

CHC having Ambulance on road. 6

6

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

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

If health facility is not in the village, whether accessible to the nearest health facility throughoutthe year-PHC

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

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

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

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

Referred cases for serious ailments from CHCto higher centres during last one month.

CHC prepared a CHC plan for thecurrent year


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Facility SurveyCommunity Health Centre (CHC) N = 8 (Contd..)


Human Resource : Supply :

CHC having General Surgeon 3 5

CHC having Obstetrician/ Gynecologi 4 CHC with 24 hours New born care 4

4 1

12

5

3

Primary Health Centre (PHC) N= 11

Infrastructure : Performance :

9 0

PHC having separate Labour Room 7 440

PHC having Personal Computer 0 198

PHC having Normal Delivery Kit 8 68

PHC having Large Deep Freezer 5 569

PHC having regular water supply 11 107

0 586

5 531

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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Facility SurveyPrimary Health Centre (PHC) N = 11 (Contd..)



PHC having Lady Medical Officer (LM 2 9

PHC having Laboratory Technician 7

8

7

2

Sub Centre (SC) N =33

Infrastructure : Performance :

13 3219

0

18

ANM staying in Sub Centre village 2

12

32


3 30

16 29

22 7

12 31

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 5years

Sub-Centre reporting ORS packetsout of stock for more than 10 daysduring last one month


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Performance at a Glance

0

20

40

60

80

100

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

DLHS - 2 DLHS - 3

Perc

en

t

0

20

40

60

80

100

men Received Atleast One TT Injection by Reside

DLHS - 2 DLHS - 3

Perc

en

t

0

10

20

30

4050

60

70

80

90

100

Contraceptive Use (Any Method) by Residence

DLHS - 2 DLHS - 3

Perc

en

t

0

10

20

30

40

50

60

70

Institutional Deliveries by Residence

DLHS - 2 DLHS - 3

Percen

t

0

10

20

30

40

50

60

70

80

90

100

ren (Age 12-23 Months) Received Measles Vacci

DLHS - 2 DLHS - 3

Percen

t

0

10

20

30

40

50

60

70

otal Unmet Need for Family Planning by Residenc

DLHS - 2 DLHS - 3

Percen

t


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