69 Revised Factsheet Mizapur UP

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    For further information, please contact:

    Additional Director General (Stat.)

    Ministry of Health and Family Welfare

    Government of India

    Nirman Bhavan

    New Delhi - 110 011

    Telephone: 011-23061334

    Fax: 011-23061334

    E-mail: [email protected]

    Chief Director (Stat.)Ministry of Health and Family Welfare

    Government 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 5895E-mail: [email protected], [email protected]

    Website: http://www.rchiips.org

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    Uttar Pradesh DLHS-3 District : Mirzapur

    About DLHS - 3:

    an peop es percept on a out t e qua ty o serv ces. T e D str ct LeveHousehold Survey - 3 (DLHS -3) is the third in the series of district surveys,preceded by DLHS-1 in 1998-99 and DLHS-2 in 2002-04. As in DLHS-3, theInternational Institute for Population Sciences (IIPS) was the nodal agency toconduct DLHS-1 and DLHS-2. DLHS-3, like other two earlier rounds, is designedto provide estimates on important indicators on maternal and child health,family planning and other reproductive health services. In addition, DLHS-3

    provides information on important interventions of National Rural Health Mission(NRHM). Unlike other two rounds in which all the currently married women age15-44 years in the selected households (HHs) were interviewed, DLHS -3interviewed all ever-married women (age 15-49) and all un-married (UM)women (age 15-24) in the selected households (HHs).performance in terms of ante-natal care (ANC), institutional delivery,immunization, etc. and it was fixed based on information related to such

    indicators from DLHS-2. For low performing districts, 1500 Households (HHs), formedium performing districts, 1200 HHs and for good performing districts, 1000HHs were fixed as sample size. In case of Mirzapur, sample size was 1200households with 10% additional HHs to take care of non-response/refusal, etc.

    The survey used two-stage stratified random sampling in rural and three-stagestratified sampling in urban areas of each district. The information from 2001Census was used as sampling frame for selecting primary sampling units

    (PSUs). In rural areas, all the villages in the district were stratified into differentstrata based on population /HH size, percentage of SC/ ST population, femaleliteracy (Age 7+), etc. The required number of villages from each stratum wereselected with probability proportional to size (PPS). In selected primary

    For larger villages (more than 300 HHs) segmentation was carried out. In caseof 300 to 600 HHs, two segments of equal size were made and one wasselected using PPS. For PSUs having more than 600 HHs, segments of 150 HHs

    were created depending on the size and then two segments were selectedusing PPS. In case of urban areas, required number of wards were selectedusing PPS at first stage. In a selected ward, one enumeration block from 2001

    The uniform bilingual questionnaires, both in English and in local language,were used in DLHS-3 viz., Household, Ever Married Women (age 15-49),

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    Uttar Pradesh DLHS-3 District : Mirzapur

    Note:

    Unmet need for spacing

    Unmet need for limiting

    Unmet need

    characteristics, maternal care, immunization and child care, contraception

    and fertility preferences, reproductive health including knowledge aboutHIV/AIDS.

    The unmarried woman's questionnaire contained information on hercharacteristics, family life education and age at marriage, reproductivehealth, awareness about contraception, RTI/STI and HIV / AIDS, etc.education and other facilities in the village and whether the healthfacilities are accessible throughout the year.

    District Hospital (DH) were covered. Further, all Sub-centres (SCs) andPrimary Health Centres (PHCs), which were expected to serve thepopulation of the selected PSUs were also covered. There were separatequestionnaires for SC, PHC, CHC and DH. They broadly include questionson infrastructure, human resources, supply of drugs & instruments, andperformance.

    DLHS -2 information is based on data collected from the currently marriedwomen aged 15-44 yearsDLHS -3 information is based on data collected from the evermarriedwomen aged 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.

    DLHS-2: Includes Tap (Inside Residency/Yard/Plot), Tap (Shared/Public),

    Hand pump / Bore well, Well covered.DLHS-3: Includes Pipe into Dwelling, Piped to Yard/Plot, Public Tap/Standpi

    currently 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 nor had hysterectomy norcurrently pregnant and do not want any more children but are currentlynot using any family planning method.

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    Uttar Pradesh DLHS-3 District : Mirzapur

    Indicators DLHS - 3 DLHS - 2

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

    43.3 46.2 65.7 70.6

    34.5 34.5 100.0 56.3

    Sex Ratio at birth 119 111 - -

    66.3 67.3 - -

    10.9 11.4 - -

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

    Current Use :

    Any Method (%) 50.4 49.8 38.1 37.1

    Any Modern method (%) 39.9 40.1 33.5 32.0

    Female Sterilization (%) 33.6 34.6 26.5 27.8

    Male Sterilization (%) 0.1 0.1 0.4 0.2

    IUD (%) 1.0 0.9 1.7 1.3

    Pill (%) 1.7 1.6 1.8 0.5Condom (%) 3.4 2.8 2.8 1.9

    Total unmet need (%) 22.3 22.6 30.3 31.0

    For spacing (%) 10.7 11.3 13.3 13.9

    For limiting (%) 11.6 11.3 17 17.1

    Maternal Health:

    19.3 18.4 - -

    18.5 16.0 20.9 16.2

    62.8 59.7 50.3 46.8

    Institutional births (%) 25.2 23.0 20.9 14.2

    19.9 18.4 11.3 8.8

    29.5 27.2 - -

    Child Immunization and Vitamin A supplementation:

    23 3 22 2 22 0 22 1

    Percentage of girl's marryingbefore completing 18 years

    Percentage of Births of Order 3and above

    ercen age o women age -reporting birth of order 2 &

    ercen age o r s o women

    during age 15-19 out of totalbirths

    Unmet Need for FamilyPlanning:

    Mothers registered in the firsttrimester when they were

    pregnant with last live birth/still

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

    Mothers who got at least one TTinjection when they werepregnant with their last live birth

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

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

    Children (12-23 months) fullyimmunized (BCG, 3 doses each

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    29.6 28.5 34.6 33.6

    30.9 28.7 27.9 27.0

    4

    Children (12-23 months) whohave received 3 doses of DPTVaccine (%)

    Children (12-23 months) whohave received Measles Vaccine(%)

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    Uttar Pradesh DLHS-3 District : Mirzapur

    IndicatorsDLHS - 3 DLHS - 2

    Total Rural Total Rural

    28.5 29.1 - -

    5.8 6.4 - -

    19.0 20.9 18.0 12.7

    56.3 53.6 53.0 54.6

    56.6 56.4 - -

    36.6 34.9 - -

    38.2 36.9 - -

    Child feeding practices (Children under 3 years)12.3 11.8

    - -

    4.1 4.0 - -

    77.1 77.1 - -

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

    Women heard of HIV/AIDS (%) 39.1 35.4 28.5 19.6

    41.7 38.3 18.1 14.3

    89.2 88.7 - -

    2.5 1.9 - -

    Women heard of RTI/STI (%) 22.0 19.1 90.1 50.1

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

    UM Women heard of HIV/AIDS (%) 68.8 64.4 - -

    33.4 31.5 - -

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

    Treatment of childhood diseases (children under 3 years based on lasttwo surviving children)

    Children with Diarrhoea in the last twoweeks who received ORS (%)

    Children with Diarrhoea in the last twoweeks who were given treatment (%)

    Children with acute respiratoryinfection/fever in the last two weeks whowere given treatment (%)

    Children had check-up within 24 hoursafter delivery (based on last live birth)(%)Children had check-up within 10 daysafter delivery (based on last live birth)(%)

    Children breastfed within one hour ofbirth (%)

    Children (age 6 months above)exclusively breastfed (%)

    Children (6-24 months) who receivedsolid or semisolid food and still beingbreastfed (%).

    Women who knew that consistentcondom use can reduce the chances ofgetting HIV/AIDS (%)

    Women having correct knowledge of HIV/AIDS (%)

    Women underwent test for detecting HIV/AIDS (%)

    UM Women who knew that consistentcondom use can reduce the chances ofgetting HIV/AIDS (%)

    UM W h i t k l d f

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    Use of Family Planning Methods (%) 0.9 1.0 - -

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    Uttar Pradesh DLHS-3 District : Mirzapur

    Village

    Indicators NumberVillages that have implemented Janani Suraksha Yojana (JSY) 36

    Villages with Health & Sanitation Committee 22

    Villages with Rogi Kalyan Samiti (RKS) 1

    Villages where PRI aware of untied fund by Government 16

    Health facility within village - ICDS (Anganwadi) 34

    8

    Health facility within village- Sub-Centre 8

    31

    Health facility within village- PHC 3

    36

    Health facility within village- Block PHC 2

    39

    Health facility within village- Govt. Dispensary 1

    40

    Health facility within village- Private Clinic 10

    31

    Health facility within village- AYUSH Health Facility 7

    31

    Facility SurveyCommunity Health Centre (CHC) N = 16

    Indicators Number Indicators Number

    Infrastructure : Performance

    CHCs having Personal Computer 0 1,409

    CHCs having Operation Theatre 15 22

    CHCs having Labour Room 15 338

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

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

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

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

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

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

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

    In-patient admissions in last onemonth.

    Referred cases for serious ailmentsfrom CHC to higher centres duringthe last one month

    Deliveries performed in the last onemonth

    Blood transfusion done in the last

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    Uttar Pradesh DLHS-3 District : Mirzapur

    Facility SurveyCommunity Health Centre (CHC) N = 16 (Contd..)

    Indicators Number Indicators Number

    Human Resource : Supply :

    CHCs having General Surgeon 3 16

    CHCs having Obstetrician/ Gynecologi 3 CHC with 24 hours New born care 15

    6 4

    6

    1

    5

    Primary Health Centre (PHC) N= 10

    Infrastructure : Performance :

    1 0

    PHCs having separate Labour Room 3 0

    PHCs having Personal Computer 0 0

    PHCs having Normal Delivery Kit 4 34

    PHCs having Large Deep Freezer 0 48

    PHCs having regular water supply 6 6

    0 59

    CHC with 24 hours normal deliveryservices.

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

    CHC recognized as IntegratedCounseling and Testing Centre(ICTC).

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

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

    M.Os. received training of Integrated

    Management of Neonatal andChildhood illness during last fiveyears.

    PHCs having Residential Quarter forMedical Officer

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

    Blood smear examinations for

    malaria parasite conducted duringlast one month

    In-patient admissions during last onemonth

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

    Deliveries performed during last onemonth

    Beneficiaries of JSY during last onemonth

    PHCs having Neonatal Warmer(Incubator)

    Women provided with post-natalcare services during last one month

    PHCs having Operation Theater with New born care provided during last

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    Uttar Pradesh DLHS-3 District : Mirzapur

    Facility SurveyPrimary Health Centre (PHC) N = 10 (Contd..)

    Indicators Number Indicators Number

    Human Resource : Supply :

    PHCs having Lady Medical Officer (LM 0 1

    PHCs having Laboratory Technician 1

    0

    3

    1

    Sub Centre (SC) N =41

    Infrastructure : Performance :

    34 2,786

    0

    39

    ANMs staying in Sub Centre village 4

    37

    32

    Human Resource : Supply :

    2 41

    8 17

    41 6

    PHCs that received the untied fundin previous financial year.

    PHCs organized any trainingprogramme in their PHC during lastyear.

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

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

    Sub Centres located in governmentbuilding

    Number of Infants and childrenimmunized

    Sub Centres having communicationfacility

    Sub Centres having separate labourroom

    Sub Centres having staff quarter forANM

    supply

    Sub Centres where Male HealthWorker was in position

    Sub-Centres having auto-disposablesyringes

    ANMs had Integrated Skill

    Development Training in last 5 years

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

    during last one month

    ANMs ever been trained inIntegrated Skill DevelopmentTraining

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

    ANMs trained in integratedmanagement of neonatal and Sub Centres reporting ORS packets

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    Uttar Pradesh DLHS-3 District : Mirzapur

    Performance at a Glance

    0

    10

    20

    30

    had Minimum of Three Ante-natal Check-up by Re

    DLHS - 2 DLHS - 3

    Perc

    en

    t

    0

    20

    40

    60

    80

    men Received Atleast One TT Injection by Reside

    DLHS - 2 DLHS - 3

    Percen

    t

    0

    20

    40

    60

    Contraceptive Use (Any Method) by Residence

    DLHS - 2 DLHS - 3

    Perc

    en

    t

    0

    10

    20

    30

    Institutional Deliveries by Residence

    DLHS - 2 DLHS - 3

    Percen

    t

    0

    10

    20

    30

    40

    ren (Age 12-23 Months) Received Measles Vacci

    DLHS - 2 DLHS - 3

    Percen

    t

    0

    10

    20

    30

    40

    otal Unmet Need for Family Planning by Residenc

    DLHS - 2 DLHS - 3

    Percen

    t

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