National Family Health Survey NFHS-3(2005-06)

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    National Family Health SurveyNational Family Health SurveyNFHS-3(2005-06)NFHS-3(2005-06)

    State Institute Of Health & Family Welfare, Jaipur

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    OverviewOverview

    NFHS- 3 (2005-06): third in the series

    NFHS-1 (1992-93)

    NFHS-2 (1998-99)

    Conducted under MOHFW; Nodal agency- IIPS

    Funded by

    USAID, DFID, The Bill & Melinda GatesFoundation,

    UNICEF and UNFPATechnical assistance by Macro

    International

    SIHFW: An ISO:9001:2008 certified Institution 2

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    HIV assistance: NACO & NARIFieldwork by 18 Research

    Organizations/Population Research Centers

    NFHS-I: 1992-93

    88,562 households

    89,777 ever-married women age 13-49years in

    24 states and the National CapitalTerritory of Delhi

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    NFHS-II: 1998-99

    database for implementation of theReproductive and Child Health (RCH)

    91,000 ever-married women age 15-49yrs.

    all 26 states of India

    NFHS-III: 2005-06

    124,385 women age 15-49 and 74,369

    men age 15-54from all 29 states throughout India

    102,946 women and men were testedfor

    HIV SIHFW: An ISO:9001:2008 certified Institution 4

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    Scope of NFHS-3Scope of NFHS-3

    Coverage

    All 29 states covered

    Slum and non-slum areas of(Chennai, Delhi, Hyderabad,Indore,

    Kolkata, Meerut, Mumbai,

    Nagpur)Interviewees

    Women age 15-49

    Men age 15-54

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    Biomarkers Measured in NFHS-3Biomarkers Measured in NFHS-3

    Height and weight

    Hemoglobin content in the blood to

    measure anemia

    Collection of blood samples for HIV

    testing

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    Household & Individual CharacteristicsHousehold & Individual CharacteristicsSample for 29 statesSample for 29 states

    NumberInterviewed

    ResponseRate

    Households 109,041 97.7

    Women (age 15-49) 124,385 94.5

    Men (age 15-54) 74,369 87.1

    SIHFW: An ISO:9001:2008 certified Institution 7

    NFHS 3 Fi d S I t

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    NFHS-3 Finds Some ImprovementsNFHS-3 Finds Some Improvementsin the Household Environment Sincein the Household Environment Since

    NFHS-2NFHS-268% have electricity, up from 60% in

    NFHS-2

    88% use an improved source of drinkingwater

    Only 29% have improved toilet facilities

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    Selected Household CharacteristicsSelected Household CharacteristicsPercent of households

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    Education

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    EducationEducation

    NFHS-3 shows that even among those in theage group 15-19, only 89% of men and 74%

    of women are literate

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    The Poorest Women and Scheduled-tribe WomenThe Poorest Women and Scheduled-tribe Womenand Men are Least Likely to be Literateand Men are Least Likely to be Literate

    Residence Caste/tribe Wealth index

    Percent literate

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    Caste/Tribe StatusCaste/Tribe Status

    Distribution of Households by WealthIndex and Caste

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    Fertility, Marriage and

    Family Planning

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    Trends in Fertilityby Residence

    Total Fertility Rateof Rajasthan

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    Wanted and Actual Fertility RatesWanted and Actual Fertility Rates

    2.7

    2.1

    3.0

    TFR TFR

    If unwanted fertility isaverted TFR

    will reach replacement level.SIHFW: An ISO:9001:2008 certified Institution 16

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    Age at Marriage

    Percentage of women age 20-24 married by age 18

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    Marital StatusMarital Status

    Percent of women age 20-24 married by age 18

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    Trends in Knowledge of ModernTrends in Knowledge of ModernContraceptive MethodsContraceptive Methods

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    Knowledge of Modern MethodsKnowledge of Modern Methods

    Percent of women and men 15-49 aware of family

    planning methodsSIHFW: An ISO:9001:2008 certified Institution 20

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    Percentage use ofcontraception by marriedWomen (15-49) - Total

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    Desire for No More Children amongDesire for No More Children amongWomen with 2 ChildrenWomen with 2 Children

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    Trends in Antenatal CareTrends in Antenatal Care

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    Percentage women(15-49)who received Full ANC

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    Maternity CareMaternity Care

    (for most recent birth in the last 5 years)(for most recent birth in the last 5 years)

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    Infant Mortality RateInfant Mortality Rate

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    I i ti d Child H lth

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    Immunization and Child HealthImmunization and Child Health

    Percent of children age 12-23 months vaccinatedSIHFW: An ISO:9001:2008 certified Institution 27

    Percentage of children age

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    Percentage of children age12-23 months who

    received Measles vaccinesat any time before the

    survey

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    Trends in Child Nutritional StatusTrends in Child Nutritional Status

    Percent of children age under 3 years

    (Low-height-for-age)

    (Low-weight-for-height)

    (Low-weight-for-age)

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    Malnutrition of Women byMalnutrition of Women byResidence and EducationResidence and Education

    Percent of women age 15-49

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    M l t iti f M b R id d

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    Malnutrition of Men by Residence andMalnutrition of Men by Residence andEducationEducation

    Percent of men age 15-49

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    HIV K l d B h i dHIV K l d B h i d

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    HIV Knowledge, Behavior andHIV Knowledge, Behavior andPrevalencePrevalence

    Percent of women and men age 15-49who have heard of AIDS

    AIDS AwarenessSIHFW: An ISO:9001:2008 certified Institution 32

    Percentage of women

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    Percentage of womenage (15-49) who have

    heard of AIDS

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    Percentage of men age

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    Percentage of men age(15-49) who have heard

    of AIDS

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    Most Adults Support Family LifeMost Adults Support Family LifeEducation in SchoolsEducation in Schools

    63% women and 81% men think that

    information about HIV/AIDS should betaught in schools to both boys and girls

    More than 40% of women and 60% of menare in favor of teaching about sexual

    behavior and condom use to avoidsexually transmitted diseases

    Adults are less likely to favor teaching aboutcontraception than about HIV/AIDS

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    Coverage of HIV TestingCoverage of HIV Testing

    % of eligible women age 15-49 and menage 15-54 whose blood was tested forHIV

    Women: 85 percentMen: 78 percent

    Response rates are comparable to HIVtest on national household surveys

    worldwide

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    HIV PrevalenceHIV Prevalence

    Based on HIV tests of 102,946 bloodsamples-

    (52,853 from de facto women age 15-49 + 50,093 from de facto men age15-54)

    60% higher among males than females and

    40% higher in urban than rural(byResidence and Sex, India)

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    Summary and HighlightsSummary and Highlights

    Improvements seen in child survival

    Fertility continues to decline

    Urban women

    reached replacement level fertility

    rural womenan average of three children

    First time more than half of currently marriedwomen are using a contraceptive method

    Steady decline in the proportion of womenage 20-24 marrying before the legalminimum age of marriage

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    Improvements in ANC,ID, & assistance atdelivery by a health professional, but the

    changes over time have been slow

    Immunization coverage has improved for allvaccines except DPT

    Full immunization coverage not changed

    much in the last 7 yearsUnder nutrition and anemia among children

    remain major challenges

    Adults suffer a dual burden of under nutritionand over nutrition

    HIV prevalence of men and women age 15-49 is 0.28 %

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    THANK YOU