National Family Health Survey

8/7/2019 National Family Health Survey

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National Family Health SurveyBy

Preethi Thyagaraj

Renuka DewanRishi Pathak

Sahil Chopra

Shivani Sharma

Subhi Sardana

Swati Aggarwal

Vikash Sinha


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Introduction

Large scale multi-round household survey

1st survey : 1992-1993

2nd survey: 1998-1999 3rd survey: 2005-2006

Collaborative project of IIPS


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Conducting Authority

Ministry of Health and Family Welfare, Govt

Of India.

Nodal agency :International Institute forPopulation Sciences,Mumbai.

IIPS collaborated with a number of Field

Organizations(FO) and Population Research

Centers(PRC)

Technical assistance: ORCMacro International

USA and National AIDS Research Institute

(NARI) for HIV component of NFHS-3.


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Funding

The funding for different rounds of NFHS hasbeen provided by

USAID,

DFID,

The Bill andMelinda Gates Foundation,

UNICEF

UNFPA,

MOHFW, GOI.


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Goals

To provide essential data on health and family

welfare needed by theMinistry of Health and

Family Welfare and other agencies for policyand program purposes,

To provide information on important emerging

health and family welfare issues.


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Objectives

Collect information on

Fertility

Family planning Mortality

Maternal and Child Health


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Data Collected

NFHS 2:

Measurement of nutritional status of women.

Prevalence of anaemia throughout India. Delhi andMumbai tests done on children

(below age 3yrs) to measure lead content in the

blood. Measured the extent of iodine fortified cooking

salt usage.


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Contd

NFHS 3:

Family life education

Safe injections Peri-natal mortality

Adolescent reproductive health.

High risk sexual behavior

Tuberculosis andMalaria.


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Procedure

Committee established for guidance and

consultation.

Sampling

Uniform questionnaire

Field procedures

Selecting and training survey organizations.

Translating data into electronic data files.

Preparation of reports.


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Sample Design

NFHS-1: systematic stratified sample of

households

2 stages in Rural areas: selection of villagesfollowed by households.

3 stages in Urban areas: selection of cities or

towns, followed by urban blocks and finally

households.


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NFHS 2 AND NFHS 3

Rural 2 stages:

Selection of primary selection units(PSU)

Random selection of households within eachPSU.

Urban 3 stages:

Wards selected with probability proportional topopulation size sampling(PPS).

Randomly selecting one CEB (censusenumeration block) from sample ward.

Households are randomly selected within eachCEB.


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Sampling

NFHS 1 NFHS 2 NFHS 3

Geographic Coverage 24 States 26 States 29 States

Households 88562 91196 109041

Married Women 89,777

(13-49yrs)

89,199

(15-49yrs)

1,24,385

(15-49yrs)

Children 33,393

(


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Questionnaires

TYPES OF

QUESTIONNARE


Household

questionnaire

Residents of each

sample household

& visitors

Characteristics of

each person:

Age, Sex, marital

status, Education

Occupation ,

Health status

Household

conditions

Same as 1 Same as 1

Bilingual. One English and other the states

principle language.


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Types of

questionnaire


Womens

questionnaire

Respondents

background

ReproductionContraception

Health of children

Fertility preference

Husbands

background and

womens workHeight and weight

Respondents

background

ReproductionContraception

Quality of care

Sources of family

planning.

Ante- natal, delivery

and post partum careBreast feeding and

health

Reproductive health

Status of women

Knowledge of AIDS

Respondents

background

ReproductionMarriage and

cohabitation

Contraception

Quality of care

Ante- natal, delivery

and postpartum careGeneral health

Child immunization

Child health and

feeding practices

Women and children

nutrition

Utilization of ICD

Status of women and

spousal violence

Sexual life

HIV/AIDS and other

STD


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Types of

Questionnaire


Village questionnaire Amenities available

Electricity, water,

transportation,education and health

Same as 1

Telephone

connectionsDevelopment and

welfare programs and

major problems

Mens questionnaire BackgroundReproductive

behavior

interventions

Knowledge and use of

contraception

Male involvement inhealth care

Sexual life

Health and nutrition

Attitude towards

gender roles

HIV/AIDS & STDS


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Key Points


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KEYPOINTS NHFS 1 NHFS 2 NHFS 3

Total Fertility rate 3.4 children per

woman

2.9 children per

woman

2.7 children per

woman

Use of contraception 41 % of currently

married woman

48% 56%

Infant mortality rate 79 deaths per 1000

live births

68 deaths per 1000

live births

57 deaths per 1000

live births

Child mortality rate 33 death per 1000

children

29 death per 1000

children

Peri -natal mortalityrate NA NA 49 deaths per 1000pregnancies


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KEY POINTS NFHS 1 NFHS 2 NFHS 3

Knowledge ofHIV NA NA 4 in every 10 women

and 7 in 10 men know

methods of

prevention

HIV prevalence NA NA 2.47 million

Women whose BMI is

below normal%

33 36.2 NA

Men whose BMI is

below normal%

28.1 NA NA


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Findings

Provided crucial information for understandingIndias HIV epidemic.(NFHS 3)

Spurred the Government of India andinternational agencies to greatly reducethe official estimate of Indians living with HIVfrom more than 5 million persons to 2.47million.

Almost two-thirds of married women dontknow that condoms prevent HIV.


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Contd.

Half of women lack proper care during

pregnancy and delivery

Infant mortality drops, but little progress on full

immunization coverage

Domestic violence widespread

Malnutrition persists and anaemia is widespread (

70% in children age 6-59 months )


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Documents

National Family Health Survey