Annual Health Survey

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Annual Health Survey:2010-11:

Annual Health Survey:2010-11 State Institute of Health and Family welfare- Jaipur 1 SIHFW: an ISO 9001:2008 certified Institution

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2 SIHFW: an ISO 9001:2008 certified Institution

Objective:

Objective To yield benchmarks of core vital and health indicators at the district level and to map changes therein on an annual basis 3 SIHFW: an ISO 9001:2008 certified Institution

Background :

Background Initiated by National Commission on Population , PMO and Planning Commission. Entrusted to ORGI [experience of Sample Registration System(SRS )] Sponsored by Ministry of Health & Family Welfare(MOHFW ) 4 SIHFW: an ISO 9001:2008 certified Institution

Need for AHS :

Need for AHS Nine AHS States – Rajasthan , UP, UK, Bihar, Jharkhand , Orissa, MP, Chhattisgarh and Assam • 48 percent of country’s Population • 59 percent of Births • 70 percent of Infant Deaths • 75 percent of Under 5 Deaths • 62 percent of Maternal Deaths 5 SIHFW: an ISO 9001:2008 certified Institution

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Justification: large inter-district variations. In the absence of District level vital data, State level estimates from Sample Registration System (SRS) are used for formulating district level plans. 6 SIHFW: an ISO 9001:2008 certified Institution

Key features :

Key features Coverage- All the 284 districts of 8 EAG States and Assam Sample Units - 20,694 statistically selected sample units ( Census Enumeration Blocks in urban areas and Villages in rural areas) Sample Population- About 18.2 million Sample Households- 3.6 million households Average Sample households per district- About 13 thousand Largest Sample Survey in the World 7 SIHFW: an ISO 9001:2008 certified Institution

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Sample Size- District level sample size is based on Infant Mortality Rate Field Work- Hybrid approach wherein fieldwork has been outsourced and supervision done by the ORGI Third Party Audit- Third Party Audit was implemented under AHS to verify the correctness of data through an independent arrangement. This was over and above the regular supervision by ORGI Exhaustive Training manual and three days ToT , state/zone level training 8 SIHFW: an ISO 9001:2008 certified Institution

Allocation of sample :

Allocation of sample India (9 States) Districts: 284 Total Sample Population:18127089 No. of households: 3625418 Rajasthan Districts: 32 Total Sample Population: 1621710 No. of households: 324342 9 SIHFW: an ISO 9001:2008 certified Institution

Survey tools:

Survey tools The baseline survey Nine States Time frame July 2010-March 2011 Four type of Schedules administered House listing Household Women Mortality 10 SIHFW: an ISO 9001:2008 certified Institution

Indicators covered :

Indicators covered Crude Birth Rate (CBR) Crude Death Rate (CDR) Infant Mortality Rate (IMR) Neo-Natal Mortality Rate (NNMR) Under Five Mortality Rate (U5MR) Maternal Mortality Ratio(MMR)( only for Zone) Sex Ratio at Birth (SRB) 0-4 years & All ages 11 SIHFW: an ISO 9001:2008 certified Institution

Rajasthan: District wise findings:

Rajasthan: District wise findings 12 SIHFW: an ISO 9001:2008 certified Institution

Natural Growth Rate:

Natural Growth Rate 13 SIHFW: an ISO 9001:2008 certified Institution

Natural Growth Rate:

Natural Growth Rate 14 SIHFW: an ISO 9001:2008 certified Institution

CBR (AHS-states) source: SRS-09 & AHS-2010-11:

CBR (AHS-states) source: SRS-09 & AHS-2010-11 15 SIHFW: an ISO 9001:2008 certified Institution

Crude Birth Rate:

Crude Birth Rate 16 SIHFW: an ISO 9001:2008 certified Institution

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17 SIHFW: an ISO 9001:2008 certified Institution

Crude Death Rate:

Crude Death Rate 18 SIHFW: an ISO 9001:2008 certified Institution

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19 SIHFW: an ISO 9001:2008 certified Institution

CDR (AHS-states) source: SRS-09 & AHS-2010-11:

CDR (AHS-states) source: SRS-09 & AHS-2010-11 20 SIHFW: an ISO 9001:2008 certified Institution

Infant mortality Rate (Raj):

Infant mortality Rate (Raj) 21 SIHFW: an ISO 9001:2008 certified Institution

IMR (AHS-states) source: SRS-09 & AHS-2010-11:

IMR (AHS-states) source: SRS-09 & AHS-2010-11 22 SIHFW: an ISO 9001:2008 certified Institution

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23 SIHFW: an ISO 9001:2008 certified Institution

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24 SIHFW: an ISO 9001:2008 certified Institution

Under 5 Mortality Rate(Raj):

Under 5 Mortality Rate(Raj) 25 SIHFW: an ISO 9001:2008 certified Institution

Infant mortality Rate:

Infant mortality Rate 26 SIHFW: an ISO 9001:2008 certified Institution

Post Natal & Neo-Natal Mortality Rate:

Post Natal & Neo-Natal Mortality Rate 27 SIHFW: an ISO 9001:2008 certified Institution

Under 5 Mortality Rate:

Under 5 Mortality Rate 28 SIHFW: an ISO 9001:2008 certified Institution

Sex Ratio (Raj):

Sex Ratio (Raj) 29 SIHFW: an ISO 9001:2008 certified Institution

Sex Ratio (All ages):

Sex Ratio ( All ages) 30 SIHFW: an ISO 9001:2008 certified Institution

Sex Ratio (at Birth):

Sex Ratio ( at Birth) 31 SIHFW: an ISO 9001:2008 certified Institution

Sex Ratio (0-4 yr):

Sex Ratio (0-4 yr) 32 SIHFW: an ISO 9001:2008 certified Institution

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33 SIHFW: an ISO 9001:2008 certified Institution

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State/Zone /(Districts) Sample Female Population Sample Live Births Maternal Deaths MMR Rajasthan 434673 129984 430 331 Bikaner ( Ganganagaer , Hanumangarh , Churu , Bikaner) 53055 14854 51 343 Jaipur ( Jhunjhunu , Alwar , Dausa,jaipur , Sikar ) 90722 25099 80 319 Bharatpur ( Bharatpur , Dhaulpur , Karauli , Sawaimadhopur ) 42892 14726 43 292 34 SIHFW: an ISO 9001:2008 certified Institution

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State/Zone/(Districts) Sample Female Population Sample Live Births Maternal Deaths MMR Ajmer ( Nagaur , Ajmer, Tonk , Bhilwara ) 57230 15976 54 338 Jodhpur (Jodhpur, Jaisalmer , Barmer , Jalor , Sirohi , Pali ) 81627 26117 84 322 Kota ( Bundi , Kota, Baran , Jhalawar ) 46845 13134 343 Udaipur ( Rajsamand , Udaipur, Chittorgarh , Dungarpur , Banswara ) 62302 20078 73 364 35 SIHFW: an ISO 9001:2008 certified Institution

Maternal Mortality Ratio (at Zonal level):

Maternal Mortality Ratio (at Zonal level) 36 SIHFW: an ISO 9001:2008 certified Institution

MMR (AHS-states) source: SRS-09 & AHS-2010-11:

MMR (AHS-states) source: SRS-09 & AHS-2010-11 37 SIHFW: an ISO 9001:2008 certified Institution

NNMR (AHS-states) source: SRS-09 & AHS-2010-11:

NNMR (AHS-states) source: SRS-09 & AHS-2010-11 38 SIHFW: an ISO 9001:2008 certified Institution

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India CBR: 22.5 CDR: 7.3 NGR: 15.2 IMR: 50 NNMR: 34 PNMR: 16 U-5 MR: 64 Rajasthan CBR: 24.7 CDR: 6.6 NGR: 18.2 IMR: 60 NNMR: 40 PNMR: 20 U-5 MR: 79 39 SIHFW: an ISO 9001:2008 certified Institution

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India MMR: 212 Sex ratio: 0-6 Yr: 914 all ages: 940 Rajasthan MMR: 331(on Zone basis) Sex ratio at birth: 878 0-4 Yr: 870 all ages: 925 40 SIHFW: an ISO 9001:2008 certified Institution

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Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in 41 SIHFW: an ISO 9001:2008 certified Institution

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