NFHS--III

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National Family Health Survey NFHS-3(2005-06) State Institute Of Health & Family Welfare Jaipur:

National Family Health Survey NFHS-3(2005-06) State Institute Of Health & Family Welfare Jaipur

Overview:

Overview 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 Gates Foundation, UNICEF and UNFPA Technical assistance by Macro International HIV assistance : NACO & NARI Fieldwork by 18 Research Organizations/Population Research Centers SIHFW: An ISO:9001:2008 certified Institution 2

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NFHS-I: 1992-93 88,562 households 89,777 ever-married women age 13-49 years in 24 states and the National Capital Territory of Delhi NFHS-II: 1998-99 database for implementation of the Reproductive and Child Health (RCH) 91,000 ever-married women age 15-49 yrs. all 26 states of India NFHS-III:2005-06 124,385 women age 15-49 and 74,369 men age 15-54 from all 29 states throughout India 102,946 women and men were tested for HIV SIHFW: An ISO:9001:2008 certified Institution 3

Scope of NFHS-3:

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

Biomarkers Measured in NFHS-3:

Biomarkers Measured in NFHS-3 Height and weight Hemoglobin content in the blood to measure anemia Collection of blood samples for HIV testing SIHFW: An ISO:9001:2008 certified Institution 5

Household & individual characteristics Sample for 29 states:

Household & individual characteristics Sample for 29 states Number Interviewed Response Rate 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 6

NFHS-3 finds some improvements in the household environment since NFHS-2:

NFHS-3 finds some improvements in the household environment since NFHS-2 68% have electricity, up from 60% in NFHS-2 88% use an improved source of drinking water Only 29% have improved toilet facilities SIHFW: An ISO:9001:2008 certified Institution 7

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Fertility, Marriage and Family Planning SIHFW: An ISO:9001:2008 certified Institution 8

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Trends in Fertility by Residence Total Fertility Rate of Rajasthan SIHFW: An ISO:9001:2008 certified Institution 9

Wanted and Actual Fertility Rates:

Wanted and Actual Fertility Rates 2.7 2.1 3.0 TFR TFR If unwanted fertility is averted TFR will reach replacement level. SIHFW: An ISO:9001:2008 certified Institution 10

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Age at Marriage Percentage of women age 20-24 married by age 18 SIHFW: An ISO:9001:2008 certified Institution 11

Marital Status:

Marital Status Percent of women age 20-24 married by age 18 SIHFW: An ISO:9001:2008 certified Institution 12

Trends in Knowledge of Modern Contraceptive Methods:

Trends in Knowledge of Modern Contraceptive Methods SIHFW: An ISO:9001:2008 certified Institution 13

Knowledge of Modern Methods :

Knowledge of Modern Methods Percent of women and men 15-49 aware of family planning methods SIHFW: An ISO:9001:2008 certified Institution 14

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Percentage use of contraception by married Women (15-49) - Total SIHFW: An ISO:9001:2008 certified Institution 15

Desire for No More Children among Women with 2 Children:

Desire for No More Children among Women with 2 Children SIHFW: An ISO:9001:2008 certified Institution 16

Trends in Antenatal Care :

Trends in Antenatal Care SIHFW: An ISO:9001:2008 certified Institution 17

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Percentage women(15-49) who received Full ANC SIHFW: An ISO:9001:2008 certified Institution 18

Maternity Care (for most recent birth in the last 5 years) :

Maternity Care (for most recent birth in the last 5 years) SIHFW: An ISO:9001:2008 certified Institution 19

Infant Mortality Rate:

Infant Mortality Rate SIHFW: An ISO:9001:2008 certified Institution 20

Immunization and Child Health :

Immunization and Child Health Percent of children age 12-23 months vaccinated SIHFW: An ISO:9001:2008 certified Institution 21

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% of children age 12-23 months who received Measles vaccines at any time before the survey SIHFW: An ISO:9001:2008 certified Institution 22

Trends in Child Nutritional Status:

Trends in Child Nutritional Status Percent of children age under 3 years ( Low-height-for-age ) ( Low-weight-for-height ) ( Low-weight-for- age) SIHFW: An ISO:9001:2008 certified Institution 23

Malnutrition of Women by Residence and Education :

Malnutrition of Women by Residence and Education Percent of women age 15-49 SIHFW: An ISO:9001:2008 certified Institution 24

Malnutrition of Men by Residence and Education :

Malnutrition of Men by Residence and Education Percent of men age 15-49 SIHFW: An ISO:9001:2008 certified Institution 25

HIV Knowledge, Behavior and Prevalence :

HIV Knowledge, Behavior and Prevalence Percent of women and men age 15-49 who have heard of AIDS AIDS Awareness SIHFW: An ISO:9001:2008 certified Institution 26

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Percentage of women age (15-49) who have heard of AIDS SIHFW: An ISO:9001:2008 certified Institution 27

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Percentage of men age (15-49) who have heard of AIDS SIHFW: An ISO:9001:2008 certified Institution 28

Most Adults Support Family Life Education in Schools:

Most Adults Support Family Life Education in Schools 63% women and 81% men think that information about HIV/AIDS should be taught in schools to both boys and girls More than 40% of women and 60% of men are in favor of teaching about sexual behavior and condom use to avoid sexually transmitted diseases Adults are less likely to favor teaching about contraception than about HIV/AIDS SIHFW: An ISO:9001:2008 certified Institution 29

Coverage of HIV Testing:

Coverage of HIV Testing % of eligible women age 15-49 and men age 15-54 whose blood was tested for HIV Women: 85 percent Men: 78 percent Response rates are comparable to HIV test on national household surveys worldwide SIHFW: An ISO:9001:2008 certified Institution 30

HIV Prevalence:

HIV Prevalence Based on HIV tests of 102,946 blood samples- (52,853 from de facto women age 15-49 + 50,093 from de facto men age 15-54) 60% higher among males than females and 40% higher in urban than rural(by Residence and Sex, India) SIHFW: An ISO:9001:2008 certified Institution 31

Summary and Highlights:

Summary and Highlights Improvements seen in child survival Fertility continues to decline Urban women reached replacement level fertility rural women an average of three children First time more than half of currently married women are using a contraceptive method SIHFW: An ISO:9001:2008 certified Institution 32

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Steady decline in the proportion of women age 20-24 marrying before the legal minimum age of marriage Improvements in ANC,ID, & assistance at delivery by a health professional, but the changes over time have been slow Immunization coverage has improved for all vaccines except DPT SIHFW: An ISO:9001:2008 certified Institution 33

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Full immunization coverage not changed much in the last 7 years Under nutrition and anemia among children remain major challenges Adults suffer a dual burden of under nutrition and over nutrition HIV prevalence of men and women age 15-49 is 0.28 % SIHFW: An ISO:9001:2008 certified Institution 34

Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on [email protected] :

Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on [email protected]