The institutional deliveries in the country have
increased from 38.7% as per the National Family Health Survey (NFHS-III) in
2005-06 to 46.9% as per District Level Household Survey (DLHS-III) in 2007-08.
As per the Coverage Evaluation Survey (CES 2009) conducted by the UNICEF, the institutional
delivery is 72.9%.
Institutional delivery rates in rural and urban
areas were 28.9% and 67.5% respectively as per NFHS-III in 2005-06 which rose
to 37.8% and 70.4% as per DLHS–III in 2007-08. Under CES 2009, the rural and
urban institutional delivery was 68% and 85.6% respectively. The survey data is
not available year wise but provided as per the period of survey. State /UT
wise data is given below:-
State /UT wise data on Institutional
Delivery
|
Institutional Delivery
|
|
|
Sl.No.
|
States/UTs
|
NFHS - 3 (2005-06)
|
DLHS - 3 (2007-08)
|
CES (2009)
|
|
|
Total
|
Rural
|
Urban
|
Total
|
Rural
|
Urban
|
Total
|
Rural
|
Urban
|
|
|
|
All India
|
38.7
|
28.9
|
67.5
|
46.9
|
37.8
|
70.4
|
72.9
|
68.0
|
85.6
|
|
|
I.
|
Major States (Population > 20 million)
|
|
|
|
|
|
|
|
|
|
|
|
1
|
Andhra Pradesh
|
64.4
|
55.9
|
81.5
|
71.8
|
65.7
|
90.9
|
94.2
|
94.3
|
94.0
|
|
|
2
|
Assam
|
22.4
|
17.9
|
58.0
|
35.1
|
31.8
|
66.7
|
64.4
|
61.9
|
81.6
|
|
|
3
|
Bihar
|
19.9
|
16.7
|
44.0
|
27.5
|
25.5
|
54.1
|
48.3
|
46.0
|
67.4
|
|
|
4
|
Chhattisgarh
|
14.3
|
6.3
|
54.5
|
18.0
|
13.3
|
48.3
|
44.9
|
40.5
|
62.6
|
|
|
5
|
Gujarat
|
52.7
|
39.2
|
75.7
|
56.4
|
48.0
|
83.7
|
78.1
|
73.1
|
86.5
|
|
|
6
|
Haryana
|
35.7
|
26.7
|
64.0
|
46.8
|
42.1
|
61.5
|
63.3
|
59.5
|
72.7
|
|
|
7
|
Jharkhand
|
18.3
|
10.3
|
53.3
|
17.7
|
13.4
|
59.4
|
40.1
|
30.6
|
73.3
|
|
|
8
|
Karnataka
|
64.7
|
54.8
|
81.8
|
65.1
|
59.7
|
79.8
|
86.4
|
83.3
|
92.4
|
|
|
9
|
Kerala
|
99.3
|
99.0
|
100.0
|
99.4
|
99.2
|
99.9
|
99.9
|
100.0
|
99.7
|
|
|
10
|
Madhya Pradesh
|
26.2
|
17.1
|
57.2
|
46.9
|
40.7
|
72.1
|
81.0
|
77.4
|
91.3
|
|
|
11
|
Maharashtra
|
64.6
|
48.9
|
83.3
|
63.5
|
54.1
|
87.2
|
81.8
|
74.4
|
92.0
|
|
|
12
|
Odisha
|
35.6
|
31.3
|
63.1
|
44.1
|
40.2
|
74.4
|
75.5
|
74.4
|
81.8
|
|
|
13
|
Punjab
|
51.3
|
47.6
|
57.9
|
63.1
|
59.5
|
72.3
|
60.3
|
54.1
|
72.4
|
|
|
14
|
Rajasthan
|
29.6
|
20.8
|
63.7
|
45.4
|
40.6
|
67.5
|
70.5
|
67.5
|
80.1
|
|
|
15
|
Tamil Nadu
|
87.8
|
84.0
|
92.4
|
94.0
|
91.8
|
97.5
|
98.4
|
98.1
|
98.7
|
|
|
16
|
Telangana
|
|
|
|
|
|
|
|
|
|
|
|
17
|
Uttar Pradesh
|
20.6
|
15.8
|
39.5
|
24.5
|
22.0
|
38.0
|
62.1
|
59.9
|
70.1
|
|
|
18
|
West Bengal
|
42.0
|
32.2
|
79.7
|
48.9
|
43.3
|
80.7
|
69.5
|
63.3
|
85.5
|
|
|
II.
|
Smaller States
|
|
|
|
|
|
|
|
|
|
|
|
1
|
Arunachal Pradesh
|
28.5
|
17.6
|
58.5
|
47.6
|
42.3
|
67.7
|
69.9
|
66.6
|
82.6
|
|
|
2
|
Delhi
|
58.9
|
47.0
|
60.1
|
68.7
|
57.0
|
69.7
|
83.6
|
78.1
|
84.0
|
|
|
3
|
Goa
|
92.3
|
91.8
|
92.6
|
96.4
|
97.8
|
95.1
|
99.8
|
100.0
|
99.7
|
|
|
4
|
Himachal Pradesh
|
43.0
|
39.8
|
75.9
|
48.3
|
46.2
|
71.1
|
50.3
|
46.4
|
86.3
|
|
|
5
|
Jammu & Kashmir
|
50.2
|
44.4
|
74.0
|
54.9
|
49.8
|
85.7
|
80.9
|
76.0
|
95.7
|
|
|
6
|
Manipur
|
45.9
|
37.0
|
69.2
|
41.0
|
33.7
|
73.4
|
80.0
|
75.6
|
92.2
|
|
|
7
|
Meghalaya
|
29.0
|
20.1
|
73.6
|
24.5
|
20.7
|
59.0
|
63.6
|
56.4
|
93.6
|
|
|
8
|
Mizoram
|
59.8
|
35.7
|
87.3
|
55.7
|
40.3
|
85.6
|
83.0
|
68.2
|
97.9
|
|
|
9
|
Nagaland
|
11.6
|
6.7
|
29.2
|
.-.
|
.-.
|
.-.
|
30.4
|
24.3
|
60.0
|
|
|
10
|
Sikkim
|
47.2
|
40.4
|
85.3
|
49.5
|
48.5
|
88.1
|
68.9
|
66.8
|
85.2
|
|
|
11
|
Tripura
|
46.9
|
42.9
|
69.9
|
46.2
|
41.5
|
92.1
|
82.6
|
79.7
|
97.0
|
|
|
12
|
Uttarakhand
|
32.6
|
25.1
|
57.1
|
30.0
|
25.1
|
58.5
|
53.5
|
45.0
|
78.3
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
III.
|
Union Territories
|
|
|
|
|
|
|
|
|
|
|
|
1
|
Andaman and Nicobar Islands
|
..
|
..
|
..
|
76.3
|
72.4
|
89.8
|
88.1
|
86.4
|
92.1
|
|
|
2
|
Chandigarh
|
..
|
..
|
..
|
73.6
|
50.8
|
77.4
|
--
|
--
|
--
|
|
|
3
|
Dadra and Nagar Haveli
|
..
|
..
|
..
|
46.0
|
35.6
|
88.6
|
--
|
--
|
--
|
|
|
4
|
Daman and Diu
|
..
|
..
|
..
|
64.0
|
60.2
|
71.2
|
--
|
--
|
--
|
|
|
5
|
Lakshadweep
|
..
|
..
|
..
|
90.3
|
87.2
|
94.2
|
--
|
--
|
--
|
|
|
6
|
Puducherry
|
..
|
..
|
..
|
99.1
|
97.4
|
99.6
|
--
|
--
|
--
|
|
|
|
Source: NFHS III (2005-06), DLHS -III
(2007-08), and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India
Report
|
|
|
|
$ The information of Union Territories have
been taken from Facts Sheets DLHS III (2007-08)
|
|
na = not available
|
|
|
|
.. NFHS not conducted in Union Territories
|
.-. Survey was not conducted.
|
|
|
|
|
|
|
|
-- The information is respects UTs are
Combined in CES
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The ASHA plays an important role in improving
access to institutional deliveries by motivating the pregnant mother and her
family for continued contact with the health system and ensuring at-least four
antenatal check-ups at health facility, spreading awareness on the Janani
Shishu Suraksha Karyakram (JSSK), which entitles all pregnant women delivering
in public health institutions to absolutely free and no expense delivery,
including caesarean section and also serving as a support during delivery and
post partum care as required. ASHA is incentivized for performing these
activities under Janani Suraksha Yojana (JSY).
The role of the Auxiliary Nurse Midwives (ANMs) is to conduct regular antenatal visits at the outreach
session namely, Village Health and Nutrition Days (VHND) or at the sub-centres,
and also to serve as a Skilled Birth Attendant(SBA) in those sub-centres which
are conducting deliveries.
The role of Self Help Groups (SHG) is to get
involved in the Village Health, Sanitation and Nutrition Committees, which are
expected to support the functions of the ASHA and the ANM, including improving
access for women to institutional deliveries.
Under the National Health Mission (NHM), steps
taken to increase the institutional delivery rates across the country include
the following:-
- Promotion of institutional deliveries
through Janani Suraksha Yojna.
- Janani Shishu Suraksha Karyakram (JSSK)
entitles all pregnant women delivering in public health institutions to
absolutely free and no expense delivery including Caesarean section. This
initiative also provides for free transport from home to institution,
between facilities in case of a referral and drop back home. Similar
entitlements have been put in place for all sick newborns and sick infants
accessing public health institutions for treatment.
- Capacity building of health care providers
in basic and comprehensive obstetric care.
- Operationalization of sub-centres, Primary
Health Centres, Community Health Centres and District Hospitals for
providing 24x7 basic and comprehensive obstetric care services.
- Name Based Tracking of Pregnant Women to
ensure antenatal, intranatal and postnatal care.
- Mother and Child Protection Card in
collaboration with the Ministry of Women and Child Development to monitor
service delivery for mothers and children.
- Engagement of more than 8.9 lakhs
Accredited Social Health Activists (ASHAs) to generate demand and
facilitate accessing of health care services by the community.
- Village Health and Nutrition Days in rural
areas as an outreach activity which also serves as a platform to promote
institutional delivery.
The Health Minister, Shri J P Nadda stated this
in a written reply in the Lok Sabha here today.
*****
MV/BK