Key
results containing national, State and district factsheets from National Family
Health Survey 4 (NFHS 4) 2015-16 have been released so far. NFHS 4 reveals
overall improvement of health indicators in comparison to NFHS-3 (2005-06)
estimates. A statement containing estimates of some key health indicators
State/UT wise from NFHS 4 in comparison to NFHS-3 is given below:
Some Key indicators
from NFHS 4(20015-16) and NFHS 3(2005-06)
|
S.No.
|
India/States/UTs
|
Total fertility rate
|
Institutional births (%)
|
All women age 15-49 years who are anaemic (%)
|
Children age 12-23 months fully immunized (%)
|
|
NFHS-4
|
NFHS-3
|
NFHS-4
|
NFHS-3
|
NFHS-4
|
NFHS-3
|
NFHS-4
|
NFHS-3
|
|
|
India
|
2.2
|
2.7
|
78.9
|
38.7
|
53.0
|
55.3
|
62.0
|
43.5
|
|
1
|
Andhra
Pradesh
|
1.8
|
|
91.6
|
|
60.0
|
|
65.3
|
|
|
2
|
Assam
|
2.2
|
2.4
|
70.6
|
22.4
|
46.0
|
69.3
|
47.1
|
31.4
|
|
3
|
Bihar
|
3.4
|
4.0
|
63.8
|
19.9
|
60.3
|
67.4
|
61.7
|
32.8
|
|
4
|
Chhattisgarh
|
2.2
|
2.6
|
70.2
|
14.3
|
47.0
|
57.5
|
76.4
|
48.7
|
|
5
|
Gujarat
|
2.0
|
2.4
|
88.7
|
52.7
|
54.9
|
55.3
|
50.4
|
45.2
|
|
6
|
Haryana
|
2.1
|
2.7
|
80.5
|
35.7
|
62.7
|
56.1
|
62.2
|
65.3
|
|
7
|
Jharkhand
|
2.6
|
3.3
|
61.9
|
18.3
|
65.2
|
69.5
|
61.9
|
34.2
|
|
8
|
Karnataka
|
1.8
|
2.1
|
94.3
|
64.7
|
44.8
|
51.2
|
62.6
|
55.0
|
|
9
|
Kerala
|
1.6
|
1.9
|
99.9
|
99.3
|
34.2
|
32.8
|
82.1
|
75.3
|
|
10
|
Madhya
Pradesh
|
2.3
|
3.1
|
80.8
|
26.2
|
52.5
|
55.9
|
53.6
|
40.3
|
|
11
|
Maharashtra
|
1.9
|
2.1
|
90.3
|
64.6
|
48.0
|
48.4
|
56.3
|
58.8
|
|
12
|
Odisha
|
2.1
|
2.4
|
85.4
|
35.6
|
51.0
|
61.1
|
78.6
|
51.8
|
|
13
|
Punjab
|
1.6
|
2.0
|
90.5
|
51.3
|
53.5
|
38.0
|
89.1
|
60.1
|
|
14
|
Rajasthan
|
2.4
|
3.2
|
84.0
|
29.6
|
46.8
|
53.1
|
54.8
|
26.5
|
|
15
|
Tamil
Nadu
|
1.7
|
1.8
|
99.0
|
87.8
|
55.1
|
53.2
|
69.7
|
80.9
|
|
16
|
Telangana
|
1.8
|
|
91.5
|
|
56.7
|
|
68.1
|
|
|
17
|
Uttar
Pradesh
|
2.7
|
3.8
|
67.8
|
20.6
|
52.4
|
49.9
|
51.1
|
23.0
|
|
18
|
West
Bengal
|
1.8
|
2.3
|
75.2
|
42.0
|
62.5
|
63.2
|
84.4
|
64.3
|
|
19
|
Arunachal
Pradesh
|
2.1
|
3.0
|
52.3
|
28.5
|
40.3
|
50.5
|
38.2
|
28.4
|
|
20
|
Delhi
|
1.7
|
2.1
|
84.4
|
59.0
|
52.5
|
44.3
|
66.4
|
63.2
|
|
21
|
Goa
|
1.7
|
1.8
|
96.9
|
92.3
|
31.3
|
38.0
|
88.4
|
78.6
|
|
22
|
Himachal
Pradesh
|
1.9
|
1.9
|
76.4
|
43.1
|
53.4
|
43.0
|
69.5
|
74.2
|
|
23
|
Jammu
& Kashmir
|
2.0
|
2.4
|
85.7
|
50.2
|
40.3
|
52.0
|
75.1
|
66.7
|
|
24
|
Manipur
|
2.6
|
2.8
|
69.1
|
45.9
|
26.4
|
35.7
|
65.9
|
46.8
|
|
25
|
Meghalaya
|
3.0
|
3.8
|
51.4
|
29.0
|
56.2
|
46.2
|
61.5
|
32.9
|
|
26
|
Mizoram
|
2.3
|
2.9
|
80.1
|
59.8
|
22.5
|
38.1
|
50.5
|
46.5
|
|
27
|
Nagaland
|
2.7
|
3.7
|
32.8
|
11.6
|
23.9
|
*
|
35.7
|
21.0
|
|
28
|
Sikkim
|
1.2
|
2.0
|
94.7
|
47.2
|
34.9
|
59.5
|
83.0
|
69.6
|
|
29
|
Tripura
|
1.7
|
2.2
|
79.9
|
46.9
|
54.5
|
65.1
|
54.5
|
49.7
|
|
30
|
Uttarakhand
|
2.1
|
2.6
|
68.6
|
32.6
|
45.2
|
54.7
|
57.7
|
60.0
|
|
31
|
A&N
Islands
|
1.5
|
|
96.6
|
|
65.7
|
|
73.2
|
|
|
32
|
Chandigarh
|
1.6
|
|
91.6
|
|
75.9
|
|
(79.5)
|
|
|
33
|
Dadra
& Nagar Haveli
|
2.3
|
|
88.0
|
|
79.5
|
|
43.2
|
|
|
34
|
Daman
& Diu
|
1.7
|
|
90.1
|
|
58.9
|
|
66.3
|
|
|
35
|
Lakshadweep
|
1.8
|
|
99.9
|
|
45.7
|
|
86.9
|
|
|
36
|
Puducherry
|
1.7
|
|
99.9
|
|
52.4
|
|
91.3
|
|
|
* Percentage not given because of less than 25 unweighted cases
( ) Based on 25-49 unweighted cases
|
|
|
Some Key indicators from NFHS-4 as compared to NFHS-3 (contd…)
|
|
S.No.
|
India/States/UTs
|
Children under 5 years who are underweight (weight-for-age) (%)
|
Children age 6-59 months who are anaemic (<11.0 g/dl) (%)
|
Current Use of Family Planning Methods (currently married women
age 15–49 years)
|
Under Five Mortality Rate
|
|
NFHS-4
|
NFHS-3
|
NFHS-4
|
NFHS-3
|
NFHS-4
|
NFHS-3
|
NFHS-4
|
NFHS-3
|
|
|
India
|
35.7
|
42.5
|
58.4
|
69.4
|
47.8
|
48.5
|
50
|
74
|
|
1
|
Andhra
Pradesh
|
31.9
|
|
58.6
|
|
69.4
|
|
41
|
|
|
2
|
Assam
|
29.8
|
36.4
|
35.7
|
69.4
|
37.0
|
27.0
|
56
|
84
|
|
3
|
Bihar
|
43.9
|
55.9
|
63.5
|
78.0
|
23.3
|
28.9
|
58
|
84
|
|
4
|
Chhattisgarh
|
37.7
|
47.1
|
41.6
|
71.2
|
54.5
|
49.1
|
64
|
90
|
|
5
|
Gujarat
|
39.3
|
44.6
|
62.6
|
69.7
|
43.1
|
56.5
|
43
|
61
|
|
6
|
Haryana
|
29.4
|
39.6
|
71.7
|
72.3
|
59.4
|
58.3
|
41
|
52
|
|
7
|
Jharkhand
|
47.8
|
56.5
|
69.9
|
70.3
|
37.5
|
31.1
|
54
|
93
|
|
8
|
Karnataka
|
35.2
|
37.6
|
60.9
|
70.3
|
51.3
|
62.5
|
32
|
54
|
|
9
|
Kerala
|
16.1
|
22.9
|
35.6
|
44.5
|
50.3
|
57.9
|
7
|
16
|
|
10
|
Madhya
Pradesh
|
42.8
|
60.0
|
68.9
|
74.0
|
49.6
|
52.8
|
65
|
93
|
|
11
|
Maharashtra
|
36.0
|
37.0
|
53.8
|
63.4
|
62.6
|
64.9
|
29
|
46
|
|
12
|
Odisha
|
34.4
|
40.7
|
44.6
|
65.0
|
45.4
|
44.7
|
49
|
91
|
|
13
|
Punjab
|
21.6
|
24.9
|
56.6
|
66.4
|
66.3
|
56.1
|
33
|
52
|
|
14
|
Rajasthan
|
36.7
|
39.9
|
60.3
|
69.6
|
53.5
|
44.4
|
51
|
85
|
|
15
|
Tamil
Nadu
|
23.8
|
29.8
|
50.7
|
64.2
|
52.6
|
60.0
|
27
|
35
|
|
16
|
Telangana
|
28.5
|
|
60.7
|
|
56.9
|
|
32
|
|
|
17
|
Uttar
Pradesh
|
39.5
|
42.4
|
63.2
|
73.9
|
31.7
|
29.3
|
78
|
96
|
|
18
|
West
Bengal
|
31.5
|
38.7
|
54.2
|
61.0
|
57.0
|
49.9
|
32
|
59
|
|
19
|
Arunachal
Pradesh
|
19.5
|
32.5
|
50.7
|
56.9
|
26.6
|
37.3
|
33
|
88
|
|
20
|
Delhi
|
27.0
|
26.1
|
62.6
|
57.0
|
47.3
|
56.5
|
47
|
47
|
|
21
|
Goa
|
23.8
|
25.0
|
48.3
|
38.2
|
24.8
|
37.2
|
13
|
20
|
|
22
|
Himachal
Pradesh
|
21.2
|
36.5
|
53.7
|
54.4
|
52.1
|
71.0
|
38
|
42
|
|
23
|
Jammu
& Kashmir
|
16.6
|
25.6
|
43.3
|
58.5
|
46.1
|
44.9
|
38
|
51
|
|
24
|
Manipur
|
13.8
|
22.2
|
23.9
|
41.1
|
12.7
|
23.6
|
26
|
42
|
|
25
|
Meghalaya
|
29.0
|
48.8
|
48.0
|
63.8
|
21.9
|
18.5
|
40
|
70
|
|
26
|
Mizoram
|
11.9
|
19.9
|
17.7
|
43.8
|
35.3
|
59.6
|
46
|
53
|
|
27
|
Nagaland
|
16.8
|
25.2
|
21.6
|
*
|
21.4
|
22.5
|
37
|
65
|
|
28
|
Sikkim
|
14.2
|
19.7
|
55.1
|
58.1
|
45.9
|
48.7
|
32
|
40
|
|
29
|
Tripura
|
24.1
|
39.6
|
48.3
|
62.9
|
42.8
|
44.9
|
33
|
59
|
|
30
|
Uttarakhand
|
26.6
|
38.0
|
59.8
|
60.7
|
49.3
|
55.5
|
47
|
56
|
|
31
|
A&N
Islands
|
21.6
|
|
49.0
|
|
48.3
|
|
13
|
|
|
32
|
Chandigarh
|
24.5
|
|
73.1
|
|
58.2
|
|
*
|
|
|
33
|
Dadra
& Nagar Haveli
|
38.9
|
|
84.6
|
|
37.9
|
|
(42)
|
|
|
34
|
Daman
& Diu
|
26.7
|
|
73.8
|
|
31.6
|
|
(34)
|
|
|
35
|
Lakshadweep
|
23.4
|
|
51.9
|
|
14.9
|
|
23
|
|
|
36
|
Puducherry
|
22.0
|
|
44.9
|
|
61.2
|
|
16
|
|
|
|
|
|
|
|
|
|
|
|
* Percentage not given because of less than 25 unweighted cases (
) Based on 25-49 unweighted cases
The
NFHS 4 results demonstrate that the improvements over NFHS 3 are significant
for many key indicators, but there are considerable rural, urban and inter
State disparities in key indicators. Health is a state subject and the lag in
improvement of indicators is linked to low baselines, limited investment and
inefficiencies in spending by States. The data also indicate that the country
is undergoing a demographic and epidemiological transition and that life style
related diseases are on the rise. There is also a significant influence on
non-health determinants – such as education, income level, access to water,
sanitation and nutrition, clean fuel, etc, that impact health status.
These
actions require significant multi-sectoral convergence, and are beyond the
purview of the Ministry of Health Family welfare alone. Though the health is a
state subject, yet under National Health Mission (NHM), support is provided to
the States/UTs to strengthen their health care system based on the requirements
proposed by them under Programme Implementation Plans. NHM envisages
achievement of universal access to equitable, affordable & quality
healthcare services that are accountable and responsive to people’s needs. The
main programmatic components include Health System Strengthening in rural and
urban areas, Reproductive, Maternal, New-born, Child and Adolescent Health
(RMNCH+A) interventions and control of Communicable and Non-Communicable
Diseases. Based on the emerging issues some of the recent initiatives taken
include:
·
Launching of
PradhanMantri
National Dialysis Services Programme,
·
Launching
Mother’s Absolute Affection (MAA) Programme
- Launching
of PradhanMantriSurakshitMatritvaAbhiyan,
- Introduction
of Rubella vaccine- it is an Universal Immunization Programme as
Measles-Rubella combination vaccine to provide protection against
congenital birth defects caused by Rubella infection,
- Launching
of “Mission ParivarVikas” in 145 high focus districts having higher total
fertility rates(TFR) in the country,
- Expansion
of basket of choices, to include new contraceptives like Injectable
contraceptive, Centchroman and Progestogen Only Pills (POP),
- Launching
of a universal population based screening programme for early detection,
management and control of common non-communicable diseases such as
hypertension, diabetes, and cancers (breast, cervix and oral).
- Swachh
Swasth Sarvatra (SSS), a joint initiative of the Ministry of Health &
Family Welfare (MoHFW) and the Ministry of Drinking Water and Sanitation
(MoDWS) to leverage the achievements of the two Ministries for convergence
of the interventions to maximize the health gains.
The Minister of State
(Health and Family Welfare), Sh Faggan Singh Kulaste stated this in a written
reply in the Rajya Sabha here today.
*****
MV/LK