15_agra factsheet up

8/6/2019 15_Agra Factsheet UP

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For further information, please contact:

Additional Director General (Stat.)

Ministry of Health and Family Welfare

Government of India

Nirman BhavanNew Delhi - 110 011

Telephone: 011-23061334

Fax: 011-23061334

E-mail: [email protected]

Chief Director (Stat.)

Ministry of Health and Family WelfareGovernment of India

Nirman Bhavan

New Delhi - 110 011

Telephone: 011-23062699

Fax: 011-23062699

E-mail: [email protected]

Director/ Project Coordinator (DLHS -3)

International Institute for Population Sciences (IIPS)

Govandi Station Road, Deonar

Mumbai - 400 088

Telephone: 022- 2556 3254/5/6

Fax: 022- 2556 3257, 2555 5895

E-mail: [email protected], [email protected]: http://www.rchiips.org


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Uttar Pradesh DLHS-3 District : Agra

About DLHS - 3:

view to assess the utilization of services provided by government healthcare facilities and peoples perception about the quality of services. TheDistrict Level Household Survey - 3 (DLHS -3) is the third in the series ofdistrict survey, preceded by DLHS-1 in 1998-99 and DLHS-2 in 2002-04.As in DLHS-3, the International Institute for Population Sciences (IIPS) wasthe nodal agency to conduct DLHS-1 and DLHS-2. DLHS-3, like other twoearlier round, is designed to provide estimates on important indicators on

maternal and child health, family planning and other reproductive healthservices. In addition, DLHS-3 provides information on importantinterventions of National Rural Health Mission (NRHM). Unlike other tworounds in which only currently married women age 15-44 years wereinterviewed, DLHS -3 interviewed ever-married women (age 15-49) andnever married women (age 15-24).

their performance in terms of ante-natal care (ANC), institutional delivery,

immunization, etc. and it was fixed based on information related to suchindicators from DLHS-2. For low performing districts, 1500 Households(HHs), for medium performing districts, 1200 HHs and for goodperforming districts, 1000 HHs were fixed as sample size. In case of Agra,sample size was 1000 households with 10% additional HHs to take care ofnon-response/refusal, etc.

The survey used two-stage stratified random sampling in rural and three-stage stratified sampling in urban areas of each district. The informationfrom 2001 Census was used as sampling frame for selecting primarysampling units (PSUs). In rural areas, all the villages in the district werestratified into different strata based on population /HH size, percentage ofSC/ ST population, female literacy (7+), etc. The required number ofvillages from each strata were selected with probability proportional tosize (PPS). In selected rimar sam lin units (villa es), household listinFor larger villages (more than 300 HHs) segmentation was carried out. In

case of 300 to 600 HHs, two segments of equal size were made and onewas selected using PPS. For PSUs having more than 600 HHs, segments of150 HHs were created depending on the size and then two segmentswere selected using PPS. In case of urban areas, number of wards wereselected using PPS at first stage. In a selected ward, one enumerationblock from 2001 census was selected again using PPS. Procedure forse mentation, household selection, etc, was same as in the case of rural


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assets possessed, number of marriages to usual members of thehousehold since January 2004 and deaths in the household since January2004 etc. was collected. In case of female deaths, attempts were madeto assess maternal death. The household questionnaire also collectedinformation on respondents knowledge (seen/read/heard) aboutmessages related to various government health programmes beingspread through media and other sources.


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Uttar Pradesh DLHS-3 istrict : Agra

Note:

Unmet need for spacing

Unmet need for limiting

characteristics, maternal care, immunization and child care,contraception and fertility preferences, reproductive health includingknowledge about HIV/AIDS.

The unmarried women's questionnaire contained information on hercharacteristics, family life education and age at marriage, reproductivehealth-knowledge and awareness about contraception, HIV / AIDS, etc.

The village questionnaire contained information on availability of health,

education and other facilities in the village and whether the healthfacilities are accessible throughout the year.For t e rst t me, popu at on- n e ac ty survey as een con ucte nDLHS-3. In a district, all Community Health Centres (CHCs) and DistrictHospital (DH) were covered. Further, all Sub-centres (SC) and PrimaryHealth Centres (PHC) which were expected to serve the population of theselected PSU were also covered. There were separate questionnaires forSC, PHC, CHC and DH. They broadly include questions on infrastructure,

human resources, supply of drugs & instruments, and performance.

women 15-44 yearsDLHS -3 information is based on data collected from ever marriedwomen 15-49 years

DLHS -2 in total percentage is adjusted for indicators considering oversampling of urban PSUs in DLHS-2. This adjustment is done in thosedistricts where urban percentage is less than 30.Residency/Yard/Plot),Tap(Shared/public),Hand pump/Bore well,Well-Covered.DLHS -3 Includes Pipe into Dwelling, Piped to yard/Plot, Public Tap/Standpipe.

women who are neither in menopause or had hysterectomy nor arecurrently pregnant and who want more children after two years or laterand are currently not using any family planning method. The women whoare not sure about whether and when to have next child are also includedin unmet need for spacing.

women who are neither in menopause or had hysterectomy nor arecurrently pregnant and do not want any more children but are currentlynot using any family planning method.


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The Women who heard about HIV/AIDS and have correct knowledge abouttransmission of HIV/AIDS and knowledge of prevention from HIV/AIDS.


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District Indicators, Agra, (2001 Census).

Indicators Census 2001

Population (in thousands) 3620

Decadal Growth Rate (1991-01) 31.3

Sex Ratio * 846

Percent Urban population 43.3

Percent SC population 21.8

Percent ST population 0.0

Female Literacy Rate (7 years and above) 48.4

Male Literacy Rate (7 years and above) 74.6

Sample outcome, DLHS -3, 2007-08Category No. covered Response Rate

Households 1040 94.5

Ever Married Women (15-49 978 88.6

Unmarried Women (15-24 ye 299 88.2

Sub Centres (SC) 27 100

Primary Health Centres (P H 10 100

Community Health Centres ( 6 100

District Hospital (D H) 2 100Population and Household Characteristics, 2007-08

Background CharacteriDLHS - 3 DLHS - 2

Total Rural Total Rural

72.5 69 - -

83.6 84.6 - -

52.8 59.4 - -

97.7 97.1 - -

98.9 97.2 - -

74.4 66.2 71.3 53.5

31.6 11.6 33.8 11.8

Use piped drinking water (%) 22.2 3.1 72 63.9

Use LPG for cooking (%) 20.6 2.4 25.7 6.3

Live in a pucca house (%) 38.6 18 41.9 22.1

Own a house (%) 94.3 97.7 - -

Have a BPL card (%) 4.2 5.9 - -Own Agriculture Land (%) 47.4 66.6

Have a television (%) 51.5 38.1 50 33.2

Have a mobile phone (%) 39 30.4 - -Have a Motorized Vehicle (%) 22.2 19.5 21 19.1

Percent total literatePopulation (Age 7 +)

Percent literate MalePopulation (Age 7+)

Percent literate FemalePopulation (Age 7+)

Percent girls (age 6-11)attending Schools

Percent boys (age 6-11)attending Schools

(%)

ave ccess o o e ac y


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Indicators DLHS - 3 DLHS - 2

Marriage and Fertility, (Jan 2004 to 2007-08)Total Rural Total Rural

33.8 48.2 27.7 38.5

44.9 46.8 57.9 50.8

Sex Ratio at birth 133 128 - -

65.4 68.7 - -

14.9 18.3 - -

Family planning (currently married women, age 15-49)

Current Use :

Any Method (%) 28.8 26.4 37.7 32

Any Modern method (%) 27.3 24.6 30.8 25

Female Sterilization (%) 21.3 21.9 18.9 18.2

Male Sterilization (%) 0 0 0.3 0.3

IUD (%) 0.2 0 1 0.5

Pill (%) 0.7 0.6 3.3 1.5Condom (%) 5 2.1 7.2 4.5

Total unmet need (%) 33.7 30.5 29.9 34

For spacing (%) 11.1 12.7 11.5 12.6

For limiting (%) 32.4 33.5 19.6 21.4

Maternal Health:

33 30.6 - -

20.5 14.6 26.7 20.5

54 50.4 57.9 48.7

Institutional births (%) 36.3 30.3 32.9 22.9

8.6 6.8 4.2 1.2

41.3 35.4 - -

Child Immunization and Vitamin A supplementation:

23.2 16.6 31.4 32

Percentage of girl's marryingbefore completing 18 years

Percentage of Births of Order 3and above

Percentage of women age 20-24reporting birth of order 2 &

during age 15-19 out of total

births

Unmet Need for FamilyPlanning:

Mothers registered in the firsttrimester when they were

pregnant with last live birth/still

Mothers who had at least 3 Ante-Natal care visits during the last

Mothers who got at least one TTinjection when they werepregnant with their last live birth

Delivery at home assisted by adoctor/nurse /LHV/ANM(%)

Mothers who received post natalcare within 48 hours of deliveryof their last child (%)

Children (12-23 months) fullyimmunized (BCG, 3 doses eachof DPT, and Polio and Measles)(%)


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IndicatorsDLHS - 3 DLHS - 2

Total Rural Total Rural

26.1 23.7 - -

3.2 4.1 - -

14.7 11.8 10.7 11.8

67.4 66.9 81.6 79.7

69.4 67.7 - -

44 38.9 - -

40.3 35.1 - -

Child feeding practices (Children under 3 years)8.1 6.9 - -

5.9 4.9 - -

78.5 79.5 - -

Knowledge of HIV/AIDS and RTI/STI among Ever married Women (age 15-49)

Women heard of HIV/AIDS (%) 44.9 33.4 25.3 11.2

43.7 33.5 41.4 31.6

80.7 82.3 - -

2.6 1.7 - -

Women heard of RTI/STI (%) 15.7 10.6 4.5 3.1

Knowledge of HIV/AIDS among Un-married Women (age 15-24)

Women heard of HIV/AIDS (%) 67.1 52.2 - -

22.4 14 - -

89.9 82.1 - -

1 7 0

Child Immunization and Vitamin A supplementation: (Contd..)Children (9-35 months) who havereceived at least one dose of Vitamin A(%)

Children (above 21 months) who havereceived three doses of Vitamin A (%)

rea men o c oo seases c ren un er years ase on as wo surv v ngchildrenChildren with Diarrhoea in the last twoweeks who received ORS (%)

Children with Diarrhoea in the last twoweeks who were given treatment (%)

Children with acute respiratoryinfection/fever in the last two weeks whowere given treatment (%)

Children had check-up within 24 hoursafter delivery (based on last live birth)(%)

ren a c ec -up w n aysafter delivery (based on last live birth)

Children breastfed within one hour ofbirth (%)

Children (age 6 months above)exclusively breastfed (%)

C i ren 6-24 mont s w o receivesolid or semisolid food and still beingbreastfed (%).

Women who knew that consistentcondom use can reduce the chances ofgetting HIV/AIDS (%)

Women having correct knowledge of HIV/AIDS (%)

Women underwent test for detecting HIV/AIDS (%)

Women who knew that consistentcondom use can reduce the chances ofgetting HIV/AIDS (%)

Women having correct knowledge of HIV/AIDS (%)

Women underwent test for detecting HIV/


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Use of Family Planning Methods (%) 0.8 1 - -

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Village

Indicators Number

Villages that have implemented Janani Suraksha Yojana (JSY) 23

Villages with Health & Sanitation Committee 1

Villages with Rogi Kalyan Samiti (RKS) 0

Villages where PRI aware of untied fund by Government 4

Health facility within village - ICDS (Anganwadi) 27

1

Health facility within village- Sub-Centre 11

17

Health facility within village- PHC 4

24

Health facility within village- Block PHC 1

27

Health facility within village- Govt. Dispensary 0

28

Health facility within village- Private Clinic 2

26

Health facility within village- AYUSH Health Facility 2

26

Facility SurveyCommunity Health Centre (CHC) N = 6

Indicators Number Indicators Number

Infrastructure : Performance

CHC having Personal Computer 0 In-patients admission in last one month. 261

CHC having Operation Theatre 6 8

CHC having Labour Room 6 Deliveries performed in last one month. 213CHC having Blood Storage Facility 0 0

CHC having large deep freezer 1 138

3

CHC having water supply for 24 hou 6

CHC having Ambulance on road. 2

6

If health facility is not in the village, whether accessible to the nearest health facilitythroughout the year-ICDS (Anganwadi)

If health facility is not in the village, whether accessible to the nearest health facilitythroughout the year-Sub-Centre

If health facility is not in the village, whether accessible to the nearest health facilitythroughout the year-PHC

If health facility is not in the village, whether accessible to the nearest health facilitythroughout the year-Block PHC

If health facility is not in the village, whether accessible to the nearest health facilitythroughout the year-Govt. Dispensary

If health facility is not in the village, whether accessible to the nearest health facilitythroughout the year-Private Clinic

If health facility is not in the village, whether accessible to the nearest health facility

throughout the year-AYUSH Health Facility

CHC to higher centres during last onemonth.

Blood transfusion done in last onemonth.Sterilization conducted in last onemonth.

CHC prepared a CHC plan for thecurrent year


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Facility SurveyCommunity Health Centre (CHC) N = 6 (Contd..)

Indicators Number Indicators Number

Human Resource : Supply :

CHC having General Surgeon 3 4

CHC having Obstetrician/ Gynecologi 1 CHC with 24 hours New born care 3

1 0

2

3

2

Primary Health Centre (PHC) N= 10

Infrastructure : Performance :

8 260

PHC having separate Labour Room 9 950

PHC having Personal Computer 0 767

PHC having Normal Delivery Kit 9 78

PHC having Large Deep Freezer 2 363

PHC having regular water supply 10 297

1 304

7 300

CHC with 24 hours normal deliveryservices.

M.O. received training of Non-Scalpel Vasectomy (NSV) during lastfive years.

CHC recongnized as IntegratedCounselling and Testing Centre(ICTC).

M.O. received training forPrevention, Care and Support forHIV/AIDS during last five years.

M.O. received training of basicEmergency Obstetric Care duringlast five years.

M.O. received training of IntegratedManagement of Neonatal andChildhood illness during last fiveyears.

PHC having Residential Quarter forMedical Officer

Haemoglobin tests (TLC/DLC)conducted during last one month

Blood smear examinations for

malaria parasite conducted duringlast one month

In-patient admissions during lastone month

Referral cases for serious ailmentsfrom PHC to higher centres duringlast one month

Deliveries performed during last onemonth

Beneficiaries of JSY during last onemonth

PHC having Neonatal Warmer(Incubator)

Women provided with post-natalcare services during last one month

PHC having Operation Theater withBoyles Apparatus

New born care provided during lastone month


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Performance at a Glance

0

20

40

60

80

100

had Minimum of Three Anti-natal Check-up by Res

DLHS - 2 DLHS - 3

Perc

en

t

0

20

40

60

80

100

men Received Atleast One TT Injection by Reside

DLHS - 2 DLHS - 3

Perc

en

t

0

10

20

30

40

50

60

70

80

90

100

Contraceptive Use (Any Method) by Residence

DLHS - 2 DLHS - 3

Percen

t

0

10

20

30

40

50

60

70

Institutional Deliveries by Residence

DLHS - 2 DLHS - 3

P

ercen

t

0

10

20

3040

50

60

70

80

90

100

ren (Age 12-23 Months) Received Measles Vacci

DLHS - 2 DLHS - 3

P

ercen

t

0

10

20

30

40

50

60

70

otal Unmet Need for Family Planning by Residenc

DLHS - 2 DLHS - 3

P

ercen

t


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