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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 : Etawah

    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 onmaternal and child health, family planning and other reproductive health

    services. 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 ofEtawah, sample size was 1200 households with 10% additional HHs totake care of non-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 of

    SC/ ST population, female literacy (7+), etc. The required number ofvillages from each strata were selected with probability proportional tosize (PPS). In selected primary sampling units (villages), household listingwas done and required number of households were selected using

    For larger villages (more than 300 HHs) segmentation was carried out. Incase 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

    language, were used in DLHS-3 viz., Household, Ever Married Women(age 15-49), Unmarried Women (age 15-24), Village and Health facilityquestionnaires.

    - ,

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    Uttar Pradesh DLHS-3 trict : Etawah

    Note:

    Unmet need for spacing

    Unmet need for limiting

    Unmet need

    Unmet need refers to unmet for limiting and spacing.

    # It is adjusted according to DLHS - 3 definition.

    Correct Knowledge of HIV/AIDS

    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.

    ,DLHS-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 evermarried women15-49 years

    DLHS -2 in total percentage is adujusted for indicators considering oversampling of urban PSUs in DLHS-2. This adujustment 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.

    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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    Uttar Pradesh DLHS-3 District : Etawah

    District Indicators, Etawah, (2001 Census).

    Indicators Census 2001

    Population (in thousands) 1388

    Decadal Growth Rate (1991-01) 21.5

    Sex Ratio * 858

    Percent Urban population 23.0

    Percent SC population 23.4

    Percent ST population 0.0

    Female Literacy Rate (7 years and above) 57.8

    Male Literacy Rate (7 years and above) 79.9

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

    Households 1270 94.1

    Ever Married Women (15-49 years) 1167 88.7

    Unmarried Women (15-24 years) 291 87.1

    Sub Centres (SC) 30 100

    Primary Health Centres (P H C) 8 100

    Community Health Centres (C H C) 4 100

    District Hospital (D H) 1 100Population and Household Characteristics, 2007-08

    Background CharacteristicsDLHS - 3 DLHS - 2

    Total Rural Total Rural

    77.2 76.8 - -

    86.9 87.0 - -

    66.8 65.5 - -

    99.4 99.4 - -

    99.5 99.5 - -Have Electricity connection (%) 32.5 27.2 34.0 27.2

    Have Access to toilet facility (%) 14.7 7.4 17.5 9.6

    Use piped drinking water (%) 2.2 1.4 2.3 1.1

    Use LPG for cooking (%) 5.2 2.4 10.8 4.7

    Live in a pucca house (%) 23.2 19.2 15.7 7.9

    Own a house (%) 98.3 99.2 - -Have a BPL card (%) 26.1 29.1 - -Own Agriculture Land (%) 78.8 85.6

    Have a television (%) 20.5 15.9 26.7 21.0

    Have a mobile phone (%) 25.3 23.1 - -Have a Motorized Vehicle (%) 13.7 13.3 15.5 13.3

    Standard of Living Index

    Low (%) 77.1 82.8 63.2 69.6

    Medium (%) 15 5 13 4 25 8 25 5

    Percent total literate Population (Age7 +)Percent literate Male Population (Age7+)Percent literate Female Population(Age 7+)Percent girls (age 6-11) attendingSchools

    Percent boys (age 6-11) attendingSchools

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    Uttar Pradesh DLHS-3 District : Etawah

    Indicators DLHS - 3 DLHS - 2

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

    Percentage of girl's marrying before completing 18 years 25.6 30.0 32.3 35.8

    Percentage of Births of Order 3 and above 47.7 48.6 54.0 55.5

    Sex Ratio at birth 107 107 - -

    65.8 66.9 - -

    19.2 22.3 - -

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

    Current Use :

    Any Method (%) 31.2 30.5 50.4 46.8

    Any Modern method (%) 25.4 25.4 28.5 24.9

    Female Sterilization (%) 15.5 17.1 13.7 13.1

    Male Sterilization (%) 0.1 0.0 0.2 0.2

    IUD (%) 1.4 1.4 1.2 0.6

    Pill (%) 1.9 1.7 2.6 2.2

    Condom (%) 6.4 5.1 10.4 8.2

    Unmet Need for Family Planning:

    Total unmet need (%) 44.1 45.2 26.0 28.1

    For spacing (%) 12.0 12.9 7.7 8.2

    For limiting (%) 32.1 32.3 18.3 19.9

    Maternal Health:

    27.3 21.6 - -

    18.2 13.9 26.2 23.0

    47.4 41.3 64.9 62.4

    Institutional births (%) 26.5 21.5 15.2 8.9

    Delivery at home assisted by a doctor/nurse /LHV/ANM(%) 3.5 2.7 13.0 11.6

    33.0 30.0 - -

    Child Immunization and Vitamin A supplementation:

    24.3 24.7 25.2 21.6

    Children (12-23 months) who have received BCG (%) 79.9 82.5 64.4 61.6

    38.7 37.1 32.9 28.4

    40.1 38.8 35.6 31.1

    49.3 51.1 34.8 29.7

    4

    Percentage o women age 20-24 reporting irt o or er 2 &above.Percentage of births to women during age 15-19 out of totalbirths

    Mothers registered in the first trimester when they werepregnant with last live birth/still birth (%)

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

    Mothers who got at least one TT injection when they werepregnant with their last live birth / still birth (%)#

    Mothers who received post natal care within 48 hours ofdelivery of their last child (%)

    Children (12-23 months) fully immunized (BCG, 3 doses each ofDPT, and Polio and Measles) (%)

    Children (12-23 months) who have received 3 doses of PolioVaccine (%)

    Children (12-23 months) who have received 3 doses of DPTVaccine (%)Children (12-23 months) who have received Measles Vaccine(%)

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    Uttar Pradesh DLHS-3 District : Etawah

    IndicatorsDLHS - 3 DLHS - 2

    Total Rural Total Rural

    37.4 34.8 - -

    9.1 7.7 - -

    12.6 13.5 10.0 11.5

    70.1 70.0 94.9 95.4

    69.7 68.4 - -

    32.8 27.5 - -

    32.3 28.2 - -

    Child feeding practices (Children under 3 years)

    Children breastfed within one hour of birth (%) 9.5 8.5 - -

    12.9 15.6 - -

    81.7 80.7 - -

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

    Women heard of HIV/AIDS (%) 38.6 31 34.3 26.7

    32.3 29.2 16.9 15.3

    Women having correct knowledge of HIV/ AIDS (%) 93.8 92.1 - -

    Women underwent test for detecting HIV/ AIDS (%) 1.9 1.5 - -

    Women heard of RTI/STI (%) 24.1 22 41.3 39.2

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

    Women heard of HIV/AIDS (%) 60.0 53.1 - -

    26.8 14.5 - -

    Women having correct knowledge of HIV/ AIDS (%) 94.9 93.5 - -

    Women underwent test for detecting HIV/ AIDS (%) 0.0 0.0 - -

    Women heard of RTI/STI (%) 27.5 25.1 - -

    Women facilitated/motivated by ASHA for

    Ante-natal Care (%) 1.2 1.5 - -

    Delivery at Health Facility (%) 0.4 0.2 - -

    Use of Family Planning Methods (%) 1 7 2 3 - -

    Child Immunization and Vitamin A supplementation: (Contd..)

    Children (9-35 months) who have received at leastone dose of Vitamin A (%)

    Children (above 21 months) who have receivedthree 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 two weeks whoreceived ORS (%)

    Children with Diarrhoea in the last two weeks whowere given treatment (%)

    Children with acute respiratory infection/fever inthe last two weeks who were given treatment (%)

    Children had check-up within 24 hours afterdelivery (based on last live birth)(%)

    Children had check-up within 10 days after delivery(based on last live birth) (%)

    Children (age 6 months above) exclusivelybreastfed (%)

    Children (6-24 months) who received solid orsemisolid food and still being breastfed (%).

    Women who knew that consistent condom use can

    reduce the chances of getting HIV/AIDS (%)

    Women who knew that consistent condom use canreduce the chances of getting HIV/AIDS (%)

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    Uttar Pradesh DLHS-3 District : Etawah

    Village

    Indicators NumberVillages that have implemented Janani Suraksha Yojana (JSY) 17

    Villages with Health & Sanitation Committee 7

    Villages with Rogi Kalyan Samiti (RKS) 1

    Villages where PRI aware of untied fund by Government 6

    Health facility within village - ICDS (Anganwadi) 37

    1

    Health facility within village- Sub-Centre 12

    26

    Health facility within village- PHC 2

    36

    Health facility within village- Block PHC 2

    36

    Health facility within village- Govt. Dispensary 1

    37Health facility within village- Private Clinic 5

    33

    Health facility within village- AYUSH Health Facility 2

    36

    Facility SurveyCommunity Health Centre (CHC) N = 4

    Indicators Number Indicators NumberInfrastructure : Performance

    CHC having Personal Computer 1 In-patients admission in last one month. 391

    CHC having Operation Theatre 4 72

    CHC having Labour Room 4 Deliveries performed in last one month. 76

    CHC having Blood Storage Facility 0 Blood transfusion done in last one month. 0

    CHC having large deep freezer 0 Sterilization conducted in last one month. 33

    3

    CHC having water supply for 24 hou 3

    CHC having Ambulance on road. 2

    6

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

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

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

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

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

    the year-Govt. Dispensary

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

    If health facility is not in the village, whether accessible to the nearest health facility throughoutthe year-AYUSH Health Facility

    Referred cases for serious ailments from CHCto higher centres during last one month.

    CHC prepared a CHC plan for thecurrent year

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    Uttar Pradesh DLHS-3 District : Etawah

    Facility SurveyCommunity Health Centre (CHC) N = 4 (Contd..)

    Indicators Number Indicators Number

    Human Resource : Supply :

    CHC having General Surgeon 1 3

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

    0 0

    0

    0

    0

    Primary Health Centre (PHC) N= 8

    Infrastructure : Performance :

    7 26

    PHC having separate Labour Room 5 380

    PHC having Personal Computer 0 311

    PHC having Normal Delivery Kit 3 12

    PHC having Large Deep Freezer 4 65

    PHC having regular water supply 8 65

    0 65

    6 65

    6 949

    1577

    6

    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.

    . .Management of Neonatal andChildhood illness during last fiveyears.

    PHC having Residential Quarter forMedical Officer

    Haemoglobin tests (TLC/DLC)conducted during last one monthBlood smear examinations for malariaparasite conducted during last onemonth

    In-patient admissions during last onemonth

    PHC to higher centres during last onemonth

    Deliveries performed during last onemonth

    Beneficiaries of JSY during last onemonth

    PHC having Neonatal Warmer(Incubator)

    Women provided with post-natal careservices during last one month

    PHC having Operation Theater withBoyles Apparatus

    New born care provided during last onemonth

    PHC having Operation Theater withanaesthetic medicine

    Infants and children immunized duringlast one monthCondoms distributed during last onemonthPHC prepared the PHC plan for currentyear

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    Uttar Pradesh DLHS-3 District : Etawah

    Facility SurveyPrimary Health Centre (PHC) N = 8 (Contd..)

    Indicators Number Indicators Number

    Human Resource : Supply :

    PHC having Lady Medical Officer (LM 0 2

    PHC having Laboratory Technician 4

    6

    2

    0

    Sub Centre (SC) N =30Infrastructure : Performance :

    8 1435

    1

    23

    ANM staying in Sub Centre village 517

    29

    Human Resource : Supply :

    1 28

    10 23

    15 8

    10 21

    17 24

    4

    8

    PHC that received the untied fund inprevious financial year.

    programme in their PHC during lastyear.

    ,received Integrated Skill

    Development Training for 12 daysduring last five years.received IMNCI training during lastfive years.

    Sub Centre located in governmentbuilding

    Number of Infants and childrenimmunizedSub Centre having communication

    facilitySub Centre having separate labourroom

    Sub Centre having staff quarter forANM

    supply

    Sub Centre where Male HealthWorker in position

    Sub-Centre having auto-disposablesyringes

    ANM had Integrated SkillDevelopment Training in last 5 years

    Sub-Centre reporting IFA tablets outof stock for more than 10 daysduring last one month

    ANM ever been trained in IntegratedSkill Development Training

    u - en re repor ng am n ou

    of stock for more than 10 daysduring last one month

    management of neonatal andchildhood Illnesses (IMNCI) in last 5years

    Sub-Centre reporting ORS packetsout of stock for more than 10 daysduring last one month

    ANM ever been trained in integratedmanagement of neonatal andchildhood Illnesses (IMNCI)

    Sub-Centre that received untiedfund in previous financial year

    ANM who attended Skilled birthattendant (SBA) training

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    Uttar Pradesh DLHS-3 District : Etawah

    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

    4050

    60

    70

    80

    90

    100

    Contraceptive Use (Any Method) by Residence

    DLHS - 2 DLHS - 3

    Perc

    en

    t

    0

    10

    20

    30

    40

    50

    60

    70

    Institutional Deliveries by Residence

    DLHS - 2 DLHS - 3

    Percen

    t

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100

    ren (Age 12-23 Months) Received Measles Vacci

    DLHS - 2 DLHS - 3

    Percen

    t

    0

    10

    20

    30

    40

    50

    60

    70

    otal Unmet Need for Family Planning by Residenc

    DLHS - 2 DLHS - 3

    Percen

    t

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