andhra pradesh factsheet 2020

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THE SECRETARIAT OF NATIONAL COALITION OF CIVIL SOCIETY ORGANIZATIONS DEVELOPED BY: ANDHRA PRADESH FACTSHEET 2020 Picture Courtesy: APMAS, Hyderabad, Telangana

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THE SECRETARIAT OF NATIONAL COALITION OF CIVIL SOCIETY ORGANIZATIONS

DEVELOPED BY:

ANDHRA PRADESH FACTSHEET

2020

Picture Courtesy: APMAS, Hyderabad, Telangana

In India the civil society organizations have been experimenting and developing various communityparticipation models but mostly its spread has been limited and operations remained in silosbecause of lack of platforms and alliances to highlight their works. Therefore, Oxfam India has set anational coalition for civil society organizations from 15 states in the country to bring certain macro-level changes that can help to achieve the envisaged health, nutrition and women’s economicempowerment outcomes through a common platform. It is believed that this platform will give acollective voice to the people and has the capacity to negotiate and influence the state for thenecessary integration of health, nutrition and gender under the government flagship programmeslike NRLM, NHM, ICDS and others. Oxfam India acts as an interim Secretariat for this coalition at thenational level to provide necessary support for its effective functioning. As the thematic areas ofwork of this coalition are being looked through the lens of gender discrimination and socialinclusion, emphasis is being given on Dalits, Adivasis and Muslims communities.

As evidence generation is one of the key strategies for functioning of this coalition, Oxfam Indiaintended to develop a state factsheet for each of the target states to highlight health, nutrition andwomen empowerment related issues of the state.

Only the important indicators related to health, nutrition and women empowerment have beenincluded in this factsheet and presentation of segregated data is limited to only locations (rural &urban), caste categories (SC, ST, OBC & Others) and religious groups (Hindus & Muslims). As data forother religious categories are not available for all indicators for all sources, only two religious groupshave been considered for the present analysis.

BACKDROP

STATE AT A GLANCE

49.8 50.284,580,777

OF INDIA POPULATION

STATE

INDIA 1,210,854,977

STATE POPULATION BY SEX (%) ¥

Source: Census 2011

OVERALL POPULATION¥

66.6 33.4

Rural Urban

STATE POPULATION BY LOCATION (%) ¥

Source: Census 2011 Source: Census 2011

(7.0%)

10.819.3

55.8

7.8

0-6 yr (Children) 10-19 yr (Adolescent) 15-49 yr (Reproductive) Above 60 yr (Old age)

STATE POPULATION BY AGE GROUP (%) ¥

Source: Census 2011

*DECADAL POPULATION GROWTH RATE

(%) ¥

11.0

Source: Census 2011

* Total population growth between 2001-2011

17.7

STATEINDIA

SEX RATIO (FEMALES PER 1000 MALES) ¥

Sex Ratio Sex Ratio (0-6 years)

993

996

987

939

941

935

State Total

Rural

Urban

Source: Census 2011

HEALTH INDEX (RANK) ¥

2

Source: Economic Survey 2019

2 0 1 7 - 2 0 1 8

A M ON G 2 1 S T A T E S

O V ER AL L L I T ER ACY R A T E ( % ) ¥

Source: Census

54.5

76.1

50.4

70.3

60.4

80.1

59.1

74.9

Rural Urban Female Male

2001

2011STATE

INDIA 73.064.8

67.060.5

2 0 0 1 2 0 1 1

L I T ERACY R A T E B Y L O C ATI ON A N D S E X O U T O F S T A T E 'S T OT AL

Source: Census

943 918India Total

• Nearly 70% of Andhra Pradesh’s population is rural.• The state’s sex ratio is much above the country figure, however urban areas continue to be a concern for both the overall sex ratio and sex ratio at

birth.

¥ Combined data for Andhra Pradesh and Telangana.

Name of the Districts Composite

Rank

Health

Rank

Education

Rank

Agriculture

Rank

Financial

Inclusion

Rank

Skill

Development

Rank

Basic Infrastructure

Rank

Vizianagaram 1 23 14 1 17 48 39

Cuddapah 4 7 6 3 9 29 77

Visakhapatnam 13 18 23 5 8 36 68

ASPIRATIONAL DISTRICTS OF STATE WITH THEIR RANKS AS PER BASELINE * CONDUCTED IN 2018

*Total 115 districts have been identified as Aspirational Districts in India. But the ranks given in the table are based on t he baseline conducted by NITI Aayog in 2018 for 101 Aspirational Districts only.

T O P 2 0 I N I N D I ASource: Niti Aayog

• The majority of the workforce in A.P is from rural areas. This indicates deep divide of labours among the rural and urban are as.

M A I N W O R KER S ( % ) ¥ M A R GI NAL W O R KER S ( % ) ¥

73.1

26.9

Rural Urban

83.8S T A T E

I N D I A 75.2

Source: Census 2011 Source: Census 2011

76.9

23.1

Rural Urban

16.2S T A T E

I N D I A 24.8

O U T O F S T A T E ' S T O T A L M A R G I N A L W O R K E R S

O U T O F S T A T E ' S T O T A L M A I N W O R K E R S

B O T TOM 2 0 I N I N D I A

¥ Combined data for Andhra Pradesh and Telangana.

PROPORTION OF VULNERABLE POPULATION

(6.9%)

O V E R AL L S C H E DUL E C A S T E ( S C )

P O P ULATI ON ¥

13,878,078 50.2 49.8

Out of India's SC population

78.2

21.8

Rural Urban

• While the Scheduled Tribe and Schedules caste population is concentrated primarily in the rural areas, the Muslim population has a comparatively better urban share.

S T AT E

I N D I A 201,378,372

Source: Census 2011

Source: Census 2011

Source: Census 2011

S C P O P U L A T I O N B Y L O C A T I O N ( % ) S C P O P U L A T I O N B Y S E X ( % )

(5.7%)

O V ER AL L S C H EDUL E T R I B E ( S T )

P O P ULATI O N ¥

5,918,073

Out of India's ST population

88.4

11.6

Rural Urban

S T AT E

I N D I A 104,545,716

S T P O P U L A T I O N B Y L O C A T I O N ( % ) S T P O P U L A T I O N B Y S E X ( % )

49.8 50.2

(4.7%)

O V ER AL L M U S L I M P O P ULAT I ON ¥

8,082,412

Out of India's Muslim population

35.1

64.9

Rural Urban

S T AT E

I N D I A 172,245,158

M U S L I M P O P U L A T I O N B Y L O C A T I O N ( % ) M U S L I M P O P U L A T I O N B Y S E X ( % )

49.4 50.6

¥

¥ Combined data for Andhra Pradesh and Telangana.

P E R SO NS W I T H D I S ABI L I T I ES I N A L L A G E G R O UP ¥

P O P ULATI O N L I V I NG B E L O W P O VER TY L I N E ( % ) ¥

Source: Planning Commission (As Per Tendulkar Estimation)

29.921.1

9.2

37.229.8

21.9

2004-2005 2009-2010 2011-2012

State India

H O USELESS P O P UL ATI O N ( N o . ) ¥

145,211

Source: Census 2011

I N DI A S T A T E

1,773,040

123,269

195,264 189,968

286,078334,144

538,994

1961 1971 1981 1991 2001 2011

N U M B ER O F P A R TI C ULAR LY V U LNER AB LE T R I B AL G R O UP S ( N o . ) ¥

Source: Statistical Profile Of Scheduled Tribes In India 2013

A G E - WI SE D I ST R I BUT I ON O F S I N GLE W O MEN ( N o . ) ¥

• The state has seen a reduction in BPL population of about 20.7% from 2004 to 2011.• Around 24 lakh women aged 60 years and above are single in the state which depicts their vulnerability in terms of both age and social security.

Source: Census 2011

Below never married Total Single women

20-24 Years 25-29 Years 30-34 Years 35-39 Years 40-44 Years 45-49 Years 50-54 Years 55-59 Years 60-64 Years 65-69 Years 70-74 Years 75-79 Years 80+ Years

WIDOWED 36,077 93,860 149,490 227,952 280,137 329,949 391,376 372,623 728,626 585,141 519,857 227,246 309,022

DIVORCED 6,168 10,692 11,247 10,650 8,389 5,664 3,819 2,251 2,543 1,358 830 324 500

SEPARATED 25,079 43,722 48,636 49,288 40,196 29,284 20,679 12,209 13,880 6,818 3,302 1,079 1,275

NEVER MARRIED 1,145,588 278,923 86,402 45,777 28,370 18,419 16,883 13,061 19,947 17,479 9,312 3,906 13,995

NEVER MARRIED SEPARATED DIVORCED WIDOWED

A G E G R O U P

TOTAL 1,212,912 427,197 295,775 333,667 357,092 383,316 432,757 400,144 764,996 610,796 533,301 232,555 324,792

¥ Combined data for Andhra Pradesh and Telangana.

Source: Census 2011

P E R SO NS W I T H D I S ABI L I T I ES I N A L L A G E G R O UP ¥

26,814,994

2,116,698

O U T O F W H I C H

R E P O R T E D M U L T I P L E D I S A B I L I T I E S

I N D I A ' S T O T A L P E R S O N W I T H D I S A B I L I T I E S

46.0

54.0

P E R S O N S W I T H M U L T I P L E D I S A B I L I T I E S O U T O F S T A T E ' S

M U L T I P L E D I S A B L I T I E S ( % )

46.3

53.7

S T A T E ' S T O T A L P E R S O N W I T H D I S A B I L I T I E S

Source: Census 2011

C H I LD R EN ( 0 - 4 Y E A R S) WI TH D I S AB I L I T I ES ¥

P E S O N S W I T H D I S A B L I T I E S O U T O F S T A T E ' S D I S A B L I T I E S ( % )

P E R S O N S W I T H M U L T I P L E D I S A B I L I T I E S O U T O F S T A T E ' S

M U L T I P L E D I S A B L I T I E S ( % )

46.4

53.6

43.4

56.6

Source: Census 2011

C H I LD R EN ( 5 - 9 Y E A R S) W I T H D I S ABI L I T I E S ¥

P E S O N S W I T H D I S A B L I T I E S O U T O F S T A T E ' S D I S A B L I T I E S ( % )

P E R S O N S W I T H M U L T I P L E D I S A B I L I T I E S O U T O F S T A T E ' S

M U L T I P L E D I S A B L I T I E S ( % )

45.1

54.9

43.3

56.7

• A.P has a higher prevalence of disabilities than the country as a whole, both among the general population and among children.

2,266,607

190,370

1,291,637

78,662

O U T O F W H I C H

R E P O R T E D M U L T I P L E D I S A B I L I T I E S

I N D I A ' S T O T A L C H I L D R E N ( 0 -4 Y E A R S ) W I T H D I S A B I L I T I E S

S T A T E ' S T O T A L C H I L D R E N ( 0 - 4 Y E A R S ) W I T H

D I S A B I L I T I E S

78258

6630

1,955,926

187,492

O U T O F W H I C H

R E P O R T E D M U L T I P L E D I S A B I L I T I E S

I N D I A ' S T O T A L C H I L D R E N ( 5 - 9 Y E A R S ) W I T H D I S A B I L I T I E S

S T A T E ' S T O T A L C H I L D R E N ( 5 - 9 Y E A R S ) W I T H

D I S A B I L I T I E S

133,968

17,731

(8.5%)

(9.0%)

(6.1%)

(8.4%)

(6.8%)

(9.5%)

P E S O N S W I T H D I S A B L I T I E S O U T O F S T A T E ' S D I S A B L I T I E S ( % )

¥ Combined data for Andhra Pradesh and Telangana.

35.7

26.8

Rural UrbanSource: NFHS 2015-2016

W O M EN 2 0 - 2 4 Y E A R S M A R R I ED B E F O R E 1 8 Y E A R S ( % )

HEALTH AND NUTRITION

M A R R I AGE A N D F E R T I L I T Y

33.0S T A T E

26.8I N D I A

T O T AL F E R T I L I T Y R A T E ( % )

2.0 1.5

Rural UrbanSource: NFHS 2015-2016

1.8S T A T E

I N D I A 2.2

1.9 2.1 1.8 1.7

SC ST OBC Others

1.8 2.0

Hindu Muslim

B Y L O C A T I O N B Y C A S T E ( % ) B Y R E L I G I O N

13.28.8

Rural Urban

W O M EN 1 5 - 1 9 Y E A R S W H O W E R E A L R EADY M O T HERS O R P R EG NANT ( %)

11.8S T A T E

I N D I A 7.9

12.3 12.8 12.78.8

SC ST OBC Others

12.18.1

Hindu Muslim

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

• Early marriage and teen age pregnancy are concern areas. • Teenage pregnancy among Scheduled Tribes is higher than even the state figure.

M O R T AL I TY

M O R T AL I TY R A T ES ( D EAT HS P E R 1 0 0 0 L I V E B I R TH S)

Source: NFHS 2015-2016

S T A T EI N D I A

29.5 23.6

40.7 34.9

49.7 40.8

22.620.8

24.8

33.1

29.2

41.3

44.1

33.3

47.5

SC OBC Others

44.9

29.3

40.4

20.127.5

13.1

Rural Urban

Under-fiveMortality

InfantMortality

NeonatalMortality

26.5

38.4

43.2

Hindu

B Y R E L I G I O NB Y C A S T EB Y L O C A T I O N

178167

130 122110

92

74 74

2010-2012 2011-2013 2014-2016 2015-2017

India State

M A T ERNAL M O R T AL I TY R A T E ( M MR ) ( D EAT HS P E R 1 0 0 , 00 0 L I V E B I R TH S)

Source: SRS

C U R R ENT LY M A R R I ED W O MEN A G E D 1 5 - 4 9 W I T H U N M E T N E E D * F O R F A M I LY P L A NNI NG ( % )

4.0 6.1

Rural UrbanSource: NFHS 2015-2016

4.6S T A T E

12.9I N D I A

• High Child mortality rates (neonatal, infant and under-5) in rural areas, and across social groups.• Prevalence of high unmet need among Scheduled Tribe and Muslim women signifying poor access to contraceptive measures.

3.87.6 4.4 5.2

SC ST OBC Others

4.7 6.5

Hindu Muslim

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

* Unmet need for family planning is defined as the percentage of currently married women who either want to space their next birth or stop childbearing entirely, but are not using contraception.

Note:- Comparable data for ST and Muslim are not available.

¥ ¥

¥ Combined data for Andhra Pradesh and Telangana.

M A T ERNAL C A R E

Source: NFHS 2015-2016

75.179.6

Rural Urban

M O T HERS W H O H A D A T L E A ST 4 A N T ENAT AL C A R E V I S I T S ( % )

76.3S T A T E

I N D I A 51.2

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

76.6

58.8

77.7 78.7

SC ST OBC Others

75.6

84.1

Hindu Muslim

M O T HERS W H O C O N SUMED I F A F O R 1 0 0 D A Y S O R M O R E W H E N T H EY W E R E P R E G NANT ( % )

56.3 55.9

Rural Urban

56.2S T A T E

I N D I A 30.3

53.147.9

55.3

65.2

SC ST OBC Others

55.9 57.6

Hindu Muslim

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

M O T HE RS W H O R E C E I V E D P O ST NA T AL C A R E F R O M A N Y S K I L L E D H E A L TH P E R S O NN E L W I T H I N 2 D A Y S O F D E L I V E RY ( % )

79.084.7

Rural Urban

80.5S T A T E

I N D I A 65.1 80.5 79.5

Hindu Muslim

80.376.9

80.8 81.3

SC ST OBC OthersSource: NFHS 2015-2016

• The state shows low utilization of antenatal care services among Scheduled Tribe women.

D E L I VER Y C A R E

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

I N S T I TUT I ONAL B I R T H S ( % )

89.7 96.5

0

10

20

30

40

50

60

70

80

90

100

Rural Urban

91.5S T A T E

78.9I N D I A 91.3

77.8

91.4 97.2

SC ST OBC Others

91.3 93.3

Hindu Muslim

Source: NFHS 2015-2016

37.1

48.4

Rural Urban

B I R T HS D E L I VER ED B Y C A E SAR EAN S E C T I ON ( % )

40.1

S T A T EI N D I A

17.2

C H I LD R EN A G E D 1 2 - 23 M O N T HS F U L LY I M M UNI ZED ( % )

67.260.4

Rural Urban

65.2S T A T E

62.0I N I D A

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

65.568.8

Hindu Muslim

63.567.4

64.0

SC OBC Others

Source: NFHS 2015-2016

• While the state fares better than the country in its institutional delivery figures, however this rate among its Scheduled Tribe population is quite low. • The rate of caesarian deliveries is also quite high both in urban and rural areas, overall state figure and higher even than the national figures. • Immunization figures are a little better than national figures however, urban areas fare the poorest.

Note:- Comparable data for ST is not available.

C H I LD F E EDI NG P R ACTI CES A N D N U T R I T I ONAL S T AT US

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

38.6 40.9

Rural Urban

C H I LD R EN U N D ER A G E O F 2 Y E A R S B R EAST F ED W I T H I N O N E H O UR O F B I R T H ( % )

39.2S T A T E

41.5I N DI A

39.635.6

Hindu Muslim

36.6

49.9

40.534.6

SC ST OBC Others

Source: NFHS 2015-2016

C H I LD R EN A G E D 6 - 8 M O N T HS R E C E I V I NG S O L I D O R S E M I - SOL I D F O O D A N D B R EAST MI LK ( %)

56.1S T A T E

42.7I N DI A 50.6

Rural

P R EVAL ENC E O F L O W B I R T HWEI GH T ( % )

Source: Lancet Global Burden of Disease 2019 Source: NFHS 2015-2016

C H I L DR E N U N DE R A G E 6 M O N TH S E X C L U S I V E LY B R E A S TF E D ( % )

19.12 0 1 7

STATEINDIA

21.4

54.9 70.2

INDIA STATE

• The state does not do much well in early initiation of breastfeeding, especially among Muslims. • Though the median duration of breastfeeding of A.P is better than the country, however emphasis needs to be given to increase the state total to six

months at least.

M E D I AN D U R AT I ON O F E X C LUS I VE B R EAST FEED I NG A M O NG L A S T - B OR N C H I LD REN B O R N I N T H E L A S T T H R EE Y E A R S ( M O NT HS)

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

4.4 4.2

Rural Urban

4.4

2.9

4.3 4.0

SC OBC

4.3

Hindu

S T A T E

I N D I A

Note:- Comparable data for urban is not available.

Note:- Comparable data for ST, Others and Muslim are not available.

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

C H I LD R EN U N D ER 5 Y E A R S W H O A R E U N D ER WEI GH T ( %)

33.128.4

Rural Urban

31.9S T A T E

35.7I N D I A

35.3

47.4

30.726.3

SC ST OBC Others

31.9 29.7

Hindu Muslim

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

C H I LD R E N U N D E R 5 Y E A R S W H O A R E S T U NT E D ( %)

32.528.3

Rural Urban

31.4

38.4

33.0 31.7 32.925.2

SC ST OBC Others

31.5 29.7

Hindu Muslim

17.8 15.5

Rural Urban

C H I LD R EN U N D ER 5 Y E A R S W H O A R E W A S T ED ( % )

17.2

21.0

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

17.626.6

17.1 14.0

SC ST OBC Others

17.2 16.3

Hindu Muslim

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

C H I LD R EN A G E 6 - 5 9 M O NT H S W H O A R E A N A E MI C ( < 1 1 . 0 G / D L) ( %)

60.852.4

Rural Urban

58.6

58.5

Source: NFHS 2015-2016

60.2

74.2

58.152.9

SC ST OBC Others

59.253.2

Hindu Muslim

• The nutritional status of the children remain a reason for concern for the state with stunting, wasting and underweight figures comparable with the country and Scheduled tribe children faring the worst. Anemia figures are also very high in the state with scheduled tribe children again faring the worst.

S T A T E

I N DI A

S T A T E

I N D I A

S T A T E

I N DI A

D I ET AR Y D I VER S I TY P A T T ER N

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

21.127.7

Rural Urban

6 - 2 3 M O NT H S C H I LD REN F E D 4 + F O O D G R O UP S I N P A ST 2 4 H O UR S ( %)

22.9

22.0

23.6 26.423.2

19.8

SC ST OBC Others

23.4 25.8

Hindu Muslim

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

6 - 2 3 M O NT H S C H I LD REN F E D M I N I MUM M E A L F R EQ UENC Y I N P A ST 2 4 H O UR S ( % )

29.6

40.1

Rural Urban

32.4

35.9

30.026.3

31.4

42.0

SC ST OBC Others

31.736.3

Hindu Muslim

• Keeping in line with poor nutritional status, much less children in comparison with the country have a minimum meal frequency, with Scheduled tribe and Hindu children having the worst figures. Consumption of 4+ food groups are also quite low both in the country as well in the state.

S T A T E

I N DI A

S T A T E

I N DI A

N U T R I T I ONAL S T AT US O F W O MEN A N D M E N

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

20.311.5

Rural Urban

W O M EN W H O SE B O D Y M A S S I N D EX I S B E L O W N O R MAL ( B MI < 1 8 . 5 K G / M 2 ) ( %)

17.6

22.9

17.5 16.4

Hindu Muslim

19.828.8

17.812.0

SC ST OBC Others

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

30.721.5

32.839.6

SC ST OBC Others

W O M EN W H O A R E O V ER WEI GH T O R O B ESE ( B M I ≥ 2 5 . 0 K G / M 2 ) ( %)

33.2

20.7

27.6

45.6

Rural Urban

32.739.0

Hindu Muslim

Source: NFHS 2015-2016

50.4

P R EGNA NT W O MEN A G E D 1 5 - 4 9 Y E A R S W H O A R E A N A EMI C ( < 1 1 . 0 G / D L) (%)

52.9

INDIA STATE

B Y L O C A T I O N

B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

61.1 57.2

30.8

19.2

Rural Urban

59.3

71.8

60.1 57.1

23.3

51.5

25.9 25.0

SC ST OBC Others

60.356.0

27.022.6

Hindu Muslim

W O M EN A N D M E N A G E D 1 5 - 49 Y E A R S W H O A R E A N A E MI C ( % )

53.1

I N D I A

22.7

60.0

S T A T E

26.9

• Malnutrition remains a persistent problem in the state with both maternal and child malnutrition at high levels. There is a higher proportion of women with below normal Body Mass Index (BMI) in rural areas and among the Scheduled Tribe population. On the other hand, obesity is a rising threat in the urban areas, being higher than both the state and country figures.

• Anaemia is a major concern both across the nation and state with more than 50% of the women (pregnant and non-pregnant) with low haemoglobin count.

S T A T E

I N DI A

S T A T E

I N D I A

91124

61977

29046

M E N ST RUAL H Y G I ENE

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

62.9

77.6

Rural Urban

W O M EN A G E D 1 5 - 24 W H O U S ED H Y G I ENI C M E T HOD O F P R O T ECTI O N D U R I NG M E N STR UATI O N ( %)

67.5S T A T E

57.6I N D I A66.7

81.0

Hindu Muslim

63.457.9

67.874.1

SC ST OBC Others

O T HER H E ALT H I S S UES

P E R SO NS S U F F E RI NG F R O M T U B E RC ULO SI S

Source: India TB Report 2019

4.2%

2018

O U T O F T B P A T I E N T S N O T I F I E D I N I N D I A

68.131.9

S T A T E

I N D I A 2,155,894

91,124

OU T OF T B P A T I E N T S N OT I F I E D I N S T A T E ( % )

• Practice of hygienic methods of menstruation is comparatively better in the state Scheduled Tribe women having the least protection. • High prevalence of Tuberculosis among men is another concern.

W O M EN & M E N A G E D 1 5 - 4 9 Y E A R S W H O R E P O RT ED S E X UALL Y T R A NSMI TT ED I N F ECT I ON ( S T I ) I N T H E P A ST 1 2

M O NT H S ( % )

Source: NFHS 2015-2016

2.5 1.2

0.740.71

0.68 0.660.63

0.28 0.27 0.27 0.260.22

2012 2013 2014 2015 2017

STATE INDIA

P E O P LE ( 1 5 - 49 Y E A R S) L I V I NG W I T H H I V / A I DS ( % )

Source: India NACO-Report

INDIA

STATE 1.3 0.2¥ ¥

¥ Combined data for Andhra Pradesh and Telangana.

2,316 2,339

11,948 11,900

7,557

8,501

Rural Urban

Public

Private

Any

H E A LTH E X P END I TUR ES

G O V E R N M E N T H E A L T H E X P E N D I T U R E ( % O F T O T A L H E A L T H E X P E N D I T U R E )

O U T O F P O C K E T H E A L T H E X P E N D I T U R E ( % O F T O T A L H E A L T H E X P E N D I T U R E )

Source: National Health Accounts Estimates for India 2015 -16

30.6 60.6I N D I A

S T A T E 22.2 74.7

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

A V E R AGE O U T O F P O C KET E X P END I T URE P E R D E L I VER Y I N P U B L I C , P R I V AT E A N D A N Y H E A LTH F A C I L I T Y ( R UPEES)

2,391 1,781 2,461 1,982

10,555 11,679 11,688

13,474

6,003 5,717

7,910

10,202

SC ST OBC Others

2,373 2,394

11,932

12,879

7,935 8,874

Hindu Muslim

3,197 2,322

16,522 11,933

7,935 7,820

I N D I A S T A T E

• Government share in health expenditure is abysmal in both India and A.P, with the state faring worse than the country. • With low government share in health expenditure, A.P shows high out of pocket expense (75%). Moreover, while average expenditure for delivery in

private facilities is much higher than the country figure.

GOVERNMENT FLAGSHIP PROGRAMMES FOR HEALTH AND NUTRITION

N A T I ONAL H E A LT H M I S S I ON I N T EGRAT ED C H I LD D E V ELO PMENT P O SH AN A B H I YAAN

The National Health Mission (NHM)encompasses its two Sub-Missions, theNational Rural Health Mission (NRHM) and theNational Urban Health Mission (NUHM). Themain programmatic components includeHealth System Strengthening, Reproductive-Maternal- Neonatal-Child and AdolescentHealth (RMNCH+A), and Communicable andNon-Communicable Diseases. The NHMenvisages achievement of universal access toequitable, affordable & quality health careservices that are accountable and responsive topeople’s needs.

NHM has six financing components:

(i) NRHM-RCH Flexipool,(ii) NUHM Flexipool,(iii) Flexible pool for Communicable disease,(iv) Flexible pool for Non communicabledisease including Injury and Trauma,(v) Infrastructure Maintenance and(vi) Family Welfare Central Sector component.

Integrated Child Development Services (ICDS)Scheme is one of the flagship programmes ofthe Government of India and represents one ofthe world’s largest and unique programmes forearly childhood care and development.

The beneficiaries under the Scheme arechildren in the age group of 0-6 years, pregnantwomen and lactating mothers. Objectives of theScheme are:1. To improve the nutritional and health statusof children in the age-group 0-6 years;2. To lay the foundation for properpsychological, physical and social developmentof the child;3. To reduce the incidence of mortality,morbidity, malnutrition and school dropout;4. To achieve effective co-ordination of policyand implementation amongst the variousdepartments to promote child development;5. To enhance the capability of the mother tolook after the normal health and nutritionalneeds of the child through proper nutrition andhealth education.

The Prime Minister’s Overarching Scheme forHolistic Nutrition (POSHAN) Abhiyaan orNational Nutrition Mission is one of the India’sflagship programmes to improve nutritionaloutcomes for children, adolescents, pregnantwomen and lactating mothers by leveragingtechnology, a targeted approach andconvergence. It aims to build a people’smovement (Jan Andolan) around malnutrition.

Key Strategies

For implementation of POSHAN Abhiyaan themission adopts a four point strategy:1. Inter-sectoral convergence for better servicedelivery2. Use of technology (ICT) for real time growthmonitoring and tracking of women and children3. Intensified health and nutrition services forthe first 1000 daysJan Andolan

India

Bihar

86.9

66.6

Rural Urban

89.7 91.780.5

70.8

SC ST OBC Others

81.575.2

Hindu Muslim

75.8

56.2

Rural Urban

C H I LD R EN A G E D 0 - 7 1 M O NT HS W H O R E C E I VED S E R VI C ES F R O M A N A W C ( % )

79.083.6

69.359.4

SC ST OBC Others

70.961.3

Hindu Muslim

PHCs and HWC-PHCs

S H O R TF ALL I N H E ALT H F A C I L I T I E S I N R U R AL A R E AS ( % )

Surplus

3.2

52.5

(as on 1st July 2019)

S H O R TF ALL I N H U MAN R E SO UR CE I N R U R A L A R E AS ( % )

Source: Rural Health Statistics 2019Source: Rural Health Statistics 2019

StateIndia

Sub Centres and HWC-SCs

CHCs

23.0

28.2

36.9

Anganwadi Workers

ASHA Surplus

ANM at Sub Centres Surplus

(as on 1st July 2019)

100.0Doctors+ at PHCs Surplus

Specialists at CHCs 57.7

ANM at PHCs

Source: Status report of ICDS as on 31st March 2015

StateIndia

Surplus

2.8

26.1

6.0

81.8

3.74.7

55,607 55,574 54,056

Sanctioned Operational Providing Services

N U M B ER O F A W C s

Source: Status report of ICDS as on 31st March 2015

1,400,000 I N D I A 1,346,186 1,258,166

S T A T E

16

30

18

2012-2013 2013-2014 2014-2015

N U M B ER O F N U T R I T I O NAL R E H AB I L I TAT I O N C E N T RES

Source: PIB 2012-13 , 2013-14 & 2014-15

688I N DI A 875 896

S T A T E

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-16

70.5S T A T E

53.6I N D I A

• The state has high shortfall of CHCs and health professionals.

M O T H ERS R E C E I VED S E R VI C ES F R O M A N A W C D U R I NG P R EGNANC Y ( % )

81.4S T A T E

NO DATAI N D I A

Note: For India 'No Service 'is available.

Source: NFHS 2015-16

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

¥ ¥

¥ Combined data for Andhra Pradesh and Telangana.

Activity type State Value (%) India Value (%)

Home Visits 39.7 14.4

Anemia Camp 6.1 1.5

CBE-Community Based Events (ICDS) 4.6 22.3

Community Radio Activities 3.2 0.3

Cooperative/Federation 2.1 0.2

Cycle Rally 2.4 0.3

DAY-NRLM SHG Meet 2.2 1.9

Defeat Diarrhoea Campaign (D2) 0.0 No Data

Farmer Club Meeting 1.1 0.2

Haat Bazaar Activities 1.0 0.4

Harvest Festival 1.0 0.2

Local Leader Meeting 1.3 0.5

Nukkad natak/Folk Shows 0.6 0.4

Other Activities 4.6 34.7

Panchayat Meeting 1.6 1.0

Poshan Mela 8.7 8.2

Poshan Rally 3.2 2.6

Poshan Walk 2.1 1.5

Poshan Workshop/Seminar 2.8 4.1

Prabhat Faree 0.5 1.1

Providing Water to the Toilets 0.9 0.3

Safe Drinking Water in Anganwadi Centres 1.7 0.7

Safe Drinking Water in Schools 1.4 0.2

School Based Activities 3.0 2.9

VHSND 3.1 No Data

Youth Group Meeting 1.3 No Data

6.0

12.5

9.2

12.0

9.86.34.0

6.4

7.2

8.3

6.7

11.6Adolescent Ed, Diet, Age of Marriage

Anemia

Antenatal Checkup

Breastfeeding

Compl. Feeding

Diarrhoea

ECCE

Food Fortification & Micronutrients

Growth Monitoring

Hygiene, Water, Sanitation

Immunisation

Poshan (Overall Nutrition)

T H EMES - WI SE A C T I V I T I ES I N P O SH AN M A A H ( S EP T EMB ER 2 0 1 9)

Source: http://dashboard.poshanabhiyaan.gov.in/janandolan/#/

C O NT R IB UT I ON O F A C T I V I T I E S I N P O SH AN M A A H ( S E P TE MB E R 2 0 1 9 )

Source: http://dashboard.poshanabhiyaan.gov.in/janandolan/#/

53.2

30.8

Rural Urban

F E M A L E W O R K E R S ( 1 5 - 5 9 Y E A R S ) P O P U L A T I O N R A T I O ( % )

Source: Annual Report PLFS 2017-18 Source: Annual Report PLFS 2017-18

54.6

34.0

Rural Urban

F E M A L E ( 1 5 - 5 9 Y E A R S ) L A B O U R F O R C E P A R T I C I P A T I O N R A T E ( % )

2.59.4

Rural Urban

F E M A L E ( 1 5 - 5 9 Y E A R S ) U N E M P L O Y M E NT R A T E ( % )

Source: Annual Report PLFS 2017-18

WOMEN EMPOWERMENT

45.6S T A T E

23.8I N D I A

47.5S T A T E

25.3I N D I A

4.2S T A T E

6.0I N DI A

W O M EN H E AD ED E S T ABL I SHMENT S

Source: All India Report of Sixth Economics Census 2016

13.85.3

38.8 42.1

SC ST OBC Others

77.7

5.3

Hindu Muslim

B Y C A S T E B Y R E L I G I O N

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

Source: NFHS 2015-2016

M E N A N D W O M EN A G E D 1 5 - 49 Y E A R S W H O W A N T M O R E S O N S T H AN D A U GHTER S ( % )

11.0 11.1

9.7 9.1

Rural Urban

MALE

FEMALE

19.3 17.0 10.5 4.7

11.5 12.98.7

8.8

SC ST OBC Others

10.4 13.99.3

10.2

Hindu Muslim

18.7

18.8

I N D I A

11.0

9.5

S T A T E

• The state has around 48% of women in its labour force. And this consists of both currently employed and unemployed women signifying the proportion of active employed women to be further less.

• A.P has 10.6% of women headed establishments in the country, with SC, ST and Muslims contributing the least in this.

8,050,819

I N DI A

849,912

S T A T E

1 0 . 6 % 0 u t o f I n d i a ’ s W o m e n H e a d e d E s t a b l i s h m e n t s

2 0 . 0 % 0 u t o f S t a t e ’ s T o t a l E s t a b l i s h m e n t s -A gr i c u l t u r e & N o n - A gr i c u l t u r e

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

60.3 56.1

Rural Urban

56.7

71.6

6055

SC ST OBC Others

60.251.7

Hindu Muslim

C U R R ENT LY M A R R I ED W O MEN W H O P A R TI C I P ATE I N T H R EE D E C I S I ONS* ( % )

63.0I N D I A

58.9S T A T E

Source: NFHS 2015-16

* Three Decisions Own health careMaking major household purchasesVisits to her family or relatives

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

5.3 3.8

Rural Urban

10.0 6.8 4.1 2.1

SC ST OBC Others

4.5 2.7

Hindu Muslim

W O M E N W H O H A V E E X P E RI E NC E D V I O LE NC E D U R I NG A N Y P R E GNANC Y ( % )

3.9I N D I A

4.8S T A T E

B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N

W O M E N W H O H A V E E V E R E X P E R I E N C E D E M O T I O N A L , P H Y S I C A L O R S E X U A L V I O L E N C E C O M M I T T E D B Y T H E I R H U S B A N D ( % )

45.4S T A T E

Source: NFHS 2015-16

33.3I N DI A

Source: NCRB 2016

S T AT E R A NK B A S ED O N C R I ME R A T E A G A I NST W O M EN ( R ANK)

9

16,526 15,967 16,362 17,909

16,438

2014 2015 2016 2017 2018Source: NCRB

C R I MES A G A I NST W O M EN ( I P C + S L L ) ( N o . )

O U T O F 36 S T A T ES & U T s

I N D I A ( 2 0 1 8 )

378,277

S T A T E ( 2 0 1 8 )

16,438

(4.3%)O U T O F I N D I A

D O WR Y D E AT HS R E P OR T ED ( N O . )

174 193

152 140

2015 2016 2017 2018

7,166

W O M EN T R AF F I CK I NG C A S ES R E P OR T ED

( No.)

67

O U T O F 854I N I N D I A

Source: NCRB 2018Source: NCRB

140

(2.0%)O U T O F I N D I A

Source: NFHS 2015-2016

I N D I A ( 2 0 1 8 )

S T A T E ( 2 0 1 8 )

45.7 44.8

Rural Urban

52.0 49.345.0

40.5

SC ST OBC Others

45.440.8

Hindu Muslim

F E M ALE S U I C I D E C A S ES ( No.)

Source: ADSI 2018

F O E T I C I D E S & I N F ANT I C I D E S R E P O RT E D (No.)

Source: NCRB 2018

0F O E T I C I D E S

4I N F A N T I C I D E S

S T A T EI N D I A

128

561,566

42,391

• The state has high incidence of violence against women than the country figure, with the rate being high in the rural areas and among Scheduled caste population.

• A.P ranks 9th in India regarding rate of crime against women which is definitely worrisome. However, there has been an increasing trend in the crime rate since 2016. Similar trend regarding dowry deaths.

S T A T E

I N D I A

79.4

703,298

GOVERNMENT FLAGSHIP PROGRAMMES FOR WOMEN EMPOWERMENT

N A T I ONAL R U R AL L I V E L I HO OD M I S S I ON B E T I B A C H AO B E T I P A D H AO

What is NRLMGovt. of India established National Rural Livelihoods Mission (NRLM) inJune 2010 to implement the new strategy of poverty alleviation wovenaround community based institutions.

Mission’s primary objective is to reduce poverty by promoting diversifiedand gainful self-employment and wage employment opportunities forsustainable increase in incomes.

To achieve the desired goal of the mission, NRLM provides a combinationof financial resource and technical assistance to states such that theycould use the comprehensive livelihoods approach encompassing fourinter-related tasks. These tasks are:

1. Mobilizing all rural, poor households into effective self-help groups(SHGs) and their federations;2. Enhancing access of the rural poor to credit and other financial,technical and marketing services;3. Building capacities and skills of the poor for gainful and sustainablelivelihoods; and4. Improving the delivery of social and economic support services to thepoor.

Beti Bachao, Beti Padhao is a campaign of the Government of India thataims to generate awareness and improve the efficiency of welfare servicesintended for girls in India.

The Overall Goal of the Beti Bachao Beti Padhao (BBBP) Scheme is tocelebrate the girl child and enable her education. The objectives of theScheme are as under:

i. To prevent gender biased sex selective eliminationii. To ensure survival and protection of the girl childiii. To ensure education and participation of the girl child

Strategies employed to successfully carry out the scheme are:

1. Implement a sustained social mobilization and communicationcampaign to create equal value for the girl child and promote hereducation.

2. Place the issue of decline in child sex ratio/sex ratio at birth in publicdiscourse, improvement of which would be an indicator for goodgovernance.

3. Focus on gender critical districts and cities.

T O T AL S H G s F O R MED

703,298

S H G s H A V I NG B A N K A C C O UNT * ( % )

S H G s H A V I NG C R ED I T L I N K ED ( %)

T O T AL V I L L AGE O R GANI ZAT I ON S

F O R MED

21,302

T O T AL C L U ST ER L E V EL F E DER AT IO NS

0

Source:- Website Of Deen Dayal Antyodaya Yojana - National Livelihoods Mission (NRLM), as on 4th May 2020

NO DATA79.4

Source: U-Dise

S C H O OL S H A V I NG G I R L ’ S T O I LET I N E L E MENT ARY E D UC AT I ON ( % )

Source: U-Dise

49.1 49.3 49.6

40.244.4 46.9

2014-2015 2015-2016 2016-2017

INDIA STATE

G I R LS E N R O LMENT I N S E C O NDAR Y E D U C ATI O N ( % )

Source: U-Dise

S C HO OL S H A V I NG G I R L ’ S T O I LET I N S E CO ND ARY E D UC AT I ON ( % )

Source: U-Dise

90.395.2

91.896.8

100.0 100.0

2014-2015 2015-2016 2016-2017

INDIA STATE

46.1 48.4 48.348.4 48.3 47.6

2014-2015 2015-2016 2016-2017

INDIA STATE

87.1

97.6 96.5

68.1

99.7 99.7

2014-2015 2015-2016 2016-2017

INDIA STATE

G I R LS E N R O LMENT I N E L E MENT ARY E D U C ATI O N ( % )

• 79% of the SHGs in A.P has been able to establish some kind of bank linkage. • There has been almost no improvement in girls’ enrolment in both elementary and secondary level for A.P as well as for the en tire country since 2014

to 2017. However, toilets being one of the major contributors for improving girl’s enrolment has also shown a decline for the state since 2016.