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Page 1: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;
Page 2: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

NATIONAL FAMILY HEALTH SURVEY (NFHS-3)

INDIA

2005-06

ASSAM

November 2008

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Suggested citation: International Institute for Population Sciences (IIPS) and Macro International. 2008. National Family Health Survey (NFHS-3), India, 2005-06: Assam. Mumbai: IIPS.

For additional information about the 2005-06 National Family Health Survey (NFHS-3), please contact:

International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai - 400 088 Telephone: 022-2556-4883, 022-2558-3778 Fax: 022-2558-3778 E-mail: [email protected], [email protected]: http://www.nfhsindia.org

For related information, visit http://www.iipsindia.org or http://www.mohfw.nic.in

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CONTRIBUTORS

H. Lhungdim Sunita Kishor

B. Amenla Nuken

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CONTENTS

Page

KEY FINDINGS ..........................................................................................................................1

TABLES

Table 1 Results of the household and individual interviews .............................................. 29 Table 2 Household population by age, education, sex, and residence .............................. 30 Table 3 Housing characteristics ............................................................................................... 31 Table 4 Household possessions, ownership of agricultural land, and wealth index ......................................................................................................... 33 Table 5 Religion and caste/tribe by wealth index ................................................................. 34 Table 6 School attendance ....................................................................................................... .34 Table 7 Children's living arrangements and orphanhood .................................................. 35 Table 8 Birth registration of children under age five ........................................................... 35 Table 9 Children’s work............................................................................................................ 36 Table 10 Background characteristics of respondents ............................................................. 37 Table 11 Current fertility ............................................................................................................ 38 Table 12 Fertility by background characteristics .................................................................... 39 Table 13 Teenage pregnancy and motherhood ....................................................................... 40 Table 14 Birth order .................................................................................................................... 41 Table 15 Birth intervals ............................................................................................................... 42 Table 16 Fertility preferences by number of living children ................................................ 43 Table 17 Desire to limit childbearing ....................................................................................... 44 Table 18 Ideal number of children ............................................................................................ 45 Table 19 Indicators of sex preference ....................................................................................... 46 Table 20 Knowledge of contraceptive methods ...................................................................... 47 Table 21 Current use of contraception by background characteristics ............................... 48 Table 22 Contraceptive use by men with last partner ........................................................... 50 Table 23 Use of social marketing brand pills and condoms ................................................. 51 Table 24 Source of modern contraceptive methods ............................................................... 52 Table 25 Informed choice ........................................................................................................... 54 Table 26 First-year contraceptive discontinuation rates ........................................................ 54 Table 27 Men’s contraception-related perceptions and knowledge..................................... 55 Table 28 Need for family planning among currently married women ............................... 56 Table 29 Age at first marriage ................................................................................................... 57 Table 30 Early childhood mortality rates ................................................................................ 58 Table 31 Early childhood mortality rates by background characteristics ........................... 59 Table 32 High-risk fertility behaviour ...................................................................................... 60

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Table 33 Antenatal care .............................................................................................................. 61 Table 34 Antenatal care services and information received ................................................. 62 Table 35 Antenatal care indicators ........................................................................................... 63 Table 36 Pregnancies for which an ultrasound was done ..................................................... 64 Table 37 Delivery and postnatal care ....................................................................................... 65Table 38 Delivery and postnatal care by background characteristics ................................. 66 Table 39 Trends in maternal care indicators ........................................................................... 67 Table 40 Male involvement in maternal care: Men’s report ................................................. 68 Table 41 Vaccinations by background characteristics ........................................................... 69 Table 42 Prevalence and treatment of symptoms of ARI and fever .................................... 70 Table 43 Prevalence and treatment of diarrhoea..................................................................... 71 Table 44 Feeding practices during diarrhoea .......................................................................... 72 Table 45 Knowledge of ORS packets ........................................................................................ 73Table 46 ICDS coverage and utilization of ICDS services ..................................................... 74 Table 47 Utilization of ICDS services during pregnancy and while breastfeeding ............................................................................................................... 76 Table 48 Nutritional status of children .................................................................................... 77Table 49 Initial breastfeeding .................................................................................................... 79 Table 50 Breastfeeding status by age ........................................................................................ 80 Table 51 Median duration of breastfeeding and infant and young child feeding (IYCF) practices ................................................................................... 81 Table 52 Prevalence of anaemia in children ............................................................................ 83 Table 53 Micronutrient intake among children ....................................................................... 84 Table 54 Presence of iodized salt in household ...................................................................... 86 Table 55 Women’s and men’s food consumption ................................................................... 87 Table 56 Nutritional status of adults ......................................................................................... 88 Table 57 Prevalence of anaemia among adults ....................................................................... 89 Table 58 Knowledge of HIV/AIDS and its prevention ............................................................ 90 Table 59 Accepting attitudes toward those living with HIV/AIDS ....................................... 92 Table 60 Sexual behaviour, blood transfusion, and injections .............................................. 93 Table 61 Knowledge of AIDS and sexual behaviour: Youth ................................................. 94 Table 62 Attitudes toward family life education in school .................................................... 95 Table 63 Prevalence of tuberculosis .......................................................................................... 96 Table 64 Knowledge and attitude toward tuberculosis ......................................................... 97 Table 65 Health problems ........................................................................................................... 98 Table 66 Tobacco and alcohol use by women and men ......................................................... 99 Table 67 Source of health care .................................................................................................. 100 Table 68 Employment and cash earnings of currently married women and men ...................................................................................................................... 101 Table 69 Control over and magnitude of cash earnings....................................................... 102 Table 70 Decision making ........................................................................................................ 103 Table 71 Decision making by background characteristics .................................................. 104 Table 72 Women’s access to money and credit ..................................................................... 105

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Table 73 Gender-role attitudes................................................................................................. 106 Table 74 Gender-role attitudes by background characteristics ........................................... 107 Table 75 Experience of any physical or sexual violence....................................................... 108 Table 76 Forms of spousal violence......................................................................................... 109Table 77 Spousal violence by background characteristics .................................................. 110 Table 78 Spousal violence by husband’s characteristics and empowerment indicators .................................................................................................................... 111 Table 79 Injuries to women due to spousal violence ........................................................... 112 Table 80 Help seeking behaviour ............................................................................................ 112

APPENDIX

Estimates of sampling errors.......................................................................................................113

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INTRODUCTION

The 2005-06 National Family Health Survey (NFHS-3) is the third in the NFHS series of surveys. The first NFHS was conducted in 1992-93, and the second (NFHS-2) was conducted in 1998-99. All three NFHS surveys were conducted under the stewardship of the Ministry of Health and Family Welfare (MOHFW), Government of India. The MOHFW designated the International Institute for Population Sciences (IIPS), Mumbai, as the nodal agency for the surveys. Funding for NFHS-3 was provided by the United States Agency for International Development (USAID), the United Kingdom Department for International Development (DFID), the Bill and Melinda Gates Foundation, UNICEF, UNFPA, and the Government of India. Technical assistance for NFHS-3 was provided by Macro International, Maryland, USA. Assistance for the HIV component of the survey was provided by the National AIDS Control Organization (NACO) and the National AIDS Research Institute (NARI), Pune.

The survey provides trend data on key indicators and includes information on several new topics, such as HIV/AIDS-related behaviour, attitudes toward family life education for girls and boys, use of Integrated Child Development Scheme (ICDS) services, men’s involvement in maternal care, and health insurance. For the first time, NFHS-3 provides information on men and unmarried women. In addition, NFHS-3 provides estimates of HIV prevalence for India as a whole based on blood samples collected in every state in the country, including Assam. Separate HIV estimates are also provided for Andhra Pradesh, Karnataka, Maharashtra, Manipur, Tamil Nadu, and Uttar Pradesh.

In Assam, NFHS-3 is based on a sample of 3,437 households that is representative at the state level and within the state at the urban and rural levels. The survey interviewed 3,840 women age 15-49 from all the sample households and 1,394 men age 15-54 from a subsample of households to obtain information on population, health, and nutrition in the state. The household response rate in the state as a whole was 98 percent and the individual response rates were 95 percent for eligible women and 86 percent for eligible men.

In addition to the interviews, height and weight measurements were taken for all children under age six years in the sample households and all interviewed women and men. Haemoglobin levels were measured for all interviewed women and men and for all children age 6-59 months in the sample households. All interviewed women and men from a subsample of households selected for HIV testing were eligible to have their blood collected for HIV testing. The NFHS-3 fieldwork in Assam was conducted by TNS India Private Limited between December 2005 and April 2006.

This report presents the key findings of the NFHS-3 survey in Assam, followed by detailed tables and an appendix on sampling errors. More information about the definitions of indicators included in this report is contained in Volume I of the NFHS-3 National Report, and the questionnaires and details of the sampling procedure for NFHS-3 are contained in Volume II of the NFHS-3 National Report (available at www.nfhsindia.org).

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HOUSEHOLD CHARACTERISTICS

Household compositionFour–fifths of households in Assam are in rural areas, and one–fifth is in urban areas. Onaverage, households in Assam are comprised of 4.7 members. Thirteen percent of households are headed by women with 11 percent of the population.

The vast majority of households have household heads who are Hindu (70%) or Muslim (24%). Only 5 percent of households have household heads who are Christian and less than 1 percent have household heads who belong to other religions.

Over one in five households has a household head (22%) who belongs to the other backward classes (OBC); 13 percent of households have households heads who belong to the scheduled castes and 10 percent have heads who belong to the scheduled tribes. Half of household heads do not belong to the scheduled castes, scheduled tribes, and other backward classes.

Thirty-five percent of Assam’s population is under age 15 and only 4 percent are age 65 and over.

Among children under 18 years of age, 7 percent have experienced the death of one or both parents. In all, 82 percent of children below 18 years of age live with both parents, 12 percent live with one parent, and 5 percent live with neither parent.

Housing characteristicsIn Assam, only 20 percent of households live in a pucca house; even in urban areas, only half of households live in a pucca house. Thirty-eight percent of households (27% of rural households and 81% of urban households) have electricity, up from 26 percent at the time of NFHS-2. Twenty-four percent of households have no toilet facilities; down from 37 percent at the time of NFHS-2. About three in ten rural households and 3 percent of households in urban areas have no toilet facilities.

Fifty-seven percent of households in Assam get their drinking water from atube well or borehole; only 12 percent get it from a tap.

Seventy-two percent of households use an improved source of drinking water (86% of urban households and 69% of rural households), but only 6 percent have water piped into their dwelling, yard, or plot (25% of urban and only 1 percent of rural households). Fifty-seven percent of households get their drinking water from a tube well or borehole. Half of the households treat their drinking water to make it potable: 22 percent boil the water, 31 percent use a ceramic, sand, or other filter, 3 percent strain the water through a cloth, and 4 percent treat it in some other way.

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Wealth indexThe wealth index is constructed by combining information on 33 household assets and housing characteristics such as ownership of consumer items, type of dwelling, source of water, and availability of electricity, into a single wealth index. The household population is divided into five equal groups of 20 percent each (quintiles) at the national level from 1 (lowest, poorest) to 5 (highest, wealthiest). Since the quintiles of the wealth index are defined at the national level, the pro-portion of households or population of a particular state that fall in any specific quintile will vary across states.

Based on the wealth index, Assam is poorer than the country as a whole. Although one-fifth of households in Assam are in the lowest wealth quintile, only 13 are in the highest quintile (lower than the national average). Twenty-four percent of rural households are in the lowest wealth quintile and only 6 percent are in the highest wealth quintile. By contrast, in urban areas, only 4 percent of the households are in the lowest wealth quintile and 37 percent are in the highest wealth quintile.

EDUCATION

Current school attendance among children Three-fourths (76%) of children age 6-17 years attend school in Assam, and this percentage does not vary much by residence (76% in rural and 79% in urban areas). Ninety-one percent of primary-school age children (6-10 years) attend school. School attendance drops to 76 percent for children age 11-14 years and is only 46 percent for children age 15-17 years. Among children age 6-10 years and 11-14 years, school attendance is only slightly higher (2-4 percentage points) in urban areas than in rural areas. However, among the age group 15-17 years, school attendance in urban areas is 16 percentage points higher than in rural areas.

In Assam, there is some gender disparity in education, although its extent and direction differs by age and residence. In the age

4 1813

131530 2220

28 37

233424 12 6

Wealth IndexPercentage of households in urban and rural areasand percent distribution of households by wealth quintile

Total100%

Urban20%

Rural80%

Lowest Highest

Percentage of children attending school by age

Are there gender differentials in children’scurrent school attendance?

Male92

6-10 years 11-14 years 15-17 years

8976 77

4943

Female

4 1813

131530 2220

28 37

233424 12 6

Wealth IndexPercentage of households in urban and rural areasand percent distribution of households by wealth quintile

Total100%

Urban20%

Rural80%

Lowest Highest

Percentage of children attending school by age

Are there gender differentials in children’scurrent school attendance?

Male92

6-10 years 11-14 years 15-17 years

8976 77

4943

Female

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group 6-10 years, the gender disparity in favour of boys is small (5 percentage points in urban areas and 3 percentage points in rural areas) and in the age group 11-14 there is almost no gender disparity. However, in the age-group 15-17 years, a gender differential in favour of boys is evident in rural areas; in urban areas, by contrast the gender disparity is reversed and a higher proportion of girls than boys attend school.

Literacy and educational attainment In NFHS-3, literate persons are those who have either completed at least standard six or ‘passed’ a simple literacy test conducted as part of the survey. According to this measure, only 63 percent of women and 76 percent of men age 15-49 are literate in Assam.

Thirty percent of women and 14 percent of men age 15-49 have never attended school. Only 29 percent of men have completed 10 or more years of education, and an even lower proportion of women, 19 percent, have attained that level of education.

Only 29 percent of men and 19 percent of women age 15-49 have completed at least 10 years of schooling.

Attitudes toward family life education in school Virtually all adults in Assam agree that children should be taught moral values in school. However, only a minority of women (40-42%) and a small majority of men (54-61%) think that children should learn in school about the changes in their own bodies during puberty. Even fewer adults think that children should learn about puberty-related changes in the bodies of the opposite sex in school.

Most adults, women more than men, do not think that children should learn about sex and sexual behaviour and contraception in school. Only one in five women and about one in three men think that sex and sexual behavior are appropriate topics for the school curriculum. An even smaller proportion of women (15-19%) and men (29-31%) think girls and boys should learn about contraception in school.

The majority of men (63-64%) believe information on HIV/AIDS should be part of the school curriculum; however, less than half of women agree (46-47%). Only a small proportion of men (30%) and women (14-16%) say that boys and girls should be taught in school about condom use to avoid sexually transmitted diseases.

FERTILITY

Age at first marriageThe median age at first marriage is about 19 years among women age 20-49. Among men age 30-49, more than 50 percent married after age 25. Thirty-nine percent of women age 20-24 years got married before the legal minimum age of 18 and 16 percent of men age 25-29 years got married before the legal minimum age of 21.

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Fertility levels At current fertility levels, a woman in Assam will have an average of 2.4 children in her lifetime. Fertility in NFHS-3 is more than one child lower than it was at the time of NFHS-1, but is almost unchanged since NFHS-2.

Fertility in rural areas, at 2.7 children per woman, is more than one child higher than in urban areas, where the fertility rate, at 1.4 children per woman, is lower than the replacement level of fertility. Among births in the three years preceding the survey, 26 percent were of birth order four or higher.

In Assam, fertility according to caste/tribe is higher among women who do not belong to the scheduled castes, scheduled tribes, or other backward classes, than women who do belong to each of these groups. Fertility among women belonging to the other backward classes is particularly low and well below replacement (1.6). The total fertility rate for Muslim women, at 3.6 children, is much higher than for Hindu women (2.0).

Fertility inAssam is lower

than the national average and

lower than in most of the

otherNortheastern

states.

Fertility TrendsTotal fertility rate(children per woman)

Total Fertility Rate by StateChildren per woman

NFHS-1 NFHS-2 NFHS-3

3.5

2.3 2.4

4.03.83.8

3.73.3

3.23.1

3.02.9

2.82.72.7

2.62.6

2.42.42.42.4

2.32.2

2.12.12.1

2.02.0

1.91.9

1.81.81.8

BiharUttar Pradesh

MeghalayaNagaland

JharkhandRajasthan

Madhya PradeshArunachal Pradesh

MizoramManipurHaryana

INDIAChhattisgarhUttarakhand

GujaratAssam

Jammu & KashmirOrissa

West BengalTripura

DelhiMaharashtra

KarnatakaSikkimPunjab

Himachal PradeshKerala

Tamil NaduGoa

Andhra Pradesh

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There are large differentials in fertility by wealth and education. At current fertility rates, women in the lowest wealth quintile will have almost three children more than women in the highest wealth quintile. Similarly, women with no education will have more than two children more than women with 10 or more years of education.

Teenage pregnancy Among young women age 15-19 in Assam, 16 percent have already begun childbearing, a level similar to the national average. Three percent of women age 15 have started childbearing, but among women age 19 years, almost two-fifths (39%) are already either mothers or pregnant. Young women in rural areas are more likely to have begun childbearing than young women in urban areas (17% and 13%, respectively). Teenage pregnancy and motherhood is more prevalent among women with no or little education and among women in lower wealth quintiles than among other women.

Birth intervalsThe median interval between births is 37 months. The median birth interval in Assam is not only six months longer than the national average, but is also longer than in all other states of India except Kerala, Tripura, and Goa. Almost half (47%) of non-first-order births occur within three years of a previous birth, including 8 percent of births that take place within 18 months of the last birth and 12 percent that take place within 24 months. Research shows that waiting at least three years between births reduces the risk of infant mortality.

Fertility preferences Sixty-nine percent of currently married women and 65 percent of currently married men either want no more children, are already themselves sterilized, or have a spouse who is sterilized. Among those who do want another child, 50 percent of women and 47 percent men would like to wait at least two years. For about two-thirds of women and men the ideal family size is two or fewer children.

2.92.0

1.4 1.2

Total fertility rate (children per woman)

3.42.9

2.11.3

No education < 5 yearscomplete

5-9 yearscomplete

10 or moreyears

complete

MiddleSecondLowest Fourth Highest

Education Wealth Index

How does fertility vary with education and household wealth?

4.1

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In Assam, there is evidence of a preference for sons. Twenty-four percent of women and 18 percent of men want more sons than daughters, but only 2-3 percent of women and men want more daughters than sons. However, most men and women would like to have at least one son and most also want at least one daughter.

The desire for more children is strongly affected by women’s number of sons. For example, among women with two children, those with two sons are 27 percent more likely to want no more children than those with two daughters. Notably, however, the proportion of currently married wo-men with two children who want no more children is higher in NFHS-3 than it was in NFHS-2, irrespective of women’s number of sons.

Unplanned pregnancies are relatively common. If all women in Assam were to have only the number of children they want, the total fertility rate would be 1.8 instead of 2.4.

FAMILY PLANNING

Knowledge of family planning methods Knowledge of contraception is almost universal in Assam. Female sterilization and the pill are the most widely known methods, known by the vast majority of currently married women (95% each) and men (93% each). In addition to the pill, the government family planning programme promotes two other temporary methods, namely, the IUD and condoms. Each of these two methods is known by over seven in ten currently married women; however, only 40 percent of currently married men know about the IUD, although 91 percent know about condoms.

2 boys and no girls

Current family size

2 girls and no boys1 boy and 1 girl

63

90

67

44

23

6673

66

85

NFHS-1 NFHS-3NFHS-2

How does son preference affect women’s desirefor children?Percentage of currently married women withtwo children who want no more children

Pill IUD Condom Femalesterilization

73 73

96 96 95

5971 72

6170

8795

NFHS-1 NFHS-3NFHS-2

How many women know aboutfamily planning?Percentage of currently married women

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Knowledge of female sterilization was high in Assam even in NFHS-1, but knowledge of most other contraceptive methods, particularly the pill and traditional methods, has increased over time. For example, among currently married women, 95 percent now know about the pill, compared with 87 percent in NFHS-2. However, the proportion of women who know about male sterilization has declined from 80 percent in NFHS-2 to 72 percent in NFHS-3.

Contraceptive useThe contraceptive prevalence rate among currently married women age 15-49 is 57 percent, up from 43 percent at the time of NFHS-2. Two-thirds of urban women use contraception, compared with 55 percent of rural women.

Modern methods account for only 48 percent of all contraceptive use in Assam; down from 61 percent at the time of NFHS-2. Modern method use is lower in Assam than most of the other States.

Contraceptive use is higher among women in the age group 30-39 years than among younger or older women. Christian and Muslim women are less likely to use contraception (46% each) than Hindu women (61%).

Althoughcontraceptiveprevalence in

Assam is the same as the national

average, modern method use is abouthalf of the national

average.

Any modern method

43 43

2027 27

57

Any method

NFHS-1 NFHS-3NFHS-2

How many women use family planning?Percentage of currently married women

Contraceptive Prevalence Rate by StatePercentage of currently married women

MeghalayaNagaland

BiharJharkhand

Arunachal PradeshUttar Pradesh

RajasthanGoa

ManipurOrissa

Jammu & KashmirChhattisgarh

Madhya PradeshINDIA

AssamSikkim

UttarakhandMizoram

Tamil NaduPunjab

HaryanaKarnataka

TripuraGujarat

DelhiMaharashtra

Andhra PradeshKerala

West BengalHimachal Pradesh

2430

3436

4344

47484951

5353

56565758596061

636364

666767676869

7173

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Contraceptive use is particularly high among the wealthiest women (67%), women in urban areas (66%), and those with 10 or more years of schooling (65%).

Consistent with son preference, women in Assam are more likely to use contraception if they already have a son. For example, among women with two children, 68 percent of women with two sons and no daughter use a method of family planning, compared with 58 percent of women with two daughters and no son (not all data shown in table).

In Assam, the majority of family planning users use traditional methods, and not modern methods. Among all the states in India, the use of traditional methods is the highest in Assam and the share in total contraceptive use of both the rhythm method and withdrawal has increased between NFHS-2 and NFHS-3.

Although urban women are more likely than rural women to be using a modern method, similar proportions of women use traditional methods in both urban and rural areas (29-30%). Traditional-method use increases with education and the wealth index; whereas modern- method use does not vary much by education, but increases with wealth.

Only 13 percent of currently married women in Assam use female sterilization, down from 16 percent in NFHS-2. The most commonly used spacing methods are the rhythm method (17%), withdrawal (12%) and the pill (10%). Only 2 percent use condoms. In general, better-educated, and wealthier women are more likely to use spacing methods than less-educated, unemployed, or poor women.

Contraceptive use at last sex as reported by currently married men (46%) is lower than currently married women’s report of current contraceptive use (57%)

In Assam, traditional methods are more commonly used than modern methods.

The majority of women who are sterilized had the operation in a government facility (78%), usually in a government/municipal hospital; whereas the majority of pill users (83%) and condom users (79%) got their most recent supply from the private medical sector.

According to women’s reports, among users for whom the brand is known, most pill users (86%), but only 38 percent of condom users use socially marketed brands.

What contraceptive methods do women use?Currently married women

Malesterilization

0.2%sterilizationFemale

13%Pill 10%

IUD 1%Condom 2%

Rhythm 17%

Withdrawal12%

Not usingany method

44%

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10

The one-year discontinuation rate of contraception in Assam is similar to the national average. In Assam, 28 percent users of any contraceptive method discontinue use within a year of method adoption, compared with 27 percent in India as a whole. Discontinuation of the condoms is particularly high: 58 percent of condom users discontinue use within the first year after they adopted the method. Discontinuation is also quite high for pills (38%). Nearly a quarter of rhythm-method users (23%) and users of withdrawal (25%) also discontinue use within one year.

Informed choiceWomen who know about all available contraceptive methods and their side effects can make better choices about what method they prefer. Forty-two percent of users of female sterilization, pills, and IUD were told by a health worker about the side effects of their method, and more than one-third (36%) were told what to do if side effects occurred. Thirty-seven percent were told about other methods they could use.

Men’s attitudesAlmost all men (97%) in Assam reject the idea that contraception is women’s business and a man should not have to worry about it, and reject the idea that women using contraception may become promiscuous (84%). However, 44 percent of men incorrectly believe that women who are breastfeeding cannot become pregnant. Only about one-half of men (49%) know that a condom, if used correctly, protects against pregnancy most of the time.

Unmet needUnmet 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. According to this definition, 11 percent of currently married women have an unmet need for family planning (4% for spacing and 7% for limiting), down from 17 percent in NFHS-2. Currently, 84 percent of the demand for family planning is being satisfied, up from 72 percent in NFHS-2.

INFANT AND CHILD MORTALITY

With 66 deaths before the age of one year per 1,000 live births in the five-year period preceding the survey, the infant mortality rate in Assam is the fifth highest in the country. Nonetheless, infant mortality in Assam has declined from its estimated level (70 deaths) in NFHS-2. The under-five mortality rate is 85 deaths per 1,000 live births. These rates imply that despite declines in mortality 1 in 15 children in Assam still die within the first year of life and 1 in 12 die before reaching age five. Infant mortality in rural areas (67 per 1,000 live births) is 16 percent higher than in urban areas (58 per 1000 live births).

Trends in Infant MortalityDeaths per 1,000 live births

Urban Rural Total

NFHS-3NFHS-2NFHS-1

47

67

91 89

70 6671 6758

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In the first five years of life, girls in Assam face a higher mortality risk than boys except during the post-neonatal period (1-11 months). The under-five mortality rate for girls is 11 percent higher than for boys. Children whose mothers have no education are more than twice as likely to die before their first birthday as children whose mothers have completed 10 or more years of school. Scheduled-caste children and children not belonging to scheduled castes, scheduled, tribes and other backward classes are at greater risk of dying than children not belonging to these groups.

Children born to mothers under the age of 20 years are at a much higher risk of dying in infancy than children born to mothers in the prime childbearing ages. Infant mortality is 94 deaths per 1,000 births for teenage mothers, compared with 50-68 for mothers age 20-39. Having children too close together is especially risky. The risk of death in the first year of life is twice as high for children born less than two years after a previous birth than for children whose mothers waited four or more years between births.

The infant mortality rate in

Assam is the fifth highest in

India and is highest among

all the Northeastern

states.

High-risk births have higher mortality ratesDeaths in the first year of life per 1,000 live births

6350

71

68

63

50

94

78

1012-3 years

4 years or more

<2 years

Previous birth interval

4 or more2-3

1

Birth order

30-39

20-29

<20

Mother's age at birth

Infant Mortality Rate by StateDeaths per 1,000 live births

Uttar PradeshChhattisgarh

Madhya PradeshJharkhand

AssamRajasthan

OrissaBihar

Arunachal PradeshINDIA

Andhra PradeshTripuraGujarat

West BengalJammu & Kashmir

MeghalayaKarnataka

UttarakhandPunjab

HaryanaDelhi

NagalandMaharashtra

Himachal PradeshMizoram

SikkimTamil Nadu

ManipurKerala

Goa

737170

6966

6565

6261

5754

5250

484545

43424242

403838

363434

3030

1515

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PERINATAL MORTALITY

Perinatal mortality, which includes stillbirths and very early infant deaths (in the first week of life), is estimated at 63 deaths per 1,000 pregnancies that lasted 7 months or more. Perinatal mortality is similar in urban and rural areas (62 and 64, respectively). Birth intervals have a very strong effect on perinatal mortality. For pregnancies that take place less than 15 months after a previous birth, the perinatal mortality rate is 135 per 1,000, compared with only 46 if the interval is 15-26 months and 50-60 per 1,000 when the birth interval is at least 27 months. (Data for perinatal mortality are not shown in the tables).

MATERNAL HEALTH

Antenatal careAmong women who gave birth in the five years preceding the survey, over two-thirds received antenatal care from a health professional (53% from a doctor and 14% from all other health personnel) for their last birth. About 3 in 10 women (28%) received no antenatal care. Eighty-seven percent of urban women received antenatal care from a health professional for their last birth, compared with 64 percent of rural mothers.

Younger women are more likely than older women to receive antenatal care, as are women with more education, urban women, and women having their first child. Christian and Muslim women are less likely than Hindu women to receive antenatal care.

Despiteimprovements in

antenatal care coverage, only one in four women in Assam received at

least three antenatal care visits for their

last birth in the past five years.

Three or More Antenatal Care Visits by StatePercentage of last births in the past five years

1727

333636

394141

45525454

595960626263

686970

74757575

8085

949596

BiharUttar Pradesh

NagalandArunachal Pradesh

JharkhandAssam

Madhya PradeshRajasthan

UttarakhandINDIA

MeghalayaChhattisgarh

HaryanaMizoram

TripuraOrissa

West BengalHimachal Pradesh

GujaratManipur

SikkimJammu & Kashmir

PunjabDelhi

MaharashtraKarnataka

Andhra PradeshKerala

GoaTamil Nadu

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Scheduled-tribe women are less likely to receive antenatal care than women of other caste/tribecategories. Ninety-six percent of women belonging to the highest wealth quintile received antenatal care from health personnel compared with little more than one-third of women in the lowest wealth quintile.

Two-fifths of women with a birth in the past five years received antenatal care during the first trimester of pregnancy for their last birth, as is recommended. Another 21 percent had their first antenatal care visit during the fourth or fifth month of pregnancy (data not shown in tables). Nearly two-fifths of mothers (39%) had three or more antenatal care visits; urban women are twice as likely to have three or more visits as women in rural areas.

Among women who had a birth in the past three years, the proportion who received three or more antenatal care visits for their last birth has been steadily increasing over time: first by 6 percentage points between NFHS-1 and NFHS-2, and then by 5 per-centage points between NFHS-2 and NFHS-3. The proportion of women who had their first antenatal care visit in the first trimester has also been increasing over time, but the increase between NFHS-2 and NFHS-3 was only about half the increase between NFHS-1 and NFHS-2.

For 62 percent of their last births, mothers received or bought iron and folic acid supplements (IFA), but for only 16 percent of the births did mothers consume IFA for the recommended 90 days or more. Nearly two-thirds of mothers (65%) received two or more doses of tetanus toxoid vaccine. Only 2 percent took a de-worming drug during pregnancy.

Even when women receive antenatal care, they do not receive most of the services needed to monitor their pregnancy. Among women who received an antenatal check-up, an examination of the abdomen (61%) and a blood pressure check (53%) were the most common services received. Only about half of the women had their weight taken and even fewer (37-39%) had their blood tested and urine tested.

An ultrasound test was performed for 9 percent of pregnancies in the five years preceding the survey, less than the average for all pregnancies in the nation as a whole (24%). Women with at least 10 years of education were several times more likely to have an ultrasound test as women with no education. Only 1 percent of pregnancies among women in the lowest wealth quintile had an ultrasound test, compared to half the pregnancies among women in the highest wealth quintile.

Are mothers getting timely, appropriateantenatal care?Percentage of last births in the past three years

Three or more visits Visit during first trimester

NFHS-1 NFHS-3NFHS-2

25

3631

19

3832

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Delivery care Nearly four out of every five births (78%) in Assam take place at home; only one in five births (22%) takes place in a health facility. Women with four or more antenatal care visits are more likely to deliver in a facility than at home. The only other groups of women for whom institutional births exceed home births are women from urban areas (58%), women with 10 or more years of education (68%), and women belonging to the highest wealth quintiles (86%). In contrast, 10 percent or fewer births to Muslim women, births of order 4 or higher, births to women with no education, and births to women from the lowest wealth quintile take place in a health institution.

Less than one-third of all births (31%) take place with assistance from a health professional, and one-fourth are delivered by a traditional birth attendant. Forty-one percent of births were delivered by a relative or other untrained person.

The share of institutional births among all births in the three years prior to the survey in Assam has increased by only 5 percentage points in the seven years since NFHS-2. The increase between NFHS-2 and NFHS-3 in the proportion of births delivered by a health professional, at 10 percentage points, is twice the increase in the proportion of births delivered in a health facility.

The percentage of births in

Assamdelivered in a health facility is only about

half the nationalaverage.

Are babies being delivered safely?Percentage of births in the past three years

In a medical facility Assisted by a health professional

NFHS-1 NFHS-3NFHS-2

12

1823

31

2118

Institutional Delivery by StatePercentage of births in the past five years

NagalandChhattisgarh

JharkhandBihar

Uttar PradeshAssam

Madhya PradeshArunachal Pradesh

MeghalayaRajasthan

UttarakhandOrissa

HaryanaINDIA

West BengalHimachal Pradesh

ManipurTripuraSikkim

Jammu & KashmirPunjabGujarat

DelhiMizoram

Andhra PradeshMaharashtra

KarnatakaTamil Nadu

GoaKerala

1214

18202122

26292930

333636

394243

464747505153

5960

646565

8892

99

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In 78 percent of home births, a clean blade was used to cut the cord, as is recommended, but only 24 percent of home births followed the recommendation that the baby be immediately wiped dry and then wrapped without being bathed. A disposable delivery kit (DDK) was used for only 17 percent of home births.

Postnatal care Early postnatal care for a mother helps safeguard her health and can reduce maternal mortality. In Assam, only 16 percent of mothers had a postnatal check-up after their last birth and 14 percent had a check-up within two days of the birth, as is recommended. Postnatal care is most common following births in a medical facility; nonetheless, about half of births delivered in health facilities were not followed by a postnatal check-up of the mother. Only 4 percent of home births were followed by a postnatal check-up.

Male involvement in maternal careA little more than half (52%) of men with a child under three years said they were present during at least one antenatal check-up received by the child’s mother. Less than one-third (30%) of men with a child under three years were told by a health provider what to do if the mother had any pregnancy complication; 21-29 percent of men were told about other specific signs of pregnancy complications.

Few fathers with a child less than three years of age were provided information related to delivery care. Less than half (49%) were told about the importance of proper nutrition for the mother during pregnancy and 35 percent were told about the importance of delivering the baby in a health facility. Fathers in urban areas were more likely than fathers in rural areas to be provided this information.

Among fathers whose child was not delivered in a health facility, 52 percent each were told about the importance of using a new or unused blade to cut the umbilical cord and about the importance of cleanliness at the time of delivery; only 43-45 percent were told about the importance of breastfeeding the baby immediately after birth and keeping the baby warm immediately after birth.

CHILD HEALTH

Vaccination of childrenIn Assam, only 31 percent of children age 12-23 months is fully vaccinated against the six major childhood illnesses: tuberculosis, diphtheria, pertussis, tetanus, polio, and measles. The proportion of children fully vaccinated in Assam is below the national average of 44 percent. Fifteen percent of children in Assam did not receive any of the recommended vaccinations; this proportion is higher than in all Indian states, except Arunachal Pradesh, Nagaland, and Meghalaya.

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Sixty-two percent of children age 12-23 months have received a BCG vaccination and 59 percent have received at least the recommended three doses of the polio vaccine. However, only 45 percent have received the three recommended doses of the DPT vaccine and even fewer, 37 percent, have been vaccinated against measles.

The DPT and polio vaccines are given in a series. Many children receive the first dose but do not finish the series. Drop out is a

serious problem in Assam. Between the first and third doses, the dropout rate for the polio vaccine is 28 percent and the dropout rate for the DPT vaccine is even higher at 33 percent.

Despite the current low level of immunization coverage in Assam, there has been significant improvement in coverage between NFHS-2 and NFHS-3. Full immunization nearly doubled from 17 percent in NFHS-2 to 31 percent in NFHS-3, and the coverage of all individual vaccines also increased. The largest improvement was in the coverage of three doses of the polio vaccine, up by 21 percentage points, undoubtedly as a result of the Pulse Polio Campaign. However, despite extra attempts to eradicate the disease in Assam, 18 percent of children did not receive a single dose of the polio vaccine and 41 percent did not receive the recommended three doses.

Fullimmunization

coverage in Assam is one of the lowest

in the country.

Trends in Vaccination CoveragePercentage of children 12-23 months receiving vaccinations

All None BCG Polio 3 DPT 3 Measles

NFHS-3NFHS-2NFHS-1

1719

31

4437 37

2526

4538

31

59

3833

62

5448

33

15

Full Immunization Coverage by StatePercentage of children 12-23 months

NagalandUttar Pradesh

RajasthanArunachal Pradesh

AssamBihar

MeghalayaJharkhand

Madhya PradeshINDIA

GujaratAndhra Pradesh

MizoramManipur

ChhattisgarhTripuraOrissa

KarnatakaMaharashtraUttarakhand

PunjabDelhi

West BengalHaryana

Jammu & KashmirSikkim

Himachal PradeshKerala

GoaTamil Nadu

2123

2728

31333334

404445464747495052

55596060

63646567

707475

7981

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Hindu children are about twice as likely as Muslim children to be fully vaccinated. Girls (33%) are somewhat more likely than boys (30%) to be fully vaccinated. First-born children, children of educated mothers, children belonging to the other backward classes, and children belonging to wealthier households are more likely than other children to receive all vaccinations. Even so, less than half of children in most subgroups are fully vaccinated.

Childhood illnesses In the two weeks before the survey, 7 percent of children under age five had symptoms of an acute respiratory infection (cough and short, rapid breathing that was chest related and not due to a blocked or runny nose). Of these children, 34 percent were taken to a health facility or health provider and 9 percent received antibiotic drugs. The proportion of children with symptoms of ARI who were taken to a health facility is lower in Assam than in most other states in India.

Fourteen percent of children under age five years were reported to have had fever in the two weeks preceding the survey; 35 percent of these children were taken to a health facility or provider for treatment, and 1 percent received antimalarial drugs.

Overall, 8 percent of children had diarrhoea in the two weeks preceding the survey. Among these children, 31 percent were taken to a health facility. Twenty-six percent were treated with some kind of oral rehydration therapy (ORT) or increased fluids, including 15 percent of children who were treated with a solution prepared from oral rehydration salt (ORS) packets and 13 percent who were given gruel. ORS use in treating diarrhoea among children remains very low, although three-fourths (75%) of women who had a birth in the five years prior to the survey have heard of ORS.

Two-fifths of children with diarrhoea did not receive any type of treatment at all. Ten percent received antibiotics, which are not normally recommended for treating childhood diarrhoea. In Assam, the proportion of children with diarrhoea who were taken to a health facility and who were treated with ORS are both lower than in most other Indian states.

Children should receive more fluids than usual during diarrhoeal illness, but in Assam, only 1 percent of children with diarrhea in the two weeks prior to the survey received more liquids than normal. One-third of children (32%) with diarrhoea received less liquid to drink than normal or did not receive any thing to drink at all, which can increase the risk of dehydration.

Integrated Child Development Scheme (ICDS)The ICDS programme provides nutrition and health services for children under age six years and pregnant or breastfeeding women, as well as preschool activities for children age 3-5 years. These services are provided through community-based anganwadi centres. Among the 89 percent of children under six years in Assam who are in areas covered by an anganwadicentre, only 30 percent receive some kind of services from a centre. The most common services children receive are supplementary food (28% of children under six) and early childhood care or preschool services (15% of children age 3-5 years). Seven percent of children age 0-71 months received any immunization from a centre. Only 5 percent of children each received

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health check-ups and growth moni-toring services at an anganwadi centre. More than one-third (36%) mothers of children who were weighed at an anganwadi centre received counseling from an anganwadi worker after the child was weighed.

Children of mothers with 5 or more years of schooling are more likely to receive any of the ICDS services, than children of mothers with less or no education. One-third or more children from the scheduled castes, scheduled tribes and other backward classes in areas covered by an anganwadi centrereceive some kind of service.

Among children under age six years in areas covered by an anganwadi centre, only 13 percent had mothers who received any service from a centre during pregnancy and the same proportion had mothers who received any service when breastfeeding.

BREASTFEEDING, NUTRITION, AND ANAEMIA

Infant feedingIn Assam, breastfeeding is nearly universal (96%) and 63 percent of children under 6 months are exclusively breastfed, as the World Health Organization (WHO) recommends. In addition, 75 percent are put to the breast within the first day of life, including 51 percent who started breastfeeding in the first hour of life. This means that nearly half of infants are deprived of the highly nutritious first milk (colostrum) and the antibodies it contains. Mothers in Assam breastfeed for an average of 33 months, which is longer than the minimum of 24 months recommended by WHO for most children.

It is recommended that nothing be given to children other than breast milk in the first three days when the milk has not begun to flow regularly. However, one-third of children are given something other than breast milk during that period.

WHO offers three recommendations for infant and young child feeding (IYCF) practices for children 6-23 months old: continued breastfeeding or feeding with appropriate calcium-rich foods if not breastfed; feeding solid or semi-solid food for a minimum number of times per day according to age and breastfeeding status; and including foods from a minimum number of food groups per day according to breastfeeding status. Among all children age 6-23 months, only 41 percent of children are fed the recommended minimum times per day and 32 percent are fed from the minimum number of food groups. Overall, only 16 percent are fed according to all three recommended practices.

30 28

7 5 5

15

Anyservice

Immuni-zations

Pre-school

Supple-mentary

food

Growthmoni-toring

Healthcheck-up

How many children receive anganwadi centre services?Percentage of age-eligible children in areas coveredby an anganwadi centre receiving services

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Vitamin A deficiency can cause eye damage and a higher risk of dying from measles, diarrhoea, or malaria. The Government of India recommends that children under three years receive vitamin A supplements every six months, starting at age 9 months. However, only 19 percent of last-born children age 12-35 months were given a vitamin A supplement in the past six months, and just a little over half (51%) of children age 6-35 months ate vitamin A-rich foods during the day or night before the interview.

Eating foods rich in iron and taking iron supplements can prevent anaemia. Only 24 percent of children age 6-35 months ate iron-rich foods during the day or night before the interview, and only 1 percent of children age 6-59 months was given iron supplements in the week before the interview.

Children’s nutritional status Nearly half of children (47%) under age five years are stunted, or too short for their age, which indicates that they have been undernourished for some time. Fourteen percent are wasted, or too thin for their height, which may result from inadequate recent food intake or a recent illness. More than one-third (36%) are underweight, which takes into account both chronic and acute undernutrition.

Even during the first six months of life, when most babies are breastfed, 30 percent of children are stunted, 22 percent are wasted, and 30 percent are underweight. Children in rural areas are more likely to be stunted, but even in urban areas, 36 percent of the children suffer from chronic undernutrition. Girls and boys are equally likely to be stunted and wasted, but girls are slightly more likely than boys to be underweight. Undernutrition declines sharply with mother’s education and household wealth and is higher among children of higher birth orders, scheduled-caste children, and Muslim and Christian children than most other children.

Children’s nutritional status in Assam has improved slightly since NFHS-2 by some measures but not by all measures. Children under age three years (the age group for which nutritional status data are available in NFHS-2) are less likely to be too short for their age today than they were seven years ago, which means chronic undernutrition is less widespread; they are slightly less likely to be too thin for their height, which means acute undernutrition is also less widespread. However, the proportion of children who are underweight for their age has remained virtually unchanged since NFHS-2.

54

3541

1719

36

Stunted(low height

for age)

Wasted (low weight for height)

Underweight (low weight

for age)

NFHS-3NFHS-2

Note: Nutritional status estimates are based on the 2006WHO International Reference Population

Trends in Children’s Nutritional StatusPercentage of children under three years

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Adults’ nutritional status Adults age 15-49 in Assam suffer mostly from undernutrition, but overweight and obesity are also becoming a problem. More than one-third of adults age 15-49 are too thin (37% women and 36% men), and 8 percent of women and 5 percent of men are overweight or obese. Only 56 percent of women and 59 percent of men are at a healthy weight for their height.

Adult undernutrition is particularly serious among the young (especially among those in the age group 15-19), those in the lower wealth quintiles, those belonging to the scheduled castes, and the less educated.

Overweight and obesity are more common in older adults and among those in urban areas, the more educated, and those in the highest wealth quintile. Notably, one in five urban women and over one in four women belonging to the highest wealth quintile are overweight or obese.

Using iodized salt prevents iodine defi-ciency, which can lead to miscarriage, goitre, and mental retardation. Nearly three-fourths of households (72%) in Assam were using sufficiently iodized salt at the time of the survey. This is lower than the percentage observed during NFHS-2 (80%). However, a nationwide ban on non-iodized salt took effect just as the NFHS-3 fieldwork was being completed, so the effects of the new law could not be determined by the survey.

AnaemiaAnaemia is a major health problem in Assam, especially among women and children. Anaemia can result in maternal mortality, weakness, diminished physical and mental capacity, increased morbidity from infec-tious diseases, perinatal mortality, prema-ture delivery, low birth weight, and (in children) impaired cognitive performance, motor development, and scholastic achieve-ment. Among children between the ages of 6 and 59 months, a great majority, 70 percent, are anaemic. This includes 29 percent who are mildly anaemic, 39 percent who are moderately anaemic, and 2 percent who suf-fer from severe anaemia. Boys and girls are about equally likely to have anaemia. Although anaemia levels vary somewhat

Normal weight

56

8

None <5years

5-9years

10+years

Urban Rural Total

Education Residence

Thin Overweight/obese

How many women are at a healthy weight for their height?Percent distribution of women

37

56

5

39

54

20

26

60

18

23

57

8

35

57

5

39

51

2

47

Severe anaemia

Anaemia among women, men, and children

2%

39%

18%

3%

3%

21%

Women(70% anaemic)

Men(40% anaemic)

Children 6-59 months(70% anaemic)

Mild anaemiaModerate anaemia

45%

19% 29%

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according to background characteristics, anaemia among children is widespread in every group. Over three-fifths of children (62%) are anaemic even if their mother has 10 or more years of education and 41 percent of children in the highest wealth quintile are anaemic. Children whose mothers are anaemic are more likely to be anaemic than those whose mothers are not anaemic.

Seventy percent of women in Assam have anaemia, including 45 percent with mild anaemia, 21 percent with moderate anaemia, and 3 percent with severe anaemia. The prevalence of anaemia among women is the highest in Assam (along with Jharkhand) than in all other states in India. Anaemia is slightly higher among pregnant and breastfeeding women (73%) than among women who are not pregnant or breastfeeding (68%). Nonetheless, the prevalence of anaemia varies little by background characteristics. With the exception of Muslim women, at least 65 percent of women in every population subgroup are anaemic.

Anaemia is more widespread among children age 6-35 months than it was seven years ago at the time of NFHS-2, having risen 14 percentage points since then. The prevalence of anaemia among ever-married women age 15-49 has remained unchanged over the same period.

Two-fifths of men in Assam are anaemic, with men under 20 and over 40 more likely to suffer from anaemia than men in other age groups. As with women the prevalence of anaemia among men in Assam is the highest among all states in India. More than half of Christian men are anaemic. Anaemia among men is much higher at 40-47 percent among men in the lowest two wealth quintiles than among men in the highest wealth quintile (28%). The variation by wealth in the prevalence of anaemia is much sharper for men than for women. By caste/tribe,the prevalence of anaemia is higher among men belonging to the scheduled tribes and scheduled castes than other men.

HIV/AIDS

Awareness of AIDSLess than three-fifths of women (59%) in Assam have heard of AIDS. Women in urban areas are much more likely (84%) to know about AIDS than rural women (53%). Young women age 15-24 are more likely (64%) than older women age 30-49 to have heard of AIDS (53-55%). More women know about AIDS now than in the late 1990s; among ever-married women interviewed in NFHS-3, 53 percent know about AIDS, compared with 34 percent of ever-married women in NFHS-2.

Men are more likely than women to know about AIDS. In Assam, 79 percent of men age 15-49 have heard of AIDS, including 93 percent in urban areas and 75 percent in rural areas.

Knowledge of AIDS among both women and men increases sharply with education and wealth status. Even among those with no education, knowledge is higher among men (49%) than among women (21%).

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Knowledge of prevention and transmissionMen are much more likely than women to know how HIV is transmitted and how to keep from getting it. For example, only 26 percent of women know that consistent condom use can help prevent HIV/AIDS, compared with 54 percent of men; and 30 percent of women know that having just one uninfected faithful partner can reduce the chance of getting HIV/AIDScompared with 50 percent of men. Even in the rural areas and among those with little education, men are more likely than women to know how HIV can be transmitted and prevented.

Only 8 percent of women and 14 percent of men in Assam have ‘comprehensive know-ledge’ of HIV/AIDS. This means very few of them know that a healthy-looking person can have HIV/AIDS, HIV/AIDS cannot be transmitted through mosquito bites or by sharing food, and that condom use and having only one faithful, uninfected partner can help prevent HIV/AIDS. The only sub-group of the population in which at least one in four women and men have comprehensive knowledge about HIV/AIDS is those with at least 10 years of education and those belonging to the highest wealth quintile.

HIV-related stigmaAmong adults who have heard of AIDS in Assam, two-thirds of women and men would be willing to take care of a family member with HIV/AIDS in their home. While a similar proportion of women (68%) say that a female teacher who has HIV/AIDS but is not sick should be allowed to continue teaching, only 60 percent of men agree with this. About half of the adults who have heard of AIDS say that they are comfortable buying fresh vegetables from a shopkeeper with HIV/AIDS (54% of women and 45% of men) but a higher proportion say that if a family member got infected with HIV/AIDS, they would not want to keep it a secret (88% of women and men). Overall, only 30 percent of women and 26 percent of men express all four of these accepting attitudes toward persons with HIV/AIDS.

HIV testing prior to NFHS-3, blood transfusions, and safe injections Only 0.4 percent of women and 1 percent of men age 15-49 had ever been tested for HIV prior to NFHS-3. Urban residents are more likely than rural residents to have ever been tested for HIV.

In Assam, a slightly higher proportion of women (4%) than men (3%) have ever had a blood transfusion. Women are less likely than men (24% of women, compared to 27% of men) to have received an injection from a health worker in the past year.

26

54

30

50

814

Use condoms Have oneuninfected

faithful partner

Have comprehensiveknowledge

MenWomen

Do people know how to prevent HIV/AIDS?Percentage of women and men age 15-49

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While the proportions of women and men who have ever received a blood transfusion is higher in urban than in rural areas, the proportion who received an injection from a health worker in the past year is higher in rural than in urban areas. For more than 9 out of 10 women and men who received an injection from a health worker in the past 12 months, the last injection was ‘safe’, i.e., the syringe and needle was taken from a newly opened package or the needle used had been sterilized.

HIV prevalenceIn Assam, blood was collected for HIV testing from eligible women and men in a sub-sample of households. The results of the HIV testing of blood samples collected from Assam contributed to the national HIV prevalence estimate; however, no separate estimate of HIV prevalence is available for the state.

Nationally, NFHS-3 found that 0.28 percent of adults age 15-49 are infected with HIV, including 0.35 percent in urban areas and 0.25 percent in rural areas. If the six states considered by the National AIDS Control Organization (NACO) as having high HIV prevalence are excluded, the HIV prevalence estimate for the remaining 23 states combined, including Assam, is only 0.12 percent. In these 23 states combined, the prevalence is 0.08 among women age 15-49 and 0.16 among men age 15-49.

SEXUAL BEHAVIOURNFHS-3 included questions on respondents’ sexual behaviour. Respondents were asked about their age at first sex, their current and previous sexual partners, and condom use.

Additionally, men were asked whether they had paid for sex in the past year. These questions are sensitive and subject to reporting bias, so the results should be interpreted with caution.

Age at first sexual intercourseThe median age at first sexual intercourse for women age 20-49 in Assam is 19 years, whereas less than half of men have had sexual intercourse by age 25 in most age groups.

Among youth 15-24 years of age, women are much more likely than men to have ever had sex (46% of women, compared with 19% of men). The earlier age at sexual intercourse for women than men is a consequence of the fact that in India first sexual intercourse largely occurs within marriage and women marry at younger ages than men.

Higher-risk sex, multiple sex partners, and condom use Higher-risk sex is sexual intercourse with someone who is neither a spouse nor a cohabiting partner. Among those who had sex in the past year, 4 percent of men and no women reported having had higher-risk sex during the year. One percent of men who had ever had sex reported having had two or more partners in the past 12 months.

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Paid sexOne percent of men said they had paid for sex in the past year.

ADULT HEALTH AND HEALTH CARE

TuberculosisIn Assam, 605 persons per 100,000 are estimated to have medically treated tuberculosis, based on reports from household respondents. Prevalence of medically treated tuberculosis is higher in Assam than in most other states. Tuberculosis is more common among men than among women and more common in rural areas than in urban areas. The prevalence of tuberculosis increases sharply with age. People who cook with solid fuels are much more likely to have tuberculosis than people who use electricity or gas for cooking.

Almost all respondents have heard of tuberculosis (92% of women and 96% of men), but even among those who have heard of tuberculosis, only 35 percent of women and 42 percent of men say that it is spread through the air by coughing or sneezing. Less than half of women and men (45%) have misconceptions about how tuberculosis is spread. However, most women and men know that tuberculosis can be cured (74% of women and 79% of men) and only about 2-3 percent say that if a family member had tuberculosis, they would want to keep it a secret from the neighbours.

Diabetes, asthma, and goitreAccording to self reports, 1 percent of women and men age 35-49 suffer from diabetes, higher than in any other age group. The prevalence of diabetes is higher among those who are more educated and those who belong to the highest wealth quintile. One percent of adults age 15-49 suffer from asthma (1,411 women and 1,105 men per 100,000). The prevalence of goitre or other thyroid disorders is almost twice as high among men as among women (1,371 per 100,000 men, compared with 760 per 100,000 women). It is also relatively high among those ages 15-19 and in rural areas.

Tobacco and alcohol useNearly three-fourths of men (72%) and about one-fourth of women (23%) use some form of tobacco in Assam. About a quarter of pregnant women use tobacco (data not shown in tables). Women and men who use tobacco are most likely to chew tobacco in the form of paan masala, gutkha, or other tobacco (23% of women and 59% of men). Among men, smoking cigarettes or bidis is also quite common (36%).

More men than women drink alcohol (38% of men compared to 8% of women). Among those who drink alcohol, 59 percent of women, compared with 41 percent of men consume alcohol at least once a week.

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Source of health careFor most households, the public medical sector is the main source of health care (50% of urban households and 69% of rural households). The use of the public medical sector as the main source of health care varies substantially with the wealth status of the household from 74 percent in the lowest wealth quintile to 35 percent in the highest wealth quintile. Among households that do not use government health facilities, the main reasons given for not doing so are lack of a nearby facility (49%) and poor quality of care (39%) (data not shown in tables).

Health insuranceDespite the emergence of a number of health insurance programmes and health schemes, only 2 percent of households in Assam report that they have any kind of health insurance that covers at least one member of the household. Among the various types of programmes, the most common is privately purchased commercial health insurance (46%), followed by health insurance through employer (18%) and medical reimbursement from employer (16%). Health insurance is over five times as common in urban areas as in rural areas, and increases sharply with the wealth status of the household.

WOMEN’S EMPOWERMENT

Employment and earnings Only 27 percent of currently married women age 15-49 were employed in the last 12 months, compared with 98 percent of currently married men in the same age group; 13 percent of these women received no payment for their work, and 2 percent were paid only in kind. Overall, 85 percent of currently married employed women earn cash, compared with 92 percent of currently married employed men.

Among married women who work and are paid in cash, 90 percent decide how their earnings will be used, either alone or together with their husbands. Thirty-three percent of women who work for cash earn about the same or more than their husbands.

Decision makingMarried women were asked who makes decisions about their own health care, making large household purchases, making household purchases for daily household needs, and visiting their own family or relatives. Most currently married women (70-81%) participate in making each of these decisions. However, only 61 percent participate in making all four of these decisions and 12 percent do not participate in making any of the four decisions.

Women in nuclear households, compared with women in non-nuclear households, and women who are employed for cash, compared with women not employed for cash, are more likely to participate in these household decisions. Participation in decision making increases sharply with age and household wealth status. Other groups of women who are more likely to participate in all four decisions are women in urban areas and those with more years of education. Muslim women are less likely than Hindu or Christian women to participate in all four decisions.

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Other indicators of women’s empowermentTwenty-seven percent of women have some money that they can decide how to use. The proportion of women with money which they control is highest for women who are employed for cash and widowed, divorced, separated or deserted and increases with education and wealth. Only 12 percent of women have a bank or savings account that they themselves use.

Women’s knowledge and use of microcredit programmes is very limited. Only 42 percent of women have heard of any microcredit programme in the area and only 1 percent has ever used one.

Only 43 percent of women are allowed to go by themselves to the market, 41 percent to a health facility, and 66 percent to places outside their own village or community (data not shown in tables). Only 35 percent of women are allowed to go alone to all three of these places. Urban women, older women, scheduled-tribe women, employed women, women with 10 or more years of education, and women belonging to the wealthiest households have more freedom of movement than most other women.

In Assam only 27 percent of currently married women were employed in the past 12 months; only 12 percent of women have a bank account that they themselves use.

Gender-role attitudes Less than half of women (45%) in Assam believe it is justifiable for a husband to beat his wife under specific circumstances. Women are most likely to say wife beating is justified if a woman shows disrespect for her in-laws (32%) or if she neglects the house or children (31%). Men are somewhat less likely than women to agree with wife beating for one or more of the specified reasons (25%), including 17 percent who agree that disrespect for in-laws is justification for wife beating. Even among women and men who have completed at least 10 years of schooling, 34 percent of women and 19 percent of men agree that a husband is justified in beating his wife for one or more specified reasons.

Sixty-six percent of women believe a woman is justified in refusing to have sex with her husband for all three of the following reasons: if she knows he has a sexually transmitted disease, if she knows he has intercourse with other women, or if she is tired or not in the mood. Seventy-three percent of men say that a wife is justified in refusing to have sex with her husband for all of these reasons. Eighty-five percent of men agree that when a woman refuses to have sex with her husband, the husband does not have the right to get angry and reprimand her, refuse her financial support, use force to have sex, or have sex with another woman.

DOMESTIC VIOLENCE

In Assam, 34 percent of women age 15-49 have ever experienced physical violence and 12 percent have ever experienced sexual violence. In all, 37 percent of women have ever experienced physical or sexual violence, including 42 percent of ever-married women.

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Spousal violenceMore than one-third (36%) of ever-married women report having ever been slapped by their husband. Fifteen percent of ever-married women report having had their arm twisted or hair pulled by their husband; 13 percent report having been pushed, shaken, or had something thrown at them by their husband and a similar proportion report having been punched with his fist or with something that could hurt them. Eight percent report that their husband kicked them, dragged them, or beat them up and 2-3 percent say that their husband tried to choke or burn them; or threatened or attacked them with a knife, gun, or any other weapon. Fourteen percent report that their husbands have physically forced them to have sex and 6 percent report that their husbands forced them to perform sexual acts that they did not want to perform. Sixteen percent report having ever experienced spousal emotional violence.

Overall, 40 percent of ever-married women have experienced spousal physical or sexual violence from their current husband or if currently not married, their most recent husband.

One percent of ever-married women report having ever initiated violence against their husbands.

Although the prevalence of spousal violence is lower among the more educated, 16 percent of women who have at least 10 years of education have experienced physical or sexual violence. Women whose mothers were beaten by their fathers are much more likely to be in abusive marriages themselves: 62 percent of women whose mothers experienced spousal physical or sexual violence have themselves experienced spousal violence, compared with 32 percent of

Assam is oneamong those Indian states

where the prevalence of

spousal violenceis well above the national

average.

Spousal Physical or Sexual Violence by StatePercentage of ever-married women

594646

4444

4242

4040

3938

3737

3531

302828

2725

2220

17161616

151313

6

BiharRajasthan

Madhya PradeshTripura

ManipurUttar Pradesh

Tamil NaduWest Bengal

AssamArunachal Pradesh

OrissaINDIA

JharkhandAndhra Pradesh

MaharashtraChhattisgarhUttarakhand

GujaratHaryana

PunjabMizoram

KarnatakaGoa

KeralaSikkim

DelhiNagaland

MeghalayaJammu & KashmirHimachal Pradesh

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women whose mothers did not experience spousal violence. Women with husbands who consume alcohol and get drunk often are much more likely than women whose husbands do not consume any alcohol to experience spousal violence; nonetheless, even among ever-married women whose husbands do not drink alcohol, 34 percent have experienced physical or sexual spousal violence.

About one-fourth of women who have experienced spousal physical or sexual violence have suffered injuries as a result of the violence. For most women who have ever experienced spousal violence, the violence first occurred within 1-2 years of their marriage (data not shown in tables).

Help seekingOnly 13 percent of women who have ever experienced violence have sought help to end the violence. Seventy percent of women have neither sought help nor told anyone about the violence. Among women who experienced only sexual violence, only 6 percent have sought help.

Among women who do seek help, most do so from their own families or their husbands’ families. Very few women seek help from any institutional source, such as the police (9%) or social service organizations (3%).

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Table 1 Results of the household and individual interviews

Number of households, number of interviews with women and men, and response rates, according to residence, Assam, 2005-06

Result Urban Rural Total

Household interviews Households selected 1,307 2,354 3,661 Households occupied 1,229 2,266 3,495 Households interviewed 1,188 2,249 3,437

Household response rate1 96.7 99.2 98.3

Interviews with women age 15-49 Number of eligible women 1,316 2,727 4,043 Number of eligible women interviewed 1,232 2,608 3,840

Eligible women response rate2 93.6 95.6 95.0

Interviews with men age 15-54 Number of eligible men 618 1,009 1,627 Number of eligible men interviewed 502 892 1,394

Eligible men response rate2 81.2 88.4 85.7

Note: Eligible women and men are women age 15-49 and men age 15-54 who stayed in the household the night before the interview (including both usual residents and visitors). This table is based on the unweighted sample. 1 Households interviewed/households occupied. 2 Respondents interviewed/eligible respondents.

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Table 2 Household population by age, education, sex, and residence

Percent distribution of the de facto household population by age and education, according to residence and sex, Assam, 2005-06

Background Urban Rural Total characteristic Male Female Total Male Female Total Male Female Total

Age 0-4 6.0 7.7 6.8 11.2 11.0 11.1 10.3 10.4 10.3 5-9 9.0 7.7 8.4 13.6 12.9 13.2 12.8 12.0 12.4 10-14 9.9 10.8 10.3 12.7 12.4 12.5 12.2 12.1 12.2 15-19 10.9 9.7 10.3 9.2 9.1 9.2 9.5 9.2 9.4 20-24 10.4 11.2 10.8 7.3 9.9 8.6 7.8 10.1 9.0 25-29 9.1 9.5 9.3 7.9 9.3 8.6 8.1 9.3 8.7 30-34 7.3 8.9 8.1 6.2 7.8 7.0 6.4 7.9 7.2 35-39 9.0 8.3 8.7 7.4 6.6 7.0 7.7 6.9 7.3 40-44 6.1 6.8 6.4 5.6 4.3 5.0 5.7 4.7 5.2 45-49 7.2 4.5 5.9 4.7 3.3 4.0 5.1 3.5 4.3 50-54 3.9 4.6 4.2 3.1 4.6 3.9 3.2 4.6 3.9 55-59 3.7 3.3 3.5 3.1 2.5 2.8 3.2 2.7 2.9 60-64 2.7 2.5 2.6 3.1 2.2 2.7 3.1 2.3 2.7 65-69 2.0 1.7 1.9 1.6 1.3 1.5 1.7 1.4 1.5 70-74 1.1 1.3 1.2 1.5 1.4 1.4 1.4 1.4 1.4 75-79 1.4 0.4 0.9 0.6 0.6 0.6 0.7 0.5 0.6 80+ 0.4 1.0 0.7 1.0 0.8 0.9 0.9 0.9 0.9 Don't know/missing 0.0 0.1 0.1 0.0 0.1 0.0 0.0 0.1 0.0

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Number 1,429 1,306 2,734 6,435 6,624 13,060 7,864 7,930 15,794

Sex ratio, all ages1 na na 914 na na 1,029 na na 1,008 Sex ratio, age 0-6 years1 na na 1,035 na na 982 na na 988

Education2 No education 8.5 16.7 12.4 18.6 32.1 25.5 16.7 29.5 23.1 <5 years complete 17.8 16.6 17.3 30.9 28.1 29.4 28.4 26.1 27.2 5-9 years complete 37.8 37.7 37.7 34.5 30.1 32.3 35.2 31.4 33.3 10-11 years complete 13.4 11.0 12.2 7.5 5.0 6.2 8.6 6.0 7.3 12 or more years complete 21.8 17.6 19.8 7.9 4.4 6.1 10.6 6.6 8.6 Missing 0.6 0.5 0.6 0.6 0.3 0.4 0.6 0.3 0.5

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Number 1,319 1,183 2,502 5,544 5,751 11,295 6,862 6,934 13,797

Median number of years of schooling completed 7.9 7.0 7.5 4.0 2.8 3.5 4.9 3.3 3.9

na = Not applicable 1 Females per 1,000 males. 2 Population age 6 and above.

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Table 3 Housing characteristics

Percent distribution of urban, rural, and total households and de jure population by household and housing characteristics, Assam, 2005-06

Household and housing characteristic Urban Rural Total De jure

population

Household headship Male 87.3 86.4 86.6 89.5 Female 12.7 13.6 13.4 10.5

Total 100.0 100.0 100.0 100.0

Mean household size 4.0 4.8 4.7 na

Household structure1 Nuclear 68.5 63.9 64.8 56.4 Non-nuclear 31.5 36.1 35.2 43.6

Total 100.0 100.0 100.0 100.0

Religion of household head Hindu 81.6 67.3 70.2 67.2 Muslim 17.3 26.1 24.3 27.0 Christian 0.8 6.0 4.9 5.4 Other 0.4 0.6 0.6 0.4 Missing 0.0 0.0 0.0 0.0

Total 100.0 100.0 100.0 100.0

Caste/tribe of household head Scheduled caste 15.7 12.7 13.3 12.9 Scheduled tribe 2.7 11.4 9.6 10.1 Other backward class 15.7 22.9 21.5 20.6 Other 62.3 46.6 49.7 50.7 Missing 3.5 6.4 5.9 5.7

Total 100.0 100.0 100.0 100.0

Electricity Yes 80.6 27.3 38.1 36.5 No 19.3 72.7 61.9 63.5 Missing 0.1 0.0 0.0 0.0

Total 100.0 100.0 100.0 100.0

Source of drinking water Improved source 85.5 69.1 72.4 72.1 Piped water into dwelling/yard/plot 25.2 1.1 6.0 4.8 Public tap/standpipe 5.2 5.8 5.7 5.4 Tube well or borehole 47.8 59.7 57.3 58.3 Other improved 7.3 2.6 3.5 3.5 Non-improved source 14.5 30.8 27.5 27.9 Other source 0.0 0.0 0.0 0.0

Total 100.0 100.0 100.0 100.0

Time to obtain drinking water (round trip) Water on premises 85.5 62.2 66.9 68.1 Less than 30 minutes 12.8 33.5 29.3 28.0 Thirty minutes or longer 1.7 3.8 3.4 3.5 Don't know/missing 0.0 0.4 0.3 0.3

Total 100.0 100.0 100.0 100.0

Water treatment prior to drinking2 Boil 18.9 22.6 21.9 21.1 Strain through cloth 1.3 2.8 2.5 2.9 Use ceramic, sand, or other water filter 49.9 26.4 31.1 30.4 Other treatment 7.8 3.1 4.0 3.8 No treatment 36.5 53.9 50.4 51.2 Don't know/missing 0.1 0.0 0.1 0.0

Continued…

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Table 3 Housing characteristics—Continued

Household and housing characteristic Urban Rural Total De jure

population

Sanitation facility Improved, not shared 48.1 26.3 30.7 31.7

Flush/pour flush to piped sewer system, septic tank, or pit latrine 44.7 17.5 23.0 23.2 Pit latrine with slab 3.4 8.6 7.6 8.3 Other 0.0 0.1 0.1 0.2

Not improved 51.7 73.5 69.1 68.2 Any facility shared with other households 37.9 11.1 16.5 13.8 Flush/pour flush not to sewer system, septic tank, or pit latrine 0.5 0.0 0.1 0.1 Pit latrine without slab/open pit 10.8 33.3 28.8 30.9 Other unimproved facility 0.0 0.2 0.2 0.2 No facility/open space/field 2.5 28.9 23.6 23.2

Other 0.0 0.1 0.1 0.0 Missing 0.3 0.1 0.1 0.1

Total 100.0 100.0 100.0 100.0

Type of house3 Kachha 2.9 24.1 19.8 20.1

Semi-pucca 46.0 60.5 57.6 57.9 Pucca 49.5 12.3 19.8 19.1

Missing 1.7 3.0 2.8 3.0

Total 100.0 100.0 100.0 100.0

Cooking fuel Electricity 0.0 0.1 0.1 0.1 LPG/natural gas 63.6 11.2 21.8 19.2 Biogas 1.0 0.8 0.8 0.7 Kerosene 6.1 0.3 1.5 0.8 Coal/lignite 0.4 0.1 0.2 0.1 Wood 27.0 77.8 67.6 70.7 Straw/shrubs/grass 1.6 5.0 4.3 4.5 Agricultural crop waste 0.0 1.6 1.3 1.3 Dung cakes 0.0 3.1 2.5 2.5 Other 0.2 0.0 0.0 0.0

Missing 0.1 0.0 0.1 0.1

Total 100.0 100.0 100.0 100.0

Place for cooking In the house, separate room 65.2 51.1 54.0 53.1 In the house, no separate room 19.9 12.3 13.8 11.4 In a separate building 12.0 33.0 28.8 32.3 Outdoors 2.5 3.5 3.3 3.2 Other 0.1 0.0 0.0 0.0 Missing 0.3 0.0 0.1 0.0

Total 100.0 100.0 100.0 100.0

Number 694 2,743 3,437 16,068

Type of fire/stove among households using solid fuels4 Open fire/chullah under a chimney 1.2 1.5 1.5 1.7 Stove without chimney 0.0 0.2 0.2 0.1 Open fire/chullah not under a chimney 97.4 96.5 96.6 96.2 Missing 1.4 1.7 1.7 2.0

Total 100.0 100.0 100.0 100.0

Number using solid fuel 201 2,403 2,604 12,726

na = Not applicable 1 Nuclear households are households comprised of a married couple or a man or a woman living alone or with unmarried children (biological,adopted, or fostered) with or without unrelated individuals. 2 Total percentages may add to more than 100.0 because multiple answers are allowed. 3 Houses made from mud, thatch, or other low-quality materials are called kachha houses, houses that use partly low-quality and partly high-qualitymaterials are called semi-pucca houses, and houses made with high quality materials throughout, including the floor, roof, and exterior walls, are called pucca houses. 4 Includes coal/lignite, charcoal, wood, straw/shrubs/grass, agricultural crop waste, and dung cakes.

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Table 4 Household possessions, ownership of agricultural land, and wealth index

Percentage of urban, rural, and total households and de jure population possessing various household goods, means of transport,agricultural land, a house, and farm animals and having a bank account, health insurance, a BPL card, and a mosquito net, and percent distribution by the wealth index, Assam, 2005-06

Household possessions Urban Rural Total De jure

population

Household goods Mattress 84.8 53.4 59.7 59.7 Pressure cooker 64.6 20.0 29.0 27.5 Chair 84.3 72.9 75.2 76.6 Cot or bed 97.1 89.6 91.2 91.6 Table 86.2 71.5 74.4 76.2 Electric fan 70.9 22.6 32.3 31.3 Radio or transistor 26.5 30.1 29.3 30.6 Television (black and white) 25.4 17.5 19.1 20.1 Television (colour) 41.8 9.6 16.1 15.9 Any television 64.5 26.7 34.3 35.1 Sewing machine 27.0 9.2 12.8 13.1 Mobile telephone 25.8 4.8 9.0 8.8 Any other type of telephone 23.2 5.0 8.7 8.9 Computer 5.5 0.9 1.8 1.7 Refrigerator 23.4 2.9 7.0 6.6 Watch or clock 89.0 75.2 78.0 80.1 Water pump 7.3 3.3 4.1 4.9 Thresher 0.2 0.0 0.1 0.1 Tractor 0.1 0.3 0.3 0.4 None of the above 1.0 4.0 3.4 2.8

Means of transport Bicycle 50.0 64.1 61.2 65.2 Motorcycle or scooter 20.8 8.0 10.5 11.0 Animal-drawn cart 0.2 1.2 1.0 1.4 Car 8.4 1.6 2.9 3.0 None of the above 39.1 34.7 35.6 32.1

Agricultural land No agricultural land 82.4 52.2 58.3 54.3 Irrigated land only 4.4 8.5 7.7 8.5 Non-irrigated land only 10.4 35.3 30.3 32.7 Both irrigated and non-irrigated land 1.1 2.7 2.4 3.1 Missing 1.7 1.2 1.3 1.3

Total 100.0 100.0 100.0 100.0

Percentage owning a house 86.0 89.2 88.6 89.5

Percentage owning farm animals1 19.2 73.5 62.5 68.4

Percentage having a bank account/post office account2 63.0 33.0 39.1 38.9

Percentage covered by a health scheme/health insurance2 6.6 1.2 2.3 2.0

Percentage owning a BPL card 8.2 21.2 18.6 19.7

Percentage with a mosquito net that can be used for sleeping 97.1 91.6 92.7 92.8

Wealth index Lowest 4.3 24.3 20.3 19.8 Second 13.0 34.4 30.1 30.7 Middle 17.5 22.7 21.6 22.6 Fourth 27.9 12.1 15.3 15.0 Highest 37.4 6.4 12.7 11.8

Total 100.0 100.0 100.0 100.0

Number 694 2,743 3,437 16,068

BPL = Below poverty line1 Cows, bulls, buffaloes, camels, horses, donkeys, mules, goats, sheep, chickens, or ducks. 2 Any usual household member.

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Table 5 Religion and caste/tribe by wealth index

Percent distribution of the de jure population by wealth index, according to religion and caste/tribe, Assam, 2005-06

Wealth index Religion/caste/tribe Lowest Second Middle Fourth Highest Total

De jure population

Religion of household head Hindu 13.8 26.8 24.3 19.1 15.9 100.0 10,792 Muslim 30.5 42.0 16.6 7.4 3.4 100.0 4,335 Christian 41.5 25.0 30.1 1.9 1.5 100.0 864 Other 19.8 0.0 39.9 16.1 24.2 100.0 70

Caste/tribe of household head Scheduled caste 22.1 31.8 25.4 12.8 7.8 100.0 2,074 Scheduled tribe 30.0 25.5 19.9 12.7 12.0 100.0 1,629 Other backward class 10.8 27.8 26.7 19.5 15.2 100.0 3,303 Other 20.6 32.5 19.9 14.5 12.5 100.0 8,141

Total 19.8 30.7 22.6 15.0 11.8 100.0 16,068

Note: Total includes de jure population with missing information on religion and caste/tribe of household head, which is not shown separately.

Table 6 School attendance

Percentage of de facto household population age 6-17 years attending school in the 2005-06 school year by sex, residence, and age, Assam, 2005-06

Male Female Total Age Urban Rural Total Urban Rural Total Urban Rural Total

6-10 years 95.0 91.5 91.9 89.9 89.0 89.1 92.7 90.3 90.6 11-14 years 78.9 75.1 75.7 79.1 76.0 76.5 79.0 75.5 76.1 15-17 years 55.9 47.5 49.1 62.6 39.3 43.3 59.0 43.4 46.2

6-14 years 87.3 84.8 85.1 84.4 83.4 83.6 85.9 84.1 84.4 6-17 years 78.7 76.9 77.2 78.6 74.0 74.7 78.6 75.5 75.9

Note: In this table, children’s age refers to their age at the start of the 2005-06 school year (assumed here to be April 2005).

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Table 7 Children's living arrangements and orphanhood

Percent distribution of de jure children under age 18 years by their living arrangements, and percentage of children with one or both parents dead, according to background characteristics, Assam, 2005-06

Background characteristic

Living with both parents

Living with mother but

not with father

Living with father but not with mother

Not living with either

parent

Missing information on father/ mother Total

Percentage with one or both parents

dead Number of

children

Age <5 years 90.2 8.0 0.4 1.2 0.1 100.0 2.0 1,656 5-9 years 84.9 10.0 1.3 3.8 0.0 100.0 5.5 1,980 10-14 years 79.2 12.0 2.1 6.7 0.1 100.0 9.7 1,957 15-17 years 69.2 14.4 2.9 12.1 1.4 100.0 15.2 916

Residence Urban 83.4 8.5 1.6 6.1 0.4 100.0 5.7 863 Rural 82.2 11.0 1.5 5.1 0.2 100.0 7.5 5,646

Sex Male 83.5 10.2 1.8 4.3 0.1 100.0 6.7 3,277 Female 81.2 11.2 1.2 6.1 0.4 100.0 7.8 3,232

Total age <15 years 84.5 10.1 1.3 4.1 0.1 100.0 5.9 5,593

Total age <18 years 82.3 10.7 1.5 5.2 0.2 100.0 7.2 6,509

Table 8 Birth registration of children under age five

Percentage of de jure children under age five years whose birth was registered with the civil authorities, according to background characteristics, Assam, 2005-06

Percentage of children whose birth was registered

Background characteristic

Registered, has a birth certificate

Registered, does not have a birth

certificate Total

registered De jure children

Age <2 years 32.1 8.1 40.2 654 2-4 years 40.2 4.6 44.8 1,002

Sex Male 37.9 4.8 42.6 814 Female 36.2 7.2 43.4 842

Residence Urban 59.7 7.7 67.4 183 Rural 34.2 5.8 40.0 1,473

Wealth index Lowest 14.9 3.9 18.9 448 Second 32.5 6.7 39.1 590 Middle 49.2 7.5 56.7 323 Fourth 53.5 7.2 60.7 177 Highest 85.8 4.6 90.4 117

Total 37.0 6.0 43.0 1,656

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Table 9 Children's work

Percentage of de jure children age 5-14 years who were engaged in different activities in the seven days preceding the interview by type of work, according to background characteristics, Assam, 2005-06

Work for someone who is not a member of the

household1

Background characteristic Paidwork

Unpaid work

Household chores for 28

or more hours per

weekOther family

work2Total

working3Number of

children

Age 5-7 years 1.5 2.6 0.1 1.2 4.8 1,182 8-11 years 4.1 5.4 0.9 5.2 14.6 1,545 12-14 years 4.9 0.4 5.8 4.8 14.8 1,210

Sex Male 4.7 3.4 0.6 5.5 13.1 1,993 Female 2.4 2.7 3.7 2.3 10.3 1,944

Residence Urban 3.3 2.4 3.0 0.8 9.4 515 Rural 3.6 3.1 2.0 4.4 12.1 3,423

Wealth index Lowest 6.5 3.1 2.6 6.6 17.1 1,036 Second 4.8 4.3 1.4 3.9 13.1 1,293 Middle 1.1 3.1 2.2 3.3 9.4 822 Fourth 0.8 1.1 1.8 1.4 4.9 466 Highest 0.0 0.2 4.2 0.6 5.0 320

Total 3.6 3.0 2.2 3.9 11.7 3,937

1 Any work in the 7 days preceding the survey, paid or unpaid, for someone who is not a member of the household by children age 5-11 years and for 14 or more hours by children age 12-14 years. 2 Includes any work in the 7 days preceding the survey such as work on the farm, in a business, or sellinggoods in the street by children age 5-11 years and for 14 or more hours by children age 12-14 years. 3 Includes children age 5-11 years who in the 7 days preceding the survey, worked for someone who is not a member of the household, with or without pay, did household chores for 28 or more hours, or engaged in any other family work and children age 12-14 years who in the 7 days preceding the survey, worked for 14 or more hours for someone who is not a member of the household, with or without pay, did household chores for 28 or more hours, or engaged in any other family work for 14 or more hours.

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Table 10 Background characteristics of respondents Percent distribution of women and men age 15-49 by selected background characteristics, Assam, 2005-06

Weighted percent Number of women Number of men Background characteristic Women Men Weighted Unweighted Weighted Unweighted

Age 15-19 18.2 17.4 699 688 231 238 20-24 19.7 16.0 758 756 213 213 25-29 17.8 16.1 682 667 213 216 30-34 15.1 13.1 581 585 173 172 35-39 13.7 15.6 525 528 207 196 40-44 9.1 12.2 349 366 162 163 45-49 6.4 9.6 246 250 127 129

Residence Urban 18.8 22.7 721 1,232 301 479 Rural 81.2 77.3 3,119 2,608 1,026 848

Education No education 30.2 14.4 1,161 1,062 191 173 <5 years complete 14.3 19.1 548 513 254 233 5-9 years complete 36.1 37.3 1,387 1,401 495 502 10-11 years complete 9.1 13.8 351 386 183 196 12 or more years complete 10.2 15.3 392 477 203 223

Missing 0.0 0.0 1 1 0 0

Literacy Literate1 63.0 76.4 2,418 2,529 1,014 1,042 Not literate 35.4 22.9 1,358 1,249 303 274 Not measured 1.6 0.7 61 60 9 11 Missing 0.1 0.0 2 2 0 0

Media exposure Reads a newspaper/magazine at least once a week 19.8 39.1 759 887 518 568 Watches television at least once a week 44.4 56.6 1,706 1,938 750 804 Listens to the radio at least once a week 35.4 44.8 1,359 1,308 594 562 Visits the cinema/theatre at least once a month 2.2 10.2 83 92 135 143 Not regularly exposed to any media 38.6 22.1 1,481 1,334 293 265

Marital status Never married 25.3 42.7 971 999 567 585 Currently married 69.2 56.0 2,656 2,631 743 727 Married, gauna not performed 0.0 0.2 1 1 2 2 Widowed 3.9 0.8 149 149 11 10 Divorced/separated/deserted 1.6 0.3 63 60 4 3

Religion Hindu 69.9 71.8 2,684 2,753 952 976 Muslim 24.1 22.2 927 885 294 282 Christian 5.2 5.1 200 172 67 58 Other 0.5 0.9 18 18 12 10 Missing 0.3 0.1 12 12 1 1

Caste/tribe Scheduled caste 13.3 14.7 512 529 195 205 Scheduled tribe 10.5 8.5 404 350 113 97 Other backward class 21.8 24.4 838 803 324 310 Other 48.1 48.0 1,847 1,938 637 661 Missing 6.2 4.4 239 220 58 54

Employment (past 12 months) Employed at any time 29.5 83.6 1,133 1,094 1,108 1,105 In agricultural occupation 4.8 18.5 185 157 245 213 In non-agricultural occupation 24.7 65.1 948 937 863 892 Not employed 70.2 15.9 2,697 2,737 211 216 Missing 0.2 0.5 10 9 7 6

Wealth index Lowest 16.0 14.9 615 534 198 171 Second 29.1 29.2 1,116 997 388 347 Middle 23.7 23.7 908 862 314 294 Fourth 17.5 18.9 673 748 251 289 Highest 13.7 13.2 527 699 176 226

Total age 15-49 100.0 100.0 3,840 3,840 1,326 1,327 Age 50-54 na 4.9 na na 68 67 Total age 15-54 na 100.0 na na 1,394 1,394

na = Not applicable 1 Refers to women and men who can read a whole sentence or part of a sentence and women and men who completed standard 6 or higher (who are assumed to be literate).

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Table 11 Current fertility

Age-specific and total fertility rates and crude birth rates from NFHS-3, NFHS-2, and NFHS-1, by residence, Assam, 2005-06

NFHS-3 NFHS-2 NFHS-1 Age Urban Rural Total Urban Rural Total Urban Rural Total

15-19 0.049 0.094 0.086 0.040 0.094 0.089 0.070 0.122 0.116 20-24 0.096 0.167 0.154 0.110 0.152 0.149 0.167 0.205 0.200 25-29 0.077 0.138 0.127 0.084 0.119 0.116 0.159 0.200 0.195 30-34 0.050 0.076 0.071 0.052 0.072 0.070 0.054 0.128 0.117 35-39 0.014 0.046 0.039 0.014 0.033 0.031 0.046 0.057 0.055 40-44 0.000 0.010 0.007 0.000 0.008 0.007 0.011 0.023 0.021 45-49 (0.000) 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000

TFR 15-44 1.43 2.65 2.42 1.50 2.39 2.31 2.53 3.68 3.53 TFR 15-49 1.43 2.65 2.42 1.50 2.39 2.31 2.53 3.68 3.53 CBR 13.6 23.9 22.1 15.8 22.3 21.8 23.2 31.4 30.4

Note: Rates are for the period 1-36 months preceding the survey (approximately 1990-92 for NFHS-1, 1996-98 for NFHS-2, and 2003-05 for NFHS-3). Age-specific fertility rates are expressed per woman. Rates for the age group 45-49 might be slightly biased due to truncation. TFR = Total fertility rate, expressed per woman CBR = Crude birth rate, expressed per 1,000 population

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Table 12 Fertility by background characteristics

Total fertility rates for the three years preceding the survey, percentage of women age15-49 currently pregnant, mean number of children ever born to women age 40-49, and total wanted fertility rates, by background characteristics, Assam, 2005-06

Background characteristic Total

fertility rate

Percentage currently pregnant

Mean number of children ever

born to women age 40-49 years

Total wanted

fertility rate

Residence Urban 1.43 3.8 3.0 1.16 Rural 2.65 5.3 4.2 1.95

Education No education 3.35 5.8 4.8 2.36 <5 years complete (2.93) 6.4 4.3 (2.21) 5-9 years complete 2.13 5.3 3.4 1.67 10 or more years complete 1.29 2.2 2.2 1.10

Religion Hindu 1.95 4.1 3.5 1.57 Muslim 3.64 7.2 5.4 2.37 Christian * 6.9 (4.6) *

Caste/tribe Scheduled caste (2.45) 4.2 3.7 (2.11) Scheduled tribe (2.49) 5.0 (3.8) (1.81) Other backward class 1.61 4.0 3.3 1.32 Other 2.73 5.5 4.3 1.93

Wealth index Lowest 4.06 7.7 5.3 2.67 Second 2.86 6.5 4.7 2.11 Middle 2.01 3.9 4.0 1.68 Fourth 1.42 3.6 3.3 1.10 Highest 1.21 2.2 2.5 1.07

Total 2.42 5.0 3.9 1.80

Note: Total includes women belonging to other religions and women with missinginformation on education, religion, and caste/tribe, who are not shown separately. ( ) Based on 125-249 unweighted woman-years of exposure for fertility rates and 25-49 unweighted cases for the mean number of children ever born. * Not shown; based on fewer than 125 unweighted woman-years of exposure for fertility rates.

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Table 13 Teenage pregnancy and motherhood

Percentage of women age 15-19 who have had a live birth or who are pregnant with their first child, and percentage who have begun childbearing, by background characteristics, Assam, 2005-06

Percentage who:

Background characteristic Have had a

live birth

Are pregnant with first

child

Percentage who have

begun childbearing

Number of women

Age 15 2.9 0.5 3.4 123 16 6.7 1.4 8.1 171 17 11.2 1.4 12.6 127 18 16.1 4.7 20.8 152 19 30.1 8.5 38.6 127

Residence Urban 9.9 3.0 12.9 118 Rural 13.8 3.3 17.1 581

Education No education 25.9 4.0 30.0 118 <5 years complete 19.8 3.5 23.2 103 5-9 years complete 11.5 2.9 14.3 353 10 or more years complete 0.5 3.3 3.8 126

Marital status Never married 0.0 0.0 0.0 509 Currently married 48.9 12.2 61.1 186 Widowed/divorced/separated/deserted * * * 5

Religion Hindu 10.2 2.6 12.8 456 Muslim 19.8 5.3 25.1 202 Christian (14.3) (0.0) (14.3) 33

Caste/tribe Scheduled caste 16.9 1.3 18.2 92 Scheduled tribe 8.5 3.4 11.9 71 Other backward class 6.4 1.8 8.1 132 Other 16.9 3.4 20.3 349

Wealth index Lowest 21.0 3.8 24.8 94 Second 19.6 4.3 23.9 222 Middle 9.8 3.4 13.2 194 Fourth 5.8 1.6 7.4 112 Highest 3.8 1.5 5.4 77

Total 13.1 3.2 16.4 699

Note: Total includes women belonging to other religions and women with missing information on religion and caste/tribe, who are not shown separately. ( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases.

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Table 14 Birth order

Percent distribution of births during the three years preceding the survey by birth order, according to background characteristics, Assam, 2005-06, and percent distribution of births to ever-married women by birth order, NFHS-3, NFHS-2, and NFHS-1

Birth order Background characteristic 1 2 3 4+ Total

Number of births

Mother's current age 15-19 76.0 21.7 2.3 0.0 100.0 104 20-29 37.0 30.0 16.5 16.5 100.0 607 30-39 13.0 13.0 15.0 58.9 100.0 242 40-49 * * * * 100.0 16

Residence Urban 45.8 32.4 11.2 10.6 100.0 105 Rural 33.3 23.5 14.8 28.4 100.0 865

Mother's education No education 20.2 18.0 17.7 44.0 100.0 361 <5 years complete 31.2 23.9 16.2 28.7 100.0 162 5-9 years complete 44.9 29.8 11.7 13.6 100.0 348 10 or more years complete 56.7 30.4 9.2 3.7 100.0 97

Religion Hindu 42.8 27.5 15.1 14.7 100.0 553 Muslim 23.3 20.2 13.3 43.2 100.0 346 Christian 27.6 21.0 13.3 38.1 100.0 63

Caste/tribe Scheduled caste 36.9 29.0 17.3 16.8 100.0 128 Scheduled tribe 36.2 21.6 16.2 26.0 100.0 111 Other backward class 50.0 27.4 9.9 12.7 100.0 150 Other 30.0 22.5 14.1 33.4 100.0 516

Wealth index Lowest 17.7 16.3 17.7 48.3 100.0 256 Second 35.1 24.8 13.9 26.2 100.0 356 Middle 42.8 31.9 12.6 12.7 100.0 198 Fourth 47.0 23.8 15.5 13.7 100.0 100 Highest 58.1 33.9 7.1 1.0 100.0 59

Total 34.7 24.5 14.4 26.4 100.0 969

Births to ever-married women NFHS-3 34.6 24.5 14.4 26.5 100.0 968 NFHS-2 31.0 25.2 16.3 27.5 100.0 1,129

NFHS-1 22.1 19.7 17.3 40.9 100.0 1,486

Note: Total includes births to women belonging to other religions and births with missing information on mother’s education, religion, and caste/tribe, which are not shown separately. * Percentage not shown; based on fewer than 25 unweighted cases.

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Table 15 Birth intervals

Percent distribution of births during the five years preceding the survey by interval since the preceding birth, and median number of months since the preceding birth, according to background characteristics, Assam, 2005-06

Months since preceding birth

Background characteristic 7-17 18-23 24-35 36-47 48-59 60+ Total

Number of non-first order

births

Median number of months since

preceding birth

Mother's current age 15-19 * * * * * * 100.0 26 * 20-29 8.5 14.2 32.1 23.9 11.8 9.5 100.0 635 34.1 30-39 5.7 8.5 19.6 18.3 17.2 30.7 100.0 408 46.6 40-49 (6.9) (5.1) (24.2) (8.6) (25.9) (29.3) 100.0 35 (50.0)

Residence Urban 5.7 9.2 16.1 21.3 15.5 32.2 100.0 102 47.2 Rural 8.0 12.3 28.7 20.9 13.9 16.2 100.0 1,001 36.4

Mother's education No education 8.8 11.0 29.0 22.9 14.1 14.2 100.0 495 36.4 <5 years complete 9.1 12.6 30.6 18.5 13.2 15.9 100.0 203 35.2 5-9 years complete 6.6 13.8 27.4 20.2 13.6 18.3 100.0 325 37.3 10 or more years complete 3.0 9.7 11.1 17.8 17.0 41.5 100.0 80 52.4

Religion Hindu 7.4 12.5 24.9 20.8 14.6 19.7 100.0 578 38.4 Muslim 8.7 11.2 30.7 20.6 14.6 14.2 100.0 438 35.6 Christian 6.0 13.4 29.8 23.9 7.5 19.4 100.0 80 36.1

Caste/tribe Scheduled caste 7.4 12.6 25.3 24.4 13.9 16.4 100.0 137 38.4 Scheduled tribe 7.8 16.5 28.2 17.0 13.6 17.0 100.0 123 34.4 Other backward class 8.9 10.1 27.0 20.8 14.3 18.9 100.0 155 38.2 Other 8.2 11.7 28.2 20.1 13.9 17.8 100.0 611 36.6

Wealth index Lowest 7.9 10.1 32.5 22.6 11.6 15.3 100.0 362 35.8 Second 9.3 13.4 28.7 20.7 14.7 13.2 100.0 393 34.9 Middle 8.8 14.6 19.4 23.4 17.3 16.4 100.0 196 37.9 Fourth 2.9 13.0 27.1 15.3 10.0 31.8 100.0 101 41.4 Highest 1.2 3.6 14.1 12.9 21.1 47.1 100.0 50 55.3

Birth order 2-3 8.5 11.9 25.8 22.0 13.6 18.1 100.0 677 37.4 4-6 5.6 12.9 30.3 19.4 13.6 18.2 100.0 342 36.7 7+ 11.4 9.2 29.8 18.4 18.4 12.8 100.0 84 34.9

Sex of preceding birth Male 7.0 12.9 27.5 18.7 14.0 19.9 100.0 529 37.1 Female 8.5 11.2 27.5 23.0 14.0 15.7 100.0 574 36.9

Survival of preceding birth Living 5.4 11.1 28.4 21.6 14.7 18.8 100.0 988 37.9 Dead 28.5 19.7 20.2 15.0 8.3 8.3 100.0 115 25.2

Total 7.8 12.0 27.5 20.9 14.0 17.7 100.0 1,103 37.0

Note: First-order births are excluded from the table. The interval for multiple births is the number of months since the preceding pregnancy that ended in a live birth. Total includes information on births to women belonging to other religions and births with missing information on religion and caste/tribe, which are not shown separately. ( ) Based on 25-49 unweighted cases. * Not shown; based on fewer than 25 unweighted cases.

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Table 16 Fertility preferences by number of living children

Percent distribution of currently married women and men age 15-49 by desire for children, according to number of living children, Assam, 2005-06

Number of living children1

Desire for children 0 1 2 3 4 5 6+ Total

WOMEN

Want another soon2 76.3 18.5 4.3 1.7 1.6 0.0 0.0 11.9 Want another later3 11.5 40.9 9.0 3.5 0.2 0.0 0.8 13.1 Want another, undecided when 0.3 3.1 1.3 0.9 0.8 1.4 0.0 1.4 Undecided 2.0 2.2 0.9 0.7 0.4 0.0 0.0 1.1 Want no more 3.1 31.1 71.1 65.4 64.8 74.4 82.0 55.8 Sterilized4 0.6 1.2 11.8 25.2 26.4 16.9 10.4 13.2 Declared infecund 4.7 2.6 1.5 1.4 4.5 7.2 5.9 2.9 Missing 1.7 0.4 0.0 1.3 1.2 0.0 0.8 0.7

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Number of women 213 583 718 542 292 165 143 2,656

MEN

Want another soon2 71.9 20.8 6.2 2.4 4.1 (4.6) (0.0) 14.1 Want another later3 16.7 46.5 8.5 6.3 0.0 (0.0) (0.0) 15.2 Want another, undecided when 9.7 4.2 2.5 1.6 1.6 (0.0) (0.0) 3.0 Undecided 0.9 8.1 2.3 1.2 0.8 (3.0) (0.0) 3.0 Want no more 0.0 19.3 76.2 82.6 87.7 (92.4) (96.2) 61.1 Sterilized5 0.9 0.4 4.3 5.9 5.7 (0.0) (3.8) 3.4 Declared infecund 0.0 0.0 0.0 0.0 0.0 (0.0) (0.0) 0.0 Missing 0.0 0.8 0.0 0.0 0.0 (0.0) (0.0) 0.2

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Number of men 70 159 215 154 74 40 32 743

( ) Based on 25-49 unweighted cases. 1 Includes current pregnancy of woman/wife. 2 Wants next birth within 2 years. 3 Wants to delay next birth for 2 or more years. 4 Includes both female and male sterilization. 5 Includes male sterilization and men who mention in response to the question about desire for children that their wife has beensterilized.

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Table 17 Desire to limit childbearing

Percentage of currently married women and men age 15-49 who want no more children by number of living children, according to background characteristics, Assam, 2005-06, and by number of living children, NFHS-2 and NFHS-1

Women Men Number of living children1 Number of living children1

Background characteristic 1 2 3 4+ Total2 1 2 3 4+ Total2

Age 15-24 21.8 69.8 (81.6) * 38.1 (6.6) * * nc (6.3) 25-34 34.5 85.3 88.3 93.5 72.3 12.9 70.5 (81.3) * 47.0 35-49 62.4 90.5 94.8 90.0 86.6 34.1 87.1 92.0 94.0 79.7

Residence Urban 50.0 93.8 92.2 96.6 75.0 33.9 89.0 (91.4) (88.5) 63.8 Rural 27.4 79.8 90.2 91.0 67.7 15.2 77.8 88.1 95.3 64.6

Education No education 22.0 72.4 91.0 91.0 72.5 * * (79.2) (90.3) 62.9 <5 years complete 31.2 74.9 88.8 87.5 67.9 (15.0) (74.9) (80.7) (97.8) 68.0 5-9 years complete 32.1 85.4 89.6 95.9 67.5 19.1 83.6 96.2 (96.2) 66.4 10 or more years complete 42.2 95.5 96.2 * 65.2 24.2 84.7 (92.1) * 59.9

Religion Hindu 37.1 88.7 94.8 94.3 72.0 22.3 81.4 90.5 97.2 63.6 Muslim 17.3 64.4 79.7 89.6 62.5 (9.1) (74.3) (78.8) 92.4 63.5 Christian * * (76.3) (85.7) 61.5 * * * * (73.3)

Caste/tribe Scheduled caste 25.8 83.3 92.8 90.7 64.8 (21.0) (70.7) * * 56.9 Scheduled tribe 34.3 80.9 88.3 90.9 70.5 * * * * 71.5 Other backward class 40.0 88.6 94.2 94.1 72.3 (23.3) 82.7 (89.5) * 65.6 Other 31.2 81.1 89.4 90.4 68.6 15.7 80.2 88.3 94.4 64.7

Wealth index Lowest 18.2 62.5 85.1 91.0 66.0 * * (89.5) (95.2) 71.9 Second 26.9 77.4 90.0 88.7 65.8 (7.8) 71.7 (84.5) (97.7) 60.4 Middle 26.2 80.7 91.0 93.9 68.6 (18.7) (78.2) (91.5) * 60.8 Fourth 39.7 96.1 92.4 97.7 73.3 (38.5) 91.8 * * 68.4 Highest 49.9 96.7 97.9 * 76.8 (28.4) (89.3) * * 65.2

Number of living sons3 0 26.2 67.1 (77.2) * 31.5 12.2 (62.5) * * 23.1 1 41.6 89.7 91.8 88.8 76.2 27.0 86.8 (88.6) * 71.0 2 na 85.2 94.5 91.8 90.5 na 87.3 100.0 (100.0) 95.7 3 na na 90.2 94.3 93.0 na na * * (93.3) 4+ na na na 90.1 90.1 na na na (95.9) (95.9)

Total 32.4 82.9 90.5 91.5 69.0 19.7 80.5 88.6 94.6 64.5 NFHS-2 (1998-99) 14.3 64.5 81.6 85.5 59.7 na na na na na NFHS-1 (1992-93) 12.3 53.4 76.3 90.5 62.6 na na na na na

Note: Women who have been sterilized or whose husband has been sterilized are considered to want no more children. Men who are sterilized or who mention in response to the question about desire for children that their wife has been sterilized are considered to want no more children. Total includes women and men belonging to other religions and women/men with missing information on education, religion, and caste/tribe, who are not shown separately. na = Not applicable nc = Not calculated because there are no cases ( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases. 1 Includes current pregnancy of woman/wife. 2 Includes women and men with no children, who are not shown separately. 3 Excludes pregnant women and men with pregnant wives.

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Table 18 Ideal number of children

Percent distribution of women and men age 15-49 by ideal number of children, and mean ideal number of children, by number of living children, Assam, 2005-06, and percent distribution of ever-married women and men age 15-49 by ideal number of children, NFHS-3, NFHS-2, and NFHS-1

Ever-married respondents Number of living children1 NFHS-3 NFHS-2 NFHS-1 Ideal number of children 0 1 2 3 4 5 6+ Total (2005-06) (1998-99) (1992-93)

WOMEN

0 1.1 0.7 0.5 0.5 0.4 0.7 1.6 0.8 0.9 0.0 0.0 1 14.2 21.0 6.0 2.9 0.2 0.3 0.8 9.6 8.0 2.4 2.6 2 63.8 62.9 72.7 45.7 40.6 21.7 13.5 56.8 53.5 40.3 27.7 3 10.7 9.2 14.6 38.2 30.2 41.9 33.7 19.4 23.0 30.7 32.2 4 2.4 1.9 2.7 6.9 15.2 16.2 18.3 5.4 6.6 18.1 19.7 5 0.4 0.2 0.2 0.5 2.6 2.9 4.0 0.8 1.0 3.8 6.1 6+ 0.1 0.0 0.1 0.5 0.4 1.3 6.4 0.5 0.6 3.0 3.9 Non-numeric responses 7.3 4.1 3.4 4.8 10.6 14.9 21.8 6.8 6.4 1.7 7.8

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Number 1,215 624 765 575 326 184 150 3,840 2,868 3,441 2,987

Mean ideal number of children for2: All women 2.0 1.9 2.1 2.5 2.8 3.0 3.4 2.3 na na na Number 1,126 599 740 547 292 156 118 3,577 na na na

Ever-married women 2.1 1.9 2.1 2.5 2.8 3.0 3.4 2.3 2.3 2.9 3.2 Number 234 599 740 547 292 156 118 2,685 2,685 3,382 2,754

Currently married women 2.2 1.9 2.1 2.5 2.8 3.0 3.4 2.3 2.3 2.9 3.2 Number 208 562 697 520 260 143 112 2,503 2,503 3,123 2,520

MEN

0 0.0 0.0 0.0 0.4 0.0 (0.0) (0.0) 0.0 0.1 na na 1 8.5 13.5 3.4 3.8 0.0 (0.0) (0.0) 6.7 5.7 na na 2 65.5 74.7 79.7 48.1 36.9 (19.1) (14.9) 62.6 60.7 na na 3 14.6 7.6 14.4 37.0 41.0 (47.0) (35.1) 19.4 23.0 na na 4 3.1 2.3 1.4 6.5 15.5 (16.2) (33.3) 5.0 6.4 na na 5 0.4 0.0 0.0 1.5 1.6 (3.0) (0.0) 0.6 0.6 na na 6+ 0.0 0.0 0.6 0.0 0.0 (0.0) (0.0) 0.1 0.2 na na Non-numeric responses 7.9 1.9 0.6 2.7 4.9 (14.8) (16.7) 5.6 3.3 na na

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 na na Number 639 160 220 159 74 41 33 1,326 757 na na

Mean ideal number of children for2: All men 2.1 2.0 2.2 2.5 2.8 (3.0) (3.2) 2.3 na na na Number 589 157 218 155 70 35 27 1,252 na na na

Ever-married men 2.1 2.0 2.2 2.5 2.8 (3.0) (3.2) 2.3 2.3 na na Number 69 157 218 155 70 35 27 732 732 na na

Currently married men 2.1 2.0 2.2 2.5 2.8 (3.0) * 2.3 2.3 na na Number 68 156 214 151 70 34 26 719 719 na na

na = Not applicable ( ) Based on 25-49 unweighted cases.* Percentage not shown; based on fewer than 25 unweighted cases.1 Includes current pregnancy for women or wife's current pregnancy for men. 2 Means are calculated excluding respondents who gave non-numeric responses.

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Table 19 Indicators of sex preference

Percentage of women and men age 15-49 who want more sons than daughters, percentage who want more daughters than sons, percentage who want at least one son, and percentage who want at least one daughter by background characteristics, Assam, 2005-06, and totals for ever-married women age 15-49, NFHS-3, NFHS-2, and NFHS-1

Women Men

Background characteristic

Percentage who want more sons

than daughters

Percentage who want

moredaughters than sons

Percentage who want

at least one son

Percentage who want

at least one

daughter

Number of

women

Percentage who want more sons

than daughters

Percentage who want

moredaughters than sons

Percentage who want

at least one son

Percentage who want

at least one

daughter Number of men

Age 15-19 17.5 3.0 75.0 72.9 645 20.4 1.8 73.3 68.1 202 20-29 20.2 1.8 76.4 72.3 1,371 12.1 2.7 66.6 65.5 403 30-39 27.7 2.3 81.1 76.1 1,026 15.2 2.9 68.8 66.7 372 40-49 35.4 1.8 84.5 80.0 535 28.6 3.3 76.2 70.0 273

Residence Urban 14.7 2.8 68.7 64.9 693 9.9 1.5 61.1 57.8 284 Rural 26.4 2.0 81.1 77.0 2,884 20.3 3.1 73.2 70.1 965

Education No education 39.9 2.0 86.8 82.7 1,027 30.9 2.8 78.0 74.9 177 <5 years complete 30.5 2.1 84.2 80.3 503 26.0 4.7 81.2 80.4 233 5-9 years complete 17.2 1.7 79.4 74.9 1,328 16.9 2.7 72.7 67.8 464 10 or more years complete 9.8 3.1 62.0 58.6 718 8.1 1.6 57.4 54.9 376

Marital status Never married 11.6 3.5 71.9 69.8 893 14.3 2.2 64.6 62.3 517 Currently married 27.6 1.5 80.8 76.2 2,502 20.7 3.2 74.4 70.6 719 Widowed/divorced/separated/deserted 38.1 3.9 83.3 77.7 182 * * * * 13

Religion Hindu 20.8 2.2 76.2 71.7 2,571 14.8 2.2 68.0 64.8 902 Muslim 34.6 1.1 86.8 84.0 805 29.3 2.6 75.9 71.7 274 Christian 26.7 6.3 78.5 75.7 172 16.5 9.7 81.5 81.5 62

Caste/tribe Scheduled caste 23.4 2.7 80.3 77.0 491 18.3 3.3 75.6 72.9 186 Scheduled tribe 19.1 3.6 73.9 71.0 362 19.0 8.3 73.1 69.6 102 Other backward class 20.0 1.8 77.4 71.4 811 14.7 2.3 64.4 60.5 314 Other 25.2 1.4 79.2 75.9 1,692 18.8 2.1 70.8 67.7 594

Wealth index Lowest 35.5 2.6 87.2 83.7 514 30.8 5.2 83.6 82.0 185 Second 30.0 0.9 84.5 80.4 1,044 22.0 2.7 77.3 73.9 359 Middle 23.6 2.7 80.7 77.0 866 16.6 2.2 69.7 64.8 300 Fourth 14.4 2.1 71.8 68.3 650 9.7 1.5 59.0 57.0 240 Highest 13.7 3.4 63.5 57.7 502 9.2 2.9 58.8 55.9 167

Total 24.1 2.1 78.7 74.7 3,576 17.9 2.8 70.4 67.3 1,250

Ever-married women NFHS-3 (2005-06) 28.3 1.7 81.0 76.3 2,684 na na na na na NFHS-2 (1998-99) 38.2 2.9 94.5 91.0 3,379 na na na na na NFHS-1 (1992-93) 43.6 4.3 93.5 90.2 2,751 na na na na na

Note: Table excludes women and men who gave non-numeric responses to the questions on ideal number of children or ideal number of sons or daughters. Total includes women and men belonging to other religions and women/men with missing information on education, religion, and caste/tribe,who are not shown separately. na = Not applicable * Percentage not shown; based on fewer than 25 unweighted cases.

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Table 20 Knowledge of contraceptive methods

Percentage of all women and men, currently married women and men, and never married women and men who know any contraceptive method, byspecific method and residence, Assam, 2005-06

Women Men

Method All women Currently

married womenNever married

women All men Currently

married men Never married

men URBAN

Any method 98.6 99.8 95.9 97.5 99.1 95.9

Any modern method 98.5 99.6 95.6 97.3 98.7 95.9 Female sterilization 93.0 97.4 83.4 84.1 94.5 74.4 Male sterilization 72.0 82.7 47.4 64.7 80.9 49.2 Pill 96.4 98.5 91.8 89.8 93.2 86.4 IUD 67.5 81.9 34.3 32.6 47.2 18.2 Injectables 41.6 49.8 22.9 42.4 53.6 31.4 Condom/Nirodh 89.6 92.2 85.3 95.4 95.3 95.5 Female condom 10.3 11.3 7.4 22.1 23.8 20.7 Emergency contraception 6.9 8.2 3.3 22.1 24.7 19.8

Pill, IUD, and condom1 64.6 78.8 32.7 31.9 46.0 18.2

Any traditional method 68.5 89.4 22.3 72.9 94.0 52.1 Rhythm 55.2 72.7 16.6 49.7 74.0 26.4 Withdrawal 58.9 81.2 10.9 66.2 87.7 45.0 Folk method 5.0 6.2 2.2 0.2 0.4 0.0

Mean number of methods known by respondents age 15-49 6.0 6.8 4.1 5.7 6.8 4.7

Number of respondents age 15-49 721 470 215 301 148 152

RURAL

Any method 97.0 99.0 91.3 96.7 99.0 93.3

Any modern method 96.6 98.6 91.3 95.8 97.8 92.8 Female sterilization 91.3 94.7 81.8 84.3 92.7 72.5 Male sterilization 63.3 69.7 44.5 55.8 66.1 40.9 Pill 91.5 94.6 82.9 87.9 92.3 81.4 IUD 61.7 71.3 34.0 28.2 37.6 14.5 Injectables 32.4 36.5 21.8 42.0 49.2 31.6 Condom/Nirodh 63.4 67.1 54.5 89.2 90.4 87.2 Female condom 3.4 3.7 3.0 15.3 19.1 10.4 Emergency contraception 3.5 3.9 1.9 14.2 16.3 11.6

Pill, IUD, and condom1 49.7 58.6 25.3 27.2 36.8 13.3

Any traditional method 66.1 81.5 19.1 73.5 90.0 50.1 Rhythm 50.0 62.5 13.3 51.7 73.4 21.2 Withdrawal 52.3 67.0 8.2 65.0 79.5 44.3 Folk method 9.0 10.4 3.8 2.0 3.3 0.3

Mean number of methods known by respondents age 15-49 5.2 5.8 3.5 5.4 6.2 4.2

Number of respondents age 15-49 3,119 2,186 757 1,026 595 417

TOTAL

Any method 97.3 99.1 92.3 96.9 99.0 94.0

Any modern method 97.0 98.8 92.3 96.1 98.0 93.6 Female sterilization 91.7 95.2 82.2 84.3 93.0 73.0 Male sterilization 64.9 72.0 45.2 57.8 69.0 43.1 Pill 92.4 95.3 84.9 88.3 92.5 82.8 IUD 62.7 73.2 34.0 29.2 39.5 15.5 Injectables 34.1 38.9 22.0 42.1 50.1 31.5 Condom/Nirodh 68.3 71.5 61.3 90.6 91.4 89.4 Female condom 4.7 5.0 4.0 16.9 20.0 13.2 Emergency contraception 4.2 4.7 2.2 16.0 17.9 13.8

Pill, IUD, and condom1 52.5 62.2 26.9 28.3 38.6 14.6

Any traditional method 66.6 82.9 19.8 73.3 90.8 50.7 Rhythm 51.0 64.3 14.0 51.2 73.5 22.6 Withdrawal 53.6 69.5 8.8 65.2 81.1 44.5 Folk method 8.2 9.7 3.4 1.6 2.7 0.2

Mean number of methods known by respondents age 15-49 5.4 6.0 3.6 5.4 6.3 4.3

Number of respondents age 15-49 3,840 2,656 972 1,326 743 569

1 All three methods.

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48

Tab

le 2

1 C

urre

nt u

se o

f con

trace

ptio

n by

bac

kgro

und

char

acte

ristic

s

Perc

ent d

istrib

utio

n of

cur

rent

ly m

arrie

d w

omen

by

cont

race

ptiv

e m

etho

d cu

rren

tly u

sed,

acc

ordi

ng to

bac

kgro

und

char

acte

ristic

s, A

ssam

, 200

5-06

, and

tota

l for

NFH

S-2

and

NFH

S-1

Mod

ern

met

hod

Trad

ition

al m

etho

d

Bac

kgro

und

char

acte

ristic

An

ym

etho

d

Any

mod

ern

met

hod

Fem

ale

ster

iliza

tion

Mal

e

ster

iliza

tion

Pill

IUD

C

ondo

m/

Niro

dh

Any

tradi

tiona

l m

etho

d Rh

ythm

With

- dr

awal

Folk

met

hod

Not

curr

ently

us

ing

Tota

l N

umbe

r

of w

omen

Age

15-1

9

25.7

5.

1

0.0

0.

0

4.1

0.

0

0.9

20

.6

9.0

11

.6

0.0

74

.3

100.

0

186

20-2

4

45.6

21

.6

2.0

0.

0

16.2

1.

0

2.3

24

.0

12.7

11

.1

0.3

54

.4

100.

0

469

25-2

9

59.8

29

.3

10.2

0.

0

13.0

2.

6

3.6

30

.5

17.3

12

.9

0.3

40

.2

100.

0

550

30-3

9

67.2

31

.1

15.8

0.

2

11.1

1.

3

2.8

36

.0

21.2

13

.7

1.1

32

.8

100.

0

955

40-4

9

54.2

29

.9

25.8

0.

6

2.4

0.

4

0.7

24

.3

16.9

7.

2

0.2

45

.8

100.

0

497

Resi

denc

e

Urb

an

66.0

37

.2

14.1

0.

2

15.6

1.

0

6.4

28

.8

15.9

12

.5

0.4

34

.0

100.

0

470

Rura

l 54

.5

24.8

12

.7

0.2

9.

1

1.3

1.

5

29.6

17

.5

11.5

0.

6

45.5

10

0.0

2,

186

Educ

atio

n

No

educ

atio

n

51.2

26

.7

17.8

0.

5

6.7

1.

0

0.6

24

.6

15.8

7.

6

1.1

48

.8

100.

0

938

<5

year

s co

mpl

ete

53

.2

24.5

15

.6

0.0

7.

8

1.1

0.

0

28.7

17

.6

10.5

0.

6

46.8

10

0.0

42

5

5-

9 ye

ars

com

plet

e

59.9

29

.0

9.0

0.

0

15.5

1.

9

2.6

30

.9

16.1

14

.6

0.2

40

.1

100.

0

895

10 o

r mor

e ye

ars

com

plet

e

65.2

26

.3

7.9

0.

0

9.4

0.

6

8.5

38

.9

23.0

16

.0

0.0

34

.8

100.

0

398

Empl

oym

ent (

past

12

mon

ths)

N

ot e

mpl

oyed

55

.9

26.3

10

.9

0.2

11

.4

1.1

2.

7

29.7

16

.7

12.5

0.

4

44.1

10

0.0

1,

938

Empl

oyed

for c

ash

59

.0

30.8

20

.7

0.1

7.

0

1.7

1.

4

28.2

18

.1

9.2

0.

9

41.0

10

0.0

61

3

Em

ploy

ed n

ot fo

r cas

h

52.8

18

.7

6.2

0.

0

8.0

2.

3

2.3

34

.1

21.0

11

.9

1.1

47

.2

100.

0

105

Relig

ion

H

indu

61

.3

30.7

16

.2

0.2

10

.2

1.6

2.

6

30.6

18

.1

11.9

0.

6

38.7

10

0.0

1,

806

Mus

lim

46.1

18

.6

3.7

0.

3

11.9

0.

6

2.1

27

.5

15.2

11

.8

0.5

53

.9

100.

0

695

Chr

istia

n 45

.6

23.5

19

.0

0.0

4.

4

0.0

0.

0

22.1

13

.3

8.4

0.

4

54.4

10

0.0

13

5

Con

tinue

d…

Page 58: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

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49

Tab

le 2

1 C

urre

nt u

se o

f con

trace

ptio

n by

bac

kgro

und

char

acte

ristic

s—C

ontin

ued M

oder

n m

etho

d Tr

aditi

onal

met

hod

Bac

kgro

und

char

acte

ristic

An

ym

etho

d

Any

mod

ern

met

hod

Fem

ale

ster

iliza

tion

Mal

e

ster

iliza

tion

Pill

IUD

C

ondo

m/

Niro

dh

Any

tradi

tiona

l m

etho

d Rh

ythm

With

- dr

awal

Folk

met

hod

Not

curr

ently

us

ing

Tota

l N

umbe

r

of w

omen

Cas

te/tr

ibe

Sc

hedu

led

cast

e

56.9

31

.9

17.7

0.

7

10.2

1.

0

2.3

25

.0

13.6

11

.0

0.4

43

.1

100.

0

340

Sche

dule

d tri

be

56.6

32

.4

18.7

0.

0

10.7

1.

7

1.3

24

.2

13.9

9.

5

0.8

43

.4

100.

0

284

Oth

er b

ackw

ard

clas

s

60.3

24

.0

9.0

0.

2

10.2

1.

9

2.7

36

.2

23.9

11

.7

0.6

39

.7

100.

0

555

Oth

er

55.5

24

.8

10.1

0.

1

10.9

0.

9

2.7

30

.7

17.2

12

.9

0.6

44

.5

100.

0

1,31

6

Wea

lth in

dex

Lo

wes

t 43

.6

15.5

5.

9

0.2

8.

2

1.2

0.

0

28.1

16

.6

10.4

1.

1

56.4

10

0.0

49

6

Se

cond

49

.5

22.8

10

.2

0.4

9.

9

1.6

0.

7

26.8

16

.9

9.3

0.

6

50.5

10

0.0

83

9

M

iddl

e

64.8

36

.1

20.4

0.

1

12.4

1.

2

2.0

28

.7

15.2

13

.0

0.5

35

.2

100.

0

569

Four

th

66.0

32

.4

14.9

0.

0

12.6

0.

7

4.2

33

.7

18.1

15

.2

0.4

34

.0

100.

0

427

Hig

hest

67

.3

32.8

15

.6

0.0

7.

6

1.3

8.

3

34.5

21

.3

13.3

0.

0

32.7

10

0.0

32

5

Num

ber

of li

ving

chi

ldre

n

No

child

ren

16

.6

1.9

0.

4

0.0

0.

2

0.0

1.

3

14.6

6.

2

8.4

0.

0

83.4

10

0.0

27

6

1

child

51

.3

19.2

0.

9

0.3

12

.3

1.4

4.

3

32.1

17

.8

14.0

0.

2

48.7

10

0.0

58

1

1

son

55

.5

19.3

1.

0

0.6

12

.5

1.6

3.

6

36.2

21

.2

15.0

0.

0

44.5

10

0.0

29

8

N

o so

ns

46.8

19

.1

0.8

0.

0

12.0

1.

3

5.0

27

.7

14.3

13

.0

0.4

53

.2

100.

0

283

2 ch

ildre

n

66.7

31

.6

12.3

0.

0

14.2

1.

6

3.5

35

.0

21.3

13

.3

0.4

33

.3

100.

0

692

1 o

r mor

e so

ns

68.3

32

.5

13.7

0.

0

13.5

1.

8

3.5

35

.9

22.0

13

.3

0.5

31

.7

100.

0

576

No

sons

58

.4

27.6

5.

1

0.0

17

.9

1.0

3.

6

30.8

17

.5

13.4

0.

0

41.6

10

0.0

11

6

3

child

ren

69

.3

38.8

25

.9

0.2

10

.3

1.4

1.

0

30.4

16

.9

13.1

0.

3

30.7

10

0.0

52

1

1

or m

ore

sons

70

.7

40.2

27

.4

0.3

10

.1

1.3

1.

1

30.5

17

.2

12.9

0.

4

29.3

10

0.0

47

1

N

o so

ns

(55.

9)

(26.

2)

(11.

9)

(0.0

) (1

1.9)

(2

.4)

(0.0

) (2

9.7)

(1

4.3)

(1

5.4)

(0

.0)

(44.

1)

100.

0

50

4+

chi

ldre

n

57.3

30

.7

20.2

0.

3

8.4

1.

1

0.7

26

.6

17.3

7.

7

1.5

42

.7

100.

0

586

1 o

r mor

e so

ns

56.8

31

.3

21.1

0.

3

8.6

1.

0

0.3

25

.5

16.7

7.

4

1.4

43

.2

100.

0

560

No

sons

*

* *

* *

* *

* *

* *

* 10

0.0

26

Tot

al

56.5

27

.0

13.0

0.

2 10

.3

1.3

2.3

29.5

17

.2

11.7

0.

6 43

.5

100.

0 2,

656

NFH

S-2

(199

8-99

) 43

.326

.615

.71.

06.

3

1.9

1.

8

na

11.1

4.

7

na

56.7

10

0.0

3,

179

N

FHS-

1 (1

992-

93)

43.0

19

.9

12.2

2.

4

2.8

0.

9

1.7

na

15

.8

6.3

na

57

.0

100.

0

2,72

3

Not

e: I

f m

ore

than

one

met

hod

is us

ed,

only

the

mos

t ef

fect

ive

met

hod

is co

nsid

ered

in t

his

tabu

latio

n. T

otal

incl

udes

wom

en b

elon

ging

to

othe

r re

ligio

ns a

nd w

omen

with

miss

ing

info

rmat

ion

on

educ

atio

n, re

ligio

n, a

nd c

aste

/trib

e, w

ho a

re n

ot s

how

n se

para

tely

. na

= N

ot a

vaila

ble

( ) B

ased

on

25-4

9 un

wei

ghte

d ca

ses.

*

Perc

enta

ge n

ot s

how

n; b

ased

on

few

er th

an 2

5 un

wei

ghte

d ca

ses.

Page 59: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

�0

50

Tab

le 2

2 C

ontra

cept

ive

use

by m

en w

ith la

st p

artn

er

Per

cent

dist

ribut

ion

of c

urre

ntly

mar

ried

men

and

sex

ually

act

ive

unm

arrie

d m

en a

ge 1

5-49

by

cont

race

ptiv

e us

ed th

e la

st ti

me

they

had

sex

, acc

ordi

ng to

type

of p

artn

er a

nd b

ackg

roun

d ch

arac

teris

tics,

Ass

am, 2

005-

06

Mod

ern

met

hod

Trad

ition

al m

etho

d

Bac

kgro

und

char

acte

ristic

An

ym

etho

d

Any

mod

ern

met

hod

Fem

ale

ster

iliza

tion

Mal

e

st

erili

zatio

nPi

ll IU

D

Con

dom

/N

irodh

Oth

er

mod

ern

met

hod

Any

tradi

tiona

lm

etho

dRh

ythm

W

ith-

draw

alFo

lkm

etho

d

Not

curr

ently

usin

g To

tal

Num

ber

of m

en

Type

of s

exua

l par

tner

Cur

rent

ly m

arrie

d

45.4

23

.8

10.0

0.

2

10.4

1.

1

2.1

0.

2

21.5

14

.2

6.6

0.

7

54.6

10

0.0

74

3

W

ife

45.8

23

.4

8.9

0.

1

11.0

1.

0

2.2

0.

2

22.4

14

.8

7.0

0.

6

54.2

10

0.0

69

8

O

ther

(3

8.3)

(3

0.1)

(2

7.3)

(1

.4)

(0.0

) (1

.4)

(0.0

) (0

.0)

(8.2

) (5

.5)

(0.0

) (2

.7)

(61.

7)

100.

0

44

N

ot c

urre

ntly

mar

ried

(6

3.8)

(4

6.7)

(0

.0)

(3.4

) (6

.8)

(0.0

) (3

6.5)

(0

.0)

(17.

1)

(17.

1)

(0.0

) (0

.0)

(36.

2)

100.

0

35

Resi

denc

e

U

rban

45

.8

32.5

8.

8

0.8

12

.9

1.2

8.

8

0.0

13

.3

8.0

4.

8

0.4

54

.2

100.

0

156

Rura

l 46

.3

23.0

9.

7

0.2

9.

5

1.0

2.

3

0.2

23

.3

16.0

6.

6

0.8

53

.7

100.

0

622

Educ

atio

n

No

educ

atio

n

42.0

18

.8

11.0

0.

0

6.1

1.

2

0.4

0.

0

23.2

17

.5

4.5

1.

2

58.0

10

0.0

14

9

<

5 ye

ars

com

plet

e

43.4

24

.4

10.7

0.

7

11.1

1.

3

0.7

0.

0

19.0

13

.7

4.7

0.

7

56.6

10

0.0

18

2

5-

9 ye

ars

com

plet

e

50.6

28

.6

9.7

0.

3

12.5

1.

0

4.7

0.

5

22.1

14

.5

6.6

1.

0

49.4

10

0.0

25

1

10

or m

ore

year

s co

mpl

ete

46

.3

25.3

7.

2

0.3

9.

6

0.6

7.

5

0.0

21

.0

12.4

8.

7

0.0

53

.7

100.

0

197

Age

15-1

9

* *

* *

* *

* *

* *

* *

* 10

0.0

12

20-2

4

28.8

12

.9

0.0

0.

0

3.3

0.

0

9.6

0.

0

15.9

8.

5

6.3

1.

1

71.2

10

0.0

57

25-2

9

36.7

22

.7

4.8

0.

0

14.0

0.

0

3.9

0.

0

14.0

11

.3

2.7

0.

0

63.3

10

0.0

11

3

30

-34

45

.3

23.4

9.

2

0.5

11

.5

0.0

2.

3

0.0

21

.9

13.2

7.

8

0.9

54

.7

100.

0

133

35-3

9

53.2

26

.9

10.4

0.

6

12.0

1.

3

2.6

0.

0

26.3

15

.3

9.8

1.

3

46.8

10

0.0

18

7

40

-44

48

.1

25.7

10

.5

0.0

9.

3

2.3

2.

8

0.8

22

.4

15.9

6.

5

0.0

51

.9

100.

0

157

45-4

9

51.1

29

.0

17.6

0.

5

7.8

1.

6

1.6

0.

0

22.0

18

.5

2.6

1.

0

48.9

10

0.0

11

8

Mar

ital s

tatu

s

Nev

er m

arrie

d

(64.

6)

(48.

1)

(0.0

) (0

.0)

(4.1

) (0

.0)

(44.

0)

(0.0

) (1

6.5)

(1

6.5)

(0

.0)

(0.0

) (3

5.4)

10

0.0

29

Cur

rent

ly m

arrie

d

45.4

23

.8

10.0

0.

2 10

.4

1.1

2.1

0.2

21.5

14

.2

6.6

0.7

54.6

10

0.0

74

3

W

idow

ed/d

ivor

ced/

sepa

rate

d/de

serte

d *

* *

* *

* *

* *

* *

* *

100.

0

6

Relig

ion

H

indu

46

.4

26.7

10

.8

0.5

9.

8

1.4

4.

0

0.2

19

.7

11.5

7.

3

0.9

53

.6

100.

0

535

Mus

lim

45.5

18

.8

2.2

0.

0

12.7

0.

3

3.5

0.

0

26.7

23

.2

3.2

0.

3

54.5

10

0.0

19

1

C

hrist

ian

(51.

9)

(31.

2)

(26.

0)

(0.0

) (5

.2)

(0.0

) (0

.0)

(0.0

) (2

0.8)

(1

3.0)

(7

.8)

(0.0

) (4

8.1)

10

0.0

47

Cas

te/tr

ibe

Sche

dule

d ca

ste

51

.8

26.5

7.

4

1.0

12

.2

2.6

2.

2

1.0

25

.3

15.3

9.

0

1.0

48

.2

100.

0

115

Sche

dule

d tri

be

35.8

28

.5

13.0

0.

8

9.7

0.

0

4.9

0.

0

7.3

4.

1

3.2

0.

0

64.2

10

0.0

74

Oth

er b

ackw

ard

clas

s

43.5

20

.1

5.2

0.

0

8.3

1.

0

5.6

0.

0

23.4

16

.5

5.5

1.

4

56.5

10

0.0

17

6

O

ther

47

.3

24.8

9.

0

0.2

11

.6

0.8

3.

1

0.0

22

.5

16.3

6.

1

0.2

52

.7

100.

0

372

Wea

lth in

dex

Low

est

33.1

14

.7

5.9

0.

0

5.9

0.

8

1.3

0.

8

18.5

13

.4

4.2

0.

8

66.9

10

0.0

14

4

Se

cond

47

.6

24.1

8.

3

0.5

14

.0

0.8

0.

5

0.0

23

.5

16.8

5.

2

1.5

52

.4

100.

0

234

Mid

dle

48

.8

26.2

11

.1

0.0

10

.9

1.3

2.

9

0.0

22

.6

14.1

8.

2

0.3

51

.2

100.

0

185

Four

th

51.0

31

.1

11.6

0.

9

10.2

0.

9

7.4

0.

0

19.8

12

.9

6.9

0.

0

49.0

10

0.0

13

3

H

ighe

st

51.5

32

.0

12.8

0.

0

5.3

1.

5

12.3

0.

0

19.5

12

.0

7.5

0.

0

48.5

10

0.0

82

Tot

al a

ge 1

5-49

46

.2

24.9

9.

5

0.3

10

.2

1.0

3.

6

0.2

21

.3

14.4

6.

3

0.7

53

.8

100.

0

778

Age

50-

54

53.7

26

.9

18.2

0.

0

3.8

0.

0

4.8

0.

0

26.9

22

.0

4.8

0.

0

46.3

10

0.0

63

To

tal a

ge 1

5-54

46

.8

25.0

10

.2

0.3

9.7

0.9

3.7

0.1

21.7

14

.9

6.1

0.6

53.2

10

0.0

841

Not

e: T

otal

incl

udes

men

bel

ongi

ng to

oth

er re

ligio

ns a

nd m

en w

ith m

issin

g in

form

atio

n on

cas

te/tr

ibe,

who

are

not

sho

wn

sepa

rate

ly.

( ) B

ased

on

25-4

9 un

wei

ghte

d ca

ses.

*

Perc

enta

ge n

ot s

how

n; b

ased

on

few

er th

an 2

5 un

wei

ghte

d ca

ses.

Page 60: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

51

Table 23 Use of social marketing brand pills and condoms

Among women age 15-49 who are current pill or condom users and men age 15-49 who are current condom users and for whom the brand being used is known, percentage who are using a social marketing brand, by background characteristics, Assam, 2005-06

Women Men

Background characteristic

Percentage of pill users using a social marketing brand

Number of pill users

Percentage of condom users using a social

marketing brand

Number of condom users

Percentage of condom users using a social

marketing brand

Number of condom users

Age 15-19 * 8 * 1 * 2 20-24 91.6 56 * 4 * 4 25-29 83.9 59 * 15 * 1 30-39 85.6 78 (44.4) 20 * 3 40-49 * 12 * 2 * 4

Residence Urban 81.9 61 (29.6) 16 * 9 Rural 88.2 152 * 25 * 5

Education No education (82.6) 45 * 3 * 1 < 5 years complete (90.3) 24 nc 0 nc 0 5-9 years complete 86.3 113 * 15 * 6

10 or more years complete (88.8) 31 (23.7) 22 * 7

Religion Hindu 88.0 153 (34.7) 31 * 11 Muslim 84.7 54 * 10 * 3 Christian * 6 nc 0 nc 0 Other/ no religion nc 0 * 1 nc 0

Caste/tribe Scheduled caste (98.1) 31 * 5 * 1 Scheduled tribe * 24 * 1 * 1 Other backward class (82.9) 45 * 12 * 6 Other 82.5 105 (28.3) 23 * 5

Wealth index Lowest (86.9) 27 nc 0 * 1 Second 94.0 60 * 5 nc 0 Middle 90.9 59 * 8 nc 0 Fourth 78.2 46 * 10 * 7 Highest (68.7) 21 (19.9) 18 * 6

Total 86.4 213 (37.8) 41 * 14

Note: Total includes women/men with missing information on caste/tribe, who are not shown separately. nc = Not calculated because there are no cases ( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases.

Page 61: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

52

Table 24 Source of modern contraceptive methods

Percent distribution of current users of modern contraceptive methods by most recent source of the method, according to residence, Assam, 2005-06

Most recent source of method Female

sterilization Pill IUD Condom/

NirodhAll modern methods1

URBAN

Public medical sector 66.7 0.8 * 2.0 29.1 Government/municipal hospital 56.1 0.0 * 2.0 24.3 Government dispensary 4.9 0.8 * 0.0 2.6 CHC/rural hospital/PHC 1.6 0.0 * 0.0 0.6 Sub-centre/ANM/camp 2.4 0.0 * 0.0 1.0 Other public medical sector 1.6 0.0 * 0.0 0.6

NGO or trust hospital/clinic 0.0 0.0 * 0.0 0.0

Private medical sector 31.7 91.2 * 96.1 66.7 Private hospital 30.9 0.0 * 0.0 12.9 Private doctor/clinic 0.8 3.2 * 0.0 2.3 Pharmacy/drugstore 0.0 88.0 * 96.1 51.5 Other private medical sector 0.0 0.0 * 0.0 0.0

Other source 0.8 7.2 * 2.0 3.6 Shop 0.0 0.0 * 0.0 0.0 Spouse 0.0 6.4 * 2.0 2.9 Friend/relative 0.0 0.0 * 0.0 0.0 Other 0.8 0.8 * 0.0 0.6

Don’t know 0.0 0.0 * 0.0 0.0 Missing 0.8 0.8 * 0.0 0.6

Total 100.0 100.0 100.0 100.0 100.0

Number of users 72 73 5 30 181

RURAL

Public medical sector 80.2 6.6 * (18.5) 51.1 Government/municipal hospital 34.9 0.6 * (3.7) 20.0 Government dispensary 3.6 0.0 * (0.0) 2.5 CHC/rural hospital/PHC 17.9 3.0 * (0.0) 12.9 Sub-centre/ANM/camp 7.9 1.8 * (11.1) 6.3 Other public medical sector 15.9 1.2 * (3.7) 9.3

NGO or trust hospital/clinic 2.0 0.0 * (0.0) 1.1

Private medical sector 17.5 79.6 * (63.0) 41.4 Private hospital 7.5 0.6 * (0.0) 4.2 Private doctor/clinic 0.4 0.0 * (0.0) 0.4 Pharmacy/drugstore 0.0 77.8 * (63.0) 31.2 Other private medical sector 9.5 1.2 * (0.0) 5.5

Other source 0.0 13.2 * (18.5) 5.7 Shop 0.0 0.6 * (0.0) 0.2 Spouse 0.0 11.4 * (14.8) 4.9 Friend/relative 0.0 0.6 * (3.7) 0.4 Other 0.0 0.6 * (0.0) 0.2

Don’t know 0.4 0.0 * (0.0) 0.6 Missing 0.0 0.6 * (0.0) 0.2

Total 100.0 100.0 100.0 100.0 100.0

Number of users 301 200 29 32 567

Continued…

Page 62: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

53

Table 24 Source of modern contraceptive methods—Continued

Most recent source of method Female

sterilization Pill IUD Condom/ Nirodh

All modern methods1

TOTAL

Public medical sector 77.6 5.0 (85.8) 10.6 45.8 Government/municipal hospital 39.0 0.4 (23.2) 2.9 21.1 Government dispensary 3.8 0.2 (12.5) 0.0 2.5 CHC/rural hospital/PHC 14.7 2.2 (35.8) 0.0 9.9 Sub-centre/ANM/camp 6.9 1.3 (14.3) 5.8 5.0 Other public medical sector 13.1 0.9 (0.0) 1.9 7.2

NGO or trust hospital/clinic 1.6 0.0 (0.0) 0.0 0.8

Private medical sector 20.2 82.7 (14.2) 78.9 47.5 Private hospital 12.0 0.4 (3.5) 0.0 6.3 Private doctor/clinic 0.5 0.9 (7.1) 0.0 0.9 Pharmacy/drugstore 0.0 80.6 (3.6) 78.9 36.1 Other private medical sector 7.7 0.9 (0.0) 0.0 4.2

Other source 0.2 11.6 (0.0) 10.6 5.2 Shop 0.0 0.4 (0.0) 0.0 0.2 Spouse 0.0 10.0 (0.0) 8.6 4.4 Friend/relative 0.0 0.4 (0.0) 1.9 0.3 Other 0.2 0.7 (0.0) 0.0 0.3

Don’t know 0.3 0.0 (0.0) 0.0 0.5 Missing 0.2 0.7 (0.0) 0.0 0.3

Total 100.0 100.0 100.0 100.0 100.0

Number of users 373 273 33 62 748

Note: All information in this table is based on women's reports. Table includes all users of modern contraceptive methods regardless of their marital status. CHC = Community health centre; PHC = Primary health centre; ANM = Auxiliary nurse midwife; NGO = Nongovernmental organization ( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases. 1 Includes users of male sterilization, who are not shown separately.

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Table 25 Informed choice

Among women who are current users of selected modern contraceptive methods who started the last episode of use within the five years preceding the survey, the percentage who were informed about possible side effects or problems of that method, the percentage who were informed about what to do if they experienced side effects, and the percentage who were informed about other methods they could use, by method and initial source of method, Assam, 2005-06

Method/source

Percentage who were informed

about side effects or problems of method used

Percentage who were informed about what to

do if experienced side effects

Percentage who were informed by a health or family planning worker about other methods that could be used

Numberof women

Method Female sterilization1 37.7 32.7 27.1 107 Pill 41.9 33.8 41.4 206 IUD * * * 26

Initial source of method2 Public medical sector 43.8 39.2 33.5 116 Private medical sector 41.9 34.2 38.6 217

Total 42.3 35.8 37.1 339

Note: Table includes only the contraceptive methods separately shown and excludes users who obtained their method from friends/relatives. Total includes women who reported the initial source of the method as nongovernmental organizations or other sources, who are not shown separately. * Percentage not shown; based on fewer than 25 unweighted cases. 1 Among women who were sterilized in the five years preceding the survey. 2 Source at start of current episode of use.

Table 26 First-year contraceptive discontinuation rates

Percentage of contraceptive users who discontinued use of a method within 12 months after beginning its use, by reason for discontinuation and percentage who switched to another method, by type of method, Assam, 2005-06

Method Method failure

Desire to become pregnant

Side effects/ health

concerns Costs too

much

Infrequent sex/ husband

awayMarital

dissolutionOther reason Total

Switched to another method1

Female sterilization 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Pill 0.5 12.9 11.0 1.1 2.0 0.3 10.1 37.9 14.1 Condom/Nirodh 2.6 15.1 1.8 10.7 0.9 0.9 25.8 57.8 28.0 Rhythm 3.0 12.6 0.3 0.0 1.7 0.0 5.0 22.7 4.7 Withdrawal 2.8 10.7 0.0 0.0 3.3 0.0 8.0 24.9 6.8

All modern spacing methods2 1.1 12.6 9.2 3.0 1.6 0.4 12.7 40.5 16.3

All spacing methods3 2.2 12.1 3.8 1.2 2.1 0.1 8.9 30.4 9.8

All methods 2.0 11.3 3.5 1.1 1.9 0.1 8.3 28.4 9.2

Note: Table is based on episodes of contraceptive use that began 3-59 months prior to the survey. 1 Used a different method in the month following discontinuation or said they wanted a more effective method and started another method within two months of discontinuation. 2 Includes other modern spacing methods that are not shown separately. 3 Includes other spacing methods that are not shown separately.

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Table 27 Men's contraception-related perceptions and knowledge

Percentage of men age 15-49 who agree with two specific statements about women and contraception and say that a woman who is breastfeeding cannot become pregnant, and percent distribution of men according to their belief about the efficacy of condoms in preventing pregnancy, by background characteristics, Assam, 2005-06

Percentage of men who agree

Percentage of men who say that if a male condom is used correctly, it protects against pregnancy:

Background characteristic

Contraception is women's

business and a man should not have to

worry about it

Women who use

contraception may become promiscuous

A woman who is breastfeeding

cannot become pregnant

Most of the time

Some- times Not at all

Don't know/unsure1 Total

Number of men

Age

15-19 2.9 14.0 17.2 32.0 21.1 0.5 46.3 100.0 231 20-24 5.4 18.0 32.4 47.3 21.2 0.9 30.6 100.0 213 25-29 2.0 14.8 45.5 55.6 22.7 0.3 21.4 100.0 213 30-39 2.9 16.0 57.2 56.8 20.7 0.3 22.2 100.0 380 40-49 3.0 16.0 56.2 50.3 22.8 0.0 26.9 100.0 289 Residence

Urban 3.5 10.0 45.5 56.4 24.2 0.4 19.0 100.0 301 Rural 3.1 17.5 43.8 47.3 20.9 0.4 31.5 100.0 1,026 Education

No education 1.9 18.7 37.8 34.9 17.5 0.0 47.6 100.0 191 <5 years complete 5.7 18.8 39.9 41.6 17.0 0.5 40.9 100.0 254 5-9 years complete 3.5 18.3 39.2 43.9 24.2 0.6 31.3 100.0 495

10 or more years complete 1.8 9.0 56.4 68.5 23.4 0.2 7.9 100.0 386

Religion

Hindu 3.2 15.3 45.7 52.6 20.6 0.3 26.5 100.0 952 Muslim 2.7 16.3 42.4 40.9 28.3 0.8 30.0 100.0 294 Christian 5.4 22.5 30.6 40.6 9.0 0.0 50.4 100.0 67 Caste/tribe

Scheduled caste 3.1 18.4 40.8 50.9 27.3 0.6 21.2 100.0 195 Scheduled tribe 3.8 19.9 46.8 47.4 17.2 0.0 35.4 100.0 113 Other backward class 4.3 14.7 48.1 50.6 22.8 0.4 26.3 100.0 324 Other 2.5 14.6 43.4 47.5 21.5 0.4 30.6 100.0 637 Wealth index

Lowest 4.6 16.9 27.3 28.8 23.9 0.0 47.3 100.0 198 Second 3.9 21.4 41.8 42.0 19.9 0.3 37.7 100.0 388 Middle 1.8 14.9 49.1 49.9 23.6 0.8 25.7 100.0 314 Fourth 3.4 14.2 48.9 64.0 20.8 0.5 14.7 100.0 251 Highest 2.1 6.0 52.6 66.6 20.5 0.0 13.0 100.0 176

Total age 15-49 3.2 15.8 44.1 49.3 21.6 0.4 28.7 100.0 1,326 Age 50-54 0.9 29.6 60.4 43.5 17.1 0.0 39.5 100.0 68 Total age 15-54 3.1 16.4 44.9 49.1 21.4 0.4 29.2 100.0 1,394

Note: Total includes men belonging to other religions and men with missing information on religion and caste/tribe, who are not shown separately. 1 Includes missing values and those who had never heard of condoms.

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Table 28 Need for family planning among currently married women

Percentage of currently married women age 15-49 with unmet need for family planning, percentage with met need for family planning, and total demand for family planning, by background characteristics, Assam, 2005-06

Unmet need for family planning1

Met need for family planning (currently using)2

Total demand for family planning3

Background characteristic For

spacing For

limiting Total For

spacing For

limiting Total For

spacingFor

limiting Total

Percentage of demand

satisfied

Number of

women

Age 15-19 15.1 1.9 17.1 20.8 4.8 25.7 36.0 6.7 42.7 60.0 186 20-24 8.4 6.4 14.8 23.1 22.5 45.6 31.5 28.9 60.4 75.5 469 25-29 2.5 8.6 11.1 15.1 44.8 59.8 17.6 53.3 70.9 84.4 550 30-34 1.2 10.1 11.3 6.3 59.1 65.5 7.5 69.3 76.8 85.3 506 35-39 1.1 7.0 8.1 2.4 66.7 69.1 3.4 73.7 77.2 89.5 449 40-44 0.0 5.7 5.7 0.2 62.1 62.3 0.2 67.8 68.1 91.6 292 45-49 0.0 3.8 3.8 0.0 42.6 42.6 0.0 46.4 46.4 91.9 205

Residence Urban 1.5 4.6 6.1 12.1 53.9 66.0 13.6 58.5 72.1 91.5 470 Rural 3.9 7.6 11.5 9.9 44.6 54.5 13.8 52.2 66.0 82.6 2,186

Education No education 3.5 9.0 12.5 5.6 45.6 51.2 9.1 54.6 63.7 80.4 938 <5 years complete 4.4 7.5 11.8 8.6 44.6 53.2 12.9 52.1 65.0 81.8 425 5-9 years complete 3.4 5.4 8.8 12.8 47.0 59.9 16.2 52.4 68.7 87.2 895

10 or more years complete 2.6 6.0 8.5 17.4 47.8 65.2 20.0 53.7 73.7 88.4 398

Religion Hindu 3.1 6.0 9.1 10.5 50.8 61.3 13.6 56.8 70.4 87.1 1,806 Muslim 3.7 9.9 13.6 10.4 35.6 46.1 14.1 45.5 59.7 77.3 695 Christian 6.6 8.4 15.0 7.1 38.5 45.6 13.7 46.9 60.6 75.2 135

Caste/tribe Scheduled caste 4.0 3.7 7.7 13.1 43.8 56.9 17.1 47.5 64.6 88.1 340 Scheduled tribe 3.6 9.3 12.8 7.8 48.8 56.6 11.4 58.1 69.5 81.5 284 Other backward class 2.8 7.1 9.9 10.5 49.7 60.3 13.3 56.8 70.2 85.9 555 Other 3.2 7.7 10.9 10.5 45.0 55.5 13.7 52.7 66.4 83.5 1,316

Wealth index Lowest 4.3 10.8 15.2 6.4 37.2 43.6 10.7 48.1 58.8 74.2 496 Second 4.3 9.5 13.7 9.6 39.9 49.5 13.9 49.4 63.3 78.3 839 Middle 2.4 3.0 5.4 12.7 52.1 64.8 15.1 55.1 70.2 92.2 569 Fourth 3.1 4.0 7.1 11.1 54.9 66.0 14.2 58.9 73.1 90.3 427 Highest 2.4 6.2 8.6 12.7 54.6 67.3 15.1 60.8 75.9 88.7 325

Total 3.5 7.1 10.5 10.3 46.2 56.5 13.7 53.3 67.1 84.3 2,656

Note: Total includes women belonging to other religions and women with missing information on education, religion, and caste/tribe, who are not shown separately. 1 Unmet need for spacing includes pregnant women whose pregnancy was mistimed; amenorrhoeic women who are not using family planning and whose last birth was mistimed, or whose last birth was unwanted but now say they want more children; and fecund women who are neither pregnant nor amenorrhoeic, who are not using any method of family planning, and say they want to wait 2 or more years for their next birth. Also included in unmet need for spacing are fecund women who are not using any method of family planning and say they are unsure whether they want another child or who want another child but are unsure when to have the birth. Unmet need for limiting refers to pregnant women whose pregnancy was unwanted; amenorrhoeic women who are not using family planning,whose last child was unwanted, and who do not want any more children; and fecund women who are neither pregnant nor amenorrhoeic, who are not using any method of family planning, and who want no more children. Excluded from the unmet need category are pregnant and amenorrhoeic women who became pregnant while using a method (these women are in need of a better method of contraception). 2 Using for spacing is defined as women who are using some method of family planning and say they want to have another child or are undecided whether to have another. Using for limiting is defined as women who are using and who want no more children. Note that the specific methods used are not taken into account here. 3 Nonusers who are pregnant or amenorrhoeic whose pregnancy was the result of a contraceptive failure are not included in the category of unmet need, but are included in total demand for contraception (since they would have been using had their method not failed).

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Table 29 Age at first marriage

Percentage of women and men age 15-49 who were first married by specific exact ages, percentage never married, and median age at first marriage, first cohabitation with spouse, and first sex according to current age, Assam, 2005-06

Percentage first married by exact age:

Current age 15 18 20 21 25

Percentage never

married Number of respondents

Median ageat first

marriage

Median age at first

cohabitation

Median ageat first sexual

intercourse WOMEN

15-19 7.2 na na na na 72.7 699 a a a 20-24 13.2 38.6 53.6 na na 36.3 758 19.4 19.5 19.7 25-29 18.6 42.6 58.0 66.1 81.6 15.1 682 18.8 19.0 19.4 30-34 17.5 41.6 61.9 71.2 80.7 8.4 581 18.7 18.8 19.0 35-39 19.2 47.5 62.0 66.9 82.1 4.0 525 18.3 18.5 18.8 40-44 20.5 48.5 63.5 69.7 86.4 2.9 349 18.2 18.3 18.6 45-49 16.0 42.8 59.7 68.6 84.0 2.4 246 18.8 19.0 19.4

20-49 17.2 42.9 59.1 na na 14.7 3,141 18.7 18.9 19.2

25-49 18.5 44.3 60.8 68.3 82.4 7.9 2,383 18.6 18.7 19.0

MEN

15-19 0.5 na na na na 99.0 231 a a a 20-24 0.0 3.2 9.7 na na 77.4 213 a a a 25-29 1.1 3.4 11.1 15.7 39.4 49.3 213 a a a 30-34 0.7 4.6 9.8 15.4 40.0 26.2 173 25.9 26.4 25.7 35-39 1.5 5.9 13.2 17.4 45.3 8.8 207 25.7 25.9 25.4 40-44 1.5 3.7 15.0 19.9 40.2 1.9 162 26.0 26.4 26.3 45-49 1.0 7.2 14.4 21.1 37.9 2.9 127 26.6 26.7 26.7

20-49 0.9 4.5 12.0 na na 31.1 1,095 a a a

25-49 1.2 4.8 12.5 17.6 40.8 19.9 882 a a a

na = Not applicable due to censoring a = Omitted because less than 50 percent of the women or men were married, began living with their spouse, or had sex for the first time before reaching the beginning of the age group

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Table 30 Early childhood mortality rates

Neonatal, postneonatal, infant, child, and under-five mortality rates for five-year periods precedingthe survey and for 0-4 years before NFHS-2 and NFHS-1, by residence, Assam, 2005-06

Years preceding the survey

Neonatalmortality

(NN)

Postneonatal mortality1

(PNN)

Infantmortality

(1q0)

Childmortality

(4q1)

Under-five mortality

(5q0) URBAN

0-4 (54.7) (3.1) (57.8) (14.9) (71.8) 5-9 (32.9) (11.7) (44.6) (20.1) (63.8) 10-14 (61.3) (19.7) (81.0) (20.8) (100.1)

NFHS-2 (0-4) (36.0) (11.1) (47.1) (8.3) (55.0) NFHS-1 (0-4) 48.5 18.3 66.8 36.6 101.0

RURAL

0-4 44.3 23.0 67.2 21.0 86.8 5-9 54.2 24.7 78.9 33.6 109.9 10-14 57.9 22.7 80.7 27.7 106.2

NFHS-2 (0-4) 45.2 25.8 70.9 22.2 91.6 NFHS-1 (0-4) 51.1 39.7 90.8 60.8 146.1

TOTAL

0-4 45.5 20.6 66.1 20.2 85.0 5-9 51.8 23.2 75.0 31.8 104.4 10-14 58.4 22.3 80.7 26.6 105.2

NFHS-2 (0-4) 44.6 24.9 69.5 21.4 89.5 NFHS-1 (0-4) 50.9 37.8 88.7 58.7 142.2

( ) Based on 250-499 unweighted cases. 1 Computed as the difference between the infant and neonatal mortality rates.

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Table 31 Early childhood mortality rates by background characteristics

Neonatal, postneonatal, infant, child, and under-five mortality rates for the 10-year period preceding the survey, by background characteristics, Assam, 2005-06

Background characteristic

Neonatal mortality

(NN)

Postneonatal mortality1

(PNN)

Infant mortality

(1q0)

Childmortality

(4q1)

Under-five mortality

(5q0)

Residence Urban 42.9 7.7 50.6 17.6 67.4 Rural 49.7 23.9 73.5 27.4 98.9

Education No education 57.6 30.4 88.0 36.3 121.1 <10 years complete 43.5 18.6 62.1 19.7 80.5 10 or more years complete (35.9) (0.0) (35.9) (6.3) (41.9)

Religion Hindu 45.5 18.0 63.5 21.2 83.3 Muslim 51.5 28.9 80.4 37.3 114.7 Christian * * * * *

Caste/tribe Scheduled caste (67.3) (14.5) (81.7) (31.5) (110.7) Scheduled tribe (43.9) (15.1) (59.0) (25.8) (83.2) Other backward class 39.2 20.4 59.6 17.9 76.4 Other 48.1 25.9 74.0 29.1 100.9

Wealth index Lowest 67.7 27.8 95.4 37.2 129.1 Second 45.2 24.3 69.5 32.9 100.1 Middle 42.0 24.8 66.8 18.3 83.9 Fourth (46.3) (7.5) (53.7) (6.6) (59.9) Highest (14.5) (2.4) (17.0) (7.1) (23.9)

Child's sex Male 45.5 23.8 69.3 22.6 90.3 Female 52.3 20.3 72.6 29.9 100.3

Mother's age at birth <20 70.1 23.5 93.6 32.4 123.0 20-29 44.0 23.6 67.6 24.0 89.9 30-39 36.3 13.1 49.5 23.4 71.8 40-49 * * * * *

Birth order 1 61.9 15.7 77.7 12.2 88.9 2-3 46.0 24.7 70.7 29.6 98.2 4+ 38.6 24.8 63.4 35.4 96.5

Previous birth interval2 <2 years 71.7 29.2 100.9 48.4 144.4 2-3 years 35.1 28.2 63.3 28.8 90.3 4 years or more (26.9) (23.3) (50.2) (18.5) (67.8)

Total 48.9 22.0 70.9 26.2 95.2

Note: Total includes births to women belonging to other religions and women with missing information on education and caste/tribe, who are not shown separately. ( ) Based on 250-499 unweighted cases. * Based on fewer than 250 unweighted cases. 1 Computed as the difference between the infant and neonatal mortality rates. 2 Excludes first-order births.

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Table 32 High-risk fertility behaviour

Percent distribution of children born in the five years preceding the survey by category of elevated risk of mortality and the risk ratio, and percent distribution of currently married women by category of risk if they were to conceive a child at the time of the survey, Assam, 2005-06

Births in the 5 years preceding the survey

Risk category Percentage of

birthsRisk ratio

Percentage of currently

married women1

Not in any high-risk category 31.6 1.0 35.4a

Unavoidable risk category First order births to mothers age 18-34 years 25.6 0.9 7.3

Single high-risk category Mother’s age <18 7.1 1.4 1.2 Mother’s age >34 1.3 (0.0) 9.8 Birth interval <24 months 7.1 1.6 8.0 Birth order >3 17.6 0.9 12.5

Subtotal 33.1 1.1 31.6

Multiple high-risk category Mother’s age <18 and birth interval <24 months2 1.3 * 0.6 Mother’s age >34 and birth interval <24 months 0.0 nc 0.3 Mother’s age >34 and birth order >3 3.5 1.7 18.7

Mother’s age >34 and birth interval <24 months and birth order >3 0.5 * 0.9

Birth interval <24 months and birth order >3 4.4 1.5 5.3

Subtotal 9.7 1.9 25.8

In any avoidable high-risk category 42.8 1.3 57.4

Total 100.0 na 100.0

Number of births 1,639 na 2,656

Note: Risk ratio is the ratio of the proportion dead among births in a specific high-risk category to the proportion dead among births not in any high-risk category. na = Not applicable nc = Not calculated because there are no cases ( ) Based on 25-49 unweighted cases. * Ratio not shown; based on fewer than 25 unweighted cases. 1 Women are assigned to risk categories according to the status they would have at the birth of a child if they were to conceive at the time of the survey: current age less than 17 years and 3 months or greater than 34 years and 2 months, latest birth less than 15 months ago, or latest birth of order 3 or higher. 2 Includes the category age <18 and birth order >3. a Includes sterilized women.

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Table 33 Antenatal care

Percent distribution of women who had a live birth in the five years preceding the survey by antenatal care (ANC) provider duringpregnancy for the most recent live birth, according to background characteristics, Assam, 2005-06

Background characteristic Doctor

ANM/nurse/ midwife/

LHV

Other health

personnel Dai/TBAAnganwadi/ICDS worker Other No one Total

Number of women

Age at birth <20 63.0 13.3 0.0 0.5 0.0 1.5 21.7 100.0 234 20-34 51.9 13.1 0.9 3.2 0.5 2.4 28.0 100.0 950 35-49 35.0 14.2 0.0 3.0 0.0 4.5 43.3 100.0 80

Birth order 1 76.0 8.4 0.9 1.8 0.0 0.9 12.0 100.0 393 2-3 54.4 15.1 0.4 3.2 0.9 2.4 23.5 100.0 538 4+ 23.3 15.9 0.7 2.9 0.0 3.9 53.2 100.0 334

Residence Urban 84.1 2.9 0.0 1.1 0.0 0.0 11.9 100.0 162 Rural 48.3 14.8 0.8 2.9 0.4 2.7 30.2 100.0 1,103

Education No education 32.6 15.1 1.3 3.8 0.3 2.9 44.0 100.0 454 <5 years complete 44.8 15.1 0.0 1.1 1.1 2.8 35.0 100.0 213 5-9 years complete 64.8 12.4 0.5 3.3 0.3 1.9 16.8 100.0 440 10 or more years complete 88.6 7.6 0.0 0.0 0.0 1.5 2.3 100.0 157

Religion Hindu 62.6 13.0 0.3 3.0 0.3 1.9 18.9 100.0 769 Muslim 36.9 15.3 1.5 2.5 0.6 3.6 39.7 100.0 403 Christian 38.6 5.7 0.0 1.4 0.0 1.4 52.9 100.0 84

Caste/tribe Scheduled caste 49.7 22.8 0.0 4.6 0.0 1.4 21.4 100.0 167 Scheduled tribe 40.1 12.0 0.9 4.3 1.7 4.3 36.8 100.0 140 Other backward class 68.5 10.2 0.0 1.1 0.0 0.5 19.6 100.0 222 Other 51.2 11.7 0.9 1.8 0.4 2.2 31.8 100.0 649

Wealth index Lowest 22.1 15.0 0.4 6.1 0.0 3.5 53.0 100.0 311 Second 48.5 15.3 1.3 2.0 0.8 2.4 29.6 100.0 446 Middle 64.6 15.7 0.5 0.9 0.0 2.3 16.1 100.0 263 Fourth 82.2 7.1 0.0 0.8 0.8 0.8 8.3 100.0 144 Highest 94.7 1.2 0.0 2.3 0.0 1.2 0.6 100.0 101

Total 52.9 13.2 0.7 2.7 0.4 2.4 27.8 100.0 1,265

Note: If more than one source of ANC was mentioned, only the provider with the highest qualification is considered in this tabulation. Total includes women belonging to other religions and women with missing information on education, religion, and caste/tribe, who are not shown separately. ANM = Auxiliary nurse midwife; LHV = Lady health visitor; TBA = Traditional birth attendant; ICDS = Integrated Child DevelopmentServices

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Table 34 Antenatal care services and information received

Percentage of women who had a live birth in the five years preceding the survey and received antenatal care (ANC) for the most recent live birth by services and information received, according to residence and source of antenatal care, Assam, 2005-06

Source of ANC

Residence

Services/information Urban Rural Public

sector only

Private/ NGO

sector only

Both public and private/ NGO sector

ANC received only at home Total

Percentage receiving selected services during antenatal care

Weighed 72.1 44.3 45.6 66.8 * 24.8 48.6 Blood pressure measured 81.6 48.1 46.3 78.9 * 34.2 53.4 Urine sample taken 73.8 32.9 31.5 61.7 * 26.5 39.3 Blood sample taken 70.5 31.2 30.2 59.2 * 22.0 37.4 Abdomen examined 79.5 57.1 57.8 75.4 * 42.3 60.6

Percentage receiving information on specific pregnancy complications

Vaginal bleeding 29.9 14.3 13.8 28.0 * 7.1 16.7 Convulsions 29.1 15.1 16.3 25.7 * 5.8 17.3 Prolonged labour 30.7 15.2 15.7 27.4 * 6.7 17.6

Where to go if experienced pregnancy complications 41.8 23.9 25.5 36.0 * 15.3 26.7

Number of women 143 770 530 235 15 132 913

NGO = Nongovernmental organization * Percentage not shown; based on fewer than 25 unweighted cases.

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Table 35 Antenatal care indicators

Among women with a live birth in the five years preceding the survey, percentage who received different types of antenatal care (ANC) during the pregnancy for their most recent live birth, by background characteristics, Assam, 2005-06

Background characteristic

Percentage who had three or

more ANC visits

Percentage with an

ANC visit in the first

trimester of pregnancy

Percentage who

received two or more

TTinjections during the pregnancy

Percentage who received one TT injection during

the pregnancy and at least one more in the three years

prior to the pregnancy

Percentagewho were given or

bought IFA

Percentage who took IFA for at least 90

days

Percentage who took an

intestinal parasite drug

Numberof women

Mother's age at birth <20 41.9 39.7 71.7 1.8 65.6 14.2 2.8 234 20-34 39.4 40.6 64.8 1.4 61.6 16.9 2.4 950 35-49 30.5 33.5 54.4 0.0 56.7 13.3 1.5 80

Birth order 1 56.1 52.6 83.0 0.3 75.2 24.4 3.0 393 2-3 41.4 43.7 66.9 2.6 65.6 16.4 1.9 538 4+ 16.4 19.1 42.3 0.7 40.9 6.2 2.5 334

Residence Urban 69.3 65.3 78.7 0.4 74.0 28.9 1.8 162 Rural 34.9 36.2 63.4 1.5 60.3 14.3 2.5 1,103

Education No education 20.8 25.0 47.9 1.1 46.1 7.8 1.8 454 <5 years complete 27.1 30.5 61.3 0.6 56.6 14.6 0.6 213 5-9 years complete 50.0 48.4 75.7 2.0 70.3 16.5 3.5 440 10 or more years complete 79.1 72.7 92.4 1.5 92.4 41.2 3.4 157

Religion Hindu 51.3 50.2 70.6 1.5 70.0 21.4 1.9 769 Muslim 20.8 24.1 59.6 0.9 50.1 6.9 3.8 403 Christian 18.6 21.4 45.7 2.9 46.4 12.9 0.7 84

Caste/tribe Scheduled caste 41.9 43.7 63.7 1.8 65.4 14.5 1.8 167 Scheduled tribe 34.2 39.7 53.4 1.7 49.1 12.0 2.1 140 Other backward class 53.4 52.1 71.8 1.1 75.0 25.3 1.9 222 Other 35.1 35.3 65.4 1.5 59.3 14.1 2.9 649

Wealth index Lowest 12.1 18.6 43.0 1.2 39.3 4.0 1.5 311 Second 31.6 32.2 64.0 0.8 58.7 13.1 2.1 446 Middle 47.8 46.2 75.1 3.0 75.6 21.3 3.2 263 Fourth 71.4 68.1 81.4 1.7 78.1 23.9 2.9 144 Highest 89.5 83.6 93.1 0.0 88.9 42.7 3.5 101

Total 39.3 40.0 65.4 1.4 62.1 16.2 2.4 1,265

Note: Total includes women belonging to other religions and women with missing information on education, religion, and caste/tribe, who are not shown separately. TT = Tetanus toxoid; IFA = Iron and folic acid tablets or syrup

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Table 36 Pregnancies for which an ultrasound was done

Percentage of all pregnancies in the five years preceding the survey for which an ultrasound test was done and percent distribution of pregnancies with an ultrasound test by pregnancy outcome, according to background characteristics, Assam, 2005-06

Pregnancy outcome2

Background characteristic

Percentage of pregnancies

with an ultrasound

Number of pregnancies Son Daughter Termination

Stillpregnant

Totalpercent

Number of pregnancies

with an ultrasound

Mother's age at pregnancy <20 7.5 523 (50.0) (42.4) (0.0) (7.6) 100.0 39 20-34 9.7 1,590 39.7 39.4 13.1 7.7 100.0 154 35-49 9.2 110 * * * * 100.0 10

Residence Urban 26.5 283 42.2 39.1 12.5 6.3 100.0 75 Rural 6.6 1,940 40.2 42.1 8.4 9.3 100.0 128

Antenatal care visits1 None 0.8 352 * * na na 100.0 3 1-3 5.9 597 (45.6) (54.4) na na 100.0 35 4+ 35.5 297 51.7 48.3 na na 100.0 105

Education No education 2.0 814 * * * * 100.0 17 <5 years complete 4.1 376 * * * * 100.0 15 5-9 years complete 11.4 780 42.2 39.0 8.0 10.8 100.0 89 10 or more years complete 32.7 251 40.3 43.2 12.9 3.6 100.0 82

Religion Hindu 11.8 1,338 41.6 38.6 10.8 9.0 100.0 158 Muslim 5.6 725 (36.7) (53.0) (7.4) (3.0) 100.0 40 Christian 0.8 146 * * * * 100.0 1

Caste/tribe Scheduled caste 6.8 286 * * * * 100.0 20 Scheduled tribe 10.4 264 * * * * 100.0 27 Other backward class 9.3 394 (40.3) (24.2) (12.8) (22.6) 100.0 37 Other 9.1 1,129 36.7 50.7 9.2 3.5 100.0 103

Wealth index Lowest 1.4 548 * * * * 100.0 8 Second 4.4 792 (41.3) (38.0) (5.1) (15.5) 100.0 35 Middle 6.5 476 (26.8) (50.0) (15.4) (7.7) 100.0 31 Fourth 21.9 260 42.7 40.6 9.3 7.3 100.0 57 Highest 49.7 146 44.0 39.8 11.4 4.9 100.0 73

Mother's number of living children at time of pregnancy

No children 15.5 737 39.0 46.4 5.2 9.4 100.0 114 1 child 10.0 636 45.8 35.5 11.1 7.5 100.0 63 0 sons 10.9 322 (45.7) (37.4) (13.5) (3.4) 100.0 35 1 son 9.1 314 (45.9) (33.3) (8.3) (12.5) 100.0 28 2 children 4.3 390 * * * * 100.0 17 0 sons 6.4 103 * * * * 100.0 7 1 or more sons 3.5 287 * * * * 100.0 10 3 children 3.6 216 * * * * 100.0 8 0 sons (3.2) 37 * * * * 100.0 1 1 or more sons 3.7 179 * * * * 100.0 7 4+ children 0.5 244 * * * * 100.0 1 0 sons * 17 * * * * 100.0 1 1 or more sons 0.0 227 nc nc nc nc nc 0

Total 9.1 2,223 40.9 41.0 9.9 8.2 100.0 203

Note: Total includes pregnancies to women belonging to other religions and to women with missing information on antenatal care visits, education, religion, and caste/tribe, who are not shown separately. na = Not applicable nc = Not calculated because there are no cases ( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases. 1 Includes only the most recent pregnancy ending in a live birth in the five years preceding the survey. 2 For multiple births, sex of pregnancy outcome is the sex of the first listed birth.

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Table 37 Delivery and postnatal care

Percent distribution of live births in the five years preceding the survey by place of delivery and assistance during delivery and percentage delivered by a skilled provider and by caesarean section, percentage of live births whose delivery was done at home by whether the delivery protocol was followed, and percent distribution of women giving birth in the five years preceding the survey by timing and type of provider of the first postnatal check-up of the mother following the most recent live birth, by residence, Assam, 2005-06

Delivery and postnatal care descriptors Urban Rural Total

Place of delivery Health facility 58.0 17.9 22.4 Public sector 30.6 10.7 13.0 Private sector 27.4 7.2 9.5 At home 42.0 82.1 77.5 Own home 39.4 78.1 73.7 Parents’ home 1.9 3.7 3.5 Other home 0.6 0.2 0.3 Other 0.0 0.1 0.1

Total 100.0 100.0 100.0

Assistance during delivery1 Doctor 53.6 21.2 24.9 ANM/nurse/midwife/LHV 8.5 5.7 6.0 Other health personnel 0.0 0.1 0.1

Dai (TBA) 15.1 26.8 25.5 Friends/relatives 21.5 43.7 41.2 Other 0.0 0.1 0.1 No one 1.3 2.4 2.3

Total 100.0 100.0 100.0

Percentage delivered by a skilled provider 62.1 27.0 31.0

Percentage delivered by caesarean section 17.4 3.7 5.2

Number of births 185 1,453 1,639

For home deliveries Disposable delivery kit used 17.6 16.9 16.9 Clean blade used to cut the cord 88.0 77.7 78.4 Either of the above 88.9 78.5 79.2

Baby was immediately wiped dry and then wrapped without being bathed 28.7 23.2 23.6

Number of births delivered at home 63 886 949

Timing after delivery of mother's first postnatal check-up2

Had postnatal check-up 37.2 12.8 15.9 Less than 4 hours 24.5 8.9 10.9 4-23 hours 5.4 1.0 1.5 1-2 days 4.3 1.1 1.5 3-41 days 2.9 1.8 2.0 Don't know/missing/other response 3.2 1.5 1.7 No postnatal check-up 59.6 85.7 82.3

Total 100.0 100.0 100.0

Type of provider of mother's first postnatal check-up2

Doctor 33.2 10.6 13.5 ANM/nurse/midwife/LHV 3.2 1.2 1.5 Other health personnel 0.0 0.2 0.2

Dai (TBA) 0.7 0.8 0.8 Missing 3.2 1.5 1.7

No postnatal check-up 59.6 85.7 82.3

Total 100.0 100.0 100.0

Number of births 162 1,103 1,265

ANM = Auxiliary nurse midwife; LHV = Lady health visitor; TBA = Traditional birth attendant 1 If the respondent mentioned more than one person attending during delivery, only the most qualified person is considered in this tabulation. 2 Based on the last live birth in the five years preceding the survey. Postnatal check-ups are checks on the woman's health within 42 days of the birth.

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Table 38 Delivery and postnatal care by background characteristics

Percentage of live births in the five years preceding the survey delivered in a health facility and percentage delivered with assistance from health personnel and percentage of women who had a live birth in the five years preceding the survey who received a postnatal check-up and who received a postnatal check-up within two days of the most recent birth, by background characteristics, Assam, 2005-06

Background characteristic

Percentage of births

delivered in a health facility

Percentage of deliveries assisted by

health personnel1

Number of births

Percentage of women with a

postnatal check-up2, 3

Percentage of women with a

postnatal check-up within two

days of birth2Number of

women

Mother’s age at birth <20 18.1 27.7 355 11.9 10.4 234 20-34 23.8 32.6 1,197 17.2 15.0 950 35-49 21.1 22.5 87 11.9 11.9 80

Birth order 1 38.7 51.7 533 26.0 24.2 393 2-3 20.2 27.8 680 14.6 12.4 538 4+ 5.6 10.1 426 6.2 4.5 334

Antenatal care visits 2 None 3.9 8.5 352 3.4 2.4 352 1-3 18.3 30.0 597 12.4 10.3 597 4+ 62.1 71.7 297 38.3 35.3 297

Residence Urban 58.0 62.1 185 37.2 34.3 162 Rural 17.9 27.0 1,453 12.8 11.0 1,103

Education No education 10.3 15.8 622 6.3 5.3 454 <5 years complete 13.7 19.1 287 10.1 8.1 213 5-9 years complete 26.5 38.6 556 18.0 15.9 440 10 or more years complete 67.6 80.7 173 46.1 41.6 157

Religion Hindu 32.0 42.4 953 20.7 18.7 769 Muslim 7.4 14.1 564 9.6 7.5 403 Christian 14.5 17.2 111 3.6 2.1 84

Caste/tribe Scheduled caste 20.4 28.2 215 14.2 12.0 167 Scheduled tribe 23.5 33.2 185 19.2 17.5 140 Other backward class 28.2 42.8 270 16.6 14.7 222 Other 19.8 27.4 858 16.9 14.6 649

Wealth index Lowest 3.9 8.3 434 6.0 2.9 311 Second 11.3 21.3 594 8.3 7.8 446 Middle 33.0 42.4 330 16.1 15.4 263 Fourth 47.0 62.5 173 32.6 28.9 144 Highest 86.3 90.1 108 56.1 50.3 101

Place of delivery Public health facility na 99.7 212 47.8 46.8 176 Private health facility na 99.2 155 58.5 54.7 139 Home na 11.2 1,270 3.8 1.9 949

Total 22.4 31.0 1,639 15.9 13.9 1,265

Note: Total includes births to women belonging to other religions, births delivered in other places of delivery, and births withmissing information on antenatal care visits, education, religion, and caste/tribe, which are not shown separately. NGO = Nongovernmental organization na = Not applicable 1 Doctor, auxiliary nurse midwife, nurse, midwife, lady health visitor, or other health personnel. 2 Based on the last live birth in the five years preceding the survey. 3 Postnatal check-ups are checks on the woman's health within 42 days of the birth.

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Table 39 Trends in maternal care indicators

Maternal care indicators for births during the three years preceding the survey, by residence, NFHS-3, NFHS-2, and NFHS-1, Assam

Indicator NFHS-3 NFHS-2 NFHS-1

URBAN

Percentage who received antenatal care1 87.4 88.6 84.0 Percentage who had at least three antenatal care visits1 68.9 70.6 55.3

Percentage who received antenatal care within the first trimester of pregnancy1 65.9 64.2 45.3

Percentage of births delivered in a health facility2 59.0 59.9 51.8 Percentage of deliveries assisted by health personnel2, 3 62.4 63.7 58.0

RURAL

Percentage who received antenatal care1 68.7 58.9 49.4 Percentage who had at least three antenatal care visits 1 32.3 28.4 21.8

Percentage who received antenatal care within the first trimester of pregnancy1 34.4 29.5 16.6

Percentage of births delivered in a health facility2 18.6 14.9 7.7 Percentage of deliveries assisted by health personnel2, 3 27.5 18.7 14.1

TOTAL

Percentage who received antenatal care1 70.8 60.6 52.6 Percentage who had at least three antenatal care visits1 36.3 30.9 24.9

Percentage who received antenatal care within the first trimester of pregnancy1 37.9 31.5 19.3

Percentage of births delivered in a health facility2 22.9 17.6 11.7 Percentage of deliveries assisted by health personnel2, 3 31.2 21.4 18.1

1 Based on the last birth to ever-married women in the three years preceding the survey. 2 Based on the last two births to ever-married women in the three years preceding the survey.3 Doctor, auxiliary nurse midwife, nurse, midwife, lady health visitor, or other health personnel.

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Table 40 Male involvement in maternal care: Men's report

Among men age 15-49 whose youngest living child was age 0-35 months, percentage for whom the youngest child's mother received antenatal care, percentage who were present during at least one antenatal care visit, percentage who were told by a health provider or worker at any time during the pregnancy about specific signs of pregnancy complications, percentage to whom a health provider or worker spoke about specific aspects of maternal care at any time during the pregnancy, and percentagewhose youngest child was delivered in a health facility, and among men with a child age 0-35 months whose youngest living child was not delivered in a health facility, percentage who were given specific home delivery related information, by residence, Assam, 2005-06

Antenatal/delivery care and information Urban Rural Total

Percentage of men for whom the youngest child's mother received antenatal care 83.0 75.3 76.2

Percentage of men who were present at any antenatal care visit 75.5 48.5 51.8

Percentage who were told by a health provider or health worker about the following signs of pregnancy complications:

Vaginal bleeding 30.2 19.1 20.5 Convulsion 35.8 28.4 29.3 Prolonged labour 34.0 25.3 26.3

Percentage ever told what to do if mother had any pregnancy complication 47.2 27.3 29.8

Percentage whose youngest child was delivered in a health facility 60.4 17.0 22.4

Percentage to whom a health provider or worker spoke about the following aspects of maternal care:

The importance of delivering in a health facility 58.5 32.0 35.3 The importance of proper nutrition for the mother

during pregnancy 66.0 46.9 49.3 Family planning or delaying his next child 50.9 36.1 37.9

Number of men with a child age 0-35 months 33 235 268

Among men whose last child age 0-35 months was not delivered in a health facility, percentage who were told the importance of:

Breastfeeding the baby immediately after birth * 42.2 43.2 Keeping the baby warm immediately after birth * 44.1 45.2 Cleanliness at the time of delivery * 50.3 51.6 Using a new or unused blade to cut the cord * 50.9 51.9

Number of men whose last child age 0-35 months was not delivered in a health facility 13 195 208

* Percentage not shown; based on fewer than 25 unweighted cases.

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Table 41 Vaccinations by background characteristics

Percentage of children age 12-23 months who received specific vaccines at any time before the survey (according to a vaccination card or the mother’s report), and percentage with a vaccination card seen by the interviewer, by background characteristics, Assam, 2005-06 and totals for NFHS-2 and NFHS-1

DPT Polio1Background characteristic BCG 1 2 3 0 1 2 3 Measles

All basic vaccina-

tions2

Novaccina-

tions

Percentage with a

vaccination card seen

Number of children

Sex Male 62.9 68.7 55.1 43.6 30.8 83.1 72.4 58.0 35.8 29.6 13.6 43.2 145 Female 61.7 64.4 57.3 46.2 24.0 80.0 72.9 60.0 39.1 33.3 16.9 50.2 134

Birth order 1 73.2 77.4 69.6 58.9 41.0 86.9 78.6 64.3 50.6 43.5 10.1 64.3 100 2-3 60.1 67.0 55.6 43.8 25.1 82.3 73.9 58.6 34.5 28.6 13.8 39.4 121 4-5 (56.7) (50.8) (37.3) (29.9) (10.4) (67.2) (53.8) (44.8) (26.9) (20.9) (29.8) (35.8) 40 6+ * * * * * * * * * * * * 18

Residence Urban 75.9 72.4 63.8 48.3 46.6 82.8 69.0 55.2 39.7 29.3 15.5 55.2 34 Rural 60.5 65.9 55.1 44.4 24.9 81.5 73.2 59.5 37.1 31.7 15.1 45.4 245

Mother’s education No education 48.2 58.2 42.6 28.4 20.6 80.9 66.7 50.3 16.3 14.9 16.3 31.2 84 <5 years complete 47.4 47.4 41.2 30.9 13.4 63.9 59.8 51.6 27.8 25.8 29.9 35.0 58 5-9 years complete 72.8 76.1 65.2 54.3 29.3 88.1 80.5 63.1 47.3 37.0 9.2 56.0 110

10 or more years complete (95.7) (95.7) (93.6) (87.2) (71.7) (95.7) (87.1) (84.9) (82.7) (71.9) (4.3) (80.5) 27

Religion Hindu 73.5 80.6 68.9 54.4 38.1 89.1 81.7 66.5 45.9 38.2 7.1 57.6 169 Muslim 47.9 46.5 35.6 31.5 10.2 73.3 60.3 45.9 24.0 19.9 24.0 33.5 87 Christian * * * * * * * * * * * * 22

Caste/tribe Scheduled caste (67.1) (79.7) (62.5) (40.6) (31.2) (90.6) (81.3) (59.4) (42.2) (31.3) (0.0) (51.5) 38 Scheduled tribe (58.3) (55.6) (52.8) (52.8) (38.9) (69.4) (61.1) (55.6) (44.4) (36.1) (30.6) (38.9) 43 Other backward class (72.4) (83.9) (74.7) (55.2) (44.8) (88.5) (82.8) (64.4) (48.3) (42.5) (6.9) (75.9) 52 Other 56.6 58.0 46.9 39.6 17.4 78.3 67.7 58.1 31.3 27.6 19.4 39.1 129

Wealth index Lowest 43.5 51.7 36.1 24.6 13.1 66.4 55.7 47.5 11.5 11.5 27.1 26.2 73 Second 51.7 57.4 47.7 39.2 19.3 83.0 74.5 56.9 34.7 31.3 15.9 46.0 105 Middle 83.8 89.5 77.2 61.0 39.1 91.4 83.8 69.5 53.4 42.9 4.8 59.0 63 Fourth (88.2) (76.2) (76.2) (69.2) (45.2) (85.8) (81.0) (66.8) (64.5) (50.2) (11.8) (62.0) 25 Highest * * * * * * * * * * * * 14

Total 62.4 66.7 56.2 44.9 27.5 81.6 72.7 59.0 37.4 31.4 15.2 46.6 279

NFHS-2 (1998-99) 53.5 57.4 48.5 37.5 3.1 61.8 53.6 37.9 24.6 17.0 33.2 32.5 366 NFHS-1 (1992-93) 48.2 53.4 42.2 31.0 1.2 54.2 42.9 32.7 25.8 19.4 43.6 39.5 440

Note: Total includes children belonging to other religions and children with missing information on religion and caste/tribe, who are not shown separately. ( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases. 1 Polio 0 is the polio vaccine given at birth. 2 BCG, measles, and three doses each of DPT and polio vaccine (excluding polio vaccine given at birth).

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Table 42 Prevalence and treatment of symptoms of ARI and fever

Among children under age five years, percentage who had symptoms of acute respiratory infection (ARI) and fever in the two weeks preceding the survey and percentage with symptoms of ARI and fever who received specific treatments, according to background characteristics, Assam, 2005-06

Children under age five with symptoms of ARI Children under age five with fever

Children under age five

Background characteristic

Percentagewith

symptoms of ARI1

Percentagewith fever

Number of children

Percentagefor whom treatment was sought

from a health

facility or provider2

Percentagewho received

antibiotics

Numberof

children

Percentagefor whom treatment was sought

from a health

facility or provider2

Percentagewho took

antimalarial drugs

Number of children

Age in months <6 4.7 14.4 178 * * 8 * * 26 6-11 11.5 19.6 140 * * 16 * * 27 12-23 8.1 14.3 279 * * 23 (34.2) (1.5) 40 24-35 11.2 17.3 304 (24.5) (7.0) 34 31.8 0.0 52 36-47 5.7 13.1 305 * * 17 (31.3) (0.0) 40 48-59 4.0 6.7 311 * * 13 * * 21

Sex Male 6.2 12.5 746 (38.4) (8.9) 46 36.8 1.9 94 Female 8.4 14.6 771 31.4 8.3 64 33.8 0.0 113

Residence Urban 8.8 16.9 173 (53.8) (15.4) 15 52.0 2.0 29 Rural 7.1 13.2 1,344 31.2 7.5 96 32.4 0.7 177

Mother's education No education 5.4 13.5 553 (24.0) (8.0) 30 28.0 0.8 75 <5 years complete 6.4 9.8 269 * * 17 * * 26 5-9 years complete 10.1 15.2 531 41.1 5.6 54 40.7 1.5 80 10 or more years complete 6.2 15.2 164 * * 10 (42.6) (0.0) 25

Religion Hindu 5.2 11.4 886 (44.1) (3.9) 46 42.3 1.2 101 Muslim 11.4 18.2 518 26.2 13.1 59 27.8 0.6 94

Christian 4.5 10.2 105 * * 5 * * 11

Caste/tribe Scheduled caste 6.2 14.1 190 * * 12 (40.0) (4.5) 27 Scheduled tribe 3.5 12.1 173 * * 6 * * 21 Other backward class 5.6 9.8 256 * * 14 * * 25 Other 9.4 15.7 796 32.7 10.4 75 35.2 0.5 125

Wealth index Lowest 7.5 14.5 400 (18.0) (8.0) 30 17.5 0.0 58 Second 8.9 13.0 546 (28.4) (4.9) 48 38.6 1.7 71 Middle 6.5 14.5 304 * * 20 (47.2) (0.0) 44 Fourth 6.2 13.9 162 * * 10 (36.8) (0.0) 23 Highest 2.8 10.0 106 * * 3 * * 11

Total 7.3 13.6 1,518 34.3 8.6 111 35.2 0.9 206

Note: Total includes children belonging to other religions and children with missing information on mother's education, religion, and caste/tribe, who are not shown separately. ( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases. 1 ‘Symptoms of ARI’ (cough accompanied by short, rapid breathing which was chest-related) is considered a proxy for pneumonia. 2 Excludes pharmacy, shop, and traditional practitioner.

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* *

* *

* *

* *

* *

* 20

12-2

3

12.0

27

9

(25.

0)

(5.3

) (1

2.5)

(1

7.8)

(0

.0)

(17.

8)

(7.1

) (2

1.5)

(0

.0)

(17.

9)

(3.6

) (3

9.2)

33

24-3

5

7.7

30

4

* *

* *

* *

* *

* *

* *

23

36

-47

5.

7

305

*

* *

* *

* *

* *

* *

* 17

48-5

9

5.2

31

1

* *

* *

* *

* *

* *

* *

16

Sex

M

ale

9.

2

746

34

.8

20.0

7.

8

25.2

1.

7

27.0

13

.9

25.3

1.

7

17.4

1.

7

33.0

69

Fem

ale

7.

1

771

27

.1

7.6

19

.6

23.9

0.

0

23.9

5.

4

17.4

0.

0

12.0

0.

0

48.9

55

Resi

denc

e

Urb

an

7.8

17

3

* *

* *

* *

* *

* *

* *

13

Ru

ral

8.2

1,

344

29

.3

13.0

13

.0

23.9

1.

1

25.0

9.

8

22.8

1.

1

15.2

1.

1

40.2

11

0

Mot

her's

edu

catio

n

No

educ

atio

n

8.2

55

3

(19.

7)

(9.2

) (1

7.1)

(2

5.0)

(0

.0)

(25.

0)

(3.9

) (1

5.8)

(0

.0)

(10.

5)

(2.6

) (5

0.0)

45

<5

year

s co

mpl

ete

7.

5

269

*

* *

* *

* *

* *

* *

* 20

5-9

year

s co

mpl

ete

9.

1

531

(4

0.7)

(1

7.3)

(1

3.6)

(2

8.4)

(2

.5)

(30.

9)

(17.

3)

(30.

9)

(2.5

) (6

.2)

(0.0

) (3

2.1)

48

10

or m

ore

year

s co

mpl

ete

5.

8

164

*

* *

* *

* *

* *

* *

* 9

Relig

ion

H

indu

6.

3

886

32

.2

13.9

12

.9

23.6

0.

0

23.6

7.

5

24.8

0.

0

9.7

2.

2

40.9

55

Mus

lim

11.9

51

8

33.0

16

.5

10.7

24

.3

0.0

24

.3

13.6

19

.4

1.9

19

.4

0.0

42

.7

62

C

hrist

ian

5.7

10

5

* *

* *

* *

* *

* *

* *

6

Cas

te/tr

ibe

Sc

hedu

led

cast

e

3.1

19

0

* *

* *

* *

* *

* *

* *

6

Sc

hedu

led

tribe

11

.1

173

*

* *

* *

* *

* *

* *

* 19

Oth

er b

ackw

ard

clas

s

6.5

25

6

* *

* *

* *

* *

* *

* *

17

O

ther

9.

4

796

31

.2

14.4

12

.0

23.2

1.

6

24.8

12

.0

20.8

1.

6

15.2

0.

0

45.6

75

Wea

lth in

dex

Lo

wes

t 8.

4

400

(2

5.0)

(1

0.7)

(1

0.7)

(2

1.4)

(0

.0)

(21.

4)

(0.0

) (1

4.3)

(0

.0)

(7.1

) (3

.6)

(57.

1)

33

Se

cond

8.

1

546

(2

7.0)

(1

0.8)

(9

.4)

(20.

3)

(2.7

) (2

3.0)

(1

2.1)

(2

4.4)

(0

.0)

(20.

3)

(0.0

) (3

7.8)

44

Mid

dle

8.

6

304

*

* *

* *

* *

* *

* *

* 26

Four

th

9.5

16

2

* *

* *

* *

* *

* *

* *

15

H

ighe

st

3.9

10

6

* *

* *

* *

* *

* *

* *

4

Tot

al

8.1

1,51

8 31

.4

14.5

13

.0

24.6

1.

0 25

.6

10.1

21

.8

1.0

15.0

1.

0 40

.1

123

Not

e: O

RT i

nclu

des

solu

tion

prep

ared

fro

m a

n or

al r

ehyd

ratio

n sa

lt (O

RS)

pack

et a

nd g

ruel

. To

tal

incl

udes

chi

ldre

n be

long

ing

to o

ther

rel

igio

ns a

nd c

hild

ren

with

miss

ing

info

rmat

ion

on m

othe

r's

educ

atio

n, re

ligio

n, a

nd c

aste

/trib

e, w

ho a

re n

ot s

how

n se

para

tely

. ( )

Bas

ed o

n 25

-49

unw

eigh

ted

case

s.

* Pe

rcen

tage

not

sho

wn;

bas

ed o

n fe

wer

than

25

unw

eigh

ted

case

s.

1 Exc

lude

s ph

arm

acy,

sho

p, a

nd tr

aditi

onal

pra

ctiti

oner

. 2 I

nclu

des

antim

otili

ty d

rugs

and

unk

now

n dr

ugs.

Page 81: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

72

Tab

le 4

4 F

eedi

ng p

ract

ices

dur

ing

diar

rhoe

a

Perc

ent

dist

ribut

ion

of c

hild

ren

unde

r ag

e fiv

e w

ho h

ad d

iarr

hoea

in t

he t

wo

wee

ks p

rece

ding

the

sur

vey

by a

mou

nt o

f liq

uids

and

foo

d of

fere

d co

mpa

red

with

nor

mal

pra

ctic

e, a

ccor

ding

to

back

grou

nd

char

acte

ristic

s, A

ssam

, 200

5-06

Am

ount

of l

iqui

ds o

ffere

d

Amou

nt o

f foo

d of

fere

d

Bac

kgro

und

char

acte

ristic

M

ore

Sam

e as

us

ual

Som

e-w

hat l

ess

Muc

hle

ss

Non

e To

tal

Sam

e as

us

ual

Som

e-w

hat l

ess

Muc

hle

ss

Non

e To

tal

Perc

enta

ge g

iven

in

crea

sed

fluid

s an

d co

ntin

ued

feed

ing1,

2

Perc

enta

gegi

ven

ORT

or

incr

ease

d flu

ids

and

cont

inue

d fe

edin

g2

Num

ber o

f ch

ildre

nw

ithdi

arrh

oea

Age

in m

onth

s

<

6

* *

* *

* 10

0.0

*

* *

* 10

0.0

*

*

14

6-11

*

* *

* *

100.

0*

* *

* 10

0.0

*

*

20

12-2

3

(0.0

) (5

3.6)

(3

3.9)

(7

.2)

(5.3

) 10

0.0

(5

5.4)

(3

0.3)

(1

4.3)

(0

.0)

100.

0

(0.0

) (1

4.2)

33

24-3

5

* *

* *

* 10

0.0

*

* *

* 10

0.0

*

*

23

36-4

7

* *

* *

* 10

0.0

*

* *

* 10

0.0

*

*

17

48-5

9

* *

* *

* 10

0.0

*

* *

* 10

0.0

*

*

16

Sex

M

ale

1.

7

63.6

30

.4

3.5

0.

9

100.

0

50.5

22

.6

25.2

1.

7

100.

0

1.7

18

.2

69

Fe

mal

e

0.0

69

.6

25.0

1.

1

4.4

10

0.0

63

.0

21.8

15

.2

0.0

10

0.0

0.

0

22.8

55

Resi

denc

e

Urb

an

* *

* *

* 10

0.0

*

* *

* 10

0.0

*

*

13

Rura

l 1.

1

68.5

26

.1

2.2

2.

2

100.

0

56.5

21

.7

20.7

1.

1

100.

0

1.1

19

.6

110

Mot

her's

edu

catio

n

No

educ

atio

n

(0.0

) (7

3.7)

(2

6.3)

(0

.0)

(0.0

) 10

0.0

(6

8.4)

(2

2.4)

(9

.2)

(0.0

) 10

0.0

(0

.0)

(22.

4)

45

<

5 ye

ars

com

plet

e *

* *

* *

100.

0

* *

* *

100.

0

*

*

20

5-

9 ye

ars

com

plet

e

(2.5

) (6

3.0)

(2

4.6)

(3

.7)

(6.2

) 10

0.0

(5

4.3)

(1

9.7)

(2

5.9)

(0

.0)

100.

0

(2.5

) (2

2.2)

48

10 o

r mor

e ye

ars

com

plet

e

* *

* *

* 10

0.0

*

* *

* 10

0.0

*

*

9

Relig

ion

Hin

du

0.0

62

.4

31.1

3.

2

3.2

10

0.0

60

.2

29.1

8.

5

2.2

10

0.0

0.

0

22.6

55

Mus

lim

0.0

69

.9

28.1

1.

9

0.0

10

0.0

51

.5

14.5

34

.0

0.0

10

0.0

0.

0

14.6

62

Chr

istia

n *

* *

* *

100.

0

* *

* *

100.

0

*

*

6

Cas

te/tr

ibe

Sche

dule

d ca

ste

*

* *

* *

100.

0

* *

* *

100.

0

*

*

6

Sc

hedu

led

tribe

*

* *

* *

100.

0

* *

* *

100.

0

*

*

19

O

ther

bac

kwar

d cl

ass

*

* *

* *

100.

0

* *

* *

100.

0

*

*

17

O

ther

1.

6

66.5

29

.5

1.6

0.

8

100.

0

51.2

16

.8

32.0

0.

0

100.

0

1.6

16

.8

75

Wea

lth in

dex

Low

est

(0.0

) (6

7.9)

(2

8.6)

(0

.0)

(3.6

) 10

0.0

(5

3.6)

(2

1.4)

(2

5.0)

(0

.0)

100.

0

(0.0

) (1

7.9)

33

Seco

nd

(2.7

) (6

4.9)

(2

7.0)

(5

.4)

(0.0

) 10

0.0

(4

8.6)

(2

0.3)

(3

1.1)

(0

.0)

100.

0

(2.7

) (1

4.9)

44

Mid

dle

*

* *

* *

100.

0

* *

* *

100.

0

*

*

26

Fo

urth

*

* *

* *

100.

0

* *

* *

100.

0

*

*

15

H

ighe

st

* *

* *

* 10

0.0

*

* *

* 10

0.0

*

*

4

Tot

al

1.0

66.2

28

.0

2.4

2.4

100.

0 56

.0

22.2

20

.8

1.0

100.

0 1.

0 20

.3

123

Not

e: T

otal

incl

udes

chi

ldre

n be

long

ing

to o

ther

relig

ions

and

chi

ldre

n w

ith m

issin

g in

form

atio

n on

cas

te/tr

ibe,

who

are

not

sho

wn

sepa

rate

ly.

ORT

= O

ral r

ehyd

ratio

n th

erap

y, w

hich

incl

udes

sol

utio

n pr

epar

ed fr

om a

n or

al re

hydr

atio

n sa

lt pa

cket

and

gru

el

( ) B

ased

on

25-4

9 un

wei

ghte

d ca

ses.

*

Perc

enta

ge n

ot s

how

n; b

ased

on

25-4

9 un

wei

ghte

d ca

ses.

1 E

quiv

alen

t to

the

UN

ICEF

/WH

O in

dica

tor '

Hom

e m

anag

emen

t of d

iarr

hoea

'. 2 C

ontin

ued

feed

ing

incl

udes

chi

ldre

n w

ho w

ere

give

n m

ore,

sam

e as

usu

al, o

r som

ewha

t les

s fo

od d

urin

g th

e di

arrh

oea

episo

de.

Page 82: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

73

Table 45 Knowledge of ORS packets

Percentage of all women and percentage of women who had a live birth in the five years preceding the survey who know about ORS packets for treatment of diarrhoea, by background characteristics, Assam, 2005-06

All women Women who gave birth in

the past five years

Background characteristic

Percentage who know about ORS

packets Number of

women

Percentage who know about ORS

packets Number of

women

Age 15-19 75.8 699 71.4 92 20-24 81.4 758 78.1 388 25-34 79.0 1,263 75.0 625 35-49 76.3 1,120 72.1 160

Residence Urban 93.9 721 93.5 162 Rural 74.4 3,119 72.7 1,103

Education No education 60.6 1,161 61.8 454 <5 years complete 74.1 548 74.2 213 5-9 years complete 84.8 1,387 82.3 440 10 or more years complete 95.7 743 96.2 157

Religion Hindu 80.7 2,684 77.1 769 Muslim 74.5 927 75.4 403 Christian 57.2 200 57.8 84

Caste/tribe Scheduled caste 78.9 512 70.7 167 Scheduled tribe 66.7 404 60.7 140 Other backward class 82.7 838 77.7 222 Other 80.7 1,847 79.8 649

Wealth index Lowest 55.9 615 57.6 311 Second 72.2 1,116 73.8 446 Middle 79.9 908 83.4 263 Fourth 92.1 673 90.5 144 Highest 95.3 527 94.1 101

Total 78.1 3,840 75.3 1,265

Note: Total includes women belonging to other religions and women with missing information on education, religion, and caste/tribe, who are not shown separately. ORS = Oral rehydration salts

Page 83: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

74

Tab

le 4

6 IC

DS

cove

rage

and

util

izat

ion

of IC

DS

serv

ices

Perc

enta

ge o

f ch

ildre

n un

der

age

six y

ears

who

are

in

an a

rea

cove

red

by a

n an

ganw

adic

entre

(AW

C),

and

perc

enta

ge o

f ch

ildre

n in

are

as c

over

ed b

y an

AW

C w

ho r

ecei

ved

any

serv

ice

and

rece

ived

spe

cific

se

rvic

es fr

om a

n A

WC

in th

e 12

mon

ths

prec

edin

g th

e su

rvey

, by

back

grou

nd c

hara

cter

istic

s, A

ssam

, 200

5-06

Chi

ldre

n in

are

as c

over

ed b

y an

AW

C

Chi

ldre

n ag

e 36

-71

mon

ths

Chi

ldre

n ag

e 0-

59

mon

ths

Chi

ldre

n ag

e 0-

59 m

onth

s w

ho w

ere

wei

ghed

at a

n AW

C

Perc

enta

ge o

f chi

ldre

n ag

e 0-

71 m

onth

s w

ho re

ceiv

ed

from

an

AWC

Back

grou

nd c

hara

cter

istic

Perc

enta

geof

chi

ldre

n ag

e 0-

71

mon

ths

in

area

sco

vere

d by

an

AW

C

Num

ber

of

child

ren

age

0-71

m

onth

s An

yse

rvic

e1Su

pple

men

tary

food

2An

yim

mun

izat

ion

Hea

lthch

eck-

ups

Num

ber o

f ch

ildre

n ag

e0-

71

mon

ths

Perc

enta

ge w

ho

wen

t for

ear

ly

child

hood

care

/pre

-sch

ool

to a

n AW

C

Num

ber o

f ch

ildre

n

Perc

enta

gew

ho w

ere

wei

ghed

at

an A

WC

N

umbe

r of

child

ren

Perc

enta

gew

hose

mot

hers

re

ceiv

edco

unse

ling

from

an

AWC

af

ter c

hild

was

w

eigh

edN

umbe

r of

child

ren

Age

in m

onth

s

<12

90

.6

319

14

.3

13.5

2.

5

1.0

28

9

na

na

1.2

28

9

* 4

12-2

3

86.3

27

9

32.3

30

.0

8.2

5.

0

241

na

na

4.

0

241

*

10

24

-35

89

.3

304

34

.6

31.5

8.

4

3.5

27

1

na

na

6.4

27

1

* 17

36-4

7

87.6

30

5

33.8

31

.8

5.1

6.

5

267

12

.3

267

6.

5

267

*

17

48

-59

91

.1

311

32

.9

31.2

8.

9

7.0

28

4

18.7

28

4

7.2

28

4

* 20

60-7

1

86.5

32

3

32.1

30

.8

6.4

6.

4

280

12

.8

280

na

na

na

na

0-

35

88.8

90

1

26.6

24

.6

6.2

3.

1

801

na

na

3.

8

801

(2

9.4)

30

36-7

1

88.4

93

9

32.9

31

.2

6.8

6.

6

830

14

.7

830

na

na

na

na

Sex

M

ale

89

.4

926

28

.1

26.8

5.

4

5.2

82

8

15.4

42

2

6.0

67

1

(35.

8)

40

Fe

mal

e

87.8

91

4

31.6

29

.2

7.7

4.

5

803

13

.9

408

4.

1

680

(3

6.2)

28

Resi

denc

e

Urb

an

31.9

21

6

21.2

17

.8

5.1

4.

2

69

15.6

37

7.

7

61

* 5

Rura

l 96

.2

1,62

4

30.2

28

.4

6.6

4.

9

1,56

2

14.6

79

3

4.9

1,

291

35

.8

63

Mot

her's

edu

catio

n

No

educ

atio

n

90.3

69

5

22.3

20

.4

4.7

4.

5

628

11

.6

335

3.

6

500

*

18

<

5 ye

ars

com

plet

e

91.3

31

9

25.0

24

.8

3.9

3.

5

291

17

.0

154

2.

9

243

*

7

5-

9 ye

ars

com

plet

e

87.8

62

3

39.3

36

.8

9.1

5.

7

547

17

.3

251

6.

4

472

(3

1.3)

30

10 o

r mor

e ye

ars

com

plet

e

80.9

20

3

35.4

33

.2

9.8

6.

2

164

14

.7

89

9.3

13

5

* 13

Relig

ion

H

indu

88

.8

1,08

1

30.9

29

.1

7.5

4.

8

960

15

.7

495

7.

7

794

36

.9

62

M

uslim

93

.3

623

31

.8

29.5

6.

0

5.5

58

2

14.3

28

5

1.4

48

5

* 7

Chr

istia

n

63.2

12

5

4.5

4.

5

0.0

1.

5

79

(5.3

) 45

0.

0

65

nc

0

C

ontin

ued…

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75

Tab

le 4

6 IC

DS

cove

rage

and

util

izat

ion

of IC

DS

serv

ices

—C

ontin

ued

Chi

ldre

n in

are

as c

over

ed b

y an

AW

C

Chi

ldre

n ag

e 36

-71

mon

ths

Chi

ldre

n ag

e 0-

59

mon

ths

Chi

ldre

n ag

e 0-

59 m

onth

s w

ho w

ere

wei

ghed

at a

n AW

CPe

rcen

tage

of c

hild

ren

age

0-71

mon

ths

who

rece

ived

fro

m a

n AW

C

Back

grou

nd c

hara

cter

istic

Perc

enta

geof

chi

ldre

n ag

e 0-

71

mon

ths

in

area

sco

vere

d by

an

AW

C

Num

ber o

f ch

ildre

nag

e 0-

71

mon

ths

Any

serv

ice1

Supp

lem

enta

ryfo

od2

Any

imm

uniz

atio

nH

ealth

chec

k-up

s

Num

ber o

f ch

ildre

nag

e 0-

71

mon

ths

Perc

enta

ge w

ho

wen

t for

ear

ly

child

hood

care

/pre

-sch

ool

to a

n AW

C

Num

ber o

f ch

ildre

n

Perc

enta

gew

ho w

ere

wei

ghed

at

an A

WC

N

umbe

r of

child

ren

Perc

enta

gew

hose

mot

hers

re

ceiv

edco

unse

ling

from

an

AWC

af

ter c

hild

was

w

eigh

edN

umbe

r of

child

ren

Cas

te/tr

ibe

Sc

hedu

led

cast

e

91.9

24

0

34.2

31

.5

11.7

4.

9

220

16

.6

115

8.

5

177

*

15

Sc

hedu

led

tribe

68

.6

209

32

.9

28.7

8.

3

6.7

14

3

9.7

74

13

.3

117

*

16

O

ther

bac

kwar

d cl

ass

96

.1

303

35

.7

34.9

5.

7

5.7

29

2

17.4

15

5

8.0

24

7

* 20

Oth

er

88.4

95

9

28.0

26

.2

5.6

4.

7

848

15

.1

415

1.

9

710

*

14

Wea

lth in

dex

Low

est

87.5

47

2

26.4

25

.2

6.4

4.

3

413

12

.0

209

2.

4

348

*

8

Se

cond

93

.4

664

32

.3

30.6

4.

6

3.7

62

0

15.2

31

1

4.8

51

1

* 25

Mid

dle

91

.2

367

30

.5

28.5

8.

7

5.7

33

5

14.6

16

8

6.8

28

0

* 19

Four

th

82.7

20

6

33.3

29

.5

12.6

9.

5

170

20

.5

93

6.6

13

5

* 9

Hig

hest

70

.4

132

19

.1

17.8

0.

6

3.8

93

12

.0

49

9.3

77

*

7

Year

s si

nce

AWC

was

es

tabl

ishe

d

<

6 ye

ars

ago

na

na

31

.0

29.6

6.

4

4.4

57

8

12.9

28

1

3.5

48

7

* 17

6 or

mor

e ye

ars

ago

na

na

29

.1

27.1

6.

6

5.1

1,

054

15

.6

550

5.

9

864

(4

2.4)

51

Tot

al

88.6

1,

841

29.8

28

.0

6.5

4.9

1,63

1 14

.7

830

5.0

1,35

1 36

.0

68

Not

e: T

otal

incl

udes

chi

ldre

n be

long

ing

to o

ther

relig

ions

and

chi

ldre

n w

ith m

issin

g in

form

atio

n on

mot

her's

edu

catio

n, re

ligio

n, a

nd c

aste

/trib

e, w

ho a

re n

ot s

how

n se

para

tely

. IC

DS

= In

treg

rate

d C

hild

Dev

elop

men

t Ser

vice

s na

= N

ot a

pplic

able

nc

= N

ot c

alcu

late

d be

caus

e th

ere

are

no c

ases

( )

Bas

ed o

n 25

-49

unw

eigh

ted

case

s.

* Pe

rcen

tage

not

sho

wn;

bas

ed o

n fe

wer

than

25

unw

eigh

ted

case

s.

1 AW

C s

ervi

ces

for c

hild

ren

incl

ude

dist

ribut

ion

of s

uppl

emen

tary

food

, gro

wth

mon

itorin

g, im

mun

izat

ions

, hea

lth c

heck

-ups

, and

pre

-sch

ool e

duca

tion.

2 S

uppl

emen

tary

food

incl

udes

bot

h fo

od c

ooke

d an

d se

rved

at t

he A

WC

on

a da

ily b

asis

and

food

giv

en in

the

form

of t

ake

hom

e ra

tions

.

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76

Table 47 Utilization of ICDS services during pregnancy and while breastfeeding

Among children under age six years in areas covered by an anganwadi centre (AWC), percentage whose mothers received specific services from an AWC during pregnancy and while breastfeeding, according to background characteristics, Assam, 2005-06

Mother received from an AWC during pregnancy Mother received from an AWC while breastfeeding2

Background characteristic No

servicesSupplementary

food1Health

check-ups

Healthand

nutritioneducation

Numberof

childrenNo

servicesSupplementary

food1Health

check-ups

Healthand

nutritioneducation

Numberof

childrenbreastfed

Residence Urban 83.1 16.9 3.4 4.2 69 90.6 9.4 1.7 2.6 68 Rural 86.8 12.6 2.1 1.6 1,562 87.1 12.9 1.9 2.1 1,562

Mother's education No education 92.1 7.5 1.1 0.5 628 90.6 9.2 1.3 0.9 628 <5 years complete 87.5 10.9 3.7 1.6 291 87.3 12.7 1.4 1.0 291 5-9 years complete 80.1 19.6 1.7 2.0 547 83.9 16.1 2.0 2.8 547 10 or more years complete 86.1 13.1 4.4 5.8 164 85.0 15.0 4.8 6.2 163

Religion Hindu 83.5 16.0 3.0 2.9 960 83.9 15.9 3.0 2.6 959 Muslim 90.0 9.1 1.0 0.1 582 91.1 8.9 0.4 1.5 582 Christian 98.5 1.5 0.0 0.0 79 97.0 3.0 0.0 0.0 79

Caste/tribe Scheduled caste 80.2 19.8 3.0 2.7 220 80.5 19.5 3.8 3.8 220 Scheduled tribe 90.4 9.6 1.7 3.3 143 86.3 13.7 1.7 0.8 143 Other backward class 79.1 20.5 3.7 4.9 292 84.2 15.8 4.5 4.5 291 Other 89.1 9.9 1.8 0.3 848 89.8 10.2 0.8 1.3 848

Wealth index Lowest 88.7 10.7 1.2 0.6 413 89.0 11.0 1.2 0.9 413 Second 87.8 11.7 1.5 1.4 620 87.8 12.1 1.0 0.6 620 Middle 81.8 17.5 3.7 2.3 335 83.9 16.1 3.6 4.3 335 Fourth 87.4 11.9 3.8 4.5 170 84.6 15.4 3.9 6.0 170 Highest 86.6 13.4 1.3 1.9 93 92.3 7.7 1.9 2.6 93

Years since AWC was established

<6 years ago 87.6 12.2 1.0 1.1 578 87.0 12.8 0.9 1.9 577 6 or more years ago 86.1 13.1 2.7 2.0 1,054 87.3 12.7 2.4 2.2 1,054

Total 86.7 12.7 2.1 1.7 1,631 87.2 12.7 1.9 2.1 1,630

Note: Total includes children belonging to other religions and children with missing information on mother's education, religion, and caste/tribe, who are notshown separately. ICDS = Intregrated Child Development Services 1 Supplementary food includes both food cooked and served at the AWC on a daily basis and food given in the form of take home rations.2 Services are usually provided to breastfeeding mothers during the first six months of breastfeeding.

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Table 48 Nutritional status of children

Percentage of children under age five years classified as malnourished according to three anthropometric indices of nutritional status: height-for-age, weight-for-height, and weight-for-age, by background characteristics, Assam, 2005-06, and totals for children under age three years of ever-married interviewed women age 15-49, NFHS-3 and NFHS-2

Height-for-age Weight-for-height Weight-for-age

Background characteristic

Percentagebelow -3 SD

Percentagebelow -2 SD1

Mean Z-score

(SD)

Percentagebelow -3 SD

Percentagebelow -2 SD1

Percentageabove +2 SD

Mean Z-score

(SD)

Percentagebelow -3 SD

Percentagebelow -2 SD1

Percentageabove+2 SD

Mean Z-score

(SD)

Numberof

children

Age in months <6 11.9 29.7 -0.9 9.6 21.9 3.2 -0.9 12.3 30.2 0.9 -1.4 133 6-11 13.5 25.5 -1.2 6.7 21.2 2.4 -1.0 9.1 28.4 0.0 -1.4 126 12-23 20.7 46.3 -1.8 5.0 15.6 0.7 -0.8 7.4 37.3 0.7 -1.5 252 24-35 23.6 50.1 -1.9 2.8 12.8 0.6 -0.9 15.2 41.2 0.0 -1.7 280 36-47 26.4 55.6 -2.2 2.6 8.6 0.6 -0.7 11.0 37.8 0.2 -1.7 283 48-59 20.3 51.1 -2.0 1.7 10.9 1.3 -0.7 12.2 36.0 0.0 -1.7 290

Sex Male 20.4 46.9 -1.8 4.1 12.7 1.2 -0.8 10.1 34.4 0.5 -1.5 670 Female 21.3 46.1 -1.8 3.8 14.7 1.2 -0.9 12.7 38.4 0.1 -1.7 695

Birth interval in months2 First birth3 17.9 41.3 -1.7 2.2 9.1 1.3 -0.6 6.3 29.1 0.4 -1.4 441 <24 28.5 55.5 -2.2 4.1 16.3 1.8 -0.8 21.1 44.1 0.0 -1.8 164 24-47 25.1 51.6 -2.0 5.0 14.8 1.3 -1.0 13.9 44.1 0.0 -1.8 436 48+ 14.0 40.0 -1.5 4.5 16.8 0.6 -0.9 9.3 32.3 0.6 -1.5 299

Birth order2 1 17.9 41.3 -1.7 2.2 9.1 1.3 -0.6 6.3 29.1 0.4 -1.4 441 2-3 18.2 45.2 -1.7 4.9 15.6 1.5 -0.9 10.8 37.2 0.1 -1.6 548 4-5 25.6 47.8 -1.9 2.6 14.1 0.3 -1.0 13.3 42.1 0.0 -1.8 233 6+ 33.1 65.3 -2.4 7.8 19.7 1.0 -1.0 27.9 50.2 1.0 -2.1 118

Residence Urban 14.6 35.6 -1.5 5.1 14.2 3.6 -0.6 9.5 26.1 0.8 -1.3 148 Rural 21.6 47.8 -1.8 3.8 13.6 0.9 -0.8 11.6 37.7 0.2 -1.7 1,217

Size at birth2 Very small (20.4) (52.5) (-2.0) (6.3) (20.3) (1.2) (-1.1) (13.9) (52.5) (0.0) (-2.0) 47 Small 23.0 52.8 -2.1 5.2 20.7 0.0 -1.1 16.4 42.0 0.0 -2.0 185 Average or larger 20.4 44.7 -1.7 3.6 12.2 1.5 -0.8 10.3 35.0 0.3 -1.5 1,048

Mother's education4 No education 27.8 55.1 -2.1 4.7 16.9 1.2 -0.9 17.9 45.2 0.5 -1.9 510 <5 years complete 23.3 54.2 -1.9 3.2 11.5 0.5 -0.8 8.6 38.9 0.0 -1.7 227 5-9 years complete 16.1 41.0 -1.7 3.6 11.6 1.7 -0.8 7.1 32.3 0.1 -1.5 469 10 or more years complete 6.3 20.7 -0.8 2.1 10.6 0.8 -0.4 5.5 14.4 0.4 -0.7 143

Religion Hindu 17.0 40.8 -1.6 2.7 11.9 1.1 -0.8 10.0 31.6 0.3 -1.5 792 Muslim 25.7 52.8 -2.0 5.9 16.0 1.3 -0.9 13.7 43.6 0.3 -1.8 462 Christian 32.1 58.7 -2.1 4.9 17.3 1.2 -0.8 12.4 40.1 0.0 -1.8 99 .

Caste/tribe Scheduled caste 21.8 53.3 -1.9 6.2 16.0 1.0 -0.9 14.2 43.0 0.0 -1.7 175 Scheduled tribe 18.2 38.1 -1.5 0.8 3.3 0.8 -0.4 3.3 18.2 0.8 -1.1 147 Other backward class 15.9 40.3 -1.6 2.3 14.8 1.0 -0.8 11.7 29.1 0.2 -1.4 234 Other 22.4 47.4 -1.9 4.5 13.9 1.5 -0.8 11.9 38.2 0.3 -1.7 704

Mother's interview status Interviewed 20.7 46.1 -1.8 3.8 13.5 1.2 -0.8 11.3 36.5 0.3 -1.6 1,340

Not interviewed but in household * * * * * * * * * * * 10

Not interviewed and not in household5 * * * * * * * * * * * 16

Continued…

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78

Table 48 Nutritional status of children—Continued

Height-for-age Weight-for-height Weight-for-age

Background characteristic

Percentagebelow -3 SD

Percentagebelow -2 SD1

Mean Z-score

(SD)

Percentagebelow -3 SD

Percentagebelow -2 SD1

Percentageabove+2 SD

Mean Z-score

(SD)

Percentagebelow -3 SD

Percentagebelow -2 SD1

Percentageabove+2 SD

Mean Z-score

(SD)

Numberof

children

Mother's nutritional status Underweight (BMI<18.5) 25.0 52.9 -2.1 4.4 17.5 1.4 -1.0 15.8 47.9 0.2 -1.9 534 Normal (BMI 18.5-24.9) 18.4 43.3 -1.6 3.5 11.1 0.9 -0.7 8.7 30.4 0.2 -1.5 735 Overweight (BMI 25.0) 9.5 22.8 -1.1 2.8 9.5 3.7 -0.3 4.6 11.3 1.9 -0.8 63 Mother not measured * * * * * * * * * * * 16

Child's living arrangements Living with both parents 21.4 46.4 -1.8 3.6 13.8 1.0 -0.8 11.6 37.4 0.3 -1.6 1,212 Living with one or neither parent 16.5 47.0 -1.7 6.7 12.6 2.3 -0.7 9.4 28.8 0.0 -1.5 154

Wealth index Lowest 28.6 57.4 -2.1 5.1 14.7 1.0 -0.9 17.1 42.1 0.3 -1.8 360 Second 23.8 52.5 -2.0 4.3 13.4 1.5 -0.9 10.8 44.5 0.2 -1.8 492 Middle 17.5 38.0 -1.7 2.4 14.2 0.7 -0.8 10.1 31.1 0.0 -1.5 277 Fourth 8.7 34.5 -1.3 4.1 15.3 0.8 -0.7 7.9 22.8 0.0 -1.2 145 Highest 4.6 15.7 -0.7 1.9 7.2 2.6 -0.4 1.9 7.8 1.3 -0.7 91

Total 20.9 46.5 -1.8 4.0 13.7 1.2 -0.8 11.4 36.4 0.3 -1.6 1,365

Children age 0-35 months born to interviewed ever-married women NFHS-3 (2005-06) 18.9 41.1 -1.6 5.3 16.7 1.4 -0.9 11.3 35.8 0.4 -1.5 786

NFHS-2 (1998-99) 38.5 54.0 -2.1 9.0 19.0 21.0 -0.1 13.9 35.3 2.3 -1.3 627

Note: Table is based on children who stayed in the household the night before the interview. Each of the indices is expressed in standard deviation units (SD) from the median of the 2006 WHO International Reference Population. Table is based on children with valid dates of birth (month and year) and valid measurements of both height and weight. Total includes children belonging to other religions and children with missing information on size at birth, mother's education, religion, caste/tribe,and mother's nutritional status, who are not shown separately. BMI = Body mass index (kg/m2)( ) Based on 25-49 unweighted cases. * Not shown; based on fewer than 25 unweighted cases. 1 Includes children who are below -3 standard deviations (SD) from the International Reference Population median. 2 Excludes children whose mothers were not interviewed. 3 First born twins (triplets, etc.) are counted as first births because they do not have a previous birth interval. 4 For women who are not interviewed, information is taken from the Household Questionnaire. Excludes children whose mothers are not listed in the household schedule. 5 Includes children whose mothers are deceased.

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Table 49 Initial breastfeeding

Percentage of children born in the five years preceding the survey who were ever breastfed, and for last-born children born in the five years preceding the survey who were ever breastfed, percentage who started breastfeeding within half an hour, one hour, and one day of birth and percentage who received a prelacteal feed, by background characteristics, Assam, 2005-06

Percentage who started breastfeeding:

Background characteristic

Percentage ever

breastfedNumber of

children

Within half an hour of

birthWithin one

hour of birth1Within one day of birth2

Percentage who received a prelacteal

feed3

Number of last-born ever

breastfedchildren

Residence Urban 97.8 185 46.3 48.1 78.5 30.4 158 Rural 96.2 1,453 49.9 51.3 74.2 33.1 1,085

Sex Male 96.0 813 50.1 51.6 75.7 32.0 624 Female 96.7 825 48.9 50.1 73.8 33.5 618

Mother's education No education 95.1 622 45.4 46.3 70.4 36.2 444 <5 years complete 97.9 287 44.4 46.7 66.7 40.7 210 5-9 years complete 97.1 556 53.4 54.8 78.9 29.9 434 10 or more years complete 96.2 173 56.8 58.3 86.4 20.1 154

Religion Hindu 96.9 953 52.6 53.8 80.3 25.4 760 Muslim 95.2 564 41.5 43.5 60.7 51.8 392 Christian 97.8 111 61.6 61.6 90.6 8.7 82

Caste/tribe Scheduled caste 96.7 215 58.0 59.1 82.2 20.6 167 Scheduled tribe 97.4 185 60.7 60.7 88.9 9.4 140 Other backward class 96.5 270 51.7 51.9 77.6 32.5 219 Other 96.0 858 42.6 44.8 67.7 42.8 632

Assistance at delivery Health personnel4 96.0 508 55.2 56.5 84.4 19.4 419

Dai (TBA) 96.6 418 38.3 40.5 63.1 46.3 320 Other/no one 96.6 713 51.8 52.8 74.1 35.2 503

Place of delivery Health facility 95.1 367 51.7 53.0 84.9 16.9 306 At home 96.8 1,270 48.8 50.2 71.4 37.9 937 Other * 1 nc nc nc nc 0

Wealth index Lowest 94.6 434 44.5 45.1 66.0 41.7 302 Second 97.7 594 48.3 49.8 72.9 34.1 441 Middle 96.2 330 51.6 53.0 77.8 30.8 258 Fourth 94.8 173 54.9 56.6 81.5 26.5 141 Highest 99.5 108 56.5 59.5 91.8 13.5 100

Total 96.4 1,639 49.5 50.9 74.7 32.7 1,243

Note: Table is based on children born in the last five years whether the children are living or dead at the time of interview. Total includes children belonging to other religions and children with missing information on mother's education, religion, and caste/tribe,who are not shown separately. TBA = Traditional birth attendant nc = Not calculated because there are no cases * Percentage not shown; based on fewer than 25 unweighted cases. 1 Includes children who started breastfeeding within half an hour of birth. 2 Includes children who started breastfeeding within one hour of birth. 3 Children given something other than breast milk during the first three days of life. 4 Doctor, nurse, midwife, auxiliary nurse midwife, lady health visitor, or other health personnel.

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80

Table 50 Breastfeeding status by age

Percent distribution of youngest children under three years living with the mother by breastfeeding status and percentage of all children under three yearsusing a bottle with a nipple, according to age in months, Assam, 2005-06

Breastfeeding and consuming:

Age in months Not breast-

feedingExclusivelybreastfed

Plainwateronly

Non-milkliquids/juice

Other milk

Comple-mentary

foods Total

Number of youngest childrenunder

three years

Percentageusing a bottle with a nipple1

Number of children

<2 (0.0) (84.7) (0.0) (0.0) (11.8) (3.5) 100.0 51 (4.5) 53 2-3 1.9 62.1 3.7 1.9 11.1 19.5 100.0 64 3.7 64 4-5 0.0 46.1 11.8 2.0 10.8 29.3 100.0 61 5.9 61 6-8 0.0 11.0 15.3 2.5 11.0 60.1 100.0 70 5.1 70 9-11 0.0 6.8 10.3 0.0 6.8 76.0 100.0 70 1.7 70 12-17 1.9 1.2 3.9 3.1 2.3 87.6 100.0 154 2.7 155 18-23 3.6 0.0 0.0 2.1 0.0 94.3 100.0 116 2.4 124 24-35 28.7 0.0 0.0 0.5 0.2 70.6 100.0 249 2.0 304

<4 1.0 72.0 2.1 1.0 11.4 12.4 100.0 115 4.0 118

<6 0.7 63.1 5.4 1.4 11.2 18.3 100.0 176 4.6 178 6-9 0.0 11.0 15.6 1.9 9.7 61.6 100.0 92 3.9 92

12-23 2.6 0.7 2.2 2.7 1.3 90.5 100.0 270 2.5 279

Note: Breastfeeding status refers to a ‘24-hour’ period (yesterday and last night). Children who are classified as breastfeeding and consuming plain wateronly consumed no liquid or solid supplements. The categories of not breastfeeding, exclusively breastfed, breastfeeding and consuming plain water only, non-milk liquids/juice, other milk, and complementary foods (solids and semi-solids) are hierarchical and mutually exclusive, and their percentages add to 100 percent. Thus any children who get complementary food are classified in that category as long as they are breastfeeding as well. Children who receive breast milk and non-milk liquids and who do not receive complementary foods are classified in the non-milk liquid category even though they may also get plain water. ( ) Based on 25-49 unweighted cases. 1 Based on all children under three years.

Page 90: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

81

Tab

le 5

1 M

edia

n du

ratio

n of

bre

astfe

edin

g an

d in

fant

and

you

ng c

hild

feed

ing

(IYC

F) p

ract

ices

Med

ian

dura

tion

(mon

ths)

of b

reas

tfeed

ing

amon

g la

st-b

orn

child

ren

born

in t

he la

st t

hree

yea

rs a

nd p

erce

ntag

e of

you

nges

t ch

ildre

n ag

e 6-

23 m

onth

s liv

ing

with

the

mot

her

who

are

fed

with

app

ropr

iate

fe

edin

g pr

actic

es b

ased

upo

n nu

mbe

r of f

ood

grou

ps a

nd ti

mes

they

are

fed

durin

g th

e da

y or

nig

ht p

rece

ding

the

surv

ey, b

y br

east

feed

ing

stat

us a

nd b

ackg

roun

d ch

arac

teris

tics,

Ass

am, 2

005-

06

M

edia

n du

ratio

n (m

onth

s) o

f bre

astfe

edin

g am

ong

last

-bor

n ch

ildre

n bo

rn in

the

last

thre

e ye

ars1

Am

ong

brea

stfe

d ch

ildre

n 6-

23 m

onth

s, p

erce

ntag

e fe

d:A

mon

g al

l chi

ldre

n 6-

23 m

onth

s, p

erce

ntag

e fe

d:

Back

grou

nd

char

acte

ristic

Any

brea

st-

feed

ing

Excl

usiv

ebr

east

- fe

edin

g

Pred

om-

inan

tbr

east

- fe

edin

g2N

umbe

r of

child

ren

Thre

e or

m

ore

food

gr

oups

3

Min

imum

num

ber o

f tim

es4

3+ fo

od

grou

ps a

nd

min

imum

nu

mbe

r of

times

N

umbe

r of

child

ren

Brea

st m

ilk,

milk

, or m

ilk

prod

ucts

5

Appr

opria

te

num

ber o

f foo

d gr

oups

6M

inim

umtim

es7

With

3

IYC

F pr

actic

es8

Num

ber o

f ch

ildre

n

Age

in m

onth

s

6-8

na

na

na

na

10

.2

47.5

8.

5

70

100.

0

10.2

47

.5

8.5

70

9-11

na

na

na

na

25

.6

18.8

9.

4

70

100.

0

25.6

18

.8

9.4

70

12-1

7

na

na

na

na

35.8

39

.8

16.2

15

1

99.2

35

.1

39.8

15

.8

154

18-2

3

na

na

na

na

47.0

52

.9

26.2

11

2

96.9

45

.3

51.5

25

.2

116

Sex

Mal

e

36

3.4

4.

9

486

34

.5

43.9

16

.8

209

99

.4

34.1

43

.9

16.6

21

2

Fe

mal

e

28.2

3.

6

4.6

48

3

30.7

38

.2

16.0

19

4

98.2

30

.0

37.5

15

.6

199

Resi

denc

e

U

rban

(3

1.4)

*

* 10

5

44.6

40

.5

17.6

43

10

0.0

43

.4

40.8

17

.1

44

Ru

ral

34.5

3.

7

5.1

86

5

31.2

41

.2

16.3

36

0

98.7

30

.7

40.8

16

.0

366

Mot

her's

edu

catio

n

N

o ed

ucat

ion

36

(3

.5)

5.5

36

1

30.7

42

.4

18.6

13

8

99.1

30

.5

42.1

18

.5

139

<5

year

s co

mpl

ete

*

* *

162

26

.1

44.4

17

.4

69

98.3

25

.6

43.6

17

.1

70

5-

9 ye

ars

com

plet

e

30.0

3.

4

4.7

34

8

35.6

37

.5

13.6

15

7

98.5

34

.6

37.5

13

.2

162

10

or m

ore

year

s co

mpl

ete

*

* *

97

(40.

5)

(43.

7)

(18.

6)

38

(100

.0)

(40.

5)

(43.

7)

(18.

6)

38

Relig

ion

H

indu

32

.5

3.7

4.

5

553

41

.9

38.6

20

.0

236

99

.5

41.3

38

.3

19.7

24

0

M

uslim

32

.9

2.6

4.

4

346

15

.4

42.3

7.

7

131

98

.2

15.2

42

.4

7.6

13

4

C

hrist

ian

*

* *

63

(32.

7)

(56.

3)

(25.

5)

33

(96.

5)

(31.

6)

(54.

4)

(24.

6)

34

C

ontin

ued…

Page 91: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

82

Tab

le 5

1 M

edia

n du

ratio

n of

bre

astfe

edin

g an

d in

fant

and

you

ng c

hild

feed

ing

(IYC

F) p

ract

ices

—C

ontin

ued

M

edia

n du

ratio

n (m

onth

s) o

f bre

astfe

edin

g am

ong

last

-bor

n ch

ildre

n bo

rn in

the

last

thre

e ye

ars1

Am

ong

brea

stfe

d ch

ildre

n 6-

23 m

onth

s, p

erce

ntag

e fe

d:

Am

ong

all c

hild

ren

6-23

mon

ths,

per

cent

age

fed:

Back

grou

nd c

hara

cter

istic

An

y br

east

- fe

edin

g

Excl

usiv

ebr

east

- fe

edin

g

Pred

om-

inan

tbr

east

- fe

edin

g2N

umbe

r of

child

ren

Thre

e or

m

ore

food

gr

oups

3

Min

imum

num

ber o

f tim

es4

3+ fo

od

grou

ps a

nd

min

imum

nu

mbe

r of

times

N

umbe

r of

child

ren

Brea

st m

ilk,

milk

, or m

ilk

prod

ucts

5

Appr

opria

te

num

ber o

f foo

d gr

oups

6M

inim

umtim

es7

With

3

IYC

F pr

actic

es8

Num

ber

of c

hild

ren

Cas

te/tr

ibe

Sc

hedu

led

cast

e

* *

*

128

(3

4.5)

(3

7.9)

(2

1.8)

52

(1

00.0

) (3

4.1)

(3

8.6)

(2

1.6)

52

Sche

dule

d tri

be

* *

*

111

(3

4.5)

(4

0.2)

(1

8.4)

52

(9

7.8)

(3

3.0)

(3

8.4)

(1

7.6)

54

Oth

er b

ackw

ard

clas

s

* *

*

150

47

.8

38.1

18

.6

68

100.

0

47.8

38

.1

18.6

68

Oth

er

32.2

3.

1

4.3

51

6

26.2

42

.9

14.3

20

4

98.3

25

.7

42.6

14

.0

209

Wea

lth in

dex

Lo

wes

t (3

2.9)

(2

.5)

(4.7

) 25

6

23.3

38

.6

13.1

10

5

96.7

22

.5

38.5

12

.6

109

Seco

nd

27.1

5.

5

(6.8

) 35

6

32.5

45

.4

20.5

14

9

99.2

32

.2

44.9

20

.3

151

Mid

dle

(3

3.9)

(3

.2)

(3.5

) 19

8

36.4

35

.6

12.6

85

10

0.0

35

.9

35.1

12

.4

87

Fo

urth

*

*

* 10

0

(33.

8)

(42.

8)

(13.

0)

46

(100

.0)

(33.

8)

(42.

8)

(13.

0)

46

H

ighe

st

* *

*

59

(67.

6)

(42.

1)

(29.

0)

18

(100

.0)

(65.

5)

(43.

9)

(28.

1)

19

Tot

al

32.8

3.

5 4.

8 96

9 32

.7

41.1

16

.4

403

98.8

32

.1

40.8

16

.1

410

Not

e: T

otal

incl

udes

chi

ldre

n be

long

ing

to o

ther

relig

ions

and

chi

ldre

n w

ith m

issin

g in

form

atio

n on

mot

her’s

edu

catio

n, re

ligio

n, a

nd c

aste

/trib

e, w

ho a

re n

ot s

how

n se

para

tely

. na

= N

ot a

pplic

able

( )

Bas

ed o

n 25

-49

unw

eigh

ted

case

s.

* Pe

rcen

tage

not

sho

wn;

bas

ed o

n fe

wer

than

25

unw

eigh

ted

case

s.

1 It i

s as

sum

ed th

at c

hild

ren

not c

urre

ntly

livi

ng w

ith th

e m

othe

r are

not

cur

rent

ly b

reas

tfeed

ing.

2 E

ither

exc

lusiv

ely

brea

stfe

d or

rece

ived

bre

ast m

ilk a

nd p

lain

wat

er a

nd/o

r non

-milk

liqu

ids

only

. 3

Food

gro

ups

are:

a. i

nfan

t for

mul

a, m

ilk o

ther

than

bre

ast m

ilk, c

hees

e or

yog

urt o

r ot

her

milk

pro

duct

s; b

. foo

ds m

ade

from

gra

ins

or r

oots

, inc

ludi

ng p

orrid

ge o

r gr

uel,

forti

fied

baby

food

; c.

vita

min

A-

rich

fruits

and

veg

etab

les;

d. o

ther

frui

ts a

nd v

eget

able

s; e

. egg

s; f.

mea

t, po

ultry

, fish

, she

llfish

, or o

rgan

mea

ts; g

. bea

ns, p

eas,

lent

ils, o

r nut

s; h

. foo

ds m

ade

with

oil,

fat,

ghee

, or b

utte

r. 4 A

t lea

st tw

ice

a da

y fo

r bre

astfe

d in

fant

s 6-

8 m

onth

s an

d at

leas

t thr

ee ti

mes

a d

ay fo

r bre

astfe

d ch

ildre

n 9-

23 m

onth

s.

5 Com

mer

cial

ly p

rodu

ced

infa

nt fo

rmul

a; ti

nned

, pow

dere

d, o

r fre

sh a

nim

al m

ilk; c

hees

e; y

ogur

t; or

oth

er m

ilk p

rodu

cts.

6 T

hree

or m

ore

food

gro

ups

for b

reas

tfed

child

ren

and

four

or m

ore

food

gro

ups

for n

on-b

reas

tfed

child

ren.

7 F

ed s

olid

or s

emi-s

olid

food

at l

east

twic

e a

day

for i

nfan

ts 6

-8 m

onth

s, 3

or m

ore

times

for o

ther

bre

astfe

d ch

ildre

n, a

nd 4

or m

ore

times

for n

on-b

reas

tfed

child

ren.

8

Non

-bre

astfe

d ch

ildre

n ag

e 6-

23 m

onth

s ar

e co

nsid

ered

to b

e fe

d w

ith th

ree

IYC

F pr

actic

es if

they

rec

eive

milk

or

milk

pro

duct

s an

d ar

e fe

d at

leas

t the

min

imum

num

ber

of ti

mes

per

day

with

at l

east

th

e m

inim

um n

umbe

r of f

ood

grou

ps.

Page 92: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

83

Table 52 Prevalence of anaemia in children

Percentage of children age 6-59 months classified as having anaemia, by background characteristics, Assam, 2005-06, and percentage of children age 6-35 months classified as having anaemia, NFHS-3 and NFHS-2

Anaemia status by haemoglobin level

Background characteristic Mild

(10.0-10.9 g/dl)Moderate

(7.0-9.9 g/dl)Severe

(<7.0 g/dl) Any anaemia (<11.0 g/dl)

Number of children

Age in months 6-11 29.7 55.0 2.7 87.4 111 12-23 29.1 49.5 3.1 81.7 257 24-35 33.8 34.6 1.7 70.1 286 36-47 24.8 35.7 2.6 63.0 287 48-59 27.0 29.9 1.3 58.2 288

Sex Male 27.8 41.1 1.5 70.3 617 Female 29.6 36.4 2.9 68.9 612

Birth order1 1 29.1 38.5 1.1 68.7 386 2-3 28.4 38.4 2.1 68.9 493 4-5 25.7 39.4 4.0 69.1 213 6+ 31.5 39.4 3.4 74.3 107

Residence Urban 23.6 35.2 1.7 60.5 136 Rural 29.4 39.2 2.2 70.8 1,093

Mother's education2 No education 27.8 43.6 2.7 74.1 466 <5 years complete 29.5 41.3 1.7 72.5 217 5-9 years complete 29.5 34.1 1.5 65.1 405 10 or more years complete 26.5 31.9 3.5 61.9 123

Religion Hindu 28.6 38.2 2.0 68.7 716 Muslim 31.2 35.0 1.2 67.4 403

Christian 21.5 56.8 7.4 85.8 99

Caste/tribe Scheduled caste 33.5 40.2 3.5 77.2 154 Scheduled tribe 27.0 46.0 4.2 77.2 144 Other backward class 29.5 37.6 1.7 68.8 218 Other 28.2 36.0 1.6 65.9 624

Mother's interview status Interviewed 28.4 38.7 2.2 69.4 1,199 Not interviewed but in household * * * * 12 Not interviewed and not in household3 * * * * 18

Child's living arrangements Living with both parents 28.6 38.5 2.2 69.4 1,087 Living with one or neither parent 29.2 40.3 2.1 71.7 142

Mother's anaemia status Not anaemic 29.4 24.1 1.3 54.8 332 Mildly anaemic 29.6 40.3 2.0 71.8 490 Moderately/severely anaemic 25.5 49.6 3.5 78.5 368

Wealth index Lowest 30.7 43.4 3.2 77.3 338 Second 30.5 38.2 1.8 70.6 428 Middle 27.7 42.1 1.9 71.8 254 Fourth 22.8 35.4 1.9 60.1 130 Highest 23.4 16.5 0.7 40.6 79

Total 28.7 38.7 2.2 69.6 1,229

Children age 6-35 months born to interviewed ever-married women

NFHS-3 (2005-06) 31.2 43.8 2.3 77.3 646 NFHS-2 (1998-99) 31.0 32.2 0.0 63.2 598

Note: Table is based on children who stayed in the household the night before the interview. Prevalence of anaemia, based on haemoglobin levels, is adjusted for altitude using the CDC formula (Centers for Disease Control (CDC). 1998. Recommendations to prevent and control iron deficiency in the United States. Morbidity and Mortality Weekly Report 47 (RR-3): 1-29). Haemoglobin levels shown in grams per decilitre (g/dl). Total includes children belonging to other religions and children with missing information on mother's education, religion, caste/tribe, and mother’s anaemia status, who are not shown separately. * Percentage not shown; based on fewer than 25 unweighted cases. 1 Excludes children whose mothers were not interviewed. 2 For women who are not interviewed, information is taken from the Household Questionnaire. Excludes children whose mothers are not listed in the household schedule. 3 Includes children whose mothers are deceased.

Page 93: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

84

Tab

le 5

3 M

icro

nutri

ent i

ntak

e am

ong

child

ren

Perc

enta

ge o

f you

nges

t chi

ldre

n ag

e 6-

35 m

onth

s liv

ing

with

thei

r m

othe

r w

ho c

onsu

med

vita

min

A-r

ich

and

iron-

rich

food

s in

the

day

or n

ight

pre

cedi

ng th

e su

rvey

, per

cent

age

of c

hild

ren

age

12-3

5 m

onth

s an

d 6-

59 m

onth

s w

ho w

ere

give

n vi

tam

in A

sup

plem

ents

in t

he s

ix m

onth

s pr

eced

ing

the

surv

ey, p

erce

ntag

e of

chi

ldre

n ag

e 6-

59 m

onth

s w

ho w

ere

give

n iro

n su

pple

men

ts in

the

past

sev

en

days

, who

wer

e gi

ven

dew

orm

ing

med

icat

ion

in th

e six

mon

ths

prec

edin

g th

e su

rvey

, and

who

live

in h

ouse

hold

s us

ing

adeq

uate

ly io

dize

d sa

lt, b

y ba

ckgr

ound

cha

ract

erist

ics,

Ass

am, 2

005-

06

Youn

gest

chi

ldre

n ag

e 6-

35 m

onth

s liv

ing

with

thei

r mot

her

Chi

ldre

n ag

e 12

-35

mon

ths

Chi

ldre

n ag

e 6-

59 m

onth

s

Chi

ldre

n ag

e 6-

59 m

onth

s in

hou

seho

lds

with

sal

t te

sted

Bac

kgro

und

char

acte

ristic

Perc

enta

ge

who

co

nsum

ed

food

s ric

h in

vi

tam

in A

in

last

24

hour

s1

Perc

enta

ge

who

co

nsum

ed

food

s ric

h in

iro

n in

last

24

hour

s2N

umbe

r of

child

ren

Perc

enta

ge g

iven

vi

tam

in A

su

pple

men

ts in

last

6

mon

ths

Num

ber o

f ch

ildre

n

Perc

enta

ge g

iven

vi

tam

in A

su

pple

men

ts in

la

st 6

mon

ths

Perc

enta

ge

give

n iro

n su

pple

men

ts

in la

st 7

day

s

Perc

enta

ge

give

nde

wor

min

g m

edic

atio

n in

la

st 6

mon

ths3

Num

ber o

f ch

ildre

n

Perc

enta

ge

livin

g in

ho

useh

olds

us

ing

adeq

uate

ly

iodi

zed

salt4

Num

ber o

f ch

ildre

n

Age

in m

onth

s

6-

8

11.9

0.

0

70

na

na

2.5

0.

0

0.0

70

64

.3

70

9-

11

29.1

8.

6

70

na

na

19.7

0.

0

2.5

70

62

.3

70

12

-17

53

.3

19.3

15

4

30.4

15

5

30.4

1.

5

8.5

15

5

62.6

15

5

18

-23

56

.1

29.8

11

6

15.4

12

4

15.4

0.

9

10.6

12

4

70.9

12

3

24

-35

64

.6

35.4

24

9

14.1

30

4

14.1

1.

0

20.0

30

4

70.6

30

3

36

-47

na

na

na

na

na

9.

8

1.2

16

.6

305

67

.0

302

48-5

9

na

na

na

na

na

4.6

0.

4

19.9

31

1

70.6

30

9

Sex

Mal

e

51.8

25

.2

337

18

.6

299

12

.4

1.2

16

.8

663

66

.0

660

Fem

ale

50

.3

22.9

32

3

18.9

28

4

12.8

0.

5

13.3

67

6

70.2

67

3

Birt

h or

der

1

51.9

25

.3

233

26

.2

198

17

.5

0.7

18

.0

439

74

.8

438

2-3

53

.5

26.4

25

8

16.3

23

0

11.2

1.

5

14.2

55

3

69.9

55

1

4-

5

47.2

19

.6

106

15

.8

102

10

.9

0.0

14

.3

229

59

.8

228

6+

44.7

17

.1

63

(6.8

) 53

4.

0

0.0

9.

1

118

51

.3

117

Brea

stfe

edin

g st

atus

Brea

stfe

edin

g

48.1

22

.7

581

20

.5

448

16

.5

1.1

12

.4

732

68

.0

730

Not

bre

astfe

edin

g

74.6

34

.9

75

12.5

12

9

7.8

0.

5

18.6

59

2

68.6

58

8

Resi

denc

e

U

rban

57

.0

32.8

75

17

.9

68

14.6

3.

4

23.2

15

6

89.7

15

4

Ru

ral

50.3

22

.9

585

18

.8

514

12

.3

0.5

14

.0

1,18

3

65.3

1,

179

C

ontin

ued…

Page 94: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

85

Tab

le 5

3 M

icro

nutri

ent i

ntak

e am

ong

child

ren—

Con

tinue

d

Youn

gest

chi

ldre

n ag

e 6-

35 m

onth

s liv

ing

with

thei

r mot

her

Chi

ldre

n ag

e 12

-35

mon

ths

Chi

ldre

n ag

e 6-

59 m

onth

s

Chi

ldre

n ag

e 6-

59 m

onth

s in

hou

seho

lds

with

sal

t te

sted

Bac

kgro

und

char

acte

ristic

Perc

enta

ge

who

co

nsum

ed

food

s ric

h in

vi

tam

in A

in

last

24

hour

s1

Perc

enta

ge

who

co

nsum

ed

food

s ric

h in

iro

n in

last

24

hou

rs2

Num

ber o

f ch

ildre

n

Perc

enta

ge g

iven

vi

tam

in A

supp

lem

ents

in la

st

6 m

onth

s N

umbe

r of

child

ren

Perc

enta

ge g

iven

vi

tam

in A

su

pple

men

ts in

la

st 6

mon

ths

Perc

enta

ge

give

n iro

n su

pple

men

ts

in la

st 7

day

s

Perc

enta

ge

give

nde

wor

min

g m

edic

atio

n in

la

st 6

mon

ths3

Num

ber o

f ch

ildre

n

Perc

enta

ge

livin

g in

ho

useh

olds

us

ing

adeq

uate

ly

iodi

zed

salt4

Num

ber o

f ch

ildre

n

Mot

her's

edu

catio

n

N

o ed

ucat

ion

51

.7

21.8

24

4

10.5

21

0

8.2

0.

1

10.7

49

6

57.8

49

0

<

5 ye

ars

com

plet

e

46.8

18

.5

103

11

.7

102

8.

4

0.5

13

.2

235

64

.4

235

5-9

year

s co

mpl

ete

49

.5

24.1

24

2

27.4

21

1

18.2

1.

7

17.0

46

4

73.4

46

4

10

or m

ore

year

s co

mpl

ete

61

.4

40.1

69

28

.8

60

16.7

1.

3

26.7

14

2

92.5

14

2

Relig

ion

Hin

du

56.1

27

.3

392

21

.6

348

15

.0

1.0

16

.1

792

73

.3

789

Mus

lim

42.0

20

.3

217

16

.2

196

10

.3

0.8

14

.9

444

61

.7

441

Chr

istia

n

(52.

0)

(13.

0)

46

(6.7

) 36

3.

8

0.0

6.

9

96

56.2

96

Cas

te/tr

ibe

Sche

dule

d ca

ste

54

.7

25.5

82

17

.8

74

13.2

1.

8

10.7

16

7

60.3

16

7

Sc

hedu

led

tribe

61

.0

36.9

84

19

.7

79

15.9

0.

4

14.3

15

8

66.0

15

8

O

ther

bac

kwar

d cl

ass

57

.6

25.0

11

0

23.1

10

3

13.0

0.

0

16.8

23

4

71.9

23

4

O

ther

45

.8

20.3

34

3

18.8

29

4

12.1

1.

1

15.8

69

2

68.9

68

8

Wea

lth in

dex

Low

est

45.2

17

.8

175

6.

3

152

5.

9

0.3

11

.4

355

48

.0

351

Seco

nd

51.0

21

.0

231

18

.6

206

12

.0

0.0

9.

9

469

65

.2

468

Mid

dle

51

.9

30.9

14

3

26.0

13

1

17.4

1.

9

19.9

27

9

78.1

27

8

Fo

urth

49

.6

23.8

67

31

.2

53

18.2

0.

4

21.4

14

4

88.4

14

4

H

ighe

st

73.7

42

.2

45

26.5

40

18

.6

4.4

30

.2

92

98.7

92

Tot

al

51.1

24

.0

660

18.7

58

3 12

.6

0.8

15.0

1,

339

68.1

1,

333

Not

e: In

form

atio

n on

iron

sup

plem

ents

and

dew

orm

ing

med

icat

ion

is ba

sed

on th

e m

othe

r's re

call.

Info

rmat

ion

on v

itam

in A

sup

plem

enta

tion

is ba

sed

on th

e va

ccin

atio

n ca

rd a

nd m

othe

r's re

call.

Tot

al

incl

udes

chi

ldre

n be

long

ing

to o

ther

relig

ions

and

chi

ldre

n w

ith m

issin

g in

form

atio

n on

bre

astfe

edin

g st

atus

, mot

her’s

edu

catio

n, re

ligio

n, a

nd c

aste

/trib

e, w

ho a

re n

ot s

how

n se

para

tely

. na

= N

ot a

pplic

able

( )

Bas

ed o

n 25

-49

unw

eigh

ted

case

s.

1 Inc

lude

s m

eat a

nd o

rgan

mea

ts, f

ish, p

oultr

y, e

ggs,

pum

pkin

, car

rots

, sw

eet p

otat

oes

that

are

yel

low

or o

rang

e in

side,

dar

k gr

een

leaf

y ve

geta

bles

, rip

e m

ango

, pap

aya,

can

talo

upe,

and

jack

fruit.

2 I

nclu

des

mea

t and

org

an m

eats

, fish

, pou

ltry,

or e

ggs.

3 D

ewor

min

g fo

r int

estin

al p

aras

ites.

4 S

alt c

onta

inin

g 15

par

ts p

er m

illio

n or

mor

e of

iodi

ne. E

xclu

des

child

ren

in h

ouse

hold

s in

whi

ch s

alt w

as n

ot te

sted

. Inc

lude

s ch

ildre

n w

hose

mot

hers

wer

e no

t int

ervi

ewed

.

Page 95: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

86

Table 54 Presence of iodized salt in household

Percent distribution of households with salt tested for iodine content, by level of iodine in salt (parts per million), according to background characteristics, Assam, 2005-06, and total for NFHS-2

Iodine content of salt

Background characteristic None

(0 ppm) Inadequate (<15 ppm)

Adequate (15+ ppm) Total

Number of households

Residence Urban 0.4 8.6 91.0 100.0 686 Rural 3.4 29.6 67.0 100.0 2,726

Religion of household head Hindu 2.6 21.9 75.5 100.0 2,395 Muslim 3.0 33.3 63.7 100.0 827 Christian 3.6 36.5 59.9 100.0 169

Caste/tribe of household head Scheduled caste 5.6 31.8 62.5 100.0 454 Scheduled tribe 4.4 25.6 70.0 100.0 331 Other backward class 1.3 21.4 77.3 100.0 733 Other 2.2 25.0 72.8 100.0 1,695

Wealth index Lowest 6.4 45.7 47.9 100.0 690 Second 2.8 32.6 64.5 100.0 1,029 Middle 2.0 21.5 76.5 100.0 735 Fourth 1.2 9.3 89.5 100.0 525 Highest 0.4 1.8 97.8 100.0 433

Total 2.8 25.4 71.8 100.0 3,412

NFHS-2 (1998-99) 1.8 18.3 79.9 100.0 3,111

Note: Less than 1 percent of households did not have any salt in the household. Total includes households in which the household head belongs to other religions and households with missing information on religion and caste/tribe of the household head, which are not shown separately. ppm = parts per million

Page 96: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

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87

Table 55 Women's and men's food consumption

Percent distribution of women and men age 15-49 by frequency of consumption of specific foods, Assam, 2005-06

Frequency of consumption

Type of food Daily Weekly Occasionally Never Missing Total Number of respondents

WOMEN

Milk or curd 14.7 18.6 57.0 9.6 0.0 100.0 3,840 Pulses or beans 43.8 42.7 12.5 0.9 0.0 100.0 3,840 Dark green leafy vegetables 75.2 21.4 3.2 0.1 0.1 100.0 3,840 Fruits 7.7 25.2 64.6 2.3 0.2 100.0 3,840 Eggs 5.3 50.8 36.4 7.4 0.1 100.0 3,840 Fish 13.8 58.7 24.7 2.8 0.0 100.0 3,840 Chicken/meat 2.0 33.0 59.4 5.6 0.1 100.0 3,840 Fish or chicken/meat 13.9 59.6 24.1 2.3 0.0 100.0 3,840

MEN

Milk or curd 18.9 14.6 60.2 6.2 0.1 100.0 1,326 Pulses or beans 21.5 45.1 32.1 1.2 0.2 100.0 1,326 Dark green leafy vegetables 59.5 36.2 3.6 0.6 0.1 100.0 1,326 Fruits 10.1 31.2 58.0 0.6 0.2 100.0 1,326 Eggs 11.1 50.7 33.5 4.6 0.1 100.0 1,326 Fish 26.5 56.6 14.6 2.1 0.1 100.0 1,326 Chicken/meat 2.5 39.8 53.8 3.8 0.1 100.0 1,326 Fish or chicken/meat 27.1 57.7 13.3 1.8 0.1 100.0 1,326

Page 97: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

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88

Table 56 Nutritional status of adults

Percentage of women and men age 15-49 with specific body mass index (BMI) levels, by background characteristics, Assam, 2005-06

Body mass index (BMI) in kg/m2

Women1 Men

Background characteristic <18.5

(total thin)

<17.0(moderately/ severely thin)

25.0(overweightor obese)

30.0(obese)

Number of women

<18.5 (total thin)

<17.0(moderately/ severely thin)

25.0(overweight or obese)

30.0(obese)

Number of men

Age 15-19 41.9 15.4 1.3 0.2 616 49.0 19.3 1.2 0.0 209 20-29 37.4 14.9 5.4 0.4 1,219 39.4 14.1 3.3 0.5 375 30-39 31.8 14.7 11.3 1.2 1,020 26.0 8.4 7.1 0.9 339 40-49 37.3 16.3 13.7 2.2 566 31.6 9.9 7.8 0.0 260

Marital status Never married 36.7 15.6 4.2 0.6 914 38.5 15.1 2.6 0.2 497 Currently married 35.8 15.1 9.4 1.1 2,302 33.4 10.4 6.8 0.5 673

Widowed/divorced/ separated/deserted 44.0 14.3 5.8 0.0 205 * * * * 13

Residence Urban 26.4 11.5 19.6 3.0 641 32.1 12.9 10.9 0.5 252 Rural 38.9 16.0 5.1 0.4 2,780 36.5 12.3 3.4 0.4 931

Education No education 46.5 20.7 2.2 0.1 1,043 41.0 13.8 1.1 0.0 167 <5 years complete 38.8 12.5 4.6 0.4 474 44.9 13.7 1.9 0.5 226 5-9 years complete 34.8 14.3 8.4 0.7 1,230 37.7 12.5 2.7 0.3 455

10 or more years complete 22.6 10.1 17.7 2.9 673 23.7 10.9 12.1 0.7 336

Religion Hindu 33.1 13.0 9.0 1.1 2,409 32.7 11.0 6.1 0.6 845 Muslim 46.0 21.7 5.5 0.4 810 43.1 18.1 2.4 0.0 262 Christian 37.8 14.3 1.4 0.7 176 44.0 9.3 1.9 0.0 65

Caste/tribe Scheduled caste 45.1 17.3 6.3 0.9 461 34.6 14.3 3.9 1.4 175 Scheduled tribe 20.0 5.4 6.9 1.0 356 12.6 5.1 12.6 1.3 96 Other backward class 31.0 13.4 8.4 1.3 748 27.3 7.9 3.5 0.2 299 Other 38.0 16.4 8.8 0.8 1,638 41.9 15.7 5.1 0.1 561

Wealth index Lowest 45.3 17.4 1.0 0.0 524 42.4 14.5 0.7 0.0 180 Second 46.2 19.1 2.2 0.1 975 43.1 14.2 0.0 0.0 342 Middle 37.9 17.1 4.5 0.2 838 34.7 11.3 1.5 0.4 282 Fourth 26.1 11.4 13.2 0.8 611 31.4 14.6 8.4 0.5 227 Highest 17.9 6.0 25.9 5.0 473 18.2 5.3 22.6 1.6 153

Total 36.5 15.2 7.8 0.9 3,421 35.6 12.5 5.0 0.4 1,184

Note: Total includes women and men belonging to other religions and women/men with missing information on education, religion, and caste/tribe, who are not shown separately. * Percentage not shown; based on fewer than 25 unweighted cases. 1 Excludes pregnant women and women with a birth in the preceding 2 months.

Page 98: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

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89

Table 57 Prevalence of anaemia in adults

Percentage of women and men age 15-49 with anaemia, by background characteristics, Assam, 2005-06, and percentage of ever-married women age 15-49 with anaemia, NFHS-3 and NFHS-2

Women Men

Background characteristic Mild (10.0-11.9 g/dl)1

Moderate(7.0-9.9 g/dl)

Severe(<7.0 g/dl)

Any anaemia (<12.0 g/dl)2

Numberof women

Mild (12.0-12.9 g/dl)

Moderate(9.0-11.9 g/dl)

Severe(<9.0 g/dl)

Any anaemia (<13.0 g/dl)

Numberof men

Age 15-19 47.9 16.6 3.3 67.8 656 23.2 14.7 2.1 40.0 208 20-29 43.4 23.0 3.2 69.7 1,361 16.4 13.5 2.0 31.9 374 30-39 44.9 21.8 3.8 70.5 1,045 17.1 18.8 3.2 39.2 338 40-49 44.4 21.0 3.5 69.0 564 21.2 25.6 4.5 51.3 256

Marital status Never married 49.9 15.7 3.3 68.9 903 17.2 12.3 2.6 32.1 494 Currently married 42.6 23.5 3.3 69.3 2,520 20.1 21.8 3.0 44.9 669

Widowed/divorced/ separated/deserted 49.7 18.1 5.6 73.4 201 * * * * 13

Maternity status Pregnant 25.2 40.6 6.8 72.6 185 na na na na na Breastfeeding 43.8 26.0 3.5 73.3 803 na na na na na Neither 46.5 18.4 3.2 68.0 2,637 na na na na na

Residence Urban 43.4 20.0 2.6 65.9 653 17.2 12.7 2.0 31.9 248 Rural 45.1 21.5 3.6 70.2 2,972 19.3 19.3 3.1 41.7 928

Education No education 45.3 25.1 5.8 76.2 1,107 21.0 20.6 2.9 44.6 164 <5 years complete 41.4 23.4 3.3 68.1 517 23.3 18.7 5.7 47.6 224 5-9 years complete 43.6 19.4 2.2 65.2 1,315 19.0 18.5 2.2 39.7 452 10 or more years complete 48.6 16.9 2.1 67.6 685 14.6 15.3 2.0 31.9 335

Religion Hindu 46.0 21.9 3.8 71.6 2,526 17.7 18.4 3.5 39.6 839 Muslim 41.9 15.5 1.8 59.2 881 22.2 12.2 1.4 35.8 260 Christian 43.9 38.9 6.9 89.7 192 20.5 32.7 1.9 55.1 65

Caste/tribe Scheduled caste 45.2 22.2 4.1 71.4 485 22.5 15.0 4.3 41.8 170 Scheduled tribe 43.9 26.5 3.6 74.1 378 14.6 29.7 2.5 46.8 96 Other backward class 47.5 20.2 2.6 70.3 786 16.6 18.2 3.1 37.9 297 Other 43.3 19.1 2.9 65.4 1,739 18.1 15.8 2.5 36.4 559

Wealth index Lowest 42.2 26.9 4.9 74.0 577 18.1 19.5 2.7 40.3 177 Second 44.1 22.1 3.7 69.9 1,061 22.0 20.0 5.4 47.3 340 Middle 45.1 20.2 3.7 69.0 874 21.0 20.9 1.9 43.9 281 Fourth 46.6 18.3 2.3 67.3 635 14.6 14.5 1.4 30.4 228 Highest 46.5 18.0 2.2 66.8 478 15.3 10.7 1.6 27.6 150

Total 44.8 21.2 3.4 69.5 3,625 18.9 17.9 2.9 39.6 1,176

Total for ever-married women NFHS-3 (2005-06) 43.1 23.1 3.5 69.6 2,722 na na na na na NFHS-2 (1998-99) 43.2 25.6 0.9 69.7 2,896 na na na na na

Note: Prevalence of anaemia, based on haemoglobin levels is adjusted for altitude and for smoking status, if known, using the CDC formula (Centers for Disease Control (CDC). 1998. Recommendations to prevent and control iron deficiency in the United States. Morbidity and Mortality Weekly Report 47 (RR-3): 1-29). Haemoglobin levels shown in grams per deciliter (g/dl). Total includes women and men belonging to other religions and women/men with missing information on education, religion, and caste/tribe, who are not shown separately. na = Not applicable * Percentage not shown; based on fewer than 25 unweighted cases. 1 For pregnant women the value is 10.0-10.9 g/dl.2 For pregnant women the value is <11.0 g/dl.

Page 99: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

�0

90

Tab

le 5

8 K

now

ledg

e of

HIV

/AID

S an

d its

pre

vent

ion

Perc

enta

ge o

f wom

en a

nd m

en a

ge 1

5-49

who

hav

e he

ard

of A

IDS

and

who

, in

resp

onse

to p

rom

pted

que

stio

ns, s

ay th

at p

eopl

e ca

n re

duce

the

risk

of g

ettin

g H

IV/A

IDS

by u

sing

cond

oms

ever

y tim

e th

ey h

ave

sexu

al in

terc

ours

e, w

ho k

now

that

the

risk

of H

IV/A

IDS

can

be r

educ

ed b

y lim

iting

sex

to o

ne u

ninf

ecte

d pa

rtner

, who

hav

e a

com

preh

ensiv

e kn

owle

dge

abou

t HIV

/AID

S, a

nd w

ho k

now

that

HIV

/AID

S ca

n be

tra

nsm

itted

from

a m

othe

r to

her b

aby,

by

back

grou

nd c

hara

cter

istic

s, A

ssam

, 200

5-06

Perc

enta

ge w

ho h

ave

hear

d of

AID

S

Perc

enta

ge w

ho s

ay th

at

the

risk

of H

IV/A

IDS

can

be re

duce

d by

usin

g co

ndom

s

Perc

enta

ge w

ho k

now

that

th

e ris

k of

HIV

/AID

S ca

n be

redu

ced

by li

miti

ng s

ex

to o

ne u

ninf

ecte

d pa

rtner

Perc

enta

ge w

ho h

ave

a co

mpr

ehen

sive

know

ledg

e ab

out H

IV/A

IDS1

Perc

enta

ge w

ho k

now

that

H

IV/A

IDS

can

be tr

ansm

itted

fro

m a

mot

her t

o he

r bab

y N

umbe

r B

ackg

roun

d ch

arac

teris

tic

Wom

en

Men

W

omen

M

en

Wom

en

Men

W

omen

M

en

Wom

en

Men

W

omen

M

en

Age

15-

24

63.7

81

.3

26.7

55

.6

31.3

49

.4

8.7

14

.4

46.4

61

.1

1,45

7

444

1

5-19

59

.5

77.4

23

.1

55.0

29

.3

44.1

8.

6

13.5

43

.8

59.4

69

9

231

2

0-24

67

.5

85.5

30

.1

56.3

33

.2

55.1

8.

8

15.3

48

.8

62.8

75

8

213

25-

29

60.0

86

.9

28.3

59

.8

33.7

61

.4

9.3

15

.6

46.1

63

.4

682

21

3

3

0-39

52

.9

79.1

24

.4

51.3

28

.1

47.1

7.

4

11.8

39

.9

63.4

1,

106

38

0

4

0-49

55

.0

70.7

24

.1

48.8

28

.3

46.2

7.

1

13.0

40

.6

56.8

59

5

289

Resi

denc

e

Urb

an

84.4

93

.3

48.4

74

.5

48.5

66

.4

17.9

25

.5

64.7

75

.6

721

30

1

Ru

ral

52.6

75

.1

20.7

47

.4

26.2

45

.2

5.9

10

.0

38.7

57

.0

3,11

9

1,02

6

Educ

atio

n

No

educ

atio

n

21.0

48

.7

4.0

21

.3

4.8

17

.2

0.2

0.

3

12.8

29

.0

1,16

1

191

<5

year

s co

mpl

ete

42.5

55

.1

11.4

30

.2

13.6

26

.1

0.6

4.

1

26.9

36

.9

548

25

4

5-

9 ye

ars

com

plet

e

75.2

88

.2

29.6

56

.5

36.5

55

.1

7.6

12

.6

55.2

65

.4

1,38

7

495

10 o

r mor

e ye

ars

com

plet

e 98

.1

98.7

63

.9

81.1

71

.1

75.4

27

.5

27.5

82

.2

87.6

74

3

386

Regu

lar

med

ia e

xpos

ure2

Ye

s

76.0

85

.9

38.2

61

.4

43.7

56

.2

13.0

16

.4

58.6

69

.2

2,34

2

1,01

9

N

o

31.3

57

.2

6.7

27

.6

9.6

29

.4

0.8

4.

0

20.0

34

.5

1,49

8

307

Mar

ital s

tatu

s

Nev

er m

arrie

d

74.4

84

.3

34.1

60

.1

40.5

54

.2

13.0

17

.0

57.3

64

.6

972

56

9

C

urre

ntly

mar

ried

54

.3

75.9

23

.7

49.3

27

.7

47.4

6.

8

11.2

39

.6

59.2

2,

656

74

3

Wid

owed

/div

orce

d/

sepa

rate

d/de

serte

d

40.1

*

16

.0

*

16.8

*

3.

6

*

30.2

*

21

2

15

Tim

es s

lept

aw

ay fr

om h

ome

in

the

past

12

mon

ths

N

one

na

73.8

na

49

.1

na

45.3

na

11

.1

na

55.4

na

78

1

1-

2

na

86.6

na

57

.5

na

56.5

na

15

.4

na

66.4

na

25

9

3-

4

na

84.6

na

51

.0

na

49.5

na

12

.1

na

65.9

na

11

8

5+

na

89.5

na69

.5na

61.8

na22

.3na

76.3

na16

8

C

ontin

ued…

Page 100: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

91

Tab

le 5

8 K

now

ledg

e an

d pr

even

tion

of H

IV/A

IDS—

Con

tinue

d

Perc

enta

ge w

ho h

ave

he

ard

of A

IDS

Perc

enta

ge w

ho s

ay th

at

the

risk

of H

IV/A

IDS

can

be re

duce

d by

usin

g co

ndom

s

Perc

enta

ge w

ho k

now

that

th

e ris

k of

HIV

/AID

S ca

n be

redu

ced

by li

miti

ng s

ex

to o

ne u

ninf

ecte

d pa

rtner

Perc

enta

ge w

ho h

ave

a co

mpr

ehen

sive

know

ledg

e ab

out H

IV/A

IDS1

Perc

enta

ge w

ho k

now

that

H

IV/A

IDS

can

be tr

ansm

itted

fro

m a

mot

her t

o he

r bab

y N

umbe

r B

ackg

roun

d ch

arac

teris

tic

Wom

en

Men

W

omen

M

en

Wom

en

Men

W

omen

M

en

Wom

en

Men

W

omen

M

en

Relig

ion

H

indu

68

.4

85.6

31

.5

59.5

37

.7

56.8

10

.3

15.3

51

.8

67.2

2,

684

95

2

M

uslim

33

.7

65.4

12

.9

41.6

13

.5

34.6

3.

3

10.3

23

.8

49.0

92

7

294

Chr

istia

n

41.0

51

.4

11.3

21

.7

10.1

21

.7

1.8

2.

7

25.4

30

.7

200

67

Cas

te/tr

ibe

Sc

hedu

led

cast

e

57.0

74

.2

24.0

53

.3

28.9

51

.6

6.4

10

.8

41.1

61

.3

512

19

5

Sc

hedu

led

tribe

59

.4

81.8

22

.9

44.7

26

.6

44.7

5.

3

7.6

42

.7

62.4

40

4

113

Oth

er b

ackw

ard

clas

s

74.3

90

.1

32.0

61

.7

42.2

61

.3

11.4

15

.3

59.2

72

.6

838

32

4

O

ther

54

.3

76.9

26

.4

52.3

28

.7

46.6

8.

5

15.4

40

.6

56.8

1,

847

63

7

Wea

lth in

dex

Lo

wes

t

16.8

44

.8

2.7

20

.9

3.7

21

.2

0.0

1.

8

9.4

31

.6

615

19

8

Se

cond

41

.0

72.5

10

.0

36.5

14

.1

36.5

1.

6

5.3

28

.2

49.2

1,

116

38

8

M

iddl

e

64.5

85

.7

24.7

61

.7

29.7

57

.2

5.5

11

.8

48.1

64

.0

908

31

4

Fo

urth

88

.9

95.4

47

.2

76.4

54

.3

67.1

16

.9

24.0

65

.2

81.7

67

3

251

Hig

hest

95

.6

98.2

61

.8

80.7

66

.6

74.7

25

.3

32.7

80

.5

86.5

52

7

176

Tot

al

58.6

79

.2

25.9

53

.6

30.4

50

.0

8.2

13.5

43

.6

61.2

3,

840

1,32

6

Not

e: T

otal

incl

udes

wom

en a

nd m

en b

elon

ging

to o

ther

relig

ions

and

wom

en/m

en w

ith m

issin

g in

form

atio

n on

edu

catio

n, re

ligio

n, a

nd c

aste

/trib

e, w

ho a

re n

ot s

how

n se

para

tely

. na

= N

ot a

pplic

able

*

Perc

enta

ge n

ot s

how

n; b

ased

on

few

er th

an 2

5 un

wei

ghte

d ca

ses.

1 R

espo

nden

ts w

ith c

ompr

ehen

sive

know

ledg

e sa

y th

at th

e us

e of

a c

ondo

m fo

r eve

ry a

ct o

f sex

ual i

nter

cour

se a

nd h

avin

gju

st o

ne u

ninf

ecte

d fa

ithfu

l par

tner

can

redu

ce th

e ch

ance

of g

ettin

g H

IV/A

IDS,

say

that

a

heal

thy-

look

ing

pers

on c

an h

ave

HIV

/AID

S, a

nd re

ject

the

two

mos

t com

mon

misc

once

ptio

ns in

NFH

S-3,

nam

ely

that

HIV

/AID

S ca

n be

tran

smitt

ed b

y m

osqu

ito b

ites

and

by s

harin

g fo

od.

2 Exp

osur

e to

radi

o, te

levi

sion,

or n

ewsp

aper

s/m

agaz

ines

at l

east

onc

e a

wee

k.

Page 101: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

92

Tab

le 5

9 A

ccep

ting

attit

udes

tow

ard

thos

e liv

ing

with

HIV

/AID

S

Am

ong

wom

en a

nd m

en a

ge 1

5-49

who

hav

e he

ard

of A

IDS,

per

cent

age

expr

essin

g sp

ecifi

c ac

cept

ing

attit

udes

tow

ard

peop

le w

ith H

IV/A

IDS,

by

back

grou

nd c

hara

cter

istic

s, A

ssam

, 200

5-06

Perc

enta

ge o

f wom

en w

ho:

Pe

rcen

tage

of m

en w

ho:

Bac

kgro

und

char

acte

ristic

Are

will

ing

to

care

for a

re

lativ

e w

ith

HIV

/AID

S in

ow

n ho

me

Wou

ld b

uy

fresh

ve

geta

bles

from

a

shop

keep

er

who

has

H

IV/A

IDS

Say

that

a

fem

ale

teac

her w

ho

has

HIV

/AID

S bu

t is

not s

ick

shou

ld b

e al

low

ed to

co

ntin

uete

achi

ng

Wou

ld n

ot

wan

t to

keep

se

cret

that

a

fam

ily m

embe

r go

t inf

ecte

d w

ith H

IV/A

IDS

Perc

enta

geof

wom

en

expr

essin

gac

cept

ing

attit

udes

on

all f

our

indi

cato

rs

Num

ber o

f w

omen

who

ha

ve h

eard

of

AID

S

Are

will

ing

to

care

for a

re

lativ

e w

ith

HIV

/AID

S in

ow

n ho

me

Wou

ld b

uy

fresh

ve

geta

bles

from

a

shop

keep

er

who

has

H

IV/A

IDS

Say

that

a

fem

ale

teac

her w

ho

has

HIV

/AID

S bu

t is

not s

ick

shou

ld b

e al

low

ed to

co

ntin

uete

achi

ng

Wou

ld n

ot

wan

t to

keep

se

cret

that

a

fam

ily

mem

ber g

ot

infe

cted

with

H

IV/A

IDS

Perc

enta

geof

men

ex

pres

sing

acce

ptin

gat

titud

es o

n al

l fou

r in

dica

tors

Num

ber o

f m

en w

ho h

ave

hear

d of

AID

S

Age

15-2

4

64.3

57

.2

73.0

87

.7

31.9

92

8

70.4

50

.2

63.3

85

.2

29.9

36

1

1

5-19

60

.7

57.2

72

.9

90.5

32

.0

416

70

.7

48.6

60

.9

85.9

27

.0

179

20-

24

67.3

57

.1

73.1

85

.4

31.8

51

1

70.1

51

.8

65.5

84

.6

32.7

18

2

25

-29

67

.6

53.3

64

.3

87.8

29

.5

409

61

.5

48.6

64

.8

87.7

26

.2

185

30-3

9

65.3

52

.2

63.6

88

.2

28.5

58

5

62.1

38

.5

54.7

91

.9

22.4

30

1

40

-49

66

.6

47.1

66

.6

88.4

24

.7

327

67

.2

42.4

56

.4

89.8

24

.7

204

Resi

denc

e

Urb

an

67.6

64

.1

76.8

80

.8

34.4

60

8

72.9

61

.1

72.0

83

.9

36.0

28

1

Ru

ral

64.7

49

.9

64.8

90

.6

27.7

1,

641

63

.3

39.2

55

.3

90.1

22

.4

770

Educ

atio

n

No

educ

atio

n

62.4

37

.4

51.8

85

.4

17.9

24

4

62.2

15

.8

36.6

88

.2

8.5

93

<5

year

s co

mpl

ete

60.4

38

.3

49.3

88

.0

16.6

23

3

58.8

28

.3

41.3

90

.9

11.8

14

0

5-

9 ye

ars

com

plet

e

64.6

49

.9

67.1

91

.3

28.4

1,

043

66

.9

38.3

55

.2

88.2

21

.8

437

10 o

r mor

e ye

ars

com

plet

e 69

.5

69.6

80

.8

83.9

39

.1

729

68

.1

66.1

77

.3

87.9

40

.5

381

Regu

lar

med

ia e

xpos

ure1

Ye

s

66.7

57

.9

71.9

87

.8

32.2

1,

781

67

.5

49.6

63

.2

88.8

29

.3

875

No

60

.9

37.9

53

.4

88.6

19

.3

469

57

.9

22.6

42

.3

86.9

9.

8

176

Mar

ital s

tatu

s

N

ever

mar

ried

65

.4

60.4

72

.5

86.4

33

.3

723

66

.9

53.7

67

.3

85.0

30

.6

480

Cur

rent

ly m

arrie

d

65.3

50

.5

65.9

88

.5

27.7

1,

441

65

.0

38.0

53

.4

91.3

22

.6

564

W

idow

ed/d

ivor

ced/

se

para

ted/

dese

rted

69

.2

51.0

67

.1

91.0

27

.9

85

* *

*

* *

7

Relig

ion

H

indu

67

.3

54.1

69

.6

88.8

31

.0

1,83

5

67.8

48

.6

62.6

90

.0

29.2

81

5

M

uslim

59

.3

52.4

62

.3

82.4

23

.6

312

60

.5

34.8

53

.8

82.6

15

.7

192

Chr

istia

n

47.4

48

.9

59.8

89

.8

21.9

82

(4

9.2)

(2

2.8)

(3

5.1)

(8

4.2)

(1

2.3)

35

Cas

te/tr

ibe

Sc

hedu

led

cast

e

68.9

47

.3

67.0

85

.8

28.2

29

2

62.4

51

.9

67.6

85

.6

27.3

14

5

Sc

hedu

led

tribe

65

.2

48.2

68

.4

90.1

26

.4

240

63

.8

31.0

52

.0

86.1

18

.4

92

O

ther

bac

kwar

d cl

ass

66

.8

52.7

68

.3

91.0

31

.1

622

73

.9

49.9

62

.7

92.6

32

.6

292

Oth

er

63.3

57

.3

68.9

86

.2

29.9

1,

002

61

.2

43.5

57

.4

86.8

23

.1

490

Wea

lth in

dex

Lo

wes

t 49

.7

34.1

48

.6

83.2

15

.6

103

64

.4

23.3

32

.9

85.6

7.

5

89

Se

cond

61

.6

36.4

51

.8

89.2

17

.1

458

59

.7

27.7

45

.1

89.8

13

.4

281

Mid

dle

63

.8

46.1

67

.1

91.8

25

.7

586

63

.7

42.7

60

.3

91.6

24

.8

269

Four

th

67.9

62

.7

72.1

88

.0

36.7

59

8

66.4

57

.1

70.1

87

.6

33.1

24

0

Hig

hest

71

.4

71.7

83

.1

83.2

39

.6

504

79

.2

71.7

82

.2

83.8

48

.4

173

Tot

al

65.5

53

.7

68.1

87

.9

29.5

2,

249

65.8

45

.1

59.7

88

.4

26.1

1,

051

Not

e: T

otal

incl

udes

wom

en a

nd m

en b

elon

ging

to o

ther

relig

ions

and

wom

en/m

en w

ith m

issin

g in

form

atio

n on

edu

catio

n, re

ligio

n, a

nd c

aste

/trib

e, w

ho a

re n

ot s

how

n se

para

tely

. ( )

Bas

ed o

n 25

-49

unw

eigh

ted

case

s.

* Pe

rcen

tage

not

sho

wn;

bas

ed o

n fe

wer

than

25

unw

eigh

ted

case

s.

1 Exp

osur

e to

radi

o, te

levi

sion,

or n

ewsp

aper

s/m

agaz

ines

at l

east

onc

e a

wee

k.

Page 102: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

��

93

Table 60 Sexual behaviour, blood transfusion, and injections

Indicators of higher-risk sexual behaviour, use of blood transfusion, prior HIV testing, and medical injections for women and men age 15-49, by residence, Assam, 2005-06

Urban Rural Total Behaviour/blood transfusion/injections Women Men Women Men Women Men

Among those who had sexual intercourse in the past 12 months: Percentage who had two or more partners in the past 12 months 0.0 2.5 0.0 1.0 0.0 1.3 Percentage who had higher-risk intercourse in the past 12 months1 0.0 6.3 0.0 3.1 0.0 3.8

Percentage who had two or more partners and higher-risk intercourse in the past 12 months1 0.0 2.5 0.0 0.6 0.0 1.0

Number who had sexual intercourse in the past 12 months 441 151 2,057 583 2,498 734

Among those who had higher-risk intercourse in the past 12 months, percentage who reported using a condom at last higher-risk intercourse1 nc * nc * nc (46.8)

Number who had higher-risk intercourse in the past 12 months 0 9 0 18 0 28

Among those who ever had sexual intercourse, mean number of sexual partners in lifetime 1.0 1.2 1.0 1.2 1.0 1.2

Number who ever had sexual intercourse 505 163 2,359 657 2,864 819

Percentage who paid for sexual intercourse in the past 12 months na 0.8 na 0.4 na 0.5 Number of men na 301 na 1,026 na 1,326

Percentage ever tested for HIV prior to NFHS-3 0.6 2.5 0.3 0.9 0.4 1.3 Percentage who have ever had a blood transfusion 7.6 3.5 3.5 2.5 4.3 2.7 Percentage who received an injection from a health worker in the past 12 months2 21.2 25.3 24.8 27.7 24.1 27.2

Mean number of medical injections in the past 12 months2 1.0 1.0 0.9 1.5 0.9 1.3 Number of respondents 721 301 3,119 1,026 3,840 1,326

Among those who received an injection from a health worker in the past 12 months, percentage for whom for the last injection, the syringe and needle were taken from a newly opened package or the needle was sterilized2 95.0 97.5 92.4 96.6 92.9 96.8 Number of respondents who received an injection from a health worker in the past 12 months2 153 76 774 284 927 360

na = Not applicable nc = Not calculated because there are no cases ( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases. 1 Sexual intercourse with a partner who was neither a spouse nor who lived with the respondent. 2 Injections given by a doctor, nurse, pharmacist, dentist, or other health worker.

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94

Table 61 Knowledge of AIDS and sexual behaviour: Youth

Indicators of HIV/AIDS knowledge and sexual behaviour for women and men age 15-24, by residence, Assam, 2005-06

Urban Rural Total

Knowledge and behaviour Women Men Women Men Women Men

Knowledge Percentage with comprehensive knowledge of AIDS1 19.9 25.3 6.3 10.8 8.7 14.4 Percentage who know a condom source 63.8 80.5 37.8 70.0 42.4 72.6

Sexual behaviour Percentage who have ever had sexual intercourse 35.3 13.2 48.6 21.3 46.2 19.3 Percentage who had sexual intercourse before age 15 5.0 0.0 10.3 1.8 9.3 1.4

HIV testing, injections, and blood transfusion Percentage who have ever had a blood transfusion 3.6 2.3 1.2 2.9 1.6 2.7 Percentage who received an injection from a health worker in the past 12 months2 22.4 28.2 25.1 27.4 24.7 27.6 Mean number of medical injections in the past 12 months2 0.7 0.8 0.8 1.1 0.8 1.0 Number of respondents age 15-24 259 109 1,198 335 1,457 444

Among those who received an injection from a health worker in the past 12 months, percentage for whom for the last injection, the syringe and needle were taken from a newly opened package or the needle was sterilized2 94.9 (98.0) 91.3 97.4 91.9 97.5 Number of respondents who received an injection from a health worker in the past 12 months2 58 31 301 92 359 123

Percentage who used a condom at first sexual intercourse 4.5 * 1.8 8.5 2.2 12.2 Number who ever had sexual intercourse 91 14 582 71 674 86

Percentage tested for HIV and received results in the past 12 months 0.0 * 0.0 (0.0) 0.0 1.8 Percentage who had higher-risk intercourse3 in the past 12 months 0.0 * 0.0 (21.3) 0.0 25.6 Number who had sexual intercourse in the past 12 months 88 13 556 57 644 69

Percentage who reported using a condom at last higher-risk intercourse3 nc * nc * nc * Number who had higher-risk sexual intercourse3 in the past 12 months 0 6 0 12 0 18

Among those never married Percentage who have never had sexual intercourse 100.0 92.6 99.8 90.5 99.8 91.0 Percentage who had sexual intercourse in the past 12 months 0.0 5.5 0.0 4.6 0.0 4.8 Number of never married respondents age 15-24 167 102 616 291 783 394

nc = Not calculated because there are no cases. ( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases. 1 Respondents with comprehensive knowledge say that use of a condom for every act of sexual intercourse and having just one uninfected faithful partner can reduce the chance of getting HIV/AIDS, say that a healthy-looking person can have HIV/AIDS, and reject the two most common misconceptions inNFHS-3, namely that HIV/AIDS can be transmitted by mosquito bites and by sharing food. 2 Injection given by a doctor, nurse, pharmacist, dentist, or other health worker. 3 Sexual intercourse with a partner who was neither a spouse nor lived with the respondent.

Page 104: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

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95

Tab

le 6

2 A

ttitu

des

tow

ard

fam

ily li

fe e

duca

tion

in s

choo

l

Perc

enta

ge o

f wom

en a

nd m

en a

ge 1

5-49

who

agr

ee t

hat s

peci

fic to

pics

on

fam

ily li

fe e

duca

tion

shou

ld b

e ta

ught

in s

choo

l to

girls

and

to b

oys,

and

per

cent

dist

ribut

ion

of th

ose

who

agr

ee th

at a

spe

cific

topi

c sh

ould

be

taug

ht in

sch

ool b

y th

e ag

e at

whi

ch th

ey b

elie

ve th

at th

e to

pic

shou

ld fi

rst b

e ta

ught

in s

choo

l, As

sam

, 200

5-06

Ag

e to

pic

shou

ld b

e fir

st ta

ught

in s

choo

l to

girls

Age

topi

c sh

ould

be

first

taug

ht in

sch

ool t

o bo

ys

Top

ics

Perc

enta

gew

ho s

ay

that

the

topi

csh

ould

be

taug

ht in

sc

hool

to

girl

s

Num

ber

of

resp

on-

dent

s<

10ye

ars

10-1

2 ye

ars

13-1

5 ye

ars

16ye

ars

or

olde

r

Don

'tkn

ow/

miss

ing

Tota

l

Num

ber

who

say

th

at to

pic

shou

ld b

e ta

ught

in

scho

ol to

g

irls

Perc

enta

gew

ho s

ay th

at

the

topi

c sh

ould

be

taug

ht in

sc

hool

to

boy

s

Num

ber

of

resp

on-

dent

s<

10ye

ars

10-1

2 ye

ars

13-1

5 ye

ars

16ye

ars

or

olde

r

Don

'tkn

ow/

miss

ing

Tota

l

Num

ber

who

say

th

at to

pic

shou

ld b

e ta

ught

in

scho

ol to

bo

ys

WO

MEN

Mor

al v

alue

s 98

.2

3,84

0

87.7

7.

2

1.5

0.

4

3.2

10

0.0

3,

770

98

.2

3,84

0

87.5

7.

0

1.6

0.

4

3.6

10

0.0

3,

771

C

hang

es in

boy

s’ b

odie

s at

p

uber

ty

32.9

3,

840

9.

9

37.7

31

.4

15.8

5.

1

100.

0

1,26

4

39.9

3,

840

10

.5

40.2

32

.4

11.4

5.

4

100.

0

1,53

4

Cha

nges

in g

irls’

bod

ies

at

pub

erty

incl

udin

g m

enst

ruat

ion

41.7

3,

840

6.

1

61.1

25

.6

4.0

3.

1

100.

0

1,60

0

23.0

3,

840

4.

3

36.6

35

.0

18.3

5.

9

100.

0

882

S

ex a

nd s

exua

l beh

avio

ur

21.0

3,

840

2.

1

16.0

37

.9

38.7

5.

3

100.

0

807

18

.4

3,84

0

2.4

13

.7

35.0

42

.6

6.3

10

0.0

70

7 C

ontra

cept

ion

18.7

3,

840

1.

7

7.0

32

.6

53.2

5.

5

100.

0

717

15

.0

3,84

0

1.2

6.

4

29.0

55

.7

7.7

10

0.0

57

8

HIV

/AID

S 46

.9

3,84

0

16.2

22

.9

32.2

18

.8

9.8

10

0.0

1,

802

46

.3

3,84

0

16.6

22

.4

31.6

19

.6

9.8

10

0.0

1,

777

C

ondo

m u

se to

avo

id

sex

ually

tran

smitt

ed

dise

ases

15

.5

3,84

0

2.0

8.

0

33.9

48

.8

7.3

10

0.0

59

5

14.2

3,

840

1.

9

7.6

30

.5

52.2

7.

8

100.

0

547

MEN

Mor

al v

alue

s 99

.4

1,32

6

77.0

16

.4

4.2

0.

8

1.6

10

0.0

1,

318

99

.6

1,32

6

77.6

15

.0

4.6

0.

8

2.0

10

0.0

1,

321

C

hang

es in

boy

s’ b

odie

s at

p

uber

ty

48.8

1,

326

14

.2

42.5

32

.3

8.9

2.

1

100.

0

647

61

.2

1,32

6

15.8

37

.1

34.5

9.

8

2.8

10

0.0

81

2

Cha

nges

in g

irls’

bod

ies

at

pub

erty

incl

udin

g m

enst

ruat

ion

54.0

1,

326

11

.3

43.5

35

.4

7.7

2.

2

100.

0

716

46

.8

1,32

6

13.9

36

.6

37.7

8.

5

3.4

10

0.0

62

1

Sex

and

sex

ual b

ehav

iour

31

.9

1,32

6

0.9

16

.6

42.0

37

.2

3.3

10

0.0

42

3

32.3

1,

326

1.

4

12.6

40

.7

41.0

4.

3

100.

0

428

Con

trace

ptio

n 30

.5

1,32

6

0.9

13

.3

37.6

46

.1

2.1

10

0.0

40

4

28.5

1,

326

0.

2

10.5

34

.6

52.0

2.

7

100.

0

379

H

IV/A

IDS

62.7

1,

326

6.

9

21.6

42

.2

26.4

2.

9

100.

0

832

63

.5

1,32

6

6.9

20

.7

40.2

28

.3

3.8

10

0.0

84

2

Con

dom

use

to a

void

s

exua

lly tr

ansm

itted

d

iseas

es

29.5

1,

326

0.3

11.9

34

.6

49.6

3.

6 10

0.0

391

30.3

1,

326

0.6

9.6

33.7

52

.9

3.2

100.

0 40

2

Page 105: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

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96

Table 63 Prevalence of tuberculosis

Number of persons per 100,000 usual household residents suffering from any tuberculosis and medically treated tuberculosis, by age, sex, and main type of cooking fuel, according to residence, Assam, 2005-06

Number of persons per 100,000 suffering from:

Characteristic Tuberculosis1Medically treated

tuberculosis Number of

usual residents

URBAN

Age <15 0 0 697

15-59 376 345 1,864 60+ 860 860 204

Sex Women 222 222 1,318 Men 403 363 1,449

Cooking fuel Solid fuel2 754 686 852 Other fuel 122 122 1,912

Total 317 296 2,767

RURAL

Age <15 125 100 4,896 15-59 849 784 7,467 60+ 2,876 2,745 933

Sex Women 510 455 6,696 Men 942 886 6,605

Cooking fuel Solid fuel2 791 729 11,874 Other fuel 172 172 1,419

Total 724 669 13,301

TOTAL

Age <15 109 87 5,593 15-59 755 696 9,331 60+ 2,514 2,407 1,137

Sex Women 463 417 8,014 Men 845 792 8,054

Cooking fuel Solid fuel2 789 726 12,726 Other fuel 143 143 3,331

Total 654 605 16,068

Note: Total includes usual residents with missing information on age and cooking fuel, who are not shown separately. 1 Includes medically treated tuberculosis. 2 Includes coal, lignite, charcoal, wood, straw/shrubs/grass, agricultural crop waste, and dung cakes.

Page 106: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

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97

Tab

le 6

4 K

now

ledg

e an

d at

titud

e to

war

d tu

berc

ulos

is

Perc

enta

ge o

f w

omen

and

men

age

15-

49 w

ho h

ave

hear

d of

tub

ercu

losis

(TB

), an

d am

ong

thos

e w

ho h

ave

hear

d of

TB,

per

cent

age

with

spe

cific

kno

wle

dge

and

belie

fs,

acco

rdin

g to

bac

kgro

und

char

acte

ristic

s, A

ssam

, 200

5-06

Am

ong

wom

en w

ho h

ave

hear

d of

TB,

per

cent

age

who

:

Am

ong

men

who

hav

e he

ard

of T

B, p

erce

ntag

e w

ho:

Back

grou

nd

char

acte

ristic

Perc

enta

ge

of w

omen

w

ho h

ave

hear

d of

TB

Num

ber

of

wom

en

Repo

rt

that

TB

is sp

read

th

roug

h th

e ai

r by

coug

hing

orsn

eezi

ng

Hav

em

iscon

cept

ions

ab

out

trans

miss

ion

of

TB

Belie

ve

that

TB

can

be

cure

d

Wou

ld w

ant

a fa

mily

m

embe

r's T

B ke

pt s

ecre

t fro

m th

e ne

ighb

ours

Num

ber

ofw

omen

w

ho

have

he

ard

of

TB

Perc

enta

ge

of m

en

who

hav

e he

ard

of T

B

Num

ber

of m

en

Repo

rt

that

TB

is sp

read

th

roug

h th

e ai

r by

coug

hing

orsn

eezi

ng

Hav

em

iscon

cept

ions

ab

out

trans

miss

ion

of

TB

Belie

ve

that

TB

can

be

cure

d

Wou

ld w

ant

a fa

mily

m

embe

r's

TB k

ept

secr

et fr

om

the

neig

hbou

rs

Num

ber

of m

en

who

ha

ve

hear

d of

TB

Age

15

-19

90

.9

699

29

.2

34.4

72

.6

2.1

63

6

93.5

23

1

30.9

32

.2

73.2

5.

7

216

20-3

4

92.3

2,

021

35

.3

45.6

73

.0

2.2

1,

866

96

.9

599

42

.9

42.9

78

.6

3.7

58

0

35

-49

93

.0

1,12

0

38.0

48

.6

76.7

2.

3

1,04

1

95.1

49

6

46.5

53

.1

83.3

0.

9

472

Resi

denc

e

Urb

an

96.2

72

1

50.5

55

.9

84.0

3.

2

693

98

.3

301

53

.3

43.5

87

.5

3.8

29

6

Ru

ral

91.3

3,

119

31

.2

41.7

71

.6

2.0

2,

849

94

.8

1,02

6

38.8

45

.3

77.0

2.

7

972

Educ

atio

n

No

educ

atio

n

84.0

1,

161

19

.5

34.7

61

.0

2.3

97

6

90.8

19

1

17.2

41

.6

75.5

3.

2

174

<5

year

s co

mpl

ete

91.9

54

8

25.3

38

.9

67.6

1.

2

503

91

.6

254

27

.7

34.5

76

.8

2.1

23

3

5-

9 ye

ars

com

plet

e

96.2

1,

387

36

.5

45.9

77

.2

2.6

1,

334

96

.6

495

40

.4

44.3

75

.1

3.1

47

8

10 o

r mor

e ye

ars

com

plet

e

98.0

74

3

59.4

58

.7

89.9

2.

4

728

99

.4

386

64

.4

53.3

88

.2

3.3

38

4

Relig

ion

Hin

du

93.5

2,

684

38

.5

45.1

77

.1

2.5

2,

510

96

.3

952

43

.7

45.2

80

.8

2.1

91

7

M

uslim

91

.6

927

26

.9

43.1

66

.4

1.9

85

0

96.3

29

4

39.4

41

.5

78.5

6.

2

283

Chr

istia

n

77.8

20

0

23.8

40

.4

63.5

0.

0

155

82

.0

67

(31.

8)

(56.

1)

(62.

6)

(2.2

) 55

Cas

te/tr

ibe

Sche

dule

d ca

ste

94

.1

512

37

.8

52.1

78

.4

3.8

48

2

91.6

19

5

39.3

41

.2

82.6

3.

1

179

Sche

dule

d tri

be

85.8

40

4

29.1

30

.7

71.9

2.

4

347

90

.3

113

38

.7

42.3

71

.5

4.2

10

2

O

ther

bac

kwar

d cl

ass

95

.8

838

36

.5

44.2

75

.4

1.9

80

2

97.6

32

4

49.0

50

.8

81.3

0.

0

316

Oth

er

94.0

1,

847

36

.0

46.9

72

.9

1.7

1,

737

96

.9

637

42

.1

43.7

78

.8

4.2

61

8

Wea

lth in

dex

Lo

wes

t 83

.3

615

14

.4

31.8

57

.3

2.6

51

3

86.5

19

8

23.4

36

.1

76.6

3.

9

171

Seco

nd

90.5

1,

116

25

.9

38.2

66

.7

2.1

1,

010

95

.3

388

31

.4

44.3

71

.6

2.3

36

9

M

iddl

e

93.5

90

8

35.7

47

.5

74.6

2.

1

849

97

.7

314

43

.8

51.1

78

.5

3.8

30

7

Fo

urth

97

.2

673

48

.0

51.1

84

.2

2.4

65

4

97.8

25

1

54.3

41

.8

85.8

2.

5

246

Hig

hest

97

.9

527

55

.5

55.9

91

.0

2.4

51

6

99.6

17

6

63.6

47

.9

91.5

2.

8

175

Tot

al

92.2

3,

840

35.0

44

.5

74.0

2.

2 3,

542

95.6

1,

326

42.2

44

.9

79.4

3.

0 1,

268

Not

e: T

otal

incl

udes

wom

en a

nd m

en b

elon

ging

to o

ther

relig

ions

and

wom

en/m

en w

ith m

issin

g in

form

atio

n on

edu

catio

n, re

ligio

n, a

nd c

aste

/trib

e, w

ho a

re n

ot s

how

n se

para

tely

. ( )

Bas

ed o

n 25

-49

unw

eigh

ted

case

s.

Page 107: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

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98

Table 65 Health problems

Number of women and men age 15-49 per 100,000 who reported that they have diabetes, asthma, or goitre or any other thyroid disorders, by background characteristics, Assam, 2005-06

Number of women per 100,000 who have: Number of men per 100,000 who have:

Background characteristic Diabetes Asthma

Goitre or other thyroid

disorder

Total number of

women Diabetes Asthma

Goitre or other thyroid

disorder

Total number of

men

Age 15-19 255 1,190 851 699 0 271 1,839 231 20-34 118 972 708 2,021 404 1,010 1,316 599 35-49 1,004 2,341 798 1,120 1,121 1,608 1,219 496

Residence Urban 812 1,542 731 721 1,044 1,253 418 301 Rural 307 1,380 767 3,119 472 1,061 1,651 1,026

Education No education 307 1,593 668 1,161 0 961 1,265 191 <5 years complete 437 1,636 762 548 476 1,676 953 254 5-9 years complete 341 1,116 817 1,387 371 743 733 495 10 or more years complete 637 1,513 798 743 1,276 1,264 2,516 386

Wealth index Lowest 0 3,787 583 615 0 930 1,225 198 Second 429 1,124 1,124 1,116 624 936 624 388 Middle 132 524 527 908 385 969 2,309 314 Fourth 616 1,233 529 673 500 963 2,175 251 Highest 1,003 998 892 527 1,761 2,119 358 176

Total 402 1,411 760 3,840 601 1,105 1,371 1,326

Note: Total includes women with missing information on education, who are not shown separately.

Page 108: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

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99

Table 66 Tobacco and alcohol use by women and men

Percentage of women and men age 15-49 by their use of tobacco and alcohol, percent distribution of those who smoke cigarettes or bidis by number of cigarettes/bidis smoked in the 24 hours preceding the survey, and among those who drink alcohol, the frequency of alcohol consumption, by residence, Assam, 2005-06

Women Men Tobacco/alcohol use Urban Rural Total Urban Rural Total

Use of tobacco/alcohol Smokes cigarettes or bidis 0.6 0.6 0.6 37.2 36.2 36.4 Smokes cigars or pipe 0.0 0.0 0.0 0.6 0.0 0.1 Chews paan masala, gutkha, or other tobacco 20.2 23.4 22.8 49.7 61.1 58.5 Uses snuff 0.1 0.1 0.1 0.4 0.0 0.1 Other 0.2 0.2 0.2 0.8 1.1 1.0 Missing 0.2 0.0 0.0 0.0 0.0 0.0 Does not use tobacco 79.1 76.2 76.8 34.0 25.7 27.6

Drinks alcohol 1.1 9.0 7.5 32.2 39.5 37.8

Number of respondents 721 3,119 3,840 301 1,026 1,326

Number of cigarettes/bidis smoked in the past 24 hours 0 * * * 15.2 26.4 23.8 1-4 * * * 52.8 39.4 42.5 5-9 * * * 14.0 16.0 15.5 10 or more * * * 18.0 18.2 18.2 Missing * * * 0.0 0.0 0.0

Total 100.0 100.0 100.0 100.0 100.0 100.0

Number of cigarette/bidi smokers 4 18 22 112 371 483

Among those who drink alcohol, frequency of drinking Almost every day * 6.8 7.0 9.1 9.9 9.7 About once a week * 52.8 52.0 22.7 33.4 31.4 Less than once a week * 40.4 41.0 68.2 55.8 58.2 Missing * 0.0 0.0 0.0 0.9 0.7

Total 100.0 100.0 100.0 100.0 100.0 100.0

Number of respondents who drink alcohol 8 281 289 97 405 502

* Percentage not shown; based on fewer than 25 unweighted cases.

Page 109: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

�00

100

Table 67 Source of health care

Percent distribution of households by the source of health care that household members generally use when they get sick, percentage of households with at least one usual member covered by health insurance or a health scheme, and percentage of households with at least one usual member covered by health insurance or a health scheme that have different types of coverage, according to residence and the wealth index, Assam, 2005-06

Residence Wealth index Source/health insurance Urban Rural Lowest Second Middle Fourth Highest Total

Public medical sector 49.8 69.1 73.5 71.9 68.7 60.7 35.3 65.2 Government/municipal hospital 33.4 9.3 8.7 11.5 16.1 22.3 16.2 14.2 Government dispensary 7.1 5.7 8.8 4.7 7.1 5.5 3.1 6.0 UHC/UHP/UFWC 0.3 0.2 0.2 0.4 0.1 0.3 0.0 0.2 CHC/rural hospital/PHC 8.5 39.1 40.4 40.9 32.4 26.7 10.6 32.9 Sub-centre 0.0 8.5 13.5 10.1 3.4 1.6 0.3 6.8 Other public medical sector 0.6 6.2 1.9 4.2 9.7 4.2 5.1 5.1

NGO or trust hospital/clinic 0.1 0.0 0.0 0.0 0.0 0.0 0.1 0.0

Private medical sector 49.4 30.7 26.0 27.7 31.3 39.0 63.9 34.5 Private hospital 12.6 4.0 1.1 2.6 5.4 8.8 17.7 5.8 Private doctor/clinic 30.6 14.6 10.7 13.3 13.9 24.0 39.3 17.8 Private paramedic 0.0 0.3 0.4 0.1 0.3 0.2 0.0 0.2

Vaidya/hakim/homeopath 0.9 0.5 1.2 0.5 0.0 0.3 1.3 0.6 Traditional healer 0.0 0.2 0.4 0.2 0.0 0.0 0.0 0.1 Pharmacy/drugstore 5.1 7.6 11.5 8.4 4.6 5.2 3.7 7.1 Other private medical sector 0.3 3.4 0.7 2.7 7.0 0.5 1.8 2.7

Other source 0.3 0.1 0.0 0.2 0.0 0.1 0.3 0.1 Shop 0.1 0.1 0.0 0.2 0.0 0.0 0.1 0.1 Home treatment 0.2 0.0 0.0 0.0 0.0 0.1 0.1 0.0

Other 0.4 0.1 0.2 0.1 0.0 0.2 0.4 0.2

Missing 0.0 0.1 0.4 0.0 0.0 0.0 0.0 0.1

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Health insurance Percentage of households in which at least one usual member is covered by a health scheme or health insurance 6.6 1.2 0.2 0.4 1.4 3.6 10.4 2.3

Number of households 694 2,743 697 1,034 744 526 436 3,437

Type of coverage among households in which at least one usual member is covered by a health scheme /health insurance

Employee State Insurance Scheme (ESIS) 7.7 (3.6) * * * * 5.1 5.9 Central Government Health Scheme (CGHS) 6.4 (7.1) * * * * 5.1 6.7 Other health insurance through employer 23.1 (10.7) * * * * 20.7 17.8 Medical reimbursement from employer 21.8 (7.1) * * * * 19.4 15.5

Other privately purchased commercial health insurance 39.7 (53.6) * * * * 40.2 45.7

Other 2.6 (17.9) * * * * 10.6 9.1

Number of households 46 34 1 4 10 19 45 80

UHC = Urban health centre; UHP = Urban health post; UFWC = Urban family welfare centre; CHC = Community health centre; PHC = Primary health centre; ICDS = Integrated child development services ( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases.

Page 110: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

�0�

101

Table 68 Employment and cash earnings of currently married women and men

Percentage of currently married women and men age 15-49 who were employed at any time in the 12 months preceding the survey andpercent distribution of currently married women and men employed in the 12 months preceding the survey by type of earnings and sector, according to age, Assam, 2005-06

Percent distribution of employed respondents by type of earnings

Percent distribution of employed respondents

by sector

Age Percentage employed

Number of respondents Cash only

Cash and in-kind

In-kind only Not paid Missing Total Agriculture

Non-agriculture Total

Number of

employed respon-dents

WOMEN

15-19 18.3 186 (77.2) (12.3) (0.0) (10.5) 0.0 100.0 (10.5) (89.5) 100.0 34 20-24 16.8 469 72.7 15.2 1.5 10.6 0.0 100.0 19.7 80.3 100.0 79 25-29 27.4 550 64.2 15.1 4.0 16.7 0.0 100.0 29.0 71.0 100.0 150 30-34 30.5 506 64.0 23.6 1.5 10.8 0.0 100.0 21.7 78.3 100.0 155 35-39 30.6 449 74.8 10.4 0.9 13.9 0.0 100.0 11.7 88.3 100.0 138 40-44 35.7 292 77.1 10.3 2.3 10.3 0.0 100.0 18.4 81.6 100.0 104 45-49 28.5 205 80.6 5.1 2.0 12.3 0.0 100.0 17.4 82.6 100.0 58

Total 27.0 2,656 71.0 14.4 2.0 12.7 0.0 100.0 19.7 80.3 100.0 718

MEN

15-19 * 2 100.0 * * * * 100.0 * * 100.0 2 20-24 (94.8) 47 (83.7) (5.4) (0.0) (10.9) 0.0 100.0 (21.8) (78.2) 100.0 44 25-29 98.9 108 88.7 5.7 2.3 3.4 0.0 100.0 19.9 80.1 100.0 107 30-34 98.1 128 81.7 10.6 1.9 5.8 0.0 100.0 22.7 77.3 100.0 125 35-39 99.7 185 84.3 7.2 3.9 4.6 0.0 100.0 20.7 79.3 100.0 184 40-44 95.3 154 81.5 11.9 1.6 4.1 0.8 100.0 27.2 72.8 100.0 147 45-49 97.9 118 83.3 8.3 1.0 7.3 0.0 100.0 24.6 75.4 100.0 116

Total 97.8 743 83.8 8.6 2.2 5.3 0.2 100.0 22.8 77.2 100.0 726

( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases.

Page 111: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

�0�

102

Tab

le 6

9 C

ontr

ol o

ver a

nd m

agni

tude

of c

ash

earn

ings

Perc

enta

ge o

f cur

rent

ly m

arrie

d w

omen

and

men

age

15-

49 b

ype

rson

who

dec

ides

how

wom

en's

and

men

's ca

sh e

arni

ngs

are

used

and

by

the

mag

nitu

de o

f wom

en's

cash

ear

ning

s co

mpa

red

with

thei

r hu

sban

d's

cash

ear

ning

s, a

ccor

ding

to b

ackg

roun

d ch

arac

teris

tics,

Ass

am, 2

005-

06

Perc

enta

ge o

f cur

rent

ly m

arrie

d w

omen

who

repo

rt th

at th

ey:

Pe

rcen

tage

of c

urre

ntly

mar

ried

men

who

repo

rt th

at:

Bac

kgro

und

char

acte

ristic

Alon

e or

join

tly

with

thei

r hu

sban

d de

cide

how

th

eir o

wn

earn

ings

are

us

ed

Num

ber

empl

oyed

fo

r cas

h

Alon

e or

join

tly

with

thei

r hu

sban

d de

cide

ho

w th

eir

husb

and’

s ea

rnin

gs a

re u

sed

Num

ber o

f w

omen

w

hose

hu

sban

ds a

re

empl

oyed

for

cash

Earn

mor

e or

abo

ut

the

sam

e as

th

eir

husb

and

Num

ber

empl

oyed

for

cash

and

w

hose

hu

sban

ds a

re

empl

oyed

for

cash

Thei

r wife

al

one

or jo

intly

w

ith th

em

deci

des

how

he

r ear

nin g

s ar

e us

ed

Num

ber o

f m

en w

hose

w

ives

are

em

ploy

ed fo

r ca

sh

Thei

r wife

al

one

or jo

intly

w

ith th

em

deci

des

how

th

eir o

wn

earn

ings

are

us

ed

Num

ber

empl

oyed

for

cash

Thei

r wife

ea

rns

mor

e or

ab

out t

he

sam

e as

they

ea

rn

Num

ber

empl

oyed

for

cash

and

w

hose

wiv

es

are

empl

oyed

fo

r cas

h

Age

15-1

9

(76.

4)

30

67.1

18

0

(26.

5)

29

* 1

*

2

* 1

20-2

9

89.9

18

9

73.1

1,

013

29

.1

185

(8

9.3)

34

70

.9

140

(2

2.0)

30

30-3

9

90.3

25

3

77.2

94

1

32.4

24

5

85.7

64

77

.7

284

33

.0

55

40

-49

93

.7

141

76

.0

480

39

.2

129

88

.2

67

84.6

24

4

37.2

60

Resi

denc

e

U

rban

97

.3

85

75.4

46

3

23.4

82

(9

3.9)

21

75

.7

144

(2

5.0)

20

Rura

l 89

.1

527

74

.5

2,15

0

34.0

50

6

86.7

14

5

79.8

52

6

34. 3

12

7

Educ

atio

n

N

o ed

ucat

ion

89

.7

319

68

.5

911

34

.8

301

(8

4.8)

36

73

.1

129

(3

5.2)

31

<5

year

s co

mpl

ete

89

.8

88

74.0

41

7

33.9

85

(8

7.3)

43

77

.6

160

(3

8.1)

38

5-9

year

s co

mpl

ete

88

.7

106

76

.2

891

24

.6

104

(8

1.2)

45

84

.3

211

(2

1.8)

39

10

or m

ore

year

s co

mpl

ete

94.0

10

0

86.2

39

3

33.1

99

(9

7.1)

42

77

.7

171

(3

7.5)

39

Relig

ion

Hin

du

90.0

46

0

79.6

1,

783

34

.8

445

89

.8

125

79

.4

464

39

.1

110

Mus

lim

86.2

65

61

.4

680

12

.0

59

* 14

75

.2

162

*

14

C

hrist

ian

94

.1

81

75.3

13

1

32.6

77

*

25

(85.

1)

41

* 21

Cas

te/tr

ibe

Sche

dule

d ca

ste

85

.6

83

78.3

33

7

29.1

80

*

23

80.8

10

5

* 22

Sche

dule

d tri

be

95.6

82

80

.9

282

47

.4

82

* 22

77

.2

64

* 18

Oth

er b

ackw

ard

clas

s

91.8

11

6

81.2

55

0

30.4

11

4

(92.

8)

33

82.7

14

4

(48.

8)

29

O

ther

90

.7

244

68

.6

1,28

9

25.1

23

0

89.1

61

76

.4

324

19

.4

57

Wea

lth in

dex

Low

est

87.9

14

9

65.8

49

0

27.8

14

4

(78.

8)

28

71.2

13

0

* 24

Seco

nd

88.3

18

3

70.1

82

2

27.4

17

4

(82.

8)

42

82.7

20

0

(24.

2)

38

M

iddl

e

93.6

15

8

79.3

55

4

41.4

14

9

(86.

1)

52

80.7

15

1

(36.

4)

45

Fo

urth

89

.7

64

82.7

42

3

33.0

63

(1

00.0

) 27

77

.3

117

(4

6.4)

26

H

ighe

st

93.9

59

81

.5

325

36

.4

59

* 15

81

.1

72

*

15

Tota

l 90

.3

613

74.7

2,

614

32.6

58

8 87

.6

166

78.9

67

1 33

.0

147

Not

e: T

otal

incl

udes

wom

en a

nd m

en b

elon

ging

to o

ther

relig

ions

and

wom

en/m

en w

ith m

issin

g in

form

atio

n on

edu

catio

n, re

ligio

n, a

nd c

aste

/trib

e, w

ho a

re n

ot s

how

n se

para

tely

. ( )

Bas

ed o

n 25

-49

unw

eigh

ted

case

s.

* Pe

rcen

tage

not

sho

wn;

bas

ed o

n fe

wer

than

25

unw

eigh

ted

case

s.

Page 112: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

�0�

103

Tab

le 7

0 D

ecisi

on m

akin

g

Perc

ent d

istrib

utio

n of

cur

rent

ly m

arrie

d w

omen

age

15-

49 b

y pe

rson

who

usu

ally

mak

es d

ecisi

ons

abou

t fou

r kin

ds o

f iss

ues

and

perc

ent d

istrib

utio

n of

cur

rent

ly m

arrie

d m

en b

y pe

rson

who

they

thin

k sh

ould

hav

e th

e gr

eate

r say

in fi

ve d

ecisi

ons,

by

resid

ence

, Ass

am, 2

005-

06 Ac

cord

ing

to w

omen

, per

son

who

usu

ally

mak

es th

e de

cisio

n Ac

cord

ing

to m

en, p

erso

n th

ey th

ink

shou

ld h

ave

the

grea

ter s

ay in

th

e de

cisio

n

Dec

ision

M

ainl

y

wom

anW

oman

and

hu

sban

d jo

intly

M

ainl

yhu

sban

d So

meo

ne

else

O

ther

M

issin

g To

tal

Mai

nly

husb

and

Wife

and

hu

sban

d jo

intly

Mai

nly

wife

D

on't

know

/ de

pend

s To

tal

URB

AN

Ow

n he

alth

car

e 17

.2

65.8

16

.2

0.9

0.

0

0.0

10

0.0

na

na

na

na

na

M

ajor

hou

seho

ld p

urch

ases

7.

1

70.9

18

.3

3.0

0.

7

0.0

10

0.0

11

.5

86.0

2.

1

0.4

10

0.0

P

urch

ases

for d

aily

hou

seho

ld n

eeds

17

.1

60.8

18

.3

3.2

0.

6

0.0

10

0.0

26

.8

58.3

11

.9

3.0

10

0.0

V

isits

to h

er/w

ife's

fam

ily o

r rel

ativ

es

9.1

76

.5

12.5

1.

7

0.2

0.

0

100.

0

18.3

74

.9

4.7

2.

1

100.

0

Wha

t to

do w

ith th

e m

oney

wife

ear

ns

na

na

na

na

na

na

na

7.7

76

.2

15.7

0.

4

100.

0

How

man

y ch

ildre

n to

hav

e na

na

na

na

na

na

na

5.

5

93.2

1.

3

0.0

10

0.0

RURA

L

Ow

n he

alth

car

e 16

.4

63.0

19

.1

1.0

0.

3

0.2

10

0.0

na

na

na

na

na

M

ajor

hou

seho

ld p

urch

ases

5.

7

65.0

23

.0

4.7

1.

3

0.2

10

0.0

14

.0

84.1

1.

6

0.2

10

0.0

P

urch

ases

for d

aily

hou

seho

ld n

eeds

13

.4

54.9

25

.5

4.8

1.

2

0.3

10

0.0

28

.5

60.8

10

.4

0.4

10

0.0

V

isits

to h

er/w

ife's

fam

ily o

r rel

ativ

es

9.1

70

.8

16.4

2.

7

0.8

0.

2

100.

0

21.7

70

.7

7.1

0.

4

100.

0

Wha

t to

do w

ith th

e m

oney

wife

ear

ns

na

na

na

na

na

na

na

12.2

76

.0

11.0

0.

8

100.

0

How

man

y ch

ildre

n to

hav

e na

na

na

na

na

na

na

7.

1

91.7

1.

0

0.2

10

0.0

TOTA

L

Ow

n he

alth

car

e 16

.5

63.5

18

.6

1.0

0.

2

0.2

10

0.0

na

na

na

na

na

M

ajor

hou

seho

ld p

urch

ases

5.

9

66.1

22

.2

4.4

1.

2

0.2

10

0.0

13

.5

84.5

1.

7

0.2

10

0.0

Purc

hase

s fo

r dai

ly h

ouse

hold

nee

ds

14.0

55

.9

24.2

4.

5

1.1

0.

2

100.

0

28.1

60

.3

10.7

0.

9

100.

0

Visi

ts to

her

/wife

's fa

mily

or r

elat

ives

9.

1

71.8

15

.7

2.5

0.

7

0.2

10

0.0

21

.1

71.6

6.

6

0.7

10

0.0

W

hat t

o do

with

the

mon

ey w

ife e

arns

na

na

na

na

na

na

na

11

.3

76.0

11

.9

0.7

10

0.0

H

ow m

any

child

ren

to h

ave

na

na

na

na

na

na

na

6.8

92.0

1.

1 0.

2 10

0.0

na

= N

ot a

pplic

able

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Table 71 Decision making by background characteristics

Percentage of currently married women who usually make four specific kinds of decisions, either by themselves or jointly with their husband, and percentageof currently married men who say that wives should have an equal or greater say than their husband in five specific kinds of decisions, by background characteristics, Assam, 2005-06

Percentage of women who usually make specific decisions alone or jointly with their

husband

Percentage of men who say that wives should have an equal or greater say than

their husband in:

Background characteristic

Own healthcare

Making major

household purchases

Making purchases for daily

household needs

Visits to her family

orrelatives

Percentagewho

participate in all four

decisions

Percentagewho

participate in none of the

four decisions

Number of

women

All of five specifieddecisions1

None of five specified

decisions1Number of men

Age 15-19 70.7 52.4 53.7 67.5 44.3 21.2 186 * * 2 20-24 76.4 66.8 64.1 76.3 54.0 12.1 469 (45.6) (7.7) 47 25-29 79.7 69.4 69.4 81.2 59.3 12.5 550 65.5 2.3 108 30-39 83.0 76.9 74.1 83.2 66.5 10.4 955 56.0 2.5 313 40-49 81.2 77.9 74.3 85.6 64.3 8.8 497 68.0 2.9 273

Residence Urban 82.9 78.0 77.8 85.6 67.9 8.3 470 60.9 2.6 148 Rural 79.3 70.7 68.3 79.9 59.4 12.3 2,186 61.2 3.0 595

Education No education 78.9 67.8 66.8 78.6 57.7 13.6 938 55.0 4.6 146 <5 years complete 78.6 70.6 65.3 78.4 57.3 12.6 425 60.1 3.8 175 5-9 years complete 79.3 72.6 71.6 82.0 62.2 12.3 895 57.6 2.8 237

10 or more years complete 85.3 82.1 78.7 86.7 69.0 4.3 398 71.4 1.0 185

Employment (past 12 months)

Employed 85.4 79.7 77.8 85.9 67.7 7.6 718 61.6 2.9 725 Employed, for cash 85.0 81.1 79.9 85.8 69.7 8.1 613 61.2 2.5 671 Employed, not for cash 87.5 71.6 65.9 86.4 55.7 4.5 105 (66.7) (6.7) 54 Not employed 78.0 69.2 67.1 79.1 58.4 13.1 1,937 * * 13

Number of living children 0 73.9 62.2 62.9 72.8 49.9 13.4 276 56.9 3.3 92 1-2 81.3 73.5 71.6 82.6 62.8 10.4 1,273 61.7 2.9 363 3-4 81.6 75.1 71.3 83.0 63.0 10.9 808 59.0 2.3 216 5+ 75.2 66.6 66.0 75.6 56.6 17.0 299 70.1 5.1 71

Household structure2 Nuclear 81.6 76.0 73.2 82.7 65.7 11.3 1,603 61.1 3.0 448 Non-nuclear 77.5 65.9 65.0 78.1 53.5 12.1 1,053 61.2 2.9 295 .

Religion Hindu 82.9 76.9 74.1 84.9 64.5 8.2 1,806 63.2 2.1 511 Muslim 71.4 58.4 58.7 70.4 50.3 20.7 695 54.6 6.0 181 Christian 84.1 75.2 71.7 82.3 67.2 10.6 135 (60.0) (0.0) 45

Caste/tribe Scheduled caste 82.5 78.7 74.3 86.2 64.5 6.5 340 59.5 2.3 109 Scheduled tribe 85.0 79.1 73.7 88.6 66.1 4.6 284 74.8 1.7 72 Other backward class 80.3 74.1 72.9 82.9 64.2 11.3 555 64.1 2.9 168 Other 77.0 66.5 65.8 75.6 56.6 15.8 1,316 57.4 3.8 356

Wealth index Lowest 75.1 63.0 61.4 75.2 52.8 16.8 496 61.5 6.5 140 Second 77.6 67.7 64.5 77.1 56.5 15.0 839 52.9 3.5 228 Middle 82.4 73.9 74.0 81.3 62.4 9.1 569 61.8 1.4 175 Fourth 83.2 80.3 77.2 87.9 69.0 7.1 427 65.9 2.0 125 Highest 85.1 82.6 80.6 89.8 71.1 5.4 325 75.8 0.0 75

Total 80.0 72.0 70.0 80.9 60.9 11.6 2,656 61.1 3.0 743

Note: Total includes women and men belonging to other religions and women/men with missing information on education, employment (past 12 months),religion, and caste/tribe, who are not shown separately. ( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases. 1 Decisions about major household purchases, purchases for daily household needs, visits to the wife's family or relatives, what to do with the money the wife earns, and how many children to have. 2 Nuclear households are households comprised of a married couple or a man or a woman living alone or with unmarried children (biological, adopted, or fostered) with or without unrelated individuals.

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Table 72 Women's access to money and credit

Percentage of women who have access to money, who know of a microcredit programme, who have taken a loan from a microcredit programme, and who are allowed to go to three specified places alone, by background characteristics, Assam, 2005-06

Women’s access to money Women’s knowledge and use of

microcredit programmes

Background characteristic

Percentage who have money that they can decide

how to use

Percentage who have a bank or savings account

that they themselves use

Percentage who know of a

microcreditprogramme

Percentage who have taken a loan from a microcreditprogramme

Percentage of women

allowed to goto three specified

places alone1Number of

women

Age 15-19 18.2 3.7 32.3 0.0 13.5 699 20-24 24.3 9.5 40.7 0.6 29.7 758 25-29 26.6 11.8 46.7 2.1 37.2 682 30-39 31.3 14.4 43.4 2.0 45.3 1,106 40-49 32.7 18.8 45.0 2.2 47.6 595

Residence Urban 35.1 22.2 39.6 1.1 43.0 721 Rural 25.0 9.3 42.2 1.5 33.6 3,119

Education No education 25.9 4.4 30.8 0.4 38.2 1,161 <5 years complete 22.2 6.1 38.7 1.1 33.2 548 5-9 years complete 23.0 10.3 46.0 1.6 29.3 1,387 10 or more years complete 39.3 30.1 52.7 2.9 43.5 743

Employment (past 12 months) Employed 54.1 18.8 46.7 2.5 50.8 1,141 Employed, for cash 59.9 20.6 48.0 2.5 53.5 992 Employed, not for cash 15.6 6.4 38.4 2.0 32.4 149 Not employed 15.4 8.8 39.6 1.0 28.8 2,697

Marital status Never married 25.9 9.1 40.2 0.7 24.2 972 Currently married 24.9 11.8 42.5 1.7 37.2 2,656 Widowed/divorced/separated/deserted 57.0 22.7 38.8 0.8 62.3 212

Number of living children 0 26.1 10.0 40.6 0.7 24.4 1,278 1-2 30.4 15.8 44.8 2.4 40.2 1,362 3-4 25.0 10.5 41.2 1.2 44.3 876 5+ 20.6 5.0 34.4 0.5 34.0 325

Household structure2 Nuclear 25.9 11.5 41.7 1.8 36.9 2,231 Non-nuclear 28.3 12.0 41.7 0.9 33.1 1,609

Religion Hindu 28.9 13.9 45.1 1.9 38.6 2,684 Muslim 18.8 6.2 35.3 0.5 22.8 927 Christian 35.3 8.1 24.2 0.0 47.6 200

Caste/tribe Scheduled caste 28.2 12.0 40.9 1.2 31.6 512 Scheduled tribe 29.6 13.0 35.0 3.4 39.1 404 Other backward class 30.7 13.6 51.5 2.4 38.3 838 Other 24.9 10.7 41.6 0.8 33.3 1,847

Wealth index Lowest 22.8 2.5 27.9 0.2 29.7 615 Second 21.3 4.5 38.0 1.2 31.5 1,116 Middle 27.4 10.6 45.7 1.6 35.3 908 Fourth 30.5 15.9 50.3 1.9 40.2 673 Highest 38.2 34.3 47.7 2.6 43.8 527

Total 26.9 11.7 41.7 1.4 35.3 3,840

Note: Total includes women belonging to other religions and women with missing information on education, employment (past 12 months), religion, and caste/tribe, who are not shown separately. 1 To the market, to the health facility, and to places outside the village/community. 2 Nuclear households are households comprised of a married couple or a man or a woman living alone or with unmarried children (biological,adopted, or fostered) with or without unrelated individuals.

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Table 73 Gender-role attitudes

Percentage of women and men age 15-49 with specific attitudes toward wife beating and refusal by a wife to have sex with her husband by reason and percentage of men age 15-49 who agree that a man can behave in specific ways if his wife refuses him sex, according to marital status, Assam, 2005-06

Ever married Never married Total Reason/behaviour Women Men Women Men Women Men

Percentage who agree that a husband is justified in hitting or beating his wife if:

She goes out without telling him 23.9 6.2 22.1 7.2 23.4 6.6 She neglects the house or children 31.2 11.6 32.0 15.4 31.4 13.3 She argues with him 25.4 11.4 23.5 16.4 24.9 13.5 She refuses to have sexual intercourse with him 11.3 2.3 11.9 3.8 11.5 2.9 She doesn't cook food properly 10.1 2.8 13.7 4.1 11.0 3.4 He suspects she is unfaithful 16.0 4.9 17.6 7.5 16.4 6.0 She shows disrespect for in-laws 30.7 14.9 37.4 20.5 32.4 17.3

Percentage who agree with at least one specified reason 43.9 22.6 46.6 29.1 44.6 25.4

Percentage who agree that a wife is justified in refusing to have sex with her husband when she:

Knows husband has a sexually transmitted disease 76.6 84.6 71.4 77.8 75.3 81.7 Knows husband has sex with other women 76.7 82.8 75.1 76.4 76.3 80.1 Is tired or not in the mood 81.5 88.5 74.7 84.5 79.8 86.8

Percentage who agree with all three reasons 66.8 77.2 64.3 68.1 66.2 73.3 Percentage who agree with none of the three reasons 11.6 7.6 18.0 10.5 13.2 8.9

Percentage who agree that when a woman refuses to have sex with her husband, he has the right to:

Get angry and reprimand her na 11.5 na 15.5 na 13.2 Refuse to give her financial support na 3.0 na 4.5 na 3.6 Use force to have sex na 2.2 na 3.2 na 2.7 Have sex with another woman na 1.1 na 1.8 na 1.4

Percentage who agree with all four behaviours na 0.6 na 0.7 na 0.7 Percentage who agree with none of the four behaviours na 87.5 na 82.6 na 85.4

Number of respondents 2,868 757 972 569 3,840 1,326

na = Not applicable

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Table 74 Gender-role attitudes by background characteristics

Percentage of women and men age 15-49 who agree that a husband is justified in hitting or beating his wife for at least one specified reason and who agree that a wife is justified in refusing to have sex with her husband for all specified reasons, and percentage of men who agree that when a wife refuses to have sex with her husband, the husband does not have the right to any of the four specified behaviours, by background characteristics, Assam, 2005-06

Percentage who agree that a husband is justified in hitting

or beating his wife for at least one specified reason1

Percentage who agree that a wife is justified in

refusing to have sex with her husband for all specified reasons2

Percentage who agree that when a wife

refuses to have sex with her husband, he

does not have the right to any of the

four specified behaviours3 Number

Background characteristic Women Men Women Men Men Women Men

Age 15-19 47.7 30.8 61.6 62.5 81.6 699 231 20-24 46.1 30.9 67.5 67.9 82.3 758 213 25-29 43.0 21.2 69.7 78.7 86.5 682 213 30-39 43.2 24.9 67.2 76.6 87.8 1,106 380 40-49 43.4 20.9 64.2 77.6 86.5 595 289

Residence Urban 33.9 19.2 67.6 69.1 88.1 721 301 Rural 47.0 27.2 65.9 74.5 84.6 3,119 1,026

Education No education 48.5 34.6 58.0 61.2 84.8 1,161 191 <5 years complete 48.9 27.0 63.7 67.7 85.9 548 254 5-9 years complete 45.1 25.8 68.8 74.6 85.0 1,387 495 10 or more years complete 34.3 19.3 75.9 81.4 85.8 743 386

Employment (past 12 months) Employed 44.0 25.8 63.7 73.8 85.3 1,141 1,109 Employed, for cash 43.6 25.8 64.1 74.9 85.4 992 1,015 Employed, not for cash 46.8 26.3 61.2 62.8 84.6 149 95 Not employed 44.8 23.4 67.3 70.2 85.6 2,697 211

Marital status Never married 46.6 29.1 64.3 68.1 82.6 972 569 Currently married 43.8 22.5 67.3 77.2 87.4 2,656 743

Widowed/divorced/ separated/deserted 45.8 * 60.9 * * 212 15

Number of living children 0 46.4 27.7 64.9 69.2 83.8 1,278 662 1-2 41.0 22.6 68.8 80.1 85.0 1,362 369 3-4 45.2 26.5 68.6 78.0 90.4 876 222 5+ 50.7 15.7 53.8 61.9 86.0 325 73

Household structure4 Nuclear 43.3 25.7 66.2 72.8 85.1 2,231 742 Non-nuclear 46.3 25.1 66.1 74.0 85.7 1,609 585

Religion Hindu 42.1 25.1 70.5 74.9 84.9 2,684 952 Muslim 51.9 28.9 56.2 68.1 84.5 927 294 Christian 43.7 17.1 53.6 73.0 94.6 200 67

Caste/tribe Scheduled caste 46.4 29.1 59.6 76.1 84.3 512 195 Scheduled tribe 45.3 19.9 64.6 62.9 87.1 404 113 Other backward class 40.1 25.0 73.6 80.2 84.6 838 324 Other 45.2 24.7 65.0 70.8 85.3 1,847 637

Wealth index Lowest 49.9 27.9 52.2 62.5 85.0 615 198 Second 51.4 29.1 64.6 71.1 87.2 1,116 388 Middle 45.4 28.2 69.9 75.4 81.3 908 314 Fourth 40.5 20.3 72.0 81.1 84.4 673 251 Highest 27.8 16.8 72.1 75.3 90.5 527 176

Total 44.6 25.4 66.2 73.3 85.4 3,840 1,326

Note: Total includes women and men belonging to other religions and women/men with missing information on education, employment (past 12 months),religion, and caste/tribe, who are not shown separately. * Percentage not shown; based on fewer than 25 unweighted cases. 1 Specified reasons are: she goes out without telling him, she neglects the house or children, she argues with him, she refuses to have sexual intercourse with him, she doesn't cook food properly, he suspects she is unfaithful, and she shows disrespect for in-laws. 2 Specified reasons are: she knows husband has a sexually transmitted disease, knows husband has sex with other women, and is tired or not in the mood. 3 Specified behaviours are: get angry and reprimand her, refuse to give her financial support, use force to have sex, and have sex with another woman. 4 Nuclear households are households comprised of a married couple or a man or a woman living alone or with unmarried children (biological, adopted, or fostered) with or without unrelated individuals.

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Table 75 Experience of physical or sexual violence

Percentage of women age 15-49 who have ever experienced physical or sexual violence, and among those who have experienced physical or sexual violence, the person committing the violence, by marital status, Assam, 2005-06

Type of violence/perpetrator Ever

married Never

married Total

Type of violence experienced Physical violence ever 39.8 18.1 34.3 Sexual violence ever 15.2 1.7 11.8 Physical and sexual violence ever 12.6 0.7 9.6 Physical or sexual violence ever 42.3 19.1 36.5

Number of women 2,047 688 2,735

Person committing physical violence Current husband 82.4 0.0 71.4 Former husband 11.1 0.0 9.6 Current boyfriend 0.0 2.8 0.4 Former boyfriend 0.1 0.0 0.1 Father/step-father 3.8 20.3 6.0 Mother/step-mother 8.8 50.7 14.4 Sister/brother 5.4 37.7 9.7 Other relative 2.3 3.4 2.4 Mother-in-law 1.5 0.0 1.3 Father-in-law 0.2 0.0 0.2 Other in-law 1.3 0.0 1.1 Teacher 0.1 1.7 0.3 Employer/someone at work 0.1 0.0 0.1 Other 0.3 0.0 0.2

Number who experienced physical violence 814 124 938

Person committing sexual violence Current husband 85.6 * 82.5 Former husband 10.9 * 10.5 Current/former boyfriend 0.6 * 1.6 Other relative 2.1 * 2.0 In-law 0.0 * 0.5 Own friend/ acquaintance 0.5 * 2.5 Family friend 0.3 * 0.3 Employer/ someone at work 0.1 * 0.1

Number who experienced sexual violence 310 12 322

Note: All women were asked about their experience of physical violence since age 15.Ever-married women were also asked about their experience of spousal physical violence at any age.* Percentage not shown; based on fewer than 25 unweighted cases.

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Table 76 Forms of spousal violence

Percentage of ever-married women age 15-49 who have experienced various forms of violence committed by their husband ever or in the 12 months preceding the survey, Assam, 2005-06

In the past 12 months1

Type of violence Ever Often Sometimes Often or

sometimes

Physical violence Any form of physical violence 36.7 2.8 21.5 24.3 Pushed her, shook her, or threw something at her 13.4 1.1 8.1 9.2 Slapped her 36.1 2.2 21.0 23.1 Twisted her arm or pulled her hair 14.6 1.4 8.1 9.6 Punched her with his fist or with something that could hurt her 12.7 1.1 7.0 8.1 Kicked her, dragged her, or beat her up 8.3 1.0 3.9 4.9 Tried to choke her or burn her on purpose 2.5 0.4 1.2 1.6

Threatened her or attacked her with a knife, gun, or any other weapon 1.9 0.4 1.0 1.4

Sexual violence Any form of sexual violence 14.8 1.6 9.9 11.5

Physically forced her to have sexual intercourse with him even when she did not want to 14.4 1.5 9.9 11.4

Forced her to perform any sexual acts she did not want to 5.9 0.8 3.6 4.5

Emotional violence Any form of emotional violence 15.6 2.4 10.6 13.0 Said or did something to humiliate her in front of others 12.1 1.9 7.9 9.7 Threatened to hurt or harm her or someone close to her 4.8 0.5 3.5 4.0 Insulted her or made her feel bad about herself 6.4 1.3 3.2 4.5

Any form of physical and/or sexual violence 39.5 3.8 23.7 27.5 Any form of physical and sexual violence 12.1 2.1 8.1 10.2 Any form of physical and/or sexual and/or emotional violence 42.1 4.9 26.1 31.0 Any form of physical and sexual and emotional violence 5.1 1.8 2.8 4.6

Any violence by women against their husband2 0.5 0.0 0.2 0.2

Number of ever-married women 2,047 1,935 1,935 1,935

Note: Husband refers to the current husband for currently married women and the most recent husband for widowed, divorced, separated, or deserted women. 1 Excludes widows. 2 Any violence by women against their husband when he was not already beating or physically hurting them.

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Table 77 Spousal violence by background characteristics

Percentage of ever-married women age 15-49 by whether they have ever experienced emotional, physical, or sexual violence committed by their husband, according to background characteristics, Assam, 2005-06

Background characteristic Emotional violence

Physicalviolence

Sexualviolence

Physical or sexual

violence

Emotional, physical, or

sexualviolence

Number of women

Age 15-19 18.0 26.8 12.4 27.9 31.1 116 20-24 15.0 36.4 16.3 41.2 43.6 351 25-29 16.0 39.0 15.5 40.9 43.9 423 30-39 17.0 39.5 15.7 42.3 45.4 763 40-49 12.2 32.2 11.6 34.4 35.9 394

Residence Urban 9.5 23.0 8.6 24.9 26.5 363 Rural 16.9 39.7 16.1 42.6 45.5 1,684

Education No education 20.5 51.0 20.5 53.9 56.7 762 <5 years complete 19.4 37.6 14.1 41.1 46.2 334 5-9 years complete 12.5 29.7 13.3 32.7 34.6 654 10 or more years complete 5.5 14.6 4.2 15.6 16.8 296

Employment (past 12 months) Employed 20.3 42.0 17.4 44.7 47.7 599 Employed, for cash 20.6 43.6 17.2 46.0 48.1 527 Employed, not for cash 18.3 30.8 18.9 35.5 44.4 72 Not employed 13.6 34.5 13.7 37.3 39.9 1,448

Marital status Currently married 14.4 35.5 14.2 38.3 40.9 1,888 Widowed 15.9 42.6 19.4 45.2 46.0 112 Divorced/separated/deserted (63.4) (73.4) (26.6) (73.4) (82.6) 47

Marital status and duration1 Married only once 13.9 35.1 14.1 37.9 40.5 1,843 0-4 years 10.9 23.2 10.4 26.7 28.9 381 5-9 years 13.6 38.1 14.2 40.6 43.5 403 10+ years 15.1 38.2 15.4 41.0 43.5 1,058 Married more than once (34.6) (52.2) (19.6) (52.2) (57.9) 46

Number of living children 0 11.4 19.4 7.0 20.4 25.3 209 1-2 14.1 33.4 13.3 35.9 38.5 985 3-4 16.9 43.3 17.7 46.6 47.8 630 5+ 22.1 49.0 20.2 53.2 57.8 223

Household structure2 Nuclear 16.8 41.1 15.9 43.7 46.8 1,217 Non-nuclear 13.8 30.3 13.2 33.2 35.3 830

Religion Hindu 13.4 31.7 12.3 34.8 37.2 1,385 Muslim 19.5 48.3 21.7 50.6 53.6 535 Christian 18.8 42.2 12.5 43.0 45.3 110 Other * * * * * 11

Caste/tribe Scheduled caste 13.6 41.3 17.3 45.4 46.6 275 Scheduled tribe 14.6 43.1 13.1 47.0 49.5 219 Other backward class 12.1 27.6 7.7 29.3 31.2 414 Other 17.5 37.1 16.9 39.6 43.0 1,012

Wealth index Lowest 23.1 53.3 21.1 57.1 60.2 387 Second 18.3 42.9 20.4 46.9 51.0 641 Middle 15.3 34.6 12.6 36.1 38.2 449 Fourth 9.2 25.3 7.3 27.5 28.7 340 Highest 5.3 13.0 3.7 13.5 14.6 231

Respondent's father beat her mother Yes 24.0 60.0 25.1 61.8 64.3 343 No 12.7 29.6 11.5 32.2 35.0 1,466 Don't know 21.4 46.1 19.4 50.9 53.5 231

Total 15.6 36.7 14.8 39.5 42.1 2,047

Note: Husband refers to the current husband for currently married women and the most recent husband for widowed, divorced, separated, or deserted women. Total includes women with missing information on education, religion, caste/tribe, and whether the respondent's father beat her mother, who are not shown separately. ( ) Based on 25-49 unweighted cases. * Percentage not shown; based on fewer than 25 unweighted cases. 1 Currently married women only. 2 Nuclear households are households comprised of a married couple or a man or a woman living alone or with unmarried children (biological, adopted, or fostered) with or without unrelated individuals.

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Table 78 Spousal violence by husband's characteristics and empowerment indicatorsPercentage of ever-married women age 15-49 who have ever suffered emotional, physical, or sexual violence committed by their husband, according to his characteristics, marital characteristics, and selected empowerment indicators, Assam, 2005-06

Husband’s characteristic/empowerment indicator Emotional violence

Physicalviolence

Sexualviolence

Physical or sexual

violence

Emotional, physical, or

sexual violence

Number of women

Husband's education No education 21.3 54.7 21.0 56.2 58.6 522 <5 years complete 15.7 45.3 19.8 49.3 52.3 328 5-7 years complete 21.6 36.3 15.2 39.3 44.0 280 8-9 years complete 11.0 27.6 13.1 32.0 33.9 395 10-11 years complete 9.9 19.1 3.8 20.3 23.2 189 12 or more years complete 8.3 17.5 4.9 18.9 20.9 277

Husband's alcohol consumption Does not drink 12.4 30.9 12.4 33.5 35.8 1,257 Drinks/never gets drunk 4.3 29.2 9.2 33.3 34.4 149 Gets drunk sometimes 20.4 44.5 17.0 48.4 52.5 424 Gets drunk often 32.6 60.2 28.2 60.8 63.6 215

Spousal age difference1 Wife older (19.7) (58.9) (0.0) (58.9) (66.8) 22 Wife is same age (20.8) (46.5) (10.3) (46.5) (46.5) 25 Wife 1-4 years younger 13.7 33.2 12.4 35.0 36.8 432 Wife 5-9 years younger 12.5 33.0 15.7 36.0 38.9 746 Wife 10+ years younger 15.9 38.0 14.0 41.2 43.9 648

Spousal education difference Husband better educated 15.7 31.9 13.2 35.6 39.2 933 Wife better educated 14.2 35.6 16.1 38.0 40.9 409 Both equally educated 7.5 25.3 7.9 26.3 27.1 260 Neither educated 21.7 56.8 20.8 58.2 60.1 388

Number of marital control behaviours displayed by husband2

0 7.4 28.7 9.7 31.5 33.4 1,606 1-2 35.5 58.4 28.0 61.2 67.1 291 3-4 60.8 78.7 40.7 80.2 86.7 112 5-6 (77.1) (85.2) (54.0) (88.6) (88.6) 37

Number of decisions in which women participate3

0 22.3 45.4 16.9 48.3 51.9 222 1-2 14.6 35.0 15.7 38.4 40.1 310 3-4 13.0 34.0 13.4 36.6 39.3 1,356

Number of reasons for which wife beating is justified4

0 12.3 31.0 12.0 33.5 36.0 1,168 1-2 15.0 36.6 12.7 39.4 41.9 332 3-4 24.3 50.7 20.1 53.3 57.0 291 5-6 21.7 46.6 26.7 50.7 54.2 146 7 20.7 48.1 21.1 51.2 52.4 109

Number of reasons given for refusing to have sexual intercourse with husband5

0 14.8 48.1 17.0 52.1 54.8 217 1-2 18.2 43.5 21.1 45.4 48.0 440 3 14.9 32.8 12.5 35.6 38.3 1,391

Total 15.6 36.7 14.8 39.5 42.1 2,047

Note: Husband refers to the current husband for currently married women and the most recent husband for widowed, divorced, separated, or deserted women. Total includes women with missing information on husband's education, husband's alcohol consumption, spousal agedifference, and spousal education difference, who are not shown separately. ( ) Based on 25-49 unweighted cases. 1 Currently married women only. 2 Behaviours include: he is jealous or angry if she talks to other men, frequently accuses her of being unfaithful, does not permit her to meet her female friends, tries to limit her contact with her family, insists on knowing where she is at all times, and does not trust her with any money. 3 Currently married women only. Decisions included are decisions about own health care, major household purchases, purchases for dailyhousehold needs, and visits to her family or relatives. 4 Reasons given for which wife beating is justified include: she goes out without telling him, she neglects the house or children, she argues with him, she refuses to have sexual intercourse with him, she doesn't cook food properly, he suspects she is unfaithful, and she shows disrespect for in-laws.5 Reasons given for refusing to have sexual intercourse with husband include: she knows husband has a sexually transmitted disease, she knows husband has sex with other women, and she is tired or not in the mood.

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Table 79 Injuries to women due to spousal violence

Percentage of ever-married women age 15-49 who have experienced specific types of spousal violence by types of injuries resulting from what their husband did to them, the type of violence, and whether they have experienced the violence ever and in the 12 months preceding the survey, Assam, 2005-06

Percentage of women who have had:

Type of spousal violence experienced Cuts, bruises,

or aches Severe burns

Eye injuries, sprains,

dislocations, or burns

Deep wounds, broken bones,

broken teeth, or any other

serious injury Any of these

injuries

Number of ever-married

women

Experienced physical violence Ever 24.9 1.1 7.1 8.3 26.1 752 In the past 12 months1 28.4 0.9 7.9 10.1 29.5 469

Experienced sexual violence Ever 31.0 1.4 9.6 12.0 31.9 298 In the past 12 months1 31.4 1.5 9.6 12.1 32.1 222

Experienced physical or sexual violence Ever 23.3 1.1 6.6 7.8 24.4 807 In the past 12 months1 26.5 0.8 7.1 9.5 27.6 532 Experienced physical and sexual violence

Ever 37.7 1.7 11.8 14.7 38.8 243 In the past 12 months1 38.9 2.1 12.9 14.7 39.4 159

Note: Husband refers to the current husband for currently married women and the most recent husband for widowed, divorced, separated, or deserted women. 1 Excludes widows.

Table 80 Help seeking behaviour

Percentage of women age 15-49 who have ever experienced physical or sexual violence by whether they have ever sought help, and amongthose who have sought help from any source, the source from which help was sought, according to the type of violence experienced and marital status, Assam, 2005-06

Type of violence experienced Marital status

Source Physical onlySexualonly

Both physical and sexual

Evermarried

Nevermarried Total

Help seeking behaviour

Never sought help and never told anyone 72.4 92.9 58.5 71.2 62.0 70.0 Never sought help but told someone 14.5 0.0 15.3 12.9 20.4 13.9 Sought help 9.0 5.7 25.8 13.7 10.1 13.2 Don't know/missing 4.1 1.4 0.3 2.3 7.5 2.9

Number of women who experienced violence 676 60 262 867 131 998

Sources of help among those who sought any help

Own family 52.1 * 57.8 54.6 * 55.9 Husband's family 16.9 * 17.0 19.1 * 17.2 Husband/last husband 4.9 * 0.0 2.9 * 2.6 Friend 2.1 * 8.8 4.7 * 5.5 Neighbour 26.8 * 27.7 30.2 * 27.2 Religious leader 5.6 * 3.8 2.9 * 4.5 Doctor/medical personnel 2.1 * 1.3 1.8 * 1.6 Police 12.0 * 7.6 10.5 * 9.4 Lawyer 0.0 * 2.5 1.4 * 1.3

Social service organization 7.1 * 0.0 3.6 * 3.2Other 0.0 * 5.1 2.9 * 2.6

Number of women who sought help 61 3 68 119 13 132

* Percentage not shown; based on fewer than 25 unweighted cases.

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APPENDIX

ESTIMATES OF SAMPLING ERRORS

The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors and (2) sampling errors. Nonsampling errors are the result of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the third National Family Health Survey (NFHS-3) to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in NFHS-3 is only one of many samples that could have been selected from the same population, using the same design and expected sample size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability among all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.

A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95 percent of all possible samples of identical size and design.

If the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the NFHS-3 sample is the result of a multi-stage stratified design, and, consequently, it was necessary to use more complex formulae. The computer software used to calculate sampling errors for NFHS-3 is programmed in SAS. This procedure uses the Taylor linearization method for variance estimation for survey estimates that are means or proportions. The Jackknife repeated replication method is used for variance estimation of more complex statistics such as total fertility rates and child mortality rates.

The Taylor linearization method treats any proportion or mean as a ratio estimate, r = y/x, where y represents the total sample value for variable y, and x represents the total number of cases in the group or subgroup under consideration. The variance of r is computed using the formula given below, with the standard error being the square root of the variance:

H

h h

hm

ihi

h

h

mzz

mm

xfrvarrSE

h

1

2

1

22

2

11)()(

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in which

hihihi rxyz , and hhh rxyz

where h represents the stratum, which varies from 1 to H,mh is the total number of clusters selected in the hth stratum, yhi is the sum of the weighted values of variable y in the ith cluster in the hth stratum, xhi is the sum of the weighted number of cases in the ith cluster in the hth stratum,

andf is the overall sampling fraction, which is so small that it is ignored.

The Jackknife repeated replication method derives estimates of complex rates from each of several replications of the parent sample, and calculates standard errors for these estimates using simple formulae. Each replication considers all but one cluster in the calculation of the estimates. Pseudo-independent replications are thus created. In the NFHS-3 sample for Assam, there were 87 clusters. Hence, 87 replications were created. The variance of a rate r is calculated as follows:

SE r var rk k

r ri

k

i2

1

211

( ) ( )( )

( )

in which

)()1( ii rkkrr

where r is the estimate computed from the full sample of 87 clusters, r(i) is the estimate computed from the reduced sample of 86 clusters (ith cluster

excluded), and k is the total number of clusters.

In addition to the standard error, the design effect (DEFT) for each estimate is also computed, which is defined as the ratio between the standard error using the given sample design and the standard error that would result if a simple random sample had been used. A DEFT value of 1.0 indicates that the sample design is as efficient as a simple random sample, while a value greater than 1.0 indicates the increase in the sampling error due to the use of a more complex and less statistically efficient design. The relative standard error (SE/R) and confidence limits (R±2SE) for each estimate are also computed.

Sampling errors for NFHS-3 are calculated for selected variables considered to be of primary interest. The results are presented in this appendix for Assam as a whole and for the urban and rural areas of the state. For each variable, the type of statistic (mean, proportion, rate, or ratio) and the base population are given in Table A.1. Table A.2 presents the value of the statistic (R), its standard error (SE), the number of unweighted (N) and weighted (WN) cases, the design effect (DEFT), the relative standard error (SE/R), and the 95 percent confidence limits (R±2SE) for each variable. The DEFT is considered undefined when the standard error for a simple random sample is zero (when the estimate is close to 0 or 1). In the case of the total fertility rate, the number of unweighted cases is not relevant, as there is no known unweighted value for woman-years of exposure to childbearing.

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Table A.1 List of variables for sampling errors, Assam, 2005-06

Variable Estimate Base population Sex ratio (females per 1,000 males) Ratio De facto household population, all ages No education Proportion De facto household population of females/males age 6 and above Tuberculosis prevalence Rate 100,000 usual household residents Using adequately iodized salt Proportion Households Urban residence Proportion Women/men age 15-49 No education Proportion Women/men age 15-49 Completed 10 or more years of education Proportion Women/men age 15-49 Never married, including married gauna not performed Proportion Women/men age 15-49 Currently married Proportion Women/men age 15-49 Married before age 18 Proportion Women age 20-49 Married before age 21 Proportion Men age 25-49 Currently using any method Proportion Currently married women age 15-49 Currently using a modern method Proportion Currently married women age 15-49 Currently using a traditional method Proportion Currently married women age 15-49 Currently using female sterilization Proportion Currently married women age 15-49 Currently using pill Proportion Currently married women age 15-49 Currently using IUD Proportion Currently married women age 15-49 Currently using condom Proportion Currently married women age 15-49 Using public medical sector source of contraception Proportion Women age 15-49 currently using modern methods of contraceptionWant no more children Proportion Currently married women/men age 15-49 Want to delay next birth at least 2 years Proportion Currently married women/men age 15-49 Ideal number of children Mean Women/men age 15-49 Mother received ANC from health personnel Proportion Women with at least one birth in last five years (last birth) Took iron and folic acid (IFA) for 90 days or more Proportion Women with at least one birth in last five years (last birth) Births delivered by a skilled provider Proportion Births in last 5 years Institutional delivery Proportion Births in last 5 years Postnatal check for mother within 2 days of birth Proportion Women with at least one birth in last five years (last birth) Treated with ORS packets Proportion Children under age 5 years with diarrhoea in last 2 weeks Children with diarrhoea taken to a health provider Proportion Children under age 5 years with diarrhoea in last 2 weeks Child’s vaccination card seen by interviewer Proportion Children age 12-23 months Child received BCG vaccination Proportion Children age 12-23 months Child received DPT vaccination (3 doses) Proportion Children age 12-23 months Child received polio vaccination (3 doses) Proportion Children age 12-23 months Child received measles vaccination Proportion Children age 12-23 months Child fully vaccinated Proportion Children age 12-23 months Children given vitamin A supplement in last 6 months Proportion Children age 6-59 months Ever experienced physical or sexual violence Proportion Women age 15-49 Weight-for-height, wasting (below -2SD) Proportion Children under age 5 years who were measured Height-for-age, stunting (below -2SD) Proportion Children under age 5 years who were measured Weight-for-age, underweight (below -2SD) Proportion Children under age 5 years who were measured Body mass index (BMI) < 18.5 kg/m2 Proportion Women/men age 15-49 who were measured Body mass index (BMI) 25.0 kgm2 Proportion Women/men age 15-49 who were measured Have heard of AIDS Proportion Women/men age 15-49 Have comprehensive knowledge about HIV/AIDS Proportion Women/men age 15-49 Total and age-specific fertility rates (last 3 years) Rate Women years of exposure Mortality rates Rate Births in last 5 years Women/men with any anaemia Proportion Women/men age 15-49 Children with any anaemia Proportion Children age 6-59 months

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Table A.2 Sampling errors, Assam, 2005-06

Number of cases Confidence limits

Residence Value (R)

Standard error(SE)

Unweighted (N)

Weighted (WN)

Design effect (DEFT)

Relativestandard

error(SE/R) R-2SE R+2SE

Sex ratio (females per 1,000 males, all ages)

Urban 914 33 2446 1429 1.475 0.036 848 980 Rural 1029 17 5276 6435 1.080 0.016 996 1063 Total 1008 15 7722 7864 1.177 0.015 979 1038

No education (household female population age 6+ years)

Urban 0.167 0.017 2026 1183 1.801 0.101 0.133 0.200 Rural 0.321 0.021 4715 5751 2.891 0.066 0.279 0.364 Total 0.295 0.018 6741 6934 2.985 0.060 0.259 0.330

No education (household male population age 6+ years)

Urban 0.085 0.014 2258 1319 1.968 0.169 0.057 0.114 Rural 0.186 0.016 4545 5544 2.421 0.084 0.155 0.217 Total 0.167 0.013 6803 6862 2.526 0.077 0.141 0.193

Tuberculosis prevalence (per 100,000 usual household residents)

Urban 317 90 4737 2767 1.105 0.283 137 496 Rural 724 93 10905 13301 1.142 0.129 537 911 Total 654 79 15642 16068 1.232 0.121 496 812

Using adequately iodized salt (households)

Urban 0.910 0.017 1174 686 2.047 0.019 0.875 0.944 Rural 0.670 0.030 2235 2726 3.012 0.045 0.610 0.730 Total 0.718 0.024 3409 3412 3.173 0.034 0.669 0.767

Urban residence (women age 15-49) Total 0.188 0.011 3840 3840 1.757 0.059 0.166 0.210

Urban residence (men age 15-49) Total 0.227 0.014 1327 1326 1.247 0.063 0.198 0.255

No education (women age 15-49) Total 0.302 0.024 3840 3840 3.200 0.079 0.255 0.350

No education (men age 15-49) Total 0.144 0.017 1327 1326 1.785 0.120 0.110 0.179

Completed 10 or more years of education (women age 15-49) Total 0.194 0.017 3840 3840 2.710 0.089 0.159 0.228

Completed 10 or more years of education (men age 15-49) Total 0.291 0.023 1327 1326 1.828 0.078 0.246 0.337

Never married, including married gauna not performed (women age 15-49) Total 0.253 0.011 3840 3840 1.601 0.044 0.231 0.276

Never married, including married gauna not performed (men age 15-49) Total 0.429 0.018 1327 1326 1.345 0.043 0.393 0.466

Currently married (women age 15-49) Total 0.692 0.011 3840 3840 1.539 0.017 0.669 0.715

Currently married (men age 15-49) Total 0.560 0.018 1327 1326 1.296 0.032 0.525 0.595

Married before age 18 (women age 20-49) Total 0.429 0.022 3152 3141 2.453 0.050 0.386 0.473

Married before age 21 (men age 25-49) Total 0.176 0.017 876 882 1.359 0.100 0.141 0.211

Currently using any method (currently married women age 15-49) Urban 0.660 0.016 803 470 0.956 0.024 0.628 0.692 Rural 0.545 0.022 1828 2186 1.862 0.040 0.501 0.588 Total 0.565 0.018 2631 2656 1.868 0.032 0.529 0.601

Currently using a modern method (currently married women age 15-49) Urban 0.372 0.019 803 470 1.107 0.051 0.335 0.410 Rural 0.248 0.022 1828 2186 2.139 0.087 0.205 0.292 Total 0.270 0.018 2631 2656 2.089 0.067 0.234 0.306

Currently using a traditional method (currently married women age 15-49) Urban 0.288 0.020 803 470 1.245 0.069 0.248 0.327 Rural 0.296 0.018 1828 2186 1.675 0.060 0.261 0.332 Total 0.295 0.015 2631 2656 1.704 0.051 0.265 0.325

Continued…

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Table A.2 Sampling errors, Assam, 2005-06—ContinuedNumber of cases

Confidence limits

Residence Value (R)

Standard error(SE)

Unweighted (N)

Weighted (WN)

Design effect (DEFT)

Relativestandard

error(SE/R) R-2SE R+2SE

Currently using female sterilization (currently married women age 15-49) Urban 0.141 0.018 803 470 1.439 0.126 0.105 0.176 Rural 0.127 0.022 1828 2186 2.786 0.171 0.084 0.171 Total 0.130 0.018 2631 2656 2.771 0.140 0.093 0.166

Currently using pill (currently married women age 15-49) Urban 0.156 0.021 803 470 1.672 0.138 0.113 0.199 Rural 0.091 0.010 1828 2186 1.486 0.110 0.071 0.111 Total 0.103 0.009 2631 2656 1.548 0.089 0.084 0.121

Currently using IUD (currently married women age 15-49) Urban 0.010 0.003 803 470 0.878 0.309 0.004 0.016 Rural 0.013 0.003 1828 2186 1.139 0.231 0.007 0.019 Total 0.013 0.003 2631 2656 1.174 0.203 0.007 0.018

Currently using condom (currently married women age 15-49) Urban 0.064 0.010 803 470 1.159 0.157 0.044 0.083 Rural 0.015 0.003 1828 2186 1.072 0.205 0.009 0.021 Total 0.023 0.003 2631 2656 1.018 0.128 0.017 0.029

Using public medical sector source of contraception (women age 15-49 currently using modern methods of contraception)

Urban 0.291 0.036 309 181 1.406 0.125 0.218 0.364 Rural 0.511 0.044 474 567 1.915 0.086 0.422 0.599 Total 0.458 0.035 783 748 1.979 0.077 0.387 0.528

Want no more children (currently married women age 15-49) Urban 0.750 0.018 803 470 1.194 0.024 0.713 0.786 Rural 0.677 0.015 1828 2186 1.392 0.023 0.646 0.707 Total 0.690 0.013 2631 2656 1.438 0.019 0.664 0.716

Want no more children (currently married men age 15-49) Urban 0.638 0.039 235 148 1.228 0.061 0.561 0.716 Rural 0.646 0.023 492 595 1.076 0.036 0.600 0.693 Total 0.645 0.020 727 743 1.134 0.031 0.604 0.685

Want to delay next birth at least 2 years (currently married women age 15-49) Total 0.131 0.009 2631 2656 1.357 0.068 0.113 0.149

Want to delay next birth at least 2 years (currently married men age 15-49) Total 0.152 0.014 727 743 1.084 0.095 0.124 0.181

Ideal number of children (women age 15-49) Total 2.254 0.041 3596 3577 2.880 0.018 2.173 2.335

Ideal number of children (men age 15-49) Total 2.260 0.040 1253 1252 2.022 0.018 2.180 2.340

Mother received ANC from health personnel (women with at least one birth in last five years, last birth) Urban 0.870 0.023 277 162 1.140 0.026 0.824 0.916 Rural 0.638 0.032 922 1103 2.043 0.051 0.573 0.703 Total 0.668 0.029 1199 1265 2.171 0.043 0.610 0.725

Took iron and folic acid (IFA) for 90 days or more (women with at least one birth in last five years, last birth) Urban 0.289 0.035 277 162 1.282 0.121 0.219 0.359 Rural 0.143 0.018 922 1103 1.556 0.125 0.107 0.179 Total 0.162 0.017 1199 1265 1.599 0.103 0.129 0.195

Births delivered by a skilled provider (births in the last five years) Urban 0.621 0.060 317 185 2.025 0.097 0.501 0.742 Rural 0.270 0.033 1215 1453 2.316 0.123 0.203 0.336 Total 0.310 0.031 1532 1639 2.429 0.101 0.247 0.372

Institutional delivery (births in the last five years) Urban 0.580 0.063 317 185 2.091 0.108 0.455 0.706 Rural 0.179 0.027 1215 1453 2.161 0.151 0.125 0.233 Total 0.224 0.026 1532 1639 2.238 0.116 0.172 0.276

Postnatal check for mother within 2 days of birth (last birth in last five years) Urban 0.343 0.045 277 162 1.571 0.131 0.253 0.433 Rural 0.110 0.016 922 1103 1.589 0.149 0.077 0.142 Total 0.139 0.016 1199 1265 1.642 0.115 0.107 0.172

Continued…

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Table A.2 Sampling errors, Assam, 2005-06—ContinuedNumber of cases

Confidence limits

Residence Value (R)

Standard error(SE)

Unweighted (N)

Weighted (WN)

Design effect (DEFT)

Relativestandard

error(SE/R) R-2SE R+2SE

Children with diarrhoea treated with ORS packets (children under age 5 years with diarrhoea in last 2 weeks) Rural 0.130 0.036 92 110 1.025 0.275 0.059 0.202 Total 0.145 0.033 115 123 1.051 0.231 0.078 0.211

Children with diarrhoea taken to a health provider (children under age 5 years with diarrhoea in last 2 weeks) Rural 0.293 0.045 92 110 0.913 0.155 0.203 0.384 Total 0.314 0.041 115 123 0.941 0.132 0.231 0.396

Child’s vaccination card seen by interviewer (children age 12-23 months) Urban 0.552 0.075 58 34 1.144 0.136 0.402 0.701 Rural 0.454 0.048 205 245 1.372 0.105 0.358 0.549 Total 0.466 0.043 263 279 1.436 0.093 0.379 0.552

Child received BCG vaccination (children age 12-23 months) Urban 0.759 0.084 58 34 1.494 0.111 0.591 0.927 Rural 0.605 0.048 205 245 1.417 0.080 0.508 0.702 Total 0.624 0.044 263 279 1.506 0.070 0.536 0.711

Child received DPT vaccination (3 doses) (children age 12-23 months) Urban 0.483 0.079 58 34 1.201 0.163 0.325 0.641 Rural 0.444 0.047 205 245 1.357 0.106 0.350 0.538 Total 0.449 0.043 263 279 1.420 0.095 0.364 0.534

Child received polio vaccination (3 doses) (children age 12-23 months)

Urban 0.552 0.076 58 34 1.163 0.138 0.400 0.704 Rural 0.595 0.045 205 245 1.318 0.076 0.505 0.686 Total 0.590 0.041 263 279 1.379 0.069 0.508 0.671

Child received measles vaccination (children age 12-23 months) Urban 0.397 0.077 58 34 1.198 0.194 0.242 0.551 Rural 0.371 0.053 205 245 1.565 0.142 0.265 0.476 Total 0.374 0.047 263 279 1.626 0.127 0.279 0.469

Child fully vaccinated (children age 12-23 months) Urban 0.293 0.067 58 34 1.126 0.230 0.158 0.428 Rural 0.317 0.046 205 245 1.404 0.144 0.226 0.408 Total 0.314 0.041 263 279 1.466 0.130 0.232 0.396

Children given vitamin A supplement in last 6 months (children age 6-59 months) Urban 0.146 0.028 267 156 1.216 0.189 0.091 0.201 Rural 0.123 0.019 989 1183 1.667 0.151 0.086 0.161 Total 0.126 0.017 1256 1339 1.729 0.133 0.092 0.160

Ever experienced physical or sexual violence (women age 15-49)

Total 0.365 0.018 2735 2735 2.005 0.051 0.328 0.402 Weight-for-height, wasting (children under age 5 years who were measured and are below -2SD)

Urban 0.142 0.029 253 148 1.302 0.206 0.084 0.201 Rural 0.136 0.012 998 1217 1.089 0.091 0.112 0.161 Total 0.137 0.011 1251 1365 1.182 0.084 0.114 0.160

Height-for-age, stunting (children under age 5 years who were measured and are below -2SD)

Urban 0.356 0.051 253 148 1.613 0.143 0.254 0.458 Rural 0.478 0.023 998 1217 1.439 0.049 0.431 0.525 Total 0.465 0.022 1251 1365 1.566 0.047 0.421 0.508

Weight-for-age, underweight (children under age 5 years who were measured and are below -2SD)

Urban 0.261 0.032 253 148 1.071 0.122 0.197 0.325 Rural 0.377 0.024 998 1217 1.484 0.063 0.330 0.424 Total 0.364 0.022 1251 1365 1.594 0.059 0.321 0.407

Body mass index (BMI) <18.5 kg/m2 (women age 15-49 who were measured) Urban 0.264 0.018 1096 641 1.343 0.068 0.228 0.299 Rural 0.389 0.021 2324 2780 2.073 0.054 0.347 0.431 Total 0.365 0.017 3420 3421 2.108 0.048 0.330 0.400

Body mass index (BMI) <18.5 kg/m2 (men age 15-49 who were measured) Urban 0.321 0.030 402 252 1.295 0.094 0.260 0.381 Rural 0.365 0.023 770 931 1.332 0.063 0.319 0.411 Total 0.356 0.019 1172 1184 1.379 0.054 0.317 0.394

Continued…

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Table A.2 Sampling errors, Assam, 2005-06—ContinuedNumber of cases

Confidence limits

Residence Value (R)

Standard error(SE)

Unweighted (N)

Weighted (WN)

Design effect (DEFT)

Relativestandard

error(SE/R) R-2SE R+2SE

Body mass index (BMI) 25.0 kg/m2 (women age 15-49 who were measured)

Urban 0.196 0.016 1096 641 1.304 0.080 0.165 0.227 Rural 0.051 0.007 2324 2780 1.544 0.139 0.037 0.065 Total 0.078 0.006 3420 3421 1.404 0.083 0.065 0.091

Body mass index (BMI) 25.0 kg/m2 (men age 15-49 who were measured)

Urban 0.109 0.020 402 252 1.289 0.184 0.069 0.150 Rural 0.034 0.008 770 931 1.212 0.234 0.018 0.050 Total 0.050 0.007 1172 1184 1.180 0.150 0.035 0.065

Have heard of AIDS (women age 15-49) Urban 0.844 0.024 1232 721 2.305 0.028 0.796 0.892 Rural 0.526 0.039 2608 3119 3.966 0.074 0.448 0.604 Total 0.586 0.032 3840 3840 3.957 0.054 0.523 0.649

Have heard of AIDS (men age 15-49)

Urban 0.933 0.011 479 301 0.967 0.012 0.911 0.955 Rural 0.751 0.033 848 1026 2.233 0.044 0.685 0.818 Total 0.792 0.026 1327 1326 2.300 0.032 0.741 0.844

Comprehensive knowledge about HIV/AIDS (women age 15-49) Urban 0.179 0.022 1232 721 1.991 0.121 0.136 0.223 Rural 0.059 0.009 2608 3119 1.976 0.154 0.041 0.078 Total 0.082 0.008 3840 3840 1.893 0.102 0.065 0.099

Comprehensive knowledge about HIV/AIDS (men age 15-49)

Urban 0.255 0.029 479 301 1.477 0.116 0.196 0.314 Rural 0.100 0.014 848 1026 1.344 0.138 0.072 0.128 Total 0.135 0.013 1327 1326 1.353 0.094 0.110 0.161

Total fertility rate (last 3 years)

Urban 1.428 0.149 na 2066 1.430 0.104 1.131 1.726 Rural 2.647 0.180 na 8820 1.978 0.068 2.286 3.007 Total 2.421 0.154 na 10886 2.043 0.064 2.112 2.729

Age-specific fertility rate for women age 15-19 (last 3 years) Urban 0.049 0.010 na 404 1.178 0.200 0.030 0.069 Rural 0.094 0.009 na 1841 1.173 0.093 0.076 0.111 Total 0.086 0.007 na 2245 1.229 0.085 0.071 0.100

Age-specific fertility rate for women age 20-24 (last 3 years) Urban 0.096 0.013 na 392 1.148 0.135 0.070 0.121 Rural 0.167 0.011 na 1860 1.258 0.067 0.144 0.189 Total 0.154 0.010 na 2252 1.325 0.062 0.135 0.173

Age-specific fertility rate for women age 25-29 (last 3 years) Urban 0.077 0.010 na 351 0.890 0.124 0.058 0.096 Rural 0.138 0.012 na 1624 1.365 0.089 0.114 0.163 Total 0.127 0.010 na 1975 1.418 0.081 0.107 0.148

Age-specific fertility rate for women age 30-34 (last 3 years) Urban 0.050 0.011 na 327 1.204 0.224 0.028 0.072 Rural 0.076 0.011 na 1410 1.441 0.146 0.054 0.098 Total 0.071 0.009 na 1737 1.491 0.129 0.052 0.089

Age-specific fertility rate for women age 35-39 (last 3 years) Urban 0.014 0.005 na 287 0.945 0.351 0.004 0.024 Rural 0.046 0.008 na 1021 1.155 0.180 0.029 0.062 Total 0.039 0.007 na 1308 1.227 0.169 0.026 0.052

Age-specific fertility rate for women age 40-44 (last 3 years) Urban 0.000 0.000 na 221 nc nc 0.000 0.000 Rural 0.010 0.004 na 751 0.971 0.392 0.002 0.017 Total 0.007 0.003 na 973 1.056 0.390 0.002 0.013

Age-specific fertility rate for women age 45-49 (last 3 years) Urban 0.000 0.000 na 83 nc nc 0.000 0.000 Rural 0.000 0.000 na 314 nc nc 0.000 0.000 Total 0.000 0.000 na 396 nc nc 0.000 0.000

Continued…

Page 129: NATIONAL FAMILY HEALTH SURVEY (NFHS-3)rchiips.org/nfhs/assam_report_for_website.pdfFifty-seven percent of households in Assam get their drinking water from a tube well or borehole;

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Table A.2 Sampling errors, Assam, 2005-06—ContinuedNumber of cases

Confidence limits

Residence Value (R)

Standard error(SE)

Unweighted (N)

Weighted (WN)

Design effect (DEFT)

Relativestandard

error(SE/R) R-2SE R+2SE

Neonatal mortality (0-4 years)

Urban 54.688 10.961 320 187 0.902 0.200 32.766 76.609 Rural 44.280 6.346 1222 1462 0.944 0.143 31.589 56.972 Total 45.464 5.754 1542 1649 1.001 0.127 33.956 56.973

Post-neonatal mortality (0-4 years)

Urban 3.064 3.071 320 187 0.980 1.002 0.000 9.206 Rural 22.963 5.068 1219 1458 1.150 0.221 12.826 33.099 Total 20.640 4.538 1539 1645 1.253 0.220 11.564 29.717

Infant mortality (0-4 years)

Urban 57.752 11.381 320 187 0.865 0.197 34.990 80.513 Rural 67.243 8.673 1225 1465 1.098 0.129 49.897 84.589 Total 66.105 7.800 1545 1652 1.165 0.118 50.505 81.704

Child mortality (0-4 years)

Urban 14.885 7.562 339 198 1.142 0.508 0.000 30.008 Rural 20.959 5.108 1230 1471 1.214 0.244 10.743 31.174 Total 20.238 4.581 1569 1669 1.296 0.226 11.076 29.399

Under-five mortality (0-4 years)

Urban 71.777 12.816 321 188 0.932 0.179 46.146 97.408 Rural 86.792 8.643 1235 1477 0.974 0.100 69.506 104.079 Total 85.004 7.805 1556 1665 1.040 0.092 69.395 100.613

Women with any anaemia (women age 15-49 years)

Urban 0.659 0.020 1116 653 1.407 0.030 0.620 0.699 Rural 0.702 0.017 2485 2972 1.891 0.025 0.668 0.737 Total 0.695 0.015 3601 3625 1.924 0.021 0.665 0.724

Men with any anaemia (men age 15-49 years)

Urban 0.319 0.029 395 248 1.252 0.092 0.260 0.378 Rural 0.417 0.024 767 928 1.364 0.058 0.369 0.466 Total 0.396 0.020 1162 1176 1.416 0.051 0.356 0.437

Children with any anaemia (children age 6-59 months)

Urban 0.605 0.041 233 136 1.230 0.067 0.524 0.687 Rural 0.708 0.021 896 1093 1.364 0.030 0.666 0.749 Total 0.696 0.019 1129 1229 1.448 0.028 0.658 0.735

na =Not applicable nc =Not calculated because the denominator is zero