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 District Level Household Survey-III

State Institute of Health & Family Welfare, Jaipur 

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DLHS -3

ØOne of largest ever demographic & Healthsurveys

ØCarried out with a sample size of about 7

lack household covering all the districts of the country

ØInitiated in 1997

ØProvide district level estimates on health

indicators to assist policy makersØProgram admistrators in decentralized

planning, monitoring and evaluation

SIHFW: An ISO:9001:2008 certified Institution 2

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ØDLHS-3 (2007-08)Ø

ØDLHS-2 (2002-04)Ø

ØDLHS-1 (1998-99)Ø

ØNodal Agency- IIPS MumbaiØ

ØDLHS-3 provides-

ØInformation related to theprograms of NRHM

ØMulti stage stratified PPS sampledesign

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ØDLHS III survey preliminary results for 15 states(AP, BIH, CHT, GOA, JRK, KAR, KER, MP, ORSPON, RAJ, SIK, TN, UP, WB)

Øinformation covered-

ØMarriage

ØFertility / infertilityØMaternal Health

ØChild Health

ØFamily Planning

ØGeneral (VHSC, ANMs living at SCquarters)

SIHFW: An ISO:9001:2008 certified Institution 4

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Marriage – Main Findings

ØMean Age at Marriage boys(20.7),girls(17.7)ØGirls marrying before reaching 18 years of age

ØDLHS2- 50.8%

ØDLHS3- 41%ØMean age at marriage for both has increased

between the two rounds of DLHS.

ØThe difference in mean age of marriage (both)between states reporting lowest and highest

was in the range of 8 years

Ø

SIHFW: An ISO:9001:2008 certified Institution 5

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Mean age at Marriage

ØRajasthan -mean age at marriage for boys andgirls is lower than the legal age at marriage

ØBihar -female mean age at marriage is lower than legal age

Øreported the lowest (17.6 years)Øhighest in Goa (25.1 years)

Ø In case of males

ØGoa highest (29.6 yrs)

ØRajasthan (20.7 yrs) lowest

SIHFW: An ISO:9001:2008 certified Institution 6

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Fertility

ØBirths to women during age 15-19 out of total births(4.7)

ØWomen with two children wanting nomore(56.0)

ØMean children ever born to women aged40-44 years(4.4)

Ø Infertility among women 15-44 years

SIHFW: An ISO:9001:2008 certified Institution 7

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Fertility/infertility-Main Points

ØOut of total births, many states (AP, Bihar,Jharkhand, Chhattisgarh, Karnataka, UP, WB)have higher % of births to women aged 15-19years

ØLarge no. of women (44% or higher) do not wantany child after two children

ØMean number of children ever born to womenaged 40-44 declined in most states.

Ø Infertility as high as 14% in some states (Goa,Karnataka, WB)

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Antenatal Care Services

ØProportion of women availing any ANC andcomplete package of ANC services hasincreased

Ø

The difference between availing any ANC andcomplete package was substantial in high-focus states

ØFollow-up ANC care services for ensuring

complete coverage are required in all states

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Institutional Deliveries

Ø Increased in most of the states in the countryØHigh-focus states have shown tremendous

growth in ID barring Sikkim, Jharkhand andChhattisgarh

ØMaximum increases in ID have been witnessedin states of Orissa, Bihar, Rajasthan and MP

Ø In Bihar, Chhattisgarh, Goa, Jharkhand, UP, theJSY assistance is received by a lower percentage of women

Ø In Rajasthan ID increased 15.2% compare withDLHS2

SIHFW: An ISO:9001:2008 certified Institution 11

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Child Health

ØCoverage in Child Immunization

ØOther Child Health Indicators

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Coverage in Child Immunization

ØFull immunization coverage has improved acrossthe states in the country

ØDLHS2-23.9%

ØDLHS3-48.8%

ØJharkhand, Rajasthan and Bihar have shown verypositive results while MP, UP and Chhattisgarhhave lagged behind

ØProportion of children who received novaccination has declined

ØDLHS2-29.6%

ØDLHS3-14.3%

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Coverage in Child Immunization

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Children Received No Vaccination at All

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Awareness about HIV /AIDS

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Family Planning

ØModern CPR

ØMethod-wise CPR

ØUnmet Need for Family Planning

ØLimiting Need

ØSpacing Need

SIHFW: An ISO:9001:2008 certified Institution 17

C f

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Current Use of Family Planning Method

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CPR and Unmet Need for FamilyPlanning

ØStates with low CPR have higher levels of unmet need and the converse is true.

ØUnmet need higher than CPR in states of UP,

Bihar and JharkhandØCPR has been marginal in most of the states

barring Rajasthan

ØStates such as-UP, Jharkhand, MP, Bihar,

Chhattisgarh, Karnataka, TN, Kerala andPondicherry have depicted decline in spacingmethod use.

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ØHigh-focus states have high unmet need for both limiting and spacing methods

ØUnmet need has to be addressedsystematically through appropriate service

provisions, sterilization camps, IPC andBCC strategies

Ø Infertility treatment services also required

Ø

VHSC formation needs to be geared up

SIHFW: An ISO:9001:2008 certified Institution 22

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