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For further information, please contact:
Additional Director General (Stat.)
Ministry of Health and Family Welfare
Government of India
Nirman BhavanNew Delhi - 110 011
Telephone: 011-23061334
Fax: 011-23061334
E-mail: [email protected]
Chief Director (Stat.)
Ministry of Health and Family WelfareGovernment of India
Nirman Bhavan
New Delhi - 110 011
Telephone: 011-23062699
Fax: 011-23062699
E-mail: [email protected]
Director/ Project Coordinator (DLHS -3)
International Institute for Population Sciences (IIPS)
Govandi Station Road, Deonar
Mumbai - 400 088
Telephone: 022- 2556 3254/5/6
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Rajasthan DLHS-3 District : Ganganagar
About DLHS - 3:
assess the utilization of services provided by government health care facilities andpeople’s perceptions about the quality of services. The District Level HouseholdSurvey - 3 (DLHS -3) is the third in the series of district surveys, preceded byDLHS-1 in 1998-99 and DLHS-2 in 2002-04. As in DLHS-3, the International Institutefor Population Sciences (IIPS) was the nodal agency to conduct DLHS-1 and DLHS-2. DLHS-3, like other two earlier rounds, is designed to provide estimates onimportant indicators on maternal and child health, family planning and otherreproductive health services. In addition, DLHS-3 provides information onimportant interventions of National Rural Health Mission (NRHM). Unlike other tworounds in which only currently married women age 15-44 years were interviewed,DLHS -3 interviewed ever-married women (age 15-49) and never married women(age 15-24).
performance in terms of Ante-Natal Care (ANC), institutional delivery,immunization, etc. and it was fixed based on information related to such indicatorsfrom DLHS-2. For low performing districts, 1500 Households (HHs), for medium
performing districts, 1200 HHs and for good performing districts, 1000 HHs werefixed as sample size. In case of Ganganagar, sample size was 1000 householdswith 10% additional HHs to take care of non-response/refusal, etc.
The survey used two-stage stratified random sampling in rural and three-stagestratified sampling in urban areas of each district. The information from 2001Census was used as sampling frame for selecting primary sampling units (PSUs). Inrural areas, all the villages in the district were stratified into different strata basedon population /HH size, percentage of SC/ ST population, female literacy (7+), etc.
The required number of villages from each strata were selected with probabilityproportional to size (PPS). In selected primary sampling units (villages), householdlisting was done and required number of households were selected usingFor larger villages (more than 300 HHs) segmentation was carried out. In case of
300 to 600 HHs, two segments of equal size were made and one was selectedusing PPS. For PSUs having more than 600 HHs, segments of 150 HHs werecreated depending on the size and then two segments were selected using PPS. In
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Rajasthan DLHS-3 District : Ganganagar
Note:
Unmet need for spacing
The ever married women's questionnaire consists of sections on women's
characteristics, maternal care, immunization and child care, contraception andfertility preferences, reproductive health including knowledge about HIV/AIDS.
The unmarried women's questionnaire contained information on hercharacteristics, family life education and age at marriage, reproductive health-knowledge and awareness about contraception, HIV / AIDS, etc.
e v age quest onna re conta ne n ormat on on ava a ty o ea t ,education and other facilities in the village and whether the health facilities areaccessible throughout the year.
For the first time, population-linked facility survey has been conducted in DLHS-3.In a district, all Community Health Centres (CHCs) and District Hospital (DH) werecovered. Further, all Sub-centres (SC) and Primary Health Centres (PHC) whichwere expected to serve the population of the selected PSU were also covered.
There were separate questionnaires for SC, PHC, CHC and DH. They broadlyinclude questions on infrastructure, human resources, supply of drugs &instruments, and performance.
15-44 years. years.
urban PSUs in DLHS-2. This adjustment is done in those districts where percentageis less than 30.
DLHS-2 :Includes Tap (Inside Residency/Yard/Plot),Tap(Shared/Public),HandPump/Bore well, Well-covered.
DLHS-3:Includes Pipe into Dwelling, Piped to Yard/Plot, Public Tap/Standpipe.
Unmet need for spacing includes the proportion of currently married women whoare neither in menopause or had hysterectomy nor are currently pregnant andwho want more children after two years or later and are currently not using anyfamily planning method The women who are not sure about whether and when to
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Rajasthan DLHS-3 District : Ganganagar
District Indicators, Ganganagar, (2001 Census)
Indicators Census 2001
Population (in thousands) 1,789
Decadal Growth Rate (1991-01) 27.5
Sex Ratio * 873
Percent Urban population 25.3
Percent SC population 33.7
Percent ST population 0.8
Female Literacy Rate (7 years and above) 44.3
Male Literacy Rate (7 years and above) 76.5
Sample outcome, DLHS -3, 2007-08Category No. covered Response Rate
Households 1,067 97.0
Ever Married Women (15-49 years) 1,086 98.3
Unmarried Women (15-24 years) 304 98.1
Sub Centres (SC) 35 100.0
Primary Health Centres (P H C) 18 100.0
Community Health Centres (C H C) 11 100.0
District Hospital (D H) 1 100.0Population and Household Characteristics, 2007-08
Background CharacteristicsDLHS - 3 DLHS - 2
Total Rural Total Rural
69.7 64.4 - -
78.4 74.1 - -
60.0 53.4 - -
98.9 98.5 - -99.3 99.0 - -
Have Electricity connection (%) 75.2 68.2 64.6 56.0
Have Access to toilet facility (%) 77.8 72.5 83.8 80.7
Use piped drinking water (%) 74.6 67.5 84.5 80.7
Use LPG for cooking (%) 17.9 2.8 17.6 3.8
+)ercen era e ae opu a on ge
7+)
7+)-
Schools -Schools
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Rajasthan DLHS-3 District : Ganganagar
Indicators DLHS - 3 DLHS - 2
Marriage and Fertility, (Jan 2004 to 2007-08)Total Rural Total Rural
15.4 16.0 28.0 34.0
Percentage of Births of Order 3 and above 29.1 30.4 33.6 36.0
Sex Ratio at birth 119 134 - -
51.3 51.7 - -
14.7 15.7 - -Family planning (currently married women, age 15-49)
Current Use :
Any Method (%) 73.0 72.6 65.5 66.3
Any Modern method (%) 70.6 70.0 63.9 64.7
Female Sterilization (%) 54.0 56.4 46.6 51.9
Male Sterilization (%) 0.9 1.0 0.2 0.1
IUD (%) 1.8 1.8 4.3 3.7
Pill (%) 3.1 3.6 3.7 2.8
Condom (%) 10.7 7.2 9.0 6.2
Unmet Need for Family Planning:
Total unmet need (%) 9.3 9.4 7.2 5.6
For spacing (%) 3.2 3.5 0.9 0.7
For limiting (%) 6.1 5.9 6.3 4.9
Maternal Health:
38.3 34.9 - -
38.7 37.5 28.5 23.0
63.9 61.4 69.1 65.6
Institutional births (%) 40.7 34.5 31.1 25.5
years
Percentage of women age 20-24 reporting birth of order 2 & above.
Percentage of births to women during age 15-19
out of total births
Mothers registered in the first trimester when theywere pregnant with last live birth/still birth (%)
Mothers who had at least 3 Ante-Natal care visitsduring the last pregnancy (%)
o ers w o go a eas one n ec on w enthey were pregnant with their last live birth / stillbirth (%)#
Delivery at home assisted by a doctor/nurse
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Rajasthan DLHS-3 District : Ganganagar
IndicatorsDLHS - 3 DLHS - 2
Total Rural Total Rural
63.5 62.2 - -
20.2 16.5 - -
Treatment of childhood diseases (children under 3 years based on last two surviving children)
21.4 0.0 26.4 22.2
78.2 77.4 57.9 58.2
82.5 74.5 - -
36.7 33.6 - -
34.4 31.2 - -
Child feeding practices (Children under 3 years)
Children breastfed within one hour of birth (%) 42.2 40.4 - -
35.9 38.5 - -
91.8 89.9 - -
Knowledge of HIV/AIDS and RTI/STI among Ever married Women (age 15-49)
Women heard of HIV/AIDS (%) 45.9 36.7 36.9 25.0
50.3 41.8 48.1 44.0
99.1 99.3 - -
0.0 0.0 - -
Women heard of RTI/STI (%) 29.9 24.6 47.5 45.3
Knowledge of HIV/AIDS among Unmarried Women (age 15-24)
Child Immunization and Vitamin A supplementation: (Contd..)
Children (9-35 months) who have received atleast one dose of Vitamin A (%)
Children (above 21 months) who have receivedthree doses of Vitamin A (%)
Children with Diarrhoea in the last two weeks whoreceived ORS (%)
Children with Diarrhoea in the last two weeks whowere given treatment (%)
Children with acute respiratory infection/fever inthe last two weeks who were given treatment (%)
Children had check-up within 24 hours afterdelivery (based on last live birth)(%)
Children had check-up within 10 days afterdelivery (based on last live birth) (%)
Children (age 6 months above) exclusivelybreastfed (%)
Children (6-24 months) who received solid orsemisolid food and still being breastfed (%)
Women who knew that consistent condom usecan reduce the chances of getting HIV/AIDS (%)
Women having correct knowledge of HIV/ AIDS(%)
omen un erwen es or e ec ng(%)
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Rajasthan DLHS-3 District : Ganganagar
Village
Indicators NumberVillages that have implemented Janani Suraksha Yojana (JSY) 36
Villages with Health & Sanitation Committee 4
Villages with Rogi Kalyan Samiti (RKS) 11
Villages where PRI aware of untied fund by Government 14
Health facility within village - ICDS (Anganwadi) 32
5
Health facility within village- Sub-Centre 9
26
Health facility within village- PHC 2
33
Health facility within village- Block PHC 0
35
Health facility within village- Govt. Dispensary 0
35
Health facility within village- Private Clinic 4
32
Health facility within village- AYUSH Health Facility 0
35
Facility SurveyCommunity Health Centre (CHC) N = 11
Indicators Number Indicators Number
Infrastructure : Performance
CHC having Personal Computer 7 In-patients admission in last one month 1,799
If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-ICDS (Anganwadi)
If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-Sub-Centre
,year-PHC
If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-Block PHC
If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-Govt. Dispensary
If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-Private Clinic
If health facility is not in the village, whether accessible to the nearest health facility throughout theyear-AYUSH Health Facility
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Rajasthan DLHS-3 District : Ganganagar
Facility SurveyCommunity Health Centre (CHC) N = 11 (Contd..)
Indicators Number Indicators Number
Human Resource : Supply :
CHC having General Surgeon 4 11
CHC having Obstetrician/ Gynaecologist 1 CHC with 24 hours New born care 8
4 5
4
4
1
Primary Health Centre (PHC) N= 18
Infrastructure : Performance :
12 146
PHC having separate Labour Room 14 2,772
PHC having Personal Computer 0 396
PHC having Normal Delivery Kit 18 20
CHC with 24 hours normal deliveryservices
M.O. received training of Non-ScalpelVasectomy (NSV) during last five years
CHC recognized as IntegratedCounseling and Testing Centre (ICTC)
M.O. received training for Prevention,Care and Support for HIV/AIDS duringlast five years
M.O. received training of basicEmergency Obstetric Care during lastfive years
M.O. received training of IntegratedManagement of Neonatal andChildhood illness during last five years
PHC having Residential Quarter forMedical Officer
Haemoglobin tests (TLC/DLC)conducted during last one month
Blood smear examinations for malaria
parasite conducted during last onemonth
In-patient admissions during last onemonth
Referral cases for serious ailmentsfrom PHC to higher centres during lastone month
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Rajasthan DLHS-3 District : Ganganagar
Facility SurveyPrimary Health Centre (PHC) N = 18 (Contd..)
Indicators Number Indicators Number
Human Resource : Supply :
PHC having Lady Medical Officer (LMO) 1 16
PHC having Laboratory Technician 8
14
0
0
Sub Centre (SC) N =35
Infrastructure : Performance :
31 1,776
0
10
ANM staying in Sub Centre village 4
28
26
Human Resource : Supply :
3 34
PHC that received the untied fund inprevious financial year
PHC organized any training programmein their PHC during last year
PHC having at least one MO ,whoreceived Integrated Skill Development Training for 12 days during last fiveyears
PHC having at least one MO, whoreceived IMNCI training during last fiveyears
Sub Centre located in governmentbuilding
Number of Infants and childrenimmunized
Sub Centre having communicationfacility
Sub Centre having separate labourroom
Sub Centre having staff quarter forANM
supply
Sub Centre where Male Health Workerin position
Sub-Centre having auto-disposablesyringes
S b C t ti IFA t bl t t f
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Rajasthan DLHS-3
Performance at a Glance
0
20
40
60
80
100
120
Women Who had Minimum of Three ANC Check-up by Residence
P e r c e n
t
0
20
40
60
80
100
120
Women Who Received Atleast One TT Injection by Residence
P e r c e n
t
0
10
20
30
40
50
60
70
Contraceptive U
P e r c e n
t
20
40
60
80
100
120
Institutional Deliveries by Residence
p e r c e n
t
20
40
60
80
100
120
ercent of Children(Age12-23 Months) Who Receceived Measles Vaccine by Residenc
P e r c e n
t
2
4
6
8
10
12
Total Unmet Need
p e r c e n
t
Total Rural
0
10
20
30
40
50
29
23
39 38
ad Minimum of Three Ante-natal Check-ups by R
DLHS-2 DLHS-3
P e r c e n
t
Total Rural
0
20
40
60
8069
6664 61
en Received Atleast One TT Injection by Reside
DLHS-2 DLHS-3
P e r c e n
t
Total
0
20
40
60
80
100
66
Contraceptive Use
D
P e r c e n
t
10
20
30
40
50
31
26
41
35
Institutional Deliveries by Residence
P e r c e n
t
20
40
60
80
100
59 54
81 79
dren(Age12-23 Months) Received Measles Vaccin
P e r c e n
t
5
10
15
7
9
Total Unmet Need for
P e r c e n
t
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Total RuralMothers w DLHS-2 28.5 23.0
DLHS-3 38.7 37.5
Total Rural
Mothers w DLHS-2 69.1 65.6
DLHS-3 63.9 61.4
Total Rural
Any Metho DLHS-2 65.5 66.3
DLHS-3 73.0 72.6
Total Rural
Institutiona DLHS-2 31.1 25.5
DLHS-3 40.7 34.5
Total Rural
DLHS-2 59.0 54.3
DLHS-3 80.6 78.6
Total Rural
Total Unm DLHS-2 7.2 5.6
DLHS-3 9.3 9.4
Children(12-23months)
who havereceivedMeaslesVaccine(%)