Presentation on theme: "Chief, Health Systems Division, USAID/India"— Presentation transcript:
1 Chief, Health Systems Division, USAID/India Use of DHS Data to Influence FP/MNCH Programs & Policies: India National Family Health SurveySheena ChhabraChief, Health Systems Division, USAID/IndiaReconvening BangkokMarch 9, 2010
2 India’s National Family Health Survey (NFHS): A key data-base for promoting data-based decision-making in healthNational Five Year PlansNational Population PolicyNational Nutrition PolicyState Health & Population PoliciesReproductive and Child Health (RCH)-1 & -2 designsIntegrated Child Development Scheme designNational Urban Health Mission designDevelopment Partners PHN Strategies & Programs- USAID, UNICEF, DFID, World Bank, UNFPA, EC, etc.Designing & tracking program progressMonitoring MDGs
3 NFHS data were instrumental in revitalizing routine immunization Key FindingsImmunization coverage stagnant for DPTHealth system is reaching vast majority of children at least onceSubstantial decrease in full vaccination coverage among children in better-performing statesResponseStrategies for Routine ImmunizationCommunity mobilization through Village Health & Nutrition DaysImproved program monitoringDPT 1: 76%DPT 2: 67%DPT 3: 55%Data Source: For NFHS-2 and NFHS-3 - Table no. 9.6 (NFHS-3 Chapter)For NFHS-1 India fact sheet (NFHS-3)
4 NFHS reiterated the need to focus on proven & simple child health interventions Key findingsBasic package of child health services is not being deliveredStagnant ORS use69% of the children with ARI symptoms sought treatmentResponseNewborn & Child Health PolicyStrategies for home-based as well as institutional carePercentage of children age with diarrhoea inthe past 2 weeksData Source: For NFHS-3 India fact sheetFor NFHS-2 Table no India report,(NFHS-2)RCH-2
5 NFHS highlighted the need for focused attention on malnutrition Key FindingsNo significant improvements in nutrition status among children under age 3.Anemia among children age 6-35 months has increased over the past 7 years.ResponsePrime Minister’s letter to Chief Minister urging action to address malnutrition especially among children under six.Establishment of the Coalition for Sustainable Nutrition Security in India under chairmanship of Prof. M.S Swaminathan.Percent
6 NFHS-3 informed programs for improving nutritional status Key FindingsOnly a third of the eligible children receive any service from an Anganwadi Centre (AWC) under the ICDSResponseStrategic shift in the design of Integrated Child Development Services Scheme (ICDS)-3Percent of age-eligible children in areas with an AWC
7 NFHS data influenced design of JSY Janani Suraksha Yojana NFHS data helped in improving program focus on coverage and quality of antenatal care & institutional deliveries.National Maternity Benefit Scheme modified (JSY) from nutrition-improving scheme to one of addressing all aspects of maternal health.Janani Suraksha Yojana designed for promoting institutional deliveries.Report on the Working Group on Health of Women & Children for the 11th 5 year plan ( )
8 NFHS data helped improve focus on birth spacing Key FindingsContraceptive use increased steadily with vast majority continuing to rely on female sterilization.Some gains in modern spacing method use but use of IUDs remained static.ResponseShift of the family welfare program to target-free approach.Strategy for repositioning IUDs.Enhanced commitment to expand basket of contraceptive methods.Standard Days method introduced in National program.Percent of currently married women age 15-49
9 Deaths in the first year of life per 1000 live births NFHS data helped to evolve strategies for healthy timing and spacing of birthsDeaths in the first year of life per 1000 live births
10 NFHS-3 helped devise appropriate strategies for vulnerable population groups Key FindingsHealth conditions of urban poor are similar to or worse than rural population and far worse than urban averages.27% of teenage women and 21% of women age have unmet need for family planning.Child mortality rate is 61% higher for girls than for boys.Two in five currently married women age have ever experienced spousal violence in their current marriage.ResponseDesign of the draft National Urban Health Mission highlighting need for programming resources for urban poor.Adolescent Reproductive and Sexual Health Strategy (ARSH).Improved commitment for gender programming including gender-based budgeting.Inputs for the Domestic Violence Act 2005.
11 NFHS-3 Key Data Source for RCH-2 Performance Review of States Segmentation of States based on RCH-2 PerformanceTop GunsHigh AchieversMovers and ShakersPromisingGoaKeralaSikkimUttaranchalHimachal PradeshKarnatakaMaharashtraTamil NaduManipurChhattisgarhMadhya PradeshOrissaAndhra PradeshGujaratHaryanaJammu & KashmirPunjabWest BengalMeghalayaMizoram, TripuraBiharJharkhandRajasthanUttar PradeshArunachal PradeshAssamNagalandSource: RCH-2 – Program Management Support Group (PMSG), Donor Coordination Division
12 Key Learnings Government stewardship essential from design stage Involve various government departments on Steering & Technical CommitteesWiden ownership by engaging multiple stakeholders early onProvide adequate fundingBuild various data quality checks
13 …Key Learnings Provide world-class technical assistance Engage premier local institutionsAnticipate barriers for acceptance of data and plan appropriatelyDisseminate data widely at all levels2 National & 29 State NFHS-3 fact-sheetsNational and 29 state reports27 dissemination seminars at national and state level4 subject reports & 5 subject factsheetsEstimated 2000 media reports including over 500 wholly or largely based on NFHS-3 results124 peer-reviewed journals using NFHS dataMake data-sets available in public domain (wwwnfhsindia.org)
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