1. Presentation on Selected Indicators based on DLHS-III (2007-08) and DLHS-II(2002-04)

2. District Level House Hold Survey (DLHS) Conducted by Indian Institute of Population Science Initiated in 1997 ( I: 98-99, II : 2002-04 and III : 2007-08) One of the largest ever demographic and health surveys carried out in India, with a sample size of about 1000-1500 hhs. per district To assess the utilization of Govt. services & peoples’ perception about quality & Services To provide estimate on important indicators on 1.Maternal & Child Health 2.Family Planning & other reproductive health services. 3.Important interventions of NRHM ( DLHS – III) Field work in Gujarat was conducted during April 2008 to Sept ’08 Information from 26,145 households collected

3. Antenatal care Indicators Guj. -TotalGuj.- RuralGuj -Urban DLHS IIIIIIIIIIIIIII Mothers who received any antenatal check-up (%) 87.671.584.966.488.493.6 Mothers who had antenatal check-up in first trimester (%) 47.152.439.945.963.573.4 Mothers who had three or more ANC (%) 57.356.848.350.077.879.0 Mothers who had at least one TT inj (%) 82.568.678.863.191.086.4 Mothers whose BP taken (%) 53.851.043.344.877.671.3 Mothers who consumed 100 IFA Tablet(%) 29.950.725.352.340.445.4 Mothers who had full ANC (%)25.219.919.616.037.932.8

5. Mothers Received 3 ANC Improved more than 10 percent points Rajkot (18.2),Junagadh(15.0), Jamnagar (13.3),Dahod(10.1) Improvement below 10 percent points Surat (4.8),Porbandar (1.0), Anand (3.3), Amreli(1.8),Mehsana(1.5), Decreased up to 5 per-points Kheda(1.2),Bharuch(2.8),Bhavnagar (4.2),Patan(0.1),P.Ms(0.3) and Kachcha(3.3) Decreased more than 5 percent points A’bad (11.9),Navsari(5.8),Gandhinagar (5.2),Valsad(22.9),S.K.(11.8),Vadodara( 24.1),Narmada(13.0),S’nagar(8.4), B.K.(7.7) and Dangs(18.0

6. All-India improved by 6.5 per-point whereas Gujarat Improved by 4.3 per-points

7. Delivery care (%) Indicators Guj – TotalGuj – RuralGuj - Urban DLHS I DLHS II DLHS III DLHS I DLH S II DLHS III DLHS I DLHS II DLHS III Institutional delivery 41.152.256.532.141.248.169.977.483.7 Delivery at home 58.947.542.267.958.450.330.122.515.8 Delivery at home conducted by skilled health personnel 10.220.812.411.618.312.08.435.916.9 Mothers who received PNC within two weeks of delivery --59.5--52.9--81.1 Mothers who received FA for delivery under JSY --9.5--10.4--6.3

9. Institutional Delivery Improved more than 15 percent points Surat, Jamnagar, Kheda, Porbandar, P.Mahals, Kachchh, Junagadh, Bharuch and Dohad Improvement between 10 to 15 per-points Mehsana, Navsari, Rajkot, Banaskantha, Amreli and Bhavnagar Improvement between 5 to 10 per-points Ahmedabad, Anand, Patan, Narmada and Surendranagar Improvement below 5 percent points Gandhinagar, Sabarkantha and Valsad DeclineVadodara and Dangs

10. Percent Children Immunization (12-23 months) Indicators Guj. –TotalGuj.- RuralGuj-Urban DLHS IIIIIIIIIIIIIII Fully immunized54.055.548.151.466.266.8 Not received any vaccination 7.39.49.110.63.85.3 Received BCG vaccine85.487.983.286.789.992.4 Received 3 doses of DPT66.163.461.760.374.974.1 Received 3 doses of Polio67.971.764.169.575.679.4 Children who have Received Measles 65.272.659.570.176.881.3 Received at least one dose of vitamin-A supplement 31.756.231.754.231.863.6

11. Full Immunization Coverage is increased as per evaluated coverage to 82.5

12. Trends in Immunization coverage in Gujarat Dropout tracking is a re-emerging concern

15. India improved by 8 per-points, Gujarat improved by 1 per-point

16. Fully Immunized Children Improvement by more than 15 per-points Surat (+35.9%),Mehsana(+18.4%),Dahod (+17%), Junagadh (+16.4%), Patan(15.5%), Panchmahals(15.3),Narmada (16.1) Improvement between 10 to 15 per-points Anand (13.4),Gandhinagar (12.9) Improvement below 10 per- points Porbandar(2.1), Rajkot (3.5),Kheda (1.1),Surendranagar (0), Dangs(6.9),Banaskantha(9.0),S.K(3.7) Decrease below 10 per-points Amreli (1.7),Jamnagar (1.7), Bhavnagar (0.6), Kachchh(4.6), Decrease more than 10 per- points Navsari (11.0),Bharuch (22.6), Vadodara (17.8), Valsad (13.6),Ahmedabad (15.4),

18. Districtwise Immunization Performance (Children 12-23 Months Fully Immunized(%) DLHS-2DLHS-3

19. Child feeding practices Indicators Guj. -TotalGuj.- RuralGuj -Urban DLHS II DLHS III DLHS II DLHS III DLHS II DLHS III Breastfed started within one hour of birth * 24.348.322.847.427.751.6 Children age 0- 5 months exclusively breastfed --41.4--41.6--40.6 Children exclu. breastfed for at least 6 months 11.128.8--29.6--25.9 * Excellent improvement in Starting of Breast feeding within one hour

20. Initiation of breast feeding within 1 hour of birth DLHS-3, 2007-08

21. India Improved 2.4 percent point, Gujarat improved 1.9 percent point

22. Current use of family planning methods - Gujarat Indicators Guj. -TotalGuj.- RuralGuj -Urban DLHS II DLHS III DLHS II DLHS III DLHS II DLHS III Any method (%) 59.261.656.460.664.664.4 Any Modern Method (%) 52.454.350.653.855.755.8 Female Sterilization (%) 39.341.542.943.732.435.5 Male Sterilization (%) 1.31.71.42.21.30.4 IUD (%) 3.83.52.12.57.06.3 Pill (%) 3.23.01.82.45.84.8 Condom (%) 4.84.52.43.09.18.8

24. Current Use of Any Modern Method Of Family Planning Improvement more than 5 percent points Surat (+5.6 %), Amreli (5.9),Bharuch (6.7),Vadodara(6.8), Rajkot (5.4), Kheda (6.2),Gandhinagar (6.0), Mehsana (8.7),Patan (7.4),Dangs (9.5), PMs (9.0), Banaskantha (12.3),Dahod (11.2) Improvement below 5 points Jamnagar (3.7),Narmada (1.1), Junagadh(3.0), Anand (2.4), Valsad(3.6), S’nagar(3.1), Porbandar(1.0) and A’bad(3.2), DeclineNavsari(-2.1),Bhavnagar (0), Sabarkantha(-0.7) and Kachchha(-0.7)

25. Unmet need remains stagnant in Guj.,At National Level increased to 5.5 percent Point

26. Unmet need for family planning-Gujarat Indicators TotalRuralUrban DLHS II DLHS III DLHS II DLHS III DLHS II DLHS III Total unmet need (%) 16.316.517.016.815.016.0 For spacing (%)6.86.57.37.05.95.3 For limiting (%)9.510.09.79.89.210.7

29. Indicators started Improved..

30. Facility Survey DLHS-III Gujarat and Selected States

31. Thanks