Annual Health Survey: Some states showed improvement

March 12, 2014

As per the second update of the Annual Health Survey (AHS), all major health indicators in the country’s worst-performing States are showing a gradual improvement over the years but inter-State variations persist.
About 2nd update of Annual Health Survey (AHS)

Objective: To monitor the performance and outcome of various health interventions of the Government including those under National Rural Health Mission (NRHM) at closer intervals through benchmark indicators
In 284 districts of nine states survey was conducted.
States: Rajasthan, Uttar Pradesh, Uttarakhand, Bihar, Jharkhand, Odisha, Madhya Pradesh, Chhattisgarh and Assam.
These states account for about 48 % of the total population in the country.

Highlights of the Annual Health Survey (AHS)
(a)Crude Birth Rate (CBR) and Crude Death Rate (CDR):-

Minimum CBR: Bageshwar (14.7) in Uttarakhand.
Maximum CBR: Shrawasti (40.9) in Uttar Pradesh.
CBR in rural areas of districts is higher than that in urban areas.
Minimum CDR: Dhemaji (4.5) in Assam.
Low female death rates have also been observed as compared to male death rates.

(b)Infant Mortality Rate (IMR):-

Minimum IMR: Rudraprayag (19) in Uttarkhand.
Maximum IMR: Shrawasti (103) in Uttar Pradesh.
Districts achieved the MDG -4 National target of 28 by 2015: Purbi Singhbhum & Dhanbad (Jharkhand) and Chamoli, Rudraprayag, Pithoragarh & Almora (Uttarakhand).
Four districts viz. Bokaro & Ranchi (Jharkhand) and Bageshwar & Nainital (Uttarakhand) are in closer vicinity to achieve the MDG-4 National target.
IMR in rural areas of districts is significantly higher than that in urban areas.

(c)Neo-Natal Mortality Rate (NNMR):-

Minimum NNMR: Rudraprayag (11), Uttarkhand.
Maximum NNMR: Balangir (75) in Odisha.
Rural NNMR in districts is significantly higher than the urban.

(d)Under Five Mortality Rate (U5MR):-

Minimum U5MR: Pithoragarh district (24), Uttarakhand.
Maximun U5MR: Kandhmal district (145), Odisha.
Districts achieved the MDG -4 National target of 42 by 2015: Pithoragarh, Almora, Rudraprayag, Chamoli, Nainital & Bagheswar (Uttarakhand) and Purbi Singhbhum (Jharkhand).
10 districts viz. Dhanbad, Bokaro, Kodarma, Hazaribagh & Giridih (Jharkhand) and Kota (Rajasthan) and Champawat, Udham Singh Nagar, Dehradun & Uttarkashi (Uttarakhand) are in closer vicinity to achieve the MDG-4 National target.
Rural U5MR in districts is significantly higher than the urban.

(e) Maternal Mortality Ratio (MMR):-

Minimum MMR: Kumaon HQ (183) in Uttarakhand.
Maximum MMR: Faizabad Mandal (451) in UP.

(f) Sex Ratio at Birth (SRB)

Minimum SRB: Pithoragarh district (764), Uttarakhand.
Maximum SRB: Moradabad district (1034), Uttar Pradesh.

Terms:

Crude Birth Rate (CBR) denotes live births per 1000 population and Crude Death Rate (CDR) denotes number of deaths per 1000 population.
Infant Mortality Rate (IMR) denotes the number of infant deaths (age below one year) per 1000 live births.
Neo-Natal Mortality Rate (NNMR) measures the number of infant deaths (age below 29 days) per 1,000 live births.
Under Five Mortality Rate (U5MR) denotes the number of children who died before reaching their fifth birthday per 1,000 live births.
Maternal Mortality Ratio (MMR) measures the proportion of maternal deaths per 1,00,000 live births.
Sex Ratio at Birth (SRB) defined as the number of female live births per 1,000 male live births.

Outcome of the survey: These indicators would provide requisite inputs for better planning of health programmes and pave the way for evidence based intervention strategies.

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