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Maternal Health

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2005-06 National Family Health Survey (NFHS-3) Maternal Health Content Antenatal Care and Use of Ultrasound Delivery Care Postnatal Care Women* Who Received ... – PowerPoint PPT presentation

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Title: Maternal Health


1
2005-06 National Family Health Survey (NFHS-3)
Maternal Health
2
Content
  • Antenatal Care and Use of
  • Ultrasound
  • Delivery Care
  • Postnatal Care

3
Women Who Received Antenatal Care
Percent
For last births in the past 3 years
4
Women Who Received Antenatal Care
Percent
For last births in the past 3 years
5
Women Who Received 3 ANC Visits
Percent
For last births in the past 3 years
  • Only two-thirds of women who receive any ANC,
    have the recommended 3 ANC visits
  • The share receiving 3 ANC visits among women who
    have any ANC is nearly unchanged since NFHS-2

6
Women Who Received ANC In the First Trimester
Percent
For last births in the past 3years
  • 56 of women who receive any ANC, received ANC in
    the first trimester
  • The share receiving ANC in their first trimester
    among women who have any ANC is up by 6
    percentage points since NFHS-2

7
Are women receiving appropriate ANC?
  • 76 of women received two or more tetanus toxoid
    injections
  • Among women who received ANC
  • Less than two-thirds had weight, blood, or urine
    taken, or blood pressure measured
  • Three-fourths had their abdomen examined
  • 36 were told about pregnancy complications

For last births in the past 5 years
8
56 of married and 59 of pregnant women are
anaemic. So, are pregnant women getting iron and
folic acid (IFA) supplementation?
Percent
For last births in the past 5 years
9
What are some notable differentials in access to
ANC?
Percent
For last births in the past 5 years
10
Pregnancies with an Ultrasound
Percent of pregnancies in the past 5 years
11
Are ultrasounds being conducted for sex-selection?
  • There is evidence of sex selection, when the sex
    ratio at birth deviates from the normal of about
    960-970 girls per 1,000 boys
  • Thus, the question can be answered by examining
    the sex ratio of births that result after a
    pregnancy with an ultrasound

12
Are ultrasounds being conducted for sex-selection?
Girls per 1,000 boys born in the past 5 years
(for pregnancies with an ultrasound)
13
Content
  • Antenatal Care and Use of
  • Ultrasound
  • Delivery Care
  • Postnatal Care

14
Trends in Delivery Care
Only about 1 in 7 home deliveries are assisted by
a skilled provider
Percent
For live births in the past 5 years
15
Trends in Institutional Deliveries by State
Percentage point change between NFHS-2 and NFHS-3 States
Remained unchanged (2 states) Arunachal Pradesh, Nagaland
Increased less than 7 percentage point (7 states) Assam, Chhattisgarh, Delhi, Goa, Jharkhand, Tripura, West Bengal
Increased by 7-14 percentage points (10 states) Bihar, Gujarat, Maharashtra, Madhya Pradesh, Meghalaya, Rajasthan, Tamil Nadu, Kerala, Uttar Pradesh , Mizoram
Increased by 15 or more percentage points (10 states) Andhra Pradesh, Haryana, Himachal Pradesh, Jammu Kashmir, Karnataka, Manipur, Orissa, Punjab, Sikkim, Uttaranchal
16
Selected Differentials in Institutional
Deliveries
Percent
Residence
Wealth index
Caste/tribe
For live births in the past five years
17
Are women using the public sector for their
deliveries?
Percent
84
68
39
33
20
18
13
Residence
Wealth index
Caste/tribe
For live births in the past 5 years
18
How common are caesarean-section deliveries?
  • 9 of live births in the past 5 years were
    delivered by c-section
  • 16 of first births are delivered by a c-section
  • C-sections increase sharply with womens
    education and wealth
  • C-sections are almost twice as common for
    deliveries in the private sector than in the
    public sector 28 vs. 15 percent

19
Content
  • Antenatal Care and Use of
  • Ultrasound
  • Delivery Care
  • Postnatal Care

20
Are women receiving postnatal care?
Percent
  • For births whose mothers received postnatal
    care,
  • care was provided
  • -By doctors for 72
  • -By ANMs and other health personnel by 20
  • -By dais or TBAs by 8
  • For only 20 of home births was there any
    postnatal care

For last births in the past 5 years
21
Postnatal Care
Percent
22
Summary
  • Any ANC increased by 11 percentage points and 3
    ANC visits by 7 percentage points between NFHS-2
    and NFHS-3
  • Still, half or less than half of women get ANC in
    the first trimester and get 3 ANC visits
  • Institutional deliveries increased by 7
    percentage points between NFHS-2 and NFHS-3
  • Nonetheless, more than half the deliveries still
    take place at home half are not assisted by
    health personnel
  • The majority of mothers with a recent delivery
    did not receive any postnatal care

23
Conclusion
  • Despite improvements in the provision of maternal
    health care, at the current rate of change at no
    more than one percentage point a year, womens
    reproductive health will continue to suffer well
    into this century.
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