2005-06 National Family Health Survey (NFHS-3)
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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 Antenatal Care. Percent. * For last births in the past 3 years. Up 11 pts. Up 12 pts. Women* Who Received Antenatal Care.

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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 Antenatal Care

Percent

* For last births in the past 3 years


Up 11 pts

Up 12 pts

Women* Who Received Antenatal Care

Percent

* For last births in the past 3 years


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


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


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


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


What are some notable differentials in access to ANC*?

Percent

*For last births in the past 5 years


Residence

Education

Wealth Index

Pregnancies with an Ultrasound

Percent of pregnancies in the past 5 years


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


1 child

2 children

3 children

Are ultrasounds being conducted for sex-selection?

Girls per 1,000 boys born in the past 5 years (for pregnancies with an ultrasound)


Content

Antenatal Care and Use of

Ultrasound

Delivery Care

Postnatal Care


Only about 1 in 7 home deliveries are assisted by a skilled provider

Trends in Delivery Care

Percent

*For live births in the past 5 years


Trends in Institutional Deliveries by State


Selected Differentials in Institutional Deliveries*

Percent

Residence

Wealth index

Caste/tribe

*For live births in the past five years


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


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 women’s 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


Content

Antenatal Care and Use of

Ultrasound

Delivery Care

Postnatal Care


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


Institutional Deliveries

Postnatal Care

Percent


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


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, women’s reproductive health will continue to suffer well into this century.


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