Institutional delivery is over 90 per cent in 14 States: NFHS-5

Institutional births have increased substantially with over four-fifth of the women delivering in institutions in 19 States and UTs, reveals National Family Health Survey (NFHS-5) which was released recently by Union Health Ministry. 

“ Institutional delivery is over 90 per cent in 14 out of the total 22 Sates and UTs. Almost 91% of districts recorded over 70% institutional deliveries of births in the 5 years preceding the survey. Along with an increase in institutional births, there has also been a substantial increase in C-section deliveries in many States/UTs especially in private health facilities,” the Survey  said. 

According to NFHS-5 Sex ratio at birth has remained unchanged or increased in most States/UTs. Majority of the states are in normal sex ratio of 952 or above. SRB is below 900 in Telangana, Himachal Pradesh and Goa. 

“Child nutrition indicators show a mixed pattern across states. While the situation improved in many States/UTs, there has been minor deterioration in others. Drastic changes in respect of stunting and wasting are unlikely in a short period,” it said. 

Anaemia among women and children continues to be a cause of concern. More than half of the children and women are anaemic in 13 of the 22 States/UTs. It has also been observed that aanaemia among pregnant women has increased in half of the States/UTs compared to NFHS-4, in spite of substantial increase in the consumption of IFA tablets by pregnant women for 180 days or more.

The NFHS-5 includes new focal areas such as expanded domains of child immunization, components of micro-nutrients to children, menstrual hygiene, frequency of alcohol and tobacco use, additional components of non-communicable diseases (NCDs), expanded age ranges for measuring hypertension and diabetes among all, aged 15 years and above, will give requisite input for strengthening existing programmes and evolving new strategies for policy intervention.

The NFHS-5 is being conducted in around 6.1 lakh sample households to provide disaggregated data up to district levels. The state factsheet released include information on 131 key indicators. These important indicators on population, health and family welfare, nutrition and others will help track progress of Sustainable Development Goals (SDGs) in the country. 

The key results from the State/UT factsheets are as follows:

The Total Fertility Rates (TFR) has further declined since NFHS-4 in almost all the Phase-1 States and UTs. The replacement level of fertility (2.1) has been achieved in 19 out of the 22 States/UTs and only 3 states viz. Manipur (2.2), Meghalaya (2.9) and Bihar (3.0) have TFR above replacement levels now.

Overall Contraceptive Prevalence Rate (CPR) has increased substantially in most States/UTs and it is the highest in HP and WB (74%). Use of modern methods of contraception has also increased in almost all States/UTs.

Unmet needs of family planning have witnessed a declining trend in most of the Phase-1 States/UTs. The unmet need for spacing which remained a major issue in India in the past has come down to less than 10 per cent in all the States except Meghalaya and Mizoram.

Full immunization drive among children aged 12-23 months has recorded substantial improvement across States/UTs/districts. More than two-third of children are fully immunized in all the States and UTs except Nagaland, Meghalaya and Assam.  In almost three-fourths of districts, 70% or more children aged 12-23 months are fully immunized against childhood diseases.

On comparing NFHS-4 and NFHS-5 data, the increase in full immunization coverage is observed to be expeditious in many states and UTs; in 11 out of the 22 states/UTs, the increase was to the tune of over 10 percentage point and in another 4 states/UTs between 5 to 9 percentage point over the short span of 4 years. This can be attributed to the flagship initiative of Mission Indradhanush launched by the government since 2015.