Documente Academic
Documente Profesional
Documente Cultură
(2012-13)
Introduction
Three rounds of District Level Household and Facility Survey (DLHS) have been undertaken by the Ministry of
Health and Family Welfare, Government of India in the past (Round- I in 1998-99, Round-II in 2002-04, and
Round-III in 2007-08) with the main objective to provide reproductive and child health related database at district
level in India. The data from these surveys have been useful in setting the benchmarks and examining the progress
the country has made after the implementation of RCH programme. In addition, the evidence generated by these
surveys have also been useful for the monitoring and evaluation of ongoing programmes and planning of suitable
strategies by the central and state governments. In view of the completion of six years of National Rural Health
Mission (2005-12), there was a felt need to focus on the achievements and improvements so far. The Ministry of
Health and Family Welfare, Government of India, therefore initiated the process of conducting DLHS-4 during
2012-2013 and has designated the International Institute for Population Sciences (IIPS) as the nodal agency to
carry out the survey.
Bilingual questionnaires in the local language and English pertaining to Households and Ever Married Women (age
15-49 years) were canvassed by using Computer Assisted Personal Interviewing (CAPI). In DLHS-4 Clinical,
Anthropometric and Bio-Chemical (CAB) tests were also carried out in all selected households. The village and
health facilities were canvassed using printed questionnaires. In the household questionnaire, information on all
members of the household and socio-economic characteristics of the household, assets possessed, number of
marriages and deaths in the household since January 2008, etc. were collected. The ever-married womens
questionnaire contained information on womens characteristics, maternal care, immunization and childcare,
contraception and fertility preferences, reproductive health including knowledge about HIV/AIDS. The village
questionnaire contained information on availability of health, education and other facilities in the village, and
whether the facilities are accessible throughout the year. The health facility questionnaire contained information on
human resources, infrastructure, and services. For the first time, a population-linked facility survey has been
conducted in DLHS-4. All Community Health Centres (CHCs), District Hospitals and Sub Divisional Hospitals
were covered. Further, all Sub-Health Centres and Primary Health Centres (PHCs) which serve the population of
the selected PSUs were also covered. Fieldwork in Andaman & Nicobar Island was conducted during October
2013 to February 2014, gathering information from 2662 households, 1640 ever married women and also from 81
health facilities.
This fact sheet gives information on the key indicators and trends for the union territories of Andaman & Nicobar
Island. A separate fact sheet is available for each of the 3 districts of the union territories.
DLHS-3 (2007-08)
TOTAL RURAL URBAN
2,150
1,823
1,547
1,562
1,358
1,161
588
465
386
86.1
25.1
4.6
105
84.0
25.9
4.6
107
91.7
22.8
4.4
97
81.4
86.4
68.3
38.1
74.9
81.7
57.5
22.5
98.5
98.8
96.5
79.1
21.6
26.4
21.3
25.9
22.4
28.5
6.0
6.9
3.0
5.2
6.4
0.0
13.6
33.2
15.1
26.4
9.3
53.4
2.9
3.1
2.2
27.1
25.6
34.4
17.3
83.3
19.5
83.9
10.4
81.4
3.0
3.2
2.6
72.7
66.2
46.3
1.1
7.6
4.0
7.2
6.3
72.2
66.5
45.9
1.2
8.1
4.1
6.9
5.5
74.1
65.5
47.4
0.8
5.9
3.6
7.8
8.5
13.4
2.5
10.9
0.9
14.5
2.8
11.7
0.9
10.4
1.6
8.8
1.0
Includes pipe water into dwelling, piped to yard/plot, public tap/standpipe/hand pump/tube well/bore well/well covered/protected spring, tanker/truck, cart with
small tank/drum and packaged/bottled water. 2 LPG/PNG/Electricity/Biogas, 3 DLHS-4 reference periods is from 1-1-2008 to survey date; DLHS-3 reference period
is from 1-1-2004 to survey date.
Unmet need for spacing includes fecund women who are neither pregnant nor amenorrhea, who are not using any method of family planning, and say they want
to wait two or more years for their next birth. It also includes fecund women who are not using any method of family planning, and say they are unsure whether
they want another child or who want another child but are unsure when to have the birth.
Unmet need for limiting includes fecund women who are neither pregnant nor amenorrhea, who are not using any method of family planning, and who want no
more children. 4 Total unmet needs refers to unmet need for limiting and spacing (These definitions are similar to NFHS-3).
75.0
67.7
88.2
DLHS-3 (2007-08)
TOTAL RURAL URBAN
37.2
34.3
72.8
37.09
35.5
73.4
34.4
30.2
71.4
58.4
57.7
60.2
96.4
48.1
79.5
94.1
95.9
96.3
93.4
53.4
48.5
95.6
47.1
79.5
93.5
95.1
95.4
92.0
56.0
50.2
99.1
50.9
79.6
96.1
99.1
99.1
98.1
44.4
42.6
76.3
72.8
3.5
10.3
1.2
23.5
1.2
71.6
82.7
77.5
NA
NA
72.5
70.6
1.9
9.0
2.8
27.6
1.1
71.2
82.8
73.5
NA
NA
89.9
80.6
9.3
14.8
0.8
9.3
1.9
72.9
86.9
91.7
NA
NA
2.7
5.4
2.0
6.2
12.5
3.1
55.1
38.4
22.9
11.1
19.6
56.5
39.5
23.9
12.6
19.8
50.0
34.3
19.4
6.7
18.9
95.1
1.0
0.5
3.4
95.1
1.3
0.2
3.4
95.1
0.0
1.4
3.5
111
85
26
84.5
84.5
84.6
0.0
0.0
0.0
2.7
3.6
0.0
94.8
95.2
94.1
91.8
93.9
84.6
85.4
80.6
94.1
90.9
91.6
88.5
89.6
87.1
94.1
90.9
91.6
88.5
82.1
78.7
88.2
92.8
90.5
100.0
Children (age 9-35 months) received at least one dose of vitamin A supplement in last 6
months
83.4
84.6
81.4
82.1
79.7
89.7
Full ANC: At least three visits for antenatal check-up, one TT injection received and 100 IFA tablets or adequate amount of syrup consumed.
Doctor/ANM/Nurse/midwife/LHV/Other health personnel, 7Women who had their last live/still birth since 1-1-2008. 8 BCG, 3-injection of DPT, 3 doses of Polio
(excluding polio zero) and Measles. ** Excludes pregnant, in amenorrhea, in menopause, had hysterectomy and ever menstruated women
Indicators
Child feeding practices (based on last-born child in the reference period) (%)
DLHS-3 (2007-08)
TOTAL RURAL URBAN
42.9
45.5
38.5
35.4
30.3
62.5
Children age 6-9 months receiving solid/semi-solid food and breast milk ....................................
53.6
50.0
66.7
79.2
75.8
85.3
33.6
NA
16.6
Children age 12-23 months receiving breast feeding along with complementary feeding**
29.6
NA
Children age 6-35 months exclusively breastfed for at least 6 months ........................................
39.2
44.0
30.3
61.2
62.8
56.0
62.5
62.3
62.9
77.2
76.8
78.3
96.0
93.9
100.0
NA
NA
NA
Percentage of Children with low birth weight (out of those who weighed below 2.5 kg) ..............
12.0
8.5
18.0
NA
NA
NA
70.1
61.7
83.3
78.0
79.5
73.6
24.8
21.6
29.8
35.8
34.1
41.0
NA
Children with diarrhoea in the last 2 weeks and received ORS .................................................
4.5
4.0
6.1
6.1
4.5
11.1
90.0
81.8
100.0
71.8
65.6
80.0
Children with diarrhoea in the last 2 weeks given Zinc along with ORS ......................................
76.2
58.3
100.0
NA
NA
NA
Children with diarrhoea in the last 2 weeks and sought advice/treatment ...................................
52.4
63.6
40.0
60.2
60.3
60.0
8.9
6.9
12.3
8.5
9.5
5.2
80.0
80.0
80.0
81.3
83.1
73.7
7.2
6.3
8.8
38.9
38.0
41.7
67.7
61.0
78.1
82.7
79.9
91.2
20.7
12.4
33.6
11.6
13.3
5.6
64.3
53.7
77.1
73.8
72.2
78.1
12
41.4
33.7
50.6
34.2
33.2
36.9
96.9
99.6
92.4
NA
NA
88.9
98.2
82.1
NA
NA
NA
83.3
100.0
71.9
NA
NA
NA
NA
12
NA
74.4
75.0
73.9
NA
NA
54.5
85.7
0.0
NA
NA
NA
87.5
87.5
87.5
NA
NA
NA
90.9
89.7
92.9
NA
NA
NA
Children below age 5 years who received birth certificate (out of those registered) ....................
91.8
91.8
91.8
NA
NA
NA
66.7
75.7
51.4
NA
NA
NA
38.3
52.9
14.9
NA
NA
NA
19.5
22.5
14.4
NA
NA
NA
2.2
3.6
0.0
NA
NA
NA
42.8
44.2
40.3
NA
NA
NA
7.9
11.9
1.5
NA
NA
NA
10
11
12
Children Who were given nothing but breast milk till the survey date Acute Respiratory Infections Oral Rehydration Solutions/Salts. Based on the women who
have heard of HIV/AIDS. 13 Last two weeks **includes infant food, tinned powdered or fresh animal milk, fruit juice, tea/coffee or other liquid
Indicators
Reported Prevalence of Morbidity
DLHS-3 (2007-08)
TOTAL RURAL URBAN
3.5
3.3
3.7
NA
NA
NA
10.3
8.9
12.4
NA
NA
NA
11.8
NA
NA
NA
8.0
5.7
9.0
10.2
8.0
NA
NA
NA
3.0
4.1
2.2
NA
NA
NA
1.3
3.0
0.0
NA
NA
NA
21.9
26.1
5.8
NA
NA
NA
Children below 5 years wasting (weight for height- below 3 SD) ..............................................
9.7
11.5
2.9
NA
NA
NA
Children below 5 years stunting (height for age- below 2 SD) ..................................................
31.0
32.2
26.7
NA
NA
NA
Children below 5 years stunting (height for age- below 3 SD) ..................................................
13.2
13.2
13.3
NA
NA
NA
Children below 5 years underweight (weight for age- below 2 SD) ...........................................
28.9
33.1
11.4
NA
NA
NA
Children below 5 years underweight (weight for age- below 3 SD) ...........................................
12.0
14.2
2.8
NA
NA
NA
78.1
79.1
77.1
NA
NA
NA
8.3
9.2
7.4
NA
NA
NA
64.3
66.2
62.0
NA
NA
NA
NA
14
1.7
3.1
0.0
NA
NA
72.7
67.7
79.2
NA
NA
NA
2.8
1.6
4.3
NA
NA
NA
62.7
60.0
65.6
NA
NA
NA
3.3
1.9
4.6
NA
NA
NA
65.9
64.6
67.4
NA
NA
NA
3.6
3.7
3.4
NA
NA
NA
15
50.1
41.9
59.3
NA
NA
NA
15
4.0
2.2
6.0
NA
NA
NA
15
67.2
61.9
72.5
NA
NA
NA
15
5.2
4.5
6.0
NA
NA
NA
57.9
48.0
69.5
NA
NA
NA
NA
5.3
3.6
7.1
NA
NA
73.0
62.8
86.4
NA
NA
NA
5.8
5.1
6.8
NA
NA
NA
70.1
66.8
75.0
NA
NA
NA
5.3
4.4
6.5
NA
NA
NA
55.4
54.1
57.5
NA
NA
NA
3.9
3.2
5.1
NA
NA
NA
15.3
14.2
8.3
6.9
Blood Sugar Level (age 18 years and above) (%) (Based on CAB tests)
17.1
10.7
NA
NA
NA
NA
NA
NA
30.8
34.3
24.9
NA
NA
NA
12.7
13.3
11.8
NA
NA
NA
5.6
5.8
5.4
NA
NA
NA
14
15
Anaemia below 11g/dl severe anaemia below 7g/dl. Excluding age group 19 years
Chronic Illness: Any person with symptoms persisting for longer than one month is defined as suffering from chronic illness
DLHS-4
DLHS-3
89
72
56
18
4
NA
3
25
15
2
NA
2
84.3
31.0
Percentage of Villages having Village Health Nutrition and Sanitation Committee (VHNSC) ...............
Accessibility of health facility (%)
Villages with Sub-Health Centre within 3 km .........................................................................................
Villages with PHC within 10 km .............................................................................................................
Availability of Health Infrastructure, Staff and Services (%)
Sub Health Centre
Sub-Health Centre located in government building ..........................................................................
Sub-Health Centre with ANM ...........................................................................................................
Sub-Health Centre with male health worker .....................................................................................
Sub-Health Centre with ANM residing in Sub-Health Centre quarter where facility is available ......
Sub-Health Centre with additional ANM ..........................................................................................
3.4
31.9
82.0
68.5
0.0
66.7
98.2
76.4
23.2
59.2
42.9
96.0
96.0
12.0
68.2
56.0
100.0
77.8
100.0
88.9
100.0
94.1
72.2
5.6
93.3
26.7
100.0
6.7
100.0
71.4
42.9
14.3
100.0
0.0
0.0
25.0
75.0
0.0
100.0
100.0
100.0
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1
0
1
2
NA
NA
NA
NA
3
2
3
NA
100.0
50.0
0.0
100.0
NA
NA
Mission: The Institute will strive to be a centre of excellence on population, health and development
issues through high quality education, teaching and research. This will be achieved by (a)
creating competent professionals, (b) generating and disseminating scientific knowledge and
evidence, (c) collaboration and exchange of knowledge, and (d) advocacy and awareness.
For additional information, please contact:
Director/Project Coordinator (DLHS-4)
International Institute for Population Sciences
Govandi Station Road, Deonar
Mumbai - 400 088 (India)
Telephone: 022-4237 2465, 42372411
Fax: 022-25563257, 25555895
Email: rchpro@iips.net, director@iips.net
Website: http://www.rchiips.org
http://www.iipsindia.org
Additional Director General (Stat.)
Ministry of Health and Family Welfare
Government of India
Nirman Bhavan
New Delhi 110 011
Telephone: 011 - 23061334
Fax: 011 - 23061334
Email: adg-mohfw@nic.in
Chief Director (Stat.)
Ministry of Health and Family Welfare
Government of India
Nirman Bhavan
New Delhi 110 011
Telephone: 011 - 23062699
Fax: 011 - 23062699
Email: cdstat@nic.in
Website: http: //www.mohfw.nic.in