As per NFHS-4 conducted for the period of 2015-16, the
performance of rich states(Maharastra,Tamilnadu,Hrayana) and Poor
states(Bihar,Madhya Pradesh) in terms of key health indicators are as follows-
(1) Under 5 Mortality Rate – Declined across all the states.
(2) Total Fertility Rate – reached near or below replacement
level (2.1) except Bihar.
(3) Incidence of Stunting(Height for age) and Underweight
has fallen significantly.
(4) per cent of literacy amongst women has increased
significantly in all states.
(5) Number of births assisted by health personal & Child
immunization has increased across all states.
There are some disturbing facts as well-
(1) proportion of young children fully immunised has,
somewhat surprisingly, declined in the rich states of Maharashtra and Haryana.
(2) proportion of anemic women aged 15-49, has remained
surprisingly high and unchanged in Maharashtra, Tamil Nadu and West Bengal,
while it has actually increased significantly in Haryana.
(3) Tamil Nadu shows a high and almost unchanged proportion
(around 40 percent) of married women who have experienced spousal violence. In
Haryana, the proportion has increased over the decade from 27 percent to 32
percent. Contrast with the major declines in Bihar, Madhya Pradesh and Maharashtra.
The national and state health programmes like NHM, Mission
Indradhanush, ICDS etc. seems to be well implemened throughout countery making
the achievement in terms of U5MR,TFR, recdution in malnutrition etc. louder.
While the trend seems to be encouraging across all states
there is still a far way to go ahead compared to the absolute value of these
indicators. India is lagging behind Asian nations as well in terms of Healthy
Life expectancy, Underweight child & stunted child under 5, leaving scope
for further improvement.
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KayDee • 5 months ago
Comparison of data of NFHS-4 and NFHS-3 between the rich and
poor states:
Child health: decline in U5MR and total fertility rate,
improvement in new-born immunization, decrease in stunting and underweight
percentages and positive attitude towards assisted institutional child births
can be seen in all states irrespective of economical status in comparison to
last collected data. But, immunization among young children and sex ratio
varies from state to state and it is noted that very poor states and states
with rich economy lack in these factors e.g. Haryana, Maharashtra, WB and
Karnataka.
Maternal health: access to healthcare centres has improved
overall but anemic problems remains serious problem in all states.
From these indicators it can be analyzed that:
Information dissemination and institutional support to
fulfil claims made in schemes, whose information has been circulated among
public, got success in targets e.g. family planning, institutional deliveries,
immunization drives etc. Similarly, women health, especially pregnant women,
remains poor due to lack of information and weak support from govt. authorities
to women health schemes.
Economy of state doesn’t matter when schemes are funded by
the central pool and in addition, political will matters most than any other
factor to do constructive works in healthcare sector.
Thus, NFHS-4 can be treated as pat on the back and emergency
alarm to improve performance in some fields at the same time.
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The NFHS-4 when compared to the NFHS-3 reports shows a
marked improvement in various fields:
>The percentage of women literacy has increased in all
states.
>There has been an increase in financial access to women
due to Jan Dhan yojana.
>Household electricity has increased in all states.
>In Bihar and MP, most of the indicators increased.
There are some worrying signs too:
>Cases of domestic violence have remained the same in
Tamil nadu but increased in Haryana.
FINDINGS ON HEALTH:
>Under 5 mortality, child mortality have fallen along
with an increase in health personnel assisted births.
>Total fertility rate has fallen in all states. The
proportion of stunting and underweight children has declined.
>Sex ratio in Karnataka, MP and West Bengal has declined.
>Immunization has declined in richer states but has
increased in others.
>The proportion of anaemic women between 15-49 years has
remained the same in Maharshtra, tamil nadu and west Bengal and increased in
Haryana.
The improvement in various indicators like IMR, U5MR, FR
shows, health personnel shows an increase in reach of various government
schemes lie NRHM (National rural health mission) and their success in combating
health issues. The decline in stunted and underweight children shows betterment
of food security through various government programmes like Mid day meal
scheme.
There are some worrying signs like declining sex ratio,
increase in anaemic women that still need to be addressed by reducing female
infanticide, more focus on women health. Moreover, inspite of improvements,
India’s Healthy Life Expectancy(HALE) at Birth is lower than most neighboring
countries indicating room for improvement.
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xyz • 5 months ago
National faimily health survey conducted by National
institute of population science Mubai on behalf of GOI. There is an improvement
in the health and human development indicator in the NFHS 4 compared to NFHS 3.
Following are the finding of report:
1) infant mortality, child immunization, percent of birth
assisted by the health personel , spouse violence against married women and
financial inclusion of women have shown improvement in case of poor states such
as Bihar, MP,..
2) the sex ratio at birth has fallen in states like MP, WB
and KN.
3) proportion of children immunized has declined in HARYANA
AND MH.
4) The The proportion of women aged 15-49, who are anaemic,
has remained high and unchanged in MH, TN and WB, while it has actually
increased significantly in Haryana,.
5) iNDIA'S life expectancy at birth is lower than
Bangladesh, vietnam and china. Child mortality and stunted children rate is
higher than these countries. .India is doing better than Pakistan
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shubh xyz • 4 months
ago
It's "International Institute for Population
Sciences"....keep writing...you are good..
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Arvind Kumar xyz • 5
months ago
u hv written only ist part of the ques..bt u hv mentioned
all valuable points
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xyz Arvind Kumar • 5
months ago
Thanks for reviewing ..will include other pa
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