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Union health ministry releases NFHS-5 Phase II findings

Our Bureau, Mumbai
Wednesday, November 24, 2021, 17:10 Hrs  [IST]

Dr Vinod Kumar Paul, Member (Health), NITI Aayog and Rajesh Bhushan, secretary, Union ministry of health and family welfare, Government of India, released the factsheets of key indicators on population, reproductive and child health, family welfare, nutrition and others for India and 14 states/UTs (clubbed under Phase-II) of the 2019-21 National Family Health Survey (NFHS-5).
The states and UTs which were surveyed in the Phase-II are Arunachal Pradesh, Chandigarh, Chhattisgarh, Haryana, Jharkhand, Madhya Pradesh, NCT of Delhi, Odisha, Puducherry, Punjab, Rajasthan, Tamil Nadu, Uttar Pradesh and Uttarakhand. The findings of NFHS-5 in respect of 22 states & UTs covered in Phase-I were released in December, 2020.
The main objective of successive rounds of the NFHS is to provide reliable and comparable data relating to health and family welfare and other emerging issues. The NFHS-5 survey work has been conducted in around 6.1 lakh sample households from 707 districts (as on March, 2017) of the country; covering724,115 women and 101,839 men to provide disaggregated estimates up to district level. All the results of NFHS-5 are available in the public domain on the ministry website (www.mohfw.gov.in).
The all-India and state/UT level factsheet released includes information on 131 key indicators. It provides information on important indicators which are helpful in tracking the progress of Sustainable Development Goals (SDGs) in the country. NFHS-4 (2015-16) estimates were used as baseline values for a large number of SDG indicators. Many indicators of NFHS-5 are similar to NFHS-4carried out in 2015-16 to make possible comparisons over time.
However, NFHS-5 includes some new focal areas, such as death registration, pre-school education, 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, which will give requisite input for strengthening existing programmes and evolving new strategies for policy intervention.
Total Fertility Rates (TFR), an average number of children per women has further declined from 2.2 to 2.0 at the national level and all 14 states/UT’s ranging from 1.4 in Chandigarh to 2.4 in Uttar Pradesh. All Phase-II states have achieved replacement level of fertility (2.1) except Madhya Pradesh, Rajasthan, Jharkhand and Uttar Pradesh, according to the factsheet.
Overall Contraceptive Prevalence Rate (CPR) has increased substantially from 54% to 67% at all-India level and in almost all Phase-II states/UTswith an exception of Punjab. Use of modern methods of contraceptives hasalso increased in almost all states/UTs.
Unmet needs of family planning have witnessed a significant decline from13 per cent to 9 per cent at all-India level and in most of the Phase-II 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 Jharkhand (12%), Arunachal Pradesh (13%) and Uttar Pradesh(13%).
Child nutrition indicators shows a slight improvement at all-India level as Stunting has declined from 38 per cent to 36 per cent, wasting from 21 per cent to 19 per cent and underweight from 36 per cent to 32 per cent at all India level. In all Phase-II states/UTs situation has improved in respect ofchild nutrition but the change is not significant as drastic changes in respect of these indicators are unlikely in short span period.
Women's empowerment indicators portray considerable improvement at all India level and across all the Phase-II states/UTs. Significant progress has been recorded between NFHS-4 and NFHS-5 in regard to women operating bank accounts from 53 per cent to 79 per cent at all-India level.
Member (health), NITI Aayog, congratulated all the Health administrators on the wide expansion of insurance coverage which has been captured in NFHS-5. He espoused the view that the data from the survey would help the government achieve Universal Health Coverage and stated, “NFHS-5 shows momentum towards achieving SDG is getting further accelerated.”
The Union health secretary noted that with the widening scope of household questionnaire, the data generated from NFHS will be beneficial to all line ministries, state governments and other stakeholders. He remarked that data of NFHS-5 does not fully capture the transformative interventions of Ayushman Bharat -Pradhan Mantri Jan Aarogya Yojana and Pradhan Mantri-Surakshit Matritva Abhiyan as they were being rolled out as households were being surveyed across the country.
He also observed that inter-ministerial co-ordination is required between the ministries of women and child development, food, rural development and Panchayat affairs to tackle nutrition deficiency and anaemia in the population as has been shown in the survey.


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