The second update of the Annual Health Survey was released on 6 March 2014. The AHS is the largest demographic survey in the world and is two and half times that of the Sample Registration System.
The survey was conducted in all the 284 districts in eight Empowered Action Group States which include Bihar, Jharkhand, Uttar Pradesh, Uttarakhand, Madhya Pradesh, Chhattisgarh, Orissa and Rajasthan. These States account for about 48 percent of the total population in the country.
These states are the high focus States in view of their relatively higher fertility and mortality indicators.
The objective is to monitor the performance and outcome of various health interventions of the Government including those under National Rural Health Mission (NRHM) at closer intervals through benchmark indicators.
Main Highlights of the Survey
Crude Birth Rate : The CBR which is measure of live births per 1000 population
- Bageshwar in Uttarakhand reported minimum Crude Birth Rate (CBR) of 14.7 and maximum CBR of 40.9 was reported in Shrawasti, Uttar Pradesh.
- CBR in rural areas of districts is generally higher than that in urban areas.
- Further, rural death rate in districts is significantly higher than the corresponding urban death rate.
- Low female death rates have also been observed as compared to male death rates.
Infant Mortality Rate (IMR) : The IMR denotes the number of infant deaths (age below one year) per 1000 live births
- IMR is minimum at 19 in Rudraprayag in Uttarkhand while in Shrawasti in Uttar Pradesh it was maximum at 103.
- Six districts namely Purbi Singhbhum & Dhanbad (Jharkhand) and Chamoli, Rudraprayag, Pithoragarh & Almora (Uttarakhand) have already achieved the UN Millennium Development Goal (MDG) - 4 of achieving IMR of 28 by 2015.
- Another 4 districts viz. Bokaro & Ranchi (Jharkhand) and Bageshwar & Nainital (Uttarakhand) are in closer vicinity.
Neo-Natal Mortality Rate (NNMR): The NNMR measures the number of infant deaths (age below 29 days) per 1000 live births.
- Rudraprayag in Uttarkhand has the minimum NNMR at 11 while Balangir in Orissa showed the maximum at 75.
- Out of every 10 infant deaths 6 -7 pertain to Neo Natal Deaths. Rural NNMR in districts is significantly higher than the urban.
Under Five Mortality Rate (U5MR): The U5MR denotes the number of children who died before reaching their fifth birthday per 1000 live births
- Pithoragarh district of Uttarakhand recorded minimum U5MR of 24 and maximum was recorded in Kandhmal district of Orissa at 145. More number of females in districts die before reaching age 5 years as compared to their counterparts.
- In all, 7 districts viz. Pithoragarh, Almora, Rudraprayag, Chamoli, Nainital & Bagheswar (Uttarakhand) and Purbi Singhbhum (Jharkhand) have already achieved the MDG -4 National target of 42 by 2015.
- Another 10 districts viz. Dhanbad, Bokaro, Kodarma, Hazaribagh & Giridih (Jharkhand) and Kota (Rajasthan) and Champawat, Udham Singh Nagar, Dehradun & Uttarkashi (Uttarakhand) are in closer vicinity.
Maternal Mortality Ratio (MMR): The MMR measured the proportion of maternal deaths per 100000 live births.
- The minimum MMR of 183 was reported at Kumaon HQ in Uttarakhand and the maximum 451 at Faizabad Mandal in UP.
Sex Ratio at Birth (SRB): The SRB measured as the number of female live births per 1000 male live births.
- The lowest was recorded at 764 in Pithoragarh district of Uttarakhand and the maximum of 1030 in Moradabad district of Uttar Pradesh.