scholarly journals AN ANALYSIS OF HEALTH PROFILE OF THANJAVUR DISTRICT AS ENVISAGED BY NATIONAL FAMILY HEALTH SURVEY 2019-21

2022 ◽  
pp. 30-38
Author(s):  
Dr.V.Pugazhenthi
Keyword(s):  
Health Insurance ◽  
Sex Ratio ◽  
Health Survey ◽  
Tamil Nadu ◽  
Family Health ◽  
Health Indicators ◽  
The State ◽  
National Family Health Survey ◽  
Country Level ◽  
National Family

National Family Health Survey-5 (NFHS-5) fieldwork for India was conducted in two phases, during the years between 2019 and 2021 by 17 Field Agencies and gathered information from 636,699 households, 724,115 women, and 101,839 men. Information was gathered from 27,929 households, 25,650 women, and 3,372 men from Tamil Nadu and in Thanjavur from 826 households, 687 women, and 83 men. This research paper points out the health indicators in which Thanjavur District improved over the earlier NFHS and over the State as well as Country level averages in the NFHS-5. As per The NFHS -4 the sex ratio has raised marginally to 1053 and in the NFHS-5, sharply raised to 1112. The sex ratio of the country is also remarkably high crossing 1000 mark, first time in the Indian statistical history in the NFHS-5. NFHS-5 reveals positive note that the child sex ratio restoration back to 934. It reflects the changing mindset proliferating in the district towards the female. Amidst the negative mindset towards upbringing girl children in the state of Tamil Nadu, revealed by the reduced child sex ratio of 878 in NFHS -5 from 954 in NFHS-4 in Tamil Nadu a sharp positive increase in the child sex ratio in Thanjavur is fair enough to the fair sex. On the other hand, the reason for the reduction in the child sex ratio in the rest of the state of Tamil Nadu needs an immediate attention comparing the previous NFHS. It is also to be noted here that even the country level child sex ratio also is in increasing trend as per the present NFHS comparing its earlier survey. KEYWORDS: National Family Health survey, Government sponsored health insurance schemes, health insurance, Sex ratio, child sex ratio, AB-PMJAY.

Assessing Socio-Demographic Factors of Cesarean Delivery in India: Insights From National Family Health Survey-4

2020 ◽  
Author(s):  
Avijit Roy ◽  
Pintu Paul ◽  
Jay Saha ◽  
Margubur Rahaman ◽  
Nanigopal Kapasia ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Health Survey ◽  
Low Income ◽  
Tamil Nadu ◽  
Family Health ◽  
Household Wealth ◽  
Public Hospitals ◽  
National Family Health Survey ◽  
Cesarean Birth ◽  
National Family

Abstract Background: The rate of cesarean delivery has considerably increased in the world during the last few decades. This paper aims to investigate the prevalence and socio-demographic correlates of cesarean delivery in India with a focus on Bihar and Tamil Nadu, accounting for the lower and higher proportion of cesarean birth.Methods: The study is based on secondary data, collected from the latest National Family Health Survey in 2015-16 (NFHS-4). The present study is based on 190,898 most recent births during the five years preceding the survey. Bivariate and multivariate analyses were carried out to identify the factors associated with cesarean delivery.Results: The highest rate of cesarean delivery was observed in Telengana (60%) and followed by Andhra Pradesh (42%), Tamil Nadu (36%). C-section found to be negligible in low-income states, namely Bihar (7%), Madhya Pradesh (10%) and Jharkhand (11%). Multivariate analysis revealed that the prevalence of cesarean delivery was substantially higher among women who married at higher age, with first birth-order, women in the ‘obese’ category with higher education, those from upper quintile of household wealth. Similarly the incidence of cesarean birth was remarkably higher in private hospitals both in the Indian sample (OR 3.9, 95% CI: 3.77-4.03) and in the selected states, Bihar (12.86, 95% CI: 10.92-15.15) and Tamil Nadu (OR 2.74, 95% CI: 2.40-3.13), compared to the public hospitals. Conclusion: Our study revealed that there are a high proportion of women delivering babies through cesarean section in South India. Thus, medical justifications need to be taken to deal with this concern. On the other hand, Women should also be driven towards regular ANC check-ups for the well-being of maternal and newborn health that can also help to increase the cesarean delivery for women who need C-section delivery especially in low-income states.

scholarly journals Health Insurance for Universal Health Coverage in India: A Critical Analysis based on Coverage, Distribution and Predictors from National Family Health Survey – 4 Data

2019 ◽  
Author(s):  
Vikash R Keshri ◽  
Saswata Ghosh
Keyword(s):  
Health Insurance ◽  
Health Survey ◽  
Universal Health Coverage ◽  
Insurance Coverage ◽  
Family Health ◽  
Health Insurance Coverage ◽  
Health Coverage ◽  
National Family Health Survey ◽  
National Family ◽  
Universal Health

Abstract Background: The movement for Universal Health Coverage (UHC) is gaining momentum. Health insurance is emerging as one of the favoured means to finance healthcare. The union government of India also started a health insurance scheme in 2018 in the spirit to leap towards UHC. Therefore, this study was carried out with the following objectives. To understand the coverage, distribution, and predictors of health insurance coverage in India. To examine the role of Pradhan Mantri Jan Arogya Yojana (PM-JAY) towards the goal of UHC in India. Methods: We analyzed unit-level data from the fourth round of National Family Health Survey (NFHS-4) to understand the coverage, distribution and predictors of health insurance. We categorized the health insurance schemes into four major categories based on standard categorization . The descriptive and bivariate analysis was conducted to understand the coverage and distribution and logit regression analysis was carried out to understand the predictors. Results: The overall health insurance coverage in India was around 25% out of which 22% is mandatory health insurance. Less than 2% of households reported having any voluntary health insurance. Household wealth and education of the head of households were found to be directly proportional to health insurance coverage. Overall, there was very wide inter-state and inter-class variation in health insurance coverage, which reflect a major void in the existing programmes. Conclusions: To achieve UHC in India, a definite policy direction is needed to protect those groups of citizens, who either not covered or are only partially covered from health insurance scheme. Either the PM-JAY scheme should be expanded for the larger population or an alternative health financing model is to be explored to expand the population coverage. Key-words: Health Insurance, Universal Health Coverage, India, Ayushman Bharat, Pradhan Mantri Jan Arogya Yojana, National Family Health Survey.

Changing Trends of Consanguineous Marriages in South India

2021 ◽  
pp. 002190962110120
Author(s):  
Harihar Sahoo ◽  
Paramita Debnath ◽  
Chaitali Mandal ◽  
R. Nagarajan ◽  
Sathiyasusuman Appunni
Keyword(s):  
Health Survey ◽  
Tamil Nadu ◽  
South India ◽  
Family Health ◽  
Consanguineous Marriage ◽  
National Family Health Survey ◽  
Level Of Education ◽  
Consanguineous Marriages ◽  
Changing Trends ◽  
National Family

Consanguineous marriage is still a preferred option in many societies of southern India. Therefore, this study addresses the state and district wise variation in consanguineous marriages and also attempts to find out the underlying factors of this practice in different marriage cohorts of South India. Drawing data from National Family Health Survey-4, the result revealed that there is a reduction in consanguineous marriages from 32.6% who married before 1985 to 23% during 2010–2014. About 13 districts in Tamil Nadu had the highest prevalence of consanguineous marriages, indicating that recent socio-demographic changes such as delays in age at marriages, lesser age gaps between partners, increase in the level of education, etc., did not explicitly affect the consanguineous marriages.

scholarly journals Antenatal care coverage of pregnant mothers in Tamil Nadu: evidence from National Family Health Survey 4

2020 ◽  
Vol 7 (2) ◽  
pp. 760
Author(s):  
Mohankumar Raju
Keyword(s):  
Antenatal Care ◽  
Health Survey ◽  
Rural Population ◽  
Tamil Nadu ◽  
Family Health ◽  
Poor Performance ◽  
National Family Health Survey ◽  
Recommended Care ◽  
National Family ◽  
Pregnant Mothers

Background: The sustainable development goal emphasises on reduction in mothers dying due to pregnancy. Recommended care for the pregnant mothers will help achieve this goal. Tamil Nadu is one of the best performing state in maternal and child health care. Author analysed the full antenatal care coverage of pregnant mothers of the districts of Tamil Nadu by using National Family Health Survey (NFHS)-4 data. Methods: Author did a secondary data analysis of NFHS 4 data for the districts of Tamil Nadu for understanding the MCH coverage. Results: Tamil Nadu showed 45% full AN coverage with 46.3% in urban and 43.8% in rural population, among 32 districts, Krishnagiri (65.5%) is the best performing and Virudhunagar (13.7%) is the poorest performing district of Tamil Nadu. Full AN coverage includes at least 4 AN check-up, vaccination of tetanus toxoid and consumption of 100 IFA tablets in last pregnancy. Tamil Nadu showed 81.1% of at-least 4 AN visit, 71% with vaccination for TT and 64% on consumption of 100 IFA tables. Similar coverage trend among the components of full ANC coverage is seen among all the districts of Tamil Nadu. Conclusion: Focusing on the coverage of IFA tablet consumption and also showing special interest among the rural population will increase the coverage. A detailed assessment for understanding the reasons for poor performance among the districts of Tamil Nadu is needed for better evidence-based practices.

scholarly journals A SPATIAL ANALYSIS OF MATERNAL AND CHILD HEALTH IN UTTAR PRADESH, INDIA: EVIDENCE FROM NATIONAL FAMILY HEALTH SURVEY 4 (2015-16)

2021 ◽  
Vol 9 (11) ◽  
pp. 1006-1017
Author(s):  
Nilofer Wahid ◽  
◽  
Syed Naushad Ahmad ◽  
Tarique Anwar ◽  
Wahengbam Bigyananda Meitei ◽  
...  
Keyword(s):  
Spatial Analysis ◽  
Child Health ◽  
Health Survey ◽  
Maternal And Child Health ◽  
Family Health ◽  
Uttar Pradesh ◽  
Health Indicators ◽  
National Family Health Survey ◽  
National Family ◽  
And Child Health

Mother needs special medical care during pregnancy, delivery, and after delivery; as a mother, she is more prone to adverse health outcomes or death due to the unsafe and unhygienic methods of managing pregnancy and childbirth. According to the World Health Organization reports, globally, 0.53 million maternal deaths occur annually, out of which 0.12 million (22%) deaths occur only in India. A newborn child needs regular health check-ups as well as nutrition supplements to avoid deficiency diseases and illness. Child health is a foundation for adult health and well-being; therefore, it is imperative to certify good health. Healthy children assure healthy adults who, in turn, ensure good progress and development of the Country (Usmani and Ahmad, 2017). According to NHM, around 81% of under-five child death occurs in one year of birth that marks approximately 10.5 lakh newborn demises; however, 57% of under-five deaths occur in the first one month of life, constituting 7.3 lakh neo-natal deaths annually within the Country. Data and methods: data from National Family Health Survey-4 (2015-2016) on maternal and child health indicators for 75 districts of Uttar Pradesh state were used. Spatial analysis namely Moran\'s-I and LISA were applied to evaluate the maternal and child health indicators through all the districts of the state. Result: Each indicator portrayed prominent coverage variation across the Uttar Pradesh districts in this analysis. Among all the districts, the lowest ANC occurrence was observed mainly in the central part, PNC in the eastern region, SBA in 20 districts mainly of the western and eastern part. The prevalence of full immunization among the children was very high, primarily in the districts of the East region; high PNC among the children was perceived in the districts of eastern, central, and Bundelkhand part of the state. PNC prevalence among the women was found to be highest in the western part of Uttar Pradesh.

scholarly journals Family Planning Practices in Kerala: A Critical Appraisal Using National Family Health Survey Data

2021 ◽  
pp. 263394472110647
Author(s):  
Reshma Ramesh ◽  
Kannamkottapilly Chandrasekharan Prajitha
Keyword(s):  
Family Planning ◽  
Health Survey ◽  
Distribution System ◽  
Family Health ◽  
The State ◽  
Initial Increase ◽  
Modern Contraceptive ◽  
National Family Health Survey ◽  
National Family ◽  
Contraceptive Prevalence

Background Adequate attention to family planning can not only reduce poverty and hunger in countries with high birth rates but also avert maternal and childhood deaths. Kerala, the southernmost state of India, has achieved its replacement level fertility rate far ahead of India. The study aims to analyze the contraceptive prevalence of the state over the years and also at the district level and the choices of different family planning methods in the state. Methodology This study is a secondary data analysis using the available information from the National Family Health Survey (NFHS) available from “The demographic health survey program’s data distribution system.” Results The contraceptive prevalence rate (CPR) of Kerala showed an initial increase followed by a sudden fall by more than 10% in 10 years period during the 2015 survey, thereafter stabilized in 2019. Among the modern contraceptive methods, the most commonly used method consistently over the years was female sterilization (46.6%) and the least common method was male sterilization (0.1%). The unmet needs in family planning in the state varied across the districts from as high as 19.3% to 5.6% though it was reduced by 1.2 percentage units as compared to NFHS-4 data. Conclusion The findings contradict the assumption that the use of modern spacing techniques will increase with female literacy and a higher standard of living. Female-oriented nature of family planning practices in the state should be revisited and strategies should be brought to bring equal participation of males and females. Districts with reduced CPR should be prioritized and region-specific policy recommendations are necessary to address specific needs.

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