Union Minister for Health and Family Welfare, Dr. Mansukh Mandaviya released the National Report of the fifth round of National Family Health Survey (NFHS-5) in the presence of Shri Bhupendrabhai Patel, Chief Minister of Gujarat and Dr. Bharati Pravin Pawar, Union Minister of State for Health and Family Welfare, at the ‘Swasthya Chintan Shivir’ being held at Vadodara, Gujarat today.
The report comprises of detailed information on key domains of population, health and family welfare and associated domains like characteristics of the population; fertility; family planning; infant and child mortality; maternal and child health; nutrition and anaemia; morbidity and healthcare; women’s empowerment etc.
The main objective of successive rounds of the NFHS has been to provide reliable and comparable data relating to health and family welfare and other emerging areas in India. The NFHS-5 survey work has been conducted in around 6.37 lakh sample households from 707 districts (as on March, 2017) of the country from 28 States and 8 UTs, covering 7,24,115 women and 1,01,839 men to provide dis-aggregated estimates up to district level. The national report also provides data by socio-economic and other background characteristics; useful for policy formulation and effective programme implementation.
The scope of NFHS-5 is expanded in respect of earlier round of the survey (NFHS-4) by adding new dimensions 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 range for measuring hypertension and diabetes among all aged 15 years and above, which will give requisite inputs for monitoring and strengthening existing programmes and evolving new strategies for policy intervention. Thus, NFHS-5 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 and NFHS- 5 will provide data for around 34 SDG indicators at various levels.
The Ministry of Health and Family Welfare (MoHFW), Government of India has launched a number of flagship programmes, such as Ayushman Bharat, Poshan Abhiyan etc., to improve the health of the Indian population in general and the vulnerable and deprived sections of the population in particular. Moreover, India is also moving towards the direct bank transfer of benefits to the beneficiaries of its various programmes. In addition, India has committed to achieve Sustainable Development Goals (SDGs). The MoHFW is constantly monitoring the SDG related health goals. Due to the ongoing COVID-19 pandemic, a number of new challenges related to health system have been emerged in the country.
In this context, NFHS-6, which is scheduled to be conducted during 2023-24, propose to cover various new domain areas, which include:
“COVID-19 hospitalization and distress financing, COVID-19 vaccinations, Director Benefit Transfers (DBT) under various welfare schemes initiated by GoI, Migration, Utilization of health services –Health and wellness centre, health insurance/ health financing, digital literacy, counselling on family planning after abortion and incentives under new methods of family planning, quality of family planning programme, menstrual hygiene, marital choice, visit by community health workers for health awareness and needs, supplementary nutrition from the Anganwadi/ ICDS center while breastfeeding, blood transfusion (month and year), financial inclusion among women, knowledge of anaemia, Hepatitis B &C, Syphilis etc.”
Unlike in previous rounds, NFHS-6 will adopt Urban Frame Survey (UFS, 2012-17) of NSO, MoSPI as a sampling frame for urban area. This strategy will minimize the non-sampling errors to large extent as the boundary identification problems using 2011 census frame will be resolved. While for rural areas, updated list of villages from NSO will be used as a frame, which would be matched with the PCA from the Census to get auxiliary information.
On the occasion of Chintan Shivir, the Ministry of Health and Family Welfare has also released the Rural Health Statistics publication for the year 2020-21 (as on 31st March, 2021). It is a vital source of information on health infrastructure and human resources available in the public health institutions of all States/UTs. It also facilitates identification of additional resources for better management of public health delivery system. The data is extensively used for decision making and policy intervention by Policy Planners, researchers, NGOs and other stakeholders.
As per RHS 2020-21, there are 157819 Sub Centres (SC), 30579 Primary Health Centres (PHCs) and 5951 Community Health Centres (CHCs) respectively functioning in rural and urban areas of the country. Besides this, a total of 1224 Sub Divisional/Sub District Hospital and 764 District Hospitals (DHs) are operational throughout the country.
The publication also provides the information on requirement, vacancy and shortfall of key infrastructures and human resources across the country based on specific norms which helps in filling the gaps, if any.
Progress of Rural Health Statistics Publication
Ministry of Health & Family Welfare (MoHFW) has been publishing Rural Health Statistics (RHS) publication since the year 1992, which contains important and crucial information related to Human Resources and Health Infrastructure available in the Public Health facilities of India as on 31st March of every year.
Based on the new requirement, the formats of the publication have been changed from time to time. From the year 2018-19 onwards, the data with respect to the Urban Health components have also been included in the publication.
For planning of health programmes and policy in the country, this publication is used by various stakeholders like policy makers, researchers, NGOs and various Institutions working in the field of Public Health. It also serves as important sources of information for various RTIs and Parliament related questions.
Some of the Key Parameters with respect to the year 2013-14 are as follows:
Name of the Indicators | Year 2013-14 (as on 31st March 2014) | Year 2020-21 (as on 31st March 2021) | %age Growth of 2020-21 w.r.t 2013-14 |
No. of SCs | 152326 | 157819 | 3.6 |
No. of PHCs | 25020 | 30579 | 22.2 |
No. of CHCs | 5363 | 5951 | 11.0 |
No. of SDH | 1024 | 1224 | 19.5 |
No. of DH | 755 | 764 | 1.2 |
HW (F)/ANM at SCs & PHCs | 217780 | 235757 | 8.3 |
Doctor at PHCs | 27335 | 38525 | 40.9 |
Total Specialist at CHCs | 4091 | 5760 | 40.8 |
Radiographer at CHCs | 2189 | 2746 | 25.4 |
Pharmacist at PHCs & CHCs | 22689 | 33857 | 49.2 |
Lab Tech at PHCs & CHCs | 16679 | 27733 | 66.3 |
Nursing Staff at PHCs & CHCs | 63938 | 94007 | 47.0 |
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MV/AL
HFW/HFM releases NFHS-5 report/5thMay2022/4
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