View
241
Download
0
Category
Preview:
Citation preview
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
1/24
State HMIS Data Analysis
Apr10 Mar11
NHSRC
Data Management & Analysis
4/28/2011
Andhra Pradesh
This analysis is based on data downloaded from National Web portal on
28/4/11
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
2/24
Data Management & Analysis- NHSRC
Page 2 of24
Note for Information Users
This data analysis is primarily presented to facilitate the use of this information by District level
Programme Managers. They are in a better position to interpret this information in context and act
on it. Even what are apparently data of poor quality or errors can be useful if the nature of error is
understood. However those not sensitised to the data quality issues and those trying to use this for
policy or journalistic purposes will find serious limitations especially due to incomplete reporting of
private sector data and poor quality of death reporting. Also please note that interpretation of
information will differ with choice of denominator. We should be familiar with choice of
denominator in use. Do consult HMIS Training Manual 2 for further understanding of these issues.
Data is also analysed and presented so as to help districts, find data errors and correct them. Only
when data is converted into information and used, do many errors become apparent. Some states
are likely to notice data entry errors & change their data- for which reason also, care should be taken
when quoting from this source. We would advise you to check with state government and take
permission before quoting from this.
Executive Director
National Health Systems Resource Centre
May 2011
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
3/24
Data Management & Analysis- NHSRC
Page 3 of24
Andhra Pradesh- Summary -Apr'10 to Mar'11
ANC
ANC Registration against
Expected Pregnancies103%
TT2/ Booster given to Pregnant women against ANC
Registration93%
3 ANC Check ups against
ANC Registrations86%
100 IFA Tablets given to Pregnant women against
ANC Registration93%
Deliveries
Reported Deliveries against
Expected Deliveries95.9%
Home Deliveries( SBA& Non SBA) against Estimated
Deliveries5.4%
Institutional Deliveries
against Estimated
Deliveries
90.5%Home Deliveries( SBA& Non SBA) against Reported
Deliveries5.6%
Institutional Deliveries
against Reported Deliveries 94.4%
C Section Deliveries against Institutional Deliveries(
Pvt & Pub) 18%
Births & Neonates Care
Live Births Reported
against Estimated Live
Births
98% Newborns weighed against Reported Live Births 95%
Still Births against reported
1000 live Births 8
Newborns weighed less than 2.5 kgs against
newborns weighed7%
Sex Ratio at Birth938
Newborns breastfed within one hr of Birth against
Reported live Births82%
Child Immunisation( 0 to 11 mnths)
Measles given against
Reported Live Births96% Measles given against Expected Live Births 94%
Fully Immunised Children
against Reported Live
Births
97%Fully Immunised Children against Expected Live
Births94%
Required numbers of
VHNDs per thousand
population in 12 mnths
1,015,986Immunisation Sessions held as percentage of
required VHNDs76%
Family Planning & Abortions
Family Planning Methods
Users ( Sterilisations(Male
&Female)+IUD+ Condom
pieces/72 + OCP Cycles/13)
2,084,975Total Sterilisations ( Male & Female)
753,954
MTP up to 12 weeks2,616
Abortion (spontaneous/induced)16,662
MTP more than 12weeks 1,323
Abortion Rate against Expected pregnancies 1.2%
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
4/24
Data Management & Analysis- N
IMR of the state -
Andhra Pradesh
CBR -
Pra
Source SRS - 2011 SRS
49 1
Andh
Total Population Apr'10 to
Mar'11 84,6
Home SBA Home
59,374 25
Home SBA % Home
4%
Unr
Andhra Pradesh- Hom
HSRC
Page 4 of24
Demographic Denominators - Andhra Pradesh
Andhra
desh
Total
Population
Expected
Pregnancies
Expected
Deliveries
- 2011 Census 2011 Derived Derived
.3 84,665,533 1,704,317 1,587,339
ra Pradesh- Deliveries Apr'10 to Mar'11
65,533Expected Deliveries Apr'10 to Mar'11
Non SBA InstitutionalTotal Deliveries
Reported
,858 1,436,989 1,522,221
on SBA% Institutional %Total Deliveries
Reported %
2% 91% 96%
Home SBA %
4%
Home Non SBA%
2%
Institutional %
91%
eported Deliveries %
4%
( SBA & Non SBA) & Institutional Deliveries against Ex
Deliveries - Apr'10 to Mar'11
Eligible Couple ( 17%
of total population)
Derived
14,393,141
1,587,339
UnreportedDeliveries
65,118
Unreportedeliveries %
4%
ected
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
5/24
Data Management & Analysis- N
Andhra Pradesh- C s
Institution(P
55
C Section6
C Section%
Complicated
Pregnancies attended 43
ComplicatedPregnancies attended
%
Andhra Pradesh- Ho
HSRC
Page 5 of24
ections & Complicated Deliveries Apr'10 to Mar'11
al Deliveriesublic)
Institutional Deliveries(Pvt)
Total Instit
deliver
7,004 879,985 1,436,
,296 195,105 261,4
2% 22% 18.2
,792 28,700 72,49
8% 3% 5.0
Home SBA %
4%
Home Non SBA%2%
Institutional %
94%
me ( SBA & Non SBA) & Institutional Deliveries against
Deliveries - Apr'10 to Mar'11
utional
ies
89
1
2
eported
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
6/24
Data Management & Analysis- N
Andhra Pradesh- Facility
PHC
Complicated deliveries
managed ( Reported) 6,37
Complicated deliveries
managed as %ge of total
reported
8.8
C Section (Reported)364
C Section as percentage oftotal reported
0.1
Normal deliveries %
76.8%
Andhra Pradesh- C
Institu
HSRC
Page 6 of24
wise %ge of C sections & Complicated Deliveries Apr'10 t
CHC SDH/DHOther State
owned institution
Privat
Faciliti
8 9,669 21,183 6,562 28,70
13.3% 29.2% 9.1% 39.6
10,492 42,492 12,948 195,1
4.0% 16.3% 5.0% 74.6
C- section %
18.2%
-Section, Complicated & Normal Deliveries against Re
tional Deliveries ( Pvt. & Public) Apr'10 to Mar'11
o Mar'11
e
esTotal
0 72,492
5 261,401
Complicated Pregnancies
attended %
5.0%
orted
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
7/24
Data Management & Analysis- N
Andhra Pradesh-
Reported Deliveries
-
ComplicatedPregnancies attended
Complicate
72,492
Complicated
IV Antibiotics antihyperte
inj
39,861 3
Stay for more than 48 hrs
after delivery
26%
Andhra Pradesh- Stay d
HSRC
Page 7 of24
Complicated Pregnancies & Deliveries Treated - Apr'10 to
1,522,221
d Pregnanciesate
C - SectionDeliveries
PNC MaternalComplications
Abo
.3%261,401 13,992 16
Deliveries Treated with
No OfcasesIV
nsive/Magsulph
ection
IV Oxytocis Blood Transfusion
,428 32,934 1,243 7,
uration as percentage of Reported Institutional Deliveri
to Mar'11
Mar'11
rtions Still Births
,662 11,627
clampsiaTreated
No Of severeanemia cases
treated
249 52,471
Stay for less than 48 hrsafter delivery
74%
es - Apr'10
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
8/24
Data Management & Analysis- NHSRC
Page 8 of24
Andhra Pradesh- Management of Complications (Reflecting Quality of
ANC )against Reported ANC Registration- Apr'10 to Mar'11
Reported%age against reported
ANC Registration
Hypertensive casesdetected at institution
71081 4.0%
Eclampsia casesmanaged during
delivery7249 0.4%
ANC women having Hblevel
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
9/24
Data Management & Analysis- NHSRC
Page 9 of24
Andhra Pradesh - Births - Apr'10 to Mar'11
Live Birth - Males Live Birth - females Live Birth - Total Sex Ratio at birthStill Birth per
1000 live births( reported)
780,018 731,355 1,511,373 938 7.7
4.0%
0.4%
27.8%
3.0%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
Hypertensive cases detected
at institution
Eclampsia cases managed
during delivery
ANC women having Hb
level
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
10/24
Data Management & Analysis- NHSRC
Page 10 of24
Andhra Pradesh - Abortions - Apr'10 to Mar'11
MTP Less
than 12
weeks
MTP More
than 12
weeks
Abortions
(spontaneous/Induced)
Abortion Rateagainst expected
pregnancies
2,616 1,323 16,6621.2%
96% 95% 95% 94% 94%
0%
20%
40%
60%
80%
100%
120%
BCG % DPT3% OPV3% Measles % Fully Immunised %
Andhra Pradesh-Immunisation ( 0 to 11mnths) Against Estimated Live Births-
Apr'10 to Mar'11
99% 98% 97% 96% 97%
0%
20%
40%
60%
80%
100%
120%
BCG % DPT3% OPV3% Measles % Fully Immunised %
Andhra Pradesh-Immunisation ( 0 to 11mnths) Against Reported Live Births-
Apr'10 to Mar'11
795,829 775,278734,293
-
100,000
200,000
300,000
400,000
500,000
600,000
700,000
800,000
900,000
Immunisation sessions planned Immunisation sessions Held Sessions where ASHAs were present
Andhra Pradesh-Immunisation Sessions- Apr'10 to Mar'11
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
11/24
Data Management & Analysis- N
Andhra Pradesh- RTI Cases
Total OPDTotal R
case
45,302,552 672,8
Andhra Pradesh-Sterilisation
Reported
Total Sterilisation753,954
NSV13,763
Laparoscopic71,316
MiniLap270,334
Post Partum398,541
MaleSterilisation 13,763
FemaleSterilisation 740,191
Abortion
(spontaneous/induc
d)
80.88%
Female
58%
A
HSRC
Page 11 of24
- Apr'10 to Mar'11
I/STIs
RTI/STI cases as%ge of Total OPD
531.49%
- Apr'10 to Mar'11
%age of Reported
Sterilisation
-
2%
9%
36%
53%
2%
98%
MTP less than 12
weeks
12.70%
MTP more t
weeks6.42%
Andhra Pradesh-Abortions - Apr'10 to Mar'11
Male42%
dhra Pradesh- RTI Cases -Apr'10 to Mar'11
an 12
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
12/24
Data Management & Analysis- NHSRC
Page 12 of24
Andhra Pradesh-FP Methods - Apr'10 to Mar'11
Reported
%age of All
Reported FP
Methods
Total Reported FP
Method (All types)
Users2,084,975
-
Sterilisations753,954
36%
IUD358,583
17%
Condom Users682,203
33%
OCP Users290,235
14%
Limiting Methods 753,954 36%
Spacing Methods1,331,021
64%
Andhra Pradesh- Facility wise % of Sterilisations & IUDs - Apr'10 to Mar'11
Subcenter PHC CHC SDH/DHOther State owned
institutionPrivate Facilities
NSV as % of total reported 49.3% 14.3% 29.0% 3.3% 4.0%
Laparoscopic as % of total reported 25.5% 30.0% 35.1% 2.1% 7.3%
MiniLap as % of total reported 26.0% 6.2% 18.2% 2.3% 47.4%
Post Partum as % of total reported 24.8% 10.1% 20.4% 2.5% 42.1%
IUD inserted as % of total reported 13% 62% 6% 8% 2% 9%
Andhra Pradesh- Unmet need (DLHSIII) met by reported FP Methods - Apr'10 to Mar'11
Estimated total
Eligible Couples (
17% of
population)1,43,93,141
Eligible Couples for
unmet need- Calculated
Using DLHSIII Unmet
need - Andhra Pradesh
Total reported
FP Users - HMIS
- Apr'10 to
Mar'11
Unmet need met by
Reported Family
Planning Methods -
Apr'10 to Mar'11
Total Unmet
Needs8.1
11,65,844 20,84,975179%
Limiting 45,75,726 7,53,954
131%
Spacing 4.15,90,119 13,31,021
226%
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
13/24
Data Management & Analysis- NHSRC
Page 13 of24
Andhra Pradesh- Service Delivery - Apr'10 to Mar'11
Total OPD Total IPD
Operation major
(General and spinalanaesthesia)
Operation minor (Noor local anaesthesia) AYUSH DentalProcedures
Adolescent
counsellingservices
45,302,552 2,097,598 74,131 319,378 1,960,568 211,805 104,661
OPD Visit Per
Capita
Population
IPD as
percentage
of OPD
Operation major(General and spinal
anaesthesia) as%ge of IPD
Operation minor (Noor local
anaesthesia)as %geof OPD
AYUSHas %ge of
OPD
DentalProcedures as%ge of OPD
Adolescentcounselling
services as %geof OPD
0.5 4.6% 3.5% 0.7% 4.3% 0.47% 0.2%
Andhra Pradesh- Lab Services - Apr'10 to Mar'11
Total
PopulationTotal HB tested Total HIV tested
Total VDRLTested
Total Widal
Test
Conducted
Blood SmearExamined
84,665,533 1,405,629 1,651,545 120,393 90,147 8,704,698
Total OPD
HB testconductedas %age of
OPD
HB
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
14/24
Data Management & Analysis- NHSRC
Page 14 of24
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
15/24
Data Management & Analysis- N
AN
MORT
as
NATIONAL HEA
HSRC
Page 15 of24
RA PRADESH
LITY INFORMATI
eported in HMISApr10 - Mar11
LTH SYSTEMS RESOURC
NEW DELHI
N
CENTRE,
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
16/24
Data Management & Analysis- NHSRC
Page 16 of24
Note for Information Users
Information user must understand that the data given below are not to be used as a measure of
mortality but as a measure of completion of reporting on mortality. We are at the stage, where we
are working to improve routine mortality recording and reporting. However we also reiterate that
without conversion to rate, we will not be able to estimate the adequacy of reporting. This
information is for district level managers to use for improving mortality reporting.
Executive Director
National Health Systems Resource Centre
May 2011
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
17/24
Data Management & Analysis- N
Mortality in-
Death Groups Cause-wi
Communicable DiseaseMaternal,Respiratorrelated, HI
Non communicabledisease
Heart DiseStroke, Ot
Injuries Trauma, A
Others Other dise
Others
60%
Mortality-
HSRC
Page 17 of24
Andhra Pradesh- Apr'10-Mar'11
e deaths included in the groupReported
deaths
hild under 5, Diarrhoea, Tuberculosis,(excluding TB), Malaria, Other Fever
V/AIDS, Other known acute diseases37,842
ase/ Hypertension, Neurological includinger known chronic diseases 34,986
cidents, Burns, Suicide, Animal Bites13,469
ases (Causes not known)128,868
Comm
Dis
1
Injuries
6%
by Disease Category-Andhra Pradesh-Apr'10-Mar'11
nicable
ases
%
Non communicable
diseases
16%
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
18/24
Data Management & Analysis- NHSRC
Page 18 of24
Andhra Pradesh- Still Births, Neonatal & Infant Deaths - Apr'10 to Mar'11
Live Births -
Reported
Live Births -
EstimatedStill Births
Early Neonatal
deaths
Late Neonatal
DeathsInfant Death
1,511,373 1,549,379 11,627 5,671 3,344 12,045
Andhra Pradesh- Still Birth Rate, Perinatal,Neonatal & Infant
Mortality Rates - Apr'10 to Mar'11
Against Reported
Live Births ( 1000)
Against Estimated
Live Births ( 1000)
Reported Still Birth7.69 7.50
Reported Perinatal
Mortality
11.45 11Reported Neonatal
Mortality5.96 5.82
Reported Infant
Mortality7.97 7.77
Infant Mortality Indicators Andhra Pradesh-"Apr'10-Mar'11
Total DeathsReported DeathRate
Neonatal Mortality Rate(per 1000 live births) 9,015 6.0
Perinatal Mortality Rate(per 1000 live births) 17,298
11.4
Infant Mortality Rate(per 1000 live births) 12,045
8.0
Under 5 Mortality Rate(per 1000 live births) 13,981
9.3
Maternal Mortality Ratio(per one lakh live births) 724
47.9
Infant & Child Deaths -Andhra Pradesh-Apr'10-Mar'11
Infant Deaths within 24 hrs of birth921
Infant Deaths between 24hrs & under 1 week4,750
Infant Deaths between 1 week & under 1 month3,344
Child Deaths between 1 month & under 1 year3,030
Total Infant Deaths12,045
Child Deaths between 1yr under 5years
1,936
Total Deaths13,981
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
19/24
Data Management & Analysis- N
Causes
Up to 1 Weeks of Birth
Between 1 week & 4 weeks ofbirth
Total
Causes o
Pneumonia
Between 1 monthand 11 months 246
Between 1 year & 5years 84
Total330
Infant Deathsbetween 1 week &
under 1 month
24%
Child Deaths
between 1 month &
under 1 year
22%
Child Deaths
between 1yr un
5years
14%
Infant & Child Deaths
HSRC
Page 19 of24
f Neonatal Deaths-Andhra Pradesh-Apr'10-Mar'11
Sepsis Asphyxia LBW O
248 630 1,262 2,
165 284 701 2,
413 914 1,963 4
Infant Child Deaths-Andhra Pradesh-Apr'10-Mar'1
DiarrhoeaFeverrelated
Measles O
77 206 6
102 247 5
179 453 11
Infant Deaths
24 hrs of b
6%
der
against reported Infnat & Child deaths - Andhra Prade
Mar'11
hers Total
,610 4,750
,194 3,344
,804 8,094
1
hers Total
2,495 3,030
1,498 1,936
3,993 4,966
within
irth
Infant Deaths
between 24hrs &under 1 week
34%
sh-Apr'10-
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
20/24
Data Management & Analysis- N
Maternal Deaths & Causes-Andhra
Mar'11
Abortion
Obstructed/prolonged labour
Severe hypertension/fits
Bleeding
High Fever
Other Causes
Total
Others
67%
Causes of Infant Child D
LBW
46%
Pneumonia
8%
Diarrhoea
4%
F
Known causes of Infant
(excluding cau
HSRC
Page 20 of24
radesh-Apr'10-
Total
6
24
91
105
22
476
724
Sepsis
3%
Asphyxia
7% LBW
15%
Pneu
3
Diarrh
1%
Fever r
4
aths against total reported infant & child deaths-And
Pradesh-Apr'10-Mar'11
Sepsis
10%Asphyxia
21%
ever related
11%
Child Deaths against total reported infant & child dea
ses not known)-Andhra Pradesh-Apr'10-Mar'11
onia
oea
elated
ra
hs
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
21/24
Data Management & Analysis- N
A
Other Causes
66%
Maternal Deaths & C
Bleeding
42%
Known Maternal Death
HSRC
Page 21 of24
bortion
1%
Obstructed/prolong
ed labour
3%
Severe
hypertension/fits
13%
Bleeding
14%
auses against total reported maternal deaths-Andhra
Apr'10-Mar'11
Abortion
2%
Obstructed/prolong
ed labour
10%
High Fever
9%
causes against total reported maternal deaths (exclus
causes)-Andhra Pradesh-Apr'10-Mar'11
igh Fever
3%
Pradesh-
Severe
hypertension/fits
37%
ing unknown
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
22/24
Data Management & Analysis- NHSRC
Page 22 of24
Cause of deaths above 6 yrs of age-Andhra Pradesh-Apr'10-Mar'11
6-14 yrs 15-55 yrs. Above 55yrs Total
Diarrhoeal Diseases109 400 274 783
Tuberculosis50 1,128 1,170 2,348
Respiratory Diseases(Other than TB) 149 1,615 1,522 3,286
Malaria19 65 21 105
Other fever Related461 2,018 2,609 5,088
HIV/AIDS43 1,250 387 1,680
Heart Disease/ Hypertensionrelated 155 5,736 7,314 13,205
Neurological Disease includingstrokes 99 2,014 3,166 5,279
Trauma/Accidents/ Burn Cases298 4,984 2,100 7,382
Suicide97 2,855 931 3,883
Animal Bites & Stings451 1,015 738 2,204
Known Acute Disease433 4,263 5,151 9,847
Known Chronic Disease196 5,970 10,336 16,502
Causes not known2,026 43,072 83,770 128,868
Total Deaths4,586 76,385 119,489 200,460
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
23/24
Data Management & Analysis- N
Tuberc
1
Causes not known
64%
Cause of deaths abov
Suicide6%
Animal Bites &
Stings
3%
Known Acute
Disease
14%
Known Chronic
Disease
23%
Known cause of de
(excludi
HSRC
Page 23 of24
losis
Respiratory Diseases
(Other than TB)
2%
Other fever
Related
2%
HIV/AIDS
1%
Heart DiseHypertens
related
7%
K
6 yrs against total reported deaths 6 yrs & above -M
Andhra Pradesh- Apr'10-Mar'11-
Diarrhoeal Diseases
1%
Tuberculosis
3%
Othe
Neurological
Disease includin
strokes7%
Trauma/Accidents/
Burn Cases
10%
aths above 6 yrs against total reported deaths 6 yrs &
g unkown causes)-Andhra Pradesh-Apr'10-Mar'11
ase/ion
Neurological
Disease
including
strokes
3%
Trauma/Accidents/
Burn Cases
4% Suicide
2%
Animal Bites &
Stings
1%
Known Acute
Disease
5%
nown Chronic
Disease
8%
rtality in-
Respiratory Diseases
(Other than TB)
5%
r fever Related
7%
HIV/AIDS
2%
Heart Disease/
Hypertension
related
19%
above
8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177
24/24
Data Management & Analysis- NHSRC
Recommended