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THE SECRETARIAT OF NATIONAL COALITION OF CIVIL SOCIETY ORGANIZATIONS
DEVELOPED BY:
ANDHRA PRADESH FACTSHEET
2020
Picture Courtesy: APMAS, Hyderabad, Telangana
In India the civil society organizations have been experimenting and developing various communityparticipation models but mostly its spread has been limited and operations remained in silosbecause of lack of platforms and alliances to highlight their works. Therefore, Oxfam India has set anational coalition for civil society organizations from 15 states in the country to bring certain macro-level changes that can help to achieve the envisaged health, nutrition and women’s economicempowerment outcomes through a common platform. It is believed that this platform will give acollective voice to the people and has the capacity to negotiate and influence the state for thenecessary integration of health, nutrition and gender under the government flagship programmeslike NRLM, NHM, ICDS and others. Oxfam India acts as an interim Secretariat for this coalition at thenational level to provide necessary support for its effective functioning. As the thematic areas ofwork of this coalition are being looked through the lens of gender discrimination and socialinclusion, emphasis is being given on Dalits, Adivasis and Muslims communities.
As evidence generation is one of the key strategies for functioning of this coalition, Oxfam Indiaintended to develop a state factsheet for each of the target states to highlight health, nutrition andwomen empowerment related issues of the state.
Only the important indicators related to health, nutrition and women empowerment have beenincluded in this factsheet and presentation of segregated data is limited to only locations (rural &urban), caste categories (SC, ST, OBC & Others) and religious groups (Hindus & Muslims). As data forother religious categories are not available for all indicators for all sources, only two religious groupshave been considered for the present analysis.
BACKDROP
STATE AT A GLANCE
49.8 50.284,580,777
OF INDIA POPULATION
STATE
INDIA 1,210,854,977
STATE POPULATION BY SEX (%) ¥
Source: Census 2011
OVERALL POPULATION¥
66.6 33.4
Rural Urban
STATE POPULATION BY LOCATION (%) ¥
Source: Census 2011 Source: Census 2011
(7.0%)
10.819.3
55.8
7.8
0-6 yr (Children) 10-19 yr (Adolescent) 15-49 yr (Reproductive) Above 60 yr (Old age)
STATE POPULATION BY AGE GROUP (%) ¥
Source: Census 2011
*DECADAL POPULATION GROWTH RATE
(%) ¥
11.0
Source: Census 2011
* Total population growth between 2001-2011
17.7
STATEINDIA
SEX RATIO (FEMALES PER 1000 MALES) ¥
Sex Ratio Sex Ratio (0-6 years)
993
996
987
939
941
935
State Total
Rural
Urban
Source: Census 2011
HEALTH INDEX (RANK) ¥
2
Source: Economic Survey 2019
2 0 1 7 - 2 0 1 8
A M ON G 2 1 S T A T E S
O V ER AL L L I T ER ACY R A T E ( % ) ¥
Source: Census
54.5
76.1
50.4
70.3
60.4
80.1
59.1
74.9
Rural Urban Female Male
2001
2011STATE
INDIA 73.064.8
67.060.5
2 0 0 1 2 0 1 1
L I T ERACY R A T E B Y L O C ATI ON A N D S E X O U T O F S T A T E 'S T OT AL
Source: Census
943 918India Total
• Nearly 70% of Andhra Pradesh’s population is rural.• The state’s sex ratio is much above the country figure, however urban areas continue to be a concern for both the overall sex ratio and sex ratio at
birth.
¥ Combined data for Andhra Pradesh and Telangana.
Name of the Districts Composite
Rank
Health
Rank
Education
Rank
Agriculture
Rank
Financial
Inclusion
Rank
Skill
Development
Rank
Basic Infrastructure
Rank
Vizianagaram 1 23 14 1 17 48 39
Cuddapah 4 7 6 3 9 29 77
Visakhapatnam 13 18 23 5 8 36 68
ASPIRATIONAL DISTRICTS OF STATE WITH THEIR RANKS AS PER BASELINE * CONDUCTED IN 2018
*Total 115 districts have been identified as Aspirational Districts in India. But the ranks given in the table are based on t he baseline conducted by NITI Aayog in 2018 for 101 Aspirational Districts only.
T O P 2 0 I N I N D I ASource: Niti Aayog
• The majority of the workforce in A.P is from rural areas. This indicates deep divide of labours among the rural and urban are as.
M A I N W O R KER S ( % ) ¥ M A R GI NAL W O R KER S ( % ) ¥
73.1
26.9
Rural Urban
83.8S T A T E
I N D I A 75.2
Source: Census 2011 Source: Census 2011
76.9
23.1
Rural Urban
16.2S T A T E
I N D I A 24.8
O U T O F S T A T E ' S T O T A L M A R G I N A L W O R K E R S
O U T O F S T A T E ' S T O T A L M A I N W O R K E R S
B O T TOM 2 0 I N I N D I A
¥ Combined data for Andhra Pradesh and Telangana.
PROPORTION OF VULNERABLE POPULATION
(6.9%)
O V E R AL L S C H E DUL E C A S T E ( S C )
P O P ULATI ON ¥
13,878,078 50.2 49.8
Out of India's SC population
78.2
21.8
Rural Urban
• While the Scheduled Tribe and Schedules caste population is concentrated primarily in the rural areas, the Muslim population has a comparatively better urban share.
S T AT E
I N D I A 201,378,372
Source: Census 2011
Source: Census 2011
Source: Census 2011
S C P O P U L A T I O N B Y L O C A T I O N ( % ) S C P O P U L A T I O N B Y S E X ( % )
(5.7%)
O V ER AL L S C H EDUL E T R I B E ( S T )
P O P ULATI O N ¥
5,918,073
Out of India's ST population
88.4
11.6
Rural Urban
S T AT E
I N D I A 104,545,716
S T P O P U L A T I O N B Y L O C A T I O N ( % ) S T P O P U L A T I O N B Y S E X ( % )
49.8 50.2
(4.7%)
O V ER AL L M U S L I M P O P ULAT I ON ¥
8,082,412
Out of India's Muslim population
35.1
64.9
Rural Urban
S T AT E
I N D I A 172,245,158
M U S L I M P O P U L A T I O N B Y L O C A T I O N ( % ) M U S L I M P O P U L A T I O N B Y S E X ( % )
49.4 50.6
¥
¥ Combined data for Andhra Pradesh and Telangana.
P E R SO NS W I T H D I S ABI L I T I ES I N A L L A G E G R O UP ¥
P O P ULATI O N L I V I NG B E L O W P O VER TY L I N E ( % ) ¥
Source: Planning Commission (As Per Tendulkar Estimation)
29.921.1
9.2
37.229.8
21.9
2004-2005 2009-2010 2011-2012
State India
H O USELESS P O P UL ATI O N ( N o . ) ¥
145,211
Source: Census 2011
I N DI A S T A T E
1,773,040
123,269
195,264 189,968
286,078334,144
538,994
1961 1971 1981 1991 2001 2011
N U M B ER O F P A R TI C ULAR LY V U LNER AB LE T R I B AL G R O UP S ( N o . ) ¥
Source: Statistical Profile Of Scheduled Tribes In India 2013
A G E - WI SE D I ST R I BUT I ON O F S I N GLE W O MEN ( N o . ) ¥
• The state has seen a reduction in BPL population of about 20.7% from 2004 to 2011.• Around 24 lakh women aged 60 years and above are single in the state which depicts their vulnerability in terms of both age and social security.
Source: Census 2011
Below never married Total Single women
20-24 Years 25-29 Years 30-34 Years 35-39 Years 40-44 Years 45-49 Years 50-54 Years 55-59 Years 60-64 Years 65-69 Years 70-74 Years 75-79 Years 80+ Years
WIDOWED 36,077 93,860 149,490 227,952 280,137 329,949 391,376 372,623 728,626 585,141 519,857 227,246 309,022
DIVORCED 6,168 10,692 11,247 10,650 8,389 5,664 3,819 2,251 2,543 1,358 830 324 500
SEPARATED 25,079 43,722 48,636 49,288 40,196 29,284 20,679 12,209 13,880 6,818 3,302 1,079 1,275
NEVER MARRIED 1,145,588 278,923 86,402 45,777 28,370 18,419 16,883 13,061 19,947 17,479 9,312 3,906 13,995
NEVER MARRIED SEPARATED DIVORCED WIDOWED
A G E G R O U P
TOTAL 1,212,912 427,197 295,775 333,667 357,092 383,316 432,757 400,144 764,996 610,796 533,301 232,555 324,792
¥ Combined data for Andhra Pradesh and Telangana.
Source: Census 2011
P E R SO NS W I T H D I S ABI L I T I ES I N A L L A G E G R O UP ¥
26,814,994
2,116,698
O U T O F W H I C H
R E P O R T E D M U L T I P L E D I S A B I L I T I E S
I N D I A ' S T O T A L P E R S O N W I T H D I S A B I L I T I E S
46.0
54.0
P E R S O N S W I T H M U L T I P L E D I S A B I L I T I E S O U T O F S T A T E ' S
M U L T I P L E D I S A B L I T I E S ( % )
46.3
53.7
S T A T E ' S T O T A L P E R S O N W I T H D I S A B I L I T I E S
Source: Census 2011
C H I LD R EN ( 0 - 4 Y E A R S) WI TH D I S AB I L I T I ES ¥
P E S O N S W I T H D I S A B L I T I E S O U T O F S T A T E ' S D I S A B L I T I E S ( % )
P E R S O N S W I T H M U L T I P L E D I S A B I L I T I E S O U T O F S T A T E ' S
M U L T I P L E D I S A B L I T I E S ( % )
46.4
53.6
43.4
56.6
Source: Census 2011
C H I LD R EN ( 5 - 9 Y E A R S) W I T H D I S ABI L I T I E S ¥
P E S O N S W I T H D I S A B L I T I E S O U T O F S T A T E ' S D I S A B L I T I E S ( % )
P E R S O N S W I T H M U L T I P L E D I S A B I L I T I E S O U T O F S T A T E ' S
M U L T I P L E D I S A B L I T I E S ( % )
45.1
54.9
43.3
56.7
• A.P has a higher prevalence of disabilities than the country as a whole, both among the general population and among children.
2,266,607
190,370
1,291,637
78,662
O U T O F W H I C H
R E P O R T E D M U L T I P L E D I S A B I L I T I E S
I N D I A ' S T O T A L C H I L D R E N ( 0 -4 Y E A R S ) W I T H D I S A B I L I T I E S
S T A T E ' S T O T A L C H I L D R E N ( 0 - 4 Y E A R S ) W I T H
D I S A B I L I T I E S
78258
6630
1,955,926
187,492
O U T O F W H I C H
R E P O R T E D M U L T I P L E D I S A B I L I T I E S
I N D I A ' S T O T A L C H I L D R E N ( 5 - 9 Y E A R S ) W I T H D I S A B I L I T I E S
S T A T E ' S T O T A L C H I L D R E N ( 5 - 9 Y E A R S ) W I T H
D I S A B I L I T I E S
133,968
17,731
(8.5%)
(9.0%)
(6.1%)
(8.4%)
(6.8%)
(9.5%)
P E S O N S W I T H D I S A B L I T I E S O U T O F S T A T E ' S D I S A B L I T I E S ( % )
¥ Combined data for Andhra Pradesh and Telangana.
35.7
26.8
Rural UrbanSource: NFHS 2015-2016
W O M EN 2 0 - 2 4 Y E A R S M A R R I ED B E F O R E 1 8 Y E A R S ( % )
HEALTH AND NUTRITION
M A R R I AGE A N D F E R T I L I T Y
33.0S T A T E
26.8I N D I A
T O T AL F E R T I L I T Y R A T E ( % )
2.0 1.5
Rural UrbanSource: NFHS 2015-2016
1.8S T A T E
I N D I A 2.2
1.9 2.1 1.8 1.7
SC ST OBC Others
1.8 2.0
Hindu Muslim
B Y L O C A T I O N B Y C A S T E ( % ) B Y R E L I G I O N
13.28.8
Rural Urban
W O M EN 1 5 - 1 9 Y E A R S W H O W E R E A L R EADY M O T HERS O R P R EG NANT ( %)
11.8S T A T E
I N D I A 7.9
12.3 12.8 12.78.8
SC ST OBC Others
12.18.1
Hindu Muslim
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
• Early marriage and teen age pregnancy are concern areas. • Teenage pregnancy among Scheduled Tribes is higher than even the state figure.
M O R T AL I TY
M O R T AL I TY R A T ES ( D EAT HS P E R 1 0 0 0 L I V E B I R TH S)
Source: NFHS 2015-2016
S T A T EI N D I A
29.5 23.6
40.7 34.9
49.7 40.8
22.620.8
24.8
33.1
29.2
41.3
44.1
33.3
47.5
SC OBC Others
44.9
29.3
40.4
20.127.5
13.1
Rural Urban
Under-fiveMortality
InfantMortality
NeonatalMortality
26.5
38.4
43.2
Hindu
B Y R E L I G I O NB Y C A S T EB Y L O C A T I O N
178167
130 122110
92
74 74
2010-2012 2011-2013 2014-2016 2015-2017
India State
M A T ERNAL M O R T AL I TY R A T E ( M MR ) ( D EAT HS P E R 1 0 0 , 00 0 L I V E B I R TH S)
Source: SRS
C U R R ENT LY M A R R I ED W O MEN A G E D 1 5 - 4 9 W I T H U N M E T N E E D * F O R F A M I LY P L A NNI NG ( % )
4.0 6.1
Rural UrbanSource: NFHS 2015-2016
4.6S T A T E
12.9I N D I A
• High Child mortality rates (neonatal, infant and under-5) in rural areas, and across social groups.• Prevalence of high unmet need among Scheduled Tribe and Muslim women signifying poor access to contraceptive measures.
3.87.6 4.4 5.2
SC ST OBC Others
4.7 6.5
Hindu Muslim
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
* Unmet need for family planning is defined as the percentage of currently married women who either want to space their next birth or stop childbearing entirely, but are not using contraception.
Note:- Comparable data for ST and Muslim are not available.
¥ ¥
¥ Combined data for Andhra Pradesh and Telangana.
M A T ERNAL C A R E
Source: NFHS 2015-2016
75.179.6
Rural Urban
M O T HERS W H O H A D A T L E A ST 4 A N T ENAT AL C A R E V I S I T S ( % )
76.3S T A T E
I N D I A 51.2
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
76.6
58.8
77.7 78.7
SC ST OBC Others
75.6
84.1
Hindu Muslim
M O T HERS W H O C O N SUMED I F A F O R 1 0 0 D A Y S O R M O R E W H E N T H EY W E R E P R E G NANT ( % )
56.3 55.9
Rural Urban
56.2S T A T E
I N D I A 30.3
53.147.9
55.3
65.2
SC ST OBC Others
55.9 57.6
Hindu Muslim
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
M O T HE RS W H O R E C E I V E D P O ST NA T AL C A R E F R O M A N Y S K I L L E D H E A L TH P E R S O NN E L W I T H I N 2 D A Y S O F D E L I V E RY ( % )
79.084.7
Rural Urban
80.5S T A T E
I N D I A 65.1 80.5 79.5
Hindu Muslim
80.376.9
80.8 81.3
SC ST OBC OthersSource: NFHS 2015-2016
• The state shows low utilization of antenatal care services among Scheduled Tribe women.
D E L I VER Y C A R E
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
I N S T I TUT I ONAL B I R T H S ( % )
89.7 96.5
0
10
20
30
40
50
60
70
80
90
100
Rural Urban
91.5S T A T E
78.9I N D I A 91.3
77.8
91.4 97.2
SC ST OBC Others
91.3 93.3
Hindu Muslim
Source: NFHS 2015-2016
37.1
48.4
Rural Urban
B I R T HS D E L I VER ED B Y C A E SAR EAN S E C T I ON ( % )
40.1
S T A T EI N D I A
17.2
C H I LD R EN A G E D 1 2 - 23 M O N T HS F U L LY I M M UNI ZED ( % )
67.260.4
Rural Urban
65.2S T A T E
62.0I N I D A
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
65.568.8
Hindu Muslim
63.567.4
64.0
SC OBC Others
Source: NFHS 2015-2016
• While the state fares better than the country in its institutional delivery figures, however this rate among its Scheduled Tribe population is quite low. • The rate of caesarian deliveries is also quite high both in urban and rural areas, overall state figure and higher even than the national figures. • Immunization figures are a little better than national figures however, urban areas fare the poorest.
Note:- Comparable data for ST is not available.
C H I LD F E EDI NG P R ACTI CES A N D N U T R I T I ONAL S T AT US
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
38.6 40.9
Rural Urban
C H I LD R EN U N D ER A G E O F 2 Y E A R S B R EAST F ED W I T H I N O N E H O UR O F B I R T H ( % )
39.2S T A T E
41.5I N DI A
39.635.6
Hindu Muslim
36.6
49.9
40.534.6
SC ST OBC Others
Source: NFHS 2015-2016
C H I LD R EN A G E D 6 - 8 M O N T HS R E C E I V I NG S O L I D O R S E M I - SOL I D F O O D A N D B R EAST MI LK ( %)
56.1S T A T E
42.7I N DI A 50.6
Rural
P R EVAL ENC E O F L O W B I R T HWEI GH T ( % )
Source: Lancet Global Burden of Disease 2019 Source: NFHS 2015-2016
C H I L DR E N U N DE R A G E 6 M O N TH S E X C L U S I V E LY B R E A S TF E D ( % )
19.12 0 1 7
STATEINDIA
21.4
54.9 70.2
INDIA STATE
• The state does not do much well in early initiation of breastfeeding, especially among Muslims. • Though the median duration of breastfeeding of A.P is better than the country, however emphasis needs to be given to increase the state total to six
months at least.
M E D I AN D U R AT I ON O F E X C LUS I VE B R EAST FEED I NG A M O NG L A S T - B OR N C H I LD REN B O R N I N T H E L A S T T H R EE Y E A R S ( M O NT HS)
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
4.4 4.2
Rural Urban
4.4
2.9
4.3 4.0
SC OBC
4.3
Hindu
S T A T E
I N D I A
Note:- Comparable data for urban is not available.
Note:- Comparable data for ST, Others and Muslim are not available.
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
C H I LD R EN U N D ER 5 Y E A R S W H O A R E U N D ER WEI GH T ( %)
33.128.4
Rural Urban
31.9S T A T E
35.7I N D I A
35.3
47.4
30.726.3
SC ST OBC Others
31.9 29.7
Hindu Muslim
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
C H I LD R E N U N D E R 5 Y E A R S W H O A R E S T U NT E D ( %)
32.528.3
Rural Urban
31.4
38.4
33.0 31.7 32.925.2
SC ST OBC Others
31.5 29.7
Hindu Muslim
17.8 15.5
Rural Urban
C H I LD R EN U N D ER 5 Y E A R S W H O A R E W A S T ED ( % )
17.2
21.0
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
17.626.6
17.1 14.0
SC ST OBC Others
17.2 16.3
Hindu Muslim
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
C H I LD R EN A G E 6 - 5 9 M O NT H S W H O A R E A N A E MI C ( < 1 1 . 0 G / D L) ( %)
60.852.4
Rural Urban
58.6
58.5
Source: NFHS 2015-2016
60.2
74.2
58.152.9
SC ST OBC Others
59.253.2
Hindu Muslim
• The nutritional status of the children remain a reason for concern for the state with stunting, wasting and underweight figures comparable with the country and Scheduled tribe children faring the worst. Anemia figures are also very high in the state with scheduled tribe children again faring the worst.
S T A T E
I N DI A
S T A T E
I N D I A
S T A T E
I N DI A
D I ET AR Y D I VER S I TY P A T T ER N
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
21.127.7
Rural Urban
6 - 2 3 M O NT H S C H I LD REN F E D 4 + F O O D G R O UP S I N P A ST 2 4 H O UR S ( %)
22.9
22.0
23.6 26.423.2
19.8
SC ST OBC Others
23.4 25.8
Hindu Muslim
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
6 - 2 3 M O NT H S C H I LD REN F E D M I N I MUM M E A L F R EQ UENC Y I N P A ST 2 4 H O UR S ( % )
29.6
40.1
Rural Urban
32.4
35.9
30.026.3
31.4
42.0
SC ST OBC Others
31.736.3
Hindu Muslim
• Keeping in line with poor nutritional status, much less children in comparison with the country have a minimum meal frequency, with Scheduled tribe and Hindu children having the worst figures. Consumption of 4+ food groups are also quite low both in the country as well in the state.
S T A T E
I N DI A
S T A T E
I N DI A
N U T R I T I ONAL S T AT US O F W O MEN A N D M E N
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
20.311.5
Rural Urban
W O M EN W H O SE B O D Y M A S S I N D EX I S B E L O W N O R MAL ( B MI < 1 8 . 5 K G / M 2 ) ( %)
17.6
22.9
17.5 16.4
Hindu Muslim
19.828.8
17.812.0
SC ST OBC Others
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
30.721.5
32.839.6
SC ST OBC Others
W O M EN W H O A R E O V ER WEI GH T O R O B ESE ( B M I ≥ 2 5 . 0 K G / M 2 ) ( %)
33.2
20.7
27.6
45.6
Rural Urban
32.739.0
Hindu Muslim
Source: NFHS 2015-2016
50.4
P R EGNA NT W O MEN A G E D 1 5 - 4 9 Y E A R S W H O A R E A N A EMI C ( < 1 1 . 0 G / D L) (%)
52.9
INDIA STATE
B Y L O C A T I O N
B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
61.1 57.2
30.8
19.2
Rural Urban
59.3
71.8
60.1 57.1
23.3
51.5
25.9 25.0
SC ST OBC Others
60.356.0
27.022.6
Hindu Muslim
W O M EN A N D M E N A G E D 1 5 - 49 Y E A R S W H O A R E A N A E MI C ( % )
53.1
I N D I A
22.7
60.0
S T A T E
26.9
• Malnutrition remains a persistent problem in the state with both maternal and child malnutrition at high levels. There is a higher proportion of women with below normal Body Mass Index (BMI) in rural areas and among the Scheduled Tribe population. On the other hand, obesity is a rising threat in the urban areas, being higher than both the state and country figures.
• Anaemia is a major concern both across the nation and state with more than 50% of the women (pregnant and non-pregnant) with low haemoglobin count.
S T A T E
I N DI A
S T A T E
I N D I A
91124
61977
29046
M E N ST RUAL H Y G I ENE
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
62.9
77.6
Rural Urban
W O M EN A G E D 1 5 - 24 W H O U S ED H Y G I ENI C M E T HOD O F P R O T ECTI O N D U R I NG M E N STR UATI O N ( %)
67.5S T A T E
57.6I N D I A66.7
81.0
Hindu Muslim
63.457.9
67.874.1
SC ST OBC Others
O T HER H E ALT H I S S UES
P E R SO NS S U F F E RI NG F R O M T U B E RC ULO SI S
Source: India TB Report 2019
4.2%
2018
O U T O F T B P A T I E N T S N O T I F I E D I N I N D I A
68.131.9
S T A T E
I N D I A 2,155,894
91,124
OU T OF T B P A T I E N T S N OT I F I E D I N S T A T E ( % )
• Practice of hygienic methods of menstruation is comparatively better in the state Scheduled Tribe women having the least protection. • High prevalence of Tuberculosis among men is another concern.
W O M EN & M E N A G E D 1 5 - 4 9 Y E A R S W H O R E P O RT ED S E X UALL Y T R A NSMI TT ED I N F ECT I ON ( S T I ) I N T H E P A ST 1 2
M O NT H S ( % )
Source: NFHS 2015-2016
2.5 1.2
0.740.71
0.68 0.660.63
0.28 0.27 0.27 0.260.22
2012 2013 2014 2015 2017
STATE INDIA
P E O P LE ( 1 5 - 49 Y E A R S) L I V I NG W I T H H I V / A I DS ( % )
Source: India NACO-Report
INDIA
STATE 1.3 0.2¥ ¥
¥ Combined data for Andhra Pradesh and Telangana.
2,316 2,339
11,948 11,900
7,557
8,501
Rural Urban
Public
Private
Any
H E A LTH E X P END I TUR ES
G O V E R N M E N T H E A L T H E X P E N D I T U R E ( % O F T O T A L H E A L T H E X P E N D I T U R E )
O U T O F P O C K E T H E A L T H E X P E N D I T U R E ( % O F T O T A L H E A L T H E X P E N D I T U R E )
Source: National Health Accounts Estimates for India 2015 -16
30.6 60.6I N D I A
S T A T E 22.2 74.7
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
A V E R AGE O U T O F P O C KET E X P END I T URE P E R D E L I VER Y I N P U B L I C , P R I V AT E A N D A N Y H E A LTH F A C I L I T Y ( R UPEES)
2,391 1,781 2,461 1,982
10,555 11,679 11,688
13,474
6,003 5,717
7,910
10,202
SC ST OBC Others
2,373 2,394
11,932
12,879
7,935 8,874
Hindu Muslim
3,197 2,322
16,522 11,933
7,935 7,820
I N D I A S T A T E
• Government share in health expenditure is abysmal in both India and A.P, with the state faring worse than the country. • With low government share in health expenditure, A.P shows high out of pocket expense (75%). Moreover, while average expenditure for delivery in
private facilities is much higher than the country figure.
GOVERNMENT FLAGSHIP PROGRAMMES FOR HEALTH AND NUTRITION
N A T I ONAL H E A LT H M I S S I ON I N T EGRAT ED C H I LD D E V ELO PMENT P O SH AN A B H I YAAN
The National Health Mission (NHM)encompasses its two Sub-Missions, theNational Rural Health Mission (NRHM) and theNational Urban Health Mission (NUHM). Themain programmatic components includeHealth System Strengthening, Reproductive-Maternal- Neonatal-Child and AdolescentHealth (RMNCH+A), and Communicable andNon-Communicable Diseases. The NHMenvisages achievement of universal access toequitable, affordable & quality health careservices that are accountable and responsive topeople’s needs.
NHM has six financing components:
(i) NRHM-RCH Flexipool,(ii) NUHM Flexipool,(iii) Flexible pool for Communicable disease,(iv) Flexible pool for Non communicabledisease including Injury and Trauma,(v) Infrastructure Maintenance and(vi) Family Welfare Central Sector component.
Integrated Child Development Services (ICDS)Scheme is one of the flagship programmes ofthe Government of India and represents one ofthe world’s largest and unique programmes forearly childhood care and development.
The beneficiaries under the Scheme arechildren in the age group of 0-6 years, pregnantwomen and lactating mothers. Objectives of theScheme are:1. To improve the nutritional and health statusof children in the age-group 0-6 years;2. To lay the foundation for properpsychological, physical and social developmentof the child;3. To reduce the incidence of mortality,morbidity, malnutrition and school dropout;4. To achieve effective co-ordination of policyand implementation amongst the variousdepartments to promote child development;5. To enhance the capability of the mother tolook after the normal health and nutritionalneeds of the child through proper nutrition andhealth education.
The Prime Minister’s Overarching Scheme forHolistic Nutrition (POSHAN) Abhiyaan orNational Nutrition Mission is one of the India’sflagship programmes to improve nutritionaloutcomes for children, adolescents, pregnantwomen and lactating mothers by leveragingtechnology, a targeted approach andconvergence. It aims to build a people’smovement (Jan Andolan) around malnutrition.
Key Strategies
For implementation of POSHAN Abhiyaan themission adopts a four point strategy:1. Inter-sectoral convergence for better servicedelivery2. Use of technology (ICT) for real time growthmonitoring and tracking of women and children3. Intensified health and nutrition services forthe first 1000 daysJan Andolan
India
Bihar
86.9
66.6
Rural Urban
89.7 91.780.5
70.8
SC ST OBC Others
81.575.2
Hindu Muslim
75.8
56.2
Rural Urban
C H I LD R EN A G E D 0 - 7 1 M O NT HS W H O R E C E I VED S E R VI C ES F R O M A N A W C ( % )
79.083.6
69.359.4
SC ST OBC Others
70.961.3
Hindu Muslim
PHCs and HWC-PHCs
S H O R TF ALL I N H E ALT H F A C I L I T I E S I N R U R AL A R E AS ( % )
Surplus
3.2
52.5
(as on 1st July 2019)
S H O R TF ALL I N H U MAN R E SO UR CE I N R U R A L A R E AS ( % )
Source: Rural Health Statistics 2019Source: Rural Health Statistics 2019
StateIndia
Sub Centres and HWC-SCs
CHCs
23.0
28.2
36.9
Anganwadi Workers
ASHA Surplus
ANM at Sub Centres Surplus
(as on 1st July 2019)
100.0Doctors+ at PHCs Surplus
Specialists at CHCs 57.7
ANM at PHCs
Source: Status report of ICDS as on 31st March 2015
StateIndia
Surplus
2.8
26.1
6.0
81.8
3.74.7
55,607 55,574 54,056
Sanctioned Operational Providing Services
N U M B ER O F A W C s
Source: Status report of ICDS as on 31st March 2015
1,400,000 I N D I A 1,346,186 1,258,166
S T A T E
16
30
18
2012-2013 2013-2014 2014-2015
N U M B ER O F N U T R I T I O NAL R E H AB I L I TAT I O N C E N T RES
Source: PIB 2012-13 , 2013-14 & 2014-15
688I N DI A 875 896
S T A T E
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-16
70.5S T A T E
53.6I N D I A
• The state has high shortfall of CHCs and health professionals.
M O T H ERS R E C E I VED S E R VI C ES F R O M A N A W C D U R I NG P R EGNANC Y ( % )
81.4S T A T E
NO DATAI N D I A
Note: For India 'No Service 'is available.
Source: NFHS 2015-16
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
¥ ¥
¥ Combined data for Andhra Pradesh and Telangana.
Activity type State Value (%) India Value (%)
Home Visits 39.7 14.4
Anemia Camp 6.1 1.5
CBE-Community Based Events (ICDS) 4.6 22.3
Community Radio Activities 3.2 0.3
Cooperative/Federation 2.1 0.2
Cycle Rally 2.4 0.3
DAY-NRLM SHG Meet 2.2 1.9
Defeat Diarrhoea Campaign (D2) 0.0 No Data
Farmer Club Meeting 1.1 0.2
Haat Bazaar Activities 1.0 0.4
Harvest Festival 1.0 0.2
Local Leader Meeting 1.3 0.5
Nukkad natak/Folk Shows 0.6 0.4
Other Activities 4.6 34.7
Panchayat Meeting 1.6 1.0
Poshan Mela 8.7 8.2
Poshan Rally 3.2 2.6
Poshan Walk 2.1 1.5
Poshan Workshop/Seminar 2.8 4.1
Prabhat Faree 0.5 1.1
Providing Water to the Toilets 0.9 0.3
Safe Drinking Water in Anganwadi Centres 1.7 0.7
Safe Drinking Water in Schools 1.4 0.2
School Based Activities 3.0 2.9
VHSND 3.1 No Data
Youth Group Meeting 1.3 No Data
6.0
12.5
9.2
12.0
9.86.34.0
6.4
7.2
8.3
6.7
11.6Adolescent Ed, Diet, Age of Marriage
Anemia
Antenatal Checkup
Breastfeeding
Compl. Feeding
Diarrhoea
ECCE
Food Fortification & Micronutrients
Growth Monitoring
Hygiene, Water, Sanitation
Immunisation
Poshan (Overall Nutrition)
T H EMES - WI SE A C T I V I T I ES I N P O SH AN M A A H ( S EP T EMB ER 2 0 1 9)
Source: http://dashboard.poshanabhiyaan.gov.in/janandolan/#/
C O NT R IB UT I ON O F A C T I V I T I E S I N P O SH AN M A A H ( S E P TE MB E R 2 0 1 9 )
Source: http://dashboard.poshanabhiyaan.gov.in/janandolan/#/
53.2
30.8
Rural Urban
F E M A L E W O R K E R S ( 1 5 - 5 9 Y E A R S ) P O P U L A T I O N R A T I O ( % )
Source: Annual Report PLFS 2017-18 Source: Annual Report PLFS 2017-18
54.6
34.0
Rural Urban
F E M A L E ( 1 5 - 5 9 Y E A R S ) L A B O U R F O R C E P A R T I C I P A T I O N R A T E ( % )
2.59.4
Rural Urban
F E M A L E ( 1 5 - 5 9 Y E A R S ) U N E M P L O Y M E NT R A T E ( % )
Source: Annual Report PLFS 2017-18
WOMEN EMPOWERMENT
45.6S T A T E
23.8I N D I A
47.5S T A T E
25.3I N D I A
4.2S T A T E
6.0I N DI A
W O M EN H E AD ED E S T ABL I SHMENT S
Source: All India Report of Sixth Economics Census 2016
13.85.3
38.8 42.1
SC ST OBC Others
77.7
5.3
Hindu Muslim
B Y C A S T E B Y R E L I G I O N
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
Source: NFHS 2015-2016
M E N A N D W O M EN A G E D 1 5 - 49 Y E A R S W H O W A N T M O R E S O N S T H AN D A U GHTER S ( % )
11.0 11.1
9.7 9.1
Rural Urban
MALE
FEMALE
19.3 17.0 10.5 4.7
11.5 12.98.7
8.8
SC ST OBC Others
10.4 13.99.3
10.2
Hindu Muslim
18.7
18.8
I N D I A
11.0
9.5
S T A T E
• The state has around 48% of women in its labour force. And this consists of both currently employed and unemployed women signifying the proportion of active employed women to be further less.
• A.P has 10.6% of women headed establishments in the country, with SC, ST and Muslims contributing the least in this.
8,050,819
I N DI A
849,912
S T A T E
1 0 . 6 % 0 u t o f I n d i a ’ s W o m e n H e a d e d E s t a b l i s h m e n t s
2 0 . 0 % 0 u t o f S t a t e ’ s T o t a l E s t a b l i s h m e n t s -A gr i c u l t u r e & N o n - A gr i c u l t u r e
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
60.3 56.1
Rural Urban
56.7
71.6
6055
SC ST OBC Others
60.251.7
Hindu Muslim
C U R R ENT LY M A R R I ED W O MEN W H O P A R TI C I P ATE I N T H R EE D E C I S I ONS* ( % )
63.0I N D I A
58.9S T A T E
Source: NFHS 2015-16
* Three Decisions Own health careMaking major household purchasesVisits to her family or relatives
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
5.3 3.8
Rural Urban
10.0 6.8 4.1 2.1
SC ST OBC Others
4.5 2.7
Hindu Muslim
W O M E N W H O H A V E E X P E RI E NC E D V I O LE NC E D U R I NG A N Y P R E GNANC Y ( % )
3.9I N D I A
4.8S T A T E
B Y L O C A T I O N B Y C A S T E B Y R E L I G I O N
W O M E N W H O H A V E E V E R E X P E R I E N C E D E M O T I O N A L , P H Y S I C A L O R S E X U A L V I O L E N C E C O M M I T T E D B Y T H E I R H U S B A N D ( % )
45.4S T A T E
Source: NFHS 2015-16
33.3I N DI A
Source: NCRB 2016
S T AT E R A NK B A S ED O N C R I ME R A T E A G A I NST W O M EN ( R ANK)
9
16,526 15,967 16,362 17,909
16,438
2014 2015 2016 2017 2018Source: NCRB
C R I MES A G A I NST W O M EN ( I P C + S L L ) ( N o . )
O U T O F 36 S T A T ES & U T s
I N D I A ( 2 0 1 8 )
378,277
S T A T E ( 2 0 1 8 )
16,438
(4.3%)O U T O F I N D I A
D O WR Y D E AT HS R E P OR T ED ( N O . )
174 193
152 140
2015 2016 2017 2018
7,166
W O M EN T R AF F I CK I NG C A S ES R E P OR T ED
( No.)
67
O U T O F 854I N I N D I A
Source: NCRB 2018Source: NCRB
140
(2.0%)O U T O F I N D I A
Source: NFHS 2015-2016
I N D I A ( 2 0 1 8 )
S T A T E ( 2 0 1 8 )
45.7 44.8
Rural Urban
52.0 49.345.0
40.5
SC ST OBC Others
45.440.8
Hindu Muslim
F E M ALE S U I C I D E C A S ES ( No.)
Source: ADSI 2018
F O E T I C I D E S & I N F ANT I C I D E S R E P O RT E D (No.)
Source: NCRB 2018
0F O E T I C I D E S
4I N F A N T I C I D E S
S T A T EI N D I A
128
561,566
42,391
• The state has high incidence of violence against women than the country figure, with the rate being high in the rural areas and among Scheduled caste population.
• A.P ranks 9th in India regarding rate of crime against women which is definitely worrisome. However, there has been an increasing trend in the crime rate since 2016. Similar trend regarding dowry deaths.
S T A T E
I N D I A
79.4
703,298
GOVERNMENT FLAGSHIP PROGRAMMES FOR WOMEN EMPOWERMENT
N A T I ONAL R U R AL L I V E L I HO OD M I S S I ON B E T I B A C H AO B E T I P A D H AO
What is NRLMGovt. of India established National Rural Livelihoods Mission (NRLM) inJune 2010 to implement the new strategy of poverty alleviation wovenaround community based institutions.
Mission’s primary objective is to reduce poverty by promoting diversifiedand gainful self-employment and wage employment opportunities forsustainable increase in incomes.
To achieve the desired goal of the mission, NRLM provides a combinationof financial resource and technical assistance to states such that theycould use the comprehensive livelihoods approach encompassing fourinter-related tasks. These tasks are:
1. Mobilizing all rural, poor households into effective self-help groups(SHGs) and their federations;2. Enhancing access of the rural poor to credit and other financial,technical and marketing services;3. Building capacities and skills of the poor for gainful and sustainablelivelihoods; and4. Improving the delivery of social and economic support services to thepoor.
Beti Bachao, Beti Padhao is a campaign of the Government of India thataims to generate awareness and improve the efficiency of welfare servicesintended for girls in India.
The Overall Goal of the Beti Bachao Beti Padhao (BBBP) Scheme is tocelebrate the girl child and enable her education. The objectives of theScheme are as under:
i. To prevent gender biased sex selective eliminationii. To ensure survival and protection of the girl childiii. To ensure education and participation of the girl child
Strategies employed to successfully carry out the scheme are:
1. Implement a sustained social mobilization and communicationcampaign to create equal value for the girl child and promote hereducation.
2. Place the issue of decline in child sex ratio/sex ratio at birth in publicdiscourse, improvement of which would be an indicator for goodgovernance.
3. Focus on gender critical districts and cities.
T O T AL S H G s F O R MED
703,298
S H G s H A V I NG B A N K A C C O UNT * ( % )
S H G s H A V I NG C R ED I T L I N K ED ( %)
T O T AL V I L L AGE O R GANI ZAT I ON S
F O R MED
21,302
T O T AL C L U ST ER L E V EL F E DER AT IO NS
0
Source:- Website Of Deen Dayal Antyodaya Yojana - National Livelihoods Mission (NRLM), as on 4th May 2020
NO DATA79.4
Source: U-Dise
S C H O OL S H A V I NG G I R L ’ S T O I LET I N E L E MENT ARY E D UC AT I ON ( % )
Source: U-Dise
49.1 49.3 49.6
40.244.4 46.9
2014-2015 2015-2016 2016-2017
INDIA STATE
G I R LS E N R O LMENT I N S E C O NDAR Y E D U C ATI O N ( % )
Source: U-Dise
S C HO OL S H A V I NG G I R L ’ S T O I LET I N S E CO ND ARY E D UC AT I ON ( % )
Source: U-Dise
90.395.2
91.896.8
100.0 100.0
2014-2015 2015-2016 2016-2017
INDIA STATE
46.1 48.4 48.348.4 48.3 47.6
2014-2015 2015-2016 2016-2017
INDIA STATE
87.1
97.6 96.5
68.1
99.7 99.7
2014-2015 2015-2016 2016-2017
INDIA STATE
G I R LS E N R O LMENT I N E L E MENT ARY E D U C ATI O N ( % )
• 79% of the SHGs in A.P has been able to establish some kind of bank linkage. • There has been almost no improvement in girls’ enrolment in both elementary and secondary level for A.P as well as for the en tire country since 2014
to 2017. However, toilets being one of the major contributors for improving girl’s enrolment has also shown a decline for the state since 2016.