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THE SECRETARIAT OF NATIONAL COALITION OF CIVIL SOCIETY ORGANIZATIONS
DEVELOPED BY:
GUJARATFACTSHEET
2020
Pictu
re Co
urtesy: C
HETN
A, A
hm
edab
ad, G
ujarat
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
47.952.1
60,439,692
OF INDIA POPULATION
STATE
INDIA 1,210,854,977
STATE POPULATION BY SEX (%)
Source: Census 2011
OVERALL POPULATION
57.4 42.6
Rural Urban
STATE POPULATION BY LOCATION (%)
Source: Census 2011 Source: Census 2011
(5.0%)
12.919.9
55.0
6.7
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
19.3
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)
919
949
880
890
914
852
State Total
Rural
Urban
Source: Census 2011
HEALTH INDEX (RANK)
4
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
61.3
81.8
57.8
79.771.7
86.3
69.7
85.8
Rural Urban Female Male
2001
2011STATE
INDIA 73.064.8
78.069.1
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 L I T ERAC Y ( % )
Source: Census
943 918India Total
• Nearly 60% of Gujarat’s population lives in rural areas.• More than half of the state’s population falls in the reproductive age-group.• Gujarat’s sex ratio and sex ratio at birth both fare poorly in comparison to national figures, with the urban areas being most critical.
Name of the Districts Composite
Rank
Health
Rank
Education
Rank
Agriculture
Rank
Financial
Inclusion
Rank
Skill
Development
Rank
Basic Infrastructure
Rank
Dohad 17 42 8 40 79 58 11
Narmada 18 33 16 36 27 82 12
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
• While the main work force in Gujarat is more or less equally distributed in rural and urban areas, 84% of the marginal workers hail from rural agglomerations.
M A I N W O R KER S ( % ) M A R GI NAL W O R KER S ( % )
58.3
41.7
Rural Urban
82.2S T A T E
I N D I A 75.2
Source: Census 2011 Source: Census 2011
83.9
16.1
Rural Urban
17.8S 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
PROPORTION OF VULNERABLE POPULATION
(2.0%)
O V E R AL L S C H E DUL E C A S T E ( S C ) P O P ULATI O N
4,074,447 48.2
51.8
Out of India's SC population
56.0
44.0
Rural Urban
• The Scheduled tribe population is completely concentrated in the rural areas while Scheduled caste and Muslim population have an urban presence.
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 ( % )
(8.5%)
O V ER AL L S C H EDUL E T R I B E ( S T ) P O P ULATI O N
8,917,174
Out of India's ST population
90.0
10.0
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 ( % )
49.5 50.5
(3.4%)
O V ER AL L M U S L I M P O P ULAT I ON
5,846,761
Out of India's Muslim population
35.0
65.0
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 ( % )
48.651.4
H O USELESS P O P UL ATI O N ( N o . )
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)
31.823.0
16.6
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 . )
144,306
Source: Census 2011
I N DI A S T A T E
1,773,040
54,545
98,553
129,253
106,775
144,593
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 nearly halved its BPL population between 2005 to 2012• Around 4% of the state’s population is houseless.
Source: Census 2011
Below never married Total Single women
20-24Years
25-29Years
30-34Years
35-39Years
40-44Years
45-49Years
50-54Years
55-59Years
60-64Years
65-69Years
70-74Years
75-79Years
80+Years
WIDOWED 13,423 22,861 43,626 74,648 116,978 153,278 192,806 193,197 287,470 249,978 277,622 145,467 223,054
DIVORCED 9,296 13,081 13,543 12,408 10,650 8,163 6,196 4,102 3,216 1,836 1,286 542 701
SEPARATED 7,750 9,896 10,535 9,800 8,170 6,197 4,604 3,140 2,840 1,675 1,264 526 589
NEVER MARRIED 844,212 201,968 65,808 36,137 24,944 18,119 14,150 10,710 13,596 11,975 6,636 3,126 11,756
NEVER MARRIED SEPARATED DIVORCED WIDOWED
A G E G R O U P
TOTAL 874,681 247,806 133,512 132,993 160,742 185,757 217,756 211,149 307,122 265,464 286,808 149,661 236,100
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
43.9
56.1
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 ( % )
43.4
56.6
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 ESP 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 ( % )
45.5
54.5
41.4
58.6
Source: Census 2011
C H I LDR EN ( 5 - 9 Y E A R S) W I T H D I S ABI L I T I E SP 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 ( % )
42.7
57.3
39.1
60.9
• Gujarat has a higher prevalence of disabilities among its children.
1,092,302
75,111
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
49920
2810
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
77,504
8,483
(4.1%)
(3.5%)
(3.9%)
(3.6%)
(4.0%)
(4.5%)
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 ( % )
30.7
17.2
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
24.9S 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 ( % )
2.2 1.8
Rural UrbanSource: NFHS 2015-2016
2.0S T A T E
I N D I A 2.2
2.0 2.5 2.0 1.7
SC ST OBC Others
2.0 2.6
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
7.94.2
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 ( %)
6.5S T A T E
I N D I A 7.9
7.210.7
6.1 3.3
SC ST OBC Others
6.5 6.2
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 in rural areas and teen age pregnancy among the Scheduled Tribe population are two major concern areas of Gujarat.
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 26.8
40.7 34.2
49.7 43.5
36.4
18.0
30.1
21.0
43.9
29.3
36.1
28.3
51.3
43.9 44.3
36.6
SC ST OBC Others
51.1
32.138.8
27.328.4
24.5
Rural Urban
Under-fiveMortality
InfantMortality
NeonatalMortality
27.3
23.4
34.631.8
43.941.7
Hindu Muslim
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 122122112
91 87
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 ET N E E D * F O R F A M I LY P L A NNI N G ( % )
15.6 18.6
Rural UrbanSource: NFHS 2015-2016
17.0S T A T E
12.9I N D I A
• Under 5 morality rate is more of a cause of concern especially in rural areas and among Scheduled Caste population. However, neonatal and infant mortality rates are also high.
• Prevalence of high unmet need among Muslim women signifying poor access to contraceptive measures. Also need to remember that TFR is also high among Muslims in the state.
16.9 15.3 17.2 16.8
SC ST OBC Others
16.7 19.7
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
* 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.
M A T ERNAL C A R E
Source: NFHS 2015-2016
63.2
80.5
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 ( % )
70.6S 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
72.3
55.8
71.1
79.4
SC ST OBC Others
69.9
77.5
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 ( % )
31.4
44.1
Rural Urban
36.8S T A T E
I N D I A 30.3
37.7
27.9
36.443.1
SC ST OBC Others
36.241.1
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
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 ( % )
63.969.1
Rural Urban
66.1S T A T E
I N D I A 65.165.7
69.6
Hindu Muslim
68.764.8 66.4 65.1
SC ST OBC OthersSource: NFHS 2015-2016
• The state shows low utilization of antenatal care services among Scheduled Tribe women and in rural areas.
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 ( % )
85.593.4
0
10
20
30
40
50
60
70
80
90
100
Rural Urban
88.7S T A T E
78.9I N D I A 88.6
76.6
90.5 94.9
SC ST OBC Others
88.491.7
Hindu Muslim
Source: NFHS 2015-2016
12.0
27.8
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 ( % )
18.4
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 ( % )
50.4 50.4
Rural Urban
50.4S 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
50.943.8
Hindu Muslim
50.855.0
51.0 49.3
SC ST OBC OthersSource: NFHS 2015-2016
• Immunization remains an area of concern, especially among the OBCs and the Muslim population.• Also, its urban areas see a high surge in caesarian section deliveries.
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
47.353.3
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 ( % )
49.8S T A T E
41.5I N DI A
49.155.7
Hindu Muslim
47.642.1
53.648.2
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 ( %)
49.4S T A T E
42.7I N DI A44.4
55.4
Rural Urban
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 ( % )
20.72 0 1 7
STATEINDIA
21.4
54.9 55.8
INDIA STATE
• Early initiation of breastfeeding is poor among the tribal population.
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
3.4
Rural
2.9
2.9
3.8 3.2 2.5
ST OBC Others
2.9 3.2
Hindu Muslim
S T A T E
I N D I A
Note:- Comparable data for urban and SC 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 ( %)
44.2
32.0
Rural Urban
39.3S T A T E
35.7I N D I A
34.7
51.6
39.231.3
SC ST OBC Others
39.834.7
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 ( %)
42.9
31.7
Rural Urban
38.5
38.4
37.6
47.5
39.1
29.3
SC ST OBC Others
38.6 37.0
Hindu Muslim
28.5 23.4
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 ( % )
26.4
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
24.232.0
26.0 24.5
SC ST OBC Others
26.724.0
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
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) ( %)
64.659.5
Rural Urban
62.6
58.5
Source: NFHS 2015-2016
65.556.7
66.458.7
SC ST OBC Others
62.5 63.3
Hindu Muslim
• High child malnutrition rates in the state, especially among is tribal population.• Child anemia status is extremely worrisome.
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
12.718.9
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 ( %)
15.3
22.0
12.0 13.1 14.520.0
SC ST OBC Others
14.520.6
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
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 ( % )
30.2
38.9
Rural Urban
33.8
35.9
33.229.6
35.5 35.4
SC ST OBC Others
33.9 35.3
Hindu Muslim
• The poor nutritional status of the children can be reconfirmed by the fact that their dietary diversity pattern is appallingly low, more so among its tribal population.
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
34.3
18.1
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 ) ( %)
27.2
22.9
27.622.0
Hindu Muslim
29.2
40.6
27.618.8
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
19.710.8
22.8
33.6
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 ) ( %)
23.7
20.7
15.3
34.5
Rural Urban
23.129.9
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 / DL) (%)
51.3
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
57.551.6
25.017.8
Rural Urban
57.0 59.0 55.650.9
23.4 25.1 25.5
14.1
SC ST OBC Others
55.1 53.5
21.6 22.5
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
54.9
S T A T E
21.7
• Nutritional status is a matter of concern in the state, both among its children and adults. Gujarat has around 30% of women whose BMI is below normal, with Scheduled tribe and those in rural areas being more critical. 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 around 50% of the women (pregnant and non-pregnant) with low haemoglobin count.
S T A T E
I N D I A
S T A T E
I N D I A
154551
102067
52377
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
53.5
70.0
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 ( %)
60.3S T A T E
57.6I N D I A
59.567.6
Hindu Muslim
57.4
47.9
58.7
73.2
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
7.2%
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
66.133.9
S T A T E
I N D I A 2,155,894
154,551
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 ( % )
• Prevalence of unsafe menstrual practices is a major concern in the state with 40% having poor menstrual hygiene. This difference is particularly high among the tribal population.
• 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
0.40 0.41 0.41 0.42
0.19
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 1.9 0.7
2,020 2,331
10,417
14,664
7,039
11,090
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 37.2 50.4
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)
1,988 1,177 2,497 2,641
13,256
9,773
11,838
14,389
8,767
5,021
8,701
11,453
SC ST OBC Others
2,184 1,655
12,516 11,810
8,920 7,954
Hindu Muslim
3,197 2,136
16,522 12,527
7,935 8,878
I N D I A S T A T E
• Government share in health expenditure is abysmal in both India and Gujarat, although Gujarat fares a little better than the country. • With low government share in health expenditure, Gujarat shows high out of pocket expense (50%).
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
68.3
40.3
Rural Urban
63.8 64.859.1
42.7
SC ST OBC Others
57.453.4
Hindu Muslim
71.5
44.9
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 ( % )
66.9 69.162.5
47.3
SC ST OBC Others
61.554.4
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
Surplus
Surplus
(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 3.2ANM at Sub Centres 5.8
(as on 1st July 2019)
63.6Doctors+ at PHCs Surplus
Specialists at CHCs 91.9
ANM at PHCs
Source: Status report of ICDS as on 31st March 2015
StateIndia
Surplus
2.8
26.1
6.0
81.8
2.94.7
53,029 52,065 52,002
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
80
120127
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
60.7S T A T E
53.6I N D I A
• There is huge shortfall of health workers in the state with the shortfall for specialists at CHCs as high as 92%.
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 ( % )
56.9S 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
Activity type State Value (%) India Value (%)
Home Visits 87.9 14.4
Anemia Camp 0.8 1.5
CBE-Community Based Events (ICDS) 1.3 22.3
Community Radio Activities 0.2 0.3
Cooperative/Federation 0.2 0.2
Cycle Rally 0.8 0.3
DAY-NRLM SHG Meet 0.2 1.9
Defeat Diarrhoea Campaign (D2) 0.0 No Data
Farmer Club Meeting 0.2 0.2
Haat Bazaar Activities 0.3 0.4
Harvest Festival 0.1 0.2
Local Leader Meeting 0.2 0.5
Nukkad natak/Folk Shows 0.1 0.4
Other Activities 1.8 34.7
Panchayat Meeting 0.3 1.0
Poshan Mela 1.3 8.2
Poshan Rally 0.8 2.6
Poshan Walk 0.4 1.5
Poshan Workshop/Seminar 0.6 4.1
Prabhat Faree 0.3 1.1
Providing Water to the Toilets 0.1 0.3
Safe Drinking Water in Anganwadi Centres 0.3 0.7
Safe Drinking Water in Schools 0.1 0.2
School Based Activities 0.5 2.9
VHSND 0.7 No Data
Youth Group Meeting 0.4 No Data
5.3
8.4
4.6
9.0
6.4
5.9
5.3
5.96.9
8.8
5.8
27.9
Adolescent 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/#/
1754465
2218464
3972929
528623
13.3
23.917.0
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
25.017.8
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 ( % )
4.2 4.5
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
21S T A T E
23.8I N D I A
22.0S T A T E
25.3I N D I A
4.3S 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
7.912.5
36.343.3
SC ST OBC Others
62.9
16.3
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 ( % )
15.9 13.9
14.59.3
Rural Urban
MALE
FEMALE
20.8 18.9 15.4 10.4
12.4 14.513.0
9.6
SC ST OBC Others
14.8 17.7
12.3 11.8
Hindu Muslim
18.7
18.8
I N D I A
15.0
12.2
S T A T E
• The state has around 21% 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.
• Gujarat has 17% of women headed establishments in the country, but contribution of SC, ST and Muslim women were found to be least in this.
8,050,819
I N DI A
528,623
S T A T E
1 6 . 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
1 3 . 3 % 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
60.6 63.6
Rural Urban
66.158.6 61.5 63.5
SC ST OBC Others
61.9 61.9
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
62S 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
3.0 0.4
Rural Urban
2.1 5.11.1 1.3
SC ST OBC Others
1.9 1.7
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
1.8S 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 ( % )
23.1S 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)
27
10,854
7,777 8,532 8,133 8,329
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 )
8,329
(2.2%)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 . )
12 12 9 9
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.)
10
O U T O F 854I N I N D I A
Source: NCRB 2018Source: NCRB
9
(0.1%)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 )
28.8
16.0
Rural Urban
26.434.3
23.016.4
SC ST OBC Others
23.1 23.3
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
21F O E T I C I D E S
2I N F A N T I C I D E S
S T A T EI N D I A
128
562,583
42,391
• The state has less incidence of violence against women than the country figure, however the rate is still in the rural areas and among the scheduled tribe population.
S T A T E
I N D I A
57.4
98.7
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
247,719
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
5,033
T O T AL C L U ST ER L E V EL F E DER AT IO NS
125
Source:- Website Of Deen Dayal Antyodaya Yojana - National Livelihoods Mission (NRLM), as on 4th May 2020
NO DATA98.7
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
41.5 41.5 42.4
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
91.899.3 99.9 99.7
2014-2015 2015-2016 2016-2017
INDIA STATE
46.1 48.4 48.346.2 46.4 46.6
2014-2015 2015-2016 2016-2017
INDIA STATE
87.1
97.6 96.598.5 100.0 99.9
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 ( % )
• There has been almost no improvement in girls’ enrolment in both elementary and secondary level for Gujarat as well as for the entire 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.