RAJASTHAN FACTSHEET 2020

THE SECRETARIAT OF NATIONAL COALITION OF CIVIL SOCIETY ORGANIZATIONS

DEVELOPED BY:

RAJASTHANFACTSHEET

2020

Picture Courtesy: Ibtada, Alwar, Rajasthan

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

48.1 51.968,548,437

OF INDIA POPULATION

STATE

INDIA 1,210,854,977

STATE POPULATION BY SEX (%)

Source: Census 2011

OVERALL POPULATION

75.1

24.9

Rural Urban

STATE POPULATION BY LOCATION (%)

Source: Census 2011 Source: Census 2011

(5.7%)

15.522.9

51.1

6.1

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

21.3

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)

928

933

914

888

892

874

State Total

Rural

Urban

Source: Census 2011

HEALTH INDEX (RANK)

16

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

55.3

76.2

43.9

75.7

61.4

79.7

52.1

79.2

Rural Urban Female Male

2001

2011STATE

INDIA 73.064.8

66.160.4

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

• Three-fourth of the state’s population lives in rural areas.• Rajasthan’s decadal population growth rate is 4% more than India.• Both sex ratio as well as child sex ratio are matters of concern, while the situation is worse in urban areas. In both the cases of sex ratio and child sex

ratio, the state average is lower than the national average by 15 and 30 points respectively. • The state stands at sixth position from bottom in health index rank.• State has low female literacy rate with just over half of its women knowing how to read and write.

Name of the Districts Composite

Rank

Health

Rank

Education

Rank

Agriculture

Rank

Financial

Inclusion

Rank

Skill

Development

Rank

Basic Infrastructure

Rank

Dholpur 25 62 4 52 67 25 88

Karauli 31 43 11 29 68 26 84

Baran 36 99 18 24 41 76 17

Sirohi 53 66 45 57 37 79 64

Jaisalmer 81 96 66 42 81 63 63

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 state has less main workers and more marginal workers in comparison to India. Again, 30% of the workers of the state don’ t get work for six months in a year, which reflects the of poor employment opportunities in the state.

• Two aspirational districts in the state fall in the bottom 20 in India, when scored for health ranking. On the other hand, it is found that the state fares somewhat well in agriculture.

M A I N W O R KER S ( % ) M A R GI NAL W O R KER S ( % )

76.8

23.2

Rural Urban

70.5S T A T E

I N D I A 75.2

Source: Census 2011 Source: Census 2011

93.0

7.0

Rural Urban

29.5S 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

(6.1%)

O V ER AL L S C H EDUL E C A S T E ( S C) P O P ULATI O N

12,221,593 48.0

52.0

Out of India's SC population

78.0

22.0

Rural Urban

• Scheduled castes, Scheduled Tribes and Muslims contribute to 17.8%, 13.5% and 9.1% respectively of the total state population, reflecting the major contribution of SC population.

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 ( % )

(8.8%)

O V ER AL L S C H EDUL E T R I B E ( S T ) P O P ULATI O N

9,238,534

Out of India's ST population

94.1

5.9

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 ( % )

48.751.3

(3.6%)

O V ER AL L M U S L I M P O P ULAT I ON

6,215,377

Out of India's Muslim population

50.9

49.1

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)

34.4

24.8

14.7

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 . )

181,544

Source: Census 2011

I N DI A S T A T E

1,773,040

23,125 26,796

40,945

59,810

76,237

111,377

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 . )

• There is a reduction of 20 percentile points in the state's BPL population between 2004-05 and 2011-12.• In the last six decades, there has been an increase in the state's PVTG population. Particularly, in the last decade (from 2001 to 2011) there is an

increase of 46% in state’s PVTG population.• Nearly 13 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

20-24Years

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 14,317 27,346 47,921 78,018 108,237 130,853 173,811 163,503 279,381 246,659 305,592 149,603 241,443

DIVORCED 3,342 4,028 3,751 3,230 2,496 1,762 1,338 753 676 417 360 131 217

SEPARATED 10,633 10,895 9,673 8,600 7,244 4,835 3,481 1,899 1,756 900 605 240 287

NEVER MARRIED 572,114 90,940 21,870 10,455 6,373 4,454 3,654 3,215 8,681 8,723 3,985 1,945 8,763

NEVER MARRIED SEPARATED DIVORCED WIDOWED

A G E G R O U P

TOTAL 600,406 133,209 83,215 100,303 124,350 141,904 182,284 169,370 290,494 256,699 310,542 151,919 250,710

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

45.8

54.2

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 ( % )

50.5 49.5

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 ( % )



45.1

54.9

41.0

59.0

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 ( % )



42.2

57.8

37.0

63.0

• In the country, state’s share of people with multiple disabilities is more than people with any disability. • Out of total disabilities, nearly 10% of the children aged 0-9 years are living with disabilities in the state.• More boys are found to be living with disabilities than girls in the age group of 0-9 years.

1,563,694

211,223

1,291,637

78,662

O U T O F W H I C H


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

55748

4613

1,955,926

187,492

O U T O F W H I C H


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

89,131

11,802

(5.8%)

(10.0%)

(4.3%)

(5.9%)

(4.6%)

(6.3%)

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 ( % )

40.5

20.3

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

35.4S 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 ( % )

2.6 1.9


2.4S T A T E

I N D I A 2.2

2.6 2.9 2.4 1.9

SC ST OBC Others

2.4 3.1

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

6.9 4.5

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 ( %)

6.3S T A T E

I N D I A 7.9

7.5 8.1 6.0 4.3

SC ST OBC Others

6.09.5

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

Source: NFHS 2015-2016

• One out of three girls in Rajasthan are married off before they turn 18. • The percentage of teenaged girls who are already mothers or pregnant in the state is lower than the national. However, the proportion is higher

among STs (8.1%) compared to other social and religious categories. • The state records almost same rate of TFR in comparison to the national total with Muslims recording the maximum (3.1%).

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)


S T A T EI N DI A

29.5 29.8

40.7 41.3

49.7 50.7

36.4

26.3

30.3

23.7

50.2

39.541.0

31.9

61.8

57.8

48.1

35.4

SC ST OBC Others

54.4

36.744.2

30.732.3

20.4

Rural Urban

Under-fiveMortality

InfantMortality

NeonatalMortality

30.0 28.9

41.2 42.5

50.453.6

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

130 122

255244

199186

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 ( % )

12.3 12.4


12.3S T A T E

12.9I N D I A

• State’s infant and under-five mortality rate is higher than national average and the proportion is further higher among SCs. • Maternal mortality rates in Rajasthan is much higher in comparison to country’s figure. However, there is a slow decline in maternal mortality rate

since 2010-12 in the state. • Prevalence of high unmet need among Muslim women signifying poor access to contraceptive measures.

12.8 12.0 12.3 11.9

SC ST OBC Others

11.917.1

Hindu Muslim


* 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


34.0

53.8

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 ( % )

38.5S T A T E

I N D I A 51.2


36.030.9

38.3

49.4

SC ST OBC Others

38.6 36.4

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 ( % )

14.8

25.6

Rural Urban

17.3S T A T E

I N D I A 30.3

15.3 13.216.9

24.8

SC ST OBC Others

17.514.0

Hindu Muslim




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 ( % )

62.8

72.1

Rural Urban

64.9S T A T E

I N D I A 65.165.8

56.7

Hindu Muslim

63.960.7

64.970.9

SC ST OBC OthersSource: NFHS 2015-2016

• The state shows low utilization of antenatal care services among all women with lower proportion of women belong to Scheduled Tribe and Muslim communities who had at least 4 antenatal care visits.

• Low utilization of postnatal care services is found among ST and Muslim women, however state’s total figure matches with national average in this case.

• Extreme low consumption rate of IFA tablets during pregnancy, with the state recording 13% lower in comparison to national average.

D E L I VER Y C A R E



I N S T I TUT I ONAL B I R T H S ( % )

82.390.3

Rural Urban

84.0S T A T E

78.9I N D I A85.4

78.383.5

89.6

SC ST OBC Others

85.0

74.0

Hindu Muslim


6.5

16.4

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 ( % )

8.6

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 ( % )

53.160.9

Rural Urban

54.8S T A T E

62.0I N I D A


55.348.3

Hindu Muslim

55.447.9

55.061.9

SC ST OBC Others


• Both institutional delivery and immunization are matters of concern among Scheduled Tribe and Muslim population in the state.

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



28.8 26.7

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 ( % )

28.4S T A T E

41.5I N DI A

28.2 29.7

Hindu Muslim

26.9 25.429.4 29.3

SC ST OBC Others


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 ( %)

30.1S T A T E

42.7I N DI A

28.934.7

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 ( % )

22.62 0 1 7

STATEINDIA

21.4

54.9 58.3

INDIA STATE

• Both the country as well as the state shows low rate in early initiation of breastfeeding, with more than 70% of the mothers in the state, not breast-feeding their babies within one hour of birth.

• More than 40% the state’s children are not exclusively breastfed yet data for median duration of exclusive breastfeeding comes to only around 3 months for each child instead of the stipulated 6 months of compulsory exclusive feeding.

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)



3.1 3.5

Rural Urban

3.2

2.9

3.4 2.3 3.2 3.5

SC ST OBC Others

3.1 3.2

Hindu Muslim

S T A T E

I N D I A



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 ( %)

38.330.7

Rural Urban

36.7S T A T E

35.7I N D I A

39.3

52.1

33.028.7

SC ST OBC Others

37.0 36.1

Hindu Muslim



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 ( %)

40.833.0

Rural Urban

39.1

38.4

43.349.3

36.231.7

SC ST OBC Others

39.1 41.0

Hindu Muslim

23.4 21.6

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 ( % )

23.0

21.0



22.431.3

21.2 20.6

SC ST OBC Others

23.2 21.8

Hindu Muslim


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) ( %)

61.655.7

Rural Urban

60.3

58.5


58.6

74.0

57.6 56.2

SC ST OBC Others

60.6 59.8

Hindu Muslim

• No much difference is observed between national and state figures in case of child stunting and underweight figures (39.1% & 36.7% respectively in the state), the prevalence of this is further high among the Scheduled Tribe community. Similarly, anemia is also found to be a concern among children belong to ST community in the state.

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



8.513.9

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 ( %)

9.7

22.0

10.87.2 9.8 10.3

SC ST OBC Others

9.015.5

Hindu Muslim



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 ( % )

32.737.0

Rural Urban

33.6

35.9

31.928.6

34.8 36.4

SC ST OBC Others

32.540.0

Hindu Muslim

• Only 10% of Rajasthan’s children consume meals having 4 or more food groups. This can also be linked with the appalling level of malnutrition prevalent among the children in the state. Similar concern is with minimum meal frequency.

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



29.9

18.6

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 ) ( %)

27.0

22.9

27.622.8

Hindu Muslim

32.637.5

24.4 20.9

SC ST OBC Others



9.8 5.914.9

21.6

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 ) ( %)

14.1

20.7

10.7

23.7

Rural Urban

13.4 17.3

Hindu Muslim


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) (%)

46.6

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


49.040.7

18.0 15.2

Rural Urban

45.9

63.0

45.0 41.2

15.4

30.0

15.2 15.1

SC ST OBC Others

47.3 43.8

17.5 15.6

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

46.8

S T A T E

17.2

• There is a higher proportion of women with below normal Body Mass Index (BMI) in rural areas and among scheduled tribe communities. • Anaemia is a major concern among women across the nation and state. Near about half of the women (pregnant and non-pregnant) are with low

haemoglobin count in the state.

S T A T E

I N DI A

S T A T E

I N D I A

M E N ST RUAL H Y G I ENE



47.9

78.8

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 ( %)

55.2S T A T E

57.6I N D I A

54.9 53.2

Hindu Muslim

52.5

30.7

57.3

72.8

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

7.4%

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

67.532.5

S T A T E

I N D I A 2,155,894

160,168

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 concern in the state with around 45% having poor menstrual hygiene. This difference is particularly high among the rural and urban agglomerations. Across the social groups, more ST women are found not to be using hygienic method of menstrual protection.

• Prevalence of Tuberculosis is more among men and percentage of people living with HIV/AIDS has come down up to some extent in the state between the period of 2015-17.

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 ( % )


2.5 1.20.24 0.23 0.23 0.23

0.10

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 2.8 0.8

2,969 3,387

12,509

15,475

5,142

8,020

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 33.4 56.4



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)

2,963 1,444

2,809

5,880

12,856 11,983

12,999

15,552

4,733

2,949

5,830

9,547

SC ST OBC Others

2,988 3,982

13,839

10,883

5,754 6,124

Hindu Muslim

3,197 3,052

16,522 13,533

7,935 5,828

I N D I A S T A T E

• Government share in health expenditure is abysmal in both India and Rajasthan. However, Rajasthan fares slightly higher with around 3% difference in comparison to the country in case of government health expenditure.

• With low government share in health expenditure, the state shows higher out of pocket expense (56%). Moreover, while average out of pocket expenditure for delivery in public health facilities is around Rs. 3000/- in the state, it is approximately Rs. 4000/- for Muslims. Abstaining

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

42.0

26.3

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 ( % )

40.147.1

38.030.8

SC ST OBC Others

40.0

27.2

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 7.9ANM at Sub Centres 5.1

(as on 1st July 2019)

Surplus

Doctors+ at PHCs 7.2

Specialists at CHCs 80.1

ANM at PHCs

Source: Status report of ICDS as on 31st March 2015

StateIndia

Surplus

2.8

26.1

6.0

81.8

4.44.7

62,010 60,133 58,250

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

40 40 40

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



38.6S T A T E

53.6I N D I A

• The state performs well in the health infrastructure, as there is no shortfall in health care facilities in rural areas. But in contrast, there is some shortfall in healthcare human resources in the state, particularly shortfall of 80% specialists at the CHC level.

• While around 2000 AWCs in the state are not operational, out of those operational another around 2000 AWCs are not providing services. • More than 60% of the state’s children and nearly half of its pregnant women do not receive their entitled services like nutritious food etc. from AWC.

52.9

28.7

Rural Urban

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 ( % )

47.7S T A T E

NO DATAI N D I A

Note: For India 'No Service 'is available.



50.759.1

47.2

35.1

SC ST OBC Others

49.8

32.1

Hindu Muslim

Activity type State Value (%) India Value (%)

Home Visits 67.0 14.4

Anemia Camp 1.3 1.5

CBE-Community Based Events (ICDS) 2.6 22.3

Community Radio Activities 0.3 0.3

Cooperative/Federation 0.4 0.2

Cycle Rally 0.6 0.3

DAY-NRLM SHG Meet 1.9 1.9

Defeat Diarrhoea Campaign (D2) 0.0 No Data

Farmer Club Meeting 1.2 0.2

Haat Bazaar Activities 1.2 0.4

Harvest Festival 0.3 0.2

Local Leader Meeting 0.3 0.5

Nukkad natak/Folk Shows 0.3 0.4

Other Activities 7.1 34.7

Panchayat Meeting 0.8 1.0

Poshan Mela 2.8 8.2

Poshan Rally 2.0 2.6

Poshan Walk 1.4 1.5

Poshan Workshop/Seminar 1.2 4.1

Prabhat Faree 1.1 1.1

Providing Water to the Toilets 0.2 0.3

Safe Drinking Water in Anganwadi Centres 0.9 0.7

Safe Drinking Water in Schools 0.3 0.2

School Based Activities 3.0 2.9

VHSND 1.2 No Data

Youth Group Meeting 0.7 No Data

3.2

9.3

3.3

8.3

4.5

4.0

5.3

6.2

9.1

9.7

3.8

33.2

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/#/

32.2

14.2

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

32.7

15.9

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 ( % )

1.3

10.4

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

27.9S T A T E

23.8I N D I A

28.6S T A T E

25.3I N D I A

2.5S 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

10.96.0

46.3

36.7

SC ST OBC Others

62.3

12.0

Hindu Muslim

B Y C A S T E B Y R E L I G I O N



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 ( % )

20.5 15.0

20.4

13.1

Rural Urban

MALE

FEMALE

22.0 21.7 18.6 14.4

20.5 22.518.7

13.3

SC ST OBC Others

18.8 24.3

18.224.1

Hindu Muslim

18.7

18.8

I N D I A

19.0

18.5

S T A T E

• The state has higher female worker population ratio and female labour force participation rate in comparison to national average which signifies that the state has somewhat better work opportunities for women.

• Only 9% state’s establishments are women headed with SC, ST and Muslims contributing the least in this.

8,050,819

I N D I A

247,992

S T A T E

3 . 1 % 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

8 . 6 % 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


56.767.4

Rural Urban

60.1 57.4 58.164.6

SC ST OBC Others

59.5 56.7

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

59.4S T A T E


* Three Decisions Own health careMaking major household purchasesVisits to her family or relatives


1.4 1.3

Rural Urban

2.3 1.5 1.1 0.4

SC ST OBC Others

1.4 1.3

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

1.4S T A T E


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 ( % )

26.6S T A T E


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)

5

31,216 28,224 27,422

25,993 27,866

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 )

27,866

(7.4%)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 . )

463 462 457

404

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.)

4

O U T O F 854I N I N D I A

Source: NCRB 2018Source: NCRB

404

(5.6%)O U T O F I N D I A


I N D I A ( 2 0 1 8 )

S T A T E ( 2 0 1 8 )

27.623.9

Rural Urban

27.532.8

26.620.4

SC ST OBC Others

26.5 28.0

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

12F 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

561,244

42,391

• Near about 3 out of 10 women in the state face different types of spousal violence. • There has been an increase of 7% in crime against women since 2017 and the state stands at the 5th position in the country while ranking the crime

rate against women in 2016.

S T A T E

I N D I A

57.4

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

175,518

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

12,367

T O T AL C L U ST ER L E V EL F E DER AT IO NS

434

Source:- Website of Rajasthan Grameen Aajeevika Vikas Parishad, Govt. of Rajasthan accessed on 20th April 2020

37.9 80.0

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

31.4

44.6

2014-2015 2015-2016

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

90.395.295.8

100.0

2014-2015 2015-2016

INDIA STATE

46.1 48.4 48.345.8 46.1 46.2

2014-2015 2015-2016 2016-2017

INDIA STATE

87.1

97.6 96.597.1 99.7 99.0

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 elementary level for Rajasthan as well as for the entire country since 2014 to 2017. Though there is an improvement of 13 percentile points in girls’ enrolment in secondary level since 2014 to 2016, the U-DISE state report card doesn’t provide data for 2017 in this case.

• Almost all elementary and secondary schools in the state have girls’ toilet. Toilets being one of the major contributors for improving girl’s enrolment has shown an improvement for both Rajasthan and India particularly in secondary level since 2014.

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RAJASTHAN FACTSHEET 2020