Reproductive, Maternal, Newborn,

Child and Adolescent Health (RMNCH+A)

Smt. Y.V. Anuradha, IAS.,

Dr. P. Satya Sekhar

April, 2014

STATE PROFILE

Reproductive, Maternal, Newborn,

Child and Adolescent Health (RMNCH+A)

Smt. Y.V. Anuradha, IAS.,

ANDHRA PRADESH

DEMOGRAPHICS

Total population (000) 84665 2011

Child population (0-6 years) (000) 8643 2011

Births (000) 1405 2012

Under-five mortality rate (per 1000 live births)

43 2012

Infant mortality rate (per 1000 live births) 41 2012

Neonatal mortality rate (per 1000 live births)

27 2012

Total infant deaths 61800 2012

Total Fertility rate (per women) 1.8 2012

Women age 15-19 who were already mothers/pregnant (%)

18.1 2005-06

Maternal mortality ratio (per 100000 live birth)

110 2010-12

Total maternal deaths 1610-1630 2012

MATERNAL AND NEWBORN HEALTH

CHILD HEALTH

NUTRITION

DISPARITIES IN RMNCH+A COVERAGE

Indicator Total

Gender Residence Wealth Quintile

Source Male Female

Ratio of Male to Female

Urban Rural Ratio of Urban to Rural

Poorest Second Middle Fourth Richest Ratio of Richest to Poorest

Equity chart

DEMOGRAPHICS

Under-five mortality rate (per 1000 live births)

78.7 85.6 71.1 1.2 55.3 89.3 0.6 (93.9) (94.3) (95.1) 56.2 44.8 0.79

NFHS 2005-06

Neonatal mortality (per 1000 live births)

52.2 56.7 47.2 1.2 32.4 61.2 0.5 (52.7) 63.0 61.9 39.9 36.2 0.57

NFHS 2005-06

NUTRITION

Low birth weight incidence (%)

40.3 38.5 42.4 0.9 49.4 35.6 1.4 25.9 26.3 31.2 50.5 70.9 2.73

NFHS 2005-06

Underweight prevalence (based on 2006 WHO reference population, %)

29.8 31.7 33.4 0.9 28.0 34.8 0.8 46.6 43.0 32.1 28.2 16.3 0.35

NFHS 2005-06

Stunting prevalence (based on 2006 WHO reference population, %)

38.4 42.8 42.6 1.0 36.7 45.8 0.8 63.3 51.1 42.4 36.0 28.0 0.44

NFHS 2005-06

Wasting prevalence (based on 2006 WHO reference population, %)

14.9 11.9 12.7 0.9 10.7 13.0 0.8 10.4 15.8 14.0 11.3 7.1 0.68

NFHS 2005-06

Children started breastfeeding within one hour of birth (%)

24.6 25.0 24.1 1.0 18.8 27.3 0.7 30.5 27.0 26.8 18.4 21.8 0.71

NFHS 2005-06

Children received a prelacteal feed during first 3 days of life along with breast milk (%)

42.7 43.8 41.3 1.1 45.3 41.4 1.1 33.0 40.3 37.7 48.4 55.0 1.7

NFHS 2005-06

Household consuming adequately iodized salt (15 PPM or more, %)

31.0 - - - 54.0 20.3 2.7 8.9 11.8 18.9 40.2 76.0 8.5

NFHS 2005-06

CHILD HEALTH

% children (age 12-23) measles vaccine (%)

69.4 73.5 65.1 1.1 68.3 70.1 1.0 (75.9) (59.5) 64.2 65.7 89.5 1.39

NFHS 2005-06

Mothers showed vaccination cards to investigator (%)

37.2 42.5 31.7 1.3 36.9 37.4 1.0 (13.3) (28.6) 37.7 42.0 56.9 1.51

NFHS 2005-06

Diarrhea in last two weeks preceding survey (%)

5.7 6.2 5.1 1.2 7.5 4.8 1.6 6.4 2.5 5.7 7.2 6.9 1.07

NFHS 2005-06

Women know about ORS packets (%)

66.9 - - - 73.0 63.6 1.1 51.1 59.3 60.7 74.1 81.3 1.59

NFHS 2005-06

MATERNAL AND NEWBORN HEALTH

Antenatal care coverage (3 or more visits,%)

85.4 - - - 89.9 83.3 1.1 67.8 78.9 85.0 93.8 96.4 1.42

NFHS 2005-06

Antenatal visit in first trimester (%)

66.1 - - - 72.0 63.2 1.1 44.9 57.0 63.3 76.1 85.6 1.91

NFHS 2005-06

Pregnant women who took IFA for at least 90 days (%)

41.2 - - - 47.9 38.0 1.3 35.9 30.5 36.5 45.5 62.7 1.75

NFHS 2005-06

Births delivered in a health facility (%)

64.4 - - - 81.5 55.9 1.4 38.8 51.1 58.6 76.7 95.8 2.47

NFHS 2005-06

Skilled attendance at delivery (%)

74.9 - - - 87.2 68.8 1.3 58.8 62.8 71.0 84.1 98.2 1.67

NFHS 2005-06

Women with a postnatal check-up within 42 days of birth (%)

73.3 - - - 82.7 68.7 1.2 54.6 67.4 69.0 81.8 91.5 1.68

NFHS 2005-06

Note: Details on indicators can be found from NFHS survey.

1. Disparities – Disparity information is only available from data directly derived from household surveys. For comparison purpose, we used only NFHS-3 survey conducted during

2005-06.

2. Equity chart – Displays values for the five wealth quintiles. The scale is 0 to 100% for all charts except U5MR, which shows a range of 0 to 300 deaths per 1000 live births.

3. U5MR – Wealth quintile data are derived from NFHS-3 survey conducted during 2005-06.

4. Anthropometric indicators – Reference Standards for Underweight, Stunting and wasting are adopted from NFHS-3 survey.

References:

1. International Institute of Population Sciences (2006) National Family Health Survey: Andhra Pradesh, Mumbai: International Institute of Population Sciences.

2. Government of India, Ministry of Health and Family Welfare (2009) Coverage Evaluation Survey Report – Andhra Pradesh, New Delhi: UNICEF.

3. Satya Sekhar, P., Uma Devi, V., Rajeswari, N.V., and Rao, C.H.V.S.S (2007) Baseline Survey on Reproductive and Child Health (RCH-II): Andhra Pradesh, Hyderabad: Indian Institute

of Health and Family Welfare.

4. Satya Sekhar, P., Neelima Singh., Rao, C.H.V.S.S. (2013) A Retrospective Study on Maternal Death Review in Andhra Pradesh; An analysis of data from Anantapur, Guntur and YSR

Cuddapah districts, Hyderabad: Indian Institute of Health and Family Welfare.

5. Murthy, S.R. and Satya Sekhar, P. (2012) Evidence to guide the development of social and behavior change communication strategy for maternal and child health and nutrition in

Andhra Pradesh, Hyderabad: National Rural Health Mission, Government of Andhra Pradesh, UNICEF.

6. Government of India, Ministry of Health & Family Welfare (2013), A strategic Approach to Reproductive, maternal, newborn, child and adolescent health (RMNCH+A) in India.

7. Countdown to 2015: Maternal, New3born & Child Survival, India (May, 2013). (www.countdown2015mnch.org/documents/2013Report/India_Accountability_profile_2013.pdf

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