State Factsheet

Year: 2013-14 & 2014-15

A & N Islands
Key Indicators
A) Demographic Indicators (State) A & N Islands Source

Mid Year Projected Population

1 Estimated Population (2014-15) 414,544
(Based on 2011 census)

2 Sex Ratio at Birth 967 HMIS (Apr,2014 - March,2015)

3 Schedule Caste (%) -

Census, 2011
4 Schedule Tribe (%) 7.5

B) Infrastructure Details (in numbers) - RHS 2014 Institutional Deliveries *

110
5 Sub Centers (SC) 119
100 93.9 96.3

6 Primary Health Centers (PHC) 22 90

80
7 Community Health Centers (CHC) 4 70

Percentage
60
8 Sub District Hospital -
50

9 District Hospital 3 40
30
C) Maternal Health-DLHS-4 (2012-13) 20
10
10 Mothers registered in the first trimester(%) 69.9
-
DLHS-4 HMIS (Apr 14-March 15)
11 Mothers who had at least 3 ANC check ups (%) 90.6

12 Mothers who got at least one TT injection(%) 97.2 Full Immunization **

Mothers who received post-natal care within 48 hours 120
13 88.8
of Institutional delivery (%)
97.7
D) Child Health-DLHS-4 (2012-13) 100

80 75.0
14 Children under 3 years breastfed within one hour of 62.5
Percentage

birth (%)
60
15 Children (age 6 months above) exclusively breastfed 39.2
(%)
40
16 Children with Diarrhoea in the last two weeks who 90.0
received ORS (%)
20
17 Children with Diarrhoea in the last two weeks who 52.4
were given treatment (%)
Children with acute respiratory infection/fever in the -
18 80.0 DLHS-4 HMIS (Apr 14-March 15)
last two weeks who were given treatment (%)

E) Family planning (currently married women, age 15-49)-DLHS-4 (2012-13)

Female Sterilization to total sterilization
99.7
19 Using any modern method of family planing (%) 62.8 100

90
20 IUD insertion (%) 2.2
80
21 Unmet need (all methods) (%) 15.4
70
22 Female sterilization to total sterlization (%) 48.4
60
Percentage

Women aged 15-49 years who reported birth order of 48.4

23 15.9 50
3 & above (%)

F) ARSH-DLHS-4 (2012-13) 40

Percentage of births to women during age 15-19 out 30

24 5.2
of total births
20
25 Unmarried women 15-24 years heard of RTI/STI (%) 7.2
10

% of Women who had Menstrual related problems -

26 11.7
during last three months DLHS-4 HMIS (Apr 14-March 15)
* HMIS: Reported Institutional deliveries to Reported Total deliveries
** DLHS: Children of age 12-23 months fully immunized
** HMIS: Children of age 9-11 months out of reported live births
Note: High percentage of full immunization reported in HMIS may be due to reporting of immunization of a benificiary by more than one facility.
Based on HMIS data as on date 13 June,2015. Data is provisional.

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 A & N Islands
Performance (Apr 2014-Mar 2015) against annual estimated needs

6,700
5,931 6,100 6,000
5,197
4,752 4,829
4,615

1,152

Est. Pregnant PW regd. for ANC PW regd. In Ist PW received 3 Est. Deliveries Reported Est. Infants Total reported Total
Women trim. ANC checkups Deliveries live Birth Sterilizations
reported

Delivery Care (Apr 2014-Mar 2015)

120 Home deliveries

100 96.3
Deliveries at
79.2 Deliveries at home by
80 home by SBA Non-SBA%,
%, 43.9 56.1
Percentage

60

40
Institutional deliveries
Deliveries at
Pvt. Insts.%,
20 0.0
3.7
0
Reported deliveries Home deliveries (to Institutional Deliveries at
(to est. deliveries)% reported deliveries)% deliveries (to Public
reported deliveries)% Insts.%, 100.0

I. MATERNAL HEALTH A & N Islands (2013-14) A & N Islands (2014-15)

1 Annual Estimated Pregnant Women * 7,000 6,700

2 Annual Estimated Deliveries * 6,000 6,100

II. ANC HMIS (Apr 13-Mar 14) HMIS (Apr 14-Mar 15)

3 Total number of Pregnant women registered for ANC 6,491 5,931

4 Of Which Registered in First Trimester (to total ANC regd.) % 77.4 77.8

5 Mothers who had at least 3 ANC check ups (to total ANC regd.) % 76.9 80.1

6 Mothers who got TT1 injection (to total ANC regd.) % 77.8 78.3

7 Mothers who received 100 IFA tablets (to total ANC regd.)% # 204.7 665.0

III. Delivery Care

8 Total reported deliveries 4,612 4,829

9 Total Reported deliveries (to total annual estimated deliveries) % 76.9 79.2

# Denotes that data Coverage/Quality of HMIS data for the aforesaid Period on these indicators needs to be looked by the States for further Improvements

* Represents Estimated value for complete financial year

Note: CBR and IMR figures of SRS, 2013 have been taken for calculating Estimated values
Estimated deliveries= (Proj. mid year pop *CBR/1000) (Figures rounded to nearest 1000)
Estimated Pregnant Women = (Proj. mid year pop *CBR/1000)*1.1 (Figures rounded to nearest 1000)

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 HMIS (Apr 13-Mar 14) HMIS (Apr 14-Mar 15)
a) Home deliveries
A & N Islands A & N Islands

10 Total reported home deliveries 201 180

11 Total reported home deliveries (to total annual estimated deliveries) % 3.4 3.0

12 Total reported home deliveries (to total reported deliveries) % 4.4 3.7

13 Home deliveries by SBA (to total home deliveries) % 51.2 43.9

b) Institutional deliveries

14 Total reported Institutional deliveries 4,411 4,649

Total reported Institutional deliveries (to total annual estimated

15 deliveries) % 73.5 76.2

16 Total reported Institutional deliveries (to total reported deliveries) % 95.6 96.3

17 Deliveries at Public Facilities (to total reported institutional deliveries) % 100.0 100.0

Proportion of women discharged within 48 hrs of delivery at public

18 facility (%) 69.4 103.7

c) C-Section and Complicated deliveries ( Public and Private

Facilities)

19 Number of C-Section deliveries Performed 901 930

#
20 Total Complicated Pregnancies attended 707 418

Proportion of Pregnant Women with Obstetric Complications attended

21 10.9 7.1
(Pub + Pvt) to Total ANC Registered (%) #

IV Antibiotics to Total Women with Obstetric Complications attended

22 94.9 615.3
(%) #

IV antihypertensive/ Magsulph injection to Total Women with Obstetric

23 42.7 26.3
Complications attended (%) #

IV Oxytocis to Total Women with Obstetric Complications attended (%)

24 # 292.4 563.2

Blood Transfusion to Total Women with Obstetric Complications

25 20.2 60.0
attended (%) #

d) JSY Beneficiaries
Proportion of mothers paid JSY Incentive for Delivery at Public
26 7.8 9.1
institution to Total Public Deliveries (%) #
Proportion of ASHAs paid JSY Incentive for Delivery at Public institution
27 5.6 6.8
to Total Public Deliveries (%) #
Proportion of mothers paid JSY Incentive for Delivery at Pvt institution
28
to Total Pvt Deliveries (%) #
Proportion of mothers paid JSY Incentive for Delivery at Home to Total
29 10.0 11.1
homeDeliveries (%) #

e) Post Natal Care

30 Total post partum check up with in 48 hrs of delivery # 4,403 5,073

#
31 Total post partum check up between 14 days and 48 hrs of delivery 3,064 3,259

IV) Safe Abortion Services

32 Total Spontaneous/Induced Abortions # 257 360

33 Total Number of MTPs conduted (Public+Private) # 169 111

V) Live Births

34 Total reported live births 5,040 5,197

35 Annual Estimated number of Infants (upto 1 year of age) * 6,000 6,000

36 Total Reported live births (to total annual estimated infants) % 84.0 86.6

# Denotes that data Coverage/Quality of HMIS data for the aforesaid Period on these indicators needs to be looked into by the State for further Improvements

* Represents Estimated value for complete financial year / HMIS figures are Provisional
Note: CBR and IMR figures of SRS, 2013 have been taken for calculating Estimated values
Estimated no. of Infants= (Proj. mid year pop *CBR/1000)*(1-IMR/1000). (Figures rounded to nearest 1000)

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 A & N Islands
Performance of Key indicators (Apr 2014-Mar 2015) of Child Health
6,100 6,000

5,197 5,132 5,091 5,077 5,183 5,156 5,122 5,223

821

Est. live Reported live Est. no. of Newborns Newborns Newborns Infants fully Infants Infants Infants Infants
births births infants breastfed weighed at weighed < Immunized received BCG received 3 received 3 received
within 1 hour birth 2.5kgs doses of doses of DPT Measles
Polio

Family Planning (Apr 2014-Mar 2015)

Male sterilization %, 0.3

Female sterilization %, 99.7

HMIS (Apr 13-Mar 14) HMIS (Apr 14-Mar 15)

VI) New born care
A & N Islands A & N Islands

37 Newborns breastfed within 1 hr of birth (to total reported live births) % 91.7 98.7

38 Newborns weighed at birth (to total reported live births) % 98.3 98.0

Newborns weight less than 2.5 kg (to total newborns weighed at birth)
39 % 18.9 16.1

VII) Immunisation coverage

Infants fully immunized to reported live births (BCG,3 dose each of DPT
40 and Polio and Measles) % 112.8 97.7

41 Infants received BCG to fully Immunisation % 88.8 102.1

42 Infants received 3 doses of Polio to fully Immunisation % 89.1 101.6

43 Infants received 3 doses of DPT to fully Immunisation % 89.2 100.9

44 Infants received Measles to fully Immunisation % 93.0 102.9

VIII) Family Planning

45 Female sterilization to total sterilization (%) 99.9 99.7

46 Male sterilization to total sterilization (%) 0.1 0.3

Note: High percentage of full immunization reported in HMIS may be due to reporting of immunization of a benficiary by more than one facility

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 HMIS (Apr 13-Mar 14) HMIS (Apr 14-Mar 15)
IX) Service Delivery
A & N Islands A & N Islands
47 IPD Cases per 10,000 population # 1,228 1,216

48 OPD Cases per 10,000 population # 39,324 43,570

X) Mortality Details
X.i) Infant Mortality rate - A & N Islands 24 SRS,2013
Infant Deaths Details #
a Within 24 hrs (Nos.) 1 -
b upto 1 week of birth (Nos.) 40 30
c Between 1 & 4 week of Birth (Nos.) 3 -
d Between 1 & 11 months of Birth (Nos.) 14 13
e Total reported infant deaths 58 43
f Annual estimated infant deaths* 144 146
g % of Annual estimated infant deaths covered under HMIS 40.3 29.4

Infant Deaths (Apr 2014-Mar 2015)

A & N Islands

Within 24 hrs. of birth,

0%

Infant Deaths between 1 and

11 months of birth
30%

Deaths upto 4 weeks of birth

70%

Deaths upto 4 weeks of birth

Sepsis
20%

Others
44%

Asphyxia
13%

LBW
23%

Deaths between 1 and 11 months

Diarrhoea
Pneumonia 0%
15%
Fever related
0%

Measles
8%

Others
77%

# Denotes that data Coverage/Quality of HMIS data for the aforesaid Period on these indicators needs to be looked into by the State for further Improvements

* Represents Estimated value for complete financial year/ HMIS figures are Provisional
Estimated Infants Deaths= IMR*Est. Live Births/1000. (Figures rounded to nearest 1000)

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X.ii) Maternal Mortality Ratio (MMR) - A & N Islands NA

HMIS (Apr 13-Mar 14) HMIS (Apr 14-Mar 15)

Maternal deaths (Age 15-49 years) due to causes
A & N Islands A & N Islands

a) Due to abortion - -

b) Due to obstructed/prolonged labour - -

c) Due to Severe hypertension/fits 1 1

d) Due to bleeding - 1

e) Due to high fever - -

f) Due to other causes 2 2

g) Total reported Maternal Deaths 3 4

h) Annual Estimated Maternal Deaths * NA NA

i) % of Annual Estimated Maternal Deaths covered under HMIS NA NA

A & N Islands
Abortion
0% Obstructed/Prolonged Labour
0%

Severe Hypertension/Fits
25%

Other Causes
50%

Bleeding
25%

High Fever
0%
Represents Estimated value for complete financial year
*
Estimated Maternal Deaths= MMR( ) *Est. Live Births/100,000. (Figures rounded to nearest 1000)

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