Escolar Documentos
Profissional Documentos
Cultura Documentos
2013 – 14
Dr Sandhya Ahuja
NHSRC- Data Management & Analysis
This data analysis is primarily presented to facilitate the use of this information by District level
Programme Managers. They are in a better position to interpret this information in context and act on
it. Even what are apparently data of poor quality or errors can be useful if the nature of error is
understood. However those not sensitized to the data quality issues and those trying to use this for
policy or journalistic purposes will find serious limitations – especially due to incomplete reporting of
private sector data and poor quality of death reporting. Also please note that interpretation of
information will differ with choice of denominator. We should be familiar with choice of
denominator in use. Do consult HMIS Training Manual 2 for further understanding of these issues.
Data is also analyzed and presented so as to help districts, find data errors and correct them. Only
when data is converted into information and used, do many errors become apparent. Some states are
likely to notice data entry errors & change their data- for which reason also, care should be taken
when quoting from this source. We would advise you to check with state government and take
Executive Director
National Health Systems Resource Centre
June’14
Page 2 of 21
NHSRC- Data Management & Analysis
ANC
Deliveries
Page 3 of 21
NHSRC- Data Management & Analysis
% Newborns weighed at
JSY Paid to ASHA as % of reported Institutional
birth against Estimated live 141% 6%
deliveries
Births
% of Newborns having
weighed less than 2.5 kg 3% % ASHAs present during immunisation Sessions 85%
against newborns weighed
% Newborns visited within
52%
24 hrs of Home deliveries
Facility Related
OPD per 1000 population 648 % C- Section against Institutional Deliveries 28.7%
IPD per 1000 population 20 Abortion Rate against Reported pregnancies 2.3%
Expected Eligible
IMR of the state - Expected
CBR - Andhra Pregnancies Couple (
Andhra Pradesh- Total Population Deliveries Apr'13
Pradesh- Guntur Apr'13 to 17% of total
Guntur to Mar'14
Mar'14 population)
Projected
Source SRS -2012 SRS -2012 Derived Derived Derived
Population 2012
Page 4 of 21
NHSRC- Data Management & Analysis
Unreported
Home SBA Home Non SBA Institutional ( Pub & Pvt) Total Deliveries Reported
Deliveries
Andhra Pradesh- Guntur- Home ( SBA & Non SBA) & Institutional Deliveries against Expected Deliveries -
Apr'13 to Mar'14
Home SBA
Institutional
0%
Home Non SBA15%
0%
Unreported Deliveries
85%
Andhra Pradesh- Guntur- Home ( SBA & Non SBA) & Institutional Deliveries against Reported Deliveries -
Apr'13 to Mar'14
Institutional (Pub)
98.3%
Page 5 of 21
NHSRC- Data Management & Analysis
Andhra Pradesh- Guntur- C-Section, Complicated & Normal Deliveries against Reported Institutional
Deliveries ( Pvt. & Public) Apr'13 to Mar'14
C- section %
28.7%
Normal deliveries %
67.6% Complicated Pregnancies
attended %
3.7%
Andhra Pradesh- Guntur- Facility wise %ge of C sections & Complicated Deliveries Apr'13 to Mar'14
Other State
PHC CHC SDH/DH owned Private Facilities Total
institution
Complicated deliveries
managed ( Reported) 224 77 178 - - 479
Complicated deliveries
managed as %ge of total 46.8% 16.1% 37.2% 0.0% 0.0%
reported
C Section (reported )
2,136 122 1,466 - - 3,724
C Section as percentage of
57.4% 3.3% 39.4% 0.0% 0.0%
total reported
Page 6 of 21
NHSRC- Data Management & Analysis
Andhra Pradesh- Guntur- Complicated Pregnancies & Deliveries Treated - Apr'13 to Mar'14
0.5%
479 3,724 97 3,787 2,257
Andhra Pradesh- Guntur- Stay duration as percentage of Reported Institutional Deliveries - Apr'13
to Mar'14
Andhra Pradesh- Guntur - JSY Paid to Mothers as % of reported deliveries - Apr'13 to Mar'14
Page 7 of 21
NHSRC- Data Management & Analysis
Andhra Pradesh- Guntur -JSY Paid to Mothers as % of reported deliveries - Apr'13 to Mar'14
80%
71%
70%
60%
50%
40%
30%
20%
10% 6%
0%
0%
Home Institutional (Public) Institutional (Pvt)
160,000
140,000 125,352
115,980
120,000 107,642 110,630
95,103 93,801
100,000
81,240
80,000
60,000
40,000
20,000
-
Expected Total ANC ANC Registration ANC registration 3 ANC check ups TT1 TT2 or Booster 100 IFA tablets
Pregnancies - Registration within first for JSY given
Apr'13 to Mar'14 trimester
Andhra Pradesh- Guntur- Management of Complications (Reflecting Quality of ANC )against Reported ANC Registration- Apr'13 to Mar'14
Page 8 of 21
NHSRC- Data Management & Analysis
Andhra Pradesh- Guntur- Management of Complications (Reflecting Quality of ANC )against Reported
ANC Registration- Apr'13 to Mar'14
30.0% 27.4%
25.0%
20.0%
15.0%
10.0%
5.0% 2.0%
1.6%
0.0%
0.0%
Hypertensive cases detected at Eclampsia cases managed during ANC women having Hb level<11 ANC women having severe anaemia
institution delivery (Hb<7) treated at institution
Andhra Pradesh- Guntur- Post Natal Check up against Reported deliveries -Apr'13 to Mar'14
700% 632%
600%
500%
371%
400%
300%
200%
100%
0%
PNC within 48 hours after deliveries PNC between 48 hours and 14 days of Deliveries
100,000 86,458
80,000
60,000
40,000
20,000
3,935
-
Estimated Live Births - Reported Live Birth - Apr'13 Newborns weighed at birth Number of Newborns Newborns breast fed within
Apr'13 to Mar'14 to Mar'14 having weight less than 2.5 1 hour
kg
Page 9 of 21
NHSRC- Data Management & Analysis
Andhra Pradesh- Guntur-Immunisation ( 0 to 11mnths) Against Estimated Live Births- Apr'13 to Mar'14
160%
140% 138% 138%
140% 129%
118%
120%
100%
80%
60%
40%
20%
0%
BCG % DPT3% OPV3% Measles % Fully Immunised %
Andhra Pradesh- Guntur-Immunisation ( 0 to 11mnths) Against Reported Live Births- Apr'13 to Mar'14
100% 95% 94% 94%
88%
90%
80%
80%
70%
60%
50%
40%
30%
20%
10%
0%
BCG % DPT3% OPV3% Measles % Fully Immunised %
40,000
30,000
20,000
10,000
-
Immunisation sessions planned Immunisation sessions Held Sessions where ASHAs were present
Page 10 of 21
NHSRC- Data Management & Analysis
Abscess -
Death 1
Others 20
1% 7% 7%
Abortion Rate
Abortions
MTP Less than 12 weeks MTP More than 12 weeks Abortions in Pvt Facilities against expected
(spontaneous/Induced)
pregnancies
4.2%
51 47 3,787 67
Abortion
(spontaneous/induced)
97.48%
0.284%
3,201,636 4,373 4,721 9,094 213
Page 11 of 21
NHSRC- Data Management & Analysis
Male
48%
Female
52%
NSV 43 0%
Laparoscopic 326 3%
Male Sterilisation 43 0%
Page 12 of 21
NHSRC- Data Management & Analysis
Andhra Pradesh- Guntur- Distribution of Family Planning Methods against Total Reported -Apr'13
to Mar'14
Sterilisations
11%
OCP Users
39%
IUD
23%
Condom Users
28%
Andhra Pradesh- Guntur- Facility wise % of Sterilisations & IUDs - Apr'13 to Mar'14
Laparoscopic as % of total
76.4% 17.5% 6.1% 0.0% 0.0%
reported
MiniLap as % of total
68.5% 13.6% 17.9% 0.0% 0.0%
reported
Andhra Pradesh- Guntur - DLHS III - Unmet Need met by reported FP Methods - Apr'13 to Mar'14
Page 13 of 21
NHSRC- Data Management & Analysis
Total
Total VDRL
Total Population Total HB tested Total HIV tested Widal Test Blood Smear Examined
Tested
Conducted
HIV
Widal test
HB test HB<7gm as HIV test positive VDRL test
conducted Blood Smear Examined as %
Total OPD conducted as %age of HB conducted as as %age conducted as
as %age of of Population
%age of OPD tested %age of OPD of HIV %age of OPD
OPD
tested
Page 14 of 21
NHSRC- Data Management & Analysis
Page 15 of 21
NHSRC- Data Management & Analysis
Communicable Disease ,
Maternal & Perinatal
17.2%
Others
43.6%
Injuries
7.6%
Andhra Pradesh- Guntur- Still Births, Neonatal , Infant ,Under 5 and Maternal Deaths - Apr'13 to Mar'14
Live Births - Reported Live Births -Estimated Still Births Early Neonatal deaths
Late Neonatal Deaths Infant Death Under 5 Child Deaths Maternal Deaths
13 282 317 53
Andhra Pradesh- Guntur- Still Birth Rate, Perinatal,Neonatal & Infant Mortality Rates - Apr'13 to Mar'14
Against Reported Live Births ( Against Estimated Live Births (
1000) 1000)
Reported Still Birth 17.78 26.11
Page 16 of 21
NHSRC- Data Management & Analysis
Child Deaths
Infant Deaths Infant Deaths Child Deaths
Infant Deaths within 24 between 1 Total Infant Total
between 24hrs & between 1 week between 1yr &
hrs of birth month & under Deaths Deaths
under 1 week & under 1 month under 5years
1 year
Total Reported
8 193 13 68 282 35 317
% against total
deaths 2.5% 60.9% 4.1% 21.5% 89.0% 11.0%
Infant & Child Deaths against reported Infant & Child deaths - Andhra Pradesh- Guntur-Apr'13 to
Mar'14
Child Deaths between 1yr& Infant Deaths within 24 hrs
under 5years of birth
11.0% 2.5%
Andhra Pradesh- Guntur- Causes of Infant & Child Deaths - Apr'13 to Mar'14 - Total Deaths - 309
4 0 4 26 4 30 62
57 5
3 0 3 0 1 1 1 4 5
Measels Others ( For age upto 4 weks of Birth) Others( For age from 1 month to 5 yrs)
106 4 110 94
- - - 64 30
Page 17 of 21
NHSRC- Data Management & Analysis
Andhra Pradesh- Guntur - Causes of Infant & Child Deaths against total reported infant & child
deaths-Apr'13 to Mar'14
Sepsis Asphyxia
1% 10%
LBW
20%
Pneumonia
Others
1%
66%
Diarrhoea
0%
Andhra Pradesh- Guntur - Known Causes of Infant & Child Deaths against total reported known
causes of infant & child deaths -Apr'13 to Mar'14
Fever related
5%
Measles Sepsis
Diarrhoea 0% 4%
1%
Pneumonia Asphyxia
3% 28%
LBW
59%
Page 18 of 21
NHSRC- Data Management & Analysis
Abortion - 0.0%
0.0%
Bleeding 6 35.3%
11.3%
Other Causes 36
67.9%
Total 53
Andhra Pradesh- Guntur - Causes of Maternal Deaths against total reported maternal deaths-Apr'13 to
Mar'14
Abortion
0.0%
Obstructed/prolonged labour
0.0%
Severe hypertension/fits
17.0%
Bleeding
11.3%
High Fever
3.8%
Other Causes
67.9%
Page 19 of 21
NHSRC- Data Management & Analysis
Andhra Pradesh- Guntur - Known Causes of Maternal Death against total reported Known Causes of
maternal deaths -Apr'13 to Mar'14
Obstructed/prolonged
High Fever Abortion labour
11.8% 0.0% 0.0%
Bleeding
35.3%
Severe hypertension/fits
52.9%
Diarrhoeal Diseases - 2 - 2
Respiratory Diseases
3 129 290 422
(Other than TB)
Malaria - - 1 1
Page 20 of 21
NHSRC- Data Management & Analysis
Andhra Pradesh- Guntur - Known causes of deaths 6 yrs & above against total reported Known causes
of deaths 6 yrs & above - Apr'13 to Mar'14
Diarrhoeal Diseases Respiratory
Malaria
0.0% Tuberculosis Diseases (Other
0.0%
than TB) Other fever Related
2.7%
Known Chronic Disease 4.5% 0.5%
Known Acute Disease 19.5% HIV/AIDS
4.0% 5.1%
Suicide
8.0%
Neurological Disease
including strokes
8.8%
Andhra Pradesh- Guntur - Cause of deaths 6 yrs & above against total reported deaths 6 yrs & above -
Apr'13 to Mar'14
Respiratory Diseases (Other
Other fever Related
than TB)
Tuberculosis 0.3%
2.4% Malaria
1.4%
Diarrhoeal Diseases 0.0% HIV/AIDS
0.0% 2.7%
Heart Disease/ Hypertension
related
Causes not known 20.6%
46.6%
Neurological Disease
including strokes
4.7%
Trauma/Accidents/ Burn
Cases
4.3%
Suicide
4.2%
Page 21 of 21