The National Family Health Survey (NFHS)

 

INTRODUCTION 


The survey was carried out as a major component of the Project to strengthen the Survey Research Capabilities of the Population Research Centres in India, initiated by the Ministry of Health and Family Welfare, Government of India and funded by the United State Agency for International Development. The International Institute for Population Sciences, Mumbai (I.I.P.S) , was designated as the nodal agency for providing coordination and technical guidance to the NFHS. The data collection for the NFHS was undertaken by seven Consulting Organizations in collaboration with the concerned Population Research Centres in each State. The East-West Center/Macro International, United States of America, provided technical assistance for all of the survey operations.

 

Summary of Findings

 

NFHS-I(1992-93)

 

NFHS is a nationally representative survey of ever-married women age 13-49. The NFHS covered the population of 24 States and the National Capital Territory of Delhi to provide demographic and health data for interstate comparisons. The main objectives  of the survey was to collect reliable and up-to-date national-level and state-level data on fertility, nuptiality, fertility preferences, knowledge and practice of family planning, the potential demand for contraception, the level of unwanted fertility, utilization of ante natal services, breast feeding and food supplementation practices, child nutrition and health, vaccinations and infant and child mortality.

 

In the NFHS, a total of 88,562 households were covered, and the interviewers collected information from 89,777 ever-married women age 13-49 (23,455 in urban areas and 66,322 in rural areas). The field work was conducted in three phases between April 1992 to September 1993.

 

NFHS-II(1998-99)

 

            The second NFHS conducted in 1998-99 provides information on fertility, mortality, family planning and important aspects of nutrition, health and health care.  The survey collected information from a nationally representative sample of more than 90,000 ever-married women age 15-49.  The NFHS-2 sample covers 99 percent of India’s population living in all 26 states.  This report is based on the survey data for 25 of the 26 states, however, since data collection in Tripura was delayed due to local problem in the state.

 

            Most of the types of information collected in NFHS-2 were also collected in the earlier survey, making it possible to identify trends over the intervening period of six and one-half years.  In addition, this survey questionnaire covered number of new or expanded topics with important policy implications, such as reproductive health, women’s autonomy, domestics violence, women nutrition, anemia and salt iodization.

 

            The NFHS-2 survey was carried out in two phases.  Ten States were surveyed in the first phase which began in March, 1999.  The field staff collected information from 91,196 households in these 25 states and interviewed 89,199 eligible women in these households.  In addition, the survey collected information on 32,393 children born in the three years preceding the survey.  One health investigator on each survey team measured the height and weight of eligible women and children and took blood samples to assess the prevalence of anemia.

 

            For more information, please contact IIPS, MUMBAI  E-Mail: iipsnfhs@vsnl.com

                                                                                                                                                                                                                        Website:http://www.nfhsindia.org/

 

 

 

 

 

 

Key Indicators of National FamilyHealth Survey(NFHS Ph.I (92-93) and Ph.II (98-99) – A Comparative Statement

 

India/States

Neo-Natal

Mortality

Infant

Mortality

Rate

Child

Mortality

Rate

Total

Fertility

Rate

Contribu-

tion of

Higher Birth Order

3&Above

% of

Mothers

Received

ANC

% Currently Using

 

Any method

Sterilisa-tion

Spacing

Method

I

II

I

II

I

II

I

II

I

II

I

II

I

II

I

II

I

II

India

48.6

43.4

78.5

67.6

33.4

29.3

3.40

2.85

48.6

45.2

44.0

65.3

40.6

48.2

30.8

36.0

5.5

8.3

Andhra Pr.

45.3

43.8

70.4

65.8

22.4

21.0

2.59

2.25

42.1

31.5

86.8

92.7

47.0

59.6

44.7

57.0

1.8

1.8

Assam

50.9

44.6

88.7

69.5

58.7

21.4

3.53

2.31

58.2

43.8

48.9

59.8

42.8

43.3

14.6

16.7

5.4

10.0

Bihar

54.8

46.5

89.2

73.0

42.0

34.7

3.98

3.49

56.4

54.6

36.3

36.0

23.1

24.5

17.7

20.2

3.2

2.2

Chhatisgarh

 

66.4

 

90.6

 

46.8

 

2.79

 

48.1

 

57.5

 

45.0

 

38.4

 

3.9

Gujarat

46.3

39.6

73.5

62.6

32.7

24.0

2.97

2.70

42.0

41.1

75.4

86.3

49.3

59.0

41.0

45.3

5.8

8.1

Haryana

38.4

34.9

73.3

56.8

27.4

21.2

3.98

2.88

47.5

41.6

72.2

58.0

49.7

62.4

34.8

40.8

9.6

12.5

Jharkhand

 

36.6

 

54.3

 

25.4

 

2.76

 

53.7

 

41.7

 

27.6

 

22.0

 

2.9

Karnataka

45.3

37.1

65.4

51.5

23.5

19.3

2.83

2.13

42.4

33.6

83.4

86.3

49.1

58.3

42.7

52.2

4.8

4.4

Kerala

15.5

13.8

23.8

16.3

8.4

2.6

2.00

1.96

26.0

21.1

97.3

98.9

63.3

63.7

48.3

51.0

6.1

5.1

Madhya Pr.

53.2

54.9

85.2

86.1

49.3

56.4

3.85

3.31

49.8

52.8

52.3

61.1

36.5

44.3

31.7

37.9

4.0

4.7

Maharashtra

36.4

32.0

50.5

43.7

20.9

15.0

2.86

2.52

42.8

39.2

82.3

90.0

53.7

60.9

46.5

52.2

6.4

7.6

Orissa

64.7

48.6

112.1

81.0

21.3

25.5

2.92

2.46

48.0

42.9

61.0

79.2

36.3

46.8

31.6

35.6

10.0

4.7

Punjab

31.2

34.3

53.7

57.1

15.0

15.9

2.91

2.21

42.7

39.6

87.6

74.1

58.7

66.7

34.0

30.9

17.4

23.0

Rajasthan

42.1

49.5

76.3

80.4

33.8

37.6

3.58

3.78

50.7

52.9

32.8

47.2

31.8

40.3

26.2

31.3

3.3

5.8

Tamil Nadu

46.2

34.8

67.7

48.2

20.1

15.9

2.48

2.18

32.3

23.2

94.2

98.4

49.8

52.1

39.6

46.0

5.8

4.3

Uttar Pradesh

59.9

53.6

99.9

86.7

46.0

39.2

4.75

3.99

57.5

58.1

44.4

34.3

19.8

28.1

13.1

15.6

5.3

6.4

West Bengal

55.1

31.9

81.0

48.7

28.6

19.9

2.89

2.29

46.2

36.5

75.4

89.5

57.4

66.6

30.6

33.8

7.0

13.5

Arunachal Pr.

17.5

41.8

40.0

63.1

33.3

37.4

2.44

2.52

54.6

46.0

48.9

60.9

23.6

35.4

10.7

20.7

8.5

12.2

Delhi

34.9

29.5

65.4

46.8

19.0

9.0

3.02

2.40

44.3

39.3

81.8

83.2

60.3

63.8

23.2

28.6

31.2

27.7

Goa

20.6

31.2

31.9

36.7

7.2

10.5

1.89

1.80

32.2

24.9

95.0

99.0

47.8

47.5

30.5

28.2

7.3

7.7

Himachal Pr.

34.2

22.1

55.8

34.4

14.1

8.3

2.97

2.14

42.7

33.3

75.4

86.8

58.4

67.7

45.8

52.4

8.5

8.4

Jammu & Kashmir

31.9

40.3

45.4

65.0

14.3

16.1

3.13

2.71

44.1

50.3

78.6

83.0

49.4

49.1

29.7

30.7

10.0

11.1

Manipur

25.1

18.6

42.4

37.0

20.2

19.9

2.76

3.04

52.0

47.1

63.5

80.1

34.9

38.7

13.8

15.5

10.3

10.3

Meghalaya

37.8

50.7

64.2

89.0

24.3

36.2

3.73

4.57

53.5

60.1

51.1

53.1

20.7

20.2

10.0

10.7

5.1

9.1

Mizoram

8.3

18.8

14.6

37.0

14.9

18.4

2.3

2.89

45.0

46.0

86.3

90.3

53.8

57.7

44.6

45.3

8.3

11.7

Nagaland

10.0

20.1

17.2

42.1

30.6

22.7

3.26

3.77

48.1

59.6

38.5

59.4

13.0

30.3

6.4

12.3

6.2

12.0

Sikkim

 

26.3

 

44.0

 

28.4

 

2.75

 

42.1

 

70.0

 

53.8

 

24.8

 

16.6

Tripura

43.6

28.6

75.8

44.2

31.2

7.4

2.67

1.87

45.8

 

64.4

70.9

56.4

55.5

19.3

26.7

9.5

16.8

Uttaranchal

 

25.7

 

37.6

 

19.2

 

2.6

 

46.4

 

43.4

 

43.1

 

31.1

 

9.2

 


 

Key Indicators of National FamilyHealth Survey(NFHS Ph.I (92-93) and Ph.II (98-99) – A Comparative Statement (contd..)

 

India/

States

% of Children Vaccinated

Institutional

Delivery

(%)

Safe

Delivery

(%)

% of Children

with

Anaemia

% of Women

with

Anaemia

Fully

BCG

DPT

(3)

Polio

(3)

Measles

 

I

II

I

II

I

II

I

II

I

II

I

II

I

II

II

II

India

35.4

42.0

62.2

72.0

51.7

55.0

53.4

63.0

42.2

51.0

26.0

33.6

34.2

42.3

74.3

51.8

Andhra Pr.

45.0

58.7

74.0

90.2

66.1

79.5

68.0

81.6

53.8

64.7

33.0

50.0

79.6

65.0

72.3

50.0

Assam

19.4

17.0

48.2

53.5

31.0

37.5

32.7

37.9

25.8

24.6

11.1

17.6

17.8

21.5

62.4

69.0

Bihar

10.7

11.0

33.9

37.7

29.1

24.2

31.6

41.0

14.6

16.6

12.1

14.6

18.9

23.3

81.3

63.4

Chhatisgarh

 

21.8

 

74.3

 

40.9

 

57.1

 

40.0

 

13.8

 

32.3

87.7

68.7

Gujarat

49.8

53.0

77.1

84.7

63.8

64.1

62.9

68.6

55.9

63.6

35.6

46.3

42.7

53.5

74.5

46.3

Haryana

53.5

62.7

77.4

86.8

66.8

71.1

67.7

74.3

60.9

72.2

16.7

22.4

30.3

42.1

83.9

47.0

Jharkhand

 

8.8

 

44.4

 

21.7

 

36.5

 

18.2

 

13.9

 

17.5

82.4

72.9

Karnataka

52.2

60.0

81.7

84.8

70.7

75.2

71.4

78.3

54.9

67.3

37.5

51.1

50.9

59.2

70.6

42.4

Kerala

54.4

79.7

86.1

96.2

73.7

88.0

75.2

88.4

60.5

84.6

87.8

93.0

89.7

94.0

43.9

22.6

Madhya Pr.

22.9

22.4

56.8

64.9

43.7

37.0

46.9

56.7

40.7

35.5

15.9

20.4

30.0

30.1

75.0

54.4

Maharashtra

64.3

78.4

86.9

93.7

83.1

89.4

81.8

90.8

70.2

84.3

43.9

52.6

53.1

59.7

76.0

48.5

Orissa

36.1

43.7

63.3

84.7

56.3

61.9

56.7

68.4

40.2

54.0

14.1

22.9

20.5

33.4

72.3

63.0

Punjab

61.9

72.1

77.4

88.7

73.6

82.0

73.4

83.6

64.8

76.5

24.8

38.4

48.4

62.7

80.0

41.4

Rajasthan

21.1

17.3

45.7

53.9

29.7

26.1

32.8

44.6

31.2

27.1

11.6

21.7

22.0

35.8

82.3

48.5

Tamil Nadu

65.1

88.8

91.7

98.6

86.5

96.7

86.0

98.0

71.5

90.2

63.5

79.3

71.2

82.3

69.0

56.5

Uttar Pradesh

19.8

21.2

48.9

57.5

34.1

33.9

37.3

42.2

26.4

34.6

11.2

15.7

17.2

23.0

73.9

48.7

West Bengal

34.2

43.8

63.1

76.5

51.9

58.3

56.0

61.7

42.5

52.4

31.5

40.4

44.4

44.1

78.3

62.7

Arunachal Pr.

22.5

20.5

46.3

54.2

45.6

41.8

38.8

43.3

27.5

33.6

19.9

30.9

21.3

32.0

54.4

62.5

Delhi

57.8

69.8

92.0

92.0

71.6

79.9

75.6

81.0

69.6

77.5

44.3

59.1

53.0

65.9

69.0

40.5

Goa

74.9

82.6

93.5

99.2

86.7

93.4

87.8

95.8

77.8

84.3

86.8

90.9

88.4

90.8

53.4

36.4

Himachal Pr.

63.5

83.4

84.8

94.6

78.5

88.8

78.4

89.8

71.8

89.1

16.0

29.0

25.6

40.4

69.9

40.5

Jammu & Kashmir

54.2

56.7

79.3

85.6

74.6

72.3

74.0

74.3

58.3

68.9

21.9

35.7

31.2

42.4

71.1

58.7

Manipur

29.1

42.3

63.8

71.0