Professional Documents
Culture Documents
2012-13
FACT SHEET
ANNUAL HEALTH SURVEY
2012-13
FACT SHEET
JHARKHAND
Index
Page No.
1. Introduction i-xiv
2. Sample Particulars 1-4
3. Household Characteristics 5
4. Sex Ratio 6-7
5. Effective Literacy Rate 8
6. Marriage 9-10
7. Schooling Status 11
8. Work Status 12
9. Disability 13-14
10. Injury 15-17
11. Acute Illness 18-22
12. Chronic Illness 23-33
13. Fertility 34-39
14. Abortion 40-41
15. Family Planning Practices 42-44
16. Unmet Need for Family Planning 45
17. Ante Natal Care 46-49
18. Delivery Care 50-52
19. Post Natal Care 53-54
20. Janani Suraksha Yojana (JSY) 55
21. Immunization, Vitamin A & Iron Supplement and Birth Weight 56-59
Annual Health Survey 2012-13
Introduction
Decentralized district-based health planning is essential in India because of the
large inter-district variations. In the absence of vital data at the district level, the State
level estimates are being used for formulating district level plans as well as setting the
milestones thereof. In the process, the hotspots (districts requiring special attention) very
often get masked by the State average. This statistical fallacy compounds the problems
of the districts acutely, more so in the health sector. At present, none of the Surveys
provides estimates of core vital indicators on fertility and mortality at district level. The
District Level Household Survey conducted with periodicity of five years mainly focuses
on indicators pertaining to maternal health and child welfare programmes. There has,
therefore, been a surge in demand from various quarters, in recent years, to generate
timely and reliable statistics at the district level for informed decision making in the health
sector.
Genesis
2. The Annual Health Survey (AHS) was conceived during a meeting of the National
Commission of Population held in 2005 under the Chairmanship of the Prime Minister
wherein it was decided that “there should be an Annual Health Survey of all districts which
could be published / monitored and compared against benchmarks”. The objective was to
monitor the performance and outcome of various health interventions of the Government
including those under National Rural Health Mission (NRHM) at closer intervals through
these benchmark indicators. The AHS has been made an integral part of the NRHM,
Ministry of Health & Family Welfare. The responsibility of the project has been entrusted
to the Office of the Registrar General, India on behalf of the Ministry of Health & Family
Welfare in view its expertise in handling the Sample Registration System, one of the largest
demographic surveys in the world.
Objective
3. Realizing the need for preparing a comprehensive district health profile on key
parameters based on a community set up, the AHS has been designed to yield benchmarks
of core vital and health indicators at the district level; prevalence of disabilities, injuries,
acute and chronic illness and access to health care for identified morbidities; and access
to maternal, child health and family planning services. By virtue of being a panel survey,
it has the unique ability to map the rate of change in these indicators on a yearly basis.
AHS would, thus, enable better capturing of the health seeking behaviour of the public as
compared to other periodic cross-sectional surveys, and also help needed corrections in
the strategies.
Annual Health Survey 2012-13
Coverage
4. The sample size at the district level has been derived taking Infant Mortality Rate
as the decisive indicator and host of other practical issues related to execution of the
survey. Keeping in view the mammoth size of the sample, it was a conscious decision of
the Government to initially confine the survey to the 284 districts (as per 2001 Census) of
the 8 Empowered Action Group States (Bihar, Jharkhand, Uttar Pradesh, Uttarakhand,
Madhya Pradesh, Chhattisgarh, Orissa and Rajasthan) and Assam for a three year period
starting from 2010-11. These 9 high focus States with relatively high fertility and mortality
account for about 48 percent of the total population in the country. A representative
sample of 20,694 statistically selected Primary Sample Units (PSUs - Census Enumeration
Blocks in case of urban areas and villages or a segment thereof in case of larger villages
in rural areas) based on 2001 Census has been drawn from these AHS States which
would cover about 18 million population and 3.6 million households each year. However,
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during the Base line Survey in 2010-11, a total of 20.1 million population and 4.14 million
households and during the first updation survey in 2012-13, 20.61 million population and
4.28 million households have actually been covered. The second updation survey (third
and final round) covered a total of 20.94 million population and 4.32 million households in
2012-13. Despite being restricted to 9 States, the AHS is the largest demographic survey
in the world and covers two and a half times that of the Sample Registration System.
Fieldwork Strategy
5. The project is being implemented as a hybrid model wherein the actual field work
has been outsourced to seven selected Survey Agencies on the pattern of National Family
Health Survey (NFHS) and District Level Household Survey (DLHS). The co-ordination,
supervision and monitoring of the fieldwork in the States are being carried out by dedicated
staff posted at various levels in the respective Directorate of Census Operations (DCOs).
The responsibility for overall co-ordination, supervision and monitoring across the nine
AHS States rests with the AHS Division of ORGI. For smooth and effective execution of
the survey, the AHS States have been divided into 18 mutually exclusive and exhaustive
zones, each having a group of contiguous districts with more or less equal workload.
Technical Consultation
6. The outline of the survey such as approach, periodicity, coverage, sampling strategy,
sample size, permissible levels of relative standard errors, and levels of aggregation, was
finalized after a series of deliberations with the representatives from Ministry of Health
& Family Welfare, National Sample Survey Office (NSSO), Central Statistics Office (CSO),
Ministry of Woman & Child Development, Indian Council of Medical Research, Planning
Commission, International Institute for Population Sciences and other subject experts.
Based on the recommendations, various technical details including preparation of sample
design, derivation of sample size etc. were worked out and vetted by the Technical Advisory
Group (TAG) constituted for the purpose.
Sample Design
7. The Sample design adopted for Annual Health Survey is a uni-stage stratified simple
random sample without replacement except in case of larger villages in rural areas (
population more than or equal to 2000 as per 2001 Census), wherein a two stage stratified
sampling has been applied. The sample units are Census Enumeration Blocks (CEBs) in
urban areas and villages in rural areas. In rural areas, the villages have been divided into
two strata. Stratum I comprises villages with population less than 2000 and Stratum II
contains villages with population 2000 or more. Smaller villages with population less than
200 were excluded from the sampling frame in such a manner that the total population
Annual Health Survey 2012-13
of villages so excluded did not exceed 2 per cent of the total population of the district. In
case of Stratum I, the entire village is the sample unit. In case of Stratum II, the village
has been divided into mutually exclusive (non-overlapping) and geographically contiguous
units comprising group of EBs called segments of more or less equal size and population
not exceeding 2000 in any case. One segment from the frame of segments thus prepared
was selected in a random manner to represent the selected village at the second stage of
sampling.
8. The number of sample villages in each district was allocated between the two strata
proportionally to their size (population). The villages within each size stratum were further
ordered by the female literacy rate based on the Census 2001 data, and three disjoint and
equal size substrata were established. The sample villages within each substratum were
selected by simple random sampling without replacement. Similarly, in urban areas, the
Census Enumeration Blocks within a district were ordered by the female literacy rate based
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on the Census 2001 data, and three disjoint and equal size substrata were established.
The sample Census Enumeration Blocks within each substratum were selected by simple
random sampling without replacement. Thus, female literacy which has a direct bearing
on the fertility behaviour was used for implicit stratification. Further, the process of
selection ensured equal representation across three sub-strata both in rural as well as in
urban areas of a district besides rendering the sample design as self-weighting.
Sample Size
9. Generating robust estimates of Infant Mortality Rate at the district level has become
an utmost necessity as reduction in Infant Mortality constitutes one of the key targets in
the Reproductive & Child Health Programme (RCH) under the umbrella of NRHM. This
would also facilitate effective tracking of the Millennium Development Goal 4 on Child
Mortality. The Infant Mortality Rate has therefore been taken as the decisive indicator for
estimation of sample size at the district level. The permissible level of error has been taken
as 10 percentage relative standard error (prse) at the district level. The sample size so
worked out would yield relatively better estimates of Crude Birth Rate / Crude Death Rate
and may also enable generation of rarer indicators like MMR (for a group of districts) with
good precision. In the absence of district level estimates from any other reliable source,
the district level derived estimates of IMR based on SRS pooled data have been used for
estimation of sample size for each district.
Survey Tools
11. The Second updation survey in all the nine AHS States was carried out during
November 2012 to May 2013 * and four Schedules, in all, were administered. These are: (i)
House-listing Schedule, (ii) Household Schedule, (iii) Woman Schedule and (iv) Mortality
Schedule. In the House-listing Schedule, the mapping, listing and some key particulars
like type and ownership details collected in the first updation survey in 2012-13 were
updated for the existing houses and households and recorded afresh for the new houses
Annual Health Survey 2012-13
12. During the Second updation survey, all the Usual Residents as on 01.01.2012
were listed In the Household Schedule wherein the information on a few back ground
characteristics viz. Name, Sex, Identification Code, Date of Birth and Date at first Marriage
were copied from the first updation Household Schedule for the Usual Residents of first
updation survey and other characteristics like Relationship to Head, Age, Religion, Social
Group, Marital Status, Education and Occupation/Activity Status were captured afresh
for them . For the new Usual Residents as on 01.01.2012, all the details were captured
afresh. Besides, information in respect of Disability, morbidity (Injuries, Acute Illness, and
Chronic Illness) and access to health insurance is also captured for all the usual residents
as on 01.01.2012.
13. Woman Schedule comprised two sections. Section-I was administered to all Ever
Married Women (EMW) aged 15-49 years and information relating to the outcome of
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* Except for a few districts in Chhattisgarh where the field work is completed in October 2013 due to naxal issues.
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14. Through the Mortality Schedule, details relating to death occurred to usual
residents of sample household during the reference period (01.01.2011 to 31.12.2011)
were captured and it included information on name & sex of deceased, date of death, age
at death, registration of death and source of medical attention received before death. For
infant deaths, a question on symptoms preceding death was also probed. In case of deaths
associated with pregnancy, information on a variety of questions on factors leading/
contributing to death, symptoms preceding death, time between onset of complications
and death, etc. were asked to yield data on various determinants of maternal mortality.
Dissemination of Results
16. In view of the large volume of data collected under AHS and significant time required
for validation and processing, dissemination of AHS results is done in two phases. The
first set of data is released in the form of State-wise bulletins and second in the form of
factsheets. The bulletins of the second updation survey was released in March 2014,
which contained the district level data on crude birth rate, crude death rate, natural
growth rate, infant mortality rate, neo-natal and post neo-natal mortality rates, under 5
mortality rate, sex ratio at birth, sex ratio (0-4 years) and overall sex ratio . In addition, the
Maternal Mortality Ratio (MMR), Maternal Mortality Rate and life time risk were released
for a group of districts. In order to facilitate direct intervention, the maternal mortality
indicators were combined and released for a group of districts on the basis of existing
administrative divisions in the respective AHS States.
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17. Under the present phase of dissemination, data of on host of other important
parameters covered in AHS under Household and Woman Schedules are being released in
the form of State and District Level Factsheets of the second updation survey. Though the
sample size has been calculated for the district as a whole, the rural and urban estimates
at the district level have also been published as byproduct. Users are advised to keep the
above fact into consideration while using the rural / urban estimates of a district. In order
to ward off unusual sampling fluctuations, the urban estimates have not been published
in respect of some indicators for the districts where the number of urban sample units
was less than six. To begin with, number of PSUs, Households, Population, Ever Married
Women, Currently Married Women, Children aged 12-23 months (as on date of survey)
covered in the sample of each district and the State along with their rural-urban breakup
have been given to provide the users requisite insight on the metadata. The indicators
contained in the AHS Bulletin have also been reproduced in these Factsheets so that the
users may have access to complete set of indicators at one place. However, they may refer
to the AHS Bulletin for details on metadata.
Marriage
18. The information on marital status as on 01.01.2012 was probed in respect of
all household members (Usual Residents) irrespective of their age. For those who were
married, the date of first marriage was recorded. Using this, age at first marriage, which
has a direct impact on child bearing as women marrying early have on an average a longer
period of exposure to pregnancy and a greater number of lifetime births, was obtained.
Using the age data, the mean age at marriage for males and females has been worked
out and included in the Factsheet. The mean age at marriage is based on the marriages
to the members of the household (Usual Residents as on 1.1.2012) taken place during
2009-11. The proportion of marriages among males and females taking place below the
legal age, i.e., 21 and 18 years respectively, has also been tabulated. Such proportions
are also based on the marriages to the members of the household (Usual Residents as
on 1.1.2012) taken place during 2009-11. Besides, the percentage of Currently Married
Women aged 20-24 years marrying before legal age (18 years) and percentage of Currently
Married Men aged 25-29 years marrying before legal age (21 years) have been worked out
and presented.
population by gender and residence at the district and State levels has been presented
in the factsheet. Since it is difficult to capture the type of injury and its severity from lay
reporting, an attempt has been made to assess the severity of injury from the type and
duration of hospitalization required. This would also provide an assessment of the workload
on hospitals / doctors on account of injury. Accordingly, the type of treatment meted to
the injury during last one year of the date of survey has been collected. The categories
by type of treatment included `treated in intensive care unit for any time-1, treated as
in-patient with stay more than two weeks-2, treated as in-patient with stay one to two
weeks-3, treated as in-patient with stay less than one week-4, treated as out-patient-5,
treated by traditional healers-6, and treated at home-7’. Based on these categories, the
number of persons injured by type of treatment received per 1, 00,000 population, have
been categorized into severe (by including categories 1 & 2), major (by including categories
3 & 4) and minor (by including categories 5 & 6) groups. Those treated at home have been
excluded from the above categorization and thus from the analysis also.
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Acute Illness
20. On the morbidity front, if any member (usual resident) of the household suffered from
any ‘acute illness’ during last fifteen days prior to the date of survey, the type of illness has
been ascertained. Based on this data, persons suffering from acute illness per 1,00,000
population has been presented for a few select diseases like diarrhoea / dysentery; acute
respiratory infection & all types of fever and also for any type of acute illness. Besides, the
source from where the treatment for the acute illness was taken has also been included.
Accordingly, two important indicators, viz., percentage of persons suffering from acute
illness and taking treatment from any source and percentage of persons suffering from
acute illness and taking treatment from Government source have been presented. The
latter gives the share of Government source across all types of sources availed for taking
treatment. It may be noted that the entire fieldwork was carried out over a period of six
to seven months and in the process, districts were covered at different points of time (i.e.,
months / seasons). The seasonality effect may be taken note of while interpreting the
results.
Chronic Illness
21. The data in respect of chronic illness has been collected based on the symptoms
pertaining to a particular illness persisting for more than one month and also in respect
of illnesses where it was diagnosed. For both the cases, the reference period was last one
year preceding the date of survey. For ascertaining information on symptoms, a list of
symptoms associated with various types of diseases was provided along with a separate
category for asymptomatic (i.e., having no symptoms). The asymptomatic included those
who were not suffering from any illness as well as those who were suffering but had
no symptoms. Using this data, percentage of persons having any kind of symptoms
of chronic illness along with their source of treatment has been presented. As regards
chronic illnesses diagnosed, this was included to measure the extent to which facilities
for diagnosis and treatment of some major chronic illnesses set up by centre/State/local
Government / private agencies have been utilized. A list of common chronic diseases and
those pertaining to major health intervention programmes was provided. Based on this
data, percentage of persons diagnosed for a few important diseases such as diabetes,
hypertension, tuberculosis, asthma / chronic respiratory disease and arthritis per 1,
00,000 population has been presented besides those diagnosed for any type of chronic
illness. Using the data collected on source of diagnosis, status with regard to getting
regular treatment and source of treatment, percentage of persons having diagnosed for
any kind of chronic illness and getting regular treatment as well as those getting regular
treatment from Government source has been worked out and included in the Factsheet.
Annual Health Survey 2012-13
Since the data on morbidity has been elicited as reported by the respondents, it may suffer
on account of accuracy. Nevertheless, the availability of such a rich data set at the district
level would fill in the much awaited void and pave the way for evidence-based health
planning and appropriate interventions.
Fertility
22. The Total Fertility Rate (TFR), which is an age-period fertility rate for a synthetic
cohort of women, measures the average number of births a group of women would have
by the time they reach 50 years of age if they were to give birth at the current age-specific
fertility rates. The TFR is expressed as the average number of births per woman. Under
AHS, TFR has been calculated by dividing three years average of all births reported during
2009-11 by all the women in respective age group. The seven five-yearly age-specific
fertility rates for all women in the age groups from 15-19 to 45-49 have been added and
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thereafter multiplied by 5 to yield the TFR. Due to lack of adequate number of births, the
TFR by residence could not be worked out and hence is not being published.
23. The distribution of births by birth order is another way to understand the dynamics
on spacing of children and level of fertility. In this regard, two key indicators namely,
`percentage of women aged 20-24 reporting birth of order 2 & above’ and `percentage of
women reporting birth of order 3 & above’ based on last two live births taken place to
Ever Married Women aged 15-49 years during 2009-11, have been presented. ‘Percentage
of Currently Married Women aged 15-49 years with two living children wanting no more
children’ is one of the most crucial indicators on desire to limit child bearing. While
deriving this indicator, sterilized women or their husbands have not been taken into
account whereas women who were currently pregnant have been included.
24. Teen-age pregnancy and motherhood is an important subject in the settings where
the marriage of girls takes place at very young ages. This is not only important from
the fertility perspective but also its consequent implication on the health of the mother
and child. Accordingly, `percentage of women aged 15-19 who were already mothers or
pregnant at the time of survey’ has been tabulated and it depicts the percentage of women
who have begun child bearing among all ever married women aged 15-19 years. The ever
married sample denominator for the age group 15-19 years has not been adjusted by the
all women factors for the same age group. This factor should be taken into consideration
while interpreting the results.
Birth interval
26. The information on birth interval, which is defined as the length of time between
Annual Health Survey 2012-13
two successive live births, has been collected in respect of last two live births which took
place during 2009-11 for birth order 2 & above. Short birth intervals are likely to have
adverse bearing on the mother’s health as also on the chances of survival of the neonates
and infants. In the Indian context, the birth interval of 36 months may be taken as the
bare minimum from the perspective of reducing neonatal and infant mortality and also for
achieving the requisite nutritional outcomes. The information on percentage of live births
taking place after an interval of 36 months has been calculated and presented to provide
insight into the pace of child bearing.
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CBR and the TFR. In order to facilitate comparison of completed cohort fertility with the
current fertility, the mean number of ever born children to women aged 45-49 years has
been calculated and presented. The gap between the two would demonstrate the decline
in fertility levels in the recent past.
Abortion
28. Abortion as an option was probed for all the pregnancies which resulted into any
kind of outcome i.e. live birth, still birth, spontaneous and induced abortion during 2009-
2011. This was followed by a series of questions such as when the abortion had taken
place (month & year), month of pregnancy when the abortion had occurred, whether
any ANC was received, whether ultrasound was performed before the abortion, the place
of abortion and who performed the abortion. Based on these data, various indicators
such as percentage of pregnancy(s) to women aged 15-49 years resulting in abortion,
percentage of women who received any ANC before abortion, percentage of women who
went for ultrasound before abortion, average month of pregnancy at the time of abortion,
percentage of abortions performed by skilled health personnel (doctor / nurse / ANM /
LHV / trained dai), and abortions which took place in institutions have been tabulated
and presented.
any method (Contraceptive Prevalence Rate), any modern method and any traditional
method has also been tabulated. Levels of use of contraceptives provide the most obvious
and widely accepted criterion for assessing the success of FP programme.
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32. For working out the estimates on unmet need, the unmet need for spacing has been
calculated as the “proportion of pregnant CMW whose pregnancy was mistimed; CMW in
lactational amenorrhoea who are not using any family planning method and whose last
birth was mistimed, or whose last birth was unwanted but now they say they want more
children; fecund CMW who are neither currently pregnant nor in amenorrhoea, and who
are not using any family planning method and say that they want to wait for two or more
years for the next birth, including those who say that they are unsure whether they want
another child, or want another child but are unsure when to have the birth”.
33. The unmet need for limiting has been worked out as the “proportion of pregnant
CMW whose pregnancy was unwanted; CMW in lactational amenorrhoea who are not
using any family planning method, whose last child was unwanted and who do not want
any more children; and fecund CMW who are neither pregnant nor in amenorrhoea who
are not using any method of family planning and who want no more children”. Using
the met demand for contraception (current contraceptive users) and the unmet need for
contraception, the total demand for family planning as well as the percentage demand
satisfied can be assessed. The classification for the need for family planning is illustrated
as under:
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Ante-natal Care
34. Ante-natal care constitutes one of the key elements towards initiatives to promote
safe motherhood. A series of questions to capture various aspects of ante-natal care such
as, number of ante-natal check-ups received, months of pregnancy at the time of first
ANC, main source of ANC, type of tests performed during ANC, number of Tetanus Toxoid
(TT) injections received and number of days of consumption of Iron & Folic Acid (IFA)
tablets/syrup, were asked from the EMW aged 15-49 years in respect of their last two
outcomes of pregnancies which have resulted into live births / still births during 2009-
11. However, appropriate indicators based on the above aspects have been tabulated in
respect of responses recorded for last live / still births.
35. The indicators included in the Factsheets are percentage of mothers who received
any ANC, percentage of mothers who had ANC in first trimester, percentage of mothers
who received 3 or more ANC, percentage of mothers who received at least one TT injection,
percentage of mothers who consumed IFA for 100 days or more and percentage of mothers
who had full ante-natal check-up. The full ante-natal check-up comprises at least three
visits for ANC, at least one TT injection received and IFA consumption for 100 days or
more. In addition, percentage of mothers who received ANC from Government source,
percentage of mothers whose blood pressure & blood (for Hb) were taken and percentage
of mothers who underwent ultrasound have been calculated and presented. Besides,
percentage of Currently Married Pregnant Women aged 15-49 years registered for ANC
has also been presented.
Delivery Care
36. Under Delivery Care, the details about place of delivery, source of transport provided/
availed for reaching the institution, length of stay in the institution after delivery, type of
delivery (normal / caesarean / assisted) and the personnel conducting delivery in case
of domiciliary births were inquired from the EMW aged 15-49 years for their last two
pregnancy outcomes resulting into live births/still births during 2009-11. As in the case
of ante-natal care, indicators based on these parameters have been tabulated in respect
of responses for last live/still births. Percentage of deliveries taken place in institutions
and their distribution into Government and Private institutions; percentage of deliveries
taken place at home; percentage of home deliveries conducted by skilled health personnel;
and percentage of Safe deliveries are the key indicators presented in the Factsheet. Safe
delivery comprises institutional deliveries and home deliveries conducted by doctor/ nurse
/ ANM / LHV and it does not include those attended by trained dai. However, trained dai
is included under skilled health personnel. If the respondent has mentioned more than
one person attending delivery, only the most qualified person is taken into consideration.
Annual Health Survey 2012-13
37. As regards the extent of stay in institutions after delivery which is very crucial
and has a direct bearing on the new born care as also on the health of the mother, the
percentage of less than 24 hours stay in the institution after delivery has been worked out
and presented. Besides, percentage of Caesarean deliveries out of total deliveries taken
place in Government and Private Institutions respectively has also been presented.
Post-natal Care
38. Getting a Post partum / Post-natal check-up soon after the birth of baby or within
48 hours is crucial for the health of both the mother and the child. Accordingly, three
indicators, viz., percentage of mothers who received Post-natal check-up within 48 hours
of delivery, percentage of mothers who received Post-natal check-up within one week of
delivery and percentage of mothers who did not receive any Post-natal check-up have been
calculated and presented. In case of institutional delivery where the woman had stayed
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there for at least 48 hours, it was presumed that the post-natal care was given within 48
hours. These indicators are based on the last outcome of pregnancy which resulted into
live / still birth during 2009-11.
39. Along with the first post-natal check-up of mother, check-up of the new borns is
essential. It was therefore probed from the mothers, whose last outcome of pregnancy
resulted into live birth during 2009-12, when was the new born checked up. Based on
this, the percentage of new born who received check up within 24 hours of birth has been
worked out and presented. In case of institutional delivery if the baby remained there for
at least 24 hours, it was presumed that the first check-up was done within 24 hours.
41. In order to gauge the spread and effectiveness of the JSY, Ever Married Women
aged 15-49 years were probed whether they had availed the maternity financial assistance
for safe motherhood under the scheme in respect of their last two outcomes of delivery
resulting in live / still births during 2009-11. The percentage of mothers who availed
financial assistance for delivery, percentage of mothers who availed financial assistance
for institutional delivery and percentage of mothers who availed financial assistance for
Government institutional delivery under JSY, all in respect of the last outcome of delivery
resulting in live birth / still birth, have been calculated and presented. Since the scope
of JSY has been extended to domiciliary births also, these three sets of indicators would
present a holistic picture.
Immunization
42. The information on childhood immunization, i.e., vaccination coverage, has been
collected for all living children [last two outcomes of pregnancy(s) resulting in live births
Annual Health Survey 2012-13
43. In conformity with the International and Govt. of India guidelines which specify that
children should be fully vaccinated by the time they complete their first year of life, the
12-23 months age group has been chosen for analysis. The percentage of children having
Immunization Card, percentage of children aged 12-23 months who have received BCG,
percentage of children who have received 3 doses of polio vaccine, percentage of children
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who have received polio dose at birth, percentage of children who have received three doses
of DPT vaccine and percentage of children who have received measles vaccine, all for the
age group 12-23 months, have been calculated and presented. Besides the percentage of
children aged 12-23 months who have been fully immunized, the percentage of children
aged 12-23 months who did not receive any vaccination have also been tabulated in
order to portray the complete picture of immunization. According to the WHO guidelines,
children are considered fully immunized when they have received vaccination against
tuberculosis, three doses of DPT, three doses of the poliomyelitis and one dose of measles.
Birth weight
46. Birth weight is an important indicator to measure the vulnerability of a new born
to the risk of childhood illness and chances of survival. The information on birth weight
assists in monitoring programmes to reduce neo-natal and infant mortality through a
Annual Health Survey 2012-13
reduction in low birth weight infants. The information on birth weight has been collected
in respect of all living children [last two outcomes of pregnancy(s) resulting in live births
during 2009-11]. Based on this data, the percentage of children whose birth weight was
taken and percentage of children whose birth weight was less than 2.5 Kg. have been
worked out and presented.
Childhood diseases
47. Treatment practices and contact with health services among children with the 3
most important childhood illnesses namely, Acute Respiratory Infection (ARI), Fever and
Diarrhoea, help in the assessment of National Programmes aimed at reducing the mortality
impact of these illnesses. The information on children suffering from Acute Respiratory
Infection, Fever and Diarrhoea in respect of all the living children [last two outcomes of
pregnancy(s) resulting in live births during 2009-11] during fifteen days preceding the date
of survey has been collected. This has been done to minimise the recall lapse. Besides the
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prevalence, the information on treatment of ARI with antibiotics, treatment of fever and
the treatment of diarrhoea with Home Available Fluids (HAF) / fluids prepared from ORS
packet has been collected. The treatment of diarrhoeal diseases with Oral Rehydration
Therapy (ORT) aids in the assessment of programmes that recommends such treatment.
Based on these data, the percentage of children suffering from Diarrhoea and received
HAF / ORS / ORT, percentage of children suffering from ARI and sought treatment, and
percentage of children suffering from fever and sought treatment have been calculated
and presented.
49. Exclusive breastfeeding for the first six months of the child’s life is an essential
component of the optimal infant and young child feeding practices. The Government of India
recommends that children should be exclusively breastfed for the first six months of life
(i.e., the child should be given only breast milk and nothing else, not even water). In order
to assess the situation on ground, the mothers of all living children [last two outcomes of
pregnancy(s) resulting in live births during 2009-11] were asked how many days/months
did they exclusively breastfeed their baby. Based on the responses, percentage of children
aged 6-35 months exclusively breastfed for at least six months has been worked out and
presented.
Complementary feeding
50. The introduction of complementary feeding at six months of age, solid and semi-
solid food and the diverse food combinations fed to children also constitute part of the
Annual Health Survey 2012-13
xiii
JHARKHAND
Birth Registration
51. India, being a signatory to the UN Convention on the Rights of the Child, 1989
which recognizes birth registration as one of the first rights of child, is committed to
achieve universalization of birth registration. In India, registration of birth is compulsory
under the Registration of Births and Deaths (RBD) Act, 1969. The Act mandates that
every birth should be registered and a birth certificate provided free of charge to the
informant. Despite significant efforts to improve the Civil Registration System, especially
during the past decade, the overall level of registration of births still falls short by about
25 percent. The registration system in the country functions at different levels of efficiency
across States/UTs. In order to assess the functioning of the Civil Registration System
in the community, information on whether the birth of the baby was registered with the
civil authority and if so, the birth certificate was received or not in respect of all living
children [last two outcomes of pregnancy(s) resulting in live births during 2009-11] has
been collected. Based on this, the percentage of children whose births were registered
and the percentage of children whose births were registered & who also received the Birth
Certificates have been arrived at and presented.
52. Under the RBD Act, the institutions where birth takes place is to register the birth
and issue the birth certificate in case they have been declared as the registration units
or to report the event to the local Registrar of Births & Deaths. Of late, majority of the
Government institutions have been declared as registration units. Since a review of the
system across different States/UTs has revealed that due to lack of a proper and complete
reporting system, the institutional births which have already been registered are not being
reflected in the final figures compiled and therefore in order to net all such cases, it was
presumed that the birth would have been registered. However, even in these cases it was
probed whether the birth certificate has been received.
53. This Factsheet of the second updation survey pertains to the State of Jharkhand.
The field work for the AHS has been carried out by M/s TNS India Pvt. Ltd. Gurgaon and
M/s Nielsen (India) Pvt. Ltd.), New Delhi in the allotted zones. The third party audit work
in the State has been done by M/s. Research and Development Initiative Pvt. Ltd., New
Delhi.
54. The survey reference period of this Factsheet is 01.01.2011 to 31.12.2011 and the
results presented as based on the data for the period 2009, 2010 and 2011.
Annual Health Survey 2012-13
xiv
JHARKHAND
SAMPLE PARTICULARS
Sample Units Household Population
State / District
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 2108 1513 595 392734 318142 74592 2019298 1644036 375262
Bokaro 106 47 59 21645 13042 8603 109548 65779 43769
Chatra 72 66 6 12282 11282 1000 69267 63510 5757
Deoghar 67 54 13 10177 8261 1916 54269 44608 9661
Dhanbad 121 45 76 22724 11849 10875 118510 61300 57210
Dumka 83 75 8 11265 10339 926 55026 50636 4390
Garhwa 79 74 5 20717 19654 1063 106313 100822 5491
Giridih 112 101 11 20259 19266 993 117241 111633 5608
Godda 60 56 4 13249 12550 699 67445 63911 3534
Gumla 154 141 13 33467 31471 1996 166488 156732 9756
Hazaribagh 98 67 31 22829 19252 3577 124592 105798 18794
Kodarma 72 54 18 12349 10701 1648 72466 63071 9395
Lohardaga 107 87 20 22851 20510 2341 118200 106222 11978
Pakaur 33 30 3 6472 6007 465 31934 29825 2109
Palamu 131 119 12 25256 24045 1211 134018 127246 6772
Pashchimi Singhbhum 126 96 30 21904 18551 3353 104482 88412 16070
Purbi Singhbhum 279 97 182 37470 16513 20957 174472 75210 99262
Ranchi 137 75 62 26129 17666 8463 133247 90577 42670
Sahibganj 271 229 42 51689 47183 4506 261780 238744 23036
Garhwa 19725 18659 1066 19177 18156 1021 3129 2968 161
Giridih 23850 22803 1047 22975 21992 983 4090 3941 149
Godda 12790 12108 682 12224 11569 655 2704 2601 103
Gumla 29190 27485 1705 26940 25386 1554 7514 7174 340
Hazaribagh 24930 21400 3530 23816 20481 3335 4328 3831 497
Kodarma 14701 12869 1832 14026 12290 1736 2589 2299 290
Lohardaga 20995 18815 2180 19514 17456 2058 5394 4964 430
Pakaur 6344 5909 435 5902 5486 416 1652 1597 55
Palamu 24457 23300 1157 23587 22486 1101 4188 3996 192
Pashchimi Singhbhum 18686 15546 3140 17333 14386 2947 4816 4254 562
Purbi Singhbhum 35135 15307 19828 32951 14287 18664 5993 2974 3019
Ranchi 24887 16779 8108 23089 15461 7628 5203 3776 1427
Sahibganj 49915 45721 4194 46814 42876 3938 11814 11071 743
1
JHARKHAND
Urban
28%
Rural
72%
200
150
100
Annual Health Survey 2012-13
50
Rural Urban
2
JHARKHAND
Urban
19%
Rural
81%
45000
40000
35000
30000
25000
Annual Health Survey 2012-13
20000
15000
10000
5000
Rural Urban
3
JHARKHAND
Urban
19%
Rural
81%
300000
250000
200000
150000
Annual Health Survey 2012-13
100000
50000
Rural Urban
4
JHARKHAND
HOUSEHOLD CHARACTERISTICS
Average Household Size
State / District SC ST All
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 5.1 5.1 5.1 4.9 5.0 4.6 5.2 5.2 5.1
Bokaro 5.0 5.0 5.1 4.8 4.9 4.8 5.1 5.0 5.1
Chatra 5.4 5.4 5.4 5.8 5.8 5.5 5.6 5.6 5.8
Deoghar 5.0 5.0 5.0 5.1 5.1 5.2 5.3 5.3 5.0
Dhanbad 5.2 5.0 5.3 5.2 5.2 5.0 5.2 5.2 5.3
Dumka 4.5 4.5 4.5 4.7 4.7 4.7 4.9 4.9 4.7
Garhwa 5.1 5.1 5.0 5.1 5.1 5.4 5.2 5.2 5.2
Giridih 5.4 5.4 5.4 5.6 5.6 5.3 5.9 5.9 5.7
Godda 5.1 5.1 5.3 4.5 4.5 4.3 5.1 5.1 5.1
Gumla 4.8 4.8 4.8 5.0 5.0 4.6 5.0 5.0 4.9
Hazaribagh 5.2 5.3 5.1 5.2 5.2 4.9 5.4 5.5 5.3
Kodarma 5.5 5.5 5.3 5.1 5.4 4.7 5.9 6.0 5.7
Lohardaga 4.9 4.9 4.8 5.3 5.3 4.7 5.2 5.2 5.1
Pakaur 5.0 5.0 5.1 4.7 4.7 4.1 4.9 4.9 4.5
Palamu 5.2 5.2 5.2 5.5 5.5 5.2 5.3 5.3 5.6
Pashchimi Singhbhum 4.6 4.6 5.0 4.9 4.9 4.5 4.8 4.8 4.8
Purbi Singhbhum 4.6 4.4 4.8 4.6 4.7 4.4 4.7 4.6 4.7
Ranchi 4.8 4.7 4.8 5.0 5.1 4.7 5.1 5.1 5.0
Sahibganj 4.9 4.9 5.0 4.6 4.6 5.0 5.0 5.0 5.1
Garhwa 37.0 37.4 31.8 81.0 82.5 63.2 61.4 64.3 26.7
Giridih 37.9 38.4 30.4 80.9 82.8 56.5 55.8 58.0 17.7
Godda 37.1 37.5 28.7 81.8 83.1 59.4 60.6 62.9 17.5
Gumla 35.0 35.3 30.8 76.7 78.2 57.8 49.6 51.8 18.9
Hazaribagh 33.3 34.6 28.6 66.4 71.0 52.0 40.1 45.4 19.3
Kodarma 36.5 37.5 32.2 77.9 81.3 64.0 44.6 48.3 25.8
Lohardaga 36.1 36.9 29.8 77.2 80.4 57.9 47.5 52.5 14.0
Pakaur 37.6 38.3 24.9 76.6 78.6 48.4 64.1 67.6 10.0
Palamu 37.0 37.4 31.8 80.6 81.7 64.9 56.6 58.6 25.3
Pashchimi Singhbhum 33.6 35.1 26.6 69.8 73.8 52.7 54.3 62.0 21.3
Purbi Singhbhum 27.4 29.8 25.6 55.5 62.5 50.8 32.8 52.0 19.1
Ranchi 31.7 34.1 28.0 63.2 69.6 54.0 31.0 44.2 11.3
Sahibganj 36.8 37.5 31.6 76.3 78.1 63.9 61.5 65.3 31.1
5
JHARKHAND
SEX RATIO
Sex Ratio at Birth Sex Ratio (0- 4 years) Sex Ratio (All ages)
State / District
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 930 943 884 948 961 903 954 967 915
Bokaro 885 913 851 913 942 883 917 942 895
Chatra 950 947 985 1036 1031 1086 962 964 938
Deoghar 952 952 947 979 989 916 929 936 898
Dhanbad 896 907 887 941 940 942 913 937 898
Dumka 927 936 782 915 918 849 965 970 905
Garhwa 980 980 975 966 971 888 930 933 891
Giridih 994 984 1206 975 968 1119 982 983 957
Godda 952 951 980 1007 1002 1146 942 943 922
Gumla 945 942 1004 970 969 977 992 995 957
Hazaribagh 896 908 848 907 918 860 959 974 909
Kodarma 979 992 914 997 1011 926 971 979 934
Lohardaga 919 923 875 973 979 913 984 988 954
Pakaur 914 929 586 888 897 674 954 957 903
Palamu 964 975 794 991 994 951 958 960 929
Pashchimi Singhbhum 977 983 939 974 992 860 993 1005 936
Purbi Singhbhum 881 868 894 916 911 920 942 978 917
Ranchi 906 926 868 918 963 838 969 981 951
Sahibganj 936 940 895 948 953 900 948 956 887
Annual Health Survey 2012-13
6
JHARKHAND
980
960
940
920
900
880
860
840
Total Rural Urban
Sex Ratio at Birth Sex Ratio (0- 4 years) Sex Ratio (All ages)
1030
1010
990
970
950
930
Annual Health Survey 2012-13
910
890
870
850
Sex Ratio at Birth Sex Ratio (0- 4 years) Sex Ratio (All ages)
7
JHARKHAND
8
JHARKHAND
MARRIAGE
Marriages among Marriages among Males Currently Married Women
Females below legal age below legal age (21 years) aged 20-24 years married
State / District
(18 years) (%)# (%)# before legal age (18 years) (%)
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 11.0 13.2 5.2 15.0 18.3 6.6 45.2 48.4 32.1
Bokaro 4.7 5.5 3.9 8.5 12.1 5.3 29.8 31.6 27.6
Chatra 10.7 12.0 2.0 19.2 20.8 7.7 49.9 51.9 21.7
Deoghar 19.6 22.0 7.6 22.4 25.6 8.0 63.5 66.2 37.7
Dhanbad 9.5 12.8 7.5 12.3 15.5 10.4 42.4 47.9 37.8
Dumka 17.3 18.1 8.1 21.2 22.5 6.7 56.8 57.9 37.7
Garhwa 12.4 13.6 - 20.8 22.9 - 49.0 49.6 -
Giridih 17.6 18.7 1.1 24.5 26.2 4.0 62.8 63.7 43.0
Godda 17.7 18.5 - 16.9 17.7 - 58.0 58.5 -
Gumla 7.7 8.1 2.1 14.5 15.3 5.5 30.5 30.7 26.6
Hazaribagh 11.4 12.9 6.2 13.5 15.8 5.8 42.7 44.9 31.0
Kodarma 12.1 13.5 5.2 18.6 20.2 11.0 54.0 56.8 35.9
Lohardaga 5.8 6.1 4.7 15.6 17.8 4.4 24.4 25.0 19.1
Pakaur 24.3 25.9 - 23.8 25.5 - 51.4 52.1 -
Palamu 10.1 10.5 5.5 20.6 21.6 7.3 46.2 46.7 35.8
Pashchimi Singhbhum 8.3 9.0 5.2 12.5 14.3 4.2 33.8 34.1 31.8
Purbi Singhbhum 6.2 8.0 4.9 6.9 10.6 4.4 32.8 36.0 29.4
Ranchi 5.6 7.1 3.4 9.9 12.7 5.6 29.3 31.7 24.6
Sahibganj 14.6 15.8 6.2 17.3 18.6 8.8 45.6 46.8 35.3
Dumka 33.1 33.9 20.0 23.6 23.4 26.0 20.1 20.0 21.3
Garhwa 43.3 44.7 - 22.9 22.6 - 20.0 19.8 -
Giridih 48.1 49.3 27.0 22.7 22.4 26.1 19.5 19.3 21.7
Godda 34.8 35.3 - 24.0 23.8 - 20.2 20.0 -
Gumla 25.5 25.8 20.5 24.9 24.7 27.3 21.8 21.7 23.3
Hazaribagh 29.2 30.7 22.3 24.2 23.7 26.2 20.3 20.0 21.4
Kodarma 38.5 40.9 25.5 22.9 22.7 24.2 19.7 19.5 21.0
Lohardaga 23.6 24.7 12.8 24.2 23.5 28.1 21.3 21.0 22.6
Pakaur 31.1 31.5 - 23.4 22.9 - 19.9 19.7 -
Palamu 41.6 42.6 23.7 23.1 22.9 26.5 20.2 20.1 22.3
Pashchimi Singhbhum 21.2 21.4 20.0 25.2 24.7 27.6 21.3 21.1 22.7
Purbi Singhbhum 20.5 19.5 21.3 26.6 25.4 27.4 21.9 20.8 22.7
Ranchi 22.5 23.4 20.8 25.8 24.8 27.3 21.9 21.2 23.0
Sahibganj 30.4 31.3 21.7 24.1 23.8 26.4 20.4 20.3 21.2
9
# Based on marriages taken place during 2009-2011
Annual Health Survey 2012-13
10
Jharkhand: Mean age at Marriage (based on marriages taken place during 2009-2011)
30
JHARKHAND
25
20
15
10
Male Female
JHARKHAND
SCHOOLING STATUS
Children currently attending school (Age 6-17 years) (%)
State / District Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 91.7 90.9 94.1 91.6 91.0 93.5 91.8 90.9 94.9
Bokaro 94.2 92.4 96.0 94.0 92.0 95.9 94.5 92.8 96.2
Chatra 92.0 91.7 95.1 92.5 92.4 93.3 91.5 90.9 96.8
Deoghar 91.1 90.3 95.1 91.7 90.8 96.4 90.3 89.8 93.7
Dhanbad 91.7 91.5 91.8 91.4 91.7 91.2 92.1 91.3 92.6
Dumka 87.5 87.1 93.6 87.4 86.9 93.6 87.7 87.2 93.7
Garhwa 96.1 96.2 - 96.5 96.7 - 95.7 95.8 -
Giridih 92.7 92.7 93.3 92.9 93.0 91.5 92.5 92.3 95.1
Godda 90.5 90.3 - 90.8 90.7 - 90.1 89.9 -
Gumla 90.2 90.0 93.3 89.8 89.6 92.0 90.7 90.4 94.6
Hazaribagh 96.4 96.2 97.1 96.0 95.9 96.0 96.8 96.5 98.2
Kodarma 96.4 96.2 97.3 96.3 96.2 96.7 96.5 96.3 97.8
Lohardaga 91.9 91.7 93.7 91.0 90.8 92.7 92.8 92.6 94.8
Pakaur 80.5 79.9 - 78.8 78.1 - 82.3 81.9 -
Palamu 93.6 93.3 97.6 94.0 93.8 96.2 93.1 92.8 99.0
Pashchimi Singhbhum 84.0 82.5 93.0 85.2 83.9 92.2 82.8 80.9 93.9
Purbi Singhbhum 92.5 90.5 94.0 91.9 90.0 93.4 93.1 91.0 94.7
Ranchi 92.5 91.4 94.5 91.5 90.5 93.4 93.6 92.4 95.7
Sahibganj 89.4 88.7 94.5 89.2 88.6 93.9 89.6 88.9 95.2
Giridih 5.8 5.8 6.2 5.8 5.7 8.4 5.7 5.8 4.1
Godda 6.7 6.9 - 6.9 7.0 - 6.5 6.7 -
Gumla 7.9 8.1 5.2 8.6 8.7 6.4 7.2 7.4 3.9
Hazaribagh 3.1 3.3 2.5 3.6 3.6 3.6 2.6 3.0 1.4
Kodarma 2.9 3.0 2.4 3.1 3.1 3.1 2.6 2.9 1.6
Lohardaga 7.1 7.3 5.7 8.1 8.3 6.3 6.1 6.2 5.0
Pakaur 11.6 11.9 - 13.5 13.8 - 9.6 9.7 -
Palamu 3.9 4.1 1.4 4.0 4.1 2.3 3.8 4.0 0.4
Pashchimi Singhbhum 10.4 11.2 5.9 10.3 10.9 7.0 10.5 11.4 4.7
Purbi Singhbhum 6.3 7.9 5.2 7.0 8.7 5.7 5.6 7.0 4.5
Ranchi 6.6 7.5 4.9 7.6 8.4 6.0 5.5 6.5 3.8
Sahibganj 6.6 6.9 4.4 7.1 7.4 5.1 6.0 6.3 3.6
11
JHARKHAND
WORK STATUS
Children aged 5-14 years engaged in work (%)
State / District Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 2.5 2.8 1.5 2.9 3.2 1.9 2.1 2.4 1.0
Bokaro 1.3 1.4 1.1 1.6 1.8 1.3 1.0 1.0 0.9
Chatra 2.6 2.6 1.9 2.7 2.9 1.1 2.4 2.4 2.5
Deoghar 3.1 3.3 2.2 2.9 3.1 1.4 3.4 3.5 3.0
Dhanbad 1.4 1.3 1.4 2.1 1.9 2.2 0.6 0.6 0.5
Dumka 2.4 2.5 1.4 3.5 3.7 1.7 1.2 1.2 1.1
Garhwa 2.1 2.2 - 2.0 2.1 - 2.2 2.3 -
Giridih 2.6 2.6 1.7 2.7 2.8 2.0 2.5 2.5 1.3
Godda 3.8 3.8 - 4.2 4.3 - 3.3 3.3 -
Gumla 2.6 2.6 2.6 3.7 3.8 3.1 1.4 1.4 2.0
Hazaribagh 1.9 2.0 1.5 2.2 2.4 1.7 1.6 1.7 1.3
Kodarma 1.6 1.6 1.8 2.0 1.9 2.3 1.3 1.4 1.2
Lohardaga 2.5 2.6 1.4 3.1 3.2 2.4 1.8 1.9 0.4
Pakaur 6.9 7.1 - 7.6 7.8 - 6.2 6.4 -
Palamu 2.3 2.4 1.3 2.5 2.6 1.7 2.1 2.1 0.8
Pashchimi Singhbhum 4.2 4.6 1.6 4.2 4.6 2.2 4.1 4.6 1.0
Purbi Singhbhum 1.5 1.9 1.2 2.0 2.5 1.7 0.9 1.2 0.7
Ranchi 2.2 2.5 1.6 2.7 3.0 2.2 1.7 2.0 1.1
Sahibganj 4.7 5.0 2.0 5.3 5.7 2.3 4.1 4.4 1.7
Giridih 38.1 37.9 40.8 70.0 69.8 72.4 11.0 11.3 6.1
Godda 46.7 47.1 - 75.1 75.4 - 17.9 18.4 -
Gumla 48.1 48.7 40.8 78.8 79.8 65.6 18.8 18.9 16.6
Hazaribagh 49.8 53.0 40.0 68.2 69.9 63.3 31.6 36.9 13.7
Kodarma 36.9 36.5 38.5 67.5 67.6 67.4 8.4 8.7 7.3
Lohardaga 48.5 49.5 41.8 76.6 77.9 69.2 21.8 22.9 14.9
Pakaur 56.1 57.1 - 80.1 80.6 - 31.2 32.7 -
Palamu 38.0 38.1 37.5 68.1 68.2 67.3 8.9 9.2 4.5
Pashchimi Singhbhum 51.8 53.9 43.1 77.5 79.0 71.9 27.2 30.4 13.5
Purbi Singhbhum 47.8 52.7 44.5 75.6 79.8 72.9 18.6 25.5 13.9
Ranchi 49.5 55.0 41.9 72.0 76.0 66.6 26.4 33.9 15.8
Sahibganj 51.0 52.5 40.6 75.6 76.9 66.7 25.3 27.3 11.4
12
JHARKHAND
DISABILITY
Prevalence of any type of Disability (Per 100,000 Population)
State / District Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 2046 2049 2035 2407 2415 2386 1677 1686 1653
Bokaro 2455 2857 2093 2896 3395 2460 1979 2296 1684
Chatra 1877 1922 1480 2241 2330 1490 1533 1540 1469
Deoghar 1477 1522 1257 1875 1957 1492 1061 1074 994
Dhanbad 2344 2641 2150 2694 2928 2544 1964 2335 1717
Dumka 2062 2072 1940 2404 2425 2159 1712 1713 1697
Garhwa 1913 1977 - 2221 2315 - 1605 1643 -
Giridih 1393 1391 1426 1713 1711 1746 1098 1099 1091
Godda 1869 1925 - 2333 2396 - 1395 1445 -
Gumla 2324 2333 2191 2679 2685 2592 1973 1985 1790
Hazaribagh 1509 1563 1327 1859 1932 1624 1158 1202 997
Kodarma 1812 1908 1375 2218 2340 1698 1423 1504 1035
Lohardaga 2282 2337 1901 2665 2712 2337 1905 1968 1457
Pakaur 1349 1352 - 1487 1506 - 1203 1189 -
Palamu 1933 1944 1769 2264 2281 2026 1608 1616 1495
Pashchimi Singhbhum 1965 1894 2298 2242 2139 2702 1694 1657 1871
Purbi Singhbhum 2311 2477 2194 2611 2779 2495 1992 2166 1865
Ranchi 2808 3079 2394 3272 3566 2831 2329 2583 1932
Sahibganj 1608 1590 1739 1902 1874 2104 1301 1297 1332
2500
Total
2000 Rural
Urban
Annual Health Survey 2012-13
1500
1000
500
0
Person Male Female
13
Annual Health Survey 2012-13
14
Jharkhand: Prevalence of any type of Disability (Per 100,000 Population)
3000
JHARKHAND
2500
2000
1500
1000
500
0
JHARKHAND
INJURY
Number of Injured Persons by type of Treatment received (Per 100,000 Population)
Severe
State / District
Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 376 416 265 427 467 320 325 365 206
Bokaro 137 126 147 190 181 198 80 69 90
Chatra 841 848 777 836 827 909 846 868 640
Deoghar 634 681 401 625 660 462 643 704 331
Dhanbad 148 109 174 200 137 241 92 80 100
Dumka 67 69 47 84 87 45 50 50 50
Garhwa 346 356 - 375 391 - 318 321 -
Giridih 673 660 856 735 729 817 615 597 896
Godda 725 696 - 616 611 - 836 783 -
Gumla 117 102 338 163 142 457 72 62 218
Hazaribagh 770 767 781 897 925 810 642 612 750
Kodarma 844 869 730 957 987 828 736 758 628
Lohardaga 122 106 232 157 136 301 87 76 162
Pakaur 1044 1061 - 1167 1177 - 914 938 -
Palamu 492 492 487 594 593 609 391 393 357
Pashchimi Singhbhum 122 92 266 177 144 328 68 41 201
Purbi Singhbhum 90 35 129 122 52 170 56 18 84
Ranchi 183 204 150 255 273 227 109 135 69
Sahibganj 701 717 581 762 773 679 638 659 473
15
JHARKHAND
INJURY
Number of Injured Persons by type of Treatment received (Per 100,000 Population)
Minor
State / District
Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 1049 1045 1059 1438 1433 1453 652 660 629
Bokaro 1049 1061 1039 1484 1512 1460 581 590 572
Chatra 1027 1021 1073 1455 1442 1563 622 628 565
Deoghar 926 979 668 1278 1384 777 559 562 544
Dhanbad 1058 696 1295 1427 907 1762 657 470 782
Dumka 430 423 520 586 586 585 270 256 449
Garhwa 1042 1053 - 1353 1374 - 732 736 -
Giridih 1103 1102 1122 1460 1461 1449 774 774 779
Godda 1041 1062 - 1364 1387 - 711 731 -
Gumla 801 757 1417 1139 1074 2047 467 444 786
Hazaribagh 1082 1142 876 1494 1559 1285 668 735 422
Kodarma 1870 1935 1577 2449 2584 1872 1316 1327 1266
Lohardaga 875 801 1392 1212 1092 2036 544 517 738
Pakaur 1246 1252 - 1731 1736 - 734 742 -
Palamu 1922 1939 1683 2656 2670 2467 1202 1226 847
Pashchimi Singhbhum 717 711 747 1050 1059 1010 389 373 468
Purbi Singhbhum 486 301 617 677 407 864 282 192 348
Ranchi 1284 1282 1288 1761 1763 1759 792 793 790
Sahibganj 1266 1274 1204 1744 1763 1607 767 769 755
Jharkhand: Number of Injured Persons by type of Treatment received (Per 100,000 Population)
1600
1400
1200
1000 Person
Annual Health Survey 2012-13
Male
800 Female
600
400
200
0
Severe Major Minor
16
Jharkhand: Number of Injured Persons by type of Treatment received (Per 100,000 Population)
1100
1000
900
800
700
600
500
400
300
200
100
0
Severe Major
JHARKHAND
17
Annual Health Survey 2012-13
JHARKHAND
ACUTE ILLNESS
Persons suffering from Acute Illness (Per 100,000 Population)
Diarrhoea/Dysentery
State / District
Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 346 357 315 350 369 299 342 346 332
Bokaro 178 194 164 184 208 162 172 179 165
Chatra 374 379 333 389 392 364 360 366 301
Deoghar 169 186 89 163 179 84 176 192 95
Dhanbad 360 433 312 330 392 290 393 477 337
Dumka 316 333 95 321 344 45 310 322 150
Garhwa 233 242 - 241 249 - 224 235 -
Giridih 189 192 133 206 211 149 172 176 117
Godda 184 190 - 196 203 - 171 177 -
Gumla 883 867 1112 907 900 1002 859 834 1222
Hazaribagh 372 312 578 370 309 566 373 314 592
Kodarma 248 264 177 267 275 230 230 253 121
Lohardaga 400 396 428 412 420 354 388 372 504
Pakaur 790 809 - 834 852 - 743 763 -
Palamu 229 218 393 244 231 426 215 205 357
Pashchimi Singhbhum 564 576 506 572 593 480 556 560 535
Purbi Singhbhum 375 296 431 360 323 386 390 267 480
Ranchi 223 238 200 237 258 204 210 218 196
Sahibganj 505 544 207 508 555 166 501 532 253
18
JHARKHAND
ACUTE ILLNESS
Persons suffering from Acute Illness (Per 100,000 Population)
Fever (All Types)
State / District
Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 2866 3078 2274 2632 2842 2072 3105 3313 2495
Bokaro 1785 2064 1533 1604 1915 1333 1979 2221 1755
Chatra 3453 3326 4569 3191 3098 3962 3700 3538 5198
Deoghar 1707 1833 1090 1594 1709 1050 1826 1960 1136
Dhanbad 2591 2117 2901 2425 1948 2732 2771 2298 3086
Dumka 1688 1729 1183 1570 1634 810 1809 1826 1597
Garhwa 2610 2616 - 2146 2183 - 3074 3045 -
Giridih 2687 2688 2672 2362 2382 2080 2987 2968 3292
Godda 2239 2326 - 2158 2234 - 2322 2419 -
Gumla 4473 4544 3478 4155 4255 2745 4788 4829 4212
Hazaribagh 3419 3934 1655 3169 3640 1656 3670 4222 1653
Kodarma 2300 2499 1403 2020 2177 1353 2568 2801 1456
Lohardaga 2625 2582 2927 2396 2340 2780 2850 2818 3077
Pakaur 4719 4735 - 4738 4742 - 4698 4728 -
Palamu 2960 2992 2502 2408 2437 2012 3500 3532 3024
Pashchimi Singhbhum 4107 4290 3246 4062 4279 3093 4150 4302 3409
Purbi Singhbhum 1866 1931 1819 1727 1830 1657 2014 2036 1997
Ranchi 3260 3818 2409 2966 3518 2140 3564 4123 2693
Sahibganj 3561 3699 2512 3296 3444 2211 3837 3962 2847
19
JHARKHAND
400
350
300
250 Total
Rural
200 Urban
150
100
50
0
Person Male Female
Jharkhand: Persons suffering from Acute Respiratory Infection (ARI) (Per 100,000 Population)
4500
4000
3500
3000
Total
2500 Rural
Urban
2000
1500
1000
500
0
Person Male Female
Jharkhand: Persons suffering from Fever (All Types) (Per 100,000 Population)
3500
3000
2500
Total
2000
Rural
Urban
1500
1000
500
0
Person Male Female
Annual Health Survey 2012-13
Jharkhand: Persons suffering from any type of Acute Illness (Per 100,000 Population)
7600
7400
7200
7000
Total
6800 Rural
Urban
6600
6400
6200
6000
5800
Person Male Female
20
JHARKHAND
4000
3500
3000
2500 Total
Rural
2000 Urban
1500
1000
500
0
Diarrhoea/Dysentery Acute Respiratory Infection (ARI) Fever (All Types)
7000
6000
5000
4000
3000
Annual Health Survey 2012-13
2000
1000
21
JHARKHAND
ACUTE ILLNESS
Persons suffering from Acute Illness and taking treatment from Any Source (%)
State / District Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 88.3 88.1 89.0 89.3 89.1 89.9 87.4 87.2 88.2
Bokaro 88.6 90.8 86.6 89.2 91.4 87.3 88.2 90.4 86.1
Chatra 86.2 90.5 55.1 96.4 98.1 79.1 78.1 84.0 44.2
Deoghar 87.1 86.7 92.3 97.2 97.4 95.4 77.0 76.1 88.6
Dhanbad 91.7 94.3 90.2 91.6 94.4 90.0 91.8 94.3 90.4
Dumka 90.4 90.7 85.7 90.4 90.7 86.0 90.5 90.8 86.5
Garhwa 91.7 91.6 - 93.1 93.3 - 90.3 89.9 -
Giridih 92.3 92.5 88.6 97.4 97.3 100.0 88.1 88.4 84.2
Godda 87.4 87.5 - 87.2 87.2 - 87.7 87.8 -
Gumla 75.8 75.0 85.8 77.0 76.1 86.5 74.9 73.9 85.1
Hazaribagh 89.0 88.6 90.4 89.1 88.6 90.8 88.9 88.7 89.9
Kodarma 95.6 95.5 95.9 95.9 95.4 100.0 95.4 95.5 95.0
Lohardaga 77.8 75.5 90.6 78.6 75.8 93.3 77.1 75.2 88.0
Pakaur 93.9 94.6 - 93.3 93.6 - 94.7 95.8 -
Palamu 90.6 92.0 64.2 91.1 91.5 79.7 90.2 92.4 56.3
Pashchimi Singhbhum 87.7 87.7 87.7 88.6 88.4 89.4 86.9 87.0 86.3
Purbi Singhbhum 89.0 84.3 92.6 87.7 81.4 92.5 90.4 87.2 92.7
Ranchi 87.1 85.8 89.5 87.1 85.9 89.3 87.1 85.6 89.7
Sahibganj 91.8 94.4 65.4 92.1 94.4 67.6 91.5 94.5 63.6
Persons suffering from Acute Illness and taking treatment from Government Source (%)
State / District Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 12.6 12.9 11.8 13.5 14.0 11.9 11.8 11.9 11.6
Bokaro 10.0 6.7 13.1 10.4 5.7 14.9 9.6 7.7 11.4
Chatra 5.8 4.8 17.8 6.6 6.0 14.0 5.1 3.6 20.8
Deoghar 14.6 15.2 8.3 23.1 24.4 9.7 3.9 3.7 6.4
Dhanbad 10.7 11.9 9.9 10.6 11.1 10.2 10.8 12.6 9.7
Dumka 20.5 20.9 14.0 20.5 20.8 14.9 20.4 20.9 13.0
Garhwa 8.1 8.1 - 9.9 10.0 - 6.2 6.1 -
Annual Health Survey 2012-13
Giridih 7.8 7.7 10.5 12.8 12.9 7.7 3.3 2.7 11.8
Godda 6.6 6.6 - 7.7 7.6 - 5.6 5.6 -
Gumla 24.0 23.8 26.5 24.3 24.0 27.4 23.8 23.6 25.6
Hazaribagh 10.6 9.9 12.8 11.3 10.5 13.8 9.9 9.4 11.8
Kodarma 5.9 4.8 9.7 5.5 4.2 16.9 6.2 5.4 8.1
Lohardaga 21.2 21.1 21.8 20.2 20.4 19.5 22.1 21.7 24.2
Pakaur 12.4 12.5 - 12.5 12.6 - 12.4 12.4 -
Palamu 3.1 3.1 2.7 3.2 3.2 1.3 3.1 3.0 3.6
Pashchimi Singhbhum 20.5 20.4 20.9 21.0 21.3 19.5 19.9 19.5 22.1
Purbi Singhbhum 12.5 20.8 6.9 12.1 20.6 6.5 12.8 21.1 7.2
Ranchi 11.9 10.8 13.8 12.2 11.2 14.1 11.6 10.5 13.6
Sahibganj 6.7 6.2 14.8 6.8 6.3 14.7 6.7 6.1 14.9
22
JHARKHAND
CHRONIC ILLNESS
Having any kind of Symptoms of Chronic Illness (Per 100,000 Population)
State / District Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 8814 8087 10844 7897 7239 9655 9750 8931 12137
Bokaro 9714 8844 10497 8907 7856 9825 10584 9875 11245
Chatra 7272 7192 7973 6737 6604 7852 7777 7742 8098
Deoghar 5807 5757 6053 5423 5312 5945 6209 6215 6175
Dhanbad 15381 14118 16207 12972 11900 13663 17994 16479 19002
Dumka 14258 14410 12373 12281 12393 10931 16287 16465 13972
Garhwa 5616 5508 - 4928 4853 - 6302 6158 -
Giridih 6031 6063 5552 5070 5050 5348 6918 6992 5767
Godda 7538 7585 - 7276 7331 - 7807 7844 -
Gumla 9210 8868 14041 8686 8383 12938 9728 9347 15146
Hazaribagh 5450 5129 6549 4784 4475 5777 6119 5767 7405
Kodarma 5218 5204 5282 4880 4920 4709 5542 5471 5883
Lohardaga 11472 10325 19481 10319 9374 16802 12608 11258 22202
Pakaur 5184 5120 - 4762 4722 - 5629 5538 -
Palamu 6408 6283 8205 5714 5572 7664 7089 6976 8782
Pashchimi Singhbhum 12156 12235 11784 10756 10776 10668 13533 13649 12966
Purbi Singhbhum 6723 5120 7860 6372 4863 7412 7098 5386 8350
Ranchi 8706 7900 9937 8127 7531 9018 9304 8274 10908
Sahibganj 5831 5878 5476 5151 5222 4625 6540 6554 6424
Having any kind of Symptoms of Chronic Illness and sought Medical Care (%)
State / District Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 80.5 76.0 89.9 82.0 77.8 90.5 79.2 74.5 89.3
Bokaro 91.9 90.1 93.3 90.5 87.8 92.4 93.2 92.0 94.2
Chatra 78.3 76.4 93.7 78.9 76.9 93.1 77.9 76.0 94.4
Deoghar 77.5 75.1 88.6 79.9 77.6 89.4 75.2 72.8 87.7
Dhanbad 85.2 82.1 87.0 86.6 84.9 87.6 84.1 79.9 86.5
Dumka 72.5 72.1 79.0 75.9 75.5 81.9 69.9 69.4 76.4
Annual Health Survey 2012-13
23
JHARKHAND
CHRONIC ILLNESS
Having diagnosed for Chronic Illness (Per 100,000 Population)
Diabetes
State / District
Person Male Rural
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 802 383 1970 964 476 2268 636 290 1646
Bokaro 1608 660 2463 1882 771 2852 1314 544 2030
Chatra 330 272 832 379 311 945 283 236 716
Deoghar 486 282 1491 700 410 2059 264 149 852
Dhanbad 1534 923 1932 1775 1157 2174 1271 674 1667
Dumka 474 383 1609 587 478 1889 358 286 1297
Garhwa 264 178 - 353 225 - 174 132 -
Giridih 257 219 818 347 299 1003 174 146 623
Godda 346 283 - 424 337 - 266 229 -
Gumla 401 308 1722 506 390 2135 297 226 1309
Hazaribagh 620 431 1268 797 552 1587 443 314 914
Kodarma 490 421 801 669 566 1104 319 285 483
Lohardaga 602 356 2320 685 426 2461 519 286 2177
Pakaur 268 181 - 293 190 - 242 171 -
Palamu 286 244 880 342 291 1035 231 199 715
Pashchimi Singhbhum 608 329 1915 775 424 2348 444 238 1457
Purbi Singhbhum 1417 446 2105 1662 593 2398 1156 294 1785
Ranchi 1316 552 2482 1459 613 2725 1169 490 2227
Sahibganj 342 268 905 400 313 1037 282 221 758
Giridih 315 279 837 316 276 854 313 281 818
Godda 530 469 - 498 430 - 562 508 -
Gumla 533 410 2268 489 381 2004 577 440 2532
Hazaribagh 539 360 1154 501 352 979 578 368 1348
Kodarma 377 339 547 367 340 483 386 338 614
Lohardaga 814 530 2793 736 448 2709 891 611 2879
Pakaur 310 243 - 279 199 - 343 290 -
Palamu 358 338 645 344 325 609 371 350 682
Pashchimi Singhbhum 953 534 2915 915 537 2613 990 532 3235
Purbi Singhbhum 1524 721 2094 1445 673 1977 1609 770 2222
Ranchi 1212 523 2263 1101 444 2084 1326 603 2452
Sahibganj 372 326 722 297 254 610 449 399 846
24
JHARKHAND
2500
2000
Total
1500 Rural
Urban
1000
500
0
Person Male Female
1400
1200
1000
800
600
Annual Health Survey 2012-13
400
200
25
JHARKHAND
2000
1500 Total
Rural
Urban
1000
500
0
Person Male Female
1400
1200
1000
800
600
Annual Health Survey 2012-13
400
200
26
JHARKHAND
CHRONIC ILLNESS
Having diagnosed for Chronic Illness (Per 100,000 Population)
Tuberculosis (TB)
State / District
Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 307 348 192 389 459 200 224 238 183
Bokaro 189 254 131 228 308 158 147 197 100
Chatra 235 225 314 299 287 400 174 168 226
Deoghar 299 324 178 377 412 210 218 233 142
Dhanbad 288 323 265 306 401 244 268 240 287
Dumka 530 553 237 673 699 360 383 405 100
Garhwa 297 300 - 361 369 - 232 232 -
Giridih 273 280 171 346 357 186 206 210 156
Godda 358 369 - 435 448 - 278 289 -
Gumla 271 269 305 386 389 349 158 150 262
Hazaribagh 212 225 170 249 275 164 176 176 176
Kodarma 217 228 170 274 295 184 163 164 155
Lohardaga 263 277 170 317 338 177 210 217 162
Pakaur 578 605 - 840 881 - 302 314 -
Palamu 335 346 173 413 429 183 258 264 162
Pashchimi Singhbhum 443 502 169 658 762 189 233 250 147
Purbi Singhbhum 240 306 193 290 439 188 186 168 199
Ranchi 232 301 126 303 406 149 158 194 103
Sahibganj 557 586 336 695 741 359 412 425 311
27
JHARKHAND
500
450
400
350
300 Total
Rural
250
Urban
200
150
100
50
0
Person Male Female
600
500
400
300
200
Annual Health Survey 2012-13
100
28
JHARKHAND
Jharkhand: Having diagnosed for Asthma/Chronic Respiratory Disease (Per 100,000 Population)
600
500
400
Total
Rural
300
Urban
200
100
0
Person Male Female
Jharkhand: Having diagnosed for Asthma/Chronic Respiratory Disease (Per 100,000 Population)
700
600
500
400
300
Annual Health Survey 2012-13
200
100
29
JHARKHAND
CHRONIC ILLNESS
Having diagnosed for Chronic Illness (Per 100,000 Population)
Arthritis
State / District
Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 1774 1745 1854 1304 1339 1212 2253 2150 2553
Bokaro 2080 2409 1784 1473 1802 1185 2736 3041 2451
Chatra 1311 1301 1406 1216 1239 1018 1402 1358 1808
Deoghar 737 728 779 565 591 441 917 870 1159
Dhanbad 3505 3781 3324 2395 2728 2181 4709 4902 4581
Dumka 3260 3352 2106 2354 2430 1439 4189 4292 2844
Garhwa 1538 1566 - 1327 1373 - 1748 1756 -
Giridih 1103 1152 380 762 788 409 1417 1486 351
Godda 883 870 - 737 737 - 1033 1006 -
Gumla 1154 1127 1537 907 882 1263 1397 1368 1811
Hazaribagh 946 878 1179 672 628 815 1222 1123 1583
Kodarma 949 935 1013 865 885 782 1030 982 1256
Lohardaga 1212 1072 2186 873 783 1487 1546 1356 2897
Pakaur 1037 1079 - 845 881 - 1239 1288 -
Palamu 1418 1470 677 1185 1228 595 1647 1706 765
Pashchimi Singhbhum 3489 3682 2584 2497 2683 1666 4464 4650 3556
Purbi Singhbhum 1059 1271 909 680 914 520 1462 1639 1334
Ranchi 1529 1634 1369 1152 1349 859 1918 1924 1908
Sahibganj 729 728 737 565 589 394 900 872 1118
Giridih 5220 5164 6038 4757 4650 6222 5648 5635 5845
Godda 6510 6430 - 6626 6549 - 6393 6309 -
Gumla 5049 4683 10226 5082 4752 9715 5016 4614 10738
Hazaribagh 5367 4859 7108 5071 4603 6575 5664 5108 7698
Kodarma 5303 5287 5376 5189 5198 5149 5412 5370 5614
Lohardaga 7234 6172 14653 6816 5882 13226 7646 6457 16103
Pakaur 6302 6221 - 6205 6106 - 6405 6342 -
Palamu 6131 6174 5513 5789 5808 5530 6465 6530 5496
Pashchimi Singhbhum 9568 9285 10895 8840 8632 9771 10286 9919 12084
Purbi Singhbhum 6294 4440 7609 6056 4347 7234 6548 4535 8019
Ranchi 7548 6352 9374 7149 6189 8587 7960 6517 10206
Sahibganj 5128 4972 6317 5006 4932 5546 5256 5013 7174
30
JHARKHAND
2500
2000
Total
Rural
1500 Urban
1000
500
0
Person Male Female
3000
2000
Annual Health Survey 2012-13
1000
31
JHARKHAND
Jharkhand: Having diagnosed for any kind of Chronic Illness (Per 100,000 Population)
12000
10000
8000
Total
Rural
6000 Urban
4000
2000
0
Person Male Female
Jharkhand: Having diagnosed for any kind of Chronic Illness (Per 100,000 Population)
14000
12000
10000
8000
6000
Annual Health Survey 2012-13
4000
2000
32
JHARKHAND
CHRONIC ILLNESS
Having diagnosed for any kind of Chronic Illness and getting Regular Treatment (%)
State / District Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 56.3 48.4 70.9 56.7 48.6 71.6 55.9 48.2 70.2
Bokaro 68.7 56.0 77.4 69.0 54.3 78.3 68.5 57.4 76.5
Chatra 51.6 49.3 63.3 52.1 50.0 65.3 51.7 49.6 64.3
Deoghar 53.0 49.4 65.5 51.7 48.2 65.3 52.3 48.7 65.4
Dhanbad 58.6 49.9 63.3 59.3 51.7 63.4 57.9 48.4 63.1
Dumka 43.0 42.6 48.9 43.3 42.6 51.8 42.7 42.5 46.1
Garhwa 50.6 49.3 - 50.5 48.8 - 50.5 49.0 -
Giridih 52.3 51.8 57.0 52.8 52.3 59.3 52.5 52.1 58.1
Godda 36.0 33.9 - 43.9 42.7 - 39.9 38.2 -
Gumla 40.2 37.4 58.8 39.0 36.2 57.8 41.5 38.5 59.8
Hazaribagh 62.0 58.7 69.5 61.6 58.8 68.5 61.8 58.7 69.0
Kodarma 57.1 53.5 72.9 58.2 54.7 73.9 57.6 54.1 73.4
Lohardaga 49.5 43.5 67.1 49.6 43.6 67.9 49.5 43.5 66.5
Pakaur 53.0 51.3 - 53.8 52.5 - 53.3 51.8 -
Palamu 47.6 46.9 57.6 46.9 46.2 59.4 47.2 46.5 58.5
Pashchimi Singhbhum 44.9 39.9 65.2 47.6 42.6 67.2 42.7 37.5 63.5
Purbi Singhbhum 69.6 48.1 78.5 71.2 50.3 79.9 68.0 45.9 77.1
Ranchi 72.8 60.6 85.4 73.0 61.4 85.5 72.7 59.9 85.4
Sahibganj 48.0 45.9 61.2 48.3 46.6 57.6 48.1 46.2 59.3
Having diagnosed for any kind of Chronic Illness and getting Regular Treatment
from Government Source (%)
State / District
Person Male Female
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 15.3 13.8 17.6 16.2 14.5 18.8 14.5 13.2 16.5
Bokaro 32.8 22.0 38.6 34.0 22.6 39.9 31.6 21.5 37.4
Chatra 10.2 10.4 9.4 10.7 10.9 10.2 9.7 9.9 8.5
Deoghar 12.1 12.6 10.5 12.7 12.5 13.3 11.5 12.7 7.2
Dhanbad 10.6 7.7 11.8 12.0 9.2 13.2 9.4 6.5 10.7
Dumka 12.8 10.8 34.1 11.6 9.1 35.1 13.7 12.2 33.1
Annual Health Survey 2012-13
33
JHARKHAND
FERTILITY
Crude Birth Rate (CBR) Natural Growth Rate Total Fertility Rate
State / District
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 23.0 24.3 19.4 17.3 18.2 14.5 2.7 2.9 2.2
Bokaro 22.9 26.5 19.6 17.5 20.2 15.0 2.6 - -
Chatra 23.6 23.6 23.4 19.1 19.0 19.4 3.0 - -
Deoghar 21.7 22.4 18.6 17.4 17.9 14.8 2.5 - -
Dhanbad 23.6 28.0 20.8 18.4 21.7 16.3 2.7 - -
Dumka 25.4 26.0 18.7 18.7 19.2 12.7 3.0 - -
Garhwa 23.3 23.6 19.5 18.7 19.0 15.3 3.0 - -
Giridih 21.6 21.8 18.5 17.5 17.7 14.3 2.5 - -
Godda 23.2 23.4 19.1 16.5 16.7 14.4 3.0 - -
Gumla 25.2 25.6 19.0 16.3 16.5 12.3 3.5 - -
Hazaribagh 19.9 20.7 16.8 15.4 16.3 12.6 2.3 - -
Kodarma 22.6 23.1 20.6 18.2 18.6 16.1 2.7 - -
Lohardaga 27.0 27.9 20.4 18.8 19.6 13.5 3.7 - -
Pakaur 29.2 29.8 18.2 22.5 23.1 13.4 3.7 - -
Palamu 21.9 22.0 19.9 16.8 17.0 14.7 2.9 - -
Pashchimi Singhbhum 25.4 26.5 19.9 17.3 17.8 15.0 3.1 - -
Purbi Singhbhum 20.1 23.4 17.8 14.7 17.1 13.0 2.2 - -
Ranchi 22.7 24.8 19.5 16.5 18.4 13.6 2.7 - -
Sahibganj 23.5 24.3 17.8 17.1 17.6 12.8 3.0 - -
Women aged 20-24 reporting birth of Women reporting birth of order 3 &
State / District order 2 & above (%) above (%)
Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7
Jharkhand 51.8 53.1 47.4 36.2 38.7 27.0
Bokaro 49.3 50.9 46.8 30.1 33.6 25.9
Chatra 52.2 52.3 50.6 35.6 34.9 41.7
Deoghar 57.6 58.7 44.7 37.6 38.6 29.7
Dhanbad 55.9 59.4 52.4 32.3 35.6 29.2
Dumka 55.7 56.6 44.0 36.6 37.9 14.2
Garhwa 46.5 47.0 - 35.9 36.4 -
Annual Health Survey 2012-13
34
JHARKHAND
25.0
20.0
15.0
10.0
5.0
0.0
Total Rural Urban
25.0
20.0
15.0
10.0
Annual Health Survey 2012-13
5.0
0.0
35
JHARKHAND
3.0
2.5
2.0
1.5
1.0
0.5
3.5
3.0
2.5
2.0
Annual Health Survey 2012-13
1.5
1.0
36
JHARKHAND
FERTILITY
Women aged 15-19 years who were
Women with two children wanting no
already mothers or pregnant at the time
State / District more children (%)
of survey (%)
Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7
Jharkhand 65.2 59.1 79.8 41.5 40.7 45.6
Bokaro 76.0 68.3 81.3 36.8 33.6 41.1
Chatra 39.8 37.8 58.8 30.4 30.5 27.3
Deoghar 59.3 56.1 77.2 45.7 46.6 32.5
Dhanbad 78.5 73.9 81.5 46.9 46.1 47.7
Dumka 65.3 65.5 62.1 45.3 44.9 54.2
Garhwa 49.0 48.0 - 32.9 33.1 -
Giridih 60.9 60.5 69.1 36.1 36.1 36.8
Godda 57.2 56.4 - 43.8 44.1 -
Gumla 48.7 47.0 66.3 50.3 49.8 63.1
Hazaribagh 54.5 51.8 64.9 43.8 44.0 41.7
Kodarma 50.7 51.3 47.7 38.1 37.2 50.0
Lohardaga 61.0 57.3 79.4 37.5 37.1 41.2
Pakaur 53.9 56.5 - 47.3 47.1 -
Palamu 61.8 62.6 48.4 32.0 31.5 47.1
Pashchimi Singhbhum 69.1 65.3 83.5 39.0 37.3 50.9
Purbi Singhbhum 80.4 75.0 83.6 45.0 43.3 47.5
Ranchi 72.7 63.9 82.6 42.0 39.9 49.0
Sahibganj 45.7 44.8 54.8 40.0 40.1 38.9
Jharkhand: Women aged 15-19 years who were already mothers or pregnant at the time of survey (%)
60
50
40
Annual Health Survey 2012-13
30
20
10
37
JHARKHAND
FERTILITY
Median age at first live Live Births taking place
Median age at first live birth
birth of Women aged 15- after an interval of 36
State / District of Women aged 25-49 years
49 years months (%)
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 21.7 21.5 22.5 21.0 20.9 21.7 51.1 51.9 48.6
Bokaro 21.5 20.8 22.2 20.8 20.4 21.5 45.8 45.1 46.9
Chatra 21.5 21.3 22.9 20.7 20.6 21.7 57.7 58.6 50.8
Deoghar 20.9 20.5 23.4 20.4 19.9 22.5 51.6 51.7 50.5
Dhanbad 20.9 20.4 21.4 20.2 19.8 20.6 45.5 45.7 45.1
Dumka 20.8 20.7 21.4 20.4 20.3 20.8 53.0 53.2 50.1
Garhwa 21.4 21.3 - 20.8 20.8 - 52.8 52.7 -
Giridih 21.0 20.9 22.8 20.5 20.4 21.8 56.9 56.8 58.4
Godda 21.6 21.5 - 20.9 20.9 - 53.7 53.6 -
Gumla 22.9 22.9 23.9 22.4 22.4 23.0 51.2 51.1 52.1
Hazaribagh 21.3 21.0 22.7 20.6 20.4 21.6 47.1 47.5 45.6
Kodarma 21.1 20.8 22.4 20.5 20.3 21.8 52.1 53.1 45.9
Lohardaga 21.9 21.7 23.7 21.3 21.1 23.0 52.8 52.8 53.7
Pakaur 21.9 21.8 - 21.5 21.4 - 49.1 48.6 -
Palamu 21.7 21.6 23.3 20.8 20.7 22.3 56.8 57.2 49.3
Pashchimi Singhbhum 23.1 23.0 23.4 22.8 22.8 22.9 50.8 50.9 50.4
Purbi Singhbhum 22.4 21.6 23.0 21.8 21.1 22.4 52.1 54.0 50.2
Ranchi 22.6 22.2 23.4 21.9 21.5 22.6 52.1 51.9 52.4
Sahibganj 22.1 22.0 22.7 21.5 21.4 22.0 54.5 54.8 50.9
Giridih 3.1 3.1 3.0 2.8 2.8 2.9 4.8 4.9 4.1
Godda 3.1 3.2 - 2.9 2.9 - 4.6 4.7 -
Gumla 3.3 3.3 2.8 2.9 2.9 2.6 4.7 4.7 4.1
Hazaribagh 3.0 3.0 2.8 2.7 2.7 2.7 4.3 4.4 4.0
Kodarma 3.1 3.1 3.0 2.8 2.8 2.8 4.6 4.7 4.1
Lohardaga 3.6 3.7 2.9 3.0 3.0 2.6 5.3 5.5 4.4
Pakaur 3.1 3.1 - 2.7 2.8 - 4.6 4.7 -
Palamu 3.3 3.3 3.0 2.9 2.9 2.8 5.1 5.1 4.4
Pashchimi Singhbhum 2.9 3.0 2.3 2.5 2.6 2.2 4.3 4.5 3.4
Purbi Singhbhum 2.3 2.3 2.3 2.2 2.2 2.2 3.2 3.2 3.2
Ranchi 3.1 3.3 2.7 2.6 2.7 2.4 4.6 5.0 4.1
Sahibganj 3.1 3.2 2.9 2.8 2.8 2.7 4.6 4.7 4.3
38
Jharkhand: Median age of Women at first live birth
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
39
Annual Health Survey 2012-13
JHARKHAND
ABORTION
Pregnancy to Women Women who went for
Women who received any
aged 15-49 years Ultrasound before abortion
State / District ANC before abortion (%)
resulting in abortion (%) (%)
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 5.4 4.8 7.3 48.4 44.4 57.6 18.7 16.0 25.2
Bokaro 4.6 4.1 5.3 59.4 46.3 71.8 31.9 17.0 46.2
Chatra 1.8 1.7 3.0 44.5 43.4 50.0 22.3 24.2 12.5
Deoghar 3.6 3.9 1.4 36.0 36.5 25.0 12.4 12.9 0.0
Dhanbad 9.2 7.6 10.5 56.5 52.4 59.2 19.0 18.4 19.4
Dumka 6.6 6.8 2.8 49.8 49.4 66.7 7.8 6.8 50.0
Garhwa 4.2 4.4 - 40.9 39.8 - 29.0 28.4 -
Giridih 3.9 3.8 4.7 42.1 44.1 10.0 24.0 23.6 30.0
Godda 1.5 1.4 - 31.3 30.4 - 17.6 17.4 -
Gumla 5.2 5.0 7.6 32.6 31.5 44.7 9.6 9.1 15.8
Hazaribagh 4.9 5.2 3.3 50.1 48.6 61.9 27.4 27.2 28.6
Kodarma 3.8 4.1 1.9 57.5 56.4 71.4 24.8 23.4 42.9
Lohardaga 8.8 8.5 11.2 39.3 36.2 60.0 14.3 12.2 28.0
Pakaur 2.1 2.1 - 46.6 49.3 - 2.8 3.0 -
Palamu 4.9 4.9 4.7 47.0 47.8 33.3 24.8 26.2 0.0
Pashchimi Singhbhum 5.2 4.9 7.9 39.1 37.1 47.1 11.5 8.3 24.3
Purbi Singhbhum 5.2 2.3 7.9 52.1 48.1 53.1 25.9 15.7 28.7
Ranchi 6.9 6.9 7.1 49.4 45.1 57.7 17.5 14.9 22.5
Sahibganj 2.2 2.1 3.3 45.7 44.4 54.8 16.4 15.0 25.8
Average Month of
Abortion performed by Abortion taking place in
pregnancy at the time of
State / District skilled health personnel (%) Institution (%)
abortion
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 2.8 2.9 2.6 52.4 46.6 65.9 47.7 41.7 61.8
Bokaro 2.9 3.2 2.6 66.1 56.6 75.2 56.0 47.5 64.1
Chatra 3.2 3.3 2.5 44.6 41.0 62.5 38.1 33.2 62.5
Deoghar 3.2 3.2 3.8 58.3 57.6 75.0 51.2 50.2 75.0
Dhanbad 2.6 2.8 2.4 70.4 66.3 73.0 67.2 63.2 69.7
Dumka 3.0 3.0 2.5 48.6 48.6 50.3 44.7 44.6 50.3
Garhwa 2.7 2.7 - 60.3 59.1 - 57.4 56.1 -
Annual Health Survey 2012-13
Giridih 3.2 3.3 2.4 63.5 62.5 80.0 56.6 55.8 70.0
Godda 2.5 2.4 - 46.9 43.3 - 40.1 35.8 -
Gumla 2.8 2.8 2.3 28.6 27.4 42.1 25.8 24.9 36.8
Hazaribagh 2.9 2.9 2.9 59.4 57.3 76.2 56.9 55.1 71.4
Kodarma 3.0 3.1 2.6 56.4 55.2 71.4 47.2 45.3 71.4
Lohardaga 2.8 2.8 2.7 39.5 36.1 62.8 36.2 33.1 57.2
Pakaur 3.1 3.1 - 46.0 44.8 - 30.5 28.4 -
Palamu 2.6 2.6 3.0 57.8 57.8 58.3 46.5 46.1 54.5
Pashchimi Singhbhum 3.1 3.1 2.8 30.4 23.7 57.1 24.7 19.1 47.1
Purbi Singhbhum 2.9 2.9 2.8 47.1 33.0 50.9 46.0 28.8 50.6
Ranchi 2.7 2.8 2.4 43.0 34.3 59.9 40.4 31.7 57.0
Sahibganj 3.2 3.3 2.9 46.6 43.2 70.0 34.1 29.9 63.3
40
JHARKHAND
Jharkhand: Abortion where ultrasound was performed/Abortion performed by skilled health personnel (%)
100
90
80
70
60
50
Annual Health Survey 2012-13
40
30
20
10
41
JHARKHAND
Current Usage
State / District Male Sterilization (%) Copper-T/IUD (%) Pills (%)
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 0.5 0.5 0.7 0.8 0.6 1.3 4.2 4.0 4.9
Bokaro 1.1 1.0 1.1 0.8 0.4 1.1 2.9 2.4 3.3
Chatra 0.4 0.4 0.5 0.3 0.3 0.1 1.9 1.8 3.3
Deoghar 0.3 0.3 0.3 0.7 0.4 2.2 2.8 2.6 4.0
Dhanbad 0.5 0.5 0.4 0.4 0.3 0.4 4.5 4.9 4.2
Dumka 0.1 0.1 0.4 0.3 0.2 1.0 7.5 7.5 7.5
Garhwa 0.3 0.3 - 0.3 0.2 - 2.2 2.1 -
Annual Health Survey 2012-13
Giridih 0.3 0.3 0.5 0.2 0.2 0.4 2.2 2.1 5.1
Godda 0.6 0.5 - 0.4 0.4 - 1.9 1.9 -
Gumla 1.3 1.4 1.2 1.7 1.6 2.9 4.0 4.0 4.9
Hazaribagh 0.3 0.3 0.2 0.6 0.5 1.2 2.5 2.0 4.5
Kodarma 0.2 0.2 0.6 0.4 0.2 1.2 1.3 1.1 2.4
Lohardaga 0.9 0.8 1.2 1.1 0.9 1.8 3.6 3.4 5.0
Pakaur 0.7 0.7 - 0.5 0.5 - 4.8 4.7 -
Palamu 0.7 0.3 6.9 0.2 0.2 0.5 1.9 1.8 4.5
Pashchimi Singhbhum 0.5 0.5 0.5 1.2 0.9 2.2 6.1 5.7 7.7
Purbi Singhbhum 0.2 0.0 0.3 1.4 0.6 2.1 8.9 12.3 6.5
Ranchi 0.8 0.9 0.6 1.6 1.5 1.8 4.0 3.4 4.9
Sahibganj 0.3 0.3 0.7 0.6 0.6 0.8 3.2 3.1 3.7
42
JHARKHAND
Current Usage
State / District Periodic Abstinence (%) Withdrawal (%) LAM (%)
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 6.1 5.5 8.0 3.1 2.6 4.7 2.8 3.1 2.0
Bokaro 6.6 5.9 7.4 2.8 2.2 3.4 3.4 4.3 2.6
Chatra 1.9 1.6 4.6 1.3 1.0 4.6 1.0 1.1 0.0
Deoghar 3.3 3.1 4.8 1.6 1.3 2.9 1.9 2.1 0.6
Dhanbad 8.3 8.5 8.1 8.5 9.3 8.0 2.3 2.4 2.2
Dumka 7.0 7.2 4.0 4.6 4.8 2.2 3.2 3.3 2.3
Annual Health Survey 2012-13
43
Annual Health Survey 2012-13
44
Jharkhand: Current Usage of Family Planning Practices (CMW aged 15-49 years) (%)
70
JHARKHAND
60
50
40
30
20
10
Any Method Any Modern Method Any Traditional Method Female Sterilization
JHARKHAND
1 2 3 4 5 6 7 8 9 10
Jharkhand 11.5 12.9 7.4 10.8 12.1 7.4 22.3 24.9 14.8
Bokaro 7.8 9.1 6.6 7.0 7.4 6.7 14.8 16.6 13.2
Chatra 18.0 18.4 13.4 12.4 12.0 16.2 30.4 30.4 29.6
Deoghar 15.8 16.6 11.2 17.2 17.5 15.9 33.0 34.1 27.1
Dhanbad 5.8 6.0 5.7 5.5 5.4 5.5 11.3 11.5 11.2
Dumka 10.7 10.9 8.0 9.7 10.0 7.2 20.5 20.9 15.2
Giridih 13.6 13.9 7.7 15.8 16.2 8.6 29.3 30.1 16.3
Gumla 17.7 18.2 11.6 15.8 15.9 15.6 33.6 34.0 27.2
Hazaribagh 8.4 9.5 4.2 8.8 7.3 14.5 17.2 16.9 18.6
Kodarma 11.2 11.4 10.3 15.7 16.9 9.6 26.9 28.3 19.9
Lohardaga 14.5 15.4 7.9 12.3 12.7 9.7 26.8 28.2 17.6
Palamu 10.7 10.9 7.2 12.5 12.9 5.7 23.2 23.9 12.9
Pashchimi Singhbhum 20.9 23.1 11.6 20.3 21.0 17.4 41.2 44.1 29.0
Purbi Singhbhum 8.2 8.3 8.1 5.7 6.6 5.1 13.9 15.0 13.2
Ranchi 11.0 13.3 7.6 10.6 12.6 7.8 21.7 25.8 15.4
Sahibganj 17.1 17.9 10.8 13.8 14.4 8.9 30.9 32.3 19.8
45
JHARKHAND
50
40
30
20
10
0
Currently Married Pregnant Women aged 15-49 years registered for ANC Mothers who received any Antenatal Check-up Mothers who had Antenatal Check-up in First Trimester
46
JHARKHAND
Mothers who had Full Mothers who received ANC Mothers whose Blood
State / District Antenatal Check up (%) from Govt. Source (%) Pressure (BP) taken (%)
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 13.6 10.4 25.2 16.9 15.8 20.6 57.8 51.3 81.3
Bokaro 19.8 13.6 27.1 14.9 15.3 14.4 75.0 66.0 85.6
Chatra 6.7 6.5 8.9 14.4 12.5 32.8 42.8 42.1 50.0
Deoghar 6.5 5.8 11.7 15.2 14.8 18.3 44.0 42.3 57.7
Dhanbad 18.3 14.8 21.4 13.9 12.2 15.3 73.0 64.1 80.7
Dumka 11.4 10.5 26.4 11.9 10.1 43.1 48.2 46.6 76.4
Annual Health Survey 2012-13
47
JHARKHAND
90
80
70
60
Annual Health Survey 2012-13
50
40
30
20
10
3 or more Antenatal Care At least one Tetanus Toxoid (TT) injection IFA for 100 days or more Full Antenatal Check-up
48
Jharkhand: Mothers who received tests during Ante Natal Check-up (%)
90
80
70
60
50
40
30
20
10
49
Annual Health Survey 2012-13
JHARKHAND
DELIVERY CARE
Delivery at Government Delivery at Private
Institutional Delivery (%)
State / District Institution (%) Institution (%)
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 46.2 38.3 74.9 23.6 23.2 25.1 21.4 14.3 47.2
Bokaro 54.8 40.0 72.1 16.3 11.9 21.5 36.6 25.3 50.0
Chatra 35.6 33.5 55.5 14.9 13.4 29.2 20.4 19.8 26.3
Deoghar 39.0 35.1 69.3 23.5 23.0 27.0 15.5 12.1 42.0
Dhanbad 52.0 37.0 65.3 13.0 9.2 16.2 36.3 27.2 44.3
Dumka 28.8 26.3 72.0 19.2 18.2 37.9 9.1 7.8 34.1
Garhwa 39.2 36.0 - 28.5 27.0 - 10.5 8.7 -
Giridih 35.1 33.5 67.2 15.5 15.1 22.4 19.5 18.3 44.3
Godda 31.2 30.3 - 18.6 18.2 - 12.5 11.8 -
Gumla 45.7 43.7 80.5 37.4 36.6 51.4 6.8 5.7 26.8
Hazaribagh 54.2 49.5 76.6 29.0 28.1 33.3 24.6 21.2 41.4
Kodarma 54.9 51.4 74.1 25.8 26.7 20.5 27.2 23.0 50.6
Lohardaga 54.7 50.9 87.9 37.0 37.8 29.4 12.3 9.0 41.7
Pakaur 27.7 26.1 - 21.7 20.8 - 5.8 5.1 -
Palamu 39.3 37.6 68.6 24.4 23.5 39.4 14.3 13.4 28.8
Pashchimi Singhbhum 38.5 32.2 78.6 24.4 24.1 26.2 13.5 7.8 50.7
Purbi Singhbhum 70.0 56.1 83.1 32.2 38.9 25.9 35.5 16.1 53.9
Ranchi 64.2 53.3 85.8 32.2 33.8 29.0 30.6 18.2 55.3
Sahibganj 29.5 25.0 78.2 21.1 17.5 60.0 8.1 7.1 18.2
35
30
25
Annual Health Survey 2012-13
20
15
10
Government Private
50
JHARKHAND
DELIVERY CARE
Delivery at home conducted by
Delivery at Home (%) Safe Delivery (%)
State / District skilled health personnel (%)
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 53.4 61.3 24.5 27.4 26.6 34.7 56.2 49.5 80.5
Bokaro 44.1 59.3 26.2 25.6 23.5 30.9 63.1 50.6 77.7
Chatra 64.1 66.2 44.5 19.3 18.4 32.4 43.4 41.4 62.3
Deoghar 60.7 64.6 30.3 30.0 29.4 41.0 51.4 48.5 73.4
Dhanbad 47.4 62.6 34.0 33.4 31.4 36.8 64.4 53.2 74.4
Dumka 71.0 73.4 28.0 26.0 26.0 23.5 43.6 41.6 78.6
Garhwa 60.4 63.7 - 30.7 29.8 - 50.6 47.4 -
Giridih 64.4 66.0 32.3 27.0 26.8 37.1 46.8 45.6 70.3
Godda 68.5 69.5 - 25.8 25.7 - 44.8 44.0 -
Gumla 54.1 56.0 19.5 21.4 21.3 28.6 51.5 49.7 82.8
Hazaribagh 45.5 50.2 23.2 33.9 33.5 37.1 65.5 62.2 81.5
Kodarma 44.7 48.1 25.9 43.9 44.9 33.3 69.8 68.0 80.4
Lohardaga 44.9 48.6 11.7 22.3 22.4 16.9 59.8 56.5 88.9
Pakaur 72.2 73.8 - 22.6 22.5 - 38.5 37.1 -
Palamu 60.3 62.0 31.4 28.1 27.9 35.2 52.2 51.0 74.3
Pashchimi Singhbhum 61.3 67.5 21.2 23.5 23.3 27.3 45.6 39.9 81.9
Purbi Singhbhum 29.8 43.8 16.7 31.0 29.8 34.2 75.8 64.7 86.1
Ranchi 35.3 46.1 13.9 30.8 30.0 35.7 70.3 60.7 89.5
Sahibganj 70.1 74.7 20.4 21.5 21.2 33.5 39.6 35.7 81.4
90
80
70
60
Annual Health Survey 2012-13
50
40
30
20
10
51
JHARKHAND
DELIVERY CARE
Caesarean out of total delivery taken Caesarean out of total delivery taken
State / District place in Government Institutions (%) place in Private Institutions (%)
Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7
Jharkhand 7.7 6.5 11.5 30.5 28.1 33.1
Bokaro 15.1 10.9 17.9 30.5 28.2 31.9
Chatra 6.6 6.2 8.7 27.2 26.9 29.0
Deoghar 3.7 4.2 0.0 27.9 26.4 31.3
Dhanbad 11.6 13.3 10.8 28.7 27.8 29.2
Dumka 5.5 5.8 2.9 31.0 27.5 45.2
Garhwa 4.5 4.0 - 25.9 27.8 -
Giridih 6.6 6.4 9.3 26.9 27.5 22.4
Godda 4.0 4.0 - 24.8 24.0 -
Gumla 4.4 4.0 9.9 35.7 31.2 52.8
Hazaribagh 7.4 7.5 6.9 30.2 30.4 29.8
Kodarma 6.9 6.7 8.7 31.9 33.9 27.1
Lohardaga 4.6 4.4 6.7 30.7 29.9 32.2
Pakaur 4.8 4.7 - 33.5 32.7 -
Palamu 6.6 6.7 5.6 28.2 29.2 20.0
Pashchimi Singhbhum 5.9 5.0 11.4 28.9 21.4 36.4
Purbi Singhbhum 9.7 7.1 13.3 31.0 19.9 34.2
Ranchi 11.2 10.0 14.1 36.3 31.7 39.4
Sahibganj 6.3 6.3 6.2 27.9 28.4 25.7
Jharkhand: Caesarean out of total delivery taken place in Government/Private Institutions (%)
40
35
30
25
Annual Health Survey 2012-13
20
15
10
Government Private
52
JHARKHAND
Mothers who did not receive any Post- New borns who were checked up within
State / District natal Check-up (%) 24 hrs. of birth (%)
Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7
Jharkhand 26.1 29.8 12.7 64.8 60.0 82.2
Bokaro 16.0 20.1 11.1 78.2 72.1 85.3
Chatra 26.6 26.1 30.9 59.0 58.4 65.1
Deoghar 28.2 29.3 19.7 61.8 60.0 76.1
Dhanbad 12.5 13.2 11.8 81.9 80.6 83.1
Dumka 28.3 29.2 12.6 65.4 64.5 80.5
Annual Health Survey 2012-13
53
Annual Health Survey 2012-13
54
Jharkhand: Mothers by status of receipt of Post-natal Check-up (%)
100
JHARKHAND
90
80
70
60
50
40
30
20
10
Jharkhand: Mothers who availed financial assistance for delivery under JSY (%)
100
90
80
70
60
Annual Health Survey 2012-13
50
40
30
20
10
0
55
JHARKHAND
56
Jharkhand: Children aged 12-23 months having Immunization Card vs. Fully immunized (%)
100
90
80
70
60
50
40
30
20
10
0
57
Annual Health Survey 2012-13
JHARKHAND
Giridih 20.5 20.1 28.2 38.6 37.2 66.7 24.9 24.7 26.1
Godda 20.7 20.9 - 39.1 38.1 - 29.8 30.9 -
Gumla 11.8 11.5 17.9 45.2 43.7 72.4 32.5 33.2 26.0
Hazaribagh 22.4 21.8 24.9 59.4 56.3 73.8 22.9 23.1 22.3
Kodarma 29.7 30.2 26.9 56.1 53.3 71.2 25.5 25.5 25.5
Lohardaga 10.0 9.6 13.7 51.8 48.9 77.6 38.0 37.5 40.9
Pakaur 21.8 22.3 - 31.5 30.1 - 29.1 29.4 -
Palamu 27.9 28.0 25.0 41.4 39.8 66.8 21.7 22.1 17.6
Pashchimi Singhbhum 10.6 9.7 16.6 34.6 29.4 68.8 23.3 25.1 18.6
Purbi Singhbhum 12.6 11.4 13.7 70.9 59.0 82.1 25.6 32.6 20.6
Ranchi 14.4 14.3 14.2 70.2 62.8 85.1 31.5 34.8 26.9
Sahibganj 24.2 24.4 22.9 35.5 31.6 76.2 25.8 27.7 17.8
58
JHARKHAND
35
30
25
20
15
10
0
Total Rural Urban
35
30
25
20
Annual Health Survey 2012-13
15
10
59
JHARKHAND
CHILDHOOD DISEASES
Children suffering from Children suffering from
Children suffering from
Diarrhoea who received Acute Respiratory Infection
State / District Diarrhoea (%)
HAF/ORS/ORT & Zinc (%) (%)
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 7.7 7.5 8.4 84.1 84.2 83.9 21.4 20.9 23.2
Bokaro 6.8 7.0 6.5 94.0 95.0 92.9 7.5 5.6 9.8
Chatra 4.1 4.4 1.0 79.5 79.0 100.0 28.8 27.8 38.5
Deoghar 2.7 2.5 3.9 79.0 79.8 75.0 16.0 16.4 12.7
Dhanbad 14.5 15.5 13.5 83.6 86.3 80.7 30.7 29.3 32.0
Dumka 13.8 14.1 9.2 88.4 88.0 100.0 29.3 29.5 24.6
Garhwa 3.6 3.7 - 76.4 75.2 - 19.4 20.0 -
Giridih 3.0 3.0 3.3 70.2 68.8 100.0 24.4 23.2 52.5
Godda 4.0 4.0 - 84.6 84.3 - 28.7 28.6 -
Gumla 8.5 8.4 11.2 72.5 71.3 87.5 28.5 27.7 41.4
Hazaribagh 7.4 8.2 3.7 87.3 88.8 71.4 23.7 23.6 24.3
Kodarma 5.5 5.9 3.2 87.0 85.8 100.0 15.4 14.3 21.6
Lohardaga 10.8 10.6 12.4 86.7 88.4 75.0 26.1 23.8 45.3
Pakaur 16.2 16.1 - 81.5 80.9 - 7.9 8.0 -
Palamu 6.6 6.4 9.3 83.1 82.6 88.9 24.8 24.8 25.8
Pashchimi Singhbhum 5.4 5.3 6.0 91.8 92.9 85.7 17.5 17.4 18.4
Purbi Singhbhum 6.1 4.4 7.7 88.8 90.7 87.8 24.4 19.5 28.8
Ranchi 5.9 5.6 6.5 74.3 72.1 78.8 12.6 12.2 13.6
Sahibganj 8.3 8.7 4.6 89.8 90.0 85.7 14.3 13.9 18.2
60
Jharkhand: Childhood Diseases (%)
35
30
25
20
15
10
61
Annual Health Survey 2012-13
JHARKHAND
50
40
30
Annual Health Survey 2012-13
20
10
62
Jharkhand: Children (aged 6-35 months) exclusively breastfed for at least six months (%)
80
70
60
50
40
30
20
10
0
JHARKHAND
63
Annual Health Survey 2012-13
JHARKHAND
CHILDREN WHO RECEIVED FOODS OTHER THAN BREAST MILK DURING FIRST 6 MONTHS
Water (%) Animal/Formula Milk (%) Semi-Solid mashed food (%)
State / District
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 54.3 54.3 54.2 53.7 54.5 50.8 20.3 20.5 19.5
Bokaro 36.6 33.3 40.6 45.8 41.1 51.4 14.2 14.0 14.4
Chatra 36.4 35.8 41.1 53.6 52.2 66.0 6.4 5.9 10.3
Deoghar 41.1 39.3 55.2 58.8 58.9 58.0 7.7 7.5 9.3
Dhanbad 59.9 58.3 61.4 53.6 52.1 55.0 19.7 19.7 19.6
Dumka 47.1 47.0 49.2 51.6 51.8 48.2 22.8 23.1 16.2
Garhwa 46.1 45.9 - 46.8 47.4 - 7.5 7.6 -
Giridih 41.3 41.6 36.3 45.2 45.5 38.8 3.9 3.8 6.0
Godda 39.8 39.5 - 45.8 45.8 - 4.1 4.2 -
Gumla 45.5 45.4 46.3 51.5 51.8 46.3 10.4 10.3 12.7
Hazaribagh 41.4 42.0 38.7 52.0 53.1 46.5 7.4 7.1 8.6
Kodarma 49.6 48.6 54.8 50.7 50.0 54.3 6.3 6.4 5.5
Lohardaga 22.1 21.2 30.2 17.3 16.2 27.3 8.7 7.6 18.1
Pakaur 51.4 51.3 - 55.3 55.6 - 8.2 8.3 -
Palamu 50.7 50.8 48.7 67.0 67.8 53.8 8.4 8.3 10.1
Pashchimi Singhbhum 22.3 18.2 49.0 20.5 16.3 47.7 10.0 8.1 21.9
Purbi Singhbhum 44.1 45.7 42.7 36.5 37.5 35.5 11.8 11.4 12.1
Ranchi 45.3 40.5 54.9 31.8 27.8 39.9 18.1 16.1 22.2
Sahibganj 36.4 37.8 21.5 51.0 51.2 48.9 6.6 6.9 4.1
64
JHARKHAND
AVERAGE MONTH BY WHICH CHILDREN RECEIVED FOODS OTHER THAN BREAST MILK
Water Animal / Formula Milk Semi-Solid mashed food
State / District
Total Rural Urban Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7 8 9 10
Jharkhand 5.4 5.5 5.2 5.1 5.0 5.3 7.7 7.7 7.7
Bokaro 5.9 6.1 5.6 5.0 5.0 4.9 7.8 7.9 7.8
Chatra 5.1 5.2 4.2 4.4 4.5 3.8 7.5 7.6 6.9
Deoghar 4.8 4.9 4.3 4.1 4.1 4.2 7.1 7.1 7.1
Dhanbad 4.7 4.8 4.5 5.1 5.0 5.1 7.7 7.7 7.8
Dumka 5.3 5.3 5.6 4.9 4.9 5.3 7.8 7.8 7.9
Garhwa 4.9 4.9 - 4.3 4.2 - 7.1 7.1 -
Giridih 5.1 5.1 5.1 4.7 4.7 5.0 7.6 7.6 7.5
Godda 5.1 5.2 - 4.7 4.7 - 7.4 7.4 -
Gumla 6.2 6.2 5.9 4.5 4.4 4.8 7.8 7.8 7.9
Hazaribagh 4.8 4.8 4.8 4.6 4.5 4.9 7.2 7.3 7.1
Kodarma 4.9 5.0 4.5 4.5 4.6 4.4 7.5 7.6 7.2
Lohardaga 6.6 6.7 6.2 6.8 6.8 6.8 8.4 8.5 7.9
Pakaur 4.5 4.5 - 4.2 4.2 - 7.2 7.2 -
Palamu 4.5 4.5 4.2 3.7 3.7 4.3 7.1 7.2 7.0
Pashchimi Singhbhum 6.7 6.8 5.8 7.1 7.3 5.6 8.3 8.4 7.9
Purbi Singhbhum 5.9 6.0 5.8 5.9 5.7 6.1 8.3 8.3 8.3
Ranchi 5.8 6.0 5.4 6.1 6.2 5.8 7.7 7.8 7.6
Sahibganj 5.0 4.9 5.4 4.3 4.2 4.5 7.2 7.2 7.4
65
JHARKHAND
BIRTH REGISTRATION
Children whose birth was registered and
Birth Registered (%)
State / District received Birth Certificate (%)
Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7
Jharkhand 62.1 55.8 84.6 27.8 22.1 48.5
Bokaro 69.3 57.4 83.8 31.5 22.5 42.4
Chatra 40.6 38.1 63.2 19.4 17.9 33.6
Deoghar 52.7 49.7 75.8 23.2 21.0 40.2
Dhanbad 71.6 61.9 80.3 34.3 25.2 42.6
Dumka 57.0 55.8 78.6 19.6 18.2 45.3
Garhwa 49.3 45.7 - 21.0 20.4 -
Giridih 43.5 42.1 71.1 21.4 20.1 46.8
Godda 46.7 45.4 - 21.3 20.2 -
Gumla 70.9 70.0 85.8 16.8 15.4 41.3
Hazaribagh 61.1 56.2 85.1 36.1 32.0 56.2
Kodarma 62.1 59.5 76.2 33.2 30.0 50.1
Lohardaga 76.4 74.7 91.2 19.0 15.8 46.8
Pakaur 37.1 35.7 - 18.6 17.5 -
Palamu 45.5 44.3 66.0 20.4 19.6 34.0
Pashchimi Singhbhum 68.1 64.8 89.5 19.4 14.5 51.5
Purbi Singhbhum 84.6 78.1 90.6 56.6 44.9 67.5
Ranchi 78.6 72.5 90.9 36.0 29.6 48.7
Sahibganj 36.7 32.6 79.3 18.0 15.7 42.1
80
70
60
50
40
Annual Health Survey 2012-13
30
20
10
66
JHARKHAND
67
JHARKHAND
100
80
60
40
20
0
Total Rural Urban
80
60
40
20
0
Total Rural Urban
Annual Health Survey 2012-13
100
80
60
40
20
0
Total Rural Urban
68
JHARKHAND
MORTALITY
Crude Death Rate (CDR)
State/District Total Rural Urban
Person Male Female Person Male Female Person Male Female
1 2 3 4 5 6 7 8 9 10
Jharkhand 5.7 6.1 5.3 6.0 6.4 5.7 4.8 5.3 4.3
Bokaro 5.4 5.7 5.1 6.4 6.6 6.1 4.6 5.0 4.2
Chatra 4.5 4.6 4.4 4.5 4.6 4.5 4.0 4.5 3.4
Deoghar 4.3 4.8 3.8 4.5 5.1 3.8 3.8 3.5 4.0
Dhanbad 5.2 5.5 4.9 6.3 6.5 6.2 4.4 4.8 4.0
Dumka 6.7 7.0 6.3 6.7 7.1 6.4 6.0 6.3 5.6
Garhwa 4.6 4.7 4.4 4.6 4.7 4.5 4.2 4.8 3.6
Giridih 4.1 4.6 3.6 4.1 4.6 3.6 4.3 4.6 3.9
Godda 6.7 6.8 6.6 6.8 6.9 6.7 4.7 4.7 4.7
Gumla 8.9 10.0 7.8 9.1 10.2 8.0 6.6 8.2 5.0
Hazaribagh 4.4 4.7 4.1 4.5 4.8 4.2 4.2 4.6 3.8
Kodarma 4.5 4.7 4.2 4.5 4.8 4.1 4.5 4.4 4.6
Lohardaga 8.1 8.6 7.7 8.3 8.8 7.8 6.8 7.0 6.7
Pakaur 6.6 6.9 6.4 6.8 7.1 6.4 4.8 4.4 5.2
Palamu 5.1 5.0 5.1 5.0 5.0 5.1 5.2 5.6 4.9
Pashchimi Singhbhum 8.1 8.7 7.5 8.7 9.3 8.1 4.9 5.6 4.2
Purbi Singhbhum 5.5 6.0 4.8 6.4 7.1 5.6 4.8 5.3 4.3
Ranchi 6.2 6.9 5.5 6.4 6.9 5.9 5.9 6.8 4.9
Sahibganj 6.5 6.7 6.2 6.6 6.9 6.3 5.0 5.2 4.8
Garhwa 33 35 31 33 35 32 - - -
Giridih 28 28 28 29 29 29 - - -
Godda 54 55 53 55 56 54 - - -
Gumla 45 48 42 46 50 42 24 22 26
Hazaribagh 29 27 33 30 28 32 26 20 33
Kodarma 27 27 27 27 27 27 - - -
Lohardaga 53 53 53 55 56 54 30 24 36
Pakaur 52 44 60 52 45 59 - - -
Palamu 40 39 40 40 40 41 26 23 29
Pashchimi Singhbhum 53 53 53 57 56 57 28 31 25
Purbi Singhbhum 25 25 25 31 31 30 19 19 20
Ranchi 30 30 30 35 34 36 21 23 18
Sahibganj 52 51 53 53 52 54 33 32 34
69
JHARKHAND
6.0
5.0
Person
4.0
Male
Female
3.0
2.0
1.0
0.0
Total Rural Urban
10.0
9.0
8.0
7.0
6.0
5.0
Annual Health Survey 2012-13
4.0
3.0
Male Female
70
JHARKHAND
45
40
35
30
25 Person
Male
20 Female
15
10
0
Total Rural Urban
60
55
50
45
40
35
Annual Health Survey 2012-13
30
25
20
Male Female
71
JHARKHAND
MORTALITY
Neo-natal Mortality Rate Post Neo-natal Mortality Rate
State / District
Total Rural Urban Total Rural Urban
1 2 3 4 5 6 7
Jharkhand 23 26 14 13 14 8
Bokaro 20 27 12 8 8 7
Chatra 25 25 - 18 18 -
Deoghar 16 16 12 15 14 19
Dhanbad 20 27 14 6 7 5
Dumka 33 33 - 12 13 -
Garhwa 19 20 - 13 13 -
Giridih 18 18 - 10 11 -
Godda 29 29 - 25 26 -
Gumla 34 34 24 11 12 -
Hazaribagh 14 15 12 15 15 14
Kodarma 18 18 - 9 9 -
Lohardaga 39 41 20 14 15 10
Pakaur 30 30 - 21 22 -
Palamu 23 23 13 17 17 13
Pashchimi Singhbhum 35 37 21 18 20 8
Purbi Singhbhum 17 21 12 8 10 7
Ranchi 21 26 13 9 9 8
Sahibganj 30 30 23 22 23 10
Giridih 37 37 37 38 38 38 - - -
Godda 76 74 79 78 76 80 - - -
Gumla 70 73 66 72 76 67 35 28 43
Hazaribagh 35 32 38 37 34 39 30 26 35
Kodarma 33 33 33 33 33 33 - - -
Lohardaga 70 69 70 74 74 74 33 28 39
Pakaur 78 71 86 80 73 87 - - -
Palamu 52 50 54 54 52 55 30 23 37
Pashchimi Singhbhum 87 85 89 96 93 98 38 40 37
Purbi Singhbhum 34 34 34 45 47 43 24 22 27
Ranchi 44 44 44 50 48 52 32 36 28
Sahibganj 76 73 79 80 77 83 40 36 43
72
Jharkhand: Infant Mortality Rate (IMR) with it's component
60
50
40
30
20
10
73
Annual Health Survey 2012-13
JHARKHAND
60
50
40
Person
Male
30 Female
20
10
0
Total Rural Urban
90
80
70
60
50
Annual Health Survey 2012-13
40
30
Male Female
74
JHARKHAND
MORTALITY
Maternal Mortality Ratio (MMR), Maternal Mortality Rate and Life Time Risk
95% Confidence
State / Sample Sample Maternal
Maternal Interval Life Time
Commissionrait Female Live MMR Mortality
Deaths Lower Upper Risk
Population Births Rate
Limit Limit
1 2 3 4 5 6 7 8 9
Jharkhand 508851 136108 334 245 219 272 22 0.76 %
DAKSHINI CHOTA
NAGPUR
106386 30346 74 244 188 299 23 0.81 %
(Ranchi, Lohardaga,
Gumla)
SANTHAL PARAGANA
(Deoghar, Godda,
114359 32893 96 292 234 350 28 0.97 %
Sahibganj, Pakaur,
Dumka)
KOLHAN
(Pashchimi Singhbhum, 74980 17839 45 252 179 326 20 0.7 %
Purbi Singhbhum)
UTTARI CHOTA
NAGPUR
(Dhanbad, Bokaro, 155526 39486 72 182 140 224 15 0.54 %
Chatra, Hazaribagh,
Kodarma, Giridih)
PALAMU
57600 15544 47 302 216 389 27 0.95 %
(Garhwa, Palamu)
75
Annual Health Survey 2012-13
76
Jharkhand: Maternal Mortality Ratio (MMR) at Commissionrait level
JHARKHAND
350
300
250
200
150
100
50
0
Uttari chota nagpur Dakshini chota nagpur Jharkhand Kolhan Santhal paragana Palamu
JHARKHAND
Garhwa 28 38 28 38 - - 42 51 42 52 - -
Giridih 23 34 23 35 - - 33 41 33 43 - -
Godda 46 63 46 64 - - 69 84 70 86 - -
Gumla 41 49 42 51 11 38 65 74 67 76 20 51
Hazaribagh 25 34 26 35 15 37 31 40 32 41 19 41
Kodarma 22 32 22 32 - - 28 38 28 39 - -
Lohardaga 47 59 49 62 17 42 65 75 68 79 20 46
Pakaur 39 64 39 65 - - 68 88 70 90 - -
Palamu 34 45 35 46 11 40 47 57 49 59 13 46
Pashchimi Singhbhum 47 58 50 63 16 40 81 93 89 103 26 51
Purbi Singhbhum 22 28 26 36 15 23 30 37 40 51 20 29
Ranchi 26 35 29 40 14 28 39 48 44 55 25 39
Sahibganj 48 55 50 57 20 46 72 80 76 84 28 51
77
JHARKHAND
78
Confidential when filled Page No.
(Code)
(Code)
(2 digits)
date of survey of survey
Serial No.
Household No.
Building Number
House No. (4 digits)
Status of the House
date of survey) (Code)
date of survey) (Code)
Status of the Household
(existing as on 01.01.2011)
If Head of the Household is
If Head of the Household is
1 2 3 4 5 6 7 8 9 10 11 12 13 14
For new houses, the record is to be appended at the end of the houselist and Code ‘4’ is to be assigned in Col. 4 during updation rounds. New houses can be in an existing structure or, altogether a new structure.
In case of addition of new households in an existing house or replacement of an existing household by a new household or change in status from non residential/ vacant to residential/partly residential, the
records should also be appended at the end of houselist. For such cases, Code given for status of house in Col. 7 during first updation should be copied in Col. 4. In all cases (including houses/households having
no change in status), record present status of house/household in Cols. 11-12. For new household(s), record the name of head of the household in Col. 6 only. Cols. 13 & 14 are to be filled only when there is
a change in name of head of the household as on date of survey. Cols. 7-10 are not to be filled in during this updation round.
Code for Col. (4) Code for Col. (7, 11) Code for Col. (8, 12)
Item Code Item Code Item Code
Residential 1 Residential/Partly residential 1 Household continues in the
Non-residential 2 same house 1
Non-residential 2
Out-migrated
Vacant 3 Vacant 3 (out of the unit) 2
# Status as on 01.01.2012 is to be recorded. New House 4 Does not exist 0 Shifted within the unit 3
JHARKHAND
(For Households not existing as on 01.01.2012, put ‘–’ in Col. 12) In-migrated
(from outside the unit) 4
Split household 5
Merged household 6
ANNEXURE
79
Annual Health Survey 2012-13
SIDE - ‘A’ Confidential when filled Page No. ..........
(Code)
with the Head of the Household
(Code)
Serial No.
above) (Code)
father
on 01.01.2012
Religion (Code)
mother
Household)
01.01.2012 (Code)
years and above) (Code)
Whether currently
Never attended - 3)
Serial No. of
Social Group (Code)
Marital Status as on
main reason thereof
Serial No. of
Relationship to Head
Occupation / Activity Status
Residential Status as
attained (for age 7 years and
Age as on 01.01.2012
during last 365 days (for age 5
D D M M Y Y Y Y D D M M Y Y Y Y
Highest educational qualification
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Code for Col. (4) Code for Col. (5) Code for Col. (10) Code for Col. (12) Code for Col. (15) Code for Col. (16) Code for Col. (17)
Item Code Item Code Item Code Item Code Item Code Item Code Item Code
Continue to be in the Head 01 Hindu 1 Never married 1 School too far 1 Illiterate 0 Cultivator 01
same household 01 Agricultural Wage Labourer 02
Wife or Husband 02 Muslim 2 Married but, Gauna not performed 2 Literate without Formal education 1
But died or outmigrated Further education not considered Non-agricultural Wage Labourer 03
thereafter # 02 Son or Daughter 03 Christian 3 Married and, Gauna performed 3 necessary 2 Literate with Formal Education Self Employed (excluding Cultivators)
In migrated from Son-in-law or Sikh 4 Remarried 4 Own Account Worker 04
Usual Below Primary 2
outside the unit 03 Daughter-in-law 04 Required for work in Household Employer 05
Resident Buddhist 5 Widow/Widower 5 activities/Farm/Family business 3 Primary (5th passed) 3
as on Shifted into the house- Grand child 05 Unpaid Family Labourer 06
01.01.2012 hold (Within the unit) 04 Jain 6 Divorced 6
Middle (8th passed) 4 Regular Salaried/Wage Employee 07
Parent 06 Separated 7 Required for outside work 4
Newly born 05 Others 7 Did not work but was seeking and/or available
Parent-in-law 07 Secondary/Matric/Class-X 5 for work 08
Temporary Absentees # 06 No religion 8 Not stated 8 Not interested in studies 5
Brother or Sister 08 Hr. Secondary/Sr. Secondary/ Attending educational institution 09
Out migrated 07 Pre-university/Class-XII 6 Attending routine domestic chores, etc. 10
Shifted out of the household Brother-in-law or Cost too much 6
Code for Col. (11) * = To be copied from Houselisting Schedule Beggar 11
(Within the unit) 08 Sister-in law 09 Graduate/B.Tech/BBA/MBBS/
Sex worker/Prostitute 12
JHARKHAND
81
Annual Health Survey 2012-13
Annual Health Survey 2012-13
82
SIDE - ‘B’ Confidential when filled
survey? (Code)
(Code)
(Code)
(Code)
Serial Number
order of priority
in Col. 22)
(Code)
(Code)
(Code)
year (Code)
know - 3)
Disability as on date of
(Code)
treatment
Source of
diagnosis
of treatment
by any health
(Code) (Applicable
Has diagnosed for
to illness persisting
Getting regular
Source of Treatment
If Code ‘1’ or ‘2’
Symptom(s) pertaining
in Col. 26, source
1 2 18 19 20 21 22 23 24 25 26 27 28 29
Enumerator with date
Name and signature of the
Telephone/Mobile Number:
Code for Col. (18) Code for Col. (20) Code for Col. (21, 25, 27) Code for Col. (22) Code for Col. (24) Code for Col. (24) Contd.
Item Code Item Code Item Code Item Code Item Code Item Code
Diabetes 01 Rheumatic fever/Rheumatic heart disease 26
Mental 1 Acute Illnesses GOVERNMENT Diseases of respiratory system 01 Hypertension 02 Tumour (any type) 27
Visual 2 Diseases of cardiovascular system 02 Chronic heart disease 03 Blood Cancer/Leukemia 28
Sub center 01
Diarrhoea 1 Diseases of central nervous system 03 Myocardinal infarction/Heart attack 04 Skin Cancer 29
Hearing 3
PHC 02 Diseases of musculo-skeletal system 04 Stroke/Cerebrovascular accident 05 Piles, Anal Fissure, Anal Fistula 30
Speech 4 Dysentery 2 CHC 03 Diseases of gastrointestinal system 05 Epilepsy 06 Anaemia 31
Locomotor 5 Asthma/Chronic respiratory disease 07 Others (Hernia, Hydrocele, Peptic Ulcer, etc. 99
Acute respiratory infection 3 UHC/UHP/UFWC 04 Diseases of genitourinary system 06
Multiple 6 Goitre/Thyroid disorder 08 Not diagnosed 00
Skin diseases 07
Dispensary/Clinic 05 Tuberculosis 09
Others 7 Jaundice with fever 4 Goitre 08 Code for Col. (26)
Hospital 06 Leprosy 10
No Disability 0 Elephantiasis 09 Cancer-Respiratory System 11 Item Code
Fever with chill/rigors AYUSH Hospital/Clinic 07 Eye problems/diseases 10 Cancer-Gastrointestinal system 12 Not regularly 1
(malaria etc.) 5 Yes
Code for Col. (19) PRIVATE ENT problems/diseases 11 Cancer-Genitourinary system 13 Regularly 2
Mouth and dental problems 12 Cancer-Breast 14 No 3
Item Code Fever of short duration with Dispensary/Clinic 08 Renal stone 15
Others 13 Code for Col. (29)
Treated in intensive care unit for any time 1 rashes 6 Chronic renal disease 16
Hospital 09 No symptoms of chronic disease 99
Treated as in patient with stay > 2 weeks 2 Gall stone/Cholecystitis 17 Item Code
Other types of fever 7 AYUSH Hospital/Clinic 10
Chronic liver disease 18 Employees State Insurance Scheme(ESIS) 1
Treated as in patient with stay 1 to 2 weeks 3 Code for Col. (23)
NGO or Trust Hospital/Clinic 11 Rheumatoid arthritis/Osteoarthritis 19 Rashtriya Swasthya Bima Yojana (RSBY) 2
Treated as in patient with stay < 1 week 4 Reproductive tract infections Item Code Chronic skin diseases/Psoriasis 20
DOT Center (only for Col. 27) 12 Central/State Government Health Scheme
(RTI) 8 Details of diagnosis/treatment Cataract 21 other than RSBY 3
Treated as out patient 5
At Home 13 not available 1 Glaucoma 22 Medical reimbursement from employer 4
Treated by traditional healers 6 Others 9 Yes
Others 99 Details of diagnosis/treatment Sinusitis, Tonsillitis 23 Community Health Insurance Programme 5
Treated at home 7 available 2 Flourosis 24 Mediclaim 6
No injury 0
No Illness 0 No Treatment 00 No 3 Pyorrhea 25 Others 7
JHARKHAND
State Zone
Sample Unit
* If Code ‘2’ (Married but, Gauna not performed), go to Section II of the Schedule.
Yes-1, No-2
Q.1 Have you ever conceived? If Code '2', go to Section II
of the Schedule
Surviving
1 83
JHARKHAND
Q.8 If Code ‘1’ (Yes) in Q.7, record the history of outcome(s) of pregnancy(s). Start with the last pregnancy excluding
the current one. Use separate lines for twins/triplets. Same pregnancy number to be recorded for twins/triplets.
1 2 3 4 5 6 7 8 9 10
Live Birth-1
(........)
Still Birth-2
Last
Induced Abr.-3
pregnancy
Spont Abr.-4
Note: If outcome(s) of pregnancy(s) resulted in ‘only Abortion(s)’, go to Section II of Schedule after filling
Columns 4 to 10 of Q.8.
84
JHARKHAND
Q.9 Details about the last two outcome of pregnancy(s) which resulted in live birth (surviving / not surviving) / still
birth during 01.01.2011 to 31.12.2011. Begin with last birth. Survival status to be assessed as on 01.01.2012.
Questions 9 (1) to 9 (45) are to be probed for live births (surviving/not surviving) as well as still births unless otherwise specified.
Item Code
Live birth surviving 1 Last birth Previous to last birth
Live birth not surviving 2
Still birth 3
Item Code
Single 1
Multiple 2
85
JHARKHAND
Q.9 (9) How many months pregnant were you Number of Last birth Previous to last birth
at the time of first ANC ? completed
months
Q.9 (10) How many ANCs did you receive during Last birth Previous to last birth
pregnancy associated with each birth? Number of
(If more than 9 ANCs, record '9' only) ANCs
Item Code
GOVERNMENT
Anganwadi 00
Sub - Center 01
PHC 02
CHC 03 Last birth Previous to last birth
UHC / UHP / UFWC 04
Dispensary / Clinic 05
Hospital 06
AYUSH Hospital / Clinic 07
PRIVATE
Dispensary / Clinic 08
Hospital 09
AYUSH Hospital / Clinic 10
NGO or Trust Hospital/Clinic 11
Others 99
Q.9 (12) What were the type of tests performed Type of tests Last birth Previous to last birth
during the ANC? performed (in numbers) (in numbers)
(Read out the type of tests performed)
Abdominal
Examination
Blood Pressure
(Record the total number of tests
Breast
performed across all ANCs. If any of
Examination
the tests were performed more than
9 times, record ‘9’ only) Weight
Measurement
Annual Health Survey 2012-13
Urine test
Blood (for Hb
estimation)
Ultrasound
86
JHARKHAND
(ii) How many months pregnant were you Number of Last birth Previous to last birth
at the time of 2nd TT injection? completed
months
Q.9 (14) For how many days did you consume Last birth Previous to last birth
Iron & Folic Acid (IFA) tablets / tablespoons (Number of days) (Number of days)
of IFA syrup during pregnancy?
Syrup
Q.9 (16) Did you suffer from any of the health Health
problem(s) during pregnancy associated Problems Last birth Previous to last birth
with each birth?
Swelling of hands,
(Read out the health problems) feet and face
Paleness/
Giddiness/
Weakness
Item Code Visual
Annual Health Survey 2012-13
disturbances
Yes 1
Excessive
No 2
Fatigue
Convulsions not
from fever
Weak or no
movement of foetus
Abnormal position
of foetus
Excessive
vomiting
87
JHARKHAND
Health
Last birth Previous to last birth
Problems
Hypertension/
High BP
Jaundice
Excessive bleeding
Vaginal discharge
Others
Item Code
GOVERNMENT
Annual Health Survey 2012-13
Sub - Center 01
PHC 02
CHC 03
UHC / UHP / UFWC 04 Last birth Previous to last birth
Dispensary / Clinic 05
Hospital 06
AYUSH Hospital / Clinic 07
PRIVATE
Dispensary / Clinic 08
Hospital 09
AYUSH Hospital / Clinic 10
NGO or Trust Hospital / Clinic 11
At Home 12
Others 99
88
JHARKHAND
Item Code
Not needed 01
Not customary 02 Last birth Previous to last birth
Cost too much 03
Too far / no transport 04
Poor quality service 05
Family decision 06
No time to go 07
Lack of knowledge 08
Better care at home 09
Others 10
Item Code
ANM
Yes 1
No 2 Health
Worker
Code for health facility
Anganwadi
Item Code Worker
Government
ASHA
Sub - Center 01
PHC 02
NGO/CBO
CHC 03
UHC/UHP/UFWC 04 Husband
Dispensary/Clinic 05
Hospital 06 Mother-in-law
AYUSH Hospital/Clinic 07
Private Mother
Annual Health Survey 2012-13
Dispensary/Clinic 08
Relatives/
Hospital 09 Friends
AYUSH Hospital/Clinic 10
NGO or Trust Hospital/Clinic 11 Self
Others 99
Others
89
JHARKHAND
Arranged by family 1
Arranged by ASHA 2
Provided by panchayat/
other govt. sources 3
Provided by others 4
Not required(< 1 Km) 5
Not provided 6
Item Code
Ambulance 1 Last birth Previous to last birth
Jeep/Car 2
Motor Cycle/Scooter 3
Bus/Train 4
Tempo/Auto/Tractor 5
Rickshaw/Cart 6
On foot 7
Others 8
Q.9 (25) In case of institutional delivery [for Last birth Previous to last birth
Code ‘1-11’ in Q.9 (19)], how much it cost (Amount in Rs.) (Amount in Rs.)
out of your pocket on the following
items during delivery?
Transporation
(Cost should exclude the amount
reimbursed / to be reimbursed)
Annual Health Survey 2012-13
Others
90
JHARKHAND
Item Code
Normal 1
Caesarean 2
Assisted 3
Breech
Presentation
Convulsion/
High BP
Others
Item Code
Last birth Previous to last birth
Doctor 1
Nurse / ANM / LHV 2
Trained dai 3
Untrained dai 4
Family members / 5
Relatives / Friends
None 6
91
JHARKHAND
Q.9 (34) Did any of the following happen when Last birth Previous to last birth
you had the check-up after each birth?
Abdomen
(Read out all options mentioned)
examined
Annual Health Survey 2012-13
No 2 Advice on
baby care
Advice on family
planning
10
92
JHARKHAND
Item Code
Government
Sub - Center 01
PHC 02
CHC 03 Last birth Previous to last birth
UHC/UHP/UFWC 04
Dispensary/Clinic 05
Hospital 06
AYUSH Hospital/Clinic 07
Private
Dispensary/Clinic 08
Hospital 09
AYUSH Hospital/Clinic 10
NGO or Trust Hosp/Clinic 11
At Home 12
Others 99
Annual Health Survey 2012-13
Q.9 (38) If Code ‘12’ in Q.9 (37), who did the check-up
at home?
Item Code
Doctor 1 Last birth Previous to last birth
ANM 2
Health worker 3
Anganwadi worker 4
ASHA 5
Others 6
11
93
JHARKHAND
Q.9 (39) During the first 6 weeks after delivery, Health Problems Last birth Previous to last birth
did you experience any of the health
problems?
High fever
(Read out all health problems)
Item Code Lower abdominal
pain
Yes 1
No 2 Foul smelling
vaginal discharge
Excessive
bleeding
Convulsions
Head ache
Others
Q.9 (41) If Code '1' in Q.9 (40), where did you go for
consultation or to seek treatment?
Item Code
Government
Sub - Center 01
PHC 02
Last birth Previous to last birth
CHC 03
UHC/UHP/UFWC 04
Dispensary/Clinic 05
Hospital 06
AYUSH Hospital/Clinic 07
Private
Dispensary/Clinic 08
Hospital 09
Annual Health Survey 2012-13
AYUSH Hospital/Clinic 10
NGO or Trust Hosp/Clinic 11
Others 99
12
94
JHARKHAND
Q.9 (43) If Code ‘1’ in Q.9 (42), what was the birth Last birth Previous to last birth
weight of the baby?
Kg gms Kg gms
Birth weight
Item Code
Yes 1
No 2
The following questions are to be probed only for live births and surviving.
BREAST FEEDING PRACTISE
(If duration of breastfeeding is less than Last birth Previous to last birth
one month, record no. of days and if
duration is in months, record no. D/M No. D/M No.
of months)
Unit Code
Days D
Months M
13
95
JHARKHAND
Q.9 (48) At what age (in months/days) did you start Last birth Previous to last birth
feeding the baby, food other than Type of food
D/M No. D/M No.
breast milk?
(If only breast feeding, record ‘00’) Water
IMMUNIZATION
Item Code
Yes 1
No 2
vaccination?
Last birth Previous to last birth
Item Code
Yes 1
No 2
14
96
JHARKHAND
Item Code
At birth 1 Last birth Previous to last birth
No 4
Item Code
Government
Anganwadi 00
Sub - Center 01
Last birth Previous to last birth
PHC 02
CHC 03
UHC/UHP/UFWC 04
Annual Health Survey 2012-13
Dispensary/Clinic 05
Hospital 06
AYUSH Hospital/Clinic 07
Private
Dispensary/Clinic 08
Hospital 09
AYUSH Hospital/Clinic 10
NGO or Trust Hosp/Clinic 11
Others 99
15
97
JHARKHAND
Q.9(57) Number of Vitamin A doses received by Last birth Previous to last birth
your baby during last six months? No. of
Vitamin A
(If not received, record ‘0’) doses
No 3
Q.9 (59) If Code '1' or '2' in Q.9 (58), then for how Last birth Previous to last birth
many days was it given in the last 3 No. of
months? Days
CHILD HEALTH
Item Code
Yes 1
No 2
Q.9 (61) If Code ‘1’ in Q.9 (60), was the baby given
any treatment? Last birth Previous to last birth
Item Code
Antibiotic 1
Other treatment 2
No treatment 3
16
98
JHARKHAND
Q.9 (63) If Code ‘1’ in Q.9 (62), was the baby given
any treatment? Last birth Previous to last birth
Item Code
Yes 1
No 2
Item Code
Yes 1
No 2
REGISTRATION OF BIRTH
Item Code
Yes 1
No 2
17
99
JHARKHAND
Q.1 Which of the family planning Codes Family Planning Methods Awareness
method (s) are you aware of? (Yes - 1, No - 2)
02 Vasectomy
03 Copper-T / IUD
04 Pills (Daily)
05 Pills (Weekly)
06 Emergency Contraceptive Pill
07 Condom / Nirodh
08 Injectable Contraceptives
Traditional
10 Contraceptive Herbs
12 Withdrawal
[For Married but, Gauna not
13 Lactational Amenorrhoea Method (LAM)
performedgo to Q.21 directly after
recording response of Q.1] 14 Other traditional method
Q.4 How many months pregnant were you Number of completed months
at the time of first ANC?
Within 2 years 2
did you want to wait until later, or did you Later
2 years or more 3
not want to have any (more) children at
Did not want any (more) children at all 4
all?
(After recording the response, go to CODE Go to
Q.13) Q.13
Q.6 Are you currently menstruating?
Yes 1 Go to
Lactational Amenorrhoea 2 Q.7
Secondary Amenorrhoea 3
No In Menopause 4 Go to
Uterus Removed 5 Q.13
Never Menstruated 6 Go to
Q. 21
CODE
18
100
JHARKHAND
Q.9 (i) Are you or your husband currently Yes-1, No-2 If Code
using any method(s) of family ‘2’, go to
planning? Q.12
(ii) If Code ‘1’ in Q.9 (i), specify the most If Code
(Use Codes from Q.1)
used method ‘03-14’,
go to
(iii) If Code ‘01’ or ‘02’ in Q.9 (ii), where GOVERNMENT Q.10
did you or your husband got the
Govt. / Municipal hospital 1
operation done?
Govt. Dispensary 2
UHC / UHP / UFWC 3
CHC 4
PHC 5
Camp 6
PRIVATE
Hospital 7
Dispensary / Clinic 8
Others 9
CODE
CODE
Q.10 (i) How long have you or your Less than 6 months 1
husband been using this method 6 months to < 1 year 2
Annual Health Survey 2012-13
continuously?
1 year to < 2 years 3
2 years or more 4
Not remember 5
CODE
19
101
JHARKHAND
20
102
JHARKHAND
CODE
to use?
Doesn’t matter 3
CODE
21
103
JHARKHAND
Not at Home 5 D D M M Y Y Y Y
Date of Interview
Others (Please specify) 6
22
104
JHARKHAND
Remarks of Enumerator
Remarks of Supervisor
105
Annual Health Survey 2012-13
106
Confidential when filled Page No. ..........
Serial No.
(Code)
Order of birth
time of death?
death (Code)
Sex of deceased
1 to 11 months
(Male-1, Female-2)
before death (Code)
occurred? (Code)
medical facility (in kms)#
as in Household Schedule
D D M M Y Y Y Y P1 P2
complications and death (Code)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Code for Col. (10) Code for Col. (11) Code for Col. (16) Contd. Code for Col. (18) Code for Col. (20) Code for Col. (21) Code for Col. (22)
Item Code Item Code Item Code Item Code Item Code Item Code Item Code
GOVERNMENT At home 1 Pre-term/Low birth 09 During antenatal period 1 Delay in receiving health care 1 Excess bleeding 1 < 2 hours 1
Sub Center 01 In-transit 2 weight baby not at facility
PHC 02 In health facility 3 thriving Sepsis 2 2 hours to < 24 hours 2
During delivery 2 Inadequate care at health facility 2
CHC 03 Other places 4 Respiratory infection 10 Pregnancy Induced
Lack of transport in shifting to 3 24 hours to < 2days 3
UHC/UHP/UFWC 04 Diarrhoea / Dysentery 11 During abortion 3 Hypertension (PIH) 3
facility
Dispensary/Clinic 05 Code for Col. (16) Fever with rash 12 2 days to < 7 days 4
Lack of funds 4 Prolonged Labour/ 4
Hospital 06 Fever with convulsion 13 Within 42 days of delivery 4
Item Code Seriousness of the condition 5 Obstructed labour 7 days < 14 days 5
AYUSH Hospital/Clinic 07 Fever with jaundice 14
After 42 days of delivery 5 not realized
PRIVATE Asphyxia 01 Others 15 Injury to uterus & other 14 days or more 6
Dispensary/Clinic 08 Seriousness of the condition 6
Hypothermia 02 Neonatal mortality (0-28 days): organs 5
Hospital 09 Within 42 days of abortion 6 realized but decision not made
Infections 03 Codes 01-09 & 15
AYUSH Hospital/Clinic 10 by family members Anaemia 6
Post neonatal mortality
Birth Injuries 04 After 42 days of abortion 7 Others 7
NGO or Trust Hosp/Clinic 11 (29-365 days): Codes 08-15 Jaundice 7
At Home 12 Convulsions soon 05
Others 99 after birth Malaria 8
Name and Signature of the Enumerator
No Medical Attention 00 Jaundice 06 Other medical conditions in
Bleeding from umbilicus 07 SI. No. Name Signature Date
pregnancy 9
* = To be copied from Household Schedule & elsewhere
Enumerator -1: Other conditions not
# = if distance is less than 1 km, record ‘0’ Congenital/Birth defects 08
Enumerator -2: related to pregnancy 0
JHARKHAND
107
Jharkhand: Coverage along the continuum of care
Ultrasound 27.3
Birth
Check up within 48 hrs 68.4
0 10 20 30 40 50 60 70 80 90 100