Uttar Pradesh

Presented By : Mr. Rohit Dheer

Welcome to health profile of U.P

Area : 2,94,411 sq. km. DesPopulation:166.20 million

Content
Population Health Infrastructure Infant and child Mortality Life expectancy Total fertility rate Disease occurrence State Health policies/department Health Expenditure

Population of Uttar Pradesh

250,000,000 200,000,000

104,596,415

100,000,000 50,000,000 0

166,197,921

199,581,477

150,000,000

87,565,369

2001

78,632,552

2011

Persons

Males

Females

94,985,062

Population of Uttar Pradesh( Rural /Urban)

RURAL
180,000,000 160,000,000 50,000,000 45,000,000 40,000,000 35,000,000 155,111,022 131,658,339 25,000,000 81,044,655 74,066,367 20,000,000 15,000,000 10,000,000 44,470,455 30,000,000 34,539,582

URBAN

140,000,000
120,000,000 100,000,000 80,000,000 60,000,000 40,000,000 20,000,000 0
2001 2011

69,157,470

62,500,869

23,551,760 2011 Females

18,407,899

5,000,000 0

2001 Persons Males Females Persons Males

16,131,683

20,918,695

Health Infrastructure of Uttar Pradesh

8000 7000 6000 5000 4000 3000 2000 1000 0

Required In position Health Infrastructure shortfall

(Source: RHS Bulletin, March 2008, M/O Health & F.W., GOI)

Other Health Institution

Medical College District Hospitals Referral Hospitals City Family Welfare Centre Rural Dispensaries Ayurvedic Hospitals Ayurvedic Dispensaries Unani Hospitals Unani Dispensaries

Homeopathic Hospitals
Homeopathic Dispensary

U.P AT A GLANCE
India Uttar Pradesh 933 898 254 166.2 53 67 53.7 42.2 35.15 26.1 31.15 22.8 29.1 7.4 8.4 2.6 3.8 0.11 84.33 166.64 440 Sex Ratio (Census 2001) Maternal Mortality Ratio (SRS 2004 - 2006) Total population (Census 2001) (in million) Infant Mortality Rate (SRS 2008) Female Literacy Rate (Census 2001) (%) Schedule Caste population (in million) Population below Poverty line (%) Crude Birth Rate (SRS 2008) Crude Death Rate (SRS 2008) Total Fertility Rate (SRS 2008)

1028.61

Schedule Tribe population (in million)

Infant and child Mortality

Neonatal mortality: The probability of dying in the first month of life Postneonatal mortality: The probability of dying after the first month of life but before the first birthday Infant mortality : The probability of dying before the first birthday Child mortality : The probability of dying between the first and fifth birthdays Under-five mortality : The probability of dying before the fifth birthday

Infant and child mortality(INDIA)

Infant and child mortality Mortality rate Neonatal mortality 0-4 5-9 10-14 15-19 20-24 160 140 120 100 80 60 40 20 0 0-4 5-9 10-14 15-19 20-24 Neonatal mortality Postneonatal mortality Infant mortality Childhood mortality Under-5 mortality 39 49.3 51.3 57.1 68.8 Postneonatal mortality 18 22.9 25.3 31.9 36.8 Infant mortality 57 72.2 76.6 89 105.6 Childhood mortality 18.4 25 32.3 38.5 45.4 Under-5 mortality 74.3 95.4 106.5 124.1 146.2

Source: Macro International Inc, 2011,MEASURE DHS

CRUDE BIRTH RATE (CBR)

CBR denotes no. of Live births per 1,000 population In UP, rural CBR is 26.9 compared to 20.6 in urban
State name Uttar Pradessh No of Districts 70 Districts with minimum CBR District with maximum CBR kanpur nagar(18.0) Shrawati(40.9) Range 22.9

State
14-18 Uttar Pradesh 19-23 19

Frequency Range (CBR)

24-28 42 29-33 6 34-43 3

CRUDE DEATH RATE (CDR)

CDR denotes no. of Deaths per 1,000 population UP has the highest CDR in rural area is significantly higher than that of urban area across all 9 AHS states. In UP, rural CDR is 9.1 compared to 6.9 in urban In UP, female CDR is 8.1 compared to 9.1 for males
State name Uttar Pradessh No of Districts 70 Districts with minimum CDR kanpur nagar(6.1) District with maximum CDR Shrawati(12.6) Range 6.5

State 4-5 Uttar Pradesh

Frequency Range (CDR) 6-7 19 8-9 42 10-13 6

Infant Mortality rate (Uttar Pradesh)

Trends of Infant mortality Death per 1,000 live birth
RURAL URBAN
73 89 75 64 94 63

Total

Infant mortality rate of U.P is 73 IMR in rural are significantly higher than of URBAN area in case of Uttar Pradesh More female infants die as compared to males . In U.P female IMR is 72 compared to 69 for male

NHFS3

NHFS2

State name Uttar Pradessh

No of Districts 70

Districts with minimum IMR Kanpur Nagar(36)

District with maximum IMR Shrawati (103)

Range 67

IMR ( Frequency wise )

State
15-29 Uttar Pradesh 30-44 2

Frequency Range
45-49 18 60-74 22 75-89 23 90-104 5

NEO-NATAL MORTALITY RATE (NNMR)

NNMR denotes no. of Infant Deaths (of age less than 29 days) per 1,000 Live Births NNMR in Uttar Pradesh is 50. In UP, rural NNMR is 53 compared to 36 in urban.
Districts with minimum NNMR kanpur nagar(24) District with maximum NNMR Shrawati(73)

State name Uttar Pradessh

No of Districts 70

Range 49

NNMR( Frequency range wise)

State

19-Oct
Uttar Pradesh

20-29 4

Frequency Range 30-39 40-49 15 17

50-59 19

60-69 12

70-79 3

UNDER FIVE MORTALITY RATE (U5MR)

U5MR denotes number of children (0-4 years) who died before reaching their fifth birthday per 1000 live births NNMR in Uttar Pradesh is in 90s U5MR in rural areas is significantly higher than that of urban areas. In UP, rural U5MR is 101 compared to 68 in urban Gap between male-female mortality differential is significant. In UP, male-female gap is 9

State name Uttar Pradessh

No of Districts 70

Districts with minimum U5MR Kanpur nagar(52)

District with maximum U5MR Shrawati(142)

Range 90

U5MR( Frequency range wise)

State Frequency Range (U5MR)

21-40
uttar Pradesh

41-60
2

61-80
13

81-100
30

101-120
19

121-140
5

141-160
1

MATERNAL MORTALITY RATIO (MMR)

MMR denotes the proportion of Maternal Deaths per 1,00,000 Live Births MMR in Uttar Pradesh is 348 Uttar Pradesh is second last among the AHS( Annual health survey) states Maternal Deaths under AHS are based on response of relatives of the deceased
State Uttar Pradesh Maternity (Total No of admin Division ) Admin Division with minimum MMR Admin Division with MAX MMR Range

18

Jhansi Mandal(241)

Faizabad mandal (451)

210

Sex ratio in Uttar Pradesh

Sex Ratio is a term used to define number of females per 1000 males Kerala with 1058 females per 1000 males has the highest female literacy rate according to 2001 Census of India. According to the Uttar Pradesh 908/1000 .

Childhood Mortality Rates by Sex

90

80
70 60 50 40 30 21 20 10 37 58

79

70 56

41

23

15

14

0
Neonatal Mortality Postneonatal Mortality Infant Mortality Child Mortality Under-five Mortality

Female

Male

Life Expectancy
According to the Population Reference Bureau's 2000 World Data Sheets, life expectancy at birth for Indians is between 60 and 61 years. IT is consider as a most important indicator for the health status in society In 1970-1975 , Life expectancy of U.P is only 43 but 1995 it had improved to 58.4 , for male if 58.9 and for female is 57.7 Urban people life five year more than rural people

Total fertility rate

The total fertility rate of a population is the average number of children that would be born to a woman over her lifetime if she were to experience the exact current agespecific fertility rates (ASFRs) through her lifetime, and she were to survive from birth through the end of her reproductive life. It is obtained by summing the single-year agespecific rates at a given time.

Marriage and Fertility Women age 20-24 married by age 18 (%) Women age 20-24 who became mothers before age 18 (%) Total fertility rate (children per woman) Higher order births (3+ births) (%) Birth Interval (median number of months between current and previous birth)

URBAN 30 14.6 3 33

RURAL 61.2 29 4.1 39.6

Total State 53.1 25.2 3.8 38.3

29

29

29

Disease Occurrence
Malaria Elimination of Lymphatic Filariasis Kala-Azar Japanese Encephalitis/Acute Encephalitis Syndrome(AES) Dengue Chikungunya

State Health policies/department

Department of Medical, Health and Family Welfare, Government of Uttar Pradesh, is playing a vital role in improving the health status & quality of living of the People of Uttar Pradesh. The department has been involved in service of Mankind since its very inception in 1921. The Department initially provided its services under the name of Provincial Subordinate Medical and Provincial Medical Services There are about 61 policy in the states (http://uphealth.up.nic.in/nabh.htm) Projects as per date National rural health mission ( NRHM) UPHSDP SIFSA UPAIDS

In regular Interval staff training are held for there capacity building

Health Expenditure
Years 2005-06 2006-07 2007-08 2008-09 Allocation 746.69 1142.7 1459.42 1480.37 Financial Management under NRHM (Rs. in crore) % Release against Release Expenditure Allocation 930 1180.24 1531.5 1806.88 573.3 720.47 1086.43 1789.77 124.55 103.29 104.94 122.06 % Expenditure agianst release 61.55 61.04 70.94 99.05 -

2009-10 1531.43 Total 6360.62

5448.62

4169.97

85.66

76.53

Budget Allocations (2005-09) ( Amount in Crores ) Heads RCH Flexipool NRHM Flexipool National Disease Control Programme Total Allocation 1722.96 1565.72 413.53 3702.21 Release Expenditure 891.7 1093.93 299.95 2285.58 813.94 444.01 217.72 1475.67