Lok Sabha Question No. 2179 (UNSTARRED), answered on 2017-07-28
Subject: Disparity in Health Status
Ministry: HEALTH AND FAMILY WELFARE
Asked by: J. JAYASINGH THIYAGARAJ NATTERJEE

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 2179 TO BE ANSWERED ON  28 TH JULY, 2017

## DISPARITY IN HEALTH STATUS

## 2179. SHRI J.J.T. NATTERJEE:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the country is exhibiting variation in the status of wide inter - State disparity in health status with respect to urban and rural areas;
- (b) if so, the details thereof;
- (c) whether the healthc are infrastructure in the country is overburdened by increasing populat
- (d) if so, the details thereof;
- (e) whether the country is facing the twin epidemic of continuing/ emerging infectious di well as chronic degenerative disease; and
- (f) if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI FAGGAN SINGH KULASTE)

- (a)& (b) : National Family Health Survey (NFHS) and Sample Registration System (SRS) reveals disparity in health sta tus with respect to rural and urban areas. As per NFHS - 4 and SRS 2013, state - wise key health indicators are at Annexure - I & Annexure - II respectively.
- (c)& (d) : As per Rural Health Statistics, 2016 the shortfall of healt h infrastructure in rural Areasas on31 st March, 2016 is as below:

| Health Infrastructure   | Required   | Present   | Shortfall   |
|-------------------------|------------|-----------|-------------|
| Sub - Centre            | 1,79,240   | 1,55,069  | 35,110      |
| Primary Health Centre   | 29,337     | 25,354    | 6,572       |
| Community Health Centre | 7,322      | 5,510     | 2,220       |

Contd……

- 2-

(e)& (f) : India is faced with dual burden of disease. However, diseases burden relatin diarrhoea, child mortality, lower respiratory infection and communicable diseases such Malaria  has  come  down.  India's  progress  in  decline  of  under  five  mortality  and  m aternal mortality has been faster than the global reduction. Mortality due to tuberculosis has reduced from 76/ lakh in 1990 to 32/ lakh in 2015. There has been 60.12% reduction in the mortali due  to  Malaria  and  35.63%  reduction  in  the  incidence  of Malaria  in  2015  as  against  2005. However, the number is still very high and there is emerging threat of chronic diseases Cancer,  Diabetes,  Cardiovascular  and  other  NCDs.  NCDs  contribute  to  about  60%  of  th premature mortality in India .

……………..

## State - wise key indicators from NFHS - 4 (2015 - 16) by residence

| S. N.   | India/ States/ UTs      | 22.Currently married women (15 - 45 yrs) used any modern method of FP   | 22.Currently married women (15 - 45 yrs) used any modern method of FP   | who    | 43.Institutional births (%)   | 43.Institutional births (%)   | 43.Institutional births (%)   | 50.Children age 12 - 23 months fully immunized (BCG, measles, and 3 doses each of polio and (%)   | 50.Children age 12 - 23 months fully immunized (BCG, measles, and 3 doses each of polio and (%)   | 50.Children age 12 - 23 months fully immunized (BCG, measles, and 3 doses each of polio and (%)   |
|---------|-------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------|--------|-------------------------------|-------------------------------|-------------------------------|---------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------|
|         | India/ States/ UTs      | Tota l                                                                  | Rur al                                                                  | Urba n | Tota l                        | Rural                         | Urba n                        | Total                                                                                             | Rural                                                                                             | Urban                                                                                             |
|         | India                   | 47.8                                                                    | 46.0                                                                    | 51.3   | 78.9                          | 75.1                          | 88.7                          | 62.0                                                                                              | 61.3                                                                                              | 63.9                                                                                              |
| 1       | Andhra Pradesh          | 69.4                                                                    | 70.0                                                                    | 68.1   | 91.6                          | 89.7                          | 96.5                          | 65.3                                                                                              | 67.2                                                                                              | 60.4                                                                                              |
| 2       | Assam                   | 37.0                                                                    | 36.8                                                                    | 38.4   | 70.6                          | 68.2                          | 92.9                          | 47.1                                                                                              | 44.4                                                                                              | 70.9                                                                                              |
| 3       | Bihar                   | 23.3                                                                    | 22.0                                                                    | 32.1   | 63.8                          | 62.7                          | 74.3                          | 61.7                                                                                              | 61.9                                                                                              | 59.7                                                                                              |
| 4       | Chattisgarh             | 54.5                                                                    | 53.6                                                                    | 57.3   | 70.2                          | 66.8                          | 83.3                          | 76.4                                                                                              | 74.3                                                                                              | 84.9                                                                                              |
| 5       | Gujarat                 | 43.1                                                                    | 44.6                                                                    | 41.2   | 88.7                          | 85.5                          | 93.4                          | 50.4                                                                                              | 50.4                                                                                              | 50.4                                                                                              |
| 6       | Haryana                 | 59.4                                                                    | 62.2                                                                    | 55.1   | 80.5                          | 80.4                          | 80.6                          | 62.2                                                                                              | 65.1                                                                                              | 57.0                                                                                              |
| 7       | Jharkhand               | 37.5                                                                    | 35.8                                                                    | 42.5   | 61.9                          | 57.3                          | 81.6                          | 61.9                                                                                              | 60.7                                                                                              | 67.0                                                                                              |
| 8       | Karnataka               | 51.3                                                                    | 54.3                                                                    | 47.1   | 94.3                          | 93.5                          | 95.4                          | 62.6                                                                                              | 64.8                                                                                              | 59.8                                                                                              |
| 9       | Kerala                  | 50.3                                                                    | 50.1                                                                    | 50.6   | 99.9                          | 99.9                          | 99.9                          | 82.1                                                                                              | 82.0                                                                                              | 82.2                                                                                              |
| 10      | Madhya Pradesh          | 49.6                                                                    | 49.8                                                                    | 49.0   | 80.8                          | 76.4                          | 93.8                          | 53.6                                                                                              | 50.2                                                                                              | 63.0                                                                                              |
| 11      | Maharashtra             | 62.6                                                                    | 64.2                                                                    | 60.7   | 90.3                          | 86.7                          | 94.8                          | 56.3                                                                                              | 56.7                                                                                              | 55.8                                                                                              |
| 12      | Odisha                  | 45.4                                                                    | 44.8                                                                    | 48.3   | 85.4                          | 84.7                          | 89.7                          | 78.6                                                                                              | 79.2                                                                                              | 75.0                                                                                              |
| 13      | Punjab                  | 66.3                                                                    | 67.1                                                                    | 65.3   | 90.5                          | 91.5                          | 89.0                          | 89.1                                                                                              | 89.3                                                                                              | 88.7                                                                                              |
| 14      | Rajasthan               | 53.5                                                                    | 52.1                                                                    | 57.9   | 84.0                          | 82.3                          | 90.3                          | 54.8                                                                                              | 53.1                                                                                              | 60.9                                                                                              |
| 15      | Tamil Nadu              | 52.6                                                                    | 51.6                                                                    | 53.5   | 99.0                          | 98.7                          | 99.2                          | 69.7                                                                                              | 66.8                                                                                              | 73.3                                                                                              |
| 16      | Telangana               | 56.9                                                                    | 55.8                                                                    | 58.3   | 91.5                          | 87.3                          | 96.3                          | 68.1                                                                                              | 68.3                                                                                              | 67.8                                                                                              |
| 17      | Uttar Pradesh           | 31.7                                                                    | 29.0                                                                    | 39.8   | 67.8                          | 66.8                          | 71.7                          | 51.1                                                                                              | 50.4                                                                                              | 53.6                                                                                              |
| 18      | West Bengal             | 57.0                                                                    | 58.7                                                                    | 53.0   | 75.2                          | 71.9                          | 83.7                          | 84.4                                                                                              | 87.1                                                                                              | 77.7                                                                                              |
| 19      | Arunachal Pradesh       | 26.6                                                                    | 27.6                                                                    | 23.5   | 52.3                          | 44.2                          | 81.5                          | 38.2                                                                                              | 36.4                                                                                              | 44.2                                                                                              |
| 20      | Delhi                   | 47.3                                                                    | 51.0                                                                    | 47.2   | 84.4                          | 85.4                          | 84.4                          | 66.4                                                                                              | *                                                                                                 | 66.2                                                                                              |
| 21      | Goa                     | 24.8                                                                    | 12.0                                                                    | 31.6   | 96.9                          | 98.8                          | 95.8                          | 88.4                                                                                              | (90.1)                                                                                            | (87.7)                                                                                            |
| 22      | Himachal                | 52.1                                                                    | 52.3                                                                    | 50.3   | 76.4                          | 75.3                          | 90.6                          | 69.5                                                                                              | 69.9                                                                                              | 64.8                                                                                              |
| 23      | Pradesh Jammu & Kashmir | 46.1                                                                    | 42.1                                                                    | 56.0   | 85.7                          | 82.0                          | 97.3                          | 75.1                                                                                              | 72.9                                                                                              | 81.6                                                                                              |

|   24 | Manipur              |   12.7 | 12.6   | 12.9   |   69.1 | 60.5   | 86.3   | 65.9   | 61.7   | 74.3   |
|------|----------------------|--------|--------|--------|--------|--------|--------|--------|--------|--------|
|   25 | Meghalaya            |   21.9 | 20.6   | 27.6   |   51.4 | 45.7   | 88.1   | 61.5   | 58.5   | 81.4   |
|   26 | Mizoram              |   35.3 | 31.5   | 38.4   |   80.1 | 61.0   | 97.2   | 50.5   | 51.3   | 49.8   |
|   27 | Nagaland             |   21.4 | 19.2   | 25.5   |   32.8 | 24.0   | 56.3   | 35.7   | 33.4   | 41.6   |
|   28 | Sikkim               |   45.9 | 50.9   | 35.6   |   94.7 | 94.4   | 95.3   | 83.0   | 83.7   | (81.4) |
|   29 | Tripura              |   42.8 | 42.7   | 43.1   |   79.9 | 75.7   | 92.6   | 54.5   | 51.2   | 64.2   |
|   30 | Uttarakhand          |   49.3 | 49.8   | 48.4   |   68.6 | 63.7   | 79.1   | 57.7   | 58.2   | 56.5   |
|   31 | A&N Islands          |   48.3 | 53.7   | 41.1   |   96.6 | 95.4   | 98.3   | 73.2   | 82.5   | (61.8) |
|   32 | Chandigarh           |   58.2 |        |        |   91.6 |        |        | (79.5) |        |        |
|   33 | Dadra & Nagar Haveli |   37.9 | 43.5   | 31.6   |   88   | 83.2   | 94.6   | 43.2   | (35.1) | *      |
|   34 | Daman & Diu          |   31.6 | 35.5   | 30.2   |   90.1 | 88.8   | 90.7   | 66.3   | (62.4) | 67.8   |
|   35 | Lakshadweep          |   14.9 | 17.1   | 14.7   |   99.9 | 98.7   | 100.0  | 86.9   | *      | 86.1   |
|   36 | Puducherry           |   61.2 | 60.5   | 61.5   |   99.9 | 100.0  | 99.9   | 91.3   | (85.4) | 93.9   |

( ) based on 25 - 49 unweighted cases * not shown; based on fewer than 25 unweighted cases

| S.N o.   | India/States/UTs   | 74.Children under 5 years who are underweight (weight - for - age) 12 (%)   | 74.Children under 5 years who are underweight (weight - for - age) 12 (%)   | 74.Children under 5 years who are underweight (weight - for - age) 12 (%)   | 79.Children age 6 - 59 months who are anaemic (<11.0 g/dl) (%)   | 79.Children age 6 - 59 months who are anaemic (<11.0 g/dl) (%)   | 79.Children age 6 - 59 months who are anaemic (<11.0 g/dl) (%)   | 82.All women age 15- 49 years who are anaemic (%)   | 82.All women age 15- 49 years who are anaemic (%)   | 82.All women age 15- 49 years who are anaemic (%)   |
|----------|--------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|-----------------------------------------------------|-----------------------------------------------------|-----------------------------------------------------|
|          |                    | NFHS - 4                                                                    | NFHS - 4                                                                    | NFHS - 4                                                                    | NFHS - 4                                                         | NFHS - 4                                                         | NFHS - 4                                                         | NFHS - 4                                            | NFHS - 4                                            | NFHS - 4                                            |
|          |                    | Tot al                                                                      | Rur al                                                                      | Urba n                                                                      | Tot al                                                           | Rur al                                                           | Urba n                                                           | Tot al                                              | Rur al                                              | Urba n                                              |
|          | India              | 35.7                                                                        | 38.3                                                                        | 29.1                                                                        | 58.4                                                             | 59.4                                                             | 55.9                                                             | 53.0                                                | 54.2                                                | 50.8                                                |
| 1        | Andhra Pradesh     | 31.9                                                                        | 33.1                                                                        | 28.4                                                                        | 58.6                                                             | 60.8                                                             | 52.4                                                             | 60.0                                                | 61.1                                                | 57.2                                                |
| 2        | Assam              | 29.8                                                                        | 30.8                                                                        | 21.4                                                                        | 35.7                                                             | 36.5                                                             | 27.6                                                             | 46.0                                                | 46.3                                                | 44.2                                                |
| 3        | Bihar              | 43.9                                                                        | 44.6                                                                        | 37.5                                                                        | 63.5                                                             | 64.0                                                             | 58.8                                                             | 60.3                                                | 60.5                                                | 58.7                                                |
| 4        | Chattisgarh        | 37.7                                                                        | 39.6                                                                        | 30.2                                                                        | 41.6                                                             | 41.2                                                             | 42.9                                                             | 47.0                                                | 48.2                                                | 43.3                                                |
| 5        | Gujarat            | 39.3                                                                        | 44.2                                                                        | 32.0                                                                        | 62.6                                                             | 64.6                                                             | 59.5                                                             | 54.9                                                | 57.5                                                | 51.6                                                |
| 6        | Haryana            | 29.4                                                                        | 29.9                                                                        | 28.5                                                                        | 71.7                                                             | 72.9                                                             | 69.6                                                             | 62.7                                                | 63.9                                                | 60.8                                                |
| 7        | Jharkhand          | 47.8                                                                        | 49.8                                                                        | 39.3                                                                        | 69.9                                                             | 71.5                                                             | 63.2                                                             | 65.2                                                | 67.3                                                | 59.6                                                |
| 8        | Karnataka          | 35.2                                                                        | 37.7                                                                        | 31.5                                                                        | 60.9                                                             | 63.4                                                             | 57.2                                                             | 44.8                                                | 46.2                                                | 43.0                                                |
| 9        | Kerala             | 16.1                                                                        | 16.7                                                                        | 15.5                                                                        | 35.6                                                             | 35.7                                                             | 35.5                                                             | 34.2                                                | 32.4                                                | 36.3                                                |
| 10       | Madhya Pradesh     | 42.8                                                                        | 45                                                                          | 36.5                                                                        | 68.9                                                             | 69.9                                                             | 66.3                                                             | 52.5                                                | 53.8                                                | 49.7                                                |
| 11       | Maharashtra        | 36                                                                          | 40                                                                          | 30.7                                                                        | 53.8                                                             | 54.0                                                             | 53.6                                                             | 48.0                                                | 47.8                                                | 48.2                                                |
| 12       | Odisha             | 34.4                                                                        | 35.8                                                                        | 26.2                                                                        | 44.6                                                             | 45.7                                                             | 38.1                                                             | 51.0                                                | 51.8                                                | 47.6                                                |
| 13       | Punjab             | 21.6                                                                        | 21.1                                                                        | 22.4                                                                        | 56.6                                                             | 57.2                                                             | 55.7                                                             | 53.5                                                | 54.4                                                | 52.3                                                |
| 14       | Rajasthan          | 36.7                                                                        | 38.4                                                                        | 30.7                                                                        | 60.3                                                             | 61.6                                                             | 55.7                                                             | 46.8                                                | 49.0                                                | 40.7                                                |
| 15       | Tamil Nadu         | 23.8                                                                        | 25.7                                                                        | 21.5                                                                        | 50.7                                                             | 52.5                                                             | 48.6                                                             | 55.1                                                | 56.8                                                | 53.4                                                |
| 16       | Telangana          | 28.5                                                                        | 33.1                                                                        | 22.2                                                                        | 60.7                                                             | 67.5                                                             | 51.6                                                             | 56.7                                                | 58.1                                                | 55.0                                                |
| 17       | Uttar Pradesh      | 39.5                                                                        | 41.0                                                                        | 33.7                                                                        | 63.2                                                             | 62.7                                                             | 65.0                                                             | 52.4                                                | 52.4                                                | 52.7                                                |
| 18       | West Bengal        | 31.5                                                                        | 33.6                                                                        | 26.2                                                                        | 54.2                                                             | 53.7                                                             | 55.6                                                             | 62.5                                                | 64.4                                                | 58.2                                                |
| 19       | Arunachal Pradesh  | 19.5                                                                        | 20.9                                                                        | 13.8                                                                        | 50.7                                                             | 51.0                                                             | 49.7                                                             | 40.3                                                | 40.3                                                | 40.4                                                |
| 20       | Delhi              | 27.0                                                                        | 1.3                                                                         | 27.3                                                                        | 62.6                                                             | *                                                                | 62.3                                                             | 52.5                                                | 78.0                                                | 52.3                                                |
| 21       | Goa                | 23.8                                                                        | 21.2                                                                        | 25.3                                                                        | 48.3                                                             | 41.2                                                             | 52.2                                                             | 31.3                                                | 32.0                                                | 30.8                                                |
| 22       | Himachal Pradesh   | 21.2                                                                        | 21.6                                                                        | 17.1                                                                        | 53.7                                                             | 53.3                                                             | 58.7                                                             | 53.4                                                | 53.4                                                | 54.2                                                |
| 23       | Jammu & Kashmir    | 16.6                                                                        | 16.5                                                                        | 17.0                                                                        | 43.3                                                             | 44.1                                                             | 40.6                                                             | 40.3                                                | 39.1                                                | 43.1                                                |
| 24       | Manipur            | 13.8                                                                        | 14.2                                                                        | 13.1                                                                        | 23.9                                                             | 23.3                                                             | 24.9                                                             | 26.4                                                | 26.4                                                | 26.5                                                |
| 25       | Meghalaya          | 29                                                                          | 29.9                                                                        | 22.9                                                                        | 48.0                                                             | 48.9                                                             | 42.6                                                             | 56.2                                                | 59.6                                                | 45.2                                                |

|   26 | Mizoram              |   11.9 | 15.7   | 8.5   |   17.7 | 22.3   | 13.2   |   22.5 | 27.3   | 19.3   |
|------|----------------------|--------|--------|-------|--------|--------|--------|--------|--------|--------|
|   27 | Nagaland             |   16.8 | 18.0   | 13.6  |   21.6 | 23.1   | 17.6   |   23.9 | 25.5   | 21.4   |
|   28 | Sikkim               |   14.2 | 15.4   | 12    |   55.1 | 52.7   | 59.7   |   34.9 | 35.1   | 34.3   |
|   29 | Tripura              |   24.1 | 25     | 21.7  |   48.3 | 49.2   | 45.7   |   54.5 | 54.1   | 55.6   |
|   30 | Uttarakhand          |   26.6 | 27.1   | 25.6  |   59.8 | 59.1   | 61.3   |   45.2 | 46.2   | 43.4   |
|   31 | A&N Islands          |   21.6 | 25.6   | 15.9  |   49   | 50.0   | 47.7   |   65.7 | 65.9   | 65.4   |
|   32 | Chandigarh           |   24.5 |        |       |   73.1 |        |        |   75.9 |        |        |
|   33 | Dadra & Nagar Haveli |   38.9 | 47.4   | 27.4  |   84.6 | 87.7   | 80.1   |   79.5 | 86.6   | 70.6   |
|   34 | Daman & Diu          |   26.7 | 25.4   | 27.2  |   73.8 | 76.6   | 72.5   |   58.9 | 56.3   | 60.0   |
|   35 | Lakshadweep          |   23.4 | 35.5   | 22.6  |   51.9 | 67.4   | 51.0   |   45.7 | 62.1   | 44.5   |
|   36 | Puducherry           |   22   | 18.7   | 23.3  |   44.9 | 48.5   | 43.4   |   52.4 | 54.8   | 51.4   |

## Annexure-I (cont.)

| S.No.   | India/States/UTs   | 84. Blood sugar level among women (15 - 49 years)-High (>140 mg/dl) (%)   | 84. Blood sugar level among women (15 - 49 years)-High (>140 mg/dl) (%)   | 84. Blood sugar level among women (15 - 49 years)-High (>140 mg/dl) (%)   | 86. Blood sugar level among men (15-49 years)-High (>140 mg/dl) (%)   | 86. Blood sugar level among men (15-49 years)-High (>140 mg/dl) (%)   | 86. Blood sugar level among men (15-49 years)-High (>140 mg/dl) (%)   | Hypertension among women (15-49 years) - Above normal (Systolic ≥140 mmof Hg and/or Diastolic ≥ 90 mm of Hg) (%)   | Hypertension among women (15-49 years) - Above normal (Systolic ≥140 mmof Hg and/or Diastolic ≥ 90 mm of Hg) (%)   | Hypertension among women (15-49 years) - Above normal (Systolic ≥140 mmof Hg and/or Diastolic ≥ 90 mm of Hg) (%)   |
|---------|--------------------|---------------------------------------------------------------------------|---------------------------------------------------------------------------|---------------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|
|         |                    | NFHS - 4                                                                  | NFHS - 4                                                                  | NFHS - 4                                                                  | NFHS - 4                                                              | NFHS - 4                                                              | NFHS - 4                                                              | NFHS - 4                                                                                                           | NFHS - 4                                                                                                           | NFHS - 4                                                                                                           |
|         |                    | Total                                                                     | Rural                                                                     | Urban                                                                     | Total                                                                 | Rural                                                                 | Urban                                                                 | Total                                                                                                              | Rural                                                                                                              | Urban                                                                                                              |
|         | India              | 5.8                                                                       | 5.2                                                                       | 6.9                                                                       | 8.8                                                                   | 7.4                                                                   | 8.8                                                                   | 8.8                                                                                                                | 8.5                                                                                                                | 9.6                                                                                                                |
| 1       | Andhra Pradesh     | 8.2                                                                       | 6.9                                                                       | 11.1                                                                      | 9.8                                                                   | 9.0                                                                   | 11.3                                                                  | 10.0                                                                                                               | 9.5                                                                                                                | 11.4                                                                                                               |
| 2       | Assam              | 5.2                                                                       | 4.9                                                                       | 7.2                                                                       | 6.6                                                                   | 6.4                                                                   | 7.6                                                                   | 16.0                                                                                                               | 15.8                                                                                                               | 17.4                                                                                                               |
| 3       | Bihar              | 4.2                                                                       | 4.1                                                                       | 5.0                                                                       | 6.7                                                                   | 6.4                                                                   | 8.0                                                                   | 5.9                                                                                                                | 6.0                                                                                                                | 5.6                                                                                                                |
| 4       | Chattisgarh        | 5.7                                                                       | 5.4                                                                       | 6.6                                                                       | 9.7                                                                   | 8.6                                                                   | 12.9                                                                  | 8.8                                                                                                                | 9.0                                                                                                                | 8.5                                                                                                                |
| 5       | Gujarat            | 5.8                                                                       | 5.3                                                                       | 6.3                                                                       | 7.6                                                                   | 7.2                                                                   | 8.2                                                                   | 9.7                                                                                                                | 8.8                                                                                                                | 10.6                                                                                                               |
| 6       | Haryana            | 4.8                                                                       | 4.2                                                                       | 5.7                                                                       | 6.1                                                                   | 6.1                                                                   | 6.2                                                                   | 9.2                                                                                                                | 8.5                                                                                                                | 10.3                                                                                                               |
| 7       | Jharkhand          | 4.9                                                                       | 4.4                                                                       | 6.2                                                                       | 7.7                                                                   | 7.2                                                                   | 8.8                                                                   | 7.8                                                                                                                | 7.6                                                                                                                | 8.4                                                                                                                |
| 8       | Karnataka          | 6.3                                                                       | 5.1                                                                       | 7.9                                                                       | 8.4                                                                   | 7.7                                                                   | 9.4                                                                   | 9.7                                                                                                                | 9.7                                                                                                                | 9.7                                                                                                                |
| 9       | Kerala             | 8.7                                                                       | 9.0                                                                       | 8.4                                                                       | 13.1                                                                  | 12.6                                                                  | 13.7                                                                  | 6.9                                                                                                                | 7.7                                                                                                                | 6.0                                                                                                                |
| 10      | Madhya Pradesh     | 5.1                                                                       | 4.6                                                                       | 6.2                                                                       | 6.7                                                                   | 6.0                                                                   | 8.1                                                                   | 7.9                                                                                                                | 7.6                                                                                                                | 8.6                                                                                                                |
| 11      | Maharashtra        | 5.0                                                                       | 4.4                                                                       | 5.7                                                                       | 5.9                                                                   | 5.4                                                                   | 6.5                                                                   | 9.1                                                                                                                | 8.7                                                                                                                | 9.5                                                                                                                |
| 12      | Odisha             | 7.3                                                                       | 7.2                                                                       | 7.7                                                                       | 10.7                                                                  | 10.7                                                                  | 10.9                                                                  | 9.0                                                                                                                | 8.7                                                                                                                | 10.2                                                                                                               |
| 13      | Punjab             | 6.1                                                                       | 6.3                                                                       | 5.7                                                                       | 6.7                                                                   | 6.6                                                                   | 6.8                                                                   | 13.2                                                                                                               | 14.0                                                                                                               | 12.0                                                                                                               |
| 14      | Rajasthan          | 3.5                                                                       | 3.3                                                                       | 3.9                                                                       | 5.7                                                                   | 5.7                                                                   | 5.8                                                                   | 6.9                                                                                                                | 6.4                                                                                                                | 8.5                                                                                                                |
| 15      | Tamil Nadu         | 7.1                                                                       | 6.3                                                                       | 8.0                                                                       | 9.7                                                                   | 9.2                                                                   | 10.2                                                                  | 8.3                                                                                                                | 7.2                                                                                                                | 9.3                                                                                                                |
| 16      | Telangana          | 6.8                                                                       | 5.6                                                                       | 8.2                                                                       | 6.0                                                                   | 5.4                                                                   | 6.8                                                                   | 10.1                                                                                                               | 9.5                                                                                                                | 10.9                                                                                                               |
| 17      | Uttar Pradesh      | 5.0                                                                       | 4.7                                                                       | 5.7                                                                       | 7.1                                                                   | 6.8                                                                   | 7.7                                                                   | 7.6                                                                                                                | 7.4                                                                                                                | 8.4                                                                                                                |
| 18      | West Bengal        | 7.4                                                                       | 6.8                                                                       | 8.7                                                                       | 11.4                                                                  | 10.6                                                                  | 12.9                                                                  | 10.3                                                                                                               | 9.6                                                                                                                | 12.0                                                                                                               |
| 19      | Arunachal Pradesh  | 4.8                                                                       | 4.8                                                                       | 4.8                                                                       | 7.6                                                                   | 8.1                                                                   | 6.2                                                                   | 15.0                                                                                                               | 15.0                                                                                                               | 14.9                                                                                                               |
| 20      | Delhi              | 7.6                                                                       | 2.3                                                                       | 7.7                                                                       | 10.0                                                                  | *                                                                     | 9.8                                                                   | 7.6                                                                                                                | 0.2                                                                                                                | 7.6                                                                                                                |
| 21      | Goa                | 8.9                                                                       | 9.8                                                                       | 8.4                                                                       | 12.3                                                                  | 11.9                                                                  | 12.6                                                                  | 8.5                                                                                                                | 7.9                                                                                                                | 8.9                                                                                                                |
| 22      | Himachal Pradesh   | 5.9                                                                       | 5.7                                                                       | 7.9                                                                       | 6.8                                                                   | 6.8                                                                   | 7.0                                                                   | 12.1                                                                                                               | 11.9                                                                                                               | 13.5                                                                                                               |
| 23      | Jammu & Kashmir    | 5.6                                                                       | 4.5                                                                       | 8.3                                                                       | 6.3                                                                   | 4.5                                                                   | 10.0                                                                  | 11.6                                                                                                               | 10.9                                                                                                               | 13.4                                                                                                               |
| 24      | Manipur            | 7.6                                                                       | 6.8                                                                       | 8.8                                                                       | 9.3                                                                   | 9.4                                                                   | 9.1                                                                   | 11.4                                                                                                               | 10.5                                                                                                               | 12.6                                                                                                               |

|   25 | Meghalaya            |   4.3 | 4.0   | 5.1   |   6.4 | 6.0   | 7.9   |   9.9 |   10.1 |   9.2 |
|------|----------------------|-------|-------|-------|-------|-------|-------|-------|--------|-------|
|   26 | Mizoram              |   8.6 | 7.3   | 9.4   |  10.3 | 9.6   | 10.7  |   9.8 |    8.6 |  10.6 |
|   27 | Nagaland             |   7.2 | 7.3   | 7.1   |   9.7 | 8.8   | 11.1  |  16   |   14.9 |  17.6 |
|   28 | Sikkim               |   6.7 | 6.1   | 7.8   |   8.9 | 7.5   | 10.7  |  16.5 |   15.6 |  18.5 |
|   29 | Tripura              |   7.7 | 7.0   | 9.4   |   9.6 | 9.9   | 8.9   |  12.6 |   11.9 |  14.3 |
|   30 | Uttarakhand          |   6.1 | 6.1   | 6.1   |   8.8 | 8.2   | 9.8   |   9.6 |    8.8 |  11.1 |
|   31 | A&N Islands          |   9.3 | 8.0   | 11.1  |  16.5 | 12.9  | 22.0  |   9   |    9.2 |   8.8 |
|   32 | Chandigarh           |   5.6 |       |       |   6.9 |       |       |   9.3 |    0   |   0   |
|   33 | Dadra & Nagar Haveli |   4.7 | 4.0   | 5.7   |   8.7 | 11.1  | 6.5   |   7.4 |    5.4 |  10   |
|   34 | Daman & Diu          |   5.5 | 5.3   | 5.6   |   8.8 | 9.4   | 8.6   |   7.4 |    8.1 |   7.1 |
|   35 | Lakshadweep          |  12   | 9.2   | 12.2  |  13.3 | 15.5  | 13.3  |  10.9 |   15.3 |  10.6 |
|   36 | Puducherry           |   7.3 | 8.6   | 6.8   |   7.5 | 6.7   | 7.9   |   9.1 |    6.8 |  10.1 |

| S.No.   | India/States/UTs     | Hypertension among men (15 - 49 years) -Above normal (Systolic ≥140 mmof Hg and/or Diastolic ≥ 90 mmof Hg) (%)   | Hypertension among men (15 - 49 years) -Above normal (Systolic ≥140 mmof Hg and/or Diastolic ≥ 90 mmof Hg) (%)   | Hypertension among men (15 - 49 years) -Above normal (Systolic ≥140 mmof Hg and/or Diastolic ≥ 90 mmof Hg) (%)   |
|---------|----------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|
|         |                      | Total                                                                                                            | -4 Rural                                                                                                         | Urban                                                                                                            |
|         | India                | 13.4                                                                                                             | 12.5                                                                                                             | 15.1                                                                                                             |
| 1       | Andhra Pradesh       | 16.2                                                                                                             | 16.3                                                                                                             | 16.1                                                                                                             |
| 2       | Assam                | 19.6                                                                                                             | 18.7                                                                                                             | 24.4                                                                                                             |
| 3       | Bihar                | 9.4                                                                                                              | 8.7                                                                                                              | 12.6                                                                                                             |
| 4       | Chattisgarh          | 12.7                                                                                                             | 10.9                                                                                                             | 18.2                                                                                                             |
| 5       | Gujarat              | 13.0                                                                                                             | 12.6                                                                                                             | 13.4                                                                                                             |
| 6       | Haryana              | 16.8                                                                                                             | 16.7                                                                                                             | 16.9                                                                                                             |
| 7       | Jharkhand            | 12.2                                                                                                             | 11.4                                                                                                             | 14.1                                                                                                             |
| 8       | Karnataka            | 15.4                                                                                                             | 14.7                                                                                                             | 16.3                                                                                                             |
| 9       | Kerala               | 9.6                                                                                                              | 11.3                                                                                                             | 7.6                                                                                                              |
| 10      | Madhya Pradesh       | 10.9                                                                                                             | 9.6                                                                                                              | 13.9                                                                                                             |
| 11      | Maharashtra          | 15.9                                                                                                             | 14.5                                                                                                             | 17.3                                                                                                             |
| 12      | Odisha               | 12.5                                                                                                             | 11.0                                                                                                             | 17.7                                                                                                             |
| 13      | Punjab               | 21.8                                                                                                             | 23.2                                                                                                             | 19.8                                                                                                             |
| 14      | Rajasthan            | 12.4                                                                                                             | 11.7                                                                                                             | 14.4                                                                                                             |
| 15      | Tamil Nadu           | 15.5                                                                                                             | 14.5                                                                                                             | 16.4                                                                                                             |
| 16      | Telangana            | 18.2                                                                                                             | 15.8                                                                                                             | 21.0                                                                                                             |
| 17      | Uttar Pradesh        | 10.1                                                                                                             | 9.1                                                                                                              | 12.5                                                                                                             |
| 18      | West Bengal          | 12.4                                                                                                             | 10.9                                                                                                             | 15.5                                                                                                             |
| 19      | Arunachal Pradesh    | 21.6                                                                                                             | 22.4                                                                                                             | 19.9                                                                                                             |
| 20      | Delhi                | 4.3                                                                                                              | *                                                                                                                | 4.3                                                                                                              |
| 21      | Goa                  | 13.2                                                                                                             | 16.7                                                                                                             | 11.2                                                                                                             |
| 22      | Himachal Pradesh     | 21.9                                                                                                             | 22.5                                                                                                             | 18.7                                                                                                             |
| 23      | Jammu & Kashmir      | 13.7                                                                                                             | 12.7                                                                                                             | 15.5                                                                                                             |
| 24      | Manipur              | 20.4                                                                                                             | 18.1                                                                                                             | 24.0                                                                                                             |
| 25      | Meghalaya            | 10.4                                                                                                             | 8.8                                                                                                              | 15.9                                                                                                             |
| 26      | Mizoram              | 17.9                                                                                                             | 13.7                                                                                                             | 20.5                                                                                                             |
| 27      | Nagaland             | 23.2                                                                                                             | 18.6                                                                                                             | 30.2                                                                                                             |
| 28      | Sikkim               | 27.3                                                                                                             | 25.6                                                                                                             | 29.5                                                                                                             |
| 29      | Tripura              | 13.6                                                                                                             | 14.8                                                                                                             | 10.7                                                                                                             |
| 30      | Uttarakhand          | 17.2                                                                                                             | 15.4                                                                                                             | 20.0                                                                                                             |
| 31      | A&N Islands          | 27.9                                                                                                             | 30.2                                                                                                             | 24.4                                                                                                             |
| 32      | Chandigarh           | 13.5                                                                                                             | 0.0                                                                                                              | 0.0                                                                                                              |
| 33      | Dadra & Nagar Haveli | 12.1                                                                                                             | 6.8                                                                                                              | 17.0                                                                                                             |
| 34      | Daman & Diu          | 7.6                                                                                                              | 7.9                                                                                                              | 7.5                                                                                                              |
| 35      | Lakshadweep          | 9.9                                                                                                              | 11.1                                                                                                             | 9.9                                                                                                              |
| 36      | Puducherry           | 15.1                                                                                                             | 12.8                                                                                                             | 16.3                                                                                                             |

## State - wise key indicators from SRS by residence, 2015

| Sl. No.   | India/Stat es/UTs   | IMR    | IMR    | IMR    |        | CDR    |        | CBR   | CBR   | CBR    | NNMR   | NNMR   | NNMR   | TFR     | TFR     | TFR    | U5            | MR     | Life Expectancy (0 -1) (2011-15) *   | Life Expectancy (0 -1) (2011-15) *   | Life Expectancy (0 -1) (2011-15) *   |
|-----------|---------------------|--------|--------|--------|--------|--------|--------|-------|-------|--------|--------|--------|--------|---------|---------|--------|---------------|--------|--------------------------------------|--------------------------------------|--------------------------------------|
|           | India/Stat es/UTs   | Tota l | Rur al | Urba n | Tot al | Rur al | Urb an | Total | Rural | Urba n | Tot al | Rur al | Urb an | Tot al  | Rur al  | Urb an | Tot al Rur al | Urb an | Total                                | Rural                                | Urban                                |
| (1)       | (2)                 | (3)    | (4)    | (5)    | (6)    | (7)    | (8)    | (9)   | (10)  | (11)   | (12 )  | (13)   | (14 )  | (15 )   | (16 )   | (17 )  | (18 ) (19)    | (20)   | (21)                                 | (22)                                 | (23)                                 |
|           | India               | 37     | 41     | 25     | 6.5    | 7.1    | 5.4    | 20.8  | 22.4  | 17.3   | 25     | 29     | 15     | 2.3     | 2.5     | 1.8    | 43 48         | 28     | 68.3                                 | 67.1                                 | 71.9                                 |
| 1         | Andhra Pradesh      | 37     | 41     | 26     | 7.1    | 7.9    | 5.0    | 16.8  | 17.1  | 16.1   | 24     | 29     | 12     | 1.7     | 1.8     | 1.6    | 39            | 43 29  | 69.0                                 | 67.6                                 | 72.7                                 |
| 2         | Assam               | 47     | 50     | 25     | 7.1    | 7.4    | 5.1    | 22.0  | 23.2  | 15.3   | 25     | 26     | 14     | 2.3     | 2.4     | 1.6    | 62            | 65 27  | 64.7                                 | 63.7                                 | 71.5                                 |
| 3         | Bihar               | 42     | 42     | 44     | 6.2    | 6.3    | 5.1    | 26.3  | 27.1  | 20.6   | 28     | 29     | 20     | 3.2     | 3.3     | 2.5    | 48            | 48 47  | 68.4                                 | 68.1                                 | 71.4                                 |
| 4         | Chhatisga rh        | 41     | 43     | 32     | 7.5    | 8.1    | 5.6    | 23.2  | 24.8  | 18.3   | 27     | 28     | 21     | 2.5     | 2.7     | 1.9    | 48            | 51 35  | 65.2                                 | 64.5                                 | 68.6                                 |
| 5         | Delhi               | 18     | 27     | 18     | 3.6    | 4.3    | 3.5    | 16.4  | 17.9  | 16.4   | 14     | 20     | 13     | 1.7     | 1.8     | 1.7    | 20            | 27 20  | 73.8                                 | 71.4                                 | 74.1                                 |
| 6         | Gujarat             | 33     | 41     | 21     | 6.1    | 6.5    | 5.6    | 20.4  | 22.4  | 18.0   | 23     | 29     | 15     | 2.2     | 2.5     | 1.9    | 39            | 47 26  | 69.1                                 | 67.6                                 | 71.5                                 |
| 7         | Haryana             | 36     | 39     | 30     | 6.1    | 6.3    | 5.7    | 20.9  | 22.3  | 18.4   | 24     | 26     | 19     | 2.2     | 2.4     | 2.0    | 43            | 47 36  | 69.1                                 | 68.2                                 | 71.1                                 |
| 8         | Himachal            | 28     | 28     | 18     | 6.6    | 6.8    | 4.2    | 16.3  | 16.8  | 10.6   | 19     | 19     | 14     | 1.7     | 1.7     | 1.2    | 33            | 33 26  | 72.0                                 | 71.6                                 | 76.8                                 |
| 9         | Pradesh Jammu &     | 26     | 27     | 24     | 4.9    | 5.1    | 4.4    | 16.2  | 18.0  | 10.7   | 20     | 21     | 16     | 1.6     | 1.9     | 1.0    | 28            | 28 24  | 73.2                                 | 72.2                                 | 76.6                                 |
| 10        | Kashmir Jharkhan    | 32     | 35     | 22     | 5.8    | 6.1    | 4.9    | 23.5  | 25.0  | 19.2   | 23     | 25     | 15     | 2.7     | 2.9     | 2.1    | 39            | 43 26  | 67.2                                 | 66.3                                 | 71.7                                 |
| 11        | d Karnatak          | 28     | 30     | 23     | 6.6    | 7.7    | 5.0    | 17.9  | 18.8  | 16.5   | 19     | 24     | 11     | 1.8     | 1.9     | 1.7    | 31            | 35 25  | 69.0                                 | 67.4                                 | 72.0                                 |
| 12        | a Kerala            | 12     | 13     | 10     | 6.6    | 6.7    | 6.4    | 14.8  | 14.8  | 14.8   | 6      | 8      | 4      | 1.8     | 1.8     | 1.8    | 13            | 14 11  | 75.2                                 | 75.1                                 | 75.4                                 |
| 13        | Madhya              | 50     | 54     | 34     | 7.5    | 8.1    | 5.9    | 25.5  | 27.6  | 19.7   | 34     | 37     | 21     | 2.8     | 3.0 2.1 | 62     | 67            | 43     | 64.8                                 | 63.5                                 | 69.4                                 |
| 14        | Pradesh Maharast ra | 21     | 26     | 14     | 5.8    | 6.6    | 4.7    | 16.3  | 16.6  | 15.9   | 15     | 19     | 10     | 1.8     | 2.0     | 1.6    | 24            | 29 15  | 72.0                                 | 70.7                                 | 73.9                                 |
| 15        | Odisha              | 46     | 48     | 35     | 7.6    | 7.9    | 6.3    | 19.2  | 20.3  | 14.1   | 35     | 36     | 25     | 2.0     | 2.1     | 1.4    | 56            | 59 37  | 66.9                                 | 66.2                                 | 70.8                                 |
| 16        | Punjab              | 23     | 24     | 20     | 6.2    | 6.9    | 5.1    | 15.2  | 15.9  | 14.2   | 13     | 14     | 13     | 1.7 1.7 |         | 1.5    | 27            | 30 21  | 72.1                                 | 70.8                                 | 74.1                                 |
| 17        | Rajasthan           | 43     | 48     | 27     | 6.3    | 6.7    | 5.2    | 24.8  | 25.7  | 22.0   | 30     | 34     | 15     | 2.7     | 2.8     | 2.3    | 50            | 55 31  | 67.9                                 | 67.0                                 | 71.1                                 |

## Annexure-I I

|   18 | Tamil Nadu          |   19 |   22 |   16 |   6.7 |   7.6 |   6.0 |   15.2 |   15.3 |   15.2 | 14   | 17   | 10    | 1.6   | 1.7     | 1.6   | 20    | 25    | 16   | 71.0   | 69.5 72.8   |
|------|---------------------|------|------|------|-------|-------|-------|--------|--------|--------|------|------|-------|-------|---------|-------|-------|-------|------|--------|-------------|
|   19 | Telangan a          |   34 |   37 |   27 |   6.5 |   7.5 |   4.9 |   17.8 |   18.2 |   17.2 | 23   | 27   | 17    | 1.8   | 1.9     | 1.6   | 34 37 | 28    |      |        |             |
|   20 | Uttar Pradesh       |   46 |   48 |   36 |   7.2 |   7.7 |   5.7 |   26.7 |   27.9 |   23   | 31   | 34   | 20    | 3.1   | 3.4     | 2.4   | 51 54 | 40    | 64.5 | 63.6   | 68.1        |
|   21 | Uttarakha nd        |   34 |   31 |   44 |   6.4 |   6.8 |   5.6 |   17.8 |   18   |   17.1 | 28   | 24   | 37    | 2.0   | 2.0 1.8 |       | 38 35 | 47    | 71.8 | 71.1   | 74.1        |
|   22 | West Bengal         |   26 |   27 |   24 |   5.9 |   5.8 |   6.2 |   15.5 |   17.3 |   11.6 | 18   | 18   | 15    | 1.6   | 1.7 1.2 | 30    | 31    | 26    | 70.5 | 69.6   | 72.7        |
|   23 | Arunacha l Pradesh  |   30 |   32 |   19 |   6   |   6.5 |   3.7 |   18.8 |   19.5 |   15.3 | ..   | ..   | ..    | ..    | .. ..   |       | ..    | .. .. | ..   | ..     | ..          |
|   24 | Goa                 |    9 |    8 |   10 |   6.4 |   7.6 |   5.5 |   12.7 |   12.3 |   13.1 | ..   | ..   | ..    | ..    | ..      | ..    | .. .. | ..    | ..   | ..     | ..          |
|   25 | Manipur             |    9 |   10 |    8 |   4   |   3.9 |   4.2 |   14.4 |   14.4 |   14.5 | ..   | ..   | ..    | ..    | ..      | ..    | .. .. | ..    | ..   | ..     | ..          |
|   26 | Meghalay            |   42 |   44 |   34 |   7.4 |   7.8 |   5.5 |   23.7 |   25.7 |   15   | ..   | ..   | ..    | ..    | .. ..   | ..    | ..    | ..    | ..   | ..     | ..          |
|   27 | a Mizoram           |   32 |   39 |   22 |   4.2 |   5.2 |   3.3 |   16.2 |   19.3 |   13   | ..   | ..   | ..    | ..    | ..      | ..    | ..    | .. .. | ..   | ..     | ..          |
|   28 | Nagaland            |   12 |   11 |   15 |   3   |   3.2 |   2.7 |   14.8 |   15   |   14.6 | ..   | ..   | ..    | ..    | ..      | ..    | .. .. | ..    | ..   | ..     | ..          |
|   29 | Sikkim              |   18 |   20 |   14 |   5   |   5.9 |   3.5 |   17   |   15.9 |   18.7 | ..   | ..   | ..    | ..    | .. ..   | ..    | ..    | ..    | ..   | ..     | ..          |
|   30 | Tripura             |   20 |   19 |   25 |   5.2 |   4.9 |   6   |   14.7 |   15.7 |   12.3 | ..   | ..   | ..    | ..    | ..      | .. .. | ..    | ..    | ..   | ..     | ..          |
|   31 | A&N                 |   20 |   18 |   23 |   5   |   4.8 |   5.3 |   12   |   12.8 |   10.8 | ..   | ..   | ..    | ..    | ..      | .. .. | ..    | .. .. |      | ..     | ..          |
|   32 | Islands Chandiga rh |   21 |   10 |   22 |   4.4 |   3.1 |   4.4 |   13.7 |   23   |   13.5 | ..   | ..   | .. .. | ..    | ..      | ..    | ..    | ..    | ..   | ..     | ..          |
|   33 | Dadra & Nagar       |   21 |   29 |   14 |   3.9 |   4.5 |   3.5 |   25.5 |   21.2 |   28.9 | ..   | ..   | .. .. | ..    | ..      | ..    | ..    | ..    | ..   | ..     | ..          |
|   34 | Haveli Daman & Diu  |   18 |   14 |   20 |   4.7 |   5.4 |   4.5 |   17.1 |   17.1 |   17.1 | ..   | ..   | .. .. | ..    | ..      | ..    | ..    | ..    | ..   | ..     | ..          |
|   35 | Lakshad weep        |   20 |   20 |   20 |   6.2 |   9.5 |   5.5 |   14.7 |   18.2 |   13.9 | ..   | ..   | .. .. | ..    | ..      | ..    | ..    | ..    | ..   | ..     | ..          |
|   36 | Puducher ry         |   11 |   18 |    7 |   6.8 |   8.5 |   6.2 |   13.8 |   13.8 |   13.9 | ..   | ..   | .. .. | ..    |         | ..    | .. .. | ..    | ..   | ..     | ..          |

Note: The IMR, CDR and CBR for smaller States/UTs are based on three-years period

Source:- SRS, Registrar General & Census

Commissioner, India

.. not available