Lok Sabha Question No. 944 (UNSTARRED), answered on 2022-07-22
Subject: National Family Health Survey (NFHS-5) INDIA Report
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Bhola Singh, Sangeeta Kumari Singh Deo, Sukanta Majumdar, Rajveer (Raju Bhaiya) Singh, Raja Amareshwara Naik, Vinod Kumar Sonkar, Jayanta Kumar Roy

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 944 TO BE ANSWERED ON 22.07.2022

## NATIONAL FAMILY HEALTH SURVEY (NFHS-5) INDIA REPORT

## 944.  SHRI BHOLA SINGH

SHRIMATI SANGEETA KUMARI SINGHDEO

DR. SUKANTA MAJUMDAR

SHRI RAJVEER SINGH (RAJU BHAIYA)

SHRI RAJA AMARESHWARA NAIK

SHRI VINOD KUMAR SONKAR

DR. JAYANTA KUMAR ROY

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

- (a) whether the Government has released the Report of the fifth round of National Family Health Survey NFHS-5 (2019-21);
- (b) if so, the details of key findings under NFHS 5 as compared to NFHS 4;
- (c) whether the NFHS-5 provides information on important indicators which are helpful in  tracking  the  progress  of  Sustainable  Development  Goals  (SDGs)  and  if  so,  the details thereof; and
- (d) whether the government has also released the Rural Health Statistics and if so, the details thereof; and
- (e) the other steps being taken by the government for policy formulation and effective programme implementation based on the findings in the NFHS 5?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH & FAMILY WELFARE (DR BHARATI PRAVIN PAWAR)

- (a) & (b): The Ministry of Health and Family Welfare has released the National Report of the  fifth  round  of  National  Family  Health  Survey  (NFHS),  which  is  available  on  the public domain ( http://rchiips.org/nfhs/ ).The major findings evident from NFHS-5 (201921) as compared to NFHS-4 (2015-16) is given at Annexure I .
- (c):  The  information  on  various  important  indicators  captured  in  NFHS-5  are  used  for monitoring the SDG related health goals. India has made significant progress in various

SDG health indicators like Total Fertility Rate (TFR), the proportion of pregnant women who had an ANC visit in the first trimester, Institutional Births, Child immunization, etc.

List of SDG indicators, where NFHS-5 is the data source is given at Annexure II .

(d):  The Ministry of Health and Family Welfare has released the Rural Health Statistics (RHS)  publication  for  the  year  2020-21.  It  is  a  vital  source  of  information  on  health infrastructure  and  human  resources  available  in  the  public  health  institutions  of  all States/UTs.

As  per  RHS  2020-21,  there  are  1,57,819  Sub  Centres  (SC),  30,579  Primary  Health Centres (PHCs) and 5,951 Community Health Centres (CHCs) respectively functioning in rural and urban areas of the country. Besides this, a total of 1,224 Sub Divisional/Sub District Hospital and 764 District Hospitals (DHs) are operational throughout the country.

(e):  The  primary  responsibility  for  ensuring  the  better  health  services  and  facilities  lies with the State Governments/UT Administrations. Accordingly, the Ministry has conducted National, Regional and State level workshops for dissemination of the key findings of the NFHS-5. During these workshops the key findings of NFHS-5 have been shared with the State  Governments/UT  Administration,  Central  Ministries  and  other  Stakeholders  for policy/research purpose  and for effective monitoring and implementation of the various Schemes/programmes.

*****

## The major key findings evident from NFHS-5 (2019-21) compared to NFHS-4 (2015-16)

-  India has made striking progress in population control measures in recent times. The Total  Fertility  Rate  (TFR),  i.e.  average  number  of  children  per  women,  has  further declined from 2.2 to 2.0 at the National level between NFHS-4 & 5.
-  Overall Contraceptive Prevalence Rate (CPR) has increased substantially from 54% to 67% in the country. Use of modern methods of contraceptives has also increased in almost all States/UTs. Unmet needs of family Planning have witnessed a significant decline from13 percent to 9 percent. The unmet need for spacing, which remained a major issue in India in the past has come down to less than 4 percent.
-  The proportion of pregnant women who had an ANC visit in the first trimester has increased  from  59  to  70  percent  between  NFHS-4  and  NFHS-5.  A  considerable progress  is  noticed  in  percentage  of  mothers  who  had  at  least  4  ANC  visits  at  the National level from 51 percent in 2015-16 to 58 percent in 2019-21.
-  Institutional  Births  have  increased  substantially  from  79  percent  to  89  percent  in India.  Even  in  rural  areas  around  87  percent  births  are  delivered  in  health  facilities and same is 94 percent in urban areas.
-  In  NFHS-5, more than three-fourths (76.4%) children age 12-23 months were fully immunized, compared with 62 percent in NFHS-4.

## List of SDG indicators, where NFHS-5 is the data source

## Annexure II

|   S. N. | Indicators                                                                                                                                                                                   |
|---------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|       1 | Percentage of households with any usual member covered by a health scheme or health insurance                                                                                                |
|       2 | Percentage of children aged under 5 years who are underweight                                                                                                                                |
|       3 | Percentage of children under age 5 years who are stunted                                                                                                                                     |
|       4 | Prevalence of malnutrition among children under 5 years of age, by type (wasting and overweight)                                                                                             |
|       5 | Prevalence of anaemia in women aged 15 to 49 years, by pregnancy status (percentage)                                                                                                         |
|       6 | Percentage of women (15-49 years) whose Body Mass Index (BMI) is below normal                                                                                                                |
|       7 | Percentage of Children age 6-59 months who are anaemic (<11.0g/dl)                                                                                                                           |
|       8 | Percentage of births attended by skilled health personnel (Period 5 years)                                                                                                                   |
|       9 | Percentage of births attended by skilled health personnel (Period 1 year)                                                                                                                    |
|      10 | Percentage of women aged 15-49 years with a live birth, for last birth, who received antenatal care, four times or more (Period 5 years/1 year)                                              |
|      11 | Percentage of population (men (15-49 years) &women (15 - 49 years)) who drink alcohol about once a week out of total population (men (15-49 years) &women (15 - 49 years)) who drink alcohol |
|      12 | Percentage of population (15 years and above) who consume alcohol, by sex                                                                                                                    |
|      13 | Percentage of currently married women aged 15-49 years who have their need for family planning satisfied with modern methods                                                                 |
|      14 | Percentage of Institutional Births (5 years)                                                                                                                                                 |
|      15 | Percentage of currently married women (15-49 years) who use any modern family planning methods                                                                                               |
|      16 | Percentage of women aged 15-19 years who were already mothers or pregnant                                                                                                                    |
|      17 | Percentage of currently married women (15-49 years) who use any modern family planning methods                                                                                               |
|      18 | Prevalence of hypertension among men and women age 15 years and above (in percentage)                                                                                                        |
|      19 | Percentage of population in age group 15-49 who reported sought treatment out of total population in that age group having diabetes                                                          |
|      20 | Percentage of women aged 30- 49 years who have ever undergone a screening test for cervical cancer                                                                                           |
|      21 | Proportion of men and women reporting Asthma in the age group 15-49 years                                                                                                                    |
|      22 | Percentage of children age 12-23 months fully vaccinated with BCG, measles and three doses each of polio and DPT or Penta vaccine (excluding polio vaccine given at birth)                   |
|      23 | Proportion of ever-married women age 18-49 who have experienced physical, sexual or emotional violence by husband/partner in the past 12 months                                              |
|      24 | Proportion of women and girls aged 18-49 years subjected to sexual violence by persons other than an intimate partner in the previous 12 months                                              |
|      25 | Percentage of women aged 20-24 years who were married by exact age 18 years                                                                                                                  |
|      26 | Unmet need for family planning for currently married women aged 15-49 years (in percentage)                                                                                                  |
|      27 | Percentage of population aged 15-24 years with comprehensive knowledge of HIV/ AIDS                                                                                                          |