Lok Sabha Question No. 1906 (UNSTARRED), answered on 2015-07-31
Subject: Institutional Child Delivery
Ministry: HEALTH AND FAMILY WELFARE
Asked by: BHARAT SINGH

**GOVERNMENT OF INDIA**

**MINISTRY OF HEALTH AND FAMILY WELFARE**

**DEPARTMENT OF HEALTH AND FAMILY WELFARE**

**LOK SABHA**

**UNSTARRED QUESTION NO.1906**

**TO BE ANSWERED ON 31** **ST** **JULY, 2015**

**Institutional Child Delivery**

**1906. SHRI BHARAT SINGH:**

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

(a) the number and percentage of child delivery performed by skilled workers through institutional delivery system in rural and urban areas of the country during each of the last three years and the current year, State/UT-wise;

(b) the role of Accredited Social Health Activist (ASHA), Auxliary Nurse Midwives (ANM) and self help groups in expanding the institutionalised delivery system; and

(c) the steps taken/being taken by the Government to ensure complete institutionalised delivery through institutional delivery system in the country along with the time by which it is likely to

be done?

**ANSWER**

**THE MINISTER OF HEALTH AND FAMILY WELFARE**

**(SHRI JAGAT PRAKASH NADDA)**

(a):   The institutional deliveries in the country have increased from 38.7% as per the National Family Health Survey (NFHS-III) in 2005-06 to 46.9% as per District Level Household Survey (DLHS-III) in 2007-08. As per the Coverage Evaluation Survey (CES 2009) conducted by UNICEF, the Institutional delivery is 72.9%.

Institutional delivery rates in rural and urban areas were 28.9% and 67.5% respectively as per NFHS-III in 2005-06 which rose to 37.8% and 70.4% as per DLHS –III in 2007-08. Under CES 2009, the rural and urban institutional delivery was 68% and 85.6% respectively. The survey data is not available year wise but provided as per the period of survey.   State /UT wise  data is  annexed.

(b):     ASHA plays an important role in improving access to institutional deliveries by motivating the pregnant mother and her family for continued contact with the health system and

ensuring at-least  four antenatal check-ups at health facility, spreading awareness on the Janani Shishu Suraksha Karyakram(JSSK),  which entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery, including caesarean section and  also serving as a support during delivery and post partum care as required. ASHA is incentivized  for performing these activities  under Janani Suraksha Yojana(JSY)

Auxiliary Nurse Midwives ((ANMs) role is to conduct regular antenatal visits at the outreach session namely, Village Health and Nutrition Days(VHND) or at the sub-centres, and  also  to serve as a Skilled Birth Attendant(SBA) in those sub-centres  which are conducting deliveries.

The role of Self Help Groups (SHG) is to get involved in the Village Health, Sanitation and Nutrition Committees, which are expected to support the functions of the ASHA and the ANM, including improving access for women to institutional deliveries.

(c):    Under the National Health Mission (NHM),  steps taken to increase the institutional delivery rates across the country include the following:

- Promotion of institutional deliveries through Janani Suraksha Yojna.

- Janani Shishu Suraksha Karyakram (JSSK) entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery including Caesarean section. This initiative also provides for free transport from home to institution, between facilities in case of a referral and drop back home. Similar entitlements have been put in place for all sick newborns and sick infants accessing public health institutions for treatment.

- Capacity building of health care providers in basic and comprehensive obstetric care.

- Operationalization of sub-centres, Primary Health Centres, Community Health Centres and District Hospitals for providing 24x7 basic and comprehensive obstetric care services.

- Name Based Tracking of Pregnant Women to ensure antenatal, intranatal and postnatal care.
- Mother and Child Protection Card in collaboration with the Ministry of Women and Child Development to monitor service delivery for mothers and children.

- Engagement of more than 8.9 lakhs Accredited Social Health Activists (ASHAs) to generate demand and facilitate accessing of health care services by the community.
- Village Health and Nutrition Days in rural areas as an outreach activity which also serves as a platform to promote institutional delivery.

| **Annexure**               |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |    |    |    |
|----------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|----|----|----|
| **Institutional Delivery** |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |    |    |    |
| **Sl.No.**                 | **States/UTs**                                                                                                          | **NFHS - 3 (2005-06)**                                                                                                  |                                                                                                                         |                                                                                                                         | **DLHS - 3 (2007-08)**                                                                                                  |                                                                                                                         |                                                                                                                         | **CES (2009)**                                                                                                          |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |    |    |    |
|                            |                                                                                                                         | **Total**                                                                                                               | **Rural**                                                                                                               | **Urban**                                                                                                               | **Total**                                                                                                               | **Rural**                                                                                                               | **Urban**                                                                                                               | **Total**                                                                                                               |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         | **Rural**                                                                                                               |                                                                                                                         |                                                                                                                         | **Urban**                                                                                                               |                                                                                                                         |                                                                                                                         |    |    |    |
|                            | **All India**                                                                                                           | **38.7**                                                                                                                | **28.9**                                                                                                                | **67.5**                                                                                                                | **46.9**                                                                                                                | **37.8**                                                                                                                | **70.4**                                                                                                                | **72.9**                                                                                                                |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         | **68.0**                                                                                                                |                                                                                                                         |                                                                                                                         | **85.6**                                                                                                                |                                                                                                                         |                                                                                                                         |    |    |    |
| **I.**                     | **MAJOR STATES (Population > 20 million)**                                                                           |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |    |    |    |
| 1                          | Andhra Pradesh                                                                                                          | 64.4                                                                                                                    | 55.9                                                                                                                    | 81.5                                                                                                                    | 71.8                                                                                                                    | 65.7                                                                                                                    | 90.9                                                                                                                    | 94.2                                                                                                                    | 94.2                                                                                                                    | 94.2                                                                                                                    | 94.2                                                                                                                    | 94.2                                                                                                                    | 94.3                                                                                                                    | 94.3                                                                                                                    | 94.3                                                                                                                    | 94.0                                                                                                                    | 94.0                                                                                                                    | 94.0                                                                                                                    |    |    |    |
| 2                          | Assam                                                                                                                   | 22.4                                                                                                                    | 17.9                                                                                                                    | 58.0                                                                                                                    | 35.1                                                                                                                    | 31.8                                                                                                                    | 66.7                                                                                                                    | 64.4                                                                                                                    | 64.4                                                                                                                    | 64.4                                                                                                                    | 64.4                                                                                                                    | 64.4                                                                                                                    | 61.9                                                                                                                    | 61.9                                                                                                                    | 61.9                                                                                                                    | 81.6                                                                                                                    | 81.6                                                                                                                    | 81.6                                                                                                                    |    |    |    |
| 3                          | Bihar                                                                                                                   | 19.9                                                                                                                    | 16.7                                                                                                                    | 44.0                                                                                                                    | 27.5                                                                                                                    | 25.5                                                                                                                    | 54.1                                                                                                                    | 48.3                                                                                                                    | 48.3                                                                                                                    | 48.3                                                                                                                    | 48.3                                                                                                                    | 48.3                                                                                                                    | 46.0                                                                                                                    | 46.0                                                                                                                    | 46.0                                                                                                                    | 67.4                                                                                                                    | 67.4                                                                                                                    | 67.4                                                                                                                    |    |    |    |
| 4                          | *Chattisgarh*                                                                                                           | 14.3                                                                                                                    | 6.3                                                                                                                     | 54.5                                                                                                                    | 18.0                                                                                                                    | 13.3                                                                                                                    | 48.3                                                                                                                    | 44.9                                                                                                                    | 44.9                                                                                                                    | 44.9                                                                                                                    | 44.9                                                                                                                    | 44.9                                                                                                                    | 40.5                                                                                                                    | 40.5                                                                                                                    | 40.5                                                                                                                    | 62.6                                                                                                                    | 62.6                                                                                                                    | 62.6                                                                                                                    |    |    |    |
| 5                          | Gujarat                                                                                                                 | 52.7                                                                                                                    | 39.2                                                                                                                    | 75.7                                                                                                                    | 56.4                                                                                                                    | 48.0                                                                                                                    | 83.7                                                                                                                    | 78.1                                                                                                                    | 78.1                                                                                                                    | 78.1                                                                                                                    | 78.1                                                                                                                    | 78.1                                                                                                                    | 73.1                                                                                                                    | 73.1                                                                                                                    | 73.1                                                                                                                    | 86.5                                                                                                                    | 86.5                                                                                                                    | 86.5                                                                                                                    |    |    |    |
| 6                          | Haryana                                                                                                                 | 35.7                                                                                                                    | 26.7                                                                                                                    | 64.0                                                                                                                    | 46.8                                                                                                                    | 42.1                                                                                                                    | 61.5                                                                                                                    | 63.3                                                                                                                    | 63.3                                                                                                                    | 63.3                                                                                                                    | 63.3                                                                                                                    | 63.3                                                                                                                    | 59.5                                                                                                                    | 59.5                                                                                                                    | 59.5                                                                                                                    | 72.7                                                                                                                    | 72.7                                                                                                                    | 72.7                                                                                                                    |    |    |    |
| 7                          | *Jharkhand*                                                                                                             | 18.3                                                                                                                    | 10.3                                                                                                                    | 53.3                                                                                                                    | 17.7                                                                                                                    | 13.4                                                                                                                    | 59.4                                                                                                                    | 40.1                                                                                                                    | 40.1                                                                                                                    | 40.1                                                                                                                    | 40.1                                                                                                                    | 40.1                                                                                                                    | 30.6                                                                                                                    | 30.6                                                                                                                    | 30.6                                                                                                                    | 73.3                                                                                                                    | 73.3                                                                                                                    | 73.3                                                                                                                    |    |    |    |
| 8                          | Karnataka                                                                                                               | 64.7                                                                                                                    | 54.8                                                                                                                    | 81.8                                                                                                                    | 65.1                                                                                                                    | 59.7                                                                                                                    | 79.8                                                                                                                    | 86.4                                                                                                                    | 86.4                                                                                                                    | 86.4                                                                                                                    | 86.4                                                                                                                    | 86.4                                                                                                                    | 83.3                                                                                                                    | 83.3                                                                                                                    | 83.3                                                                                                                    | 92.4                                                                                                                    | 92.4                                                                                                                    | 92.4                                                                                                                    |    |    |    |
| 9                          | Kerala                                                                                                                  | 99.3                                                                                                                    | 99.0                                                                                                                    | 100.0                                                                                                                   | 99.4                                                                                                                    | 99.2                                                                                                                    | 99.9                                                                                                                    | 99.9                                                                                                                    | 99.9                                                                                                                    | 99.9                                                                                                                    | 99.9                                                                                                                    | 99.9                                                                                                                    | 100.0                                                                                                                   | 100.0                                                                                                                   | 100.0                                                                                                                   | 99.7                                                                                                                    | 99.7                                                                                                                    | 99.7                                                                                                                    |    |    |    |
| 10                         | Madhya Pradesh                                                                                                          | 26.2                                                                                                                    | 17.1                                                                                                                    | 57.2                                                                                                                    | 46.9                                                                                                                    | 40.7                                                                                                                    | 72.1                                                                                                                    | 81.0                                                                                                                    | 81.0                                                                                                                    | 81.0                                                                                                                    | 81.0                                                                                                                    | 81.0                                                                                                                    | 77.4                                                                                                                    | 77.4                                                                                                                    | 77.4                                                                                                                    | 91.3                                                                                                                    | 91.3                                                                                                                    | 91.3                                                                                                                    |    |    |    |
| 11                         | Maharashtra                                                                                                             | 64.6                                                                                                                    | 48.9                                                                                                                    | 83.3                                                                                                                    | 63.5                                                                                                                    | 54.1                                                                                                                    | 87.2                                                                                                                    | 81.8                                                                                                                    | 81.8                                                                                                                    | 81.8                                                                                                                    | 81.8                                                                                                                    | 81.8                                                                                                                    | 74.4                                                                                                                    | 74.4                                                                                                                    | 74.4                                                                                                                    | 92.0                                                                                                                    | 92.0                                                                                                                    | 92.0                                                                                                                    |    |    |    |
| 12                         | Odisha                                                                                                                  | 35.6                                                                                                                    | 31.3                                                                                                                    | 63.1                                                                                                                    | 44.1                                                                                                                    | 40.2                                                                                                                    | 74.4                                                                                                                    | 75.5                                                                                                                    | 75.5                                                                                                                    | 75.5                                                                                                                    | 75.5                                                                                                                    | 75.5                                                                                                                    | 74.4                                                                                                                    | 74.4                                                                                                                    | 74.4                                                                                                                    | 81.8                                                                                                                    | 81.8                                                                                                                    | 81.8                                                                                                                    |    |    |    |
| 13                         | Punjab                                                                                                                  | 51.3                                                                                                                    | 47.6                                                                                                                    | 57.9                                                                                                                    | 63.1                                                                                                                    | 59.5                                                                                                                    | 72.3                                                                                                                    | 60.3                                                                                                                    | 60.3                                                                                                                    | 60.3                                                                                                                    | 60.3                                                                                                                    | 60.3                                                                                                                    | 54.1                                                                                                                    | 54.1                                                                                                                    | 54.1                                                                                                                    | 72.4                                                                                                                    | 72.4                                                                                                                    | 72.4                                                                                                                    |    |    |    |
| 14                         | Rajasthan                                                                                                               | 29.6                                                                                                                    | 20.8                                                                                                                    | 63.7                                                                                                                    | 45.4                                                                                                                    | 40.6                                                                                                                    | 67.5                                                                                                                    | 70.5                                                                                                                    | 70.5                                                                                                                    | 70.5                                                                                                                    | 70.5                                                                                                                    | 70.5                                                                                                                    | 67.5                                                                                                                    | 67.5                                                                                                                    | 67.5                                                                                                                    | 80.1                                                                                                                    | 80.1                                                                                                                    | 80.1                                                                                                                    |    |    |    |
| 15                         | Tamil Nadu                                                                                                              | 87.8                                                                                                                    | 84.0                                                                                                                    | 92.4                                                                                                                    | 94.0                                                                                                                    | 91.8                                                                                                                    | 97.5                                                                                                                    | 98.4                                                                                                                    | 98.4                                                                                                                    | 98.4                                                                                                                    | 98.4                                                                                                                    | 98.4                                                                                                                    | 98.1                                                                                                                    | 98.1                                                                                                                    | 98.1                                                                                                                    | 98.7                                                                                                                    | 98.7                                                                                                                    | 98.7                                                                                                                    |    |    |    |
| 16                         | Telangana                                                                                                               |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |    |    |    |
| 17                         | Uttar Pradesh                                                                                                           | 20.6                                                                                                                    | 15.8                                                                                                                    | 39.5                                                                                                                    | 24.5                                                                                                                    | 22.0                                                                                                                    | 38.0                                                                                                                    | 62.1                                                                                                                    | 62.1                                                                                                                    | 62.1                                                                                                                    | 62.1                                                                                                                    | 62.1                                                                                                                    | 59.9                                                                                                                    | 59.9                                                                                                                    | 59.9                                                                                                                    | 70.1                                                                                                                    | 70.1                                                                                                                    | 70.1                                                                                                                    |    |    |    |
| 18                         | West Bengal                                                                                                             | 42.0                                                                                                                    | 32.2                                                                                                                    | 79.7                                                                                                                    | 48.9                                                                                                                    | 43.3                                                                                                                    | 80.7                                                                                                                    | 69.5                                                                                                                    | 69.5                                                                                                                    | 69.5                                                                                                                    | 69.5                                                                                                                    | 69.5                                                                                                                    | 63.3                                                                                                                    | 63.3                                                                                                                    | 63.3                                                                                                                    | 85.5                                                                                                                    | 85.5                                                                                                                    | 85.5                                                                                                                    |    |    |    |
| **II.**                    | **SMALLER STATES**                                                                                                      |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |    |    |    |
| 1                          | Arunachal Pradesh                                                                                                       | 28.5                                                                                                                    | 17.6                                                                                                                    | 58.5                                                                                                                    | 47.6                                                                                                                    | 42.3                                                                                                                    | 67.7                                                                                                                    | 69.9                                                                                                                    | 69.9                                                                                                                    | 69.9                                                                                                                    | 69.9                                                                                                                    | 69.9                                                                                                                    | 66.6                                                                                                                    | 66.6                                                                                                                    | 66.6                                                                                                                    | 82.6                                                                                                                    | 82.6                                                                                                                    | 82.6                                                                                                                    |    |    |    |
| 2                          | Delhi                                                                                                                   | 58.9                                                                                                                    | 47.0                                                                                                                    | 60.1                                                                                                                    | 68.7                                                                                                                    | 57.0                                                                                                                    | 69.7                                                                                                                    | 83.6                                                                                                                    | 83.6                                                                                                                    | 83.6                                                                                                                    | 83.6                                                                                                                    | 83.6                                                                                                                    | 78.1                                                                                                                    | 78.1                                                                                                                    | 78.1                                                                                                                    | 84.0                                                                                                                    | 84.0                                                                                                                    | 84.0                                                                                                                    |    |    |    |
| 3                          | Goa                                                                                                                     | 92.3                                                                                                                    | 91.8                                                                                                                    | 92.6                                                                                                                    | 96.4                                                                                                                    | 97.8                                                                                                                    | 95.1                                                                                                                    | 99.8                                                                                                                    | 99.8                                                                                                                    | 99.8                                                                                                                    | 99.8                                                                                                                    | 99.8                                                                                                                    | 100.0                                                                                                                   | 100.0                                                                                                                   | 100.0                                                                                                                   | 99.7                                                                                                                    | 99.7                                                                                                                    | 99.7                                                                                                                    |    |    |    |
| 4                          | Himachal Pradesh                                                                                                        | 43.0                                                                                                                    | 39.8                                                                                                                    | 75.9                                                                                                                    | 48.3                                                                                                                    | 46.2                                                                                                                    | 71.1                                                                                                                    | 50.3                                                                                                                    | 50.3                                                                                                                    | 50.3                                                                                                                    | 50.3                                                                                                                    | 50.3                                                                                                                    | 46.4                                                                                                                    | 46.4                                                                                                                    | 46.4                                                                                                                    | 86.3                                                                                                                    | 86.3                                                                                                                    | 86.3                                                                                                                    |    |    |    |
| 5                          | Jammu& Kashmir                                                                                                          | 50.2                                                                                                                    | 44.4                                                                                                                    | 74.0                                                                                                                    | 54.9                                                                                                                    | 49.8                                                                                                                    | 85.7                                                                                                                    | 80.9                                                                                                                    | 80.9                                                                                                                    | 80.9                                                                                                                    | 80.9                                                                                                                    | 80.9                                                                                                                    | 76.0                                                                                                                    | 76.0                                                                                                                    | 76.0                                                                                                                    | 95.7                                                                                                                    | 95.7                                                                                                                    | 95.7                                                                                                                    |    |    |    |
| 6                          | Manipur                                                                                                                 | 45.9                                                                                                                    | 37.0                                                                                                                    | 69.2                                                                                                                    | 41.0                                                                                                                    | 33.7                                                                                                                    | 73.4                                                                                                                    | 80.0                                                                                                                    | 80.0                                                                                                                    | 80.0                                                                                                                    | 80.0                                                                                                                    | 80.0                                                                                                                    | 75.6                                                                                                                    | 75.6                                                                                                                    | 75.6                                                                                                                    | 92.2                                                                                                                    | 92.2                                                                                                                    | 92.2                                                                                                                    |    |    |    |
| 7                          | Meghalaya                                                                                                               | 29.0                                                                                                                    | 20.1                                                                                                                    | 73.6                                                                                                                    | 24.5                                                                                                                    | 20.7                                                                                                                    | 59.0                                                                                                                    | 63.6                                                                                                                    | 63.6                                                                                                                    | 63.6                                                                                                                    | 63.6                                                                                                                    | 63.6                                                                                                                    | 56.4                                                                                                                    | 56.4                                                                                                                    | 56.4                                                                                                                    | 93.6                                                                                                                    | 93.6                                                                                                                    | 93.6                                                                                                                    |    |    |    |
| 8                          | Mizoram                                                                                                                 | 59.8                                                                                                                    | 35.7                                                                                                                    | 87.3                                                                                                                    | 55.7                                                                                                                    | 40.3                                                                                                                    | 85.6                                                                                                                    | 83.0                                                                                                                    | 83.0                                                                                                                    | 83.0                                                                                                                    | 83.0                                                                                                                    | 83.0                                                                                                                    | 68.2                                                                                                                    | 68.2                                                                                                                    | 68.2                                                                                                                    | 97.9                                                                                                                    | 97.9                                                                                                                    | 97.9                                                                                                                    |    |    |    |
| 9                          | Nagaland                                                                                                                | 11.6                                                                                                                    | 6.7                                                                                                                     | 29.2                                                                                                                    | .-.                                                                                                                     | .-.                                                                                                                     | .-.                                                                                                                     | 30.4                                                                                                                    | 30.4                                                                                                                    | 30.4                                                                                                                    | 30.4                                                                                                                    | 30.4                                                                                                                    | 24.3                                                                                                                    | 24.3                                                                                                                    | 24.3                                                                                                                    | 60.0                                                                                                                    | 60.0                                                                                                                    | 60.0                                                                                                                    |    |    |    |
| 10                         | Sikkim                                                                                                                  | 47.2                                                                                                                    | 40.4                                                                                                                    | 85.3                                                                                                                    | 49.5                                                                                                                    | 48.5                                                                                                                    | 88.1                                                                                                                    | 68.9                                                                                                                    | 68.9                                                                                                                    | 68.9                                                                                                                    | 68.9                                                                                                                    | 68.9                                                                                                                    | 66.8                                                                                                                    | 66.8                                                                                                                    | 66.8                                                                                                                    | 85.2                                                                                                                    | 85.2                                                                                                                    | 85.2                                                                                                                    |    |    |    |
| 11                         | Tripura                                                                                                                 | 46.9                                                                                                                    | 42.9                                                                                                                    | 69.9                                                                                                                    | 46.2                                                                                                                    | 41.5                                                                                                                    | 92.1                                                                                                                    | 82.6                                                                                                                    | 82.6                                                                                                                    | 82.6                                                                                                                    | 82.6                                                                                                                    | 82.6                                                                                                                    | 79.7                                                                                                                    | 79.7                                                                                                                    | 79.7                                                                                                                    | 97.0                                                                                                                    | 97.0                                                                                                                    | 97.0                                                                                                                    |    |    |    |
| 12                         | Uttarakhand                                                                                                             | 32.6                                                                                                                    | 25.1                                                                                                                    | 57.1                                                                                                                    | 30.0                                                                                                                    | 25.1                                                                                                                    | 58.5                                                                                                                    | 53.5                                                                                                                    | 53.5                                                                                                                    | 53.5                                                                                                                    | 53.5                                                                                                                    | 53.5                                                                                                                    | 45.0                                                                                                                    | 45.0                                                                                                                    | 45.0                                                                                                                    | 78.3                                                                                                                    | 78.3                                                                                                                    | 78.3                                                                                                                    |    |    |    |
|                            |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |    |    |    |
| **III.**                   | **UNION TERRITORIES $**                                                                                                 |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |    |    |    |
| 1                          | A&N Islands                                                                                                             | ..                                                                                                                      | ..                                                                                                                      | ..                                                                                                                      | 76.3                                                                                                                    | 72.4                                                                                                                    | 89.8                                                                                                                    | 88.1                                                                                                                    | 88.1                                                                                                                    | 88.1                                                                                                                    | 88.1                                                                                                                    | 88.1                                                                                                                    | 86.4                                                                                                                    | 86.4                                                                                                                    | 86.4                                                                                                                    | 92.1                                                                                                                    | 92.1                                                                                                                    | 92.1                                                                                                                    |    |    |    |
| 2                          | Chandigarh                                                                                                              | ..                                                                                                                      | ..                                                                                                                      | ..                                                                                                                      | 73.6                                                                                                                    | 50.8                                                                                                                    | 77.4                                                                                                                    | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      |    |    |    |
| 3                          | D&N Haveli                                                                                                              | ..                                                                                                                      | ..                                                                                                                      | ..                                                                                                                      | 46.0                                                                                                                    | 35.6                                                                                                                    | 88.6                                                                                                                    | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      |    |    |    |
| 4                          | Daman & Diu                                                                                                             | ..                                                                                                                      | ..                                                                                                                      | ..                                                                                                                      | 64.0                                                                                                                    | 60.2                                                                                                                    | 71.2                                                                                                                    | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      |    |    |    |
| 5                          | Lakshadweep                                                                                                             | ..                                                                                                                      | ..                                                                                                                      | ..                                                                                                                      | 90.3                                                                                                                    | 87.2                                                                                                                    | 94.2                                                                                                                    | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      |    |    |    |
| 6                          | Puducherry                                                                                                              | ..                                                                                                                      | ..                                                                                                                      | ..                                                                                                                      | 99.1                                                                                                                    | 97.4                                                                                                                    | 99.6                                                                                                                    | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      | --                                                                                                                      |    |    |    |
|                            | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report | Source: NFHS III (2005-06), DLHS -III (2007-08),  and Coverage Evaluation Survey, UNICEF (CES), 2009 - All India Report |    |    |    |
|                            | $  The information of Union Territories have been taken from Facts Sheets DLHS III (2007-08)                            | $  The information of Union Territories have been taken from Facts Sheets DLHS III (2007-08)                            | $  The information of Union Territories have been taken from Facts Sheets DLHS III (2007-08)                            | $  The information of Union Territories have been taken from Facts Sheets DLHS III (2007-08)                            | $  The information of Union Territories have been taken from Facts Sheets DLHS III (2007-08)                            | $  The information of Union Territories have been taken from Facts Sheets DLHS III (2007-08)                            | $  The information of Union Territories have been taken from Facts Sheets DLHS III (2007-08)                            |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         | na = not available                                                                                                      | na = not available                                                                                                      | na = not available                                                                                                      | na = not available                                                                                                      | na = not available                                                                                                      | na = not available                                                                                                      |    |    |    |
|                            | .. NFHS not conducted in Union Territories                                                                              | .. NFHS not conducted in Union Territories                                                                              | .. NFHS not conducted in Union Territories                                                                              | .-. Survey was not conducted.                                                                                           | .-. Survey was not conducted.                                                                                           | .-. Survey was not conducted.                                                                                           | .-. Survey was not conducted.                                                                                           | .-. Survey was not conducted.                                                                                           |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |    |    |    |
|                            | -- The information is respects Uts are combined in CES                                                                  | -- The information is respects Uts are combined in CES                                                                  | -- The information is respects Uts are combined in CES                                                                  | -- The information is respects Uts are combined in CES                                                                  |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |                                                                                                                         |    |    |    |

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