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West Bengal Analysis – 2009 - 10

NHSRC

West Bengal
HMIS Analysis – 2009 - 10

SANDHYA
7/24/2010

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WB – 2009 - 10

Fact Sheet - West Bengal


Indicators

A - General
Total Population (NHSRC Inhouse estimation for March
A.1 2008)
87839000

Eligible Couples ((NHSRC Inhouse estimation for March


A.2 2008) 21329941
TFR {Source: Registrar General of India (RGI),
A.3 Ministry of Home Affairs., May 2009} 1.9
MMR ( per 100,000 live births){Source: Registrar
A.4 General of India (RGI), Ministry of Home Affairs., May
2009} 141

A.5 IMR (SRS Bulletin - Oct 2009)


35
A.6 CBR ( per 1000 population)(SRS Bulletin - Oct 2009)
17.5
A.7 CDR ( per 1000 population)(SRS Bulletin - Oct 2009)
6.2
A.8 Sex Ratio ( per thousand males)(census 2001) 960.00

HMIS -
B - Child Health Surveys Source
2009-10
1,537,
B.1 Expected Live Births - NFHSIII
183
New born breastfed in less than 1 hr of birth against
B.2 Expected Live Births 14% 23.7% NFHSIII

B.3 Newborn weighed % against Expected Live Births 77% 43.0% NFHSIII

Newborn weighed less than 2.5 kgs % as percentage


B.4 of B.3 16% 22.9% NFHSIII

C - Child HMIS - Surveys Source


Immunisation 2009-10
C.1 Fully Immunised Children % ( of Expected Live Births) 64.0% NFHSIII
90%
C.2 Children given BCG % ( of Expected Live Births) 90.1% NFHSIII
108%
Children given 3 doses of OPV % ( of Expected Live
C.3 80.7% NFHSIII
Births) 100%
Children given 3 doses of DPT % ( of Expected Live
C.4 71.5% NFHSIII
Births) 104%
C.5 Children given Measles % ( of Expected Live Births) 97% 74.7% NFHSIII

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WB – 2009 - 10

D - Maternal HMIS -
Surveys Source
Health 2009-10
Pregnant women registered for ANC% ( as
D.1
percentage of expected pregnancies)
111% _ _

ANC registered in First Trimester % ( as


D.2 50% 42.4% DLHSIII
percentage of expected pregnancies)
Antenatal Care 3 check ups % ( as percentage of
D.3 77% 67.0% DLHSIII
expected pregnancies)
Home Deliveries % ( as percentage of expected
D.8 31% 50.0% DLHSIII
deliveries)
Home Deliveries assisted by SBA % ( as
D.9 1% 4.8% DLHSIII
percentage of expected deliveries)
Institutional Deliveries % ( as percentage of
D.10 54% 49.2% DLHSIII
expected deliveries)
Post natal check up within 48 hrs of delivery % ( as
D.11 percentage ofreported deliveries) 42% _ _

Deliveries with post natal check up within two days and


D.12 14 days of birth % ( as percentage ofreported deliveries) 37% 56.9% DLHSIII

Page 3 of 36
WB – 2009 - 10

West Bengal- Summary-Apr'09 to Mar'10

ANC

TT1 given to Pregnant women against


ANC Registration against Expected Pregnancies 111% 81%
ANC Registraion
100 IFA Tablets given to Pregnant women
3 ANC Check ups against ANC Reigtrations 69% 85%
against ANC Registraion
Deliveries
Unrepoted Deliveries against Estimated HOME Deliveries( SBA& Non SBA)
14.7% 31.3%
Deliveries against Estimated Deliveries
Institutional Deliveries against Estimated HOME Deliveries( SBA& Non SBA)
54.0% 36.7%
Deliveries against Reported Deliveries
Institutional Deliveries against Reported C Section Deliveries against Institutional
63.3% 20%
Deliveries Deliveries( Pvt & Pub)

Births & Neonates Care

New borns weighed against Reported


Live Births Reported against Estimated Live Births 91% 85%
Live Births
23,6 New borns weighed less than 2.5 kgs
Still Births (Reported) 16%
21 against newborns weighed
9 New borns breastfed within one hr of
Sex Ratio at Birh 15%
22 Birth against Reorted live Births
Child Immunisation( 0 to 11 mnths)
Measles given against Expected Live
BCG given against Expected Live Births 108% 97%
Births
Fully Immunised Children against
OPV3 given against Expected Live Births 100% 90%
Expected Live Births
DPT3 given against Expected Live Births 104%

Family Plannng
Family Plannng Methods Users
1,596,3 IUD Insertions against reported FP
( Sterilisations(Male &Female)+IUD+ Condom 5%
88 Methods
pieces/72 + OCP Cycles/13)
Condom Users against reported FP
Sterilisation against reported FP Methods 20% 35%
Methods

OCP Users against reported FP Methods 40%

Other Services
17,548,4 91,
OPD Major Operations
37 350
604,7 96,
IPD Minor Operations
82 026

Page 4 of 36
WB – 2009 - 10

West Bengal- Deliveries Apr'09 to Mar'10

Total 87,839,00 1,564,08


Expected Deliveries
Population 0 3

Total
Home Non Unreported
Home SBA Institutional Deliveries
SBA Deliveries
Reported
1,334,6
14,674 474,951 844,980 05 229,478
Total Unreported
Home Non Institutional
Home SBA % Deliveries Deliveries
SBA% %
Reported % %
1% 30% 54% 85% 15%

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WB – 2009 - 10

Institutional Institutional
Deliveries Deliveries
(Public) (Pvt)
751,3 93,6
44 36

C Section 100,1 70,0


52 35
C Section%
13% 75%
Complicated
Pregnacies 41,3 10,4
attended
30 01
Complicated
Pregnacies
attended % 6% 11%

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WB – 2009 - 10

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West Bengal- Complicated Pregnancies & Deliveries Treated - Apr'09 to Mar'10

Reported Deliveries Reported ANC Reigtration


1,334,60
5 1,880,446

Complicated C-
Complicated Pregnancies PNC Maternal Still
Pregnancies Section Abortions
Rate Complications Births
attended Deliveries

1 19, 28,5 2
3%
51,731 70,187 217 93 3,621

Complicated Deliveries Treated with No Of


No Of
severe
Eclampsia
IV anemia
IV IV Blood cases
antihypertensive/Magsulph cases
Antibiotics Oxytocis Transfusion Treated
injection treated

4,749 3,738 4,804 615 525 7,686

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WB – 2009 - 10

Seven districts have not reported this data element (either 0 or blank)

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Some districts have not reported this data element (either 0 or blank)

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West Bengal - Births - Apr'09 to Mar'10


Live Birth - Live Birth - Live Birth - Sex Ratio Abortion( Induced/Sp
Still Birth
Males females Total at birth ontaneous
726 669, 1,396, 23,
28,593
,342 799 141 922 621

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West Bengal- Apr'09 to


Mar'10

Total Abortion
Abortions Rate

71,07
4.2%
7

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WB – 2009 - 10

West Bengal- Apr'09 to Mar'10

Total RTI/STI
Total OPD
cases

17,548,43 323,48
7 9

Page 23 of 36
WB – 2009 - 10

West Bengal-Sterilisations - Apr'09 to Mar'10


%age of
Reported Reported
Sterilisation
314,2
Total Sterilisation
10 -
33,8
NSV 11%
77
40,3
Laproscopic 13%
19
212,5
MiniLap 68%
62
27,4
Post Partum 9%
52
33,8
Male Sterilisation 11%
77
Female 280,3
89%
Sterilisation 33

West Bengal-FP Methods - Apr'09 to Mar'10

%age of All
Reported Reported FP
Methods
Total Reported FP
1,596,3
Methodd (All types) -
Users 88
314,2
Sterilisations 20%
10
81,5
IUD 5%
14

555,7
Condom Users 35%
26

644,9
OCP Users 40%
38
314,2
Limiting Methods 20%
10
1,282,1
Spacing Methods 80%
78

Page 24 of 36
WB – 2009 - 10

West Bengal Districts- Family Planning -Apr'09 to Mar'10


FP Dakshin
Bankura Bardhaman Birbhum Darjeeling Haora
Methods Dinajpur
Male
Sterilisations
2,553 3077 655 833 373 2935

Female 18,4 4, 4,48 12,55


Sterilisations
15,417 26,382
88 191 0 7
2,5 1, 1,62 2,87
IUD 2,433 7,029
64 305 8 7
OCP Users (
OCP 44,147 46,079
Cycles/13) 39,298 13,709 3,226 54,294
Condom
Users 31,0 13, 5,63 28,75
( Condom
42,823 46,436
37 032 0 3
Pieces/72 )
Total FP
92,0 33, 15,33 101,41
method 107,374 129,002
Users 42 069 7 7
FP Koch Medinipur Medinipur-
Hooghly Jalpaiguri Kolkata Malda
Methods Bihar - East West
Male
Sterilisations 1088 4165 1802 5413 423 907 1641
Female 15,92 15,1 11,52 11,68
Sterilisations 17,937 7,910 23,469
8 01 2 0
4,85 3,8 3,49 5,63
IUD 5,004 3,403 4,625
7 95 0 0
OCP Users (
OCP 38,352 18,002 25,971
Cycles/13) 32,624 12,920 18,737 32,901
Condom
Users 39,29 37,2 15,11 34,30
( Condom 26,334 17,361 34,656
0 37 4 8
Pieces/72 )
Total FP
94,50 74,5 49,28 85,42
method 88,715 50,841 90,361
Users 0 66 6 6
FP North 24 South 24 Uttar
Murshidabad Nadia Puruliya West Bengal
Methods Parganas Parganas Dinajpur
Male
Sterilisations 2067 929 1179 738 2566 533 33877
Female 20,98 9,5 6,32 8,58
Sterilisations 36,782 12,749 279,993
1 12 1 6
7,26 6,5 5,86 2,03
IUD 6,689 4,394 81,514
1 27 7 6
OCP Users (
OCP 45,369 40,065 644,938
Cycles/13) 72,852 24,148 68,518 13,727
Condom
Users 45,17 37,7 28,69 15,88
( Condom 30,303 25,878 555,726
7 80 2 5
Pieces/72 )
Total FP
147,45 78,7 111,96 40,76
method 121,210 84,015 1,596,048
Users 0 05 4 7

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WB – 2009 - 10

West Bengal- Service Delivery - Apr'09 to Mar'10

Operation
Operation Adolescen
major
minor (No or AYUS Dental t
(General
local H Procedures counselling Total OPD Total IPD
and spinal
anaesthesia) services
anaesthesia)

91,35 109, 98,22


0 96,026 183 102,881 2 17,548,437 604,782
Operation
major Adolescen
(General Operation t
and spinal minor (No or AYUS Dental counselling IPD as
anaesthesia) local H as Procedures services as percentage
as %ge of anaesthesia)as %ge of as %ge of %ge of
OPD %ge of OPD OPD OPD OPD of OPD

0.5% 0.5% 0.6% 0.6% 0.6% 3%

West Bengal Districts- Childhood Diseases -Apr'09 to Mar'10


Dakshin
Bankura Bardhaman Birbhum Darjeeling Haora Hooghly
Dinajpur
143,2 706,1
Total OPD - 338,444 - 1,934,590 -
03 71
Total IPD - 86 - 1,369 -
19 77
Operation Major( General
- - - 21,841 -
and Spinal Anaesthesia) - -
Operation Minor( No or 6
- 221 - 12,473 -
local Anaesthesia) 22 -
3,2
AYUSH - - - 31,070 -
- 62
1,4 1,4
Dental Procedures - 292 - 19,611 -
68 50
2,0 1,2
Adolescent Counselling - 9,709 - 28,873 -
94 21
Koch Medinipur - Medinipur-
Kolkata Malda Murshidabad Nadia
Bihar East West
2,806,18
Total OPD - - -
1,341,577 688,098 5,269,531
0
3,81
Total IPD - - -
827 204 3,593
3
Operation Major( General 24,31
and Spinal Anaesthesia) - - -
2,455 2,241 28,008
4
Operation Minor( No or 14,75
local Anaesthesia) - - -
1,704 3,482 46,827
0

AYUSH - - -
27,226 10,271 12,367 -

19,20
Dental Procedures - - -
10,887 6,991 21,272
9
16,30
Adolescent Counselling - - -
312 9,149 15,148
3

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WB – 2009 - 10

South 24 Uttar North 24


Puruliya Jalpaiguri West Bengal
Parganas Dinajpur Parganas
4,4 181,2
Total OPD 4,134,860 - - 17,548,437
88 95
5
Total IPD 4,624 - - 15,138
- 26
Operation Major( General 1,9
10,585 - - 91,350
and Spinal Anaesthesia) - 06
Operation Minor( No or 7
15,241 - - 96,026
local Anaesthesia) - 06

AYUSH 24,987 - - 109,183


- -
5
Dental Procedures 21,158 - - 102,881
- 43
1
Adolescent Counselling 15,300 - - 98,222
- 13

West Bengal- Lab Services - Apr'09 to Mar'10

Total HB Total HIV


Total OPD Total Population
tested Tested

17,548,4 165, 41, 87,839,0


37 236 618 00

Blood
HB test HB<7gm as HIV test HIV positive as Smear
conducted as %age of HB conducted as %age of HIV Examined
%age of OPD tested %age of OPD tested as % of
Population

0.9% 4.6% 0.2% 1.2% 1.7%

West Bengal- Childhood Disease - Vaccine Preventable -Apr'09 to Mar'10

Tetanus Tetanus
Diphtheria Pertussis Polio Measles
Neonatorum others
212 136 19 70 0 18669

West Bengal-Childhood Disease - Others - Apr'09 to


Mar'10

Number admitted
Diarrhoea and
Malaria with Respiratory
dehydration
Infections
8,27
765,320 455,953
7

Page 27 of 36
WB – 2009 - 10

West Bengal Districts- Childhood Diseases -Apr'09 to Mar'10

Types of Bardha Dakshin Darjeel Hoogh Jalpai Koch Kolkat


Bankura Birbhum Haora
Diseases man Dinajpur ing ly guri Bihar a

Diphtheria - - - - - - - -
36 -

Pertussis - - - - - - - -
25 -
Tetanus
- - - - - - - - -
Neonatorum -
Tetanus
2 1 - - - - - -
others 8 -

Polio - - - - - - - - -
-
1,11 4 74 1,1 4 71
Measles 246 528 451
3 36 5 17 43 3 490
Diarrhoea
68,5 14,9 17,51 50,1 54,6 33,63 9,
and 51,299 18,251 10,096
79 61 8 68 87 6 681
dehydration
54 1,
Malaria 31 - 34 24 - -
29 5 62 551
Number
admitted
4,02 10,4 6,44 81,8 3,
with 46,315 11,693 989 - -
8 81 5 71 332
Respiratory
Infections
North South
Medini
Types of Medinipur Murshida 24 Puruliy 24 Uttar West
Malda pur - Nadia
Diseases -West bad Pargana a Pargan Dinajpur Bengal
East
s as
10
Diphtheria
7 10 1 38 - - - 20 - 212
7
Pertussis -
7 - 25 - - - 3 6 136
Tetanus
-
Neonatorum 5 - 4 - - - 7 3 19
Tetanus 1
others 4 - 8 27 - - 7 2 1 70

Polio -
- - - - - - - - -
1,69 1, 61 1,3 1 3, 1 1
Measles
9 495 1 89 ,414 177 313 ,317 972 8,669
Diarrhoea
37,67 15, 87,83 38, 47,8 57, 51, 43,8 76
and 55,939
8 927 1 417 61 522 378 91 5,320
dehydration
3,48 45 8
Malaria
8 153 7 76 81 474 91 180 201 8,277
Number
admitted
10, 27,35 4 57,0 86, 46, 7, 45
with 50,998
- 359 5 ,860 16 563 199 449 5,953
Respiratory
Infections

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WB – 2009 - 10

West Bengal- Infant & Child Deaths - Apr'09 to Mar'10

Infant Infant
Child
Deaths Deaths Child Deaths
Infant Deaths Deaths
between between 1 between 1
within 24 hrs between
24hrs & week & month &
of birth 1yr under Total
under 1 under 1 under 1 year
5years
week month Deaths

9458 10891 3873 5362 8346 37930

Page 29 of 36
WB – 2009 - 10

West Bengal- Causes of Infant & Child Deaths - Apr'09 to Mar'10

Sepsis Asphyxia LBW


Between 1 Between 1
Up to 1 Between 1 Up to 1 Up to 1
week & 4 week & 4
Weeks of week & 4 Total Weeks of Total Weeks of Total
weeks of weeks of
Birth weeks of birth Birth Birth
birth birth

311 168 479 1525 245 1770 1216 425 1641

Pneumonia Diarrhoea Fever related


Between 1 Between 1 Between 1 Between 1 Between 1
Between 1
month and Total month and year & 5 Total month and year & 5 Total
year & 5 years
11 months 11 months years 11 months years

509 48 557 117 22 139 250 37 287

Others Measles Others

Up to 1 Between 1 Between 1 Between 1 Between 1 Between 1


Weeks of week & 4 Total month and year & 5 Total month and year & 5 Total
Birth weeks of birth 11 months years 11 months years

7839 3035 10874 5 6 11 4481 2871 7352

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WB – 2009 - 10

West Bengal Districts- Infant Deaths upto 5 yrs -Apr'09 to Mar'10


Bardham Dakshin Darjeeli Koch
Bankura Birbhum Haora Hooghly Jalpaiguri Kolkata
an Dinajpur ng Bihar

Infant deaths
within 24 hrs of 329
Birth 1317 420 155 286 275 145 477 292 705
Infant deaths
between 24 hrs of 769
Birth to 4weeks 1117 708 861 348 243 812 621 928 1282
Infant deaths
between 1 month
268 532 312 145 209 174 139 265 289 290
of Birth
to11months

Infant deaths
between 1 year of 122 236 195 83 92 49 10 114 151 243
Birth to 5 yrs

Total 1488 3202 1635 1244 935 741 1106 1477 1660 2520

North
Medinipu Medinipur- Murshida 24 South 24 Uttar West
Malda Nadia Puruliya
r - East West bad Pargan Parganas Dinajpur Bengal
as
Infant deaths
within 24 hrs of
Birth 472 292 538 712 284 1479 536 350 394 9458
Infant deaths
between 24 hrs of
Birth to 4weeks 683 577 1400 1700 780 13 950 719 253 14764
Infant deaths
between 1 month
352 299 388 582 227 7 416 341 127 5362
of Birth
to11months
Infant deaths
between 1 year of 191 295 292 260 106 1 179 277 88 2984
Birth to 5 yrs

Total 1698 1463 2618 3254 1397 1500 2081 1687 862 32568

West Bengal- Maternal Deaths & Causes - Apr'09 to Mar'10

Abortion Obstructed/prolonged labour Severe hypertesnion/fits

6-14 yrs 15-55 yrs. Total 6-14 yrs 15-55 yrs. Total 6-14 yrs 15-55 yrs. Total

0 13 13 0 55 55 0 94 94

Bleeding High Fever Other Causes

6-14 yrs 15-55 yrs. Total 6-14 yrs 15-55 yrs. Total 6-14 yrs 15-55 yrs. Total

0 216 216 0 61 61 0 928 928

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West Bengal Districts- Maternal Deaths -Apr'09 to Mar'10

Dakshin Darjeeli Koch


Bankura Bardhaman Birbhum Haora Hooghly Jalpaiguri Kolkata
Dinajpur ng Bihar
Maternal
43 207 63 26 120 39 60 41 62 138
Deaths
North
Uttar
Medinipur - Medinipur Murshid 24 South 24 West
Malda Nadia Puruliya Dinajpu
East -West abad Pargan Parganas Bengal
r
as
Maternal
84 30 27 189 55 1 58 121 39 1403
Deaths

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West Bengal-Causes of Deaths in 6 to 55yrs age group - Apr'09 to Mar'10

Diarrhoel Diseases Tuberculosis Respiratory Diseases( Other than TB)

15-55 Above 6-14 15-55 Above 6-14 Above


6-14 yrs Total Total 15-55 yrs. Total
yrs. 55yrs yrs yrs. 55yrs yrs 55yrs
99 207 27 333 5 168 67 240 138 233 242 883

Malaria Other fever Related HIV/Aids

15-55 Above 6-14 15-55 Above 6-14 Above


6-14 yrs Total Total 15-55 yrs. Total
yrs. 55yrs yrs yrs. 55yrs yrs 55yrs
1 24 5 30 27 104 109 240 0 8 18 26

Heart Disease/Hypertenion related Neurological Disease including strokes Trauma/Accidents/ Burn Cases

15-55 Above 6-14 15-55 Above 6-14 Above


6-14 yrs Total Total 15-55 yrs. Total
yrs. 55yrs yrs yrs. 55yrs yrs 55yrs
28 718 1421 2167 10 232 416 658 56 253 87 396

Suicide Animal Bites & Stings

15-55 Above 6-14 15-55 Above


6-14 yrs Total Total
yrs. 55yrs yrs yrs. 55yrs
26 276 38 340 19 158 18 195

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