Maternal Health of four major urban agglomerations/cities of Bihar State of India

Maternal health of the four major urban agglomerations/cities of Bihar State of India has been discussed here.  These are Patna, Gaya, Nalanda (Biharsharif) and Muzaffarpur. The four major cities of Bihar namely Patna, Gaya, Nalanda and Muzaffarpur are the major portions of the mentioned respective urban agglomerations. These four cities together account for about one fourth of urban population of Bihar.

PATNA

Patna is the capital city of Bihar state. Patna alone accounts for 15 percent of Bihar urban population.  As per census 2011, the urban population of Patna district is 2,510,093 which is 49.38 percent of the total state’s urban population. About 43.48% population of Patna is urban. As per provisional reports of Census India, population of Patna City in 2011 is 1,683,200; of which male and female are 894,158 and 789,042 respectively. Although Patna city has population of 1,683,200; its urban / metropolitan population is 2,046,652 of which 1,087,864 are males and 958,788 are females. 

Based on the results of Annual Health Survey, 2010, the maternal health of urban Patna district is presented as below.           

Fertility

For urban Patna mean number of children ever born to women age 15-49 years was 2.6. The birth of order 3 and above were reported by 46% and women with 2 children and wanting no more child was as high as 59%. Further as high as 30% of births had interval of 36 months or more. The girls marrying below the legal age of 18 years were only 12%.

About 44% reported using any family planning method. The most common methods of family planning were female sterilization 33%. The traditional method was reported as being used by 3%. The total unmet need for family planning was 30%, 13% for spacing and 17% limiting.

Ante Natal Care

Though mothers receiving any ante natal check up were 97%, only 6% had full ANC. Around 30% of pregnant women received ANC from Government sources. Of various components of ANC, at least one TT received by 96%, BP taken 59%, blood examination for Hb 52%, underwent ultrasound 31%. Though 52% pregnant women received 3 or more ANCs, those who consumed IFA for 100 days or more was only 10%.

Delivery Care

About 86% of deliveries were conducted in institutions, of which 52% were in Government institutions and rest in private institutions. The home deliveries were 14%. Caesarian cases were as high as 24%, more than two thirds being conducted in private institutions.  In about 86% of the cases the stay in the hospital after delivery was less than 24 hours. About 92% mothers received post natal care and new born were also checked. Importantly 57% of mothers availed financial assistance for deliveries of those who delivered in Govt. Institutions, a higher percentage received financial assistance under JSY.

NALANDA (BIHARSHARIF)

Nalanda district is one of the most important districts in Bihar. Biharsharif is another name by which the district of Nalanda is famously known.  As per census 2011, the urban population of Nalanda district is 457,489 which is only 9% of the total state’s urban population. About 15.93 % population of Nalanda is urban. As per provisional reports of Census India, population of Nalanda City in 2011 is 2,96,889; of which male and female are 1,54,915and 1,41,974 respectively.

Based on the results of Annual Health Survey, 2010, the maternal health of urban Nalanda/Biharsharif district is presented as below.       

Fertility

For urban Nalanda mean number of children ever born to women age 15-49 years was 3.3. The births of order 3 and above were reported by 32% and women with 2 children and wanting no more child were as high as 60%. Further as high as 41% of births had interval of 36 months or more. The girls marrying below the legal age of 18 years were only 8%.

About 60% reported using any family planning method. The most common methods of family planning were female sterilization 38%. The traditional method was reported as being used by 7.5%. The total unmet need for family planning was 18%, 10% for spacing and 8% limiting.

Ante Natal Care

Though mothers receiving any ante natal check up were 88%, only 36% had full ANC. Around 29% of pregnant women received ANC from Government sources. Of various components of ANC, at least one TT received by 88%, BP taken 76%, blood examination for Hb 66%, underwent ultrasound 49%. Though 70% pregnant women received 3 or more ANCs, those who consumed IFA for 100 days or more was only 39%.

Delivery Care

About 84% of deliveries were conducted in institutions, of which 34% were in Government institutions and rest in private institutions. The home deliveries were 15%. Caesarian cases were as high as 44%, more than three fourth being conducted in private institutions.

In about 63% of the cases the stay in the hospital after delivery was less than 24 hours. Over 85% mothers received post natal care and new born were also checked.

Importantly 33% of mothers availed financial assistance for deliveries. Those who delivered in Govt. Institutions, a higher percentage received financial assistance under JSY.

MUZAFFARPUR

As per census 2011, the urban population of Muzaffarpur district is 469,896 which is only 9.24% of the total state’s urban population. About 9.83% population of Muzaffarpur is urban.  As per provisional reports of Census India, population of Muzaffarpur city in 2011 is 351,838; of which male and female are 186,145 and 165,693 respectively.

Based on the results of Annual Health Survey, 2010, the maternal health of urban Muzaffarpur district is presented as below.             

Fertility

For Muzaffarpur number of children ever born to women age 15-49 years was 2.5. The births of order 3 and above were reported by 26% and women with 2 children and wanting no more child was as high as 61%. Further as high as 43% of births had interval of 36 months or more. The girls marrying below the legal age of 18 years were only 10%.

About 75% reported using any family planning method. The most common methods of family planning were female sterilization 52%. The use of IUD was 4%, condom 5% and pills 8%.  The traditional method was reported as being used by 3%. The total unmet need for family planning was 15%, 7% for spacing and 8% limiting.

Ante Natal Care

Though mothers receiving any ante natal check up were 86%, only 21% had full ANC. Around 26% of pregnant women received ANC from Government sources. Of various components of ANC, at least one TT received by 80%, BP taken 76%, blood examination for Hb 67%, underwent ultrasound 68%. Though 70% pregnant women received 3 or more ANCs, those who consumed IFA for 100 days or more was only 24%.

Delivery Care

About 80% of deliveries were conducted in institutions, of which 25% were in Government institutions and rest in private institutions. The home deliveries were 20%. Caesarian cases were as high as 44%, more than three fourth being conducted in private institutions.

In about one third of the cases the stay in the hospital after delivery was less than 24 hours. About 80% mothers received post natal care and new born were also checked.

Importantly 25% of mothers availed financial assistance for deliveries. Those who delivered in Govt. Institutions, a higher percentage received financial assistance under JSY.

GAYA

As per provisional reports of Census India, population of Gaya in 2011 is 4,379,383 of which male and female are 245,764 and 217,690 respectively. As per census 2011, the urban population of Gaya district is 575,495 which is only 11.32% of the total state’s urban population. As per provisional reports of Census India, population of Gaya city in 2011 is 470,839; of which male and female are 249,797 and 221,042 respectively.

Based on the results of Annual Health Survey, 2010, the maternal health of urban Gaya district is presented as below.             

Fertility

For urban Gaya mean number of children ever born to women age 15-49 years was 3.0. The births of order 3 and above were reported by 43% and women with 2 children and wanting no more child was as high as 73%. Further as high as 45% of births had interval of 36 months or more. The girls marrying below the legal age of 18 years were 40%.

About 33% reported using any family planning method. The most common methods of family planning were female sterilization 23%.  The traditional method was reported as being used by 3%. The total unmet need for family planning was 49%, 20% for spacing and 29% limiting.

Ante Natal Care

Though mothers receiving any ante natal check up were 93%, only 3% had full ANC. Around 35% of pregnant women received ANC from Government sources. Of various components of ANC, at least one TT received by 93%, BP taken 65%, blood examination for Hb 34%, underwent ultrasound 21%. Though 34% pregnant women received 3 or more ANCs, those who consumed IFA for 100 days or more was only 5%.

Delivery Care

About 69% of deliveries were conducted in institutions, of which 42% were in Government institutions and rest in private institutions. The home deliveries were 20%. Caesarian cases were as high as 26%, all being conducted in private institutions.

In about 93% of the cases the stay in the hospital after delivery was less than 24 hours. About 76% mothers received post natal care and new born were also checked.

Importantly 55% of mothers availed financial assistance for deliveries. Those who delivered in Govt. Institutions, a higher percentage received financial assistance under JSY.