Maternal
health of the three major
urban agglomerations/cities of Uttarakhand State of India has been
discussed here. These are Dehradun,
Haridwar and Nainital.
The three major cities of Uttarakhand namely, Dehradun, Haridwar & Nainital are the major parts of the
mentioned respective urban agglomerations.
DEHRADUN
Dehradun is the capital city of Uttarakhand
state. As of 2011 Indian census provisional figures, the Dehradun district
has a population of 16, 98,560 the second highest in Uttarakhand after Haridwar
(19, 27,029). As per provisional reports of Census India, population of
Dehradun in 2011 is 578,420;[ of which male and female are 303,411
and 275,009 respectively.
Based on the results of Annual Health Survey, 2010,
the maternal health of urban Dehradun
district is presented as below.
Fertility
The Total
Fertility Rate for Dehradun urban was estimated at 2.3 which is broadly equals
mean number of children ever born to women age 15-49 years. The births of order
3 and above were reported by 20% only and women with 2 children and wanting no
more child was as high as 90%. Further as high as 46% of births had interval of
36 months or more. The girls marrying below the legal age of 18 years were less
than one percent.
About two
thirds reported using any family planning method. The most common methods of
family planning were female sterilization 19% and condom as 26%. The use of IUD
was just more than 2% and pills 4%. The
traditional method was reported as being used by 15%. The total unmet need for
family planning was 16%, 7% for spacing and 9% limiting.
Ante Natal Care
Though
mothers receiving any ante natal check up were 96%, only 27% had full ANC.
Around 51% of pregnant women received ANC from Government sources. Of various
components of ANC, at least one TT received by 95%, BP taken 85%, blood
examination for Hb 79%, underwent ultrasound 77%. Though 81% pregnant women
received 3 or more ANCs, those who consumed IFA for 100 days or more was only 27%.
Delivery Care
About 78% of
deliveries were conducted in institutions, of which 35% were in Government
institutions. The home deliveries were only 21% of which 46% were conducted by
skilled health personnel. Caesarian cases were as high as 53%, more than two
thirds being conducted in private institutions.
In about 47%
of the cases the stay in the hospital after delivery was less than 24 hours.
About 88% mothers received post natal care and new born were also checked.
Importantly 27% of mothers availed financial
assistance for deliveries. Those who delivered in Govt. Institutions, a higher
percentage received financial assistance under JSY.
HARIDWAR
According to the 2011
census, Haridwar district has a population of 1,927,029,
This gives it a ranking of 244th in India (out of a total of 640).The
district has a population density of 817 inhabitants per square kilometer (2,120 /sq mi)
. Its population growth rate over the decade 2001-2011 was 33.16
%. As per provisional reports of Census
India, population of Hardwar in 2011 is 225,235; of which male and female are
120,201 and 105,034 respectively. Although Hardwar city has population of
225,235; its urban / metropolitan population is 310,562 of which 165,667 are
males and 144,895 are females.
Based on the results of Annual Health
Survey, 2010, the maternal health of urban Hardwar district is
presented as below.
Fertility
The Total
Fertility Rate for Kota city was estimated at 2.6 which is broadly equals mean
number of children ever born to women age 15-49 years. The births of order 3
and above were reported by 30% and women with 2 children and wanting no more
child was as high as 82%. 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 1%.
About 63%
reported using any family planning method. The most common methods of family
planning were female sterilization 12% and condom as 32%. The use of IUD was arround
1% and pills 5%. The traditional method
was reported as being used by 12.0%. The total unmet need for family planning
was 21%, 10% for spacing and 11% limiting.
Ante Natal Care
Though
mothers receiving any ante natal check up were 92%, only 15% had full ANC.
Around 29% of pregnant women received ANC from Government sources. Of various
components of ANC, at least one TT received by 90%, BP taken 66%, blood
examination for Hb 59%, underwent ultrasound 67%. Though 75% pregnant women
received 3 or more ANCs, those who consumed IFA for 100 days or more was only 17%.
Delivery Care
About 72% of
deliveries were conducted in institutions, of which 15% were in Government
institutions and rest in private institutions. The home deliveries were 26% of
which 44% were conducted by skilled health personnel. Caesarian cases were as
high as 45%, more than two thirds 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 11%
of mothers availed financial assistance for deliveries. Those who delivered in
Govt. Institutions, a higher percentage received financial assistance under
JSY.
NAINITAL
Nainital is a popular hill station in
the Indian state of Uttarakhand and headquarters
of Nainital district in the Kumaon foothills of the
outer Himalayas. According to
the 2011 census Nainital district has a population of
955,128, This gives it a ranking of 457th in India (out of a total
of 640). The district has a population density of 225 inhabitants per
square kilometre (580 /sq mi).Its population growth
rate over the decade 2001-2011 was 25.2 %. As of the 2001 Indian census,
Nainital had a population of 38,559. Males constitute 54% of the
population and females 46%.
Based on the results of Annual Health
Survey, 2010, the maternal health of urban Nainital district is
presented as below.
Fertility
The Total
Fertility Rate was estimated at 2.6 which is broadly equals mean number of
children ever born to women age 15-49 years. The births of order 3 and above
were reported by 30% only and women with 2 children and wanting no more child
was as high as 67%. Further as high as 44% of births had interval of 36 months
or more. The girls marrying below the legal age of 18 years were 1%.
About 62%
reported using any family planning method. The most common methods of family
planning were female sterilization 19% and condom as 28%. The use of IUD was 1%
and pills 6%. The traditional method was
reported as being used by 6.2%. The total unmet need for family planning was 24%,
11% for spacing and 13% limiting.
Ante
Natal Care
Though
mothers receiving any ante natal check up were 94%, only 19% had full ANC. Around
77% of pregnant women received ANC from Government sources. Of various
components of ANC, at least one TT received by 94%, BP taken 83%, blood
examination for Hb 83%, underwent ultrasound 79%. Though 74% pregnant women
received 3 or more ANCs, those who consumed IFA for 100 days or more was only
22%.
Delivery
Care
About 67% of
deliveries were conducted in institutions, of which 45% were in Government
institutions and rest in private institutions. The home deliveries were only 33%
of which 71% were conducted by skilled health personnel. Caesarian cases were
as high as 67%, more than three fourth being conducted in private institutions.
In about 32%
of the cases the stay in the hospital after delivery was less than 24 hours.
About 72% mothers received post natal care and new born were also checked.
Importantly 30%
of mothers availed financial assistance for deliveries. Those who delivered in
Govt. Institutions, a higher percentage received financial assistance under
JSY.
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