Maternal
Health of the six major cities of Rajasthan State of India namely
Jaipur, Kota, Ajmer, Jodhpur, Udaipur and Bikaner have
been discussed here. These cities are being covered under the SURAJ
project as well as by the Rajasthan Urban Infrastructure Development Project
(RUIDP) funded by Asian
Development Bank.
JAIPUR
Jaipur is known as one of the first
planned cities of India. Jaipur ranks
first in the state with the highest urban population. The high rate of
urbanization is attributed to its administrative, trading, tourism based economic
activities. Jaipur is one of the fastest growing mega cities of the
country. There are three million plus
cities in Rajasthan, of which Jaipur city has the highest population. As per
provisional reports of Census India, population of Jaipur is 3,073,350. The sex
ratio of Jaipur city is 898 per 1000 males. Child sex ratio is 854 per 1000
boys.
Based on the results of Annual Health Survey, 2010, maternal
health of urban Jaipur district is presented as below.
Fertility
The Total Fertility Rate for Jaipur
city 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
21% only and women with 2 children and wanting no more child was as high as
75%. 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 only 9%.
More than to third reported using any
family planning method. The most common methods of family planning were female
sterilization - 42% and condom as 20%. The use of IUD was just 1% and pills
4%. The traditional method was reported
as being used by 3.5%. The total unmet need for family planning was 19%, 11%
for spacing and 8% limiting.
Ante Natal Care
Though mothers receiving any ante
natal check up were 98%, only 29% had full ANC. Around 60% of pregnant women
received ANC from Government sources. Of various components of ANC, at least one
TT received by 98%, BP taken 98%, blood examination for Hb 94%, underwent
ultrasound 82%. Though 84% pregnant women received 3 or more ANCs, those who
consumed IFA for 100 days or more was only 34%.
Delivery Care
About 93% of deliveries in Jaipur were
conducted in institutions, of which 53% were in Government institutions and
rest 40% in private institutions. The home deliveries were only 7% of which 41%
were conducted by skilled health personnel. Caesarian cases were as high as
35%, the two third being conducted in private institutions.
It is important to note that because
of high demand on beds for institutional deliveries, in about one fourth of the
cases the stay in the hospital after delivery was less than 24 hours. About 90%
mothers received post natal care and new born were also checked.
Importantly
96% of mothers availed financial assistance for government institutional
delivery.
KOTA
The Kota city is situated on the bank
of Chambal River. It is one of the most industrialized districts of the
state. Kota is a part of the southeastern region of Rajasthan, known as Hadoti.
It has earned the reputation as one of the prime educational hubs of the
country. Thousands of students across the country and abroad come to study in
different academic institutions of the city every year.
The Kota city is among the top three
cities of the state in terms of total population. Kota is one of the developing
cities of Rajasthan. As per provisional reports of Census India, population of
Kota city in 2011 is 1,001,365; of which males and females are 529,795 and
471,570 respectively. The sex ratio of Kota city is 890 females per 1000 males.
Based on the results of Annual Health Survey, 2010, maternal
health of urban Kota district is presented as below.
Fertility
The Total Fertility Rate for Kota city
was estimated at 2.4 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 24%
only and women with 2 children and wanting no more child was as high as 79%.
Further as high as 35% of births had interval of 36 months or more. The girls
marrying below the legal age of 18 years were only 5%.
About two thirds reported using any
family planning method. The most common methods of family planning were female
sterilization 40% and condom as 21%. The use of IUD was less than 1% and pills
4%. The traditional method was reported
as being used by 4.8%. The total unmet need for family planning was 15%, 11%
for spacing and 4% limiting.
Ante
Natal Care
Though mothers receiving any ante
natal check up were 97%, only 18% had full ANC. Around 45% of pregnant women
received ANC from Government sources. Of various components of ANC, at least one
TT received by 96%, BP taken 92%, blood examination for Hb 81%, underwent
ultrasound 82%. Though 82% pregnant women received 3 or more ANCs, those who
consumed IFA for 100 days or more was only 19%.
Delivery
Care
About 88% of deliveries in Kota were
conducted in institutions, of which 47% were in Government institutions and
rest 41% in private institutions. The home deliveries were only 11% of which 73%
were conducted by skilled health personnel. Caesarian cases were as high as
36%, more than two thirds being conducted in private institutions.
It is important to note that because
of high demand on beds for institutional deliveries, in about one fourth of the
cases the stay in the hospital after delivery was less than 24 hours. About 84%
mothers received post natal care and new born were also checked.
Importantly 43% of mothers availed
financial assistance for deliveries. Those who delivered in Govt. Institutions,
a higher percentage received financial assistance under JSY.
AJMER
The
historic city of Ajmer is situated in the geographic centre of Rajasthan and
lies about 135 kms South-west of Jaipur. Ajmer is an important tourist
destination from historic and pilgrimage aspect. The Dargah of Khwaja
Mouinuddin Chisti in Ajmer is one of the most sacred pilgrimage centres for
Muslims. The population of Ajmer city is 542,580. The sex ratio of Ajmer city
is 946 females per 1000 males. As per Census 2011, the child sex ratio is 884
per 1000 boys.
Based on the results of Annual Health
Survey, 2010, maternal health of urban Ajmer
district is presented as below.
Fertility
The Total Fertility Rate for Ajmer
city was estimated at 2.4 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
25% only and women with 2 children and wanting no more child was as high as
81%. 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 only 10%.
Over 61% reported using any modern family
planning method. The most common methods of family planning were female sterilization
42% and condom as 11%. The use of IUD was just 2% and pills 6%. The traditional method was reported as being
used by less than 2%. The total unmet need for family planning was 19.2%, 9.6% each
for spacing and limiting.
Ante Natal Care
Though mothers receiving any ante
natal check up were 98%, only 11% had full ANC. Around 54% of pregnant women
received ANC from Government sources. Of various components of ANC, at least one
TT received by 98%, BP taken 98%, blood examination for Hb 91%, underwent ultrasound
70%. Though 70% pregnant women received 3 or more ANCs, those who consumed IFA for
100 days or more were only 17%.
Delivery Care
About 81% of deliveries in Ajmer were
conducted in institutions, of which over 49% were in Government institutions
and rest 31% in private institutions. The home deliveries were only 19% of
which 37% were conducted by skilled health personnel. Caesarian cases were as
high as 49%, of these 30% being conducted in private institutions.
It is important to note that because of
high demand on beds for institutional deliveries, in about 18% of the cases the
stay in the hospital after delivery was less than 24 hours. About 81% mothers
received post natal care and new born were also checked.
Importantly, 45% of mothers availed financial
assistance for deliveries under JSY and higher percentage among those were who
delivered at Govt. Institutions and got such benefits.
JODHPUR
The Jodhpur district is situated in
western part of Rajasthan. Jodhpur is
the third most industrialized district in Rajasthan. Jodhpur is the second largest city in
Rajasthan, after Jaipur. The city is known as the "Sun City"(Surya
Nagri) for the bright,
sunny weather it enjoys all the year. The city has been developed in and around
fort. The city is encompassed by wall, 10 km long with 8 gates and innumerable
bastions. This development was not planned, therefore, the old city area is
very congested and haphazardly grown and hence there were many urban problems
like narrow lanes, high density, etc. The old city is mainly developed inside
the walled city. City is considered to be one of major tourists spot in the
Rajasthan state. As per provisional reports of Census India, population of
Jodhpur city in 2011 is 1,033,918; of which males and females are 544,057 and
489,861 respectively. The sex ratio of Jodhpur city is 900 per 1000 males.
Based on the results of Annual Health Survey, 2010, maternal
health of urban Jodhpur district is presented as below.
Fertility
The Total Fertility Rate for Jodhpur
city was estimated at 2.5 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
21% only and women with 2 children wanting no more children was as high as 78%.
Further as high as 42% of births had interval of 36 months or more. The girls
marrying below the legal age of 18 years were only 10%.
About 72% reported using any family
planning method. The most common methods of family planning were female
sterilization 40% and condom as 14%. The use of IUD was just 1.6% and pills 7.5%. The traditional method was reported as being
used by 7.8%. The total unmet need for family planning was 15%, 8% for spacing
and 7% limiting.
Ante Natal Care
Though mothers receiving any ante
natal check up were 92%, only 15% had full ANC. Around 74% of pregnant women
received ANC from Government sources. Of various components of ANC, at least
one TT received by 92%, BP taken 91%, blood examination for Hb 87%, underwent
ultrasound 81%. Though 59% pregnant women received 3 or more ANCs, those who consumed
IFA for 100 days or more was only 26%.
Delivery Care
About 82% of deliveries in Jodhpur
were conducted in institutions, of which 66% were in Government institutions
and rest 16% in private institutions. The home deliveries were only 17% of
which 46% were conducted by skilled health personnel. Caesarian cases were as
high as 40%. Of these 60% were conducted in private institutions.
It is important to note that because
of high demand on beds for institutional deliveries, in about 31% of the cases
the stay in the hospital after delivery was less than 24 hours. About 81%
mothers received post natal care and new born were also checked.
Importantly 61% of mothers availed
financial assistance for deliveries. These who delivered at Govt. Institutions
higher percentage availed JSY.
UDAIPUR
Udaipur city of Rajasthan is known by several
epithets like, “City of Lakes”, “City of Gardens”, and “Venice of the East”. It
is surrounded by hills of Aravali Range on all sides. Udaipur is the sixth
largest city of Rajasthan. Situated in northeastern part of Girwa Tehsil of
Udaipur district, Udaipur is historically and geographically the heart of
erstwhile Mewar State. As per provisional reports of Census India, population
of Udaipur city in 2011 is 451,735; of which males and females are 234,681 and
217,054 respectively. The sex ratio of Udaipur city is 925 per 1000 males.
Based on the results of Annual Health
Survey, 2010, maternal health of urban Udaipur district is
presented as below.
Fertility
The Total Fertility Rate for Udaipur
city was estimated at 2.5 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
25% only and women with 2 children wanting no more children was as high as 84%.
Further as high as 42% of births had interval of 36 months or more the girls
marrying below the legal age of 18 years were only 13%.
About 64% reported using any modern family
planning method. The most common methods of family planning were female sterilization
33% and condom as 23%. The use of IUD was just over 3% and pills about 5%. The traditional method was reported as being
used by 9%. The total unmet need for family planning was 11%, 7% each for
spacing and 4% limiting.
Ante Natal Care
Though mothers receiving any ante
natal check up were 97%, only 21% had full ANC. Around 78% of pregnant women
received ANC from Government sources. Of various components of ANC, at least
one TT received by 97%, BP taken 95%, blood examination for Hb 79%, underwent
ultrasound 85%. Though 87% pregnant women received 3 or more ANCs, those who
consumed IFA for 100 days or more was only 22%.
Delivery Care
About 93% of deliveries in Udaipur
were conducted in institutions, of which 78% were in Government institutions and
14% in private institutions. The home deliveries were only 7% of which about 29%
were conducted by skilled health personnel. Caesarian cases were as high as 43%,
more than two thirds being conducted in private institutions.
It is important to note that because
of high demand on beds for institutional deliveries, in about one fourth of the
cases the stay in the hospital after delivery was less than 24 hours. About 95%
mothers received post natal care and new born were also checked.
Importantly
71% of mothers availed financial assistance for deliveries.
BIKANER
Bikaner
is famous for its camel research farm, "Bikaneri Bhujia, wool production,
sweets etc. It is also known for its handicrafts and leather articles, for its
palaces and for having Asia's biggest camel farm. Bikaner is situated on the
North-West of Rajasthan. Total area under Bikaner district is of about 28,466
sq.km. Bikaner is basically an agricultural district. Bikaner is one of the
important tourist spots of Rajasthan. In
1991 population of the city was 4.16 lakh which has now increased to 5.29 lakh
in 2001. As per provisional reports of Census India, population of Bikaner in
2011 is 647,804. The sex ratio of Bikaner city is 900 per 1000 males.
Based on the results of Annual Health Survey,
2010, maternal health of urban Bikaner district is
presented as below.
Fertility
The Total Fertility Rate for Bikaner
city was estimated at 2.5 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
22% only and women with 2 children wanting no more children was as high as 76%.
Further as high as 37% of births had interval of 36 months or more the girls
marrying below the legal age of 18 years were only 6%.
Over 65% reported using any modern family
planning method. The most common methods of family planning were female sterilization
42% and condom as 20%. The use of IUD was just 0.5% and pills 1.8%. The traditional method was reported as being
used by 1.2%. The total unmet need for family planning was 21%, 11% each for
spacing and 10% limiting.
Ante Natal Care
Though mothers receiving any ante
natal check up were 96%, only 20% had full ANC. Around 70% of pregnant women
received ANC from Government sources. Of various components of ANC, at least
one TT received by 96%, BP taken 94%, blood examination for Hb 90%, underwent
ultrasound 77%. Though 67% pregnant women received 3 or more ANCs, those who
consumed IFA for 100 days or more was only 24%.
Delivery Care
About 83% of deliveries in Bikaner
were conducted in institutions, of which 53% were in Government institutions
and 30% in private institutions. The home deliveries were only 17% of which 42%
were conducted by skilled health personnel. Caesarian cases were as high as 44%,
two thirds being conducted in private institutions.
It is important to note that because
of high demand on beds for institutional deliveries, in about 12% of the cases
the stay in the hospital after delivery was less than 24 hours. About 86% mothers
received post natal care and 78% new born were also checked.
Importantly 52% of mothers availed financial
assistance for deliveries.
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