GRAPH 3.1.7. PERCENTAGE OF CAUSES OF INFANT & CHILD GRAPH 3.1.8.

PERCENTAGE OF CAUSES OF INFANT & CHILD

3.1. MORTALITY DATA OF RAYAGADA TABLE 3.1.3. INFANT & CHILD DEATHS :
DEATHS IN RAYAGADA : DEATHS IN ODISHA:
DISTRICT INFANT INFANT INFANT CHILD TOTAL CHILD
TABLE 3.1.1. STILL BIRTH RATE, PERINATAL, NEONATAL & INFANT MORTALITY RATES: DEATHS DEATHS DEATHS DEATHS INFANT DEATHS Sepsis Asphyxia
REPORTED LIVE BIRTHS (per REPORTED LIVE BIRTHS (per REPORTED LIVE BIRTHS (per WITHIN 24 BETWEEN BETWEEN BETWEEN 1 DEATHS BETWEEN 1YR Sepsis
2% 11%
1000 children) IN RAYAGADA 1000 children) IN ODISHA 1000 children) IN INDIA HOURS 24HRS & 1 WEEK & MONTH & & UNDER 6%
OF BIRTH UNDER 1 UNDER 1 UNDER 1 YEAR 5YEARS Asphyxia
Still Birth Rate 36.20 24.17 - WEEK 15%
MONTH
Perinatal Mortality Rate 43.64 34.04 23 LBW
TOTAL REPORTED 28 127 93 202 450 111
Neonatal Mortality Rate 11.91 13.40 25 DEATH IN 13% Others
RAYAGADA 44%
Infant Mortality Rate 21.61 19.16 34.9
TOTAL 1,206 5,404 2,362 3,858 12,830 1,855
REPORTED
Under 5 Mortality Rate 26.9 21.9 47.81 DEATH
IN ODISHA Pneumonia
Maternal Mortality Ratio
8%
*Maternal Mortality Ratio 67.22 86.78 122 TOTAL 14,374 - 91,566 38,646 144,586 18,402
REPORTED LBW
against 100000 live births Others
Source - HMIS Data Analysis –-2015-16
(Estimated or Reported) DEATH IN INDIA 59%
GRAPH 3.1.4. PERCENTAGE OF INFANT & CHILD DEATH IN GRAPH 3.1.5. PERCENTAGE OF INFANT & CHILD DEATH IN 23%
Source - HMIS Data Analysis – 2015-16
RAYAGADA: ODISHA: Fever related
INFERENCE: India has one of the highest infant mortality i.e 39.4 per 1000 live births. Infant Mortality Rate continues to be high in Orissa too 7% Fever related
i.e. 19.16 per 1000 live birth. It is recognized further that about 37% Infant deaths occur during neonatal period (first four weeks of life). 4% Pneumonia
Child Death
Rayagada too have a high infant mortality rate i.e. 21.61 per 1000 live births. The Maternal Mortality Rate of Rayagada, Odisha and India Child Deaths Infant Deaths Between [CATEGOR
8% Source - Primary
is also very high. This shows the poor facility, lack of vaccination and malnutrition in the country. between within 24 1yr & Y NAME]
Infant Deaths
1yr& under hrs of birth Under 5yrs [PERCENT Source - Primary
between GRAPH 3.1.9. PERCENTAGE OF CAUSES OF INFANT & CHILD DEATHS IN INDIA:
TABLE 3.1.2. MAJOR DEATH CAUSE GROUPS: 5years 5% 13% AGE] 0%
24hrs & INFERENCE: CAUSES OF
DEATH GROUPS CAUSE-WISE DEATHS INCLUDED IN THE REPORTED REPORTED REPORTED 20% under 1 week Sepsis
GROUP DEATHS DEATHS DEATHS INFANT & CHILD DEATHS -
23% 0
7%0%
IN IN ODISHA IN INDIA Most of the infant and children
Child Deaths %
RAYAGADA Pneumonia die due to Preterm Birth
Between 1
Month & 14% Complications, Intrapartum
Communicable Disease , Maternal Maternal & Perinatal, Diarrhea, Tuberculosis, 1,054 24,321 352,848 Under 1 Year Related events, Congenital i.e.
& Perinatal Respiratory (excluding TB), Malaria, Other 26% 59% in Rayagada, 44% in
Infant Deaths
Fever related, HIV/AIDS Odisha and 50% in India.
Between
24hrs & No infant and children were
Non communicable disease Heart Disease/ Hypertension, Neurological 710 25,585 392,771 Child Deaths affected by Diarrhoea in
Under 1
including Stroke between 1 Infant Deaths Infant Deaths Rayagada. Least affected
Week
month & between 1 Between 1 37% Others disease
Injuries Trauma, Accidents, Burns, Suicide, Animal Bites 69 3,148 73,828 under 1 year week & Week & 50% in Odisha is Measles i.e. approx.
Diarrhoea
36% under 1 Under 1 8 1 child die in a year which is
month Month % negligible and in India it is
Others Other known acute diseases, Other known 1,112 61,026 268,063 16% 16% 0% Sepsis i.e. 7%.
chronic diseases, Other diseases (Causes not
known)
Source - Primary Source - Primary
Source - HMIS Data Analysis – 2015-16

GRAPH 3.1.1. PERCENTAGE OF MAJOR DEATH CAUSE GRAPH 3.1.2. PERCENTAGE OF MAJOR DEATH CAUSE GROUPS GRAPH 3.1.6. PERCENTAGE OF CAUSES OF MATERNAL DEATHS IN INDIA:
GROUPS OF RAYAGADA: OF ODISHA: Measles
Child Death Infant Deaths INFERENCE: INFANT
Between 1yr 21%
Communica Within 24 & CHILD DEATH –
& Under 5yrs Hours Of The number of death of
b le Disease
Communicab 11% Birth children is more between 1
Source - Primary
21%
le Disease 9% month to 1 year is more in TABLE 3.1.5. CAUSES OF MATERNAL DEATHS:
36% Rayagada i.e. 36%. In Odisha CAUSES Z REPORTED DEATH IN REPORTED DEATH REPORTED DEATH
Others RAYAGADA IN ODISHA IN INDIA
and India the death is more
38%
between 1 week to 1 month
which is 37% and 56% Abortion 0 10 206
respectively. Obstructed/prolonged labour 1 22 542
Child Deaths The least number of infants and
Non Between 1 children dies within 24hrs of Severe hypertension/fits 0 50 1347
communicab Month &
l birth i.e. 5% in Rayagada, 8%
Under 1 Year Bleeding 4 102 1926
Others in Odisha and 9% in India.
e disease 24%
54% 22% Infant Deaths High fever 0 17 542
Between 1
Week & Other causes (infection, ruptured uterus, 9 380 8114
Under 1 hepatitis, and anemia))
Month Source - HMIS Data Analysis – 2015-16
Non 56%
Injuries communicabl
2% e disease Injuries GRAPH 3.1.11. PERCENTAGE OF CAUSES OF MATERNAL
GRAPH 3.1.10. PERCENTAGE OF CAUSES OF MATERNAL
24% 3% Source - Primary DEATHS IN RAYAGADA: DEATHS IN ODISHA:
TABLE 3.1.4. CAUSES OF INFANT & CHILD DEATHS:
Source - Primary
Source - Primary DISEASE UP TO BETWEEN 1 WEEK & TOTAL TOTAL TOTAL Abortion
GRAPH 3.1.3. PERCENTAGE OF MAJOR DEATH CAUSE GROUPS OF INDIA: WEEKS OF 4 WEEKS OF BIRTH DEATH IN DEATH DEATH 2% Obstructed/pr
olonged Severe
BIRTH RAYAGADA IN IN INDIA
INFERENCE: MAJOR Obstructed/pr labour hypertension
ODISHA
Communicab DEATH CAUSES- olonged 4% / fits
Others le Disease Most of the death was caused Sepsis 7 6 13 571 95,046 labour 9%
25% 32% in Rayagada and Odisha is 7% Bleeding
due to acute and chronic Asphyxia 53 4 57 1571 - 29%
disease(Asthma, flu etc.) i.e.
38% in Rayagada, 54% in LBW 34 35 69 2298 - Bleeding
Odisha and in India most of 17%
death was caused due to Non BETWEEN 1 BETWEEN 1 YEAR &
Communicable Disease like MONTH 5 YEARS
Heart Attack, Hypertension AND 11
etc i.e. 36%. MONTHS
Least number of death was Pneumonia 39 2 41 845 190632
caused due to injuries i.e. 2%
in Rayagada, 3% in Odisha Diarrhoea 0 0 0 59 112746
and 7% in India. Other Causes Other causes
Non Fever related 21 17 38 372 - 64% 65% High fever
Injuries
communicabl 3%
7%
e disease Measles 1 - 1 1 288,019
36%
Others (Preterm Birth 222 92 314 4436 693,993
Source - Primary
Complications, Intrapartum Source - Primary Source - Primary
Related events, Congenital) Source - HMIS Data Analysis – 2015-16

DEPARTMENT OF PLANNING
COLLEGE OF ENGINEERING AND TECHNOLOGY,
TECHNO CAMPUS, GHATIKIA,
SITUATION ANALYSIS SUBMITTED BY:7THSEMESTER SHEET NO.:01

BHUBANESWAR UNDER GUIDANCE OF:

1.MR SHREYASH SUBUDHI
2. MS. PRATISTHA
JAIN 3.MRS. GAYATRI
PATI
 GRAPH 3.1.15. PERCENTAGE OF CAUSES OF DEATHS( ABOVE 6 YRS OF AGE) IN GRAPH 3.3.1. TOTAL NO OF CACES
GRAPH 3.1.12. PERCENTAGE OF CAUSES OF MATERNAL DEATHS IN INDIA: INDIA: DETECTED
Abortion Obstructed/pr INFERENCE: CAUSES OF 1%0% 2% INFERENCE: CAUSES DETECTED
2% olonged MATERNAL DEATHS- OF DEATHS( ABOVE 6000
labour 6 YRS OF AGE)-
Severe Most of the maternal death was 0% 3%
4% hypertension 8% People of Rayagada and
caused due to infection, ruptured
1% Odisha were mostly
/ fits uterus, hepatitis, and anemia 22%
11% i.e. 64% in Rayagada and India suffering from chronic
and 65% in Odisha. disease(heart attack, 5000
Least number of death was cancer, diabetes etc.)
caused which cause death i.e.
in Rayagada is due to Prolonged 21% in Rayagada and
Labour i.e. 7% and in Odisha and 10% in Odisha. In India
India the death is caused due to 10% most death was caused 4000
Bleeding 28% due to
15% Abortion i.e. 2%.
Hypertension/Heart

POPULATION
Disease i.e. 28%.
1% 5% Death due to HIV/AIDs
Other causes is least in Rayagada and 3000
(infection,
9% Odisha and in India least
ruptured High fever 10% number of death is due to
uterus, 4%
hepatitis, and Diarrhoeal Disease.
anemia)) 2000
64%

Source - Primary Diarrhoeal Diseases Tuberculosis

TABLE 3.1.6. CAUSES OF DEATHS( ABOVE 6 YRS OF Respiratory Diseases (Other than TB) Malaria
1000
AGE): 6-14 YEARS 15-55 YEARS ABOVE 55 TOTAL TOTAL TOTAL Other fever Related HIV/AIDS
YEARS DEATH IN DEATH DEATH Heart Disease/ Hypertension related Neurologica
RAYAGADA IN IN INDIA Trauma/Accidents/ Burn Cases l Disease
ODISHA Animal Bites & Stings including
Known Chronic Disease strokes
Diarrhoeal Diseases - 2 - 2 926 3875 Suicide 0
Known Acute Disease
Source - Primary
MALARIA LEPROSIS BLINDNESS/ TUBERCULO DIARRHOEA ANEMIA
Tuberculosis 2 26 11 39 859 21416 CATARACT SIS PNEUMONIA
CONCLUSION:- Causes not known 82 4170 1656 531 20 8
Respiratory Diseases (Other than TB) 1 23 43 67 1,316 68596 • HIV/AIDS
236 sub-centres were opened to decrease high maternal and neo-natal deaths, but failed to deliver.
Source - Primary
Malaria - - - - 176 1454 DETECTED 5128 53
• Absence of all-weather roads to the villages have been discouraging pregnant women from opting for institutional delivery. The State
Other fever Related 9 23 46 78 2,036 28728 INFERENCE:-
Government had introduced ‘Ama Gaon Doli’ and ‘Bike Ambulance’ schemes to bring patients to the sub-centres where ANMs and health
HIV/AIDS - - 1 1 140 7518 supervisors have been posted. But these measures have yielded little result. Malaria, Blindness/Cataract, Tuberculosis & Diarrhoea have the highest Number of detected diseases and needs attention
to prevention in the district. Anaemia and Pneumonia are the lowest.
Heart Disease/ Hypertension related 4 80 94 178 9,132 238136
• Anganwadi workers, ASHA workers and ANMs (Auxiliary Nursing Midwifery) were assigned by government to provide quality medical
Neurological Disease including strokes 1 24 29 54 3,345 82926 care to pregnant and lactating women and newborns, to keep a track of pregnant women’s expected date of delivery, to upgrade primary GRAPH 3.3.2. TOTAL NO OF CACES
health centres and to operate Maa Gruhas. They have to identify pregnant women in high risk category and bring them to Maa Gruhas on time RECOVERED
Trauma/Accidents/ Burn Cases 3 24 20 47 1,233 75598 where medical assistance and nutritional food can be provided to them. But the number of health workers (Anganwadi and ANMs workers)
Suicide - 3 4 7 1,449 44991 were very less. RECOVERED
Animal Bites & Stings 2 9 4 15 466 8302 6000
• The cause of infant and child death due to preterm birth complication, congenital related events is highest because of low birth weight , short
Known Acute Disease 1 38 40 79 2,199 82797 gestation by child growth failure and unsafe water sanitation. One of the primary reasons behind maternal and infant mortality is due to child
marriage in remote parts of the district.
Known Chronic Disease 8 107 224 339 8,668 185135
Causes not known 25 208 477 710 50,685 8302 • Another reason of increase in mortality rate is due to the belief in the traditional culture in the tribal areas in the district, due to which some 5000
people do not visit the hospitals and try the old methods for child birth and treatment.
Total Deaths 56 567 993 1,616 82,630 857774
Source - HMIS Data Analysis – 2015-16
• Lack of improper facilities and equipment is another reason of death as people do not get proper treatment in the required time.

GRAPH 3.1.13. PERCENTAGE OF CAUSES OF DEATHS( ABOVE 6 GRAPH 3.1.14. PERCENTAGE OF CAUSES OF DEATHS( ABOVE 6 4000
YRS OF AGE) IN RAYAGADA: 3.2. FERTILITY RATE
YRS OF AGE) IN ODISHA:
TABLE 3.2.1. AGE SPECIFIC FERTILITY

POPULATION
RATE:
2%
4% 1%
5% TOTAL TOTAL 3000
2% 2% TOTAL RATE IN
MARRIAGE AND FERTILITY RATE IN RATE IN
1% 0% RAYAGADA
0% ODISHA INDIA
WOMEN AGE 20-24 YEARS 34.4 21.3 166
11% 2000
MARRIED BEFORE AGE 18 YEARS
11%
WOMEN AGE 25-29 YEARS 25.1 11.0 135.4
44% MARRIED BEFORE AGE 21 YEARS
3% 4% WOMEN AGE 15-19 YEARS WHO WERE 10.9 7.6 Source 10.17
– National Family Health Survey – 2015-16 Odisha - 1000
2% Rayagada

2%
ALREADY
INFERENCE:MOTHERS AGE SPECIFIC ORFERTILITY
PREGNANT RATE-AT THE
3% TIME OF THE
The fertility rate of SURVEY
the women age 20-24 years who were married before age 18 years is more i.e. 34.4 in Rayagada, 21.3 in Odisha and 166 in India.
1 1%
1% 3%
% 0
3.3 DISEASES MALARIA HIV/AIDS LEPROSIS BLINDNESS/ TUBERCULO DIARRHOEA PNEUMONIA ANEMIA
5% 61% CATARACT SIS
10% TABLE 3.3.1. : TOTAL NO OF CACES DETECTED ,CURED & DEATHS IN RAYAGADA: RECOVERED 5128 51 25 2101 1656

Source - Primary

DISEASES DETECTED RECOVERED DEATH INFERENCE:-

21%
MALARIA 5128 5128 0 • Malaria & Tuberculosis have 100% recovery rate.HIV/AIDS death compared to its total no. of cases have 96% recovery rate. Recovery rate
of Blindness/Cataract is approx 50.4% .The lowest Recovery rate is of Leprosis i.e. approx 30.5%.
HIV/AIDS 53 51 2
Diarrhoeal Diseases Tuberculosis
Diarrhoeal Diseases Tuberculosis Respiratory Respiratory Diseases (Other than TB) Malaria LEPROSIS 82 25 -
Diseases (Other than TB) Malaria Other fever Related HIV/AIDS BLINDNESS/CATARACT 4170 2101 - CONCLUSION:-
Other fever Related HIV/AIDS Heart Disease/ Hypertension related Neurological Disease including strokes • In case of Malaria the district administration had given importance to cleanliness and spray of anti-mosquito medicine at all the polluted areas.
Heart Disease/ Hypertension related Trauma/Accidents/ Burn Cases Suicide TUBERCULOSIS 1656 1656 0 Besides, massive awareness drive conducted all over the affected area resulting in 100% recovery ,In other hand to disseminate the knowledge and
Neurological Disease including strokes Animal Bites & Stings Known Acute Disease
Trauma/Accidents/ Burn Cases Suicide Known Chronic Disease Causes not known
DIARRHOEA 531 - - myths of HIV/AIDS regarding its prevention, transmission and treatment a massive awareness camp was held under the aegis of District Legal
Services Authority(DLSA).Many program provides, free of cost, quality Anti-Tubercular drugs across the district through the numerous Primary
Animal Bites & Stings Known PNEUMONIA 20 - -
Acute Disease Source - Primary Health Centers which also shows 100% recovery rate in Rayagada. But in case of Leprosis cases been increasing as compared to situation after
Known Chronic Disease Causes ANEMIA 8 - - implementation of National Leprosy Eradication Program (NLEP) and require immediate attention.
not known Source- District Handbook Rayagada, 2018

Source - Primary

DEPARTMENT OF PLANNING
COLLEGE OF ENGINEERING AND TECHNOLOGY,
TECHNO CAMPUS, GHATIKIA,
SITUATION ANALYSIS SUBMITTED BY:7THSEMESTER SHEET NO.:02

BHUBANESWAR
UNDER GUIDANCE OF:
1.MR SHREYASH SUBUDHI
2. MS. PRATISTHA
JAIN 3.MRS. GAYATRI
PATI
3.4. DELIVERY CATAGORIES INDIA ODISHA RAYAGADA
C-Section, Complicated & Normal Deliveries against Complicated Deliveries in PHC, CHC and SDH/ DH 3.5 ANTENATAL CARE (ANC)
Reported Institutional Deliveries ( Pvt. & Public)
Table 3.5.1: Antenatal Care
Table 3.4.1: Comparison of Delivery Care Indicators of Rayagada with India and
Odisha INSTITUTIONAL BIRTHS (%) 78.9 85.3 71.5
5%
ANC SERVICES
10.2%
INSTITUTIONAL BIRTHS IN PUBLIC 52.1 75.8 68.3 C- section % RAYADAGA DISTRICT ODISHA INDIA
FACILITY (%) PARAMETRES REPORTED PERCENTAGE REPORTED PERCENTAGE REPORTED PERCENTAGE
Complicated AGAINST AGAINST AGAINST
HOME DELIVERY CONDUCTED BY 4.3 3.3 8.9 16.6% Pregnancies attended % PHC REPORTED REPORTED REPORTED
42%
SKILLED HEALTH PERSONNEL (OUT Normal deliveries % CHC ANC ANC ANC
OF TOTAL DELIVERIES) (%) SDH/ DH REGISTRATI REGISTRATION REGISTRATION
O N
53%
BIRTHS ASSISTED BY A 81.4 86.5 80.0
DOCTOR/NURSE/LHV/ANM/OTHER 73.1% Estimated pregnancies 24,840 95 % 940,231 - 30,175,495 -
HEALTH PERSONNEL (%) ANC registration 17,120 73% 609,389 76% 17,433,979 62%
within first trimester
BIRTHS DELIVERED BY CAESAREAN 17.2 13.8 5.0 ANC registration for 23,496 100% 777,760 97% --- ---
SECTION (%) SOURCE: Primary SOURCE: Primary JSY
BIRTHS IN A PRIVATE HEALTH 40.9 53.7 - INFERENCE :- 3 ANC check-ups 21,163 90% 714,503 89% 22,354,796 79%
FACILITY DELIVERED BY C-section deliveries rate were higher in private institutions as compared to public institutions. 25.4 % of deliveries in private institutions were TT1 17,555 75% 686,570 85% 21,365,703 76%
CAESAREAN SECTION (%) through c-section as against 6.9 % in the public institutions. Higher rate of normal deliveries were observed in public institutions (76.5 %)
compared to private institutions (58 %). TT2 or Booster 22,302 95% 728,409 91% 23,257,454 82%
BIRTHS IN A PUBLIC HEALTH 11.9 11.5 4.6 100 IFA 14,266 61 % 585,874 73% 23,195,433 82%
FACILITY DELIVERED BY Table 3.4.4: Facility wise percentage of C sections & Complicated tablets
INFERENCE:-
CAESAREAN SECTION (%) Deliveries reported
As per NFHS (2015-2016), Odisha had highest institutional births ratio with 85.3 % compared to India (78.9 %) and Rayagada (71.5 %). PUBLIC
SOURCE: HMIS Data Analysis – 2015 – 16

In terms of institutional births in public health facilities ratio, Odisha leaded with 75.8 % followed by Rayagada (68.3 %) and India (52.1 %). DELIVERIES PRIVATE TOTAL
In Rayagada, 8.9 % of total deliveries were conducted by skilled health personnel at homes which was highest among India (4.3 %) and Odisha PHC CHC SDH/ DH TOTAL
ANTENATAL
(3.3 %). Odisha has highest ratio of births assisted by a health personnel with 86.5 % compared to India (81.4 %) and Rayagada (80.0 %). 120% CARE
17.2
% of births were delivered by c-section in India out of which 40.9 % were carried out in private health facilities and 11.9 % in public C SECTION 826 673 1,499 100%
- - 826
health (6.9%) (25.4%) (10.4%)
facilities. Similarly in Odisha, 13.8 % births were delivered by c-section out of which 53.7 % were carried out in private health facilities 80%
100% 90 95% Rayagada
and
COMPLICATE 73% % 89% 91% Odisha
11.5 % in public health facilities. C-section deliveries are more in private health facilities as compared to public health facilities. The higher 1,993 439 2,432 60% 97% 75%
Table 3.4.2: Rayagada- Home ( SBA & Non SBA) & Institutional Deliveries against Estimated Deliveries - Apr'15 to D 106 1,058 829 76%
rates of c-section births especially in private sector not only increases the cost of care but may pose unnecessary risks to women. (16.6%) (16.6%) (16.61%) 79% 85% 82% 61% India
Mar'16 PREGNANCIES
40% 62% 76% 73%
TOTAL POPULATION 1,005,630 DELIVERIES 22,582 (2.24%)
Source: National Family Health Survey (NFHS)- 4 (2015-16) 82%
11,985 2,651 20%
TOTAL 14,636
(81.8%) (18.2%)
Institutional SOURCE: HMIS Data Analysis – 2015 – 16
0%
Home SBA Home Non SBA Total Deliveries Reported Unreported Deliveries ANC registration ANC registration 3 ANC check-ups TT1 TT2 or Booster 100 IFA tablets
INFERENCE:- within first for JSY reported
Public Private Maximum c-section deliveries (55.1 %) are being carried out in Sub-District/District Hospital and rest 44.9 % is being carried out in private trimester
health centers. In case of complicated pregnancies also, maximum such pregnancies are being tackled in public institutions (81 %) and
11,985 2,651 SOURCE: Primary
in CHCs (53 %) and rest 19 % of the deliveries are being carried out in private health centers.
1,018 5,661 (81.8%) (18.2%) 21,315 1,267 INFERENCE :-
(5%) (25%) 14,636 (94%) (6%) Table 3.4.5: Percentage of Janani Surksha Yojana (JSY) paid to mothers The number of registrations for Ante Natal Care within first trimester is very low (73%). As well as the registrations for TT1 and IFA
(65%) tablets is also very low that is 75% and 61% respectively. There is 100% registration of mothers for the provision of JSY.
JSY Paid to Mothers as % of reported deliveries
SOURCE: HMIS Data Analysis – 2015 – 16
CONCLUSION:-
% age JSY paid against Ante Natal Care is an essential aspect of health care delivery for improving pregnancy outcome. By this service high risk pregnancies can
Home ( SBA & Non SBA) & Institutional Deliveries Home ( SBA & Non SBA) & Institutional Deliveries Deliveries JSY Paid to mothers
reported deliveries be detected and can be directed for proper management.
against Total Deliveries against Reported Deliveries
4.8% Home 6,679 102 1.53% 3.5. POST NATAL CARE
6% 5%
Home SBA 12.4%
Institutional (Public) 11,985 7,916 66.05% Postnatal care is the individualized care provided to meet the needs of a mother and her baby following childbirth.
Home Non SBA Home SBA
25%
Home Non SBA GRAPH 3.5.1. PERCENTAGE OF POST NATAL CHECK UP AGAINST REPORTED DELIVERIES -APR'15 TO MAR'16:
Institutional 26.6%
Institutional (Pub) Institutional ( Accredited - Pvt ) 2,651 - 0.00%
Institutional (Pvt) SOURCE: HMIS Data Analysis – 2015 – 16

65% 56.2% JSY Paid to Mothers as % of reported deliveries

70% 66.05%
100%
SOURCE: Primary
SOURCE: Primary 60%
90%
INFERENCE:- 50%
Institutional deliveries were 65 % out of which 81.8 % were conducted in public institutions. 69.32 % deliveries were safe which is a 80%
reflection of the availability of services and accessibility. 40%
70%
30%
C SECTIONS & COMPLICATED DELIVERIES
60%
Table 3.4.3: C- Section, Complicated and Normal Delivery 20%
50% 95% 82%
10%
INSTITUTIONAL COMPLICATE TOTAL 1.53% 0% 40%
C SECTION NORMAL DELIVERIES
DELIVERIES D INSTITUTIONAL 0%
PREGNANCIES DELIVERIES Home Institutional (Public) Institutional (Pvt) 30%

PUBLIC 826 1,993 9166 11,985

20%
(6.9%) (16.6%) (76.5%) INFERENCE:-
In case of 66.05 % of total deliveries in public institutions, mothers were benefited under JSY scheme as against 1.53 % in private 10%
institutions. So higher delivery rate in public institutions is probably because of benefits under JSY scheme.
PRIVATE 673 439 1539 2,651 0%
(25.4%) (16.6%) (58%) PNC within 48 hours after deliveries PNC between 48 hours and 14 days of Deliveries
CONCLUSION:-
• Institutional deliveries are mostly being carried out in the district which provides a more safe and hygienic option for the mothers (especially poor
SOURCE: HMIS Data Analysis – 2015 – 16
pregnant mothers) during delivery. Major part of the population are relying on government hospitals for delivery among which Sub-district
TOTAL 1,499 2,432 10705 14,636
hospitals and District hospitals are mostly preferred. Complicated pregnancies are majorly being handled in the public health institutions in which INFERENCE:-
Community Health Centers are mostly being preferred. But the percentage of mothers paid with JSY (aims to reduce neo-natal and maternal 95% of the mothers and child are provided with PNC within 48 hours of delivery and 82% are provided with PNC between 48 hours and
mortality rate by providing cash assistance with delivery and post-delivery care) is very low . 14 days of delivery.
SOURCE: HMIS Data Analysis – 2015 – 16

DEPARTMENT OF PLANNING
COLLEGE OF ENGINEERING AND TECHNOLOGY,
TECHNO CAMPUS, GHATIKIA,
SITUATION ANALYSIS SUBMITTED BY:7THSEMESTER SHEET NO.:03

BHUBANESWAR
UNDER GUIDANCE OF:
1.MR SHREYASH SUBUDHI
2. MS. PRATISTHA
JAIN 3.MRS. GAYATRI
PATI
 3.7. FAMILY PLANNING 3.7.2 ABORTION TABLE3.6.1.2. SHOWS IMMUNIZATION DROPOUT GRAPH 3.3.5. PERCENTAGE OF IMMUNIZATION DROPOUT FROM 0-11
FROM 0-11 MONTHS CHILD: MONTHS CHILD:
TABLE 3.7.1. FAMILY PLANNING TABLE 3.7.2.1: ABORTIONS IN RAYAGADA DISTRICT, ODISHA AND INDIA:
METHODS : IMMUNIZATION DROPOUTS
ABORTIONS IMMUNISATION - DROPOUTS
FAMILY PLANNING METHODS 40
28
Abortions 30
Reported %age of All Reported FP Methods MTP Less than MTP More MTP in Abortion Rate against
(Spontaneous/Induce Total Abortions Dropout Dropout Dropout 20
12 weeks than 12 Pvt. Estimated
d) from BCG from BCG from
Rayagada Odisha India Rayagada Odisha India weeks Facilities pregnancies 10
to DPT3 to DPT3 to 0
Rayagada 209 11 1,391 6 1617 6.5% Measles Measles
Total Reported FP Method (All types) Users 11,584 5,76,796 17,154,660 - - - -10 Dropout from BCG to Dropout from BCG to Dropout from DPT3 to
DPT3 -M6 easles Measles
Odisha 19,121 622 52,506 2,190 74,439 7.9% -20
Sterilization 3,416 1,16,026 40,15,281 29% 20% 23% Rayagada 28% -6% -47%
-30
India 3,28,509 44,847 8,71,484 3,32,153 15,76,993 5.2%
-40
IUD 3,629 1,93,867 5,484,897 31% 34% 32%
Source- HMIS D ata Analysis – 2015 – Source: National Family Health Survey (HFHS)- 4(2015-16)
Odisha 33% 3% -46% -50
16 -47
Abortions- Rayagada -60
Condom Users 1,436 1,03,447 4,345,534 12% 18% 25% Abortions- Odisha
0.003% 3% Source- HMIS Data Analysis – 2015 – 16
Source- Primary

OCP Users 3,103 1,63,456 3,308,947 27% 28% 19% INFERENCE:

13% 1%
The immunization dropout percentage increases gradually both in cases of Rayagada and Odisha. In the district as well as state the number of children
26% MTP Less than 12 weeks
Limiting Methods 3,416 1,16,026 - 29% 20% 23.41% M who got Measles vaccine is highest. The maximum children of 0-11 months have missed the 3 doses of Pentavalent vaccine.
T
P MTP More than 12 weeks
Spacing Methods 8,168 4,60,770 - 71% 80% 76.59%
l
3.8.2. NEWBORN CARE
1% Abortions
e (Spontaneous/Induced)
Source- HMIS Data Analysis – 2015 – 16
s TABLE 3.8.2.1. NEWBORN CARE OF RAYAGADA
GRAPH 3.7.1. PERCENTAGE OF DISTRIBUTION OF FAMILY PLANNING METHODS AGAINST TOTAL REPORTED: s MTP in Pvt. Facilities
DISTRICT:
DISTRIBUTION OF FAMILY PLANNING METHODS AGAINST TOTAL REPORTED t
70% NEWBORN CARE
86% h
35% a PARAMETRES REPORTED PERCENTAGE
n
30% SOURCE: Primary SOURCE: Primary Live Births 20,828 92% (Reported against Estimated live birth)
1
INFERENCE: 2
Newborn weighted at birth 20,181 97% (against Estimated live birth)
25% Out of the total number of abortions that are taking w
place in the district, 86% are Spontaneous or Induced and only 0.003% of the people had their
abortions in the private health centers. In the stateealso maximum people are having Spontaneous/ Induced abortions, which account 70% of the total Number of Newborns having weight less than 2.5 kg 5,287 26% (against total newborns weighted)
population and only 26% people are having abortions e in more than 12 weeks.
20% k Newborns breast fed within 1 hour 18,746 90% (against Reported Live births)
s

31% *Note: Total Estimated live births – 22,582 Source- HMIS Data Analysis – 2015 – 16
15% 29% 27% CONCLUSION:
M GRAPH 3.6.2.1. PERCENTAGE OF NEWBORN CARE OF RAYAGADA DISTRICT :
• Family planning is one of the most effective life
T saving interventions we have to reduce maternal and child health.
10% • Committing human and financial resources to P improving family planning services will not only improve the health and well-being of NEWBORN CARE
12% women and children, but it will also support mefforts to achieve a sustainable global population.
5% 120%
o
r
e
0% 3.8.CHILD HEALTH 100%
Sterilisation IUD Condom Users OCP Users t
h
SOURCE: Primary a 3.8.1. IMMUNIZATION 80%
n
TABLE 3.8.1.1. SHOWS IMMUNIZATION FROM 0-11 MONTHS CHILD:
INFERENCE: 1
2 IMMUNIZATION ( 0 TO 11 MONTHS) 60%
Spacing Method is the most commonly used method for Family Planning in the district as well as in the state and the country with 71%, 80% and
76.59% of reported FP methods respectively. The most least used FP Method in the district and state is the usage of condoms, where as, in the country w 97%
Estimated Reported Pentavalen Fully 92% 90%
OCP Use is the least preferred FP method. e BCG DPT3 OPV3 Measles 40%
Live Live e t 3 Immunised
Births Births k
3.7.1 STERILIZATION s
Rayagada 22,582 20,828 19,408 13,954 5,898 19,753 20,509 20,421 20%
TABLE 3.8.1. REPORTED STERILIZATION: 26%
Odisha 854,755 669,541 Abortion 701,237 467,584 218,766 686,791 683,505 679,939
STERILIZATIONS (spontaneous/induced) 0%
India 274,32,266 206,21,935 241,39,640 82,56,236 - 226,68,747 229,78,821 226,40,179 Live Births Newborn weighted at birth Number of Newborns having Newborns breast fed within 1
MTP in Pvt Facilities Source- HMIS Data Analysis – 2015 – 16 weight less than 2.5 kg
Reported %age of Reported Sterilisation
GRAPH 3.8.1.1. PERCENTAGE SHOWING IMMUNIZATION FROM 0-11 MONTHS CHILD:
hour Source- Primary
Rayagada Odisha Rayagada Odisha
Rayagada Odisha
Total Sterilization 3,416 116,026 INFERENCE:
Estimated Live Among the total live births 97% of children have been weighted from which 26% are under the weight of 2.5 kg. so the maximum children born
NSV 356 2,372 10% 2% 14% 16% Estimated Live Births are reported healthy.
Births 14% 17%
Laparoscopic 4 39,682 0% 34% Reported Live Reported Live Births
Births
MiniLap 2,768 60,421 81% 52% BCG BCG CONCLUSION:
14% 14%
DPT3 • Immunization is one of the child survival strategies .The government have a stake in health of children in Rayagada district . We should
Post Partum 288 13,551 8% 12% 14% DPT3 14% therefore work harmoniously to ensure that every child is adequately immunized.
Pentavalent 3 • Pentavalent vaccine protect the children against diphtheria , tetanus , whooping cough, hepatitis B and Heamophilus influenza type-
Male Sterilization 356 2,372 10% 2% Pentavalent 3
OPV3 B
Female Sterilization 3,060 113,654 90% 98% 14% 14% which nearly 71.7% children of Rayagada district have missed
14% OPV3 Measles
14% • The child should be kept away from harmful pathogens and there should be promotion of food supply and proper nutrition for children.
Source- HMIS Data Analysis – 2015 – 16 Measles Fully
10% 4%
9%
4% Immunised
Sterilization - Rayagada Reported sterilization - Odisha Source- Primary Source- Primary
GRAPH 3.8.1.2. IMMUNIZATION SESSION FROM 0-11
2% MONTHS CHILD:
IMMUNISATION SESSIONS
0%
9% 10% 12% 14,00
0
12,00
NSV 34% N 0
Laparoscopic S
V 10,00
Minilap 0
Laproscopic 12,993 12,828 12,400
Post partum
Minilap 8,00
52% 0
Post partum
81% 6,00
0 -
Immunisation sessions planned Immunisation sessions Held Sessions where ASHAs were present
4,00
SOURCE: Primary SOURCE: Primary 0 Source- Primary

2,00
0

DEPARTMENT OF PLANNING SHEET NO.:04

COLLEGE OF ENGINEERING AND
TECHNOLOGY, TECHNO CAMPUS, GHATIKIA, SITUATION ANALYSIS SUBMITTED BY: 7 SEMESTER TH

BHUBANESWAR UNDER GUIDANCE OF:

1.MR SHREYASH

REMARKS:
SUBUDHI

DISTRICT HEALTH ACTION PLAN, 2. MS. PRATISTHA

JAIN GAYATRI PATI
3.MRS.

RAYAGADA
 3.9.FUEL USED BY HOUSEHOLD
TABLE 3.9.1. NUMBER OF HOUSEHOLD USING DIFFERENT TYPES OF FUEL FOR
COOKING:
TOTAL RURAL URBAN

FIREWOOD 194,282 181,233 13,049

CROP RESIDUE 1,705 1,447 258

COWDUNG CAKE 283 239 44

CHARCOAL 2,834 1,293 1,541

KEROSENE 1,021 432 589

LPG/PNG 24,924 6,350 18,574

ELECTRICITY 197 155 42

BIOGAS 135 66 69

ANY OTHER 56 35 21

Source- CENSUS 2011

GRAPH 3.9.1. PERCENTAGE OF HOUSEHOLD USING DIFFERENT TYPES OF FUEL FOR COOKING:
KEROSENE ELECTRICITY BIOGAS
1% CHARCOAL 0% 0%
1%
ANY OTHER
COWDUNG CAKE LPG/PNG 0% FIREWOOD
0% 11%
CROP RESIDUE
CROP RESIDUE
1% COWDUNG CAKE

CHARCOAL

KEROSENE

LPG/PNG

ELECTRICITY
FIREWOOD
86% BIOGAS

ANY OTHER

Source- Primary

INFERENCE:
In Rayagada district, firewood is the most commonly used cooking fuel consisting of 86% and the second most utilized is LPG/PNG cylinders i.e.
11% of the overall fuel usage. The rarely used fuels in rural areas are vegetable oil, and other liquids such as methanol, ethanol etc. and that in urban
area is electricity.

CONCLUSION:-
• Using of firewood(86%) for cooking leads to acute respiratory infections, stunted growth in children, pneumonia, chronic bronchitis in
women, chronic obstructive pulmonary disease (COPD), cataracts and other visual impairments, cardiovascular diseases, lung cancer,
tuberculosis.

DEPARTMENT OF PLANNING SHEET NO.:05

COLLEGE OF ENGINEERING AND
TECHNOLOGY, TECHNO CAMPUS, GHATIKIA, SITUATION ANALYSIS SUBMITTED BY: 7 SEMESTER
TH

BHUBANESWAR UNDER GUIDANCE OF:

1.MR SHREYASH

REMARKS:
SUBUDHI

DISTRICT HEALTH ACTION PLAN, 2. MS. PRATISTHA

JAIN GAYATRI PATI
3.MRS.

RAYAGADA