| What does the red color signify in district performance? | Worst three performing districts within the districts for a particular indicator | Red – Worst three performing districts within the districts for a particular indicator C. * Full antenatal care is at least four antenatal visits, at least one tetanus toxoid (TT) injection and iron folic acid tablets or syrup taken for 100 or more days D. ** Based on the youngest child living with the mother E. # Breastfed children receiving 4 or more food groups and a minimum meal frequency, non-breastfed children fed with a minimum of 3 Infant and Young Child Feeding Practices (fed with other milk or milk products at least twice a day, a minimum meal frequency that is receiving solid or semi-solid food at least twice a day for breastfed infants 6-8 months and at least three times a day for breastfed children 9-23 months, and solid or semi-solid foods from at least four food groups not including the milk or milk products food group) F. ^ Below -2 standard deviations, based on the WHO standard. 13 Below -3 standard deviations, based on the WHO standard (Green – Good Performance, Red – Poor Performance) (District Wise Rural Urban Stats Not Available) Serial No. | 6 | definition | 1.000 | Red – Worst three performing districts within the districts for a particular indicator C. | 21 | page=21,block=0 | 0.700 | valid |
| What is considered full antenatal care? | at least four antenatal visits, at least one tetanus toxoid (TT) injection and iron folic acid tablets or syrup taken for 100 or more days | Red – Worst three performing districts within the districts for a particular indicator C. * Full antenatal care is at least four antenatal visits, at least one tetanus toxoid (TT) injection and iron folic acid tablets or syrup taken for 100 or more days D. ** Based on the youngest child living with the mother E. # Breastfed children receiving 4 or more food groups and a minimum meal frequency, non-breastfed children fed with a minimum of 3 Infant and Young Child Feeding Practices (fed with other milk or milk products at least twice a day, a minimum meal frequency that is receiving solid or semi-solid food at least twice a day for breastfed infants 6-8 months and at least three times a day for breastfed children 9-23 months, and solid or semi-solid foods from at least four food groups not including the milk or milk products food group) F. ^ Below -2 standard deviations, based on the WHO standard. 13 Below -3 standard deviations, based on the WHO standard (Green – Good Performance, Red – Poor Performance) (District Wise Rural Urban Stats Not Available) Serial No. | 115 | definition | 0.980 | * Full antenatal care is at least four antenatal visits, at least one tetanus toxoid (TT) injection and iron folic acid tablets or syrup taken for 100 or more days D. |
| What was the purpose of using the 'vaccination card only' indicator in NFHS5? | to reduce the recall bias | Health Dossier 2021: Reflections on Key Health Indicators – Uttarakhand | 19 * NFHS5 replaced ‘Immunized’ (word) from NFHS4 to ‘Vaccinated’, Out of two Indicators with ‘either vaccination card or mother’s recall’ & ‘vaccination card only’ - ‘vaccination card only’ indicator was used to reduce the recall bias, among children whose vaccination card was shown to the interviewer, percentage vaccinated with BCG, measles-containing vaccine (MCV)/MR/MMR/Measles, and 3 doses each of polio (excluding polio vaccine given at birth) and DPT or penta vaccine ** Based on the youngest child living with the mother # Breastfed children receiving 4 or more food groups and a minimum meal frequency, non-breastfed children fed with a minimum of 3 Infant and Young Child Feeding Practices (fed with other milk or milk products at least twice a day, a minimum meal frequency that is receiving solid or semi-solid food at least twice a day for breastfed infants 6-8 months and at least three times a day for breastfed children 9-23 months, and solid or semi-solid foods from at least four food groups not including the milk or milk products food group) ^ Below -2 standard deviations, based on the WHO standard. 13 Below -3 standard deviations, based on the WHO standard A. | 285 | relationship |
| What interventions contributed to improved health indicators in Uttarakhand? | infrastructure strengthening under NHM, such as establishment of SNCUs, NBSUs and NBCCs | Ever since the inception of NHM in 2005, Uttarakhand has shown a significant decline in IMR from 42 (2005) to 27 (2019), which is lower than the national average of 30 (Annexure 2, Figure 1). NNMRk and Still Birth (per 1,000 live births) rates have also significantly decreased from 28 and 17 (2015) to 22 and 8 (2018) respectively (Annexure 2, figure 4). Improvement in the indicators can be attributed to several interventions at the State level, including infrastructure strengthening under NHM, such as establishment of SNCUs, NBSUs and NBCCs (Annexure 1.4). The life expectancy at birth has also improved from 62. (2006-10) to 70. (2014-18) (Annexure 2, Figure 3). As per NFHS 5, Dehradun, Tehri Garhwal and Uttarkashi districts reported low SRBl ranging from 823 to 869, and Almora, Nainital and Pauri Garhwal districts reported high SRBs ranging from 1065 to 1444. | 459 | relationship | 0.970 | Improvement in the indicators can be attributed to several interventions at the State level, including infrastructure strengthening under NHM, such as establishment of SNCUs, NBSUs and NBCCs (Annexure 1.4). | 5 |
| What is the percentage of women aged 15-49 who are literate? | Women Literate 15-49 Age (%) | (Green – Good Performance, Red – Poor Performance) (District Wise Rural Urban Stats Not Available) Serial No. States/Districts Data Source Sex Ratio At Birth (Females/1000 Males) Households with any usual member covered under a health insurance/ financing scheme (%) Women Literate 15-49 Age (%) Women Age 20-24 Years Married Before 18 (%) Any Method Used For Family Planning By Currently Married Women Age 15-49 years (%) | 267 | summary | 0.970 | States/Districts Data Source Sex Ratio At Birth (Females/1000 Males) Households with any usual member covered under a health insurance/ financing scheme (%) Women Literate 15-49 Age (%) Women Age 20-24 Years Married Before 18 (%) Any Method Used For Family Planning By Currently Married Women Age 15-49 years (%) | 20 | page=20,block=2 | 0.700 | valid |
| What percentage of women aged 20-24 years were married before the age of 18? | Women Age 20-24 Years Married Before 18 (%) | (Green – Good Performance, Red – Poor Performance) (District Wise Rural Urban Stats Not Available) Serial No. States/Districts Data Source Sex Ratio At Birth (Females/1000 Males) Households with any usual member covered under a health insurance/ financing scheme (%) Women Literate 15-49 Age (%) Women Age 20-24 Years Married Before 18 (%) Any Method Used For Family Planning By Currently Married Women Age 15-49 years (%) | 296 | summary | 0.970 | States/Districts Data Source Sex Ratio At Birth (Females/1000 Males) Households with any usual member covered under a health insurance/ financing scheme (%) Women Literate 15-49 Age (%) Women Age 20-24 Years Married Before 18 (%) Any Method Used For Family Planning By Currently Married Women Age 15-49 years (%) | 20 | page=20,block=2 | 0.700 | valid |
| What does the green color signify in district performance? | Good Performance | Red – Worst three performing districts within the districts for a particular indicator C. * Full antenatal care is at least four antenatal visits, at least one tetanus toxoid (TT) injection and iron folic acid tablets or syrup taken for 100 or more days D. ** Based on the youngest child living with the mother E. # Breastfed children receiving 4 or more food groups and a minimum meal frequency, non-breastfed children fed with a minimum of 3 Infant and Young Child Feeding Practices (fed with other milk or milk products at least twice a day, a minimum meal frequency that is receiving solid or semi-solid food at least twice a day for breastfed infants 6-8 months and at least three times a day for breastfed children 9-23 months, and solid or semi-solid foods from at least four food groups not including the milk or milk products food group) F. ^ Below -2 standard deviations, based on the WHO standard. 13 Below -3 standard deviations, based on the WHO standard (Green – Good Performance, Red – Poor Performance) (District Wise Rural Urban Stats Not Available) Serial No. | 979 | definition | 0.940 | 13 Below -3 standard deviations, based on the WHO standard (Green – Good Performance, Red – Poor Performance) (District Wise Rural Urban Stats Not Available) Serial No. |
| How does Uttarakhand's per capita Government Health Expenditure compare to the national average? | less than the national average of ₹ 1,753 | The State’s Net State Domestic Product (NSDP) for FY 2018-19 is ₹ 2,21,871 crores. The State is positioned 10th out of 32 states in terms of per capitas of ₹ 1,98,738. According to NHA 2017-18, the per capita Government Health Expenditure in the Uttarakhand is ₹ 1,625 which is less than the national average of ₹ 1,753. On the other hand, the OOPEt as a share of Total Health Expenditure was 41.7%, which is less n Total Fertility Rate o QPR NHM MIS Report | 278 | comparison | 0.920 | According to NHA 2017-18, the per capita Government Health Expenditure in the Uttarakhand is ₹ 1,625 which is less than the national average of ₹ 1,753. | 6 | page=6,block=9 | 0.700 | valid |
| How does the utilization of public health facilities for OPD cases in Uttarakhand compare to the national average? | more than the national average | As per the NSSO data (2017-18), 52% of all OPD cases in rural areas and 22% in urban areas; and 42% of all IPD cases in rural areas & 24% in urban areas utilized public health facilities. The public health facility utilization in Uttarakhand is more than the national average for OPD & less for IPD (Annexure 1.6). u AB-HWC Portal | 245 | comparison | 0.920 | The public health facility utilization in Uttarakhand is more than the national average for OPD & less for IPD (Annexure 1.6). | 7 | page=7,block=3 | 0.700 | valid |
| What term did NFHS5 use instead of 'Immunized' from NFHS4? | NFHS5 replaced ‘Immunized’ (word) from NFHS4 to ‘Vaccinated’ | Health Dossier 2021: Reflections on Key Health Indicators – Uttarakhand | 19 * NFHS5 replaced ‘Immunized’ (word) from NFHS4 to ‘Vaccinated’, Out of two Indicators with ‘either vaccination card or mother’s recall’ & ‘vaccination card only’ - ‘vaccination card only’ indicator was used to reduce the recall bias, among children whose vaccination card was shown to the interviewer, percentage vaccinated with BCG, measles-containing vaccine (MCV)/MR/MMR/Measles, and 3 doses each of polio (excluding polio vaccine given at birth) and DPT or penta vaccine ** Based on the youngest child living with the mother # Breastfed children receiving 4 or more food groups and a minimum meal frequency, non-breastfed children fed with a minimum of 3 Infant and Young Child Feeding Practices (fed with other milk or milk products at least twice a day, a minimum meal frequency that is receiving solid or semi-solid food at least twice a day for breastfed infants 6-8 months and at least three times a day for breastfed children 9-23 months, and solid or semi-solid foods from at least four food groups not including the milk or milk products food group) ^ Below -2 standard deviations, based on the WHO standard. 13 Below -3 standard deviations, based on the WHO standard A. | 80 | comparison |