National Family Health Survey 6 Insights

National Family Health Survey 6 Insights

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Why in News

  • The Ministry of Health and Family Welfare released the latest data from the National Family Health Survey-6 for the 2023-24 period.
  • This new survey shows that India achieved a major milestone in healthcare for mothers and children.
  • In simple words, 90.6% of all births in India now happen in proper medical institutions like hospitals.
  • This rise in institutional deliveries brings the country very close to achieving safe childbirth for every mother.

Summary

  • The survey shows major progress in child health, nutrition, family planning, and the empowerment of women.
  • Key government programs like Janani Suraksha Yojana and POSHAN Abhiyaan drove these positive changes.
  • However, the report also highlights new worries like rising obesity rates and more surgeries during childbirth.
  • India still needs to work on improving nutrition and stopping the rise of lifestyle-related diseases.

Maternal Health and Safe Motherhood

  • Institutional deliveries grew from 88.6% in the previous survey to 90.6% in the latest round.
  • Trained healthcare workers now assist in 91.3% of all births, which is up from 89.4% earlier.
  • Newborn care within two days of birth also improved, rising from 79.1% to 85.3%.
  • Pregnancy registrations for antenatal care reached 95.9%, and first-trimester care tracking increased to 76.2%.
  • More mothers now take iron folic acid tablets, with 54.9% taking them for at least 100 days during pregnancy.
  • In addition, the share of pregnant women taking these supplements for 180 days or more grew to 37.8%.
  • Government initiatives like the Janani Suraksha Yojana and Pradhan Mantri Matru Vandana Yojana helped make these improvements possible.

Child Health and Nutrition

  • Child stunting for children under five years old dropped from 35.5% to 29.3%.
  • Severe wasting among young children also fell significantly from 7.7% to 5.2%.
  • The percentage of underweight children under five saw a slight decrease, moving from 32.1% down to 31.8%.
  • More infants aged six to eight months now receive solid food along with breast milk, rising to 59.5%.
  • Full vaccination for children aged 12 to 23 months rose from 83.8% to 87.1%.
  • Public health centers provided the vast majority of these vaccinations, accounting for 95.6% of the total.
  • Better storage facilities and the new U-WIN digital platform helped boost the Universal Immunization Programme.
  • Specifically, rotavirus vaccination rates jumped from 36.4% to 85.4% due to these digital tracking upgrades.
  • The coverage for the second dose of the measles vaccine also grew from 58.6% to 71.8%.
  • Cases of acute respiratory infections among children fell to 1.9%, while severe diarrhea fell to 0.5%.
  • Almost all babies under six months, around 95.6%, now receive only breast milk.
  • Breastfeeding within the first hour of birth improved by nearly ten percentage points, reaching 50.1%.
  • Programs like POSHAN 2.0 and the Integrated Child Development Services drove these nutritional improvements.

Demographic Trends

  • India's Total Fertility Rate remained steady at 2.0, which is below the replacement level of 2.1.
  • This means that India's population is now on a path toward long-term stabilization.
  • Use of family planning methods increased, with the contraceptive rate rising from 66.7% to 69.1%.

Women's Empowerment and Financial Inclusion

  • Internet usage among women nearly doubled, climbing from 33.3% to 64.3% in the latest survey.
  • Mobile phone ownership among women also saw a healthy increase, rising from 53.9% to 63.6%.
  • More women now run their own bank accounts, with the number rising from 78.6% to 89.0%.
  • Use of clean menstrual hygiene products among young women aged 15 to 24 grew to 79.2%.
  • Schemes like the Menstrual Hygiene Scheme and affordable products from Jan Aushadhi centers helped this progress.
  • Families with health insurance grew from 41.0% to 60.2%, largely due to the Ayushman Bharat scheme.

National Family Health Survey Overview

  • The survey is a large-scale study that collects health and family data from households across India.
  • The first round of this survey started back in the 1992-93 period.
  • The International Institute for Population Sciences in Mumbai coordinates and guides this nationwide survey.
  • The main goal is to give the government reliable district-level data to help design better health policies.

Key Features of NFHS-6

  • The sixth round covered 6.79 lakh households across 715 districts in India.
  • Field workers used tablets and computers for interviews to validate the data in real time.
  • This round also tracked newer topics like Direct Benefit Transfer and women's self-help groups.
  • Researchers expanded medical testing to include physical measurements, blood tests, and HIV testing.

Challenges

  • Caesarean section births jumped from 21.5% to 27.2%, which exceeds the safe limit set by the World Health Organization.
  • In private hospitals, C-sections reached 54.1%, suggesting that commercial interests might drive these surgical births.
  • India now faces a double challenge of both undernutrition and rising obesity rates.
  • Obesity among women aged 15 to 49 rose to 30.7%, with urban women reaching 42.8%.
  • For men in the same age bracket, obesity rates rose to 27.3%.
  • Chronic diseases like diabetes and high blood pressure are rising alongside these obesity numbers.
  • Nearly one in three children still suffers from stunting, showing that nutritional improvements must speed up.
  • Over one-third of pregnant women still do not complete the recommended four prenatal checkups.
  • Removing blood-based anemia testing from this survey round drew criticism from health experts.
  • This missing data makes it harder to track the success of the Anaemia Mukt Bharat campaign.

Way Forward

  • The government must audit private hospitals that perform too many surgical births.
  • Training more specialized midwives can help promote natural and safe deliveries instead of surgeries.
  • To fight obesity, India should tax unhealthy processed foods and introduce clear warning labels on food packages.
  • Health workers can use the U-WIN digital platform to find and vaccinate children who missed their shots.
  • Local health clinics need better digital tools to track and treat chronic diseases early.

Conclusion

  • The survey shows that India is making good progress toward its global health goals.
  • However, rising lifestyle diseases and nutritional gaps mean India must focus more on preventive health.