andhra pradesh andhra pradesh analysis apr 2010 - mar 2011 1177

8/4/2019 Andhra Pradesh Andhra Pradesh Analysis Apr 2010 - Mar 2011 1177

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State HMIS Data Analysis

Apr10 Mar11

NHSRC

Data Management & Analysis

4/28/2011

Andhra Pradesh

This analysis is based on data downloaded from National Web portal on

28/4/11


2/24

Data Management & Analysis- NHSRC

Page 2 of24

Note for Information Users

This data analysis is primarily presented to facilitate the use of this information by District level

Programme Managers. They are in a better position to interpret this information in context and act

on it. Even what are apparently data of poor quality or errors can be useful if the nature of error is

understood. However those not sensitised to the data quality issues and those trying to use this for

policy or journalistic purposes will find serious limitations especially due to incomplete reporting of

private sector data and poor quality of death reporting. Also please note that interpretation of

information will differ with choice of denominator. We should be familiar with choice of

denominator in use. Do consult HMIS Training Manual 2 for further understanding of these issues.

Data is also analysed and presented so as to help districts, find data errors and correct them. Only

when data is converted into information and used, do many errors become apparent. Some states

are likely to notice data entry errors & change their data- for which reason also, care should be taken

when quoting from this source. We would advise you to check with state government and take

permission before quoting from this.

Executive Director

National Health Systems Resource Centre

May 2011


3/24


Page 3 of24

Andhra Pradesh- Summary -Apr'10 to Mar'11

ANC

ANC Registration against

Expected Pregnancies103%

TT2/ Booster given to Pregnant women against ANC

Registration93%

3 ANC Check ups against

ANC Registrations86%

100 IFA Tablets given to Pregnant women against

ANC Registration93%

Deliveries

Reported Deliveries against

Expected Deliveries95.9%

Home Deliveries( SBA& Non SBA) against Estimated

Deliveries5.4%

Institutional Deliveries

against Estimated

Deliveries

90.5%Home Deliveries( SBA& Non SBA) against Reported

Deliveries5.6%

Institutional Deliveries

against Reported Deliveries 94.4%

C Section Deliveries against Institutional Deliveries(

Pvt & Pub) 18%

Births & Neonates Care

Live Births Reported

against Estimated Live

Births

98% Newborns weighed against Reported Live Births 95%

Still Births against reported

1000 live Births 8

Newborns weighed less than 2.5 kgs against

newborns weighed7%

Sex Ratio at Birth938

Newborns breastfed within one hr of Birth against

Reported live Births82%

Child Immunisation( 0 to 11 mnths)

Measles given against

Reported Live Births96% Measles given against Expected Live Births 94%

Fully Immunised Children

against Reported Live

Births

97%Fully Immunised Children against Expected Live

Births94%

Required numbers of

VHNDs per thousand

population in 12 mnths

1,015,986Immunisation Sessions held as percentage of

required VHNDs76%

Family Planning & Abortions

Family Planning Methods

Users ( Sterilisations(Male

&Female)+IUD+ Condom

pieces/72 + OCP Cycles/13)

2,084,975Total Sterilisations ( Male & Female)

753,954

MTP up to 12 weeks2,616

Abortion (spontaneous/induced)16,662

MTP more than 12weeks 1,323

Abortion Rate against Expected pregnancies 1.2%


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Data Management & Analysis- N

IMR of the state -

Andhra Pradesh

CBR -

Pra

Source SRS - 2011 SRS

49 1

Andh

Total Population Apr'10 to

Mar'11 84,6

Home SBA Home

59,374 25

Home SBA % Home

4%

Unr

Andhra Pradesh- Hom

HSRC

Page 4 of24

Demographic Denominators - Andhra Pradesh

Andhra

desh

Total

Population

Expected

Pregnancies

Expected

Deliveries

- 2011 Census 2011 Derived Derived

.3 84,665,533 1,704,317 1,587,339

ra Pradesh- Deliveries Apr'10 to Mar'11

65,533Expected Deliveries Apr'10 to Mar'11

Non SBA InstitutionalTotal Deliveries

Reported

,858 1,436,989 1,522,221

on SBA% Institutional %Total Deliveries

Reported %

2% 91% 96%

Home SBA %

4%

Home Non SBA%

2%

Institutional %

91%

eported Deliveries %

4%

( SBA & Non SBA) & Institutional Deliveries against Ex

Deliveries - Apr'10 to Mar'11

Eligible Couple ( 17%

of total population)

Derived

14,393,141

1,587,339

UnreportedDeliveries

65,118

Unreportedeliveries %

4%

ected


5/24


Andhra Pradesh- C s

Institution(P

55

C Section6

C Section%

Complicated

Pregnancies attended 43

ComplicatedPregnancies attended

%

Andhra Pradesh- Ho

HSRC

Page 5 of24

ections & Complicated Deliveries Apr'10 to Mar'11

al Deliveriesublic)

Institutional Deliveries(Pvt)

Total Instit

deliver

7,004 879,985 1,436,

,296 195,105 261,4

2% 22% 18.2

,792 28,700 72,49

8% 3% 5.0

Home SBA %

4%

Home Non SBA%2%

Institutional %

94%

me ( SBA & Non SBA) & Institutional Deliveries against

Deliveries - Apr'10 to Mar'11

utional

ies

89

1

2

eported


6/24


Andhra Pradesh- Facility

PHC

Complicated deliveries

managed ( Reported) 6,37

Complicated deliveries

managed as %ge of total

reported

8.8

C Section (Reported)364

C Section as percentage oftotal reported

0.1

Normal deliveries %

76.8%

Andhra Pradesh- C

Institu

HSRC

Page 6 of24

wise %ge of C sections & Complicated Deliveries Apr'10 t

CHC SDH/DHOther State

owned institution

Privat

Faciliti

8 9,669 21,183 6,562 28,70

13.3% 29.2% 9.1% 39.6

10,492 42,492 12,948 195,1

4.0% 16.3% 5.0% 74.6

C- section %

18.2%

-Section, Complicated & Normal Deliveries against Re

tional Deliveries ( Pvt. & Public) Apr'10 to Mar'11

o Mar'11

e

esTotal

0 72,492

5 261,401

Complicated Pregnancies

attended %

5.0%

orted


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Andhra Pradesh-

Reported Deliveries

-

ComplicatedPregnancies attended

Complicate

72,492

Complicated

IV Antibiotics antihyperte

inj

39,861 3

Stay for more than 48 hrs

after delivery

26%

Andhra Pradesh- Stay d

HSRC

Page 7 of24

Complicated Pregnancies & Deliveries Treated - Apr'10 to

1,522,221

d Pregnanciesate

C - SectionDeliveries

PNC MaternalComplications

Abo

.3%261,401 13,992 16

Deliveries Treated with

No OfcasesIV

nsive/Magsulph

ection

IV Oxytocis Blood Transfusion

,428 32,934 1,243 7,

uration as percentage of Reported Institutional Deliveri

to Mar'11

Mar'11

rtions Still Births

,662 11,627

clampsiaTreated

No Of severeanemia cases

treated

249 52,471

Stay for less than 48 hrsafter delivery

74%

es - Apr'10


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Page 8 of24

Andhra Pradesh- Management of Complications (Reflecting Quality of

ANC )against Reported ANC Registration- Apr'10 to Mar'11

Reported%age against reported

ANC Registration

Hypertensive casesdetected at institution

71081 4.0%

Eclampsia casesmanaged during

delivery7249 0.4%

ANC women having Hblevel


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Page 9 of24

Andhra Pradesh - Births - Apr'10 to Mar'11

Live Birth - Males Live Birth - females Live Birth - Total Sex Ratio at birthStill Birth per

1000 live births( reported)

780,018 731,355 1,511,373 938 7.7

4.0%

0.4%

27.8%

3.0%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

Hypertensive cases detected

at institution

Eclampsia cases managed

during delivery

ANC women having Hb

level


10/24


Page 10 of24

Andhra Pradesh - Abortions - Apr'10 to Mar'11

MTP Less

than 12

weeks

MTP More

than 12

weeks

Abortions

(spontaneous/Induced)

Abortion Rateagainst expected

pregnancies

2,616 1,323 16,6621.2%

96% 95% 95% 94% 94%

0%

20%

40%

60%

80%

100%

120%

BCG % DPT3% OPV3% Measles % Fully Immunised %

Andhra Pradesh-Immunisation ( 0 to 11mnths) Against Estimated Live Births-

Apr'10 to Mar'11

99% 98% 97% 96% 97%

0%

20%

40%

60%

80%

100%

120%

BCG % DPT3% OPV3% Measles % Fully Immunised %

Andhra Pradesh-Immunisation ( 0 to 11mnths) Against Reported Live Births-

Apr'10 to Mar'11

795,829 775,278734,293

-

100,000

200,000

300,000

400,000

500,000

600,000

700,000

800,000

900,000

Immunisation sessions planned Immunisation sessions Held Sessions where ASHAs were present

Andhra Pradesh-Immunisation Sessions- Apr'10 to Mar'11


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Andhra Pradesh- RTI Cases

Total OPDTotal R

case

45,302,552 672,8

Andhra Pradesh-Sterilisation

Reported

Total Sterilisation753,954

NSV13,763

Laparoscopic71,316

MiniLap270,334

Post Partum398,541

MaleSterilisation 13,763

FemaleSterilisation 740,191

Abortion

(spontaneous/induc

d)

80.88%

Female

58%

A

HSRC

Page 11 of24

- Apr'10 to Mar'11

I/STIs

RTI/STI cases as%ge of Total OPD

531.49%

- Apr'10 to Mar'11

%age of Reported

Sterilisation

-

2%

9%

36%

53%

2%

98%

MTP less than 12

weeks

12.70%

MTP more t

weeks6.42%

Andhra Pradesh-Abortions - Apr'10 to Mar'11

Male42%

dhra Pradesh- RTI Cases -Apr'10 to Mar'11

an 12


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Page 12 of24

Andhra Pradesh-FP Methods - Apr'10 to Mar'11

Reported

%age of All

Reported FP

Methods

Total Reported FP

Method (All types)

Users2,084,975

-

Sterilisations753,954

36%

IUD358,583

17%

Condom Users682,203

33%

OCP Users290,235

14%

Limiting Methods 753,954 36%

Spacing Methods1,331,021

64%

Andhra Pradesh- Facility wise % of Sterilisations & IUDs - Apr'10 to Mar'11

Subcenter PHC CHC SDH/DHOther State owned

institutionPrivate Facilities

NSV as % of total reported 49.3% 14.3% 29.0% 3.3% 4.0%

Laparoscopic as % of total reported 25.5% 30.0% 35.1% 2.1% 7.3%

MiniLap as % of total reported 26.0% 6.2% 18.2% 2.3% 47.4%

Post Partum as % of total reported 24.8% 10.1% 20.4% 2.5% 42.1%

IUD inserted as % of total reported 13% 62% 6% 8% 2% 9%

Andhra Pradesh- Unmet need (DLHSIII) met by reported FP Methods - Apr'10 to Mar'11

Estimated total

Eligible Couples (

17% of

population)1,43,93,141

Eligible Couples for

unmet need- Calculated

Using DLHSIII Unmet

need - Andhra Pradesh

Total reported

FP Users - HMIS

- Apr'10 to

Mar'11

Unmet need met by

Reported Family

Planning Methods -

Apr'10 to Mar'11

Total Unmet

Needs8.1

11,65,844 20,84,975179%

Limiting 45,75,726 7,53,954

131%

Spacing 4.15,90,119 13,31,021

226%


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Page 13 of24

Andhra Pradesh- Service Delivery - Apr'10 to Mar'11

Total OPD Total IPD

Operation major

(General and spinalanaesthesia)

Operation minor (Noor local anaesthesia) AYUSH DentalProcedures

Adolescent

counsellingservices

45,302,552 2,097,598 74,131 319,378 1,960,568 211,805 104,661

OPD Visit Per

Capita

Population

IPD as

percentage

of OPD

Operation major(General and spinal

anaesthesia) as%ge of IPD

Operation minor (Noor local

anaesthesia)as %geof OPD

AYUSHas %ge of

OPD

DentalProcedures as%ge of OPD

Adolescentcounselling

services as %geof OPD

0.5 4.6% 3.5% 0.7% 4.3% 0.47% 0.2%

Andhra Pradesh- Lab Services - Apr'10 to Mar'11

Total

PopulationTotal HB tested Total HIV tested

Total VDRLTested

Total Widal

Test

Conducted

Blood SmearExamined

84,665,533 1,405,629 1,651,545 120,393 90,147 8,704,698

Total OPD

HB testconductedas %age of

OPD

HB


14/24


Page 14 of24


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AN

MORT

as

NATIONAL HEA

HSRC

Page 15 of24

RA PRADESH

LITY INFORMATI

eported in HMISApr10 - Mar11

LTH SYSTEMS RESOURC

NEW DELHI

N

CENTRE,


16/24


Page 16 of24

Note for Information Users

Information user must understand that the data given below are not to be used as a measure of

mortality but as a measure of completion of reporting on mortality. We are at the stage, where we

are working to improve routine mortality recording and reporting. However we also reiterate that

without conversion to rate, we will not be able to estimate the adequacy of reporting. This

information is for district level managers to use for improving mortality reporting.

Executive Director

National Health Systems Resource Centre

May 2011


17/24


Mortality in-

Death Groups Cause-wi

Communicable DiseaseMaternal,Respiratorrelated, HI

Non communicabledisease

Heart DiseStroke, Ot

Injuries Trauma, A

Others Other dise

Others

60%

Mortality-

HSRC

Page 17 of24

Andhra Pradesh- Apr'10-Mar'11

e deaths included in the groupReported

deaths

hild under 5, Diarrhoea, Tuberculosis,(excluding TB), Malaria, Other Fever

V/AIDS, Other known acute diseases37,842

ase/ Hypertension, Neurological includinger known chronic diseases 34,986

cidents, Burns, Suicide, Animal Bites13,469

ases (Causes not known)128,868

Comm

Dis

1

Injuries

6%

by Disease Category-Andhra Pradesh-Apr'10-Mar'11

nicable

ases

%

Non communicable

diseases

16%


18/24


Page 18 of24

Andhra Pradesh- Still Births, Neonatal & Infant Deaths - Apr'10 to Mar'11

Live Births -

Reported

Live Births -

EstimatedStill Births

Early Neonatal

deaths

Late Neonatal

DeathsInfant Death

1,511,373 1,549,379 11,627 5,671 3,344 12,045

Andhra Pradesh- Still Birth Rate, Perinatal,Neonatal & Infant

Mortality Rates - Apr'10 to Mar'11

Against Reported

Live Births ( 1000)

Against Estimated

Live Births ( 1000)

Reported Still Birth7.69 7.50

Reported Perinatal

Mortality

11.45 11Reported Neonatal

Mortality5.96 5.82

Reported Infant

Mortality7.97 7.77

Infant Mortality Indicators Andhra Pradesh-"Apr'10-Mar'11

Total DeathsReported DeathRate

Neonatal Mortality Rate(per 1000 live births) 9,015 6.0

Perinatal Mortality Rate(per 1000 live births) 17,298

11.4

Infant Mortality Rate(per 1000 live births) 12,045

8.0

Under 5 Mortality Rate(per 1000 live births) 13,981

9.3

Maternal Mortality Ratio(per one lakh live births) 724

47.9

Infant & Child Deaths -Andhra Pradesh-Apr'10-Mar'11

Infant Deaths within 24 hrs of birth921

Infant Deaths between 24hrs & under 1 week4,750

Infant Deaths between 1 week & under 1 month3,344

Child Deaths between 1 month & under 1 year3,030

Total Infant Deaths12,045

Child Deaths between 1yr under 5years

1,936

Total Deaths13,981


19/24


Causes

Up to 1 Weeks of Birth

Between 1 week & 4 weeks ofbirth

Total

Causes o

Pneumonia

Between 1 monthand 11 months 246

Between 1 year & 5years 84

Total330

Infant Deathsbetween 1 week &

under 1 month

24%

Child Deaths

between 1 month &

under 1 year

22%

Child Deaths

between 1yr un

5years

14%

Infant & Child Deaths

HSRC

Page 19 of24

f Neonatal Deaths-Andhra Pradesh-Apr'10-Mar'11

Sepsis Asphyxia LBW O

248 630 1,262 2,

165 284 701 2,

413 914 1,963 4

Infant Child Deaths-Andhra Pradesh-Apr'10-Mar'1

DiarrhoeaFeverrelated

Measles O

77 206 6

102 247 5

179 453 11

Infant Deaths

24 hrs of b

6%

der

against reported Infnat & Child deaths - Andhra Prade

Mar'11

hers Total

,610 4,750

,194 3,344

,804 8,094

1

hers Total

2,495 3,030

1,498 1,936

3,993 4,966

within

irth

Infant Deaths

between 24hrs &under 1 week

34%

sh-Apr'10-


20/24


Maternal Deaths & Causes-Andhra

Mar'11

Abortion

Obstructed/prolonged labour

Severe hypertension/fits

Bleeding

High Fever

Other Causes

Total

Others

67%

Causes of Infant Child D

LBW

46%

Pneumonia

8%

Diarrhoea

4%

F

Known causes of Infant

(excluding cau

HSRC

Page 20 of24

radesh-Apr'10-

Total

6

24

91

105

22

476

724

Sepsis

3%

Asphyxia

7% LBW

15%

Pneu

3

Diarrh

1%

Fever r

4

aths against total reported infant & child deaths-And

Pradesh-Apr'10-Mar'11

Sepsis

10%Asphyxia

21%

ever related

11%

Child Deaths against total reported infant & child dea

ses not known)-Andhra Pradesh-Apr'10-Mar'11

onia

oea

elated

ra

hs


21/24


A

Other Causes

66%

Maternal Deaths & C

Bleeding

42%

Known Maternal Death

HSRC

Page 21 of24

bortion

1%

Obstructed/prolong

ed labour

3%

Severe

hypertension/fits

13%

Bleeding

14%

auses against total reported maternal deaths-Andhra

Apr'10-Mar'11

Abortion

2%

Obstructed/prolong

ed labour

10%

High Fever

9%

causes against total reported maternal deaths (exclus

causes)-Andhra Pradesh-Apr'10-Mar'11

igh Fever

3%

Pradesh-

Severe

hypertension/fits

37%

ing unknown


22/24


Page 22 of24

Cause of deaths above 6 yrs of age-Andhra Pradesh-Apr'10-Mar'11

6-14 yrs 15-55 yrs. Above 55yrs Total

Diarrhoeal Diseases109 400 274 783

Tuberculosis50 1,128 1,170 2,348

Respiratory Diseases(Other than TB) 149 1,615 1,522 3,286

Malaria19 65 21 105

Other fever Related461 2,018 2,609 5,088

HIV/AIDS43 1,250 387 1,680

Heart Disease/ Hypertensionrelated 155 5,736 7,314 13,205

Neurological Disease includingstrokes 99 2,014 3,166 5,279

Trauma/Accidents/ Burn Cases298 4,984 2,100 7,382

Suicide97 2,855 931 3,883

Animal Bites & Stings451 1,015 738 2,204

Known Acute Disease433 4,263 5,151 9,847

Known Chronic Disease196 5,970 10,336 16,502

Causes not known2,026 43,072 83,770 128,868

Total Deaths4,586 76,385 119,489 200,460


23/24


Tuberc

1

Causes not known

64%

Cause of deaths abov

Suicide6%

Animal Bites &

Stings

3%

Known Acute

Disease

14%

Known Chronic

Disease

23%

Known cause of de

(excludi

HSRC

Page 23 of24

losis

Respiratory Diseases

(Other than TB)

2%

Other fever

Related

2%

HIV/AIDS

1%

Heart DiseHypertens

related

7%

K

6 yrs against total reported deaths 6 yrs & above -M

Andhra Pradesh- Apr'10-Mar'11-

Diarrhoeal Diseases

1%

Tuberculosis

3%

Othe

Neurological

Disease includin

strokes7%

Trauma/Accidents/

Burn Cases

10%

aths above 6 yrs against total reported deaths 6 yrs &

g unkown causes)-Andhra Pradesh-Apr'10-Mar'11

ase/ion

Neurological

Disease

including

strokes

3%

Trauma/Accidents/

Burn Cases

4% Suicide

2%

Animal Bites &

Stings

1%

Known Acute

Disease

5%

nown Chronic

Disease

8%

rtality in-

Respiratory Diseases

(Other than TB)

5%

r fever Related

7%

HIV/AIDS

2%

Heart Disease/

Hypertension

related

19%

above


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andhra pradesh andhra pradesh analysis apr 2010 - mar 2011 1177

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