The policy brief observed distinct pattern of seasonality in the state of Jharkhand with high peaks during the months of August till November and notable dip in the month of February. Child birth in Jharkhand also appears to be influenced by agro-climatic factors. Given the potential impact of birth seasonality on the health system, a state-level analysis could provides a nuanced view to local administrators to improve the delivery of maternal and child health services.
Tag: iitbnutritiongroup
PB No. 19 Preterm delivery patterns in Maharashtra as revealed by HMIS data: 2017-18 to 2019-20
This brief analyzes preterm birth data from Maharashtra’s HMIS for 2017-18 to 2019-20, highlighting its importance for maternal health and child malnutrition management. The study identifies high incidence in tribal districts such as Gadchiroli and Nandurbar but also notes high incidence in Brihan Mumbai, emphasizing the need for targeted interventions.
PB No. 18 An analysis of the seasonal variations in births in Bihar: HMIS data 2017-20
This policy brief analyzes birth seasonality in Bihar from 2017 to 2020, highlighting peaks in August-October. Influences include agro-climatic conditions and cultural factors. Significant gaps in birth-dose vaccination coverage, particularly for Hepatitis B and Vitamin K1, were identified, emphasizing the need for improved health service planning and family planning strategies.
PB No. 7 Analysis of the seasonal variations in birth in Maharashtra – HMIS 2017-20
This policy brief raises a concern about the persistently low rates of deworming among pregnant women, as reported through the Health Management Information System (HMIS) data. Deworming using a single dose of Albendazole during the pregnancy is an important component of the package of services under the ante-natal-care (ANC). The adverse effects of worm infestation on morbidity, malnutrition and other peri-natal outcomes are well documented. Yet coverage rates for albendazole remain significantly low compared to distribution of IFA and Ca tablets, both multi-dose, and the Tetanus Toxoid (TT) injection. This ‘coverage deficit’ for deworming service amounts to filling a ‘leaking bucket’. The helminths have the last laugh, notwithstanding the high coverage under other ANC components. It is high time that this deficit is eliminated with all seriousness.
PB No. 6 Albendazole- The Step Child of Maternal Healthcare System
This policy brief raises a concern about the persistently low rates of deworming among pregnant women, as reported through the Health Management Information System (HMIS) data. Deworming using a single dose of Albendazole during the pregnancy is an important component of the package of services under the ante-natal-care (ANC). The adverse effects of worm infestation on morbidity, malnutrition and other peri-natal outcomes are well documented. Yet coverage rates for albendazole remain significantly low compared to distribution of IFA and Ca tablets, both multi-dose, and the Tetanus Toxoid (TT) injection. This ‘coverage deficit’ for deworming service amounts to filling a ‘leaking bucket’. The helminths have the last laugh, notwithstanding the high coverage under other ANC components. It is high time that this deficit is eliminated with all seriousness.
PB No. 5 District level analysis of NFHS-4 and NFHS-5 data for Andhra Pradesh
NFHS – 4 provides, for the first time a district level data on nutritional status of children below the age of 5 years. This provides an excellent and timely opportunity to plan for eradication of child malnutrition at the district level. A quick preliminary analysis of the district level child malnutrition levels, reveals certain important aspects. This is presented below.
PB No. 4 NFHS-4 data analysis at district level for child malnutrition in Odisha
NFHS – 4 provides, for the first time a district level data on nutritional status of children below the age of 5 years. This provides an excellent and timely opportunity to plan for eradication of child malnutrition at the district level. A quick preliminary analysis of the district level child malnutrition levels, reveals certain important aspects. This is presented below.
PB No. 3 NFHS 4 vis-à-vis NFHS 5: Progress in Maharashtra on key indicators
The National Family Health Survey (NFHS) is an important source of information on the periodic progress made on several key health indicators. Among other things, the survey tracks nutritional status of mother and child and the quality of antenatal and post-natal services at the state and district level. Recently, the NFHS 5 data (Phase-1) was released for select states and their districts facilitating for the first time a panel data analysis at the district level.
PB No. 2 Preterm delivery patterns in Jharkhand as revealed by HMIS data 2017-18 to 2019-20
This note analyses the data on preterm births in Jharkhand as available from the HMIS (Health Management Information System) data for the three pre-pandemic years 2017-18 to 2019-20. This data is important, both as surrogate for maternal health as well as early warning system for handling the burden of child malnutrition. We examine the consistency of the data, the burden and incidence of preterm births, and regional clusters, if any. It emerges that the districts – Gumla, Paschim Singhbhum and Purbi Singhbhum have high prevalence of preterm births. The analysis also reveals the need to pay attention to the tribal districts.
Birth seasonality trends across India
We examined birth seasonality trends in India by plotting monthly data, between FY18-FY20. The data has been tested for its consistency across three years and the data is found to be reasonably consistent across states, and for rural and urban areas as well.