Why in the News?
- The Union Health Ministry has released the National Family Health Survey-6 (NFHS-6) findings, showing significant progress in maternal and child health alongside a sharp rise in obesity and diabetes among Indian adults.
What’s in Today’s Article?
- About NFHS (Background, Institutional Framework, Coverage & Methodology, etc.)
- Key Highlights of the Latest Report
About the National Family Health Survey (NFHS)
- The NFHS is a large-scale, multi-round household survey conducted across India to provide reliable data on population, health, nutrition, and family welfare indicators.
- It is one of the most comprehensive sources of health data in the country and plays a crucial role in shaping public health policies.
Background and Institutional Framework
- Nodal Ministry: Ministry of Health and Family Welfare (MoHFW)
- Nodal Agency: International Institute for Population Sciences (IIPS), Mumbai, conducts the survey on behalf of the MoHFW.
- First Round: Conducted in 1992-93
- Latest Round: NFHS-6, conducted in 2023-24, is the first survey after the COVID-19 pandemic.
Coverage and Methodology
- NFHS-6 covered ~6.79 lakh households across 715 districts in all States and Union Territories, except Manipur.
- It collects data on indicators such as:
- Fertility and contraception
- Maternal and child health
- Nutritional status
- Vaccination coverage
- Non-communicable diseases
- Domestic violence
- Women's empowerment
- Sanitation and hygiene
Key Findings of the NFHS-6
- Maternal and Child Health: The survey recorded significant progress in maternal and child health indicators:
- Institutional Deliveries
- Institutional deliveries rose to 90.6% from 88.6% in NFHS-5 (2019-21).
- Reflects sustained expansion of public healthcare and schemes like Janani Suraksha Yojana (JSY) and Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA).
- Caesarean Section Deliveries
- C-section deliveries rose sharply to 27.2% from 21.5%.
- In private healthcare facilities, the rate jumped to 54.1% from 47.4%.
- In public health facilities, it rose to 16.9% from 14.3%.
- In urban areas, the rate stands at 40%, far exceeding the WHO optimal threshold of 10-15%.
- Antenatal Care
- 95.9% of pregnant women received antenatal care.
- 76.2% received care in the first trimester (up from 70%).
- Mothers receiving at least four antenatal visits rose from 58.5% to 65.2%.
- Maternal Nutrition
- Mothers consuming iron-folic acid (IFA) supplements for 100+ days rose from 44.1% to 54.9%.
- Those consuming IFA supplements for 180+ days rose from 26% to 37.8%.
- Child Nutrition and Health
- Improvements in Child Nutrition
- Stunting among children under 5 declined from 35.5% to 29.3%.
- Severe wasting dropped from 7.7% to 5.2%.
- Underweight children declined marginally from 32.1% to 31.8%
- Child Health
- Acute respiratory infection symptoms fell from 2.8% to 1.9%.
- Severe diarrhoea prevalence dropped to 0.5%.
- Breastfeeding
- 95.6% of infants under six months were being breastfed during the survey period.
- Vaccination Coverage
- Full vaccination coverage among children aged 12-23 months rose from 83.8% to 87.1%.
- 95.6% of children received most vaccinations through public health facilities.
- Rotavirus vaccination coverage rose dramatically from 36.4% to 85.4%.
- Second dose of measles-containing vaccine coverage increased from 58.6% to 71.8%.
- Fertility and Contraception
- Total Fertility Rate (TFR) held steady at 2.0, just below the replacement threshold of 2.1.
- Contraceptive Prevalence Rate (CPR) rose from 66.7% to 69.1%.
- Menstrual Hygiene
- Use of hygienic methods of menstrual protection among women aged 15-24 years rose from 77.6% to 79.2%.
Rising Burden of Non-Communicable Diseases
- The NFHS-6 has flagged a concerning rise in non-communicable diseases (NCDs) and lifestyle-related risks, marking a significant shift in India's health landscape.
- Sharp Rise in Obesity
- Women
- The proportion of women aged 15-49 who were overweight or obese rose from 24% to 30.7%.
- Urban areas: 42.8% of women are overweight or obese.
- Rural areas: 25.5% of women are overweight or obese.
- Men
- The proportion of men aged 15-49 who were overweight or obese rose from 22.9% to 27.3%.
- Urban areas: 36.3% of men are overweight or obese.
- Rural areas: 23% of men are overweight or obese.
- Rising Diabetes Prevalence
- Men
- The proportion of men with high blood sugar (>140 mg/dl) or taking medication rose from 15.6% to 20.9%.
- Urban areas: 23.9% of men affected.
- Rural areas: 19.7% of men affected.
- Women
- The proportion of women with high blood sugar rose from 13.5% to 17.8%.
- Urban areas: 21.9% of women affected.
- Rural areas: 16.2% of women affected.
Significance and Implications
- Progress Areas
- Strengthening of public healthcare systems and maternal health programmes.
- Improved vaccination coverage indicates the success of Mission Indradhanush and the Universal Immunisation Programme.
- Better antenatal care reflects effective implementation of JSY, JSSK, and PMSMA.
- Declining stunting and wasting show the impact of POSHAN Abhiyaan.
- Areas of Concern
- Excessive C-section deliveries, especially in private facilities, indicate potential over-medicalisation and the need for stricter regulation.
- Rising obesity and diabetes signal a public health crisis requiring urgent intervention.
- Urban-rural disparities in lifestyle diseases highlight changing food habits and sedentary lifestyles.
- India's dual burden of malnutrition, i.e. persistent undernutrition among children (stunting, wasting, underweight) and rising overnutrition (obesity) among adults. This requires integrated nutrition strategies.