Bellary District, - PRC

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and folic acid tablets or syrup. However, only 31 per cent of women received all the minimum requiredcomponents of antenatal care such as three or more check-ups, first check-up in the first trimester, ironand folic acid tablets and two doses of tetanus toxoid injections. Seventy-eight per cent of women whoreceived antenatal check-ups had their abdomen examined and 76 per cent had their blood pressurechecked, but fewer women received any of the other recommended checks, such as blood test (55 percent), weight (44 per cent), and height (20 per cent).Antenatal careParticularsPer centReceived antenatal check-up 76Among those who received antenatal check-upReceived three or more check-ups73Received first check-up in first trimester48Received iron and folic acid tablets84Received two doses of tetanus toxoid injections79Received all of the above31A little less than half (48 per cent) of the women who received antenatal care received it from a privatehospital and 26 per cent received it from the primary health centre or the subcentre.Delivery and postpartum careAbout one-fourth of deliveries take place in health facilities. Among deliveries at home, only 7 per centare attended by either a doctor or an ANM/Nurse. The proportion of institutional delivery in the districtis half of that in the state. According to NHFS-2, about half of deliveries in Karnataka took place inmedical institutions. Only 26 per cent of births were followed by a postpartum check-up within sixweeks of birth.1 C J & • B , 4 ), 4 0 H2 1 C /%%$H$( "###• & /"$ 8 /($ , ;"H C + ) + 09& 3 "##":Knowledge of HIV/AIDSFour out of five women aged 15- 49 in Bellary have heard ofAIDS. Married and unmarried women do not differ in their levelof awareness about AIDS. The awareness is relatively loweramong rural women, and illiterate women. Only 75 per cent ofilliterate women have heard of AIDS compared with 99 per centof women who have completed at least high school. Friends andrelatives are the most reported sources of information on AIDS(88 per cent), followed by television (39 per cent).Seventeen per cent of women who have heard of HIV/AIDS donot know the modes of its transmission, and this proportion inrural areas is almost twice of that in urban areas (20 per cent asagainst 12 per cent). Sexual intercourse is reported as a mode oftransmission by 57 per cent of women who have heard ofHIV/AIDS (69 per cent of urban women, 64 per cent of nevermarriedwomen, 50 per cent of rural women and 55 per cent ofever-married women). Among those who have heard ofHIV/AIDS, 64 per cent reported spontaneously mother to childtransmission when asked about all the modes of transmission thatis known to her. However, when asked a direct question on13
whether she thinks that HIV can be transmitted from motherto child, 70 per cent reported that it can be transmitted frommother to child. However, only 33 per cent know that ahealthy-looking person can have HIV/AIDS.Twenty-six per cent of women who have heard of AIDSknow that HIV/AIDS transmission can be prevented byhaving only one faithful partner and by using condom everytime. Only one-third think that an HIV/AIDS infected personcan continue to work, and 36 per cent feel that women canask men to use a condom.Percent know ing w ays to prevent HIV/AIDS6056534346503940302420100Ev er married women Nev er married womenSaf e sex Condom use None of the twoCONCLUSIONSThe Multiple Indicator Survey (MICS) in Bellary collected information on a number of key indicatorsrelated to population and household living conditions, children’s health, education, work and disabilities,maternal and reproductive health, as well as knowledge regarding HIV/AIDS. An important objectiveof MICS has been to provide the baseline information about the district for the district administration –the various Departments, Zilla Panchayat, Taluka Panchayats, and the Village Panchayats so that theytake cognisance of the district’s needs and priorities. The district-level data help the districtadministration to compare the district’s performance with the state as a whole as well as with otherdistricts of the state, and to plan and implement developmental programmes with an aim of matching theachievements to those of the state and later on even to surpass the state averages. This summary ofBellary District MICS data has tried to compare Bellary with the state as a whole on variousdevelopmental indicators in the social and health sector.On most of the indicators, the progress of the district is far below the progress achieved by the state.The fact sheet on the following four pages compares with indicators from MICS conducted in 2000 forthe state of Karnataka. Improvements are needed especially in the areas of literacy (28 per cent ofhouseholds in the district have no literate member compared with 10 per cent in the state), ruralsanitation (only 13 per cent of rural households in the district use a toilet facility), use of iodised salt(only 5 per cent of the households in the district use iodised salt compared with 32 per cent in the state),school enrolment (only 73 per cent of children aged 6-14 years in the district currently attend schoolcompared with 80 per cent in the state), child labour (the percentage of children aged 5-14 who work forsomeone outside the family in the district is 11 per cent compared with 6 per cent in the state),contraceptive use (the contraceptive prevalence in the district is 8 percentage points lower than that inthe state – 50 per cent compared with 58 per cent), and institutional deliveries (the proportion ofinstitutional deliveries in the district is half of that in the state – 25 per cent versus 53 per cent).Another area that needs thrust is child immunisation. Only 32 per cent of children aged 12- 23 monthsin Bellary district are immunised against all the six preventable diseases through vaccination program,compared with 68 per cent coverage in the state as a whole. The MICS also indicates that one of thereasons for low proportion of fully immunised children is the dropout between doses – especiallybetween DPT third dose to measles vaccine. Effort to increase measles coverage will improve theoverall immunisation coverage in the district.Expanded provision of services of skilled personnel during delivery is another priority for the district.Only 38 per cent of the deliveries in the district (irrespective of whether the delivery has taken place inan institution or at home) during the year prior to the survey have been attended by a skilled person such14
Page 1: Report prepared forDirectorate of H
Page 6 and 7: BACKGROUNDThe Multiple Indicator Su
Page 8 and 9: Wood is the major fuel used for coo
Page 10 and 11: Lit eracy and educat ional at t ain
Page 12 and 13: children who had received the first
Page 14 and 15: Type of pre-school attendedType of
Page 16 and 17: Children not living with biological
Page 20 and 21: as a doctor, an ANM or a trained lo
Page 22 and 23: KarnatakaMIS-2000Rural Urban Male F
Page 24 and 25: Antental, delivery and postnatal ca
Page 26 and 27: TitlePageTable 34: Disability/delay
Page 28 and 29: Table 3: Marital status of househol
Page 30 and 31: Table 5: Household amenitiesPercent
Page 32 and 33: Table 7: Source of drinking waterPe
Page 34 and 35: Table 10: Hand-washing practicesPer
Page 36: Table 13: Use of iodised saltPercen
Page 39 and 40: Table 16: Reasons for non-registrat
Page 41 and 42: Table 18: Indicators of breastfeedi
Page 43 and 44: Table 22: Immunisation coverage by
Page 45 and 46: Table 26: Prevalence of fever, coug
Page 47 and 48: Table 28: Diarrhoea during last one
Page 49 and 50: Table 30: Treatment pattern for fev
Page 51 and 52: Table 34: Disability/delayed growth
Page 53 and 54: Table 37: Pre-school attendancePer
Page 55 and 56: Table 40: Gross attendance ratio 1
Page 57 and 58: Table 43: Child labourPer cent of c
Page 59 and 60: Table 45: Children working outside
Page 61 and 62: Table 48: Children living with biol
Page 63 and 64: Table 50: Age at marriage, first pr
Page 65 and 66: Table 54: Children ever born and su
Page 67 and 68: Table 57: Current use of family pla
Page 69 and 70:
Table 59: Delivery characteristicsP
Page 71 and 72:
Table 61: Knowledge of HIV/AIDS by
Page 73 and 74:
Table 64: Knowledge about vertical
Page 75 and 76:
Table 66: Knowledge about preventio
Page 77:
APPENDIXStaff involved in MICS-2002
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Bellary District, - PRC

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