AP PIP final - RRC-NE

diarrhea. Regarding ARI taken to a health facility is 43.6% only. Varied methods ofBCC etc are urgently required for improving the utilization of the services.Children under 3 years breastfed within 1 hour of birth are 55% andexclusively breastfed upto 5 months is 60%. Introduction of weaning food for 6-9months children is 77.6%. Traditionally, breast feeding is practiced in the state butlittle more effort has to be put in BCC in general and particularly to the mothers bythe attending health workers.Children under 3 years who are stunted is 34.2% , who are wasted is 16.5%and who are underweight is 36.9%. Acitivities related to improved intake of qualityfood and timely feeding of required food has to be informed to the communitythrough BCC etc. There is an area of improving the knowledge and skill of the healthpersonnel to promote the same.Children aged 6-35 months who are anemic is 66.3%. The reason could beinitiation of weaning food in time and also quality food.4.3 Family PlanningCurrent use of any method is 43.2% and any modern method is 37.3% whichinclude male sterilization (0.1%), IUD (3.6%), Pill (8.3%) and Condom (2.9%). Thepromotion of all these methods has been slow and tardy leading to very low level ofacceptance. Serious BCC has to to designed to address these issues. A vigorousBCC needs to be formulated to involve male in limiting the family size. Convergencewith other agencies dealing with similar agenda would have to be involved likeAPSACS.Total unmet need for family planning is 19.3% contributed by spacing (8.6%)and limiting (10.7%). Due lack of health personnel in many facilities across the stateand may be unmotivated health workers etc are few reasons seen at ground level.However, even acceptance level is low due to ignorance and lack of motivation.4.4 Adolescent Reproductive and Sexual Health (ARSH)Data shows that women aged 15-19 years who were already mothers orpregnant is 15.4%. Early marriage is a social problem some pockets of the state.Necessary BCC activities to sensitize the community are on through healthdepartment and other agencies. The trend is that the marriage age duringadolescent period is coming down.4.5 District / sub district variations.4.5.1 Maternal HealthConsidering the literacy rate amongst the population and bettercommunication facilities and health infrastructure, it is evident that West Siangdistrict is having better coverage in terms of 3 or more ANC. This is also true for thedistricts of Lohit and Tirap. Even in receiving 2 doses of TT injections, the samedistricts have performed better. The chronically poor performance in the districts ofEast Kameng and Tawang may be due to lack of infrastructure and manpowercompounded by inaccessibility and far flung location of the population. The averagenumber of deliveries attended by health personnel is very poor probably due to nonavailabilityof these personnel at their place of postings for want of quarters.16