Main Article Content
Aims: This research article aims to discuss the preliminary finding of Maternal and Child Health Demographic survey (MCHDS) and compare health and demographic indicators across urban, rural and tribal regions.
Study Design: MCHDS is longitudinal survey design and its methodological considerations are discussed briefly in another article.
Methods: MCHDS comprised 3 rounds, 1) Household survey 2) Maternal survey and 3) Child survey. Census survey method was used incorporating each and every individual from population. Total of 2,70,576 individuals were surveyed belonging to 58897 households in the baseline census. Under child survey, 12,370 under 5 children and under maternal survey 10,999 women (age 15-49) who were either pregnant at the time of survey, or had at least one pregnancy in 5 years preceding the survey were surveyed. Descriptive statistics is used to explore and understand the demographics and Maternal and child health indicators.
Results: Proportion of pucca houses were highest in urban followed by rural and tribal. Majority of the urban household had proper water and sanitation facility, followed by rural and tribal field site. Proportion of salaried employers was highest in urban followed by tribal and rural. Statistics based on wealth index, indicates that proportion of comparatively richer class (highest and fourth) was highest in urban followed by rural and tribal and proportion of poorest class (second and lowest) was highest in tribal followed by rural and urban.
Conclusion: All three regions have distinct socio-demographic and economic characteristics which coincides with the similar studies and national surveys. Urban and rural population was better off than tribal populations in terms of socio-demographics, economic status, housing, water and sanitation facility and morbidity scenario.
NIMS, ICMR, UNICEF. Infant & child mortality in India: Trends and determinants. National Institute of Medicat Statistics (NIMS), Indian Council of Medical Research (ICMR) and UNICEF India, Country Office, New Delhi, India; 2012.
Zodpey SP, Negandhi PH. Tracking India’s progress in Health sector after 70 years of Independence. Indian J. Public Health. 2018;62:1–3.
Indian Institute for Population Sciences (IIPS) and MoHFW, National Family Health Survey -4; 2017.
Saha UR, Van Soest A, Bijwaard GE. Cause-specific neonatal deaths in rural Bangladesh, 1987–2005: Levels, trends, and determinants. Popul. Stud. (NY). 2014; 68(3):247–263.
Pandey A, Roy NSD, Acharya R. Maternal health care services: Observations from Chhattisgarh, Jharkhand and Uttaranchal. Econ. Polit. Wkly. 2004;39 (7):713–720.
Rutstein Shea O. Further evidence of the effects of preceding birth intervals on neonatal, infant, under-five-years mortality and Nutritional Status in Developing Countries: Evidence from demographic and health survey; 2008.
Aryal UR, Vaidya A, Shakya-Vaidya S, Petzold M, Krettek A. Establishing a health demographic surveillance site in Bhaktapur district, Nepal: Initial experiences and findings. BMC Res. Notes. 2012;5(1): 489.
Afework MF, Gebregiorgis SH, Roro MA, Lemma AM, Ahmed S. Do health and demographic surveillance systems benefit local populations? Maternal care utilisation in Butajira HDSS, Ethiopia. Glob. Health Action. 2014;7(1):24228.
Vora K, Tailor PA, Cottagiri SA, Saiyed S. Methodology of a large Maternal and Child Health Demographic Surveillance System (MCHDSS) in marginalized communities. Int. J. Adv. Res. Ideas Innov. Technol. 2019;5(4):17–22.
Herbst K, Law M, Geldsetzer P, Tanser F, Harling G, Bärnighausen T. Innovations in health and demographic surveillance systems to establish the causal impacts of HIV policies. Curr. Opin. HIV AIDS. 2015; 10(6):483–494.
Ahmadabad Population, Religion, Caste, Working Data Ahmadabad, Gujarat – Census; 2011.
Available:https://www.censusindia.co.in/. [Accessed: 10-Oct-2019]
Ahmedabad Municipal Corporation: Zones & Ward Details, Government of Gujarat; 2019.
Expert group meeting on Urban Indicators Secure Tenure, Slums and Global Sample of Cities, Nairobi, Kenya; 2002.
India village directory, Indian village directory: List of Villages in Bavla; 2019. Available: https://villageinfo.in/
Directorate of Census Operations, District Census Handbook: Sabar Kantha, Census of India; 2011.
Tribal District and Taluka, Tribal Development Department, Government of Gujarat; 2019.
MEMBER HDSSs, INDEPTH Network. Mamta Ray Media; 2016.
Available:http://www.indepth-network.org/ member-centres? option=com_content& task=view&id=1306
Registrar Journal of India, sample registration system: Statistical report. Office of RGI & Census Commission of India MOHA, New Delhi; 2015.
Report of the expert group to review the methodology for measurement of poverty. Government of India Planning Commission; 2014.
Prasad M. Press information Bureau, Government of India: Antyodaya Anna Yojana; 2013.
Rutstein SO, Johnson K, Measure OM. The DHS Wealth Index; 2004.