National Family Health Survey: ‘95% of births in Maharashtra in 5 years’ health facility


In the last five years, 95 per cent of births in Maharashtra took place in a health facility, and only 5 per cent at home, the fifth round of the National Family Health Survey (2019-20) showed. In Maharashtra, the percentage of births in health facilities, mostly public facilities, was seven per cent higher than the national rate of 88.6 per cent.

The percentage of births in a health facility in the state has increased from 5 per cent in the last five years, from 90 per cent in 2015-16 to 95 per cent in 2019-20. According to the survey, institutional births are more common among women who have received antenatal screening, women with 12 or more years of schooling, women with first birth and urban women.

Of the 36 districts in the state, almost all saw an increase in the number of births in a health facility. In Sindhudurg, Bhandara, Nagpur, Chandrapur and Mumbai, 100 percent of all births were in a health facility, while in 18 other districts, the percentage of births in a health facility was higher than the state average of 95 percent.

The most notable difference was observed in Nandurbar district, where the percentage of children born in a health facility increased from 56 per cent in 2015-16 to 76 per cent in 2019-20.

The NFHS-5 fieldwork for Maharashtra was conducted by the Indian Institute of Health Management Research and TRIOs Development Support Limited from June 19, 2019 to December 30, 2019. Information was collected from 31,643 households and 33,755 women and 5,497 men. ,

However, not all survey results showed a positive trend in the state, especially in home births. The use of a clean blade to cut the umbilical cord for home births, as recommended, fell from 94 per cent to 87 per cent in 2019-20. The use of disposable delivery kits remained stable at 44 percent between 2015 and 2020.

The data showed that 81 per cent of home births followed the recommendation that the baby be wiped dry immediately and then wrapped without first bathing, which was 4 per cent lower than in 2015-16.

Only 2 per cent of home births in the state took place by skilled health workers, compared to 3.6 per cent in the previous health survey. The state’s percentage is also less than the national percentage of 3.2.

The percentage of births assisted by a skilled provider was 94 percent and another 2 percent were delivered by traditional birth attendants.

In the past five years, 25 percent of births were delivered by caesarean section, and 41 percent of caesarean sections were emergency procedures.

Ten percent of the women who took live births in the five years preceding the survey received financial assistance under the Janani Suraksha Yojana (JSY). At least 14 per cent of the women who received financial assistance under JSY were from rural areas while six per cent were from urban setting. Women from Scheduled Tribes (17%) and Scheduled Castes (14%) were more likely than women from any other caste/tribe group to receive financial assistance under JSY.