Till date three visits have been undertaken to Chandigarh under

4th, 8th and 10th Common Review Mission

 Chandigarh

1. Background
1.1 State Profile
Chandigarh has a geographical spreada of 114 km2 and is estimated to have a population of over 0.1
croresb. It is projected that the population would reach around 0.12 crores by 2021c. As per Census 2011,
the Scheduled Caste (SC) population is 1.99 lakh (18.86%). In Chandigarh, only 2.70% of the population
reside in rural areas, while 97.30% constitute the urban population. The total length of roadsd in the UT
is 2,821 km (0.06%e) in which the length of the national highways is 15 km.
A detail report on the key indicators has been attached as Annexure 1.

1.2 Demography
The UT’s Sex ratio at birth is 838 females for every 1000 males (NFHS 5). The crude birth rate and the
crude death rate have declined from 17.3 & 4.5 in 2005 to 13 & 4 in 2019, respectively (Annexure 2;
figure 2). The literacy rate increased from 81.9% in 2001 to 86.0% in 2011, with male & female literacy
rates being 90.0% and 81.2%, respectively (Annexure 1.1). As per ESAG 2018 report, the Gross Enrolment
Rate (GER)f is 57.6% for higher education, 83.28% for senior secondary education, 87.19% for secondary
education, 86.68% for elementary education, and 81.44% for primary education.

1.3 Elderly
Population ageing has profound social, economic, and political implications. In Chandigarh, 23.0% of
elderly females and 88.0% elderly males living in rural areas and 71.0% of elderly females and 23.0%
elderly males in urban areas are economically fully dependent on others. The illness (any deviation from
the state of physical and mental well-being) perception among the elderly is reported as 19% for men
and 36% for women, as opposed to the national average of 31% for both (Elderly in India 2016).

a
RHS 2020
b
Census 2011
c
Census Population Projection Report 2019
d
Basic Road Statistics 2019, MoRTH
e
Percentage of total length of roads in Chandigarh
f
Gross Enrolment Rate (GER): Total enrolment in a specific level of education, regardless of age, expressed as a percentage of the eligible
official school-age population corresponding to the same level of education in a given school-year. School-age Population: Population
of the age group which officially corresponds to the relevant level of education; senior secondary education is XI-XII, secondary is IX-X,
primary is I-V and elementary is I-VIII

Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh | 1

2. Health status at a glance
2.1 Maternal Health
The UT has been able to provide RMNCHA+Ng services with major focus on primary and secondary
care services under the NHM. Indicators for Antenatal care (ANC)h, institutional deliveries, C sections,
distribution of IFAi tablets, follow up of high-risk pregnancies, provision of postnatal and newborn
care - have shown substantial improvement since 2005 (NFHS 4 & 5). The maternal mortality ratio
has significantly declinedj from 160 (2007-09) to 85 (2016-18). In Chandigarh, 105.6% of women
received 4 ANC check-ups (Annexure 1.4). As reported in HMIS 2019-20, around 99.9% of the
deliveries took place in institutions, out of which 100.0% took place in public health facilities. Total
percentage of C-sections (33.8%) is higher than the WHO’s standard (10-15%). Around 15.1% of
women are tracked for the first postpartum check-up between 48 hours and 14 days (Annexure 1.4).
Prevalence of anaemia in women aged 15-49 years decreased from 75.9% (NFHS-4) to 60.3% (NFHS-
5). Anaemia in females of reproductive age group is seven times more than in men of similar age
group (Annexure 2, figure 3).
Refer Annexure 3 for a detailed district wise comparison.

2.2 Newborn, Infant & Child Health

Ever since the inception of NHM in 2005, the UT has shown a significant decline in IMR from 19 (2005)
to 13 (2019), which is lower than the national average of 30 (Annexure 2, Figure 1). Full vaccinationk
coverage for children between 12 – 23 months of age declined from 93.2% (NFHS 4) to 82.8% (NFHS 5).
An increase in childhood anaemia from 73.1% to 54.6% in children aged 6-59 months has been reported
in NFHS 5 (Annexure 2, Figure 3). The burden of under-5 years stunting declined from 28.7% (NFHS 4) to
25.3% (NFHS 5). For under-5 years wasting, the burden declined from 10.9% (NFHS 4) to 8.4% (NFHS 5).

2.3 Family Planning

As per NFHS 5 report, the total unmet need in the UT is 6.9% and unmet need for spacing is 2.5%.
Approximately 55.6% of married women reported to avail any modern method of family planning in the
UT; with sterilization acceptance among females being 19.0% and 0.3% for males (NFHS 5).

2.4 Communicable Diseases

The UT has 1 functional IDSP unit in placel. The proportion of communicable, maternal, neonatal, and
nutritional diseases [CMNND] contribute to 19.67%m of total disease burden (Annexure 1.4). For TB, the
annualized total case notification rate is 511% and NSPn success rate is 84%, as opposed to the national
averages of 163% and 79%, respectively. For NLEPo, the reported prevalence rate of 1.03 per 10,000

g
Reproductive, Maternal, Newborn, Child, Adolescent Health & Nutrition
h
Antenatal Check up
i
Iron Folic Acid Tablets
j
SRS MMR Bulletins; for ther smaller states & UTs, inclusive of Delhi
k
NFHS 5 State/UT Factsheet, based on information from vaccination card only
l
QPR NHM MIS Reports (status as on 01.03.2020)
m
Includes all UTs except Delhi
n
New Smear Positive
o
National Leprosy Eradication Programme

2 | Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh

population is more than the national average of 0.61. In FY 2019-20, no deaths due to Dengue, Malaria,
and Kala Azar are reported in the UT.

2.5 Non-Communicable Diseases (NCDs) and Injuries

NCDs contribute to 67.90% of DALYs and injuries contribute to 12.42% of DALYs in the UT[12]p. The UT is
positioned 29th in the country for the total number of fatal road accidents with respect to other States
(Annexure 1.4). It is found in the recent NFHS 5 report that 0.6% of women and 12.1% of men used any
kind of tobacco, while 0.3% of women and 18.6% of men consumed alcohol.

2.6 Health Care Financing

The UT’s Net State Domestic Product (NSDP) for FY 2018-19 is ₹ 37,571 crores. The UT is positioned 4th
out of 32 states in terms of per capitaq of ₹ 3,20,300.

2.7 Health Infrastructure

As per the recent RHS data, the number of SCs, PHCs and CHCs have been increasing since 2005
(Annexure 2, Figure 4). Currently there are 48 UPHCs in place against the required 24. The UT has 2 DHs,
1 SDHs and 1 government medical college. Under the recently introduced Ayushman Bharat – Health
and Wellness Centres (AB-HWCs), 29 HWCs (2 PHCs and 27 UPHCs) are operationalized in Chandigarh as
of 22nd December 2021r.
The doctor to staff nurse ratio in place is 1:1, with 4 public health providers (MO, specialists, staff nurse
& ANM) per 10,0000 population (Annexure 1.5). Recent data (Annexure 1.3) reveals that out of 1000
population who availed services from public health facilities, 6051.95 availed (events) OPD services and
199.06 availed (events) IPD services.

p
Includes all UTs except Delhi
q
Directorate of Economics & Statistics
r
AB-HWC Portal

Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh | 3

ANNEXURE 1: Key Indicators

1.1  State Profiles
Indicator Chandigarh 20111 India

Total Population (In Crore) 0.1 121.08

Rural (%) 2.75 68.85

Urban (%) 97.25 31.14

Scheduled Caste population (SC) (in crore) 0.019 (18.86%) 20.14 (16.63%)

Scheduled Tribe population (ST) (in crore) 0 10.45 (8.63%)

Total Literacy Rate (%) 86 72.99

Male Literacy Rate (%) 90 80.89

Female Literacy Rate (%) 81.2 64.64

Number of Districts in the Chandigarh2 1

Number of districts per lakh population in Population1 Districts1 (Numbers)

Chandigarh (Census 2011) ≥ 10 Lakhs - <15 Lakhs 1

1.2 Key Health Status & Impact Indicators

Indicators Chandigarh India

Infant Mortality Rate (IMR)3 13 30

Crude Death Rate (CDR)3 4 6

Crude Birth Rate (CBR)3 13 19.7

Maternal Mortality Ratio (MMR)3 N/A 113

Neo Natal Mortality Rate (NNMR)4 N/A 23

Under Five Mortality Rate (U5MR)4 N/A 36

Still Birth Rate4 N/A 4

Total Fertility Rate (TFR)4 N/A 2.2

Life expectancy at birth5 N/A 69.4

Sex Ratio at Birth4 N/A 899

s
Sources are mentioned at the end of Annexure 1.

4 | Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh

 1.3 Key Health Infrastructure Indicatorst
Indicators Numbers (Total)

Number of District Hospitals2 2

Number of Sub District Hospital2 1

Number of Government (Central + State) Medical College6 1

Number of Private (Society + Trust) Medical Colleges6 0

Number of AB-HWCs functional as of Status Target Target Target

22nd December 202116 (Total) FY (2020-21) FY (2021-22) FY (2022-23)

SHC-HWC N/A 6 12 15

PHC-HWC 2 0 0 0

UPHC-HWC 27 3 3 3

Total-HWC 29 9 15 18

Rural2 Required (R) In place (P) Shortfall (S) (%)

Number of Community Health Centres (CHC) N/A N/A N/A

Number of Primary Health Centres (PHC) N/A N/A N/A

Number of Sub Centres (SC) N/A N/A N/A

DH SDH CHC
Number of functional First Referral Units (FRUs)
2 1 2

Urban2 Required (R) In place (P) Shortfall (S) (%)

Number of PHC 24 48 -100.00

Tribal2 Required (R) In place (P) Shortfall (S)%

Number of CHC N/A N/A N/A

Number of PHC N/A N/A N/A

Number of SC N/A N/A N/A

Patient Service9 Chandigarh India

IPD per 1000 population 199.06 62.6

OPD per 1000 population 6051.95 1337.1

Operation (surgeries) major (General and Spinal Anaesthesia) per

630.07 36.4
10000 population

t
Sources are mentioned at the end of Annexure 1

Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh | 5

 1.4 Major Health Indicatoru
% Share of DALYs to Total Disease Burden (GBD 2019)7 Chandigarhv India

% DALYw accountable for CMNNDsx 19.67 27.46

% DALY accountable for NCDs 67.90 61.43

% DALY accountable for Injuries 12.42 11.11

Birth, Death Registration & Medical Certification of Cause of Death (MCCD)

Chandigarh India
Indicator8

Level of Birth Registration (%) 100 92.7

Level of Death Registration (%) 100 92

Percentage of medically certified deaths to total registered deaths (%) 74.4 20.7

RMNCHA+N

Maternal Health9 Chandigarh India

% 1st Trimester registration to Total ANC Registrations 73.2 71.9

% Pregnant Woman received 4 ANC check-ups to Total ANC Registrations 105.6 79.4

Total Reported Deliveries 28143 21410780

% Institutional deliveries to Total Reported Deliveries 99.9 94.5

% Deliveries conducted at Public Institutions to Total Institutional Deliveries 100 67.9

% Deliveries conducted at Private Institutions to Total Institutional Deliveries 0 32.1

% C-section deliveries (Public + Pvt.) to reported institutional

33.8 20.5
(Public + Pvt.) deliveries

% C-sections conducted at public facilities to Deliveries conducted at public facilities 33.8 14.1

% C-sections conducted at Private facilities to Deliveries conducted at

N/A 34.2
private facilities

% Women getting 1st Post-Partum Checkup between 48 hours and 14 days to

15.1 53.4
Total Reported Deliveries

Neonatal9 Chandigarh India

% live birth to Reported Birth 97.8 98.8

% Newborns having weight less than 2.5 kg to Newborns weighed at birth 24 12.4

% Newborns breast fed within 1 hour of birth to Total live birth 86.8 89.9

u
Sources are mentioned at the end of Annexure 1
v
For other UTs including Chandigarh except Delhi
w
Disability Adjusted Life Years
x
Communicable, Maternal, Neonatal, and Nutritional Diseases

6 | Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh

New Born Care Units Established11y Chandigarh India

Sick New Born Care Unit (SNCU) 3 895

New Born Stabilization Unit (NBSU) 3 2418

New Born Care Corner (NBCC) 7 20337

Chandigarh India
Child Health & Nutrition10
(NFHS 5) (NFHS 5)

Prevalence of diarrhoea (reported) in the last 2 weeks preceding the survey (%) 4.3 7.3

Children with diarrhoea in the last 2 weeks who received oral rehydration salts
N/A 60.6
(ORS) (%)

Children under 5 years who are underweight (weight-for-age) (%) 20.6 32.1

Chandigarh India
Child Immunization10
(NFHS 5) (NFHS 5)

Children age 12-23 months fully vaccinated based on information from

82.8 83.8
vaccination card only (%)

Children age 12-23 months who have received BCG (%) 96.8 95.2

Children age 12-23 months who have received first dose of measles containing
87.9 87.9
vaccine (%)

Chandigarh India
Family Planning10
(NFHS 5) (NFHS 5)

Unmet need for spacing (%) 2.5 4

Communicable Diseases

Integrated Disease Surveillance Programme (IDSP)11 Chandigarh India

Number of districts with functional IDSP unit 1 720

Revised National Tuberculosis Control Programme (RNTCP)11 Chandigarh India

Annualized total case notification rate (%) 511 163

New Smear Positive (NSP) Success rate (in %) 84 79

National Leprosy Eradication Programme (NLEP)11 Chandigarh India

Prevalence Rate/10,000 population 1.03 0.61

Number of new cases detected 134 1,14,359

Malaria, Kala Azar, Dengue11 Chandigarh India

Deaths due to Malaria11 0 79

Deaths due to Kala azar reported11 0 0

Deaths due to Dengue reported11 0 168

Number of Kala Azar Cases reported11 0 3,706

Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh | 7

 Chandigarh India
HIV10
(NFHS 5) (NFHS 5)

Women (age 15-49 years) who have comprehensive knowledge of Human

Immunodeficiency Virus (HIV)/Acquired immunodeficiency syndrome 20.3 21.6
(AIDS) (%)10

Men (age 15-49 years) who have comprehensive knowledge of HIV/AIDS (%)10 53.6 30.7

Non-Communicable Disease

Chandigarh India
Diabeties and Hypertension10
(NFHS 5) (NFHS 5)

Women - Mildly elevated Blood Pressure (Systolic 140-159 mm of Hg and/or

14.5 12.4
Diastolic 90-99 mm of Hg) (%)

Men - Mildly elevated Blood Pressure (Systolic 140-159 mm of Hg and/or

18.7 15.7
Diastolic 90-99 mm of Hg) (%)

Women - Blood sugar level - high (141-160 mg/dl) (%) 6 6.1

Men - Blood sugar level - high (141-160 mg/dl) (%) 7.1 7.3

Chandigarh India
Tobacco Use and Alcohol Consumption among Adults (age 15 years & above)10
(NFHS 5) (NFHS 5)

Women who use any kind of tobacco (%) 0.6 8.9

Men who use any kind of tobacco (%) 12.1 38

Women who consume alcohol (%) 0.3 1.3

Men who consume alcohol (%) 18.6 18.8

Injuries

Road Traffic Accident12 Chandigarh India

Rank (Total number of fatal Road Accidents in State/UT wrt other States/UTs) 29 N/A

Total number of fatal Road Accidents 100 1,37,689

Severity (Road accident deaths per 100 accidents) of Road Accidents 34.1 33.7

Number of persons killed in Road Accidents 104 115113

1.5 Access to Care
Health Systems Strengthening

Ambulances & Mobile Medical Units (MMU)11 Chandigarh India

Number of Districts equipped with MMU under NRHM 0 506

Number of Districts equipped with MMU/Health Units under

1 31
NUHM

8 | Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh

Number of ERS vehicles operational in the States/UTs Under
Chandigarh India
NHM

102 Type 0 9955

104 Type 0 605

108 Type 6 10993

Others 0 5129

Number of Ambulances functioning in the State/UTs other than

0 11070
NHM (At PHC/CHC/SDH/DH)

Key Domain Indicatorsaa

ASHA13 Chandigarh India

Total number of ASHA targeted under NRHM N/A 946563

Total number of ASHA in position under NRHM N/A 904211

% of ASHA in position under NRHM N/A 96

Total number of ASHA targeted under NUHM N/A 75597

Total number of ASHA in position under NUHM N/A 64272

% of ASHA in position under NUHM N/A 85

Community Process11 Chandigarh India

Number of Village Health Sanitation and Nutrition Committees

0 554847
(VHSNCs) constituted

Number of Mahila Arogya Samitis (MAS) formed 0 81134

Number of Rogi Kalyan Samitis (RKS) registered (Total)11 Chandigarh India

DH 1 796

CHC 0 6036

PHC 0 20273

UCHC 2 126

UPHC 0 3229

Human Resource for Health14

HRH Governance Chandigarh

Specialist Cadre Available in the state (Y/N) Yes

HR Policy available (Y/N) No

Implementation of HRIS (Y/N) No

HR Integration initiated (Y/N) No

Public Health Cadre available (Y/N) No

Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh | 9

 Specialists + MO MBBS (%) 8

Dentists (%) 28
Overall Vacancies
Nurse (%) 14
(Regular + contractual)
LT (%) 3

ANM (%) 10

HRH Distribution Sanctioned In Place

Doctors (MO & specialists) to staff nurse14 1:1 1:1

Availability of public healthcare providers (MO, specialists, staff

4 per 10,000 4 per 10,000
nurse & ANM) in district healthcare system14

Regular to contractual service delivery staff ratio14 1:1 1:1

Ranking: Human Resource Index of Chandigarh15

Total (Regular + NHM)

Category Actual Ranking:

Required Sanctioned In-Place Vacancy
Gap# HR Gap
(R) (S) (P) (V)
(R-P) Index

MPWy 46 208 192 16 0

Staff Nurse 553 239 335 -96 218

Lab Technician 108 70 98 -28 10

92.7
Pharmacists 66 92 111 -19 0

MO MBBSz 103 230 167 63 0

Specialistaa 104 119 111 8 0

1.6 Healthcare Financingbb
National Health Accounts (NHA) (2017-18) Chandigarh India

Per Capita Government Health Expenditure (in ₹) N/A 1753

Government Health expenditure as % of Gross Domestic Product (GSDP) N/A 1.35

Government Health Expenditure as % of General Government

N/A 5.12
Expenditure (GGE)

OOPE as a Share of Total Health Expenditure (THE) % N/A 48.8

y
MPW – Multi Purpose Health Worker (Female + Male)
z
MO MBBS (Full Time)
aa
Specialist (All Specialist)
bb
Sources are mentioned at the end of Annexure 1

10 | Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh

 Chandigarh India
National Sample Survey Office (NSSO) (2017-2018)
Rural Urban Rural Urban

OPD - % of non-hospitalized cases using public facility N/A 33 26

IPD - % of hospitalized cases using public facility N/A 46 35

Out of Pocket Expenditure (OOPE) (NSSO)* Rural Urban Rural Urban

OPD - Per non-hospitalized ailing person (in INR) in last 15 days - Public N/A 472 486

OPD - Per non-hospitalized ailing person (in INR) in last 15 days - Private N/A 845 915

IPD - Per hospitalized case (in INR) - Public N/A 5,729 5,939

IPD - Per hospitalized case (in INR) - Private N/A 28,816 34,122

IPD - % of diagnostics expenditure as a proportion of inpatient medical

N/A 18 17
expenditure in Public (NSSO)

IPD - % of drugs expenditure as a proportion of inpatient medical

N/A 53 43
expenditure – Public (NSSO)

Childbirth - Average out of pocket expenditure per delivery in public

N/A 2,402 3,091
health facility (₹) (NSSO)

Childbirth - Average out of pocket expenditure per delivery in private

N/A 20,692 26,701
health facility (₹)

State Health Expenditure Chandigarh All India Average

State Health Department expenditure as a share of total expenditure (%)

N/A 5cc
(2017-18)**

Sources used for Annexure 1

1
Census 2011
2
Rural Health Statistic (RHS) 2019-20
3
Sample Registration Survey (SRS) Bulletin 2018 & 2019
4
Registrar General of India (RGI) Statistical Report (SRS) 2018
5
SRS Based Abridged Life Tables 2014-18
6
National Health Profile 2020
7
Global Burden of Disease Data 2019, https://vizhub.healthdata.org/gbd-compare/
8
Annual Report on Vital Statistics of India based on CRS 2019 & Medical Certification of Cause of Death 2019
9
HMIS (2019-20)
10
NFHS 4 & 5
11
QPR NHM MIS Report [Status as on 01.03.2020 & recent 31.12.2020 (some indicators removed from the recent report have been taken
from report released on 01.03.2020)
12
Ministry of Road Transport & Highways (MoRTH) - Road Accidents in India 2019
13
Update on ASHA Programme July 2019 (NHSRC Publication)
14
Human Resources for Health in District Public Health Systems of India: State Wise Report 2020
15
HRH Division NHSRC
16
As per HWC Portal

cc
Represents data for all states and 2 UTs with legislative assembly (Puducherry + Delhi)
*
Estimated by NHSRC using unit level data of NSSO 2017-18, where OOPE = [Total Medical Expenditure + Transportation Cost] – Reimbursement
**
RBI, State Finances: Study of Budgets 2019-20

Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh | 11

ANNEXURE 2

Figure 1: IMR Trend Figure 2: CBR & CDR Trend

20
30
17.3
18
25 15.6
25 16
22 13.7
21 14 13
20
23
19 22 12
20

10
18
15 13 8

6 4.5
10 13 4.4 4
3.9
10 4

5 2
5
0
2005 2010 2015 2019
2005 2010 2015 2019
Chandigarh Total Chandigarh Rural

Chandigarh Urban CBR CDR

Figure 3: Comparison of Key NFHS 5 & 4 Indicators

120

100 94.6 96.6

80 75.9
73.1
63.7
60.3
60 54.6

40 33.5

22.5
19.3
20
9.7 8.1

0
Ever-married Currently married Men age 15-49 All women age 15- Children age 6-59 Children under age
women age 18-49 women who usually years who are 49 years who are months who are 3 years breastfed
years who have ever participate in anaemic (<13.0 anaemic (%) anaemic (<11.0 within one hour of
experienced spousal household decisions g/dl) (%) g/dl) (%) birth %
violence (%) (%)

NFHS 5 NFHS 4

12 | Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh

 Figure 4: Year Wise Required/In Position Health Infrastructure Status in Rural Area (In numbers)

20
18 18
18
16 16
16

14 13

12

10

6 5

4 3 3
2 2
2 1
N/A 0 0 0 0 N/A 0 0 0 N/A
0
2005 2010 2015 2020* 2005 2010 2015 2020* 2005 2010 2015 2020*

SC PHC CHC

Required R In Position P

Figure 5: Year Wise Health Infrastructure Shortfall (%)

150

100 100
100

50
27.78
11.11
N/A 0.00 N/A N/A
0
Shortfall In Percentage (%)

-50

-100
-100

-150

-200
-200 -200
-220
-250
2005 2010 2015 2020* 2005 2010 2015 2020* 2005 2010 2015 2020*
SC PHC CHC

*
Not Applicable as per RHS (Rural) 2020

Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh | 13

 Figure 6: Percentage HWCs progress against target - FY wise (%)

Chandigarh (% HWCs progress as of 22/Dec/2021 against targets

350

308.51
300

250

195.95
200

157.61
150

100

50

0
2020-21 2021-22 2022-23
TOTAL-HWC

14 | Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh

 (Green – Good Performance, Red – Poor Performance)
(District Wise Rural Urban Stats Not Available)

S. No.
States/Districts
Data Source
Sex Ratio At Birth (Females/1000 Males)
Households with any usual member
covered under a health insurance/
financing scheme (%)
Women Literate 15-49 Age (%)
Women Age 20-24 Years Married Before
18 (%)
Any Method Used For Family Planning
By Currently Married Women Age 15-49
years (%)
IUD/PPIUD (%)
Condom Use (%)
Total Unmet Need (%)
Mother Who Had At Least 4 Antenatal
Care Visits (%)
Institutional Births (%)
Children Age 12-23 Months Fully
Vaccinated Based On Information From
Vaccination Card Only* (%)
Total Children Age 6-23 Months
Receiving Adequate Diet**, # (%)
Children Under 5 Years - Stunted^
(Height For Age) (%)
Children Under 5 Years - Wasted^
(Weight For Height) (%)

1 Chandigarh NFHS 4 Total 981 21.3 NA 12.7 74 5.4 27.3 6.3 64.5 91.6 93.2 0 28.7 10.9

2 Chandigarh NFHS 5 Total 838 32.2 78.7 9.7 77.4 4.2 31.1 6.9 78.7 96.9 82.8 19 25.3 8.4
to Key NFHS 5 Indicators

3 Chandigarh NFHS 5 Rural NA NA 57.7 NA NA NA NA NA NA NA NA NA NA NA

4 Chandigarh NFHS 5 Urban 820 32.3 78.9 9.8 77.5 4.3 31.2 7 79.1 97 83.6 19.1 25.2 8.3

* NFHS5 replaced ‘Immunized’ (word) from NFHS4 to ‘Vaccinated’, Out of two Indicators with ‘either vaccination card or mother’s recall’ & ‘vaccination card only’ - ‘vaccination card only’ indicator was used to reduce the recall bias, among children
whose vaccination card was shown to the interviewer, percentage vaccinated with BCG, measles-containing vaccine (MCV)/MR/MMR/Measles, and 3 doses each of polio (excluding polio vaccine given at birth) and DPT or penta vaccine
** Based on the youngest child living with the mother
# Breastfed children receiving 4 or more food groups and a minimum meal frequency, non-breastfed children fed with a minimum of 3 Infant and Young Child Feeding Practices (fed with other milk or milk products at least twice a day, a minimum
meal frequency that is receiving solid or semi-solid food at least twice a day for breastfed infants 6-8 months and at least three times a day for breastfed children 9-23 months, and solid or semi-solid foods from at least four food groups not
including the milk or milk products food group)
^ Below -2 standard deviations, based on the WHO standard. 13 Below -3 standard deviations, based on the WHO standard
A. * Full antenatal care is at least four antenatal visits, at least one tetanus toxoid (TT) injection and iron folic acid tablets or syrup taken for 100 or more days
B. ** Based on the youngest child living with the mother
C. # Breastfed children receiving 4 or more food groups and a minimum meal frequency, non-breastfed children fed with a minimum of 3 Infant and Young Child Feeding Practices (fed with other milk or milk products at least twice a day, a
minimum meal frequency that is receiving solid or semi-solid food at least twice a day for breastfed infants 6-8 months and at least three times a day for breastfed children 9-23 months, and solid or semi-solid foods from at least four food groups
not including the milk or milk products food group)
D. ^ Below -2 standard deviations, based on the WHO standard. 13 Below -3 standard deviations, based on the WHO standard
ANNEXURE 3: District Wise Performance with Respect

Health Dossier 2021: Reflections on Key Health Indicators –Chandigarh | 15

NOTES
List of contributors

Maj Gen (Prof ) Dr. Atul Kotwal, Executive Director, NHSRC

Knowledge Management Division, NHSRC
Dr. Neha Dumka, Lead Consultant
Dr. Deepak Bhagat, Consultant
Dr. Erin Hannah, Fellow
Dr. Vineeta Sharma, Consultant
Dr. Padam Khanna, Senior Consultant
Mr. Arun Srivastava, Senior Consultant
Dr. Rajnesh Kumar, Consultant
Dr. Vineet Kumar Pathak, Senior Consultant
Dr. Devaki, Senior Consultant
Dr. Tarannum Ahmed, Consultant
Dr. Roopani, Consultant
Dr. Diksha Dhupar, Consultant