Results of data analysis regarding performance of Bihar during the month of April to June 2020 as compared to previous year same month was compared for RCH services.
The immunisation services had been adversely affected during the months analysed as compared to previous year. It seems that not only newborn children but even the older ones have not been provided proper immunisation services as evident from the data analysis. See Table 3 - Comparison on immunisation coverage for 2019 & 2020 for the month of April to June – Bihar & Figure 1 - Comparison on immunisation coverage for 2019 & 2020 for the month of April to June - Bihar
For BCG immunisation there is a decrease of 21.7% as compared to previous year data. Since BCG is given at birth it seems that either less no. of children’s is born during this period or many have not received it.
For Penta3+DPT3 the decrease was 42.9%. For DT or DPT5 the decrease was 38.7%.
For Measles+MR the decrease was 25.7%. For OPV3 the decrease was 43.0 %.
For TT10 the decrease was 42.8%. For TT16 the decrease was 37.5%.
Only vitamin A which is given from 9 months of age has shown positive trends? Vitamin A 2nd to 9th dose starts from 16 months of age (one dose every 6 month).
Here it is important to mention that vitamins A as well as OPV both are administered orally. The only difference is that OPV3 is given at the age of 14 weeks whereas vitamin A is started from 9 month onwards. This shows that the coverage is more for children of 9 months and older whereas decrease in opv3 administration shows that coverage was less for child around 14 weeks of age.
The full scenario for immunisation is as follow: see Table 3 & Figure 1
Table 3 - Comparison on immunisation coverage for 2019 & 2020 for the month of April to June - Bihar
Immunisation
|
ITEM CODE
|
NUMBERS ACHIEVED DURING APRIL TO JUNE -2020
|
NUMBERS ACHIEVED DURING APRIL TO JUNE -2019
|
% INCREASE/DECREASE
IN 2020 COMPARED TO 2019
|
BCG-BACILLUS CALMETTE GUERIN
|
9.1.2
|
443332
|
566386
|
DECREASE 21.7 %
|
PENTA 3+DPT 3
|
9.1.5,9.1.8
|
421347
|
737502
|
DECREASE 42.9 %
|
DT (2ND DOSE) OR DPT-5
|
9.5.2
|
194835
|
317995
|
DECREASE 38.7 %
|
MEASLES + MR
|
9.2.1,9.2.2
|
501944
|
675741
|
DECREASE 25.7 %
|
POLIO (OPV 3)
|
9.1.12
|
417794
|
733533
|
DECREASE 43.0 %
|
TETANUS TOXOID (TT10)
|
9.5.3
|
93340
|
163212
|
DECREASE 42.8 %
|
TETANUS TOXOID (TT16)
|
9.5.4
|
159979
|
255933
|
DECREASE 37.5 %
|
VITAMIN A (1ST DOSE)
|
9.8.1
|
206952
|
81868
|
INCREASE 152.8 %
|
VITAMIN A (5TH DOSE)
|
9.8.2
|
78272
|
23320
|
INCREASE 235.6 %
|
VITAMIN A (9TH DOSE)
|
9.8.3
|
16624
|
4412
|
INCREASE 276.8 %
|
The ANC services and institutional deliveries are important to assess the status of maternal care.
Although home deliveries are reduced but at the same time the institutional deliveries also reduced which is a matter of great concern.
The scenario is as below:
See Table 4 - Comparison on maternal health coverage for 2019 & 2020 for the month of April to June – Bihar & Figure 2- Comparison on maternal health coverage for 2019 & 2020 for the month of April to June – Bihar
Table 4 - Comparison on maternal health coverage for 2019 & 2020 for the month of April to June - Bihar
MATERNAL HEALTH
|
ITEM CODE
|
NUMBERS ACHIEVED DURING APRIL TO JUNE -2020
|
NUMBERS ACHIEVED DURING APRIL TO JUNE -2019
|
% INCREASE/DECREASE
IN 2020 COMPARED TO 2019
|
ANC
|
1.1
|
736213
|
904002
|
Decrease 18.6
|
MATERNAL HEALTH- HOME DELIEVERIES
|
2.1.1.a,2.1.1.b
|
56628
|
81807
|
Decrease 30.8
|
MATERNAL HEALTH – INSTITUTIONAL DELIEVERIES
|
2.2
|
287251
|
354294
|
Decrease 18.9
|
Although there is a general trend of increase in all above indicators every year as the population of India is growing rapidly. The decrease of such important indicators clearly signifies that covid-19 pandemic have a negative impact on delivery of important health services such as maternal and child health
The role of family planning is very important in context of India. All important family planning programmes show a decrease from previous year timeline for the same months indicating that the population control strategy of India also suffered during this period. See Table 5 - Comparison on family planning coverage for 2019 & 2020 for the month of April to June – Bihar & Figure 3 - Comparison on family planning coverage for 2019 & 2020 for the month of April to June - Bihar
Table 5 - Comparison on family planning coverage for 2019 & 2020 for the month of April to June - Bihar
Family Planning
|
ITEM CODE
|
NUMBERS ACHIEVED DURING APRIL TO JUNE -2020
|
NUMBERS ACHIEVED DURING APRIL TO JUNE -2019
|
% INCREASE/DECREASE
IN 2020 COMPARED TO 2019
|
Condom user
|
8.13
|
96941
|
117339
|
Decrease 17.4
|
Oral Pill user
|
8.12, 8.14
|
64691
|
75229
|
Decrease 14.0
|
IUD insertion
|
8.3,8.4,8.5
|
46630
|
83619
|
Decrease 44.2
|
Sterilisation
|
8.2.1,8.2.2,
8.2.3,8.2.4,8.1.1
|
3862
|
37434
|
Decrease 89.7
|
Tubectomy
|
8.2.1,8.2.2,
8.2.3,8.2.4,
|
3832
|
37063
|
Decrease 89.7
|
Vasectomy
|
8.1.1
|
30
|
371
|
Decrease 91.9
|