District Level Household Survey on Reproductive and Child Health Project

CSES was the regional agency for the District Level Household Survey on Reproductive and Child Health Project in Kerala and Lakshadweep. The Survey was sponsored by the Ministry of Health and Family Welfare, Government of India and had the International Institute for Population Sciences (IIPS), Mumbai as the nodal agency.  Three rounds of DLHS was conducted by CSES (The survey was conducted in Mahe District of Pondicherry in 2 rounds). The survey was an extensive exercise which involved the administration of multiple research instruments across various categories of respondents and institutions across the state. The team comprised of nearly 120 investigators and around 20 supervisors, around 60 mappers/listers and 20 data entry operators.

The first round of the DLHS was conducted by CSES in Kerala, U.T of Lakshadweep and the Mahe District of Pondicherry in 1998 and 1999, in two phases.  The survey covered around 1000 households in each district and all eligible women (15-44 years) were interviewed; totaling 14396 households in Kerala and 1095 households in Lakshadweep. In this round, two questionnaires were administered, one for the household and one for eligible women. The focus of the survey was on the coverage of Ante Natal Care (ANC) and immunization services, the extent of safe deliveries, the contraceptive prevalence and unmet need for family planning, the awareness about RTI/ STI and HIV /AIDS and the utilization of government health services.

The second round of the DLHS was conducted by CSES in Kerala, U.T of Lakshadweep and the Mahe District of Pondicherry in two phases.  The first phase was conducted in 2002 and the second phase in 2004. The two phases covered around 17600 households in Kerala, Lakshadweep and Mahe.  The second round involved the administration of three more new questionnaires apart from the household and women’s questionnaires; namely, Husband’s questionnaire, Village questionnaire and Health questionnaire. The survey also involved anthropometric measurements of weights of children as well testing for anemia for women and adolescent girls. The second round also consisted of a Facility Survey, in which the available facilities in selected health facilities across the states were assessed. The facility survey was conducted in around 360 health facilities in the state, comprising of district hospitals, CHCs, FRUs, PHCs, sub centres, ISM&H hospitals and dispensaries.

The third round of the DLHS was conducted in 2007-08.  The survey covered a total of 14711 households in Kerala and another 1,350 in Lakshadweep. DLHS-3 was carried out using a set eight survey instruments. The data from the households were collected using household, ever married woman, unmarried woman and village questionnaires. Sub Centre, Primary Health Centre (PHC), Community Health Centre (CHC) and District Hospital (DH) questionnaires were used to conduct the facility survey.  Separate Fact Sheets were prepared for each district of Kerala and the U.T. of Lakshadweep.

The state report of DLHS 3 is available at http://rchiips.org/pdf/rch3/report/KL.pdf