Uttarakhand continues to perform well and Uttar Pradesh poorly on key health indicators as per the findings of the Annual Health Survey (AHS) conducted in 284 districts of nine States.

The nine States for which health indicators were released on Friday constitute 50 per cent of the country’s population.

While Shravasti district of Uttar Pradesh recorded the highest Infant Mortality Rate (IMR) – the number of deaths of children less than one year of age per 1000 live births – of 100, three districts of Almora, Pithoragarh and Rudraprayag in Uttarakhand recorded a comparatively low IMR of 20.

The AHS was conducted in the Empowered Action Group States of Bihar, Jharkhand, Uttar Pradesh, Uttarakhand, Madhya Pradesh, Chhattisgarh, Odisha and Rajasthan, besides Assam.

Uttarakhand also recorded the lowest Maternal Mortality Rate (MMR) (162) and Assam the highest of 347 among these States.

Garhwal HQ (155) in Uttarakhand had the lowest MMR and Faizabad Mandal (437) in Uttar Pradesh the highest MMR which is defined as the ratio of the number of maternal deaths per 100,000 live births.

As far as Sex Ratio at Birth (SBR) is concerned, Pithoragarh district in Uttarakhand recorded the lowest of 766 while Moradabad district of Uttar Pradesh recorded the highest of 1,050.

Among the States, Chhattisgarh recorded the highest SRB of 951 and Uttarakhand the lowest of 866. Assam recorded the highest rise in SRB.

Rudraprayag and Pithoragarh (12) in Uttarakhand had the lowest Neo-Natal Mortality Rate (NNMR) and Balangir district of Odisha had the highest of 72.

Pithoragarh district in Uttarakhand recorded the lowest Under Five Mortality Rate (U5MR) at 23 while Kandhamal district of Odisha had the highest of 142.

Funded by the Ministry of Health and Family Welfare and implemented by the Office of Registrar General, India, the AHS is conducted in all the 284 districts (as per 2001 Census) in eight Empowered Action Group States and Assam for a three-year period (a baseline survey followed by two updation surveys) spread over 2010-11 to 2012-13.

Bageshwar district in Uttarakhand had the lowest Crude Birth Rate (CBR) of 14.5 and Shravasti in Uttar Pradesh the highest of 40.2, while it declined in 261 (91.9 per cent) districts and remained same in 10 (3.5 per cent) districts as compared to the baseline.

As compared to the baseline, the IMR declined in 230 (81 per cent) districts and remained same in 30 (10.6 per cent) districts. A total of 248 (87.3 per cent) districts have an IMR of 45 or more.

For the Neo-Natal Mortality Rate (NNMR), it declined in 186 (65.5 per cent) districts and remained same in 55 (19.4 per cent) districts, while the U5MR declined in 249 (87.7 per cent) districts and remained same in 10 (3.5 per cent).

In the MMR, as compared to baseline, Rajasthan recorded the highest fall (67) while Jharkhand and Bihar recorded the lowest fall (11).

The nine States, which account for about 50 per cent of the total population, 60 per cent of births, and over 70 per cent of infant, under 5 and maternal mortality in the country, are high focus States in view of their relatively higher fertility and mortality rate.