−0.1 ptsDeteriorating
2023–24Change on previous periodKerala
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Maternal and childMulti-yearNational Family Health Survey
Percentage of live births in the 5 years before the survey that took place in a health facility (public or private).
−0.1% (−0.1%) from 99.8% in 2019–21. A move in the worse direction.
Provisional figure
| Period | Kerala | India | Status | Where in the document |
|---|---|---|---|---|
| 2023–24 | 99.7% | 90.6% | Provisional | NFHS-6 State/UT fact sheets, PDF p.75, "Kerala - Key Indicators", indicator 35 "Institutional births (%)", column NFHS-6 (2023-24) Total |
| 2019–21 | 99.8% | 88.6% | Reported | NFHS-6 State/UT fact sheets, PDF p.75, "Kerala - Key Indicators", indicator 35 "Institutional births (%)", column NFHS-5 (2019-21) Total; the publisher's restatement of NFHS-5 printed on the NFHS-6 sheet |
Percentage of live births in the 5 years before the survey that took place in a health facility (public or private).
The National Family Health Survey (NFHS) is a household sample survey run by the International Institute for Population Sciences (IIPS), Mumbai, for the Ministry of Health and Family Welfare. NFHS-6 interviewed 679,238 households, 716,397 women and 100,977 men in two fieldwork phases (28 May 2023 – 26 Feb 2024 and 7 Feb 2024 – 31 Dec 2024), using a two-stage sample designed for national, State/UT and district estimates, with height, weight, blood pressure and random blood glucose measured by trained health investigators. Every value is a weighted survey estimate, a percentage of the stated population group, not a count of services. NFHS-6 indicator 35, 'Institutional births (%)', in the section 'Delivery Care (for births in the 5 years before the survey)'. Reported by the mother. Source: NFHS-6 fact sheet compendium, '<Place> - Key Indicators', indicator 35: the 'NFHS-6 (2023-24) Total' column for the 2023-2024 value and the 'NFHS-5 (2019-21) Total' column for the 2019-2021 value. The NFHS-5 figure is the publisher's own restatement printed on the NFHS-6 sheet (the original NFHS-5 State fact sheets are now behind a login on nfhsiips.in), and is cited as such. IHO stores totals only; the urban and rural NFHS-6 columns are not stored. Periods are stored as the national fieldwork windows: 2023-2024 (1 May 2023 – 31 Dec 2024) and 2019-2021 (17 Jun 2019 – 30 Apr 2021). Each State/UT was surveyed over a shorter stretch inside the NFHS-6 window (Appendix 2 of the compendium gives the dates; Kerala, for example, 4 Jul – 23 Dec 2023).
Covers births over the five years before the interview, so it describes roughly 2018–2024 for NFHS-6 and 2014–2021 for NFHS-5, not the survey year alone. A survey estimate carries sampling error: IIPS publishes relative standard errors for India only (Appendix 1), so small differences between States, or between rounds for a small State or UT, may not be real. The NFHS-6 fact sheets are provisional ('The results presented in the NFHS-6 Fact Sheets are provisional'); IIPS's final reports may revise them, and IHO records any change as a revision. Values the fact sheet prints in brackets rest on 25–49 unweighted cases and are stored as low-sample (shown with a warning, never scored); values it suppresses with '*' (fewer than 25 cases) are not stored. Manipur was not surveyed in NFHS-6, so it has no 2023-2024 value, and IHO does not carry its NFHS-5 value forward.
No value in this series has been revised since the observatory first archived it.
India Health Observatory (2026). Institutional births, Kerala, 2019–21 to 2023–24 [dataset]. Original data: International Institute for Population Sciences (IIPS), Mumbai, for the Ministry of Health and Family Welfare, National Family Health Survey. https://indiahealthobservatory.com/india/kerala/institutional-births
<iframe src="https://indiahealthobservatory.com/embed/kerala/institutional-births" title="Institutional births, Kerala (India Health Observatory)" width="100%" height="440" style="border:0;max-width:760px" loading="lazy"></iframe>
2 periods. Values exactly as published; nothing interpolated.
Not the same measure as HMIS 'institutional delivery share', which divides facility-reported deliveries by reported deliveries. NFHS-6 prints its NFHS-5 value against the same indicator wording and footnotes, and the wording of this indicator did not change between the rounds. One design change affects every indicator: NFHS-6 selected urban first-stage units from the Urban Frame Survey blocks (2012-17) instead of Census enumeration blocks. Geography is the post-2020 map in both rounds (Jammu & Kashmir and Ladakh separate; Dadra & Nagar Haveli and Daman & Diu merged). Not comparable with HMIS figures for similarly named services, which count facility reports rather than surveying households.
How signals are computed from this series: methodology.