Outside the usual rangeMarch 2021Maternal and child
Bihar: C-section share of institutional deliveries in March 2021 was 22.8%, above the 3-year median of 2.8% for the same month (+20 points).
What happened
- March 2021
- 22.8%
- 3-year median
- 2.8%
- Change
- +20.0%
- Change, percentage points
- +20 pts
Why it matters
The value is judged against the median of the same period in up to five earlier years, using a robust measure of spread. A breach means this period sits well outside what those years would lead you to expect.
For C-section share of institutional deliveries, neither a rise nor a fall is better in itself, so the observatory marks this movement as unusual rather than good or bad.
Historical context
Same-period values: 2020 2.5%, 2019 2.8%, 2018 3.2%. This comparison involves the COVID-19 disruption period (March 2020 – June 2021), when service use and reporting fell sharply.
Full history of C-section share of institutional deliveries in Bihar
The underlying data
| Period | Value | Release | Where in the document |
|---|---|---|---|
| March 2021 | 22.8% | HMIS item-wise monthly report, All India across states, March 2021 (FY 2020-21, provisional) | 2020-2021(Data is Provisional)/A.MonthWise/L-Mar.xlsx: ('3.1' Total C -Section deliveries performed) / ('2.2' Number of Institutional Deliveries conducted (Including C-Sections)) × 100; column "Bihar", Total [(A+B) or (C+D)] |
| March 2020 | 2.5% | HMIS item-wise monthly report, All India across states, March 2020 (FY 2019-20, provisional) | 2019-2020.zip › 2019-2020/A.MonthWise/L - March.xls: ('3.1' Total C -Section deliveries performed) / ('2.2' Number of Institutional Deliveries conducted (Including C-Sections)) × 100; column "Bihar", Total [(A+B) or (C+D)] |
| March 2019 | 2.8% | HMIS item-wise monthly report, All India across states, March 2019 (FY 2018-19, provisional) | 2018-2019.zip › 2018-2019/A.MonthWise/L - March.xls: ('3.1' Total C -Section deliveries performed) / ('2.2' Number of Institutional Deliveries conducted (Including C-Sections)) × 100; column "Bihar", Total [(A+B) or (C+D)] |
| March 2018 | 3.2% | HMIS item-wise monthly report, All India across states, March 2018 (FY 2017-18, provisional) | 2017-2018.zip › 2017-2018/A.MonthWise/L - March.xls: ('3.1' Total C -Section deliveries performed) / ('2.2' Number of Institutional Deliveries conducted (Including C-Sections)) × 100; column "Bihar", Total [(A+B) or (C+D)] |
Source and method
More signals for C-section share of institutional deliveries in Bihar
- Bihar: C-section share of institutional deliveries in May 2021 was 4.3%, above the 4-year median of 2.7% for the same month (+1.6 points).
- Bihar: C-section share of institutional deliveries of 22.8% in March 2021 is the highest in the series, which begins April 2017.
- Bihar: C-section share of institutional deliveries rose to 22.8% in March 2021, against 2.5% a year earlier (+20.4 points).
- Bihar: C-section share of institutional deliveries of 1.7% in July 2020 is the lowest in the series, which begins April 2017.
- Bihar: C-section share of institutional deliveries of 2.1% in April 2020 is the lowest since October 2017.
- Bihar: C-section share of institutional deliveries in April 2020 was 2.1%, below the 3-year median of 2.6% for the same month (−0.5 points).
Cite this
According to the India Health Observatory, Bihar: C-section share of institutional deliveries in March 2021 was 22.8%, above the 3-year median of 2.8% for the same month (+20 points). Source: Health Management Information System, Ministry of Health and Family Welfare, HMIS item-wise monthly report, All India across states, March 2021 (FY 2020-21, provisional). https://indiahealthobservatory.com/signals/c-section-rate-institutional--bihar--2021-03--baseline_breach
See also Bihar and 22.8% in context.