Table 2. Stillbirth rates from the fifth national family health survey 2016–2021, and average stillbirth rates from the sample registration system over 2016–2020, India.
| State | National family health survey |
Sample registration system |
|
Difference in stillbirth rates |
||||
|---|---|---|---|---|---|---|---|---|
| Stillbirth rate per 1000 births (95% CI) |
% change in stillbirth rate after adjustment | Average annual stillbirth rate per 1000 birthsb | Ratio of national family health survey direct estimate to sample registration system value | Ratio of national family health survey adjusted estimate to sample registration system value | ||||
| Direct estimatea | Adjusted estimatea | |||||||
| All States | 9.7 (9.2–10.1) | 11.2 (10.8–11.7) | 15 | 3.8 | 2.6 | 2.9 | ||
| Andhra Pradesh | 5.9 (3.3–10.3) | 11.2 (7.4–16.8) | 90 | 2.2 | 2.7 | 5.1 | ||
| Arunachal Pradesh | 5.5 (3.9–8.0) | 5.9 (4.2–8.4) | 7 | NA | NA | NA | ||
| Assam | 9.2 (7.3–11.6) | 10.1 (8.1–12.6) | 10 | 2.2 | 4.2 | 4.6 | ||
| Bihar | 13.0 (11.4–14.9) | 13.9 (12.2–15.9) | 7 | 1.8 | 7.2 | 7.7 | ||
| Chhattisgarh | 10.8 (8.8–13.3) | 14.8 (12.4–17.6) | 37 | 9.4 | 1.1 | 1.6 | ||
| Delhi | 9.4 (6.4–13.9) | 12.4 (8.8–17.4) | 32 | 3.0 | 3.1 | 4.1 | ||
| Goa | 0.0 | 0.0 | NA | NA | NA | NA | ||
| Gujarat | 6.3 (4.7–8.4) | 7.0 (5.3–9.2) | 11 | 4.4 | 1.4 | 1.6 | ||
| Haryana | 11.6 (9.3–14.5) | 13.5 (11.0–16.5) | 16 | 6.4 | 1.8 | 2.1 | ||
| Himachal Pradesh | 3.2 (1.4–7.0) | 4.7 (2.5–9.1) | 47 | 10.6 | 0.3 | 0.4 | ||
| Jammu and Kashmirc | 10.7 (8.1–14.0) | 9.9 (7.4–13.1) | −7 | 1.6 | 6.7 | 6.2 | ||
| Jharkhand | 12.5 (10.4–14.9) | 15.3 (13.1–17.9) | 22 | 1.3 | 9.6 | 11.8 | ||
| Karnataka | 6.3 (4.6–8.6) | 7.9 (6.0–10.4) | 25 | 5.0 | 1.3 | 1.6 | ||
| Kerala | 1.5 (0.5–4.7) | 3.5 (1.7–7.4) | 133 | 5.0 | 0.3 | 0.7 | ||
| Madhya Pradesh | 8.5 (7.2–10.1) | 10.7 (9.2–12.4) | 26 | 6.0 | 1.4 | 1.8 | ||
| Maharashtra | 6.3 (4.7–8.5) | 9.8 (7.7–12.4) | 56 | 4.0 | 1.6 | 2.5 | ||
| Manipur | 7.3 (4.5–11.6) | 9.8 (6.5–14.7) | 34 | NA | NA | NA | ||
| Meghalaya | 10.5 (8.0–13.8) | 8.9 (6.6–11.9) | −15 | NA | NA | NA | ||
| Mizoram | 1.7 (0.6–5.3) | 4.6 (2.3–9.2) | 171 | NA | NA | NA | ||
| Nagaland | 4.9 (2.7–8.9) | 5.8 (3.4–10.0) | 18 | NA | NA | NA | ||
| Odisha | 13.7 (11.4–16.4) | 15.3 (12.9–18.2) | 12 | 10.6 | 1.3 | 1.4 | ||
| Punjab | 6.7 (4.8–9.3) | 8.8 (6.6–11.7) | 31 | 4.4 | 1.5 | 2.0 | ||
| Rajasthan | 8.3 (6.9–10.1) | 7.7 (6.3–9.4) | −7 | 4.8 | 1.7 | 1.6 | ||
| Sikkim | 2.1 (0.3–14.8) | 10.4 (4.3–24.9) | 395 | NA | NA | NA | ||
| Tamil Nadu | 5.8 (4.2–8.0) | 6.8 (5.0–9.1) | 17 | 3.2 | 1.8 | 2.1 | ||
| Telangana | 7.8 (5.7–10.5) | 9.4 (7.2–12.4) | 21 | 1.2 | 6.5 | 7.8 | ||
| Tripura | 13.9 (9.1–21.3) | 13.9 (9.1–21.3) | 0 | NA | NA | NA | ||
| Uttar Pradesh | 12.4 (11.3–13.7) | 13.9 (12.7–15.2) | 12 | 3.0 | 4.1 | 4.6 | ||
| Uttarakhand | 12.6 (9.4–16.8) | 14.5 (11.1–19.0) | 15 | 7.4 | 1.7 | 2.0 | ||
| West Bengal | 9.7 (7.1–13.1) | 14.4 (11.2–18.5) | 48 | 4.4 | 2.2 | 3.3 | ||
CI: confidence interval; NA: not available.
a We estimated the stillbirth rate from responses to questions in the women’s data set of the national family health survey for the years 2016–2021. We report the direct estimates of stillbirths and the estimates when stillbirths were adjusted based on the gestation period.
b We calculated the 5-year average stillbirth rate from the rates reported in the annual sample registration system reports, 2016–2020.
c Ladakh is included with Jammu and Kashmir.
Sources: We obtained the sample registration system data from the reports available from the Office of the Registrar General & Census Commissioner India27 and the national family health survey data from the Demographic and Health Surveys website.28 The sample registration system does not provide confidence interval around the point estimates. The numbers of births, stillbirths and neonatal deaths were not reported in the sample registration system reports.