Bihar Health and Education Bihar has a lot of ground to cover in improving health and education outcomes. The state has one of the highest incidence of malnutrition in the country. Infant mortality is declining, but is still high. Open defecation is widely practiced, even among the rich. Most adults have only a few years of schooling. Learning outcomes are low and show a declining trend over the years. On a positive note, there are gains in schooling for the young. Enrollment in public schools remains high. Infant mortality rate is declining in Bihar Infant mortality rate Number of infant deaths per 1,000 live births 70 62 60 60 50 45 42 42 40 33 30 20 10 0 ■ 2006 ■ 2013 Total Rural Urban Infant mortality rate for Bihar is close to the national average Infant mortality rate, 2013 Number of infant deaths per 1,000 live births 60 80 54 54 50 51 50 60 47 47 46 41 42 40 39 40 40 37 37 35 35 36 20 31 31 32 32 30 26 26 24 0 24 21 22 Total Rural Urban 20 18 12 9 10 10 0 GA MN KL NL TN SK MH DL PJ TR KA WB AR UK HP MZ GJ JK JH AP AI HR BH CG MG RJ UP OD AS MP Low Income States are highlighted in orange, AI is All India. 1 May 20, 2016 Bihar Health and Education Malnutrition in Bihar is amongst the highest in the country Stunting in children <5 years, 2014 (%) 49 50 50 47 43 43 41 42 42 40 39 37 38 35 35 35 36 34 34 34 33 31 31 32 30 29 29 27 28 28 23 21 20 19 10 0 KL GA TN MZ SK AR DL NL PJ TR JK MN UK HP KA WB AP MH RJ HR OD AI AS MP GJ MG CG JH BH UP Low Income States are highlighted in orange, AI is All India. Malnutrition is high across most income groups in Bihar Stunting in children <5 years, 2006 (%) 70 63 60 59 60 56 56 54 48 49 50 41 41 40 30 25 24 20 10 0 All Quintile 1 Quintile 2 Quintile 3 Quintile 4 Quintile 5 ■ Bihar ■ All India Latest stunting data by wealth class available for 2006. 2 May 20, 2016 Bihar Health and Education Open defecation in Bihar is higher than in most states Households practicing open defecation, 2012 (%) 100 80 73 74 68 68 61 61 60 58 44 45 42 40 39 34 35 35 30 22 20 16 16 16 17 12 7 2 4 0 0 0 0 1 1 0 NL DL SK MZ MN TR KL MG GA AS AR PJ UK HR HP WB MH GJ JK AP TN AI KA RJ MP UP BH CG OD JH Low Income States are highlighted in orange, AI is All India. Open defecation is high across all income groups in Bihar Households practicing open defecation, 2012(%) 100 32 19 18 30 33 51 80 82 81 68 70 60 67 49 40 20 0 All Quintile 1 Quintile 2 Quintile 3 Quintile 4 Quintile 5 ■ Access and use of latrine ■ Open defecation 3 May 20, 2016 Bihar Health and Education Bihar has one of the lowest rates of secondary school completion among adults Secondary education attainment, 2012 (% adults) 70 62 60 58 52 50 47 48 43 43 43 40 41 40 38 39 34 34 32 32 32 32 30 30 27 28 25 25 25 26 26 24 24 21 20 18 10 0 TR OD CG BH WB RJ SK MP AS UP JH MZ GJ AR MG AI AP JK UK TN KA PJ MH KL HR HP MN NL GA DL Low Income States are highlighted in orange, AI is All India. There are gains in schooling for the young in Bihar Education attainment, (% age 18-30) Enrollment by age cohort, (%) 50 50 46 21-23 9 21 +12 40 40 33 18-20 21 37 +16 31 30 30 15-17 53 72 +19 23 Age 22 20 20 20 12-14 73 84 +11 12 13 9-11 74 89 +15 10 10 6-8 61 79 +18 00 Illiterate Illiterate Literate Literate or or Middle Middle Secondary Secondary 100 100 80 80 60 60 40 40 20 20 00 20 20 40 40 60 60 80 80 100 100 primary primary completed school completed school and and above above completed completed ■ 2005 ■ 2012 4 May 20, 2016 Bihar Health and Education Public school enrollment in Bihar is amongst the highest in the country Enrollment in public educational institutes, 2012 (%) 100% 80% 60% 40% 20% 0% TR BH AR AS OD WB CG JH MZ SK HP MP GJ JK UK AI DL KA MG TN RJ MH HR AP UP NL PJ MN KL GA ■ All education levels ● Elementary ● Secondary and above Low Income States are highlighted in orange, AI is All India. Enrollment in public schools has increased marginally for most income groups in Bihar Enrollment in public educational institutes, 2012 (%) 100 98 97 97 94 94 93 93 88 89 88 85 81 80 60 40 20 0 All Quintile 1 Quintile 2 Quintile 3 Quintile 4 Quintile 5 ■ 2005 ■ 2012 5 May 20, 2016 Bihar Health and Education Learning outcomes in Bihar are close to the national average Children in Std V who can read Std II level text*, 2014 (%) 80 75 70 67 67 67 68 60 60 58 56 53 54 52 52 52 50 47 47 47 47 48 48 45 46 43 44 42 40 39 33 34 34 30 20 10 0 AS MP JH JK NL SK AR UP TR GJ RJ TN KA AI BH OD MZ CG WB MH AP MG UK KL MN PJ HR HP Low Income States are highlighted in orange, AI is All India. Learning outcomes in Bihar are low and have declined Children in Std V who can read Std II level text*, (%) 100 80 60 40 20 ■ Bihar ■ All India 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 *Data on learning outcomes available for rural areas only. 6 May 20, 2016