Background: National Family Health Survey (NFHS) is a large-scale survey conducted in India to provide high quality data on health and related issues. Studying the time trend for anemia prevalence and other related parameters reported in NFHS surveys helps how well India has performed until now and to assess the trend of anemia prevalence in Himachal Pradesh over last 15 years among children under 5 years and women of reproductive age group reported in NFHS 3, NFHS 4 & NFHS 5 fact sheets. Materials and Methods: Secondary data from previous 15 years report of NFHS were studied thoroughly and data on prevalence of anemia among age group (6-59 months and 15-49 years’ females) were analyzed. Comparison of prevalence of anemia in India and Himachal Pradesh (H.P). Further districts of HP were compared to check intra-district discrepancies. Results: Prevalence of anemia in India has increased in all age groups but maximum of 9% was among children under 5 years in last 5 years. Whereas in Himachal Pradesh the prevalence has overall decreased except in children under 5 years, an increase of 2% was seen. Among 12 districts Kinnaur has performed better (decrease of 30%). Conclusion: Ever since the inception of anemia monitoring in NFHS, a declining trend was observed for all groups in the successive surveys up to NFHS 4, but a rise was observed in NFHS-5 for all but most prominent in under 5 children. Therefore, more efforts and dedicated work need to be done to improve the status of anemia.

Anti tubercular, Optic disc, Fundus, Temporal pallor, Toxic optic neuropathy.