Srinagar, Jun 11: The newly-released National Family Health Survey (NFHS-6) places J&K among the highest C-section states and Union Territores in India. At the same time, data from National Sample Survey indicates that childbirth continues to impose significant out-of-pocket costs on families. The cost of cesarean section deliveries is more than just financial. J&K has one of the highest institutional delivery rates in India.