Lok Sabha Question No. 2887 (UNSTARRED), answered on 2016-12-02
Subject: National Family Health Survey
Ministry: HEALTH AND FAMILY WELFARE
Asked by: JYOTIRADITYA MADHAVRAO SCINDIA, KAMAL NATH

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2887 TO BE ANSWERED ON 2 ND DECEMBER, 2016

## NATIONAL FAMILY HEAL TH SURVEY

## 2887. SHRI JYOTIRADITYA M. SCINDIA: SHRI KAMAL NATH:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the National Family Health Survey report released earlier this year has indicated that population in many districts in Madhya Pradesh are facing malnutrition;

(b) if so, the number of persons lost their lives due to malnutrition in various dist ct  of Madhya Pradesh in the last two years, district - wise and year - wise;

(c)  whether  the  failure  of  the  State Government  in  addressing  malnutrition deaths  is  a  matter of serious concern; and

(d) if so, the details of instructions issued by the Union Government to the State Government to check  malnutrition deaths  and  the  extent  to  which  the  State Government  has  implemented  these instructions?

## ANSWER THE MINISTER OF STA TE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

(a) & (b): As  per  the      factsheets  of  National  Family  Health  Survey  (NFHS) -4  (2015 - 16) released by the Ministry, Madhya Pradesh has shown an improvement in the nutrition situat since NFHS - 3 (2005 - 06) as children under 5 years who are  stunted, wasted and  underweight hav down from 50% to 42%, 35% to 25.8% and  60% to 42.8% respectively. A statement contai district wise estimates of nutrition indicators for children unde r 5 from NFHS - 4 is annexed. NFHS has  not  collected  the  information  on  deaths  due  to  malnutrition.    Malnutrition  is  a multidimensional & multi - sectoral  problem.      It  is  not  a  direct  cause  of  death  but  it  ca morbidity  and  mortality  by reducing  resistance  to  infections.    Data  on  number  of  deaths  d malnutrition is not maintained centrally.

(c) & (d): The various measures are taken by this Ministry to improve the nutritional vulnerable population in the country including M adhya Pradesh. These include:

Under National Health Mission (NHM), various interventions are implemented to imp the health of mother and children which have implication on nutritional status of children

- Promotion  of  appropriate infant  and  young  child  feeding  practices (IYCF) that  inclu initiation of  breastfeeding  and  exclusive  breastfeeding  till 6  months  of age  du Health  and  Nutrition  Days  and  household  visits  for  counseling  by  Accredited  So cial  Health Activists.
- Treatment of children with severe acute malnutrition at Nutrition Rehabilitation Centre
- Specific program to prevent and combat micronutrient deficiencies of Vitamin A and Iron Acid.  Vitamin A supplementation is provide d for children till the age of 5 years.  Under Nat Iron plus initiative, bi - weekly Iron & Folic Acid supplementation is provided to children 6 months.
- Management of under - nutrition and common neonatal and childhood illnesses at community f acility level by training service providers in Integrated Management of Neonatal and Illnesses.
- National  Iodine  Deficiency  Disorders  Control  Programme  for  promotion  of  adequately  i salt consumption at household level.
2.    Nutrition Ed ucation to increase the awareness and bring about desired changes in the practices including the promotion of breast feeding and dietary diversification is bein under both Integrated Child Development Services Scheme (ICDS) of Ministry of Women and Child Development and NHM under this Ministry.
3.     The  National Food Security ACT, 2013 aims to provide for food and nutritional human life cycle approach,  by ensuring access to adequate quantity of quality food at prices to people to live a life with dignity.
4.  Other  schemes  under  different  Ministries  of  Government  of  India,  targeting  improve nutritional status are as under: -
- Integrated Child Development Services Schemes (ICDS).
- Rajiv Gandhi Scheme for Empowerment of Adolescent Girls [RGSEAG] -(SABLA).
- Indira Gandhi Matritva Sahyog Yojana (IGMSY).
- National Programme of Nutritional Support to Primary Education (Mid Day Meal Programme).
- Improving  the  purchasing  power  of  the  people  through  various  income generating  schemes including Mahatma Gandhi National Rural Employment Guarantee Scheme.
- National Rural Drinking Water Programme.

Malnutrition among children under age5 in the districts of Madhya Pradesh, NFHS - 4 (2015 - 16)

| Districts             |   Children under 5 years who are stunted (height - for - age) (%) |   Children under years who are wasted (weight - for - height) (%) |   Children under 5 who are underweight (weight - for - age) (%) |
|-----------------------|-------------------------------------------------------------------|-------------------------------------------------------------------|-----------------------------------------------------------------|
| Sheopur               |                                                              52.1 |                                                              28.1 |                                                            55   |
| Morena                |                                                              47.7 |                                                              29.5 |                                                            52.2 |
| Bhind                 |                                                              47.6 |                                                              30.6 |                                                            49.8 |
| Gwalior               |                                                              42.8 |                                                              28   |                                                            48.5 |
| Datia                 |                                                              48.9 |                                                              26.2 |                                                            46.9 |
| Shivpuri              |                                                              48.6 |                                                              25.8 |                                                            49.6 |
| Tikamgarh             |                                                              49.7 |                                                              19.2 |                                                            43.3 |
| Chhatarpur            |                                                              42.7 |                                                              18.9 |                                                            41.3 |
| Panna                 |                                                              42.3 |                                                              24   |                                                            40.8 |
| Sagar                 |                                                              41   |                                                              16.9 |                                                            30.5 |
| Damoh                 |                                                              43.2 |                                                              21   |                                                            38   |
| Satna                 |                                                              41.2 |                                                              26.6 |                                                            39.6 |
| Rewa                  |                                                              40.4 |                                                              18   |                                                            36.2 |
| Umaria                |                                                              41.1 |                                                              27.4 |                                                            46.6 |
| Neemuch               |                                                              36.3 |                                                              24.6 |                                                            39.2 |
| Mandsaur              |                                                              34   |                                                              21.9 |                                                            31.2 |
| Ratlam                |                                                              46.1 |                                                              21.7 |                                                            41.9 |
| Ujjain                |                                                              35.8 |                                                              19.2 |                                                            31.3 |
| Shajapur              |                                                              48.1 |                                                              30   |                                                            48.6 |
| Dewas                 |                                                              42   |                                                              25.7 |                                                            44.7 |
| Dhar                  |                                                              42.6 |                                                              31.4 |                                                            47.9 |
| Indore                |                                                              39.2 |                                                              17.8 |                                                            30.6 |
| Khargone (West Nimar) |                                                              48.3 |                                                              21.2 |                                                            44.7 |
| Barwani               |                                                              52   |                                                              28.3 |                                                            55   |
| Rajgarh               |                                                              38.8 |                                                              32.1 |                                                            46.8 |
| Vidisha               |                                                              41.1 |                                                              21.4 |                                                            40.4 |
| Bhopal                |                                                              47.6 |                                                              21   |                                                            39.5 |
| Sehore                |                                                              33.6 |                                                              27   |                                                            39.9 |
| Raisen                |                                                              45.8 |                                                              24.9 |                                                            44.4 |
| Betul                 |                                                              34.7 |                                                              34.1 |                                                            45   |
| Harda                 |                                                              39.7 |                                                              25.2 |                                                            40.6 |
| Hoshangabad           |                                                              37.2 |                                                              29.6 |                                                            40.7 |
| Katni                 |                                                              45.5 |                                                              23.8 |                                                            43.1 |
| Jabalpur              |                                                              36.2 |                                                              30.7 |                                                            42.7 |
| Narsimhapur           |                                                              37.9 |                                                              21.9 |                                                            35.3 |
| Dindori               |                                                              45.8 |                                                              27.4 |                                                            46.6 |
| Mandla                |                                                              36.9 |                                                              33.5 |                                                            49.8 |
| Chhindwara            |                                                              33.6 |                                                              30.5 |                                                            41.4 |
| Seoni                 |                                                              34.7 |                                                              32.4 |                                                            43.8 |
| Balaghat              |                                                              32.1 |                                                              32.4 |                                                            41.5 |

| Districts            |   Children under 5 years who are stunted (height - for - age) (%) |   Children under years who are wasted (weight - for - height) (%) |   Children under 5 who are underweight (weight - for - age) (%) |
|----------------------|-------------------------------------------------------------------|-------------------------------------------------------------------|-----------------------------------------------------------------|
| Guna                 |                                                              43.4 |                                                              33   |                                                            51.2 |
| Ashoknagar           |                                                              42.5 |                                                              31.2 |                                                            46.3 |
| Shahdol              |                                                              36.7 |                                                              27.8 |                                                            41.2 |
| Anuppur              |                                                              33.5 |                                                              30   |                                                            40   |
| Sidhi                |                                                              48.7 |                                                              24.9 |                                                            43.9 |
| Singrauli            |                                                              33   |                                                              34   |                                                            37.5 |
| Jhabua               |                                                              45.6 |                                                              24.4 |                                                            43.6 |
| Alirajpur            |                                                              48.6 |                                                              32.9 |                                                            52.4 |
| Khandwa (East Nimar) |                                                              43.6 |                                                              21.5 |                                                            46.8 |
| Burhanpur            |                                                              50   |                                                              20.1 |                                                            46.1 |