Lok Sabha Question No. 2870 (UNSTARRED), answered on 2016-12-02
Subject: Malnutrition
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SUSHMITA DEV, VIRENDRA  KUMAR, SAKSHI SWAMI MAHARAJ, KAUSHALENDRA KUMAR

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

## LOK SABHA UNSTARRED QUESTION NO. 2870 TO BE ANSWERED ON 2 ND DECEMBER, 2016

## MALNUTRITION

## 2870. KUMARI SUSHMITA DEV: DR. VIRENDRA KUMAR: DR. SWAMI SAKSHIJI MAHARAJ: SHRI KAUSHALENDRA KUMAR:

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

- (a) whether the National Rural Health Mission (NRHM) is not running satisfactorily in many States and if so, the details thereof;
- (b) the amount of funds disbursed by the Centre to States including Bihar under NRHM during the last three years;
- (c) the works where these funds have been utilised in the State of Bihar;
- (d) whether the Government is aware that the condition of Health Centres have dilapidated in Rural areas of Bihar and if so, the details thereof along with the action proposed to be taken by the Government;
- (e)  whether  the  Government  proposes to  implement  the  scheme  for  health checking  for  the children being admitted in schoolas a large number of children and youths die due to long delay in the treatment of the disease afflicting them and if so, the details thereof; and
- (f) whether the Government is considering to formulate this scheme under the NRHM and if so, the reasons th erefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

- (a): The National Rural Health Mission (NRHM) goals of 11 th Plan were not met in many States. However, NHM has been successful in accelerating the decline of Maternal Mortality Ratio (MMR), Under 5 Mortality Rate (U5MR), Infant Mortality Rate (IMR) and Total Fertil Rate (TFR) . It has also achieved most of the disease control targets.
- (b): Funds released by the Centre to States /UTs including Bihar under N HM during the last three years are at Annexure.
- (c): NHM funds have been utilized by the State of Bihar towards the various activities under NHM  as  mentioned  in  the  Record  of  Proceeding  (ROP)  which  may  be  seen  at  the  URL: http://nhm.gov.i n/nrhm- in - state/state - program- implementation - plans - pips/bihar.html
- (d): Public health being a State subject, no data is maintained centrally about the qu health centre buildings. Support under the NHM is provided for new construction and renovation of health centres.
- (e) & (f): Under  National  Health  Mission,  the  Government  of  India  is  implementing Rashtriya Bal Swasthya Karyakram (RBSK) since 2013, for screening of all the children fro -18  years of  age  including  school  children  for  4  D's  i.e.  Defects,  Deficiencies,  Diseases,  and Development delays including disability.

The  aim  of  the  programme  is  early  detection  and  management  of  the  4Ds  prevalen among children. Children identified with these co nditions are provided free treatment including surgery.

Under this initiative, the children in the age group of 6 - 18 years enrolled in Government and Government aided schools, are screened atleast once in a year by dedicated Mobile H Teams .

At prese nt 32 States/UTs of the country are implementing this initiative.

## State-wise Releases under NHM from the F.Y. 2013-14 to 2015-16

Rs. in crore

| Sl. No.   | States                    | 2013-14   | 2014-15   | 2015-16   |
|-----------|---------------------------|-----------|-----------|-----------|
| Sl. No.   |                           | Releases  | Releases  | Releases  |
| 1         | Andaman & Nicobar Islands | 29.06     | 23.36     | 37.30     |
| 2         | Andhra Pradesh            | 878.73    | 519.73    | 643.52    |
| 3         | Arunachal Pradesh         | 78.60     | 139.41    | 162.65    |
| 4         | Assam                     | 1077.81   | 877.13    | 971.35    |
| 5         | Bihar                     | 1110.32   | 1148.32   | 1159.49   |
| 6         | Chandigarh                | 11.46     | 12.15     | 23.89     |
| 7         | Chhattisgarh              | 355.98    | 500.41    | 412.26    |
| 8         | Dadra &Nagar Haveli       | 9.23      | 8.40      | 14.37     |
| 9         | Daman &Diu                | 6.50      | 6.91      | 10.53     |
| 10        | Delhi                     | 129.78    | 154.04    | 163.80    |
| 11        | Goa                       | 19.35     | 26.03     | 16.77     |
| 12        | Gujarat                   | 833.72    | 832.86    | 693.78    |
| 13        | Haryana                   | 315.94    | 273.60    | 291.96    |
| 14        | Himachal Pradesh          | 205.29    | 185.84    | 246.49    |
| 15        | Jammu &Kashmir            | 395.10    | 335.51    | 367.90    |
| 16        | Jharkhand                 | 396.38    | 359.62    | 411.50    |
| 17        | Karnataka                 | 611.11    | 697.24    | 740.45    |
| 18        | Kerala                    | 360.98    | 521.99    | 304.14    |
| 19        | Lakshadweep               | 3.20      | 5.08      | 5.69      |
| 20        | Madhya Pradesh            | 865.94    | 1162.50   | 1132.19   |
| 21        | Maharashtra               | 1218.51   | 1431.76   | 1085.92   |
| 22        | Manipur                   | 88.93     | 128.81    | 112.16    |
| 23        | Meghalaya                 | 125.51    | 104.13    | 102.22    |
| 24        | Mizoram                   | 77.43     | 103.28    | 94.68     |
| 25        | Nagaland                  | 99.73     | 114.92    | 104.85    |
| 26        | Orissa                    | 604.20    | 667.16    | 652.62    |
| 27        | Puducherry                | 18.10     | 22.56     | 18.61     |
| 28        | Punjab                    | 333.47    | 379.35    | 295.23    |
| 29        | Rajasthan                 | 922.93    | 1115.96   | 1287.84   |
| 30        | Sikkim                    | 45.91     | 51.60     | 41.01     |
| 31        | Tamil Nadu                | 906.24    | 952.75    | 1093.22   |
| 32        | Tripura                   | 140.15    | 123.11    | 136.29    |
| 33        | Uttar Pradesh             | 3024.60   | 2431.06   | 2862.83   |
| 34        | Uttarakhand               | 245.25    | 270.55    | 276.41    |
| 35        | West Bengal               | 948.51    | 1058.62   | 959.51    |
| 36        | Telangana                 | 0.00      | 378.72    | 436.63    |
| Total     | Total                     | 16493.93  | 17124.48  | 17370.07  |

Note:

1. The above  Releases relate to Central Govt. Grants & do not include state share contribution.