Lok Sabha Question No. 366 (STARRED), answered on 2017-08-11
Subject: Immunisation Coverage
Ministry: HEALTH AND FAMILY WELFARE
Asked by: VINCENT H PALA

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

## LOK SABHA STARRED QUESTION NO. 366 TO BE ANSWERED ON THE 11 TH AUGUST , 2017 IMMUNISATION COVERAG E

## *366. SHRI VINCENT H. PALA :

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

- (a) whether the Government is aware that the number of infants breastfed wit hour  of  birth  has  decreased  in  all  the  districts  of  North - Ea tern  region  of  the country particularly in Meghalaya during 201 4- 15 to 2015 - 16 and if so, the details thereof;
- (b) whether the Government has formulated any plan to address the issue and the details thereof;
- (c) whether the Government is aware that the immunisation coverage in the re has decreased durin g the said period and if so, the details thereof and the re therefor; and
- (d) whether the Government has any plan of action to improve the immunisat coverage in the North - Eastern region of the country and if so, the details thereo

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE ( SHRI JAGAT PRAKASH NADDA )

- (a)to ( d) : A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 366* FOR 11 TH AUGUST , 2017

- (a) As  per  National Family  Health  Survey - 4  (2015-16),  all  the  areas  in North Eastern region including Meghalaya have shown an increase in early initiation of breastfeeding as compared to National Family Health Survey 3 (2005-06). State-wise status of early initiation of breastfeeding for North Eastern region is as below:
- (b) Government has implemented a nationwide programme called 'Mothers' Absolute Affection' (MAA) Programme which aims to promote breastfeeding across the country including Meghalaya and other North Eastern States. The goal of the programme is to revitalize efforts towards promotion, protection and support of breastfeeding practices through health systems and community mobilisation.  To  implement  this  'Mothers' Absolute  Affection' programme, funding support is being provided to States and UTs as per their proposals in the Annual Programme Implementation Plan of National Health Mission.
- (c) As  per  National  Family  Health  Survey 4  (2015-16), the  full  immunization coverage has increased in all the states of North-Eastern region as compared to National Family Health Survey 3 (2005-06). The state-wise details of full

| Key indicators   | Key indicators    | Early Initiation of Breastfeeding within an hour of Birth (%)   | Early Initiation of Breastfeeding within an hour of Birth (%)   |
|------------------|-------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|
| Sr. No.          | STATES            | (NFHS 3, 2005 -06)                                              | (NFHS 4, 2015-16)                                               |
| 1                | Arunachal Pradesh | 55.0                                                            | 58.7                                                            |
| 2                | Assam             | 50.7                                                            | 64.4                                                            |
| 3                | Manipur           | 57.2                                                            | 65.4                                                            |
| 4                | Meghalaya         | 58.6                                                            | 60.6                                                            |
| 5                | Mizoram           | 65.5                                                            | 70.2                                                            |
| 6                | Nagaland          | 51.4                                                            | 53.2                                                            |
| 7                | Sikkim            | 43.3                                                            | 66.5                                                            |
| 8                | Tripura           | 33.1                                                            | 44.4                                                            |

immunization coverage in North-Eastern states are as below.

| State/UT          |   NFHS-3 (2005-06) % |   NFHS-4 (2015-16) % |
|-------------------|----------------------|----------------------|
| Arunachal Pradesh |                 28.4 |                 38.2 |
| Assam             |                 31.6 |                 47.1 |
| Manipur           |                 46.8 |                 65.9 |
| Meghalaya         |                 32.8 |                 61.5 |
| Mizoram           |                 46.4 |                 50.5 |
| Nagaland          |                 21   |                 35.7 |
| Sikkim            |                 69.6 |                 83   |
| Tripura           |                 49.7 |                 54.5 |

(d) In order to improve immunization coverage, routine immunization is being strengthened through cold chain improvement, use of microplanning tools and rapid coverage evaluation surveys. To further accelerate the increase in the full immunization coverage across the country including North-Eastern states, Ministry of Health and Family Welfare had launched Mission Indradhanush in December 2014 which targets unimmunized and partially immunized children. A total  of  88  districts  of  North-Eastern  states  have  been covered  during  the four phases of Mission Indradhanush wherein 5.82 lakh children and 1.35 lakh pregnant women have been covered apart from those covered under routine immunization programme.. Government of India has identified 52 districts in North-Eastern states to be covered during the Intensified Mission Indradhanush starting from 7 th October 2017 with an aim to increase the full immunization coverage to at least 90% by December 2018.

******