Lok Sabha Question No. 614 (UNSTARRED), answered on 2016-11-18
Subject: Prevention of Anaemia and Thalassemia
Ministry: HEALTH AND FAMILY WELFARE
Asked by: LAKHAN LAL SAHU

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

## LOK SABHA UNSTARRED QUESTION NO. 614 TO BE ANSWERED ON 18 TH NOVEMBER, 2016

## PREVENTION OF ANAEMI A AND THALASSEMIA

## 614. SHRI LAKHAN LAL SAHU:

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

- (a)  whether  the  Government  propose to  start  any  programme  to  prevent  Anaemia and Thalassemia in all parts of the country;
- (b) if so, the details thereof and the steps likely o be taken for this purpose;
- (c)  whether  the  Government  provides financial  assistance  to  State  Governments to  prevent Anaemia and Thalassemia; and
- (d) if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUP RIYA PATEL )

(a & b): Public  Health  is  a  state  subject.    However  under  National  Health  Missio Government  of  India  has  taken  steps  to  control  and  prevent  Anaemia and  Thalassemia  by supporting the programs through state PIPs (Program Implementation Plans). Considering burden  and  the  cost  inherent  to  manage  the  disease,  a  comprehensive  Guideline Haemoglobinopathies which  include Thalassemia  and  other  genetic blood  disorders  has  been disseminated to the States to initiate the prevention and management of Haemoglobinopathies. This  includes  management  of  the  disease, screening  of  vulnerable  population, awareness campaign anddissemination of information about th e disorders etc.

A countrywide  National  Iron  Plus  Initiative  (NIPI)  was  launched  in  2013.    This flagship scheme under the National Health Mission based on life - cycle approach, under which Iron - Folic  Acid  supplementation  is  provided  to  various  age  gro ups  including  pregnant  and lactating mothers. It covers children from 6 months to 19 years including school girls an drop outs.

Besides this , steps have been taken to tackle anaemia in pregnant and lactating under National Health Mission l ike

- Universal screening of pregnant women for Anaemia as a part of ante - natal care and all pregnant women are provided withiron and folic acid tablets during their ante - natal visits through  the  wide  network  of  existing  health  facilities  including  outreach  activi Village/Urban Health & Nutrition Days (VHNDs/UHNDs).
- Through  PMSMA  (Pradhan  Mantri  Surakshit  Matritva  Abhiy an),  Anaemic  pregnant mothers are identified as a part of high risk pregnancies by a focused Antenatal C 9 th of every month and suitable care and management is provided to them.
- Identification of anaemic mothers and children and tracking them for bet ter management is being done through MCTS (Mother and Child Tracking System) and HMIS (Health Management Information System)
- IEC and BCC (Behavioral Change Counseling) are used to disseminate proper guidance for nutritious and iron rich diet.
- Special impet us is provided to 184 High Priority Districts in this regard

(c) & (d): The Government of India provides financial support to the States, at a rat 60:40 (and 90:10 to the selected group of states) to strengthen their health care systems and prevent Anaemia and blood disorders like Thalassemia based on the proposals submitted the  State/UT  Governments  in  their  Programme  Implementation  Plans.  The  details  for  fun allocation for different Haemoglobinopathies are annexed at Annexure

Similar ly,  Funds  for  procurement  of  Iron -Folic  Acid  for  various  age  groups  and  for capacity  building  under  NIPI  programme  are  provided  through  state  RoPs  (Request  o Proceedings). Financial assistance for procurement of IFA tablet for pregnant /lactating and children is also given to States under Janani Shishu Suraksha Karyakaram (JSSK) budget in RoPs.

ANNEXURE

| TOTAL BUDGET FOR BLOOD DISORDER (IN LAKHS)   | TOTAL BUDGET FOR BLOOD DISORDER (IN LAKHS)   | TOTAL BUDGET FOR BLOOD DISORDER (IN LAKHS)   |
|----------------------------------------------|----------------------------------------------|----------------------------------------------|
| SL NO                                        | STATES                                       | AMOUNT APPROVED                              |
| 1                                            | ANDHRA PRADESH                               | 185.30                                       |
| 2                                            | GUJARAT                                      | 982.13                                       |
| 3                                            | MAHARASHTRA                                  | 1140.89                                      |
| 4                                            | ODISHA                                       | 78.40                                        |
| 5                                            | JHARKHAND                                    | 292.15                                       |
| 6                                            | MADHYA PRADESH                               | 1139.50                                      |
| 7                                            | TRIPURA                                      | 100.00                                       |
| 8                                            | TELANGANA                                    | 175.39 (APPROX)                              |
| 9                                            | NAGALAND                                     | 0.84                                         |
| 10                                           | ARUNACHAL PRADESH                            | 14.14                                        |
|                                              | TOTAL BUDGET                                 | 4108.74 (APPROX)                             |