Lok Sabha Question No. 1654 (UNSTARRED), answered on 2016-11-25
Subject: Millennium Development Goals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HARI NARAYAN RAJBHAR

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

## LOK SABHA UNSTARRED QUESTION NO. 1654 TO BE ANSWERED ON 25 TH NOVEMBER, 2016

## MILLENNIUM DEVELOPME NT GOALS

## 1654. SHRI HARINARAYAN RAJBHAR:

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

- (a)  whether  Primary  Health  Services  needs  to  be  strengthened  to  achieve  Millenni Development goals with a view to bring down the child mortality rate to two third by th 2015; and
- (b)  if  so,  the  details  thereof,  including  Uttar  Pradesh  and  the  steps  being  taken Government for this purpose?

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

- (a) & (b):     Yes.   The Government of India is implementing the following interventions under the National Health Mission (NHM) all across the country, including the State of Uttar P to  strengthen  primary  health  care  services,  while  maintaining  a  continuum  of  care com munity to facility in order to reduce child mortality rate:
- i. Promotion  of  Institutional  deliveries  through  cash  incentive  under  Janani  Sura Yojana  (JSY)  and  Janani  Shishu  Suraksha  Karyakaram  (JSSK)  which  entitles  all pregnant  women  delivering  in  public health  institutions  to  absolutely  free    delivery including Caesarean section, post - natal care and treatment of sick infants till one year age.
- ii. Strengthening of delivery points for providing comprehensive and quality Reproduct Maternal, Newborn, Ch ild and Adolescent Health (RMNCH+A) Services, establishment of Maternal and Child Health (MCH) Wings at high caseload facilities, ensuring esse newborn  care  at  all  delivery  points,  establishment  of  Special  Newborn  Care  Un (SNCU), Newborn Stabilizat ion Units (NBSU) and Kangaroo Mother Care (KMC) units for care of sick and small babies.

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- iii. Early initiation and exclusive breastfeeding for first six months and appropriate and Young Child Feeding (IYCF) practices are promoted in conv ergence with Ministry of  Women  and  Child  Development.  Village  Health  and  Nutrition  Days  (VHNDs)  are observed for provision of maternal and child health services and creating awarene maternal and child care including health and nutrition education. Min istry of Health and Family Welfare launched MAA -Mothers' Absolute Affection programme in August 2016 for improving  breastfeeding practices (Initiate Breastfeeding within one hour, Exc Breastfeeding  up  to  six  months  and  complementary  Breastfeeding  up to  two  years) through mass media and capacity building of health care providers in health facili well as in communities.
- iv. Universal Immunization Programme (UIP) is being supported to provide vaccination t children  against  many  life  threatening  dise ases such as Diphtheria, Pertussis, Tetanus, Poliomyelitis,  Tuberculosis,  Measles,  Hepatitis  B,  Meningitis  and  Pneumonia  due Haemophilus  Influenza  type  B.  The  Government  of  India  has  also  launched  Mission Indradhanush  to  reach  unreached  children.  In  add ition,  vaccination  against  Japanese Encephalitis  is  carried  out  in  endemic  districts  and  vaccination  against  Rot diarrhoea is provided in select states.
- v. Name  based  tracking  of  mothers  and  children  till  two  years  of  age  is  done  to  e complete ante natal, intranatal, postnatal care and complete immunization as per sched
- vi. Rashtriya Bal Swasthya Karyakram (RBSK) for health screening, early detection of bi defects,  diseases,  deficiencies,  development  delays  including  disability  and intervent ion services has been operationalized to provide comprehensive care to all children in the age group of 0 - 18 years in the community.
- vii. Some other important interventions are Iron and folic acid (IFA) supplementation fo prevention of anaemia among t he vulnerable age groups, annual deworming on National Deworming  Day  (NDD),  home  visits  by  ASHAs  under  Home  Based  Newborn  Care (HBNC) to promote community care practices and early referral of sick newborns an promote use of ORS and Zinc for management of diarrhoea in children.
- viii. Various trainings are being conducted to train doctors, nurses and ANMs for anten intranatal  and  post - natal  care,  essential  newborn  care,  early  diagnosis  and  cas management of common ailments of children.
- ix. To sharpen the focus on the low performing districts, 184 High Priority Districts (HPD at National level and 19 High Priority Districts (HPDs) in the state of Uttar Prade been prioritized for Reproductive Maternal Newborn Child Health+ Adolescent (RMNCH+A) interventio ns for achieving improved maternal and child health outcomes.

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