Lok Sabha Question No. 3379 (UNSTARRED), answered on 2017-08-04
Subject: Anaemia
Ministry: HEALTH AND FAMILY WELFARE
Asked by: OM BIRLA

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

LOK SABHA UNSTARRED QUESTION NO. 3379 TO BE ANSWERED ON 4 TH AUGUST, 2017

## ANAEMIA

## 3379. SHRI OM BIRLA:

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

- (a) whether the Government has taken notice of the fact that during the past decade anaemia caused due to deficiency of iron has been the major cause of disability among the Indians;
- (b)  if  so,  the  steps  taken  by  the Government  durin g  the  past  three years  for  addressing  the problem of anaemia;
- (c) the total percentage of national population suffering from anaemia at present, State - wise;
- (d) whether it is a fact that the problem of anaemia is increasing amongst pregnant ladies, despite the efforts made by the Gov rnment; and
- (e) whether the Government has contemplated any special work plan in this regard and if so, the details thereof?

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

- (a) to (e): As per the latest data of National Family Health Survey IV (NFHS -IV):
- Anaemia  in  children  age  0 - 59  months  has  declined  from  69.4  percent  in  2005  to  58.4 percent in 2015.
- Anaemia in Pregnant women age 15 - 49  years  has  declined from 57. 9 percent in 2005 to 50.3 percent in 2015.
- Anaemia in men age 15 -49 years has declined from 24.2 percent in 2005 to 22.7 percent in 2015.

The State/ UT wise details are annexed.

Under National Health Mission, Remedial measures adopted by Government to reduce the extent of anaemia in the population are as follows:

- Under the National Iron Plus Initiative (NIPI) , iron - folic supplementation for prevention and treatment of anaemia in a life cycle approach is provide d to children, adolescents, women of reproductive age groups, pregnant women and lactating mothers.
- Bi- annual administration of Albendazole to all children 1 -19 years for Deworming.
- Universal screening of pregnant women for anaemia is a part of ante - na al care and all severely anaemic mothers are line listed and followed up for comprehensive manageme at higher facilities.
- Every pregnant woman is given iron and folic acid, after the first trimester, to be tablet daily and same is continued during the post natal period. Pregnant women, who are found to be clinically anaemic, are given additional 1 tablet for taking two table This has been now expanded to 6 month during ANC and 6 month during PNC.
- In malaria endemic areas, to tackle the problem of anaemia due to malaria particularly in pregnant  women  and  children,  Long  Lasting  Insecticide  Nets  (LLINs)  and  Insectici Treated Bed Nets (ITBNs) are being distributed.
- Mother and Child Protection Card (MCP Card) and Safe Motherhood Booklet are being distributed  to  the  pregnant  women  for  educating  them  on  dietary  diversification promotion of consumption of IFA.
- Pradhan Mantri Surakshit Matritva A bhiyan (PMSMA) has b een launched to focus on conducting special Ante Natal check up on 9th of every month with the help of Medi officers/ OBGYN to detect and treat cases of anaemia .
- Health and nutrition education through IEC & BCC to promote dietary diversificati inclu sion of iron folate rich food as well as food items that promotes iron absorptio
- Do's and Don'ts for prevention of Anaemia during pregnancy has been prepared and sent to the States/ UTs, to share with all beneficiaries during ANC checkups .

| State / UT- wise Anaemia Prevalence as per NFHS - IV (2015- 16) (%)   | State / UT- wise Anaemia Prevalence as per NFHS - IV (2015- 16) (%)   | State / UT- wise Anaemia Prevalence as per NFHS - IV (2015- 16) (%)   | State / UT- wise Anaemia Prevalence as per NFHS - IV (2015- 16) (%)   |
|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|
| States/ UT s                                                          | Children age 6 - 59 months who are anaemic                            | Pregnant women age 15 -49 years who are anaemic                       | Men age 15- 49 years who are anaemic                                  |
| India                                                                 | 58.4                                                                  | 50.3                                                                  | 22.7                                                                  |
| Andaman & Nicobar Islands                                             | 49.0                                                                  | 61.4                                                                  | 30.8                                                                  |
| Andhra Pradesh                                                        | 58.6                                                                  | 52.9                                                                  | 26.9                                                                  |
| Arunachal Pradesh                                                     | 50.7                                                                  | 33.8                                                                  | 16.9                                                                  |
| Assam                                                                 | 35.7                                                                  | 44.8                                                                  | 25.4                                                                  |
| Bihar                                                                 | 63.5                                                                  | 58.3                                                                  | 32.2                                                                  |
| Chandigarh                                                            | 73.1                                                                  | NA                                                                    | 19.3                                                                  |
| Chhattisgarh                                                          | 41.6                                                                  | 41.5                                                                  | 22.2                                                                  |
| Dadra and Nagar Haveli                                                | 84.6                                                                  | 67.9                                                                  | 30.7                                                                  |
| Daman & Diu                                                           | 73.8                                                                  | NA                                                                    | 23.6                                                                  |
| Delhi                                                                 | 62.6                                                                  | 45.1                                                                  | 21.6                                                                  |
| Goa                                                                   | 48.3                                                                  | 26.7                                                                  | 11.0                                                                  |
| Gujarat                                                               | 62.6                                                                  | 51.3                                                                  | 21.7                                                                  |
| Haryana                                                               | 71.7                                                                  | 55.0                                                                  | 20.9                                                                  |
| Himachal Pradesh                                                      | 53.7                                                                  | 50.2                                                                  | 20.1                                                                  |
| Jammu & Kashmir                                                       | 43.3                                                                  | 38.1                                                                  | 15.1                                                                  |
| Jharkhand                                                             | 69.9                                                                  | 62.6                                                                  | 29.9                                                                  |
| Karnataka                                                             | 60.9                                                                  | 45.4                                                                  | 18.2                                                                  |
| Kerala                                                                | 35.6                                                                  | 22.6                                                                  | 11.3                                                                  |
| Lakshadweep                                                           | 51.9                                                                  | 36.5                                                                  | 10.7                                                                  |
| Madhya Pradesh                                                        | 68.9                                                                  | 54.6                                                                  | 25.5                                                                  |
| Maharashtra                                                           | 53.8                                                                  | 49.3                                                                  | 17.6                                                                  |
| Manipur                                                               | 23.9                                                                  | 26.0                                                                  | 9.6                                                                   |
| Meghalaya                                                             | 48.0                                                                  | 53.1                                                                  | 32.4                                                                  |
| Mizoram                                                               | 17.7                                                                  | 24.5                                                                  | 9.6                                                                   |
| Nagaland                                                              | 21.6                                                                  | 28.9                                                                  | 10.1                                                                  |
| Odisha                                                                | 44.6                                                                  | 47.6                                                                  | 28.4                                                                  |
| Puducherry                                                            | 44.9                                                                  | 26.0                                                                  | 15.9                                                                  |
| Punjab                                                                | 56.6                                                                  | 42.0                                                                  | 25.9                                                                  |
| Rajasthan                                                             | 60.3                                                                  | 46.6                                                                  | 17.2                                                                  |
| Sikkim                                                                | 55.1                                                                  | 23.6                                                                  | 15.7                                                                  |
| Tamilnadu                                                             | 50.7                                                                  | 44.4                                                                  | 20.4                                                                  |
| Telangana                                                             | 60.7                                                                  | 49.8                                                                  | 15.4                                                                  |
| Tripura                                                               | 48.3                                                                  | 54.4                                                                  | 24.7                                                                  |
| Uttar Pradesh                                                         | 63.2                                                                  | 51.0                                                                  | 23.7                                                                  |
| Uttarakhand                                                           | 59.8                                                                  | 46.5                                                                  | 15.5                                                                  |