Lok Sabha Question No. 583 (UNSTARRED), answered on 2016-11-18
Subject: Maternal and Child Healthcare
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SULTAN  AHMED

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

## LOK SABHA UNSTARRED QUESTION NO. 583 TO BE ANSWERED ON 18 TH NOVEMBER, 2016

## MATERNAL AND CHILD H EALTHCARE

## 583. SHRI SULTAN AHMED:

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

- (a)  whether  the  Government  proposes to  have  any  mechanism  for  child  deliveries with institutional facilities;
- (b) if so, the details thereof, State and UT - wise;
- (c) whether the Government proposes tointroduce maternal and child healthcare wing in every district and sub - divisional hospital;
- (d) if so, the details thereof; and
- (e) if not, the reasons therefor?

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

(a) & (b): The institutional deliveries in the country have increased from 47% as per District  Level  Household  Survey  (DLHS -III)  in  2007 - 08  to  78.7%  as  per  Rapid  Survey  on Children (RSOC) 2013 - 14. State /UT wise data is placed at Annexure 1.

Under  the  National  Health  Mission  (NHM),    steps  taken  to  increase  the  instituti delivery rates across the country include the following:

- Promotion of institutional deliveries through Janani Suraksha Yojana (JSY) wherein incentive  is being giv en to all   BPL/SC/ST pregnant women delivering in Government health facilities/accredited private institutions  in both High performing State(H Low Performing State(LPS)  regardless of age of mother and number of children.
- Janani Shishu Suraksha Karyakaram (JSSK) entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery, including ca section. Similar entitlements have been put in place for all sick infants accessin health institu tions for treatment.
- Operationalization of Sub - Centers, Primary Health Centers, Community Health Centers and District Hospitals for providing 24x7 basic and comprehensive obstetric care.
- Mother  and  Child  Protection  Card  in  collaboration  with  the  Mini stry  of  Women  and Child Development to monitor service delivery for mothers and children.
- Mother and Child Tracking System is being implemented to ensure antenatal, intrana and postnatal care along -with immunization services.
- Engagement  of  more  than  9 .15  lakh  Accredited  Social  Health  Activists  (ASHAs)  to generate demand and facilitate accessing of health care services by the community.
- Establishing  Maternal  and  Child  Health  (MCH)  Wings at  high  caseload  facilities  to improve the quality of care provided to mothers and children.
- The Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) has been introduced with the aim of conducting special ANC checkups for pregnant women (in their 2 nd / 3 rd Trimesters  of  pregnancy)  in  the  country  on 9th  of  every  month by Medical Officer/OBGY specialist in the government health facilities and also through  Private sector on voluntary basis .

(c) to (e): To overcome the shortage of maternity beds so that qual ity care can be given to pregnant  women  and  neonates,  Mother  and  Child  Health  wings  (MCH  wings)  have  been sanctioned at high case load delivery points, based on the proposal received from the St UTs in their annual Project Implementation Plans (PIP s).

During the last 4 years, 492 Mother and Child Health wings have been sanctioned acr 22 States.

State Wise List of MCH wings sanctioned for the States is placed at Annexure II .

Annexure-I

| S. No.   | State             |   Institutional Deliveries |
|----------|-------------------|----------------------------|
|          | India             |                       78.7 |
| 1.       | Andhra Pradesh    |                       91.1 |
| 2.       | Arunachal Pradesh |                       63.7 |
| 3.       | Assam             |                       74.2 |
| 4.       | Bihar             |                       65.3 |
| 5.       | Chhattisgarh      |                       56.1 |
| 6.       | Goa               |                       99.5 |
| 7.       | Gujarat           |                       87.9 |
| 8.       | Haryana           |                       76.4 |
| 9.       | Himachal Pradesh  |                       68.7 |
| 10.      | Jammu & Kashmir   |                       72.9 |
| 11.      | Jharkhand         |                       56.6 |
| 12.      | Karnataka         |                       92   |
| 13.      | Kerala            |                       99.4 |
| 14.      | Madhya Pradesh    |                       78.1 |
| 15.      | Maharashtra       |                       90.3 |
| 16.      | Manipur           |                       68.5 |
| 17.      | Meghalaya         |                       66.5 |
| 18.      | Mizoram           |                       94.1 |
| 19.      | Nagaland          |                       18.6 |
| 20.      | Delhi             |                       83.4 |
| 21.      | Odisha            |                       81.3 |
| 22.      | Punjab            |                       80.4 |
| 23.      | Rajasthan         |                       82.7 |
| 24.      | Sikkim            |                       86.6 |
| 25.      | Tamilnadu         |                       99.3 |
| 26.      | Tripura           |                       79.5 |
| 27.      | Uttar Pradesh     |                       62.1 |
| 28.      | Uttarakhand       |                       68.5 |
| 29.      | West Bengal       |                       76.3 |

Source - Rapid Survey on Children 2013 - 2014

## Annexure-II

| S.No   | Name of State     |   No of MCH wings sanctioned |
|--------|-------------------|------------------------------|
| 1      | Andhra Pradesh    |                           12 |
| 2      | Telangana         |                            9 |
| 3      | Arunachal Pradesh |                            1 |
| 4      | Assam             |                           14 |
| 5      | Bihar             |                           11 |
| 6      | Chhattisgarh      |                           27 |
| 7      | Delhi             |                            1 |
| 8      | Himachal Pradesh  |                            3 |
| 9      | Jharkhand         |                            1 |
| 10     | Karnataka         |                           11 |
| 11     | Kerala            |                            6 |
| 12     | Madhya Pradesh    |                           10 |
| 13     | Maharashtra       |                            4 |
| 14     | Meghalaya         |                            2 |
| 15     | Odisha            |                           46 |
| 16     | Punjab            |                           12 |
| 17     | Rajasthan         |                          160 |
| 18     | Tamil Nadu        |                            3 |
| 19     | Uttarakhand       |                            2 |
| 20     | Uttar Pradesh     |                          148 |
| 21     | West Bengal       |                           19 |
|        | Total             |                          492 |