Lok Sabha Question No. 4850 (UNSTARRED), answered on 2017-03-31
Subject: Health Indicators
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PARASURAMAN K.

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

LOK SABHA UNSTARRED QUESTION NO. 4850 TO BE ANSWERED ON 31 ST MARCH, 2017

## HEALTH INDICATORS

## 4850. SHRI K. PARASURAMAN:

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

- (a)  whether  the  Government  has  reviewed  the  performance  of  various  programmes  aimed  a achieving the target set under the National Population Policy (NPP);
- (b) if so, the details thereof;
- (c) details of targets tha t were set relating to Infant Mortality Rate (IMR), Maternal Mortal Rate (MMRs) and Total Fertility Rate (TFR);
- (d) the current IMR, MMR and TFR in India; and
- (e) the steps taken by the Government to achieve the targets set under NPP?

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

- (a)& (b) : Yes.The Government reviewed the performance of various programmes aimed at achieving the target set under the National Population Policy (NPP)

The Government recommended measures to control population growth by encouraging people to adopt family planning methods voluntarily. The recommendations focussed on delay of age marriage, delay in birth of the first child and promotion of birth - spacing  betw een children in addition to emphasis on research activities, in order to develop more innovative contracep that the basket of reversible contraceptives is expanded.

- (c) : The targets set are as below;
- Infant Mortality Rate (IMR): 30 per thousan d live births
- Maternal Mortality Ratio (MMR): 100 per Lakh live births
- Total Fertility Rate (TFR): 2.1 for women aged 15 - 49 yrs.

Contd......

(d) : As per Sample Registration Survey, following are the current IMR, MMR and TFR in the country:

- IMR: 37 per thousand live births (2015)
- MMR: 167 per Lakh live births (2011 - 13)
- TFR: 2.3 for women aged 15 - 49 yrs (2015)

(e) :The details of steps taken by the Government to achieve the targets set under NPP for MMR and TFR are attached as Annexure .

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## Annexure

## Key steps taken by the Government for reduction of IMR, MMR and TFR

## For reduction of IMR & MMR, TFR :

- Government  of  India  has  adopted  the  Reproductive,  Maternal,  Newborn,  Child  and Adolescent Health Strategy (RMNCH+A). The strategy recognizes that child health and survival is inextricably linked to women's health across all life stages. As a part of this strategy, 184 high priority districts with relatively weaker status of maternal a health indicators have been identified, f or the intensification of RMNCH+A efforts.
- Janani Suraksha Yojana (JSY), a demand promotion and conditional cash transfer schem launched  in  April  2005  with  the  objective  of  promoting  institutional  delivery reducing Maternal and Infant Mortality.
- Janani Shishu Suraksha Karyakaram (JSSK) for  absolutely free and no expense deliver including  caesarean  section.  Similar  entitlements  for  all  sick  infants  accessing health institutions for treatment.
- Capacity building of health care providers in ba sic and comprehensive obstetric care with a  strategic  initiative  'Dakshata'  to  enable  service  providers  in  providing  high  quality services during childbirth at the institutions.
- MAA -Mothers' Absolute Affection programme has been launched  in August 2016 fo r improving  breastfeeding practices through mass media and capacity building of he care providers in health facilities as well as in communities.
- Name based tracking of mothers and children till two years of age (Mother and Ch Tracking System).
- Engagement  of  more  than  9.90  lakh  Accredited  Social  Health  Activists  (ASHAs)  t generate demand and facilitate accessing of health care services by the community.
- Operationalization of Safe Abortion Services and Reproductive Tract Infections serv at healt h facilities with a focus on 'Delivery Points'.
- Maternal Death Review (MDR) is being implemented across the country both at facilit and in the community.
- Establishing  Maternal  and  Child  Health  (MCH)  Wings at  high  caseload  facilities  to improve the qua lity of care provided to mothers and children.
- Under  National  Iron  Plus  Initiative  (NIPI),  through  life  cycle  approach,  age  and specific IFA supplementation programme is being implemented.
- Setting up of Skill Labs with earmarked skill stations for di fferent training programs to enhance the quality of training in the states.
- 'Prevention  of  Post - Partum  Haemorrhage  (PPH)  through  Community  based  advance distribution of Misoprostol' by ASHAs/ANMs for high home delivery districts

Contd......

- The Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) has been introduced with the aim of conducting special ANC  check - ups for pregnant women  (in  their 2nd / 3rd Trimesters  of  pregnancy)  in  the  country  on 9th  of  every  month by Medical Officer/OBGY  specialist  in  the  government  health  facilities  and als o through  Private sector on voluntary basis .
- Early initiation and exclusive breastfeeding for first six months and appropriate and Young Child Feeding (IYCF) practices are p romoted in convergence with Ministry of Women and Child Development.
- Village Health and Nutrition Days (VHNDs) are observed for provision of maternal a child health services and creating awareness
- Establishment of Special New - born  Care  Units  (SNCU),  Ne w - born  Stabilization  Units (NBSU) and Kangaroo Mother Care (KMC) units for care of sick and small babies.
- Home  Based  New - born  Care  (HBNC)  is  being  provided  by  ASHAs  to  improve  child rearing practices.
- Universal Immunization Programme (UIP) is being suppor ted to provide vaccination to children  against  many  life  threatening  diseases  such  as  Tuberculosis,  Diphth Pertussis, Polio, Tetanus, Hepatitis B, Measles, and Hemophilus Influenzae B.
- Pentavalent vaccine has been introduced all across the country an d 'Mission Indradhanush' has been launched to fully immunize more than 89 lakh children who are either unvaccinated or partially vaccinated. Newer vaccines like the Rotavirus va and Measles - Rubella vaccine have also been introduced in select states.
- R ashtriya Bal Swasthya Karyakram (RBSK) for health screening, early detection of bi defects, diseases, deficiencies, development delays including disability.
- The Governmenthas launched Mission Parivar Vikas in 146 high fertility districts  i seven high focus states (Uttar Pradesh, Bihar, Rajasthan, Madhya Pradesh, Chhattisga Jharkhand and Assam)
- New Contraceptive Choices: The current basket of choice has been expanded t o inclu the new contraceptives viz. Injectable contraceptive, Centchroman and P rogrsterone O nly Pills
- Redesigned Contraceptive Packaging: The packaging for Condoms, OCP sand ECPshas now been improved and redesigned so as to influence the demand for thes e commodities
- New Family Planning Media Campaign: A360 degree media campaign has been developed to generate contraceptive demand.
- Enhanced  Compensation  Scheme  for  Sterilization -The  sterilization  compensation scheme has been enhanced in 11 high focus state s (8 EAG, Assam, Gujarat, Haryana)
- Scheme for Home delivery of contraceptives by ASHAs at doorstep of beneficiaries h been expanded to the entire country w.e.f.  17 th Dec, 2012
- Scheme for ASHAs to ensure spacing in births .

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