Lok Sabha Question No. 689 (UNSTARRED), answered on 2016-11-18
Subject: Women and Child Health
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SUNIL KUMAR MONDAL

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

## LOK SABHA UNSTARRED QUESTION NO. 689 TO BE ANSWERED ON 18 TH NOVEMBER, 2016

## WOMEN AND CHILD HEAL TH

## 689. SHRI SUNIL KUMAR MONDAL:

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

- (a) the details of current schemes being impl mented for Maternal Health, Adolescent Health and Child Health;
- (b) whether the Government is getting any financial and technical support from World Health Organisation (WHO); and
- (c) if so, the details thereof?

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

- a) Government of India has implemented various schems for Maternal, Adolescent and Chi Health, which are placed below:
2. Janani Suraksha Yojana (JSY) was launched in April 2005, with the objective of reducing maternal and neonatal mortality by promoting institutional delivery among pregnant wo by providing incentive to all   BPL/SC/ST pregnant women delivering in Government health facilities/accredited  private  institutions  in  both  High  performing  State(HPS)  and Performing State(LPS)  regardless of age of mother and number of children.
3. Janani Shishu Surak sha Karyakaram (JSSK) has been launched on 1 st June, 2011, which entitles all pregnant women delivering in public health institutions to absolutely no  expense  delivery  including  Caesarean  section.    The  initiative  stipulates  free diagnostics , blood and diet, besides free transport from home to institution, between facil case of a referral and drop back home.  Similar entitlements have been put in place for infants accessing public health institutions for treatment.
4. The  Pradhan  Mantri  Surakshit  Matritva  Abhiyan(PMSMA) has  been  launched  by  the Ministry of Health & Family Welfare (MoHFW), Government of India to provide fixed - day assured, comprehensive and quality antenatal care universally to all pregnant women o 9th of eve ry month. As part of the Abhiyan, a minimum package of antenatal care services

would be provided to pregnant women in their 2nd / 3rd trimesters, by OBGY specialis Radiologist/  Physicians  at  government  health  facilities,  with  support  from  private doctors to supplement the efforts of the government.

- Rashtriya  Bal  Swasthya  Karyakr am  (RBSK) has  been  launched  to  provide  child  health screening and early interventions services by expanding the reach of mobile health te block level. These teams also carry out screening of all the children in the age grou -6 years enrolled at A nganwadi Centres at least twice a year. RBSK covers 30 common health conditions.
- In order to increase awareness about the use of ORS and Zinc in diarrhoea, an Intensified Diarrhoea  Control  Fortnight  (IDCF) is  being  observed  during  July -August,  with  the ult imate  aim  of  'zero  child  deaths  due  to  childhood  diarrhoea'.  During  fortnight  health workers visited the households of under five children, conducted community level aware generation activities and distributed ORS packets to the families with children under five years of age. Around 1.9 crore and 6.34 Crore Under - five children were reached by ASHAs during IDCF 2014 and 2015 respectively and prophylactic ORS packets were distributed to them wi counselling for care during diarrhoea.
- National  Deworming  Day  (NDD): Ministry  of  Health  &  Family  Welfare  had  adopted  a single  day  strategy  called  National  Deworming  Day  (NDD)  in  2015  to  combat  Soil Transmitted  Helminths  (STH)  infections  in  the  children.  During  NDD,  a  single  dose Albendazole is administered to t he children by school teachers and anganwadi workers.
- Government of India is implementing the Rashtriya Kishor Swasthya Karyakram. The salien features of the various interventions under RKSK  are as follows :
-  Weekly  Iron  Folic  Acid  Supplementation programme : The  objective  of  the programme is to reduce the prevalence and severity of anaemia in adolescent populatio (10 - 19  years). The programme covers adolescent girls and boys enrolled in 6th to class  in  government/government  aided/municipal  sc hools  and  out  of  school  adolescent girls.  Under the programme  supervised WIFS are given to  these adolescent girls boys  using  fixed  day  approach  and  biannual  deworming  for  control  of  helminthi infestation.  The adolescents are screened for moderate/ severe anaemia and are referred to appropriate health facilities. Nutrition HealthEducation is also imparted to the ado by trained nodal teachers.
-  Scheme  for  Promotion  of  Menstrual  Hygiene: The  scheme  aims  at  increasing  the awareness regarding hy giene practices during menstruation, increased access to and use hygienic products during menstruation and disposal of such products in environmentally friendly manner among adolescent girls living rural areas.
-  Peer Education: The programme aims to ensure that adolescents between the age of 10 -19  years  benefit  from  regular  and  sustained  peer  education  thus  improving    life knowledge and aptitude on key focused areas.
- Adolescent Friendly Health Clinics: At AFHCs with the presence of trained s ervice providers counselling and curative services ( information, commodities and services) are provided primary, secondary and tertiary levels of care with due referral linkages
- b) The Government is getting technical support from the World Health Organ isation (WHO) in area of Adolescent, Child Health and Immunization.

c)The  Technical  support  from  World  Health  Organisation  (WHO)  for  Adolescent  and  Child Health are placed below:

- i. Support the Ministry to strengthen implementation of RKSK
- ii. Support  for    formul ation  and  institutionalization  of  interventions  which  addre adolescent pregnancy and  increased spacing between subsequent pregnancies
- iii. work to address risk factors among adolescents to prevent non communicable illnesses
- iv. support  the  Ministry  to  address  d ata  gaps  in  relation  to  the  information  available  on adolescents
- v. Undertake  research  and  training  to  build  competency  of  health  care  providers  in country.
- vi. The Child Health Division receives technical support from WHO for the formulation various technical guidelines like - India Newborn Action plan, Guidelines for Stillbirth Surveillance,  Guidelines  for  Birth  Defect  Surveillance,  Guidelines  for  settin Peadiatric Care at District hospitals, etc.
- vii. The  immunization  division  is  getting  technical  assistance  from  WHO  for  polio  a routine immunization which includes capacity building of health manpower, concurre monitoring  of  Routine  Immunization,  Acute  Flacc id  Paralysis  (AFP)  surveillance, Measles - Rubella (MR) surveillance and Adverse Event following Immunization (AEFI) reporting.

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