Lok Sabha Question No. 1821 (UNSTARRED), answered on 2016-11-25
Subject: National Family Health Survey
Ministry: HEALTH AND FAMILY WELFARE
Asked by: MOHANBHAI KALYANJIBHAI KUNDARIYA, GAJENDRA SINGH SHEKHAWAT

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

## LOK SABHA UNSTARRED QUESTION NO. 1821 TO BE ANSWERED ON 25 TH NOVEMBER, 2016

## NATIONAL FAMILY HEAL TH SURVEY

## 1821. SHRI KUNDARIYA MOHAN BHAI KALYANJI BHAI: SHRI GAJENDRA SINGH SHEKHAWAT:

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

- (a) the details of the initiatives of the Government to adequately address the family planning needs of people in order to p o ect mothers and to prevent unwanted births;
- (b) the status of infrastructure in India to adequately cater to the family planning needs;
- (c) whether the fourth National Family Health Survey (NFFS - 4) 2015 - 16 reveals a strong wave of  women  empowerment indicators  for  female health,  literacy, financial  means  and  age  of marriage over the past decade;
- (d) if so, the State - wise upswing details; and
- (e) the further efforts the Ministry would take to consolidate the upswing?

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

- (a): The initiatives taken by the Government to address the family planning (FP) needs of people  include  expansion  of  basket  of  choice  to  include  new  contraceptives,  redesigni contraceptive  packaging,    development  of  new  family  planning  media  campaign,  enhance compensation  scheme  for  sterilization,  emphasis  on  Postpartum  Family  Planning  servic scheme  for  ensuring  drop  back  services  to  sterilization  clients,  appointment  of dedicated Reproductive - Maternal - Neonatal - Child and Adolescent Health (RMNCH+A) counsellors at high case load facilities, scheme for Accredited Social Health Activists to ensure spacing i celebration of World Population Day & fortnight to boost fa mily planning efforts in the country, establishing  quality  assurance  committees  in  all  State  and  districts  for  ensuring  qu services,  increasing  male  participation  and  promotion  of  'Non  Scalpel  Vasectomy'',  'National Family Planning Indemnity Scheme ' etc.

(b): As reported by the States and UTs and published  in Rural Health Statistics 2014 - 15, as on  31 st March  2015,  there  were  153655  Sub  Centres,  25308  Primary  Health  Centres  5396 Community Health Centres,  1022 Sub District/ Sub Divisional Hospitals , 763 District Hospitals functioning in the Country to provide health care services including family planning in th sector.

(c) & (d): Yes. Key results published so far by the Ministry from National Family Heal Survey  4  (NFHS  4)  2015 - 16  for  18 States/UTs  reveal  improvement  of  indicators  for  female health,  literacy,  financial  means  and  age  of  marriage  in  comparison  to  NFHS - 3  (2005 - 06) estimates. Statewise details annexed.

(e) : Health  is  a  State  Subject.  Under  National  Health  Mission  support  is provided  to  the States/UTs to strengthen their health care system based on the requirements posed by them Programme Implementation Plans. National Health Mission (NHM), has two Sub - Missions, viz. the National Rural Health Mission (NRHM) and the Natio nal Urban Health Mission (NUHM). While NRHM was launched in April 2005, launch of NUHM was approved by the Cabinet on 1 st May 2013. NHM envisages achievement of universal access to equitable, affordable & qual healthcare services that are accountable an d responsive to people's needs. The main programmatic  components  include  Health  System  Strengthening  in  rural  and  urban  area (RMNCH+A) interventions and control of Communicable and Non - Communicable Diseases.

## Comparative figures from NFHS - 4 (2015 - 16) and NFHS- 3(2005 - 06) for selected indicators

| State/UT           | Total fertility (Children per women)   | Total fertility (Children per women)   | rate Institutional births (%)   | rate Institutional births (%)   | All women aged 15- 49 years who are anaemic (%)   | All women aged 15- 49 years who are anaemic (%)   | Women having a bank or savings account that they themselves use   | Women having a bank or savings account that they themselves use   | Women who are literate (%)   | Women who are literate (%)   | Women age 20-24 Years married before age 18 (%)   | Women age 20-24 Years married before age 18 (%)   |
|--------------------|----------------------------------------|----------------------------------------|---------------------------------|---------------------------------|---------------------------------------------------|---------------------------------------------------|-------------------------------------------------------------------|-------------------------------------------------------------------|------------------------------|------------------------------|---------------------------------------------------|---------------------------------------------------|
| State/UT           | NFHS - 4                               | NFHS - 3                               | NFHS - 4                        | NFHS - 3                        | NFHS - 4                                          | NFHS - 3                                          | NFHS - 4                                                          | NFHS - 3                                                          | NFHS - 4                     | NFHS - 3                     | NFHS                                              | NFHS - 3                                          |
| Assam              | 2.2                                    | 2.4                                    | 70.6                            | 22.4                            | 46.0                                              | 69.3                                              | 45.4                                                              | 11.7                                                              | 71.8                         | 63.0                         | 32.6                                              | 38.0                                              |
| Andhra Pradesh #   | 1.8                                    | -                                      | 91.6                            | -                               | 60.0                                              | -                                                 | 66.3                                                              | -                                                                 | 62.9                         | -                            | 32.7                                              | -                                                 |
| Bihar              | 3.4                                    | 4.0                                    | 63.8                            | 19.9                            | 60.3                                              | 67.4                                              | 26.4                                                              | 8.2                                                               | 49.6                         | 37.0                         | 39.1                                              | 60.3                                              |
| Goa                | 1.7                                    | 1.8                                    | 96.9                            | 92.3                            | 31.3                                              | 38.0                                              | 82.8                                                              | 42.4                                                              | 89.0                         | 83.6                         | 9.8                                               | 11.7                                              |
| Haryana            | 2.1                                    | 2.7                                    | 80.5                            | 35.7                            | 62.7                                              | 56.1                                              | 45.6                                                              | 12.4                                                              | 75.4                         | 60.4                         | 18.5                                              | 39.8                                              |
| Karnataka          | 1.8                                    | 2.1                                    | 94.3                            | 64.7                            | 44.8                                              | 51.2                                              | 59.4                                                              | 22.1                                                              | 71.7                         | 59.7                         | 23.2                                              | 41.2                                              |
| Madhya Pradesh     | 2.3                                    | 3.1                                    | 80.8                            | 26.2                            | 52.5                                              | 55.9                                              | 37.3                                                              | 8.9                                                               | 59.4                         | 44.4                         | 30.0                                              | 53.0                                              |
| Maharashtra        | 1.9                                    | 2.1                                    | 90.3                            | 64.6                            | 48.0                                              | 48.4                                              | 45.3                                                              | 20.3                                                              | 80.3                         | 70.3                         | 25.1                                              | 39.0                                              |
| Manipur            | 2.6                                    | 2.8                                    | 69.1                            | 45.9                            | 26.4                                              | 35.7                                              | 34.8                                                              | 8.0                                                               | 85.0                         | 72.6                         | 13.1                                              | 12.7                                              |
| Meghalaya          | 3.0                                    | 3.8                                    | 51.4                            | 29.0                            | 56.2                                              | 46.2                                              | 54.4                                                              | 16.9                                                              | 82.8                         | 69.5                         | 16.5                                              | 24.5                                              |
| Sikkim             | 1.2                                    | 2.0                                    | 94.7                            | 47.2                            | 34.9                                              | 59.5                                              | 63.5                                                              | 20.9                                                              | 86.6                         | 72.3                         | 14.5                                              | 30.1                                              |
| Tamil Nadu         | 1.7                                    | 1.8                                    | 99.0                            | 87.8                            | 55.1                                              | 53.2                                              | 77.0                                                              | 15.9                                                              | 79.4                         | 69.4                         | 15.7                                              | 21.5                                              |
| Telangana          | 1.8                                    | -                                      | 91.5                            | -                               | 56.7                                              | -                                                 | 59.7                                                              | -                                                                 | 65.2                         | -                            | 25.7                                              | -                                                 |
| Tripura            | 1.7                                    | 2.2                                    | 79.9                            | 46.9                            | 54.5                                              | 65.1                                              | 59.2                                                              | 18.7                                                              | 80.4                         | 68.5                         | 32.2                                              | 41.0                                              |
| Uttarakhand        | 2.1                                    | 2.6                                    | 68.6                            | 32.6                            | 45.2                                              | 54.7                                              | 58.5                                                              | 20.1                                                              | 76.5                         | 64.7                         | 13.9                                              | 22.6                                              |
| West Bengal        | 1.8                                    | 2.3                                    | 75.2                            | 42.0                            | 62.5                                              | 63.2                                              | 43.5                                                              | 14.1                                                              | 71.0                         | 58.8                         | 40.7                                              | 53.3                                              |
| Andaman & Nicobar  | 1.5                                    | -                                      | 96.6                            | -                               | 65.7                                              | -                                                 | 81.8                                                              | -                                                                 | 84.1                         | -                            | 17.1                                              | -                                                 |
| Islands Puducherry | 1.7                                    | -                                      | 99.9                            | -                               | 52.4                                              | -                                                 | 68.2                                                              | -                                                                 | 85.0                         | -                            | 10.7                                              | -                                                 |

Source:

NFHS - 4 (2015 - 16) State fact sheets;

-Not Available, Union Territories exc ept Delhi were not covered in NFHS - 3, Telangana -newly created State # new Andhra Pradesh State.

## Annexure