Lok Sabha Question No. 4798 (UNSTARRED), answered on 2018-03-23
Subject: RBSK
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAJEEV SHANKARRAO SATAV, SUPRIYA SADANAND SULE, P.R. SUNDARAM, DHANANJAY BHIMRAO MAHADIK, HEENA VIJAYKUMAR GAVIT, VIJAYSINH MOHITE PATIL, JAYAKUMAR JAYAVARDHAN

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

## LOK SABHA UNSTARRED QUESTIO N NO. 4798 TO BE ANSWERED ON 23 rd MARCH, 2018

## RBSK

## 4798. SHRI SATAV RAJEEV:

SHRIMATI SUPRIYA SULE:

SHRI P.R. SUNDARAM:

SHRI DHANANJAY MAHADIK:

DR. HEENA VIJAYKUMAR GAVIT:

SHRI MOHITE PATIL VIJAYSINH SHANKARRAO:

DR. J. JAYAVARDHAN:

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

- (a) whether a new child health screening and early intervention service viz. Rashtriya Bal Swasthya Karyakram(RBSK) has been launched in the country;
- (b) if so, the details thereof and the salient features of the said programme;
- (c)  the  funds  allocated/released/utilised by  the  States  since  the  inception  of  the  said programme til l date, State/UT - wise;
- (d)  the  number  of  Early  Intervention Centres  established  in  district  hospitals  and he th centres in the country during the last three years and the current year, State/UTwise;
- (e) the mechanism put in place by the Government for r egular monitoring of the programme to ascertain its efficacy in luding achievements of the said programme; and
- (f) the steps taken/being taken by the Government to ensure that district hospi als/healthcare centres across the country are fully equipped with technology and medicines to treat birth related defects, deficiencies and diseases?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

(a) to (f): Under  National  Health  Mission,  the  Government  of  I ndia  is  implementing RashtriyaBalSwasthyaKaryakram (RBSK) from 2013, for screening of all the children fro 018 years of age including school children for 4 D's i.e. defects, Deficiencies, development delays including specific diseases for 30 selected hea lth conditions.

The child health screening services is being provided through dedicated mobile h teams placed in every block. Under this programme children enrolled in Government a Government  aided  schools  from  class1 st to  class12 th are  screened  once  a  year.  The  teams screen children in the age group 0 -6 years at Anganwadicenters twice a year.

Children  identified  withhealth  conditions  are  provided  free  treatment  inclu surgery under National Health Mission.

There are 92 Distri ct Early Intervention Centres operational in the country.  Sta -wise details are at Annexure -I .

The  programme  is  regularly  monitored  under  National  Health  Mission  through quarterly review of reports, field visits and periodic meeting with state nodal officers

Under National Health Mission (NHM), financial and technical support is provided Government  of  India  to  the  States/UTs  to  strengthen  their  Health  System  based requirement posed by them in their Programme Implementation Plans (PIPs) for equ ipment, manpower, training, medicines.

As  reported  by  State/UTs  financial  allocation  and  expenditure  incurred  un RashtriyaBalSwasthayaKaryakram  in  last  three  years  and  in  the  current  year  is at Annexure -II .

RBSK - DEIC functional in the States/UT

| S.No   | State /UT            |   No. of DEIC operational |
|--------|----------------------|---------------------------|
| 1      | Bihar                |                         0 |
| 2      | Chhattisgarh         |                         0 |
| 3      | Himachal Pradesh     |                         0 |
| 4      | Jammu & Kashmir      |                         9 |
| 5      | Jharkhand            |                         0 |
| 6      | Madhya Pradesh       |                         2 |
| 7      | Odisha               |                         6 |
| 8      | Rajasthan            |                         0 |
| 9      | Uttar Pradesh        |                         0 |
| 10     | Uttarakhand          |                         1 |
| 11     | Arunachal Pradesh    |                         0 |
| 12     | Assam                |                         0 |
| 13     | Manipur              |                         0 |
| 14     | Meghalaya            |                         0 |
| 15     | Mizoram              |                         2 |
| 16     | Nagaland             |                         0 |
| 17     | Sikkim               |                         1 |
| 18     | Tripura              |                         0 |
| 19     | Andhra Pradesh       |                        13 |
| 20     | Telengana            |                         0 |
| 21     | Goa                  |                         1 |
| 22     | Gujarat              |                        11 |
| 23     | Haryana              |                        21 |
| 24     | Karnataka            |                         0 |
| 25     | Kerala               |                        14 |
| 26     | Maharashtra          |                         8 |
| 27     | Punjab               |                         0 |
| 28     | Tamil Nadu           |                         0 |
| 29     | West Bengal          |                         1 |
| 30     | *Andaman & Nicobar   |                         0 |
| 31     | Chandigarh           |                         1 |
| 32     | Dadra & Nagar Haveli |                         1 |
| 33     | Daman                |                         0 |
| 34     | Delhi                |                         0 |
| 35     | Lakshadweep          |                         0 |
| 36     | Puducherry           |                         0 |
| India  | India                |                        92 |

## State/ UT wise financial allocation and utilisation, RBSK

| Sl. No        | States/UTs           | 2014-15, as on March, 2015   | 2014-15, as on March, 2015   | 2015-16, as on March, 2016   | 2015-16, as on March, 2016   | 2016-17, as on March, 2017   | 2016-17, as on March, 2017   | 2017-18, as on December, 2017   | 2017-18, as on December, 2017   |
|---------------|----------------------|------------------------------|------------------------------|------------------------------|------------------------------|------------------------------|------------------------------|---------------------------------|---------------------------------|
| Sl. No        | States/UTs           | Approvals (Rs in Lakhs)      | Utilisation (Rs in Lakhs)    | Approvals (Rs in Lakhs)      | Utilisation (Rs in Lakhs)    | Approvals (Rs in Lakhs)      | Utilisation (Rs in Lakhs)    | Approvals (Rs in Lakhs)         | Utilisation (Rs in Lakhs)       |
| 1             | Bihar                | 5850.13                      | 9.92                         | 8739.89                      | 5,715.06                     | 9337.41                      | 7133.06                      | 10,527.98                       | 3,862.34                        |
| 2             | Chhattisgarh         | 3507.36                      | 1641.46                      | 3880.9                       | 2,481.44                     | 5229.10                      | 3202.34                      | 5,605.38                        | 2,050.25                        |
| 3             | Himachal Pradesh     | 927.2                        | 543.86                       | 1688.38                      | 442.33                       | 2435.57                      | 1350.75                      | 2,401.82                        | 947.63                          |
| 4             | Jammu & Kashmir      | 4459.11                      | 1411.83                      | 4656.04                      | 3,857.37                     | 4272.28                      | 3605.88                      | 4,844.56                        | 2,785.58                        |
| 5             | Jharkhand            | 3500.73                      | 0                            | 2792.19                      | 518.24                       | 1755.88                      | 600.38                       | 3,835.75                        | 471.27                          |
| 6             | Madhya Pradesh       | 8518.67                      | 3925.12                      | 13354.13                     | 8,200.59                     | 14526.32                     | 9042.58                      | 12,764.38                       | 7,977.52                        |
| 7             | Odisha               | 7248.75                      | 3957.82                      | 8307.39                      | 6,302.50                     | 7651.66                      | 7022.39                      | 8,128.63                        | 4,850.20                        |
| 8             | Rajasthan            | 2427.77                      | 9.6                          | 6871.45                      | 547.37                       | 5839.08                      | 3534.44                      | 6,843.08                        | 3,036.73                        |
| 9             | Uttar Pradesh        | 19793.59                     | 14881.12                     | 24709.61                     | 18,602.70                    | 27454.25                     | 20518.50                     | 26,285.86                       | 12,439.31                       |
| 10            | Uttarakhand          | 3523.09                      | 2088.81                      | 3390.78                      | 2,933.50                     | 3410.24                      | 3022.17                      | 3,188.94                        | 912.58                          |
| 11            | Arunachal Pradesh    | 709.5                        | 112.94                       | 750.75                       | 600.03                       | 738.69                       | 395.66                       | 1,037.36                        | 324.88                          |
| 12            | Assam                | 7764.47                      | 1507.69                      | 6944.39                      | 3,949.67                     | 8059.36                      | 5036.46                      | 7,869.22                        | 3,094.80                        |
| 13            | Manipur              | 854.99                       | 78.57                        | 1745.97                      | 374.06                       | 1912.27                      | 416.55                       | 947.60                          | 533.80                          |
| 14            | Meghalaya            | 1092.03                      | 87.53                        | 1110.11                      | 995.85                       | 1168.88                      | 744.78                       | 1,407.82                        | 667.03                          |
| 15            | Mizoram              | 621.97                       | 271.02                       | 924.34                       | 411.42                       | 964.04                       | 382.31                       | 1,086.84                        | 356.51                          |
| 16            | Nagaland             | 458.82                       | 115.34                       | 439.73                       | 119.99                       | 512.63                       | 205.04                       | 583.54                          | 20.45                           |
| 17            | Sikkim               | 151.54                       | 65.15                        | 268.7                        | 103.18                       | 248.39                       | 72.90                        | 263.97                          | 38.13                           |
| 18            | Tripura              | 324.77                       | 55.73                        | 604.66                       | 213.78                       | 660.06                       | 290.54                       | 558.87                          | 363.33                          |
| 19            | Andhra               | 5197.92                      | 423.9                        | 3789.36                      | 810.60                       | 7382.99                      | 395.66                       | 6,804.34                        | 463.29                          |
| 20            | Pradesh Telangana    | 3189.78                      | 0                            | 4184.78                      | 311.35                       | 3356.00                      | 2447.01                      | 5,261.30                        | 1,097.94                        |
| 21            | Goa                  | 293.76                       | 116.12                       | 312.69                       | 163.20                       | 272.97                       | 144.87                       | 265.90                          | 126.05                          |
| 22            | Gujarat              | 7790.62                      | 2863.75                      | 9072.04                      | 6,542.49                     | 13229.55                     | 12285.10                     | 22,284.63                       | 7,565.65                        |
| 23            | Haryana              | 3801.79                      | 2028.18                      | 3203.92                      | 2,921.99                     | 2932.25                      | 2215.30                      | 3,423.90                        | 1,900.53                        |
| 24            | Karnataka            | 6460.84                      | 3308.2                       | 5991.94                      | 4,513.89                     | 6322.47                      | 5306.68                      | 7,982.87                        | 5,321.68                        |
| 25            | Kerala,              | 4195.54                      | 751.79                       | 4097.35                      | 3,367.51                     | 4031.09                      | 4329.13                      | 5,998.97                        | 3,302.03                        |
| 26            | Maharashtra          | 15145.68                     | 7157.76                      | 12799.26                     | 9,712.71                     | 16626.38                     | 9406.18                      | 15,902.98                       | 11,317.84                       |
| 27            | Punjab               | 3782.49                      | 591.04                       | 3749.24                      | 3,194.15                     | 3401.51                      | 2786.25                      | 3,426.59                        | 1,599.63                        |
| 28            | Tamilnadu            | 4715.59                      | 0                            | 4389.05                      | 2,418.02                     | 8772.83                      | 8469.27                      | 9,628.06                        | 4,898.79                        |
| 29            | West Bengal          | 11346.21                     | 4682.81                      | 11799.49                     | 8,682.96                     | 10653.77                     | 10833.53                     | 10,090.08                       | 6,132.04                        |
| 30            | Andaman & Nicobar    | 154.05                       |                              | 208.29                       | 45.66                        | 189.84                       | 90.13                        | 172.57                          | 39.05                           |
| 31            | Chandigarh           | 171.11                       | 121.31                       | 207.63                       | 0.00                         | 163.66                       | 0.00                         | 173.93                          | 83.89                           |
| 32            | Dadra & Nagar Haveli | 205.84                       | 0                            | 201.55                       | 120.08                       | 222.03                       | 105.31                       | 155.59                          | 77.83                           |
| 33            | Daman                | 102.26                       | 91.3                         | 114.09                       | 39.26                        | 102.83                       | 51.14                        | 117.31                          | 29.08                           |
| 34            | Delhi                | 19.92                        | 0                            |                              | 0.00                         | 973.04                       | 0.00                         | 2,421.86                        | 0.00                            |
| 35            | Lakshadweep          | 18.8                         | 0.45                         | 25.4                         | 1.91                         | 26.17                        | 0.48                         | 23.70                           | 0.00                            |
| 36 Puducherry | 36 Puducherry        | 81.58                        |                              | 86.18                        | 55.04                        | 121.06                       | 75.37                        | 109.51                          | 40.76                           |
| India         | India                | 1384.08 Crores               | 529 Crores                   | 1554.12 crores               | 992.7crores                  | 1749.57 crores               | 1255.18 crores               | 1924.26 crores                  | 887.28 crores                   |