Lok Sabha Question No. 201 (STARRED), answered on 2018-03-09
Subject: Deaths of Children
Ministry: HEALTH AND FAMILY WELFARE
Asked by: JITENDRA CHAUDHURY, ANSHUL VERMA

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

## LOK SABHA STARRED QUESTION NO. 201 TO BE ANSWERED ON THE 9 TH MARCH, 2018

## DEATHS OF CHILDREN

## *201.SHRI JITENDRA CHAUDHURY: DR. ANSHUL VERMA:

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

- (a) whether the Government run hospitals are well equipped with all the required infrastructure and if so, the details thereof, State - wise including Uttar Pradesh;
- (b) whether a number of children have died due to lack of proper medical facilities in Government hospitals in the country and if so, the details thereof indicating t number of children died during 2016 - 17, State/UT - wise  including  Gorakhpur  in Uttar Pradesh;
- (c) the main ca use behind the deaths of children during the said period along with the action taken by the Government in this regard;
- (d) the details of funds sanctioned, released and utilised by the States/UTs for the development of infrastructure therein during each of the last three years, State/ UT wise; and
- (e) the number of hospitals upgraded/ modernised in the country, State/UT - wise including Uttar Pradesh along with the steps taken/being taken by the Government to further improve the functioning of these hospit als?

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

(a) to (e): A statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 201* FOR 9 TH MARCH , 2018

……

(a)to  (e)  : PublicHealthand  hospitals being  a  state  subject,  under  National Health  Mission  (NHM),  Ministry  of  Health  & Family  Welfare  is  providing technical and financial support for infrastructure strengthening and up - gradation, equipment procurement and maintenance based on the Program Implementation Plans received from States/ UTs. Since inception of National Health Mi ssion , approvals  for  new  construction  of  32,497  health  facilities  and  renovati -gradation works of 39,324 health facilities has been given. The det ail of funds approved and utiliz ed by the States/UTs for the development of infrastructu during each of the last three years, State/ UT - wise is placed at Annexure .

Reducing  child  mortality (Under  5  Mortality  Rate) is  one  of the  main objectives of National H ealth Mission. During 1990 - 2015, the child mortality in the county declined by 66% in comparison to global decline of 55%. As per information received from states, there are no such incidents reported w large  number  of  children  died  due  to  lack  of  pr oper  medical  facilities  in Government hospitals in the country , including Gorak hpur in Uttar Pradesh .

In order to address child mortality ,various interventions are implemented under NHM. These interventions i cludes Promotion of Institutional deliveries t hrough cash incentive under Janani Suraksha Yojana (JSY), entitlements un Janani  Shishu  Suraksha  Karyakaram  (JSSK), LaQ shaya  initiative  for  all government  facilities  with  high  case  load  to  bring  about  reorganizati labour room to ensure respectful m aternity care and enable adherence to quality standards clinical protocols in labour room, ensuring essential newborn c all  delivery  points,  establishment  of  Special  Newborn  Care  Units  (SNC Newborn Stabilization Units (NBSU) and Kangaroo Mother Ca r  (KMC) units for  care  of  sick  and  small  babies,  Home  Based  Newborn  Care  (HBNC) provided  by  ASHAs  to  improve  child  rearing  practices,  Mothers'  Absolute Affection  programme  (MAA)  to  promote  early  initiation  and  exclusive breastfeeding for first six months ,Iron and folic acid (IFA) supplementation for the prevention of anaemia among the vulnerable age groups, and promote u of ORS and Zinc for management of diarrhoea in children.

Universal  Immunization  Programme  (UIP)  is  being  supported  to  provide vaccinat ion  to  children  against  many  life  threatening  diseases  such Tuberculosis, Diphtheria, Pertussis, Polio, Tetanus, Hepatitis B and Measles

Pentavalent vaccine has been introduced all across the country and 'Mission Indradhanush' has been launched to ful ly immunize children who are either unvaccinated or partially vaccinated; those that have not been covered d the  rounds  of  routine  immunization  for  various  reasons.  Measles  Rube Campaign is being undertaken in select States for children from 9 mon ths to 15 years of age with the aim of eliminating Measles by 2020.

Besides  this,  Government  of  India  is  also  implementing  Rashtriya  B Swasthya Karyakram (RBSK) which provides child health screening and early interventions services including free surgery for defects, diseases, deficiencies and delays so as to improve the quality of survival and to reduce out of expenditure of families.

….

## Annexure

Statement Showing the State/UTs wise State Program Implementation Plan -Approval & Utilization under Hospital Strengthening and New Constructions/ Renovation and Setting up from the F.Y. 20 -15 to 2016 - 17 under National Health Mission (NHM)

| S.No.                     | State             | 2014- 15   | 2014- 15   | 2015- 16   | 2015- 16   | Rs. In 2016- 17   | Rs. In 2016- 17   |
|---------------------------|-------------------|------------|------------|------------|------------|-------------------|-------------------|
|                           |                   | Approval   | Exp        | Approval   | Exp        | Approval          | Exp               |
| A. High Focus States      |                   |            |            |            |            |                   |                   |
| 1                         | Bihar             | 80.73      | 39.87      | 53.32      | 41.22      | 124.05            | 45.02             |
| 2                         | Chhattisgarh      | 48.79      | 104.63     | 29.48      | 121.65     | 39.71             | 121.48            |
| 3                         | Himachal Pradesh  | 6.55       | 8.72       | 37.22      | 31.25      | 38.49             | 38.56             |
| 4                         | Jammu & Kashmir   | 118.77     | 123.77     | 49.97      | 65.38      | 27.06             | 37.73             |
| 5                         | Jharkhand         | 36.58      | 29.03      | 24.21      | 47.29      | 48.62             | 0.29              |
| 6                         | Madhya Pradesh    | 58.83      | 72.94      | 115.74     | 187.14     | 205.12            | 176.38            |
| 7                         | Orissa            | 150.88     | 191.65     | 162.95     | 184.55     | 289.99            | 180.01            |
| 8                         | Rajasthan         | 298.31     | 236.11     | 312.14     | 276.29     | 297.15            | 192.98            |
| 9                         | Uttar Pradesh     | 68.92      | 353.94     | 541.76     | 587.02     | 305.55            | 566.41            |
| 10                        | Uttarakhand       | 14.57      | 15.49      | 2.94       | 12.29      | 16.55             | 3.22              |
|                           | Sub Total         | 882.94     | 1176.17    | 1329.73    | 1554.08    | 1392.29           | 1362.06           |
| B. NE States              |                   |            |            |            |            |                   |                   |
| 11                        | Arunachal Pradesh | 20.24      | 8.45       | 25.42      | 55.91      | 17.91             | 38.02             |
| 12                        | Assam             | 158.99     | 81.01      | 169.71     | 185.24     | 135.70            | 115.16            |
| 13                        | Manipur           | 9.50       | 19.12      | 7.64       | 12.34      | 17.09             | 3.89              |
| 14                        | Meghalaya         | 15.42      | 15.84      | 26.85      | 19.59      | 6.51              | 21.03             |
| 15                        | Mizoram           | 1.44       | 0.00       | 2.12       | 0.76       | 0.03              | 0.97              |
| 16                        | Nagaland          | 6.82       | 1.90       | 7.65       | 0.10       | 1.18              | 3.82              |
| 17                        | Sikkim            | 3.45       | 3.38       | 4.77       | 1.87       | 1.61              | 3.72              |
| 18                        | Tripura           | 21.62      | 30.06      | 4.59       | 5.70       | 10.10             | 11.76             |
|                           | Sub Total         | 237.46     | 159.74     | 248.75     | 281.51     | 190.11            | 198.36            |
| C. Non- High Focus States |                   |            |            |            |            |                   |                   |
| 19                        | Andhra Pradesh    | 106.32     | 120.70     | 104.40     | 74.57      | 12.43             | 65.03             |
| 20                        | Goa               | 1.66       | 0.08       | 0.19       | 0.02       | 0.07              | 0.02              |
| 21                        | Gujarat           | 103.78     | 53.91      | 76.23      | 117.96     | 0.05              | 114.30            |

## Annexure

Statement Showing the State/UTs wise State Program Implementation Plan -Approval & Utilization under Hospital Strengthening and New Constructions/ Renovation and Setting up from the F.Y. 20 -15 to 2016 - 17 under National Health Mission (NHM)

| S.No.               | State                     | 2014- 15   | 2014- 15   | 2015- 16   | 2015- 16   | Rs. In crore 2016-   | Rs. In crore 2016-   |
|---------------------|---------------------------|------------|------------|------------|------------|----------------------|----------------------|
|                     |                           | Approval   | Exp        | Approval   | Exp        | Approval             | Exp                  |
| 22                  | Haryana                   | 9.05       | 5.18       | 8.81       | 0.85       | 2.37                 | 6.09                 |
| 23                  | Karnataka                 | 105.33     | 91.07      | 84.09      | 85.88      | 116.14               | 33.74                |
| 24                  | Kerala                    | 51.56      | 32.69      | 46.32      | 48.84      | 35.23                | 37.22                |
| 25                  | Maharashtra               | 139.30     | 64.30      | 174.40     | 82.39      | 93.12                | 76.84                |
| 26                  | Punjab                    | 8.43       | 27.50      | 38.19      | 43.05      | 30.00                | 45.35                |
| 27                  | Tamil Nadu                | 216.82     | 474.92     | 149.25     | 208.70     | 137.73               | 215.21               |
| 28                  | Telangana                 | 90.97      | 60.67      | 22.50      | 24.60      | 9.01                 | 13.03                |
| 29                  | West Bengal               | 81.73      | 84.04      | 46.55      | 145.13     | 14.78                | 131.59               |
|                     | Sub Total                 | 914.96     | 1015.05    | 750.92     | 831.99     | 450.93               | 738.42               |
| D. Small States/UTs |                           |            |            |            |            |                      |                      |
| 30                  | Andaman & Nicobar Islands | 0.25       | 0.92       | 0.45       | 0.00       | 1.84                 | 0.65                 |
| 31                  | Chandigarh                | 0.00       | 0.00       | 0.00       | 0.00       | 0.00                 | 0.00                 |
| 32                  | Dadra & Nagar Haveli      | 0.00       | 0.00       | 0.13       | 0.00       | 0.00                 | 0.00                 |
| 33                  | Daman & Diu               | 0.03       | 0.01       | 0.05       | 0.01       | 0.05                 | 0.00                 |
| 34                  | Delhi                     | 60.77      | 64.51      | 3.00       | 16.68      | 35.00                | 3.06                 |
| 35                  | Lakshadweep               | 0.00       | 0.00       | 0.00       | 0.00       | 0.04                 | 0.00                 |
| 36                  | Puducherry                | 0.09       | 0.05       | 0.05       | 0.06       | 0.00                 | 0.07                 |
|                     | Sub Total                 | 61.14      | 65.49      | 3.68       | 16.75      | 36.92                | 3.78                 |
|                     | Grand Total               | 2096.51    | 2416.46    | 2333.07    | 2684.33    | 2070.25              | 2302.63              |

Note: Above mentioned Utilization figures are as reported by States/UTs and include expenditure against Central Release, State share & unspent balances.