Lok Sabha Question No. 3732 (UNSTARRED), answered on 2017-03-24
Subject: Child Care
Ministry: HEALTH AND FAMILY WELFARE
Asked by: R. PARTHIPAN

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

## LOK SABHA UNSTARRED QUESTION NO. 3732 TO BE ANSWERED ON 24 TH MARCH, 2017

## CHILD CARE

## 3732. SHRI R. PARTHIPAN:

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

- (a) whether the Government has any effective mechanism to reduce child under nutrition i country;
- (b) if so, the details thereof;
- (c) whether several emerging economies across the world have successfully addressed their ch under nutritional challenge;
- (d) if so, the details thereof;
- (e) whether the Government has age appropriate foods for children from six months to two of age;
- ( f) if so, the details thereof;
- (g) whether the Government is promoting safe and hygienic complementary feeding practices;
- (h) if so, the details thereof;
- (i) whether the full immunization and bi - annual Vitamin A supplementation with deworming are suc cessfully progressing; and
- (j) if so, the details thereof with State - wise details?

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

- (a) &(b):     The Government has accorded high priority to the issue of undernutrition in and is implementing several schemes/programmes of different Ministries/Departments through

State  Governments/UT  Administrations  to  address several  aspects  related  to  nutrition  which include;

- Supplementary Nutrition in the form of hot - cooked meals and take - home ration provided to children  aged  6  months  to  6  years  under  Integrated  Child  Development  Services  (ICD Scheme, Growth monitoring of children aged 0 -5  years on a monthly basis at Anganwadi Centres
- Mid - day meal for all students under the Government and Government aided schools
- Village  Health  and  Nutrition  Days  and  Mother  and  Child  Protection  Card  are  the  j initiative of the Ministry of Health & Family welfare and the Ministry of Woman and Child Development for addressing the nutrition concerns in children, pregnant women and lact mothers.  Monthly  Village  Health  and  Nutrition  Days  (VHND)  are  monthly  days  held  at village level in A nganwadi centre to increase the awareness and bring about desired change in the dietary practices including the promotion of breastfeeding.
- Promotion of appropriate infant and young child feeding practices that include early in of  breastfeeding  an d  exclusive  breastfeeding  till  6  months  of  age  through  ASHA  worker, Aanganwadi  Worker  and  health  care  provider  at  health  facilities.Ministry  of  Health Family  Welfare  recently  launched  'MAA'  programme  to  provide  impetus  on  capacity building  of  the  healt h  workers  on  lactation  management  at  both  community  and  facility levels and 360 degree IEC campaign to create awareness regarding breastfeeding.
- Treatment of sick children with severe acute malnutrition at special units called the Rehabilitation Centres (NRCs), set up at public health facilities. Presently 965 such ce are functional in 26 States and UTs.
- Micronutrient supplementation like Vitamin A and Iron Folic Acid (IFA) for children ag months to 5 years and Promotion for intake of io dised salt.
- De-worming of children aged 1 - 19 years

( c)& ( d) : As per the Global Nutrition Report 2015, among the emerging economies, Chi a and Brazil are on -course of achieving the Global target for stunting.

( e)& ( f) : For children in the age group of 6 months to 3 years, nutritional supplement providing 500 Kcal energy and 12 - 15 g protein is provided as Take Home Ration in the form that is palatable to the child as part of the ICDS .

Contd……..

( g)& (h) : The National Guidelines on Infant and Young Child Feeding, 2006 issued by MWCD& National Guidelines for enhancing optimal Infant and Young Child Feeding (IYCF) practices, 2013 issued by MoHFW, emphasises and guides the States/UTs on the importance of appropriate Infant and Young Child Feeding (IYCF) practice s along with provision safe and hygienic complementary feeding.

(i) & ( j) : The full immunization coverage in the country is successfully progressing and improved from 43.5% in 2005 to 62% in 2015 as per NFHS. The vitamin - A  coverage in the country is also successfully progressing from 18.3% in 2005 - 06 to 60.2% in 2015 - 6 as per the National  Family  Health  Survey  (NFHS - 3  and  4)  The  State - wise  details  of  Vitamin - A supplementation coverage and immunization coverage during 2015 - 16 is given at annexure- 1.

The deworming coverage in NDD 2015 was 8.9 crore children across 11 states/UTs and in 2016, the program was scaled up to all States/UTs covering 24 crore children in - 19 years of age group. Th e state wise details are given at annexure- 2 .

………………….

## Annexure: 1

| State-wise update on Immunization and Vitamin-A coverage Source: NFHS- 4 (2015-16)   | State-wise update on Immunization and Vitamin-A coverage Source: NFHS- 4 (2015-16)   | State-wise update on Immunization and Vitamin-A coverage Source: NFHS- 4 (2015-16)   | State-wise update on Immunization and Vitamin-A coverage Source: NFHS- 4 (2015-16)   |
|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|
| S. No.                                                                               | STATES                                                                               | Immunization                                                                         | Vitamin A Coverage                                                                   |
|                                                                                      | All India                                                                            | 62.0                                                                                 | 60.2                                                                                 |
| 1                                                                                    | A &NIslands                                                                          | 73.2                                                                                 | 69.3                                                                                 |
| 2                                                                                    | Andhra Pradesh                                                                       | 65.3                                                                                 | 72.1                                                                                 |
| 3                                                                                    | Arunachal Pradesh                                                                    | 38.2                                                                                 | 39.4                                                                                 |
| 4                                                                                    | Assam                                                                                | 47.1                                                                                 | 51.3                                                                                 |
| 5                                                                                    | Bihar                                                                                | 61.7                                                                                 | 62.3                                                                                 |
| 6                                                                                    | Chandigarh                                                                           | 79.5                                                                                 | 56.3                                                                                 |
| 7                                                                                    | Chhattisgarh                                                                         | 76.4                                                                                 | 70.2                                                                                 |
| 8                                                                                    | D &NHaveli                                                                           | 43.2                                                                                 | 59.3                                                                                 |
| 9                                                                                    | Daman &Diu                                                                           | 66.3                                                                                 | 68.4                                                                                 |
| 10                                                                                   | Delhi                                                                                | 66.4                                                                                 | 54.2                                                                                 |
| 11                                                                                   | Goa                                                                                  | 88.4                                                                                 | 89.5                                                                                 |
| 12                                                                                   | Gujarat                                                                              | 50.4                                                                                 | 71.2                                                                                 |
| 13                                                                                   | Haryana                                                                              | 62.2                                                                                 | 66.7                                                                                 |
| 14                                                                                   | Himachal Pradesh                                                                     | 69.5                                                                                 | 64.3                                                                                 |
| 15                                                                                   | Jammu and Kashmir                                                                    | 75.1                                                                                 | 64.7                                                                                 |
| 16                                                                                   | Jharkhand                                                                            | 61.9                                                                                 | 52.9                                                                                 |
| 17                                                                                   | Karnataka                                                                            | 62.6                                                                                 | 78.7                                                                                 |
| 18                                                                                   | Kerala                                                                               | 82.1                                                                                 | 74.4                                                                                 |
| 19                                                                                   | Lakshadweep                                                                          | 86.9                                                                                 | 52.3                                                                                 |
| 20                                                                                   | Madhya Pradesh                                                                       | 53.6                                                                                 | 60.4                                                                                 |
| 21                                                                                   | Maharashtra                                                                          | 56.3                                                                                 | 70.5                                                                                 |
| 22                                                                                   | Manipur                                                                              | 65.9                                                                                 | 32.1                                                                                 |
| 23                                                                                   | Meghalaya                                                                            | 61.5                                                                                 | 54.4                                                                                 |
| 24                                                                                   | Mizoram                                                                              | 50.5                                                                                 | 68.6                                                                                 |
| 25                                                                                   | Nagaland                                                                             | 35.7                                                                                 | 27.1                                                                                 |
| 26                                                                                   | Odisha                                                                               | 78.6                                                                                 | 69.1                                                                                 |
| 27                                                                                   | Puducherry                                                                           | 91.3                                                                                 | 75.0                                                                                 |
| 28                                                                                   | Punjab                                                                               | 89.1                                                                                 | 70.6                                                                                 |
| 29                                                                                   | Rajasthan                                                                            | 54.8                                                                                 | 39.6                                                                                 |
| 30                                                                                   | Sikkim                                                                               | 83.0                                                                                 | 84.3                                                                                 |
| 31                                                                                   | Tamil Nadu                                                                           | 69.7                                                                                 | 68.3                                                                                 |
| 32                                                                                   | Telangana                                                                            | 68.1                                                                                 | 76.3                                                                                 |
| 33                                                                                   | Tripura                                                                              | 54.5                                                                                 | 62.8                                                                                 |
| 34 Uttar                                                                             | Pradesh                                                                              | 51.1                                                                                 | 39.5                                                                                 |
| 35                                                                                   | Uttarakhand                                                                          | 57.7                                                                                 | 36.9                                                                                 |
| 36                                                                                   | West Bengal                                                                          | 84.4                                                                                 | 68.4                                                                                 |

Annexure: 2

| State - wise National De -worming Day Coverage   | State - wise National De -worming Day Coverage   | State - wise National De -worming Day Coverage   | State - wise National De -worming Day Coverage   |
|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|
| S.No.                                            | States/UTs                                       | Children covered Feb                             | (in Lakh) Feb 2016                               |
| 1.                                               | A&N ISLANDS                                      | 2015 NA                                          | 0.86                                             |
| 2.                                               | ANDHRA PRADESH                                   | NA                                               | 76.47                                            |
| 3.                                               | ARUNACHAL                                        | NA                                               | 4.71                                             |
| 4.                                               | PRADESH ASSAM                                    | 41.7                                             | 53.52                                            |
| 5.                                               | BIHAR                                            | 187.18                                           | 346.44                                           |
| 6.                                               | CHANDIGARH                                       | NA                                               | 2.12                                             |
| 7.                                               | CHHATTISGARH                                     | 9.17                                             | 66.81                                            |
| 8.                                               | D&N HAVELI                                       | 1.09                                             | 1.07                                             |
| 9.                                               | DAMAN & DIU                                      | NA                                               | 0.37                                             |
| 10.                                              | DELHI                                            | NA                                               | 30.56                                            |
| 11.                                              | GOA                                              | NA                                               | 3.41                                             |
| 12.                                              | GUJARAT                                          | NA                                               | 100.99                                           |
| 13.                                              | HARYANA                                          | 25.6                                             | 55.41                                            |
| 14.                                              | HIMACHAL PRADESH                                 | NA                                               | 12.12                                            |
| 15.                                              | J&K                                              | NA                                               | NA                                               |
| 16.                                              | JHARKHAND                                        | NA                                               | 103.09                                           |
| 17.                                              | KARNATAKA                                        | 74.93                                            | 123.64                                           |
| 18.                                              | KERALA                                           | NA                                               | NA                                               |
| 19.                                              | LAKSHADWEEP                                      | NA                                               | 0.18                                             |
| 20.                                              | MADHYA PRADESH                                   | 184.91                                           | 195.83                                           |
| 21.                                              | MAHARASHTRA                                      | 124.6                                            | 174.64                                           |
| 22.                                              | MANIPUR                                          | NA                                               | 8.21                                             |
| 23.                                              | MEGHALAYA                                        | NA                                               | 8.1                                              |
| 24.                                              | MIZORAM                                          | NA                                               | 4.12                                             |
| 25.                                              | NAGALAND                                         | NA                                               | 5.48                                             |
| 26.                                              | ODISHA                                           | NA                                               | 64.87                                            |
| 27.                                              | PONDICHERRY                                      | NA                                               | 3.08                                             |
| 28.                                              | PUNJAB                                           | NA                                               | 30                                               |
| 29.                                              | RAJASTHAN                                        | 111.75                                           | 175.8                                            |
| 30.                                              | SIKKIM                                           | NA                                               | 1.1                                              |
| 31.                                              | TAMIL NADU                                       | 126.74                                           | 200.82                                           |
| 32.                                              | TELANGANA                                        | NA                                               | 92.77                                            |
| 33.                                              | TRIPURA                                          | 10.75                                            | 9.46                                             |
| 34.                                              | UP                                               | NA                                               | 393.6                                            |
| 35.                                              | UTTARAKHAND                                      | NA                                               | 21.73                                            |
| 36.                                              | WEST BENGAL                                      | NA                                               | 123.64                                           |
| INDIA TOTAL                                      | INDIA TOTAL                                      | 898                                              | 2495.02                                          |

NA: Not Applicable