Lok Sabha Question No. 2369 (UNSTARRED), answered on 2018-03-09
Subject: Global Burden Disease-2016
Ministry: HEALTH AND FAMILY WELFARE
Asked by: JAYADEV GALLA

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

LOK SABHA UNSTARRED QUESTION NO. 2369 TO BE ANSWERED ON 9 TH MARCH, 2018

## GLOBAL BURDEN DISEAS E - 2016

## 2369. SHRI JAYADEV GALLA:

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

(a) whether the Government is aware of the recently released Global Burden Disease - 2016 data which shows that India accounts for the highest number of deaths of children below five and if so, the detai ls thereof; and

- (b) the necessary steps taken/being taken by the Government for early detection, treatme creation of awareness about such diseases in the country?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

- (a): As per the Global Burden Disease - 2016  data  published by  Lancet, an estimate of 4.9 million children under the age of five  years died globally. The highest rate of morta noted in Sub - Saharan Africa region with Under - five Mortality Rate (U5MR) of 77/1000 live births. The U5MR for India is 39/1000 live births. However, in absolute numbers, India ac for highest number of deaths of under - five  children (0.9 million), because of the largest bir cohort.
- (b)Under National Health Mission, the following steps have been taken by the Government of India for early detection, treatment and creation of awareness about such diseases in the Country :
- (1)Promotion  of  Institutional  deliveries  through  cash  incentive  under  J anani  Suraksha Yojana  (JSY)  and  Janani  Shishu  Suraksha  Karyakaram  (JSSK)  which  entitles  all pregnant  women  delivering  in  public  health  institutions  to  absolutely  free  ante - natal check - ups,  delivery  including  Caesarean  section,  post - natal  care  and  treatment of  sick infants till one year of age.
- (2)Strengthening of delivery points for providing comprehensive and quality Reproduct Maternal,  Newborn,  Child  and  Adolescent  Health  (RMNCH+A)  Services,  ensuring essential  newborn  care  at  all  delivery  points,  estab lishment  of  Special  Newborn  Care Units (SNCU), Newborn Stabilization Units (NBSU) and Kangaroo Mother Care (KMC) units for care of sick and small babies. Home Based Newborn Care (HBNC) is being provided  by  ASHAs  to  improve  child  rearing  practices.  India  Ne wborn  Action  Plan (INAP) was launched in 2014 to make concerted efforts towards attainment of the go of 'Single Digit Neonatal Mortality Rate' and 'Single Digit Stillbirth Rate', by 2030.
- (3)Early initiation and exclusive breastfeeding for first six mont hs and appropriate Infant and Young Child Feeding (IYCF) practices are promoted in convergence with Ministr of  Women  and  Child  Development.  Village  Health  and  Nutrition  Days  (VHNDs)  are observed for provision of maternal and child health services and crea ting awareness on maternal  and  child  care  including  health  and  nutrition  education.  Mothers'  Absolute Affection (MAA) programme for improving breastfeeding practices (Initial Breastfeeding within one hour , Exclusive Breastfeeding up to six months and complementary feeding  up to two  years) through mass media campaigns and capacity building of health care providers in health facilities as well as in communities. N Rehabilitation  Centres  (NRCs)  have  also  been  established  across  the  country management of severe acute malnourished children with medical complications.
- (4)Universal Immunization Programme (UIP) is being supported to provide vaccination t children  against  many  life  threatening  diseases  such  as  Tuberculosis,  Diphth Pertussis,  Polio, Tetanus,  Hepatitis  B  and  Measles.  'Mission  Indradhanush'  was launched to fully immunize children who are either unvaccinated or partially vaccin those that have not been covered during the rounds of routine immunization for var reasons. Measles R ubella Campaign is being undertaken in select States for children from 9 months to 15 years of age with the aim of eliminating Measles by 2020.
- (5)Name based tracking of mothers and children till two years of age (Mother and Ch Tracking  System)  is  done  t o  ensure  complete  antenatal,  intranatal,  postnatal  care  an complete immunization as per schedule.
- (6)Rashtriya Bal Swasthya Karyakram (RBSK) for health screening, early detection of bi defects,  diseases,  deficiencies,  development  delays  and  early  interv ention  services  has been operationalized to provide comprehensive care to all the children in the age gr 0- 18 years in the community.
- (7)Some other important interventions are Iron and folic acid (IFA) supplementation fo prevention  of  anaemia among  the  vulnerable  age  groups,  home  visits  by  ASHAs  to promote exclusive breast feeding and promote use of ORS and Zinc for management of diarrhoea in children.
- (8)Health and nutrition education through Information, Education & Communication (IEC and Beha viour Change Communication (BCC) to promote healthy practices and create awareness to generate demand and improve service uptake.
- (9)Capacity building of health care providers: Various trainings are being conducted National Health Mission (NHM) to buil d and upgrade the skills of health care providers in  basic  and  comprehensive  obstetric  care  of  mother  during  pregnancy,  delivery essential newborn care.
- (10) Low performing districts have been identified as High Priority Districts (HPDs) w entitles them to receive high per capita funding, relaxed norms, enhanced monitorin focused supportive supervisions and encouragement to adopt innovative approaches address their peculiar health challenges.

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