Lok Sabha Question No. 482 (STARRED), answered on 2019-07-26
Subject: Under-Five Mortality
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Pritam Gopinath Munde

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

## LOK SABHA STARRED QUESTION NO. 482 TO BE ANSWERED ON THE 26 TH JULY , 2019 UNDER - FIVE MORTALITY

## *482. DR. PRITAM GOPINATHRAO MUNDE:

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

- (a) whether the Government has implemented the Child Health Programme under the National Health Mission (NHM) to improve child survival and address fac contributing to infant and und er - five mortality;
- (b) if so, the allocation made under NHM for the same;
- (c)  the  success  achieved  to  improve  child  survival  and  address  the  f contributing to infant and under - five mortality;
- (d)  whether  the  Government  has  decided  to  link  funding under  NHM  to  the performance of States/UTs, if so, the details thereof along with the names o States/UTs whose performance has deteriorated; and
- (e)  the  names  of  the  States/UTs  which  have  achieved  the  United  Nations  2 Sustainable Development Goals (SDGs) on infant mortality rate?

## ANSWER

## THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. HARSH VARDHAN)

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

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 482* FOR 26 TH JULY , 2019

(a)  Government  of  India  is  implementing  Child  Health  Program  under  Nation Health Mission and improving child survival and addressing factors contribut infant and under - five mortality is its key objective. (b) Since the launch of Nation al (Rural) Health Mission in 2005, Rs. 68,195 crore has been released to States/ UTs for the Reproductive and Child Health (R Program that inter - alia includes funding for immunization and child health. (c) In the last decade, the Under Five Mortality Ra te in the county declined from 69 per 1000 live births in 2008 to 37 per 1000 live births in 2017. During t period, the Infant Mortality Rate at national level declined from 53 to 33. of Interventions that contributed to above decline are pl aced at annexure. (d) Since the 12 th Plan, a part of NHM funding has been linked to performance of the States/UTs based on pre - defined parameters and child survival is one among them. 10% of total allocation under RMNCH+A and Health System Strengthening Flexible Pool under NHM was kept as an incentive pool, which has subsequent been enhanced to 20% of the total central allocation under NHM from F.Y 201 -19 onwards. All the states have shown decline in Under five Mortality during the last decade. The  States  that  rank  most  poorly  on  Under  Five  Mortality  Rate  are  Madh Pradesh, Assam, Chhattisgarh and Odisha. (e) States of Kerala, Tamil Nadu, Delhi, Maharashtra, Jammu and Kashmir, Pun lready  achieved  U5MR  target  set  under  the and  Himachal  Pradesh  have  a Sustainable Development Goal 3.

## Annexure

In order to improve child survival, various interventions are impleme under NHM. These interventions include:

Promotion  of  Institutional  deliveries  through  cash  incen tive  under  Janani Suraksha Yojana (JSY), entitlements under Janani Shishu Suraksha Karyakara (JSSK), LaQshaya initiative for all government facilities with high case bring about reorganization of labour room to ensure respectful maternity ca enable adherence to quality standards clinical protocols in labour room, e essential newborn care at all delivery points, establishment of Special N Care Units (SNCU) with Kangaroo Mother Care (KMC) units for care of sick an small  babies,  Ho me  Based  Newborn  Care  (HBNC)  and  Home  Based  Care  of Young  Child  provided  by  ASHAs  to  improve  child  rearing  practices,  Mothers' Absolute Affection programme (MAA) to promote early initiation and exclusi breastfeeding for first six months, Iron and folic a cid (IFA) supplementation for the prevention of anaemia among the children, and promote use of ORS and Zinc f management of diarrhoea in children.

Universal  Immunization  Programme  (UIP)  is  being  supported  to  provide vaccination  to  children  against  life  t hreatening  diseases  such  as  Tuberculosis, Diphtheria,  Pertussis,  Polio,  Tetanus,  Hepatitis  B,  Measles,  Rubella,  Pneu and  Meningitis  caused  by  Haemophilus  Influenzae  B  nationally  and  again Pneumococcal Pneumonia and Rota - virus diarrhoea in selected s tates. JE vaccine is provided in 231 endemic districts across 21 States. 'Mission Indradhanush and Intensified  Mission  Indradhanush'  was  launched  to  immunize  children  who  are either unvaccinated or partially vaccinated i.e. those that have not been during the rounds of routine immunization for various reasons.

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