Lok Sabha Question No. 1050 (UNSTARRED), answered on 2019-11-22
Subject: Child Health Programme under NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: B. Y. Raghavendra

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

LOK SABHA UNSTARRED QUESTION NO. 1050 TO BE ANSWERED ON 22 ND NOVEMBER, 2019

## CHILD HEALTH PROGRAM ME UNDER NHM

## 1050. SHRI B.Y.RAGHAVENDRA:

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

- (a)  whether  the  Government  proposes to  implement  Child  Health  Programme under  National Health Mission;
- (b) if so, the details thereof;
- (c) the time by which it will be implemented; and
- (d) the manner in which it will become beneficial to the family and children?

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

(a) to (d): Government of India is implementing Reproductive, Maternal, Newborn  Child, Adolescent health and Nutrition (RMNCHAN) strategy to improve maternal and Child health outcome under National Health Mission (NHM).

The various intervention under RMNCHA+N strategy are as below:

1. Promotion  of  Institutional  deliveries  throu gh  cash  incentive  under  Janani  Suraksha Yojana  (JSY)  and  Janani  Shishu  Suraksha  Karyakaram  (JSSK)  which  entitles  all pregnant  women  delivering  in  public  health  institutions  to  absolutely  free  de including Caesarean section, post - natal care and treatm ent of sick infants till one year of age.  Pradhan  Matritvya  Vandana  Yojana  (PMMVY)  is  another  maternity  benefit programme under which cash incentive of Rs. 5000 is provided to pregnant women and lactating mothers.
2. Strengthening  essential  newborn  care  at  a ll  delivery  points,  establishment  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) and Home Based Care of Young Children (HBYC) b y ASHAs to improve child rearing practices and to identify sick newborn.
3. Early initiation and exclusive breastfeeding for first six months and appropriate and  Young  Child  Feeding  (IYCF)  practices  are  promoted  under  Mothers'  Absolute Affection (MAA) in convergence with Ministry of Women and Child Development.
4. Village Health Sanitation and Nutrition Days (VHSNDs) are observed for provision maternal and child health services and creating awareness on maternal and child Health  and  nutrition  e ducation  through  mass  and  social  media  is  also  promoted  to improve healthy practices and to generate demand for service uptake.
5. Nutrition Rehabilitation Centres (NRCs) have been set up at public health facili treat  and  manage  the  children  with Severe  Acute  Malnutrition  (SAM)  admitted  with medical complications.
6. Universal Immunization Programme (UIP) is being supported to provide vaccination t children  against  life  threatening  diseases  such  as  Tuberculosis,  Diphtheria,  Pe Polio,  Tetanus ,  Hepatitis  B,  Measles,  Rubella,  Pneumonia  and  Meningitis  caused  by Haemophilus  Influenzae  B.  The  Rotavirus  vaccination  has  also  been  rolled  out  in country  for  prevention  of  Rotaviral  diarrhoea.  'Mission  Indradhanush  is  targeted  to immunize children wh o are either unvaccinated or partially vaccinated i.e. those that not  been  covered  during  the  rounds  of  routine  immunization  for  various  reaso Intensified  Mission  Indradhanush  (IMI)  2.0  is  being  planned  as  per  road - map  for achieving 90% full immuni zation coverage across the country.
7. All the children from 0 to 18 years of age are screened for 30 health conditions cl into 4Ds Diseases, Deficiencies, Defects and Developmental delay under 'Rastriya Bal Swasthya  Karyakaram'  (RBSK).  District  ea rly  intervention  centre  (DEIC)  at  district health facility level are established for confirmation and management of the 4D's.
8. National Deworming Day (NDD) is implemented biannually every year for deworming of children (one to nineteen year of age).
9. Name based tracking of mothers and children till two years of age is done through portal to ensure complete antenatal, intranatal, postnatal care and immunization schedule .
10. 10.Capacity  building  of  health  care  providers  is  regularly  done  to  build  and  u pgrade  the skills in basic and comprehensive obstetric care of mother during pregnancy, deliver for essential new - born care.

Besides above programme and scheme, few newer initiatives started under RMNCHA+N are as follows:

- (a) Pradhan Mantri Surakshit Matr itva Abhiyan (PMSMA) has been launched to provide fixed - day  assured,  comprehensive  and  quality  antenatal  care  universally  to pregnant women on the 9th of every month.
- (b) "LaQshya"  programme  aims  to  improve  the  quality  of  care  in  Labour  room  and Maternity operation theatres.
- (c) Surakshit Matritva Aashwasan (SUMAN) initiative is focussed on assured delivery maternal and newborn health care services encompassing wider access to quality c services,  at  no  cost,  zero  tolerance  for  denial  of  services,  assured management  of complications along with respect for women's autonomy and dignity.
- (d) Defeat Diarrhoea (D2) initiative has been launched for promoting ORS and Zinc u and eliminating the diarrhoeal deaths by 2025.
- (e) Social  Awareness  and  Actions  to  Neutralize  Pneumonia  Successfully  (SAANS) initiative for reduction of Childhood morbidity and mortality due to Pneumonia.
- (f) Anaemia  Mukt  Bharat  (AMB)  strategy  as  a  part  of  Poshan  Abhiyan  aims  to strengthen  the  existing  mecha nisms  and  foster  newer  strategies  to  tackle  anaemia, which include testing & treatment of anaemia in school going adolescents & pregn women, addressing non nutritional causes of anaemia and a comprehensive communication strategy.