Lok Sabha Question No. 1987 (UNSTARRED), answered on 2019-11-29
Subject: Combating Malnutrition
Ministry: WOMEN AND CHILD DEVELOPMENT
Asked by: Rajendra Dhedya  Gavit, Rajiv Ranjan (Lalan) Singh, Kaushalendra Kumar

## GOVERNMENT OF INDIA MINISTRY OF WOMEN & CHILD DEVELOPMENT

## LOK SABHA UNSTARRED QUESTION NO. 1987 TO BE ANSWERED ON 29.11.2019

## COMBATING MALNUTRITION

## 1987. SHRI  RAJENDRA DHEDYA GAVIT:

SHRI RAJIV RANJAN SINGH ALIAS LALAN SINGH: SHRI KAUSHALENDRA KUMAR:

Will the Minister of WOMEN AND CHILD DEVELOPMENT be pleased to state:

- (a) the reasons  for not being able to control/combat malnutrition inspite  of various  schemes and programmes implemented by the Government;
- (b) whether  the  Government  has  established  any  coordination  with  the  State Governments on the basis of the report received from Government and NonGovernmental Agencies working in rural areas to tackle malnutrition, if so. the corrective steps taken by the Government  in this regard;
- (c) whether the reason for increasing cases of malnutrition is non-compliance of the Government  rules  and  the  irresponsible  attitude  of  Government  agencies  as well as the corruption at the grass root level and if so, whether the Government has conducted an enquiry in this regard;
- (d) the year-wise details of the total expenditure made by the Government to fight against malnutrition during the last five years; and
- (e) the  details  of  the  schemes  related  to  malnutrition  being  implemented  by  the Government to fight against malnutrition in the Country ?

## ANSWER MINISTER OF WOMEN AND CHILD DEVELOPMENT (SHRIMATI SMRITI ZUBIN IRANI)

(a  to  c)  Malnutrition  is  a  multi-  faceted  problem.   The  important  determinants  are inadequate  food,  level  of  poverty  leading  to  low  purchasing  power,  poor  socioeconomic status of women, female illiteracy, high rate of population growth and low access of population to health education, safe drinking water, environmental, sanitation, hygiene and other social services. Key reasons for malnutrition setting in early  life  are  early  marriage,  faulty  and  sub-optimal  infant  and  young  child  feeding practices,  childhood  illnesses  and  low  birth  weight.  The  nutritional  status  of  the population is outcome of complex and inter-related set of factors and needs a multipronged approach.

As per NFHS-4, 35.7% children under 5 years of age are underweight and 38.4% are stunted    as  against  NFHS-3  conducted  in  2005-06,  which  reported  42.5%  children under 5 years of age as underweight and 48% stunted Further, as per the report of Comprehensive National Nutrition Survey (CNNS) (2016-18), prevalence of stunting, wasting and underweight among children is 34.7%, 17% and 33.4% respectively, which indicates further reduction when compared to the levels reported by NFHS-4. Government has set up POSHAN Abhiyaan for a three year time frame commencing from  2017-18.The  goals  of  POSHAN  Abhiyaan  are  to  achieve  improvement  in nutritional status of Children from 0-6 years, Adolescent Girls, Pregnant Women and Lactating Mothers in a time bound manner during the three years. Poshan Abhiyaan ensure convergence of various programmes i.e. Anganwadi Services, Pradhan Mantri Matru Vandana Yojana, Scheme for Adolescent Girls of Ministry of Women & Child Development; National Health Mission (NHM) of Ministry of Health & Family Welfare; Swachh Bharat Mission of Ministry of Jal Shakti ('rural') and Ministry of  Housing and Urban  Affairs  ('urban')  ;  Public  Distribution  System  (PDS)  of  Ministry  of  Consumer Affairs,  Food  &  Public  Distribution  (CAF&PD);  Mahatma  Gandhi  National  Rural Employment  Guarantee  Scheme  (MGNREGS)  of  Ministry  of  Rural  Development (MoRD) etc.  Convergence at  State,  district  and  block  levels  is  ensured  through  the following committees

- i. State  level  Convergence  meeting  with  line  departments  chaired  by  Chief Secretary.
- ii. District  level  Convergence  meeting  with  line  departments  chaired  by  District Magistrate.
- iii.  Block  level  Convergence  meeting  with  line  departments  chaired  by  SubDivisional Magistrate.

Regular  reviews  and  meetings  are  conducted  at  National  and  State/UTs  level  to monitor the progress of implementation of POSHAN Abhiyaan and other schemes of the Ministry.  National Council under the Chairmanship of Vice Chairman, NITI Aayog and  the  Executive  Committee  under  the  Chairmanship  of  Secretary,  Ministry  of Women  and  Child  Development  also  monitor  the  progress  of  POSHAN  Abhiyaan regularly in which States are members of the Committee.

(d & e) The Government has accorded high priority to the issue of malnutrition and is implementing several schemes/programmes of different Ministries/Departments through  States/UTs  to  address  various  aspects  related  to  nutrition.  This  Ministry  is implementing POSHAN Abhiyaan, Pradhan Mantri Matru Vandana Yojana, Anganwadi Services  and  Scheme  for  Adolescent  Girls  under  the  Umbrella  Integrated  Child Development Services Scheme (ICDS) as direct targeted interventions to address the problem of malnutrition in the country.

Further steps taken under the National Health Mission (NHM), a flagship programme of  Ministry  of  Health  and  Family  Welfare,  to  address  malnutrition inter  alia include promotion of appropriate Infant and Young Child Feeding (IYCF) practices, Anaemia Mukt  Bharat,  Iron  and  Folic  Acid  (IFA)  supplementation,  de-worming,  promotion  of iodized salt, Vitamin-A supplementation, Mission Indradhanush  to ensure high coverage of vaccination in children, conducting intensified diarrhoea control fortnights to control childhood diarrhoea, management of sick severely malnourished children at Nutrition  Rehabilitation  Centers,  monthly  Village  Health  and  Nutrition  Days,  Home Based Newborn Care (HBNC)  and Home  Based  Young  Child care (HBYC) programmes, Rashtriya Bal Swasthya Karyakram, etc.

All the above schemes/programmes have the potential to improve nutrition outcomes in the country.

The  year  -wise  details  of  the  total  expenditure  made  under  these  schemes  is  at Annexure I, II, III and IV.

****

## Annexure-I

Statement referred to in reply to part (d) of the Lok Sabha Unstarred Q. No. 1987 for answer on 29.11.2019

The State/UT-wise  details  of  funds  released  during  last  three  years  under POSHAN Abhiyaan

|         |                   | Funds released (Rs. in lakhs)         | Funds released (Rs. in lakhs)   |
|---------|-------------------|---------------------------------------|---------------------------------|
| Sl. No. | State/UT          | 2017 - 18 + Unspent Balance of ISSNIP | 2018-19                         |
| 1       | Andhra Pradesh    | 2572.41                               | 8604.68                         |
| 2       | Bihar             | 7063.44                               | 15001.67                        |
| 3       | Chhattisgarh      | 1668.12                               | 9629.51                         |
| 4       | Delhi             | 945.95                                | 2206.88                         |
| 5       | Goa               | 238.07                                | 197.78                          |
| 6       | Gujarat           | 3036.66                               | 11228.03                        |
| 7       | Haryana           | 400.97                                | 5992.46                         |
| 8       | Jharkhand         | 2429.59                               | 5110.45                         |
| 9       | Karnataka         | 3351.05                               | 9870.89                         |
| 10      | Kerala            | 1273.37                               | 6491.91                         |
| 11      | Madhya Pradesh    | 4067.2                                | 15894.17                        |
| 12      | Maharashtra       | 2572.31                               | 20989.28                        |
| 13      | Odisha            | 4600.46                               | 10571.65                        |
| 14      | Puducherry        | 39.24                                 | 393.7                           |
| 15      | Punjab            | 819.51                                | 6090.33                         |
| 16      | Rajasthan         | 4216.26                               | 9680.99                         |
| 17      | Tamil Nadu        | 1340.51                               | 12210.93                        |
| 18      | Telangana         | 1736.94                               | 8595.7                          |
| 19      | Uttar Pradesh     | 8440.6                                | 29582.87                        |
| 20      | West Bengal       | 5545.27                               | 19294.11                        |
| 21      | Arunachal Pradesh | 52.93                                 | 2663.35                         |
| 22      | Assam             | 2298.27                               | 15492.36                        |
| 23      | Himachal Pradesh  | 1557.26                               | 4153.15                         |
| 24      | Jammu & Kashmir   | 388.59                                | 8343.52                         |
| 25      | Manipur           | 340.46                                | 3865.37                         |
| 26      | Meghalaya         | 462.98                                | 1713.27                         |
| 27      | Mizoram           | 119.38                                | 957.65                          |
| 28      | Nagaland          | 163.74                                | 1251.97                         |
| 29      | Sikkim            | 98.59                                 | 328.47                          |
| 30      | Tripura           | 277.91                                | 3695.72                         |
| 31      | Uttarakhand       | 1866.25                               | 4301.57                         |
|         | Total             | 63984.29                              | 254404.39                       |

## UTs without Legislature

| Sl. No.   | UT without Legislature   | Funds released (Rs. in lakhs)   | Funds released (Rs. in lakhs)   |
|-----------|--------------------------|---------------------------------|---------------------------------|
|           |                          | 2017 - 18                       | 2018-19                         |
| 1         | Andaman & Nicobar        | 100.22                          | 416.89                          |
| 2         | Chandigarh               | 158.88                          | 306.82                          |
| 3         | Dadra & Nagar Haveli     | 108.83                          | 129.32                          |
| 4         | Daman & Diu              | 42.06                           | 197.66                          |
| 5         | Lakshadweep              | 60                              | 138.9                           |
|           | TOTAL                    | 469.99                          | 1189.59                         |

-  POSHAN Abhiyaan approved w.e.f. 18.12.2017

## Statement referred to in reply to part (d) of the Lok Sabha Unstarred Q. No. 1987 for answer on 29.11.2019

State/UT-wise Fund released under the Pradhan Mantri Matru Vandana Yojana*

| Sl. No.   | State/UT             |   2017-18 |   2018-19 |
|-----------|----------------------|-----------|-----------|
| 1         | A & N Islands        |    163.08 |     41.13 |
| 2         | Andhra Pradesh       |   7022.36 |  14101.8  |
| 3         | Arunachal Pradesh    |    912.83 |     36    |
| 4         | Assam                |  10448.3  |    817    |
| 5         | Bihar                |  17351.4  |   1253    |
| 6         | Chandigarh           |    290.41 |    248.08 |
| 7         | Chhattisgarh         |   4382.58 |   2025.85 |
| 8         | Dadra & Nagar Haveli |    102.62 |     75.85 |
| 9         | Daman & Diu (UT)     |     61.56 |     28.98 |
| 10        | Goa                  |    168.85 |    107.26 |
| 11        | Gujarat              |  10186.9  |   5958.97 |
| 12        | Haryana              |   4324.3  |   3674.84 |
| 13        | Himachal Pradesh     |   1821.64 |   1793.84 |
| 14        | Jammu & Kashmir      |   3137.84 |    828.42 |
| 15        | Jharkhand            |   5622.7  |   1453.37 |
| 16        | Karnataka            |  10248.8  |   6361.72 |
| 17        | Kerala               |   5536.64 |   3514.27 |
| 18        | Lakshadweep          |     27.82 |      4.44 |
| 19        | Madhya Pradesh       |  12320.5  |  18581.5  |
| 20        | Maharashtra          |  12821.1  |  11795.6  |
| 21        | Manipur              |   1474.07 |     75    |
| 22        | Meghalaya            |   1110.83 |    102    |
| 23        | Mizoram              |    710.78 |    294.7  |
| 24        | Nagaland             |   1035.06 |     52    |
| 25        | NCT Of Delhi         |   2008.9  |    795.75 |
| 26        | Orissa               |   7143.33 |    383    |
| 27        | Puducherry           |    331.68 |     63.53 |
| 28        | Punjab               |   4648.73 |   1141.42 |
| 29        | Rajasthan            |  11487    |   9605.43 |
| 30        | Sikkim               |    354.33 |     21    |
| 31        | Tamil Nadu           |  12087.9  |    658    |
| 32        | Telangana            |   7196.4  |    385    |
| 33        | Tripura              |   1845.49 |     96    |
| 34        | Uttar Pradesh        |  33616.6  |  14216.7  |
| 35        | Uttarakhand          |   2610.99 |   1425.66 |
| 36        | West Bengal          |  10245    |   2938.72 |
| Total     |                      | 204859    | 104956    |

## Statement referred to in reply to part (d) of the Lok Sabha Unstarred Q. No. 1987 for answer on 29.11.2019 State/UT-wise Fund released under the Anganwadi Services Scheme during last 5 years

| Sl.   | State/UTs        | 2014-15   | 2014-15   | 2015-16   | 2015-16   | 2016-17   | 2016-17   | 2017-18   | 2017-18   | 2018-19   | 2018-19   |
|-------|------------------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|
| No .  | State/UTs        | SNP       | GENERAL   | SNP       | GENERAL   | SNP       | GENERAL   | SNP       | GENERAL   | SNP       | GENERAL   |
| 1     | ANDHRA PRADESH   | 31693.85  | 66728.10  | 36298.39  | 29903.77  | 31467.53  | 14590.85  | 31596.87  | 24629.79  | 37353.55  | 31895.05  |
| 2     | BIHAR            | 53875.44  | 61415.23  | 69357.73  | 31869.23  | 52520.17  | 32823.24  | 53741.97  | 35851.96  | 76987.83  | 35974.64  |
| 3     | CHHATTISGAR H    | 11302.16  | 40143.85  | 32879.98  | 16188.12  | 22461.93  | 16921.47  | 25724.9   | 28345.16  | 24279.95  | 28735.52  |
| 4     | GOA              | 515.46    | 2095.48   | 593.45    | 625.43    | 591.45    | 458.83    | 1011.2    | 585.64    | 859.5     | 778.06    |
| 5     | GUJARAT          | 18445.91  | 30113.17  | 30058.92  | 30862.36  | 36162.61  | 31788.45  | 38496.97  | 21581.54  | 32051.56  | 29206.4   |
| 6     | HARYANA          | 7424.01   | 23330.31  | 5545.06   | 10163.42  | 7131.04   | 12893.84  | 3945.75   | 13601.08  | 7305.22   | 13276.2   |
| 7     | JHARKHAND        | 20478.70  | 26107.87  | 15927.08  | 27300.88  | 28723.1   | 13325.75  | 25347.42  | 14879.45  | 29083.25  | 18797.43  |
| 8     | KARNATAKA        | 40184.11  | 41873.19  | 59330.30  | 36236.35  | 33914.94  | 16235.33  | 56009.24  | 32177.98  | 43588.97  | 43506.22  |
| 9     | KERALA           | 4917.75   | 19520.23  | 9411.98   | 18264.67  | 8305.96   | 24850.34  | 10976.6   | 20186.77  | 10785.38  | 17058     |
| 10    | MADHYA PRADESH   | 48462.49  | 73680.15  | 57366.69  | 47019.97  | 55779.33  | 43124.79  | 66775.88  | 46683.69  | 64088.78  | 49633.10  |
| 11    | MAHARASHTRA      | 37860.23  | 52412.65  | 37690.90  | 62704.71  | 32053.19  | 71393.73  | 41445.78  | 58469.85  | 106535.22 | 55705.39  |
| 12    | ODISHA           | 38610.37  | 48488.02  | 37421.34  | 24195.11  | 25519.58  | 38085.8   | 47316.24  | 34543.96  | 43450.56  | 33841.79  |
| 13    | PUNJAB           | 5577.39   | 20162.52  | 3184.64   | 10120.80  | 3124.57   | 11246.52  | 5282.25   | 13998.21  | 3744.1    | 13411.95  |
| 14    | RAJASTHAN        | 23837.65  | 49797.15  | 22694.59  | 25556.94  | 33045.65  | 25486.48  | 34931.86  | 30339.08  | 34950.74  | 29085.81  |
| 15    | TAMIL NADU       | 26961.81  | 40377.67  | 27006.20  | 36251.13  | 26017.9   | 15731.91  | 33186.7   | 14394.25  | 37271.35  | 26488.7   |
| 16    | TELANGANA        | 13088.78  | 32478.71  | 18292.97  | 18357.03  | 17418.86  | 9654.88   | 18130.74  | 18905.07  | 22045.61  | 21257.53  |
| 17    | UTTAR PRADESH    | 152371.18 | 119659.71 | 203927.22 | 69995.93  | 160784.24 | 95627.23  | 129353.52 | 80279.47  | 104579.08 | 84554.34  |
| 18    | WEST BENGAL      | 37687.47  | 58551.50  | 42524.56  | 35748.46  | 30462.46  | 27805.02  | 67697.94  | 27805.04  | 68046.87  | 53839.34  |
| 19    | DELHI            | 4978.98   | 12720.37  | 6740.28   | 6723.78   | 7551.09   | 6560.79   | 4051.41   | 6560.53   | 3474.65   | 5457.19   |
| 20    | PUDUCHERRY       | 182.37    | 1092.97   | 340.04    | 1333.23   | 1702.02   | 590.87    | 851.02    | 590.88    | 0         | 452.11    |
| 21    | HIMACHAL PRADESH | 2839.15   | 14271.17  | 3707.29   | 15191.05  | 4662.06   | 18694.25  | 5795.63   | 14898.51  | 6976.21   | 24112.44  |
| 22    | JAMMU & KASHMIR  | 5141.04   | 20722.25  | 4169.34   | 22849.90  | 4035.18   | 21105.03  | 4035.17   | 14383.93  | 2128.5    | 34361.46  |

## Annexure-III

| 23    | UTTARAKHAND       |   6014.82 |   13651.18 |   21307.95 |   11491.10 |   4649.44 |   12043.25 |   15212.13 |   11666.46 |   13612.57 |   18465.2 |
|-------|-------------------|-----------|------------|------------|------------|-----------|------------|------------|------------|------------|-----------|
| 24    | A & N ISLANDS     |    147.23 |     740.85 |     267.67 |    1142.59 |    262.68 |     934.06 |     284.57 |     974.13 |     369.94 |    883.04 |
| 25    | CHANDIGARH        |    341.99 |     654.19 |     535.56 |     884.69 |    190.49 |     571.7  |     592.09 |     471.88 |     769.72 |    634.14 |
| 26    | D&NAGAR HAVELI    |    123.48 |     157.83 |      62.38 |     148.59 |    203.8  |     365.81 |     129.89 |     182.9  |     168.86 |    354.23 |
| 27    | DAMAN & DIU       |     67.34 |     128.43 |       4.24 |      93.31 |    174.12 |     133.84 |     130.83 |     139.28 |     170.08 |     97.13 |
| 28    | LAKSHADWEEP       |     46.96 |      91.2  |      68.31 |      86.54 |     68.32 |      78.63 |      85.35 |      39.46 |     100.26 |    245.2  |
| 29    | ARUNACHAL PRADESH |   5032.15 |   10426.7  |    4194.48 |    8585.96 |   4052.72 |    7199.13 |    4035.02 |    8218.4  |    4411.4  |   7375.84 |
| 30    | ASSAM             |  45517.3  |   56806.5  |   33638    |   56936.6  |  17921    |   44425.7  |   31554.7  |   37115.7  |   30597    |  49561.1  |
| 31    | MANIPUR           |   3632.78 |   11178.2  |    1150.6  |    6766.17 |    500    |    7412.65 |    5244.2  |   10284.5  |    7134.08 |   8892.39 |
| 32    | MEGHALAYA         |   9380.22 |    4953.03 |    7565.63 |    4720.59 |  11184.7  |    5370.85 |   12238.9  |    5466.89 |   12364    |   4996.77 |
| 33    | MIZORAM           |   2437.62 |    3185.37 |    1551.5  |    3618.97 |   2156.92 |    2172.8  |    1539.37 |    3416.45 |    1843.36 |   2493.46 |
| 34    | NAGALAND          |   5308.79 |    6864.94 |    1717.06 |    6982.73 |  10611    |    4469.91 |    7000.08 |    6816.95 |    8231.2  |   3721    |
| 35    | SIKKIM            |    734.59 |    2248.15 |     434.3  |    1551.68 |    644.34 |     768.68 |     481.21 |    1426.33 |     450.66 |   1500.37 |
| 36    | TRIPURA           |   5969.31 |    8063.42 |    7870.18 |    9284.88 |   4010.56 |    7671.45 |    6456.59 |    6381.42 |    7781.78 |   9406.72 |
| Total | Total             | 671191    |  975343    |  804873    |  689757    | 680065    |  642614    |  790690    |  646293    |  847592    | 760055    |

Annexure-IV Statement referred to in reply to part  (d) of the Lok Sabha Unstarred Q. No. 1987 for answer on 29.11.2019 State/UT-wise Fund released under the Scheme for Adolescent Girls*

(Rs. in lakh)

| S. No.   | States/UTs        |   2016-17 |   2017-18 |   2018-19 |
|----------|-------------------|-----------|-----------|-----------|
| 1        | Andhra Pradesh    |    762.99 |   2259.52 |   1011.98 |
| 2        | Arunachal Pradesh |    126.25 |     87.96 |      0    |
| 3        | Assam             |   1356.94 |    341.92 |      0    |
| 4        | Bihar             |   2696.83 |   4003.74 |     25.54 |
| 5        | Chhattisgarh      |   1389.69 |   2792.61 |    724.75 |
| 6        | Goa               |    131.5  |    302.77 |      0.4  |
| 7        | Gujarat           |   1443.18 |   2690.09 |   5092.44 |
| 8        | Haryana           |    104.74 |    589.97 |     37.41 |
| 9        | Himachal Pradesh  |    720.45 |   1129.42 |      0    |
| 10       | Jammu & Kashmir   |    194.63 |    255.91 |    560.39 |
| 11       | Jharkhand         |    145.57 |   1495.55 |      0    |
| 12       | Karnataka         |    740.73 |   2466.93 |    923.76 |
| 13       | Kerala            |   1057.73 |    692.91 |    289.74 |
| 14       | Madhya Pradesh    |   5302.02 |   8641.18 |   5442.4  |
| 15       | Maharashtra       |   5334.42 |   3995.68 |   3536.78 |
| 16       | Manipur           |     49.65 |    170.28 |      0    |
| 17       | Meghalaya         |    919.65 |    528.83 |     12.55 |
| 18       | Mizoram           |     91.78 |    123.95 |     69.32 |
| 19       | Nagaland          |    206.31 |    193.14 |    214.3  |
| 20       | Odisha            |   2867.25 |   2442.6  |    866.77 |
| 21       | Punjab            |      0    |     40.6  |     26.3  |
| 22       | Rajasthan         |      0    |     39.38 |      0    |
| 23       | Sikkim            |     32.54 |     15.42 |      0    |
| 24       | Tamil Nadu        |   2655.26 |   3196.22 |      0    |
| 25       | Telangana         |    572.39 |     81.4  |    107.49 |
| 26       | Tripura           |    334.81 |    674.38 |     19.16 |
| 27       | Uttar Pradesh     |  10933    |   4486.13 |   1000.35 |
| 28       | Uttaranchal       |     43.02 |      3.3  |      0    |
| 29       | West Bengal       |     40.41 |    282.47 |    101.85 |
| 30       | A & N Islands     |    107.05 |     51.35 |      3.18 |
| 31       | Chandigarh        |     12.11 |     12.68 |      2.33 |
| 32       | Daman & Diu       |     14.14 |     14.14 |      4.53 |
| 33       | Dadar& Nagar H    |     16.44 |     16.44 |      4.94 |
| 34       | Delhi             |    276.66 |    490.19 |    320.48 |
| 35       | Lakshadweep       |      2.2  |     11.65 |      3.11 |
| 36       | Pondicherry       |     17.72 |      8.81 |      1.63 |
|          | Total             |  47700.1  |  44629.5  |  20403.9  |