Lok Sabha Question No. 938 (UNSTARRED), answered on 2020-02-07
Subject: National Family Health Survey
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Santosh Pandey

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

LOK SABHA UNSTARRED QUESTION NO. 938 TO BE ANSWERED ON 07 TH FEBRUARY, 20 20

## NATIONAL FAMILY HEAL TH SURVEY

## 938. SHRI SANTOSH PANDEY:

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

- (a) the percentage of children found malnourished, anaemic and not provided life saving v against diarrhoea and other diseases in Chhattisgarh as per the National Family Health S vey 3 and 4, survey -wise, separately;
- (b) whether any improvement has been noticed subsequent to the survey and if so, the d thereof;
- (c) the names of the districts of Chhattisgarh which need improvement in this regard;
- (d) whether any efforts are being made to improve the situation;
- (e) whether the Government proposes to chalk out a plan in this regard; and
- (f) if so, the details thereof?

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

- (a) : Status of malnourishment, Anemia and full immunization in children in Chhattisgarh are as follows:
- (b) : As  per  Comprehensive  National  Nutrition  Survey  (CNNS)  2016 - 18,  State  of Chhattisgarh has shown improvement in nutritional status as below;

| Indicators                                                                                   | NFHS - 3 (2005- 06)   |   NFHS - 4 (2015- 16) |
|----------------------------------------------------------------------------------------------|-----------------------|-----------------------|
| % of children under 5 years who are stunted                                                  | 52.9                  |                  37.6 |
| % of children under 5 years who are wasted                                                   | 19.5                  |                  23.1 |
| % of children under 5 years who are underweight                                              | 47.1                  |                  37.7 |
| % of childrenage 6 - 59 months who are anaemic (<11.0 g/dl)                                  | 71.2                  |                  41.6 |
| % of children age -12 23 months fully immunized (BCG, measles, and 3 doses each of polio and | DPT) 48.7             |                  76.4 |

| Indicators                                      |   CNNS (2016- 18) |
|-------------------------------------------------|-------------------|
| % of children under 5 years who are stunted     |              35.4 |
| % of children under 5 years who are wasted      |              19.3 |
| % of children under 5 years who are underweight |              40   |

## (c) : As per NFHS- 4, the following districts based on each indicator need improvement;

| Indicators                                                                                        | State Average   | Poor performing districts against State                                                                          |
|---------------------------------------------------------------------------------------------------|-----------------|------------------------------------------------------------------------------------------------------------------|
| % of children under 5 years who are stunted                                                       | 37.6            | Bastar, Bijapur, Bastar Dantewada, Mahasamund, Narayanpur, Raipur, Raigarh Rajnandgaon [ n=9 ]                   |
| % of children under years who are wasted                                                          | 5 23.1          | Bastar, Bijapur, Bilaspur, Dakshin Dantewada, Dhamtari, Korba , Korea Narayanpur and Uttar Bastar Kanker [ n=9 ] |
| % of children under years who are underweight                                                     | 5 37.7          | Bastar, Bijapur, Dakshin Bastar Dhamtari, Kabirdham, Mahasamund, and Uttar Bastar Kanker [ n=8 ]                 |
| % of children age 6 - 59 mo nths who are anaemic (<11.0 g/dl)                                     | 41.6            | Bastar, Bijapur, Dakshin Bastar Dhamtari, Durg, Narayanpur, Raipur and Bastar Kanker [ n=8 ]                     |
| % of children age -12 23 months fully immunized (BCG, measles, and 3 doses each of polio and DPT) | 76.4            | Bastar, Dakshin Bastar Dantewada, Champa, Jashpur, Kabirdham, Korea Mahasamund, Narayanpur, Raigarh and [ n=10 ] |

Bastar

Dantewada,

Dantewada,

Janjgir

(District wise coverage of aforesaid indicators are placed at annexure - 1)

- (d)to(f) : In order to improve nutritiona l status, reducing anemia, diarrhoea and other diseases in  children,  Government  of  India  is  implementing  Reproductive,  Maternal,  Newborn,  Chi Adolescent health and Nutrition (RMNCAH+N) strategy in all States/UTs including Chhattisgarh under National Hea lth Mission.

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

1. Strengthening essential newborn care at all delivery points, establishment of Newborn Care Units (SNCU), Newborn Stabilization Units (NBSU) and Kangaroo Mother Care (KMC) unit s for care of sick and small babies.
2. Home Based Newborn Care (HBNC) and Home Based Care of Young Children (HBYC)  by  ASHAs  to  improve  child  rearing  practices  and  to  identify  sick newborn.
3. The  Government  of  India  has  launched  POSHAN  (Prime  Minister  overre aching scheme for holistic nourishment) Abhiyaan to address malnutrition through mul -sectoral action, behaviour change communication, training and capacity buildin community workers and use of common application software. The Anemia Mukt Bharat strat egy has also been initiated with focus on life cycle approach, Iron folic acid supplementation, demand generation and dashboard for monitoring t progress.
4. Early  initiation  and  exclusive  breastfeeding  for  first  six  months  and  appro Infant  and  Y oung  Child  Feeding  (IYCF)  practices  are  promoted  under  Mothers' Absolute  Affection  (MAA)  in  convergence  with  Ministry  of  Women  and  Child Development. Nutrition Rehabilitation Centres (NRCs) have been set up at publ health facilities to treat and manage t he children with Severe Acute Malnutrition (SAM) admitted with medical complications.
5. Universal Immunization Programme (UIP) is being supported to provide vaccination  to  children  against  life  threatening  diseases  such  as  Tubercu Diphtheria, Pertussis,  Polio,  Tetanus,  Hepatitis  B,  Measles,  Rubella,  Pneumoni and Meningitis caused by Haemophilus Influenzae B. The Rotavirus vaccination has  also  been  rolled  out  in  the  country  for  prevention  of  Rota - viral  diarrhoea. Mission Indradhanush is targete d to immunize children who are either unvaccinated or partially vaccinated i.e. those that have not been covered during the rou routine immunization for various reasons. Intensified Mission Indradhanush (I 2.0 is rolled - out  as  per  road - map  for  ach ieving 90% full immunization coverage across the country.
6. All the children from 0 to 18 years of age are screened for 30 health condi classified  into  4Ds -Diseases,  Deficiencies,  Defects  and  Developmental  delay under  'Rashtriya  Bal  Swasthya  Karyakaram'  (RBSK)  to  improve  the  quality  of survival  and  to  reduce  out  of  pocket  expenditure  of  families.  District intervention  centre  (DEIC)  at  district  health  facility  level  are  establis confirmation and management of the 4D's.
7. National  DewormingDay  (NDD)  is  implemented  biannually  every  year  for deworming of children (one to nineteen year of age).
8. Defeat Diarrhoea (D2) initiative has been launched for promoting ORS and Zin use and eliminating the diarrhoeal deaths by 2025.
9. Social  Awareness  and Actions  to  Neutralize  Pneumonia  Successfully  (SAANS) initiative for reduction of Childhood morbidity and mortality due to Pneumonia.
10. 10.Village Health Sanitation and Nutrition Days (VHSNDs) are observed for provisio of maternal and child health services a nd awareness on maternal and child Health
11. and nutrition education through mass and social media to improve healthy practi and to generate demand for service uptake.
12. 11.Name based tracking of mothers and children till two years of age is done thr RCH p ortal to ensure complete antenatal, intranatal, postnatal care immunization as per schedule.
12. Promotion of Institutional deliveries through cash incentive under Janani Sura 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 treatment of sick infants up to one year  of  age.  Pradhan  Mantri  Matru  Vandana  Yojana  (PMMVY)  is another maternity benefit programme under which cash incentive is provided to pregna women and lactating mothers.

…………………….

## Annexure C hil drenunderagef i ve- D i str i ctsof C hhatt i sgarh,

## T abl e 1: N utr i t i onalstatusof N FH S- 4

| Distr i ct s                  | Stunte d(hei ght for ag e)   | Was te d ( w eig ht for hei ght)   | U nderw eig ht( w eig ht for ag e)   |
|-------------------------------|------------------------------|------------------------------------|--------------------------------------|
| State Average                 | 37.6                         | 23.1                               | 37.7                                 |
| Bast ar                       | 41. 6                        | 33. 9                              | 50. 5                                |
| Bij apur                      | 48. 2                        | 26. 0                              | 47. 2                                |
| Bil aspur                     | 34. 1                        | 26. 8                              | 33. 3                                |
| D akshi nBast ar D ant ew ada | 44. 2                        | 32. 2                              | 51. 6                                |
| D ham t ar i                  | 34. 2                        | 26. 9                              | 40. 2                                |
| D urg                         | 34. 2                        | 21. 2                              | 36. 3                                |
| Janj gi r C ham pa            | 36. 8                        | 21. 7                              | 34. 7                                |
| Jashpur                       | 35. 1                        | 18. 6                              | 35. 2                                |
| K abi rdham                   | 40. 4                        | 17. 6                              | 38. 4                                |
| K orba                        | 33. 2                        | 25. 7                              | 36. 6                                |
| K orea( K or i ya)            | 30. 6                        | 29. 0                              | 34. 5                                |
| M ahasa m und                 | 43. 7                        | 19. 8                              | 38. 1                                |
| N ara yanpur                  | 49. 0                        | 30. 5                              | 49. 2                                |
| R ai garh                     | 39. 2                        | 19. 4                              | 37. 1                                |
| R ai pur                      | 38. 3                        | 19. 5                              | 37. 3                                |
| R aj nandgaon                 | 48. 8                        | 17. 2                              | 36. 6                                |
| Surguj a                      | 32. 3                        | 22. 3                              | 34. 7                                |
| Utt ar Bast ar K anker        | 36. 3                        | 30. 9                              | 49. 9                                |

Tabl e2:Percentageofch i l drenage6- 59monthscl assi f i edashavi nganyanaem i abydi st ri ctof C hhatt i sgarh, N F H S- 4

| D i str i cts                 | C hi l drenhavi nganyanaem i a(H emog l obi nl evel <11. 0g/ dl )   |
|-------------------------------|---------------------------------------------------------------------|
| State Average                 | 41.6                                                                |
| Bast ar                       | 59. 4                                                               |
| Bij apur                      | 51. 3                                                               |
| Bil aspur                     | 31. 1                                                               |
| D akshi nBast ar D ant ew ada | 71. 3                                                               |
| D ham t ar i                  | 52. 7                                                               |
| D urg                         | 44. 4                                                               |
| Janj gi r C ham pa            | 35. 6                                                               |
| Jashpur                       | 31. 1                                                               |
| K abi rdham                   | 37. 6                                                               |
| K orba                        | 39. 1                                                               |
| K orea( K or i ya)            | 33. 7                                                               |

| M ahasa m und          | 38. 0   |
|------------------------|---------|
| N ara yanpur           | 48. 2   |
| R ai garh              | 38. 8   |
| R ai pur               | 47. 1   |
| R aj nandgaon          | 29. 7   |
| Surguj a               | 38. 6   |
| Utt ar Bast ar K anker | 61. 8   |

Tabl e3:Percentageofch i l drenage12- 23months w horecei vedall basic vaccinationatanyt i me before t he sur vey,byd i s tr i ctof C hhatt i sgarh, N FH S- 4

| D i str i cts                 | Allbasi c v acci nati ons 1   |
|-------------------------------|-------------------------------|
| State Average                 | 76.4                          |
| Bast ar                       | 71. 6                         |
| Bij apur                      | 83. 7                         |
| Bil aspur                     | 82. 0                         |
| D akshi nBast ar D ant ew ada | 66. 0                         |
| D ham t ar i                  | 88. 2                         |
| D urg                         | 90. 4                         |
| Janj gi r C ham pa            | 70. 5                         |
| Jashpur                       | 50. 4                         |
| K abi rdham                   | 61. 5                         |
| K orba                        | 80. 8                         |
| K orea( K or i ya)            | 74. 6                         |
| M ahasa m und                 | 74. 8                         |
| N ara yanpur                  | 62. 4                         |
| R ai garh                     | 68. 5                         |
| R ai pur                      | 80. 1                         |
| R aj nandgaon                 | 87. 1                         |
| Surguj a                      | 64. 3                         |
| Utt ar Bast ar K anker        | 82. 0                         |

1Fullyv acc in at ed withBCG,measl es,andth re edos eseac hof D PTandpol iov acc ine (e xcluding poliov accinegiv enatbi r th)