Lok Sabha Question No. 4383 (UNSTARRED), answered on 2020-03-20
Subject: Rashtriya Bal Swasthya Karyakram
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shriniwas Dadasaheb Patil, Amol Ramsing Kolhe, Manickam Tagore B, Supriya Sadanand Sule, DNV Senthilkumar. S., Subhash Ramrao Bhamre, Kuldeep Rai Sharma

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

## LOK SABHA UNSTARRED QUESTION NO. 4383 TO BE ANSWERED ON 20 TH MARCH, 2020

## RASHTRIYA BAL SWASTH YA KARYAKRAM

## 4383. SHRI SHRINIWAS PATIL:

DR. AMOL RAMSING KOLHE:

SHRI MANICKAM TAGORE B.:

SHRIMATI SUPRIYA SULE:

DR. DNV SENTHILKUMAR S.:

DR. SUBHASH RAMRAO BHAMRE:

SHRI KULDEEP RAI SHARMA:

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

- (a) whether the Government is implementing Rashtriya Bal Swasthya Karyakram in the country, if so, the details thereof and achievement made since its inception;
- (b) whether the Government has made any assessment of the scheme through social audit;
- (c) if so, the details thereof and the outcome of the assessment;
- (d) the details of the number of children covered since the inception of the scheme, S -wise along with the funds allocated and utilized during each of the last three years;
- (e) whether the Government has taken any steps for children identified with any health cond to be referred to an appropriate health facility for further management, if so, the deta and
- (f) whether the Government proposes to set up high -end labs in C entral Government controlled hospitals/  health  centres  for  early  detection  of  genetic  disorders  and  other  diseases prenatal diagnosis and if so, the details thereof along with the funds allocated for the p

## ANSWER

## THE MINISTER OF STATE IN TH E MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

(a) to (e) : Government of India is implementing Rashtriya Bal Swasthya Karyakram (RBSK) under National Health Mission since 2013, for screening of all the children from 0 - 18 years of age for  4  D's  i.e.  Disease,  D efectsat  birth ,  Deficiencies,  Development  Delays including Disability.

A  total  of  30  health  conditions  have  been  identified  for  further  management designated health facilities under the programme

Contd…….

The screening services areprovided through dedicated Mobile Health Teams placed in every  block. These teams  screen  children  in  the  age  group  0 -6  years  tw ice  a  year  at Anganwadi Centers while c hildren enrolled in Government and Government aided schools from class 1 st to class 12 th are screened once a year.

The programme is regularly monitored through quarterly review of reports, field vi and periodic meeting s with state nodal officers. The technic al support and financial support under National Health Mission is provided based on the gap analysis and proposals submit by States in their annual Programme Implementation Plans .

The details of children screened, fund allocated and utilized is placed at Annexures I and II .

(f) :        There  is  no  proposal  for  consideration  at  present  to  set up  high - end  labs  in  Central Government controlled hospitals/health centres for early detection of genetic disorders a diseases through prenatal diagnosis .

Annexure I

| State/ UT wise Number   | State/ UT wise Number   | State/ UT wise Number   | State/ UT wise Number   | State/ UT wise Number   | State/ UT wise Number   | State/ UT wise Number   |
|-------------------------|-------------------------|-------------------------|-------------------------|-------------------------|-------------------------|-------------------------|
| S. No                   | States/UTs              | 2014-15                 | 2015-16                 | 2016-17                 | 2017-18                 | 2018-19                 |
| 1                       | Andaman & Nicobar       | 21383                   | 5423                    | 6079                    | 30179                   | 34386                   |
| 2                       | Andhra Pradesh          | 377066                  | 1515882                 | 1788706                 | 7422924                 | 4863803                 |
| 3                       | Arunachal Pradesh       | 225484                  | 325207                  | 281762                  | 480428                  | 223069                  |
| 4                       | Assam                   | 2944064                 | 4868868                 | 5739695                 | 6806788                 | 7588342                 |
| 5                       | Bihar                   | 62612                   | 28726455                | 90624959                | 12292327                | 14394687                |
| 6                       | Chandigarh              | 222249                  | 409000                  | 226039                  | 169682                  | 235623                  |
| 7                       | Chhattisgarh            | 63399                   | 5110919                 | 3943991                 | 5562343                 | 5691933                 |
| 8                       | Dadra & Nagar Haveli    | 85364                   | 96965                   | 99533                   | 116451                  | 115635                  |
| 9                       | Daman                   | 38329                   | 33591                   | 39817                   | 41518                   | 41113                   |
| 10                      | Delhi                   | 0                       | 0                       | 0                       | 0                       | 0                       |
| 11                      | Goa                     | 217848                  | 233355                  | 315709                  | 420951                  | 500353                  |
| 12                      | Gujarat                 | 12338318                | 16395227                | 21072911                | 24562202                | 11545363                |
| 13                      | Haryana                 | 2838024                 | 3462598                 | 3123596                 | 3118066                 | 3306567                 |
| 14                      | Himachal Pradesh        | 899502                  | 193572                  | 1019536                 | 1111931                 | 925723                  |
| 15                      | Jammu & Kashmir         | 1527980                 | 2213348                 | 2164500                 | 2377003                 | 2382274                 |
| 16                      | Jharkhand               | 8833                    | 589022                  | 1499214                 | 1770493                 | 4121914                 |
| 17                      | Karnataka               | 9202678                 | 12084351                | 11842346                | 12785173                | 13308932                |
| 18                      | Kerala,                 | 3646432                 | 3894862                 | 4202822                 | 3379395                 | 4006608                 |
| 19                      | Lakshadweep             | 0                       | 0                       | 0                       | 0                       | 0                       |
| 20                      | Madhya Pradesh          | 9082774                 | 13611821                | 11224515                | 9132631                 | 8727797                 |
| 21                      | Maharashtra             | 19335990                | 31715018                | 27203744                | 24780813                | 22975191                |
| 22                      | Manipur                 | 83167                   | 266159                  | 271422                  | 169259                  | 171098                  |
| 23                      | Meghalaya               | 43398                   | 407647                  | 703387                  | 903535                  | 1188520                 |
| 24                      | Mizoram                 | 252012                  | 367562                  | 233203                  | 267869                  | 242654                  |
| 25                      | Nagaland                | 38352                   | 156985                  | 217145                  | 223159                  | 182506                  |
| 26                      | Odisha                  | 4897389                 | 4635229                 | 9579416                 | 10214865                | 8362642                 |
| 27                      | Puducherry              | 134137                  | 162664                  | 178530                  | 179666                  | 179757                  |
| 28                      | Punjab                  | 2914456                 | 3241001                 | 3279703                 | 3623511                 | 3651397                 |
| 29                      | Rajasthan               | 2104888                 | 0                       | 5052752                 | 8371439                 | 9950597                 |
| 30                      | Sikkim                  | 87083                   | 97358                   | 84534                   | 92038                   | 72857                   |
| 31                      | Tamil Nadu              | 6557027                 | 10834472                | 27676536                | 13579235                | 13419418                |
| 32                      | Telangana               | 0                       | 0                       | 2132282                 | 905071                  | 1349191                 |
| 33                      | Tripura                 | 141422                  | 262442                  | 569282                  | 313008                  | 455200                  |
| 34                      | Uttar Pradesh           | 18206135                | 21951800                | 24418512                | 25535398                | 28862204                |
| 35                      | Uttarakhand             | 1382535                 | 4000744                 | 5356152                 | 1748143                 | 2007444                 |
| 36                      | West Bengal             | 6617918                 | 15441285                | 32402445                | 14046672                | 17813227                |
|                         | INDIA                   | 106598248               | 187310832               | 298574775               | 196534166               | 192898025               |

Annexure II

|       | States/UTs           | 2016-17   | 2016-17     | 2017-18   | 2017-18     | 2018-19   | 2018-19     |
|-------|----------------------|-----------|-------------|-----------|-------------|-----------|-------------|
| S. No | States/UTs           | Approvals | Utilisation | Approvals | Utilisation | Approvals | Utilisation |
| 1     | Bihar                | 9337.4    | 7133.1      | 10528     | 8210.9      | 12477.7   | 8321.6      |
| 2     | Andaman & Nicobar    | 189.8     | 90.1        | 172.6     | 78.1        | 198.1     | 106.9       |
| 3     | Andhra Pradesh       | 7383      | 395.7       | 9016.8    | 694.8       | 10625.3   | 2570.4      |
| 4     | Arunachal Pradesh    | 738.7     | 395.7       | 1037.4    | 470.2       | 1110.7    | 651.7       |
| 5     | Assam                | 8059.4    | 5036.5      | 7869.2    | 5574.9      | 6731.8    | 5919.3      |
| 6     | Chandigarh           | 163.7     | 0           | 173.9     | 180.1       | 167       | 166.5       |
| 7     | Chhattisgarh         | 5229.1    | 3202.3      | 15803.3   | 4972.5      | 7266.9    | 5224.7      |
| 8     | Dadra & Nagar Haveli | 222       | 105.3       | 155.6     | 104.8       | 151       | 113.8       |
| 9     | Daman                | 102.8     | 51.1        | 117.3     | 41.9        | 117.8     | 58.6        |
| 10    | Delhi                | 973       | 0           | 2421.9    | 0           | 0         | 0           |
| 11    | Goa                  | 273       | 144.9       | 278.2     | 176.1       | 307.6     | 207.2       |
| 12    | Gujarat              | 13229.6   | 12285.1     | 27049     | 18507.6     | 27897.3   | 20831       |
| 13    | Haryana              | 2932.3    | 2215.3      | 3423.9    | 2640.2      | 3280.8    | 2900        |
| 14    | Himachal Pradesh     | 2435.6    | 1350.8      | 2401.8    | 1627.1      | 2622.7    | 1637        |
| 15    | Jammu & Kashmir      | 4272.3    | 3605.9      | 4844.6    | 3642.5      | 4946.4    | 4112.2      |
| 16    | Jharkhand            | 1755.9    | 600.4       | 4203      | 930.5       | 3536.9    | 1787.9      |
| 17    | Karnataka            | 6322.5    | 5306.7      | 7982.9    | 6772.7      | 8145.4    | 5730.9      |
| 18    | Kerala,              | 4031.1    | 4329.1      | 7274.2    | 5717.7      | 6538.8    | 6669.7      |
| 19    | Lakshadweep          | 26.2      | 0.5         | 23.7      | 0           | 14.9      | 0.2         |
| 20    | Madhya Pradesh       | 14526.3   | 9042.6      | 16188.1   | 13040.8     | 16553.5   | 9551.6      |
| 21    | Maharashtra          | 16626.4   | 9406.2      | 16142.9   | 10648.8     | 22489.4   | 12198.8     |
| 22    | Manipur              | 1912.3    | 416.6       | 947.6     | 634.8       | 1623.2    | 1216.1      |
| 23    | Meghalaya            | 1168.9    | 744.8       | 1407.8    | 1051.7      | 1559.1    | 1203        |
| 24    | Mizoram              | 964       | 382.3       | 1086.8    | 541.4       | 568       | 623.3       |
| 25    | Nagaland             | 512.6     | 205         | 758.7     | 28.4        | 1429.8    | 187.3       |
| 26    | Odisha               | 7651.7    | 7022.4      | 8425      | 7046.8      | 9174.5    | 7919.7      |
| 27    | Puducherry           | 121.1     | 75.4        | 109.5     | 55.9        | 104.7     | 47.3        |
| 28    | Punjab               | 3401.5    | 2786.3      | 3498.3    | 2673.3      | 4122.7    | 3134.3      |
| 29    | Rajasthan            | 5839.1    | 3534.4      | 7101.9    | 4185.4      | 8498.3    | 5564.9      |
| 30    | Sikkim               | 248.4     | 72.9        | 264       | 60.6        | 308       | 84.2        |
| 31    | Tamil Nadu           | 8772.8    | 8469.3      | 9940.1    | 7050.9      | 8974.3    | 8914.8      |
| 32    | Telangana            | 3356      | 2447        | 5409.9    | 1621.6      | 9283.1    | 1354.5      |
| 33    | Tripura              | 660.1     | 290.5       | 674.5     | 573.6       | 955.7     | 728.5       |
| 34    | Uttar Pradesh        | 27454.3   | 20518.5     | 29888     | 21501.3     | 31028.3   | 25132.1     |
| 35    | Uttarakhand          | 3410.2    | 3022.2      | 3188.9    | 2481.8      | 3484.9    | 2585.1      |
| 36    | West Bengal          | 10653.8   | 10833.5     | 11018     | 10320.4     | 7662.9    | 11187.6     |
|       |                      | 1749.57   | 1255.18     | 2208.27   | 1438.6      | 2239.58   | 1586.43     |
| India |                      | Crores    | Crores      | Crores    | Crores      | Crores    | Crores      |