Lok Sabha Question No. 4101 (UNSTARRED), answered on 2019-01-04
Subject: National Family Health Survey (NFHS)/Annual Health Survey
Ministry: HEALTH AND FAMILY WELFARE
Asked by: DHANANJAY BHIMRAO MAHADIK, HEENA VIJAYKUMAR GAVIT, VIJAYSINH MOHITE PATIL, RAJEEV SHANKARRAO SATAV, SUPRIYA SADANAND SULE

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

## LOK  SABHA UNSTARRED QUESTION NO. 4101 TO BE ANSWERED ON 04 TH JANUARY, 2019

## NATIONAL FAMILY HEAL TH SURVEY (NFHS)/ANNUAL HEALTH SURVEY

## 4101. SHRI DHANANJAY MAHADIK:

SHRIMATI SUPRIYA SULE:

SHRI MOHITE PATIL VIJAYSINH SHANKARRAO:

DR. HEENA VIJAYKUMAR GAVIT:

SHRI SATAV RAJEEV:

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

- (a) the number of National Family Health Survey (NFHS)/Annual Health Surveys conducted in rural and urban areas of the country and the major findings in these surveys State/UT - wise;
- (b) whether a number of States/UTs were not covered by some of these surveys and if so, the details thereof along with th e reasons therefor;
- (c) whether the Government has restructured the format of National Family Health Survey/Annual Health Survey;
- (d) if so, the details thereof along with the reasons therefor;
- (e) the steps taken by the Government to ensure compilation of true and objective data in order to help the Government in making its future policies and programmes; and
- (f) the corrective steps taken by the Government to improve Healthcare in rural and urban areas of the country, State/UT wise?

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

- (a): Four rounds of National Family Health Survey (NFHS) were conducted in the country during 1992 - 93(NFHS 1), 1998 - 99 (NFHS 2), 2005 - 06 (NFHS - 3) and 2015 - 16 (NFHS - 4) under the stewardship of the Ministry of Health and Family Welfare, Government of India, with International Institute for Population Sciences, Mumbai, as the nodal agency.   The Three (2010- 11, 2011 - 12 and 2012 - 13) of Annual Health Sur vey (AHS) was carried out through the Office of Registrar General & Census Commissioner of India in 284 districts of States n Assam and Empowerment Action Group (EAG) States (Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttar Pra desh and Uttarakhand) have been completed.

The major findings of NFHS - 4 and AHS are given at as Annexure -I& II.

## The detailed findings of these surveys are available at link

http://rchiips.org/NFHS/index.shtml .

The  survey  results  including  the  Clinical  Anthropometric  and  Biological  (CAB component are now available on the website (http://www.censusindia.gov.in/2011 -common/AHSurvey.html) of ORGI.

(b): In  NFHS- 1  Sikkim  and  t he  Kashmir  region  of  Jammu  and  Kashmir  have  not  been coveredprimarily due to the local law and order situation.  Further, Union Territories Delhi were also not covered in NFHS 1 to NFHS 3, as the total population of these areas together are l ess than one percent of India's population.

As per the mandate, Annual Health Surveys (AHS) was conducted only in EAG states and Assam.

(c) & (d): Govt. has restructured NFHS from 2015 - 16 whereas its coverage has widened to provide estimates at distr ict level.  This has been termed as benchmark for the future NFHS surveys. Along with the coverage, the content of different rounds of NFHS has been incre as per the new requirements of various ministries.

(e): District  Level  Household  and  Facili ty  Survey  (DLHS)  with  varying  periodicity  and Annual Health Survey in 8 EAG States and Assam were subsumed to an integrated NFHS with a periodicity of three years.   The Ministry launched National Family Health Survey(NFHS) - 4 as an  integrated  survey  with  t he  aim  to  provide  estimates  of  key  family  welfare  and  health indicators at the National, State and District levels.

(f): The corrective steps taken by the Government to improve Healthcare in rural and ur areas of the country, State/UT - wise is given a t Annexure -III .

|                                                                      |                                                                      |                                                                      |                                                                      |                                                                      |                                                                      |                                                                      |                                                                      | Annexure - I                                                         |
|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|
| Some of the major findings from National Family Health Survey (NFHS) | Some of the major findings from National Family Health Survey (NFHS) | Some of the major findings from National Family Health Survey (NFHS) | Some of the major findings from National Family Health Survey (NFHS) | Some of the major findings from National Family Health Survey (NFHS) | Some of the major findings from National Family Health Survey (NFHS) | Some of the major findings from National Family Health Survey (NFHS) | Some of the major findings from National Family Health Survey (NFHS) | Some of the major findings from National Family Health Survey (NFHS) |
|                                                                      | Total Fertility                                                      | Total Fertility                                                      | Total Fertility                                                      | Total Fertility                                                      | Infant Mortality Rate (IMR)                                          | Infant Mortality Rate (IMR)                                          | Infant Mortality Rate (IMR)                                          | Infant Mortality Rate (IMR)                                          |
| State/union territory Pradesh                                        | NFHS-1                                                               | NFHS-2                                                               | Rate (TFR) NFHS-3                                                    | NFHS-4                                                               | NFHS-1                                                               | NFHS-2                                                               | NFHS-3                                                               | NFHS-4                                                               |
| India                                                                | 3.39 2.59                                                            | 2.85 2.25                                                            | 2.68 1.79                                                            | 2.18 1.83                                                            | 78.5 70.4                                                            | 67.6 65.8                                                            | 57.0                                                                 | 40.7 34.9                                                            |
| Andhra Assam                                                         | 3.53                                                                 | 2.31                                                                 |                                                                      |                                                                      |                                                                      | 69.5                                                                 | 53.5                                                                 |                                                                      |
| Bihar                                                                | 4.00                                                                 | 3.70                                                                 | 2.42 4.00                                                            | 2.21 3.41                                                            | 88.7 89.2                                                            |                                                                      |                                                                      |                                                                      |
|                                                                      | -                                                                    | -                                                                    | 2.62                                                                 | 2.23                                                                 | -                                                                    | 72.9 -                                                               | 66.1 61.7 70.8                                                       | 47.6                                                                 |
|                                                                      | 2.99                                                                 | 2.72                                                                 | 2.42                                                                 | 2.03                                                                 |                                                                      | 62.6                                                                 | 49.7                                                                 | 48.1                                                                 |
| Chattisgarh                                                          |                                                                      |                                                                      | 2.69                                                                 |                                                                      |                                                                      |                                                                      |                                                                      | 54.0 34.2 32.8                                                       |
| Gujarat Haryana Jharkhand                                            | 3.99                                                                 | 2.88                                                                 | 3.31                                                                 |                                                                      | 68.7 73.3                                                            | 56.8                                                                 |                                                                      |                                                                      |
| Karnataka                                                            | -                                                                    |                                                                      |                                                                      | 2.05                                                                 | -                                                                    | -                                                                    | 41.7 68.7 43.2                                                       | 43.5 26.9                                                            |
|                                                                      | 2.85 2.00                                                            | -                                                                    | 2.07                                                                 | 2.55 1.80 1.56                                                       | 65.4 23.8                                                            | 51.5 16.3                                                            | 15.3                                                                 |                                                                      |
|                                                                      |                                                                      | 2.13                                                                 |                                                                      | 2.32                                                                 |                                                                      |                                                                      |                                                                      |                                                                      |
| Kerala                                                               |                                                                      | 1.96                                                                 | 1.93 3.12                                                            |                                                                      | 85.2                                                                 |                                                                      |                                                                      | 5.6                                                                  |
| Madhya Pradesh Maharashtra Odisha                                    | 3.90                                                                 | 3.43                                                                 |                                                                      |                                                                      |                                                                      | 86.1                                                                 | 69.5                                                                 | 51.2 23.7 39.6                                                       |
|                                                                      | 2.86                                                                 | 2.52 2.46 2.21                                                       | 2.11 2.37 1.99                                                       | 1.87                                                                 | 50.5 112.1                                                           | 43.7                                                                 | 37.5                                                                 |                                                                      |
|                                                                      | 2.92                                                                 |                                                                      |                                                                      | 2.05                                                                 |                                                                      | 81.0                                                                 | 64.7 41.7 65.3                                                       | 29.2                                                                 |
| Punjab                                                               | 2.92                                                                 |                                                                      |                                                                      | 1.62                                                                 | 53.7                                                                 | 57.1                                                                 |                                                                      |                                                                      |
| Rajasthan                                                            | 3.63                                                                 | 3.78                                                                 | 3.21 1.80                                                            | 2.40                                                                 | 72.6 67.7 -                                                          | 80.4 48.2                                                            |                                                                      | 41.3 20.2 27.7                                                       |
| Tamil Nadu                                                           | 2.48                                                                 | 2.19 - 4.06                                                          |                                                                      | 1.70                                                                 |                                                                      |                                                                      | 30.4 - 72.7                                                          |                                                                      |
| Telangana                                                            | - 4.82 2.92                                                          | 2.29                                                                 | - 3.82 2.27                                                          | 1.78                                                                 | 99.9 75.3                                                            | -                                                                    | 48.0                                                                 |                                                                      |
| Uttar Pradesh                                                        | 4.25                                                                 | 2.52                                                                 | 3.03                                                                 | 2.74 1.77 2.10                                                       |                                                                      | 86.7 48.7 63.1                                                       | 60.7                                                                 | 63.5                                                                 |
| West Bengal Arunachal Pradesh Delhi                                  |                                                                      | 2.40                                                                 |                                                                      |                                                                      |                                                                      |                                                                      |                                                                      | 27.5 22.9 31.2                                                       |
|                                                                      |                                                                      |                                                                      |                                                                      |                                                                      | 40.0                                                                 |                                                                      |                                                                      | 12.9                                                                 |
|                                                                      | 3.02                                                                 | 1.77 2.14                                                            | 2.13 1.79 1.94                                                       | 1.78 1.66 1.88                                                       | 65.4 31.9 55.8                                                       | 46.8 36.7 34.4                                                       | 39.8 15.3 36.1                                                       |                                                                      |
| Goa                                                                  | 1.90                                                                 |                                                                      |                                                                      | 2.01                                                                 |                                                                      |                                                                      |                                                                      |                                                                      |
| Himachal Pradesh Jammu &Kashmir # Manipur                            | 2.97 3.13 2.76                                                       |                                                                      |                                                                      |                                                                      |                                                                      |                                                                      |                                                                      | 34.3                                                                 |
|                                                                      | 3.73                                                                 | 2.71 3.04 4.57                                                       | 2.38 2.83 3.80                                                       | 2.61 3.04                                                            | 45.4 42.4 64.2                                                       | 65.0 37.0 89.0                                                       | 44.7                                                                 | 32.4 21.7 29.9                                                       |
| Meghalaya                                                            | 2.30                                                                 | 2.89                                                                 | 2.86                                                                 | 2.27                                                                 |                                                                      |                                                                      | 29.7 44.6 34.1                                                       |                                                                      |
|                                                                      |                                                                      | 3.77                                                                 |                                                                      |                                                                      |                                                                      |                                                                      |                                                                      |                                                                      |
| Mizoram Nagaland Sikkim                                              |                                                                      |                                                                      |                                                                      |                                                                      | 14.6 17.2 -                                                          | 37.0 42.1 43.9                                                       | 38.3 33.7                                                            | 40.1 29.5                                                            |
|                                                                      | 3.26 - 2.67                                                          | 2.75 1.87                                                            | 3.74 2.02 2.22                                                       | 2.74                                                                 | 75.8                                                                 |                                                                      | 51.5                                                                 |                                                                      |
|                                                                      | -                                                                    |                                                                      | 2.55                                                                 | 1.17 1.68 2.07                                                       |                                                                      | 44.2                                                                 |                                                                      | 29.5 26.7 39.7                                                       |
| Tripura                                                              |                                                                      |                                                                      |                                                                      |                                                                      |                                                                      |                                                                      | 41.9                                                                 |                                                                      |
| Uttarakhand                                                          |                                                                      | -                                                                    |                                                                      |                                                                      | -                                                                    | -                                                                    |                                                                      |                                                                      |
| A&NIslands                                                           | -                                                                    | -                                                                    | -                                                                    | 1.44                                                                 | -                                                                    |                                                                      |                                                                      | 9.8                                                                  |
| Chandigarh Dadra &Nagar Haveli Daman &Diu                            | - - -                                                                | - - -                                                                |                                                                      |                                                                      |                                                                      | -                                                                    | - - - -                                                              | 38.3 33.0 34.4                                                       |
| Lakshadweep                                                          | -                                                                    | -                                                                    | - - - -                                                              | 1.57 2.32 1.68                                                       | - - -                                                                | - - -                                                                | -                                                                    |                                                                      |
|                                                                      |                                                                      |                                                                      |                                                                      | 1.82                                                                 | -                                                                    | -                                                                    |                                                                      | 26.9                                                                 |

-

1.70

-

-

-

15.7

| Some of the major findings from National Family Health Survey (NFHS) contd:-   | Some of the major findings from National Family Health Survey (NFHS) contd:-   | Some of the major findings from National Family Health Survey (NFHS) contd:-   | Some of the major findings from National Family Health Survey (NFHS) contd:-   | Some of the major findings from National Family Health Survey (NFHS) contd:-   | Some of the major findings from National Family Health Survey (NFHS) contd:-   | Some of the major findings from National Family Health Survey (NFHS) contd:-   | Some of the major findings from National Family Health Survey (NFHS) contd:-   | Some of the major findings from National Family Health Survey (NFHS) contd:-   |
|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|
| State/union territory                                                          | Current use of contraceptive method                                            | Current use of contraceptive method                                            | Current use of contraceptive method                                            | Current use of contraceptive method                                            | Percentage delivered in health facility                                        | Percentage delivered in health facility                                        | Percentage delivered in health facility                                        | Percentage delivered in health facility                                        |
| State/union territory                                                          | NFHS-1                                                                         | NFHS-2                                                                         | - Any modern NFHS-3                                                            | method(%) NFHS-4                                                               | NFHS-1                                                                         | NFHS-2                                                                         | NFHS-3                                                                         | NFHS-4                                                                         |
| India                                                                          | 36.3 46.5                                                                      | 42.8 58.9                                                                      | 48.5 67.0                                                                      | 47.7                                                                           | 25.5 32.8                                                                      | 33.6                                                                           | 38.7                                                                           | 78.9 91.5                                                                      |
| Andhra Pradesh Assam                                                           | 19.8                                                                           | 26.6                                                                           | 27.0                                                                           | 69.4 37.0                                                                      | 11.1                                                                           | 49.8 17.6                                                                      | 64.4 22.4                                                                      | 70.6                                                                           |
|                                                                                |                                                                                | 22.4                                                                           | 28.9                                                                           | 23.2                                                                           | 12.1                                                                           | 14.6                                                                           |                                                                                |                                                                                |
|                                                                                | 21.6 -                                                                         | -                                                                              | 49.1                                                                           |                                                                                |                                                                                |                                                                                | 19.9 14.3                                                                      | 63.8 70.2                                                                      |
| Bihar Chattisgarh Gujarat                                                      |                                                                                | 53.3                                                                           | 56.5                                                                           | 54.5 43.1                                                                      | - 35.6                                                                         | -                                                                              | 52.7                                                                           |                                                                                |
|                                                                                | 46.9 44.3                                                                      | 53.2                                                                           | 58.3                                                                           | 59.4                                                                           | 16.7                                                                           | 46.3 22.4                                                                      | 35.7                                                                           |                                                                                |
|                                                                                |                                                                                |                                                                                | 31.1                                                                           | 37.4                                                                           |                                                                                | -                                                                              | 18.3                                                                           | 88.7 80.4                                                                      |
| Haryana Jharkhand Karnataka                                                    |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                | 64.7                                                                           |                                                                                |
|                                                                                | -                                                                              | -                                                                              |                                                                                |                                                                                | -                                                                              |                                                                                | 99.3                                                                           | 61.9 94.3                                                                      |
|                                                                                | 47.3                                                                           | 56.5                                                                           | 62.5                                                                           | 51.3 50.3 49.5                                                                 | 37.5 87.8 15.9                                                                 | 51.1 93.0 20.1                                                                 | 26.2                                                                           |                                                                                |
| Kerala Pradesh                                                                 | 54.4 35.5                                                                      | 56.1 42.6                                                                      | 57.9                                                                           | 62.5                                                                           |                                                                                | 52.6                                                                           | 64.6                                                                           | 99.9 80.8 90.3                                                                 |
| Madhya Maharashtra Odisha                                                      |                                                                                |                                                                                | 52.8                                                                           |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                |
| Punjab                                                                         | 52.5                                                                           | 59.9                                                                           | 64.9                                                                           |                                                                                | 43.9                                                                           | 22.6                                                                           |                                                                                |                                                                                |
|                                                                                | 34.6                                                                           | 40.3                                                                           | 44.7 56.1 44.4                                                                 | 45.4                                                                           | 14.1 24.8 11.6                                                                 |                                                                                | 35.6                                                                           | 85.4 90.5 84.0                                                                 |
|                                                                                | 51.3 30.9 45.2                                                                 | 53.8 38.1 50.3                                                                 | 60.0                                                                           | 66.3                                                                           |                                                                                | 37.5                                                                           | 51.3                                                                           |                                                                                |
| Rajasthan Tamil Nadu                                                           |                                                                                |                                                                                |                                                                                | 53.5                                                                           | 63.4                                                                           | 21.5 79.3                                                                      | 29.6 87.8                                                                      | 98.9 91.5                                                                      |
|                                                                                | -                                                                              | -                                                                              |                                                                                | 52.6                                                                           |                                                                                |                                                                                | -                                                                              |                                                                                |
| Telangana                                                                      |                                                                                |                                                                                | -                                                                              | 56.9 31.7                                                                      | - 11.2 31.5                                                                    | -                                                                              |                                                                                | 67.8 75.2                                                                      |
| Uttar Pradesh                                                                  | 18.5 37.3 19.3                                                                 | 22.0 47.3 32.8                                                                 | 29.3 49.9 37.3                                                                 |                                                                                | 19.9                                                                           | 15.5                                                                           | 20.6                                                                           | 52.3                                                                           |
| West Bengal Arunachal Pradesh Delhi                                            | 54.6                                                                           | 56.3                                                                           | 56.5                                                                           | 57.0 26.6 48.6                                                                 |                                                                                | 40.1 31.2 59.1                                                                 | 42.0 28.5                                                                      | 84.4                                                                           |
|                                                                                |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                | 96.9                                                                           |
|                                                                                |                                                                                |                                                                                |                                                                                |                                                                                | 44.3                                                                           | 90.8 28.9                                                                      | 58.9 92.3 43.0                                                                 |                                                                                |
| Goa                                                                            | 37.9                                                                           | 35.9 60.8 41.7                                                                 | 37.2 71.0                                                                      | 24.8 52.0 46.0                                                                 | 86.8 16.0 21.9                                                                 | 35.6                                                                           | 50.2                                                                           |                                                                                |
| Himachal Pradesh Jammu &Kashmir # Manipur                                      | 54.4 39.7 24.1                                                                 | 25.9                                                                           |                                                                                | 12.7                                                                           | 23.0                                                                           | 34.5                                                                           |                                                                                | 76.4 85.6 69.1                                                                 |
|                                                                                | 15.1                                                                           | 15.5                                                                           | 44.9 23.6 18.5                                                                 |                                                                                | 29.6                                                                           |                                                                                |                                                                                |                                                                                |
| Meghalaya                                                                      | 52.9                                                                           | 57.1                                                                           | 59.6                                                                           | 21.9 35.2                                                                      | 48.9                                                                           | 17.3                                                                           | 45.9 29.0 59.8                                                                 |                                                                                |
|                                                                                | 13.0                                                                           |                                                                                |                                                                                | 21.2                                                                           |                                                                                |                                                                                | 11.6                                                                           | 51.3 80.1 32.8                                                                 |
| Mizoram Nagaland Sikkim                                                        |                                                                                |                                                                                |                                                                                | 45.9                                                                           | 6.0 -                                                                          | 57.7                                                                           | 47.2                                                                           |                                                                                |
| Tripura                                                                        |                                                                                | 24.2 41.4 43.5                                                                 | 22.5 48.7 44.9                                                                 |                                                                                |                                                                                | 12.1 31.5 45.2                                                                 | 46.9                                                                           |                                                                                |
|                                                                                | - 28.6 -                                                                       | -                                                                              | 55.5                                                                           | 42.8 49.3                                                                      | 30.7 -                                                                         |                                                                                |                                                                                | 94.7 79.9 68.6                                                                 |
|                                                                                |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                | 32.6                                                                           |                                                                                |
| Uttarakhand                                                                    |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                | -                                                                              |                                                                                |                                                                                |
| A&NIslands                                                                     | -                                                                              | -                                                                              | -                                                                              | 48.0                                                                           | -                                                                              | -                                                                              | -                                                                              | 96.4 91.6 88.0                                                                 |
| Chandigarh Dadra &Nagar Haveli Daman &Diu                                      | - - -                                                                          | - - -                                                                          | - - -                                                                          | 58.2 37.9 31.6                                                                 | - - -                                                                          | - - -                                                                          |                                                                                | 90.1                                                                           |
|                                                                                |                                                                                | -                                                                              | -                                                                              | 15.7                                                                           | -                                                                              | -                                                                              | - - -                                                                          |                                                                                |
|                                                                                |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                | -                                                                              |                                                                                |
| Lakshadweep                                                                    | -                                                                              |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                |                                                                                | 99.3                                                                           |

Puducherry --# Data in respect of J & K for NFHS-1 corresponds to Jammu region of J & K Source- NFHS Reports/Factsheets

-

61.2

-

-

-

99.9

| Some of the major findings from National Family Health Survey (NFHS) contd:-   | Some of the major findings from National Family Health Survey (NFHS) contd:-   | Some of the major findings from National Family Health Survey (NFHS) contd:-   | Some of the major findings from National Family Health Survey (NFHS) contd:-   | Some of the major findings from National Family Health Survey (NFHS) contd:-   |
|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|
| State/union territory                                                          | Children age 12-23 months fully immunized (%)                                  | Children age 12-23 months fully immunized (%)                                  | Children age 12-23 months fully immunized (%)                                  | Children age 12-23 months fully immunized (%)                                  |
|                                                                                | NFHS-1                                                                         | NFHS-2                                                                         | NFHS-3                                                                         | NFHS-4                                                                         |
| India                                                                          | 35.4 45.0                                                                      | 42.0 58.7                                                                      | 43.5 46.0                                                                      | 62.0 65.2                                                                      |
| Andhra Pradesh*                                                                |                                                                                | 17.0                                                                           | 31.4                                                                           |                                                                                |
| Assam Bihar                                                                    | 19.4 10.7                                                                      |                                                                                | 32.8 48.7                                                                      | 47.1                                                                           |
| Chattisgarh Gujarat                                                            | -                                                                              | 11.0 - 53.0                                                                    | 45.2                                                                           | 61.7 76.4                                                                      |
|                                                                                | 49.8 53.5                                                                      | 62.7                                                                           | 65.3                                                                           |                                                                                |
|                                                                                | -                                                                              |                                                                                |                                                                                | 50.4                                                                           |
| Haryana Jharkhand Karnataka                                                    |                                                                                |                                                                                |                                                                                | 62.2 61.9                                                                      |
|                                                                                |                                                                                | -                                                                              | 34.2                                                                           |                                                                                |
|                                                                                | 52.2                                                                           | 60.0 79.7                                                                      | 55.0 75.3                                                                      | 62.6                                                                           |
| Kerala Madhya Pradesh Maharashtra                                              | 54.4                                                                           |                                                                                |                                                                                | 82.1 53.6 56.2                                                                 |
| Odisha                                                                         | 29.2 64.1                                                                      | 22.4 78.4                                                                      | 40.3 58.8                                                                      |                                                                                |
| Punjab                                                                         |                                                                                |                                                                                |                                                                                |                                                                                |
|                                                                                | 36.1 61.9 21.1                                                                 | 43.7 72.1                                                                      | 51.8 60.1                                                                      | 78.6 89.0 54.8                                                                 |
| Rajasthan Nadu                                                                 | 64.9                                                                           | 17.3 88.8                                                                      | 26.5 80.9                                                                      | 69.7 67.5                                                                      |
| Tamil                                                                          |                                                                                |                                                                                |                                                                                |                                                                                |
| Telangana Uttar Pradesh                                                        | - 19.8 34.2                                                                    | -                                                                              |                                                                                |                                                                                |
|                                                                                | 22.5                                                                           | 21.2 43.8 20.5                                                                 | 23.0 64.3 28.4                                                                 | 51.1 84.4 38.2                                                                 |
| West Bengal Arunachal Pradesh Delhi                                            | 57.8                                                                           | 69.8                                                                           |                                                                                | 68.8                                                                           |
|                                                                                |                                                                                | 82.6 83.4                                                                      | 63.2 78.6 74.2                                                                 |                                                                                |
| Goa                                                                            | 74.9 62.9                                                                      | 56.7                                                                           | 66.7                                                                           | 88.4 69.5 75.1                                                                 |
| Himachal Pradesh Jammu &Kashmir # Manipur                                      |                                                                                |                                                                                |                                                                                |                                                                                |
|                                                                                | 65.7 29.1 9.7                                                                  | 42.3 14.3                                                                      | 46.8 32.9                                                                      |                                                                                |
| Meghalaya Mizoram                                                              | 56.4                                                                           |                                                                                |                                                                                | 65.8 61.4                                                                      |
| Nagaland                                                                       | 3.8                                                                            |                                                                                |                                                                                |                                                                                |
| Sikkim                                                                         | -                                                                              | 59.6 14.1 47.4                                                                 | 46.5 21.0 69.6                                                                 | 50.7 35.4 83.0                                                                 |
|                                                                                |                                                                                | 40.7                                                                           |                                                                                |                                                                                |
|                                                                                | 19.0 -                                                                         | -                                                                              |                                                                                |                                                                                |
| Tripura                                                                        |                                                                                |                                                                                | 49.7 60.0                                                                      | 54.5 57.6                                                                      |
| Uttarakhand                                                                    |                                                                                |                                                                                |                                                                                |                                                                                |
| A&NIslands Chandigarh Dadra                                                    | -                                                                              | -                                                                              | -                                                                              | 73.2 (79.5) 43.2                                                               |
| &Nagar Haveli Daman &Diu                                                       | - - -                                                                          | - - -                                                                          | - - -                                                                          | 66.3                                                                           |
|                                                                                |                                                                                |                                                                                | -                                                                              |                                                                                |
| Lakshadweep                                                                    |                                                                                |                                                                                |                                                                                |                                                                                |
|                                                                                | -                                                                              | -                                                                              |                                                                                | 89.0                                                                           |

Puducherry

-

-

-

91.2

| ( ) Based on 25-49 unweighted cases Source- NFHS Reports/Factsheets   |
|-----------------------------------------------------------------------|

# Data in respect of J & K for NFHS-1 corresponds to Jammu region of J & K ( ) Based on 25-49 unweighted cases Source- NFHS Reports/Factsheets

## Some of the major findings from National Family Health Survey (NFHS) contd:-

| State/union territory                     | Children under 5 years whoare stunted (height-for- age--percentage below -2SD 2 ) (%)   | Children under 5 years whoare stunted (height-for- age--percentage below -2SD 2 ) (%)   | Children under 5 years whoare stunted (height-for- age--percentage below -2SD 2 ) (%)   | Children under 5 years whoare stunted (height-for- age--percentage below -2SD 2 ) (%)   | Children under 5 years whoare wasted (weight-for- height --percentage below -2SD 2 ) (%)   | Children under 5 years whoare wasted (weight-for- height --percentage below -2SD 2 ) (%)   | Children under 5 years whoare wasted (weight-for- height --percentage below -2SD 2 ) (%)   | Children under 5 years whoare wasted (weight-for- height --percentage below -2SD 2 ) (%)   | Children under 5 years whoare underweight (weight for age-- percentage below -2SD 2 ) (%)   | Children under 5 years whoare underweight (weight for age-- percentage below -2SD 2 ) (%)   | Children under 5 years whoare underweight (weight for age-- percentage below -2SD 2 ) (%)   | Children under 5 years whoare underweight (weight for age-- percentage below -2SD 2 ) (%)   |
|-------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|
| State/union territory                     | NFHS-1                                                                                  | NFHS-2                                                                                  | NFHS-3                                                                                  | NFHS-4                                                                                  | NFHS-1                                                                                     | NFHS-2                                                                                     | NFHS-3                                                                                     | NFHS-4                                                                                     | NFHS-1                                                                                      | NFHS-2                                                                                      | NFHS-3                                                                                      | NFHS-4                                                                                      |
| India                                     | 52 -                                                                                    | 45.5 38.6                                                                               | 48.0                                                                                    | 38.4                                                                                    | 17.5                                                                                       | 15.5                                                                                       | 19.8                                                                                       | 21.0                                                                                       | 53.4                                                                                        | 47 37.7                                                                                     | 42.5                                                                                        | 35.7 31.9                                                                                   |
| Andhra Pradesh Assam                      |                                                                                         | 50.2                                                                                    | 42.7 46.5                                                                               | 31.4 36.4                                                                               | - 10.8                                                                                     |                                                                                            |                                                                                            | 17.2 17.0                                                                                  | 49.1 50.4                                                                                   | 36                                                                                          |                                                                                             |                                                                                             |
| Bihar                                     | 52.2 60.9                                                                               | 53.7                                                                                    | 55.6                                                                                    | 48.3                                                                                    | 21.8                                                                                       | 9.1 13.3 21.0                                                                              | 12.2 13.7 27.1                                                                             | 20.8                                                                                       | 62.6                                                                                        |                                                                                             | 32.5 36.4 55.9                                                                              |                                                                                             |
|                                           | -                                                                                       | -                                                                                       | 52.9                                                                                    | 37.6                                                                                    | -                                                                                          | -                                                                                          | 19.5                                                                                       | 23.1                                                                                       | -                                                                                           | 54.4 -                                                                                      |                                                                                             | 29.8 43.9 37.7                                                                              |
| Chattisgarh                               |                                                                                         | 43.6                                                                                    | 51.7                                                                                    |                                                                                         |                                                                                            |                                                                                            | 18.7                                                                                       |                                                                                            |                                                                                             |                                                                                             |                                                                                             | 39.3                                                                                        |
| Gujarat Haryana                           | 48.2 46.7                                                                               | 50.0                                                                                    | 45.7                                                                                    | 38.5 34.0                                                                               | 18.9 5.9                                                                                   | 16.2 5.3                                                                                   |                                                                                            |                                                                                            | 50.1 37.9                                                                                   | 45.1 34.6                                                                                   | 47.1 44.6 39.6                                                                              |                                                                                             |
|                                           |                                                                                         |                                                                                         |                                                                                         |                                                                                         |                                                                                            |                                                                                            | 19.1                                                                                       | 26.4 21.2                                                                                  | -                                                                                           |                                                                                             | 56.5                                                                                        | 29.4 47.8                                                                                   |
| Jharkhand Karnataka                       | -                                                                                       | -                                                                                       | 49.8                                                                                    | 45.3 36.2 19.7                                                                          | - 17.4 11.6                                                                                | - 20.0                                                                                     | 32.3 17.6                                                                                  | 29.0 26.1 15.7                                                                             |                                                                                             | -                                                                                           |                                                                                             |                                                                                             |
|                                           | 47.6                                                                                    | 36.6                                                                                    | 43.7                                                                                    | 42.0                                                                                    | -                                                                                          |                                                                                            |                                                                                            | 25.8                                                                                       | 54.3                                                                                        | 43.9 26.9 55.1                                                                              | 37.6 22.9 60.0                                                                              | 35.2                                                                                        |
| Kerala Madhya Pradesh Maharashtra         | 27.4 - 48.5                                                                             | 21.9 51.0 39.9                                                                          | 24.5 50.0 46.3                                                                          | 34.4                                                                                    | 20.2                                                                                       | 11.1 19.8 21.2                                                                             | 15.9 35.0 16.5                                                                             | 25.6                                                                                       | 28.5 57.4 54.2                                                                              | 49.6                                                                                        | 37.0                                                                                        | 16.1 42.8 36.0                                                                              |
|                                           |                                                                                         |                                                                                         |                                                                                         | 34.1                                                                                    |                                                                                            | 24.3                                                                                       |                                                                                            | 20.4                                                                                       | 53.3                                                                                        | 54.4                                                                                        |                                                                                             |                                                                                             |
|                                           | 48.2                                                                                    |                                                                                         |                                                                                         |                                                                                         | 21.3                                                                                       |                                                                                            |                                                                                            |                                                                                            |                                                                                             |                                                                                             |                                                                                             | 34.4 21.6                                                                                   |
| Odisha                                    |                                                                                         | 44.0                                                                                    | 45.0                                                                                    |                                                                                         |                                                                                            |                                                                                            | 19.5                                                                                       |                                                                                            |                                                                                             |                                                                                             | 40.7                                                                                        |                                                                                             |
| Punjab Rajasthan Tamil Nadu               | 40.0 43.1                                                                               | 39.2 52.0 29.4                                                                          | 36.7                                                                                    | 25.7                                                                                    | 19.9                                                                                       | 7.1                                                                                        | 9.2 20.4                                                                                   | 15.6                                                                                       | 45.9                                                                                        | 28.7                                                                                        | 24.9                                                                                        | 36.7 23.8                                                                                   |
|                                           |                                                                                         |                                                                                         | 43.7                                                                                    | 39.1                                                                                    | 19.5                                                                                       | 11.7                                                                                       |                                                                                            | 23.0 19.7                                                                                  | 41.6 48.2                                                                                   | 50.6                                                                                        | 39.9                                                                                        |                                                                                             |
|                                           | -                                                                                       |                                                                                         | 30.9                                                                                    | 27.1                                                                                    | -                                                                                          | 19.9                                                                                       | 22.2                                                                                       |                                                                                            |                                                                                             | 36.7                                                                                        | 29.8                                                                                        |                                                                                             |
| Telangana Uttar Pradesh                   | -                                                                                       | -                                                                                       | -                                                                                       | 28.0                                                                                    | - 16.1                                                                                     | -                                                                                          | -                                                                                          | 18                                                                                         | -                                                                                           | -                                                                                           | -                                                                                           | 28.3 39.5 31.5                                                                              |
|                                           | 59.5                                                                                    | 55.5 41.5 26.5                                                                          | 56.8 44.6 43.3                                                                          | 46.2 32.5 29.3                                                                          | -                                                                                          | 11.1                                                                                       | 14.8 16.9 15.3                                                                             | 17.9 20.3 17.3                                                                             | 59                                                                                          | 51.7 48.7 24.3                                                                              | 42.4                                                                                        |                                                                                             |
| West Bengal Arunachal Pradesh Delhi       | U 53.9 43.2                                                                             | 36.8                                                                                    | 42.2                                                                                    | 31.9                                                                                    | 11.2 11.9                                                                                  | 13.6 7.9 12.5                                                                              | 15.4                                                                                       | 15.9                                                                                       | 56.8 39.7 41.6                                                                              | 34.7                                                                                        | 38.7 32.5 26.1                                                                              |                                                                                             |
|                                           | 32.5                                                                                    | 18.1                                                                                    |                                                                                         |                                                                                         |                                                                                            | 13.1                                                                                       | 14.1                                                                                       | 21.9                                                                                       |                                                                                             | 28.6                                                                                        | 25.0                                                                                        | 19.5 27.0 23.8                                                                              |
| Goa                                       | - 40.8                                                                                  |                                                                                         | 25.6 38.6 35.0                                                                          | 20.1 26.3                                                                               | 15.3 -                                                                                     |                                                                                            | 19.3                                                                                       |                                                                                            | 35                                                                                          |                                                                                             | 36.5                                                                                        | 21.2 16.6                                                                                   |
| Himachal Pradesh &Kashmir #               | 33.6                                                                                    | 41.3                                                                                    |                                                                                         |                                                                                         |                                                                                            | 16.9                                                                                       |                                                                                            | 13.7                                                                                       | 47                                                                                          | 43.6                                                                                        |                                                                                             |                                                                                             |
| Jammu Manipur                             | 50.8                                                                                    | 38.8 31.3 44.9                                                                          | 35.6 55.1                                                                               | 27.4                                                                                    | 14.8 8.8 18.9                                                                              | 11.8 8.2 13.3                                                                              | 14.8 9.0 30.7                                                                              | 12.1 6.8 15.3                                                                              | 44.5 30.1 45.5                                                                              | 34.5 27.5 37.9                                                                              | 25.6 22.1 48.8                                                                              |                                                                                             |
| Meghalaya Mizoram                         | 41.3                                                                                    | 34.6                                                                                    | 39.8                                                                                    | 28.9 43.8                                                                               |                                                                                            |                                                                                            | 9.0                                                                                        |                                                                                            | 28.1                                                                                        |                                                                                             | 19.9                                                                                        | 13.8 28.9 12.0                                                                              |
| Nagaland Sikkim                           |                                                                                         |                                                                                         | 38.8 38.3                                                                               | 28.1                                                                                    | 2.2 12.7                                                                                   | 10.2 10.4                                                                                  | 13.3                                                                                       | 6.1                                                                                        | 28.7                                                                                        | 27.7 24.1 20.6                                                                              |                                                                                             | 16.7                                                                                        |
|                                           | 32.4 - 46.0                                                                             | 33.0 31.7 40.4                                                                          | 35.7                                                                                    | 28.6 29.6 24.3                                                                          | -                                                                                          | 4.8 13.1                                                                                   | 9.7                                                                                        | 11.2 14.2 16.8                                                                             | -                                                                                           | 42.6                                                                                        | 25.2 19.7 39.6                                                                              |                                                                                             |
|                                           |                                                                                         | -                                                                                       | 44.4                                                                                    | 33.5                                                                                    | 17.5 -                                                                                     | -                                                                                          | 24.6 18.8                                                                                  |                                                                                            | 48.8                                                                                        | -                                                                                           | 38.0                                                                                        | 14.2                                                                                        |
| Tripura                                   |                                                                                         |                                                                                         |                                                                                         |                                                                                         |                                                                                            |                                                                                            |                                                                                            |                                                                                            |                                                                                             |                                                                                             |                                                                                             | 24.1 26.6                                                                                   |
| Uttarakhand A&NIslands                    | -                                                                                       |                                                                                         |                                                                                         |                                                                                         |                                                                                            |                                                                                            |                                                                                            | 19.5                                                                                       | -                                                                                           |                                                                                             |                                                                                             |                                                                                             |
|                                           | -                                                                                       | -                                                                                       | -                                                                                       | 23.3                                                                                    | -                                                                                          | -                                                                                          | -                                                                                          | 18.9                                                                                       | -                                                                                           | -                                                                                           | -                                                                                           | 21.5 24.5 38.8                                                                              |
| Chandigarh Dadra &Nagar Haveli Daman &Diu | - - -                                                                                   | - - -                                                                                   | - - -                                                                                   | 28.7 41.7 23.4                                                                          | - - -                                                                                      | - - -                                                                                      |                                                                                            |                                                                                            |                                                                                             | - - -                                                                                       | - - -                                                                                       | 26.7                                                                                        |
|                                           |                                                                                         |                                                                                         | -                                                                                       |                                                                                         | -                                                                                          | -                                                                                          | - - -                                                                                      | 10.9 27.6 24.1                                                                             | - - -                                                                                       |                                                                                             |                                                                                             |                                                                                             |
| Lakshadweep                               |                                                                                         | -                                                                                       |                                                                                         | 26.8                                                                                    |                                                                                            |                                                                                            | -                                                                                          | 13.7                                                                                       | -                                                                                           | -                                                                                           | -                                                                                           |                                                                                             |
|                                           | -                                                                                       |                                                                                         |                                                                                         |                                                                                         |                                                                                            |                                                                                            |                                                                                            |                                                                                            |                                                                                             |                                                                                             |                                                                                             | 23.6                                                                                        |

-

23.6

-

-

-

22.0

Source- AHS Factsheets

## Some of the major findings from Annual Health Survey (AHS)

| State          | IMR           | IMR           | IMR           | TFR           | TFR           | TFR           | Institutional delivery (%)   | Institutional delivery (%)   | Institutional delivery (%)   | Children aged 12-23 months Fully Immunized (%)   | Children aged 12-23 months Fully Immunized (%)   | Children aged 12-23 months Fully Immunized (%)   | Any Modern Method (%)   | Any Modern Method (%)   | Any Modern Method (%)   | Nutritional status -below 5 years (CAB Survey 2014)   | Nutritional status -below 5 years (CAB Survey 2014)   | Nutritional status -below 5 years (CAB Survey 2014)   |
|----------------|---------------|---------------|---------------|---------------|---------------|---------------|------------------------------|------------------------------|------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|-------------------------|-------------------------|-------------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|
| State          | AHS- 2010 -11 | AHS- 2011 -12 | AHS- 2012 -13 | AHS- 2010 -11 | AHS- 2011 -12 | AHS- 2012 -13 | AHS- 2010 -11                | AHS- 2011 -12                | AHS- 2012 -13                | AHS- 2010- 11                                    | AHS- 2011- 12                                    | AHS- 2012- 13                                    | AHS- 2010 -11           | AHS- 2011 -12           | AHS- 2012 -13           | Stunting (Height- for- Age)% [Below - 2SD]            | Wasting (Weight- for- Height)% [Below - 2SD]          | Under weight (Weight- for- Age)% [Below - 2SD]        |
| Assam          | 60            | 57            | 55            | 2.6           | 2.4           | 2.4           | 57.7                         | 60.8                         | 65.9                         | 59.0                                             | 61.4                                             | 64.4                                             | 35.7                    | 37.9                    | 38.1                    | 37.4                                                  | 20.2                                                  | 30.8                                                  |
| Bihar          | 55            | 52            | 48            | 3.7           | 3.6           | 3.5           | 47.7                         | 51.9                         | 55.4                         | 64.5                                             | 65.6                                             | 69.9                                             | 33.9                    | 38.2                    | 36.5                    | 52.0                                                  | 19.2                                                  | 40.3                                                  |
| Chhattisgarh   | 53            | 50            | 46            | 2.9           | 2.8           | 2.7           | 34.9                         | 40.4                         | 39.5                         | 74.1                                             | 74.1                                             | 74.9                                             | 49.5                    | 55.4                    | 57.2                    | 34.7                                                  | 32.4                                                  | 39.4                                                  |
| Jharkhand      | 41            | 38            | 36            | 3.1           | 2.9           | 2.7           | 37.6                         | 41.2                         | 46.2                         | 63.7                                             | 69.1                                             | 69.9                                             | 38.0                    | 43.9                    | 43.7                    | 50.5                                                  | 21.3                                                  | 45.7                                                  |
| Madhya Pradesh | 67            | 65            | 62            | 3.1           | 3.1           | 3.0           | 76.1                         | 79.7                         | 82.6                         | 54.9                                             | 59.7                                             | 66.4                                             | 57.0                    | 59.3                    | 59.4                    | 51.5                                                  | 17.3                                                  | 40.6                                                  |
| Odisha         | 62            | 59            | 56            | 2.3           | 2.3           | 2.2           | 71.3                         | 77.7                         | 80.8                         | 55.0                                             | 62.3                                             | 68.8                                             | 44.0                    | 46.8                    | 46.3                    | 41.5                                                  | 20.2                                                  | 38.9                                                  |
| Rajasthan      | 60            | 57            | 55            | 3.2           | 3.1           | 2.9           | 70.2                         | 74.4                         | 78.0                         | 70.8                                             | 69.2                                             | 74.2                                             | 58.8                    | 59.4                    | 62.4                    | 44.0                                                  | 22.5                                                  | 36.6                                                  |
| Uttar Pradesh  | 71            | 70            | 68            | 3.6           | 3.4           | 3.3           | 45.6                         | 51.7                         | 56.7                         | 45.3                                             | 48.1                                             | 52.7                                             | 31.8                    | 37.3                    | 37.6                    | 62.0                                                  | 15.9                                                  | 44.9                                                  |
| Uttrakhand     | 43            | 41            | 40            | 2.3           | 2.1           | 2.1           | 50.5                         | 54.6                         | 58.3                         | 75.4                                             | 77.9                                             | 79.6                                             | 55.4                    | 54.1                    | 54.3                    | 40.2                                                  | 14.7                                                  | 28.0                                                  |

Annexure-II

Following are different programme and schemes undertaken to improve Healthcare in rural urban areas of the country, State/UT -wise:

The National Health Mission (NHM) envisages achievement of universal access to equitab affordable & quality health care services that are accountable and responsive to people's needs. NHM encompasses its two Sub - Missions, the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). The main programmatic components include Health System  Strengthening  in  rural  and  urban  areas,  Reproductive - Maternal - Neonatal - Child  and Adolescent Health (RMNCH+A), and Communicable and Non - Communicable Diseases.

Under  the  NHM,  technical  and  financial  support  is  provided  to  States  /  UTs for strengthening their healthcare systems including support for engagement or in - sourcing of health manpower  on  contractual  basis,  provision  of  free  drugs,  diagnostics,  ambulances,  Mo Medical  Units  etc.,  based  on  the  requirements  posed  by  the  States/U Ts  in  their  Programme Implementation Plans (PIPs) within their overall resource envelope.

This includes support for provision of a host of free services including for maternal health, child health, adolescent health, family planning, universal immunisatio n programme, and for major diseases such as Tuberculosis, HIV/ AIDS, vector borne diseases such as Malaria, Dengue Kala  Azar,  Leprosy  etc.  Other  major  initiatives  for  which  states  are  being  supported Janani  Shishu  Suraksha  Karyakram  (JSSK),  Ras htriya  Bal  Swasthya  Karyakram  (RBSK), Rashtriya Kishor Swasthya Karyakram (RKSK), implementation of NHM Free Drugs and Free Diagnostics Service  Initiatives, Pradhan Mantri Jan Arogya Yojana, Pradhan Mantri Nati Dialysis Programme, Pradhan Mantri Suraks hit Matritva Abhiyan, Mother's Absolute Affection (MAA) Programme, free patient emergency transport and implementation of National Qualit Assurance Framework. The Government has also rolled out universal screening for women an men  aged  30  years  and  above for  common  Non- Communicable  diseases -Hypertension, Diabetes, and Cancer of the breast, cervix and oral.

Some more programme /Scheme for targeting improvement of nutritional status are as under:

- Provision of Vitamin A supplementation (VAS) for under - fiv e children, Village Health and Nutrition Days and Mother and Child Protection Card for addressing the nutrit concerns in children, pregnant women and lactating mothers,
- National Iron Plus Initiative for supplementation and treatment of anaemia in child ren, adolescents, pregnant and lactating women,
- National Deworming Day to administer Albendazole tablets to all the children in the a group of 1 - 9 years & pregnant women,
- Intensified Diarrhea Control Fortnight (IDCF) annually to control childhood diar rhea,
- Incentive  to  Accredited  Social  Health  Activist  (ASHA)  works  for  nutrition  rela activities under National Health Mission (NHM).
- Promotion for intake of iodized salt and monitoring salt quality,
- Provision of Iron and Folic acid supplementation topregnant/anaemic women,
- Calcium Supplementation to pregnant women,
- Insecticidal nets for prevention of malaria in Malaria endemic regions,
- Booklets to school children in all States/UTs containing, inter alia, useful inform the importance & intak e of balanced nutrition
- The  National  Food  Security  ACT,  2013      aims  to  provide  for  food  and  nutrition security in human life cycle approach, by ensuring access to adequate quantity of q food at affordable prices to people to live a life with dignit y.
- Food Safety and Standards Authority of India has formulated Standards for Fortifica of five items (Wheat Flour, Rice, Milk, Oil and Salt) of food with Micronutrients: -
- Other schemes under different Ministries of Government of India, improvement of nutritional status are as under: -

targeti

- i.    Integrated  Child  Development  Services  Schemes  (ICDS)  for  preschool  childre Pregnant & lactating women.
- ii. Rajiv Gandhi Scheme for Empowerment of Adolescent Girls [RGSEAG] -(SABLA).
- iii. Maternity Benefit Scheme.
- iv. National Programme of Nutritional Support to Primary Education (Mid - Day  Meal Programme) provides hot cooked meals to school children upto Standard VIII.
- v.    Improving the purchasing power of the people through various income generating schemes  including  Mahatma  Gandhi  National  Rural  Employment  Guarantee Scheme.
- vi. National Rural Drinking Water Programme etc.

*******