Lok Sabha Question No. 695 (UNSTARRED), answered on 2019-02-07
Subject: National Rural Livelihoods Mission
Ministry: RURAL DEVELOPMENT
Asked by: ANOOP MISHRA

## GOVERNMENT OF INDIA MINISTRY OF RURAL DEVELOPMENT DEPARTMENT OF RURAL DEVELOPMENT

## LOK SABHA

## UNSTARRED QUESTION NO. 695 TO BE ANSWERED ON 07.02.2019

## NATIONAL RURAL LIVELIHOODS MISSION

## 695. SHRI ANOOP MISHRA:

Will the Minister of RURAL DEVELOPMENT be pleased to state:

- (a) whether schemes like National Rural Livelihoods Mission (NRLM) and National Health Mission (NHM) have been utilised and proved to be successful in improving the basic amenities like health conditions etc. of the people;
- (b) if so, the details thereof; and
- (c) the  number  of  people  benefited  from  the  same,  State/UT-wise  including  Madhya Pradesh?

## ANSWER MINISTER OF STATE IN THE MINISTRY OF RURAL DEVELOPMENT (SHRI RAM KRIPAL YADAV)

## (a): Yes, Sir.

(b)& (c): The National Health Mission (NHM) aims for attainment of universal access to equitable,  affordable  and  quality  health  care  services,  accountable  and  responsive  to  people's needs, with effective inter-sectoral convergent action to address the wider social determinants of health.  NHM  has  been  successful  in  accelerating  the  decline  of  Maternal  Mortality  Ratio (MMR), Under 5 Mortality Rate (U5MR), Infant Mortality Rate (IMR) and Total Fertility Rate (TFR). It has also achieved many of the disease control targets. The key achievements of NHM are as follows.

- (a) Infant Mortality Rate (IMR) has reduced from 42 in 2012 to 34 in 2016 (SRS).
- (b) Maternal Mortality Ratio (MMR) has reduced from 167 in 2011-13 to 130 in 2014-16 (SRS).
- (c) Total Fertility Rate (TFR) has reduced from 2.9 in 2005 to 2.3 in 2016 (SRS).
- (d) In respect of Tuberculosis (TB), the incidence of TB reduced from 234/ lakh population in 2012  to  204/lakh  population  in  2017.  Mortality  also  reduced  to  from  38/  lakh  population during 2012 to 31/ lakh population in 2017.
- (e) In  respect  of Leprosy,  the Prevalence  rate  of  Leprosy  was  less  than  1/10000  population  in 542 districts in 2014 which increased to 571 Districts in 2018.
- (f) In respect of Malaria, the Annual Malaria Incidence was 0.89 in 2014-15 and 0.17 in 2018-19 (up to Sept 2018).
- (g) In  respect  of Microfilaria(mf), as  of  December  2018,  out  of  256  Lymphatic  Filariasis(LF) endemic districts, 99 districts have achieved <1% mf prevalence in all 8 sites (4 sentinel + 4 Random  sites)  and  stopped  MDA  after  validation  by  Transmission  Assessment  Survey, which is the preliminary goal of elimination.  Rest 157 districts are yet to achieve <1% mf prevalence.
- (h) In respect of Kala Azar, till 2018 (November), 583 (92%) blocks reported <1 case of Kalaazar /10,000 population at block level.

The State -wise details of the number of Sub Centre(SCs), Primary Health Centre ( PHCs )  and Community Health. Centre ( CHCs ) are given as Annexure I.

The  Deendayal  Antyodaya  Yojana-National  Rural  Livelihoods  Mission  (DAY-NRLM)  was launched in June 2011 with the objective to organize all rural poor households in the country and continuously nurture and support them till they come out of abject poverty. DAY-NRLM also promotes  Food,  Nutrition,  Health  and  WASH  (Water,  Sanitation  and  Hygene)  interventions based  on  convergence  and  partnership    between  community  institutions  and  line  Departments pertaining to Health and Hygene.

Under  convergence  activity,  nutritious  food  is  being  provided  to  the  children  at  Anganwadi Centers of ICDS in some of the Sates. Members of SHGs are also providing hot cooked meals under Mid-Day-Meal scheme in some of the School.

For  improved  results  on  nutrition,  Ministry  of  Rural  Development  (DAY-NRLM  scheme), Ministry of Health and Family Welfare ( National Health Mission) and Ministry of Women and Child  Development  (Integrated  Child  Development  Services  (ICDS)  Scheme)    have  jointly issued an advisory on 17 th January 2018 and identified the following key areas and modalities for convergent action.

- a) Convergence through Village, health, Sanitation and Nutrition Day (VHSND)
- b) Convergence for Behavioural Change and Communication.
- c) Convergence for Monitoring and Management of Nutritional Status of Women and Children.
- d) Convergence through Common Use of Infrastructure.
- e) Promoting Livelihoods for Women's Collectives.

Women Self Help Groups members under DAY-NRLM have participated in various kinds of activities  under  Poshan  Abhiyan  to  spread  important  massages  on  nutrition.  Overall  DAYNRLM has  conducted  178,175  activities  wherein  3.81  crore  members  participated  as  part  of Poshan Maah .

State  Rural  Livelihoods  Missions  (SRLMs)  are  also  being  encouraged  to  develop  FNHW resource blocks @ two blocks per state in FY-2019-20 in order to demonstrate how to bring behavioural  change  among  the  SHG  members  in  Health  and  Nutrition  related  practices  and develop  strong  convergence  between  Community  Based  Organisations  (CBOs)  and  line departments.

To provide on-job technical support to SRLMs and to develop effective training materials and aids  for  supporting  initiatives  related  to  behavior  change  communication  in  the  areas  of nutrition and health. NRLM has entered an MoU with Lady Irwin college, New Delhi.  As per the  MoU,  the  college  has  established  a  exclusive  resource  cell  named  '  ROSHNI'  for  this purpose.

The State -wise details of the number of participants during poshan maah held in the month of September, 2018 is given as Annexure II.

*****

Annexure I Number of SCs, PHCs & CHCs FUNCTIONING -1

|      |                     | 2005       | 2005   | 2005   | 2018       | 2018   | 2018   |
|------|---------------------|------------|--------|--------|------------|--------|--------|
| S.No | State /UT           | Sub Centre | PHCs   | CHCs   | Sub Centre | PHCs   | CHCs   |
| 1    | Andhra Pradesh      | 12522      | 1570   | 164    | 7458       | 1147   | 193    |
| 2    | Arunachal Pradesh   | 379        | 85     | 31     | 312        | 143    | 63     |
| 3    | Assam               | 5109       | 610    | 100    | 4644       | 946    | 172    |
| 4    | Bihar               | 10337      | 1648   | 101    | 9949       | 1899   | 150    |
| 5    | Chhattisgarh        | 3818       | 517    | 116    | 5200       | 793    | 169    |
| 6    | Goa                 | 172        | 19     | 5      | 214        | 25     | 4      |
| 7    | Gujarat             | 7274       | 1070   | 272    | 9153       | 1474   | 363    |
| 8    | Haryana             | 2433       | 408    | 72     | 2589       | 368    | 113    |
| 9    | Himachal Pradesh    | 2068       | 439    | 66     | 2084       | 576    | 91     |
| 10   | Jammu Kashmir       | 1879       | 334    | 70     | 2967       | 637    | 84     |
| 11   | Jharkhand           | 4462       | 561    | 47     | 3848       | 298    | 171    |
| 12   | Karnataka           | 8143       | 1681   | 254    | 9443       | 2359   | 206    |
| 13   | Kerala              | 5094       | 911    | 106    | 5380       | 849    | 227    |
| 14   | Madhya Pradesh      | 8874       | 1192   | 229    | 11192      | 1171   | 309    |
| 15   | Maharashtra         | 10453      | 1780   | 382    | 10638      | 1823   | 361    |
| 16   | Manipur             | 420        | 72     | 16     | 429        | 91     | 23     |
| 17   | Meghalaya           | 401        | 101    | 24     | 443        | 108    | 28     |
| 18   | Mizoram             | 366        | 57     | 9      | 370        | 57     | 9      |
| 19   | Nagaland            | 394        | 87     | 21     | 396        | 126    | 21     |
| 20   | Odisha              | 5927       | 1282   | 231    | 6688       | 1288   | 377    |
| 21   | Punjab              | 2858       | 484    | 116    | 2950       | 432    | 151    |
| 22   | Rajasthan           | 10512      | 1713   | 326    | 14405      | 2078   | 588    |
| 23   | Sikkim              | 147        | 24     | 4      | 147        | 24     | 2      |
| 24   | Tamil Nadu          | 8682       | 1380   | 35     | 8712       | 1421   | 385    |
| 25   | Telangana           |            |        |        | 4744       | 643    | 91     |
| 26   | Tripura             | 539        | 73     | 10     | 1020       | 108    | 22     |
| 27   | Uttarakhand         | 1576       | 225    | 44     | 1847       | 257    | 67     |
| 28   | Utter Pradesh       | 20521      | 3660   | 386    | 20521      | 3621   | 822    |
| 29   | West Bengal         | 10356      | 1173   | 95     | 10357      | 913    | 348    |
| 30   | A &NIslands         | 107        | 20     | 4      | 123        | 22     | 4      |
| 31   | Chandigarh          | 13         | 0      | 1      | 17         | 0      | 0      |
| 32   | Dadar &Nagar Haveli | 38         | 6      | 1      | 71         | 9      | 2      |
| 33   | Daman &Diu          | 21         | 3      | 1      | 26         | 4      | 2      |
| 34   | Delhi               | 41         | 8      | 0      | 12         | 5      | 0      |
| 35   | Lakshadweep         | 14         | 4      | 3      | 14         | 4      | 3      |
| 36   | Puducherry          | 76         | 39     | 4      | 54         | 24     | 3      |
|      | All India Total     | 146026     | 23236  | 3346   | 158417     | 25743  | 5624   |

## Annexure-II

## DAY-NRLM Achievements in POSHAN Abhiyaan Activities in the Month of September 2018 (during PoshanMaah)

| Sl No   | State               | Number of Districts   | Number of Activities   | Number of Participants   |
|---------|---------------------|-----------------------|------------------------|--------------------------|
| 1       | Andaman and Nicobar | 3                     | 128                    | 7,289                    |
| 2       | Andhra Pradesh      | 13                    | 4256                   | 5,550,302                |
| 3       | Arunachal Pradesh   | 20                    | 88                     | 7,191                    |
| 4       | Assam               | 33                    | 1439                   | 759,972                  |
| 5       | Bihar               | 38                    | 84923                  | 9,044,242                |
| 6       | Chhattisgarh        | 27                    | 1233                   | 685,565                  |
| 7       | Dadra &Nagar Haveli | 1                     | 1                      | 80                       |
| 8       | Daman &DIU          | 2                     | 27                     | 4,491                    |
| 9       | Goa                 | 2                     | 15                     | 900                      |
| 10      | Gujarat             | 33                    | 32805                  | 8,383,810                |
| 11      | Haryana             | 22                    | 1014                   | 231,585                  |
| 12      | Himachal Pradesh    | 12                    | 197                    | 228,882                  |
| 13      | Jammu &Kashmir      | 22                    | 304                    | 86,047                   |
| 14      | Jharkhand           | 24                    | 7814                   | 1,696,161                |
| 15      | Karnataka           | 30                    | 603                    | 82,610                   |
| 16      | Kerala              | 14                    | 9                      | 16,899                   |
| 17      | Lakshadweep         | 1                     | 12                     | 805                      |
| 18      | Madhya Pradesh      | 51                    | 6564                   | 612,721                  |
| 19      | Maharashtra         | 36                    | 5531                   | 1,426,858                |
| 20      | Manipur             | 16                    | 38                     | 4,882                    |
| 21      | Meghalaya           | 11                    | 133                    | 9,219                    |
| 22      | Mizoram             | 8                     | 237                    | 18,049                   |
| 23      | Nagaland            | 11                    | 58                     | 3,667                    |
| 24      | Odisha              | 30                    |                        |                          |
| 25      | Puducherry          | 4                     | 2                      | 48                       |
| 26      | Punjab              | 22                    | 268                    | 19,447                   |
| 27      | Rajasthan           | 32                    | 1674                   | 344,591                  |
| 28      | Sikkim              | 4                     | 13                     | 3,036                    |
| 29      | Tamil Nadu          | 32                    | 13448                  | 1,044,891                |
| 30      | Telangana           | 31                    | 1303                   | 224,548                  |
| 31      | Tripura             | 8                     | 56                     | 3,920                    |
| 32      | Uttar Pradesh       | 75                    | 11127                  | 5,993,946                |
| 33      | Uttarakhand         | 13                    | 375                    | 27,051                   |
| 34      | West Bengal         | 23                    |                        |                          |
|         | National Level      |                       | 2480                   | 1650762                  |
|         | Total:              | 704                   | 178175                 | 38174467                 |