Lok Sabha Question No. 4199 (UNSTARRED), answered on 2019-12-13
Subject: Anaemia among Women
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nusrat Jahan Ruhi

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

LOK SABHA UNSTARRED QUESTI ON NO. 4199 TO BE ANSWERED ON 13 TH DECEMBER, 2019

## ANAEMIA AMONG WOMEN

## 4199. SHRIMATI NUSRAT JAHAN RUHI:

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

- (a) whether according to National Family Health Survey (NFHS) -IV (2015 - 16), the prevalence of anaemia among women aged 15 to 49 years is 53.1 per cent, if so, the details thereof;
- (b) whether despite taki ng lots of initiatives by the Government in the last 49 years to contr problem of anaemia in the country it has remained unsolved; and
- (c) if so, the reasons therefor?

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

- (a) : Yes. The  detailed  State - wise  prevale nce  of  anemia  among  women  aged 15- 49  years  is annexed.
- (b)& (c) : The anemia control programme review indicated challenges in IFA supply chain management, demand generation and monitoring. Considering, the slow progress i.e. less 1% per annum in reduction of anaemia from 2005 to 2015, the Govt of India has launched Anemia  Mukt  Bharat  (AMB) strategy  under  the  Prime  Minister's  Overarching  Scheme  for Holistic Nourishment (POSHAN) Abhiyaan and the targets has been set to reduce anaemia b 3% per year.

The 6x6x6 strategy under AMB implies six age groups, six interventions and six institutional mechanisms. The strategy focuses on ensuring supply chain, demand generation and strong monitoring using the dashboard for addressing anemia, both due to nutritional and n -nutritional causes.

- a) The six population groups under AMB strategy are:
2. Children (6 - 59 months)
3. Children (5 - 9 years)
4. Adolescents girls and boys (10 - 19 years)
5. Pregnant women
6. Lactating women
7. Women of Reproductive Age (WRA) group (15 - 49 years)
- b) The six interventions are:
9. Prophylactic Iron and Folic Acid Supplementation
10. Deworming
11. Intensified year -round Behaviour Change Communication (BCC) Campaign and delayed cord clamping
12. Testing of anaemia using digital methods and point of care treatment,
13. Mandatory provision of Iron and Folic Acid fortified foods in Government funded hea programmes
14. Addressing non - nutritional causes of anaemia in endemic pockets with special focus malaria, hemoglobinopathies and fluorosis and the six institutional mechanisms.
- c) The six institutional mechanisms are:
16. Inter - ministerial coordination
17. National Anemia Mukt Bharat Unit
18. National Centre of Excellence and Advanced research on Anemia Control
19. Convergence with other ministries
20. Strengthening supply chain and logistics
21. Anemia Mukt Bharat Dashboard and Digital Portal -ne- stop shop for Anemia.

This compr ehensive strategy is expected to yield positive results in Anemia control.

## Annexure

Table 1: State-wise high prevalence and low prevalence of ANY anaemia among women of reproductive age (15-49 years) as against National average as per NFHS-IV

| Sr No   | State                       |   Any anaemia (<12 gm/dl) |
|---------|-----------------------------|---------------------------|
| 1       | Dadra And Nagar Haveli      |                      79.5 |
| 2       | Chandigarh                  |                      76   |
| 3       | Andaman And Nicobar Islands |                      65.6 |
| 4       | Jharkhand                   |                      65.2 |
| 5       | Haryana                     |                      62.7 |
| 6       | West Bengal                 |                      62.5 |
| 7       | Bihar                       |                      60.3 |
| 8       | Andhra Pradesh              |                      60   |
| 9       | Daman And Diu               |                      58.9 |
| 10      | Telangana                   |                      56.6 |
| 11      | Meghalaya                   |                      56.2 |
| 12      | Tamil Nadu                  |                      55.1 |
| 13      | Gujarat                     |                      54.9 |
| 14      | Tripura                     |                      54.5 |
| 15      | Delhi                       |                      54.3 |
| 16      | Punjab                      |                      53.6 |
| 17      | Himachal Pradesh            |                      53.5 |
| 18      | Madhya Pradesh              |                      52.6 |
| 19      | Puducherry                  |                      52.4 |
| 20      | Uttar Pradesh               |                      52.4 |
| 21      | Odisha                      |                      51   |
| 22      | Jammu And Kashmir           |                      49.4 |
| 23      | Maharashtra                 |                      47.9 |
| 24      | Chhattisgarh                |                      47   |
| 25      | Rajasthan                   |                      46.8 |
| 26      | Assam                       |                      46   |
| 27      | Lakshadweep                 |                      46   |
| 28      | Uttarakhand                 |                      45.2 |
| 29      | Karnataka                   |                      44.8 |
| 30      | Arunachal Pradesh           |                      43.2 |
| 31      | Sikkim                      |                      34.9 |
| 32      | Kerala                      |                      34.3 |
| 33      | Goa                         |                      31.3 |
| 34      | Nagaland                    |                      27.8 |
| 35      | Manipur                     |                      26.4 |
| 36      | Mizoram                     |                      24.8 |
|         | All India                   |                      53.1 |