Lok Sabha Question No. 1110 (UNSTARRED), answered on 2020-02-07
Subject: Female Mortality
Ministry: WOMEN AND CHILD DEVELOPMENT
Asked by: Dayakar Pasunoori

## GOVERNMENT OF INDIA MINISTRY OF WOMEN AND CHILD DEVELOPMENT

## LOK SABHA

## UN-STARRED QUESTION NO.1110

## TO BE ANSWERED ON 07.02.2020

## FEMALE MORTALITY

## 1110.  SHRI PASUNOORI DAYAKAR:

Will the Minister of WOMEN AND CHILD DEVELOPMENT be pleased to state:

- (a) whether the Government has taken note that girls under five in India are facing high level of mortality and if so, the details thereof and the reasons therefor;
- (b) the report of the United Nations in this regard;
- (c) the corrective steps being taken by the Government in this regard; and
- (d) the funds sanctioned/spent under each scheme implemented in this regard?

## ANSWER

## MINISTER OF WOMEN AND CHILD DEVELOPMENT (SHRIMATI SMRITI ZUBIN IRANI)

(a)  to  (b)  :  As  per  Sample  Registration  System  Report 2017 of Registrar General of India, the under 5 Mortality Rate is 37 per 1000 live birth at national level.  For girls, the under 5 mortality rate is 39 per 1000 live birth as compared to 36 per 1000 live birth for boys. The State-wise under 5 Mortality Rate for 2017 is placed at Annexure-I. There is no UN report submitted to this Ministry on the matter.

(c)  :  Government  of  India  is  implementing  Reproductive,  Maternal,  Newborn,  Child, Adolescent Health and Nutrition (RMNCAH+N) strategy under National Health Mission to  reduce  under  5  Mortality  including  girl  child  mortality.  Various  interventions  by Government of India under RMNCAH+N strategy are as below :

1. Strengthening  essential  newborn  care  at  all  delivery  points,  establishment  of Sick  Newborn  Care  Units  (SNCU),  Newborn  Stabilization  Units  (NBSU)  and Kangaroo Mother Care (KMC) units for care of sick and small babies.
2. Home Based Newborn Care (HBNC) and Home Based Care of Young Children (HBYC) by Accredited Social Health Activists (ASHAs) to improve child rearing practices and to identify sick newborn.
3. Early initiation and exclusive breastfeeding for first six months and appropriate Infant and Young Child Feeding (IYCF) practices are promoted under Mothers' Absolute Affection (MAA).
4. Nutrition  Rehabilitation  Centres  (NRCs)  have  been  set  up  at  public  health facilities to treat and manage the children with Severe Acute Malnutrition (SAM) admitted with medical complications.
5. Universal Immunization  Programme  (UIP)  is  being  supported  to provide vaccination to children against life threatening diseases such as Tuberculosis, Diphtheria, Pertussis, Polio, Tetanus, Hepatitis B, Measles, Rubella, Pneumonia  and  Meningitis  caused  by  Haemophilus  Influenzae  B. The Rotavirus vaccination has also been rolled out in the country for prevention of Rota-viral  diarrhoea.  'Mission  Indradhanush  is  targeted  to  immunize  children who are either unvaccinated or partially vaccinated i.e. those that have not been covered  during the rounds  of routine immunization  for various reasons. Intensified  Mission  Indradhanush  (IMI)  2.0  is  rolled-out  as  per  road-map  for achieving 90% full immunization coverage across the country.
6. All the children from 0 to 18 years of age are screened for 30 health conditions classified into 4Ds - Diseases, Deficiencies, Defects and Developmental delay under 'Rashtriya Bal Swasthya Karyakaram' (RBSK) to improve the quality of survival  and  to  reduce  out  of  pocket  expenditure  of  families.  District  early intervention  centre  (DEIC)  at  district  health  facility  level  are  established  for confirmation and management of the 4D's.
7. National  Deworming  Day  (NDD)  is  implemented  biannually  every  year  for deworming of children (one to nineteen year of age).
8. (Defeat  Diarrhoea  (D2)  initiative  has  been  launched  for  promoting  ORS  and Zinc use and eliminating the diarrhoeal deaths by 2025.
9. Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS) initiative for reduction of Childhood morbidity and mortality due to Pneumonia.
10. Anaemia  Mukt  Bharat  (AMB)  strategy  as  a  part  of  Poshan  Abhiyan  aims  to strengthen  the  existing  mechanisms  and  foster  newer  strategies  to  tackle anaemia,  which  include  testing  &  treatment  of  anaemia  in  school  going adolescents & pregnant women, addressing non nutritional causes of anaemia and a comprehensive communication strategy.
11. Village  Health  Sanitation  and  Nutrition  Days  (VHSNDs)  are  observed  for provision of maternal and child health services and awareness on maternal and child Health and nutrition education through mass and social media to improve healthy practices and to generate demand for service uptake.
12. Name  based  tracking  of  mothers  and  children  till  two  years  of  age  is  done through  Reproductive  and  Child  Health  (RCH)  portal  to  ensure  complete antenatal, intranatal, postnatal care and immunization as per schedule.
13. (e) :  State/  UT  wise  Release  &  Expenditure  under  RCH  Flexible  Pool  for  the financial year 2018-19 is placed at Annexure-II.

****

## ANNEXURE REFERRED TO IN REPLY TO PART (a) TO THE LOK SABHA UNSTARRED QUESTION  NO.1110  FOR  07.02.2020  ASKED  BY  SHRI  PASUNOORI DAYAKAR REGARDING 'FEMALE MORTALITY'

## The State-wise under 5 Mortality Rate for 2017

|   Sl. No. | States           |   Total |   Male |   Female |
|-----------|------------------|---------|--------|----------|
|         1 | India            |      37 |     36 |       39 |
|         2 | Andhra Pradesh   |      35 |     35 |       34 |
|         3 | Assam            |      48 |     45 |       51 |
|         4 | Bihar            |      41 |     39 |       43 |
|         5 | Chhattisgarh     |      47 |     49 |       44 |
|         6 | Delhi            |      21 |     20 |       22 |
|         7 | Gujarat          |      33 |     33 |       33 |
|         8 | Haryana          |      35 |     32 |       38 |
|         9 | Himachal Pradesh |      25 |     24 |       27 |
|        10 | Jammu & Kashmir  |      24 |     25 |       24 |
|        11 | Jharkhand        |      34 |     30 |       38 |
|        12 | Karnataka        |      28 |     28 |       28 |
|        13 | Kerala           |      12 |     12 |       11 |
|        14 | Madhya Pradesh   |      55 |     56 |       54 |
|        15 | Maharashtra      |      21 |     21 |       22 |
|        16 | Orissa           |      47 |     46 |       48 |
|        17 | Punjab           |      24 |     23 |       25 |
|        18 | Rajasthan        |      43 |     41 |       45 |
|        19 | Tamil Nadu       |      19 |     19 |       19 |
|        20 | Telangana        |      32 |     31 |       33 |
|        21 | Uttar Pradesh    |      46 |     43 |       48 |
|        22 | Uttarakhand      |      35 |     38 |       32 |
|        23 | West Bengal      |      26 |     25 |       27 |

## ANNEXURE REFERRED TO IN REPLY TO PART (d) TO THE LOK SABHA UN-STARRED QUESTION NO.1110 FOR 07.02.2020 ASKED  BY SHRI  PASUNOORI  DAYAKAR REGARDING 'FEMALE MORTALITY'

State/UT- wise Release and Expenditure under RCH Flexible Pool for the financial year 2018-19

(Rs. in crore)

| Sl. No.     | States                          | Release   | Expenditure   |
|-------------|---------------------------------|-----------|---------------|
| 1           | Andaman &Nicobar Islands        | --        | 3.75          |
| 2           | Andhra Pradesh                  | 100.28    | 196.92        |
| 3           | Arunachal Pradesh               | 42.98     | 31.33         |
| 4           | Assam                           | 285.54    | 268.55        |
| 5           | Bihar                           | 208.97    | 680.93        |
| 6           | Chandigarh                      | 2.23      | 2.25          |
| 7           | Chattisgarh                     | 85.99     | 219.83        |
| 8           | Dadra &Nagar Haveli             | 3.17      | 2.52          |
| 9           | Daman &Diu                      | 1.12      | 2.03          |
| 10          | Delhi                           | 28.48     | 8.06          |
| 11          | Goa                             | 2.66      | 4.99          |
| 12          | Gujarat                         | 122.21    | 396.43        |
| 13          | Haryana                         | 43.71     | 86.43         |
| 14          | Himachal Pradesh                | 37.54     | 51.15         |
| 15          | Jammu &Kashmir including Ladakh | 84.50     | 97.98         |
| 16          | Jharkhand                       | 87.55     | 218.35        |
| 17          | Karnataka                       | 122.38    | 191.18        |
| 18          | Kerala                          | 53.29     | 125.52        |
| 19          | Lakshadweep                     | 0.60      | 0.75          |
| 20          | Madhya Pradesh                  | 205.08    | 649.62        |
| 21          | Maharashtra                     | 216.25    | 357.00        |
| 22          | Manipur                         | 24.69     | 32.39         |
| 23          | Meghalaya                       | 33.34     | 31.33         |
| 24          | Mizoram                         | 17.91     | 16.61         |
| 25          | Nagaland                        | 23.02     | 19.61         |
| 26          | Orissa                          | 113.22    | 317.14        |
| 27          | Puducherry                      | 3.73      | 4.71          |
| 28          | Punjab                          | 48.05     | 88.59         |
| 29          | Rajasthan                       | 206.80    | 507.98        |
| 30          | Sikkim                          | 5.30      | 5.70          |
| 31          | Tamil Nadu                      | 123.44    | 249.65        |
| 32          | Tripura                         | 33.46     | 36.30         |
| 33          | Uttar Pradesh                   | 415.92    | 1,056.91      |
| 34          | Uttarakhand                     | 51.56     | 72.30         |
| 35          | West Bengal                     | 143.35    | 391.83        |
| 36          | Telangana                       | 71.66     | 118.24        |
| Grand Total | Grand Total                     | 3049.98   | 6544.88       |