Lok Sabha Question No. 1045 (UNSTARRED), answered on 2020-02-07
Subject: Rashtriya Kishor Swasthya Karyakram (RKSK)
Ministry: HEALTH AND FAMILY WELFARE
Asked by: S. Jothimani, Pradyut Bordoloi, Vincent H Pala

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

## LOK SABHA UNSTARRED QUESTION NO. 1045 TO BE ANSWERED ON 7 th FEBRUARY, 2020

## RASHTRIYA KISHOR SWA STHYA KARYAKRAM (RKS K)

## 1045. MS. S. JOTHIMANI: SHRI PRADYUT BORDOLOI: SHRI VINCENT H. PALA:

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

(a)  the  criteria  adopted  to  select/choose  pilot  districts for  implementing  Rashtriya  Kishor Swasthya Karyakram(RKSK);

(b) whether the Government is planning to expand the number of districts and the number of blocks  under each  district  to  eventually  cover  all  adolescents  under Rashtriya  Kishor Swasthya  Karyakram  (RKSK)  similar  to programmes  under  RMNCH,  if  so,  the  details thereof of all such districts including Karur district in Tamil Nadu;

(c) whether there are any plans to intensify awareness generation of RKSK and Social and Behaviour  ChangeCommunication  (SBCC)  in  order  to  improve  health promotion  among adolescents, if so, the de tails thereof and if not, the reasons therefor;

(d) the details of budget heads under Adolescent Health which are falling short in utilisation, along with details of national and State - wise figures thereof;

(e) the details of the measures being taken to improveutilisation; and

(f)  the  total  sanctioned  strength vis - a- vis existing strength  for  RKSK  counsellors  and  the plans to address human resource challenges in areas with shortfall of personnel?

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

(a)& (b) : Government is implementing Rashtriya Kishor Swasthya Karyakram (RKSK) to address the need and concerns of more than 25 crore adolescents of the coun try. RKSK  is  a  paradigm  shift  from  the  existing  clinic - based  services  to  promotion  and prevention and reaching adolescents in their own environment, such as in schools, fa and  communities.  It  covers  interventions  based  on  community,  facility  and  sch ool  based interventions.

To ensure good quality of implementation, the Peer Educator Programme was starte as a pilot and districts were selected as per ranking of districts based on Composite He Index and  identified as  High  Priority  Districts  (HPDs ) . During  the  first  phase, about  200 districts including Karur district of Tamil Nadu were selected by the S tates for implementation. Within, these districts, 50% of the blockswere covered for implementation of Peer Educator programme in entirety.

Government plan sto saturate all the blocks in the elected Peer Educator districts first and then expand in remaining districts gradually based on proposals received from Stat their Programme Implementation Plans.

(c): Government has undertaken awareness generation activities by developing communication material for mass media and mid media in the form of TV and radio spots, posters, leaflets and other interpersonal communication materials.

Peer Educators have been i dentified and trained at village level to provide information  to adolescents on key adolescent health issues and give impetus to the demand for Adolescent Health Services.

(d) to (f): The State/UT - wise details of funds approved and utilised during last 3 Years at annexure . There are 1671 ex isting Adolescent Health counsellors against sanctioned post of 2036.

In order to improve utilization and bridge the gap of shortfall of personnel, National  and  Regional  level r eviews,  along  with  supportive  supervision  visits  and  video -conference with the States are undertaken

| S. No.                                                                        | Name of the State / UT                                                        | 2016-17                                                                       | 2016-17                                                                       | 2017-18                                                                       | 2017-18                                                                       | 2018-19 Rs. In Lakhs                                                          | 2018-19 Rs. In Lakhs                                                          |
|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|
| S. No.                                                                        | Name of the State / UT                                                        | SPIP Approvals                                                                | Exp                                                                           | SPIP                                                                          | Exp                                                                           | SPIP                                                                          | Exp                                                                           |
| A. High Focus States                                                          | A. High Focus States                                                          | A. High Focus States                                                          | A. High Focus States                                                          | A. High Focus States                                                          | A. High Focus States                                                          | A. High Focus States                                                          | A. High Focus States                                                          |
| 1                                                                             | Bihar                                                                         | 626.84                                                                        | 168.76                                                                        | 409.93                                                                        | 91.57                                                                         | 333.27                                                                        | 109.95                                                                        |
| 2                                                                             | Chattisgarh                                                                   | 107.09                                                                        | 15.33                                                                         | 95.39                                                                         | 96.78                                                                         | 159.94                                                                        | 63.37                                                                         |
| 3                                                                             | Himachal Pradesh                                                              | 75.34                                                                         | 28.01                                                                         | 65.30                                                                         | 6.08                                                                          | 109.87                                                                        | 4.36                                                                          |
| 4                                                                             | Jammu & Kashmir                                                               | 134.34                                                                        | 13.42                                                                         | 120.33                                                                        | 20.22                                                                         | 125.40                                                                        | 25.29                                                                         |
| 5                                                                             | Jharkhand                                                                     | 208.14                                                                        | 16.26                                                                         | 167.70                                                                        | 65.48                                                                         | 187.01                                                                        | 74.92                                                                         |
| 6                                                                             | Madhya Pradesh                                                                | 459.09                                                                        | 249.70                                                                        | 452.10                                                                        | 379.98                                                                        | 638.76                                                                        | 458.89                                                                        |
| 7                                                                             | Orissa                                                                        | 519.05                                                                        | 178.58                                                                        | 269.07                                                                        | 92.97                                                                         | 270.74                                                                        | 153.41                                                                        |
| 8                                                                             | Rajasthan                                                                     | 274.16                                                                        | 98.57                                                                         | 179.09                                                                        | 76.41                                                                         | 109.57                                                                        | 75.21                                                                         |
| 9                                                                             | Uttar Pradesh                                                                 | 1272.09                                                                       | 1126.69                                                                       | 93.05                                                                         | 213.36                                                                        | 192.34                                                                        | 163.43                                                                        |
| 10                                                                            | Uttarakhand                                                                   | 54.03                                                                         | 147.13                                                                        | 166.03                                                                        | 171.71                                                                        | 179.24                                                                        | 113.60                                                                        |
|                                                                               | Sub Total                                                                     | 3730.17                                                                       | 2042.44                                                                       | 2017.99                                                                       | 1214.56                                                                       | 2306.14                                                                       | 1242.44                                                                       |
| B. NE States                                                                  | B. NE States                                                                  | B. NE States                                                                  | B. NE States                                                                  | B. NE States                                                                  | B. NE States                                                                  | B. NE States                                                                  | B. NE States                                                                  |
| 11                                                                            | Arunachal Pradesh                                                             | 7.20                                                                          | 18.27                                                                         | 72.99                                                                         | 12.63                                                                         | 50.85                                                                         | 19.96                                                                         |
| 12                                                                            | Assam                                                                         | 155.49                                                                        | 53.73                                                                         | 124.04                                                                        | 63.26                                                                         | 238.45                                                                        | 108.85                                                                        |
| 13                                                                            | Manipur                                                                       | 80.22                                                                         | 5.99                                                                          | 29.46                                                                         | 19.92                                                                         | 58.41                                                                         | 42.24                                                                         |
| 14                                                                            | Meghalaya                                                                     | 170.78                                                                        | 55.26                                                                         | 175.16                                                                        | 50.89                                                                         | 143.70                                                                        | 70.00                                                                         |
| 15                                                                            | Mizoram                                                                       | 81.11                                                                         | 38.85                                                                         | 77.86                                                                         | 3.12                                                                          | 34.88                                                                         | 14.53                                                                         |
| 16                                                                            | Nagaland                                                                      | 33.56                                                                         | 12.02                                                                         | 36.89                                                                         | 0.10                                                                          | 33.97                                                                         | 11.70                                                                         |
| 17                                                                            | Sikkim                                                                        | 11.18                                                                         | 1.84                                                                          | 40.25                                                                         | 0.00                                                                          | 26.16                                                                         | 25.20                                                                         |
| 18                                                                            | Tripura                                                                       | 37.30                                                                         | 11.09                                                                         | 33.63                                                                         | 12.95                                                                         | 64.45                                                                         | 14.24                                                                         |
|                                                                               | Sub Total                                                                     | 576.84                                                                        | 197.05                                                                        | 590.28                                                                        | 162.87                                                                        | 650.87                                                                        | 306.72                                                                        |
| C. Non-High Focus States                                                      | C. Non-High Focus States                                                      | C. Non-High Focus States                                                      | C. Non-High Focus States                                                      | C. Non-High Focus States                                                      | C. Non-High Focus States                                                      | C. Non-High Focus States                                                      | C. Non-High Focus States                                                      |
| 19                                                                            | Andhra Pradesh                                                                | 140.72                                                                        | 405.33                                                                        | 45.31                                                                         | 41.20                                                                         | 0.00                                                                          | 0.00                                                                          |
| 20                                                                            | Goa                                                                           | 19.24                                                                         | 0.60                                                                          | 7.08                                                                          | 0.67                                                                          | 6.45                                                                          | 2.44                                                                          |
| 21                                                                            | Gujarat                                                                       | 210.97                                                                        | 115.58                                                                        | 316.04                                                                        | 239.49                                                                        | 265.00                                                                        | 253.36                                                                        |
| 22                                                                            | Haryana                                                                       | 98.35                                                                         | 53.59                                                                         | 105.31                                                                        | 66.34                                                                         | 120.14                                                                        | 75.21                                                                         |
| 23                                                                            | Karnataka                                                                     | 51.13                                                                         | 21.26                                                                         | 365.84                                                                        | 34.14                                                                         | 73.52                                                                         | 60.64                                                                         |
| 24                                                                            | Kerala                                                                        | 66.35                                                                         | 37.30                                                                         | 66.05                                                                         | 54.21                                                                         | 82.29                                                                         | 44.66                                                                         |
| 25                                                                            | Maharashtra                                                                   | 1074.09                                                                       | 465.52                                                                        | 808.66                                                                        | 496.51                                                                        | 897.48                                                                        | 624.47                                                                        |
| 26                                                                            | Punjab                                                                        | 113.86                                                                        | 33.60                                                                         | 101.73                                                                        | 3.78                                                                          | 178.95                                                                        | 28.22                                                                         |
| 27                                                                            | Tamil Nadu                                                                    | 439.68                                                                        | 614.31                                                                        | 38.73                                                                         | 12.14                                                                         | 460.07                                                                        | 261.71                                                                        |
| 28                                                                            | Telangana                                                                     | 52.26                                                                         | 18.25                                                                         | 119.79                                                                        | 16.63                                                                         | 61.88                                                                         | 1.96                                                                          |
| 29                                                                            | West Bengal                                                                   | 1631.60                                                                       | 173.98                                                                        | 79.30                                                                         | 433.18                                                                        | 79.26                                                                         | 179.46                                                                        |
| Sub Total 3898.25 1939.33 2053.84 1398.30 2225.04 1532.13 D. Small States/UTs | Sub Total 3898.25 1939.33 2053.84 1398.30 2225.04 1532.13 D. Small States/UTs | Sub Total 3898.25 1939.33 2053.84 1398.30 2225.04 1532.13 D. Small States/UTs | Sub Total 3898.25 1939.33 2053.84 1398.30 2225.04 1532.13 D. Small States/UTs | Sub Total 3898.25 1939.33 2053.84 1398.30 2225.04 1532.13 D. Small States/UTs | Sub Total 3898.25 1939.33 2053.84 1398.30 2225.04 1532.13 D. Small States/UTs | Sub Total 3898.25 1939.33 2053.84 1398.30 2225.04 1532.13 D. Small States/UTs | Sub Total 3898.25 1939.33 2053.84 1398.30 2225.04 1532.13 D. Small States/UTs |
| 30                                                                            | Andaman & Nicobar                                                             | Islands 1.46                                                                  | 0.00                                                                          | 4.00                                                                          | 0.98                                                                          | 2.99                                                                          | 1.08                                                                          |
| 31                                                                            | Chandigarh                                                                    | 1.93                                                                          | 0.00                                                                          | 0.65                                                                          | 0.00                                                                          | 0.72                                                                          | 0.00                                                                          |
| 32                                                                            | Dadra & Nagar Haveli                                                          | 15.10                                                                         | 0.12                                                                          | 20.25                                                                         | 0.15                                                                          | 7.40                                                                          | 0.81                                                                          |
| 33                                                                            | Daman & Diu                                                                   | 0.40                                                                          | 0.03                                                                          | 8.28                                                                          | 0.72                                                                          | 7.63                                                                          | 0.00                                                                          |
| 34                                                                            | Delhi                                                                         | 15.68                                                                         | 0.15                                                                          | 46.03                                                                         | 0.74                                                                          | 14.99                                                                         | 0.72                                                                          |
| 35                                                                            | Lakshadweep                                                                   | 1.44                                                                          | 0.00                                                                          | 1.44                                                                          | 0.00                                                                          | 0.25                                                                          | 0.00                                                                          |
| 36                                                                            | Puducherry                                                                    | 6.32                                                                          | 0.26                                                                          | 6.43                                                                          | 0.72                                                                          | 2.75                                                                          | 0.04                                                                          |
| 36                                                                            | Sub Total Grand Total                                                         | 42.33 8247.59                                                                 | 0.56 4179.38                                                                  | 87.08 4749.19                                                                 | 3.31 2779.05                                                                  | 36.73 5218.78                                                                 | 2.65 3083.94                                                                  |
| 36                                                                            |                                                                               |                                                                               |                                                                               |                                                                               |                                                                               |                                                                               |                                                                               |