Lok Sabha Question No. 1115 (UNSTARRED), answered on 2020-02-07
Subject: ICPD-1994
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Thirumaa Valavan Thol

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

## LOK SABHA UNSTARRED QUESTION NO. 1115 TO BE ANSWERED ON 7 th FEBRUARY, 2020

## ICPD - 1994

## 1115. SHRI THIRUMAAVALAVAN THOL:

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

- (a) whether the Government has made commitments to improve investments in adolescent and youth sexual nd reproductive health as a signatory of ICPD Programme of Action 1994;
- (b) if so, the details thereof; and
- (c) th e status of action taken by the Government under points 7.45, 7.46, 7.47 and 7.48 of the ICPD programme, State/UT - wise during the last three years?

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

- (a): The Government of India is committed to improve adolescents and youth sexual an reproductive health through following initiatives:

Government of India is implementing the Adolescence Education Programme (AEP) through  State  AIDS  Control  Societi es  in  coordination  with  SCERT  using  a  16  hours curriculum based module developed by NCERT; for adolescents in both inside and outsi formal schools. The programme aims to empower adolescent learners to acquire knowledg of their needs and concerns related to the period of adolescence and develop life skills tha enable them to practice informed and responsible behaviours. The target groups of AEP all learners studying at the secondary and senior secondary level in government, loca and  government -aided  schools  and  learners  of  open  schooling  systems.  Orientation  an sensitization is also provided to identified out - of - school adolescents and youth for awareness regarding life skills education.

- (b): Under  School  based  approach  of  Rashtriya  Kishor  Swas thya  Karyakram  (RKSK), there is emphasis on preventive and promotive activities among school going adolescent dedicated 24 - hour  curriculum  has  been  developed  for  roll - out  in  the  country  in  a  phased manner by training two teachers in every school as Hea lth & Wellness Ambassadors.

Besides  this,  there  is  comprehensive  integration  of  the  adolescent  health  need concerns into the school education and teacher education system

(c): Under National Health Mission, Rashtriya Kishor Swasthya Karyakram (RKSK ) is implemented  to  address  the need  and  concerns  of more  than  25  crore  adolescents  of  the country.  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, families and  communities. The  various  themes  covered  under  RKSK  include  Nutrition,  Sexual Reproductive  Health,  Violence  including  Gender  based  violence,  Mental  Health,  No Communicable Diseases and Substance Abuse.

The interventions under RKSK are as below:

- a. Community  based  interventions -include  the  provision  of  Weekly  Iron  Folic Supplementation, sanitary napkins to adolescent girls, selection and training o educators and conducting Adolescent Health Days to involve the communities and parents to create awareness on adolescent health issues.
- b. Facility based interventions include the Adolescent Friendly Health Clinics (AFH with trained healthcare providers who provide appropriate, non - judgemental, accessible services and counselling to the adolescents.
- c. School  based  interventions - incorporated  as  a  part  of  the  Health  and  Wellness component of the Ayushman Bharat Programme of the Government. These activities combine health education, health promotion, disease prevention, and improve acc ess to health services in an integrated, systematic manner at the school level.
- d. Besides  these,  under  National  Health  Mission,  all  contraceptives  including  ne contraceptives  as  Injectable  contraceptive  (Antara)  and  Centchroman  (Chhaya)  a available to w men. The Scheme forHome delivery of contraceptives by ASHAs at doorstep  of  beneficiaries  has  also  been  introduced  to  increase  the  acces beneficiaries  to  contraceptives.    Counsellors,  placed  at  various  levels  of institutions are specially ned  trai to provide services and information about contraception.

The details of adolescents accessing services and counselling at AFHCs, adolesc girls provided Sanitary napkins and distribution of IFA for the past three years are Annexure I, II and III.

Annexure I Number of adolescent clients accessing services at Adolescent Friendly Health Clinics

| S. No   | State            | 2017- 18   | 2018- 19   |   2019- 20(up to Jan 2020) |
|---------|------------------|------------|------------|----------------------------|
| 1       | A&N Islands      | 4118       | 2691       |                       2725 |
| 2       | Andhra Pradesh   | 205155     | 284933     |                     245223 |
| 3       | ArunachalPradesh | 6550       | 8613       |                       5491 |
| 4       | Assam            | 56026      | 80614      |                      29990 |
| 5       | Bihar            | 73471      | 92981      |                      74788 |
| 6       | Chandigarh       | 2271       | 1230       |                        515 |
| 7       | Chhattisgarh     | 38695      | 74962      |                      66761 |
| 8       | D&N Haveli       | 14297      | 15975      |                      10976 |
| 9       | Daman & Diu      | 4278       | 4888       |                       3289 |
| 10      | Delhi            | 12901      | 10600      |                       7042 |
| 11      | Goa              | 60652      | 56099      |                      30787 |
| 12      | Gujarat          | 234781     | 290662     |                     282115 |
| 13      | Haryana          | 241256     | 228988     |                     194221 |
| 14      | Himachal Pradesh | 28958      | 35761      |                      23053 |
| 15      | Jammu & Kashmir  | 44526      | 46763      |                      17761 |
| 16      | Jharkhand        | 157164     | 182738     |                      93111 |
| 17      | Karnataka        | 904216     | 1019435    |                     441456 |
| 18      | Kerala           | 18037      | 20342      |                      11986 |
| 19      | Lakshadweep      | 0          | 0          |                          0 |
| 20      | Madhya Pradesh   | 104114     | 146529     |                      70347 |
| 21      | Maharashtra      | 801521     | 827822     |                     436309 |
| 22      | Manipur          | 26236      | 32027      |                      16805 |
| 23      | Meghalaya        | 53013      | 39529      |                      28857 |
| 24      | Mizoram          | 20650      | 16420      |                      11732 |
| 25      | Nagaland         | 10688      | 11802      |                       9602 |
| 26      | Odisha           | 51991      | 69576      |                      42268 |
| 27      | Puducherry       | 159250     | 66866      |                      16329 |
| 28      | Punjab           | 123622     | 122861     |                      42023 |
| 29      | Rajasthan        | 138987     | 149240     |                      91712 |
| 30      | Sikkim           | 20077      | 22196      |                      13080 |
| 31      | Tamil Nadu       | 107425     | 101460     |                     147681 |
| 32      | Telangana        | 180013     | 152984     |                      79425 |
| 33      | Tripura          | 8455       | 7106       |                       7762 |
| 34      | Uttar Pradesh    | 1729186    | 1358635    |                     582037 |
| 35      | Uttarakhand      | 91756      | 115760     |                      54086 |
| 36      | West Bengal      | 1254648    | 1372224    |                     762530 |
|         | TOTAL            | 69,88,984  | 70,71,312  |                    3953875 |

| Year wise number of adolescent girls provided sanitary napkin packs*   | Year wise number of adolescent girls provided sanitary napkin packs*   | Year wise number of adolescent girls provided sanitary napkin packs*   | Year wise number of adolescent girls provided sanitary napkin packs*   | Year wise number of adolescent girls provided sanitary napkin packs*   |
|------------------------------------------------------------------------|------------------------------------------------------------------------|------------------------------------------------------------------------|------------------------------------------------------------------------|------------------------------------------------------------------------|
| S.No                                                                   | States/UTs                                                             | 2017- 18                                                               | 2018- 19                                                               | 2019- 21 (upto Jan 2020)                                               |
| 1                                                                      | A & N Islands                                                          | NA                                                                     | NA                                                                     | 0                                                                      |
| 2                                                                      | Andhra Pradesh                                                         | 2418163                                                                | 117838                                                                 | 132535                                                                 |
| 3                                                                      | Arunachal Pradesh                                                      | NA                                                                     | 12                                                                     | 14                                                                     |
| 4                                                                      | Assam                                                                  | 22366                                                                  | 112920                                                                 | 227265                                                                 |
| 5                                                                      | Bihar                                                                  | NA                                                                     | NA                                                                     | 9584                                                                   |
| 6                                                                      | Chandigarh                                                             | NA                                                                     | NA                                                                     | 0                                                                      |
| 7                                                                      | Chhattisgarh                                                           | NA                                                                     | NA                                                                     | 0                                                                      |
| 8                                                                      | Dadra & Nagar Haveli                                                   | NA                                                                     | 214238                                                                 | 126953                                                                 |
| 9                                                                      | Daman & Diu                                                            | 34893                                                                  | 2414                                                                   | 21726                                                                  |
| 10                                                                     | Delhi                                                                  | NA                                                                     | NA                                                                     | 254727                                                                 |
| 11                                                                     | Goa                                                                    | NA                                                                     | NA                                                                     | 0                                                                      |
| 12                                                                     | Gujarat                                                                | 969844                                                                 | 4800                                                                   | 36131                                                                  |
| 13                                                                     | Haryana                                                                | NA                                                                     | NA                                                                     | 0                                                                      |
| 14                                                                     | Himachal Pradesh                                                       | 1216008                                                                | 83834                                                                  | 989287                                                                 |
| 15                                                                     | Jammu & Kashmir                                                        | 128352                                                                 | 85                                                                     | 69113                                                                  |
| 16                                                                     | Jharkhand                                                              | 322938                                                                 | NA                                                                     | 4021                                                                   |
| 17                                                                     | Karnataka                                                              | 6377719                                                                | 21035                                                                  | 5180192                                                                |
| 18                                                                     | Kerala                                                                 | 25161                                                                  | 24054                                                                  | 24054                                                                  |
| 19                                                                     | Lakshadweep                                                            | NA                                                                     | NA                                                                     | 0                                                                      |
| 20                                                                     | Madhya Pradesh                                                         | 34870                                                                  | 1229                                                                   | 102392                                                                 |
| 21                                                                     | Maharashtra                                                            | 31669                                                                  | 4159                                                                   | 1826812                                                                |
| 22                                                                     | Manipur                                                                | NA                                                                     | NA                                                                     | 0                                                                      |
| 23                                                                     | Meghalaya                                                              | NA                                                                     | NA                                                                     | 0                                                                      |
| 24                                                                     | Mizoram                                                                | 14532                                                                  | NA                                                                     | 470                                                                    |
| 25                                                                     | Nagaland                                                               | NA                                                                     | NA                                                                     | 215                                                                    |
| 26                                                                     | Odisha                                                                 | 1218051                                                                | 130637                                                                 | 4398848                                                                |
| 27                                                                     | Puducherry                                                             | 4594                                                                   | NA                                                                     | 0                                                                      |
| 28                                                                     | Punjab                                                                 | NA                                                                     | 46381                                                                  | 1440266                                                                |
| 29                                                                     | Rajasthan                                                              | 629692                                                                 | 605024                                                                 | 8121                                                                   |
| 30                                                                     | Sikkim                                                                 | NA                                                                     | NA                                                                     | 0                                                                      |
| 31                                                                     | Tamil Nadu                                                             | 17571207                                                               | 933813                                                                 | 14502563                                                               |
| 32                                                                     | Telangana                                                              | NA                                                                     | NA                                                                     | 3347                                                                   |
| 33                                                                     | Tripura                                                                | 16029                                                                  | 582                                                                    | 43935                                                                  |
| 34                                                                     | Uttar Pradesh                                                          | 82328                                                                  | 229600                                                                 | 1537216                                                                |
| 35                                                                     | Uttarakhand                                                            | NA                                                                     | 85346                                                                  | 160949                                                                 |
| 36                                                                     | West Bengal                                                            | 360413                                                                 | 82905                                                                  | 2187550                                                                |
|                                                                        | All India                                                              | 3, 14, 78, 829                                                         | 27, 00, 906                                                            | 3,32,88,286                                                            |

* This includes number of adolescent girls provided sanitary napkins from NHM & other State/UT owned Schemes as per HMIS records.

## Annexure III

## WIFS - Number of adolescent boys and girls covered

| S no.             | State/UT             | 2017- 18       | 2018- 19       | 2019- 20 (up to Jan 2020)   |
|-------------------|----------------------|----------------|----------------|-----------------------------|
| 1                 | A & N Islands        | NR             | NR             | NR                          |
| 2                 | Andhra Pradesh       | 1259518        | 3481339        | 1882880                     |
| 3                 | Arunachal Pradesh    | 3111           | 7273           | 6872                        |
| 4                 | Assam                | 860367         | 1396638        | 1125181                     |
| 5                 | Bihar                | 1158           | 50899          | 5133354                     |
| 6                 | Chandigarh           | 57203          | 26415          | NR                          |
| 7                 | Chhattisgarh         | NR             | 1114815        | 1049196                     |
| 8                 | Dadra & Nagar Haveli | 331378         | 24448          | 17553                       |
| 9                 | Daman & Diu          | 5725           | 17146          | 11916                       |
| 10                | Delhi                | 23958          | NR             | 92978                       |
| 11                | Goa                  | NR             | 126273         | 84336                       |
| 12                | Gujarat              | 102843         | 2863580        | 4214352                     |
| 13                | Haryana              | 2480008        | 656842         | 842908                      |
| 14                | Himachal Pradesh     | 191295         | 274791         | 306452                      |
| 15                | Jammu & Kashmir      | 180310         | 7642           | 2339                        |
| 16                | Jharkhand            | 47311          | 1043402        | 1128945                     |
| 17                | Karnataka            | 929749         | 785756         | 1995471                     |
| 18                | Kerala               | 1886123        | 1177645        | NR                          |
| 19                | Lakshadweep          | NR             | NR             | NR                          |
| 20                | Madhya Pradesh       | NR             | 3065376        | 3125074                     |
| 21                | Maharashtra          | 1890824        | 6031421        | 5107286                     |
| 22                | Manipur              | 4590128        | 12829          | 20101                       |
| 23                | Meghalaya            | 12036          | 75805          | 97151                       |
| 24                | Mizoram              | 100095         | 43488          | 34267                       |
| 25                | Nagaland             | 51698          | 30469          | 4460                        |
| 26                | Odisha               | 9403           | 972652         | 916903                      |
| 27                | Puducherry           | 1007027        | 46683          | 36118                       |
| 28                | Punjab               | 51766          | 740067         | 429072                      |
| 29                | Rajasthan            | 1111967        | 201380         | 374779                      |
| 30                | Sikkim               | 728438         | 42769          | 33895                       |
| 31                | Tamil Nadu           | 49207          | 4351772        | 3973504                     |
| 32                | Telangana            | 4351109        | 51422          | 976550                      |
| 33                | Tripura              | 330381         | 32245          | 7281                        |
| 34                | Uttar Pradesh        | 103611         | 1693908        | 3794689                     |
| 35                | Uttarakhand          | 545243         | 110523         | 449136                      |
| West Bengal Total | West Bengal Total    | 2, 33, 29, 546 | 3, 14, 53, 973 | 3,96,29,229                 |