Lok Sabha Question No. 2561 (UNSTARRED), answered on 2020-03-06
Subject: World Pneumonia Day
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Gautham Sigamani Pon, Heena Vijaykumar Gavit, Ganesan Selvam, Shivkumar Chanabasappa Udasi, Dhanush M Kumar

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

LOK SABHA UNSTARRED QUESTION NO. 2561 TO BE ANSWERED ON 06 TH MARCH, 2020

## WORLD PNEUMONIA DAY

## 2561. SHRI GAUTHAM SIGAMANI PON:

DR. HEENA GAVIT:

SHRI SELVAM G.:

SHRI SHIVAKUMAR C. UDASI:

SHRI DHANUSH M. KUMAR:

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

- (a)  whether  the  Government  has  observed  World  Pneumonia  Day,  if  so,  the  details programmes launched and organized to eradicate pneumonia on this occasion;
- (b) whether the country has a high mortality rate due to pneumonia, if so, the details t the reasons therefor along with the number of children died due to pneumonia during each last three years, State/UT - wise;
- (c) whether cases of pneumonia are more in villages than in urban areas, if so, the detail
- (d) whether Government has formulated any specific policy/scheme to deal with pneumonia in villages, if so, the details thereof and if not the corrective steps taken in this regard;
- (e) the other steps taken by the Government to create awareness at grassroot le vel on preventing pneumonia through ASHA and Anganwadi workers?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## (DR. HARSH VARDHAN)

- (a) : Yes, the Ministry of Health and Family Welfare on 16 th November 2019 under National Health Mission has launched SAANS (Social Awareness and Actions to Neutralize Pneumonia Successfully) initiative to observe World Pneumonia Day. The goal of SAANS initiative i accelerate reduction in deaths due to Childhoo d Pneumonia in the country.
- (b) : As per Sample Registration System report (2010 - 13), 17.1% of child mortality in India is due to Pneumonia.

The State/UT - wise number of deaths in children due to pneumonia as reported in Healt Management Information Sys tem (HMIS) in the last three years is at Annexure.

Contd……..

(c) : As per National Family Health Survey - 4 (2015 - 16), the prevalence of Acute Respiratory Infection (ARI) including Pneumonia in under 5 children is more in rural areas i.e 2.9 % an in urban areas i.e 2.3 %.

(d) : The Ministry of Health and Family Welfare under Reproductive, Maternal, Newborn, Child, Adolescent health and Nutrition (RMNCHA+N) program of National Health Mission has formulated  SAANS  (Social  Awareness  and  Actions  to  Neutralize  Pneumonia  Successfully) Initiative to reduce deaths due to Childhood Pneu monia for villages as well as urban areas.

The  SAANS initiative encompasses  a  three  tiered  strategy:  i)  National  Childhood Pneumonia Management Guidelines on treatment and management of Childhood Pneumonia; ii) Skill building and training of service provi ders for identification and standardized management of Pneumonia; and iii) a 360 0 communication SAANS Campaign to ensure greater awareness on childhood  Pneumonia  among  families  and  parents  in  order to  trigger behaviour  change  and improve care seeking.

In addition  to  SAANS  initiative, following  interventions  are  also  being  implemented  to address Childhood Pneumonia:

- Universal Immunization Programme (UIP) focuses on Measles, Haemophilus Influenzae (B) and Pneumococcal Vaccine for prevention of pneumonia.
- Early initiation and exclusive breastfeeding for first six months and appropriate and  Young  Child  Feeding  (IYCF)  practices  are  promoted  under  Mothers'  Absolute Affection (MAA) initiative.
- Facility  based -Integrated  Management  of  Neonatal  and  Childh ood  Illness  (F -IMNCI) training to build capacity of Medical Officer and Nurses in Primary Health Centres, Referral Unit, Community  Health Centres, and  District Hospital on Acute Respirat Infection (ARI) Management.

(e) : U nder SAANS initiative a comprehensive communication campaign has been developed to trigger behaviour change  for protection and prevention from Childhood Pneumonia and to improve  care  seeking.  The  campaign  includes use  of  mass  media  such  as  television,  radio, community  radio,  so cial  media,  banners  and  posters  in  community  and  facilities  to  cre awareness.

The States /UTs are being supported through their Annual Programme Implementation Plan (PIP) for undertaking capacity building and orientation of grassroot level workers i uding ASHAs and anganwadi workers on interpersonal communication, identification and appropria referral of Childhood Pneumonia cases under SAANS initiative.

…………………..

## Annexure

## Number of deathsinUnder 5 Children due to Pneumonia as reported by States/UTs in HMIS from 2017 - 2019

| S.No   | States/UTs           |   2018-19 |   2017-18 | 2016-17   |
|--------|----------------------|-----------|-----------|-----------|
|        | All India            |     14949 |     16282 | 10015     |
| 1      | A & N Islands        |         0 |        10 | 4         |
| 2      | Andhra Pradesh       |       437 |       576 | 163       |
| 3      | Arunachal Pradesh    |        12 |        10 | 6         |
| 4      | Assam                |       793 |      1050 | 448       |
| 5      | Bihar                |       544 |       836 | 470       |
| 6      | Chandigarh           |        51 |        45 | 11        |
| 7      | Chhattisgarh         |       646 |       669 | 565       |
| 8      | Dadra & Nagar Haveli |        17 |        26 | 11        |
| 9      | Daman & Diu          |         2 |         0 |           |
| 10     | Delhi                |       792 |       817 | 296       |
| 11     | Goa                  |         7 |        11 | 6         |
| 12     | Gujarat              |      1166 |      1337 | 520       |
| 13     | Haryana              |       456 |       138 | 184       |
| 14     | Himachal Pradesh     |        68 |        52 | 56        |
| 15     | Jammu & Kashmir      |       114 |        45 | 38        |
| 16     | Jharkhand            |       236 |       225 | 100       |
| 17     | Karnataka            |       625 |       691 | 372       |
| 18     | Kerala               |       111 |       157 | 5         |
| 19     | Lakshadweep          |         2 |         0 | 1         |
| 20     | Madhya Pradesh       |      1977 |      1907 | 1497      |
| 21     | Maharashtra          |      1015 |       980 | 781       |
| 22     | Manipur              |         9 |        13 | 12        |
| 23     | Meghalaya            |       409 |       429 | 632       |
| 24     | Mizoram              |        67 |        85 | 75        |
| 25     | Nagaland             |        29 |        31 | 24        |
| 26     | Odisha               |      1262 |      1125 | 1012      |
| 27     | Puducherry           |        42 |        52 | 4         |
| 28     | Punjab               |       153 |       205 | 130       |
| 29     | Rajasthan            |      1198 |      1676 | 1482      |
| 30     | Sikkim               |        11 |         6 | 3         |
| 31     | Tamil Nadu           |       267 |       396 | 89        |
| 32     | Telangana            |       182 |       189 | 65        |
| 33     | Tripura              |        57 |        81 | 98        |
| 34     | Uttar Pradesh        |       568 |       990 | 118       |
| 35     | Uttarakhand          |        49 |        32 | 14        |
| 36     | West Bengal          |      1575 |      1390 | 723       |