Lok Sabha Question No. 2578 (UNSTARRED), answered on 2020-03-06
Subject: Moderate Acute Malnutrition
Ministry: WOMEN AND CHILD DEVELOPMENT
Asked by: Rahul Kaswan, Bhagirath Chaudhary, Bhanu Pratap Singh Verma, M.K. Vishnu Prasad

## GOVERNMENT OF INDIA MINISTRY OF WOMEN & CHILD DEVELOPMENT

## LOK SABHA UNSTARRED QUESTION NO. 2578

TO BE ANSWERED ON 06.03.2020

## MODERATE ACUTE MALNUTRITION

2578.   SHRI RAHUL KASWAN: SHRI BHAGIRATH CHOUDHARY: SHRI BHANU PRATAP SINGH VERMA: DR. VISHNU PRASAD M.K.:

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

- (a) whether  the  Government  has  conducted  any  survey  to  determine  the  total number of children under five years with Moderate Acute malnutrition and if so, the details thereof, State/UT-wise including Rajasthan;
- (b) the  details  of  steps  taken  by  the  Government  to  deal  with  the  problem  of malnutrition along with the financial assistance provided by the Government to the  States  in  this  regard  during  the  last  three  years  State/  UT-wise  including Rajasthan and Uttar Pradesh;
- (c) whether the Government has taken any steps to provide nutritious food to the children as per international standards; and
- (d) if so, the details thereof?

## ANSWER

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

- (a) Data  on  nutritional  indicators  is  captured  under  the  National  Family  Health Surveys (NFHS) conducted periodically by the Ministry of Health and Family Welfare.As per  the  report  of  NFHS-4  conducted  in  2015-16,  21%  children  under  5  years  of  age have  moderate  acute  malnutrition  (Weight-for-Height  <-2SD)  which  has  reduced  to 17.3% as reported under the recent Comprehensive National Nutrition Survey (CNNS) (2016-18). The State/UT-wise details including Rajasthan are Annexure-I .
- (b) The Government has accorded high priority to the issue of malnutrition and is implementing several schemes/programmes of different Ministries/Departments through States/UTs to address various aspects related to nutrition. This Ministry is implementing POSHAN Abhiyaan, Pradhan Mantri Matru Vandana Yojana, Anganwadi Services and Scheme  for  Adolescent  Girls  under  the  Umbrella  Integrated  Child  Development Services  Scheme  (ICDS)  as  direct  targeted  interventions  to  address  the  problem  of malnutrition among children and women in the country.

Government  has  set  up  POSHAN  Abhiyaan  on  18.12.2017.  The  goals  of POSHAN Abhiyaan are to achieve improvement in nutritional status of Children from 06  years,  Adolescent  Girls,  Pregnant  Women  and  Lactating  Mothers  in  a  time  bound manner with fixed targets as under:

|   S.No. | Objective                                                                                          | Target   |
|---------|----------------------------------------------------------------------------------------------------|----------|
|       1 | Prevent and reduce Stunting in children (0- 6 years)                                               | @2%p.a.  |
|       2 | Prevent and reduce under-nutrition (underweight prevalence) in children (0-6 years)                | @2%p.a.  |
|       3 | Reduce the prevalence of anaemia among young Children(6-59 months)                                 | @3%p.a.  |
|       4 | Reduce the prevalence of anaemia among Women and Adolescent Girls in the age group of 15-49 years. | @3%p.a.  |
|       5 | Reduce Low Birth Weight (LBW).                                                                     | @2%p.a.  |

The Abhiyaan aims to reduce malnutrition in the country in a phased manner, through a lifecycle approach, by adopting a synergised and result oriented approach. The Abhiyaan has mechanisms for timely service delivery and a robust monitoring as well as intervention infrastructure. The major activities undertaken under this Abhiyaan are  ensuring  convergence  with  various  other  programmes;  Information  Technology enabled Common  Application Software for strengthening service delivery and interventions;  Community  Mobilization  and  Awareness  Advocacy  leading  to  Jan Andolan  to  educate  the  people  on  nutritional  aspects;  Capacity  Building  of  Frontline Functionaries, incentivizing States/ UTs for achieving goals etc.

The State/UT-wise details of the funds released under each of these Schemes, including Rajasthan and Uttar Pradesh, are at Annexure-II, III, IV and V.

(c) & (d) In order to bridge the gap in the intake of nutrients as recommended under the Recommended  Dietary  Allowances  for  Indians  prescribed  by  the  Indian  Council  of Medical Research and the Average Dietary Intake among the population based on the National Surveys, supplementary nutrition is provided under the Anganwadi Services of the Umbrella ICDS Scheme to children under 6 years of age.

The Nutrition norms for supplementary nutrition under the Anganwadi Services scheme of the umbrella ICDS were issued on 24.02.2009. Subsequently, the National Food  Security  Act  was  promulgated  in  2013.  Sections  4,  5,  6  &  7  of  the  said  Act mandate the nutritional entitlement for children, pregnant women and lactating mothers. Schedule II of the aforesaid Act prescribes nutritional norms for supplementary nutrition. In  pursuance  of  Section  39  of  the  Act,  Supplementary  Nutrition  (under  ICDS)  Rules were notified on 20.02.2017 vide Notification G.S.R. 149 (E) dated 20 th February, 2017.

*******

Annexure-I Statement referred to in reply to part (a) of Lok Sabha Unstarred Question No. 2578 due for answer on 06.03.2020, raised by Shri Rahul Kaswan and others

## Prevalence  of  Moderate  Acute  Malnutrition  (Weight-for-Height  less  than  -2SD)  as  per NFHS-4 (2015-16) and CNNS (2016-18)

| S. No.   | State              | Weight-for-Height (<-2SD) (under 5 yrs)   | Weight-for-Height (<-2SD) (under 5 yrs)   |
|----------|--------------------|-------------------------------------------|-------------------------------------------|
|          |                    | NFHS-4                                    | CNNS                                      |
| 1        | Andaman & Nicobar  | 18.9                                      | -                                         |
| 2        | Andhra Pradesh     | 17.2                                      | 17.1                                      |
| 3        | Arunachal Pradesh  | 17.3                                      | 6.8                                       |
| 4        | Assam              | 17                                        | 19.4                                      |
| 5        | Bihar              | 20.8                                      | 14.5                                      |
| 6        | Chandigarh         | 10.9                                      | -                                         |
| 7        | Chhattisgarh       | 23.1                                      | 19.3                                      |
| 8        | Delhi              | 15.9                                      | 14.8                                      |
| 9        | Dadra Nagar Haveli | 27.6                                      | -                                         |
| 10       | Daman & Diu        | 24.1                                      | -                                         |
| 11       | Goa                | 21.9                                      | 15.8                                      |
| 12       | Gujarat            | 26.4                                      | 17                                        |
| 13       | Haryana            | 21.2                                      | 11.7                                      |
| 14       | Himachal Pradesh   | 13.7                                      | 11                                        |
| 15       | Jammu & Kashmir    | 12.1                                      | 14.9                                      |
| 16       | Jharkhand          | 29                                        | 29.1                                      |
| 17       | Karnataka          | 26.1                                      | 19.3                                      |
| 18       | Kerala             | 15.7                                      | 12.6                                      |
| 19       | Lakshadweep        | 13.7                                      | -                                         |
| 20       | Madhya Pradesh     | 25.8                                      | 19.6                                      |
| 21       | Maharashtra        | 25.6                                      | 16.9                                      |
| 22       | Manipur            | 6.8                                       | 6                                         |
| 23       | Meghalaya          | 15.3                                      | 14.7                                      |
| 24       | Mizoram            | 6.1                                       | 5.8                                       |
| 25       | Nagaland           | 11.3                                      | 12.9                                      |
| 26       | Odisha             | 20.4                                      | 13.9                                      |
| 27       | Punjab             | 15.6                                      | 6.7                                       |
| 28       | Puducherry         | 23.6                                      | -                                         |
| 29       | Rajasthan          | 23                                        | 14.3                                      |
| 30       | Sikkim             | 14.2                                      | 6.9                                       |
| 31       | Tamil Nadu         | 19.7                                      | 20.7                                      |
| 32       | Telangana          | 18                                        | 17.9                                      |
| 33       | Tripura            | 16.8                                      | 12.8                                      |
| 34       | Uttar Pradesh      | 17.9                                      | 18.5                                      |
| 35       | Uttarakhand        | 19.5                                      | 5.9                                       |
| 36       | West Bengal        | 20.3                                      | 20.1                                      |
|          | India              | 21                                        | 17.3                                      |

## Annexure-II

Statement referred to in reply to part (b) of Lok Sabha Unstarred Question No. 2578 due for answer on 06.03.2020, raised by Shri Rahul Kaswan and others

## State/UT-wise details of funds released during last two years under POSHAN Abhiyaan (Amount in Rs. Lakh)

| S. No.   | State/UT                | Release in FY 2017 - 18   | Release in FY 2018-19   |
|----------|-------------------------|---------------------------|-------------------------|
| 1        | Andhra Pradesh          | 2572.41                   | 8604.68                 |
| 2        | Bihar                   | 7063.44                   | 15001.67                |
| 3        | Chhattisgarh            | 1668.12                   | 9629.51                 |
| 4        | Delhi                   | 945.95                    | 2206.88                 |
| 5        | Goa                     | 238.07                    | 197.78                  |
| 6        | Gujarat                 | 3036.66                   | 11228.04                |
| 7        | Haryana                 | 400.97                    | 5992.46                 |
| 8        | Himachal Pradesh        | 1557.26                   | 4153.15                 |
| 9        | Jammu & Kashmir         | 388.59                    | 8343.52                 |
| 10       | Jharkhand               | 2429.59                   | 5110.45                 |
| 11       | Karnataka               | 3351.05                   | 9870.89                 |
| 12       | Kerala                  | 1273.37                   | 6491.91                 |
| 13       | Madhya Pradesh          | 4067.20                   | 15894.17                |
| 14       | Maharashtra             | 2572.31                   | 20989.28                |
| 15       | Odisha                  | 4600.46                   | 10571.65                |
| 16       | Puducherry              | 39.24                     | 393.70                  |
| 17       | Punjab                  | 819.51                    | 6090.33                 |
| 18       | Rajasthan               | 4216.26                   | 9680.99                 |
| 19       | Tamil Nadu              | 1340.51                   | 12210.93                |
| 20       | Telangana               | 1736.94                   | 8595.70                 |
| 21       | Uttar Pradesh           | 8440.60                   | 29582.87                |
| 22       | Uttarakhand             | 1866.25                   | 4301.57                 |
| 23       | West Bengal             | 5545.27                   | 19294.11                |
| 24       | Arunachal Pradesh       | 52.93                     | 2663.35                 |
| 25       | Assam                   | 2298.27                   | 15492.36                |
| 26       | Manipur                 | 340.46                    | 3865.37                 |
| 27       | Meghalaya               | 462.98                    | 1713.27                 |
| 28       | Mizoram                 | 119.38                    | 957.65                  |
| 29       | Nagaland                | 163.74                    | 1251.97                 |
| 30       | Sikkim                  | 98.59                     | 328.47                  |
| 31       | Tripura                 | 277.91                    | 3695.72                 |
| 32       | Andaman & Nicobar       | 100.22                    | 416.89                  |
| 33       | Chandigarh              | 158.88                    | 306.82                  |
| 34       | Dadra & Nagar Haveli ** | 108.83                    | 129.32                  |
| 35       | Daman & Diu             | 42.06                     | 197.66                  |
| 36       | Ladakh                  | -                         | -                       |
| 37       | Lakshadweep             | 60.00                     | 138.90                  |
|          | TOTAL                   | 64454.28                  | 255593.99               |

Annexure-III

Statement referred to in reply to part (b) of Lok Sabha Unstarred Question No. 2578 due for answer on 06.03.2020, raised by Shri Rahul Kaswan and others

State/UT-wise Fund released in Supplementary Nutrition component of the Anganwadi Services Scheme during last 3 years:

| S. No   | State/UTs         | Fund released during 2016-17   | Fund released during 2016-17   | Fund released during 2017-18   | Fund released during 2017-18   | Fund released during 2018-19   | Fund released during 2018-19   |
|---------|-------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|
| S. No   | State/UTs         | SNP                            | GENERAL                        | SNP                            | GENERAL                        | SNP                            | GENERAL                        |
| 1       | ANDHRA PRADESH    | 31467.53                       | 14590.85                       | 31596.87                       | 24629.79                       | 37353.55                       | 31895.05                       |
| 2       | BIHAR             | 52520.17                       | 32823.24                       | 53741.97                       | 35851.96                       | 76987.83                       | 35974.64                       |
| 3       | CHHATTISGARH      | 22461.93                       | 16921.47                       | 25724.9                        | 28345.16                       | 24279.95                       | 28735.52                       |
| 4       | GOA               | 591.45                         | 458.83                         | 1011.2                         | 585.64                         | 859.5                          | 778.06                         |
| 5       | GUJARAT           | 36162.61                       | 31788.45                       | 38496.97                       | 21581.54                       | 32051.56                       | 29206.4                        |
| 6       | HARYANA           | 7131.04                        | 12893.84                       | 3945.75                        | 13601.08                       | 7305.22                        | 13276.2                        |
| 7       | JHARKHAND         | 28723.1                        | 13325.75                       | 25347.42                       | 14879.45                       | 29083.25                       | 18797.43                       |
| 8       | KARNATAKA         | 33914.94                       | 16235.33                       | 56009.24                       | 32177.98                       | 43588.97                       | 43506.22                       |
| 9       | KERALA            | 8305.96                        | 24850.34                       | 10976.6                        | 20186.77                       | 10785.38                       | 17058                          |
| 10      | MADHYA PRADESH    | 55779.33                       | 43124.79                       | 66775.88                       | 46683.69                       | 64088.78                       | 49633.10                       |
| 11      | MAHARASHTRA       | 32053.19                       | 71393.73                       | 41445.78                       | 58469.85                       | 106535.2 2                     | 55705.39                       |
| 12      | ODISHA            | 25519.58                       | 38085.8                        | 47316.24                       | 34543.96                       | 43450.56                       | 33841.79                       |
| 13      | PUNJAB            | 3124.57                        | 11246.52                       | 5282.25                        | 13998.21                       | 3744.1                         | 13411.95                       |
| 14      | RAJASTHAN         | 33045.65                       | 25486.48                       | 34931.86                       | 30339.08                       | 34950.74                       | 29085.81                       |
| 15      | TAMIL NADU        | 26017.9                        | 15731.91                       | 33186.7                        | 14394.25                       | 37271.35                       | 26488.7                        |
| 16      | TELANGANA         | 17418.86                       | 9654.88                        | 18130.74                       | 18905.07                       | 22045.61                       | 21257.53                       |
| 17      | UTTAR PRADESH     | 160784.24                      | 95627.23                       | 129353.52                      | 80279.47                       | 104579.0 8                     | 84554.34                       |
| 18      | WEST BENGAL       | 30462.46                       | 27805.02                       | 67697.94                       | 27805.04                       | 68046.87                       | 53839.34                       |
| 19      | DELHI             | 7551.09                        | 6560.79                        | 4051.41                        | 6560.53                        | 3474.65                        | 5457.19                        |
| 20      | PUDUCHERRY        | 1702.02                        | 590.87                         | 851.02                         | 590.88                         | 0.00                           | 452.11                         |
| 21      | HIMACHAL PRADESH  | 4662.06                        | 18694.25                       | 5795.63                        | 14898.51                       | 6976.21                        | 24112.44                       |
| 22      | JAMMU & KASHMIR   | 4035.18                        | 21105.03                       | 4035.17                        | 14383.93                       | 2128.5                         | 34361.46                       |
| 23      | UTTARAKHAND       | 4649.44                        | 12043.25                       | 15212.13                       | 11666.46                       | 13612.57                       | 18465.2                        |
| 24      | A & N ISLANDS     | 262.68                         | 934.06                         | 284.57                         | 974.13                         | 369.94                         | 883.04                         |
| 25      | CHANDIGARH        | 190.49                         | 571.7                          | 592.09                         | 471.88                         | 769.72                         | 634.14                         |
| 26      | D&NAGAR HAVELI    | 203.8                          | 365.81                         | 129.89                         | 182.90                         | 168.86                         | 354.23                         |
| 27      | DAMAN & DIU       | 174.12                         | 133.84                         | 130.83                         | 139.28                         | 170.08                         | 97.13                          |
| 28      | LAKSHADWEEP       | 68.32                          | 78.63                          | 85.35                          | 39.46                          | 100.26                         | 245.20                         |
| 29      | ARUNACHAL PRADESH | 4052.72                        | 7199.13                        | 4035.02                        | 8218.40                        | 4411.40                        | 7375.84                        |
| 30      | ASSAM             | 17921.03                       | 44425.65                       | 31554.71                       | 37115.73                       | 30597.01                       | 49561.10                       |
| 31      | MANIPUR           | 500                            | 7412.65                        | 5244.2                         | 10284.52                       | 7134.08                        | 8892.39                        |
| 32      | MEGHALAYA         | 11184.72                       | 5370.85                        | 12238.89                       | 5466.89                        | 12364.04                       | 4996.77                        |
| 33      | MIZORAM           | 2156.92                        | 2172.8                         | 1539.37                        | 3416.45                        | 1843.36                        | 2493.46                        |
| 34      | NAGALAND          | 10611.05                       | 4469.91                        | 7000.08                        | 6816.95                        | 8231.20                        | 3721.00                        |
| 35      | SIKKIM            | 644.34                         | 768.68                         | 481.21                         | 1426.33                        | 450.66                         | 1500.366                       |
| 36      | TRIPURA           | 4010.56                        | 7671.45                        | 6456.59                        | 6381.42                        | 7781.78                        | 9406.72                        |
| Total   | Total             | 680065.05                      | 642613.81                      | 790689.99                      | 646292.64                      | 847591.84                      | 760055.26                      |

Statement referred to in reply to part (b) of Lok Sabha Unstarred Question No. 2578 due for answer on 06.03.2020, raised by Shri Rahul Kaswan and others

## State/UT-wise Fund released under Scheme for Adolescent Girls during last 3 years (Rs. in lakh)

| S. No.   | States/UTs        |   2016-17 |   2017-18 |   2018-19 |
|----------|-------------------|-----------|-----------|-----------|
| 1        | Andhra Pradesh    |    762.99 |   2259.52 |   1011.98 |
| 2        | Arunachal Pradesh |    126.25 |     87.96 |      0    |
| 3        | Assam             |   1356.94 |    341.92 |      0    |
| 4        | Bihar             |   2696.83 |   4003.74 |     25.54 |
| 5        | Chhattisgarh      |   1389.69 |   2792.61 |    724.75 |
| 6        | Goa               |    131.5  |    302.77 |      0.4  |
| 7        | Gujarat           |   1443.18 |   2690.09 |   5092.44 |
| 8        | Haryana           |    104.74 |    589.97 |     37.41 |
| 9        | Himachal Pradesh  |    720.45 |   1129.42 |      0    |
| 10       | Jammu & Kashmir   |    194.63 |    255.91 |    560.39 |
| 11       | Jharkhand         |    145.57 |   1495.55 |      0    |
| 12       | Karnataka         |    740.73 |   2466.93 |    923.76 |
| 13       | Kerala            |   1057.73 |    692.91 |    289.74 |
| 14       | Madhya Pradesh    |   5302.02 |   8641.18 |   5442.4  |
| 15       | Maharashtra       |   5334.42 |   3995.68 |   3536.78 |
| 16       | Manipur           |     49.65 |    170.28 |      0    |
| 17       | Meghalaya         |    919.65 |    528.83 |     12.55 |
| 18       | Mizoram           |     91.78 |    123.95 |     69.32 |
| 19       | Nagaland          |    206.31 |    193.14 |    214.3  |
| 20       | Odisha            |   2867.25 |   2442.6  |    866.77 |
| 21       | Punjab            |      0    |     40.6  |     26.3  |
| 22       | Rajasthan         |      0    |     39.38 |      0    |
| 23       | Sikkim            |     32.54 |     15.42 |      0    |
| 24       | Tamil Nadu        |   2655.26 |   3196.22 |      0    |
| 25       | Telangana         |    572.39 |     81.4  |    107.49 |
| 26       | Tripura           |    334.81 |    674.38 |     19.16 |
| 27       | Uttar Pradesh     |  10933    |   4486.13 |   1000.35 |
| 28       | Uttaranchal       |     43.02 |      3.3  |      0    |
| 29       | West Bengal       |     40.41 |    282.47 |    101.85 |
| 30       | A & N Islands     |    107.05 |     51.35 |      3.18 |
| 31       | Chandigarh        |     12.11 |     12.68 |      2.33 |
| 32       | Daman & Diu       |     14.14 |     14.14 |      4.53 |
| 33       | D & NH            |     16.44 |     16.44 |      4.94 |
| 34       | Delhi             |    276.66 |    490.19 |    320.48 |
| 35       | Lakshadweep       |      2.2  |     11.65 |      3.11 |
| 36       | Pondicherry       |     17.72 |      8.81 |      1.63 |
| Total    | Total             |  47700.1  |  44629.5  |  20403.9  |

## Annexure-V

Statement referred to in reply to part (b) of Lok Sabha Unstarred Question No. 2578 due for answer on 06.03.2020, raised by Shri Rahul Kaswan and others

## State/UT-wise details of funds released under the Pradhan Mantri Matru Vandana Yojana (PMMVY)

| Sl. No.   | State/UT             | 2017-18 (Rs. In Lakh)   | 2018-19 (Rs. In Lakh)   |
|-----------|----------------------|-------------------------|-------------------------|
| Sl. No.   | State/UT             | Released                | Released                |
| 1         | A & N Islands        | 163.08                  | 41.13 14101.75          |
| 2         | Andhra Pradesh       | 7022.36                 |                         |
| 3         | Arunachal Pradesh    | 912.83                  | 36.00                   |
| 4         | Assam                | 10448.26                | 817.00                  |
| 5         | Bihar                | 17351.38                | 1253.00                 |
| 6         | Chandigarh           | 290.41                  | 248.08                  |
| 7         | Chhattisgarh         | 4382.58                 | 2025.85                 |
| 8         | Dadra & Nagar Haveli | 102.62                  | 75.85                   |
| 9         | Daman & Diu          | 61.56                   | 28.98                   |
| 10        | Goa                  | 168.85                  | 107.26                  |
| 11        | Gujarat              | 10186.87                | 5958.97                 |
| 12        | Haryana              | 4324.30                 | 3674.84                 |
| 13        | Himachal Pradesh     | 1821.64                 | 1793.84                 |
| 14        | Jammu & Kashmir      | 3137.84                 | 828.42                  |
| 15        | Jharkhand            | 5622.70                 | 1453.37                 |
| 16        | Karnataka            | 10248.81                | 6361.72                 |
| 17        | Kerala               | 5536.64                 | 3514.27                 |
| 18        | Lakshadweep          | 27.82                   | 4.44                    |
| 19        | Madhya Pradesh       | 12320.53                | 18581.47                |
| 20        | Maharashtra          | 12821.10                | 11795.62                |
| 21        | Manipur              | 1474.07                 | 75.00                   |
| 22        | Meghalaya            | 1110.83                 | 102.00                  |
| 23        | Mizoram              | 710.78                  | 294.70                  |
| 24        | Nagaland             | 1035.06                 | 52.00                   |
| 25        | NCT Of Delhi         | 2008.90                 | 795.75                  |
| 26        | Orissa               | 7143.33                 | 383.00                  |
| 27        | Puducherry           | 331.68                  | 63.53                   |
| 28        | Punjab               | 4648.73                 | 1141.42                 |
| 29        | Rajasthan            | 11486.97                | 9605.43                 |
| 30        | Sikkim               | 354.33                  | 21.00                   |
| 31        | Tamil Nadu           | 12087.85                | 658.00                  |
| 32        | Telangana            | 7196.40                 | 385.00                  |
| 33        | Tripura              | 1845.49                 | 96.00                   |
| 34        | Uttar Pradesh        | 33616.64                | 14216.71                |
| 35        | Uttarakhand          | 2610.99                 | 1425.66                 |
| 36        | West Bengal          | 10245.03                | 2938.72                 |
| Total     | Total                | 204859.26               | 104955.77               |