Lok Sabha Question No. 97 (STARRED), answered on 2020-02-07
Subject: Infant Deaths in Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Bhagwanth Khuba, Kapil Moreshwar Patil

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 97 TO BE ANSWERED ON THE 7 TH FEBRUARY, 2020 INFANT DEATHS IN HOS PITALS

## *97. SHRI BHAGWANTH KHUBA: SHRI KAPIL MORESHWAR PATIL:

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

- (a)  whether  the  Government  is  aware  of  the  recent  cases  of  infant  deat hospitals across the country particularly in Rajasthan;
- (b) if so, the number of infants died in hospitals during the last three ye State/UT - wise including Rajasthan, Karnataka, Assam and Uttar Pradesh; and
- (c) the steps taken/being taken by the Government to curb such cases i country particularly in Karnataka and Rajasth an?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. HARSH VARDHAN)

(a) to ( c):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 97 FOR 7 TH FEBRUARY, 2020

(a) In the month of December ,2019,and January ,2020,there were Newspaper reports of infant deaths in hospital of J. K. Lon Kota, Umaid Hospital Jo MDM Hospital Jodhpur, JLN hospital Ajmer ,Rajasthan, Civil hospital Rajkot, Civil  hospital  Ahemdabad,  Gujarat,  Jhabua ,  Khandwa,  Ratlam  and  Shajdol district of Madhya Pradesh and Udhampur district of Jammu and Kashmir.

- (b) Hospital wise data across states is not maintained centrally ,howev r,as per Sample Registration System Report 2017, Infant Mortality Rate of India i s 33 per 1000 live Births. State wise details of SRS 2015, 16 & 17 are placed at annexure.

(c) In order to address child mortality and  morbidity ,Government of India is implementing Reproductive, Maternal, Newborn, Child, Adolescent health an Nutrition  (R MNCAH+N)  strategy  in  all  States/UTs under  National  Health Mission .

The various interventions under RMNCHA+N strategy are as below:

1. Strengthening essential newborn care at all delivery points, establishm Sick Newborn Care Units (SNCU), Newborn Stabil ization Units (NBSU) and Kangaroo Mother Care (KMC) units for care of sick and small babies.
2. Home  Based  Newborn  Care  (HBNC)  and  Home  Based  Care  of  Young Children  (HBYC)  by  ASHAs  to  improve  child  rearing  practices  and  to identify sick newborn and children .
3. The Government of India has launched POSHAN (Prime Minister overreaching scheme for holistic nourishment) Abhiyaan to addres malnutrition through multi - sectoral action, behaviour change communication, training  and  capacity  building  of  community  workers .  The  Anemia  Mukt Bharat strategy under POSHAN Abhiyaan has also been initiated with focu on  life  cycle  approach,  Iron  and  folic  acid  supplementation,  dem generation and dashboard for monitoring the progress.
4. Early  initiation  and  exclusive  breastfeed ing  for  first  six  months  and appropriate Infant and Young Child Feeding (IYCF) practices are promot under Mothers' Absolute Affection (MAA) in convergence with Ministry of Women  and  Child  Development.  Nutrition  Rehabilitation  Centres  (NRCs) have been set up at public health facilities to treat and manage the chi with Severe Acute Malnutrition (SAM) admitted with medical complications
5. Universal  Immunization  Programme  (UIP)  is  being  supported  to  provide vaccination to children against life threatening diseases such as Tuberc Diphtheria, Pertussis, Polio, Tetanus, Hepatitis B, Measles, Rub Pneumonia  and  Meningitis  caused  by  Ha emophilus  Influenzae  B.  The Rotavirus vaccination has also been rolled out in the country for preven Rotaviral diarrhoea. 'Mission Indradhanush is targeted to immunize children who are either unvaccinated or partially vaccinated i.e. those that h e not been covered during the rounds of routine immunization for various reas Intensified Mission Indradhanush (IMI) 2.0 is rolled - out as per road - map for achieving 90% full immunization coverage across the country.
6. All  the  children  from  0  to  18  years of  age  are  screened  for  30  health conditions classified into 4Ds -Diseases, Deficiencies, Defects and Developmental delay under 'Rashtriya Bal Swasthya Karyakaram' (RBSK) to improve the quality of survival and to reduce out of pocket expendit famil ies.  District  early  intervention  centre  (DEIC)  at  district  health level are established for confirmation and management of the 4D's.
7. National Deworming Day (NDD) is implemented biannually every year for deworming of children (one to nineteen yea r of age).
8. Defeat Diarrhoea (D2) initiative has been launched for promoting ORS a Zinc use and eliminating the diarrhoeal deaths by 2025. Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS) initiative for reduction of Childhood morbidity and mortality du Pneumonia.
9. Village  Health  Sanitation  and  Nutrition  Days  (VHSNDs)  are  observed  fo provision of maternal and chi ld health services and awareness on maternal

and child Health and nutrition education through mass and social media improve healthy practices and to generate demand for service uptake.

10. Name  based tracking of mothers and children till two years of age i s done through RCH portal to ensure complete antenatal, intranatal, postnatal and immunization as per schedule.
11. Promotion  of  Institutional  deliveries  through  cash  incentive  under  J Suraksha  Yojana  (JSY)  and  Janani  Shishu  Suraksha  Karyakaram  (JSS K) which entitles all pregnant women delivering in public health instituti absolutely  free  delivery  including  Caesarean  section,  post - natal  care  and treatment  of  sick  infants  up  to  one  year  of  age.  Pradhan  Mantri  M Vandana Yojana (PMMVY) is anoth er maternity benefit programme under which cash incentive is provided to pregnant women and lactating mothers

Annexure

| S. N.   | States            |   Infant Mortality Rate |   Infant Mortality Rate |   Infant Mortality Rate |
|---------|-------------------|-------------------------|-------------------------|-------------------------|
| S. N.   | States            |                    2015 |                    2016 |                    2017 |
|         | ALL INDIA         |                      37 |                      34 |                      33 |
| 1       | Andhra Pradesh    |                      37 |                      34 |                      32 |
| 2       | A&N Islands       |                      20 |                      16 |                      14 |
| 3       | Arunachal Pradesh |                      30 |                      36 |                      42 |
| 4       | Assam             |                      47 |                      44 |                      44 |
| 5       | Bihar             |                      42 |                      38 |                      35 |
| 6       | Chandigarh        |                      21 |                      14 |                      14 |
| 7       | Chhattisgarh      |                      41 |                      39 |                      38 |
| 8       | D&N Haveli        |                      21 |                      17 |                      13 |
| 9       | Daman & Diu       |                      18 |                      19 |                      17 |
| 10      | Delhi             |                      18 |                      18 |                      16 |
| 11      | Goa               |                       9 |                       8 |                       9 |
| 12      | Gujarat           |                      33 |                      30 |                      30 |
| 13      | Haryana           |                      36 |                      33 |                      30 |
| 14      | Himachal Pradesh  |                      28 |                      25 |                      22 |
| 15      | J & K             |                      26 |                      24 |                      23 |
| 16      | Jharkhand         |                      32 |                      29 |                      29 |
| 17      | Karnataka         |                      28 |                      24 |                      25 |
| 18      | Kerala            |                      12 |                      10 |                      10 |
| 19      | Lakshadweep       |                      20 |                      19 |                      20 |
| 20      | Madhya Pradesh    |                      50 |                      47 |                      47 |
| 21      | Maharashtra       |                      21 |                      19 |                      19 |
| 22      | Manipur           |                       9 |                      11 |                      12 |
| 23      | Meghalaya         |                      42 |                      39 |                      39 |
| 24      | Mizoram           |                      32 |                      27 |                      15 |
| 25      | Nagaland          |                      12 |                      12 |                       7 |
| 26      | Odisha            |                      46 |                      44 |                      41 |
| 27      | Puducherry        |                      11 |                      10 |                      11 |
| 28      | Punjab            |                      23 |                      21 |                      21 |
| 29      | Rajasthan         |                      43 |                      41 |                      38 |
| 30      | Sikkim            |                      18 |                      16 |                      12 |
| 31      | Tamil Nadu        |                      19 |                      17 |                      16 |
| 32      | Telangana         |                      34 |                      31 |                      29 |
| 33      | Tripura           |                      20 |                      24 |                      29 |
| 34      | Uttar Pradesh     |                      46 |                      43 |                      41 |
| 35      | Uttarakhand       |                      34 |                      38 |                      32 |
| 36      | W. Bengal         |                      26 |                      25 |                      24 |