Lok Sabha Question No. 1924 (UNSTARRED), answered on 2018-07-30
Subject: Women and Children Suffering from Anaemia
Ministry: TRIBAL AFFAIRS
Asked by: TAMRADHWAJ SAHU

## GOVERNMENT OF INDIA (MINISTRY OF TRIBAL AFFAIRS)

## LOK SABHA UNSTARRED QUESTION NO. † 1924

TO BE ANSWERED ON 30.07.2018

## 'WOMEN AND CHILDREN SUFFERING FROM ANAEMIA'

## †1924. SHRI TAMRADHWAJ SAHU:

Will the Minister of TRIBAL AFFAIRS be pleased to state:-

- (a)  whether the people in the country particularly a large number of people in rural and tribal areas specially women and children are suffering from Anaemia and deficiency of mineral and other nutrients;
- (b) if so, the details thereof, State/UT-wise;
- (c)  the details of schemes/programmes being implemented by the Government to solve this problem and the funds allocated and utilised during each of the last three years and the current year, State/UT-wise;
- (d) the success achieved under the said schemes during the said period, State/UT-wise; and
- (e)  the steps being taken by the Government to minimise minerals and other nutrients deficiency related disease particularly among women and children?

## ANSWER

## MINISTER OF STATE IN THE MINISTRY OF TRIBAL AFFAIRS (SHRI JASWANTSINH BHABHOR)

- (a) As per National Family Health Survey (NFHS-4) 2015-16, the prevalence of anemia among children under five years of age is 58.4% and among women aged 15-49 years anemia prevalence is 53.0%.
- (b) The requisite details are given in Annexure - I.
- (c)  &  (e)  To  address  the  issue  of  other  nutrients  &  mineral  deficiency  diseases,  Government  has implemented different national programmes under National Health Mission:
1. National Iodine Deficiency Disorders Control Programme (NIDDCP): The important objectives and components of the programme are:
- I. Surveys to assess the magnitude of the Iodine Deficiency Disorders
- II. Supply of iodated salt in place of common salt
- III. Resurvey after every 5 years to assess the extent of Iodine Deficiency Disorders and the impact of lodated salt
- IV. Laboratory monitoring of iodated salt and urinary iodine excretion
- V. Health education & Publicity
2.  Bi  annual  Vitamin  A  supplementation  programme  for  children  under  5  years  of  age  under National Programme for Prophylaxis Against Blindness in children due to Vitamin A deficiency.
3. National Iron Plus Initiative is being implemented by Government under National Health Mission to solve the problem of anemia among the women and children. Under NIPI programme Iron and Folic acid supplementation is provided to under five children (6 months- 5 yrs), children 6 -10 yrs, adolescents, pregnant women, and lactating mothers following a life-cycle approach. The funds allocated and utilised during each of the last three years, State/UT-wise may be seen at Annexure-

II

.

Ministry of Tribal Affairs supplements the efforts of line ministry with the objective to bridge the gap between Scheduled Tribes (ST) population and others by providing support for health, sanitation, water supply, etc.  under  its  schemes  of  Special  Central  Assistance  to  Tribal  Sub-Scheme  (SCA  to  TSS)  and Grants under Article 275(1) of the Constitution. Details of funds released under these schemes during the last three years and current year may be seen at Annexure-III.

(d) There has been a decrease in anemia prevalence in last decade from NFHS -3, 2005-06 to NFHS-4, 2015-16. During last decade anemia prevalence among children under 5 years of age is reduced from 69.4% to 58.5%, among women aged 15-49 years the prevalence is reduced from 55.3% to 53.0% and among pregnant women the anemia prevalence reduced from 57.9% to 50.3%.

Annexure- I

## Statement referred to in reply to Part (b) of Lok Sabha Unstarred Question No. 1924 for 30.07.2018

## State wise age-group wise anemia prevalence (%)  (NFHS 4, 2015-16)

| States              | Children (6-59 months)   | Children (6-59 months)   | Women in Reproductive age group (15-49 years)   | Women in Reproductive age group (15-49 years)   | Pregnant women (15-49 years)   | Pregnant women (15-49 years)   |
|---------------------|--------------------------|--------------------------|-------------------------------------------------|-------------------------------------------------|--------------------------------|--------------------------------|
|                     | NFHS 3                   | NFHS 4                   | NFHS 3                                          | NFHS 4                                          | NFHS 3                         | NFHS 4                         |
| All India           | 69.4                     | 58.5                     | 55.3                                            | 53.0                                            | 57.9                           | 50.3                           |
| A&NIslands          | NA                       | 49.0                     | NA                                              | 65.7                                            | NA                             | 61.4                           |
| Andhra Pradesh      | 70.8                     | 58.6                     | 62.9                                            | 60.0                                            | 58.2                           | 52.9                           |
| Arunachal Pradesh   | 56.9                     | 50.7                     | 50.5                                            | 40.3                                            | 51.8                           | 33.8                           |
| Assam               | 69.4                     | 35.7                     | 69.3                                            | 46.0                                            | 72.0                           | 44.8                           |
| Bihar               | 78.0                     | 63.5                     | 67.4                                            | 60.3                                            | 60.2                           | 58.3                           |
| Chandigarh          | NA                       | 73.1                     | NA                                              | 75.9                                            | NA                             | NA                             |
| Chhattisgarh        | 71.2                     | 41.6                     | 57.5                                            | 47.0                                            | 63.1                           | 41.5                           |
| Dadra &Nagar Haveli | NA                       | 84.6                     | NA                                              | 79.5                                            | NA                             | 67.9                           |
| Daman &Diu          | NA                       | 73.8                     | NA                                              | 58.9                                            | NA                             | NA                             |
| Delhi               | 57.0                     | 62.6                     | 44.3                                            | 52.5                                            | 29.9                           | 45.1                           |
| Goa                 | 38.2                     | 48.3                     | 38.0                                            | 31.3                                            | 36.9                           | 26.9                           |
| Gujarat             | 69.7                     | 62.6                     | 55.3                                            | 54.9                                            | 60.8                           | 51.3                           |
| Haryana             | 72.3                     | 71.7                     | 56.1                                            | 62.7                                            | 69.7                           | 55.0                           |
| Himachal Pradesh    | 54.7                     | 53.7                     | 43.3                                            | 53.4                                            | 38.1                           | 50.2                           |
| Jammu& Kashmir      | 58.5                     | 43.3                     | 52.0                                            | 40.3                                            | 55.7                           | 38.1                           |
| Jharkhand           | 69.9                     | 70.3                     | 65.2                                            | 69.5                                            | 62.6                           | 68.5                           |
| Karnataka           | 70.3                     | 60.9                     | 51.2                                            | 44.8                                            | 60.4                           | 45.4                           |
| Kerala              | 44.5                     | 35.6                     | 32.8                                            | 34.2                                            | 33.8                           | 22.6                           |
| Lakshdweep          | NA                       | 51.9                     | NA                                              | 45.7                                            | NA                             | 36.5                           |
| Madhya Pradesh      | 74.0                     | 68.9                     | 55.9                                            | 52.5                                            | 57.9                           | 54.6                           |
| Maharashtra         | 63.4                     | 53.8                     | 48.4                                            | 48.0                                            | 57.8                           | 49.3                           |
| Manipur             | 41.1                     | 23.9                     | 35.7                                            | 26.4                                            | 36.3                           | 26.0                           |
| Meghalaya           | 63.8                     | 48.0                     | 46.2                                            | 56.2                                            | 58.1                           | 53.1                           |
| Mizoram             | 43.8.2                   | 17.7                     | 38.1                                            | 22.5                                            | 48.3                           | 24.5                           |
| Nagaland            | NA                       | 21.6                     | NA                                              | 23.9                                            | NA                             | 28.9                           |
| Odisha              | 65.0                     | 44.6                     | 61.1                                            | 51.0                                            | 68.1                           | 47.6                           |
| Puducherry          | NA                       | 44.9                     | NA                                              | 52.4                                            | NA                             | 26.0                           |
| Punjab              | 66.4                     | 56.6                     | 38.0                                            | 53.5                                            | 41.6                           | 42.0                           |
| Rajasthan           | 69.6                     | 60.3                     | 53.1                                            | 46.8                                            | 61.7                           | 46.6                           |
| Sikkim              | 58.1                     | 55.1                     | 59.5                                            | 34.9                                            | 62.1                           | 23.6                           |
| Tamil Nadu          | 64.2                     | 50.7                     | 53.2                                            | 55.1                                            | 54.7                           | 44.0                           |
| Telengana           | NA                       | 60.7                     | NA                                              | 56.7                                            | NA                             | 49.8                           |
| Tripura             | 62.9                     | 48.3                     | 65.1                                            | 54.5                                            | 57.6                           | 54.4                           |
| Uttar Pradesh       | 73.9                     | 63.2                     | 49.9                                            | 52.4                                            | 51.5                           | 51.0                           |
| Uttarakhand         | 60.7                     | 54.9                     | 54.7                                            | 41.5                                            | 50.8                           | 43.9                           |
| West Bengal         | 61.0                     | 54.2                     | 63.2                                            | 62.5                                            | 62.6                           | 53.6                           |

## Statement referred to in reply to Parts (c) and (e) of Lok Sabha Unstarred Question No. 1924 for 30.07.2018 Details of SPIP Approval Vs Expenditure for the component

## National Iron Plus Initiative for the FY 2015-16 to 2017-18 under National Health Mission

Annexure -II

Rs. In Lakhs

| S. No.   | Name of the State/UT   | 2015-16   | 2015-16   | 2016-17   | 2016-17   | 2017-18   | 2017-18   |
|----------|------------------------|-----------|-----------|-----------|-----------|-----------|-----------|
| S. No.   | Name of the State/UT   | Approval  | Exp       | Approval  | Exp       | Approval  | Exp       |
| 1        | Bihar                  | 9191.45   | 18.57     | 5,292.88  | 149.69    | 3,691.46  | 1,168.65  |
| 2        | Chattisgarh            | 1476.86   | 1.34      | 2,298.67  | 400.00    | 3,346.95  | 550.43    |
| 3        | Himachal Pradesh       | 220.21    | 129.16    | -         | -         | -         | -         |
| 4        | Jammu &Kashmir         | 0.00      | 0.00      | 658.42    | 156.78    | 724.11    | -         |
| 5        | Jharkhand              | 1670.11   | 367.13    | 1,926.73  | 442.94    | 1,044.97  | 664.35    |
| 6        | Madhya Pradesh         | 706.54    | 435.76    | 1,866.33  | 974.23    | 1,467.45  | 699.85    |
| 7        | Orissa                 | 44.19     | 149.93    | -         | 1.31      | 2,059.53  | 983.64    |
| 8        | Rajasthan              | 440.21    | 705.06    | 2,036.78  | 738.12    | 738.71    | 370.41    |
| 9        | Uttar Pradesh          | 5956.89   | 1761.62   | 1,777.40  | 1,994.84  | 5,585.63  | 1,373.28  |
| 10       | Uttarakhand            | 259.92    | 135.42    | 120.28    | 176.29    | 433.60    | 298.73    |
| 11       | Arunachal Pradesh      | 182.85    | 117.84    | 75.03     | 15.88     | 508.72    | 104.04    |
| 12       | Assam                  | 1444.07   | 527.29    | 1,605.03  | 510.52    | 1,375.60  | 656.51    |
| 13       | Manipur                | 6.98      | 13.23     | 153.59    | 150.03    | 166.21    | 55.02     |
| 14       | Meghalaya              | 75.61     | 27.19     | 388.68    | 467.13    | 1,475.42  | 757.34    |
| 15       | Mizoram                | 105.68    | 148.98    | 121.67    | 97.43     | 94.52     | 113.40    |
| 16       | Nagaland               | 4.80      | 58.68     | 127.90    | 113.45    | 220.83    | 92.50     |
| 17       | Sikkim                 | 56.97     | 36.14     | 43.77     | 7.47      | 34.60     | 33.56     |
| 18       | Tripura                | 414.64    | 129.26    | 20.23     | 124.46    | 268.23    | 115.79    |
| 19       | Andhra Pradesh         | 996.91    | 773.49    | 1,137.57  | 546.20    | 1,386.99  | 1,091.62  |
| 20       | Goa                    | 80.08     | 0.98      | 56.11     | 42.53     | 84.69     | 59.77     |
| 21       | Gujarat                | 2002.74   | 2490.12   | 1,752.18  | 1,750.52  | 1,551.57  | 1,431.72  |
| 22       | Haryana                | 380.40    | 0.01      | -         | -         | 618.43    | 64.25     |
| 23       | Karnataka              | 1876.49   | 195.21    | 884.68    | 1,040.23  | 3,063.48  | 901.17    |
| 24       | Kerala                 | 373.00    | 256.18    | 537.86    | 590.24    | 525.00    | 383.70    |
| 25       | Maharashtra            | 4716.62   | 7.15      | 5,210.35  | 1,385.55  | 6,758.91  | 530.74    |

| S. No.   | Name of the State/UT      | 2015-16   | 2015-16   | 2016-17   | 2016-17   | 2017-18   | 2017-18   |
|----------|---------------------------|-----------|-----------|-----------|-----------|-----------|-----------|
| S. No.   | Name of the State/UT      | Approval  | Exp       | Approval  | Exp       | Approval  | Exp       |
| 26       | Punjab                    | 419.83    | 176.00    | 1,106.72  | 1,079.88  | 898.48    | 207.44    |
| 27       | Tamil Nadu                | 220.00    | 593.54    | 1,603.70  | 1,808.07  | 425.58    | 1,241.14  |
| 28       | Telangana                 | 695.59    | 0.00      | 1,149.12  | 352.14    | 738.41    | -         |
| 29       | West Bengal               | 1597.67   | 1793.26   | 3,577.48  | 1,902.12  | 2,583.04  | 1,845.95  |
| 30       | Andaman & Nicobar Islands | 8.48      | 0.00      | 26.97     | 9.86      | 36.55     | 6.60      |
| 31       | Chandigarh                | 0.00      | 0.00      | -         | -         | -         | -         |
| 32       | Dadra &Nagar Haveli       | 58.97     | 59.17     | 113.17    | 9.54      | 4.91      | 104.59    |
| 33       | Daman &Diu                | 4.30      | 3.12      | 10.06     | 4.01      | 19.45     | 9.77      |
| 34       | Delhi                     | 1.92      | 0.00      | 28.50     | 0.09      | 24.16     | 0.22      |
| 35       | Lakshdweep                | 11.64     | 0.00      | 7.07      | 1.08      | 10.72     | 3.03      |
| 36       | Puducherry                | 67.91     | 34.14     | 130.03    | 131.44    | 109.70    | 74.34     |
|          | Grand Total               | 35770.53  | 11144.97  | 35,844.95 | 17,174.06 | 42,076.6  | 15,993.5  |

Note:

1. SPIP stands for State Program implementation Plan.

2.  The above figures are as per FMR reported by State/UTs.

Statement  referred  to  in  reply  to  Parts  (c)  and  (e)  of  Lok  Sabha  Unstarred  Question  No.  1924  for 30.07.2018 showing details of funds released during the last three years and current year for health activities under the schemes of SCA to TSS and Grants under Article 275(1) of the Constitution of India

(Rs. in lakh)

| S. N.   | State             |   2015-16 |   2016-17 |   2017-18 |   2018-19 |
|---------|-------------------|-----------|-----------|-----------|-----------|
| 1       | Andhra Pradesh    |      0    |   1016.76 |    233    |   1135    |
| 2       | Arunachal Pradesh |    150    |    705    |    600    |   1000    |
| 3       | Assam             |      0    |    474.39 |      0    |      0    |
| 4       | Bihar             |      0    |     10    |     10    |      0    |
| 5       | Chhattisgarh      |    240    |    507    |    300    |      0    |
| 6       | Goa               |      0    |      0    |      0    |      0    |
| 7       | Gujarat           |     52    |      0    |    986.7  |      0    |
| 8       | Himachal Pradesh  |      0    |    461    |    978.4  |    570.9  |
| 9       | Jammu &Kashmir    |      0    |    871.53 |    884.71 |    600    |
| 10      | Jharkhand         |   1400    |    925    |     50    |   6419.63 |
| 11      | Karnataka         |    200    |    410    |   2205    |      0    |
| 12      | Kerala            |    300    |    350    |      0    |    441    |
| 13      | Madhya Pradesh    |   2721.02 |   5101.07 |   2037.35 |   3175    |
| 14      | Maharashtra       |      0    |   2000    |   9262.4  |   3037.53 |
| 15      | Manipur           |    666    |    360    |    290    |      0    |
| 16      | Meghalaya         |      0    |    200    |      0    |     21.54 |
| 17      | Mizoram           |    288.12 |    273.61 |    357.56 |      5.53 |
| 18      | Nagaland          |      0    |    110    |     90    |      0    |
| 19      | Odisha            |    114    |      0    |      0    |      0    |
| 20      | Rajasthan         |   1309.59 |   2510.98 |  86108    |   1943    |
| 21      | Sikkim            |     10    |     34.98 |    103.5  |      0    |
| 22      | Tamil Nadu        |      0    |    176.55 |     33.96 |    100    |
| 23      | Telangana         |      0    |      0    |    420.15 |   1200    |
| 24      | Tripura           |      0    |     50    |    430    |    403.97 |
| 25      | Uttar Pradesh     |     27    |      0    |      0    |      0    |
| 26      | Uttarakhand       |      0    |      0    |      0    |      0    |
| 27      | West Bengal       |    675.6  |   2018.65 |   2029.9  |   1834.41 |
|         | Total             |   8153.33 |  18566.5  | 107411    |  21887.5  |

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