Lok Sabha Question No. 3944 (UNSTARRED), answered on 2023-03-24
Subject: Rashtriya Bal Swasthya Karyakram (RBSK)
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sanjay Haribhau Jadhav, Vinayak Bhaurao Raut, Srinivas Kesineni, Sanghamitra Maurya, Arvind Ganpat Sawant

(a) to (f)

Rashtriya  Bal  Swasthya  Karyakram   (RBSK)  programme  under  Reproductive,  Maternal, Newborn, Child, Adolescent health and Nutrition (RMNCAH+N) strategy, of National Health Mission,  Government  of  India,  provides  screening  services  for  selected  health  conditions  to children through dedicated  mobile health teams placed in every block. Children from birth to six years of age are screened at Anganwadi centres twice a year and children from 6 years till 18 years of age enrolled in Government and Government aided schools in classes 1st to 12th are screened once a year.

Government  of  India  is  supporting  all  States/UTs  in  implementation  of  RBSK  under, National Health Mission, based on the Annual Program Implementation Plan (APIP) submitted by States/ UTs.

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

## LOK SABHA UNSTARRED QUESTION No. 3944 TO BE ANSWERED ON 24th MARCH 2023

## RASHTRIYA BAL SWASTHYA KARYAKRAM (RBSK)

## 3944 :  SHRI SANJAY JADHAV:

SHRI VINAYAK RAUT:

SHRI KESINENI SRINIVAS:

DR SANGHMITRA MAURYA:

SHRI ARVIND GANPAT SAWANT:

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

- (a) whether  the  Government  is  implementing  the  Rashtriya  Bal  Swasthya  Karyakram (RBSK) in the country and if so, the details thereof;
- (b) the  details  of  the  allocation  and  utilisation  of  funds  under  the  Rashtriya  Bal  Swasthya Karyakram since 2019, State/UT-wise including Andhra Pradesh;
- (c) the achievements made so far since its inception;
- (d) whether  the  Government  has  made  any  assessment  of  the  said  Scheme  through  social audit and if so, the details and the outcome thereof;
- (e) the number of children covered since the inception of the said scheme, State/UT-wise; and
- (f) whether the Government proposes to set up high-level laboratories in the hospitals/Health Centres for early detection of genetic disorders and other diseases  along with vaccination to the affected children and if so, the details thereof along with the amount allocated for the said purpose?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (DR.BHARATI PRAVIN PAWAR)

State/UT-wise  approvals  and  utilisation  for  Rashtriya  Bal  Swasthya  Karyakram  under NHM in last three years as per Financial Management Report (FMR) is given at Annexure 1.

As reported by States/UTs, 129.45 crore children have been covered under RBSK during multiple visits since inception in FY 2014-15 till FY 2021-22, is given at Annexure 2.

RBSK is monitored under National Health Mission through regular review of quarterly reports, annual reviews during the appraisals process of Programme Implementation Plans, field visits and meetings with State nodal officers and through Common Review Missions.

The  Department  of  Biotechnology  started  the  Unique  Methods  of  Management  of Inherited Disorders (UMMID) Initiative in 2019, which has three components. Under the first component, 5 NIDAN  Kendras  (genetic testing laboratories) have been established at Government hospitals. Under the second component (outreach), prenatal and newborn screening is carried out at District Hospitals at 9 Aspirational Districts, coordinated by 7 premier research institutes  of  India.   Under  the  third  component,  6  training  centers  have  been  established  for training  of  in-service  Government  doctors  in  genetic  diagnostics  and  counseling.  The  total amount  allocated  for  the  above  is  Rs.  36.43  Crores.  More  than  50,000  children  have  been screened so far for 5 treatable inherited metabolic disorders. The UMMID Initiative is expanded to establish 20 more NIDAN Kendras at Government Hospitals, and bring 21 more Aspirational Districts under the outreach component.

****

Annexure 1 State/UT wise Approvals and Expenditure for Rashtriya Bal Swasthya Karyakram (RBSK) under NHM

## from F.Y. 2019-20 to 2021-22,(Rs in Lakhs)

| Sl. No   | States/UTs          | 2019-20   | 2019-20     | 2020-21   | 2020-21     | 2021-22   | 2021-22     |
|----------|---------------------|-----------|-------------|-----------|-------------|-----------|-------------|
| Sl. No   | States/UTs          | Approvals | Utilisation | Approvals | Utilisation | Approvals | Utilisation |
| 1        | Andaman &Nicobar    | 153.82    | 133.08      | 137.48    | 112.76      | 140.47    | 97.40       |
| 2        | Andhra Pradesh      | 7,848.42  | 1,929.95    | 10,559.52 | 2,566.69    | 2699.79   | 2588.46     |
| 3        | Arunachal Pradesh   | 737.83    | 646.78      | 962.06    | 497.63      | 875.73    | 781.69      |
| 4        | Assam               | 7,112.38  | 6,227.18    | 6,230.70  | 5,393.93    | 6937.97   | 6625.21     |
| 5        | Bihar               | 13,365.97 | 8,889.39    | 12,761.99 | 11,360.38   | 3464.51   | 5364.53     |
| 6        | Chandigarh          | 160.03    | 158.04      | 154.3     | 75.76       | 177.21    | 164.26      |
| 7        | Chhattisgarh        | 6,333.34  | 4,857.09    | 6,218.30  | 4,541.79    | 6416.74   | 5139.74     |
| 8        | Dadra &Nagar Haveli | 239.86    | 159.13      | 66.43     | 154.11      | 261.00    | 166.61      |
| 9        | Delhi               | 2,495.21  | 0           | 134.28    | 0           | 389.56    | 0.00        |
| 10       | Goa                 | 325.6     | 237.97      | 23,828.96 | 12,836.69   | 367.68    | 253.36      |
| 11       | Gujarat             | 25,967.05 | 14,764.35   | 4,128.05  | 2,641.10    | 16491.77  | 14768.49    |
| 12       | Haryana             | 3,987.94  | 2,857.59    | 6,661.84  | 5,960.88    | 3858.99   | 2740.98     |
| 13       | Himachal Pradesh    | 2,776.19  | 1,701.29    | 2,314.30  | 1,626.75    | 2176.26   | 2098.90     |
| 14       | Jammu &Kashmir      | 5,338.75  | 3,695.49    | 5,118.46  | 4,237.79    | 5176.20   | 4966.26     |
| 15       | Jharkhand           | 3,424.64  | 2,208.22    | 5,319.06  | 1,892.21    | 5515.02   | 1668.88     |
| 16       | Karnataka           | 9,798.04  | 6,920.95    | 7,238.59  | 7,837.88    | 7047.66   | 6349.53     |
| 17       | Kerala              | 9,025.19  | 5,106.41    | 19,443.60 | 14,163.90   | 5738.44   | 6119.49     |
| 18       | Ladakh              | -         | -           | 485.56    | 318.77      | 444.77    | 397.78      |
| 19       | Lakshadweep         | 0.50      | 0.56        | 3.20      | 0.19        | 10.54     | 0.00        |
| 20       | Madhya Pradesh      | 16,287.17 | 11,617.23   | 17,796.99 | 6,901.13    | 15461.51  | 13346.65    |
| 21       | Maharashtra         | 17,836.45 | 14,094.88   | 4,209.74  | 3,859.77    | 22714.47  | 18719.86    |
| 22       | Manipur             | 1,334.79  | 615.21      | 1,242.09  | 447.89      | 2575.41   | 320.39      |
| 23       | Meghalaya           | 1,425.27  | 985.71      | 1,547.29  | 1,261.83    | 1641.05   | 930.61      |
| 24       | Mizoram             | 598.00    | 290.02      | 606.37    | 530.43      | 662.39    | 615.51      |
| 25       | Nagaland            | 318.63    | 188.8       | 324.11    | 176.26      | 358.57    | 174.80      |
| 26       | Orissa              | 10,126.45 | 9,439.99    | 12,035.06 | 9,351.63    | 11997.79  | 10627.72    |
| 27       | Puducherry          | 104.68    | 69.16       | 101.31    | 45.00       | 105.87    | 51.81       |
| 28       | Punjab              | 4,488.15  | 4,297.77    | 8,763.55  | 8,396.31    | 4231.52   | 4322.30     |
| 29       | Rajasthan           | 10,461.66 | 5,735.55    | 10,850.44 | 5,176.99    | 12875.76  | 5206.94     |
| 30       | Sikkim              | 216.54    | 57.46       | 208.49    | 53.09       | 228.57    | 59.72       |
| 31       | Tamilnadu           | 9,164.27  | 8,811.76    | 5,538.14  | 8,175.54    | 10248.43  | 7080.80     |
| 32       | Telangana           | 5,734.21  | 3,345.56    | 473.74    | 235.11      | 6417.94   | 5723.84     |
| 33       | Tripura             | 701.52    | 536.34      | 744.69    | 562.61      | 1007.92   | 613.34      |
| 34       | Uttar Pradesh       | 30,905.58 | 25,173.15   | 33,454.64 | 26,787.70   | 35703.40  | 23127.42    |
| 35       | Uttarakhand         | 3,237.93  | 2,852.23    | 3,290.57  | 2,649.49    | 3534.96   | 3280.54     |
| 36       | West Bengal         | 13,016.20 | 10,883.75   | 12,481.76 | 9,685.38    | 14419.37  | 9773.06     |

Note: 1. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of the year. 2. The Above Figures are as per FMR reported by State/UTs.

State/UT wise children covered under Rashtriya Bal Swasthya Karyakram  (RBSK)  under NHM

## Annexure 2

|   S. No | State               | 2014-15   | 2015-16   | 2016-17   | 2017-18   |
|---------|---------------------|-----------|-----------|-----------|-----------|
|       1 | Andaman &Nicobar    | 21383     | 5423      | 6079      | 30179     |
|       2 | Andhra Pradesh      | 379066    | 1515882   | 1788706   | 7422924   |
|       3 | Arunachal Pradesh   | 225484    | 325207    | 281762    | 480428    |
|       4 | Assam               | 2944064   | 4868868   | 5739695   | 6806788   |
|       5 | Bihar               | 62612     | 28726455  | 90624959  | 12292327  |
|       6 | Chandigarh          | 222249    | 409000    | 226039    | 169682    |
|       7 | Chhattisgarh        | 63399     | 5110919   | 3943991   | 5562343   |
|       8 | Dadra &Nagar Haveli | 85364     | 96965     | 99533     | 116451    |
|       9 | Daman               | 38329     | 33591     | 39817     | 41518     |
|      10 | Delhi               | 0         | 0         | NA        | NA        |
|      11 | Goa                 | 217848    | 233355    | 315709    | 420951    |
|      12 | Gujarat             | 12338318  | 16395227  | 21072911  | 24562202  |
|      13 | Haryana             | 2838024   | 3462598   | 3123596   | 3118066   |
|      14 | Himachal Pradesh    | 899502    | 193572    | 1019536   | 1111931   |
|      15 | Jammu &Kashmir      | 1527980   | 2213348   | 2164500   | 2377003   |
|      16 | Jharkhand           | 8833      | 589022    | 1499214   | 1770493   |
|      17 | Karnataka           | 9202678   | 12084351  | 11842346  | 12785173  |
|      18 | Kerala              | 3646432   | 3894862   | 4202822   | 3379395   |
|      19 | Ladakh              | -         | -         | -         | -         |
|      20 | Lakshadweep         | 0         | 0         | NA        | NA        |
|      21 | Madhya Pradesh      | 9082774   | 13611821  | 11224515  | 9132631   |
|      22 | Maharashtra         | 19335990  | 31715018  | 27203744  | 24780813  |
|      23 | Manipur             | 83167     | 266159    | 271422    | 169259    |
|      24 | Meghalaya           | 43398     | 407647    | 703387    | 903535    |
|      25 | Mizoram             | 252012    | 367562    | 233203    | 267869    |
|      26 | Nagaland            | 38352     | 156985    | 217145    | 223159    |
|      27 | Odisha              | 4897389   | 4635229   | 9579416   | 10214865  |
|      28 | Puducherry          | 134137    | 162664    | 178530    | 179666    |
|      29 | Punjab              | 2914456   | 3241001   | 3279703   | 3623511   |
|      30 | Rajasthan           | 2104888   | 0         | 5052752   | 8371439   |
|      31 | Sikkim              | 87083     | 97358     | 84534     | 92038     |
|      32 | Tamil Nadu          | 6557027   | 10834472  | 27676536  | 13579235  |
|      33 | Telengana           |           | 0         | 2132282   | 905071    |
|      34 | Tripura             | 141422    | 262442    | 569282    | 313008    |
|      35 | Uttar Pradesh       | 18206135  | 21951800  | 24418512  | 25535398  |
|      36 | Uttarakhand         | 1382535   | 4000744   | 5356152   | 1748143   |
|      37 | West Bengal         | 6617918   | 15441285  | 32402445  | 14046672  |

State/UT wise children covered under Rashtriya Bal Swasthya Karyakram  (RBSK)  under NHM

| S. No                                                                                                                | State                                                                                                                | 2018- 19                                                                                                             | 2019-20                                                                                                              | 2020-21                                                                                                              | 2021-22                                                                                                              |
|----------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------|
| 1                                                                                                                    | Andaman &Nicobar                                                                                                     | 34386                                                                                                                | 34237                                                                                                                | 0                                                                                                                    | 6104                                                                                                                 |
| 2                                                                                                                    | Andhra Pradesh                                                                                                       | 4863803                                                                                                              | 6133128                                                                                                              | 439053                                                                                                               | 723855                                                                                                               |
| 3                                                                                                                    | Arunachal Pradesh                                                                                                    | 223069                                                                                                               | 191309                                                                                                               | 3845                                                                                                                 | 124735                                                                                                               |
| 4                                                                                                                    | Assam                                                                                                                | 7588342                                                                                                              | 7303366                                                                                                              | 1835719                                                                                                              | 3027182                                                                                                              |
| 5                                                                                                                    | Bihar                                                                                                                | 14394687                                                                                                             | 15798647                                                                                                             | 0                                                                                                                    | 0                                                                                                                    |
| 6                                                                                                                    | Chandigarh                                                                                                           | 235623                                                                                                               | 244715                                                                                                               | 0                                                                                                                    | 61486                                                                                                                |
| 7                                                                                                                    | Chhattisgarh                                                                                                         | 5691933                                                                                                              | 5657460                                                                                                              | 0                                                                                                                    | 1881460                                                                                                              |
| 8                                                                                                                    | Dadra &Nagar Haveli                                                                                                  | 115635                                                                                                               | 147081                                                                                                               | 0                                                                                                                    | 103082                                                                                                               |
| 9                                                                                                                    | Daman                                                                                                                | 41113                                                                                                                | 41212                                                                                                                | 0                                                                                                                    | 22812                                                                                                                |
| 10                                                                                                                   | Delhi                                                                                                                | NA                                                                                                                   |                                                                                                                      | NA                                                                                                                   | NA                                                                                                                   |
| 11                                                                                                                   | Goa                                                                                                                  | 500353                                                                                                               | 464593                                                                                                               | 0                                                                                                                    | 0                                                                                                                    |
| 12                                                                                                                   | Gujarat                                                                                                              | 11545363                                                                                                             | 18051559                                                                                                             | 0                                                                                                                    | 7529210                                                                                                              |
| 13                                                                                                                   | Haryana                                                                                                              | 3306567                                                                                                              | 3539182                                                                                                              | 583695                                                                                                               | 1668961                                                                                                              |
| 14                                                                                                                   | Himachal Pradesh                                                                                                     | 925723                                                                                                               | 1042834                                                                                                              | 0                                                                                                                    | 0                                                                                                                    |
| 15                                                                                                                   | Jammu &Kashmir                                                                                                       | 2382274                                                                                                              | 1970187                                                                                                              | 0                                                                                                                    | 188331                                                                                                               |
| 16                                                                                                                   | Jharkhand                                                                                                            | 4121914                                                                                                              | 6095694                                                                                                              | 0                                                                                                                    | 1274345                                                                                                              |
| 17                                                                                                                   | Karnataka                                                                                                            | 13308932                                                                                                             | 12541947                                                                                                             | 9281620                                                                                                              | 9941214                                                                                                              |
| 18                                                                                                                   | Kerala                                                                                                               | 4006608                                                                                                              | 4946337                                                                                                              | 0                                                                                                                    | 46119                                                                                                                |
| 19                                                                                                                   | Ladakh                                                                                                               | -                                                                                                                    | 71809                                                                                                                | 15                                                                                                                   | 11993                                                                                                                |
| 20                                                                                                                   | Lakshadweep                                                                                                          | NA                                                                                                                   |                                                                                                                      | NA                                                                                                                   | NA                                                                                                                   |
| 21                                                                                                                   | Madhya Pradesh                                                                                                       | 8727797                                                                                                              | 7916713                                                                                                              | 2215970                                                                                                              | 8981525                                                                                                              |
| 22                                                                                                                   | Maharashtra                                                                                                          | 22975191                                                                                                             | 24039666                                                                                                             | 2840401                                                                                                              | 15863358                                                                                                             |
| 23                                                                                                                   | Manipur Meghalaya                                                                                                    | 171098                                                                                                               | 191746                                                                                                               | 0                                                                                                                    | 0                                                                                                                    |
| 24                                                                                                                   |                                                                                                                      | 1188520                                                                                                              | 1079180                                                                                                              | 66149                                                                                                                | 334018                                                                                                               |
| 25                                                                                                                   | Mizoram                                                                                                              | 242654                                                                                                               | 278969                                                                                                               | 0                                                                                                                    | 41566                                                                                                                |
| 26                                                                                                                   | Nagaland                                                                                                             | 182506                                                                                                               | 193325                                                                                                               | 7674                                                                                                                 | 58188                                                                                                                |
| 27                                                                                                                   | Odisha                                                                                                               | 8362642                                                                                                              | 9942529                                                                                                              | 1324562                                                                                                              | 4046734                                                                                                              |
| 28                                                                                                                   | Puducherry                                                                                                           | 179757                                                                                                               | 205944                                                                                                               | 0                                                                                                                    | 167733                                                                                                               |
| 29                                                                                                                   | Punjab                                                                                                               | 3651397                                                                                                              | 2574009                                                                                                              | 55288                                                                                                                | 0                                                                                                                    |
| 30                                                                                                                   | Rajasthan                                                                                                            | 9950597                                                                                                              | 8644529                                                                                                              | 0                                                                                                                    | 3747809                                                                                                              |
| 31                                                                                                                   | Sikkim                                                                                                               | 72857                                                                                                                | 78381                                                                                                                | 0                                                                                                                    | 26860                                                                                                                |
| 32                                                                                                                   | Tamil Nadu                                                                                                           | 13419418                                                                                                             | 12021553                                                                                                             | 573281                                                                                                               | 16776152                                                                                                             |
| 33                                                                                                                   | Telengana                                                                                                            | 1349191                                                                                                              | 2124050                                                                                                              | 0                                                                                                                    | 1072021                                                                                                              |
| 34                                                                                                                   | Tripura                                                                                                              | 455200                                                                                                               | 678507                                                                                                               | 130630                                                                                                               | 364841                                                                                                               |
| 35                                                                                                                   | Uttar Pradesh                                                                                                        | 28862204                                                                                                             | 28640005                                                                                                             | 2821485                                                                                                              | 7342472                                                                                                              |
| 36                                                                                                                   | Uttarakhand                                                                                                          | 2007444                                                                                                              | 1432380                                                                                                              | 90274                                                                                                                | 1202569                                                                                                              |
| West Bengal 17813227 19331994 0 0 Data indicated in the table is based on the monthly reporting done by States/ UT's | West Bengal 17813227 19331994 0 0 Data indicated in the table is based on the monthly reporting done by States/ UT's | West Bengal 17813227 19331994 0 0 Data indicated in the table is based on the monthly reporting done by States/ UT's | West Bengal 17813227 19331994 0 0 Data indicated in the table is based on the monthly reporting done by States/ UT's | West Bengal 17813227 19331994 0 0 Data indicated in the table is based on the monthly reporting done by States/ UT's | West Bengal 17813227 19331994 0 0 Data indicated in the table is based on the monthly reporting done by States/ UT's |