Lok Sabha Question No. 4906 (UNSTARRED), answered on 2023-03-31
Subject: Maternal Mortality Rates
Ministry: WOMEN AND CHILD DEVELOPMENT
Asked by: Rajan Baburao  Vichare

## GOVERNMENT OF INDIA MINISTRY OF WOMEN & CHILD DEVELOPMENT

## LOK SABHA

## UNSTARRED QUESTION NO. 4906

TO BE ANSWERED ON 31.03.2023

## MATERNAL MORTALITY RATES

## 4906. SHRI RAJAN VICHARE:

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

- (a) the details of infant, child and maternal mortality rates reported, along with the reasons for high mortality rates in the country during each of the last three years and till date;
- (b) whether the budget allocation for the Integrated Child Development Services (ICDS)  Scheme has  shown  a  declining  trend  in  India  and  if  so,  the  details thereof; and
- (c) whether child malnutrition is soaring but funding for ICDS Scheme remains low, if so, the details thereof and the response of the Government thereto and the funds allocated and spent for the scheme?

## ANSWER

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

- (a)        The  data  regarding  infant,  child  and  maternal  mortality  rates  is  reported  by Sample Registration systems of Registrar General of India.

As per Sample Registration System (SRS) of Registrar General of India:

-  Infant Mortality Rate (IMR) has reduced from 32 per 1000 Live Births in 2018 to 28 per 1000 Live Births in 2020 at national level and
-  Under 5 Mortality Rate has reduced from 36 per 1000 Live Births in 2018 to 32 per 1000 Live Births in 2020 at national level.
-  Maternal Mortality has reduced from 103 per 100,000 Live Births in 2017-19 to 97 per 100,000 live births in 2018-20 at national level.

The Ministry of Health and Family Welfare has informed that as per the SRS reports (2015-17) of Registrar General of India, major causes of Child mortality (0-4 years) in India are - prematurity & low birth weight (31.2%), Pneumonia (17.5%), Other noncommunicable  diseases  (9.6%),  Birth  asphyxia  &  birth  trauma  (9.9%),  Diarrheal diseases (5.8%), Injuries (4.9%), congenital anomalies (5.7%) Fever of unknown origin (4.1%),  Acute  bacterial  sepsis  and  severe  infections  (3.8%),  Ill-defined  or  cause unknown (4.3%), and all Other Remaining Causes (3.3%).

As per the SRS reports (2015-17) report of Registrar General of India, major causes of Infant mortality in India are - prematurity & low birth weight (36.1%), Pneumonia (17.4%), Birth asphyxia & birth trauma (11.5%), Other Non-Communicable Diseases (8.9%),  Congenital  Anomalies  (5.7%),  Diarrheal  Diseases  (4.5%),  Acute  Bacterial Sepsis and severe infections (4.3%), Fever of unknown origin (3.0%), Injuries (2.2%), Ill-defined or cause unknown (4.4%), and all other causes of deaths (2.1%).

As per the SRS reports (2017-19) report of Registrar General of India, major causes of  Maternal mortality in India are complication during and following pregnancy and child birth or abortion.

(b)  to  (c)  It  is  stated  that  the  Revised  Budgetary  Allocation  of  F.Y  2021-22 was ₹19,999.55 crore for 'Saksham Anganwadi and Poshan 2.0'. This is approximately 11.7% more than the Revised Budget Allocation of Rs 17902.31 crore for the Financial Year 2020-21. Further, an amount of Rs. 20,263.07 crore has been allocated  for  the  year  2022-23.  The  details  of  annual  budgetary  allocation  and expenditure  under  Anganwadi  Services  during  the  last  three  financial  years  and current year are tabulated below:

(Rupees in crore)

|   S.No | Financial Year   | Budget Estimates   | Revised Estimates   | Expenditure           |
|--------|------------------|--------------------|---------------------|-----------------------|
|      1 | 2019-20          | 19,834.37          | 17,704.50           | 16,891.99             |
|      2 | 2020-21          | 20,532.38          | 17,902.31*          | 15784.39              |
|      3 | 2021-22**        | 20,105.00          | 19999.55            | 18208.85              |
|      4 | 2022-23          | 20,263.07          | 20,263.07           | 17832.83 (28.03.2023) |

*,**includes SAG and POSHAN

As per NFHS-5 (2019-21), the nutrition indicators for children  under 5  years  have improved as compared with NFHS-4 (2015-16). Stunting has reduced from 38.4% to 35.5%, while Wasting has reduced from 21.0% to 19.3% and Underweight prevalence has reduced from 35.8% to 32.1%.

Government  has  accorded  high  priority to the issue of malnutrition and  is implementing several schemes through States/UTs to address challenges related to under  nutrition  and  malnutrition  The  efforts  under  the  Supplementary  Nutrition Programme under Anganwadi Services, Supplementary Nutrition Programme, revised Scheme for Adolescent Girls  and  POSHAN Abhiyaan have been rejuvenated and converged as 'Saksham Anganwadi and POSHAN 2.0 (Mission Poshan 2.0).

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