Lok Sabha Question No. 1497 (UNSTARRED), answered on 2023-02-10
Subject: Health Facilities to Tribal Women
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Naba (Hira) Kumar Sarania

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

## LOK SABHA UNSTARRED QUESTION NO. 1497 TO BE ANSWERED ON 10 TH  FEBRUARY, 2023

## HEALTH ACILITIES TO TRIBAL WOMEN

## 1497. SHRI NABA KUMAR SARANIA:

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

- (a) whether it is a fact that tribal women and children die due to malnutrition and other healthborne reasons in the country and if so, the details thereof from 2014 to till date State/UT-wise;
- (b)  whether  more  tribal  women  die  during  their  pregnancy  and  if  so,  the  details  thereof, State/UT wise, district-wise;
- (c) the details of hospitals located in tribal areas, State/UT-wise;
- (d) the details of various diseases affecting tribal women, State/UT-wise, district-wise; and
- (e) the financial assistance granted by the Government to the pregnant women and children suffered from malnutrition during the last five years, State/UT-wise, district-wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) to (b): Malnutrition is a multi-faceted problem and is not a direct cause of Maternal death but contributes to mortality and morbidity by reducing resistance to infections.

As per the Special Bulletin on MMR released by the Registrar General of India (RGI), the Maternal Mortality Ratio (MMR) of India has declined to 97/lakh live birth as per Sample Registration System (SRS) from 130 in 2014-16. As per the report of Sample Registration System (SRS 18-20) released by Registrar General of India (RGI), the details of State wise Maternal Mortality Ratio (MMR), including tribal areas is placed at Annexure-1 .

As per National Family Health Surveys (NFHS) conducted by Ministry of Health and Family Welfare, in respect of Scheduled Tribes, Infant Mortality Rate has declined from 62.1 (200506) to 41.6 (2019-21); Under Five, Mortality Rate has declined from 95.7 (2005-06) to 50.3 (2019-21), Institutional Delivery has increased from 17.7% (2005-06) to 82.3 % (2019-21) and immunization of children aged 12-23 months has increased from 31.3 % (2005-06) to 76.8 % (2019-21).

- (c) The details of Hospitals located in tribal areas, State/UT-wise may be seen at the following link of RHS 2021-22:

(d) The Expert Committee on Tribal Health, in its report, has stated that, tribal people face triple  burden  of  diseases  and  bears  a  disproportionate  burden  of  communicable  diseases, primarily those that are often referred to as diseases of poverty and underdevelopment, which include Malaria, and Tuberculosis. While malnutrition and communicable diseases like malaria and tuberculosis continue to be high, rapid urbanization, environmental distress and changing lifestyle have resulted in a rise in the prevalence of non-communicable diseases like cancer, hypertension and diabetes.

(e)  The  financial  assistance  granted  by  the  Government  to  State/UTs  central  releases  ST Category-wise under NHM during the last five years is attached at Annexure-2.

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## State -wise Maternal Mortality Ratio (MMR) as per SRS 2018-20

|                |   SRS 2018-20 |
|----------------|---------------|
| Assam          |           195 |
| Madhya Pradesh |           173 |
| Uttar Pradesh  |           167 |
| Chhattisgarh   |           137 |
| Odisha         |           119 |
| Bihar          |           118 |
| Rajasthan      |           113 |
| Haryana        |           110 |
| Punjab         |           105 |
| West Bengal    |           103 |
| Uttarakhand    |           103 |
| India          |            97 |
| Karnataka      |            69 |
| Gujarat        |            57 |
| Jharkhand      |            56 |
| Tamil Nadu     |            54 |
| Andhra Pradesh |            45 |
| Telangana      |            43 |
| Maharashtra    |            33 |
| Kerala         |            19 |
| Other States   |            77 |

(Source: O/o RGI:

Special Bulletin On Maternal Mortality in India )

## Annexure-II

Rs. In crore

|   S. No. | State/UT          |   2017-18 |   2018-19 |   2019-20 |   2020-21 |   2021-22 |
|----------|-------------------|-----------|-----------|-----------|-----------|-----------|
|        1 | Andhra Pradesh    |     55.37 |    131.54 |     90.92 |     98.14 |     95.09 |
|        2 | Arunachal Pradesh |     27.38 |     50.65 |     62.54 |     94.81 |     68.97 |
|        3 | Assam             |     85.74 |    187.88 |    228.97 |    171.46 |    247.37 |
|        4 | Bihar             |     34.78 |     26.57 |     27.16 |    142.89 |     32.12 |
|        5 | Chattisgarh       |    205.6  |    274.84 |    225.19 |    268.82 |    254.85 |
|        6 | Goa               |      1.57 |      3.45 |     14.02 |      3.73 |      2.15 |
|        7 | Gujarat           |    155.79 |    168.22 |    208.2  |    163.5  |    197.94 |
|        8 | Himachal Pradesh  |     23.19 |     18.03 |    124.52 |     58.31 |     74.11 |
|        9 | Jammu &Kashmir    |     71.84 |     63.52 |     68.57 |     23.81 |     14.04 |
|       10 | Jharkhand         |    150.04 |    172.22 |    274.21 |    146.53 |    166.1  |
|       11 | Karnataka         |     81.14 |     79.73 |     98.06 |    145.3  |     89.72 |
|       12 | Kerala            |      9.22 |     46.71 |     27.8  |     18.72 |     24.32 |
|       13 | Madhya Pradesh    |    327.64 |    338.9  |    394.5  |    457.39 |    462.25 |
|       14 | Maharashtra       |    165.22 |    136.35 |    254.09 |    165.04 |    349.85 |
|       15 | Manipur           |     11.04 |     23.62 |     38.05 |     30.84 |     25.2  |
|       16 | Meghalaya         |     80.74 |     88.06 |     83.31 |     71.29 |    145.05 |
|       17 | Mizoram           |     47.69 |     76.39 |     83.97 |     48.08 |     51.72 |
|       18 | Nagaland          |     55.22 |     84.35 |     85.36 |     49.85 |     50.73 |
|       19 | Odisha            |    197.84 |    207.24 |    285.42 |    410.63 |    338.5  |
|       20 | Rajasthan         |    207.62 |    271.17 |    209.12 |    300.17 |    266.31 |
|       21 | Sikkim            |     10.16 |      9.96 |      9.79 |     15.23 |      9.75 |
|       22 | Tamil Nadu        |     20.83 |     18.22 |     31.31 |     36.39 |     27.38 |
|       23 | Tripura           |     29.7  |     44.53 |     55.76 |     55.14 |     52    |
|       24 | Uttar Pradesh     |    135.82 |    172.44 |    177.88 |    176.85 |     63.18 |
|       25 | Uttarakhand       |      9.5  |      8.77 |     10.89 |     31.72 |     19.51 |
|       26 | West Bengal       |     80.99 |     58.56 |    143.35 |    225.44 |    103.66 |
|       27 | Telangana         |     40.1  |    153.72 |    180.98 |     66.9  |     70.52 |

Note:  The  above  releases  relate  to  Central  Govt.  Grants  &  do  not  include  State  share contribution