Lok Sabha Question No. 3978 (UNSTARRED), answered on 2023-03-24
Subject: Rashtriya Kishor Swasthya Karyakram
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Karti P. Chidambaram, Janardan Singh Sigriwal

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

## LOK SABHA UNSTARRED QUESTION NO 3978 TO BE ANSWERED ON 24 th  MARCH 2023

## RASHTRIYA KISHOR SWASTHYA KARYAKRAM

## 3978 : SHRI KARTI P. CHIDAMBARAM SHRI JANARDAN SINGH SIGRIWAL

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

- (a)  the  funds  allocated  and  utilized  for  Rashtriya  Kishor  Swasthya  Karyakram  (RKSK) during the last three financial years and provisional data for the current year, State/UTwise;
- (b) the number of adolescents benefited through RKSK in the country during the last three financial years and the current year, State/UT-wise along with district-wise data for Tamil Nadu;
- (c) the number of sanitary napkins distributed under RKSK in the country during the last three financial years and the current year, State/UT-wise along with district-wise data for Tamil Nadu;
- (d)  whether  the  Government  has  noted  concerns  from  experts  that  challenges  of  teenage pregnancy, early marriage, anaemia and high maternal mortality continue to persist due to poor implementation of RKSK; and
- (e) if so, the reaction of the Government thereto?

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

- a) Information placed at Annexure 'A'
- b) State/ UT wise number of adolescents benefited through RKSK in the country during the last  three  financial  years  and  the  current  year  can  be  accessed  at  the  web  link https://main.mohfw.gov.in/sites/default/files/Annexure%20B%20and%20C%20\_State %20UT%20wise%20data%20for%20LUSQ%203978%20for%2024March23.pdf

Data for Tamil Nadu; is placed at Annexure B (Tamil Nadu data)

- c) State/UT wise number of beneficiaries under the Menstrual Hygiene Schemes during the last  three  financial  years  and  the  current  year  can  be  accessed  at  the  web  link https://main.mohfw.gov.in/sites/default/files/Annexure%20B%20and%20C%20\_State %20UT%20wise%20data%20for%20LUSQ%203978%20for%2024March23.pdf District-wise data for Tamil Nadu; is placed at Annexure C (Tamil Nadu data)
- d) & e) Rashtriya Kishor Swasthya Karyakram covers all adolescents in the age group of 10  to  19  years.  With  the  sustained  implementation  of  this  programme,  the  positive outcomes are now reflected in the National level surveys. The recent National Family Health Survey 5 (NFHS 5) data shows that the overall prevalence of early marriages has reduced from 26.8% in NFHS 4 to 23.3% in NFHS5. Teenage pregnancies have also gone down from 7.9% to 6.8% between NFHS 4 and 5. Teenage pregnancies are a critical factor for maternal deaths among the adolescents. Maternal deaths in the age group 1519 years is low at 6% (SRS, 2018-20).

In order to intensify the efforts of the Government in reducing the prevalence of Anemia, the Ministry of Health and Family Welfare (MoHFW) has launched Anemia Mukt Bharat (AMB) strategy in 2018 with the objective to reduce anaemia in children, adolescents, women including pregnant women and lactating women in life cycle approach, providing preventive and curative mechanisms through a 6X6X6 strategy. Under the Weekly iron and Folic Acid Supplementation programme Prophylactic Iron Folic Acid Supplementation is done for in schools (6th- 12th Class) and Out of School adolescent girls however anemia is a multi-faceted problem and addressing non-nutritional causes of anemia in endemic pockets, with special focus on malaria, haemoglobinopathies and fluorosis is equally important.

****

## State/UT wise SPIP Approvals and Expenditure under Adolescent Health/Rashtriya Kishor Swasthya Karyakram (RKSK) under NHM from F.Y. 2019-20 to 2022-23

(Rs. in lakhs)

| S. No .   | Name of the State/UTs           | 2019-20         | 2019-20      | 2020-21         | 2020-21      | 2021-22         | 2021-22      | 2022-23        | 2022-23      |
|-----------|---------------------------------|-----------------|--------------|-----------------|--------------|-----------------|--------------|----------------|--------------|
| S. No .   | Name of the State/UTs           | SPIP Appro vals | Expend iture | SPIP Appro vals | Expend iture | SPIP Appro vals | Expend iture | SPIP Approvals | Expenditu re |
| 1         | Andaman &Nicobar Islands        | 4.05            | 0.00         | 15.16           | 0.00         | 18.66           | 1.45         | 37.48          | 0.00         |
| 2         | Andhra Pradesh                  | 2.00            | 0.00         | 333.34          | 244.54       | 8627.7 3        | 7783.54      | 5447.13        | 2614.02      |
| 3         | Arunachal Pradesh               | 64.70           | 17.33        | 107.51          | 89.20        | 200.08          | 164.50       | 488.87         | 55.32        |
| 4         | Assam                           | 239.94          | 117.84       | 322.93          | 208.36       | 1251.5 6        | 591.75       | 1295.05        | 331.77       |
| 5         | Bihar                           | 462.73          | 128.35       | 411.63          | 140.37       | 484.15          | 309.23       | 2504.68        | 298.03       |
| 6         | Chandigarh                      | 0.00            | 0.00         | 0.00            | 0.00         | 1.50            | 0.00         | 8.78           | 0.00         |
| 7         | Chhattisgarh                    | 639.68          | 203.65       | 244.81          | 121.73       | 2224.0 9        | 1077.68      | 2025.62        | 239.73       |
| 8         | Dadra &Nagar Haveli& Daman &Diu | 14.25           | 0.34         | 9.03            | 0.00         | 19.93           | 0.68         | 31.87          | 0.00         |
| 9         | Delhi                           | 17.61           | 3.82         | 35.28           | 1.83         | 280.65          | 8.05         | 430.24         | 1.36         |
| 10        | Goa                             | 13.25           | 6.96         | 12.18           | 3.47         | 31.13           | 10.48        | 112.95         | 2.27         |
| 11        | Gujarat                         | 275.77          | 242.50       | 283.81          | 255.34       | 1698.6 5        | 1069.35      | 2581.86        | 284.50       |
| 12        | Haryana                         | 194.74          | 136.68       | 207.61          | 114.49       | 678.12          | 625.31       | 381.04         | 382.71       |
| 13        | Himachal Pradesh                | 59.59           | 10.96        | 75.03           | 20.10        | 514.42          | 306.16       | 666.43         | 91.66        |
| 14        | Jammu &Kashmir                  | 354.92          | 56.14        | 351.29          | 31.20        | 617.63          | 283.66       | 1748.34        | 166.86       |
| 15        | Jharkhand                       | 631.29          | 281.74       | 689.15          | 348.02       | 2135.4 5        | 2016.52      | 1507.10        | 432.98       |
| 16        | Karnataka                       | 93.78           | 63.86        | 146.33          | 96.50        | 523.99          | 60.41        | 1375.11        | 379.00       |
| 17        | Kerala                          | 106.15          | 33.72        | 197.32          | 15.17        | 787.32          | 155.20       | 1359.55        | 66.41        |
| 18        | Ladakh                          | -               | -            | 12.39           | 0.82         | 196.57          | 48.46        | 120.86         | 25.24        |

|   19 | Lakshadweep    |   0.26 |   0.13 | 3.50     |   0.00 | 16.81    |    0.24 |   17.45 |    0.12 |
|------|----------------|--------|--------|----------|--------|----------|---------|---------|---------|
|   20 | Madhya Pradesh | 623.16 | 352.96 | 1013.6 3 | 595.24 | 2797.1 5 | 1938.41 | 3988.77 |  626.01 |
|   21 | Maharashtra    | 953.74 | 823.45 | 1006.3 3 | 679.71 | 2242.1 9 | 2445.11 | 4628.77 |  357.75 |
|   22 | Manipur        | 121.24 |  67.87 | 122.45   |  29.81 | 399.95   |   18.87 |  470.45 |  139.4  |
|   23 | Meghalaya      | 163.98 |  83.33 | 106.19   |  58.92 | 518.18   |  134.98 |  496.08 |  483.48 |
|   24 | Mizoram        |  32.36 |  39.98 | 80.19    |  11.86 | 272.97   |  130.97 |  198.69 |   17.41 |
|   25 | Nagaland       |  35.72 |   4.46 | 26.47    |   0    | 99.47    |  157.36 |  129.38 |  117.69 |
|   26 | Odisha         | 478.64 | 291.84 | 798.18   | 504.23 | 3869.2 4 | 2733.66 | 3773.31 | 1332.45 |
|   27 | Puducherry     |   7    |   0    | 3.57     |   0.1  | 104.71   |    6.96 |  107.68 |   36.95 |
|   28 | Punjab         | 220.64 |  84.25 | 208.50   |  28.44 | 1409.3 9 |   60.36 | 1800.83 |  128.07 |
|   29 | Rajasthan      | 231.32 |  74.77 | 1008.5 1 | 145.83 | 4010.4 1 | 1191.02 | 1945.98 |  219.63 |
|   30 | Sikkim         |  12.13 |   8.44 | 38.33    |   0.15 | 101.82   |   19.24 |  137.33 |   35.13 |
|   31 | Tamil Nadu     | 275.95 | 205.35 | 593.39   | 190.3  | 983.40   |  136.38 | 7045.94 |  818.38 |
|   32 | Telangana      | 159.86 |   3.56 | 229.87   |  81.11 | 765.78   |  710.37 | 3606.88 |   32.75 |
|   33 | Tripura        |  62.99 |  17.24 | 48.25    |  13.96 | 190.48   |  229.31 |  581.67 |   78.39 |
|   34 | Uttar Pradesh  | 764.67 | 335.08 | 945.76   | 430.27 | 7977.9 5 |  600.95 | 8459.51 |  423.44 |
|   35 | Uttarakhand    | 205.52 |  81.22 | 218.00   | 198.56 | 425.95   |  359.64 |  720.76 |   23.56 |
|   36 | West Bengal    | 311.28 | 164.67 | 327.75   | 120.67 | 2142.5 0 | 1309.97 | 6030.81 |  914.87 |

## Note:

1. Expenditure includes expenditure against Central Release, State Release & unspent balances at the beginning of the year.SPIP Approvals and Expenditure is as per available FMRs reported by the States/UTs. It is updated upto 31.12.2022 and is provisional.
2. The above data comprises of Facility based services, Community level Interventions for AH Services, Procurement of bio-medical and other equipment:  AH, Drugs & supplies for AH, Adolescent Health Trainings, BCC/IEC activities for AH/ Rashtriya Kishor Swasthya Karyakram, Printing activities under AH, etc.
3. After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHM funds to the UT of Ladakh were disbursed for the first time during 2020-21.

## Number  of  adolescent  clients  registered  at  Adolescent  Friendly  Health  Clinics  in  24  districts implementing RKSK in the Tamil Nadu

|   SNo. | Name of District   |   SNo. | Name of HUD     |   Registered Clients |
|--------|--------------------|--------|-----------------|----------------------|
|      1 | Ariyalur           |      1 | Ariyalur        |                 4819 |
|      2 | Chengalpattu       |      2 | Chengalpattu    |                13706 |
|      3 | Dharmapuri         |      3 | Dharmapuri      |                29957 |
|      4 | Dindugal           |      4 | Dindugal        |                 4444 |
|      4 | Dindugal           |      5 | Palani          |                 3654 |
|      5 | Kallakurichi       |      6 | Kallakurichi    |                 6571 |
|      6 | Kancheepuram       |      7 | Kancheepuram    |                 4603 |
|      7 | Karur              |      8 | Karur           |                11190 |
|      8 | Krishnagiri        |      9 | Krishnagiri     |                 4859 |
|      9 | Madurai            |     10 | Madurai         |                 8879 |
|     10 | Namakkal           |     11 | Namakkal        |                16288 |
|     11 | Perambalur         |     12 | Perambalur      |                 3369 |
|     12 | Pudukottai         |     13 | Aranthangi      |                 4261 |
|     12 | Pudukottai         |     14 | Pudukottai      |                 5100 |
|     13 | Ramanathapuram     |     15 | Paramakudi      |                 1357 |
|     13 | Ramanathapuram     |     16 | Ramanathapuram  |                 2925 |
|     14 | Ranipet            |     17 | Ranipet         |                 2824 |
|     15 | Tenkasi            |     18 | Tenkasi         |                 5616 |
|     16 | Thanjavur          |     19 | Thanjavur       |                 6390 |
|     17 | Thiruvannamalai    |     20 | Cheyyar         |                 9478 |
|     17 | Thiruvannamalai    |     21 | Thiruvannamalai |                13980 |
|     18 | Thoothukudi        |     22 | Kovilpatti      |                 1537 |
|     18 | Thoothukudi        |     23 | Thoothukudi     |                 9136 |
|     19 | Tirunelveli        |     24 | Tirunelveli     |                 4751 |
|     20 | Tiruppattur        |     25 | Tiruppattur     |                 3565 |
|     21 | Trichy             |     26 | Trichy          |                 5461 |
|     22 | Vellore            |     27 | Vellore         |                 4635 |
|     23 | Villupuram         |     28 | Villupuram      |                19246 |
|     24 | Virudunagar        |     29 | Sivakasi        |                 2797 |
|     24 | Virudunagar        |     30 | Virudunagar     |                 4304 |

Source - DPH and PM (April 2021 to January 2023)

## Annexure C (Tamil Nadu data)

## District-wise data for No of Adolescent girls covered in Tamil Nadu (April 2022-  Jan 2023)

|   S.No | Name of the HUD   |   Target |   No of Adolescent girls covered |
|--------|-------------------|----------|----------------------------------|
|      1 | Ariyalur          |    43412 |                            41241 |
|      2 | Chengalpattu      |   102396 |                            97276 |
|      3 | Chennai           |   420323 |                           399307 |
|      4 | Coimbatore        |   214176 |                           203467 |
|      5 | Cuddalore         |   161948 |                           153851 |
|      6 | Dharmapuri        |    97336 |                            92469 |
|      7 | Dindigul          |   116058 |                            41241 |
|      8 | Erode             |   106463 |                           101140 |
|      9 | Kallakurichi      |    79187 |                            75228 |
|     10 | Kancheepuram      |    62125 |                            59019 |
|     11 | Karur             |    62408 |                            59288 |
|     12 | Krishnagiri       |    89160 |                            84702 |
|     13 | Madurai           |   172850 |                           164208 |
|     14 | Mayiladuthurai    |    40020 |                            38019 |
|     15 | Nagapattinam      |    36555 |                            34727 |
|     16 | Nagercoil         |   105803 |                           100513 |
|     17 | Namakkal          |   147278 |                           139914 |
|     18 | Perambalur        |    35038 |                            33286 |
|     19 | Pudukkottai       |    96385 |                            91566 |
|     20 | Ramanathapuram    |    84825 |                            80584 |
|     21 | Ranipet           |    75008 |                            71258 |
|     22 | Salem             |   271675 |                           258091 |
|     23 | Sivagangai        |    96050 |                            91248 |
|     24 | Tenkasi           |    73117 |                            69461 |
|     25 | Thanjavur         |   160393 |                           152374 |
|     26 | The Nilgiris      |    38297 |                            36382 |
|     27 | Theni             |    71668 |                            68085 |
|     28 | Thirupathur       |    50802 |                            48262 |
|     29 | Thiruvallur       |   147032 |                           139680 |
|     30 | Thiruvannamallai  |   156436 |                            41241 |
|     31 | Thiruvarur        |    71307 |                            67742 |
|     32 | Thoothukudi       |   107573 |                           102194 |
|     33 | Tiruchirappalli   |   140630 |                           133599 |
|     34 | Tirunelveli       |    91149 |                            86592 |
|     35 | Tiruppur          |   197991 |                           188091 |
|     36 | Vellore           |    93539 |                            88862 |
|     37 | Villupuram        |   103996 |                            98796 |
|     38 | Virudhunagar      |   114318 |                           108602 |

Source - DPH and PM