Lok Sabha Question No. 122 (STARRED), answered on 2023-02-10
Subject: Anaemia Mukt Bharat Abhiyan
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Srinivas Kesineni, Kaushalendra Kumar

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

## LOK SABHA STARRED QUESTION NO. 122 TO BE ANSWERED ON THE 10 TH  FEBRUARY, 2023

## ANAEMIA MUKT BHARAT ABHIYAN

## *122. SHRI KESINENI SRINIVAS: SHRI KAUSHALENDRA KUMAR:

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

- (a) the main features of the Anaemia Mukt Bharat Abhiyan and progress made under this campaign since its inception, State-wise;
- (b) the fund allocated and utilised under Anaemia Mukt Bharat Abhiyan and Poshan Abhiyan since 2019, State-wise and also district-wise;
- (c) the details of cases of stunting among children, State-wise and district-wise;
- (d)  the  steps  taken/being  taken  by  the  Government  to  address  the  cases  of  child wasting and stunting;
- (e) whether it is a fact that 67 per cent boys and 59 per cent girls upto the age of five years  are  suffering  from  anaemia  and  if  so,  the  steps  taken/  being  taken  by  the Government to control this disease; and
- (f)  whether  the  Government  is  aware  of  the  increasing  number  of  anaemia  cases among women and children in Barpeta district of Assam from 2016 to 2021 and if so, the details of initiatives taken/being taken to improve the situation?

## THE MINISTER OF HEALTH AND FAMILY WELFARE

## ANSWER (DR MANSUKH MANDAVIYA)

- (a) to (f) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 122 FOR 10 TH  FEBRUARY, 2023

(a)    In  2018,  the  Government  of  India launched the  Anaemia Mukt Bharat (AMB) strategy  to  comply  with  the  targets  of  POSHAN  Abhiyan  and  National  Nutrition Strategy set by NITI Aayog.  The AMB strategy is designed to reduce prevalence of anaemia in women, children and adolescents through life cycle approach.

The 6X6X6 strategy aims to reduce anaemia among six beneficiaries age group through implementation of six interventions and six institutional mechanisms.

The  six  beneficiaries  age  groups are  Children  6-59  months;  Children  5-9  years, Adolescents  10-19  years,  Women  of  Reproductive  Age  (15-49  years),  Pregnant Women and Lactating women.

The six interventions are Prophylactic Iron and Folic Acid Supplementation in all six target age groups; Deworming among children 1-19 years; Intensified yearround Behaviour Change Communication (BCC) Campaign; Testing and treatment of anaemia, using Digital Invasive Haemoglobinometer; Provision of IFA fortified food in  government  funded  public  health  programmes;  and  Addressing  non-nutritional causes of anaemia in endemic pockets with special focus on malaria, haemoglobinopathies and fluorosis

The  six  institutional  mechanisms include  Intra-ministerial  coordination; Anaemia Mukt Bharat Programme Management Unit; National Centre of Excellence and Advanced Research on Anaemia Control, AIIMS, New Delhi; Convergence with other  Ministries;  Strengthening  Supply  Chain  and  logistics;  and  Anaemia  Mukt Bharat dashboard- one stop portal for AMB.

The State-wise progress under AMB since 2018 is provided at Annexure I.

(b)  Under National Health Mission (NHM), funds are released to the States/UTs in flexible pools, to conduct the approved programme activities. Data on releases and utilization are maintained State/UT-wise at national level.

The  details  of  State-wise  funds  allocated  and  utilized  under  Anaemia  Mukt Bharat Abhiyan from FY 2019-20 to FY 2022-23 (as on 30.09.2022) is provided at

## Annexure II

The details of State-wise funds allocated and utilized under POSHAN Abhiyan from FY 2019-20 to FY 2021-22 (as on 31.03.2022) are provided at Annexure III.

(c) The details of State-wise and district-wise cases of stunting among children under 5  years  of  age  as  per  National  Family  Health  Survey-5  (NFHS-5,  2019-21)  are available at http://rchiips.org/nfhs/districtfactsheet\_NFHS-5.shtml

(d) The Ministry of Women and Child Development is implementing several schemes like  POSHAN  Abhiyan,  Anganwadi  Services,  Scheme  for  Adolescent  Girls  and Pradhan Mantri Matru Vandana Yojana (PMMVY) as direct targeted interventions to address the problem of malnutrition in the country.

Under National Health Mission (NHM), several programmes are implemented under  Reproductive,  Maternal,  Newborn,  Child,  Adolescent  Health  and  Nutrition (RMNCAH+N)  strategy  as  a  life  cycle  approach  which  have  the  potential  to contribute in prevention of childhood stunting and wasting, which include Community  Based  care  of  New-born  and  Young  Children,  Mothers'  Absolute Affection (MAA), Nutrition Rehabilitation Centres (NRCs), Rashtriya Bal Swasthya Karyakaram (RBSK), Janani Shishu Suraksha Karyakram (JSSK) and the intervention of Village Health, Sanitation and Nutrition Day (VHSND).

Universal Immunization Program, Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS); Intensified Diarrhoea Control Fortnight initiative are also contributing in reduction of under-nutrition burden by prevention of infection in under-5 children.

(e) The prevalence of anaemia is 67.2 percent among male children aged 6-59 months and 67.0 percent among female children aged 6-59 months as per National Family Health Survey-5 (NFHS-5, 2019-21). The steps taken by the Ministry of Health and Family Welfare to address the problem of anaemia are:

- i. Prophylactic Iron Folic Acid Supplementation to all six beneficiaries age group
- ii. Periodic deworming in children and adolescents in age group 1-19 years
- iii. Intensified year-round Behaviour Change Communication (BCC) Campaign
- iv. Testing  and  treatment  of  anaemia,  using  digital  methods  and  point  of  care treatment, with special focus on pregnant women and school-going adolescents
- v. Provision of IFA fortified food in government funded public health programmes
- vi. Addressing  non-nutritional  causes  of  anaemia  in  endemic  pockets  with  special focus on malaria, hemoglobinopathies and fluorosis
- vii. Providing incentives to the ANM for identification and follow-up of pregnant women with severe anaemia in high priority districts (HPDs)
- viii. Management of severe anaemia in pregnant  women  by  administration of  IV Iron Sucrose/ Blood transfusion
- ix. Strengthening supply chain management of Iron and Folic Acid supplements
- x. Convergence  and  coordination  with  other  line  departments  and  ministries  for strengthening implementation
- xi. National  Centre  of  Excellence  and  Advanced  Research  on  Anaemia  Control (NCEAR-A)  at  AIIMS,  Delhi  engaged  in  capacity  building  of  health  care providers
- xii. Development  of  AMB  Training  Toolkit  and  AMB  e-Training  Modules  to facilitate training of the health care providers in anaemia management
13. (f)  In Barpeta district of State of Assam, the prevalence of anaemia among children age 6-59 months is 63.5 percent as per the National Family Health Survey-5 (NFHS5, 2019-21) compared to 30.2 percent as per NFHS-4 (2015-16) and the prevalence of anaemia among women age 15-49 years is 64.8 percent as per NFHS-5 (2019-21) compared to 35.5 percent as per NFHS-4 (2015-16).

The initiatives taken by Government of Assam are:-

- i. Strengthening of the IFA Supply and distribution chain upto the level of ASHAs
- ii. Every  ASHA  is  being  provided  with  red  colour  wrist  bands  inscribed  with ' Anaemia  Mukt  Asom '  to  wear  during  the  VHSNDs,  to  remind  the  ASHA  to counsel the beneficiaries on consumption of IFA tablets
- iii. Convergence  with  line  departments  across  all  the  districts  including  Barpeta  to improve and eliminate anemia in children and women.

## State/UT-wise Progress on coverage of Iron and Folic Acid (IFA) among beneficiary groups from FY 201819 to FY 2021-22 (Source: HMIS)

## a) State/UT-wise Progress on Iron and Folic Acid (IFA) Coverage for FY 2018-19

| State/UT          |   %IFA coverage of children (6-59 months) provided 8-10 doses (1ml) of IFA syrup (Bi weekly) |   % IFA coverage of children (6 - 10 years) provided 4-5 IFA Pink tablets |   %IFA coverage of children (10- 19 years) provided 4 IFA Blue tablets |   %IFA coverage of Pregnant Women provided 180 IFA Red tablets |   %IFA coverage of lactating mothers provided 180 IFA Red tablets |
|-------------------|----------------------------------------------------------------------------------------------|---------------------------------------------------------------------------|------------------------------------------------------------------------|----------------------------------------------------------------|-------------------------------------------------------------------|
| A & N Islands     |                                                                                         11.9 |                                                                       0   |                                                                    0   |                                                           72.3 |                                                              76   |
| Andhra Pradesh    |                                                                                         11.8 |                                                                      95   |                                                                   95   |                                                           95   |                                                              63   |
| Arunachal Pradesh |                                                                                          0   |                                                                       3.7 |                                                                    1.6 |                                                           44.9 |                                                              42.4 |
| Assam             |                                                                                         22.2 |                                                                      52.9 |                                                                   50.4 |                                                           95   |                                                              62   |
| Bihar             |                                                                                          0   |                                                                       0   |                                                                    0.3 |                                                           69   |                                                              25   |
| Chandigarh        |                                                                                          2.2 |                                                                       0   |                                                                   26.4 |                                                           90.2 |                                                              95   |
| Chhattisgarh      |                                                                                          5.4 |                                                                       2.5 |                                                                   48.2 |                                                           95   |                                                              58.9 |
| DNH               |                                                                                         80.8 |                                                                      95   |                                                                   23.1 |                                                           85.9 |                                                              95   |
| DD                |                                                                                          0.2 |                                                                      24.2 |                                                                   95   |                                                           95   |                                                              37.5 |
| Delhi             |                                                                                          0.1 |                                                                       0   |                                                                    0   |                                                           51.3 |                                                              50.2 |
| Goa               |                                                                                          0   |                                                                       0   |                                                                   21.4 |                                                           72.5 |                                                              86.2 |
| Gujarat           |                                                                                         19.7 |                                                                      27.3 |                                                                   43.9 |                                                           95   |                                                              72.5 |
| Haryana           |                                                                                          3   |                                                                       0   |                                                                   51.9 |                                                           59.5 |                                                              29   |
| Himachal Pradesh  |                                                                                         10.7 |                                                                       1.1 |                                                                    4.9 |                                                           79.9 |                                                              59.8 |
| Jammu &Kashmir    |                                                                                          0.7 |                                                                       0.2 |                                                                    0.3 |                                                           35.5 |                                                              35.4 |
| Jharkhand         |                                                                                          2   |                                                                      13.3 |                                                                   26.7 |                                                           93.1 |                                                              52.1 |
| Karnataka         |                                                                                          2.3 |                                                                       2.4 |                                                                   10.9 |                                                           95   |                                                              57.4 |
| Kerala            |                                                                                          0.6 |                                                                       0   |                                                                   36.3 |                                                           94.3 |                                                              27.8 |

| State/UT       |   %IFA coverage of children (6-59 months) provided 8-10 doses (1ml) of IFA syrup (Bi weekly) |   % IFA coverage of children (6 - 10 years) provided 4-5 IFA Pink tablets |   %IFA coverage of children (10- 19 years) provided 4 IFA Blue tablets |   %IFA coverage of Pregnant Women provided 180 IFA Red tablets |   %IFA coverage of lactating mothers provided 180 IFA Red tablets |
|----------------|----------------------------------------------------------------------------------------------|---------------------------------------------------------------------------|------------------------------------------------------------------------|----------------------------------------------------------------|-------------------------------------------------------------------|
| Lakshadweep    |                                                                                          0   |                                                                       0   |                                                                    0   |                                                           95   |                                                              47.2 |
| Madhya Pradesh |                                                                                         16.7 |                                                                      57.9 |                                                                   53   |                                                           92.1 |                                                              50   |
| Maharashtra    |                                                                                          7.9 |                                                                      25.8 |                                                                   57   |                                                           94.2 |                                                              58.6 |
| Manipur        |                                                                                          0.1 |                                                                       4.1 |                                                                    3.3 |                                                           38.8 |                                                              12.6 |
| Meghalaya      |                                                                                          0.4 |                                                                       0   |                                                                   19.8 |                                                           33.5 |                                                              43   |
| Mizoram        |                                                                                          0.2 |                                                                       5.2 |                                                                   41   |                                                           39.4 |                                                              10.7 |
| Nagaland       |                                                                                          0.1 |                                                                       0.5 |                                                                   21.1 |                                                           15.6 |                                                               9.8 |
| Odisha         |                                                                                         17.9 |                                                                      23.3 |                                                                   28.3 |                                                           82.8 |                                                              43   |
| Puducherry     |                                                                                          6.9 |                                                                       4.3 |                                                                   61.8 |                                                           48.5 |                                                              78.9 |
| Punjab         |                                                                                          9.6 |                                                                      18.7 |                                                                   46   |                                                           55   |                                                              37.6 |
| Rajasthan      |                                                                                          4   |                                                                       1.7 |                                                                    3.9 |                                                           45.2 |                                                              29   |
| Sikkim         |                                                                                          2.1 |                                                                       1.5 |                                                                   72.5 |                                                           69.7 |                                                              95   |
| Tamil Nadu     |                                                                                          3.2 |                                                                      21.8 |                                                                   78.3 |                                                           95.6 |                                                              32.8 |
| Telangana      |                                                                                          0   |                                                                       0   |                                                                    1.3 |                                                           95   |                                                              88.8 |
| Tripura        |                                                                                          0   |                                                                       0.9 |                                                                    7.1 |                                                           56.5 |                                                              18.3 |
| Uttar Pradesh  |                                                                                          0.4 |                                                                      14.8 |                                                                   12.2 |                                                           95   |                                                              23.6 |
| Uttarakhand    |                                                                                          0.1 |                                                                       0.8 |                                                                    2.6 |                                                           31.8 |                                                              12.4 |
| West Bengal    |                                                                                         55.8 |                                                                       7.5 |                                                                    9.9 |                                                           88.8 |                                                              74.4 |

## b) State/UT-wise Progress on Iron and Folic Acid (IFA) Coverage for FY 2019-20

| State/UT            |   %IFA coverage of children (6-59 months) provided 8-10 doses (1ml) of IFA syrup (Bi weekly) |   % IFA coverage of children (6 - 10 years) provided 4-5 IFA Pink tablets |   %IFA coverage of children (10- 19 years) provided 4 IFA Blue tablets |   %IFA coverage of Pregnant Women provided 180 IFA Red tablets |   %IFA coverage of lactating mothers provided 180 IFA Red tablets |
|---------------------|----------------------------------------------------------------------------------------------|---------------------------------------------------------------------------|------------------------------------------------------------------------|----------------------------------------------------------------|-------------------------------------------------------------------|
| A & N Islands       |                                                                                         95   |                                                                      95   |                                                                   95   |                                                           55.8 |                                                              88.3 |
| Andhra Pradesh      |                                                                                          3.5 |                                                                      32.9 |                                                                   85.1 |                                                           95   |                                                              41.1 |
| Arunachal Pradesh   |                                                                                          0   |                                                                       2.6 |                                                                    6.6 |                                                           58.1 |                                                              37.1 |
| Assam               |                                                                                         34.9 |                                                                      49.1 |                                                                   47.2 |                                                           95   |                                                              85.2 |
| Bihar               |                                                                                         12.2 |                                                                      15   |                                                                   35.5 |                                                           77.9 |                                                              33.4 |
| Chandigarh          |                                                                                          0.1 |                                                                       0   |                                                                    7.3 |                                                           95   |                                                              95   |
| Chhattisgarh        |                                                                                          7.4 |                                                                       0.6 |                                                                   55   |                                                           95   |                                                              55.5 |
| Dadra &Nagar Haveli |                                                                                         46.6 |                                                                      95   |                                                                   63.9 |                                                           86.7 |                                                              95   |
| Daman &Diu          |                                                                                          1   |                                                                      14.5 |                                                                   28   |                                                           95   |                                                              26.6 |
| Delhi               |                                                                                          0.1 |                                                                       0   |                                                                    3.2 |                                                           65   |                                                              49.4 |
| Goa                 |                                                                                          0   |                                                                       0   |                                                                   95   |                                                           75.1 |                                                              89.5 |
| Gujarat             |                                                                                         21.3 |                                                                      32.5 |                                                                   49.4 |                                                           95   |                                                              76.5 |
| Haryana             |                                                                                         44.9 |                                                                       2   |                                                                   78.7 |                                                           74.1 |                                                              38   |
| Himachal Pradesh    |                                                                                         23.6 |                                                                      36.5 |                                                                   65.7 |                                                           84.8 |                                                              66.2 |
| Jammu &Kashmir      |                                                                                          0.7 |                                                                       0.3 |                                                                    0.4 |                                                           44.4 |                                                              77.4 |
| Jharkhand           |                                                                                          2.2 |                                                                      11.9 |                                                                   31.3 |                                                           79.7 |                                                              54.3 |

| State/UT       |   %IFA coverage of children (6-59 months) provided 8-10 doses (1ml) of IFA syrup (Bi weekly) |   % IFA coverage of children (6 - 10 years) provided 4-5 IFA Pink tablets |   %IFA coverage of children (10- 19 years) provided 4 IFA Blue tablets |   %IFA coverage of Pregnant Women provided 180 IFA Red tablets |   %IFA coverage of lactating mothers provided 180 IFA Red tablets |
|----------------|----------------------------------------------------------------------------------------------|---------------------------------------------------------------------------|------------------------------------------------------------------------|----------------------------------------------------------------|-------------------------------------------------------------------|
| Karnataka      |                                                                                          1.3 |                                                                      39.5 |                                                                   54.7 |                                                           95   |                                                              66.3 |
| Kerala         |                                                                                          0.4 |                                                                       0   |                                                                    0.7 |                                                           95   |                                                              36.9 |
| Lakshadweep    |                                                                                          0   |                                                                       0   |                                                                    0   |                                                           95   |                                                              24.9 |
| Madhya Pradesh |                                                                                         26   |                                                                      70.4 |                                                                   57.1 |                                                           93.1 |                                                              49.9 |
| Maharashtra    |                                                                                         39.3 |                                                                      56.8 |                                                                   42   |                                                           95   |                                                              73.5 |
| Manipur        |                                                                                          0.9 |                                                                       2.7 |                                                                   95   |                                                           49.3 |                                                              20   |
| Meghalaya      |                                                                                          0.6 |                                                                       0.2 |                                                                   38.1 |                                                           42.6 |                                                              38.4 |
| Mizoram        |                                                                                          0   |                                                                       0.2 |                                                                   25.9 |                                                           50.7 |                                                              18.1 |
| Nagaland       |                                                                                          0   |                                                                       0   |                                                                   11.9 |                                                           23   |                                                              14.2 |
| Odisha         |                                                                                         27.4 |                                                                      37.9 |                                                                   29.1 |                                                           86.4 |                                                              49   |
| Puducherry     |                                                                                          6.8 |                                                                      79.9 |                                                                   82.9 |                                                           64.6 |                                                              90.3 |
| Punjab         |                                                                                          6.6 |                                                                      28.1 |                                                                   48.9 |                                                           71.5 |                                                              49.5 |
| Rajasthan      |                                                                                         17.5 |                                                                       7.2 |                                                                    7.7 |                                                           74.7 |                                                              27.9 |
| Sikkim         |                                                                                          7.8 |                                                                       1.9 |                                                                   78.9 |                                                           63.8 |                                                              48   |
| Tamil Nadu     |                                                                                          6.8 |                                                                      59   |                                                                   33.7 |                                                           92.4 |                                                              40.1 |
| Telangana      |                                                                                          7.6 |                                                                       9.3 |                                                                   24.8 |                                                           95   |                                                              94.9 |
| Tripura        |                                                                                          0.1 |                                                                       0.9 |                                                                   87.6 |                                                           46.8 |                                                              17.2 |
| Uttar Pradesh  |                                                                                          0.5 |                                                                      53.3 |                                                                   27.8 |                                                           95   |                                                              37.3 |
| Uttarakhand    |                                                                                          0.1 |                                                                      18.9 |                                                                   25.6 |                                                           74.3 |                                                              52.9 |
| West Bengal    |                                                                                         53.7 |                                                                      23.4 |                                                                   35.4 |                                                           85   |                                                              64.3 |

| State/UT            |   %IFA coverage of children (6-59 months) provided 8-10 doses (1ml) of IFA syrup (Bi weekly) |   % IFA coverage of children (6 - 10 years) provided 4-5 IFA Pink tablets |   %IFA coverage of children (10- 19 years) provided 4 IFA Blue tablets |   %IFA coverage of Pregnant Women provided 180 IFA Red tablets |   %IFA coverage of lactating mothers provided 180 IFA Red tablets |
|---------------------|----------------------------------------------------------------------------------------------|---------------------------------------------------------------------------|------------------------------------------------------------------------|----------------------------------------------------------------|-------------------------------------------------------------------|
| A & N Islands       |                                                                                         95   |                                                                       0   |                                                                    0   |                                                           88.6 |                                                              38.9 |
| Andhra Pradesh      |                                                                                         24.9 |                                                                      32.3 |                                                                   82.7 |                                                           95   |                                                              58.6 |
| Arunachal Pradesh   |                                                                                          0.2 |                                                                       0.3 |                                                                    1.6 |                                                           54.3 |                                                              46.8 |
| Assam               |                                                                                         13.5 |                                                                       9.1 |                                                                   12.4 |                                                           95   |                                                              71.8 |
| Bihar               |                                                                                          4.5 |                                                                       2.6 |                                                                    6.9 |                                                           73.5 |                                                              33.8 |
| Chandigarh          |                                                                                          2.3 |                                                                       0   |                                                                    5.1 |                                                           95   |                                                              95   |
| Chhattisgarh        |                                                                                         30.5 |                                                                      28.2 |                                                                   35.2 |                                                           95   |                                                              56.4 |
| Dadra &Nagar Haveli |                                                                                          0.2 |                                                                       0   |                                                                    0   |                                                           80.9 |                                                              34.1 |
| Daman &Diu          |                                                                                          5   |                                                                      21.7 |                                                                   74.6 |                                                           80.3 |                                                              80.5 |
| Delhi               |                                                                                         19   |                                                                      27   |                                                                   28.8 |                                                           95   |                                                              86.5 |
| Goa                 |                                                                                         58.2 |                                                                      21.2 |                                                                   87   |                                                           75.7 |                                                              37.4 |
| Gujarat             |                                                                                         32.2 |                                                                      38.3 |                                                                   63   |                                                           84.4 |                                                              68.8 |
| Haryana             |                                                                                          1.4 |                                                                       1.7 |                                                                    1.2 |                                                           52.3 |                                                              49.4 |
| Himachal Pradesh    |                                                                                          6.7 |                                                                      16.1 |                                                                   16.1 |                                                           91.8 |                                                              61.5 |
| Jammu &Kashmir      |                                                                                          5.6 |                                                                      15.9 |                                                                   21   |                                                           95   |                                                              74.7 |
| Jharkhand           |                                                                                          1.2 |                                                                       0   |                                                                    0   |                                                           95   |                                                              44.6 |
| Karnataka           |                                                                                          0.6 |                                                                       0   |                                                                    0   |                                                           94.5 |                                                               0   |
| Kerala              |                                                                                          0   |                                                                       0   |                                                                    0   |                                                           95   |                                                              50.2 |
| Lakshadweep         |                                                                                         36.6 |                                                                      76.1 |                                                                   71.4 |                                                           95   |                                                              53.2 |

| State/UT       |   %IFA coverage of children (6-59 months) provided 8-10 doses (1ml) of IFA syrup (Bi weekly) |   % IFA coverage of children (6 - 10 years) provided 4-5 IFA Pink tablets |   %IFA coverage of children (10- 19 years) provided 4 IFA Blue tablets |   %IFA coverage of Pregnant Women provided 180 IFA Red tablets |   %IFA coverage of lactating mothers provided 180 IFA Red tablets |
|----------------|----------------------------------------------------------------------------------------------|---------------------------------------------------------------------------|------------------------------------------------------------------------|----------------------------------------------------------------|-------------------------------------------------------------------|
| Madhya Pradesh |                                                                                         27.4 |                                                                      29.7 |                                                                   22.2 |                                                           95   |                                                              81.8 |
| Maharashtra    |                                                                                          0.1 |                                                                       0   |                                                                    0.4 |                                                           42.6 |                                                              15.8 |
| Manipur        |                                                                                          2.9 |                                                                       0.1 |                                                                    2.4 |                                                           58.6 |                                                              38.9 |
| Meghalaya      |                                                                                          0   |                                                                       0   |                                                                    3.1 |                                                           76.4 |                                                              25   |
| Mizoram        |                                                                                          0.7 |                                                                       0   |                                                                    0.5 |                                                           37.7 |                                                              17.5 |
| Nagaland       |                                                                                         30.1 |                                                                      68.9 |                                                                   66.1 |                                                           89.6 |                                                              56   |
| Odisha         |                                                                                         11.3 |                                                                      30.1 |                                                                   17.9 |                                                           78.8 |                                                              90.4 |
| Puducherry     |                                                                                          1.5 |                                                                      33.4 |                                                                   15.5 |                                                           70.2 |                                                              60.2 |
| Punjab         |                                                                                         13.8 |                                                                      19.5 |                                                                   25.4 |                                                           95   |                                                              53.7 |
| Rajasthan      |                                                                                          3.6 |                                                                       0.5 |                                                                    0.6 |                                                           81.4 |                                                              64.8 |
| Sikkim         |                                                                                         15.8 |                                                                      56.1 |                                                                   34.3 |                                                           95   |                                                              75.8 |
| Tamil Nadu     |                                                                                          3   |                                                                       1.8 |                                                                    0.3 |                                                           95   |                                                              95   |
| Telangana      |                                                                                         25.8 |                                                                       0.6 |                                                                    0.5 |                                                           95   |                                                              70.6 |
| Tripura        |                                                                                          0   |                                                                       0.8 |                                                                    0.6 |                                                           42.5 |                                                              25   |
| Uttar Pradesh  |                                                                                          0.1 |                                                                       0.1 |                                                                    0.1 |                                                           92.4 |                                                              52.4 |
| Uttarakhand    |                                                                                          0.6 |                                                                       2.7 |                                                                   15.9 |                                                           89.3 |                                                              34.7 |
| West Bengal    |                                                                                         45.3 |                                                                       3.8 |                                                                   27.6 |                                                           83.4 |                                                              59.6 |

## d) State/UT-wise Progress on Iron and Folic Acid (IFA) Coverage for FY 2021-22

| State/UT            |   %IFA coverage of children (6-59 months) provided 8-10 doses (1ml) of IFA syrup (Bi weekly) |   % IFA coverage of children (6 - 10 years) provided 4-5 IFA Pink tablets |   %IFA coverage of children (10- 19 years) provided 4 IFA Blue tablets |   %IFA coverage of Pregnant Women provided 180 IFA Red tablets |   %IFA coverage of lactating mothers provided 180 IFA Red tablets |
|---------------------|----------------------------------------------------------------------------------------------|---------------------------------------------------------------------------|------------------------------------------------------------------------|----------------------------------------------------------------|-------------------------------------------------------------------|
| A & N Islands       |                                                                                         56.7 |                                                                      14.4 |                                                                    4.8 |                                                           67.4 |                                                              49.2 |
| Andhra Pradesh      |                                                                                         85.7 |                                                                      76.7 |                                                                   79.6 |                                                           95   |                                                              81.1 |
| Arunachal Pradesh   |                                                                                          0.1 |                                                                       0.1 |                                                                    0.2 |                                                           66.2 |                                                              28.5 |
| Assam               |                                                                                         18   |                                                                      14.9 |                                                                   18.8 |                                                           95   |                                                              72.4 |
| Bihar               |                                                                                          2.1 |                                                                       2.5 |                                                                    5.2 |                                                           79.7 |                                                              31.1 |
| Chandigarh          |                                                                                          0.6 |                                                                       0   |                                                                   32.2 |                                                           95   |                                                              95   |
| Chhattisgarh        |                                                                                         56.5 |                                                                      48.4 |                                                                   63.6 |                                                           95   |                                                              63.9 |
| Dadra &Nagar Haveli |                                                                                          9.8 |                                                                       3.9 |                                                                    0   |                                                           81.8 |                                                              38.5 |
| Daman &Diu          |                                                                                          7.9 |                                                                      22.1 |                                                                   41   |                                                           78.1 |                                                              70.9 |
| Delhi               |                                                                                         23.2 |                                                                      36   |                                                                   37.4 |                                                           95   |                                                              80.5 |
| Goa                 |                                                                                         69.3 |                                                                      23.1 |                                                                   87.2 |                                                           84.9 |                                                              40.5 |
| Gujarat             |                                                                                         39.6 |                                                                      57.9 |                                                                   42.1 |                                                           83.6 |                                                              64.4 |
| Haryana             |                                                                                          3.9 |                                                                       7.7 |                                                                    7.2 |                                                           84.4 |                                                              51.9 |
| Himachal Pradesh    |                                                                                         10.9 |                                                                      24.4 |                                                                   47.3 |                                                           81.8 |                                                              57.5 |
| Jammu &Kashmir      |                                                                                          4.3 |                                                                       8.7 |                                                                   21.4 |                                                           95   |                                                              77.5 |
| Jharkhand           |                                                                                          3.1 |                                                                       0   |                                                                    0.1 |                                                           94.4 |                                                              42.2 |
| Karnataka           |                                                                                          1.2 |                                                                       0   |                                                                    0   |                                                           95   |                                                              20.3 |
| Kerala              |                                                                                          3.3 |                                                                       0   |                                                                    0   |                                                           95   |                                                              33.5 |
| Lakshadweep         |                                                                                         44.1 |                                                                      37   |                                                                   65.1 |                                                           95   |                                                              52.9 |
| Madhya Pradesh      |                                                                                         53.1 |                                                                      47.4 |                                                                   59.2 |                                                           95   |                                                              75.2 |

| State/UT      |   %IFA coverage of children (6-59 months) provided 8-10 doses (1ml) of IFA syrup (Bi weekly) |   % IFA coverage of children (6 - 10 years) provided 4-5 IFA Pink tablets |   %IFA coverage of children (10- 19 years) provided 4 IFA Blue tablets |   %IFA coverage of Pregnant Women provided 180 IFA Red tablets |   %IFA coverage of lactating mothers provided 180 IFA Red tablets |
|---------------|----------------------------------------------------------------------------------------------|---------------------------------------------------------------------------|------------------------------------------------------------------------|----------------------------------------------------------------|-------------------------------------------------------------------|
| Maharashtra   |                                                                                         11.1 |                                                                      39.4 |                                                                    2.2 |                                                           32.3 |                                                              11.7 |
| Manipur       |                                                                                          0.5 |                                                                       0.8 |                                                                    3.7 |                                                           59.8 |                                                              41.4 |
| Meghalaya     |                                                                                          1.5 |                                                                       2.4 |                                                                   19.2 |                                                           74.6 |                                                              24.3 |
| Mizoram       |                                                                                          0.4 |                                                                       0.4 |                                                                    1.6 |                                                           42.4 |                                                              21.1 |
| Nagaland      |                                                                                         38.6 |                                                                      44.8 |                                                                   60.5 |                                                           93.5 |                                                              61.1 |
| Odisha        |                                                                                          3.3 |                                                                       6.5 |                                                                    5.6 |                                                           77.9 |                                                              31   |
| Puducherry    |                                                                                          1.3 |                                                                      26.8 |                                                                   33.1 |                                                           70.2 |                                                              51.1 |
| Punjab        |                                                                                         38.1 |                                                                      12.7 |                                                                   29.7 |                                                           95   |                                                              58.9 |
| Rajasthan     |                                                                                          8.3 |                                                                       0.3 |                                                                    0   |                                                           95   |                                                              49.7 |
| Sikkim        |                                                                                         29.3 |                                                                      91.6 |                                                                   79.8 |                                                           95   |                                                              81.1 |
| Tamil Nadu    |                                                                                          3.1 |                                                                       8.6 |                                                                    6.1 |                                                           95   |                                                              78.8 |
| Telangana     |                                                                                         78.4 |                                                                      38   |                                                                   30.4 |                                                           88.9 |                                                              35.2 |
| Tripura       |                                                                                          7.6 |                                                                      10.7 |                                                                   12.5 |                                                           69.1 |                                                              30.8 |
| Uttar Pradesh |                                                                                          0.2 |                                                                       1.3 |                                                                    4.7 |                                                           90.1 |                                                               2.1 |
| Uttarakhand   |                                                                                         16.8 |                                                                      95   |                                                                   95   |                                                           89.6 |                                                              95   |
| West Bengal   |                                                                                         50.8 |                                                                       6.4 |                                                                   37.8 |                                                           87.9 |                                                              65.2 |

## State/UT-wise Statement of Approvals and Utilisation towards Anaemia under NHM from FY 2019-20 to FY 2022-23 (as on 30.09.2022)

(Rs. In lakhs)

| S.No.   | State/UT                 | 2019-20   | 2019-20     | 2020-21   | 2020-21     |
|---------|--------------------------|-----------|-------------|-----------|-------------|
| S.No.   | State/UT                 | Approvals | Utilisation | Approvals | Utilisation |
| 1       | Andaman& Nicobar Islands | 13.54     | 7.99        | 8.20      | 0.00        |
| 2       | Andhra Pradesh           | 1168.49   | 1662.93     | 1714.08   | 1710.90     |
| 3       | Arunachal Pradesh        | 113.94    | 99.57       | 210.83    | 238.39      |
| 4       | Assam                    | 1004.33   | 445.57      | 1357.25   | 250.78      |
| 5       | Bihar                    | 5438.62   | 1399.00     | 2191.44   | 287.53      |
| 6       | Chandigarh               | 0.03      | 0.03        | 0.00      | 0.00        |
| 7       | Chhattisgarh             | 1472.83   | 1322.68     | 2226.69   | 2332.18     |
| 8       | Dadra &Nagar Haveli      | 11.97     | 4.01        | 6.41      | 2.48        |
| 9       | Daman &Diu               | 15.32     | 6.92        | 6.41      | 2.48        |
| 10      | Delhi                    | 753.70    | 0.00        | 435.01    | 3.85        |
| 11      | Goa                      | 68.71     | 11.86       | 61.70     | 8.97        |
| 12      | Gujarat                  | 1238.39   | 481.59      | 666.53    | 554.09      |
| 13      | Haryana                  | 415.24    | 74.63       | 1284.59   | 308.65      |
| 14      | Himachal Pradesh         | 218.84    | 57.37       | 470.42    | 0.03        |
| 15      | Jammu &Kashmir           | 1059.22   | 677.67      | 1383.94   | 447.90      |
| 16      | Jharkhand                | 1943.29   | 863.71      | 1860.73   | 281.79      |
| 17      | Karnataka                | 1801.48   | 1906.63     | 1678.06   | 131.34      |
| 18      | Kerala                   | 818.27    | 18.74       | 697.55    | 192.46      |
| 19      | Ladakh                   | -         | -           | 60.05     | 11.30       |
| 20      | Lakshadweep              | 1.84      | 0.52        | 11.15     | 0.00        |
| 21      | Madhya Pradesh           | 2647.75   | 1455.53     | 3298.34   | 2990.77     |

|   22 | Maharashtra   |   6516.12 |   378.56 |   5146.24 |   287.31 |
|------|---------------|-----------|----------|-----------|----------|
|   23 | Manipur       |    163.75 |   170.81 |    262.61 |    95.02 |
|   24 | Meghalaya     |    320.84 |    25.35 |    147.43 |     4.6  |
|   25 | Mizoram       |     47.72 |    33.69 |     10.3  |    34.79 |
|   26 | Nagaland      |     47.67 |     0    |    103.09 |     9.9  |
|   27 | Odisha        |   1032.88 |   561.86 |    410.3  |   196.95 |
|   28 | Puducherry    |     81.01 |    60.56 |     76.17 |     0.42 |
|   29 | Punjab        |   1712.28 |   820.42 |   1701.08 |  1244.11 |
|   30 | Rajasthan     |   3410.38 |  1356.5  |   2630.58 |   930.02 |
|   31 | Sikkim        |     25.22 |    17.96 |     17.81 |    20.52 |
|   32 | Tamil Nadu    |   2264.39 |  2021.54 |   3951.63 |  1513.84 |
|   33 | Telangana     |    935.89 |  1030.75 |   3831.67 |   773.64 |
|   34 | Tripura       |    131.5  |    20.37 |    178.56 |    26.32 |
|   35 | Uttar Pradesh |   7169.72 |  2060.35 |   5320.09 |   136.57 |
|   36 | Uttarakhand   |    303.9  |   222.66 |    651.6  |    77.75 |
|   37 | West Bengal   |   3818.02 |  1759.81 |   4599.95 |  4413.91 |

## State/UT-wise Statement of Approvals and Utilisation towards Anaemia under NHM from FY 2019-20 to FY 2022-23 (as on 30.09.2022)…… (contd)

(Rs. in lakhs)

| S.No.   | State/UT                           | 2021-22   | 2021-22     | 2022-23   | 2022-23     |
|---------|------------------------------------|-----------|-------------|-----------|-------------|
| S.No.   | State/UT                           | Approvals | Utilisation | Approvals | Utilisation |
| 1       | Andaman& Nicobar Islands           | 4.45      | 0.00        | 9.99      | 0.00        |
| 2       | Andhra Pradesh                     | 2018.16   | 2018.16     | 8569.74   | 2555.00     |
| 3       | Arunachal Pradesh                  | 28.85     | 17.23       | 27.30     | 1.02        |
| 4       | Assam                              | 11360.33  | 13808.37    | 2257.45   | 654.15      |
| 5       | Bihar                              | 4078.28   | 310.52      | 7569.52   | 19.55       |
| 6       | Chandigarh                         | 0.50      | 0.04        | 0.00      | 0.00        |
| 7       | Chhattisgarh                       | 2762.19   | 3413.05     | 1816.00   | 132.87      |
| 8       | Dadra &Nagar Haveli and Daman &Diu | 6.57      | 0.00        | 12.84     | 2.71        |
| 9       | Delhi                              | 365.95    | 0.00        | 311.00    | 2.63        |
| 10      | Goa                                | 816.29    | 286.71      | 123.97    | 0.58        |
| 11      | Gujarat                            | 4252.93   | 4146.37     | 2534.90   | 294.05      |
| 12      | Haryana                            | 13.65     | 0.10        | 1685.18   | 1589.82     |
| 13      | Himachal Pradesh                   | 6510.00   | 6500.48     | 336.24    | 14.31       |
| 14      | Jammu &Kashmir                     | 2236.78   | 53.88       | 777.48    | 13.72       |
| 15      | Jharkhand                          | 3204.63   | 1726.22     | 5185.43   | 37.64       |
| 16      | Karnataka                          | 13289.90  | 4384.06     | 2594.06   | 202.83      |
| 17      | Kerala                             | 20103.00  | 17950.99    | 2540.73   | 714.94      |
| 18      | Ladakh                             | 60.50     | 10.64       | 8.48      | 0.00        |
| 19      | Lakshadweep                        | 38.85     | 10.14       | 5.25      | 0.00        |
| 20      | Madhya Pradesh                     | 10350.21  | 9664.21     | 8518.16   | 1433.05     |
| 21      | Maharashtra                        | 29607.98  | 25825.79    | 7285.50   | 352.47      |
| 22      | Manipur                            | 21.73     | 168.78      | 139.01    | 0.00        |

|   23 | Meghalaya     |   100.10 |   153.08 |   490.74 |    5.82 |
|------|---------------|----------|----------|----------|---------|
|   24 | Mizoram       |   381.54 |   179.65 |   132.1  |    0    |
|   25 | Nagaland      |   686.88 |   753.75 |   165.68 |    0    |
|   26 | Odisha        |   384.71 |    39.2  |  2119.17 |  221.27 |
|   27 | Puducherry    |    54.22 |    45.17 |   248.49 |    7.78 |
|   28 | Punjab        |  4744    |  4902.03 |  1082.42 |    0    |
|   29 | Rajasthan     | 60348    | 41320.1  |  3837.04 |    0    |
|   30 | Sikkim        |   344.1  |   503.82 |    49.74 |    0    |
|   31 | Tamil Nadu    | 13125.5  | 12917.9  |  1273.11 |  113.25 |
|   32 | Telangana     |  1161    |   601.62 |  2390.04 | 2295.69 |
|   33 | Tripura       |   200.5  |   194.61 |   605.05 |   13.57 |
|   34 | Uttar Pradesh | 17379.5  |    55.65 | 11768.6  |   49.19 |
|   35 | Uttarakhand   |  2285.91 |  1570.2  |  1372.12 |    2.62 |
|   36 | West Bengal   |  8043.6  |  7836.72 |  2332.83 |  736.54 |

Annexure III

## State/UT wise statement of funds released and utilization under POSHAN Abhiyan from FY 2019-20 to FY 2021-22 (as on 31.03.2022)

## Amount in ₹lakhs

|   Sl. No. | States/UTs                |   Total Central Funds released since the launch of POSHAN Abhiyan from 2018 |   Total Central Funds utilised as on 31.03.2022 |
|-----------|---------------------------|-----------------------------------------------------------------------------|-------------------------------------------------|
|         1 | A & N Islands             |                                                                    1343.49  |                                          413.54 |
|         2 | Andhra Pradesh            |                                                                   25363.3   |                                        17560.8  |
|         3 | Arunachal Pradesh         |                                                                    2815.88  |                                         1064.21 |
|         4 | Assam                     |                                                                   32948.7   |                                        21276.3  |
|         5 | Bihar                     |                                                                   49365.6   |                                        30678.4  |
|         6 | Chandigarh                |                                                                     890.04  |                                          573.96 |
|         7 | Chhattisgarh              |                                                                   11434.5   |                                         7303.88 |
|         8 | D &NHaveli and Daman &Diu |                                                                    1196.11  |                                          769.67 |
|         9 | Delhi                     |                                                                    3327.18  |                                         2549.6  |
|        10 | Goa                       |                                                                     456.04  |                                          249.13 |
|        11 | Gujarat                   |                                                                   29127.7   |                                        22074.1  |
|        12 | Haryana                   |                                                                    6808.82  |                                         5790.88 |
|        13 | Himachal Pradesh          |                                                                   10895.4   |                                         7711.43 |
|        14 | Jammu &Kashmir            |                                                                    9224.35  |                                         9160.82 |
|        15 | Jharkhand                 |                                                                    6665.8   |                                         5467.55 |
|        16 | Karnataka                 |                                                                   14276.5   |                                        13221.9  |
|        17 | Kerala                    |                                                                   10444.9   |                                         7474.28 |
|        18 | Ladakh                    |                                                                     118.768 |                                            9.94 |
|        19 | Lakshadweep               |                                                                     425.65  |                                          356.05 |
|        20 | Madhya Pradesh            |                                                                   39398.5   |                                        20087.8  |

| Sl. No.   | States/UTs    |   Total Central Funds released since the launch of POSHAN Abhiyan from 2018 |   Total Central Funds utilised as on 31.03.2022 |
|-----------|---------------|-----------------------------------------------------------------------------|-------------------------------------------------|
| 21        | Maharashtra   |                                                                    60810.8  |                                        43714.4  |
| 22        | Manipur       |                                                                     4389.99 |                                         3714.79 |
| 23        | Meghalaya     |                                                                     5073.39 |                                         5073.39 |
| 24        | Mizoram       |                                                                     3328.51 |                                         2575.03 |
| 25        | Nagaland      |                                                                     5624.11 |                                         5263.99 |
| 26        | Odisha        |                                                                    28014.5  |                                        15172.1  |
| 27        | Puducherry    |                                                                      943.62 |                                          264.58 |
| 28        | Punjab        |                                                                     6909.84 |                                           30.24 |
| 29        | Rajasthan     |                                                                    22904.2  |                                        12258.1  |
| 30        | Sikkim        |                                                                     1370.99 |                                         1370.99 |
| 31        | Tamil Nadu    |                                                                    25060.4  |                                        21879.4  |
| 32        | Telangana     |                                                                    17906.8  |                                        15786.9  |
| 33        | Tripura       |                                                                     4135.95 |                                         3774.79 |
| 34        | Uttar Pradesh |                                                                    56969    |                                        41834.8  |
| 35        | Uttarakhand   |                                                                    13574.9  |                                        10769.9  |
| 36        | West Bengal   |                                                                    26751.1  |                                            0    |
| Total     | Total         |                                                                   540295    |                                       357278    |