Lok Sabha Question No. 1581 (UNSTARRED), answered on 2023-02-10
Subject: Achievement of Health Outcome Indicators
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kalyan Banerjee

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

## LOK SABHA UNSTARRED QUESTION NO. 1581 TO BE ANSWERED ON 10.02.2023

## ACHIEVEMENT OF HEALTH OUTCOME INDICATORS

## 1581. SHRI KALYAN BANERJEE:

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

(a) whether the 11th Plan health outcome indicators which set the time-bound goals for lowering  maternal  and  infant  mortality,  malnutrition  among  children,  anaemia  among women and girls, fertility and raising the child sex ratio are still far behind of the target;

(b) if  so,  the  reasons  for  lagging  behind  in  delivering  universal  access  to  basic  health services  including  medicines  and  regularly  evaluating  the  health  system  to  make  it accessible to all the people in the country;

(c) whether  the  Government  proposes  to  have  universal  health  coverage  with  single health policy scheme for each and every citizen of the country to fulfill commitment to the 65th and 75th world health assembly thereof; and (d) if so, the details thereof?

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

(a) & (b): As  per  the  Special  Bulletin  on  MMR  released  by  the  Registrar  General  of India (RGI), the Maternal Mortality Ratio (MMR) of India has declined and now stands at 97/ lakh  live  births  as  per  Sample  Registration  System  (SRS)  2018-20.  Based  on  the  statistics derived from SRS, the country has witnessed a progressive reduction in MMR from 130 in 2014-2016 to 97 in 2018-20.

India  has  accomplished  the  National  Health  Policy  (NHP)  target  for  MMR  of  less  than 100/lakh live births. As per Sample Registration System of Registrar General of India, the target of 11 th Plan for infant mortality rate was 28 per 1000 live birth and the current status of infant mortality rate is 28 per 1000 live births in 2020. The Ministry of Health and Family Welfare  is  implementing  RMNCAH+N  strategy  under  National  Health  Mission  (NHM), which includes various initiatives to improve child health survival.

The total Fertility Rate as per SRS 2020 is 2.  As per the National Family Health Survey 5 (2019-21), prevalence of stunting among children under 5 years is 35.5 percent, prevalence of wasting among children under 5 years is 19.3 percent and prevalence of underweight among children under 5 years is 32.1 percent. The prevalence of anaemia among all women age 1549 years in the country as per the National Family Health Survey 5 (2019-21), is 57 percent and prevalence of anaemia among all women age 15-19 years is 59.1 percent.

(c) & (d): The  National  Health  Policy  (NHP)  2017,  commits  to  provision  of  assured, comprehensive primary care with linkages to referral hospitals, assured free drugs, diagnostic and emergency services to all in public hospitals. The UHC entails ensuring all people have access to quality health services - including prevention, promotion, treatment, rehabilitation, and palliation - without incurring financial hardship.

Primary  healthcare  is  the  cornerstone  of  an  effective  and  sustainable  health  system  for achieving universal health coverage, and out-patient care is the principal means of accessing primary care. The Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) was launched  as  a  step  towards  Universal  Health  Coverage  (UHC).  Over  50  crore  Indians  are covered under the scheme with an insurance cover of Rs. 5 lakhs per family.

As  on  30.01.2023,  1,56,332  Ayushman  Bharat  Health  and  Wellness  Centres  (AB-HWCs) comprising  of  Sub-centres  and  Primary  Health  Centres  are  providing  comprehensive  and quality primary care including Tele-consultations, Diagnostics and Medicines, screening of common NCDs such as Diabetes and hypertension and 3 common cancers such as Breast Cancer, Cervical Cancer and Oral Cancer.

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