Lok Sabha Question No. 261 (STARRED), answered on 2021-08-06
Subject: Institutional Deliveries
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sunil Kumar Singh, Ranjeetsingh Naik Nimbalkar

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO.261 TO BE ANSWERED ON THE 6 TH  AUGUST, 2021 INSTITUTIONAL DELIVERIES

## *261. SHRI SUNIL KUMAR SINGH: SHRI RANJEETSINGH HINDURAO NAIK NIMBALKAR:

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

- (a)  whether  the  Government  has  data  on  institutional  deliveries  in  Jharkhand,  Uttar Pradesh, Maharashtra and Rajasthan for the last five years;
- (b) if so, the details thereof in respect of each of the above States;
- (c)  whether  the  institutional  deliveries  have  declined  in  Jharkhand,  Uttar  Pradesh, Maharashtra and Rajasthan since the COVID-19 pandemic;
- (d)  if  so,  the  decrease  in  institutional  deliveries  observed  in  each  of  the  above  said States during 2020- 2021, district-wise; and
- (e)  the  action  taken  by  the  Government  to  promote  and  increase  institutional deliveries?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI MANSUKH MANDAVIYA)

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

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 261* FOR 6 TH  AUGUST, 2021

(a) to (e) Data on institutional deliveries in Jharkhand, Uttar Pradesh, Maharashtra and Rajasthan for the last  five  years  as  per  the  Health  Management Information  System (HMIS) of the Ministry of Health and Family Welfare, is as below:

## State wise number of Institutional Deliveries during 2016-17 to 2020-21

| State         |   2016-17 |   2017-18 |   2018-19 |   2019-20 |   2020-21* |
|---------------|-----------|-----------|-----------|-----------|------------|
| Jharkhand     |    662357 |    726106 |    703963 |    703850 |     703288 |
| Maharashtra   |   1667346 |   1742226 |   1713864 |   1787203 |    1761342 |
| Rajasthan     |   1369863 |   1369023 |   1351299 |   1352917 |    1331463 |
| Uttar Pradesh |   2844786 |   2946773 |   3401350 |   3605433 |    3409018 |

Health is a State subject, the responsibility to ensure provision of health services lies with the respective State/UTs. Prompt measures have been taken by Ministry of Health and Family Welfare to support institutional deliveries across India.

Data on institutional deliveries in each of the above said States during 2019-20 and 2020-2021, district-wise is placed at Annexure.

## Actions taken by the Government in promoting essential maternal health services including institutional delivery during Covid-19 pandemic are:

-  A Guidance  Note on  'Enabling  Delivery  of  Essential  Health  Services (including maternal health) during the COVID-19 Outbreak' was issued on 14.04.20 to all States and UTs.
-  A Guidance Note on  'Provision of  RMNCAH+N Services with special focus  on  pregnant  women  and  children  during  and  post  COVID-19 pandemic' was issued on 24.05.2020 to all States and UTs.
-  An advisory stating  that  ensuring  access  to  safe  delivery  and  antenatal and  postnatal  care  is  a  non-negotiable  agenda  and  emphasized  the directives  at  all  levels  in  the  states  to  prevent  and  pre-empt  unfortunate adverse incidents issued to States/UTs on 16.06.20
-  Regular  virtual meetings  by  Hon'ble  Union  Minister for  Health  and Family Welfare with the State Health Ministers and by Secretary, Health and  Family  Welfare  with  the  Principal  Health  Secretaries  and  Mission Directors of  NHM, to ensure continuation of the essential services with special focus on pregnant women during COVID-19 pandemic.
-  In April 2020, MoHFW  rolled  out  National  Telemedicine  Service platform (e-SanjeevaniOPD) which provides outpatient services including for pregnant women in the confines of their homes.

In  addition,  other  Schemes  and  programmes  operated  by  the  government  to promote and increase institutional deliveries in States/UTs are:

-  Janani  Suraksha  Yojana  (JSY), a  demand  promotion  and  conditional cash  transfer  scheme  was  launched  in  April  2005  with  the  objective  of reducing Maternal and Infant Mortality by promoting institutional delivery among pregnant women.
-  Janani Shishu Suraksha Karyakram (JSSK) aims to eliminate out-ofpocket expenses for pregnant women and sick infants by entitling them to free  delivery,  including  caesarean  section,  free  transport,  diagnostics, medicines, other consumables, diet and blood in public health institutions.
-  Surakshit  Matratva  Ashwasan  (SUMAN) aims  to  provide  assured, dignified, respectful and quality healthcare at no cost and zero tolerance for  denial  of  services  for  every  woman  and  newborn  visiting  the  public health facility to end all preventable maternal and newborn deaths.
-  Pradhan  Mantri  Surakshit  Matritva  Abhiyan  (PMSMA) provides pregnant women a fixed day, free of cost assured and quality Antenatal Careon the 9 th day of every month.
-  LaQshya aims  to  improve  the  quality  of  care  in  labour  room  and maternity  operation  theatres  to  ensure  that  pregnant  women  receive respectful and quality care during delivery and immediate post-partum.
-  Setting  up  of Maternal  and  Child  Health  (MCH)  Wings at  high caseload facilities to improve the quality of care provided to mothers and children.
-  Functionalization of First Referral Units (FRUs) by ensuring manpower, blood storage units, referral linkages etc.
-  Birth Microplanning and Birth Preparedness by Skilled birth attendance trained ANM.
-  Monthly Village Health, Sanitation and Nutrition Day (VHSND) is an outreach  activity  for  provision  of  maternal  and  child  care  including nutrition.
-  Information, education and communication (IEC) to promote institutional deliveries.
-  MCP  Card  and  Safe  Motherhood  Booklet are distributed to the pregnant  women  for  educating  them  on  diet,  rest,  danger  signs  of pregnancy, benefit schemes and institutional deliveries.
-  Reproductive  and  childhealth  (RCH)  portal is  a  name-based  webenabled  tracking  of  pregnant  women  and  new  born  so  as  to  ensure provision  of  regular  and  complete  services  to  them  including  antenatal care, institutional delivery and post-natal care.

## Annexure

## District wise number of Institutional Deliveries during 2019-20 to 2020-21*

| State       | District           |   2019-20 |   2020-21 |
|-------------|--------------------|-----------|-----------|
| Jharkhand   | Bokaro             |     41403 |     45792 |
| Jharkhand   | Chatra             |     21915 |     21947 |
| Jharkhand   | Deoghar            |     35679 |     37835 |
| Jharkhand   | Dhanbad            |     53378 |     50432 |
| Jharkhand   | Dumka              |     25864 |     24769 |
| Jharkhand   | Garhwa             |     33835 |     34680 |
| Jharkhand   | Giridih            |     49169 |     55591 |
| Jharkhand   | Godda              |     31295 |     32422 |
| Jharkhand   | Gumla              |     18163 |     18038 |
| Jharkhand   | Hazaribagh         |     32533 |     30897 |
| Jharkhand   | Jamtara            |     16489 |     16530 |
| Jharkhand   | Khunti             |     10463 |      9935 |
| Jharkhand   | Koderma            |     18724 |     15395 |
| Jharkhand   | Latehar            |     15561 |     16870 |
| Jharkhand   | Lohardaga          |     11077 |      9814 |
| Jharkhand   | Pakur              |     20813 |     19997 |
| Jharkhand   | Palamu             |     41994 |     41603 |
| Jharkhand   | PashchimiSinghbhum |     34879 |     37115 |
| Jharkhand   | PurbiSinghbhum     |     41040 |     44196 |
| Jharkhand   | Ramgarh            |     14943 |     13699 |
| Jharkhand   | Ranchi             |     66327 |     65594 |
| Jharkhand   | Sahebganj          |     31200 |     29214 |
| Jharkhand   | SaraikelaKharsawan |     25977 |     21133 |
| Jharkhand   | Simdega            |     11129 |      9790 |
| Maharashtra | Ahmednagar         |     73474 |     72938 |

| Maharashtra   | Akola         |   32686 |   27948 |
|---------------|---------------|---------|---------|
| Maharashtra   | Amravati      |   39987 |   40029 |
| Maharashtra   | Aurangabad    |   71312 |   70923 |
| Maharashtra   | Beed          |   46178 |   45782 |
| Maharashtra   | Bhandara      |   16483 |   16573 |
| Maharashtra   | Brihan Mumbai |  147822 |  128269 |
| Maharashtra   | Buldhana      |   41915 |   42628 |
| Maharashtra   | Chandrapur    |   27418 |   25075 |
| Maharashtra   | Dhule         |   38205 |   37349 |
| Maharashtra   | Gadchiroli    |   15651 |   16290 |
| Maharashtra   | Gondia        |   17451 |   16484 |
| Maharashtra   | Hingoli       |   16296 |   15488 |
| Maharashtra   | Jalgaon       |   73059 |   74199 |
| Maharashtra   | Jalna         |   35189 |   34986 |
| Maharashtra   | Kolhapur      |   56768 |   57050 |
| Maharashtra   | Latur         |   41718 |   42155 |
| Maharashtra   | Nagpur        |   70365 |   71465 |
| Maharashtra   | Nanded        |   60876 |   60929 |
| Maharashtra   | Nandurbar     |   26662 |   26536 |
| Maharashtra   | Nashik        |  108520 |  109241 |
| Maharashtra   | Osmanabad     |   22070 |   22571 |
| Maharashtra   | Palghar       |   55720 |   55788 |
| Maharashtra   | Parbhani      |   32529 |   33024 |
| Maharashtra   | Pune          |  169563 |  167669 |
| Maharashtra   | Raigad        |   40119 |   40867 |
| Maharashtra   | Ratnagiri     |   15971 |   15775 |
| Maharashtra   | Sangli        |   46070 |   44311 |
| Maharashtra   | Satara        |   44645 |   44862 |
| Maharashtra   | Sindhudurg    |    7304 |    7330 |

| Maharashtra   | Solapur     |   73628 |   77154 |
|---------------|-------------|---------|---------|
| Maharashtra   | Thane       |  149549 |  149180 |
| Maharashtra   | Wardha      |   17178 |   15570 |
| Maharashtra   | Washim      |   13305 |   13510 |
| Maharashtra   | Yavatmal    |   41517 |   41394 |
| Rajasthan     | Ajmer       |   60520 |   55179 |
| Rajasthan     | Alwar       |   65462 |   66769 |
| Rajasthan     | Banswara    |   46987 |   44778 |
| Rajasthan     | Baran       |   21698 |   21916 |
| Rajasthan     | Barmer      |   58181 |   62698 |
| Rajasthan     | Bharatpur   |   53072 |   54306 |
| Rajasthan     | Bhilwara    |   46532 |   45574 |
| Rajasthan     | Bikaner     |   53182 |   50430 |
| Rajasthan     | Bundi       |   17231 |   17910 |
| Rajasthan     | Chittorgarh |   27083 |   27297 |
| Rajasthan     | Churu       |   34139 |   33988 |
| Rajasthan     | Dausa       |   31129 |   30832 |
| Rajasthan     | Dholpur     |   29756 |   30298 |
| Rajasthan     | Dungarpur   |   31920 |   33544 |
| Rajasthan     | Ganganagar  |   32037 |   30829 |
| Rajasthan     | Hanumangarh |   33104 |   33708 |
| Rajasthan     | Jaipur      |  127966 |  117094 |
| Rajasthan     | Jaisalmer   |   16727 |   16218 |
| Rajasthan     | Jalore      |   43448 |   47663 |
| Rajasthan     | Jhalawar    |   30957 |   29312 |
| Rajasthan     | Jhunjhunu   |   27665 |   28007 |
| Rajasthan     | Jodhpur     |   72886 |   69733 |
| Rajasthan     | Karauli     |   30053 |   29408 |
| Rajasthan     | Kota        |   35572 |   31686 |

| Rajasthan     | Nagaur         |   57227 |   56550 |
|---------------|----------------|---------|---------|
| Rajasthan     | Pali           |   39777 |   38533 |
| Rajasthan     | Pratapgarh     |   17940 |   18943 |
| Rajasthan     | Rajsamand      |   22234 |   21746 |
| Rajasthan     | Sawai Madhopur |   32602 |   31453 |
| Rajasthan     | Sikar          |   44735 |   44530 |
| Rajasthan     | Sirohi         |   24957 |   25257 |
| Rajasthan     | Tonk           |   25258 |   25664 |
| Rajasthan     | Udaipur        |   60880 |   59610 |
| Uttar Pradesh | Agra           |  103267 |  106331 |
| Uttar Pradesh | Aligarh        |   65899 |   61563 |
| Uttar Pradesh | Ambedkar Nagar |   36973 |   34838 |
| Uttar Pradesh | Amethi         |   30555 |   29350 |
| Uttar Pradesh | Amroha         |   26844 |   24152 |
| Uttar Pradesh | Auraiya        |   17782 |   17004 |
| Uttar Pradesh | Ayodhya        |   40689 |   38363 |
| Uttar Pradesh | Azamgarh       |   54481 |   40810 |
| Uttar Pradesh | Baghpat        |   32101 |   28665 |
| Uttar Pradesh | Bahraich       |   85743 |   96490 |
| Uttar Pradesh | Ballia         |   40742 |   38581 |
| Uttar Pradesh | Balrampur      |   47852 |   50326 |
| Uttar Pradesh | Banda          |   36930 |   36042 |
| Uttar Pradesh | Barabanki      |   54089 |   50212 |
| Uttar Pradesh | Bareilly       |   59647 |   73050 |
| Uttar Pradesh | Basti          |   46983 |   47426 |
| Uttar Pradesh | Bhadohi        |   26661 |   26519 |
| Uttar Pradesh | Bijnor         |   70464 |   81585 |
| Uttar Pradesh | Budaun         |   54277 |   54768 |
| Uttar Pradesh | Bulandshahr    |   91582 |   70227 |

| Uttar Pradesh   | Chandauli           |   37997 |   37272 |
|-----------------|---------------------|---------|---------|
| Uttar Pradesh   | Chitrakoot          |   19796 |   20075 |
| Uttar Pradesh   | Deoria              |   59062 |   45378 |
| Uttar Pradesh   | Etah                |   22476 |   20547 |
| Uttar Pradesh   | Etawah              |   34689 |   28906 |
| Uttar Pradesh   | Farrukhabad         |   28555 |   29151 |
| Uttar Pradesh   | Fatehpur            |   40177 |   41162 |
| Uttar Pradesh   | Firozabad           |   39478 |   36264 |
| Uttar Pradesh   | Gautam Buddha Nagar |   48974 |   38916 |
| Uttar Pradesh   | Ghaziabad           |   73859 |   72797 |
| Uttar Pradesh   | Ghazipur            |   67288 |   72398 |
| Uttar Pradesh   | Gonda               |   59139 |   57445 |
| Uttar Pradesh   | Gorakhpur           |   63483 |   53124 |
| Uttar Pradesh   | Hamirpur            |   18992 |   19911 |
| Uttar Pradesh   | Hapur               |   31867 |   29146 |
| Uttar Pradesh   | Hardoi              |   71298 |   62652 |
| Uttar Pradesh   | Hathras             |   37732 |   30308 |
| Uttar Pradesh   | Jalaun              |   22084 |   20439 |
| Uttar Pradesh   | Jaunpur             |   79661 |   74549 |
| Uttar Pradesh   | Jhansi              |   35640 |   26681 |
| Uttar Pradesh   | Kannauj             |   33919 |   32995 |
| Uttar Pradesh   | Kanpur Dehat        |   22757 |   27133 |
| Uttar Pradesh   | Kanpur Nagar        |   53363 |   54842 |
| Uttar Pradesh   | Kasganj             |   26943 |   24715 |
| Uttar Pradesh   | Kaushambi           |   34474 |   34524 |
| Uttar Pradesh   | Kheri               |   72120 |   65155 |
| Uttar Pradesh   | Kushi Nagar         |   68614 |   54558 |
| Uttar Pradesh   | Lalitpur            |   25815 |   24467 |
| Uttar Pradesh   | Lucknow             |   60097 |   43380 |

| Uttar Pradesh   | Maharajganj       |   49278 |   49023 |
|-----------------|-------------------|---------|---------|
| Uttar Pradesh   | Mahoba            |   13497 |   13660 |
| Uttar Pradesh   | Mainpuri          |   26596 |   27528 |
| Uttar Pradesh   | Mathura           |   41284 |   35160 |
| Uttar Pradesh   | Mau               |   56908 |   62125 |
| Uttar Pradesh   | Meerut            |   85669 |   83205 |
| Uttar Pradesh   | Mirzapur          |   44810 |   44760 |
| Uttar Pradesh   | Moradabad         |   47054 |   46745 |
| Uttar Pradesh   | Muzaffarnagar     |   59412 |   45989 |
| Uttar Pradesh   | Pilibhit          |   31134 |   27255 |
| Uttar Pradesh   | Pratapgarh        |   47287 |   43319 |
| Uttar Pradesh   | Prayagraj         |  106180 |   95360 |
| Uttar Pradesh   | Rae Bareli        |   49341 |   45932 |
| Uttar Pradesh   | Rampur            |   48737 |   37192 |
| Uttar Pradesh   | Saharanpur        |   96749 |   87566 |
| Uttar Pradesh   | Sambhal           |   40472 |   41749 |
| Uttar Pradesh   | Sant Kabeer Nagar |   32830 |   28993 |
| Uttar Pradesh   | Shahjahanpur      |   47891 |   48679 |
| Uttar Pradesh   | Shamli            |   20948 |   28478 |
| Uttar Pradesh   | Shravasti         |   30471 |   34109 |
| Uttar Pradesh   | Siddharth Nagar   |   43361 |   32885 |
| Uttar Pradesh   | Sitapur           |   84620 |   81408 |
| Uttar Pradesh   | Sonbhadra         |   32077 |   30715 |
| Uttar Pradesh   | Sultanpur         |   39066 |   52076 |
| Uttar Pradesh   | Unnao             |   49905 |   45094 |
| Uttar Pradesh   | Varanasi          |   65946 |   54821 |

*Data for 2020-21 is provisional