Lok Sabha Question No. 4866 (UNSTARRED), answered on 2023-03-31
Subject: Maternal Mortality Ratio
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kripanath Mallah

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

## LOK SABHA UNSTARRED QUESTION NO. 4866 TO BE ANSWERED ON 31 ST  MARCH, 2023

## MATERNAL MORTALITY RATIO

## 4866. SHRI KRIPANATH MALLAH:

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

- (a) the salient features of National Health Mission;
- (b) the funds sanctioned, allocated and utilized under this mission in Assam so far;
- (c) whether the Government has fixed a Sustainable Development Goal (SDG) target for

Maternal Mortality Ratio (MMR) under this mission and if so, the details thereof;

- (d) the details of the target set and achievements made so far; and
- (e) whether there has been a significant decline in MMR under this mission in the country and if so, the details thereof?

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

(a) & (b): NHM envisages achievement of universal access to equitable, affordable & quality health care services that are accountable and responsive to people's needs. The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare system, based on the proposals received in the form of Programme Implementation Plans (PIPs) under National Health Mission. Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

The support provided under NHM includes support for engaging of health human resource on contractual basis, National Ambulance Services, Mobile Medical Units, ASHAs, Infrastructure strengthening, operationalisation of Ayushman Bharat-Health and Wellness Centres (AB-HWCs) by transforming the existing Sub Centres and Primary Health Centres, 24 x 7 Services and First Referral facilities, Mera Aspataal, Kayakalp Award Scheme, Prime Minister's National Dialysis Programme, National Quality Assurance Standards implementation and related Activities, LaQshya Certification, Biomedical Equipment Maintenance and Management Programme, Free Diagnostics

Service  Initiative  and  Free  Drugs  Service  Initiative.  Further,  initiatives  such  as  Mission  Parivar Vikas,  Adolescent  Friendly  Health  Clinics  (AFHCs),  Weekly  Iron  Folic  Acid  Supplementation (WIFS), Menstrual Hygiene Scheme, Facility Based Newborn Care (FBNC), Home Based Newborn Care Program,  Social  Awareness  and  Actions  to  Neutralize  Pneumonia  Successfully  (SAANS), Home  Based  Care  for  Young  Child  (HBYC),  Rashtriya  Bal  Swasthya  Karyakram  (RBSK), Rashtriya Kishor Swasthya Karyakram (RKSK), Early Childhood Development (ECD), Comprehensive Abortion Care (CAC), Anemia Mukt Bharat (AMB) strategy, Pradhan Mantri TB Mukt  Bharat  Abhiyaan  (PMTBMBA),  Nutrition  Rehabilitation  Centre  (NRC)  program  and Universal Immunization programme.

Details of Central Release and expenditure under NHM to the State of Assam in last three years are given below:

## (Rs. in Crore)

| Sl. No .   | State/U T   | 2019-20         | 2019-20      | 2020-21         | 2020-21      | 2021-22         | 2021-22      |
|------------|-------------|-----------------|--------------|-----------------|--------------|-----------------|--------------|
| Sl. No .   | State/U T   | Central Release | Expenditu re | Central Release | Expenditur e | Central Release | Expenditu re |
| 1          | Assam       | 1,749.24        | 1,856.33     | 1,807.48        | 1,846.86     | 1,955.93        | 2,194.36     |

## Note:

- i. The  above  releases  relate  to  Central  Govt.  Grants  &  do  not  include  State  share contribution.
- ii. Expenditure  includes  expenditure  against  Central  Release,  State  Release  &  unspent balances  at  the  beginning  of  the  year.  Expenditure  is  as  per  available  Financial Management Reports submitted by the State.

(c) to (e): The SDGs have been adopted by governments as a guiding framework for national and sub-national  development  actions.  India  has  made  significant  strides  towards  achieving  the Sustainable  Development  Goal  (SDG)  of  reducing  Maternal  Mortality  Ratio  (MMR)  to  70  per 100,000 live births by 2030. As per the Sample Registration System (SRS) Statistical Report 2020, the country has witnessed a progressive reduction in MMR from 130 in 2014-2016 to 97 in 2018-20 per lakh live births.

8 States have already attained SDG target of MMR  (less than or equal to 70 by 2030) Kerala (19), Maharashtra (33), Telangana (43), Andhra Pradesh (45), Tamil Nadu (54), Jharkhand (56), Gujarat (57) and Karnataka (69) has achieved the MMR target (<=70 by 2030).

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