Lok Sabha Question No. 4908 (UNSTARRED), answered on 2022-04-01
Subject: Rashtriya Bal Swasthya Karyakram
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Jayanta Kumar Roy, Raja Amareshwara Naik, Sukanta Majumdar, Sangeeta Kumari Singh Deo, Bhola Singh, Vinod Kumar Sonkar, Rajveer (Raju Bhaiya) Singh

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

LOK SABHA UNSTARRED QUESTION No. 4908 TO BE ANSWERED ON 1 st  April, 2022

## RASHTRIYA BAL SWASTHYA KARYAKRAM (RBSK)

4908:     DR JAYANTA KUMAR ROY SHRIMATI SANGEETA KUMARI SINGH DEO SHRI RAJVEER SINGH (RAJU BHAIYA) SHRI BHOLA SINGH DR SUKANTA MAJUMDAR SHRI RAJA AMARESHWARA NAIK SHRI VINOD KUMAR SONKAR

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

- a) whether the Government is implementing Rashtriya Bal Swasthaya Karyakram in the country, if so, the details thereof and achievement made since inception
- b) whether the Government has made any assessment of the scheme through social audit
- c) if so the details thereof and the outcome of the assessment
- d) the  details  of  the  number  of  children  covered  since  the  inception  of  the  scheme, State/UT wise along with funds allocated and allocated and utilised during each of the last three years; and
- e) whether the Government proposes to setup high-end labs in the Central Government controlled  hospitals/health  centres  for  early  detection  of  genetic  disorders  andother diseases  through  prenatal  diagnosis  and  if  so,  the  details  thereof  along  withfunds allocated for the purpose ?

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY

## ANSWER WELFARE (DR. BHARATI PRAVIN PAWAR)

(a)   to (d): Rashtriya Bal Swasthaya Karyakram (RBSK) programme under Reproductive,  Maternal,  Newborn,  Child,  Adolescent  health  and  Nutrition  (RMNCAH+N) strategy, of National Health Mission, Government of India, provides screening services for selected health conditions to children through dedicated  mobile health teams placed in every block. Children from birth to six years of age are screened at Anganwadi centres twice a year and children from 6 years till 18 years of age enrolled in Government and Government aided schools in classes 1st to 12th are screened once a year.

Government of India is supporting all States/UTs in implementation of Rashtriya Bal Swasthaya  Karyakram  (RBSK)  under,  National  Health  Mission,  based  on  the  Annual Program Implementation Plan (APIP) submitted by States/ UTs.

As  reported  by  States/UTs,  under  RBSK  8.04  crores  children  were  identified  with selected  health  conditions  and  3.11  crores  children  availed  secondary/tertiary  care,  since inception in FY 2014-15 till FY 2020-21.

State/UT-wise  approvals  and  utilisation  for  Rashtriya  Bal  Swasthya  Karyakram (RBSK) under NHM inlast three years as per Financial Management Report (FMR) is given at Annexure.

Rashtriya  Bal  Swasthya  Karyakram  (RBSK)  is  monitored  under  National  Health Mission  through  regular  review  of  quarterly  reports,  annual  reviews  during  the  appraisals process  of  Programme  Implementation  Plans,  field  visits  and  periodic  meeting  with  State nodal officers and through Common Review Missions.

(e): The  Department  of  Biotechnology  started  the  Unique  Methods  for  Management  of Inherited  Disorders  (UMMID)  initiative  to  address  the  burden  of  genetic  disorders  in  the country. One of the components of the UMMID initiative is establishing NIDAN Kendras (National  Inherited  Disorders  Administration  Kendras)  for  providing  clinical  care  broadly encompassing the activities of prenatal testing for genetic disorders, newborn screening for relatively common treatable genetic metabolic disorders, and genetic counseling of pregnant mothers carrying fetuses with high risk of genetic disorders.

In the pilot phase of the UMMID initiative, NIDAN Kendras have been established at five  Government  hospitals  spread  in  four  states  of  the  country.  The  total  cost  of  the sanctioned projects under UMMID Initiative is Rs. 35 Crores.

Annexure State/UT wise Approvals and Expenditure for Rashtriya Bal Swasthya Karyyakram (RBSK) under NHM from F.Y. 2018-19 to 2020-21, (Rs in Lakhs)

| Sl. No   | States/UTs          | 2018-19   | 2018-19     | 2019-20   | 2019-20     | 2020-21   | 2020-21     |
|----------|---------------------|-----------|-------------|-----------|-------------|-----------|-------------|
| Sl. No   | States/UTs          | Approvals | Utilisation | Approvals | Utilisation | Approvals | Utilisation |
| 1        | Andaman &Nicobar    | 198.11    | 106.93      | 153.82    | 133.08      | 137.48    | 112.76      |
| 2        | Andhra Pradesh      | 10,625.31 | 2,570.38    | 7,848.42  | 1,929.95    | 10,559.52 | 2,566.69    |
| 3        | Arunachal Pradesh   | 1,110.74  | 651.73      | 737.83    | 646.78      | 962.06    | 497.63      |
| 4        | Assam               | 6,731.83  | 5,919.25    | 7,112.38  | 6,227.18    | 6,230.70  | 5,393.93    |
| 5        | Bihar               | 12,477.71 | 8,321.64    | 13,365.97 | 8,889.39    | 12,761.99 | 11,360.38   |
| 6        | Chandigarh          | 167.03    | 166.53      | 160.03    | 158.04      | 154.3     | 75.76       |
| 7        | Chhattisgarh        | 7,266.90  | 5,224.67    | 6,333.34  | 4,857.09    | 6,218.30  | 4,541.79    |
| 8        | Dadra &Nagar Haveli | 151       | 113.79      | 153.59    | 107.73      | 66.43     | 154.11      |
| 9        | Daman               | 117.77    | 58.56       | 86.27     | 51.4        |           |             |
| 10       | Delhi               | 0         | 0           | 2,495.21  | 0           | 134.28    | 0           |
| 11       | Goa                 | 307.62    | 207.23      | 325.6     | 237.97      | 23,828.96 | 12,836.69   |
| 12       | Gujarat             | 27,897.31 | 20,831.04   | 25,967.05 | 14,764.35   | 4,128.05  | 2,641.10    |
| 13       | Haryana             | 3,280.76  | 2,899.98    | 3,987.94  | 2,857.59    | 6,661.84  | 5,960.88    |
| 14       | Himachal Pradesh    | 2,622.72  | 1,637.04    | 2,776.19  | 1,701.29    | 2,314.30  | 1,626.75    |
| 15       | Jammu &Kashmir      | 4,946.37  | 4,112.17    | 5,338.75  | 3,695.49    | 5,118.46  | 4,237.79    |
| 16       | Jharkhand           | 3,536.89  | 1,787.89    | 3,424.64  | 2,208.22    | 5,319.06  | 1,892.21    |
| 17       | Karnataka           | 8,145.35  | 5,730.87    | 9,798.04  | 6,920.95    | 7,238.59  | 7,837.88    |
| 18       | Kerala              | 6,538.78  | 6,669.69    | 9,025.19  | 5,106.41    | 19,443.60 | 14,163.90   |
| 19       | Ladakh              | -         | -           | -         | -           | 485.56    | 318.77      |
| 20       | Lakshadweep         | 14.9      | 0.22        | 0.5       | 0.56        | 3.2       | 0.19        |
| 21       | Madhya Pradesh      | 16,553.50 | 9,551.61    | 16,287.17 | 11,617.23   | 17,796.99 | 6,901.13    |
| 22       | Maharashtra         | 22,489.45 | 12,198.81   | 17,836.45 | 14,094.88   | 4,209.74  | 3,859.77    |
| 23       | Manipur             | 1,623.16  | 1,216.13    | 1,334.79  | 615.21      | 1,242.09  | 447.89      |
| 24       | Meghalaya           | 1,559.15  | 1,202.96    | 1,425.27  | 985.71      | 1,547.29  | 1,261.83    |
| 25       | Mizoram             | 567.95    | 623.33      | 598       | 290.02      | 606.37    | 530.43      |
| 26       | Nagaland            | 1,429.84  | 187.29      | 318.63    | 188.8       | 324.11    | 176.26      |
| 27       | Odisha              | 9,174.53  | 7,919.67    | 10,126.45 | 9,439.99    | 12,035.06 | 9,351.63    |
| 28       | Puducherry          | 104.72    | 47.3        | 104.68    | 69.16       | 101.31    | 45          |
| 29       | Punjab              | 4,122.67  | 3,134.34    | 4,488.15  | 4,297.77    | 8,763.55  | 8,396.31    |
| 30       | Rajasthan           | 8,498.26  | 5,564.89    | 10,461.66 | 5,735.55    | 10,850.44 | 5,176.99    |
| 31       | Sikkim              | 308.03    | 84.24       | 216.54    | 57.46       | 208.49    | 53.09       |
| 32       | Tamilnadu           | 8,974.34  | 8,914.81    | 9,164.27  | 8,811.76    | 5,538.14  | 8,175.54    |
| 33       | Telangana           | 9,283.13  | 1,354.47    | 5,734.21  | 3,345.56    | 473.74    | 235.11      |
| 34       | Tripura             | 955.74    | 728.47      | 701.52    | 536.34      | 744.69    | 562.61      |
| 35       | Uttar Pradesh       | 31,028.32 | 25,132.08   | 30,905.58 | 25,173.15   | 33,454.64 | 26,787.70   |
| 36       | Uttarakhand         | 3,484.90  | 2,585.05    | 3,237.93  | 2,852.23    | 3,290.57  | 2,649.49    |
| 37       | West Bengal         | 7,662.92  | 11,187.57   | 13,016.20 | 10,883.75   | 12,481.76 | 9,685.38    |

Note: 1. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of the year.

2. The Above Figures are as per FMR reported by State/UTs.

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