Lok Sabha Question No. 3434 (UNSTARRED), answered on 2021-12-17
Subject: Anemia Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sandhya Ray, Kirti Vardhan Singh, Bheemrao Baswanthrao Patil, Locket Chatterjee, Talari Rangaiah, Vijayakumar (alias) Vijay Vasanth, Jayanta Kumar Roy

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION No. 3434

## TO BE ANSWERED ON 17 th  DECEMBER 2021

## ANEMIA CASES

3434:   SHRIMATI SANDHYA RAY:

SHRI KIRTI VARDHAN SINGH:

SHRI B. B. PATIL:

MS. LOCKET CHATTERJEE:

SHRI TALARI RANGAIAH:

SHRI VIJAYAKUMAR (ALIAS) VIJAY VASANTH:

DR. JAYANTA KUMAR ROY:

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

- a) whether the Government is aware of the high prevalence of anemia cases among men, women, children and especially pregnant women in the country;
- b) If so, the details thereof along with the estimated population in the country affected by anemia, especially anemic pregnant women during the last three years; State/UT-wise and district-wise including Madhya Pradesh and West Bengal;
- c) whether the Government has ascertained the health condition of pregnant women in the country;
- d) if so, the details thereof along with steps being taken by the Government to deal with the situation especially among poor; State/UT-wise; and
- e) the details of the implementation of Anemia Mukt Bharat(AMB) in the country along with the achievement thereunder during the last three years, State/UT-wise?

## ANSWER

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

(DR. BHARATI PRAVIN PAWAR)

- (a) & (b):   As per the National Family Health Survey 5 (2019-21), the prevalence of anaemia is 25.0 percent in men (15-49 years) and 57.0 percent in women (15-49 years). Also, in pregnant women (15-49 years) and in children (6-59 months), the prevalence of anaemia is 52.2 percent and 67.1 percent respectively.

The  details  on  the  State/UT-wise  prevalence  of  anaemia  in  pregnant  women  including Madhya Pradesh and West Bengal are placed as follows:

Andaman  &  Nicobar  Islands  (53.7),  Andhra  Pradesh  (53.7),  Arunachal  Pradesh  (27.9), Assam (54.2), Bihar (63.1), Chhattisgarh (51.8), DNH & D&D (60.7), Delhi (42.2), Goa (41), Gujarat  (62.6),  Haryana  (56.5),  Himachal  Pradesh  (42.2),  Jammu  &  Kashmir  (44.1),

Jharkhand  (56.8),  Karnataka  (45.7),  Kerala  (31.4),  Lakshadweep  (20.9),  Ladakh  (78.1), Madhya  Pradesh  (52.9),  Maharashtra  (45.7),  Manipur  (32.4),  Meghalaya  (45.1),  Mizoram (34),  Nagaland  (22.2),  Odisha  (61.8),  Puducherry  (42.5),  Punjab  (51.7),  Rajasthan  (46.3), Sikkim  (40.7),  Tamil  Nadu  (48.3),  Telangana  (53.2),  Tripura  (61.5),  Uttar  Pradesh  (45.9), Uttarakhand (46.4) and West Bengal (62.3).

The  details  on  the  district-wise  prevalence  of  anaemia  in  pregnant  women  State/UT-wise including Madhya Pradesh and West Bengal are available at the following link: http://rchiips.org/nfhs/districtfactsheet\_NFHS-5.shtml.

(c) & (d):   Under National Health Mission, various steps taken by the Government of India, to improve health condition of pregnant women in all States/UTs include:

- i. Surakshit  Matritva  Aashwasan  (SUMAN) provides  assured,  dignified,  respectful and quality healthcare at no cost and zero tolerance for denial of services for every woman and newborn visiting public health facilities to end all preventable maternal and newborn deaths.
- ii. Janani Suraksha Yojana (JSY) , a demand promotion and conditional cash transfer scheme for promoting institutional delivery.
- iii. Under Janani  Shishu  Suraksha  Karyakram  (JSSK), every  pregnant  woman  is entitled  to  free  delivery,  including  caesarean  section,  in  public  health  institutions along with the provision of free transport, diagnostics, medicines, other consumables & diet
- iv. Pradhan  Mantri  Surakshit  Matritva  Abhiyan  (PMSMA) provides pregnant women  a  fixed  day,  free  of  cost  assured  and  quality  antenatal  check  up  by  a Specialist/Medical Officer on the 9th day of every month.
- v. LaQshya  i mproves  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.
- vi. Monthly Village Health, Sanitation and Nutrition Day (VHSND) is  an  outreach activity  at  Anganwadi  centers  for  provision  of  maternal  and  child  care  including nutrition in convergence with the ICDS.
- vii. Delivery  Points -  Over  25,000  'Delivery  Points'  across  the  country  have  been strengthened  in terms  of infrastructure,  equipment,  and  trained  manpower  for provision of comprehensive RMNCAH+N services
- viii. 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.
- ix. Reproductive and child health (RCH) portal is a name-based web-enabled tracking system  for  pregnant  women  and  new  born  so  as  to  ensure  seamless  provision  of regular and complete services to them including antenatal care, institutional delivery and post-natal care.

(e): The primary responsibility for strengthening health care services including implementation of national programs lies with the respective State/UT government. However, Ministry of Health and Family Welfare provides financial and technical support to States/UTs under NHM.

In 2018, the Government of India launched the Anaemia Mukt Bharat (AMB) strategy with the target to reduce anaemia in the vulnerable age groups such as women, children and adolescents  in  life  cycle  approach.  Under  AMB  strategy,  the  interventions  for  tackling  the problem of anaemia in all the States and UTs include:

- i. Prophylactic Iron and Folic Acid Supplementation
- ii. Intensified  year-round  Behaviour  Change  Communication  (BCC)  Campaign including ensuring delayed cord clamping
- iii. Testing of anaemia using digital methods and point of care treatment
- iv. Addressing non-nutritional causes of anaemia in endemic pockets with special focus on malaria, hemoglobinopathies and fluorosis
- v. Management of severe anaemia in pregnant women undertaken by administration of IV Iron Sucrose/Blood transfusion
- vi. Providing incentives to the ANM for identification and follow-up of pregnant women with severe anaemia in high priority districts (HPDs)
- vii. Training and orientation of Medical Officers and front line-workers on newer Maternal Health and Anaemia Mukt Bharat guidelines
- viii. Field  level  awareness  by  ASHAs through community mobilization activities and IEC and BCC activities focused on anaemia in pregnant women

The details on IFA  supplementation as per  AMB  dashboard  among  various beneficiary groups are placed at annexure.

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## Annexure

## IFA  supplementation  by  beneficiary  groups  All  India,  2019-20  to  2021-22  (upto September)

(in Crores)

| Beneficiary          |   FY 2019-20 |   FY 2020-21 |   FY 2021-22 (upto September) |
|----------------------|--------------|--------------|-------------------------------|
| Pregnant women       |          2.6 |          2.6 |                           1.3 |
| Lactating women      |          1.3 |          1.4 |                           0.6 |
| Children 6-59 months |          1.7 |          1.6 |                           2   |
| Children 5-9 years   |          2.8 |          1.4 |                           1.9 |
| Children 10-19 years |          4.5 |          2.4 |                           3   |

[Source: AMB Dashboard data till September 2021]