Lok Sabha Question No. 2193 (UNSTARRED), answered on 2022-07-29
Subject: High Burden to High Impact
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sushil Kumar Singh

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

## LOK SABHA UNSTARRED QUESTION NO.  2193 TO BE ANSWERED ON 29.07.2022

## HIGH BURDEN TO HIGH IMPACT

## 2193:  SHRI SUSHIL KUMAR SINGH:

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

(a)  whether  India  is  one  of  the  High  Burden  to  High  Impact  (HBHI)  countries  as  far  as incidence of Malaria is concerned;

- (b) if so, the details thereof;

(c) the steps being taken by the Government to eliminate Malaria from the country along with the timeline by which the country is targeted to be Malaria free; and

(d) the expenditure incurred by the Government on anti-malaria efforts during last five years, year-wise and State/UT-wise?

## ANSWER

## MINISTER OF STATE FOR MINISTRY OF HEALTH AND FAMILY WELFARE

## (DR. BHARATI PRAVIN PAWAR)

- (a) & (b)      India is one of the countries wherein World Health Organization's (WHO) High Burden to High Impact (HBHI) strategy has been implemented in 2019, in four States namely Madhya  Pradesh,  Chhattisgarh,  West  Bengal  and  Jharkhand.  HBHI  strategy  included enhanced political will, resource mobilization, implementation, Monitoring and Evaluation. This has led to a reduction of 58.76% in malaria morbidity and 17.3% in malaria mortality in these States from 2018 to 2021.
- (c) The  Government  has  launched  the  National  Framework  for  Malaria  Elimination (NFME), 2016-2030 with a goal to eliminate malaria in the country by 2030. Following steps are taken by the Government:
- (i) For prevention, control and elimination of Malaria, budgetary support is provided to States/UTs under the overarching umbrella of National Health Mission (NHM).
- (ii) National  Center  for  Vector  Borne  Diseases  Control  (NCVBDC)  provides  technical support  to  States/UTs  for  programme  implementation  in  terms  of  integrated  vector management, early diagnosis & treatment, capacity building, epidemic preparedness, monitoring and evaluation etc.
- (iii)NCVBDC takes review meetings, conducts field visits and deploys central teams in cases of outbreak like situation.

(d) State/UT wise Central releases and expenditure under National Vector Borne Disease Control  Programme  (NVBDCP)  for  six  vector  borne  diseases  (including  Malaria)  under NHM during the last five years are given in Annexure-I .

## Annexure-I of Unstarred Question No. 2193 answered on 29/07/2022

States/UTs wise Central releases and expenditure under National Vector Borne Disease Control Programme (NVBDCP) for six vector borne diseases (including Malaria) under NHM during the last five years

(Rs. In crores)

| S.No.   | State/UT                           | 2017-18         | 2017-18   | 2018-19         | 2018-19   | 2019-20         | 2019-20   | 2020-21         | 2020-21   | 2021-22         | 2021-22   |
|---------|------------------------------------|-----------------|-----------|-----------------|-----------|-----------------|-----------|-----------------|-----------|-----------------|-----------|
| S.No.   | State/UT                           | Central Release | Exp       | Central Release | Exp       | Central Release | Exp       | Central Release | Exp       | Central Release | Exp       |
| 1       | Andaman& Nicobar Islands           | 2.96            | 1.59      | 0.27            | 0.29      | 2.53            | 0.06      | 1.70            | 0.74      | 0.09            | 0.37      |
| 2       | Andhra Pradesh                     | 6.76            | 9.14      | 10.76           | 9.48      | 1.07            | 9.55      | 4.93            | 13.79     | 23.21           | 41.56     |
| 3       | Arunachal Pradesh                  | 66.51           | 9.07      | 5.92            | 3.64      | 5.52            | 7.83      | 10.60           | 17.53     | 4.49            | 1.62      |
| 4       | Assam                              | 51.42           | 8.59      | 20.13           | 7.45      | 20.27           | 13.69     | 40.13           | 45.63     | 13.04           | 11.77     |
| 5       | Bihar                              | 26.59           | 41.50     | 10.86           | 24.16     | 3.00            | 84.18     | 40.23           | 80.80     | 5.70            | 14.68     |
| 6       | Chandigarh                         | 0.76            | 0.53      | 0.53            | 0.16      | 0.44            | 0.04      | 0.23            | 0.12      | 0.11            | 0.11      |
| 7       | Chattisgarh                        | 133.00          | 13.11     | 42.96           | 7.36      | 17.52           | 8.88      | 9.42            | 18.04     | 77.80           | 105.74    |
| 8       | Dadra& Nagar Haveli                | 1.02            | 0.91      | 2.66            | 0.82      | 0.76            | 0.38      | 1.10            | 0.99      | 0.71            | 0.89      |
| 9       | Dadra& Nagar Haveli and Daman &Diu | 0.35            | 0.25      | 0.61            | 0.24      | 0.45            | 0.29      |                 |           |                 |           |
| 10      | Delhi                              | 0.00*           | 0.05      | 0.00*           | 0.00      | 0.18            | 0.00      | 0.54            | 0.54      | 0.25            | 0.02      |
| 11      | Goa                                | 0.52            | 0.29      | 0.65            | 0.34      | 0.93            | 0.39      | 0.00*           | 0.34      | 0.24            | 0.41      |
| 12      | Gujarat                            | 9.54            | 16.63     | 11.03           | 12.20     | 15.39           | 14.61     | 0.00*           | 19.03     | 18.31           | 34.20     |
| 13      | Haryana                            | 0.00*           | 1.02      | 3.74            | 0.93      | 0.32            | 4.18      | 0.72            | 1.82      | 1.24            | 3.71      |
| 14      | Himachal Pradesh                   | 0.00*           | 0.09      | 1.55            | 0.73      | 0.03            | 0.36      | 0.00*           | 0.12      | 0.31            | 0.15      |
| 15      | Jammu &Kashmir                     | 1.00            | 0.20      | 2.10            | 0.17      | 0.06            | 0.23      | 7.56            | 0.25      | 0.65            | 0.45      |
| 16      | Jharkhand                          | 144.89          | 21.95     | 57.75           | 7.21      | 34.82           | 22.56     | 17.63           | 35.32     | 124.57          | 146.61    |
| 17      | Karnataka                          | 2.36            | 4.29      | 3.76            | 5.46      | 1.96            | 10.64     | 1.07            | 11.35     | 12.03           | 20.09     |
| 18      | Kerala                             | 4.99            | 4.31      | 5.28            | 5.85      | 1.02            | 2.92      | 1.55            | 2.67      | 2.60            | 3.66      |
| 19      | Lakshadweep                        | 0.20            | 0.19      | 0.37            | 0.20      | 0.10            | 0.09      | 0.22            | 0.15      | 0.03            | 0.14      |

|   20 | Madhya Pradesh   | 23.64   | 10.31   | 52.36   | 15.20   | 150.07   | 13.07   | 3.76   | 16.67   |   2.44 | 14.68   |
|------|------------------|---------|---------|---------|---------|----------|---------|--------|---------|--------|---------|
|   21 | Maharashtra      | 7.67    | 3.80    | 5.48    | 6.60    | 1.01     | 12.24   | 5.36   | 6.82    |   3.65 | 11.86   |
|   22 | Manipur          | 8.52    | 4.48    | 2.44    | 1.27    | 3.12     | 2.29    | 9.41   | 11.26   |   2.65 | 0.66    |
|   23 | Meghalaya        | 31.43   | 4.06    | 2.57    | 6.40    | 3.50     | 2.61    | 19.20  | 23.99   |   4.21 | 4.32    |
|   24 | Mizoram          | 18.49   | 0.76    | 3.14    | 3.93    | 3.39     | 2.24    | 7.74   | 9.76    |   3.34 | 4.27    |
|   25 | Nagaland         | 30.22   | 6.42    | 3.06    | 2.84    | 5.35     | 3.57    | 15.58  | 15.08   |   1.77 | 4.04    |
|   26 | Odisha           | 285.29  | 41.78   | 1.91    | 12.20   | 2.00     | 26.47   | 211.43 | 227.15  |   3.61 | 46.42   |
|   27 | Puducherry       | 0.97    | 0.34    | 0.72    | 0.67    | 2.20     | 0.34    | 0.13   | 0.46    |   0.15 | 0.23    |
|   28 | Punjab           | 4.22    | 2.57    | 2.13    | 2.87    | 0.40     | 3.86    | 11.84  | 14.63   |   2.05 | 8.18    |
|   29 | Rajasthan        | 0.06    | 4.05    | 14.81   | 1.92    | 8.70     | 3.44    | 6.14   | 10.79   |   2.24 | 7.01    |
|   30 | Sikkim           | 0.00*   | 0.19    | 0.20    | 0.10    | 0.00*    | 0.18    | 0.00*  | 0.00    |   0.05 | 0.25    |
|   31 | Tamil Nadu       | 19.62   | 21.12   | 6.93    | 18.84   | 1.13     | 4.62    | 3.68   | 4.67    |   3.84 | 29.77   |
|   32 | Tripura          | 25.58   | 0.28    | 4.13    | 2.41    | 15.27    | 6.19    | 28.62  | 30.72   |   7.31 | 6.16    |
|   33 | Uttar Pradesh    | 15.83   | 22.73   | 38.23   | 23.35   | 27.25    | 32.27   | 39.14  | 40.64   |  32.2  | 27.81   |
|   34 | Uttarakhand      | 0.46    | 0.28    | 2.77    | 0.18    | 0.49     | 0.60    | 1.19   | 1.06    |   0.2  | 1.17    |
|   35 | West Bengal      | 12.82   | 17.72   | 11.35   | 10.42   | 6.88     | 14.87   | 13.71  | 17.63   |  12.49 | 24.02   |
|   36 | Telangana        | 6.67    | 3.37    | 13.38   | 8.23    | 0.74     | 3.11    | 0.91   | 11.71   |   2.61 | 15.20   |
|   37 | Ladakh #         | -       | -       | -       | -       | -        | -       | 0.16   | -       |   0.04 | -       |

Note:  Expenditure includes expenditure against Central Release, State Release and unspent balances at the beginning of the year. Expenditure is as per available Financial Management Reports submitted by the States/UTs. It is updated upto 31.03.2022 and is provisional.

* Funds were not released due to unspent balance available with these states in the preceding Financial year. # After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHM funds to the UT of Ladakh were disbursed for the first time during 2020-21.

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