Lok Sabha Question No. 1079 (UNSTARRED), answered on 2021-12-03
Subject: Rashtriya Bal Swasthya Karyakram (RBSK)
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Prataprao  Jadhav, Rebati Tripura, Shrirang Appa Barne, Sanjay Sadashivrao Mandlik, Sanganna Amarappa Karadi, Bidyut Baran Mahato, Sudheer Gupta, B. Y. Raghavendra, Prathap Simha, Devendrappa Y, Umesh G. Jadhav, Annasaheb Shankar Jolle

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

## LOK SABHA UNSTARRED PARLIAMENT QUESTION 1079 TO BE ANSWERED ON 3 RD  DECEMBER, 2021

## RASHTRIYA BAL SWASTHYA KARYAKRAM (RBSK)

## 1079:

SHRI PRATAPRAO JADHAV:

SHRI REBATI TRIPURA:

SHRI SHRIRANG ATPA BARNE:

SHRI SANJAY SADASHIVMO MANDLIK:

SHRI SANCANNA AMARAPPA;

SHRI BIDYUT BARAN MAHATO:

SHRI SUDEER CUPTA:

SHRI B.Y. RAGHAVENDA:

SHRI PRATHAP SIMHA:

SHRI Y DEVENDRAPPA:

DR. UMESH G. JADHAV:

SHRI ANNASAHEB SHONKAR JOLLE:

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

- a) the present status of Rashtriya Bal Swasthya Karyakram  (RBSK) being implemented by the Government and challenges faced thereof while implementing
- b) the  quantum  of  funds  allocated  and  utilised  for  the  States/UTs  for implementation of RBSK since its inception, State/UT-wise, year wise;
- c) whether this programme has been able to achieve its objective if so the details thereof and if not, corrective steps taken in this regard
- d) the number of Early Intervention Centres established in district hospitals and health centres in the country during the last three years and the current year, State/UT-wise;
- e) the mechanism put in place by the Government for regular monitoring of the programme to ascertain its efficacy; and
- f) the steps taken by the Government to ensure that district hospitals across the  country  are  fully  equipped  with  technology  and  medicines  to  treat  birth related defects deficiencies and diseases?

## ANSWER

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

## WELFARE

## (DR. BHARATI PRAVIN PAWAR)

a)  to c)  The objective of Rashtriya Bal Swasthaya Karyakram, (RBSK) is early identification and early management for selected health conditions - 4 D's i.e. Defects at Birth, Developmental delays, Diseases and Deficiencies.

Ministry of Health and Family Welfare (MoHFW) is implementing RBSK in all States/UTs under National Health Mission.

As reported by States/UTs, 109.9 crore children have been screened, 8.04 crore children have been  identified  with  selected  health  conditions  and  3.11  crore  children  have  been  provided secondary/tertiary care in F/Y 2013-14 till F/Y 2020-21 under RBSK since its inception.

Some States and UTs faced implementation challenges on account of closure of Anganwadis and Schools in view of the prevailing pandemic situation.

The details of State/UT-wise Approvals and utilisation for RBSK from F.Y.20l4-15 to 202021 as reported by States/UTs is given at Annexure 1.

- d) As reported by States/UTs, 315 District Early Intervention Centres (DEICs) have been made functional. State/UT wise cumulative detail is given at Annexure 2.
- e) The programme is regularly monitored under National Health Mission through regular review of  quarterly  reports,  annual  reviews  during  the  appraisal  process  of  Programme  Implementation Plans, field visits and periodic meeting with State nodal officers and Common Review Missions.
- f) The  responsibility  for  strengthening  of  district  hospitals  primarily  lies  with  the  States/UTs. Support  is  provided  under  the  NHM  to  States/UTs  for  infrastructure,  essential  equipment  and required  human  resources  at  District  Hospitals  through  DEICs  including  capacity  building  for comprehensive  management  of  selected  health  conditions  with  special  focus  on  children  with developmental delay.

Annexure 1 State/UT wise Approvals and Expenditure for Rashtriya Bal Swasthya Karyyakram (RBSK) under NHM from F.Y. 2014-15 to 2020-21, Part 1

(Rs in Lakhs)

| Sl. No   | States/UTs          | 2014-15   | 2014-15     | 2015-16   | 2015-16     | 2016-17   | 2016-17     |
|----------|---------------------|-----------|-------------|-----------|-------------|-----------|-------------|
| Sl. No   | States/UTs          | Approvals | Utilisation | Approvals | Utilisation | Approvals | Utilisation |
| 1        | Andaman &Nicobar    | 154.05    | 0.00        | 208.29    | 45.66       | 189.84    | 90.13       |
| 2        | Andhra Pradesh      | 5,197.92  | 423.90      | 3,789.36  | 810.60      | 7,382.99  | 395.66      |
| 3        | Arunachal Pradesh   | 709.50    | 112.94      | 750.75    | 600.03      | 738.69    | 395.66      |
| 4        | Assam               | 7,764.47  | 1,507.69    | 6,944.39  | 3,949.67    | 8,059.36  | 5,036.46    |
| 5        | Bihar               | 5,850.13  | 9.92        | 8,739.89  | 5,715.06    | 9,337.41  | 7,133.06    |
| 6        | Chandigarh          | 171.11    | 121.31      | 207.63    | 0.00        | 163.66    | 0.00        |
| 7        | Chhattisgarh        | 3,507.36  | 1,641.46    | 3,880.90  | 2,481.44    | 5,229.10  | 3,202.34    |
| 8        | Dadra &Nagar Haveli | 205.84    | 0.00        | 201.55    | 120.08      | 222.03    | 105.31      |
| 9        | Daman               | 102.26    | 91.30       | 114.09    | 39.26       | 102.83    | 51.14       |
| 10       | Delhi               | 19.92     | 0.00        | 0.00      | 0.00        | 973.04    | 0.00        |
| 11       | Goa                 | 293.76    | 116.12      | 312.69    | 163.20      | 272.97    | 144.87      |
| 12       | Gujarat             | 7,790.62  | 2,863.75    | 9,072.04  | 6,542.49    | 13,229.55 | 12,285.10   |
| 13       | Haryana             | 3,801.79  | 2,028.18    | 3,203.92  | 2,921.99    | 2,932.25  | 2,215.30    |
| 14       | Himachal Pradesh    | 927.20    | 543.86      | 1,688.38  | 442.33      | 2,435.57  | 1,350.75    |
| 15       | Jammu &Kashmir      | 4,459.11  | 1,411.83    | 4,656.04  | 3,857.37    | 4,272.28  | 3,605.88    |
| 16       | Jharkhand           | 3,500.73  | 0.00        | 2,792.19  | 518.24      | 1,755.88  | 600.38      |
| 17       | Karnataka           | 6,460.84  | 3,308.20    | 5,991.94  | 4,513.89    | 6,322.47  | 5,306.68    |
| 18       | Kerala              | 4,195.54  | 751.79      | 4,097.35  | 3,367.51    | 4,031.09  | 4,329.13    |
| 19       | Ladakh              | -         | -           | -         | -           | -         | -           |
| 20       | Lakshadweep         | 18.80     | 0.45        | 25.40     | 1.91        | 26.17     | 0.48        |
| 21       | Madhya Pradesh      | 8,518.67  | 3,925.12    | 13,354.13 | 8,200.59    | 14,526.32 | 9,042.58    |
| 22       | Maharashtra         | 15,145.68 | 7,157.76    | 12,799.26 | 9,712.71    | 16,626.38 | 9,406.18    |
| 23       | Manipur             | 854.99    | 78.57       | 1,745.97  | 374.06      | 1,912.27  | 416.55      |
| 24       | Meghalaya           | 1,092.03  | 87.53       | 1,110.11  | 995.85      | 1,168.88  | 744.78      |
| 25       | Mizoram             | 621.97    | 271.02      | 924.34    | 411.42      | 964.04    | 382.31      |
| 26       | Nagaland            | 458.82    | 115.34      | 439.73    | 119.99      | 512.63    | 205.04      |
| 27       | Odisha              | 7,248.75  | 3,957.82    | 8,307.39  | 6,302.50    | 7,651.66  | 7,022.39    |
| 28       | Puducherry          | 81.58     |             | 86.18     | 55.04       | 121.06    | 75.37       |
| 29       | Punjab              | 3,782.49  | 591.04      | 3,749.24  | 3,194.15    | 3,401.51  | 2,786.25    |
| 30       | Rajasthan           | 2,427.77  | 9.60        | 6,871.45  | 547.37      | 5,839.08  | 3,534.44    |
| 31       | Sikkim              | 151.54    | 65.15       | 268.70    | 103.18      | 248.39    | 72.90       |
| 32       | Tamilnadu           | 4,715.59  | 0.00        | 4,389.05  | 2,418.02    | 8,772.83  | 8,469.27    |
| 33       | Telangana           | 3,189.78  | 0.00        | 4,184.78  | 311.35      | 3,356.00  | 2,447.01    |
| 34       | Tripura             | 324.77    | 55.73       | 604.66    | 213.78      | 660.06    | 290.54      |
| 35       | Uttar Pradesh       | 19,793.59 | 14,881.12   | 24,709.61 | 18,602.70   | 27,454.25 | 20,518.50   |
| 36       | Uttarakhand         | 3,523.09  | 2,088.81    | 3,390.78  | 2,933.50    | 3,410.24  | 3,022.17    |
| 37       | West Bengal         | 11,346.21 | 4,682.81    | 11,799.49 | 8,682.96    | 10,653.77 | 10,833.53   |

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.

## Annexure 1, continued

## State/UT wise Approvals and Expenditure for Rashtriya Bal Swasthya Karyyakram (RBSK) under NHM from F.Y. 2014-15 to 2020-21, Part 2

(Rs in Lakhs)

| Sl. No   | States/UTs          | 2017-18   | 2017-18     | 2018-19   | 2018-19     | 2019-20   | 2019-20     |
|----------|---------------------|-----------|-------------|-----------|-------------|-----------|-------------|
| Sl. No   | States/UTs          | Approvals | Utilisation | Approvals | Utilisation | Approvals | Utilisation |
| 1        | Andaman &Nicobar    | 172.57    | 78.07       | 198.11    | 106.93      | 153.82    | 133.08      |
| 2        | Andhra Pradesh      | 9,016.78  | 694.78      | 10,625.31 | 2,570.38    | 7,848.42  | 1,929.95    |
| 3        | Arunachal Pradesh   | 1,037.36  | 470.20      | 1,110.74  | 651.73      | 737.83    | 646.78      |
| 4        | Assam               | 7,869.22  | 5,574.92    | 6,731.83  | 5,919.25    | 7,112.38  | 6,227.18    |
| 5        | Bihar               | 10,527.98 | 8,210.90    | 12,477.71 | 8,321.64    | 13,365.97 | 8,889.39    |
| 6        | Chandigarh          | 173.93    | 180.05      | 167.03    | 166.53      | 160.03    | 158.04      |
| 7        | Chhattisgarh        | 15,803.28 | 4,972.53    | 7,266.90  | 5,224.67    | 6,333.34  | 4,857.09    |
| 8        | Dadra &Nagar Haveli | 155.59    | 104.77      | 151.00    | 113.79      | 153.59    | 107.73      |
| 9        | Daman               | 117.31    | 41.90       | 117.77    | 58.56       | 86.27     | 51.40       |
| 10       | Delhi               | 2,421.86  | 0.00        | 0.00      | 0.00        | 2,495.21  | 0.00        |
| 11       | Goa                 | 278.17    | 176.08      | 307.62    | 207.23      | 325.60    | 237.97      |
| 12       | Gujarat             | 27,048.97 | 18,507.55   | 27,897.31 | 20,831.04   | 25,967.05 | 14,764.35   |
| 13       | Haryana             | 3,423.90  | 2,640.22    | 3,280.76  | 2,899.98    | 3,987.94  | 2,857.59    |
| 14       | Himachal Pradesh    | 2,401.82  | 1,627.08    | 2,622.72  | 1,637.04    | 2,776.19  | 1,701.29    |
| 15       | Jammu &Kashmir      | 4,844.56  | 3,642.48    | 4,946.37  | 4,112.17    | 5,338.75  | 3,695.49    |
| 16       | Jharkhand           | 4,202.99  | 930.52      | 3,536.89  | 1,787.89    | 3,424.64  | 2,208.22    |
| 17       | Karnataka           | 7,982.87  | 6,772.73    | 8,145.35  | 5,730.87    | 9,798.04  | 6,920.95    |
| 18       | Kerala              | 7,274.24  | 5,717.69    | 6,538.78  | 6,669.69    | 9,025.19  | 5,106.41    |
| 19       | Ladakh              | -         | -           | -         | -           | -         | -           |
| 20       | Lakshadweep         | 23.70     | 0.00        | 14.90     | 0.22        | 0.50      | 0.56        |
| 21       | Madhya Pradesh      | 16,188.11 | 13,040.76   | 16,553.50 | 9,551.61    | 16,287.17 | 11,617.23   |
| 22       | Maharashtra         | 16,142.89 | 10,648.84   | 22,489.45 | 12,198.81   | 17,836.45 | 14,094.88   |
| 23       | Manipur             | 947.60    | 634.85      | 1,623.16  | 1,216.13    | 1,334.79  | 615.21      |
| 24       | Meghalaya           | 1,407.82  | 1,051.74    | 1,559.15  | 1,202.96    | 1,425.27  | 985.71      |
| 25       | Mizoram             | 1,086.84  | 541.42      | 567.95    | 623.33      | 598.00    | 290.02      |
| 26       | Nagaland            | 758.72    | 28.43       | 1,429.84  | 187.29      | 318.63    | 188.80      |
| 27       | Odisha              | 8,424.98  | 7,046.79    | 9,174.53  | 7,919.67    | 10,126.45 | 9,439.99    |
| 28       | Puducherry          | 109.51    | 55.93       | 104.72    | 47.30       | 104.68    | 69.16       |
| 29       | Punjab              | 3,498.25  | 2,673.27    | 4,122.67  | 3,134.34    | 4,488.15  | 4,297.77    |
| 30       | Rajasthan           | 7,101.88  | 4,185.39    | 8,498.26  | 5,564.89    | 10,461.66 | 5,735.55    |
| 31       | Sikkim              | 263.97    | 60.56       | 308.03    | 84.24       | 216.54    | 57.46       |
| 32       | Tamilnadu           | 9,940.13  | 7,050.93    | 8,974.34  | 8,914.81    | 9,164.27  | 8,811.76    |
| 33       | Telangana           | 5,409.90  | 1,621.56    | 9,283.13  | 1,354.47    | 5,734.21  | 3,345.56    |
| 34       | Tripura             | 674.53    | 573.61      | 955.74    | 728.47      | 701.52    | 536.34      |
| 35       | Uttar Pradesh       | 29,888.04 | 21,501.32   | 31,028.32 | 25,132.08   | 30,905.58 | 25,173.15   |
| 36       | Uttarakhand         | 3,188.94  | 2,481.80    | 3,484.90  | 2,585.05    | 3,237.93  | 2,852.23    |
| 37       | West Bengal         | 11,018.03 | 10,320.44   | 7,662.92  | 11,187.57   | 13,016.20 | 10,883.75   |

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.

## State/UT wise Approvals and Expenditure for Rashtriya Bal Swasthya Karyyakram (RBSK) under NHM from F.Y. 2014-15 to 2020-21, Part 3

| Sl. No   | States/UTs          | 2020-21   | 2020-21     |
|----------|---------------------|-----------|-------------|
| Sl. No   | States/UTs          | Approvals | Utilisation |
| 1        | Andaman &Nicobar    | 137.48    | 112.76      |
| 2        | Andhra Pradesh      | 10,559.52 | 2,566.69    |
| 3        | Arunachal Pradesh   | 962.06    | 497.63      |
| 4        | Assam               | 6,230.70  | 5,393.93    |
| 5        | Bihar               | 12,761.99 | 11,360.38   |
| 6        | Chandigarh          | 154.30    | 75.76       |
| 7        | Chhattisgarh        | 6,218.30  | 4,541.79    |
| 8        | Dadra &Nagar Haveli | 66.43     | 154.11      |
| 9        | Daman               |           |             |
| 10       | Delhi               | 134.28    | 0.00        |
| 11       | Goa                 | 23,828.96 | 12,836.69   |
| 12       | Gujarat             | 4,128.05  | 2,641.10    |
| 13       | Haryana             | 6,661.84  | 5,960.88    |
| 14       | Himachal Pradesh    | 2,314.30  | 1,626.75    |
| 15       | Jammu &Kashmir      | 5,118.46  | 4,237.79    |
| 16       | Jharkhand           | 5,319.06  | 1,892.21    |
| 17       | Karnataka           | 7,238.59  | 7,837.88    |
| 18       | Kerala              | 19,443.60 | 14,163.90   |
| 19       | Ladakh              | 485.56    | 318.77      |
| 20       | Lakshadweep         | 3.20      | 0.19        |
| 21       | Madhya Pradesh      | 17,796.99 | 6,901.13    |
| 22       | Maharashtra         | 4,209.74  | 3,859.77    |
| 23       | Manipur             | 1,242.09  | 447.89      |
| 24       | Meghalaya           | 1,547.29  | 1,261.83    |
| 25       | Mizoram             | 606.37    | 530.43      |
| 26       | Nagaland            | 324.11    | 176.26      |
| 27       | Odisha              | 12,035.06 | 9,351.63    |
| 28       | Puducherry          | 101.31    | 45.00       |
| 29       | Punjab              | 8,763.55  | 8,396.31    |
| 30       | Rajasthan           | 10,850.44 | 5,176.99    |
| 31       | Sikkim              | 208.49    | 53.09       |
| 32       | Tamilnadu           | 5,538.14  | 8,175.54    |
| 33       | Telangana           | 473.74    | 235.11      |
| 34       | Tripura             | 744.69    | 562.61      |
| 35       | Uttar Pradesh       | 33,454.64 | 26,787.70   |
| 36       | Uttarakhand         | 3,290.57  | 2,649.49    |
| 37       | West Bengal         | 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.

(Rs in Lakhs)

## DEIC cumulative Status as reported by State/UTs

| Sl. No   | States/UTs           |   DEIC operational |
|----------|----------------------|--------------------|
| 1        | Andaman & Nicobar    |                  0 |
| 2        | Andhra Pradesh       |                 16 |
| 3        | Arunachal Pradesh    |                  3 |
| 4        | Assam                |                  7 |
| 5        | Bihar                |                  9 |
| 6        | Chandigarh           |                  0 |
| 7        | Chhattisgarh         |                  7 |
| 8        | Dadra & Nagar Haveli |                  1 |
| 9        | Daman                |                  0 |
| 10       | Delhi                |                  0 |
| 11       | Goa                  |                  2 |
| 12       | Gujarat              |                 21 |
| 13       | Haryana              |                 21 |
| 14       | Himachal Pradesh     |                  0 |
| 15       | Jammu & Kashmir      |                 22 |
| 16       | Jharkhand            |                  0 |
| 17       | Karnataka            |                 13 |
| 18       | Kerala,              |                 14 |
| 19       | Ladakh               |                  2 |
| 20       | Lakshadweep          |                  0 |
| 21       | Madhya Pradesh       |                 38 |
| 22       | Maharashtra          |                 26 |
| 23       | Manipur              |                  5 |
| 24       | Meghalaya            |                  3 |
| 25       | Mizoram              |                  2 |
| 26       | Nagaland             |                  0 |
| 27       | Odisha               |                 30 |
| 28       | Puducherry           |                  1 |
| 29       | Punjab               |                  5 |
| 30       | Rajasthan            |                 12 |
| 31       | Sikkim               |                  1 |
| 32       | Tamilnadu            |                 34 |
| 33       | Telangana            |                 10 |
| 34       | Tripura              |                  1 |
| 35       | Uttar Pradesh        |                  4 |
| 36       | Uttarakhand          |                  4 |
| 37       | West Bengal          |                  1 |
| India    |                      |                315 |

************

## Annexure 2