Lok Sabha Question No. 3731 (UNSTARRED), answered on 2022-03-25
Subject: Changing Biomarkers for Anaemia Detection
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Achyutananda Samanta, Reddeppa Nallakonda Gari

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

## LOK SABHA UNSTARRED QUESTION NO 3731 TO BE ANSWERED ON THE 25 th  MARCH, 2022

## CHANGING BIOMARKERS FOR ANAEMIA DETECTION

## 3731. SHRI ACHYUTANANDA SAMANTA: SHRI N. REDDEPPA:

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

- a) whether the Government is planning on changing the biomarkers for determination of anaemia in the country, if so, the details thereof;
- b) whether the Government proposes to revise the goals to reduce anaemia among children to 40 percent, pregnant women to 32 percent and lactating women to 40 percent by 2022 under Anaemia Mukt Bharat (AMB) Scheme as per the estimates of the NFHS, if so, the details thereof and if not, the reasons therefor; and
- c) the details of the funds allocated for AMB since 2018?

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

(a) to (c) The standard biomarker for estimation of anaemia is haemoglobin. Under the Prime Minister's  Overarching  Scheme  for  Holistic  Nourishment  (POSHAN)  Abhiyaan,  the Government  of  India  has  launched  the  Anemia  Mukt  Bharat  (AMB)  strategy  in  2018  to reduce the prevalence of anemia by 3 percentage points per year. The details on budgetary allocation for activities towards the reduction of anemia under AMB since 2018 are placed at Annexure.

## Annexure

| State/UT- wise Approvals towards Anaemia under NHMfrom F.Y. 2018-19 to 2021-22   | State/UT- wise Approvals towards Anaemia under NHMfrom F.Y. 2018-19 to 2021-22   | State/UT- wise Approvals towards Anaemia under NHMfrom F.Y. 2018-19 to 2021-22   | State/UT- wise Approvals towards Anaemia under NHMfrom F.Y. 2018-19 to 2021-22   | State/UT- wise Approvals towards Anaemia under NHMfrom F.Y. 2018-19 to 2021-22   | State/UT- wise Approvals towards Anaemia under NHMfrom F.Y. 2018-19 to 2021-22   |
|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|
|                                                                                  |                                                                                  |                                                                                  |                                                                                  |                                                                                  | (Rs. In Lakhs)                                                                   |
| S.No.                                                                            | State/UT                                                                         | 2018-19                                                                          | 2019-20                                                                          | 2020-21                                                                          | 2021-22                                                                          |
| 1                                                                                | Andaman &Nicobar Islands                                                         | 7.63                                                                             | 13.54                                                                            | 8.20                                                                             | 4.45                                                                             |
| 2                                                                                | Andhra Pradesh                                                                   | 1909.56                                                                          | 1168.49                                                                          | 1714.08                                                                          | 2018.16                                                                          |
| 3                                                                                | Arunachal Pradesh                                                                | 380.94                                                                           | 113.94                                                                           | 210.83                                                                           | 28.85                                                                            |
| 4                                                                                | Assam                                                                            | 522.98                                                                           | 1004.33                                                                          | 1357.25                                                                          | 11360.33                                                                         |
| 5                                                                                | Bihar                                                                            | 4328.28                                                                          | 5438.62                                                                          | 2191.44                                                                          | 4078.28                                                                          |
| 6                                                                                | Chandigarh                                                                       | 0.75                                                                             | 0.03                                                                             | 0.00                                                                             | 0.50                                                                             |
| 7                                                                                | Chhattisgarh                                                                     | 2034.69                                                                          | 1472.83                                                                          | 2226.69                                                                          | 2762.19                                                                          |
| 8                                                                                | Dadra &Nagar Haveli                                                              | 20.10                                                                            | 11.97                                                                            | 6.41                                                                             | 6.57                                                                             |
| 9                                                                                | Daman &Diu                                                                       | 12.45                                                                            | 15.32                                                                            |                                                                                  |                                                                                  |
| 10                                                                               | Delhi                                                                            | 129.98                                                                           | 753.70                                                                           | 435.01                                                                           | 365.95                                                                           |
| 11                                                                               | Goa                                                                              | 54.54                                                                            | 68.71                                                                            | 61.70                                                                            | 816.29                                                                           |
| 12                                                                               | Gujarat                                                                          | 1193.48                                                                          | 1238.39                                                                          | 666.53                                                                           | 4252.93                                                                          |
| 13                                                                               | Haryana                                                                          | 347.22                                                                           | 415.24                                                                           | 1284.59                                                                          | 13.65                                                                            |
| 14                                                                               | Himachal Pradesh                                                                 | 243.64                                                                           | 218.84                                                                           | 470.42                                                                           | 6510.00                                                                          |
| 15                                                                               | Jammu &Kashmir                                                                   | 715.94                                                                           | 1059.22                                                                          | 1383.94                                                                          | 2236.78                                                                          |
| 16                                                                               | Jharkhand                                                                        | 1638.75                                                                          | 1943.29                                                                          | 1860.73                                                                          | 3204.63                                                                          |
| 17                                                                               | Karnataka                                                                        | 1309.12                                                                          | 1801.48                                                                          | 1678.06                                                                          | 13289.90                                                                         |
| 18                                                                               | Kerala                                                                           | 658.74                                                                           | 818.27                                                                           | 697.55                                                                           | 20103.00                                                                         |
| 19                                                                               | Ladakh                                                                           | -                                                                                | -                                                                                | 60.05                                                                            | 60.50                                                                            |
| 20                                                                               | Lakshadweep                                                                      | 2.09                                                                             | 1.84                                                                             | 11.15                                                                            | 38.85                                                                            |
| 21                                                                               | Madhya Pradesh                                                                   | 2805.58                                                                          | 2647.75                                                                          | 3298.34                                                                          | 10350.21                                                                         |
| 22                                                                               | Maharashtra                                                                      | 3569.79                                                                          | 6516.12                                                                          | 5146.24                                                                          | 29607.98                                                                         |
| 23                                                                               | Manipur                                                                          | 56.73                                                                            | 163.75                                                                           | 262.61                                                                           | 21.73                                                                            |
| 24                                                                               | Meghalaya                                                                        | 175.83                                                                           | 320.84                                                                           | 147.43                                                                           | 100.10                                                                           |
| 25                                                                               | Mizoram                                                                          | 45.25                                                                            | 47.72                                                                            | 10.30                                                                            | 381.54                                                                           |
| 26                                                                               | Nagaland                                                                         | 24.06                                                                            | 47.67                                                                            | 103.09                                                                           | 686.88                                                                           |
| 27                                                                               | Odisha                                                                           | 1995.41                                                                          | 1032.88                                                                          | 410.30                                                                           | 384.71                                                                           |
| 28                                                                               | Puducherry                                                                       | 74.52                                                                            | 81.01                                                                            | 76.17                                                                            | 54.22                                                                            |
| 29                                                                               | Punjab                                                                           | 1203.37                                                                          | 1712.28                                                                          | 1701.08                                                                          | 4744.00                                                                          |
| 30                                                                               | Rajasthan                                                                        | 986.03                                                                           | 3410.38                                                                          | 2630.58                                                                          | 60348.00                                                                         |
| 31                                                                               | Sikkim                                                                           | 37.56                                                                            | 25.22                                                                            | 17.81                                                                            | 344.10                                                                           |
| 32                                                                               | Tamil Nadu                                                                       | 1782.80                                                                          | 2264.39                                                                          | 3951.63                                                                          | 13125.48                                                                         |
| 33                                                                               | Telangana                                                                        | 1126.25                                                                          | 935.89                                                                           | 3831.67                                                                          | 1161.00                                                                          |

|   34 | Tripura       |   168.28 |   131.50 |   178.56 |   200.50 |
|------|---------------|----------|----------|----------|----------|
|   35 | Uttar Pradesh |  4019.66 |  7169.72 |  5320.09 | 17379.5  |
|   36 | Uttarakhand   |   307.95 |   303.9  |   651.6  |  2285.91 |
|   37 | West Bengal   |   911.56 |  3818.02 |  4599.95 |  8043.6  |

Note:

1. The above data is as per available FMRs as submitted by States/UTs.

2. The above data comprises of follow up mechanism for the severely anaemic women and the women with blood disorders, one day orientation of frontline workers (ASHA/ANM) and allied department workers (Teachers/AWW) on Anaemia Mukt Bharat strategy as per RCH training norms,  IFA  syrups  (with  auto  dispenser)  for  children  (6-60months),  IFA  tablets    (IFA  WIFS junior tablets- pink sugar coated) for children (5-10 yrs), IFA tablets for non-pregnant & nonlactating  women  in  reproductive  age  (20-49 years), orientation activities  on  vitamin  A supplementation and Anaemia Mukt Bharat Programme, printing for Micronutrient Supplementation  Programme  including  IEC  materials,  reporting  formats,  guidelines  /  training materials etc. (for AMB and Vitamin A supplementation programmes), etc.

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