Lok Sabha Question No. 1872 (UNSTARRED), answered on 2021-07-30
Subject: Child Mortality Rate
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sangamlal Kadedin Gupta, Chandra Prakash Joshi

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

## LOK SABHA UNSTARRED QUESTION NO 1872 TO BE ANSWERED ON THE 30 th JULY, 2021

## 'CHILD MORTALITY RATE'

## 1872. SHRI SANGAM LAL GUPTA: SHRI CHANDRA PRAKASH JOSHI:

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

- a) whether  the  child  mortality  rate  has  declined during the last three years;
- b) if so, the details thereof, State/UT - wise;
- c) the funds rele ased by the Government to reduce child mortality rate during the last thr and
- d) The  names  of  scheme  formulated  by  the Government in this regard?

## ANSWER

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

- ( a) and (b): As per Sample Registration System Report (SRS) of Registrar General of India, mortality rate (Under 5 Mortality Rate) has declined from 39 per 1000 live births in 2 1000 live births in 2018.

Under 5 Mortality Rate (U5MR)at National level and for Larger States/UTs covered un for last 3 years (2016 - 18) is placed at Annexure I.

- (c):The State/UT wise details of Central release under Reproductive and Child Health Fle [i ncluding  Routine  Immunization,  Pulse  Polio  Immunization  (PPI)  and  National  Iodine  De Disorders Control Programme (NIDDCP)] under National Health Mission for reducing Child mo during the last 3 years (F.Y. 2018 - 19, F.Y. 2019 - 20 and F.Y. 2020 - 21) is placed at annexure II.
- ( d) :In order to bring down child mortality, the Government of India is supporting all implementation  of  Reproductive,  Maternal,  Newborn,  Child,  Adolescent  health  and  N (RMNCAH+N) strategies under National Health Mission based on the Annual Program Implementation Plan (APIP) submitted by States/ UTs. Special steps/ interventions related of child mortality include:
- Sick Newborn Care Units (SNCUs) established at District Hospital and Medical Colle for care of sick and small babies.
- Newborn Stabilization Units (NBSUs)established at First Referral Units (FRUs)/ Co Health Centres (CHC) for care of sick and small babies
- Under Home Based Newborn Care (HBNC) and Home - Based Care of Young Children (HBYC) program,  home  visits  by  ASHAs  are  undertaken  to  improve  child  rearing  practices identify sick new - born and young children in the community for their time ly management.
- Other interventions include the following:
- Early  initiation  and  exclusive  breastfeeding  for  first  six  months  and  appropria Young Child Feeding (IYCF) practices are promoted.
- Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS) initiative has been launched for reduction of Childhood morbidity and mortality due to Pneumonia.
- Universal Immunization Programme (UIP) is being supported to provide vaccination to against  life  threatening  diseases  such  as  T uberculosis,  Diphtheria,  Pertussis,  Polio,  Tet Hepatitis B, Measles, Rubella, Pneumonia and Meningitis caused by Haemophilus Inf B. The Rotavirus vaccination has also been rolled out in the country for prevention - viral diarrhoea. Pneumo coccal Conjugate Vaccine (PCV) has been introduced in 25 States and
- Children  from  0  to  18  years  of  age  are  screened  for  30  health  conditions  (i. Diseases, Deficiencies, Defects and Developmental delay) under 'Rashtriya Bal Swasthya Karyakaram' (RBSK ) to improve child survival. District Early Intervention Center (DEIC) at di facility  level  are  established  for  confirmation  and  management  of  children  scre RBSK.
- Intensified Diarrhoea Control Fortnight / Defeat Diarrhoea (D2) initia tive has been launched for promoting ORS and Zinc use and for reducing diarrheal deaths.
- Several  capacity  building  programs  of  health  care  providers  are  undertaken  for maternal and child survival and health outcomes.

|                  |   2016 |   2017 |   2018 |
|------------------|--------|--------|--------|
| India            |     39 |     37 |     36 |
| Andhra Pradesh   |     37 |     35 |     33 |
| Assam            |     52 |     48 |     47 |
| Bihar            |     43 |     41 |     37 |
| Chhattisgarh     |     49 |     47 |     45 |
| Delhi            |     22 |     21 |     19 |
| Gujarat          |     33 |     33 |     31 |
| Haryana          |     37 |     35 |     36 |
| Himachal Pradesh |     27 |     25 |     23 |
| Jammu & Kashmir  |     26 |     24 |     23 |
| Jharkhand        |     33 |     34 |     34 |
| Karnataka        |     29 |     28 |     28 |
| Kerala           |     11 |     12 |     10 |
| Madhya Pradesh   |     55 |     55 |     56 |
| Maharashtra      |     21 |     21 |     22 |
| O disha          |     50 |     47 |     44 |
| Punjab           |     24 |     24 |     23 |
| Rajasthan        |     45 |     43 |     40 |
| Tamil Nadu       |     19 |     19 |     17 |
| Telangana        |     34 |     32 |     30 |
| Uttar Pradesh    |     47 |     46 |     47 |
| Uttarakhand      |     41 |     35 |     33 |
| West Bengal      |     27 |     26 |     26 |

| State/UT wise details of Central Release under RCH Flexible Pool (including NIIDDCP) from F.Y. 2018 - 19 to 2020 - 21   | State/UT wise details of Central Release under RCH Flexible Pool (including NIIDDCP) from F.Y. 2018 - 19 to 2020 - 21   | State/UT wise details of Central Release under RCH Flexible Pool (including NIIDDCP) from F.Y. 2018 - 19 to 2020 - 21   | State/UT wise details of Central Release under RCH Flexible Pool (including NIIDDCP) from F.Y. 2018 - 19 to 2020 - 21   | State/UT wise details of Central Release under RCH Flexible Pool (including NIIDDCP) from F.Y. 2018 - 19 to 2020 - 21   |
|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|
|                                                                                                                         |                                                                                                                         | 2018- 19                                                                                                                | 2019- 20                                                                                                                | Rs. In crore 2020- 21                                                                                                   |
| Sl. No.                                                                                                                 | States Central Release                                                                                                  | States Central Release                                                                                                  | States Central Release                                                                                                  | States Central Release                                                                                                  |
| 1                                                                                                                       | Andaman & Nicobar Islands                                                                                               | 0.88                                                                                                                    | 3.57                                                                                                                    | 5.08                                                                                                                    |
| 2                                                                                                                       | Andhra Pradesh                                                                                                          | 213.54                                                                                                                  | 200.81                                                                                                                  | 184.81                                                                                                                  |
| 3                                                                                                                       | Arunachal Pradesh                                                                                                       | 57.96                                                                                                                   | 37.85                                                                                                                   | 23.50                                                                                                                   |
| 4                                                                                                                       | Assam                                                                                                                   | 365.44                                                                                                                  | 392.07                                                                                                                  | 435.18                                                                                                                  |
| 5                                                                                                                       | Bihar                                                                                                                   | 425.87                                                                                                                  | 474.87                                                                                                                  | 628.43                                                                                                                  |
| 6                                                                                                                       | Chandigarh                                                                                                              | 3.71                                                                                                                    | 6.16                                                                                                                    | 4.73                                                                                                                    |
| 7                                                                                                                       | Chhattisgarh                                                                                                            | 182.72                                                                                                                  | 158.05                                                                                                                  | 160.88                                                                                                                  |
| 8                                                                                                                       | Dadra & Nagar Haveli                                                                                                    | 4.16                                                                                                                    | 5.68                                                                                                                    |                                                                                                                         |
| 9                                                                                                                       | Daman & Diu                                                                                                             | 1.64                                                                                                                    | 4.13                                                                                                                    | 7.01                                                                                                                    |
| 10                                                                                                                      | Delhi                                                                                                                   | 46.78                                                                                                                   | 20.23                                                                                                                   | 19.18                                                                                                                   |
| 11                                                                                                                      | Goa                                                                                                                     | 4.49                                                                                                                    | 4.98                                                                                                                    | 4.69                                                                                                                    |
| 12                                                                                                                      | Gujarat                                                                                                                 | 273.88                                                                                                                  | 219.18                                                                                                                  | 219.32                                                                                                                  |
| 13                                                                                                                      | Haryana                                                                                                                 | 111.01                                                                                                                  | 113.89                                                                                                                  | 110.96                                                                                                                  |
| 14                                                                                                                      | Himachal Pradesh                                                                                                        | 63.25                                                                                                                   | 58.74                                                                                                                   | 68.39                                                                                                                   |
| 15                                                                                                                      | Jammu & Kashmir                                                                                                         | 111.79                                                                                                                  | 120.24                                                                                                                  | 140.41                                                                                                                  |
| 16                                                                                                                      | Jharkhand                                                                                                               | 187.93                                                                                                                  | 167.87                                                                                                                  | 163.88                                                                                                                  |
| 17                                                                                                                      | Karnataka                                                                                                               | 201.92                                                                                                                  | 214.85                                                                                                                  | 220.44                                                                                                                  |
| 18                                                                                                                      | Kerala                                                                                                                  | 99.95                                                                                                                   | 88.48                                                                                                                   | 101.22                                                                                                                  |
| 19                                                                                                                      | Lakshadweep                                                                                                             | 0.77                                                                                                                    | 0.87                                                                                                                    | 0.99                                                                                                                    |
| 20                                                                                                                      | Madhya Pradesh                                                                                                          | 380.86                                                                                                                  | 396.40                                                                                                                  | 456.70                                                                                                                  |
| 21                                                                                                                      | Maharashtra                                                                                                             | 363.03                                                                                                                  | 381.34                                                                                                                  | 520.86                                                                                                                  |
| 22                                                                                                                      | Manipur                                                                                                                 | 29.63                                                                                                                   | 37.38                                                                                                                   | 29.55                                                                                                                   |
| 23                                                                                                                      | Meghalaya                                                                                                               | 39.86                                                                                                                   | 33.66                                                                                                                   | 61.17                                                                                                                   |
| 24                                                                                                                      | Mizoram                                                                                                                 | 21.38                                                                                                                   | 20.36                                                                                                                   | 28.28                                                                                                                   |
| 25                                                                                                                      | Nagaland                                                                                                                | 26.41                                                                                                                   | 23.58                                                                                                                   | 38.20                                                                                                                   |
| 26                                                                                                                      | Odisha                                                                                                                  | 221.65                                                                                                                  | 211.53                                                                                                                  | 206.43                                                                                                                  |
| 27                                                                                                                      | Puducherry                                                                                                              | 4.71                                                                                                                    | 6.12                                                                                                                    | 3.89                                                                                                                    |
| 28                                                                                                                      | Punjab                                                                                                                  | 83.50                                                                                                                   | 86.21                                                                                                                   | 90.05                                                                                                                   |
| 29                                                                                                                      | Rajasthan                                                                                                               | 375.50                                                                                                                  | 369.06                                                                                                                  | 504.58                                                                                                                  |
| 30                                                                                                                      | Sikkim                                                                                                                  | 6.10                                                                                                                    | 7.35                                                                                                                    | 13.16                                                                                                                   |
| 31                                                                                                                      | Tamil Nadu                                                                                                              | 245.80                                                                                                                  | 242.36                                                                                                                  | 256.34                                                                                                                  |
| 32                                                                                                                      | Tripura                                                                                                                 | 43.53                                                                                                                   | 44.56                                                                                                                   | 43.37                                                                                                                   |
| 33                                                                                                                      | Uttar Pradesh                                                                                                           | 865.87                                                                                                                  | 992.01                                                                                                                  | 1021.68                                                                                                                 |
| 34                                                                                                                      | Uttarakhand                                                                                                             | 77.12                                                                                                                   | 82.91                                                                                                                   | 86.25                                                                                                                   |
| 35                                                                                                                      | West Bengal                                                                                                             | 244.61                                                                                                                  | 273.38                                                                                                                  | 300.05                                                                                                                  |
| 36                                                                                                                      | Telangana                                                                                                               | 134.48                                                                                                                  | 123.22                                                                                                                  | 154.14                                                                                                                  |
| 37                                                                                                                      | Ladakh*                                                                                                                 | -                                                                                                                       | -                                                                                                                       | 19.72                                                                                                                   |
| Grand Total                                                                                                             | Grand Total                                                                                                             | 5521.72                                                                                                                 | 5623.95                                                                                                                 | 6333.51                                                                                                                 |

Note: The above releases relate to Central Govt. Grants & do not include State share contr *No separate budget allocated to Ladakh during 2018 - 19 and 2019 - 20, as the fund released for Ladakh was part of J&K during 2018 - 19 and 2019 - 20.