Lok Sabha Question No. 1057 (UNSTARRED), answered on 2022-07-22
Subject: Child Death due to Diarrhoea
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Supriya Sadanand Sule, Kuldeep Rai Sharma, Amol Ramsing Kolhe, DNV Senthilkumar. S., Sunil Dattatray Tatkare

## GOVERNMENT OF INDIA

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

LOK SABHA UNSTARRED QUESTION NO. 1057 TO BE ANSWERED ON 22 ND  JULY 2022

## CHILD DEATH DUE TO DIARRHOEA

1057:  SHRIMATI SUPRIYA SULE: SHRI KULDEEP RAI SHARMA: DR. AMOL RAMSING KOLHE: DR. DNV SENTHILKUMAR. S.: SHRI SUNIL DATTATRAY TATKARE:

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

- (a) whether the Government has been able to check the number of child deaths due to diarrhoea after the launch of Intensified Diarrhoea Control Fortnight (IDFC);
- (b) if so, the details thereof and if not, the reasons therefor;
- (c) the details of challenges faced by the Government in the implementation of the scheme and the steps taken to overcome these difficulties;
- (d) whether there is any improvement in the related incidence after the implementation of the scheme and if so, the details of cases reported since the launch of the Scheme, year-wise and State/UT-wise;
- (e) whether the Government has also launched Intensified Diarrhoea Control Fortnight (IDFC)2022 to attain zero child deaths due to childhood diarrhoea, if so, the details thereof; and
- (f) whether the Government is implementing any other policies/schemes to restrict child deaths due to diarrhoea and if so, the details thereof?

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

## ANSWER WELFARE

## (DR. BHARATI PRAVIN PAWAR)

(a) to (f): As  per  Cause  of  Death  Statistics  report  of  Registrar  General  India,  Under  5 Mortality due to diarrhoea reduced to 6.4% in 2015-17 in comparison to 7.5% in 2014-16.

In order to address challenges of diarrhoeal deaths, the Ministry of Health and Family Welfare (MoHFW) implements Intensified Diarrhoea Control Fortnight (IDCF) since 2014. Intensified Diarrhoea Control Fortnight (IDCF) - 2022 has been launched on 13 th June 2022. The strategies of IDCF are:

-  To  ensure  high  coverage  of  ORS  and  Zinc  use  rates  in  children  with  diarrhoea throughout the country with improved availability and use of ORS at households.
-  Facility level strengthening to manage cases of dehydration.
-  Enhanced advocacy and communication on prevention and control of diarrhoea through IEC  campaign  and  inculcating  appropriate  behaviour  in  caregivers  for  diarrhoea prevention & management.

IDCF  Program  is  implemented  in  convergence  with  Department  of  Women  and  Child Development, Department of Panchayati Raj, Department of Water and Sanitation, Department of Education, and Department of Tribal Welfare at State/ District/ sub-district level to reduce morbidity and mortality due to diarrhoea.

As per the latest National Family Health Survey (NFHS), the prevalence of diarrhoea in the 2 weeks preceding the survey in children under age 5 years is reduced from 9.2% in 2015-16 to 7.3% in 2019-21. State/ UT wise details as per NFHS is placed at annexure I.

Under the National Health Mission, Ministry of Health & Family Welfare, the following steps are taken for prevention and control of diarrhoea in children:

-  Rotavirus Vaccine (RVV) is scaled-up in the States/ UTs under Universal Immunization  programme  to  reduce  the  mortality  and  morbidity  due  to  Rotavirus diarrhoea in children.
-  Promotion of early and exclusive breastfeeding along with appropriate complementary feeding  is  carried  through  frontline  health  workers  namely  ASHA  and  ANM  at community and facility level.
-  Capacity  building  of  frontline  workers  and  medical  officers  through  the  IMNCI (Integrated  Management  of  Neonatal  and  Childhood  Illnesses)  and  FIMNCI  (Facility based Integrated Management of Neonatal and Childhood Illnesses) is carried out for management of diarrhoea.
-  Surveillance  activities  to  detect  outbreaks  of  Diarrhoea  through  Integrated  Disease Surveillance Programme (IDSP) are also carried out.

## Annexure I

| Indicators                         | Prevalence of diarrhoea in the 2 weeks preceding the survey (%) (children under age 5 years)   | Prevalence of diarrhoea in the 2 weeks preceding the survey (%) (children under age 5 years)   |
|------------------------------------|------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------|
|                                    | NFHS IV (2015-16)                                                                              | NFHS V (2019-21)                                                                               |
| India                              | 9.2                                                                                            | 7.3                                                                                            |
| Andhra Pradesh                     | 6.6                                                                                            | 7.2                                                                                            |
| Andaman and Nicobar Islands        | 5.3                                                                                            | 5.6                                                                                            |
| Arunachal Pradesh                  | 6.5                                                                                            | 5.1                                                                                            |
| Assam                              | 2.9                                                                                            | 5.5                                                                                            |
| Bihar                              | 10.4                                                                                           | 13.7                                                                                           |
| Chandigarh                         | 4.6                                                                                            | 4.3                                                                                            |
| Chhattisgarh                       | 9.1                                                                                            | 3.6                                                                                            |
| Dadra &Nagar Haveli and Daman &Diu | 4.1                                                                                            | 2.6                                                                                            |
| Goa                                | 3.8                                                                                            | 3.2                                                                                            |
| Gujarat                            | 8.4                                                                                            | 8.2                                                                                            |
| Haryana                            | 7.7                                                                                            | 4.9                                                                                            |
| Himachal Pradesh                   | 6.6                                                                                            | 4.7                                                                                            |
| Jammu and Kashmir                  | 7.6                                                                                            | 5.6                                                                                            |
| Jharkhand                          | 6.9                                                                                            | 7.2                                                                                            |
| Karnataka                          | 4.5                                                                                            | 5.3                                                                                            |
| Kerala                             | 3.4                                                                                            | 4.3                                                                                            |
| Ladakh                             | 3.1                                                                                            | 8.5                                                                                            |
| Lakshadweep                        | 6.3                                                                                            | 2.3                                                                                            |
| Madhya Pradesh                     | 9.5                                                                                            | 6.4                                                                                            |
| Maharashtra                        | 8.5                                                                                            | 8.9                                                                                            |
| Manipur                            | 5.8                                                                                            | 5.6                                                                                            |
| Meghalaya                          | 10.6                                                                                           | 10.4                                                                                           |
| Mizoram                            | 7.6                                                                                            | 4.3                                                                                            |
| Nagaland                           | 5.1                                                                                            | 3.4                                                                                            |
| NCT of Delhi                       | 9.6                                                                                            | 10.6                                                                                           |
| Odisha                             | 9.8                                                                                            | 9.7                                                                                            |
| Puducherry                         | 11.3                                                                                           | 3.7                                                                                            |
| Punjab                             | 6.6                                                                                            | 4.9                                                                                            |
| Rajasthan                          | 7.4                                                                                            | 6.1                                                                                            |
| Sikkim                             | 1.8                                                                                            | 5.5                                                                                            |
| Tamil Nadu                         | 8.0                                                                                            | 3.7                                                                                            |
| Telangana                          | 8.2                                                                                            | 7.4                                                                                            |
| Tripura                            | 4.9                                                                                            | 6.2                                                                                            |
| Uttar Pradesh                      | 15.0                                                                                           | 5.6                                                                                            |
| Uttarakhand                        | 17.0                                                                                           | 4.4                                                                                            |
| West Bengal                        | 5.9                                                                                            | 6.5                                                                                            |