Lok Sabha Question No. 484 (UNSTARRED), answered on 2022-12-09
Subject: PM Surakshit Matritva Abhiyan
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sanjay Sadashivrao Mandlik, Subrata Pathak, Dharmendra Kumar Kashyap, Manoj Kumar Tiwari, Ravi Kishan Shukla, Sambhajirao Mane Dhairyasheel, Shrirang Appa Barne, Sudheer Gupta, Bidyut Baran Mahato, Prataprao  Jadhav

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

## LOK SABHA QUESTION UNSTARRED QUESTION.NO. 484

## TO BE ANSWERED ON 9 TH  DECEMBER, 2022

## PM SURAKSHIT MATRITVA ABHIYAN

## 484. SHRI SANJAY SADASHIVRAO MANDLIK:

SHRI SUBRAT PATHAK:

SHRI DHARMENDRA KASHYAP:

SHRI MANOJ TIWARI:

SHRI RAVI KISHAN:

- SHRI DHAIRYASHEEL SAMBHAJIRAO MANE:

SHRI SHRIRANG APPA BARNE:

SHRI SUDHEER GUPTA:

SHRI BIDYUT BARAN MAHATO:

SHRI PRATAPRAO JADHAV:

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

- a. whether  the  Pradhan  Mantri  Surakshit  Matritva  Abhiyan  (PMSMA),  provides  assured, comprehensive  and  quality  ante-natal  care,  free  of  cost  and  universally  to  all  pregnant women in the country and if so, the details thereof;
- b. the  fund  allocated/released/utilized  under  PMSMA  during  the  last  three  years  and  the current year, State/UT-wise;
- c. the  number  of  women  along  with  the  percentage  benefitting  under  PMSMA  since  its introduction so far, State/UT-wise including Maharashtra, Madhya Pradesh and Jharkhand;
- d. the number of care centres empanelled under PMSMA, State/UT-wise;
- e. whether  the  observations  of  the  National  Family  Health  Survey  -  5  indicates  that  the number  of  women  availing  antenatal  care  under  PMSMA  has  decreased  in  certain districts/regions  of  Maharashtra,  Madhya  Pradesh  and  Jharkhand  and  if  so,  the  details thereof along with the reasons therefor;
- f. whether the Government has conducted any study to understand/outline the inadequacies/effectiveness of PMSMA, if so, the details thereof; and
- g. whether there is an improved trend as a result of the introduction of PMSMA regarding the percentage of women having access to Government hospitals for deliveries, if so, the details thereof along with the steps taken/being taken to spread awareness among women regarding the scheme?

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

- (a) Government  of  India  launched  'Pradhan  Mantri  Surakshit  Matritva  Abhiyan' (PMSMA) with an aim to provide fixed-day, free of cost, assured, comprehensive and quality antenatal care on the 9 th day of every month universally to all pregnant women

in their 2nd / 3rd trimesters of pregnancy. Since inception, more than 3.6 crore pregnant women have received comprehensive ANC under this programme across all States and UTs.

(b) The  State/UT-wise  fund  approvals  towards  Pradhan  Mantri  Surakshit  Matritva Abhiyan (PMSMA) activities during the last three years are placed at Annexure - 1.

(c&d) The  State/UT-wise  number  of  women  benefitting  under  PMSMA  since  its introduction so far including Maharashtra, Madhya Pradesh and Jharkhand is placed at Annexure - 2.

The  State/UT-wise  number  of  care  centres  empanelled  under  PMSMA  is  placed  at Annexure- 2.

(e, f & g) As per the report of National Family Health Survey (NFHS), the percentage of mothers who had at least 4 antenatal care visits has increased from 51.2 % in NFHS4  (2015-16)  to  58.1%  in  NFHS-5  (2019-21)  and  the  percentage  of  pregnant  women with institutional births in public facility has increased from 52.1 % in NFHS-4 (201516) to 61.9% in NFHS-5 (2019-21). One of the key focus areas during Pradhan Mantri Surakshit  Matritva  Abhiyan  (PMSMA)  is  to  generate  demand  through  Information Education & Communication (IEC), Inter-personal Communication (IPC) and Behavior Change  Communication  (BCC)  activities.  Extensive  use  of  audio-visual  and  print media in raising mass awareness is an integral part of IEC/BCC campaign. Auxiliary Nurse  Midwife  (ANM),  Accredited  Social  Health  Activist  (ASHA)  and  Anganwadi Worker  (AWW)  play  a  pivotal  role  in  mobilization  of  the  community  and  potential beneficiaries in both rural and urban areas for availing of services during the PMSMA.

## State/UT wise approvals towards Pradhan Mantri Surakshit Matritva  Abhiyan (PMSMA) activities under RCH Flexible Pool under NHM from F.Y. 2019-20 to 2021-22 (in Lakhs)

|   S.N. | State/UT                             | 2019-20   | 2020-21   | 2021-22   |
|--------|--------------------------------------|-----------|-----------|-----------|
|      1 | Andaman & Nicobar Islands            | 5.00      | 3.00      | 6.33      |
|      2 | Andhra Pradesh                       | -         | -         | 31.00     |
|      3 | Arunachal Pradesh                    | 13.50     | 13.00     | 15.00     |
|      4 | Assam                                | 49.59     | 46.58     | 39.50     |
|      5 | Bihar                                | 671.72    | 500.00    | 620.82    |
|      6 | Chandigarh                           | 2.40      | 2.40      | 2.40      |
|      7 | Chhattisgarh                         | 20.00     | 14.37     | 6.10      |
|      8 | Dadra & Nagar Haveli and Daman & Diu | -         | -         | -         |
|      9 | Delhi                                | 12.00     | -         | 6.00      |
|     10 | Goa                                  | 0.37      | 0.10      | 0.10      |
|     11 | Gujarat                              | 48.50     | 54.00     | 46.50     |
|     12 | Haryana                              | 29.00     | 32.50     | 32.50     |
|     13 | Himachal Pradesh                     | -         | -         | 48.00     |
|     14 | Jammu & Kashmir                      | 38.00     | 35.00     | 22.00     |
|     15 | Jharkhand                            | 292.00    | 622.00    | 99.00     |
|     16 | Karnataka                            | 43.00     | 43.00     | 43.00     |
|     17 | Kerala                               | 18.00     | 9.00      | 7.00      |
|     18 | Ladakh                               | -         | 12.92     | 12.92     |
|     19 | Lakshadweep                          | 0.20      | 0.22      | 0.40      |
|     20 | Madhya Pradesh                       | 13.10     | 10.00     | 52.16     |
|     21 | Maharashtra                          | 34.00     | 33.55     | 34.37     |
|     22 | Manipur                              | 15.00     | 55.75     | 55.75     |
|     23 | Meghalaya                            | 7.50      | 7.50      | 7.80      |
|     24 | Mizoram                              | 3.30      | 6.60      | 7.21      |
|     25 | Nagaland                             | 1.00      | 1.58      | 1.58      |
|     26 | Orissa                               | 41.00     | 41.00     | 36.00     |
|     27 | Puducherry                           | -         | -         | 1.60      |
|     28 | Punjab                               | 25.00     | 30.00     | 5.50      |
|     29 | Rajasthan                            | 41.75     | 42.92     | 75.37     |
|     30 | Sikkim                               | 2.50      | 2.50      | 2.50      |
|     31 | Tamil Nadu                           | -         | 15.80     | 3.16      |
|     32 | Telangana                            | 6.40      | 6.40      | 9.24      |
|     33 | Tripura                              | 4.76      | 8.00      | 16.82     |
|     34 | Uttar Pradesh                        | 107.95    | 99.41     | 68.20     |
|     35 | Uttarakhand                          | 5.60      | 5.60      | 5.60      |
|     36 | West Bengal                          | 29.00     | 30.00     | 342.72    |

(As per available Financial Management Reports submitted by the States/UTs)

State/UT-wise number care centres and women benefitted under PMSMA(since inception)

|   S.No. | State                       |   Total number of pregnant women Received care under PMSMA |   Total No. of Facilities |
|---------|-----------------------------|------------------------------------------------------------|---------------------------|
|       1 | Andaman and Nicobar Islands |                                                      15521 |                        34 |
|       2 | Andhra Pradesh              |                                                    2920673 |                      1927 |
|       3 | Arunachal Pradesh           |                                                      23904 |                        48 |
|       4 | Assam                       |                                                     461602 |                       232 |
|       5 | Bihar                       |                                                    4276030 |                       591 |
|       6 | Chandigarh                  |                                                      42939 |                        14 |
|       7 | Chhattisgarh                |                                                    1181295 |                       666 |
|       8 | Dadra And Nagar Haveli      |                                                      24065 |                        12 |
|       9 | Daman And Diu               |                                                      31105 |                         8 |
|      10 | Delhi                       |                                                     426531 |                       503 |
|      11 | Goa                         |                                                      37763 |                        38 |
|      12 | Gujarat                     |                                                    2184017 |                       948 |
|      13 | Haryana                     |                                                    1380116 |                       555 |
|      14 | Himachal Pradesh            |                                                     337892 |                       774 |
|      15 | Jammu And Kashmir           |                                                     262427 |                       148 |
|      16 | Jharkhand                   |                                                     868202 |                       253 |
|      17 | Karnataka                   |                                                    1557361 |                      2100 |
|      18 | Kerala                      |                                                      40464 |                        27 |
|      19 | Lakshadweep                 |                                                       5398 |                        10 |
|      20 | Madhya Pradesh              |                                                    3350612 |                       503 |
|      21 | Maharashtra                 |                                                    2946087 |                      1434 |
|      22 | Manipur                     |                                                      58533 |                        82 |
|      23 | Meghalaya                   |                                                      95843 |                       183 |
|      24 | Mizoram                     |                                                      43841 |                        82 |
|      25 | Nagaland                    |                                                      14608 |                        45 |
|      26 | Odisha                      |                                                    1032545 |                       546 |
|      27 | Puducherry                  |                                                       7566 |                       151 |
|      28 | Punjab                      |                                                     614074 |                       317 |
|      29 | Rajasthan                   |                                                    2586638 |                      3057 |
|      30 | Sikkim                      |                                                       7932 |                         5 |
|      31 | Tamil Nadu                  |                                                    2283945 |                       878 |
|      32 | Telangana                   |                                                    1265112 |                      1026 |
|      33 | Tripura                     |                                                      48689 |                       147 |
|      34 | Uttar Pradesh               |                                                    5477839 |                       101 |
|      35 | Uttarakhand                 |                                                     122934 |                      1620 |
|      36 | West Bengal                 |                                                     615246 |                       766 |

(Source: PMSMA Portal)