Lok Sabha Question No. 854 (UNSTARRED), answered on 2021-02-05
Subject: Child Mortality Rate
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Pratima Bhoumik

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

## LOK SABHA UNSTARRED QUESTION NO. 854 TO BE ANSWERED ON 5 TH FEBRUARY, 2021

## CHILD MORTALITY RATE

## 854. MS. PRATIMA BHO UMIK:

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

(a) whether the Government maintains data with regard to the new born/child mortality rate in the country if so, the details thereof during the last five years, State/ UT - wise;

(b) the steps being taken by the Govern ment toreduce new born or child mortality rate in the country;

(c)  whether  the  Government  has  taken  any  focus/ special  steps  to  reduce  the  new  born/child mortality rate in the country including North -Eas ern States; and

(d) if so, the details thereof, Sta te/UT - wise including Tripura?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

(a):    Sample  Registration  System  (SRS)  Statistical  Report  annually  published  by  Regi General of India contains the data regarding newborn and child mortality.

Newborn and child mortality at National level and Larger States/UTs covered under SR for last 5 years (2014 - 18) are placed at Annexure 1 and 2.

(b) to (d): In order to bring down the mortality among newborn an d children, the Government of  India  is  supporting  all  States/UTs  including  North - Eastern  States  under  National  Health Mission in implementation of Reproductive, Maternal, Newborn, Child, Adolescent health Nutrition (RMNCAH+N) strategies.

Special steps / interventions related to reduction of newborn and child mortality inclu

- Sick Newborn Care Units (SNCUs) established at District Hospital and Medical Colle level for care of sick and small babies.
- Newborn  Stabilization  Units  (NBSUs)  established  at First  Referral  Units  (FRUs)/ Community Health Centres (CHC) for care of sick and small babies (Details of SNCUs and NBSUs are placed at Annexure 3).
- 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 and to identify sick new - born and young children in the community.

## Other interventions include the following:

- Early initiation and exclusive breastfeeding for first six months and appropriate t and  Young  Child  Feeding  (IYCF)  practices  are  promoted  under  Mothers'  Absolute Affection (MAA).
- Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS) initiativ has been launched for reduction of Childhood morbidity and mortality due to Pneumonia.
- Universal Immunization Programme (UIP) is being supported to provide vaccination t children  against  life  threatening  diseases  such  as  Tuberculosis,  Diphtheria,  Pe Polio,  Tetanus,  Hepatitis  B,  Measles,  Rubella,  Pneumonia  and  Meningit is  caused  by Haemophilus  Influenzae  B.  The  Rotavirus  vaccination  has  also  been  rolled  out  in country for prevention of Rota - viral diarrhoea.
- Children from 0 to 18 years of age are screened for 30 health conditions (i.e. Diseases, Deficiencies,  Defects and Developmental delay) under 'Rashtriya Bal Swasthya Karyakaram'  (RBSK)  to  improve  child  survival.  District  early  intervention  center (DEIC) at district health facility level are established for confirmation and mana of children screened under RBS K.
- Nutrition Rehabilitation Centres (NRCs) have been set up at public health facili treat  and  manage  the  children  with  Severe  Acute  Malnutrition  (SAM)  admitted  wit medical complications.
- Intensified  Diarrhoea  Control  Fortnight  /  Defeat  Diarrhoea  (D 2)  initiative  has  been launched for promoting ORS and Zinc use and for reducing diarrhoeal deaths.
- Anaemia Mukt Bharat (AMB) strategy as a part of Poshan Abhiyan aims to strengthen the  existing  mechanisms  and  foster  newer  strategies  to  tackle  anaemia  which include testing  &  treatment  of  anaemia  in  school  going  adolescents  &  pregnant  women addressing  non  nutritional  causes  of  anaemia  and  a  comprehensive  communication strategy.
- Name based tracking of mothers and children till two years of age is done through portal to ensure complete antenatal, intranatal, postnatal care and immunization schedule.
- Several capacity building programs of health care providers are undertak en for improving maternal and child survival and health outcomes.

|                  |   2014 |   2015 |   2016 |   2017 |   2018 |
|------------------|--------|--------|--------|--------|--------|
| India            |     26 |     25 |     24 |     23 |     23 |
| Andhra Pradesh   |     26 |     24 |     23 |     23 |     21 |
| Assam            |     26 |     25 |     23 |     22 |     21 |
| Bihar            |     27 |     28 |     27 |     28 |     25 |
| Chhattisgarh     |     28 |     27 |     26 |     26 |     29 |
| Delhi            |     13 |     14 |     12 |     14 |     10 |
| Gujarat          |     24 |     23 |     21 |     21 |     19 |
| Haryana          |     23 |     24 |     22 |     21 |     22 |
| Himachal Pradesh |     25 |     19 |     16 |     14 |     13 |
| Jammu & Kashmir  |     26 |     20 |     18 |     17 |     17 |
| Jharkhand        |     25 |     23 |     21 |     20 |     21 |
| Karnataka        |     20 |     19 |     18 |     18 |     16 |
| Kerala           |      6 |      6 |      6 |      5 |      5 |
| Madhya Pradesh   |     35 |     34 |     32 |     33 |     35 |
| Maharashtra      |     16 |     15 |     13 |     13 |     13 |
| O disha          |     36 |     35 |     32 |     32 |     31 |
| Punjab           |     14 |     13 |     13 |     13 |     13 |
| Rajasthan        |     32 |     30 |     28 |     27 |     26 |
| Tamil Nadu       |     14 |     14 |     12 |     11 |     10 |
| Telangana        |     25 |     23 |     21 |     20 |     19 |
| Uttar Pradesh    |     32 |     31 |     30 |     30 |     32 |
| Uttarakhand      |     26 |     28 |     30 |     24 |     22 |
| West Bengal      |     19 |     18 |     17 |     17 |     16 |

| Status of Under 5 Mortality Rate at National level and Larger UTs   |   Status of Under 5 Mortality Rate at National level and Larger UTs |   Status of Under 5 Mortality Rate at National level and Larger UTs |   Status of Under 5 Mortality Rate at National level and Larger UTs |   Status of Under 5 Mortality Rate at National level and Larger UTs |   Status of Under 5 Mortality Rate at National level and Larger UTs |
|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|
|                                                                     |                                                                2014 |                                                                2015 |                                                                2016 |                                                                2017 |                                                                2018 |
| India                                                               |                                                                  45 |                                                                  43 |                                                                  39 |                                                                  37 |                                                                  36 |
| Andhra Pradesh                                                      |                                                                  40 |                                                                  39 |                                                                  37 |                                                                  35 |                                                                  33 |
| Assam                                                               |                                                                  66 |                                                                  62 |                                                                  52 |                                                                  48 |                                                                  47 |
| Bihar                                                               |                                                                  53 |                                                                  48 |                                                                  43 |                                                                  41 |                                                                  37 |
| Chhattisgarh                                                        |                                                                  49 |                                                                  48 |                                                                  49 |                                                                  47 |                                                                  45 |
| Delhi                                                               |                                                                  21 |                                                                  20 |                                                                  22 |                                                                  21 |                                                                  19 |
| Gujarat                                                             |                                                                  41 |                                                                  39 |                                                                  33 |                                                                  33 |                                                                  31 |
| Haryana                                                             |                                                                  40 |                                                                  43 |                                                                  37 |                                                                  35 |                                                                  36 |
| Himachal Pradesh                                                    |                                                                  36 |                                                                  33 |                                                                  27 |                                                                  25 |                                                                  23 |
| Jammu & Kashmir                                                     |                                                                  35 |                                                                  28 |                                                                  26 |                                                                  24 |                                                                  23 |
| Jharkhand                                                           |                                                                  44 |                                                                  39 |                                                                  33 |                                                                  34 |                                                                  34 |
| Karnataka                                                           |                                                                  31 |                                                                  31 |                                                                  29 |                                                                  28 |                                                                  28 |
| Kerala                                                              |                                                                  13 |                                                                  13 |                                                                  11 |                                                                  12 |                                                                  10 |
| Madhya Pradesh                                                      |                                                                  65 |                                                                  62 |                                                                  55 |                                                                  55 |                                                                  56 |
| Maharashtra                                                         |                                                                  23 |                                                                  24 |                                                                  21 |                                                                  21 |                                                                  22 |
| O disha                                                             |                                                                  60 |                                                                  56 |                                                                  50 |                                                                  47 |                                                                  44 |
| Punjab                                                              |                                                                  27 |                                                                  27 |                                                                  24 |                                                                  24 |                                                                  23 |
| Rajasthan                                                           |                                                                  51 |                                                                  50 |                                                                  45 |                                                                  43 |                                                                  40 |
| Tamil Nadu                                                          |                                                                  21 |                                                                  20 |                                                                  19 |                                                                  19 |                                                                  17 |
| Telangana                                                           |                                                                  37 |                                                                  34 |                                                                  34 |                                                                  32 |                                                                  30 |
| Uttar Pradesh                                                       |                                                                  57 |                                                                  51 |                                                                  47 |                                                                  46 |                                                                  47 |
| Uttarakhand                                                         |                                                                  36 |                                                                  38 |                                                                  41 |                                                                  35 |                                                                  33 |
| West Bengal                                                         |                                                                  30 |                                                                  30 |                                                                  27 |                                                                  26 |                                                                  26 |

| Details of New Born Care Units supported under National Health Mission   | Details of New Born Care Units supported under National Health Mission   | Details of New Born Care Units supported under National Health Mission   | Details of New Born Care Units supported under National Health Mission   |
|--------------------------------------------------------------------------|--------------------------------------------------------------------------|--------------------------------------------------------------------------|--------------------------------------------------------------------------|
| Sr. No                                                                   |                                                                          | No. of Special Newborn Care Units ( SNCUs )                              | No. of Newborn Stabilization Units ( NBSUs )                             |
| 1                                                                        | Bihar                                                                    | 43                                                                       | 41                                                                       |
| 2                                                                        | Chhattisgarh                                                             | 23                                                                       | 134                                                                      |
| 3                                                                        | Himachal Pradesh                                                         | 16                                                                       | 49                                                                       |
| 4                                                                        | Jharkhand                                                                | 19                                                                       | 27                                                                       |
| 5                                                                        | Madhya Pradesh                                                           | 54                                                                       | 62                                                                       |
| 6                                                                        | Odisha                                                                   | 40                                                                       | 45                                                                       |
| 7                                                                        | Rajasthan                                                                | 59                                                                       | 286                                                                      |
| 8                                                                        | Uttar Pradesh                                                            | 82                                                                       | 237                                                                      |
| 9                                                                        | Uttarakhand                                                              | 5                                                                        | 47                                                                       |
| 10                                                                       | Arunachal Pradesh                                                        | 5                                                                        | 12                                                                       |
| 11                                                                       | Assam                                                                    | 28                                                                       | 196                                                                      |
| 12                                                                       | Manipur                                                                  | 5                                                                        | 4                                                                        |
| 13                                                                       | Meghalaya                                                                | 5                                                                        | 17                                                                       |
| 14                                                                       | Mizoram                                                                  | 5                                                                        | 3                                                                        |
| 15                                                                       | Nagaland                                                                 | 3                                                                        | 16                                                                       |
| 16                                                                       | Sikkim                                                                   | 2                                                                        | 3                                                                        |
| 17                                                                       | Tripura                                                                  | 6                                                                        | 7                                                                        |
| 18                                                                       | Andhra Pradesh                                                           | 48                                                                       | 117                                                                      |
| 19                                                                       | Goa                                                                      | 3                                                                        | 1                                                                        |
| 20                                                                       | Gujarat                                                                  | 47                                                                       | 150                                                                      |
| 21                                                                       | Haryana                                                                  | 26                                                                       | 66                                                                       |
| 22                                                                       | Karnataka                                                                | 42                                                                       | 176                                                                      |
| 23                                                                       | Kerala                                                                   | 17                                                                       | 61                                                                       |
| 24                                                                       | Maharashtra                                                              | 52                                                                       | 179                                                                      |
| 25                                                                       | Punjab                                                                   | 24                                                                       | 59                                                                       |
| 27                                                                       | Tamil Nadu                                                               | 73                                                                       | 147                                                                      |
| 26                                                                       | Telangana                                                                | 29                                                                       | 46                                                                       |
| 28                                                                       | West Bengal                                                              | 69                                                                       | 307                                                                      |
| 29                                                                       | A & N Islands                                                            | 1                                                                        | 6                                                                        |
| 30                                                                       | Chandigarh                                                               | 3                                                                        | 3                                                                        |
| 31                                                                       | Dadra & Nagar Haveli and Daman & Diu                                     | 2                                                                        | 2                                                                        |
| 32                                                                       | Delhi                                                                    | 20                                                                       | 0                                                                        |
| 33                                                                       | Jammu & Kashmir                                                          | 30                                                                       | 64                                                                       |
| 34                                                                       | Ladakh                                                                   | 2                                                                        | 3                                                                        |
| 35                                                                       | Lakshadweep                                                              | 2                                                                        | 0                                                                        |
| 36                                                                       | Puducherry                                                               | 4                                                                        | 6                                                                        |
|                                                                          | India Total                                                              | 894                                                                      | 2579                                                                     |