Lok Sabha Question No. 5023 (UNSTARRED), answered on 2023-03-31
Subject: Anemic Women
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Bhartruhari Mahtab

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

## LOK SABHA UNSTARRED QUESTION NO. 5023 TO BE ANSWERED ON 31 ST  MARCH, 2023

## ANEMIC WOMEN

## 5023. SHRI BHARTRUHARI MAHTAB:

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

- (a) whether the Government is aware of the increase in rate of Anemic women in the age group of 15-49 from 53.1% to 57% in NFHS-4 to NFHS5 data;
- (b) if so, the details of the measures taken/being taken to address the problem;
- (c) the steps taken/being taken to address the peculiar challenge in Odisha where this rate is particularly higher i.e. 64.3% in NFHS-5 from 51% in NFHS-4; and
- (d) the details of efficacy and outcomes of Anemia Mukt Bharat during the last five years and the current year, State/UT-wise?

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

(a) to (c)

The prevalence of anaemia in women (15-49 years) across the country is 57.0 percent as per National Family Health Survey 5 (NFHS-5, 2019-21) and 53.1 percent as per NFHS-4 (201516).  In 2018, the Government launched the Anaemia Mukt Bharat (AMB) strategy to reduce prevalence of anaemia in women, children and adolescents through life cycle approach. The 6X6X6  strategy  aims  to  reduce  anaemia  among  six  beneficiaries  age  groups  through implementation of six interventions of prophylactic Iron Folic Acid Supplementation; Periodic deworming;  year  round  Social  Behaviour  Change  Communication  (SBCC)  campaign  for improving  compliance  to Iron  Folic  Acid  supplementation  and  deworming;  enhancing appropriate infant and young child feeding practices, encouraging increase in intake of iron-rich food through diet diversity, fortified foods with focus on harnessing locally available resources; haemoglobin estimation using Digital Invasive Haemoglobinometer and treatment of anaemia; addressing non-nutritional causes of anaemia via robust institutional mechanisms.

The State of Odisha has launched State specific campaign 'Anaemia Mukt Laqshya Abhiyan' (AMLAN) in line with the GOI guidelines to address the challenge of anaemia with focussed on activities such as testing of beneficiaries (Children 6-59 months, out-of school adolescent girls 10-19 years, Women of reproductive age 20-24 years, pregnant women and lactating mothers) for haemoglobin estimation at Village Health Sanitation and Nutrition Day (VHSND)/ Urban Health Sanitation and Nutrition Day (UHSND); haemoglobin estimation of all students class 1 to class 12 in schools; haemoglobin estimation of left out beneficiaries at Test, Treat and Talk (T3) camps; administration of therapeutic dose to those diagnosed anaemic and referral to higher centres as per management protocol; counselling and follow-up services.

(d)

The State/UT wise details on outcome of Anaemia Mukt Bharat is at Annexure.

*****

Annexure State / UT-wise Anaemia Prevalence in children and women as per National Family

## Health Survey [NFHS-4 (2015-16) & NFHS-5 (2019-21)]

| S.No .   | States/UTs        | Children age 6- 59 months who are anaemic (%)   | Children age 6- 59 months who are anaemic (%)   | All women age 15-19 years who are anaemic (%)   | All women age 15-19 years who are anaemic (%)   | Pregnant women age 15-49 years who are anaemic (%)   | Pregnant women age 15-49 years who are anaemic (%)   | All women age 15-49 years who are anaemic (%)   | All women age 15-49 years who are anaemic (%)   |
|----------|-------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|------------------------------------------------------|------------------------------------------------------|-------------------------------------------------|-------------------------------------------------|
| S.No .   | Round             | NFHS 4                                          | NFHS 5                                          | NFHS 4                                          | NFHS 5                                          | NFHS 4                                               | NFHS 5                                               | NFHS 4                                          | NFHS 5                                          |
| 1        | Andhra Pradesh    | 58.6                                            | 63.2                                            | 61.1                                            | 60.1                                            | 52.9                                                 | 53.7                                                 | 60.0                                            | 58.8                                            |
| 2        | A &NIslands       | 49.0                                            | 40.0                                            | 68.1                                            | 44.9                                            | 61.4                                                 | 53.7                                                 | 65.7                                            | 57.5                                            |
| 3        | Arunachal Pradesh | 54.2                                            | 56.6                                            | 48.2                                            | 48.5                                            | 37.8                                                 | 27.9                                                 | 43.2                                            | 40.3                                            |
| 4        | Assam             | 35.7                                            | 68.4                                            | 42.7                                            | 67.0                                            | 44.8                                                 | 54.2                                                 | 46.0                                            | 65.9                                            |
| 5        | Bihar             | 63.5                                            | 69.4                                            | 61.0                                            | 65.7                                            | 58.3                                                 | 63.1                                                 | 60.3                                            | 63.5                                            |
| 6        | Chandigarh        | 73.1                                            | 54.6                                            | 74.7                                            | 57.7                                            | *                                                    | *                                                    | 75.9                                            | 60.3                                            |
| 7        | Chhattisgarh      | 41.6                                            | 67.2                                            | 45.5                                            | 61.4                                            | 41.5                                                 | 51.8                                                 | 47.0                                            | 60.8                                            |
| 8        | Delhi             | 59.7                                            | 69.2                                            | 55.1                                            | 51.6                                            | 46.1                                                 | 42.2                                                 | 54.3                                            | 49.9                                            |
| 9        | DND&DD            | 82.0                                            | 75.8                                            | 75.9                                            | 63.9                                            | 62.3                                                 | 60.7                                                 | 72.9                                            | 62.5                                            |
| 10       | Goa               | 48.3                                            | 53.2                                            | 30.5                                            | 44.5                                            | 26.7                                                 | 41.0                                                 | 31.3                                            | 39.0                                            |
| 11       | Gujarat           | 62.6                                            | 79.7                                            | 56.5                                            | 69.0                                            | 51.3                                                 | 62.6                                                 | 54.9                                            | 65.0                                            |
| 12       | Haryana           | 71.7                                            | 70.4                                            | 62.7                                            | 62.3                                            | 55.0                                                 | 56.5                                                 | 62.7                                            | 60.4                                            |
| 13       | Himachal Pradesh  | 53.7                                            | 55.4                                            | 52.7                                            | 53.2                                            | 50.4                                                 | 42.2                                                 | 53.5                                            | 53.0                                            |
| 14       | Jammu &Kashmir    | 53.8                                            | 72.7                                            | 49.9                                            | 76.2                                            | 46.9                                                 | 44.1                                                 | 48.9                                            | 65.9                                            |
| 15       | Jharkhand         | 69.9                                            | 67.5                                            | 65.0                                            | 65.8                                            | 62.6                                                 | 56.8                                                 | 65.2                                            | 65.3                                            |
| 16       | Karnataka         | 60.9                                            | 65.5                                            | 45.3                                            | 49.4                                            | 45.4                                                 | 45.7                                                 | 44.8                                            | 47.8                                            |
| 17       | Kerala            | 35.7                                            | 39.4                                            | 37.8                                            | 32.5                                            | 22.6                                                 | 31.4                                                 | 34.3                                            | 36.3                                            |
| 18       | Ladakh            | 91.4                                            | 92.5                                            | 81.6                                            | 96.9                                            | 79.3                                                 | 78.1                                                 | 78.4                                            | 92.8                                            |
| 19       | Lakshadweep       | 53.6                                            | 43.1                                            | 59.0                                            | 31.4                                            | 39.0                                                 | 20.9                                                 | 46.0                                            | 25.8                                            |
| 20       | Madhya Pradesh    | 68.9                                            | 72.7                                            | 53.2                                            | 58.1                                            | 54.6                                                 | 52.9                                                 | 52.5                                            | 54.7                                            |
| 21       | Maharashtra       | 53.8                                            | 68.9                                            | 49.7                                            | 57.2                                            | 49.3                                                 | 45.7                                                 | 48.0                                            | 54.2                                            |
| 22       | Manipur           | 23.9                                            | 42.8                                            | 21.1                                            | 27.9                                            | 26.0                                                 | 32.4                                                 | 26.4                                            | 29.4                                            |
| 23       | Meghalaya         | 48.0                                            | 45.1                                            | 52.1                                            | 52.5                                            | 53.3                                                 | 45.0                                                 | 56.2                                            | 53.8                                            |
| 24       | Mizoram           | 19.3                                            | 46.4                                            | 21.3                                            | 34.9                                            | 27.0                                                 | 34.0                                                 | 24.8                                            | 34.8                                            |
| 25       | Nagaland          | 26.4                                            | 42.7                                            | 26.3                                            | 33.9                                            | 32.7                                                 | 22.2                                                 | 27.9                                            | 28.9                                            |
| 26       | Odisha            | 44.6                                            | 64.2                                            | 51.0                                            | 65.5                                            | 47.6                                                 | 61.8                                                 | 51.0                                            | 64.3                                            |
| 27       | Puducherry        | 44.9                                            | 64.0                                            | 55.0                                            | 58.4                                            | 26.0                                                 | 42.5                                                 | 52.4                                            | 55.1                                            |
| 28       | Punjab            | 56.6                                            | 71.1                                            | 58.0                                            | 60.3                                            | 42.0                                                 | 51.7                                                 | 53.5                                            | 58.7                                            |
| 29       | Rajasthan         | 60.3                                            | 71.5                                            | 49.1                                            | 59.4                                            | 46.6                                                 | 46.3                                                 | 46.8                                            | 54.4                                            |
| 30       | Sikkim            | 55.1                                            | 56.4                                            | 48.7                                            | 46.7                                            | 23.6                                                 | 40.7                                                 | 34.9                                            | 42.1                                            |
| 31       | Tamil Nadu        | 50.7                                            | 57.4                                            | 54.2                                            | 52.9                                            | 44.4                                                 | 48.3                                                 | 55.0                                            | 53.4                                            |
| 32       | Telangana         | 60.7                                            | 70.0                                            | 59.7                                            | 64.7                                            | 48.2                                                 | 53.2                                                 | 56.6                                            | 57.6                                            |
| 33       | Tripura           | 48.3                                            | 64.3                                            | 52.2                                            | 67.9                                            | 54.4                                                 | 61.5                                                 | 54.5                                            | 67.2                                            |
| 34       | Uttar Pradesh     | 63.2                                            | 66.4                                            | 53.7                                            | 52.9                                            | 51.0                                                 | 45.9                                                 | 52.4                                            | 50.4                                            |
| 35       | Uttarakhand       | 59.8                                            | 58.8                                            | 46.4                                            | 40.9                                            | 46.5                                                 | 46.4                                                 | 45.2                                            | 42.6                                            |
| 36       | West Bengal       | 54.2                                            | 69.0                                            | 62.2                                            | 70.8                                            | 53.6                                                 | 62.3                                                 | 62.5                                            | 71.4                                            |