Lok Sabha Question No. 829 (UNSTARRED), answered on 2024-11-29
Subject: Rashtriya Bal Swasthya Karyakram
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Sukanta Kumar Panigrahi

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 829 TO BE ANSWERED ON 29 TH NOVEMBER 2024

## RASHTRIYABALSWASTHYAKARYAKRAM

## 829: SHRI. SUKANTA KUMAR PANIGRAHI:

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

- (a) whether the Government is implementing Rashtriya Bal Swasthya Karyakram in the country;
- (b) if so, the details thereof along with the achievement made since its inception, year-wise;
- (c) whether any evaluation has been done of the said scheme through social audit, if so, the details thereof;
- (d) the number of children covered under the said scheme since the inception including the funds allocated/utilized during the last three years in the State of Odisha particularly in Kandhamal Parliamentary Constituency area, year- wise;
- (e) whether the Government contemplates to set up advance diagnostic centres in Central Government Hospitals/Medical Centres for early diagnosis and treatment of pre-natal hereditary and other diseases; and
- (f) if so, the details along with the funds allocated for this purpose thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYAPATEL)

- a) Ministry of Health and Family Welfare (MoHFW) implements Rashtriya Bal Swasthaya Karyakram (RBSK) in all States/UTs under National Health Mission (NHM) for children in the age group 0-18 years in Anganwadi centres, Government and Government aided schools with the objective of early identification and management for 32 selected health conditions -4 D's i.e. Defects at Birth, Developmental delays, Diseases and Deficiencies.
- b) As reported by States/UTs, 160.84 crore children have been screened, 11.90 crore children have been identified with selected health conditions and 5.63 crore children

have been provided secondary/tertiary care from FY 2014-15 till FY 2023-24 under RBSK. State/UT wise details is placed at Annexure-I.

- c) The RBSK Program is evaluated under NHM through review of quarterly reports, field visits and periodic meetings with State Nodal Officers, reviews during the process of Annual Programme Implementation Plans (APIP) and Common Review Missions (CRM).
- d) The technical and financial support is provided to the States/UTs under the NHM for infrastructure, essential equipment and required human resources at District Early Intervention centres (DEICs) including capacity building for comprehensive management of selected health conditions.

The details of the budget allocation and utilization for RBSK for the State of Odisha is placed at Annexure-II.

- e) &(f)

As reported by the Department of Biotechnology, Unique Methods for Management of Inherited Disorders (UMMID) initiative was started by them to address the burden of genetic disorders in the country. One of the components of the UMMID initiative is establishing NIDAN Kendras (National Inherited Disorders Administration Kendras) for providing clinical care broadly encompassing the activities of prenatal testing for genetic disorders, newborn screening for relatively common treatable genetic metabolic disorders, and genetic counseling of pregnant mothers carrying fetuses with high risk of genetic disorders. Under this initiative, 26 NIDAN Kendras have been established at Government hospitals spread in 15 States/UTs of the country. The total amount allocated for the DBT-UMMID-NIDAN Kendras Initiative is approx. Rs.47.65 Crores.

## Annexure referred in reply to part (b) of Lok Sabha US Question No. 829 for answer on 29.11.2024

## Children screened under Rashtriya Bal Swasthaya Karyakram (RBSK) as reported by State/UTs

(Number in Lakhs)

| States/UTs          | 2014- 15   | 2015- 16   | 2016- 17   | 2017- 18   | 2018- 19   | 2019- 20   | 2020- 21   | 2021- 22   | 2022- 23   | 2023- 24   |
|---------------------|------------|------------|------------|------------|------------|------------|------------|------------|------------|------------|
| Andaman &Nicobar    | 0.2        | 0.1        | 0.2        | 0.3        | 0.3        | 0.3        | 0.0        | 0.1        | 0.2        | 0.3        |
| Andhra Pradesh      | 3.8        | 15.2       | 71.4       | 74.2       | 48.6       | 61.3       | 4.4        | 7.2        | 6.1        | 15.8       |
| Arunachal Pradesh   | 2.3        | 3.3        | 2.7        | 4.8        | 2.2        | 1.9        | 0.0        | 1.2        | 1.5        | 3.0        |
| Assam               | 29.4       | 48.7       | 63.2       | 68.1       | 75.9       | 73.0       | 18.4       | 30.3       | 74.4       | 80.7       |
| Bihar               | 0.6        | 287.3      | 144.5      | 122.9      | 143.9      | 158.0      | 0.0        | 0.0        | 92.1       | 127.8      |
| Chandigarh          | 2.2        | 4.1        | 2.0        | 1.7        | 2.4        | 2.4        | 0.0        | 0.6        | 1.5        | 1.8        |
| Chhattisgarh        | 0.6        | 51.1       | 59.7       | 55.6       | 56.9       | 56.6       | 0.0        | 18.8       | 32.8       | 61.6       |
| Dadra &Nagar Haveli | 0.9        | 1.0        | 0.9        | 1.2        | 1.2        | 1.5        | 0.0        | 1.3        | 0.6        | 0.7        |
| Daman and Diu       | 0.4        | 0.3        | 0.4        | 0.4        | 0.4        | 0.4        |            |            |            |            |
| *Delhi              | -          | -          | -          | -          | -          | -          | -          | -          | -          | -          |
| Goa                 | 2.2        | 2.3        | 3.2        | 4.2        | 5.0        | 4.6        | 0.0        | 0.0        | 4.2        | 4.2        |
| Gujarat             | 123.4      | 164.0      | 196.1      | 245.6      | 115.5      | 180.5      | 0.0        | 75.3       | 198.3      | 195.1      |
| Haryana             | 28.4       | 34.6       | 34.0       | 31.2       | 33.1       | 35.4       | 5.8        | 16.7       | 38.4       | 44.2       |
| Himachal Pradesh    | 9.0        | 1.9        | 10.6       | 11.1       | 9.3        | 10.4       | 0.0        | 0.0        | 3.0        | 10.9       |
| Jammu &Kashmir      | 15.3       | 22.1       | 21.6       | 23.8       | 23.8       | 19.7       | 0.0        | 1.9        | 23.5       | 25.3       |
| Jharkhand           | 0.1        | 5.9        | 15.5       | 17.7       | 41.2       | 61.0       | 0.0        | 12.7       | 47.6       | 70.6       |
| Karnataka           | 92.0       | 120.8      | 118.5      | 127.9      | 133.1      | 125.4      | 92.8       | 99.4       | 128.3      | 126.6      |
| Kerala              | 36.5       | 38.9       | 42.9       | 33.8       | 40.1       | 49.5       | 0.0        | 0.5        | 16.8       | 27.5       |
| Ladakh              |            |            |            |            |            | 0.7        | 0.0        | 0.1        | 1.0        | 0.9        |
| **Lakshadweep       | -          | -          | -          | -          | -          | -          | -          | -          | -          | 0.1        |
| Madhya Pradesh      | 90.8       | 136.1      | 108.8      | 91.3       | 87.3       | 79.2       | 22.2       | 89.8       | 140.8      | 139.1      |
| Maharashtra         | 193.4      | 317.2      | 258.1      | 247.8      | 229.8      | 240.4      | 28.4       | 158.6      | 247.3      | 254.7      |
| Manipur             | 0.8        | 2.7        | 1.6        | 1.7        | 1.7        | 1.9        | 0.0        | 0.0        | 2.4        | 2.9        |
| Meghalaya           | 0.4        | 4.1        | 5.8        | 9.0        | 11.9       | 10.8       | 0.7        | 3.3        | 8.6        | 9.2        |
| Mizoram             | 2.5        | 3.7        | 2.5        | 2.7        | 2.4        | 2.8        | 0.0        | 0.4        | 3.2        | 3.6        |
| Nagaland            | 0.4        | 1.6        | 2.2        | 2.2        | 1.8        | 1.9        | 0.1        | 0.6        | 1.3        | 1.6        |
| Odisha              | 49.0       | 46.4       | 95.8       | 102.1      | 83.6       | 99.4       | 13.2       | 40.5       | 122.3      | 122.2      |
| Puducherry          | 1.3        | 1.6        | 1.8        | 1.8        | 1.8        | 2.1        | 0.0        | 1.7        | 2.4        | 2.0        |
| Punjab              | 29.1       | 32.4       | 32.8       | 36.2       | 36.5       | 25.7       | 0.6        | 0.0        | 32.0       | 33.4       |
| Rajasthan           | 21.0       | 0.0        | 69.5       | 83.7       | 99.5       | 86.4       | 0.0        | 37.5       | 86.0       | 99.5       |
| Sikkim              | 0.9        | 1.0        | 0.9        | 0.9        | 0.7        | 0.8        | 0.0        | 0.3        | 0.8        | 0.9        |
| Tamil Nadu          | 65.6       | 108.3      | 144.1      | 135.8      | 134.2      | 120.2      | 5.7        | 167.8      | 252.9      | 144.9      |
| Telangana           | 0.0        | 0.0        | 21.6       | 9.1        | 13.5       | 21.2       | 0.0        | 10.7       | 40.0       | 52.6       |
| Tripura             | 1.4        | 2.6        | 5.7        | 3.1        | 4.6        | 6.8        | 1.3        | 3.6        | 5.2        | 8.0        |
| Uttar Pradesh       | 182.1      | 219.5      | 218.9      | 255.4      | 288.6      | 286.4      | 28.2       | 73.4       | 235.2      | 309.2      |
| Uttarakhand         | 13.8       | 40.0       | 19.4       | 17.5       | 20.1       | 14.3       | 0.9        | 12.0       | 20.9       | 19.7       |
| West Bengal         | 66.2       | 154.4      | 174.9      | 140.5      | 178.1      | 193.3      | 0.0        | 0.0        | 126.5      | 174.3      |
|                     | 1066.0     | 1873.1     | 1951.5     | 1965.3     | 1929.0     | 2036.5     | 222.7      | 866.4      | 1998.1     | 2175.1     |

Note Community level screening through Mobile Health teams was disrupted during Covid pandemic in 202021 and 2021-22 as Anganwadis and schools were closed.

*Delhi is not screening children under RBSK programme

**Lakshadweep has started screening of children in the last quarter of FY 2023-24

## Annexure referred in reply to part (d) of Lok Sabha US Question No. 829 for answer on 29.11.2024

Under National Health Mission (NHM), funds are released to States/UTs under flexible pools on a lump sum basis to provide greater flexibility to States to utilize the funds as per their felt need and priorities. However, SPIP Allocation and Utilization for Rashtriya Bal Swasthya Karyakram under National Health Mission to the State of Odisha from the FY 2021-22 to 2023-24 is as under:

(Rs. in Lakh)

| Financial Year   | SPIPAllocation   | Utilized   |
|------------------|------------------|------------|
| 2021-22          | 11,997.79        | 10,627.72  |
| 2022-23          | 4,003.81         | 5,149.23   |
| 2023-24          | 3,458.60         | 3,773.59   |

## Note:

1. SPIP Allocation and Utilized is as per available Financial Management Report submitted by the State/UTs and are provisional.
2. Utilized includes utilization against Central Release, corresponding state share release and unspent balance at the beginning of the year and are provisional.