Lok Sabha Question No. 813 (UNSTARRED), answered on 2024-11-29
Subject: Nutrition  Mission
Ministry: WOMEN AND CHILD DEVELOPMENT
Asked by: Shri Narayan Tatu Rane, Shri Ram Shiromani Verma

## GOVERNMENT OF INDIA MINISTRY OF WOMEN AND CHILD DEVELOPMENT

## LOK SABHA

## UNSTARRED QUESTION NO. 813

TO BE ANSWERED ON 29.11.2024

## NUTRITION MISSION

813. SHRI NARAYAN TATU RANE: SHRI RAM SHIROMANI VERMA:

Will the Minister of WOMEN AND CHILD DEVELOPMENT be pleased to state:

- (a) whether the Government has conducted detailed assessment of work/effect of Poshan Mission State/UT-wise, if so, the details and current status thereof;
- (b) the  details  of  achievement  with  regard  to  five  objectives  set  under  Poshan Mission in various States of the country including Maharashtra;
- (c) the details of the stunting, under-nutrition, anemia and low birth weight among infants, children, adolescents and women during the period of Poshan Mission in Maharashtra, district-wise;
- (d) the  details  of  funds  released  and  utilized  by  the  Union  and  the  State Governments for the said purpose during the last three years;
- (e) the  number  of  beneficiaries  of  the  said  scheme  State/UT-wise  including Maharashtra; and
- (f) the  measures  taken/proposed  to  be  taken  to  deal  with  the  problem  of malnutrition in Uttar Pradesh?

## ANSWER

## MINISTER OF STATE IN THE MINISTRY OF WOMEN AND CHILD DEVELOPMENT (SHRIMATI SAVITRI THAKUR)

(a) to (c): In 2021, the World Bank conducted a survey in 11 priority states (Andhra Pradesh,  Bihar,  Chhattisgarh,  Gujarat,  Jharkhand,  Karnataka,  Madhya  Pradesh, Maharashtra, Rajasthan, Tamil Nadu and Uttar Pradesh) with the highest rates of anemia and stunting. The aim of this survey was to assess the program's delivery of nutrition services, whether the nutritional knowledge of beneficiaries had improved and if they had adopted more appropriate nutrition and feeding practices.

The  findings  demonstrated  that  the  services  delivered  through  the  Poshan Abhiyaan  -  the  receipt  of  relevant  messages,  home  visits  by  the  anganwadi worker,  and  attendance  at  community  based  events  -  were  associated  with improved nutrition behaviors. The survey also found that the program's nutrition messages reached more than 80% of women, and that 81% of women practiced exclusive breastfeeding for the first six months.

Poshan Abhiyaan was launched in March, 2018. Under 15th Finance Commission, various components like Anganwadi services, Poshan Abhiyaan and Scheme for Adolescent girls (14-18 years in Aspirational Districts and North-East region) have been subsumed under the umbrella Mission Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0) to address the challenge of malnutrition. The objectives of Mission Poshan 2.0 are as follows:

- To contribute to human capital development of the country;
- Address challenges of malnutrition;
- Promote nutrition awareness and good eating habits for sustainable health and wellbeing;
- Address nutrition related deficiencies through key strategies.

IT systems have been leveraged to strengthen and bring about transparency in nutrition  delivery  systems  at  the  Anganwadi  centres.  The  'Poshan  Tracker' application was rolled out on 1st March, 2021 as an important IT governance tool. It facilitates monitoring and tracking of all Anganwadi Centres (AWCs), Anganwadi Workers (AWWs) and beneficiaries on defined indicators. Poshan Tracker is being leveraged for dynamic identification of stunting, wasting, under-weight prevalence among children.

Various rounds of the National Family Health Survey (NFHS) conducted by Ministry of  Health  &  Family  Welfare  since  1992-93  have  also  shown  improvement  in malnutrition  indicators  in  children  across  India.  Details  of  these  indicators  for children since NFHS-1 to NFHS-5 are given below:

| NFHS Survey             | Underweight%   |   Wasting% |   Stunting% |
|-------------------------|----------------|------------|-------------|
| NFHS-1 (1992-93)*       | 53.4           |       17.5 |        52   |
| NFHS-2 (1998-99)**      | 47             |       15.5 |        45.5 |
| NFHS-3 (2005-6)***      | 42.5           |       19.8 |        48   |
| NFHS-4 (2015-16)***35.8 |                |       21   |        38.4 |
| NFHS-5 (2019-21)***32.1 |                |       19.3 |        35.5 |

* Under 4 years

** Under 3 years

- *** Under 5 years

The above table gives a representative picture of malnutrition indicators among all children of 0-3 years, 0-4 years and 0-5 years age at the relevant time.

The projected population of all children up to 5 years in India for the year 2021 is 13.75 crores approximately (source: Population Projections for India and States 2011-2036,  National  Commission  on  Population,  Ministry  of  Health  &  Family Welfare).  However,  only  7.54  crores  children  up  to  5  years  are  enrolled  in Anganwadis and registered on Poshan Tracker of the Ministry of Women & Child

Development as per the October 2024 data. 7.31 crores of these children were measured on growth parameters of height and weight. 38.9% of these children have been found to be stunted, 17% children have been found to be underweight and 5.2% wasted.

Further, the projected population of all children in India up to 6 years for the year 2021  is  approximately  16.1  crores.  As  per  the  October  2024  data  of  Poshan Tracker, 8.82 crore children (0-6 years) are enrolled in Anganwadis out of whom 8.55  crores  were  measured  on  growth  parameters.  37%  of  these  children  (0-6 years) have been found to be stunted and 17% children (0-6 years) have been found to be underweight.

Under Mission Poshan 2.0, the State wise details of malnourished children in the country including State of Maharashtra are provided at Annexure-I. The district wise details of malnourished children in the State of Maharashtra are provided at Annexure - II.

Details of anaemia among children, adolescent girls and women (15-49 years) and low  birth  weight  of  infants  are  released  under  National  Family  Health  Survey (NFHS), which is conducted periodically by the Ministry of Health & Family Welfare (MoH&FW).

As per National Family Health Survey 5 (2019-21), the prevalence of anemia in the State  of  Maharashtra  among  children  6-59  months  is  68.9  percent,  among  all women age 15-19 years is 57.2 percent and among all women age 15-49 years is 54.2 percent. Whereas, the prevalence of Low Birth Weight (percentage less than 2.5 kg) is 20.0% in the State of Maharashtra. The district wise prevalence of anemia in the State of Maharashtra is provided at Annexure - III.

(d) The State/UT wise details of funds released and utilized during the last three years (FY 2021-22, 2022-23 and 2023-24) under Mission Poshan 2.0 are provided at Annexure - IV.

(e) The  State/UT  wise  number  of  beneficiaries including in the State of Maharashtra under Mission Poshan 2.0 is provided at Annexure-V.

(f) Mission Poshan 2.0 is a self-selecting (no entry barriers) scheme available to all the eligible beneficiaries who enroll at the Anganwadi Centers (AWCs) and is being implemented in all States/UTs including the State of Uttar Pradesh. It is a Centrally Sponsored  Scheme,  where  the  responsibility  of  implementation  lies  with  the States/UTs.

Under  Mission  Poshan  2.0  a  new  strategy  has  been  made  for  reduction  in malnutrition and for improved health, wellness and immunity through activities like community engagement, outreach, behavioral change, and advocacy. It focuses on Maternal Nutrition, Infant and Young Child Feeding Norms, treatment of Severe Acute  Malnutrition  (SAM)/  Moderate  Acute  Malnutrition  (MAM)  and  wellness through AYUSH practices to reduce prevalence of wasting, stunting, anaemia and being underweight.

Under this scheme, Supplementary Nutrition is provided to Children (6 months to 6 years), Pregnant Women, Lactating Mothers and Adolescent Girls to beat the intergenerational cycle of malnutrition by adopting a life cycle approach. Supplementary  nutrition  is  provided  in  accordance  with  the  nutrition  norms contained in  Schedule-II  of  the  National  Food  Security  Act.  These  norms  have been revised and upgraded last year. The old norms were largely calorie-specific; however, the revised norms are more comprehensive and balanced in terms of both quantity and quality of supplementary nutrition based on the principles of diet diversity that provides quality protein, healthy fats and micronutrients.

Fortified rice is being supplied to AWCs to meet the requirement of micro-nutrients and to control anaemia among women and children. Greater emphasis is being laid on the use of millets for preparation of Hot Cooked Meal at least once a week and Take Home ration at Anganwadi centers.

Ministries  of  Women  &  Child  Development  and  Health  &  Family  Welfare  have jointly released the protocol for Community Management of Malnutrition (CMAM) to  prevent  and  treat  severely  acute  malnutrition  in  children  and  for  reducing associated morbidity and mortality.

Under Mission Poshan 2.0, one of the major activities undertaken is Community Mobilization and Awareness Advocacy leading to Jan Andolan to educate people on  nutritional  aspects.  State  and  UTs  are  conducting  and  reporting  regular sensitisation activities under community engagement programmes during Poshan Maahs  and  Poshan  Pakhwadas  celebrated  in  the  months  of  September  and March-April  respectively.  Community  Based  Events  (CBEs)  have  served  as  a significant strategy in changing nutritional practices and all Anganwadi workers are required to conduct two Community Based Events every month.

The  measures  taken  by  MoH&FW  to  deal  with  the  problem  of  malnutrition  is provided at Annexure - VI.

*****

## ANNEXURE REFERRED IN REPLY TO PART (a and b) OF LOK SABHA QUESTION NO. 813 FOR 29.11.2024 REGARDING 'NUTRITION MISSION' ASKED BY SHRI NARAYAN TATU RANE AND SHRI RAM SHIROMANI VERMA

The  State  wise  details  of  malnourished  children  (0  -  5  years)  in  the  country  including  State  of Maharashtra are as follows*:

| State                              |   Stunted% |   Wasted % |   Underweight% |
|------------------------------------|------------|------------|----------------|
| Andhra Pradesh                     |       22.6 |        5.3 |           10.8 |
| Arunachal Pradesh                  |       32.8 |        4.2 |            9.6 |
| Assam                              |       42.4 |        3.8 |           16.4 |
| Bihar                              |       43.8 |        9.2 |           22.9 |
| Chhattisgarh                       |       21.5 |        7   |           13.1 |
| Goa                                |        4.1 |        0.6 |            1.7 |
| Gujarat                            |       40.8 |        7.8 |           21   |
| Haryana                            |       28.2 |        4.1 |            8.7 |
| Himachal Pradesh                   |       18.4 |        1.7 |            6.3 |
| Jharkhand                          |       43.8 |        6.2 |           19.3 |
| Karnataka                          |       39.7 |        3.2 |           17.1 |
| Kerala                             |       34.4 |        2.3 |            9.5 |
| Madhya Pradesh                     |       46.5 |        7   |           26.5 |
| Maharashtra                        |       47.7 |        4.1 |           16.5 |
| Manipur                            |        7.7 |        0.3 |            2.6 |
| Meghalaya                          |       18.2 |        0.4 |            4.5 |
| Mizoram                            |       26.7 |        2.3 |            5.9 |
| Nagaland                           |       28   |        5.3 |            6.6 |
| Odisha                             |       29.1 |        2.9 |           12.8 |
| Punjab                             |       18.4 |        3   |            5.9 |
| Rajasthan                          |       36.6 |        5.5 |           17.7 |
| Sikkim                             |        9.2 |        1.5 |            1.7 |
| Tamil Nadu                         |       13.4 |        3.6 |            7.1 |
| Telangana                          |       32.6 |        5.6 |           16.2 |
| Tripura                            |       40.5 |        6.3 |           16.6 |
| Uttar Pradesh                      |       48   |        3.9 |           19.4 |
| Uttarakhand                        |       21   |        1.5 |            5.4 |
| West Bengal                        |       38   |        7.5 |           13   |
| Andaman & Nicobar Islands          |        8.7 |        2.3 |            3.9 |
| Dadra & Nagar Haveli - Daman & Diu |       35.9 |        3.4 |           16.1 |
| Delhi                              |       41.9 |        3   |           20.6 |
| J&K                                |       12.1 |        0.7 |            3   |
| Ladakh                             |       11   |        0.2 |            2   |
| Lakshadweep                        |       46.5 |       11.9 |           25.1 |
| Puducherry                         |       40.2 |        6.8 |           13   |
| UT-Chandigarh                      |       26.3 |        1.8 |           11.9 |

## Annexure-II

## ANNEXURE REFERRED IN REPLY TO PART (c) OF LOK SABHA QUESTION NO. 813 FOR 29.11.2024 REGARDING 'NUTRITION MISSION' ASKED BY SHRI NARAYAN TATU RANE AND SHRI RAM SHIROMANI VERMA

The district wise details of malnourished children (0 - 5 years) in the State of Maharashtra are as follows*:

|   S. No. | District                  |   Stunted% |   Wasted% |   Underweight% |
|----------|---------------------------|------------|-----------|----------------|
|        1 | Ahmednagar                |      49.45 |      3.07 |          13.73 |
|        2 | Akola                     |      49.96 |      5.11 |          13.03 |
|        3 | Amravati                  |      50.3  |      4.26 |          20.38 |
|        4 | Beed                      |      53.57 |      4.64 |          15.85 |
|        5 | Bhandara                  |      37.88 |      4.89 |          13.19 |
|        6 | Buldana                   |      42.59 |      2.5  |          14.49 |
|        7 | Chandrapur                |      51.08 |      4.07 |          18.3  |
|        8 | Chhatrapati Sambhajinagar |      51.31 |      3.78 |          17.68 |
|        9 | Dharashiv                 |      39.19 |      3.7  |          12.51 |
|       10 | Dhule                     |      56.06 |      6.18 |          26    |
|       11 | Gadchiroli                |      54.17 |      5.44 |          27.64 |
|       12 | Gondia                    |      49.65 |      5.21 |          16.98 |
|       13 | Hingoli                   |      53.08 |      6.26 |          19.12 |
|       14 | Jalgaon                   |      48.89 |      3.21 |          17.2  |
|       15 | Jalna                     |      56.07 |      3.07 |          18.7  |
|       16 | Kolhapur                  |      22.2  |      1.79 |           6.12 |
|       17 | Latur                     |      40.22 |      2.85 |          11.37 |
|       18 | Mumbai City               |      39.73 |      9.05 |          15.31 |
|       19 | Mumbai Suburban           |      40.29 |      8.24 |          16.36 |
|       20 | Nagpur                    |      42.54 |      5.11 |          13.09 |
|       21 | Nanded                    |      49.49 |      4.18 |          14.37 |
|       22 | Nandurbar                 |      74.49 |      7.72 |          45.68 |
|       23 | Nashik                    |      55.19 |      3.8  |          22.05 |
|       24 | Palghar                   |      67.63 |      3.06 |          29.49 |
|       25 | Parbhani                  |      57.8  |      4.87 |          16.77 |
|       26 | Pune                      |      39.74 |      2.98 |          10.81 |
|       27 | Raigad                    |      41.83 |      2.04 |          11.81 |
|       28 | Ratnagiri                 |      45.96 |      2.2  |          13.41 |
|       29 | Sangli                    |      30.39 |      3.61 |           7.82 |
|       30 | Satara                    |      42.17 |      2.32 |           9    |
|       31 | Sindhudurg                |      44.94 |      3.03 |          16.16 |
|       32 | Solapur                   |      45.03 |      3.27 |          11.35 |
|       33 | Thane                     |      47.91 |      5.5  |          18.71 |
|       34 | Wardha                    |      53.62 |      2.34 |          15.29 |
|       35 | Washim                    |      32.26 |      0.32 |           2.47 |
|       36 | Yavatmal                  |      54.76 |      3.85 |          16.32 |

Annexure-III

ANNEXURE REFERRED IN REPLY TO PART (c) OF LOK SABHA QUESTION NO. 813 FOR 29.11.2024 REGARDING 'NUTRITION MISSION' ASKED BY SHRI NARAYAN TATU RANE AND SHRI RAM SHIROMANI VERMA

District-wise prevalence of anaemia across the State of Maharashtra (Source: NFHS-5, 2019-21) is as follows:

| Name of District   |   Children (6-59 months) who are anaemic |   All women (15-19 years) who are anaemic |   All women (15-49 years) who are anaemic |
|--------------------|------------------------------------------|-------------------------------------------|-------------------------------------------|
| Ahmednagar         |                                     64.5 |                                      45   |                                      50.3 |
| Akola              |                                     77.5 |                                      60.3 |                                      52.6 |
| Amravati           |                                     74.4 |                                      64.8 |                                      53.4 |
| Aurangabad         |                                     64.5 |                                      47.4 |                                      52.4 |
| Bhandara           |                                     72.8 |                                      66.1 |                                      65.3 |
| Bid                |                                     61   |                                      48   |                                      50.8 |
| Buldhana           |                                     79.4 |                                      66.8 |                                      57.8 |
| Chandrapur         |                                     76.6 |                                      61.7 |                                      55.5 |
| Dhule              |                                     72.2 |                                      59.8 |                                      61.2 |
| Gadchiroli         |                                     76.6 |                                      67.3 |                                      66.2 |
| Gondiya            |                                     78   |                                      65.2 |                                      60.4 |
| Hingoli            |                                     72.5 |                                      60.5 |                                      51.3 |
| Jalgaon            |                                     85.2 |                                      69.4 |                                      65.2 |
| Jalna              |                                     68.3 |                                      54.6 |                                      58.2 |
| Kolhapur           |                                     66.4 |                                      42.8 |                                      50.1 |
| Latur              |                                     59.5 |                                      56.5 |                                      50.7 |
| Mumbai             |                                     72.8 |                                      54.7 |                                      45.9 |
| Mumbai Suburban    |                                     65.6 |                                      67.2 |                                      50   |
| Nagpur             |                                     70.5 |                                      57.9 |                                      53.6 |
| Nanded             |                                     76.1 |                                      63.1 |                                      57.3 |
| Nandurbar          |                                     79.3 |                                      69.2 |                                      64.2 |
| Nashik             |                                     67.3 |                                      56.2 |                                      56.2 |
| Osmanabad          |                                     67.4 |                                      50.9 |                                      49.1 |
| Palghar            |                                     70.3 |                                      52.1 |                                      56.9 |
| Parbhani           |                                     75.4 |                                      60.2 |                                      58.8 |
| Pune               |                                     58.7 |                                      58.6 |                                      51.9 |
| Raigarh            |                                     67   |                                      61.1 |                                      54.2 |
| Ratnagiri          |                                     69.4 |                                      33.7 |                                      43.4 |
| Sangli             |                                     62.7 |                                      42.5 |                                      47.5 |
| Satara             |                                     68.9 |                                      48.7 |                                      49.6 |
| Sindhudurg         |                                     55.6 |                                      36   |                                      41.2 |
| Solapur            |                                     70.9 |                                      60.2 |                                      54.5 |
| Thane              |                                     67.9 |                                      58.5 |                                      58.8 |
| Wardha             |                                     71.4 |                                      63.5 |                                      60   |
| Washim             |                                     70.4 |                                      53.9 |                                      56.4 |
| Yavatmal           |                                     75.2 |                                      64.1 |                                      58.4 |

Annexure - IV

ANNEXURE REFERRED IN REPLY TO PART (d) OF LOK SABHA QUESTION NO. 813 FOR 29.11.2024 REGARDING 'NUTRITION MISSION' ASKED BY SHRI NARAYAN TATU RANE AND SHRI RAM SHIROMANI VERMA

The State/UT wise details of funds released and utilized during the last three years (FY 202122, 2022-23 and 2023-24) under Mission Poshan 2.0 are as follows:

| S. No.   |                                      | Amount in ₹ crores   | Amount in ₹ crores   | Amount in ₹ crores   | Amount in ₹ crores   | Amount in ₹ crores   | Amount in ₹ crores                  |
|----------|--------------------------------------|----------------------|----------------------|----------------------|----------------------|----------------------|-------------------------------------|
|          | Name of                              | 2021-22              | 2021-22              | 2022-23              | 2022-23              | 2023-24              | 2023-24                             |
|          | the State                            | Funds released       | Fund utilised        | Funds released       | Fund utilised        | Funds released       | Fund utilised                       |
| 1        | Andaman and Nicobar Islands          | 19.71                | 13.36                | 3.85                 | 3.88                 | 12.15                | Utilization Certificate not yet due |
| 2        | Andhra Pradesh                       | 744.60               | 749.91               | 827.79               | 721.45               | 705.68               |                                     |
| 3        | Arunachal Pradesh                    | 170.83               | 230.77               | 137.78               | 145.74               | 162.06               |                                     |
| 4        | Assam                                | 1319.90              | 1432.19              | 1651.63              | 1717.00              | 2233.31              |                                     |
| 5        | Bihar                                | 1574.43              | 1608.02              | 1740.09              | 1586.61              | 1859.29              |                                     |
| 6        | Chandigarh                           | 15.32                | 23.09                | 33.10                | 34.33                | 19.79                |                                     |
| 7        | Chhattisgarh                         | 606.73               | 522.72               | 668.96               | 571.80               | 579.46               |                                     |
| 8        | Dadra & Nagar Haveli and Daman & Diu | 9.33                 | 9.56                 | 5.80                 | 5.80                 | 11.97                |                                     |
| 9        | Delhi                                | 133.11               | 125.52               | 182.77               | 142.84               | 161.81               |                                     |
| 10       | Goa                                  | 10.84                | 12.92                | 14.71                | 16.83                | 13.95                |                                     |
| 11       | Gujarat                              | 839.86               | 757.92               | 912.64               | 552.30               | 1126.80              |                                     |
| 12       | Haryana                              | 173.03               | 146.99               | 195.25               | 150.24               | 225.78               |                                     |
| 13       | Himachal Pradesh                     | 247.99               | 386.68               | 270.24               | 247.76               | 301.09               |                                     |
| 14       | Jammu & Kashmir                      | 405.74               | 704.57               | 479.01               | 416.23               | 530.88               |                                     |
| 15       | Jharkhand                            | 352.98               | 183.30               | 430.91               | 596.03               | 664.30               |                                     |
| 16       | Karnataka                            | 1003.70              | 984.62               | 765.87               | 885.65               | 912.96               |                                     |
| 17       | Kerala                               | 388.23               | 397.98               | 444.98               | 325.43               | 306.64               |                                     |
| 18       | Ladakh                               | 14.70                | 14.67                | 18.79                | 18.79                | 19.62                |                                     |
| 19       | Lakshadweep                          | 2.11                 | 2.73                 | 0.44                 | 0.44                 | 2.88                 |                                     |
| 20       | Madhya Pradesh                       | 1085.47              | 1055.83              | 1011.57              | 1038.67              | 1123.11              |                                     |
| 21       | Maharashtra                          | 1713.39              | 1609.02              | 1646.17              | 1589.97              | 1699.52              |                                     |
| 22       | Manipur                              | 228.92               | 177.28               | 135.95               | 167.74               | 201.28               |                                     |
| 23       | Meghalaya                            | 173.33               | 177.86               | 192.39               | 200.24               | 269.69               |                                     |
| 24       | Mizoram                              | 59.32                | 61.57                | 42.81                | 53.02                | 100.27               |                                     |
| 25       | Nagaland                             | 159.80               | 160.21               | 199.30               | 190.47               | 262.91               |                                     |
| 26       | Odisha                               | 1065.98              | 871.20               | 923.92               | 884.96               | 968.80               |                                     |
| 27       | Puducherry                           | 2.78                 | 6.13                 | 0.12                 | 6.68                 | 4.48                 |                                     |

|   28 | Punjab        |   383.52 |   177.94 |   75.31 |   247.25 |   307.87 |
|------|---------------|----------|----------|---------|----------|----------|
|   29 | Rajasthan     |   682.65 |   771.64 |  974.02 |   936.17 |  1091.96 |
|   30 | Sikkim        |    25.73 |    24.59 |   20.33 |    24.09 |    33.49 |
|   31 | Tamil Nadu    |   655.38 |   681.28 |  766.81 |   741.3  |   880.79 |
|   32 | Telangana     |   482.33 |   479.3  |  550.69 |   503.33 |   507.87 |
|   33 | Tripura       |   186.72 |   171.66 |  150.52 |   186.55 |   244.22 |
|   34 | Uttar Pradesh |  2407.55 |  2341.91 | 2721.87 |  2622.64 |  2668.69 |
|   35 | Uttarakhand   |   353.65 |   336.03 |  425.84 |   364.77 |   288.24 |
|   36 | West Bengal   |   668.35 |  1378.31 | 1227.59 |  1455.89 |  1237.56 |

## Annexure-V

## ANNEXURE REFERRED IN REPLY TO PART (e) OF LOK SABHA QUESTION NO. 813 FOR 29.11.2024 REGARDING 'NUTRITION MISSION' ASKED BY SHRI NARAYAN TATU RANE AND SHRI RAM SHIROMANI VERMA

The  State/UT  wise  number  of  beneficiaries  including  in  the  State  of  Maharashtra  under Mission Poshan 2.0 is as follows*:

|   SN | State Name                         | Children (0 - 6 years)   | Pregnant Woman   | Lactating Mother   | Adolescent Girls**   | Total Beneficiaries   |
|------|------------------------------------|--------------------------|------------------|--------------------|----------------------|-----------------------|
|    1 | Andaman & Nicobar Islands          | 10,541                   | 681              | 613                |                      | 11,835                |
|    2 | Andhra Pradesh                     | 26,78,801                | 2,23,877         | 2,07,140           | 54,320               | 31,64,138             |
|    3 | Arunachal Pradesh                  | 82,638                   | 2,293            | 1,719              | 15,932               | 1,02,582              |
|    4 | Assam                              | 28,19,237                | 1,55,137         | 81,154             | 3,81,190             | 34,36,718             |
|    5 | Bihar                              | 94,67,358                | 5,87,049         | 3,36,600           | 1,91,919             | 1,05,82,926           |
|    6 | Chhattisgarh                       | 22,49,221                | 1,72,092         | 1,10,436           | 1,10,948             | 26,42,697             |
|    7 | Dadra & Nagar Haveli - Daman & Diu | 32,883                   | 3,286            | 2,042              |                      | 38,211                |
|    8 | Delhi                              | 5,53,581                 | 62,358           | 57,447             |                      | 6,73,386              |
|    9 | Goa                                | 49,937                   | 3,491            | 3,766              |                      | 57,194                |
|   10 | Gujarat                            | 30,85,214                | 2,09,939         | 1,75,508           | 66,550               | 35,37,211             |
|   11 | Haryana                            | 17,25,659                | 1,10,868         | 90,655             | 14,579               | 19,41,761             |
|   12 | Himachal Pradesh                   | 4,88,519                 | 34,267           | 32,700             | 16,740               | 5,72,226              |
|   13 | J&K                                | 7,40,837                 | 38,036           | 39,348             | 22,333               | 8,40,554              |
|   14 | Jharkhand                          | 28,48,263                | 1,55,922         | 90,619             | 2,64,371             | 33,59,175             |
|   15 | Karnataka                          | 37,66,614                | 3,10,877         | 2,21,252           | 65,041               | 43,63,784             |
|   16 | Kerala                             | 18,79,313                | 1,09,088         | 96,811             | 18,380               | 21,03,592             |
|   17 | Ladakh                             | 16,779                   | 690              | 821                |                      | 18,290                |
|   18 | Lakshadweep                        | 3,798                    | 376              | 424                |                      | 4,598                 |
|   19 | Madhya Pradesh                     | 65,70,863                | 4,32,353         | 3,16,315           | 1,52,296             | 74,71,827             |

| 20   | Maharashtra    | 60,25,969   | 2,86,249   | 2,53,865   | 1,09,307   | 66,75,390    |
|------|----------------|-------------|------------|------------|------------|--------------|
| 21   | Manipur        | 2,71,523    | 10,763     | 7,886      | 45,477     | 3,35,649     |
| 22   | Meghalaya      | 3,56,108    | 7,803      | 6,544      | 43,241     | 4,13,696     |
| 23   | Mizoram        | 1,06,568    | 5,544      | 3,490      | 19,250     | 1,34,852     |
| 24   | Nagaland       | 1,04,899    | 1,134      | 1,224      | 25,529     | 1,32,786     |
| 25   | Odisha         | 34,53,568   | 2,79,760   | 1,94,658   | 2,64,220   | 41,92,206    |
| 26   | Puducherry     | 29,960      | 2,955      | 2,928      |            | 35,843       |
| 27   | Punjab         | 14,39,334   | 90,773     | 86,037     | 34,048     | 16,50,192    |
| 28   | Rajasthan      | 37,08,079   | 3,09,196   | 2,34,130   | 41,786     | 42,93,191    |
| 29   | Sikkim         | 30,076      | 1,298      | 1,197      | 8,098      | 40,669       |
| 30   | Tamil Nadu     | 35,86,069   | 2,62,379   | 2,28,994   | 43,943     | 41,21,385    |
| 31   | Telangana      | 17,47,329   | 98,402     | 61,646     | 26,335     | 19,33,712    |
| 32   | Tripura        | 2,95,265    | 15,335     | 8,489      | 34,786     | 3,53,875     |
| 33   | UT- Chandigarh | 36,917      | 3,182      | 2,810      |            | 42,909       |
| 34   | Uttar Pradesh  | 1,96,45,358 | 15,52,687  | 10,35,505  | 2,04,097   | 2,24,37,647  |
| 35   | Uttarakhand    | 6,53,941    | 61,387     | 49,761     | 72,836     | 8,37,925     |
| 36   | West Bengal    | 77,25,991   | 5,26,502   | 3,74,306   |            | 86,26,799    |
|      | Total          | 8,82,87,010 | 61,28,029  | 44,18,840  | 23,47,552  | 10,11,81,431 |

* Data is as on October 2024 from Poshan Tracker

** Adolescent girls are only in Aspirational districts and North-East region

## Annexure-VI

ANNEXURE REFERRED IN REPLY TO PART (f) OF LOK SABHA QUESTION NO. 813  FOR  29.11.2024  REGARDING  'NUTRITION  MISSION'  ASKED  BY  SHRI NARAYAN TATU RANE AND SHRI RAM SHIROMANI VERMA

Ministry  of  Health  and  Family  Welfare  is  implementing  Reproductive,  Maternal, Newborn, Child, Adolescent Health and Nutrition (RMNCAH+N) strategy in a life cycle approach  under  National  Health  Mission  (NHM),  which  includes  interventions  to address malnutrition all across the country including the State of Uttar Pradesh, as placed below:

- Anemia Mukt Bharat (AMB) strategy is implemented to reduce anemia among six  beneficiaries  age  group  -  children  (6-59  months),  children  (5-9  years), adolescents (10-19 years),  pregnant  and  lactating  women  and  in women  of reproductive age group (15-49 years) in life cycle approach through implementation of six interventions via robust institutional mechanism.
- Nutrition Rehabilitation Centers (NRCs) are set up at public health facilities to  provide  in-patient  medical  and  nutritional  care  to  children  under  5  years suffering from Severe Acute Malnourishment (SAM) with medical complications.  In  addition  to  curative  care,  special  focus  is  given  on  timely, adequate  and  appropriate  feeding  for  children;  on  improving  the  skills  of mothers  and  caregivers  on  complete  age-appropriate  caring  and  feeding practices.
- Mothers' Absolute Affection (MAA) Programme is implemented to improve breastfeeding  coverage  which  includes  early  initiation  of  breastfeeding  and exclusive  breastfeeding  for  first  six  months  followed  by  counselling  on  ageappropriate complementary feeding practices.
- Lactation  Management  Centres :  Comprehensive  Lactation  Management Centres.  (CLMC)  are  facilities  established  to  ensure  availability  of  safe, pasteurized Donor Human Milk for feeding of sick, preterm and low birth weight babies admitted in Neonatal Intensive Care Units and Special Newborn Care Units. Lactation Management Unit (LMU) are established for providing lactation support  to  mothers  within  the  health  facility  for  collection,  storage  and dispensing of mother's own breastmilk for consumption by her baby.
- Under National Deworming Day (NDD) albendazole tablets are administered in a single fixed day approach via schools and Anganwadi centres in two rounds (February and August) to reduce the soil transmitted helminth (STH) infestation among all children and adolescents (1-19 years).
- Village Health Sanitation and Nutrition Days (VHSNDs) are  observed for provision  of  maternal  and  child  health  services  and  creating  awareness  on maternal  and  child  care  including  nutrition  in  convergence  with  Ministry  of Women and Child Development.
- *****