Lok Sabha Question No. 2050 (UNSTARRED), answered on 2024-12-06
Subject: Anaemia Mukt Bharat
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dr. Shrikant Eknath Shinde, Shri Rajesh Verma, Shri Ravindra Dattaram Waikar, Smt. Shambhavi, Shri Naresh Ganpat Mhaske

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

## LOK SABHA UNSTARRED QUESTION NO. 2050 TO BE ANSWERED ON 6 TH DECEMBER 2024

## ANAEMIAMUKT BHARAT

## 2050 SMT. SHAMBHAVI:

SHRI NARESH GANPAT MHASKE:

DR. SHRIKANT EKNATH SHINDE:

SHRI RAVINDRADATTARAM WAIKAR:

SHRI RAJESH VERMA:

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

- (a) the details of the total funds allocated, disbursed and utilized under Anaemia Mukt Bharat (AMB) strategy, State/UT-wise, particularly in Maharashtra and Bihar;
- (b) the funds allocated for the expenditure and the amount of iron rich rice procured, supplied and distributed to combat anaemia since January 2022;
- (c) the detailed reasons for the bifurcation of the beneficiaries of this scheme under six different age groups in the country;
- (d) the details of the total number of beneficiaries who benefited under the Anaemia Mukt Bharat strategy, State/UT-wise; and
- (e) the details of the steps taken by the Government to create awareness and mitigate anaemia since 2015, year-wise?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SMT. ANUPRIYAPATEL)

(a) The details of budgetary allocation and utilization under Anaemia Mukt Bharat for the FY 2023-24, State/UT-wise including the State of Maharashtra and Bihar, are placed at Annexure I.

(b) As per the Annual Report 2023-24, Department of Food & Public Distribution, Ministry of Consumer Affairs (report available in public domain), the Government of India has approved the supply of fortified rice through FCI and State Agencies to the entire Targeted Public Distribution System (TPDS) and Other Welfare Schemes (OWS) including Integrated Child Development Services (ICDS) and Pradhan Mantri Poshan Shakti Nirman (PM POSHAN) to reach all States and Union Territories by March, 2024 in a phased manner. In Phase-I, nearly 17.51 LMT of fortified rice was lifted by States/UTs for distribution under

ICDS and PM POSHAN; In Phase-II (2022-23), 106.25 LMT of fortified rice for distribution under TPDS and nearly 29.58 LMT of fortified rice was lifted by States/UTs for ICDS and PMPOSHAN. In Phase III (2023-24), all States/UTs were distributed 322.27 LMT of fortified rice under TPDS, ICDS and PM-POSHAN.

(c) The Anaemia Mukt Bharat strategy has laid down protocols of prophylaxis, testing and treatment of anaemia in a life cycle approach, across the six beneficiary groups at all levels of care and service delivery.

(d) The details of the total number of beneficiaries who benefited under the Anaemia Mukt Bharat strategy, State/UT-wise is placed at Annexure II.

(e) The Government of India implements Anaemia Mukt Bharat (AMB) programme in 6X6X6 strategy to reduce the prevalence of anaemia among six beneficiary groups - Children 6-59 months, Children 5-9 years, Adolescents (10-19 years), Women of reproductive age (1549 years), pregnant women and lactating mothers in lifecycle approach through six interventions -Prophylactic Iron and Folic Acid supplementation (IFA Syrup is provided biweekly to Children 6-59 months, IFA Pink is provided weekly to children 5-9 years, IFA Blue is provided weekly to adolescent 10-19 years, IFA Red is provided weekly to Women of Reproductive age group and IFA Red tablets (daily for 180 days) are provided to pregnant women and lactating mothers), Deworming (Pregnant women are provided albendazole tablet in second trimester and all children 1-19 years are provided albendazole tablets during National Deworming Days), Intensified year-round behaviour change communication campaign and ensuring delayed cord clamping at all delivery points, Testing of anaemia using digital invasive hemoglobinometer and point of care treatment, Mandatory provision of iron and folic acid fortified foods in public health programmes (supplementary nutrition at Anganwadi Centre (AWC), Mid Day Meal (MDM) at Schools and Targeted Public Distribution system), Addressing non-nutritional causes of anaemia in endemic pockets, with special focus on malaria, haemoglobinopathies and fluorosis, via robust institutional mechanisms.

Annexure I

State/UT wise SPIP Approvals and Expenditure in AMB under NHM for the FY 2023-24

| State/UT                    | Anaemia Mukt Bharat     | Anaemia Mukt Bharat       |
|-----------------------------|-------------------------|---------------------------|
| State/UT                    | Approvals (in Rs Lakhs) | Expenditure (in Rs Lakhs) |
| Andaman and Nicobar Islands | 44.75                   | 4.62                      |
| Andhra Pradesh              | 8,570.74                | 6,896.00                  |
| Arunachal Pradesh           | 27.30                   | -                         |
| Assam                       | 1,564.65                | 1,225.98                  |
| Bihar                       | 7,569.52                | 2,267.92                  |
| Chandigarh                  | -                       | -                         |
| Chhattisgarh                | 1,734.61                | 615.67                    |
| DNH &DD                     | 12.84                   | 3.59                      |
| Delhi                       | 472.90                  | 3.20                      |
| Goa                         | 123.97                  | 30.29                     |
| Gujarat                     | 2,133.04                | 1,947.15                  |
| Haryana                     | 1,695.64                | 1,863.62                  |
| Himachal Pradesh            | 108.64                  | 89.59                     |
| Jammu and Kashmir           | 927.48                  | 42.09                     |
| Jharkhand                   | 4,798.84                | 451.52                    |
| Karnataka                   | 3,462.93                | 718.55                    |
| Kerala                      | 2,214.74                | 230.48                    |
| Ladakh                      | 8.48                    | 7.94                      |
| Lakshadweep                 | 5.47                    | 0.90                      |
| Madhya Pradesh              | 13,397.85               | 4,912.23                  |
| Maharashtra                 | 7,366.95                | 1,918.71                  |
| Manipur                     | 173.87                  | 8.52                      |
| Meghalaya                   | 504.82                  | 39.67                     |
| Mizoram                     | 111.06                  | 50.12                     |
| Nagaland                    | 311.73                  | 1.31                      |
| Odisha                      | 1,988.06                | 1,090.38                  |
| Puducherry                  | 248.49                  | 20.27                     |
| Punjab                      | 1,082.42                | 1,082.42                  |
| Rajasthan                   | 3,837.04                | 668.56                    |
| Sikkim                      | 49.74                   | 38.20                     |
| Tamil Nadu                  | 1,273.11                | 669.63                    |
| Telangana                   | 2,390.04                | 83.43                     |
| Tripura                     | 679.93                  | 543.17                    |
| Uttar Pradesh               | 25,785.11               | 4,349.42                  |
| Uttarakhand                 | 1,420.41                | 218.18                    |
| West Bengal                 | 2,381.95                | 1,466.93                  |

Source: NHM Finance

Annexure II

State/UT-wise total number of beneficiaries who benefited under the Anaemia Mukt Bharat Strategy,

|   S.No. | State/UT                 | Total Number of Beneficiaries (figures in 1000)   |
|---------|--------------------------|---------------------------------------------------|
|       1 | Andaman &Nicobar Islands | 87                                                |
|       2 | Andhra Pradesh           | 12,535                                            |
|       3 | Arunachal Pradesh        | 113                                               |
|       4 | Assam                    | 6,768                                             |
|       5 | Bihar                    | 13,089                                            |
|       6 | Chandigarh               | 210                                               |
|       7 | Chhattisgarh             | 7,727                                             |
|       8 | DNH&DD                   | 230                                               |
|       9 | Delhi                    | 1,296                                             |
|      10 | Goa                      | 322                                               |
|      11 | Gujarat                  | 22,090                                            |
|      12 | Haryana                  | 5,141                                             |
|      13 | Himachal Pradesh         | 671                                               |
|      14 | Jammu and Kashmir        | 2,973                                             |
|      15 | Jharkhand                | 8,987                                             |
|      16 | Karnataka                | 6,806                                             |
|      17 | Kerala                   | 1,501                                             |
|      18 | Ladakh                   | 59                                                |
|      19 | Lakshadweep              | 9                                                 |
|      20 | Madhya Pradesh           | 17,766                                            |
|      21 | Maharashtra              | 6,839                                             |
|      22 | Manipur                  | 137                                               |
|      23 | Meghalaya                | 191                                               |
|      24 | Mizoram                  | 180                                               |
|      25 | Nagaland                 | 56                                                |
|      26 | Odisha                   | 9,489                                             |
|      27 | Puducherry               | 422                                               |
|      28 | Punjab                   | 2,680                                             |
|      29 | Rajasthan                | 10,406                                            |
|      30 | Sikkim                   | 80                                                |
|      31 | Tamil Nadu               | 23,445                                            |
|      32 | Telangana                | 10,875                                            |
|      33 | Tripura                  | 262                                               |
|      34 | Uttarakhand              | 1,810                                             |
|      35 | Uttar Pradesh            | 24,921                                            |
|      36 | West Bengal              | 12,078                                            |

Source: HMIS 2023-24