Lok Sabha Question No. 910 (UNSTARRED), answered on 2024-11-29
Subject: Pradhan Mantri Surakshit Matritva Abhiyan
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Rajesh Naranbhai Chudasama

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

## LOK SABHA UNSTARRED QUESTION NO. 910 TO BE ANSWERED ON 29/11/2024

## PRADHAN MANTRI SURAKSHIT MATRITVAABHIYAN

## 910. SHRI CHUDASAMA RAJESHBHAI NARANBHAI:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

(a) the total number of maternal deaths, stillbirths and newborn deaths during the last five years, State/UT- wise;

(b)whether the Government is organizing awareness camps and regularpregnancy related healthcamps in rural areas across the country as almost 16 percent of Indian womenare not receiving any form of healthcare during their pregnancy; if so, the details thereof;

(c) if so, the details of the budgetary expenditure under the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) for the last five years; and

(d) the total number of beneficiarie sunder the PMSMA during the last five years, State/yearwise?

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

- (a) As per the report of Sample Registration System (SRS) released by Registrar General of India (RGI) in 2018-20, Maternal Mortality Ratio (MMR) of India is 97 per 100,000 live births. India has accomplished the National Health Policy (NHP) target for MMR of less than 100/lakh live birth. The details of State/UT wise MMR during the last five years is placed at Annexure-I.

As per Sample Registration System of Registrar General of India (RGI) 2020, the Still Birth Rate (SBR) of India is 3 per 1000 total births and Neonatal Mortality Rate (NMR) of India is 20 per 1000 live births. States/ UTs wise SBR and NMRduring last five years is placed at Annexure II and Annexure III respectively.

(b) Government of India has implemented following schemes/steps for creating awareness and regular health check-up camps for pregnantwomen across the country including rural areas;

-  Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) provides pregnant women a fixed day, free of cost assured and quality antenatal check up by a Specialist/Medical Officer on the 9th day of every month. Obstetrician and Gynaecologist / Radiologist/ Doctor working in the private sector are encouraged to provide voluntary services at designated public healthcare facilities.

Extended PMSMA strategy was launched to ensure quality ANC to pregnant women, especially to high-risk pregnancy (HRP) women and individual HRP tracking until a safe delivery is achieved by means of financial incentivization for the identified high-risk pregnant women and accompanying ASHA for extra three visits over and above the PMSMA visit.

-  Surakshit Matritva Aashwasan (SUMAN) aims to provide assured, dignified, respectful and quality healthcare at no cost and zero tolerance for denial of services for every woman and newborn visiting the public health facility.
-  Janani Shishu Suraksha Karyakram (JSSK) entitles all pregnant women delivering in public health institutions to have absolutely free and no expense delivery, including caesarean section. The entitlements include free drugs, consumables, free diet during stay, free diagnostics and free blood transfusion, if required, and free transport from home to institution and vice versa, starting from prenatal period up to post-natal period (up to 42 days after delivery). Similar entitlements are also provided for sick infants up to 1 year of age.
-  Monthly Village Health, Sanitation and Nutrition Day (VHSND) is an outreach activity at Anganwadi centers for provision of maternal and child care including nutrition in convergence with the ICDS.
-  Outreach camps are provisioned for improving the reach of health care services especially in tribal and hard to reach areas. This platform is used to increase the awareness for the Maternal and Child health services, community mobilization as well as to track high risk pregnancies.
-  Ayushman Arogya Mandir teams organize camps on a periodic basis, to reach the marginalized, support treatment compliance and follow-up pregnant women and newborn etc.
-  Maternal and Child Protection (MCP) Card and Safe Motherhood Booklet are distributed to the pregnant women for educating them on diet, rest, importance of antenatal care and postnatal care visits, danger signs of pregnancy, benefit schemes and institutional deliveries.
-  IEC/BCC campaigns: One of the key focus areas of Maternal Health is to generatedemand through Information Education and Communication (IEC), InterpersonalCommunication (IPC) and Behaviour Change Communication (BCC) activities.

(c) The budgetary expenditure under Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) during the last five years is placed at Annexure-IV

(d) Since inception, more than 5.59 crore pregnant women have received Comprehensive ANC under PMSMA programme across all states and UTs. The number of beneficiaries, state/UT-wise and year-wise, under PMSMA during the last five yearsis placed at Annexure-V.

## Annexure referred in reply to part (a) of Lok Sabha Unstarred Question No. 910 to be answered on 29.11.2024

Annexure - I

| Maternal Mortality Ratio (MMR): India &States   | Maternal Mortality Ratio (MMR): India &States   | Maternal Mortality Ratio (MMR): India &States   | Maternal Mortality Ratio (MMR): India &States   | Maternal Mortality Ratio (MMR): India &States   | Maternal Mortality Ratio (MMR): India &States   |
|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|
| Name of State                                   | 2014-16                                         | 2015-17                                         | 2016-18                                         | 2017-19                                         | 2018-20                                         |
| INDIA                                           | 130                                             | 122                                             | 113                                             | 103                                             | 97                                              |
| Assam                                           | 237                                             | 229                                             | 215                                             | 205                                             | 195                                             |
| Bihar                                           | 165                                             | 165                                             | 149                                             | 130                                             | 118                                             |
| Jharkhand                                       | NA                                              | 76                                              | 71                                              | 61                                              | 56                                              |
| Madhya Pradesh                                  | 173                                             | 188                                             | 173                                             | 163                                             | 173                                             |
| Chhattisgarh                                    | NA                                              | 141                                             | 159                                             | 160                                             | 137                                             |
| Odisha                                          | 180                                             | 168                                             | 150                                             | 136                                             | 119                                             |
| Rajasthan                                       | 199                                             | 186                                             | 164                                             | 141                                             | 113                                             |
| Uttar Pradesh                                   | 201                                             | 216                                             | 197                                             | 167                                             | 167                                             |
| Uttarakhand                                     | NA                                              | 89                                              | 99                                              | 101                                             | 103                                             |
| Andhra Pradesh                                  | 74                                              | 74                                              | 65                                              | 58                                              | 45                                              |
| Telangana                                       | 81                                              | 76                                              | 63                                              | 56                                              | 43                                              |
| Karnataka                                       | 108                                             | 97                                              | 92                                              | 83                                              | 69                                              |
| Kerala                                          | 46                                              | 42                                              | 43                                              | 30                                              | 19                                              |
| Tamil Nadu                                      | 66                                              | 63                                              | 60                                              | 58                                              | 54                                              |
| Gujarat                                         | 91                                              | 87                                              | 75                                              | 70                                              | 57                                              |
| Haryana                                         | 101                                             | 98                                              | 91                                              | 96                                              | 110                                             |
| Maharashtra                                     | 61                                              | 55                                              | 46                                              | 38                                              | 33                                              |
| Punjab                                          | 122                                             | 122                                             | 129                                             | 114                                             | 105                                             |
| West Bengal                                     | 101                                             | 94                                              | 98                                              | 109                                             | 103                                             |

(Source: RGI: Special Bulletin on MMR)

## Annexure referred in reply to part (a) of Lok Sabha Unstarred Question No. 910 to be answered on 29.11.2024

Annexure-II

| Status of Still Birth Rate (SBR) in India and Bigger States/ UTs   |   Status of Still Birth Rate (SBR) in India and Bigger States/ UTs |   Status of Still Birth Rate (SBR) in India and Bigger States/ UTs |   Status of Still Birth Rate (SBR) in India and Bigger States/ UTs |   Status of Still Birth Rate (SBR) in India and Bigger States/ UTs |   Status of Still Birth Rate (SBR) in India and Bigger States/ UTs |
|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|
|                                                                    |                                                               2016 |                                                               2017 |                                                               2018 |                                                               2019 |                                                               2020 |
| India                                                              |                                                                  4 |                                                                  5 |                                                                  4 |                                                                  3 |                                                                  3 |
| Andhra Pradesh                                                     |                                                                  3 |                                                                  3 |                                                                  3 |                                                                  1 |                                                                  1 |
| Assam                                                              |                                                                  2 |                                                                  2 |                                                                  2 |                                                                  2 |                                                                  3 |
| Bihar                                                              |                                                                  3 |                                                                  2 |                                                                  2 |                                                                  1 |                                                                  1 |
| Chhattisgarh                                                       |                                                                 10 |                                                                 13 |                                                                  9 |                                                                  9 |                                                                  6 |
| Delhi                                                              |                                                                  4 |                                                                  5 |                                                                  5 |                                                                  1 |                                                                  0 |
| Gujarat                                                            |                                                                  6 |                                                                  5 |                                                                  4 |                                                                  3 |                                                                  4 |
| Haryana                                                            |                                                                  5 |                                                                  9 |                                                                  6 |                                                                  5 |                                                                  7 |
| Himachal Pradesh                                                   |                                                                 24 |                                                                 12 |                                                                  7 |                                                                  5 |                                                                  4 |
| Jammu &Kashmir                                                     |                                                                  2 |                                                                  1 |                                                                  1 |                                                                  1 |                                                                  3 |
| Jharkhand                                                          |                                                                  0 |                                                                  1 |                                                                  1 |                                                                  1 |                                                                  2 |
| Karnataka                                                          |                                                                  6 |                                                                  6 |                                                                  5 |                                                                  5 |                                                                  3 |
| Kerala                                                             |                                                                  6 |                                                                  7 |                                                                  5 |                                                                  3 |                                                                  4 |
| Madhya Pradesh                                                     |                                                                  8 |                                                                  6 |                                                                  5 |                                                                  6 |                                                                  5 |
| Maharashtra                                                        |                                                                  4 |                                                                  5 |                                                                  5 |                                                                  3 |                                                                  3 |
| Odisha                                                             |                                                                 13 |                                                                 12 |                                                                 10 |                                                                  8 |                                                                 10 |
| Punjab                                                             |                                                                  6 |                                                                  5 |                                                                  5 |                                                                  3 |                                                                  3 |
| Rajasthan                                                          |                                                                  3 |                                                                  8 |                                                                  6 |                                                                  3 |                                                                  4 |
| Tamil Nadu                                                         |                                                                  3 |                                                                  3 |                                                                  4 |                                                                  4 |                                                                  2 |
| Telangana                                                          |                                                                  1 |                                                                  1 |                                                                  2 |                                                                  0 |                                                                  2 |
| Uttar Pradesh                                                      |                                                                  3 |                                                                  3 |                                                                  3 |                                                                  2 |                                                                  4 |
| Uttarakhand                                                        |                                                                  9 |                                                                 11 |                                                                  8 |                                                                  3 |                                                                  6 |
| West Bengal                                                        |                                                                  3 |                                                                  5 |                                                                  5 |                                                                  5 |                                                                  4 |

Source: Sample Registration System (SRS) Report of Registrar General of India (RGI)

Unit:

Per 1000 births

## Annexure referred in reply to part (a) of Lok Sabha Unstarred Question No. 910 to be answered on 29.11.2024

Annexure-III

| Status of Neonatal Mortality Rate (NMR) in India and Bigger States/ UTs   |   Status of Neonatal Mortality Rate (NMR) in India and Bigger States/ UTs |   Status of Neonatal Mortality Rate (NMR) in India and Bigger States/ UTs |   Status of Neonatal Mortality Rate (NMR) in India and Bigger States/ UTs |   Status of Neonatal Mortality Rate (NMR) in India and Bigger States/ UTs |   Status of Neonatal Mortality Rate (NMR) in India and Bigger States/ UTs |
|---------------------------------------------------------------------------|---------------------------------------------------------------------------|---------------------------------------------------------------------------|---------------------------------------------------------------------------|---------------------------------------------------------------------------|---------------------------------------------------------------------------|
|                                                                           |                                                                      2016 |                                                                      2017 |                                                                      2018 |                                                                      2019 |                                                                      2020 |
| India                                                                     |                                                                        24 |                                                                        23 |                                                                        23 |                                                                        22 |                                                                        20 |
| Andhra Pradesh                                                            |                                                                        23 |                                                                        23 |                                                                        21 |                                                                        18 |                                                                        17 |
| Assam                                                                     |                                                                        23 |                                                                        22 |                                                                        21 |                                                                        20 |                                                                        19 |
| Bihar                                                                     |                                                                        27 |                                                                        28 |                                                                        25 |                                                                        23 |                                                                        21 |
| Chhattisgarh                                                              |                                                                        26 |                                                                        26 |                                                                        29 |                                                                        28 |                                                                        26 |
| Delhi                                                                     |                                                                        12 |                                                                        14 |                                                                        10 |                                                                         8 |                                                                         9 |
| Gujarat                                                                   |                                                                        21 |                                                                        21 |                                                                        19 |                                                                        17 |                                                                        16 |
| Haryana                                                                   |                                                                        22 |                                                                        21 |                                                                        22 |                                                                        19 |                                                                        19 |
| Himachal Pradesh                                                          |                                                                        16 |                                                                        14 |                                                                        13 |                                                                        13 |                                                                        13 |
| Jammu &Kashmir                                                            |                                                                        18 |                                                                        17 |                                                                        17 |                                                                        15 |                                                                        12 |
| Jharkhand                                                                 |                                                                        21 |                                                                        20 |                                                                        21 |                                                                        19 |                                                                        17 |
| Karnataka                                                                 |                                                                        18 |                                                                        18 |                                                                        16 |                                                                        16 |                                                                        14 |
| Kerala                                                                    |                                                                         6 |                                                                         5 |                                                                         5 |                                                                         5 |                                                                         4 |
| Madhya Pradesh                                                            |                                                                        32 |                                                                        33 |                                                                        35 |                                                                        33 |                                                                        31 |
| Maharashtra                                                               |                                                                        13 |                                                                        13 |                                                                        13 |                                                                        13 |                                                                        11 |
| Odisha                                                                    |                                                                        32 |                                                                        32 |                                                                        31 |                                                                        30 |                                                                        28 |
| Punjab                                                                    |                                                                        13 |                                                                        13 |                                                                        13 |                                                                        12 |                                                                        12 |
| Rajasthan                                                                 |                                                                        28 |                                                                        27 |                                                                        26 |                                                                        25 |                                                                        23 |
| Tamil Nadu                                                                |                                                                        12 |                                                                        11 |                                                                        10 |                                                                        10 |                                                                         9 |
| Telangana                                                                 |                                                                        21 |                                                                        20 |                                                                        19 |                                                                        17 |                                                                        15 |
| Uttar Pradesh                                                             |                                                                        30 |                                                                        30 |                                                                        32 |                                                                        30 |                                                                        28 |
| Uttarakhand                                                               |                                                                        30 |                                                                        24 |                                                                        22 |                                                                        19 |                                                                        17 |
| West Bengal                                                               |                                                                        17 |                                                                        17 |                                                                        16 |                                                                        15 |                                                                        14 |

Source: (RGI)

Sample Registration System (SRS) Report of Registrar General of India

Unit:

Per 1000 live births

## Annexure referred in reply to part (c) of Lok Sabha Unstarred Question No. 910 to be answered on 29.11.2024

Annexure IV

State/UT wise SPIP Expenditure towards Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) Activities under RCH Flexible Pool under NHM from F.Y. 2019-20 to 2023-24

(Rs. In Lakh)

|   S.N. | State/UT                       | 2019-20   | 2020-21   | 2021-22   | 2022-23      | 2023-24   |
|--------|--------------------------------|-----------|-----------|-----------|--------------|-----------|
|      1 | Andaman and Nicobar Islands    | 0.19      | 0.11      | 0.38      | 1.13         | 1.02      |
|      2 | Andhra Pradesh                 | -         | -         | -         | -            | 26        |
|      3 | Arunachal Pradesh              | 2.63      | 11.78     | 10.7      | 99.23        | -         |
|      4 | Assam                          | 31.34     | 28.89     | 32.4      | 51.34        | 91.43     |
|      5 | Bihar                          | 533.31    | 263.06    | 419       | 597.09       | 570.85    |
|      6 | Chandigarh                     | 2.04      | 1.55      | 1.65      | 0.82         | 3.68      |
|      7 | Chhattisgarh                   | -         | 1.63      | 1.51      | 395.4        | 439.36    |
|      8 | Dadra &Nagar Haveli Daman &Diu | 0.55 -    | 0.3       | -         | -            | -         |
|      9 | Delhi                          | 3.96      | 1.02      | 0.41      | 4.78         | 9.95      |
|     10 | Goa                            | 0.08      | 0.09      | 0.1       | 0.61         | 0.1       |
|     11 | Gujarat                        | 39.32     | 39.45     | 28.04     | 445.52       | 1,497.15  |
|     12 | Haryana                        | 28.53     | 24.49     | 30.44     | 23.03        | 62.71     |
|     13 | Himachal Pradesh               | -         | -         | 23.46     | 32.62        | 36.1      |
|     14 | Jammu and Kashmir              | 2.15      | 1.69      | 0.83      | 1.94         | 1.07      |
|     15 | Jharkhand                      | 96.23     | 93.85     | 85.1      | 559.31 11.82 | 1,941.47  |
|     16 | Karnataka                      | 28.16     | 14.61     | 18.08     |              | 200.19    |
|     17 | Kerala                         | 8.6       | 2.43      | 0.95      | 19.54        | 40.67     |
|     18 | Ladakh                         | -         | 1.46      | 0.92      | 1.3          | 2.04      |
|     19 | Lakshadweep                    | 0.01      | 0.18      | 0.22      | 0.05         | 0.06      |
|     20 | Madhya Pradesh                 | 6.16      | 0.61      | 23.12     | 551.12       | 438.78    |

|   S.N. | State/UT      | 2019-20   | 2020-21   | 2021-22   | 2022-23   | 2023-24   |
|--------|---------------|-----------|-----------|-----------|-----------|-----------|
|     21 | Maharashtra   | 21.85     | 11.65     | 11.24     | 7.35      | 184.42    |
|     22 | Manipur       | 20.12     | 10.42     | 5.29      | 14.8      | 10.92     |
|     23 | Meghalaya     | 8.9       | 5.7       | 3.56      | 38.94     | 15.27     |
|     24 | Mizoram       | 2.61      | 7.05      | 4.6       | 5.95      | 6.25      |
|     25 | Nagaland      | -         | -         | 1.12      | 5.92      | 4.52      |
|     26 | Odisha        | 12.6      | 14.58     | 12.95     | 202.96    | 576.25    |
|     27 | Puducherry    | -         | -         | -         | -         | 0.14      |
|     28 | Punjab        | 16.46     | 3.86      | 1.82      | 38.43     | 999.4     |
|     29 | Rajasthan     | 22.5      | 21.3      | 54.25     | 75.47     | 139.24    |
|     30 | Sikkim        | 1.12      | -         | 0.48      | 1.62      | 1.48      |
|     31 | Tamil Nadu    | 1.23      | 1.13      | 0.68      | -         | -         |
|     32 | Telangana     | 1.89      | 1.79      | 1.03      | 2.52      | 2.07      |
|     33 | Tripura       | 2.21      | 2.97      | 11.8      | 29.17     | 45.77     |
|     34 | Uttar Pradesh | 31.44     | 44.66     | 34.21     | 721.25    | 708.97    |
|     35 | Uttarakhand   | -         | 2.79      | 3.2       | 39.4      | 32.03     |
|     36 | West Bengal   | 46.46     | 20.29     | 112.21    | 220.66    | 222.69    |

## Note:

1. The above data is as per available Financial Management Reports submitted by the States/UTs.
2. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Expenditure is as per FMRs submitted by States/UTs and is provisional.
3. After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHM funds to the UT of Ladakh were disbursed for the first time during 2020-21.

## Annexure referred in reply to part (d) of Lok Sabha Unstarred Question No. 910 to be answered on 29.11.2024

Annexure-V

Total Number of pregnant women received Antenatal care under PMSMA

| S. N.   | State                                 |   2019-20 |   2020-21 |   2021-22 |   2022-23 |   2023-24 |
|---------|---------------------------------------|-----------|-----------|-----------|-----------|-----------|
|         | India                                 |   5471828 |   3203202 |   4748613 |   7357992 |   9352058 |
| 1       | Andaman and Nicobar Islands           |      4574 |      3594 |      3190 |      3257 |      3631 |
| 2       | Andhra Pradesh                        |    467299 |    272895 |    461251 |    905747 |    838348 |
| 3       | Arunachal Pradesh                     |      4648 |      3466 |      4940 |      3462 |      3655 |
| 4       | Assam                                 |     61162 |     20244 |     33620 |     60289 |     59866 |
| 5       | Bihar                                 |    746382 |    493947 |    537892 |    809779 |    855352 |
| 6       | Chandigarh                            |      8252 |      6237 |      6560 |      7953 |      8419 |
| 7       | Chhattisgarh                          |    188707 |     36165 |     83269 |    268221 |    313777 |
| 8       | Dadra And Nagar Haveli and Daman &Diu |         0 |         0 |      8691 |     27515 |     22859 |
| 9       | Delhi                                 |     86644 |     31251 |     44875 |     52098 |     64346 |
| 10      | Goa                                   |      8696 |      5255 |      2975 |      6170 |     18872 |
| 11      | Gujarat                               |    200674 |    165918 |    229520 |    257732 |    282449 |
| 12      | Haryana                               |    256619 |    172068 |    238182 |    337817 |    383612 |
| 13      | Himachal pradesh                      |     38024 |     30664 |     45152 |     56224 |     57239 |
| 14      | Jammu and kashmir                     |     33563 |      9314 |     28153 |     55768 |     65282 |
| 15      | Jharkhand                             |    174815 |    101079 |     98188 |    149758 |    181550 |
| 16      | Karnataka                             |    204286 |     67232 |     42093 |    224946 |    539450 |
| 17      | Kerala                                |      8152 |      2766 |      2907 |      3364 |      3572 |
| 18      | Ladakh                                |      1420 |       828 |      1001 |      2820 |      2597 |
| 19      | Lakshadweep                           |      1346 |       883 |       893 |       827 |       962 |
| 20      | Madhya pradesh                        |    555042 |      1374 |    530716 |    200906 |    352412 |
| 21      | Maharashtra                           |    302291 |     73361 |     74357 |    292033 |    280538 |
| 22      | Manipur                               |     12416 |      2305 |      4104 |      9859 |      9282 |
| 23      | Meghalaya                             |      6202 |      1648 |      3620 |     58902 |     63561 |

|   S. N. | State         |   2019-20 |   2020-21 |   2021-22 |   2022-23 |   2023-24 |
|---------|---------------|-----------|-----------|-----------|-----------|-----------|
|      24 | Mizoram       |      3802 |      8954 |      6768 |      7161 |      8034 |
|      25 | Nagaland      |      3762 |      1961 |      2285 |      2859 |      2032 |
|      26 | Odisha        |    191793 |     78074 |    141197 |    270561 |    376993 |
|      27 | Puducherry    |         0 |         0 |         0 |        99 |      2849 |
|      28 | Punjab        |    109031 |     53504 |     69523 |    115905 |    178813 |
|      29 | Rajasthan     |    239423 |    150797 |    153439 |    522258 |    528944 |
|      30 | Sikkim        |       419 |       890 |       950 |      1290 |       953 |
|      31 | Tamil Nadu    |    355815 |    307627 |    346309 |    329832 |    330575 |
|      32 | Telangana     |    223943 |    215277 |    247737 |    296112 |    259543 |
|      33 | Tripura       |      2787 |      2057 |     19519 |     22161 |     28301 |
|      34 | Uttar Pradesh |    875170 |    837508 |   1135849 |   1680849 |   2833784 |
|      35 | Uttarakhand   |     10922 |     11645 |     23702 |     28339 |     24267 |
|      36 | West Bengal   |     83747 |     32414 |    115186 |    285119 |    365339 |