Lok Sabha Question No. 2191 (UNSTARRED), answered on 2023-12-15
Subject: Rashtriya Bal Swasthya Karyakram
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Chandra Sekhar Sahu, Pritam Gopinath Munde, Rahul Ramesh Shewale

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTHAND FAMILYWELFARE

## LOK SABHA UNSTARREDQUESTION2191 TO BEANSWERED ON 15 TH DECEMBER 2023

## RASHTRIYABALSWASTHYAKARYAKRAM

## 2191. SHRI CHANDRA SEKHAR SAHU: DR. PRITAM GOPINATHRAO MUNDE: SHRI RAHULRAMESH SHEWALE:

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

- (a) whether the Government has made any assessment regarding the implementation of the Rashtriya Bal Swasthya Karyakram (RBSK) in the country;
- (b) if so, the details thereof along with the outcome of such assessment;
- (c) the extent to which the scheme has been able to achieve its objectives so far in the country, State/ UT-wise including Odisha and Maharashtra;
- (d) the details of the funds allocated, released and utilized under the scheme during the last three years and the current year, State/UT-wise including Odisha and Maharashtra;
- (e) the number of early intervention centres functioning under the scheme in each district across the country including Odisha and Maharashtra; and
- (f) the outcome of the evaluation reports of such district intervention centers along with the action taken/proposed to be taken thereon?

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

(a) to (f)

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

As reported by States/UTs, 157.35 crore children have been screened, 10.11 crore children have been identified with selected health conditions and 4.73 crore children have been provided secondary/tertiary care from FY 2013-14 till FY 2022-23 under RBSK. State/UT wise details are placed at Annexure-1.

The technical and financial support is provided to the States/UTs under the NHM for infrastructure, essential equipment and required human resources at DEICs including capacity building for comprehensive management of selected health conditions. The State/UT-wise details of the budget allocation and utilization for RBSK is placed at Annexure-2.

367 District Early Intervention Centres (DEIC) have been made functional throughout the country as per the reports submitted by States/UTs. State/UT wise cumulative detail is given at Annexure-3.

The RBSK Program is evaluated under NHM through review of quarterly reports, field visits and periodic meetings with State Nodal Officers, reviews during the process of Annual Programme Implementation Plans (APIP) and Common Review Missions (CRM).

## Rashtriya Bal Swasthaya Karyakram (RBSK) cumulative achievement from FY2013-14 to FY 2022-23 ( A s reported by State/UTs -No. in Lakhs)

| State/UTs           |   Children Screened |   Children identifi ed |   Children availed Secondary/ Tertiary Care for 4Ds |
|---------------------|---------------------|------------------------|-----------------------------------------------------|
| Andaman &Nicobar    |                1.62 |                   0.68 |                                                0.08 |
| Andhra Pradesh      |              265.06 |                  10.54 |                                                7.19 |
| Arunachal Pradesh   |               22.25 |                   3.59 |                                                0.99 |
| Assam               |              493.53 |                  14.61 |                                               10.59 |
| Bihar               |             1711.07 |                  29.92 |                                               14.47 |
| Chandigarh          |               18.19 |                   4.2  |                                                1.59 |
| Chhattisgarh        |              311.91 |                   4.43 |                                                0.74 |
| Dadra &Nagar Haveli |                9.21 |                   0.9  |                                                0.19 |
| Daman               |                2.67 |                   0.39 |                                                0.02 |
| Delhi               |                0    |                   0    |                                                0    |
| Goa                 |              189.63 |                  12.43 |                                                5.54 |
| Gujarat             |             1333.74 |                 163.47 |                                               82.49 |
| Haryana             |              350.91 |                  78    |                                               39.27 |
| Himachal Pradesh    |               54.89 |                   5.86 |                                                0.12 |
| Jammu &Kashmir      |              152.6  |                  16.69 |                                                5.84 |
| Jharkhand           |              201.19 |                  10.33 |                                                4.18 |
| Karnataka           |              988.19 |                  78.05 |                                               37.37 |
| Kerala              |              552.92 |                  37.64 |                                               15.73 |
| Ladakh              |                1.83 |                   0.28 |                                                0.01 |
| Madhya Pradesh      |              857.64 |                  75.21 |                                               52.53 |
| Maharashtra         |             1796.75 |                  70.85 |                                               32.21 |
| Manipur             |               13.91 |                   1.44 |                                                0.42 |
| Meghalaya           |               58.93 |                   4.05 |                                                1.33 |
| Mizoram             |               20.97 |                   2    |                                                0.69 |
| Nagaland            |               12.26 |                   1.18 |                                                0.23 |
| Odisha              |              661.49 |                  53.4  |                                               30.48 |
| Puducherry          |               15.44 |                   0.81 |                                                0.42 |
| Punjab              |              346.07 |                  25.43 |                                                6.89 |
| Rajasthan           |              524.66 |                  22    |                                               12.09 |
| Sikkim              |                6.92 |                   0.88 |                                                0.24 |
| Tamil Nadu          |             1227.01 |                  49.15 |                                               23.96 |
| Telangana           |              118.19 |                   5.62 |                                                2.99 |
| Tripura             |               34.91 |                   3.21 |                                                1.36 |
| Uttar Pradesh       |             1935.24 |                  75.34 |                                               33.44 |
| Uttarakhand         |              208.59 |                  12.16 |                                                0.97 |
| West Bengal         |             1235.51 |                 136.87 |                                               46.79 |
| Total               |            15735.9  |                1011.59 |                                              473.45 |

1. Community level screening through Mobile Health teams were disrupted during Covid pandemic in 2020-21 and 2021-22 as Anganwadis and schools were closed and MHTs were serving in Covid duties.

2. Delhi is not screening children under RBSK Programme

Annexure-2 Details of SPIP Approvals and expenditure under Rashtriya Bal Swasthya Karyakram (RBSK) during the period from

## F.Y. 2020-21 to 2023-24 (Rs. In lakhs)

| Sl. No.   | State                               | 2020-21            | 2020-21           | 2021-22            | 2021-22           | 2022-23         | 2022-23         | 2023-24           | 2023-24           |
|-----------|-------------------------------------|--------------------|-------------------|--------------------|-------------------|-----------------|-----------------|-------------------|-------------------|
| Sl. No.   | State                               | SPIP Approvals     | Expenditure       | SPIP Approvals     | Expenditure       | SPIP Approvals  | Expenditure     | SPIP Approvals    | *Expenditure      |
| 1         | Andaman and Nicobar Islands         | 137.48             | 112.76            | 140.47             | 97.40             | 40.98           | 11.83           | 38.51             | 7.23              |
| 2         | Andhra Pradesh                      | 10,559.52          | 2,566.69          | 2,699.79           | 2,588.46          | 2666.97         | 991.00          | 742.93            | 744.04            |
| 3         | Arunachal Pradesh                   | 962.06             | 497.63            | 875.73             | 781.69            | 362.40          | 345.61          | 382.95            | 15.30             |
| 4         | Assam                               | 6,230.70           | 5,393.93          | 6,937.97           | 6,625.21          | 1988.05         | 1762.73         | 1,908.56          | 434.95            |
| 5         | Bihar                               | 12,761.99          | 11,360.38         | 3,464.51           | 5,364.53          | 4588.31         | 2831.79         | 4,637.23          | 918.60            |
| 6         | Chandigarh                          | 154.30             | 75.76             | 177.21             | 164.26            | 80.50           | 14.01           | 52.50             | 17.92             |
| 7         | Chhattisgarh                        | 6,218.30           | 4,541.79          | 6,416.74           | 5,139.74          | 2571.56         | 1976.74         | 2,602.08          | 521.79            |
| 8         | Dadra & Nagar Haveli and Daman& Diu | 66.43              | 154.11            | 261.00             | 166.61            | 51.35           | 33.96           | 50.60             | 17.03             |
| 9         | Delhi                               | 134.28             | -                 | 389.56             | -                 | 1127.67         | 674.48          | 963.40            | 200.00            |
| 10        | Goa                                 | 23,828.96          | 12,836.69         | 367.68             | 253.36            | 119.64          | 49.37           | 101.65            | 43.82             |
| 11        | Gujarat                             | 4,128.05           | 2,641.10          | 16,491.77          | 14,768.49         | 7497.93         | 5614.82         | 7,000.65          | 2,110.59          |
| 12        | Haryana                             | 6,661.84           | 5,960.88          | 3,858.99           | 2,740.98          | 1849.16         | 1415.77         | 1,633.22          | 816.71            |
| 13        | Himachal Pradesh                    | 2,314.30           | 1,626.75          | 2,176.26           | 2,098.90          | 977.93          | 793.89          | 1,030.53          | 392.63            |
| 14        | Jammu and Kashmir                   | 5,118.46           | 4,237.79          | 5,176.20           | 4,966.26          | 1533.54         | 902.79          | 1,807.94          | 346.06            |
| 15        | Jharkhand                           | 5,319.06           | 1,892.21          | 5,515.02           | 1,668.88          | 1630.42         | 649.52          | 1,544.21          | 338.36            |
| 16        | Karnataka                           | 7,238.59           | 7,837.88          | 7,047.66           | 6,349.53          | 2805.64         | 1773.11         | 2,026.96          | 491.20            |
| 17        | Kerala                              | 19,443.60          | 14,163.90         | 5,738.44           | 6,119.49          | 4524.74         | 4351.30         | 4,367.06          | 747.44            |
| 18        | Ladakh                              | 485.56             | 318.77            | 444.77             | 397.78            | 157.60          | 106.73          | 153.40            | 48.67             |
| 19        | Lakshadweep                         | 3.20               | 0.19              | 10.54              | -                 | 6.41            | 0.00            | 3.50              | -                 |
| 20        | Madhya Pradesh                      | 17,796.99          | 6,901.13          | 15,461.51          | 13,346.65         | 6082.33         | 5562.25         | 6,268.15          | 1,955.51          |
| 21        | Maharashtra                         | 4,209.74           | 3,859.77          | 22,714.47          | 18,719.86         | 10336.18        | 6668.33         | 6,612.24          | 1,960.36          |
| 22        | Manipur                             | 1,242.09           | 447.89            | 2,575.41           | 320.39            | 2581.43         | 1742.88         | 1,100.70          | 55.96             |
| 23        | Meghalaya                           | 1,547.29           | 1,261.83          | 1,641.05           | 930.61            | 827.54          | 819.88          | 770.34            | 255.26            |
| 24        | Mizoram                             | 606.37             | 530.43            | 662.39             | 615.51            | 234.63          | 123.67          | 216.34            | 93.55             |
| 25        | Nagaland                            | 324.11             | 176.26            | 358.57             | 174.80            | 183.81          | 28.54           | 172.60            | 27.14             |
| 26        | Odisha                              | 12,035.06          | 9,351.63          | 11,997.79          | 10,627.72         | 4003.81         | 5149.23         | 3,458.60          | 1,832.73          |
| 27        | Puducherry                          | 101.31             | 45.00             | 105.87             | 51.81             | 58.45           | 9.42            | 52.78             | 8.12              |
| 28        | Punjab                              | 8,763.55           | 8,396.31          | 4,231.52           | 4,322.30          | 1912.08         | 1370.60         | 1,552.08          | 720.77            |
| 29        | Rajasthan                           | 10,850.44          | 5,176.99          | 12,875.76          | 5,206.94          | 4140.24         | 1949.51         | 4,140.24          | 632.34            |
| 30        | Sikkim                              | 208.49             | 53.09             | 228.57             | 59.72             | 83.64           | 67.93           | 63.85             | 17.50             |
| 31        | Tamil Nadu                          | 5,538.14           | 8,175.54          | 10,248.43          | 7,080.80          | 5368.93         | 3401.87         | 5,215.92          | 2,863.85          |
| 32        | Telangana                           | 473.74             | 235.11            | 6,417.94           | 5,723.84          | 2210.62         | 719.54          | 1,813.52          | 0.11              |
| 33        | Tripura                             | 744.69             | 562.61            | 1,007.92           | 613.34            | 8696.49         | 7253.34         | 434.16            | 72.48             |
| 34        | Uttar Pradesh                       | 33,454.64          | 26,787.70         | 35,703.40          | 23,127.42         | 531.05          | 283.33          | 10,914.11         | 2,783.95 1,065.79 |
| 35 36     | Uttarakhand West Bengal             | 3,290.57 12,481.76 | 2,649.49 9,685.38 | 3,534.96 14,419.37 | 3,280.54 9,773.06 | 1792.79 4833.84 | 1073.90 3244.90 | 1,611.49 4,707.27 | 499.37            |

## Note:

1. State Program Implementation Plan ( SPIP ) Approval and Expenditure is as per the available Financial Management Reports submitted by State/UTs and are provisional.
2. Expenditure includes Expenditure against Central Release, Corresponding State share release & unspent balances at the beginning of the year.
3. * Expenditure for the FY 2023-24 is updated up-to 30.09.2023.

## Annexure 3

## States/UTs wise cumulative Status of District Early Intervention Center in FY 2022-23

| S.No.   | State                                    |   Number of District Early Intervention Center (DEIC) |
|---------|------------------------------------------|-------------------------------------------------------|
| 1       | Andaman and Nicobar Islands              |                                                     0 |
| 2       | Andhra Pradesh                           |                                                    34 |
| 3       | Arunachal Pradesh                        |                                                     3 |
| 4       | Assam                                    |                                                    13 |
| 5       | Bihar                                    |                                                     9 |
| 6       | Chandigarh                               |                                                     1 |
| 7       | Chhattisgarh                             |                                                     7 |
| 8       | Dadra and Nagar Haveli and Daman and Diu |                                                     2 |
| 9       | Delhi                                    |                                                     1 |
| 10      | Goa                                      |                                                     2 |
| 11      | Gujarat                                  |                                                    25 |
| 12      | Haryana                                  |                                                    21 |
| 13      | Himachal Pradesh                         |                                                     7 |
| 14      | Jammu and Kashmir                        |                                                    22 |
| 15      | Jharkhand                                |                                                     6 |
| 16      | Karnataka                                |                                                    14 |
| 17      | Kerala                                   |                                                    14 |
| 18      | Ladakh                                   |                                                     2 |
| 19      | Lakshadweep                              |                                                     0 |
| 20      | Madhya Pradesh                           |                                                    22 |
| 21      | Maharashtra                              |                                                    31 |
| 22      | Manipur                                  |                                                     9 |
| 23      | Meghalaya                                |                                                     3 |
| 24      | Mizoram                                  |                                                     2 |
| 25      | Nagaland                                 |                                                     1 |
| 26      | Odisha                                   |                                                    32 |
| 27      | Puducherry                               |                                                     1 |
| 28      | Punjab                                   |                                                     5 |
| 29      | Rajasthan                                |                                                    12 |
| 30      | Sikkim                                   |                                                     1 |
| 31      | Tamil Nadu                               |                                                    34 |
| 32      | Telangana                                |                                                    10 |
| 33      | Tripura                                  |                                                     3 |
| 34      | Uttar Pradesh                            |                                                     6 |
| 35      | Uttarakhand                              |                                                     5 |
| 36      | West Bengal                              |                                                     7 |
| Total   | Total                                    |                                                   367 |