Lok Sabha Question No. 1033 (UNSTARRED), answered on 2025-07-25
Subject: Maternal Mortality Ratio in Assam Tea Gardens
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Pradyut Bordoloi

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

## LOK SABHA UNSTARRED QUESTION NO. 1033 TO BE ANSWERED ON 25 TH JULY, 2025

## MATERNALMORTALITYRATIO IN ASSAM TEAGARDENS

## † 1033 SHRI PRADYUT BORDOLOI:

Will the Minister of HEALTH AND FAMILYWELFARE be pleased to state:

(a) the details of the Maternal Mortality Ratio (MMR) in Assam ' s tea gardens and the share of institutional deliveries amongst tea garden workers in the country, State/UT-wise, particularly in Assam;

- (b) the details of the number of tea garden workers in Assam who availed benefits under the Janani Suraksha Yojna during the last five years and the amount of funds disbursed to them, year-wise;
- (c) the details of the number of female tea garden workers in Assam covered under the Anaemia Mukt Bharat Abhiyan and the share of pregnant tea garden workers who received 180 Red Iron and Folic Acid (IFA) tablets under the scheme; and

(d) whether the Government has undertaken any assessments regarding the delivery of central schemes related to maternal health to tea garden workers in Assam and if so, the findings thereof?

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

(a): As per the Special Bulletin on Maternal Mortality Ratio (MMR), 2020-22 released by the Registrar General of India, which provides MMR at State level, the MMR of Assam is 125 per lakh live births. The share of institutional deliveries at State/UT level including the State of Assam as per the NFHS-5 (2019-21), is placed at Annexure I.

(b): The details of the funds approved under NHM for Janani Suraksha Yojana (JSY) in Assam, in the last five years are placed at Annexure II. As per the information received from the state of Assam, the year-wise data of tea garden workers who have availed JSY benefits and the amount of funds disbursed to them is not maintained separately.

(c): Under Anemia Mukt Bharat Abhiyan, all the target age groups, including pregnant and lactating women and women of reproductive age group are covered across all the States and

UTs, including all tea garden areas of Assam. As per the Health Management Information System (HMIS), 95% of pregnant women in Assam have been provided with 180 Red Iron and Folic Acid (IFA) tablets in FY 2024-25. As per the information received from the State of Assam, the separate coverage data for female tea garden workers and pregnant tea garden workers is not maintained.

(d): The Government assesses the implementation of central schemes under National Health Mission (NHM) by undertaking periodic Regional/State level review meetings, field visits in various States/UTs and Common Review Missions (CRMs). Further, Government of India has taken following steps for effective implementation and strengthening of central schemes, across all States and UTs, including tea gardens in Assam:

-  Asystem of regular supportive supervisory visits to the states and districts to monitor the implementation of central schemeshas been put in place.
-  Health Management Information System (HMIS), Reproductive and Child Health (RCH) portal and Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) portal are the major tools to report, review and monitor the key maternal health indicators under the central schemes.
-  Communications through multiple channels with State Governments including letters and videoconferencing.

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Annexure referred to in reply to part (a) of Lok Sabha Unstarred Q. No 1033 to be answered on 25.07.2025

Annexure I India and State/UT wise share of Institutional Deliveries as per NFHS-5 (2019-21)

|   S.No. | State/UT                             | Institutional Delivery%   |
|---------|--------------------------------------|---------------------------|
|       1 | India Andaman and Nicobar Islands    | 88.6 98.9                 |
|       2 | Andhra Pradesh                       | 96.5                      |
|       3 | Arunachal Pradesh                    | 79.2                      |
|       4 | Assam                                | 84.1                      |
|       5 | Bihar                                | 76.2                      |
|       6 | Chandigarh                           | 96.9                      |
|       7 | Chhattisgarh                         | 85.7                      |
|       8 | Delhi                                | 91.8                      |
|       9 | Goa                                  | 99.7                      |
|      10 | Gujarat                              | 94.3                      |
|      11 | Haryana                              | 94.9                      |
|      12 | Himachal Pradesh                     | 88.2                      |
|      13 | Jammu and Kashmir                    | 92.4                      |
|      14 | Jharkhand                            | 75.8                      |
|      15 | Karnataka                            | 97.0                      |
|      16 | Kerala                               | 99.8                      |
|      17 | Ladakh                               | 95.1                      |
|      18 | Lakshadweep                          | 99.6                      |
|      19 | Madhya Pradesh                       | 90.7                      |
|      20 | Maharashtra                          | 94.7                      |
|      21 | Manipur                              | 79.9                      |
|      22 | Meghalaya                            | 58.1                      |
|      23 | Mizoram                              | 85.8                      |
|      24 | Nagaland                             | 45.7                      |
|      25 | Odisha                               | 92.2                      |
|      26 | Puducherry                           | 99.6                      |
|      27 | Punjab                               | 94.3                      |
|      28 | Rajasthan                            | 94.9                      |
|      29 | Sikkim                               | 94.7                      |
|      30 | Tamil Nadu                           | 99.6                      |
|      31 | Telangana                            | 97.0                      |
|      32 | The Dadra Nagar Haveli and Daman&Diu | 96.5                      |
|      33 | Tripura                              | 89.2                      |
|      34 | Uttarakhand                          | 83.2                      |
|      35 | Uttar Pradesh                        | 83.4                      |
|      36 | West Bengal                          | 91.7                      |

Annexure referred to in reply to part (b) of Lok Sabha Unstarred Q. No 1033 to be answered on 25.07.2025 Annexure II State Program Implementation Plan (SPIP)Approvalsfor the last 5 years under JSY for Assam

| Financial Year   | SPIPApproval (Rs. in lakh)   |
|------------------|------------------------------|
| 2020-21          | 6,933.61                     |
| 2021-22          | 4,634.84                     |
| 2022-23          | 7,917.38                     |
| 2023-24          | 8,248.54                     |
| 2024-25          | 8,554.27                     |