Lok Sabha Question No. 784 (UNSTARRED), answered on 2024-11-29
Subject: Women suffering from Anemia
Ministry: WOMEN AND CHILD DEVELOPMENT
Asked by: Shri Satpal Brahamchari

## GOVERNMENT OF INDIA MINISTRY OF WOMEN AND CHILD DEVELOPMENT

## LOK SABHA UNSTARRED QUESTION NO. +784

TO BE ANSWERED ON 29.11.2024

## WOMEN SUFFERING FROM ANEMIA

- +784.  SHRI SATPAL BRAHAMCHARI:

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

- (a) the  number  of  women  suffering  from  anemia  and  children  suffering  from malnutrition in the country, State-wise and district-wise in Haryana especially parliamentary constituency of Sonipat;
- (b) the details of the steps taken by Government to solve the above said problems; and
- (c) the details of the resources provided to the State in order to solve the above said issues?

## ANSWER

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

(a) and (b) Anemia Mukt Bharat (AMB) a flagship programme of Government of India under  Ministry  of  Health  &  Family  Welfare  (MoH&FW),  launched  in  2018,  aims  to reduce the prevalence of anemia through 6X6X6 strategy implemented among the six target  beneficiaries-children  6-59  months,  children  5-9  years,  adolescents  10-19 years,  women  of  reproductive  age  group,  pregnant  women  and  lactating  mothers; through  six  interventions  implemented  via  six  institutional  mechanisms  for  all stakeholders. The six interventions for AMB strategy include:

1.  Prophylactic Iron and Folic Acid (IFA) supplementation to all six beneficiaries
2.  Deworming
3.  Intensified Behaviour Change Communication Campaign focusing on four key behaviours-  improving  compliance  to  IFA  supplementation  and  deworming, appropriate infant and young child feeding practices, increase in intake of ironrich  food  through  diet  diversity/quantity/frequency  and/or  fortified  foods  and ensuring delayed cord clamping in health facilities
4.  Testing  and  treatment  of  anemia,  using  digital  methods  and  point  of  care treatment,
5.  Mandatory provision of Iron and Folic Acid fortified foods in government funded public health programmes.
6.  Intensifying awareness, screening, and treatment of non-nutritional causes of anemia

Further, Mission Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0), under Ministry  of  Women  &  Child  Development  is  a  flagship  programme  to  address  the challenge of malnutrition through improved nutrition content and delivery to beneficiaries  in  Anganwadis.  Under  the  15th  Finance  Commission,  Anganwadi services,  Poshan  Abhiyaan  and  Scheme  for  Adolescent  girls  (14-18  years  in Aspirational Districts and North-East region) have been subsumed under this umbrella Mission .

In this Mission, 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 Malnourished (SAM)/Moderate Acute Malnourished (MAM) children and their wellness through AYUSH practices to reduce prevalence of wasting and being underweight besides stunting and anaemia.

Under this mission, 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 the 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 MarchApril  respectively.  To  give  high  importance  to  issues  around  anaemia,  dedicated anaemia  related  themes  have  been  undertaken  by  Ministry  of  Women  &  Child Development under Poshan Abhiyaan. 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.

Various rounds of the National Family Health Survey (NFHS) conducted since 199293 have 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 20112036,  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. 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  16.1  crores  approximately.  As  per  October  2024  data  of  Poshan  Tracker,  8.82 crores  children  (0-6  years)  are  enrolled  in  Anganwadis  out  of  whom  8.55  crores children 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.

The  State  wise  details  of  malnourished  children  in  the  country  are  provided  at Annexure-I . The district wise details of malnourished children in the State of Haryana including  parliamentary  constituency  of  Sonipat  (Districts  of  Sonipat  and  Jind)  is provided at Annexure - II.

Details of women suffering from anaemia are released under National Family Health Survey (NFHS), which is conducted by the Ministry of Health & Family Welfare. As per National Family Health Survey 5 (2019-21), the prevalence of anaemia among all women aged 15-49 years is 57 percent in the country. The State wise prevalence of anemia among all women aged 15-49 years is placed at Annexure III. The  district-wise  prevalence  of  anemia  among  all  women  aged  15-49  years  in Haryana including parliamentary constituency of Sonipat (Districts of Sonipat and Jind)

is placed at Annexure IV.

(c) Details of resources made available to the State of Haryana under Mission Poshan 2.0 are provided at Annexure - V.

Further, as per Record of Proceedings (RoP) for the State of Haryana for FY 2024-25 provided  by  MoH&FW,  the  amount  accorded  for  implementation  of  Anemia  Mukt Bharat (AMB) program to the State of Haryana is Rs 1588.58 Lakhs.

*****

## ANNEXURE-I

## ANNEXURE REFERRED IN REPLY TO PART (a) OF LOK SABHA QUESTION NO. 784  FOR  29.11.2024  REGARDING  'WOMEN  SUFFERING  FROM  ANEMIA' ASKED BY SHRI. SATPAL BRAHAMCHARI

The State wise details of malnourished children (0 - 5 years) enrolled in Anganwadis  across the country 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 (a) OF LOK SABHA QUESTION NO. 784  FOR  29.11.2024  REGARDING  'WOMEN  SUFFERING  FROM  ANEMIA' ASKED BY SHRI SATPAL BRAHAMCHARI

The district wise details of malnourished children (0 - 5 years) enrolled in Anganwadis in the State of Haryana including parliamentary constituency of Sonipat (Districts of Sonipat and Jind) are as follows*:

| District      |   Stunted (%) |   Wasted (%) |   Underweight (%) |
|---------------|---------------|--------------|-------------------|
| Ambala        |         31.52 |         5.7  |              9.25 |
| Bhiwani       |         21.04 |         2.62 |              5.58 |
| Charkhi Dadri |          7.41 |         0.81 |              2.06 |
| Faridabad     |         24.34 |         2.58 |              7.07 |
| Fatehabad     |         32.97 |         6.26 |             10.47 |
| Gurugram      |         23.2  |         2.63 |              5.76 |
| Hisar         |         33.01 |         4.01 |              9.31 |
| Jhajjar       |         26.1  |         1.05 |              4.44 |
| Jind          |         34.37 |         6.43 |             11.16 |
| Kaithal       |         27.35 |         7.82 |             11.01 |
| Karnal        |         28.26 |         5.55 |             10.32 |
| Kurukshetra   |         28.94 |         4.54 |             10.64 |
| Mahendragarh  |         32.81 |         3.07 |             10.42 |
| Nuh           |         23.08 |         2.67 |              7.91 |
| Palwal        |         46.06 |         7.3  |             17.43 |
| Panchkula     |         25.77 |         2.18 |              7.3  |
| Panipat       |         33.39 |         5.53 |              8.99 |
| Rewari        |         27    |         3.34 |              8.23 |
| Rohtak        |         29.17 |         3.22 |              5.82 |
| Sirsa         |         34.46 |         4.44 |             11.79 |
| Sonipat       |         11.75 |         1.52 |              2.5  |
| Yamunanagar   |         32.02 |         6.06 |             11.29 |
| Total         |         28.21 |         4.13 |              8.7  |

ANNEXURE -III

ANNEXURE REFERRED IN REPLY TO PART (a) OF RAJYA SABHA QUESTION NO. 784 FOR 29.11.2024 REGARDING 'WOMEN SUFFERING FROM ANEMIA' ASKED BY SHRI SATPAL BRAHAMCHARI

State-wise Prevalence of Anemia among Women aged 15-49 years in the Country (Source: NFHS 2019-21)

| State/UT                  |   All women age 15-49 years who are anaemic (%) |
|---------------------------|-------------------------------------------------|
| Andaman & Nicobar Islands |                                            57.5 |
| Andhra Pradesh            |                                            58.8 |
| Arunachal Pradesh         |                                            40.3 |
| Assam                     |                                            65.9 |
| Bihar                     |                                            63.5 |
| Chandigarh                |                                            60.3 |
| Chhattisgarh              |                                            60.8 |
| DNH& DD                   |                                            62.5 |
| Goa                       |                                            39   |
| Gujarat                   |                                            65   |
| Haryana                   |                                            60.4 |
| Himachal Pradesh          |                                            53   |
| Jammu & Kashmir           |                                            65.9 |
| Jharkhand                 |                                            65.3 |
| Karnataka                 |                                            47.8 |
| Kerala                    |                                            36.3 |
| Ladakh                    |                                            92.8 |
| Lakshadweep               |                                            25.8 |
| Madhya Pradesh            |                                            54.7 |
| Maharashtra               |                                            54.2 |
| Manipur                   |                                            29.4 |
| Meghalaya                 |                                            53.8 |
| Mizoram                   |                                            34.8 |

| Nagaland      |   28.9 |
|---------------|--------|
| NCT Of Delhi  |   49.9 |
| Odisha        |   64.3 |
| Puducherry    |   55.1 |
| Punjab        |   58.7 |
| Rajasthan     |   54.4 |
| Sikkim        |   42.1 |
| Tamil Nadu    |   53.4 |
| Telangana     |   57.6 |
| Tripura       |   67.2 |
| Uttar Pradesh |   50.4 |
| Uttarakhand   |   42.6 |
| West Bengal   |   71.4 |

## Annexure-IV

## ANNEXURE REFERRED IN REPLY TO PART (a) OF RAJYA SABHA QUESTION NO. 784 FOR 29.11.2024 REGARDING 'WOMEN SUFFERING FROM ANEMIA' ASKED BY SHRI SATPAL BRAHAMCHARI

District-wise Prevalence of Anemia among Women aged 15-49 years in the State of Haryana including parliamentary constituency of Sonipat (Districts of Sonipat and Jind) (Source: Haryana State Report, NFHS 2019-21)

| Name of District   |   Percentage of anemia in women aged 15-49 years (%) |
|--------------------|------------------------------------------------------|
| Ambala             |                                                 46.1 |
| Bhiwani            |                                                 66.4 |
| Charkhi Dadri      |                                                 72.6 |
| Faridabad          |                                                 54.2 |
| Fatehabad          |                                                 62.3 |
| Gurgaon            |                                                 67.5 |
| Hisar              |                                                 63.8 |
| Jhajjar            |                                                 60.1 |
| Jind               |                                                 59.6 |
| Kaithal            |                                                 61.5 |
| Karnal             |                                                 61.9 |
| Kurukshetra        |                                                 57.1 |
| Mahendragarh       |                                                 61.2 |
| Mewat              |                                                 60.6 |
| Palwal             |                                                 57.2 |
| Panchkula          |                                                 57.1 |
| Panipat            |                                                 66.9 |
| Rewari             |                                                 61.8 |
| Rohtak             |                                                 65.3 |
| Sirsa              |                                                 61.9 |
| Sonipat            |                                                 53.3 |
| Yamunanagar        |                                                 56.6 |

Annexure - V ANNEXURE REFERRED IN REPLY TO PART (c) OF LOK SABHA QUESTION NO. 784  FOR  29.11.2024  REGARDING  'WOMEN  SUFFERING  FROM  ANEMIA' ASKED BY SHRI SATPAL BRAHAMCHARI The total funds released to the State of Haryana, under Mission Poshan 2.0, are as follows:

| Funds   | Released (in crore)   |
|---------|-----------------------|
| 2021-22 | 173.03                |
| 2022-23 | 195.25                |
| 2023-24 | 225.78                |
| 2024-25 | 177.77*               |

* funds released up to 20 November 2024 *****