Lok Sabha Question No. 2610 (UNSTARRED), answered on 2023-08-04
Subject: Anaemia Mukt Bharat Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajendra Agrawal

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

## LOK SABHA UNSTARRED QUESTION NO. 2610 TO BE ANSWERED ON THE 4 TH AUGUST 2023

## 'ANAEMIAMUKT BHARATPROGRAMME'

## †2610. SHRI RAJENDRA AGRAWAL:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the salient features of Anaemia Mukt Bharat Programme and the progress made under it since its inception, State/UT-wise;
- (b) the funds allocated and utilized since the year 2019 under Anaemia Mukt Bharat Programme and Poshan Abhiyan, State/UT-wise;
- (c) whether 67 per cent boys and 59 per cent girls upto the age of five are anaemic; and (d) if so, the steps taken/proposed to be taken by the Government for elimination of this disease?

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

- (a) The Government implements Anaemia Mukt Bharat (AMB) programme to reduce anaemia in

children, adolescents and women in life cycle approach. The salient features of Anaemia Mukt Bharat Programme are provided at Annexure I and the State/UT-wise progress made since its inception in the year 2018 is provided at Annexure II.

- (b) The State/UT-wise statement of funds allocated and utilized from FY 2019-20 to FY 2022-23 under Anaemia Mukt Bharat programme is provided at Annexure III and under POSHAN Abhiyan is provided at Annexure IV.
- (c) As per National Family Health Survey-5 (NFHS-5, 2019-21), the prevalence of anaemia is 67.2 percent among male children aged 6-59 months and 67.0 percent among female children aged 6-59 months.

## (d)

The steps taken by the Ministry of Health and Family Welfare to address the problem of anaemia are:

- i. Prophylactic Iron Folic Acid Supplementation to all six beneficiaries age group
- ii. Deworming among children and adolescents in age group 1-19 years
- iii. Intensified year-round Behaviour Change Communication (BCC) Campaign
- iv. Testing of anaemia, using digital invasive haemoglobinometer and point of care treatment
- v. Addressing non-nutritional causes of anaemia in endemic pockets with special focus on malaria, hemoglobinopathies and fluorosis
- vi. Management of severe anaemia in pregnant women by administration of IV Iron Sucrose/ Blood transfusion
- vii. Providing incentives to the ANM for identification and follow-up of pregnant women with severe anaemia in high priority districts (HPDs)
8. viii.Convergence and coordination with other line departments and ministries for strengthening implementation
- ix. National Centre of Excellence and Advanced Research on Anaemia Control (NCEAR-A) at AIIMS, Delhi engaged in capacity building of health care providers

## Salient features of Anaemia Mukt Bharat (AMB) Programme

 The 6X6X6 AMB strategy aims to reduce anaemia among six beneficiaries age group through implementation of six interventions and six institutional mechanisms.

 The six beneficiaries age groups are Children 6-59 months, Children 5-9 years, Adolescents 10-19 years, Women of Reproductive Age (15-49 years), Pregnant Women and Lactating women

-  The six interventions are -
1. Prophylactic Iron and Folic Acid Supplementation in all six target age groups
2. Deworming among children 1-19 years

3. Intensified year-round Behaviour Change Communication (BCC) Campaign for: (a) improving compliance to Iron Folic Acid supplementation and deworming, (b) enhancing appropriate infant and young child feeding practices, (c) encouraging increase in intake of iron-rich food through diet diversity/quantity/frequency and/or fortified foods with focus on harnessing locally available resources, and (d) ensuring delayed cord clamping after delivery (by 3 minutes) in health facilities

4. Testing and treatment of anaemia, using digital methods (Digital Invasive Haemoglobinometer) and point of care treatment, with special focus on pregnant women and school-going adolescents

5. Addressing non-nutritional causes of anaemia in endemic pockets with special focus on malaria, haemoglobinopathies and fluorosis

6. Provision of IFA fortified food in public health programmes, with focus on harnessing locally available resources

 The six institutional mechanism are Inter-ministerial coordination, Convergence with other Ministries, Strengthening Supply Chain and logistics, monitoring through Anaemia Mukt Bharat dashboard; Engagement of National Centre of Excellence and Advanced Research on Anaemia Control at AIIMS, Delhi for capacity building of health care providers, National Anaemia Mukt Bharat Unit

## Progress made for Iron and Folic Acid (IFA) Coverage among beneficiaries age groups from FY 2018-19 and FY 2022-23 (Source: HMIS)

## a) IFA coverage among beneficiaries age group for FY 2018-19

| Iron and Folic Acid (IFA) Coverage for FY2018-19   | Iron and Folic Acid (IFA) Coverage for FY2018-19                                           | Iron and Folic Acid (IFA) Coverage for FY2018-19                       | Iron and Folic Acid (IFA) Coverage for FY2018-19                     | Iron and Folic Acid (IFA) Coverage for FY2018-19             | Iron and Folic Acid (IFA) Coverage for FY2018-19                |
|----------------------------------------------------|--------------------------------------------------------------------------------------------|------------------------------------------------------------------------|----------------------------------------------------------------------|--------------------------------------------------------------|-----------------------------------------------------------------|
| State/UT                                           | %IFAcoverage of children (6- 59 months) provided 8-10 doses (1ml) of IFA syrup (Bi weekly) | % IFA coverage of children (5 - 9 years) provided 4-5 IFA Pink tablets | %IFA coverage of children (10 -19 years) provided 4 IFA Blue tablets | %IFA coverage of Pregnant Women provided 180 IFA Red tablets | %IFA coverage of lactating mothers provided 180 IFA Red tablets |
| A&NIslands                                         | 11.9                                                                                       | 0.0                                                                    | 0.0                                                                  | 72.3                                                         | 76.0                                                            |
| Andhra Pradesh                                     | 11.8                                                                                       | 95.0                                                                   | 95.0                                                                 | 95.0                                                         | 63.0                                                            |
| Arunachal Pradesh                                  | 0.0                                                                                        | 3.7                                                                    | 1.6                                                                  | 44.9                                                         | 42.4                                                            |
| Assam                                              | 22.2                                                                                       | 52.9                                                                   | 50.4                                                                 | 95.0                                                         | 62.0                                                            |
| Bihar                                              | 0.0                                                                                        | 0.0                                                                    | 0.3                                                                  | 69.0                                                         | 25.0                                                            |
| Chandigarh                                         | 2.2                                                                                        | 0.0                                                                    | 26.4                                                                 | 90.2                                                         | 95.0                                                            |
| Chhattisgarh                                       | 5.4                                                                                        | 2.5                                                                    | 48.2                                                                 | 95.0                                                         | 58.9                                                            |
| DNH                                                | 80.8                                                                                       | 95.0                                                                   | 23.1                                                                 | 85.9                                                         | 95.0                                                            |
| Daman &Diu                                         | 0.2                                                                                        | 24.2                                                                   | 95.0                                                                 | 95.0                                                         | 37.5                                                            |
| Delhi                                              | 0.1                                                                                        | 0.0                                                                    | 0.0                                                                  | 51.3                                                         | 50.2                                                            |
| Goa                                                | 0.0                                                                                        | 0.0                                                                    | 21.4                                                                 | 72.5                                                         | 86.2                                                            |
| Gujarat                                            | 19.7                                                                                       | 27.3                                                                   | 43.9                                                                 | 95.0                                                         | 72.5                                                            |
| Haryana                                            | 3.0                                                                                        | 0.0                                                                    | 51.9                                                                 | 59.5                                                         | 29.0                                                            |
| Himachal Pradesh                                   | 10.7                                                                                       | 1.1                                                                    | 4.9                                                                  | 79.9                                                         | 59.8                                                            |
| Jammu &Kashmir                                     | 0.7                                                                                        | 0.2                                                                    | 0.3                                                                  | 35.5                                                         | 35.4                                                            |
| Jharkhand                                          | 2.0                                                                                        | 13.3                                                                   | 26.7                                                                 | 93.1                                                         | 52.1                                                            |
| Karnataka                                          | 2.3                                                                                        | 2.4                                                                    | 10.9                                                                 | 95.0                                                         | 57.4                                                            |
| Kerala                                             | 0.6                                                                                        | 0.0                                                                    | 36.3                                                                 | 94.3                                                         | 27.8                                                            |
| Lakshadweep                                        | 0.0                                                                                        | 0.0                                                                    | 0.0                                                                  | 95.0                                                         | 47.2                                                            |
| Madhya Pradesh                                     | 16.7                                                                                       | 57.9                                                                   | 53.0                                                                 | 92.1                                                         | 50.0                                                            |
| Maharashtra                                        | 7.9                                                                                        | 25.8                                                                   | 57.0                                                                 | 94.2                                                         | 58.6                                                            |
| Manipur                                            | 0.1                                                                                        | 4.1                                                                    | 3.3                                                                  | 38.8                                                         | 12.6                                                            |
| Meghalaya                                          | 0.4                                                                                        | 0.0                                                                    | 19.8                                                                 | 33.5                                                         | 43.0                                                            |
| Mizoram                                            | 0.2                                                                                        | 5.2                                                                    | 41.0                                                                 | 39.4                                                         | 10.7                                                            |
| Nagaland                                           | 0.1                                                                                        | 0.5                                                                    | 21.1                                                                 | 15.6                                                         | 9.8                                                             |
| Odisha                                             | 17.9                                                                                       | 23.3                                                                   | 28.3                                                                 | 82.8                                                         | 43.0                                                            |
| Puducherry                                         | 6.9                                                                                        | 4.3                                                                    | 61.8                                                                 | 48.5                                                         | 78.9                                                            |
| Punjab                                             | 9.6                                                                                        | 18.7                                                                   | 46.0                                                                 | 55.0                                                         | 37.6                                                            |
| Rajasthan                                          | 4.0                                                                                        | 1.7                                                                    | 3.9                                                                  | 45.2                                                         | 29.0                                                            |
| Sikkim                                             | 2.1                                                                                        | 1.5                                                                    | 72.5                                                                 | 69.7                                                         | 95.0                                                            |
| Tamil Nadu                                         | 3.2                                                                                        | 21.8                                                                   | 78.3                                                                 | 95.6                                                         | 32.8                                                            |
| Telangana                                          | 0.0                                                                                        | 0.0                                                                    | 1.3                                                                  | 95.0                                                         | 88.8                                                            |
| Tripura                                            | 0.0                                                                                        | 0.9                                                                    | 7.1                                                                  | 56.5                                                         | 18.3                                                            |
| Uttar Pradesh                                      | 0.4                                                                                        | 14.8                                                                   | 12.2                                                                 | 95.0                                                         | 23.6                                                            |
| Uttarakhand                                        | 0.1                                                                                        | 0.8                                                                    | 2.6                                                                  | 31.8                                                         | 12.4                                                            |
| West Bengal                                        | 55.8                                                                                       | 7.5                                                                    | 9.9                                                                  | 88.8                                                         | 74.4                                                            |

## (b)IFA coverage among beneficiaries age group for FY 2022-23

| Iron and Folic Acid (IFA) Coverage for FY 2022-23   | Iron and Folic Acid (IFA) Coverage for FY 2022-23                                            | Iron and Folic Acid (IFA) Coverage for FY 2022-23                       | Iron and Folic Acid (IFA) Coverage for FY 2022-23                   | Iron and Folic Acid (IFA) Coverage for FY 2022-23            | Iron and Folic Acid (IFA) Coverage for FY 2022-23               |
|-----------------------------------------------------|----------------------------------------------------------------------------------------------|-------------------------------------------------------------------------|---------------------------------------------------------------------|--------------------------------------------------------------|-----------------------------------------------------------------|
| State/UT                                            | %IFA coverage of children (6- 59 months) provided 8- 10 doses (1ml) of IFA syrup (Bi weekly) | % IFA coverage of children (5 - 9 years) provided 4 -5 IFA Pink tablets | %IFA coverage of children (10-19 years) provided 4 IFA Blue tablets | %IFA coverage of Pregnant Women provided 180 IFA Red tablets | %IFA coverage of lactating mothers provided 180 IFA Red tablets |
| A&NIslands                                          | 7.0                                                                                          | 50.2                                                                    | 82.9                                                                | 95.0*                                                        | 39.9                                                            |
| Andhra Pradesh                                      | 41.2                                                                                         | 34.2                                                                    | 39.6                                                                | 95.0                                                         | 36.5                                                            |
| Arunachal Pradesh                                   | 0.0                                                                                          | 0.1                                                                     | 0.1                                                                 | 74.1                                                         | 53.5                                                            |
| Assam                                               | 41.1                                                                                         | 95.0                                                                    | 53.7                                                                | 95.0                                                         | 76.3                                                            |
| Bihar                                               | 3.4                                                                                          | 7.0                                                                     | 18.8                                                                | 81.1                                                         | 44.6                                                            |
| Chandigarh                                          | 35.0                                                                                         | 34.8                                                                    | 25.5                                                                | 64.5                                                         | 51.4                                                            |
| Chhattisgarh                                        | 78.5                                                                                         | 83.6                                                                    | 37.1                                                                | 95.0                                                         | 74.4                                                            |
| D&NH and DD                                         | 1.2                                                                                          | 15.7                                                                    | 88.7                                                                | 95.0*                                                        | 95.0*                                                           |
| Delhi                                               | 0.0                                                                                          | 0.0                                                                     | 0.0                                                                 | 94.3                                                         | 32.7                                                            |
| Goa                                                 | 7.5                                                                                          | 23.3                                                                    | 55.3                                                                | 83.5                                                         | 87.5                                                            |
| Gujarat                                             | 29.3                                                                                         | 54.1                                                                    | 57.1                                                                | 95.0                                                         | 71.5                                                            |
| Haryana                                             | 81.7                                                                                         | 35.0                                                                    | 87.3                                                                | 87.1                                                         | 53.3                                                            |
| Himachal Pradesh                                    | 46.6                                                                                         | 58.5                                                                    | 45.6                                                                | 80.9                                                         | 62.8                                                            |
| Jammu and Kashmir                                   | 52.8                                                                                         | 63.3                                                                    | 56.9                                                                | 91.9                                                         | 47.0                                                            |
| Jharkhand                                           | 33.3                                                                                         | 35.4                                                                    | 73.1                                                                | 91.3                                                         | 75.3                                                            |
| Karnataka                                           | 10.8                                                                                         | 36.8                                                                    | 26.5                                                                | 95.0                                                         | 80.9                                                            |
| Kerala                                              | 15.6                                                                                         | 2.8                                                                     | 3.0                                                                 | 95.0                                                         | 59.2                                                            |
| Ladakh                                              | 5.8                                                                                          | 1.4                                                                     | 8.7                                                                 | 95.0*                                                        | 46.1                                                            |
| Lakshadweep                                         | 6.3                                                                                          | 3.6                                                                     | 22.8                                                                | 83.8                                                         | 38.7                                                            |
| Madhya Pradesh                                      | 60.6                                                                                         | 84.8                                                                    | 78.7                                                                | 95.0                                                         | 60.1                                                            |
| Maharashtra                                         | 67.2                                                                                         | 51.9                                                                    | 34.0                                                                | 95.0                                                         | 80.2                                                            |
| Manipur                                             | 0.1                                                                                          | 5.5                                                                     | 3.4                                                                 | 33.2                                                         | 17.0                                                            |
| Meghalaya                                           | 1.2                                                                                          | 0.2                                                                     | 4.3                                                                 | 67.9                                                         | 95.0                                                            |
| Mizoram                                             | 0.2                                                                                          | 10.8                                                                    | 30.3                                                                | 73.3                                                         | 28.6                                                            |
| Nagaland                                            | 0.0                                                                                          | 0.6                                                                     | 7.3                                                                 | 60.7                                                         | 36.4                                                            |
| Odisha                                              | 71.1                                                                                         | 68.7                                                                    | 48.1                                                                | 94.8                                                         | 72.2                                                            |
| Puducherry                                          | 26.6                                                                                         | 79.4                                                                    | 42.2                                                                | 94.6                                                         | 58.5                                                            |
| Punjab                                              | 16.6                                                                                         | 39.7                                                                    | 39.8                                                                | 72.7                                                         | 52.5                                                            |
| Rajasthan Sikkim                                    | 42.1 5.8                                                                                     | 36.1 5.3                                                                | 21.7 20.2                                                           | 95.0 87.4                                                    | 76.8 95.0                                                       |
|                                                     | 95.0                                                                                         |                                                                         | 87.7                                                                | 95.0                                                         | 95.0                                                            |
| Tamil Nadu                                          | 82.7                                                                                         | 73.1                                                                    | 84.2                                                                | 95.0                                                         | 80.8                                                            |
| Telangana                                           |                                                                                              | 83.1                                                                    |                                                                     |                                                              |                                                                 |
| Tripura                                             | 8.9                                                                                          | 51.7                                                                    | 40.2                                                                | 87.0                                                         | 39.8                                                            |
| Uttar Pradesh                                       | 1.1                                                                                          | 51.9                                                                    | 51.9                                                                | 95.0                                                         | 44.0                                                            |
| Uttarakhand West Bengal                             | 9.4 58.5                                                                                     | 43.4 13.0                                                               | 38.0 28.4                                                           | 89.6 91.4                                                    | 71.3 75.1                                                       |

## Annexure III

## State/UT-wise Statement of Approvals and Utilisation towards Anaemia under NHM from FY 2019-20 to FY 2022-23 (as on 31.03.2023)

(Rs. In lakhs)

| S.N o.   | State/UT            | 2019-20   | 2019-20     | 2020-21   | 2020-21     |
|----------|---------------------|-----------|-------------|-----------|-------------|
| S.N o.   | State/UT            | Approvals | Utilisation | Approvals | Utilisation |
| 1        | A&N Islands         | 13.54     | 7.99        | 8.20      | 0.00        |
| 2        | Andhra Pradesh      | 1168.49   | 1662.93     | 1714.08   | 1710.90     |
| 3        | Arunachal Pradesh   | 113.94    | 99.57       | 210.83    | 238.39      |
| 4        | Assam               | 1004.33   | 445.57      | 1357.25   | 250.78      |
| 5        | Bihar               | 5438.62   | 1399.00     | 2191.44   | 287.53      |
| 6        | Chandigarh          | 0.03      | 0.03        | 0.00      | 0.00        |
| 7        | Chhattisgarh        | 1472.83   | 1322.68     | 2226.69   | 2332.18     |
| 8        | Dadra &Nagar Haveli | 11.97     | 4.01        |           |             |
| 9        | Daman &Diu          | 15.32     | 6.92        | 6.41      | 2.48        |
| 10       | Delhi               | 753.70    | 0.00        | 435.01    | 3.85        |
| 11       | Goa                 | 68.71     | 11.86       | 61.70     | 8.97        |
| 12       | Gujarat             | 1238.39   | 481.59      | 666.53    | 554.09      |
| 13       | Haryana             | 415.24    | 74.63       | 1284.59   | 308.65      |
| 14       | Himachal Pradesh    | 218.84    | 57.37       | 470.42    | 0.03        |
| 15       | Jammu &Kashmir      | 1059.22   | 677.67      | 1383.94   | 447.90      |
| 16       | Jharkhand           | 1943.29   | 863.71      | 1860.73   | 281.79      |
| 17       | Karnataka           | 1801.48   | 1906.63     | 1678.06   | 131.34      |
| 18       | Kerala              | 818.27    | 18.74       | 697.55    | 192.46      |
| 19       | Ladakh              | -         | -           | 60.05     | 11.30       |
| 20       | Lakshadweep         | 1.84      | 0.52        | 11.15     | 0.00        |
| 21       | Madhya Pradesh      | 2647.75   | 1455.53     | 3298.34   | 2990.77     |
| 22       | Maharashtra         | 6516.12   | 378.56      | 5146.24   | 287.31      |
| 23       | Manipur             | 163.75    | 170.81      | 262.61    | 95.02       |
| 24       | Meghalaya           | 320.84    | 25.35       | 147.43    | 4.60        |
| 25       | Mizoram             | 47.72     | 33.69       | 10.30     | 34.79       |
| 26       | Nagaland            | 47.67     | 0.00        | 103.09    | 9.90        |
| 27       | Odisha              | 1032.88   | 561.86      | 410.30    | 196.95      |
| 28       | Puducherry          | 81.01     | 60.56       | 76.17     | 0.42        |
| 29       | Punjab              | 1712.28   | 820.42      | 1701.08   | 1244.11     |
| 30       | Rajasthan           | 3410.38   | 1356.50     | 2630.58   | 930.02      |
| 31       | Sikkim              | 25.22     | 17.96       | 17.81     | 20.52       |
| 32       | Tamil Nadu          | 2264.39   | 2021.54     | 3951.63   | 1513.84     |
| 33       | Telangana           | 935.89    | 1030.75     | 3831.67   | 773.64      |
| 34       | Tripura             | 131.50    | 20.37       | 178.56    | 26.32       |
| 35       | Uttar Pradesh       | 7169.72   | 2060.35     | 5320.09   | 136.57      |
| 36       | Uttarakhand         | 303.90    | 222.66      | 651.60    | 77.75       |
| 37       | West Bengal         | 3818.02   | 1759.81     | 4599.95   | 4413.91     |

Note:

1. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year.
2. The above data is as per available FMRs as submitted by States/UTs.
3. The above data comprises of follow up mechanism for the severely anaemic women and the women with blood disorders, one day orientation of frontline workers (ASHA/ANM) and allied department workers (Teachers/AWW) on Anaemia Mukt Bharat strategy as per RCH training norms, IFA syrups (with auto dispenser) for children (6-59months), IFA tablets (IFA WIFS junior tabletspink sugar coated) for children (5-10 yrs), IFA tablets for non-pregnant & non-lactating women in reproductive age (20-49 years), orientation activities on vitamin A supplementation and Anaemia Mukt Bharat Programme, printing for Micronutrient Supplementation Programme including IEC materials, reporting formats, guidelines / training materials etc. (for AMB and Vitamin A supplementation programmes), etc.
4. 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.

## State/UT-wise Statement of Approvals and Utilisation towards Anaemia under NHM from FY 2019-20 to FY 2022-23 (as on 31.03.2023) …(contd)

(Rs. in lakhs)

| S.No.   | State/UT                            | 2021-22        | 2021-22     | 2022-23        | 2022-23     |
|---------|-------------------------------------|----------------|-------------|----------------|-------------|
| S.No.   | State/UT                            | SPIP Approvals | Expenditure | SPIP Approvals | Expenditure |
| 1       | Andaman &Nicobar Islands            | 4.45           | 0.00        | 9.99           | 0.51        |
| 2       | Andhra Pradesh                      | 2018.16        | 2018.16     | 8569.74        | 3037.45     |
| 3       | Arunachal Pradesh                   | 28.85          | 17.23       | 27.30          | 14.11       |
| 4       | Assam                               | 11360.33       | 13808.37    | 2257.45        | 1721.50     |
| 5       | Bihar                               | 4078.28        | 310.52      | 7569.52        | 137.11      |
| 6       | Chandigarh                          | 0.50           | 0.04        | 0.00           | 0.00        |
| 7       | Chhattisgarh                        | 2762.19        | 3413.05     | 1816.00        | 1654.30     |
| 8       | Dadra &Nagar Haveli and Daman & Diu | 6.57           | 0.00        | 12.84          | 8.42        |
| 9       | Delhi                               | 365.95         | 0.00        | 311.00         | 2.24        |
| 10      | Goa                                 | 816.29         | 286.71      | 123.97         | 33.45       |
| 11      | Gujarat                             | 4252.93        | 4146.37     | 2534.90        | 996.70      |
| 12      | Haryana                             | 13.65          | 0.10        | 1685.18        | 1833.31     |
| 13      | Himachal Pradesh                    | 6510.00        | 6500.48     | 336.24         | 169.52      |
| 14      | Jammu &Kashmir                      | 2236.78        | 53.88       | 777.48         | 343.20      |
| 15      | Jharkhand                           | 3204.63        | 1726.22     | 5185.43        | 1967.88     |
| 16      | Karnataka                           | 13289.90       | 4384.06     | 2594.06        | 50.48       |
| 17      | Kerala                              | 20103.00       | 17950.99    | 2540.73        | 1070.38     |
| 18      | Ladakh                              | 60.50          | 10.64       | 8.48           | 13.60       |
| 19      | Lakshadweep                         | 38.85          | 10.14       | 5.25           | 5.00        |
| 20      | Madhya Pradesh                      | 10350.21       | 9664.21     | 8518.16        | 4561.94     |
| 21      | Maharashtra                         | 29607.98       | 25825.79    | 7285.50        | 970.40      |
| 22      | Manipur                             | 21.73          | 168.78      | 139.01         | 47.45       |
| 23      | Meghalaya                           | 100.10         | 153.08      | 490.74         | 357.13      |
| 24      | Mizoram                             | 381.54         | 179.65      | 132.10         | 1.82        |
| 25      | Nagaland                            | 686.88         | 753.75      | 165.68         | 0.00        |
| 26      | Odisha                              | 384.71         | 39.20       | 2119.17        | 322.96      |
| 27      | Puducherry                          | 54.22          | 45.17       | 248.49         | 83.99       |
| 28      | Punjab                              | 4744.00        | 4902.03     | 1082.42        | 75.77       |
| 29      | Rajasthan                           | 60348.00       | 41320.12    | 3837.04        | 853.58      |
| 30      | Sikkim                              | 344.10         | 503.82      | 49.74          | 43.68       |
| 31      | Tamil Nadu                          | 13125.48       | 12917.85    | 1273.11        | 233.90      |
| 32      | Telangana                           | 1161.00        | 601.62      | 2390.04        | 3881.33     |
| 33      | Tripura                             | 200.50         | 194.61      | 605.05         | 51.48       |
| 34      | Uttar Pradesh                       | 17379.51       | 55.65       | 11768.65       | 834.48      |
| 35      | Uttarakhand                         | 2285.91        | 1570.20     | 1372.12        | 226.46      |

| 36   | West Bengal   | 8043.60   | 7836.72   | 2332.83   | 1462.45   |
|------|---------------|-----------|-----------|-----------|-----------|

## Note:

1. Expenditure includes expenditure against central Release, State release & unspent balances at the beginning of the year.
2. The above data is as per available FMRs as submitted by States/Uts and is provisional.
3. The above data comprises of Printing activities under Blood services & disorders, Antenatal Screening of all pregnant women coming to the facilities in their first trimester for Sickle cell trait,
4. β Thalassemia, Haemoglobin variants esp. Haemoglobin E and Anaemia -Refer Hemoglobinopathies guidelines, Line listing and follow-up of severely anaemic women, Line listing of the women with blood disorders, Follow up mechanism for the severely anaemic women and the women with blood disorders, One time Screening to Identify the carriers of Sickle cell trait, β Thalassemia, Haemoglobin variants at school especially class 8 students and in newborns, etc.
4. 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 IV

## State/UT wise statement of funds released and utilization under POSHAN Abhiyan from FY 2019-20 to FY 2021-22 (as on 31.03.2022)

Amount in ₹lakhs

| State/UT          |   Total Central Funds released from 2019-20 to 2021-22 |   Total Central Funds utilised as on 31.03.2022 |
|-------------------|--------------------------------------------------------|-------------------------------------------------|
| A&NIslands        |                                                  926.6 |                                           413.5 |
| Andhra Pradesh    |                                                14186.2 |                                         17560.8 |
| Arunachal Pradesh |                                                 1106.2 |                                          1064.2 |
| Assam             |                                                15158   |                                         21276.3 |
| Bihar             |                                                27300.5 |                                         30678.4 |
| Chandigarh        |                                                  582.9 |                                           574   |
| Chhattisgarh      |                                                  839.6 |                                          7303.9 |
| DNH and DD        |                                                  878.1 |                                           769.7 |
| Delhi             |                                                  174.4 |                                          2549.6 |
| Goa               |                                                   20.2 |                                           249.1 |
| Gujarat           |                                                14863   |                                         22074.1 |
| Haryana           |                                                  415.4 |                                          5790.9 |
| Himachal Pradesh  |                                                    0   |                                          7711.4 |
| Jammu &Kashmir    |                                                 1730.5 |                                          9160.8 |
| Jharkhand         |                                                    0   |                                          5467.6 |
| Karnataka         |                                                 9022   |                                         13221.9 |
| Kerala            |                                                 2679.6 |                                          7474.3 |
| Ladakh            |                                                  118.8 |                                             9.9 |
| Lakshadweep       |                                                  226.8 |                                           356.1 |
| Madhya Pradesh    |                                                 1554.2 |                                         20087.8 |
| Maharashtra       |                                                34829.3 |                                         43714.4 |
| Manipur           |                                                  184.2 |                                          3714.8 |
| Meghalaya         |                                                 2897.1 |                                          5073.4 |
| Mizoram           |                                                 2251.5 |                                          2575   |
| Nagaland          |                                                 4208.4 |                                          5264   |
| Odisha            |                                                12842.4 |                                         15172.1 |
| Puducherry        |                                                  510.7 |                                           264.6 |
| Punjab            |                                                    0   |                                            30.2 |
| Rajasthan         |                                                 8941   |                                         12258.1 |
| Sikkim            |                                                  943.9 |                                          1371   |
| Tamil Nadu        |                                                11509   |                                         21879.4 |
| Telangana         |                                                 7574.2 |                                         15786.9 |
| Tripura           |                                                  162.3 |                                          3774.8 |
| Uttar Pradesh     |                                                18945.5 |                                         41834.8 |
| Uttarakhand       |                                                 7407.1 |                                         10769.9 |
| West Bengal       |                                                 1911.7 |                                             0   |
| Total             |                                               206901   |                                        357278   |