Lok Sabha Question No. 3125 (UNSTARRED), answered on 2024-12-13
Subject: Anemic Women and Malnourished Children
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Rajeev Rai

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

## LOK SABHA UNSTARRED QUESTION NO. 3125 TO BE ANSWERED ON 13 TH DECEMBER 2024

## ANEMIC WOMEN AND MALNOURISHED CHILDREN

## 3125. SHRI RAJEEV RAI:

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

(a) whether the number of anemic women and malnourished children is rising rapidly in the country and if so, the details thereof, State/UT-wise;

(b) the present status of the schemes being implemented by the Government to address the above-mentioned problem, scheme-wise and State/UT-wise;

(c) the amount of funds allocated and spent under these schemes in the country, State/UTwise, especially in Uttar Pradesh during the last three years and current year, year-wise;

(d) whether the number of anemic women and malnourished children has declined in Mau district of Uttar Pradesh in the year 2022-23 and 2023-34 as a result of these schemes; and (e) if so, the details thereof?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SMT. ANUPRIYAPATEL)

(a) and (b) The Ministry of Health and Family Welfare implements the Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition (RMNCAH+N) strategy in a life cycle approach under National Health Mission (NHM), which includes interventions to address malnutrition and anaemia across all States/UTs in the country as under:

-  Nutrition Rehabilitation Centers (NRCs) are set up at public health facilities to provide in-patient medical and nutritional care to children under 5 years suffering from Severe Acute Malnourishment (SAM) with medical complications. In addition to curative care, special focus is given on timely, adequate and appropriate feeding for children; on improving the skills of mothers and caregivers on complete ageappropriate caring and feeding practices.
-  Anaemia Mukt Bharat (AMB) strategy is implemented to reduce prevalence of anaemia among children and women in life cycle approach through implementation of six interventions (Prophylactic Iron and Folic Acid supplementation (IFA Syrup is provided biweekly to Children 6-59 months, and IFA Red tablets are provided weekly to women of reproductive age), Deworming (all children are provided albendazole tablets during National Deworming Day), Intensified behavioural change communication campaign, Testing for anaemia and treatment as per management

protocols, mandatory provision of IFA fortified food in public health programmes and addressing non nutritional causes of anaemia especially malaria, fluorosis and hemoglobinopathies) via robust institutional mechanism.

-  Mothers' Absolute Affection (MAA) Programme is implemented to improve breastfeeding coverage in children which includes early initiation of breastfeeding and exclusive breastfeeding for first six months followed by counselling on ageappropriate complementary feeding practices.

The details of State/UT-wise prevalence of stunting, wasting and underweight among children under 5 years and the prevalence of anaemia among women aged 15-49 years is placed at Annexure I.

State/UT wise status of Nutrition programmes is placed at Annexure II

(c) The details of funds approved and expenditure under National Health Mission for Nutrition programmes across all States/UTs including State of Uttar Pradesh during the last three years and current year, year-wise from FY 2021-22 to FY 2024-25 Q2 (in Rs Lakhs) as per National Health Mission (Finance) are placed at Annexure III.

(d) and (e) The prevalence of stunting, wasting, and underweight among children under 5 years and the prevalence of anaemia among women aged 15-49 years in Mau district, Uttar Pradesh as per latest round of National Family Health Survey 5 (2019-21) is as below:

| Indicator                                      |   NFHS 5 (2019-21) |
|------------------------------------------------|--------------------|
| Children under 5 years who are stunted (%)     |               25.4 |
| Children under 5 years who are wasted (%)      |               21.2 |
| Children under 5 years who are underweight (%) |               30.3 |
| All women aged 15-49 years who are anaemic (%) |               44.3 |

## Annexure referred to in reply to parts (a) and (b) of Lok Sabha Unstarred Question No. 3125 for answer on 13.12.2024

Annexure I State/UT-wise status of undernutrition among children under 5 years and prevalence of anaemia among women [NFHS 5 (2019-21)]

|   S.no. | State/UT          |   Children under 5 years who are stunted (%) |   Children under 5 years who are wasted (%) |   Children under 5 years who are under weight (%) |   Women aged 15-49 years who are anaemic (%) |
|---------|-------------------|----------------------------------------------|---------------------------------------------|---------------------------------------------------|----------------------------------------------|
|       1 | A&N Islands       |                                         22.5 |                                        16   |                                              23.7 |                                         57.5 |
|       2 | Andhra Pradesh    |                                         31.2 |                                        16.1 |                                              29.6 |                                         58.8 |
|       3 | Arunachal Pradesh |                                         28   |                                        13.1 |                                              15.4 |                                         40.3 |
|       4 | Assam             |                                         35.3 |                                        21.7 |                                              32.8 |                                         65.9 |
|       5 | Bihar             |                                         42.9 |                                        22.9 |                                              41   |                                         63.5 |
|       6 | Chandigarh        |                                         25.3 |                                         8.4 |                                              20.6 |                                         60.1 |
|       7 | Chhattisgarh      |                                         34.6 |                                        18.9 |                                              31.3 |                                         60.8 |
|       8 | DNH&DD            |                                         39.4 |                                        21.6 |                                              38.7 |                                         49.9 |
|       9 | Delhi             |                                         30.9 |                                        11.2 |                                              21.8 |                                         62.5 |
|      10 | Goa               |                                         25.8 |                                        19.1 |                                              24   |                                         39   |
|      11 | Gujarat           |                                         39   |                                        25.1 |                                              39.7 |                                         65   |
|      12 | Haryana           |                                         27.5 |                                        11.5 |                                              21.5 |                                         60.4 |
|      13 | Himachal Pradesh  |                                         30.8 |                                        17.4 |                                              25.5 |                                         53   |
|      14 | Jammu &Kashmir    |                                         26.9 |                                        19   |                                              21   |                                         55.9 |
|      15 | Jharkhand         |                                         39.6 |                                        22.4 |                                              39.4 |                                         65.3 |
|      16 | Karnataka         |                                         35.4 |                                        19.5 |                                              32.9 |                                         47.8 |
|      17 | Kerala            |                                         23.4 |                                        15.8 |                                              19.7 |                                         36.3 |
|      18 | Ladakh            |                                         30.5 |                                        17.5 |                                              20.4 |                                         92.8 |
|      19 | Lakshadweep       |                                         32   |                                        17.4 |                                              25.8 |                                         25.8 |
|      20 | Madhya Pradesh    |                                         35.7 |                                        19   |                                              33   |                                         54.7 |
|      21 | Maharashtra       |                                         35.2 |                                        25.6 |                                              36.1 |                                         54.2 |
|      22 | Manipur           |                                         23.4 |                                         9.9 |                                              13.3 |                                         29.4 |
|      23 | Meghalaya         |                                         46.5 |                                        12.1 |                                              26.6 |                                         53.8 |
|      24 | Mizoram           |                                         28.9 |                                         9.8 |                                              12.7 |                                         34.8 |
|      25 | Nagaland          |                                         32.7 |                                        19.1 |                                              26.9 |                                         28.9 |
|      26 | Odisha            |                                         31   |                                        18.1 |                                              29.7 |                                         64.3 |
|      27 | Puducherry        |                                         20   |                                        12.4 |                                              15.3 |                                         55.1 |
|      28 | Punjab            |                                         24.5 |                                        10.6 |                                              16.9 |                                         58.7 |
|      29 | Rajasthan         |                                         31.8 |                                        16.8 |                                              27.6 |                                         54.4 |
|      30 | Sikkim            |                                         22.3 |                                        13.7 |                                              13.1 |                                         42.1 |
|      31 | Tamil Nadu        |                                         25   |                                        14.6 |                                              22   |                                         53.4 |
|      32 | Telangana         |                                         33.1 |                                        21.7 |                                              31.8 |                                         57.6 |
|      33 | Tripura           |                                         32.3 |                                        18.2 |                                              25.6 |                                         67.2 |
|      34 | Uttar Pradesh     |                                         39.7 |                                        17.3 |                                              32.1 |                                         42.6 |
|      35 | Uttarakhand       |                                         27   |                                        13.2 |                                              21   |                                         50.4 |
|      36 | West Bengal       |                                         33.8 |                                        20.3 |                                              32.2 |                                         71.4 |

## State/UT-wise status of Nutrition programmes

|   S.no. | State/UT          |   Number of Nutrition Rehabilitation Centres* |   Percentage of Pregnant Women provided with 180 IFA tablets ** |   Percentage of Lactating Mothers provided with 180 IFA tablets** |   under within birth |
|---------|-------------------|-----------------------------------------------|-----------------------------------------------------------------|-------------------------------------------------------------------|----------------------|
|       1 | A&N Islands       |                                             0 |                                                            61.9 |                                                              77.5 |                 46.9 |
|       2 | Andhra Pradesh    |                                            21 |                                                            95   |                                                              86.1 |                 52   |
|       3 | Arunachal Pradesh |                                             1 |                                                            91.5 |                                                              57.4 |                 52   |
|       4 | Assam             |                                            29 |                                                            95   |                                                              65.4 |                 49.1 |
|       5 | Bihar             |                                            41 |                                                            90.8 |                                                              51.4 |                 31.1 |
|       6 | Chandigarh        |                                             1 |                                                            95   |                                                              95   |                 63.7 |
|       7 | Chhattisgarh      |                                            97 |                                                            95   |                                                              79.8 |                 32.2 |
|       8 | DNH&DD            |                                             1 |                                                            95   |                                                              95   |                 25.9 |
|       9 | Delhi             |                                             5 |                                                            95   |                                                              62.6 |                 51.2 |
|      10 | Goa               |                                             0 |                                                            95   |                                                              80.6 |                 61.6 |
|      11 | Gujarat           |                                           136 |                                                            95   |                                                              95   |                 37.8 |
|      12 | Haryana           |                                            11 |                                                            95   |                                                              59.7 |                 41.6 |
|      13 | Himachal Pradesh  |                                             7 |                                                            89.7 |                                                              72.1 |                 45.1 |
|      14 | Jammu &Kashmir    |                                             6 |                                                            95   |                                                              73.2 |                 55.6 |
|      15 | Jharkhand         |                                            98 |                                                            92.4 |                                                              76.2 |                 21.5 |
|      16 | Karnataka         |                                            33 |                                                            95   |                                                              88.3 |                 49.1 |
|      17 | Kerala            |                                             4 |                                                            95   |                                                              61.8 |                 66.7 |
|      18 | Ladakh            |                                             2 |                                                            95   |                                                              79.8 |                 57.9 |
|      19 | Lakshadweep       |                                             0 |                                                            95   |                                                              79.1 |                 76.3 |
|      20 | Madhya Pradesh    |                                           318 |                                                            95   |                                                              65.5 |                 41.3 |
|      21 | Maharashtra       |                                            45 |                                                            95   |                                                              61.9 |                 53.2 |
|      22 | Manipur           |                                             1 |                                                            46.4 |                                                              33.6 |                 53.7 |
|      23 | Meghalaya         |                                             7 |                                                            68.6 |                                                              64.2 |                 78.8 |
|      24 | Mizoram           |                                             1 |                                                            81.5 |                                                              64.6 |                 60.1 |
|      25 | Nagaland          |                                             1 |                                                            71.7 |                                                              42.4 |                 57.9 |
|      26 | Odisha            |                                            67 |                                                            95   |                                                              81.1 |                 68.5 |
|      27 | Puducherry        |                                             0 |                                                            95   |                                                              95   |                 54.1 |
|      28 | Punjab            |                                             5 |                                                            72.8 |                                                              49.4 |                 53.1 |
|      29 | Rajasthan         |                                            40 |                                                            95   |                                                              79.7 |                 40.7 |
|      30 | Sikkim            |                                             0 |                                                            93.4 |                                                              89.3 |                 33   |
|      31 | Tamil Nadu        |                                             8 |                                                            95   |                                                              61.9 |                 60.2 |
|      32 | Telangana         |                                            17 |                                                            95   |                                                              78.3 |                 37.1 |
|      33 | Tripura           |                                             1 |                                                            95   |                                                              58.6 |                 36.4 |
|      34 | Uttar Pradesh     |                                            81 |                                                            95   |                                                              46.8 |                 23.9 |
|      35 | Uttarakhand       |                                             2 |                                                            95   |                                                              64.6 |                 41.3 |

Sources: *-State Reports 2023-24

** Health Management Information System (HMIS) for FY 2023-24

4 *** National Family Health Survey NFHS (2019-21)

## Annexure II

## Annexure referred to in reply to part (c) of Lok Sabha Unstarred Question No. 3125 for answer on 13.12.2024

Annexure III SPIPApprovals and Expenditure for Nutrition Programmes under NHM for the period of F.Y. 2021-22 to 2024-25 (Q2)

| S.no   | State/UT     | 2021-22*   | 2021-22*   | 2022-23   | 2022-23   | 2023-24   | 2023-24   | 2024-25 (up to Q2)   | 2024-25 (up to Q2)   |
|--------|--------------|------------|------------|-----------|-----------|-----------|-----------|----------------------|----------------------|
| S.no   | State/UT     | App        | Exp        | App       | Exp       | App       | Exp       | App                  | Exp                  |
| 1      | A&N Isl      | 42.9       | 1.6        | 36.1      | 7.7       | 71.7      | 11.1      | 47.8                 | 12.7                 |
| 2      | Andhra       | 3,789.2    | 3,595.0    | 10237.6   | 3668.4    | 10,069.8  | 8,107.0   | 9,061.9              | 786.8                |
| 3      | Arunachal    | 469.9      | 271.6      | 259.8     | 229.6     | 268.8     | 2.4       | 442.0                | 50.3                 |
| 4      | Assam        | 3,581.6    | 2,772.8    | 3327.8    | 2786.6    | 3,045.5   | 2,350.5   | 2,996.4              | 486.1                |
| 5      | Bihar        | 1,616.2    | 1,004.2    | 11984.5   | 1992.2    | 11,943.3  | 3,192.7   | 10,459.9             | 1,161.0              |
| 6      | Chandigarh   | 4.1        | 1.7        | 1.2       | 0.1       | 1.2       | 0.7       | 1.4                  | 0.2                  |
| 7      | Chhattisgarh | 5,514.9    | 3,392.7    | 3681.0    | 3328.0    | 3,517.7   | 1,728.4   | 3,722.8              | 397.7                |
| 8      | DNH-DD       | 73.0       | 37.2       | 29.1      | 11.7      | 27.7      | 4.9       | 99.8                 | 9.6                  |
| 9      | Delhi        | 1,287.1    | 105.4      | 862.8     | 26.5      | 850.7     | 49.2      | 1,219.5              | 34.6                 |
| 10     | Goa          | 50.3       | 15.9       | 159.5     | 60.3      | 159.5     | 39.9      | 83.3                 | 1.5                  |
| 11     | Gujarat      | 7,384.4    | 5,210.4    | 4759.5    | 2467.5    | 4,383.8   | 4,361.1   | 6,226.1              | 714.9                |
| 12     | Haryana      | 1,620.3    | 1,662.6    | 2283.2    | 2770.2    | 2,326.2   | 2,592.2   | 2,163.9              | 2,350.3              |
| 13     | Himachal     | 526.3      | 291.9      | 506.8     | 214.9     | 268.1     | 199.8     | 1,096.4              | 43.7                 |
| 14     | J&K          | 1,595.4    | 393.8      | 1192.2    | 551.3     | 1,332.2   | 81.8      | 1,304.4              | 46.3                 |
| 15     | Jharkhand    | 5,585.6    | 1,198.6    | 8578.4    | 3593.0    | 7,943.5   | 2,007.9   | 8,541.1              | 602.6                |
| 16     | Karnataka    | 3,871.0    | 2,257.9    | 4597.8    | 618.7     | 5,196.2   | 1,408.6   | 1,280.8              | 49.5                 |
| 17     | Kerala       | 653.2      | 231.1      | 3347.8    | 1266.3    | 3,087.8   | 370.8     | 2,274.6              | 418.3                |
| 18     | Ladakh       | 92.5       | 18.6       | 52.5      | 14.2      | 32.9      | 15.4      | 56.9                 | 4.3                  |
| 19     | LKS          | 6.9        | 0.4        | 8.5       | 5.5       | 6.3       | 2.5       | 7.2                  | 0.2                  |
| 20     | MP           | 9,236.7    | 6,549.2    | 15453.0   | 9289.7    | 20,025.9  | 9,240.5   | 13,507.1             | 1,696.5              |
| 21     | Maharashtra  | 6,171.0    | 5,281.9    | 10497.6   | 3211.9    | 10,599.7  | 3,527.5   | 10,752.1             | 3,284.7              |
| 22     | Manipur      | 530.3      | 85.2       | 281.1     | 63.1      | 275.1     | 48.3      | 870.7                | 85.4                 |
| 23     | Meghalaya    | 634.9      | 259.0      | 690.2     | 463.2     | 713.0     | 80.7      | 713.8                | 42.5                 |
| 24     | Mizoram      | 197.6      | 66.5       | 238.3     | 30.3      | 187.9     | 89.8      | 220.5                | 29.8                 |
| 25     | Nagaland     | 373.3      | 145.4      | 350.8     | 32.1      | 522.8     | 59.8      | 386.3                | 75.7                 |
| 26     | Odisha       | 5,446.0    | 3,973.6    | 4844.1    | 1328.6    | 3,889.4   | 2,154.5   | 2,958.8              | 1,301.3              |
| 27     | Puducherry   | 44.7       | 26.7       | 259.2     | 113.1     | 288.2     | 33.3      | 128.4                | 18.7                 |
| 28     | Punjab       | 1,330.0    | 882.7      | 1351.7    | 187.6     | 1,320.0   | 1,320.0   | 2,265.3              | 42.9                 |
| 29     | Rajasthan    | 5,365.1    | 2,473.8    | 6303.7    | 2036.4    | 5,919.4   | 2,051.3   | 8,665.1              | 112.5                |
| 30     | Sikkim       | 66.7       | 6.7        | 85.6      | 57.1      | 71.7      | 56.3      | 70.1                 | 25.6                 |
| 31     | TN           | 826.5      | 863.4      | 2309.2    | 903.7     | 2,305.2   | 1,486.2   | 932.8                | 760.5                |
| 32     | Telangana    | 2,176.5    | 1,683.4    | 3741.5    | 4819.7    | 3,687.7   | 325.5     | 4,242.6              | 0.0                  |
| 33     | Tripura      | 282.4      | 190.9      | 894.5     | 167.4     | 939.3     | 766.5     | 762.3                | 83.5                 |
| 34     | UP           | 21,449. 8  | 8,398.6    | 20060.2   |           | 39,441.5  |           | 16,904.1             | 864.6                |
| 35     |              |            | 203.8      | 1866.5    | 2213.6    |           | 11,311.1  |                      | 348.4                |
|        | UK           | 547.1      |            |           | 384.2     | 2,005.5   | 472.9     | 1,844.9              |                      |
| 36     | West Bengal  | 5,638.7    | 8,311.8    | 3877.8    | 2470.0    | 4,081.9   | 3,034.8   | 5,656.3              | 795.0                |

1. SPIPApproval 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. * Includes budget allocation for all CH programmes like MAA,NDD,AMB,NRC, VitA, IMNCI,F-IMNCI,IDCF, HBYC, HBNC,NBSU,NSSK,SNCU,KMC,SAANS, Family Participatory Care,CDR, Paed-HDU etc
4. Expenditure for FY 2024-25 includes expenditure against central Release, State release & unspent balances at the beginning of the year. The expenditure w.r.t. flexible pool for RCH, etc. is updated up-to 30.09.2024 except Arunachal Pradesh, PJ (updated up-to 31.08.2024), KN, MZ (updated up-to 31.07.2024) & MG (updated up-to 30.06.2024).
5. App-Approvals, Exp-Expenditure