Lok Sabha Question No. 873 (UNSTARRED), answered on 2024-07-26
Subject: Malnutrition among Children in Andhra Pradesh
Ministry: WOMEN AND CHILD DEVELOPMENT
Asked by: Shri Kesineni Sivanath

## GOVERNMENT OF INDIA MINISTRY OF WOMEN AND CHILD DEVELOPMENT

## LOK SABHA

## UNSTARRED QUESTION NO. 873 TO BE ANSWERED ON 26.07.2024

## MALNUTRITION AMONG CHILDREN IN ANDHRA PRADESH

873.    SHRI KESINENI SIVANATH

Will the Minister of Women and Child Development be pleased to state:

- (a) The details of malnourished children in the country during the last five years, State-wise, specially in the State of Andhra Pradesh, district-wise;
- (b) The details of the schemes that have been implemented by the Government to treat malnourishment in the State of Andhra Pradesh, and
- (c) The details of the fund provided to these schemes, year-wise along with funds that has been utilized?

## ANSWER

## MINISTER OF WOMEN AND CHILD DEVELOPMENT (SHRIMATI ANNPURNA DEVI)

(a) The National Family Health Survey (NFHS) conducted by Ministry of Health & Family Welfare captures the nutritional indicators of children. As per the latest NFHS-5 (201921) report, the National nutrition indicators for children under 5 years are as follows: Stunting  is  35.5%,  Wasting  is  19.3%  and  Underweight  is  32.1%.  The  nutritional indicators of children under 5 years of State of Andhra Pradesh as per NFHS-5 report are: Stunting is 31.2 %, Wasting is 16.1% and Underweight is 29.6%.

As  per  the  data  of  Poshan  Tracker  for  the  month  of  June  2024,  around  8.57  crore children under 6 years were measured, out of whom 35% were found to be stunted, only 17% were found to be underweight and only 6% children under 5 years were found to  be  wasted.  The  levels  of  underweight  and  wasting  in  children  as  obtained  from Poshan Tracker are much less than those projected by NFHS 5.

As per June 2024 data of Poshan Tracker for the State of Andhra Pradesh, 20% children are stunted, 5% children are wasted and 10% children are underweight. The State-wise data of nutrition status of children including the State of Andhra Pradesh of June 2022, June 2023 and June 2024 data of Poshan Tracker is provided in Annexure I. Districtwise nutrition status of children of State of Andhra Pradesh as per June 2024 data of Poshan tracker is placed at Annexure II.

- (b)  Under  15th  Finance  Commission,  Anganwadi  services,  Poshan  Abhiyaan  and Scheme  for  Adolescent  girls  (14-18  years  in  Aspirational  Districts  and  North-East

region) were subsumed under Mission Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0). Mission Poshan 2.0 seeks to address the challenge of malnutrition through improved  nutrition  content  and  delivery.  This  is  a  universal  self-selecting  (no  entry barriers) scheme available to all the beneficiaries who enrol at the AWCs and is being implemented  in  all  States/UTs  across  the  country  including  the  State  of  Andhra Pradesh.

Under Mission Poshan 2.0 a strategic shift has been made for reduction in malnutrition and  for  improved  health,  wellness  and  immunity  through  community  engagement, outreach, behavioral change, and advocacy. Mission Poshan 2.0 focuses on Maternal Nutrition,  Infant  and  Young  Child  Feeding  Norms,  treatment  of  Severe  Acute Malnutrition (SAM)/ Moderate Acute Malnutrition (MAM) and wellness through AYUSH practices to reduce wasting and underweight prevalence beside stunting and anaemia. Supplementary Nutrition is provided in accordance with the nutrition norms contained in  Schedule-II  of  the  National  Food  Security  Act.  To  address  the  challenge  of malnutrition more effectively, these nutrition norms have been revised. 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. Only fortified rice is being supplied to AWCs to meet the requirement of micro-nutrients and control anaemia among women and children. Greater emphasis is being given on the use of millets for preparation of Hot Cooked Meal at least once a week and Take Home ration (THR - not raw ration) at Anganwadi centers for beneficiaries.

Ministry of Women & Child Development and Ministry of Health & Family Welfare jointly released the protocol for Community Management of Malnutrition (CMAM) to prevent and treat severe 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 March-April respectively. Community Based Events (CBEs) have served as a significant strategy in changing nutrition practices and all Anganwadi workers are required to conduct two Community Based Events every month.

(c) The year wise details of the funds provided under Mission Poshan 2.0 scheme are provided at Annexure - III.

## Annexure I

ANNEXURE REFERRED IN REPLY TO PART (a) OF LOK SABHA UNSTARRED QUESTION  NO.  873  FOR  26.07.2024  REGARDING  'MALNUTRITION  AMONG CHILDREN IN ANDHRA PRADESH' ASKED BY SHRI KESINENI SIVANATH.

- a.  State wise details of malnourished children (0-5 years) in the country for June 2024 from Poshan Tracker is as follows:
- b.  State wise details of malnourished children (0-5 years) in the country for June 2023 from Poshan Tracker is as follows:
- c.  State wise details of malnourished children (0-5 years) in the country for June 2022 from Poshan Tracker is as follows:

| State                              |   Stunted (%) |   Wasted (%) |   Underweight (%) |
|------------------------------------|---------------|--------------|-------------------|
| Andhra Pradesh                     |         20.68 |         5.61 |              9.75 |
| Arunachal Pradesh                  |         29.45 |         4.03 |              8.31 |
| Assam                              |         41.98 |         4.59 |             16.68 |
| Bihar                              |         40.35 |         9.81 |             21.95 |
| Chhattisgarh                       |         18.22 |         8.92 |             12.31 |
| Goa                                |          5.84 |         0.85 |              2.18 |
| Gujarat                            |         39.73 |         9.16 |             21.39 |
| Haryana                            |         24.43 |         4.22 |              7.68 |
| Himachal Pradesh                   |         17.97 |         1.73 |              5.97 |
| Jharkhand                          |         39.33 |         6.79 |             17.56 |
| Karnataka                          |         35.5  |         3.9  |             16.23 |
| Kerala                             |         31.98 |         2.59 |              9.11 |
| Madhya Pradesh                     |         41.61 |         8.46 |             26.21 |
| Maharashtra                        |         44.59 |         4.84 |             16.65 |
| Manipur                            |         12.68 |         0.77 |              5.31 |
| Meghalaya                          |         22.02 |         0.79 |              5.45 |
| Mizoram                            |         23.72 |         2.51 |              5.59 |
| Nagaland                           |         24.98 |         6.45 |              6.38 |
| Odisha                             |         22.83 |         3.34 |             11.57 |
| Punjab                             |         17.65 |         3.17 |              5.57 |
| Rajasthan                          |         32.79 |         6.24 |             16.16 |
| Sikkim                             |         12.5  |         1.96 |              2.36 |
| Tamil Nadu                         |         15.62 |         3.84 |              7.19 |
| Telangana                          |         31.27 |         6.68 |             16.54 |
| Tripura                            |         37.88 |         6.65 |             15.36 |
| Uttar Pradesh                      |         46.36 |         5.07 |             18.95 |
| Uttarakhand                        |         22.27 |         2.11 |              5.59 |
| West Bengal                        |         36.14 |         7.87 |             12.29 |
| Andaman & Nicobar Islands          |         14.03 |         3.51 |              6.55 |
| Dadra & Nagar Haveli - Daman & Diu |         39.46 |         8.61 |             26.41 |
| Delhi                              |         39.43 |         3.22 |             19    |
| J&K                                |         13.22 |         1.35 |              3.31 |
| Ladakh                             |         13.07 |         0.66 |              2.62 |
| Lakshadweep                        |         46.31 |        13.22 |             23.25 |
| Puducherry                         |         32.26 |         7.24 |             10.87 |
| UT-Chandigarh                      |         20.7  |         2.88 |             11.76 |
| India                              |         36.52 |         6.03 |             16.43 |

| State                              |   Stunted (%) |   Wasted (%) |   Underweight (%) |
|------------------------------------|---------------|--------------|-------------------|
| Andhra Pradesh                     |         19.22 |         5.01 |              8.87 |
| Arunachal Pradesh                  |         34.72 |         5.59 |             13.08 |
| Assam                              |         37.93 |         5.6  |             16.49 |
| Bihar                              |         43.54 |         9.79 |             24.13 |
| Chhattisgarh                       |         37.16 |        13.99 |             19.15 |
| Goa                                |         27.77 |         4.24 |              9.56 |
| Gujarat                            |         43.78 |         8.22 |             20.4  |
| Haryana                            |         24.84 |         5.5  |              9.29 |
| Himachal Pradesh                   |         22.72 |         2.44 |              7.35 |
| Jharkhand                          |         37.64 |         8.99 |             19.83 |
| Karnataka                          |         41.9  |         8.07 |             19.65 |
| Kerala                             |         37.39 |         7.18 |             12.69 |
| Madhya Pradesh                     |         53.44 |        10.59 |             30.27 |
| Maharashtra                        |         48.45 |         6.35 |             19.03 |
| Manipur                            |          9.63 |         0.64 |              2.57 |
| Meghalaya                          |         27.18 |         1.89 |              7.49 |
| Mizoram                            |         24.22 |         3.95 |              6.33 |
| Nagaland                           |         36.56 |         5.82 |             14.93 |
| Odisha                             |         32.63 |         3.79 |             14.02 |
| Punjab                             |         22.88 |         6.56 |             10.61 |
| Rajasthan                          |         32.63 |         6.97 |             16.07 |
| Sikkim                             |         13.35 |         2.15 |              3.06 |
| Tamil Nadu                         |         19.59 |         4.88 |              9.06 |
| Telangana                          |         28.91 |         4.69 |             13.19 |
| Tripura                            |         37.88 |         7.39 |             16.06 |
| Uttar Pradesh                      |         46.27 |         5.81 |             19.46 |
| Uttarakhand                        |         30.84 |         5.89 |              8.05 |
| West Bengal                        |         39.15 |         8.7  |             13.62 |
| Andaman & Nicobar Islands          |         19.16 |         5.52 |              8.91 |
| Dadra & Nagar Haveli - Daman & Diu |         52.95 |        12.24 |             37.08 |
| Delhi                              |         25.45 |         2.68 |             12.55 |
| J&K                                |         18.52 |         2.13 |              5.71 |
| Ladakh                             |         17.84 |         2.35 |              4.41 |
| Lakshadweep                        |         48.67 |        15.38 |             31.95 |
| Puducherry                         |         27.47 |         7.43 |             10.3  |
| UT-Chandigarh                      |         33.37 |         1.3  |             12.3  |
| India                              |         40.03 |         7.14 |             18.12 |

| State                              | Stunted (%)   | Wasted (%)   | Underweight (%)   |
|------------------------------------|---------------|--------------|-------------------|
| Andhra Pradesh                     | 18.74         | 5.64         | 10.63             |
| Arunachal Pradesh                  | 34.32         | 7.36         | 13.35             |
| Assam                              | 38.99         | 9.06         | 19.93             |
| Bihar                              | 44.53         | 10.84        | 27.22             |
| Chhattisgarh                       | 42.32         | 13.23        | 21.89             |
| Goa                                | 33.74         | 6.72         | 13.93             |
| Gujarat                            | 51.92         | 8.5          | 23.54             |
| Haryana                            | 27.12         | 9.48         | 15.72             |
| Himachal Pradesh                   | 23.45         | 5.07         | 10.63             |
| Jharkhand                          | 44.57         | 12.79        | 27.68             |
| Karnataka                          | 38.12         | 8.98         | 20.04             |
| Kerala                             | 35.54         | 9.66         | 16.55             |
| Madhya Pradesh                     | 45.67         | 13.51        | 33.61             |
| Maharashtra                        | 45.9          | 7.96         | 21.4              |
| Manipur                            | 20.44         | 2.75         | 8.81              |
| Meghalaya                          | 30.6          | 5.59         | 11.36             |
| Mizoram                            | 23.42         | 5.41         | 8.89              |
| Nagaland                           | 31.36         | 4.14         | 10.65             |
| Odisha                             | 27.45         | 7.29         | 14.99             |
| Punjab                             | 22.08         | 9.54         | 12.58             |
| Rajasthan                          | 38.72         | 14.19        | 22.79             |
| Sikkim                             | 11.1          | 2.58         | 3.39              |
| Tamil Nadu                         | 21.67         | 7.14         | 12.42             |
| Telangana                          | 32.7          | 7.76         | 16.51             |
| Tripura                            | 37.74         | 10.04        | 17.96             |
| Uttar Pradesh                      | 44.13         | 11.32        | 22.76             |
| Uttarakhand                        | 31.29         | 6.96         | 8.53              |
| West Bengal                        | 41.52         | 10.43        | 18.33             |
| Andaman & Nicobar Islands          | 23.74         | 6.55         | 9.65              |
| Dadra & Nagar Haveli - Daman & Diu | 48.1          | 19.6         | 41.56             |
| Delhi                              | 33.15         | 7.79         | 19.11             |
| J&K                                | 14.3          | 1.97         | 6.17              |
| Ladakh                             | 25.86         | 3.76         | 6.6               |
| Lakshadweep                        | NA            | NA           | NA                |
| Puducherry                         | 23.75         | 9.65         | 11.6              |
| UT-Chandigarh                      | 34.47         | 6.09         | 18.4              |
| India                              | 39.07         | 9.49         | 20.74             |

District  wise  details  of  malnourished  children  (0-5  years)  in  Andhra  Pradesh  are  as follows*:

| District                    |   Stunted (%) |   Wasted (%) |   Underweight (%) |
|-----------------------------|---------------|--------------|-------------------|
| Alluri Sitharamaraju        |         40.93 |        12.62 |             23.68 |
| Anakapalli                  |         18.05 |         5.56 |              8.47 |
| Anantapur                   |         23.38 |         5.72 |             11.5  |
| Annamayya                   |         18.12 |         5    |              6.91 |
| Bapatla                     |         16.26 |         4.24 |              6.7  |
| Chittoor                    |         22.19 |         6.36 |              9.81 |
| Dr. B.R. Ambedkar Konaseema |         21.62 |         5.05 |             10.35 |
| East Godavari               |         18.27 |         4.59 |              9.02 |
| Eluru                       |         19.03 |         6.85 |             10.08 |
| GUNTUR                      |         15.27 |         4.28 |              5.94 |
| Kakinada                    |         20    |         5.33 |              9.8  |
| KRISHNA                     |         14.82 |         4.04 |              6.03 |
| Kurnool                     |         27.57 |         5.79 |             13.94 |
| Nandyal                     |         32.99 |         6.72 |             16.95 |
| NTR                         |         18.77 |         4.2  |              7.48 |
| Palnadu                     |         16.12 |         4.79 |              6.69 |
| Parvathipuram Manyam        |         23.17 |         6.78 |             11.86 |
| Prakasam                    |         16.64 |         4.29 |              6.68 |
| SPSR NELLORE                |         19.55 |         7.16 |             10.45 |
| Sri Satya Sai               |         20.71 |         5.99 |              9.33 |
| Srikakulam                  |         18.68 |         5.96 |              8.12 |
| Tirupati                    |         17.13 |         5.33 |              7.21 |
| Visakhapatnam               |         19.23 |         5.31 |              7.58 |
| Vizianagaram                |         20.43 |         5.38 |             10.46 |
| West Godavari               |         15.41 |         4.73 |              8.45 |
| Y.S.R Kadapa                |         18.08 |         4.28 |              7.59 |

## Annexure III

The State wise details of funds provided under Mission Poshan 2.0 Scheme, year-wise, along with the utilization are as follows:

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|                                      | Amount in ₹ crores   | Amount in ₹ crores   | Amount in ₹ crores   | Amount in ₹ crores   | Amount in ₹ crores   | Amount in ₹ crores              |
|--------------------------------------|----------------------|----------------------|----------------------|----------------------|----------------------|---------------------------------|
|                                      | 2021-22              | 2021-22              | 2022-23              | 2022-23              | 2023-24              | 2023-24                         |
| Name of the State                    | Funds released       | Fund utilised        | Funds released       | Fund utilised        | Funds released       | Fund utilised                   |
| Andaman and Nicobar Islands          | 19.71                | 13.36                | 3.85                 | 3.88                 | 12.15                | Utilization Certificate not due |
| Andhra Pradesh                       | 744.60               | 749.91               | 827.79               | 721.45               | 705.68               |                                 |
| Arunachal Pradesh                    | 170.83               | 230.77               | 137.78               | 145.74               | 162.06               |                                 |
| Assam                                | 1319.90              | 1432.19              | 1651.63              | 1717.00              | 2233.31              |                                 |
| Bihar                                | 1574.43              | 1608.02              | 1740.09              | 1586.61              | 1859.29              |                                 |
| Chandigarh                           | 15.32                | 23.09                | 33.10                | 34.33                | 19.79                |                                 |
| Chhattisgarh                         | 606.73               | 522.72               | 668.96               | 571.80               | 579.46               |                                 |
| Dadra & Nagar Haveli and Daman & Diu | 9.33                 | 9.56                 | 5.80                 | 5.80                 | 11.97                |                                 |
| Delhi                                | 133.11               | 125.52               | 182.77               | 142.84               | 161.81               |                                 |
| Goa                                  | 10.84                | 12.92                | 14.71                | 16.83                | 13.95                |                                 |
| Gujarat                              | 839.86               | 757.92               | 912.64               | 552.30               | 1126.80              |                                 |
| Haryana                              | 173.03               | 146.99               | 195.25               | 150.24               | 225.78               |                                 |
| Himachal Pradesh                     | 247.99               | 386.68               | 270.24               | 247.76               | 301.09               |                                 |
| Jammu & Kashmir                      | 405.74               | 704.57               | 479.01               | 416.23               | 530.88               |                                 |
| Jharkhand                            | 352.98               | 183.30               | 430.91               | 596.03               | 664.30               |                                 |
| Karnataka                            | 1003.70              | 984.62               | 765.87               | 885.65               | 912.96               |                                 |
| Kerala                               | 388.23               | 397.98               | 444.98               | 325.43               | 306.64               |                                 |
| Ladakh                               | 14.70                | 14.67                | 18.79                | 18.79                | 19.62                |                                 |
| Lakshadweep                          | 2.11                 | 2.73                 | 0.44                 | 0.44                 | 2.88                 |                                 |
| Madhya Pradesh                       | 1085.47              | 1055.83              | 1011.57              | 1038.67              | 1123.11              |                                 |
| Maharashtra                          | 1713.39              | 1609.02              | 1646.17              | 1589.97              | 1699.52              |                                 |
| Manipur                              | 228.92               | 177.28               | 135.95               | 167.74               | 201.28               |                                 |
| Meghalaya                            | 173.33               | 177.86               | 192.39               | 200.24               | 269.69               |                                 |
| Mizoram                              | 59.32                | 61.57                | 42.81                | 53.02                | 100.27               |                                 |
| Nagaland                             | 159.80               | 160.21               | 199.30               | 190.47               | 262.91               |                                 |
| Odisha                               | 1065.98              | 871.20               | 923.92               | 884.96               | 968.80               |                                 |
| Puducherry                           | 2.78                 | 6.13                 | 0.12                 | 6.68                 | 4.48                 |                                 |
| Punjab                               | 383.52               | 177.94               | 75.31                | 247.25               | 307.87               |                                 |
| Rajasthan                            | 682.65               | 771.64               | 974.02               | 936.17               | 1091.96              |                                 |
| Sikkim                               | 25.73                | 24.59                | 20.33                | 24.09                | 33.49                |                                 |
| Tamil Nadu                           | 655.38               | 681.28               | 766.81               | 741.30               | 880.79               |                                 |
| Telangana                            | 482.33               | 479.30               | 550.69               | 503.33               | 507.87               |                                 |
| Tripura                              | 186.72               | 171.66               | 150.52               | 186.55               | 244.22               |                                 |
| Uttar Pradesh                        | 2407.55              | 2341.91              | 2721.87              | 2622.64              | 2668.69              |                                 |
| Uttarakhand                          | 353.65               | 336.03               | 425.84               | 364.77               | 288.24               |                                 |
| West Bengal                          | 668.35               | 1378.31              | 1227.59              | 1455.89              | 1237.56              |                                 |