Lok Sabha Question No. 1990 (UNSTARRED), answered on 2024-08-02
Subject: Maternal Mortality Rate in Assam
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Pradyut Bordoloi

## GOVERNMENTOFINDIA MINISTRYOF HEALTH & FAMILY WELFARE DEPARTMENTOFHEALTH & FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION No. 1990 TO BE ANSWERED ON 02/08/2024

## 'MATERNALMORTALITYRATE IN ASSAM'

## 1990: SHRI PRADYUT BORDOLOI

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) whether there has been any change in maternal mortality rate in Assam since implementation of Swasthya Sewa Abhiyan, year-wise;
- (b) if so, the number of cases reported and percentage change occurred during the period 2019-2024, district-wise;
- (c) the details of functioning of health camps set up along with the break-up of funds allocated, district-wise ; and
- (d) the number of physicians , nurses and midwives per 10,000 individuals during the period 2019-24,State/District-wise and year-wise?

## ANSWER

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

(a) to (c) As per the Sample Registration System (SRS 2018-20) report, the Maternal Mortality Ratio (MMR) of Assam is195 per lakh live births, representing a decline of 10 points from the MMR of 205 per lakh live births in the SRS 2017-19.

As per the report from State Government Assam, the Swasthya Sewa Abhiyan (SSA) was launched on 25 th August 2022.The details of the health camps conducted under the Swasthya Sewa Abhiyan are as follows:

 A total of 1,711 Swasthya Sewa Abhiyan -Special Health Camps are organised across all 34 districts of Assam. Detailed district wise information is placed in Annexure -1.

-  The fund allocated for the ' Swasthya Sewa Abhiyan ' district-wise is placed in Annexure -2

(d) As per the National Health Profile (NHP), the number of physicians, nurses and midwives per 10,000 population in the state of Assam from 2019 onwards is placed in Annexure -3 .

## Annexure referred to the reply to parts (a) to (c) of Lok Sabha Unstarred Question No. 1990 for answer on 02.08.2024 Annexure- 1

| Swasthya   |
|------------|

| Swasthya Sewa Abhiyan - Special Health Camp Total No of Health Camps   |                    |          |         |         |         |         |          |         |          |         |         |         |          |         |         |         |         |          |         |          |                    |
|------------------------------------------------------------------------|--------------------|----------|---------|---------|---------|---------|----------|---------|----------|---------|---------|---------|----------|---------|---------|---------|---------|----------|---------|----------|--------------------|
| Sl. No.                                                                | Districts          | Au g-2 2 | Sep -22 | Oct -22 | Nov -22 | Dec -22 | Ja n- 23 | Feb -23 | Ma r-2 3 | May -23 | Jun -23 | Jul -23 | Au g-2 3 | Sep -23 | Oct -23 | Nov -23 | Dec -23 | Ja n- 24 | Feb -24 | Ma r-2 4 | Total Health Camps |
| 21                                                                     | Karbi Anglong      | 1        | 2       | 3       | 3       | 3       | 3        | 3       | 3        | 3       | 3       | 3       | 3        | 3       | 3       | 3       | 3       | 3 3      | 3       |          | 54                 |
| 22                                                                     | Karimganj          | 1        | 2       | 3       | 3       | 3       | 3        | 3       | 3        | 3       | 3       | 3       | 3        | 3       | 3       | 3       | 3       | 3        | 3       | 3        | 54                 |
| 23                                                                     | Kokrajhar          | 1        | 2       | 3       | 3       | 3       | 3        | 3       | 3        | 3       | 3       | 3       | 3        | 3       | 3       | 3       | 3       | 3 3      |         | 3        | 54                 |
| 24                                                                     | Lakhimpur          | 1        | 2       | 3       | 3       | 3       | 3        | 3       | 3        | 3       | 3       | 3       | 3        | 3       | 3       | 3       | 3       |          | 3       | 3        | 54                 |
| 25                                                                     | Majuli             | 1        | 1       | 1       | 1       | 1       | 1        | 1       | 1        | 1       | 1       | 1       | 1        | 1       | 1       | 1       | 1       | 3 1      | 1       | 1        | 19                 |
| 26                                                                     | Marigaon           | 1        | 2       | 3       | 3       | 3       | 3        | 3       | 3        | 3       | 3       | 3       | 3        | 3       | 3       | 3       | 3       |          | 3       | 3        | 54                 |
| 27                                                                     | Nagaon             | 1        | 2       | 3       | 3       | 3       | 3        | 3       | 3        | 3       | 3       | 3       | 3        | 3       | 3       | 3       | 3 3     | 3        |         | 3        | 54                 |
| 28                                                                     | Nalbari            | 1        | 2       | 3       | 3       | 3       | 3        | 3       | 3        | 3       | 3       | 3       | 3        | 3       | 3       | 3       | 3 3     | 3 3      |         | 3        | 54                 |
| 29                                                                     | Sibsagar           | 1        | 2       | 3       | 3       | 3       | 3        | 3       | 3        | 3       | 3       | 3       | 3        | 3       | 3       | 3       | 3       | 3        |         | 3        | 54                 |
| 30                                                                     | Sonitpur           | 1        | 2       | 3       | 3       | 3       | 3        | 3       | 3        | 3       | 3       | 3       | 3        | 3       | 3       | 3 3     | 3 3     | 3        |         | 3        | 54                 |
| 31                                                                     | South Salmara      | 1        | 1       | 2       | 2       | 2       | 2        | 2       | 2        | 2       | 2       | 2       | 2        | 2       | 2       | 2 2     | 2       | 2        |         | 2        | 36                 |
| 32                                                                     | Tinsukia           | 1        | 2       | 3       | 3       | 3       | 3        | 3       | 3        | 3       | 3       | 3       | 3        | 3       | 3       | 3       | 3       | 3        | 3       | 3        | 54                 |
| 33                                                                     | Udalguri           | 1        | 2       | 3       | 3       | 3       | 3        | 3       | 3        | 3       | 3       | 3       | 3        | 3       | 3       | 3       | 3       | 3 3      |         | 3        | 54                 |
| 34                                                                     | West Karbianglon g | 1        | 2       | 3       | 3       | 3       | 3        | 3       | 3        | 3       | 3       | 3       | 3        | 3       | 3       | 3       | 3       | 3 3      |         | 3        | 54                 |
| Grand Total                                                            |                    | 34       | 62      | 95      | 95      | 95      | 95       | 95      | 95       | 95      | 95      | 95      | 95       | 95      | 95      | 95      | 95      | 95       | 95      | 95       | 1711               |

## Annexure referred to the reply to parts (a) to (c) of Lok Sabha Unstarred Question No. 1990 for answer on 02.08.2024

## Annexure-2

| Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   | Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   | Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   | Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   | Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   | Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   | Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   | Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   | Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   | Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   | Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   | Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   | Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up   |
|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|
| Sl. No.                                                                     | Districts                                                                   | Jul-23                                                                      | Aug-23                                                                      | Sep-23                                                                      | Oct-23                                                                      | Nov-23                                                                      | Dec-23                                                                      | Jan-24                                                                      | Feb-24                                                                      | Mar-24                                                                      | Grand Total                                                                 | In Lakhs                                                                    |
| 1                                                                           | Baksa                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 2                                                                           | Bajali                                                                      | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 398000                                                                      | 3.98                                                                        |
| 3                                                                           | Barpeta                                                                     | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 4                                                                           | Biswanath                                                                   | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 5                                                                           | Bongaigaon                                                                  | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 6                                                                           | Cachar                                                                      | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 7                                                                           | Charaideo                                                                   | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 398000                                                                      | 3.98                                                                        |
| 8                                                                           | Chirang                                                                     | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 398000                                                                      | 3.98                                                                        |
| 9                                                                           | Darrang                                                                     | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 10                                                                          | Dhemaji                                                                     | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 11                                                                          | Dhubri                                                                      | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 12                                                                          | Dibrugarh                                                                   | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 13                                                                          | Dima Hasao                                                                  | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 14                                                                          | Goalpara                                                                    | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 15                                                                          | Golaghat                                                                    | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 16                                                                          | Hailakandi                                                                  | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 17                                                                          | Hojai                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 20000                                                                       | 398000                                                                      | 3.98                                                                        |
| 18                                                                          | Jorhat                                                                      | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |
| 19                                                                          | KamrupM                                                                     | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 30000                                                                       | 598500                                                                      | 5.99                                                                        |

## Swasthya Sewa Abhiyan - Special Health Camp District Wise Budget Break-up

| Sl. No.     | Districts          | Jul-23   | Aug-23   | Sep-23   | Oct-23   | Nov-23   | Dec-23   | Jan-24   | Feb-24   | Mar-24   |   Grand Total |   In Lakhs |
|-------------|--------------------|----------|----------|----------|----------|----------|----------|----------|----------|----------|---------------|------------|
| 20          | Kamrup R           | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| 21          | Karbi Anglong      | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| 22          | Karimganj          | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| 23          | Kokrajhar          | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| 24          | Lakhimpur          | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| 25          | Majuli             | 10000    | 10000    | 10000    | 10000    | 10000    | 10000    | 10000    | 10000    | 10000    |        205500 |       2.06 |
| 26          | Marigaon           | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| 27          | Nagaon             | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| 28          | Nalbari            | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| 29          | Sibsagar           | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| 30          | Sonitpur           | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| 31          | South Salmara      | 20000    | 20000    | 20000    | 20000    | 20000    | 20000    | 20000    | 20000    | 20000    |        398000 |       3.98 |
| 32          | Tinsukia           | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| 33          | Udalguri           | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| 34          | West Karbianglon g | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    | 30000    |        598500 |       5.99 |
| Grand Total | Grand Total        | 9,50,000 | 9,50,000 | 9,50,000 | 9,50,000 | 9,50,000 | 9,50,000 | 9,50,000 | 9,50,000 | 9,50,000 |      18953500 |     189.54 |

## Annexure referred to the reply to part (d) of Lok Sabha Unstarred Question No. 1990 for answer on 02.08.2024

## Number of Physicians, nurses and Midwives per 10,000 population in Assam

|   Year | Doctors*   | RN& RM**   | ANM**   | Projected Population***   |   Doctor,RN& RMandANM ratio per 10,000 population | Source and Data as on                                                                                                                                                                                      |
|--------|------------|------------|---------|---------------------------|---------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|   2019 | 23,808     | 22,388     | 27,925  | 34,293,000                |                                             21.61 | Source: NHP 2019 *Total Number of registered Doctors possessing recognized medical qualification as on 31st December, 2018 **Total number of registeredRN& RMas on 31-12-2017 ***Projected Population 2019 |
|   2020 | 24,083     | 22,388     | 27,925  | 34,668,000                |                                             21.46 | Source: NHP 2020 *Total Number of registered Doctors possessing recognized medical qualification as on 31st December, 2019 **Total number of registeredRN& RMas on 31-12-2018 ***Projected Population 2020 |
|   2021 | 24,083     | 23,993     | 28,814  | 35,043,000                |                                             21.94 | Source: NHP 2021 *Total Number of registered Doctors possessing recognized medical qualification as on 31st December, 2019 **Total number of registeredRN&                                                 |

## Annexure -3

|      |        |        |        |            |       | RMas on 31.12.2020 ***Projected Population 2021                                                                                                                                                            |
|------|--------|--------|--------|------------|-------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 2022 | 25,522 | 28,599 | 30,174 | 35,378,000 | 23.83 | Source: NHP 2022 *Total Number of registered Doctors possessing recognized medical qualification as on 31st December, 2020 **Total number of registeredRN& RMas on 31-12-2021 ***Projected Population 2022 |

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