Lok Sabha Question No. 3732 (UNSTARRED), answered on 2023-08-11
Subject: Navjaat Shishu Suraksha Karyakram
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Arvind Dharmapuri

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMNETOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3732 TO BE ANSWERED ON 11 TH AUGUST 2023

## NAVJAAT SHISHU SURAKSHAKARYAKRAM

## 3732: SHRI ARVIND DHARMAPURI:

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

- (a) the details of the allocation and utilisation of funds under Navjaat Shishu Suraksha Karyakram since 2018, State/UT-wise including Telangana;
- (b) the details of the steps taken by the Government to ensure early detection of diseases along with time-bound vaccination of the disease among the children; and
- (c) the total number of beneficiaries under the scheme since 2018, State/UT-wise?

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

- (a) The State/UT-wise details of the budget allocation and utilisation for Child Health activities including Navjaat Shishu Suraksha Karyakram is placed at annexure - I
- (b) The Ministry of Health and Family Welfare (MoHFW) supports all States/UTs in implementation of Reproductive, Maternal, New-born, Child, Adolescent health and Nutrition (RMNCAH+N) strategy under National Health Mission (NHM) based on the Annual Program Implementation Plan (APIP) submitted by States/ UTs. For early detection of diseases and time bound vaccination of children the various steps taken by the Government are placed at annexure - II
- (c) The beneficiaries of Navjaat Shishu Suraksha Karyakram are all the newborns. The State/UT-wise details are placed at annexure - III

## Annexure-I

(Rs. In Lakh)

| S.N.   | State/UT                    | 2018-19        | 2018-19      | 2019-20        | 2019-20      | 2020-21        | 2020-21      | 2021-22       | 2021-22      | 2022-23       | 2022-23      |
|--------|-----------------------------|----------------|--------------|----------------|--------------|----------------|--------------|---------------|--------------|---------------|--------------|
| S.N.   | State/UT                    | SPIP Approva l | Utilisatio n | SPIP Approva l | Utilisatio n | SPIP Approva l | Utilisatio n | SPIP Approval | Utilisatio n | SPIP Approval | Utilisatio n |
| 1      | Andaman and Nicobar Islands | 1.70           | 0.08         | 4.09           | 0.33         | 11.60          | -            | 51.99         | 1.67         | 110.86        | 15.50        |
| 2      | Andhra Pradesh              | 872.39         | 2,744.31     | 995.64         | 794.85       | 3,016.13       | 2,854.25     | 6,230.36      | 5,925.39     | 9,355.39      | 6,345.28     |
| 3      | Arunachal Pradesh           | 151.22         | 68.30        | 244.71         | 137.15       | 391.00         | 252.12       | 736.26        | 306.69       | 1,013.26      | 793.99       |
| 4      | Assam                       | 1,585.08       | 935.29       | 1,375.39       | 999.03       | 1,248.92       | 894.92       | 5,406.10      | 3,877.57     | 8,403.80      | 5,800.40     |
| 5      | Bihar                       | 1,204.40       | 826.73       | 1,763.22       | 1,297.34     | 1,670.70       | 1,039.77     | 2,407.51      | 2,401.78     | 13,111.84     | 8,730.72     |
| 6      | Chandigarh                  | 3.89           | 0.26         | 0.92           | 0.38         | 1.43           | 0.40         | 5.05          | 1.80         | 84.54         | 15.11        |
| 7      | Chhattisgarh                | 1,938.23       | 926.61       | 1,583.58       | 989.62       | 1,587.27       | 718.21       | 6,439.43      | 3,800.53     | 7,278.53      | 5,463.64     |
| 8      | Dadra & Nagar Haveli        | 9.54           | 0.36         | 15.34          | 0.23         | 9.56           | -            | 95.39         | 34.96        | 163.51        | 49.22        |

| S.N.   | State/UT          | 2018-19        | 2018-19      | 2019-20        | 2019-20      | 2020-21        | 2020-21      | 2021-22       | 2021-22      | 2022-23       | 2022-23      |
|--------|-------------------|----------------|--------------|----------------|--------------|----------------|--------------|---------------|--------------|---------------|--------------|
| S.N.   | State/UT          | SPIP Approva l | Utilisatio n | SPIP Approva l | Utilisatio n | SPIP Approva l | Utilisatio n | SPIP Approval | Utilisatio n | SPIP Approval | Utilisatio n |
|        | Daman & Diu       | 2.78           | 0.34         | 1.00           | -            |                |              |               |              |               |              |
| 9      | Delhi             | 877.27         | 196.04       | 366.00         | 43.02        | 116.50         | 14.49        | 1,887.70      | 96.55        | 2,614.03      | 972.17       |
| 10     | Goa               | 22.90          | 14.96        | 20.64          | 24.46        | 25.93          | 161.21       | 119.28        | 61.16        | 156.48        | 76.09        |
| 11     | Gujarat           | 2,518.76       | 2,457.36     | 2,873.38       | 2,482.44     | 4,568.47       | 3,664.23     | 10,897.5 3    | 7,482.55     | 15,673.3 8    | 12,355.66    |
| 12     | Haryana           | 421.85         | 315.49       | 486.88         | 397.99       | 450.70         | 321.94       | 2,490.33      | 2,341.03     | 3,593.62      | 3,351.22     |
| 13     | Himachal Pradesh  | 770.95         | 376.23       | 342.89         | 191.79       | 549.71         | 191.06       | 1,117.45      | 563.46       | 1,858.24      | 1,130.35     |
| 14     | Jammu and Kashmir | 553.08         | 352.36       | 683.07         | 427.04       | 715.68         | 265.77       | 2,836.64      | 940.16       | 3,594.02      | 1,954.87     |
| 15     | Jharkhand         | 1,077.87       | 718.19       | 1,736.12       | 666.83       | 1,046.38       | 792.97       | 8,363.96      | 2,620.58     | 6,455.42      | 3,657.61     |
| 16     | Karnataka         | 1,023.19       | 1,014.61     | 1,231.42       | 1,063.24     | 1,483.15       | 789.59       | 6,561.50      | 2,489.51     | 10,804.2 9    | 4,793.26     |
| 17     | Kerala            | 351.34         | 188.22       | 640.20         | 139.89       | 486.25         | 225.53       | 3,837.71      | 1,530.84     | 9,932.65      | 6,206.12     |
| 18     | Ladakh            | -              | -            | -              | -            | 59.63          | 24.23        | 154.45        | 75.48        | 416.79        | 187.68       |

| S.N.   |                | 2018-19        | 2018-19      | 2019-20        | 2019-20      | 2020-21        | 2020-21      | 2021-22       | 2021-22      | 2022-23       | 2022-23      |
|--------|----------------|----------------|--------------|----------------|--------------|----------------|--------------|---------------|--------------|---------------|--------------|
| S.N.   | State/UT       | SPIP Approva l | Utilisatio n | SPIP Approva l | Utilisatio n | SPIP Approva l | Utilisatio n | SPIP Approval | Utilisatio n | SPIP Approval | Utilisatio n |
| 19     | Lakshadwee p   | 5.32           | 1.27         | 4.53           | 13.17        | 25.40          | 4.87         | 29.86         | 15.44        | 27.28         | 9.82         |
| 20     | Madhya Pradesh | 5,091.60       | 3,118.64     | 4,586.96       | 3,668.91     | 4,832.23       | 2,795.98     | 19,787.4 3    | 11,429.68    | 16,267.8 0    | 11,336.01    |
| 21     | Maharashtra    | 1,823.85       | 1,070.54     | 1,457.49       | 1,159.72     | 1,543.96       | 856.99       | 9,367.29      | 5,794.90     | 20,208.1 6    | 12,018.26    |
| 22     | Manipur        | 100.60         | 73.03        | 101.90         | 43.67        | 475.13         | 23.90        | 535.15        | 78.75        | 3,303.96      | 1,917.30     |
| 23     | Meghalaya      | 278.40         | 161.97       | 327.70         | 142.64       | 300.50         | 176.28       | 1,212.95      | 458.24       | 1,603.56      | 1,647.15     |
| 24     | Mizoram        | 127.23         | 69.38        | 53.93          | 43.33        | 52.07          | 38.38        | 318.00        | 173.53       | 525.50        | 179.44       |
| 25     | Nagaland       | 124.60         | 73.58        | 104.52         | 27.39        | 122.51         | 33.33        | 533.44        | 258.26       | 500.43        | 132.07       |
| 26     | Odisha         | 1,641.67       | 1,125.03     | 1,885.16       | 2,418.47     | 1,718.59       | 1,354.07     | 7,417.47      | 5,670.17     | 8,759.94      | 9,476.96     |
| 27     | Puducherry     | 16.20          | 1.42         | 17.00          | 2.98         | 16.52          | 7.31         | 191.74        | 69.82        | 144.09        | 46.67        |
| 28     | Punjab         | 448.89         | 742.25       | 320.49         | 224.82       | 342.22         | 105.42       | 2,633.03      | 1,580.39     | 4,196.04      | 2,257.89     |
| 29     | Rajasthan      | 2,264.57       | 1,939.24     | 3,224.62       | 2,260.04     | 4,373.43       | 2,775.66     | 17,700.9      | 8,469.05     | 16,427.4      | 7,540.70     |

| S.N.   | State/UT      | 2018-19        | 2018-19      | 2019-20        | 2019-20      | 2020-21        | 2020-21      | 2021-22         | 2021-22      | 2022-23         | 2022-23      |
|--------|---------------|----------------|--------------|----------------|--------------|----------------|--------------|-----------------|--------------|-----------------|--------------|
| S.N.   | State/UT      | SPIP Approva l | Utilisatio n | SPIP Approva l | Utilisatio n | SPIP Approva l | Utilisatio n | SPIP Approval 3 | Utilisatio n | SPIP Approval 9 | Utilisatio n |
| 30     | Sikkim        | 140.07         | 9.60         | 34.04          | 18.30        | 28.70          | 1.29         | 94.72           | 51.48        | 165.41          | 140.17       |
| 31     | Tamil Nadu    | 2,288.27       | 1,551.60     | 580.47         | 843.20       | 710.60         | 261.56       | 2,654.15        | 1,934.01     | 13,906.4 5      | 6,320.31     |
| 32     | Telangana     | 1,829.70       | 605.22       | 697.90         | 269.62       | 1,152.28       | 225.49       | 3,935.81        | 2,617.75     | 7,144.76        | 3,927.48     |
| 33     | Tripura       | 523.72         | 550.17       | 872.36         | 1,191.39     | 158.62         | 279.06       | 567.75          | 356.06       | 1,178.07        | 684.27       |
| 34     | Uttar Pradesh | 1,963.07       | 1,712.99     | 2,331.88       | 1,450.65     | 2,562.56       | 1,330.12     | 37,642.1 8      | 7,914.29     | 45,457.3 2      | 19,240.46    |
| 35     | Uttarakhand   | 174.55         | 116.58       | 145.87         | 110.30       | 194.23         | 66.93        | 1,458.07        | 1,042.61     | 3,360.44        | 1,736.48     |
| 36     | West Bengal   | 1,593.06       | 1,575.05     | 1,476.14       | 1,383.10     | 1,395.56       | 1,380.40     | 10,890.4 3      | 10,835.68    | 12,230.3 7      | 7,639.90     |

## Note:

- 1.The SPIP Approvals and Utilisation are as per available Financial Management Reports submitted by the States/UTs and is provisional.
2. 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.
3. Utilisation includes utilisation against Central Release, State release & unspent balances at the beginning of the year

Steps taken by the Government for early detection of diseases and time bound vaccination of children are as follows:

-  Rashtriya Bal Swasthya Karyakram (RBSK): Children from 0 to 18 years of age are screened for 30 health conditions (i.e. Diseases, Deficiencies, Defects and Developmental delay) under Rashtriya Bal Swasthya Karyakram (RBSK) to improve child survival. Comprehensive newborn screening is done at delivery points right after birth to screen birth defects of the newborn and are further referred for management and follow up. District Early Intervention Centres (DEICs) at district health facility level are established for confirmation and management of children screened under RBSK.
-  Facility Based New-born Care: Special New-born Care Units (SNCUs) are established at District Hospital and Medical College level, New-born Stabilization Units (NBSUs) are established at First Referral Units (FRUs)/ Community Health Centres (CHCs) for care of sick and small babies.
-  Community Based care of New-born and Young Children: Under Home Based New-born Care (HBNC) and Home-Based Care of Young Children (HBYC) program, home visits are performed by ASHAs to improve child rearing practices and to identify sick new-born and young children in the community.
-  Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS) initiative implemented since 2019 for reduction of childhood morbidity and mortality due to Pneumonia.
-  Universal Immunization Programme (UIP) Routine Immunization is provided against 12 vaccine preventable diseases to all children including newborns as per the National Immunization schedule. Special catch up campaigns such as Mission Indradhanush are conducted frequently to vaccinate all children who would have missed their routine vaccine doses.
-  Nutrition Rehabilitation Centres (NRCs) are set up at public health facilities to treat and manage the children with Severe Acute Malnutrition (SAM) admitted with medical complications.
-  Intensified Diarrhoea Control Fortnight / Defeat Diarrhoea (D2) initiative is implemented for promoting ORS and Zinc use and for reducing diarrhoeal deaths.
-  Anaemia Mukt Bharat (AMB) strategy as a part of POSHAN Abhiyan aims to strengthen the existing mechanisms and foster newer strategies to tackle anaemia which include testing & treatment of anaemia in school going adolescents & pregnant women, addressing non-nutritional causes of anaemia and a comprehensive communication strategy.
-  Capacity Building: Several capacity building programs including Navjaat Shishu Suraksha Karyakram for health care providers are taken up for improving the child survival and health outcomes.
-  Janani Shishu Suraksha Karyakram (JSSK): The scheme envisages free and cashless services to pregnant women including normal deliveries and caesarean operations and also treatment of sick infants (up to one year after birth) in all Government health institutions across State/UTs.
-  Surakshit Matritva Aashwasan (SUMAN) provides assured, dignified, respectful and quality healthcare at no cost and zero tolerance for denial of services for every woman and newborn visiting public health facilities to end all preventable maternal and newborn deaths.
-  Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) provides pregnant women a fixed day, free of cost assured and quality Antenatal Care on the 9 th day of every month. Further, Extended PMSMA (e-PMSMA) strategy is implemented to ensure quality ANC to pregnant women, especially to highrisk pregnancy (HRP) women and individual HRP tracking till a safe delivery is achieved by means of financial incentivization for the identified high risk pregnant women and accompanying ASHA for extra 3 visits over and above the PMSMA visit.
-  Monthly Village Health, Sanitation and Nutrition Day (VHSND) is an outreach activity at Anganwadi centres for provision of maternal and childcare including nutrition in convergence with the ICDS.
-  Outreach camps are provisioned for improving the reach of health care services especially in tribal and hard to reach areas. This platform is used to increase the awareness for the Maternal & Child health services, community mobilization as well as to track high risk pregnancies.
-  Mother and Child Protection (MCP) Card and Safe Motherhood Booklet are distributed to the pregnant women for educating them on nutrition and diet, breastfeeding, child immunization, danger signs, early childhood development and to create awareness about various government schemes related to Maternal and Child health.

## Details of live birth beneficiaries for Navjaat Shishu Suraksha Karyakram from F.Y. 2018-19 to 2022-23

|                                          | 2018-19   | 2019-20   |   2020-21 |   2021-22 |   2022-23* |
|------------------------------------------|-----------|-----------|-----------|-----------|------------|
| All India                                | 20889154  | 21233538  |  20147026 |  20322493 |   20883780 |
| Andaman & Nicobar Islands                | 3993      | 3618      |      4014 |      3706 |       3745 |
| Andhra Pradesh                           | 742723    | 736774    |    709321 |    752724 |     762921 |
| Arunachal Pradesh                        | 18708     | 20668     |     19852 |     20201 |      21706 |
| Assam                                    | 584655    | 600797    |    571882 |    565794 |     564961 |
| Bihar                                    | 2050938   | 2114235   |   1981444 |   1998535 |    2095932 |
| Chandigarh                               | 28792     | 27957     |     16217 |     19529 |      23375 |
| Chhattisgarh                             | 484317    | 479404    |    466632 |    472963 |     486026 |
| Delhi                                    | 282190    | 283719    |    204951 |    226552 |     259493 |
| Goa                                      | 17962     | 18491     |     15762 |     14585 |      16296 |
| Gujarat                                  | 1137636   | 1148115   |   1111372 |   1092195 |    1160994 |
| Haryana                                  | 499852    | 511004    |    502244 |    510243 |     521730 |
| Himachal Pradesh                         | 86872     | 88410     |     88332 |     88380 |      85978 |
| Jammu and Kashmir                        | 195931    | 191384    |    176767 |    190504 |     201367 |
| Jharkhand                                | 732000    | 731400    |    721802 |    708234 |     763022 |
| Karnataka                                | 907525    | 898459    |    853532 |    876419 |     864190 |
| Kerala                                   | 487790    | 464530    |    425176 |    430674 |     419807 |
| Ladakh                                   | NA        | NA        |      3642 |      3503 |       3709 |
| Lakshadweep                              | 849       | 851       |      1153 |       919 |        901 |
| Madhya Pradesh                           | 1359708   | 1403115   |   1367676 |   1300584 |    1381919 |
| Maharashtra                              | 1720964   | 1796217   |   1766935 |   1747064 |    1746007 |
| Manipur                                  | 37991     | 39462     |     31125 |     29175 |      34955 |
| Meghalaya                                | 83258     | 89449     |     82636 |     81463 |      85563 |
| Mizoram                                  | 19289     | 20577     |     20051 |     19122 |      19936 |
| Nagaland                                 | 19606     | 20582     |     16254 |     16367 |      18825 |
| Odisha                                   | 646668    | 632591    |    636143 |    623877 |     599873 |
| Puducherry                               | 43695     | 43023     |     26151 |     31497 |      35423 |
| Punjab                                   | 371274    | 377525    |    357583 |    370996 |     361618 |
| Rajasthan                                | 1368982   | 1362923   |   1348768 |   1279431 |    1339936 |
| Sikkim                                   | 7041      | 7188      |      7205 |      6715 |       6587 |
| Tamil Nadu                               | 939599    | 942471    |    915967 |    920615 |     914573 |
| Telangana                                | 623664    | 633667    |    538318 |    606638 |     603733 |
| Dadra and Nagar Haveli and Daman and Diu | 12901     | 13598     |     10358 |     10599 |      12389 |
| Tripura                                  | 50035     | 51339     |     49478 |     49625 |      48715 |
| Uttar Pradesh                            | 3860684   | 4071547   |   3785227 |   3858834 |    4023071 |
| Uttarakhand                              | 147253    | 152300    |    153545 |    156175 |     152089 |
| West Bengal                              | 1313809   | 1256148   |   1159511 |   1238056 |    1242415 |