Lok Sabha Question No. 223 (UNSTARRED), answered on 2024-02-02
Subject: Implementation of PMSMA
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Srinivas Kesineni

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO.223 TO BE ANSWERED ON 02/02/2024

## IMPLEMENTATION OF PMSMA

## 223.SHRI KESINENI SRINIVAS:

## Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the Government is implementing the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) in the country and if so, the details thereof;
- (b) the funds allocated and utilized under the PMSMA since 2019, State/UT-wise including Andhra Pradesh;
- (c) the achievements made so far in Andhra Pradesh;
- (d) the number of estimated beneficiaries in Andhra Pradesh who benefitted under the said scheme, year-wise particularly in Andhra Pradesh; and
- (e) the percentage of beneficiaries who received at least four antenatal care visits during their pregnancy in Andhra Pradesh, year-wise since 2019?

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

- (a) Government of India launched 'Pradhan Mantri Surakshit Matritva Abhiyan' (PMSMA) with an aim to provide fixed-day, free of cost, assured, comprehensive and quality antenatal care on the 9 th day of every month, universally to all pregnant women in their 2nd / 3rd trimesters of pregnancy. Since inception, more than 4.72 crore pregnant women have received comprehensive antenatal care under this programme across all states and UTs.
- (b) The funds allocated and utilized under Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) since 2019, State/UT-wise including Andhra Pradesh is placed at Annexure-1
- (c) &(d) The year-wise number of beneficiaries benefitted in Andhra Pradesh is placed at Annexure-2
- (e) The percentage of beneficiaries who received at least four antenatal care visits during their pregnancy in Andhra Pradesh, year-wise since 2019 is placed at annexure-3

Annexure-1

State/UT-wise Program Implementation Plans (PIPs) Approvals and Expenditure towards Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) Activities under Reproductive & Child Health (RCH) Flexible Pool under National Health Mission (NHM) from F.Y. 2019-20 to 2023-24 (Rs. in Lakh)

|       |                    | 2019-20   | 2019-20       | 2020-21   | 2020-21      | 2021-22   | 2021-22      | 2022-23   | 2022-23       | 2023-24   | 2023-24      |
|-------|--------------------|-----------|---------------|-----------|--------------|-----------|--------------|-----------|---------------|-----------|--------------|
| S. No | State/UT           | Appr oval | Expe nditur e | Appr oval | Expen diture | Appr oval | Expend iture | Appr oval | Expe nditu re | Appro val | Expend iture |
| 1     | A&N Islands        | 5         | 0.19          | 3         | 0.11         | 6.33      | 0.38         | 3.22      | 1.13          | 3.22      | 0.1          |
| 2     | Andhra Pradesh     | -         | -             | -         | -            | 31        | NR           | 31        | NR            | 31        | 26           |
| 3     | Arunachal Pradesh  | 13.5      | 2.63          | 13        | 11.78        | 15        | 10.7         | 107.2     | 99.23         | 127       | NR           |
| 4     | Assam              | 49.59     | 31.34         | 46.58     | 28.89        | 39.5      | 32.4         | 101.9 5   | 51.34         | 105.19    | 45.7         |
| 5     | Bihar              | 671.7 2   | 533.3 1       | 500       | 263.06       | 620.8 2   | 419          | 1,139. 90 | 597.0 9       | 1,162.8 0 | 343.64       |
| 6     | Chandigarh         | 2.4       | 2.04          | 2.4       | 1.55         | 2.4       | 1.65         | 1.78      | 0.82          | 8.45      | 1.95         |
| 7     | Chhattisgar h      | 20        | NR            | 14.37     | 1.63         | 6.1       | 1.51         | 643.3 2   | 395.4         | 675.49    | 154.53       |
|       | D& N Haveli        | $         | 0.55          |           |              |           |              |           |               |           |              |
| 8     | Daman & Diu        | -         | -             | $         | 0.3          | -         | -            | -         | -             | -         | -            |
| 9     | Delhi              | 12        | 3.96          | $         | 1.02         | 6         | 0.41         | 6         | 4.78          | 6         | 6.56         |
| 10    | Goa                | 0.37      | 0.08          | 0.1       | 0.09         | 0.1       | 0.1          | 0.4       | 0.61          | 0.4       | 0.07         |
| 11    | Gujarat            | 48.5      | 39.32         | 54        | 39.45        | 46.5      | 28.04        | 2,465. 40 | 445.5 2       | 2,465.4 0 | 501.74       |
| 12    | Haryana            | 29        | 28.53         | 32.5      | 24.49        | 32.5      | 30.44        | 22        | 23.03         | 22        | 22.41        |
| 13    | Himachal Pradesh   | -         | -             | -         | -            | 48        | 23.46        | 48        | 32.62         | 196.4     | 25.58        |
| 14    | Jammu and Kashmir* | 38        | 2.15          | 35        | 1.69         | 22        | 0.83         | 44.5      | 1.94          | 44.5      | 0.15         |
| 15    | Jharkhand          | 292       | 96.23         | 622       | 93.85        | 99        | 85.1         | 1,837. 26 | 559.3 1       | 2,074.2 5 | 205.98       |
| 16    | Karnataka          | 43        | 28.16         | 43        | 14.61        | 43        | 18.08        | 43        | 11.82         | 43        | 8.78         |
| 17    | Kerala             | 18        | 8.6           | 9         | 2.43         | 7         | 0.95         | 11.4      | 19.54         | 11.97     | 23.24        |
| 18    | Ladakh*            | -         | -             | 12.92     | 1.46         | 12.92     | 0.92         | 11.07     | 1.3           | 11.07     | 0.65         |
| 19    | Lakshadwe ep       | 0.2       | 0.01          | 0.22      | 0.18         | 0.4       | 0.22         | 0.42      | 0.05          | 0.44      | 0.02         |

| S. No   |                | 2019-20   | 2019-20       | 2020-21   | 2020-21      | 2021-22   | 2021-22      | 2022-23   | 2022-23       | 2023-24   | 2023-24      |
|---------|----------------|-----------|---------------|-----------|--------------|-----------|--------------|-----------|---------------|-----------|--------------|
| S. No   | State/UT       | Appr oval | Expe nditur e | Appr oval | Expen diture | Appr oval | Expend iture | Appr oval | Expe nditu re | Appro val | Expend iture |
| 20      | Madhya Pradesh | 13.1      | 6.16          | 10        | 0.61         | 52.16     | 23.12        | 1,737. 26 | 551.1 2       | 1,737.2 6 | 155.92       |
| 21      | Maharashtr a   | 34        | 21.85         | 33.55     | 11.65        | 34.37     | 11.24        | 57.23     | 7.35          | 57.23     | 126.84       |
| 22      | Manipur        | 15        | 20.12         | 55.75     | 10.42        | 55.75     | 5.29         | 117.7 5   | 14.8          | 117.75    | 2.83         |
| 23      | Meghalaya      | 7.5       | 8.9           | 7.5       | 5.7          | 7.8       | 3.56         | 117.8     | 38.94         | 139.8     | 6.29         |
| 24      | Mizoram        | 3.3       | 2.61          | 6.6       | 7.05         | 7.21      | 4.6          | 27.41     | 5.95          | 28.01     | NR           |
| 25      | Nagaland       | 1         | NR            | 1.58      | NR           | 1.58      | 1.12         | 27.03     | 5.92          | 22.16     | 3.76         |
| 26      | Odisha         | 41        | 12.6          | 41        | 14.58        | 36        | 12.95        | 1,100. 00 | 202.9 6       | 1,670.0 0 | 250.04       |
| 27      | Puducherry     | -         | -             | -         | -            | 1.6       | NR           | 1.6       | NR            | 5         | 0.14         |
| 28      | Punjab         | 25        | 16.46         | 30        | 3.86         | 5.5       | 1.82         | 999.4     | 38.43         | 999.4     | 103.58       |
| 29      | Rajasthan      | 41.75     | 22.5          | 42.92     | 21.3         | 75.37     | 54.25        | 873.8 5   | 75.47         | 873.85    | 7.37         |
| 30      | Sikkim         | 2.5       | 1.12          | 2.5       | NR           | 2.5       | 0.48         | 3         | 1.62          | 3         | 0.5          |
| 31      | Tamil Nadu     | $         | 1.23          | 15.8      | 1.13         | 3.16      | 0.68         | -         | -             | -         | -            |
| 32      | Telangana      | 6.4       | 1.89          | 6.4       | 1.79         | 9.24      | 1.03         | 9.24      | 2.52          | 9.7       | 2.07         |
| 33      | Tripura        | 4.76      | 2.21          | 8         | 2.97         | 16.82     | 11.8         | 138.1 2   | 29.17         | 138.12    | 18.56        |
| 34      | Uttar Pradesh  | 107.9 5   | 31.44         | 99.41     | 44.66        | 68.2      | 34.21        | 2,247. 50 | 721.2 5       | 3,211.3 4 | 149.09       |
| 35      | Uttarakhan d   | 5.6       | -             | 5.6       | 2.79         | 5.6       | 3.2          | 318.0 2   | 39.4          | 370.85    | 14.36        |
| 36      | West Bengal    | 29        | 46.46         | 30        | 20.29        | 342.7 2   | 112.21       | 342.7 2   | 220.6 6       | 1,180.3 0 | 42.28        |

## Note:-

1. NR=Not reported.
2. $=Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year.
3. *=After the Reorganization 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.
4. The above data is as per available Financial Management Reports submitted by the States/UTs.
5. Expenditure is as per FMRs submitted by States/UTs. The expenditure w.r.t. flexible pool for RCH, etc. is updated up to 31.12.2023 except Arunachal Pradesh, Assam, Bihar, Chhattisgarh, Jharkhand, Puducherry, Uttar Pradesh, West Bengal (Updated upto 30.11.2023), Chandigarh, Karnataka, Manipur, Meghalaya, Odisha, Punjab, Tamil Nadu, Tripura (Updated up to 31.10.2023), Lakshadweep (Updated up to 30.09.2023) and is provisional.

| Annexure-2   | Annexure-2                  | Annexure-2                                                        |
|--------------|-----------------------------|-------------------------------------------------------------------|
| S. No        | Financial Year              | Total number of pregnant women Received Antenatal care underPMSMA |
| 1            | 2016-17                     | 268883                                                            |
| 2            | 2017-18                     | 519483                                                            |
| 3            | 2018-19                     | 326957                                                            |
| 4            | 2019-20                     | 467299                                                            |
| 5            | 2020-21                     | 272895                                                            |
| 6            | 2021-22                     | 461251                                                            |
| 7            | 2022-23                     | 905747                                                            |
| 8            | 2023-24 (as on 30 Jan 2024) | 712137                                                            |

Source- PMSMA Portal as on 30 Jan 2024

| Annexure-3   | Annexure-3             | Annexure-3                                                                                                               |
|--------------|------------------------|--------------------------------------------------------------------------------------------------------------------------|
| S. No        | Financial Year         | Percentage of Pregnant Women (PW) received 4 or more Ante Natal Care (ANC) check-ups against total estimated pregnancies |
| 1            | 2019-20                | 86%                                                                                                                      |
| 2            | 2020-21                | 93%                                                                                                                      |
| 3            | 2021-22                | 99%                                                                                                                      |
| 4            | 2022-23                | 91%                                                                                                                      |
| 5            | 2023-24 (Apr-Dec 2023) | 97%                                                                                                                      |

Source- Health Management Information System (HMIS) as on 30 Jan 2024