Lok Sabha Question No. 3398 (UNSTARRED), answered on 2016-08-05
Subject: Underweight and Stunted Children
Ministry: HEALTH AND FAMILY WELFARE
Asked by: DODDAALAHALLI KEMPEGOWDA SURESH

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED  QUESTION NO. 3398 TO BE ANSWERED ON 5 TH AUGUST, 2016

## UNDERWEIGHT AND STUN TED CHILDREN

## 3398. SHRI D.K. SURESH:

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

(a)  whether  India  ranks  high  in  the  world in  terms  of  number  of  underweight  and stunted children;

(b)  if  so,  whether  the  Government  has conducted  any  survey  to  find  out  the perce ntage  of underweight/stunted children in the country;

(c) if so, the details along with the outcome thereof, State/UT - wise;

(d) the details of the schemes/ programmes being implemented by the Government to overcome the aforesaid problems and the funds allocated/ released and utilised along with the achievements made thereunder during each of the last three years and the current year, scheme and State/UT wise; and

(e) the further steps being taken by the Government to eradicate the problems of underweight and stunted children in the country?

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

## (SHRI FAGGAN SINGH KULASTE)

(a) to (c): Yes. As per the report of 'Rapid Survey of Children (2013 - 14), 29.4% of under -five children are underweight, 38.7% are stunted. The State/UT wise percentage of underweight and stunted children is at annexure 1.

(d) &(e): The  following  interventions  are  being  undertaken  under  the  Reproductive  an Child Health Programme of National Health Mission, and funds are being prov ided each year for carrying out following set of activities towards management of nutritional deficiencies women and children:

- Promotion  of  appropriate  infant  and  young  child  feeding  practices  that  include initiation  of  breastfeeding  and exclusive  breastfeeding  till  6  months  of  age  through ASHA worker and health care provider at health facilities.
- Management of malnutrition and common neonatal and childhood illnesses at community and  facility  level  by  training  service  providers  in  IMNCI  ( Integrated Management  of Neonatal and Childhood Illnesses) training.
- Treatment  of  sick  children  with  severe  acute  malnutrition  at  special  units  call Nutrition Rehabilitation Centres (NRCs), set up at public health facilities. Prese such cent res are functional in 26 States and UTs. Incentive to ASHA for tracking of S children discharged from NRCs
- Vitamin A supplementation for children aged 6 months to 5 years.
- Village Health and Nutrition Days and Mother and Child Protection Card are the joint initiative of the Ministries of Health & Family welfare and the Ministry of Woman Child for addressing the nutrition concerns in children, pregnant women and lact mothers. Monthly Village Health and Nutrition Days (VHND) are monthly days held at village  level  in  Anganwadi  centre  where  nutrition  education  is  given  to  increas awareness  and  bring  about  desired  changes  in  the  dietary  practices  including promotion of breastfeeding.
- 'National  Iron  Plus  Initiative'  has  been  launched  as an effective strategy for iron folic acid  supplementation  and  treatment  of  anaemia  in  children,  adolescents,  pregnant lactating women, in programme mode through life cycle approach.
- Incentive are provided to ASHA for tracking of Low birth weight bab ies
- Promotion for intake of iodised salt and monitoring salt quality through testing National Iodine Deficiency Disorders Control Programme
- Similarly,  under  Jananai  Shishu  Suraksha  Karyakram  (JSSK),  all  infants  seeki treatment in public health fa cilities are provided food, drugs and transport, free of cos an entitlement.
- Under the Rashtriya Bal Swasthya Karyakram (RBSK) and Rashtriya Kishore Swasthya Karyakram  (RKSK),  systematic  efforts  are  undertaken  to  detect  nutrition  deficie among chil dren and adolescents respectively and treat/refer them appropriately.

As  these  nutrition  interventions/programmes  are  an  integral  part  of  Reproductive Child  Health  (RCH)  program  under  National  Health  Mission  (NHM),  the  funds  are  being allocated to the States and UTs under RCH and Mission Flexi - pool funds as per their proposals in the yearly Programme Implementation Plans and are being utilized for various interventi Child and Maternal Health programmes and not funded separately as a scheme, the d etails of which are provided in annexure 2.

| Status of Underweight and Stunted in under - 5 children (RSOC -2013- 14) (%)   | Status of Underweight and Stunted in under - 5 children (RSOC -2013- 14) (%)   | Status of Underweight and Stunted in under - 5 children (RSOC -2013- 14) (%)   | Status of Underweight and Stunted in under - 5 children (RSOC -2013- 14) (%)   |
|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|--------------------------------------------------------------------------------|
| S.No                                                                           | States                                                                         | Stunting                                                                       | Underweight                                                                    |
|                                                                                | All India                                                                      | 38.7                                                                           | 29.4                                                                           |
| 1                                                                              | Andhra P.                                                                      | 35.4                                                                           | 22.3                                                                           |
| 2                                                                              | Arunachal P.                                                                   | 28.4                                                                           | 24.6                                                                           |
| 3                                                                              | Assam                                                                          | 40.6                                                                           | 22.2                                                                           |
| 4                                                                              | Bihar                                                                          | 49.4                                                                           | 37.1                                                                           |
| 5                                                                              | Chhattisgarh                                                                   | 43                                                                             | 33.9                                                                           |
| 6                                                                              | Delhi                                                                          | 29.1                                                                           | 19.4                                                                           |
| 7                                                                              | Goa                                                                            | 21.3                                                                           | 16.2                                                                           |
| 8                                                                              | Gujarat                                                                        | 41.6                                                                           | 33.6                                                                           |
| 9                                                                              | Haryana                                                                        | 36.5                                                                           | 22.7                                                                           |
| 10                                                                             | Himachal P.                                                                    | 34.2                                                                           | 19.5                                                                           |
| 11                                                                             | J & K                                                                          | 31.7                                                                           | 15.4                                                                           |
| 12                                                                             | Jharkhand                                                                      | 47.4                                                                           | 42.1                                                                           |
| 13                                                                             | Karnataka                                                                      | 34.2                                                                           | 28.9                                                                           |
| 14                                                                             | Kerala                                                                         | 19.4                                                                           | 18.5                                                                           |
| 15                                                                             | Madhya P.                                                                      | 41.5                                                                           | 36.1                                                                           |
| 16                                                                             | Maharashtra                                                                    | 35.4                                                                           | 25.2                                                                           |
| 17                                                                             | Manipur                                                                        | 33.2                                                                           | 14.1                                                                           |
| 18                                                                             | Meghalaya                                                                      | 42.9                                                                           | 30.9                                                                           |
| 19                                                                             | Mizoram                                                                        | 26.9                                                                           | 14.8                                                                           |
| 20                                                                             | Nagaland                                                                       | 29.1                                                                           | 19.5                                                                           |
| 21                                                                             | Odisha                                                                         | 38.2                                                                           | 34.4                                                                           |
| 22                                                                             | Punjab                                                                         | 30.5                                                                           | 16                                                                             |
| 23                                                                             | Rajasthan                                                                      | 36.4                                                                           | 31.5                                                                           |
| 24                                                                             | Sikkim                                                                         | 28                                                                             | 15.8                                                                           |
| 25                                                                             | Tamil Nadu                                                                     | 23.3                                                                           | 23.3                                                                           |
| 26                                                                             | Tripura                                                                        | 31                                                                             | 30.5                                                                           |
| 27                                                                             | Uttar                                                                          | 50.4                                                                           | 34.3                                                                           |
| 28                                                                             | P. Uttarakhand                                                                 | 34                                                                             | 20.6                                                                           |
| 29                                                                             | West Bengal                                                                    | 34.7                                                                           | 30                                                                             |

## Annexure 2

| Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16)   |                           |            |                   |        |            |           |         |            |          |        |
|-------------------------------------------------------------------------|---------------------------|------------|-------------------|--------|------------|-----------|---------|------------|----------|--------|
| No.                                                                     | States                    | Allocation | Release           | Exp    | Allocation | Release   | Exp     | Allocation | Release  | Exp    |
| 1                                                                       | Andaman & Nicobar Islands | 1.26       | 3.65              | 8.57   | 3.91       | 2.94      | 8.14    | 3.09 6.64  | 6.66     |        |
| 2                                                                       | Andhra Pradesh            | 280.40     | 224.32            | 319.42 | 189.11     | 172.92    | 259.86  | 149.25     | 163.11   | 297.86 |
| 3                                                                       | Arunachal Pradesh         | 18.53      | 20.78             | 25.26  | 64.55      | 48.41     | 21.00   | 55.80      | 62.46    | 38.12  |
| 4                                                                       | Assam                     | 417.68     | 367.55            | 436.39 | 367.06     | 298.24    | 461.07  | 317.34     | 351.05   | 513.75 |
| 5                                                                       | Bihar                     | 446.91     | 335.18            | 729.30 | 390.04     | 338.54    | 706.31  | 307.82     | 277.04   | 745.67 |
| 6                                                                       | Chandigarh                | 3.49       | 2.62              | 8.52   | 2.73       | 2.05      | 9.95    | 2.15       | 7.25     | 8.14   |
| 7                                                                       | Chattisgarh               | 126.88     | 104.67            | 175.47 | 160.50     | 132.19    | 185.19  | 126.67     | 116.54   | 226.55 |
| 8                                                                       | Dadra & Nagar Haveli      | 1.14       | 2.81              | 4.71   | 3.53       | 2.65      | 4.95    | 2.78       | 4.28     | 7.12   |
| 9                                                                       | Daman & Diu               | 0.80       | 2.25              | 4.18   | 2.50       | 1.88      | 3.71    | 1.97       | 2.96     | 5.16   |
| 10                                                                      | Delhi                     | 55.48      | 43.55             | 63.22  | 43.31      | 40.20     | 49.63   | 34.18      | 55.43    | 35.31  |
| Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16)   |                           |            |                   |        |            |           |         |            |          |        |
| Rs. In                                                                  |                           |            |                   |        |            |           |         |            |          |        |
|                                                                         |                           | States     | 2013- 14          |        |            | 2014- 15  |         |            |          |        |
| Sl.                                                                     | No.                       |            | Allocatio Release |        | Exp        | Allocatio | Release | Exp        | Release  |        |
|                                                                         |                           |            |                   |        |            |           |         |            |          | Exp    |
|                                                                         |                           |            |                   |        |            |           |         |            | 2015- 16 |        |

|                                                                       |                                                                       | n                                                                     | n                                                                     |                                                                       | n                                                                     | n                                                                     |                                                                       | Allocatio n                                                           | Allocatio n                                                           |                                                                       |                                                                       |                                                                       |                                                                       |
|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|
| 11                                                                    | Goa                                                                   | 4.83                                                                  | 4.20                                                                  | 5.85                                                                  | 5.01                                                                  | 3.77                                                                  | 6.73                                                                  |                                                                       | 3.95                                                                  | 3.95                                                                  | 6.07                                                                  |                                                                       |                                                                       |
| 12                                                                    | Gujarat                                                               | 199.98                                                                | 176.98                                                                | 212.61                                                                | 230.48                                                                | 212.31                                                                | 236.38                                                                | 181.90                                                                | 192.34                                                                |                                                                       | 288.08                                                                |                                                                       |                                                                       |
| 13                                                                    | Haryana                                                               | 83.96                                                                 | 86.48                                                                 | 154.74                                                                | 82.13                                                                 | 61.78                                                                 | 162.13                                                                | 64.82                                                                 | 64.82                                                                 |                                                                       | 163.85                                                                |                                                                       |                                                                       |
| 14                                                                    | Himachal Pradesh                                                      | 71.68                                                                 | 70.65                                                                 | 63.78                                                                 | 70.07                                                                 | 58.60                                                                 | 60.92                                                                 |                                                                       | 55.30                                                                 | 55.30                                                                 | 59.46                                                                 |                                                                       |                                                                       |
| 15                                                                    | Jammu & Kashmir                                                       | 161.34                                                                | 156.71                                                                | 151.89                                                                | 157.71                                                                | 118.64                                                                | 147.27                                                                |                                                                       | 124.47                                                                | 129.71                                                                | 201.51                                                                |                                                                       |                                                                       |
| 16                                                                    | Jharkhand                                                             | 163.77                                                                | 122.83                                                                | 215.52                                                                | 163.41                                                                | 122.92                                                                | 230.90                                                                |                                                                       | 128.96                                                                | 122.51                                                                | 245.14                                                                |                                                                       |                                                                       |
| 17                                                                    | Karnataka                                                             | 202.45                                                                | 161.96                                                                | 218.81                                                                | 230.76                                                                | 188.63                                                                | 229.23                                                                |                                                                       | 182.12                                                                | 182.12                                                                | 277.74                                                                |                                                                       |                                                                       |
| 18                                                                    | Kerala                                                                | 110.57                                                                | 110.57                                                                | 150.71                                                                | 99.91                                                                 | 83.30                                                                 | 130.34                                                                |                                                                       | 78.85                                                                 | 85.91                                                                 | 138.81                                                                |                                                                       |                                                                       |
| 19                                                                    | Lakshadweep                                                           | 0.21                                                                  | 0.60                                                                  | 0.53                                                                  | 0.66                                                                  | 0.50                                                                  | 0.72                                                                  |                                                                       | 0.52                                                                  | 1.40                                                                  | 0.52                                                                  |                                                                       |                                                                       |
| 20                                                                    | Madhya Pradesh                                                        | 312.56                                                                | 268.80                                                                | 600.37                                                                | 382.77                                                                | 347.85                                                                | 675.61                                                                |                                                                       | 302.09                                                                | 324.21                                                                | 760.26                                                                |                                                                       |                                                                       |
| 21                                                                    | Maharashtra                                                           | 372.16                                                                | 279.10                                                                | 485.92                                                                | 407.37                                                                | 374.24                                                                | 477.44                                                                |                                                                       | 321.51                                                                | 334.37                                                                | 445.22                                                                |                                                                       |                                                                       |
| Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) |
|                                                                       |                                                                       |                                                                       |                                                                       |                                                                       |                                                                       |                                                                       |                                                                       |                                                                       |                                                                       |                                                                       | Rs. In                                                                | Rs. In                                                                |                                                                       |
| Sl. No.                                                               |                                                                       | 2013- 14                                                              | 2013- 14                                                              | 2013- 14                                                              | 2014- 15                                                              | 2014- 15                                                              | 2014- 15                                                              | 2015- 16                                                              | 2015- 16                                                              | 2015- 16                                                              | 2015- 16                                                              | 2015- 16                                                              |                                                                       |
|                                                                       | States                                                                | Allocatio n                                                           | Release                                                               | Exp                                                                   |                                                                       | Allocatio n Release                                                   | Exp                                                                   |                                                                       | Allocatio n                                                           | Release                                                               | Exp                                                                   |                                                                       |                                                                       |
| 22                                                                    | Manipur                                                               | 36.47                                                                 | 27.35                                                                 | 24.57                                                                 | 41.32                                                                 | 41.32                                                                 | 25.45                                                                 | 35.72                                                                 |                                                                       | 39.05                                                                 | 30.25                                                                 |                                                                       |                                                                       |

| 23                                                                    | Meghalaya                                                             | 39.72                                                                 | 37.04                                                                 | 14.94                                                                 | 43.82                                                                 | 35.06                                                                 | 26.55                                                                 | 37.88                                                                 | 41.63                                                                 | 44.80                                                                 |
|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|-----------------------------------------------------------------------|
| 24                                                                    | Mizoram                                                               | 14.62                                                                 | 16.40                                                                 | 24.44                                                                 | 23.54                                                                 | 23.54                                                                 | 17.17                                                                 | 20.35                                                                 | 26.45                                                                 | 34.00                                                                 |
| 25                                                                    | Nagaland                                                              | 26.54                                                                 | 28.27                                                                 | 33.89                                                                 | 30.24                                                                 | 30.24                                                                 | 24.13                                                                 | 26.14                                                                 | 28.64                                                                 | 32.12                                                                 |
| 26                                                                    | Orissa                                                                | 180.60                                                                | 186.92                                                                | 283.88                                                                | 211.33                                                                | 199.33                                                                | 296.42                                                                | 166.79                                                                | 166.79                                                                | 350.27                                                                |
| 27                                                                    | Puducherry                                                            | 4.12                                                                  | 4.12                                                                  | 8.52                                                                  | 3.34                                                                  | 3.35                                                                  | 8.50                                                                  | 2.63                                                                  | 3.60                                                                  | 6.27                                                                  |
| 28                                                                    | Punjab                                                                | 91.75                                                                 | 76.61                                                                 | 100.78                                                                | 90.28                                                                 | 80.33                                                                 | 124.85                                                                | 71.25                                                                 | 80.40                                                                 | 150.19                                                                |
| 29                                                                    | Rajasthan                                                             | 295.44                                                                | 254.07                                                                | 460.25                                                                | 385.98                                                                | 354.01                                                                | 524.52                                                                | 304.62                                                                | 315.50                                                                | 491.54                                                                |
| 30                                                                    | Sikkim                                                                | 8.14                                                                  | 9.13                                                                  | 11.46                                                                 | 10.51                                                                 | 11.25                                                                 | 12.12                                                                 | 9.09                                                                  | 9.93                                                                  | 12.02                                                                 |
| 31                                                                    | Tamil Nadu                                                            | 238.91                                                                | 247.27                                                                | 365.83                                                                | 231.86                                                                | 210.91                                                                | 467.92                                                                | 182.99                                                                | 213.66                                                                | 411.90                                                                |
| 32                                                                    | Tripura                                                               | 49.19                                                                 | 46.89                                                                 | 23.49                                                                 | 43.96                                                                 | 35.17                                                                 | 26.66                                                                 | 38.01                                                                 | 42.14                                                                 | 26.98                                                                 |
| Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) | Allocation, Release & Expenditure under RCH Flexible Pool (2013 - 16) |
| Sl.                                                                   |                                                                       | 2013- 14                                                              | 2013- 14                                                              | 2013- 14                                                              | 2014- 15                                                              | 2014- 15                                                              | 2014- 15                                                              | Rs.In crore 2015- 16                                                  | Rs.In crore 2015- 16                                                  | Rs.In crore 2015- 16                                                  |
| No.                                                                   | States                                                                | Allocatio n                                                           | Release                                                               | Exp                                                                   | Allocatio n                                                           | Release                                                               | Exp                                                                   | Allocatio n                                                           | Release                                                               | Exp                                                                   |
| 33                                                                    | Uttar Pradesh                                                         | 859.27                                                                | 644.45                                                                | 956.34                                                                | 776.30                                                                | 583.97                                                                | 1011.02                                                               | 612.67                                                                | 551.40                                                                | 1,019.75                                                              |
| 34                                                                    | Uttarakhand                                                           | 98.45                                                                 | 80.63                                                                 | 84.07                                                                 | 96.23                                                                 | 72.39                                                                 | 101.95                                                                | 75.95                                                                 | 70.63                                                                 | 116.16                                                                |
| 35                                                                    | West Bengal                                                           | 302.53                                                                | 257.15                                                                | 384.03                                                                | 268.62                                                                | 228.04                                                                | 494.75                                                                | 212.00                                                                | 219.21                                                                | 550.13                                                                |

| 36          | Telangana   |         |         |         |   135.15 |   102.76 |   144.70 | 106.66   | 111.26   | 175.37   |
|-------------|-------------|---------|---------|---------|----------|----------|----------|----------|----------|----------|
| Grand Total | Grand Total | 5281.82 | 4462.57 | 6812.25 |     5450 |  4624.23 |  7374.19 | 4,348.32 | 4,463.68 | 7,922.73 |

## Note:

1. Allocation is per Original outlay/B.E.
2. Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year. Expenditure for -16 (up to 31.03.2016 as per FMR) are provisional.
3. The above Releases relate to Central Govt. Grants & do not include state share contribution.