Lok Sabha Question No. 1100 (UNSTARRED), answered on 2016-07-22
Subject: Infant and Maternal Mortality Rate
Ministry: HEALTH AND FAMILY WELFARE
Asked by: CHINTAMANI MALVIYA, RAGHAV LAKHANPAL, SANTOSH AHLAWAT, DUSHYANT SINGH, DHARAM VIRA GANDHI, C. MAHENDRAN, RAM KUMAR SHARMA KUSHWAHA, SUMEDHANAND SARASWATI, AJAY NISHAD, NARANBHAI KACHHADIA, ARKA KESHARI DEO, PARBHUBHAI NAGARBHAI VASAVA

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

## LOK SABHA UNSTARRED QUESTION NO. 1100 TO BE ANSWERED ON 2 2 ND JULY, 2016

## INFANT AND MATERNAL MORTALITY RATE

## 1100. PROF. CHINTAMANI MALVIYA:

SHRI RAGHAV LAKHANPAL:

SHRIMATI SANTOSH AHLAWAT:

SHRI DUSHYANT SINGH:

SHRI DHARAM VIRA:

SHRI C. MAHENDRAN:

SHRI RAM KUMAR SHARMA:

SHRI SUMEDHANAND SARSWATI:

SHRI AJAY NISHAD:

SHRI NARANBHAI KACHHADIYA:

SHRI ARKA KESHARI DEO:

SHRI PARBHUBHAI NAGARBHAI VASAVA:

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

- (a)  whether  the  Government  is  aware that  India  has  one  of  the  highest  Infant  and Maternal Mortality rate;
- (b) if so, the details of the child and maternal mortality rates in the urban and rural areas during the last three years, State/UT - wise including Gujarat, Maharashtra and Madhya Pradesh;
- (c) whether the Government has ascertained the reasons for Infant and maternal mortality, if so, the details thereof;
- (d) whether the declining trend of the above mortality rates have been good in some States/UTs and slow in others seriously undermining the  achievement of targets of  reducing Under  Five Mortality Rate and broader target of Millennium Development Goal (MDG), if so, the details thereof; and
- (e) the steps taken by the Government to reduce Infant and Maternal Mortality rate including monitoring mechanism in place to check its effective implementation along with funds allocated for the purpose during the last three years, State/UT - wise?

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

(SHRI FAGGAN SINGH KULASTE)

(a)& (b) : The Infant Mortality rate in India has shown constant decline from 47 per 1 live births in the year 2010 to 40 per 1000 live births in 2013, as per the reports of Sample Registration System (SRS) published by the Registrar General of India (RGI).

Similarly, Maternal Mortality Ratio (MMR) in India has shown a decline from 212 p 100,000 live births in the period 2007 - 09 to 167 per 100,000 live births in the period 2011 - 13, according to the SRS Reports.

State -wise Child Mortality Rates for Urban and Rural areas, which are available for States including Gujarat, Maharashtra and Madhya Pradesh, as per SRS Reports of RGI for t hree years (2011 - 3) are placed at Annexure -1.

The RGI provides data on MMR for the country and major states.  RGI does not captu disaggregated data on MMR for rural and urban areas separately.   A comparative decline in MMR in India and State - wise  du ring the past 3 RGI - SRS  surveys  i.e.  2007 - 09,  2010 - 12  and 2011- 13  including  the  State  of  Gujarat,  Maharashtra  and  Madhya  Pradesh  is  placed at Annexure -2.

(c) : As per SRS Estimates (2011 - 13), the major causes of deaths of infants are as under:

- o Prematurity & low birth weight - 35.9%
- o Pneumonia-16.9%
- o Birth asphyxia & birth trauma -9.9%
- o Other non - communicable diseases -7.9%
- o Diarrhoeal diseases -6.7%
- o Congenital anomalies -4.6%
- o Infections -4.2%
- o Injuries -2.1%
- o Fever of unknown origin -1.7%
- o Others -10%

The major causes of maternal deaths as per RGI -SRS (2001- 03) are:

- o Haemorrhage: 38%
- o Sepsis: 11%,
- o Abortion: 8%
- o Hypertensive disorders: 5%, because of High Blood pressure during pregnancy.
- o Obstructed labour :5%
- o Other causes: 34% -includes anaemia and various other causes.

(d) : Under 5 Morality rate (U5MR) has declined from 69 in 2008 to 49 in 2013 thus showin a 20 points drop in last five years and India is slated to reach close to the MDG - 4 target of attaining the U5MR of  <42 per 1000 live bi rths , if  the  trend  is  sustained. As per SRS 2013 report, 11 States have achieved MDG target, namely Andhra Pradesh, Delhi, Himachal Prades Jammu & Kashmir, Karnataka, Kerala, Maharashtra, Punjab, Tamil Nadu, Telangana and West Bengal.

MDG - 5  target is  to  reduce  MMR  by  three  quarters  between  1990  and  2015.  This translates  to  reducing  the  MMR  to  140  in  2015.  As  per  the  official  report  of  the  Re General of India, Sample Registration System (RGI - SRS), Maternal Mortality Ratio (MMR) of India has s hown a decline from 212 per 100,000 live births in the period 2007 - 09  to167 per 100,000 live births in the period 2011 -13. India's MMR is likely to reach 141 if current rate of annual decline continues.

States which have achieved MMR of 1 40 or less per 1 00,000 live - births in 2011 - 13 are Kerala,  Tamil  Nadu,  Maharashtra  Andhra  Pradesh , Gujarat ,  Haryana, Karnataka, and West Bengal .

(e): The Government of India is implementing the following interventions under the Natio Health Mission (NHM) all across the country to reduce infant and maternal mortality:

- i. Promotion  of  Institutional  deliveries  through  cash  incentive  under  Janani  Sura Yojana  (JSY)  and  Janani  Shishu  Suraksha  Karyakaram  (JSSK)  which  entitles  all pregnant women delivering in public health institutions to absolutely free and no expense ante - natal check -ups, delivery including Caesarean section, post - natal care and treatment of sick infants till one year of age.
- ii. Strengthening of delivery points for providing comprehensive and quality Reproduct maternal, newborn, Child and Adolescent Health (RMNCH+A) Services, establishment ofMaternal and Child Health (MCH) Wings at high caseload facilities ,ensuring essential newborn  care  at  all  delivery  points,  establishment  of  Special  Newborn  Care  Un (SNCU), Newborn Stabilization Units (NBSU) and Kangaroo Mother Care (KMC) units for care of sick and small babies.
- iii. Early initiation and exclusive breastfeeding for first six months and appropriate Infant and Young Child Feeding (IYCF) practices are promoted in convergence with Ministr of  Women  and  Child  Development.  Village  Health  and  Nutrition  Days  (VHNDs)  are observed for provision of maternal and child health services and creating awareness on maternal and child care including health and nutrition education.
- iv. Universal Immunization Programme (UIP) is being supported to provide vaccination t children  against  many  life  threatening  diseases  such  as Diphtheria, Pertussis, Teta nus, Poliomyelitis,  Tuberculosis, Measles,  Hepatitis  B,  Meningitis  and  Pneumonia  due  to Haemophilus Influenzae type B. In addition, vaccination against Japanese Encephalit carried out in endemic districts and vaccination against Rotavirus diarrhoea is provided in four states (Odisha, Himachal Pradesh, Haryana and Andhra Pradesh).
- v. Name  based  tracking  of  mothers  and  children  till  two  years  of  age  is  done  to  e complete antenatal, intranatal, postnatal care and complete immunization as per sche
- vi. R ashtriya Bal Swasthya Karyakram (RBSK) for health screening, early detection of bi defects,  diseases,  deficiencies,  development  delays  including  disability  and intervention services has been operationalized to provide comprehensive care to a children in the age group of 0 - 18 years in the community.
- vii. Some other important interventions are Iron and folic acid (IFA) supplementation fo prevention of anaemia among the vulnerable age groups, annual deworming on Nationa Deworming Day (NDD), ho me visitation by ASHAs (Home Based Newborn Care) to

promote exclusive breast feeding and early detection and referral of sick newborn promote use of ORS and Zinc for management of diarrhoea in children.

- viii. Various trainings are being conducted under NHM to train doctors, nurses and ANM sfor antenatal, intranatal and post - natal care, essential newborn care, early diagnosis and case management of common ailments of children .
- ix. To sharpen the focus on the low performing districts, 184 High Priority Districts (HPDs) have  been  prioritized  for  Reproductive  Maternal  Newborn  Child  Health+  Adolescent (RMNCH+A) interventions for achieving improved maternal and child health outcomes.
- x. Maternal Death Review (MDR) is being implemented across the country both at facilitie s and in the community. The purpose is to take corrective action at appropriate leve improve the quality of obstetric care.
- xi. Regular  supportive  supervision  visits  and  Common  Review  Mission  (CRM)  are conducted to monitor the progress of ongoing interv entions for improvement of infant and maternal health outcomes in the States/UTs.

The  funds  allocated  and  released  during  the  last  three  years,  State  and  UT  wise  f Reproductive and Child Health programme under the National Health Mission are detailed at Annexure- 3.

## Trend of Under 5 Mortality Rate in India ( Rural and Urban)

| States           | 2011   | 2011   | 2011   | 2012   | 2012   | 2012   | 2013   | 2013   | 2013   |
|------------------|--------|--------|--------|--------|--------|--------|--------|--------|--------|
|                  | T otal | R ural | U rban | T otal | R ural | U rban | T otal | R ural | U rban |
| India            | 55     | 61     | 35     | 52     | 58     | 32     | 49     | 55     | 29     |
| Andhra Pradesh   | 45     | 49     | 34     | 43     | 48     | 31     | 41     | 46     | 29     |
| Assam            | 78     | 83     | 39     | 75     | 80     | 37     | 73     | 77     | 34     |
| Bihar            | 59     | 61     | 41     | 57     | 58     | 39     | 54     | 56     | 37     |
| Chhattisgarh     | 57     | 59     | 46     | 55     | 57     | 40     | 53     | 56     | 38     |
| Delhi            | 32     | 41     | 30     | 28     | 39     | 26     | 26     | 40     | 24     |
| Gujarat          | 52     | 60     | 35     | 48     | 56     | 32     | 45     | 53     | 28     |
| Haryana          | 51     | 54     | 43     | 48     | 52     | 39     | 45     | 49     | 34     |
| Himachal Pradesh | 46     | 47     | 36     | 43     | 43     | 37     | 41     | 41     | 32     |
| Jammu & Kashmir  | 45     | 47     | 30     | 43     | 46     | 30     | 40     | 42     | 29     |
| Jharkhand        | 54     | 57     | 32     | 50     | 53     | 31     | 48     | 51     | 27     |
| Karnataka        | 40     | 43     | 33     | 37     | 40     | 31     | 35     | 38     | 28     |
| Kerala           | 13     | 14     | 10     | 13     | 13     | 10     | 12     | 13     | 9      |
| Madhya Pradesh   | 77     | 82     | 50     | 73     | 79     | 46     | 69     | 75     | 40     |
| Maharashtra      | 28     | 33     | 19     | 28     | 33     | 20     | 26     | 32     | 18     |
| Orissa           | 72     | 76     | 43     | 68     | 72     | 42     | 66     | 70     | 39     |
| Punjab           | 38     | 43     | 28     | 34     | 38     | 26     | 31     | 35     | 24     |
| Rajasthan        | 64     | 70     | 38     | 59     | 65     | 36     | 57     | 63     | 32     |
| Tamil Nadu       | 25     | 28     | 21     | 24     | 28     | 20     | 23     | 26     | 17     |
| Uttar Pradesh    | 73     | 77     | 54     | 68     | 72     | 49     | 64     | 68     | 44     |
| West Bengal      | 38     | 41     | 29     | 38     | 40     | 29     | 35     | 37     | 26     |

Source: Sample Registration System Reports (SRS)

## Annexure - 1

Maternal Mortality Ratio (MMR) : India and State wise

| Major State    |   MMR (2007- 09) |   MMR (2010- 12) |   MMR (2011- 13) |
|----------------|------------------|------------------|------------------|
| India Total *  |              212 |              178 |              167 |
| Assam          |              390 |              328 |              300 |
| Bihar          |              261 |              219 |              208 |
| Jharkhand      |              261 |              219 |              208 |
| MP             |              269 |              230 |              221 |
| Chhattisgarh   |              269 |              230 |              221 |
| Orissa         |              258 |              235 |              222 |
| Rajasthan      |              318 |              255 |              244 |
| Uttar Pradesh  |              359 |              292 |              285 |
| Uttaranchal    |              359 |              292 |              285 |
| Andhra Pradesh |              134 |              110 |               92 |
| Karnataka      |              178 |              144 |              133 |
| Kerala         |               81 |               66 |               61 |
| Tamil Nadu     |               97 |               90 |               79 |
| Gujarat        |              148 |              122 |              112 |
| Haryana        |              153 |              146 |              127 |
| Maharashtra    |              104 |               87 |               68 |
| Punjab         |              172 |              155 |              141 |
| West Bengal    |              145 |              117 |              113 |
| *Others        |              160 |              136 |              126 |

Source: Sample Registration System Reports (SRS)

## Allocation, Release & Expenditure under RCH Flexible Pool of NHM (Rs. In crore)

| Sl. No.   | States                    | 2013-14    | 2013-14   | 2013-14      | 2014-15    | 2014-15   | 2014-15      | 2015-16    | 2015-16   | 2015-16      |
|-----------|---------------------------|------------|-----------|--------------|------------|-----------|--------------|------------|-----------|--------------|
| Sl. No.   | States                    | Allocation | Release   | Exp enditure | Allocation | Release   | Exp enditure | Allocation | Release   | Exp enditure |
| 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         | C hhattisgarh             | 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        |
| 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       |
| 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       |

## Annexure - 3

| 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                                                                                                                                                                                                    |
| 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                                                                                                                                                                                                  | 5450.00                                                                                                                                                                                                  | 4624.23                                                                                                                                                                                                  | 7374.19                                                                                                                                                                                                  | 4,348.32                                                                                                                                                                                                 | 4,463.68                                                                                                                                                                                                 | 7,922.73                                                                                                                                                                                                 |
| Note:                                                                                                                                                                                                    | Note:                                                                                                                                                                                                    | Note:                                                                                                                                                                                                    | Note:                                                                                                                                                                                                    | Note:                                                                                                                                                                                                    | Note:                                                                                                                                                                                                    | Note:                                                                                                                                                                                                    | Note:                                                                                                                                                                                                    | Note:                                                                                                                                                                                                    | Note:                                                                                                                                                                                                    | Note:                                                                                                                                                                                                    |
| 1. Allocation is per Original outlay/B.E.                                                                                                                                                                | 1. Allocation is per Original outlay/B.E.                                                                                                                                                                | 1. Allocation is per Original outlay/B.E.                                                                                                                                                                | 1. Allocation is per Original outlay/B.E.                                                                                                                                                                | 1. Allocation is per Original outlay/B.E.                                                                                                                                                                | 1. Allocation is per Original outlay/B.E.                                                                                                                                                                | 1. Allocation is per Original outlay/B.E.                                                                                                                                                                | 1. Allocation is per Original outlay/B.E.                                                                                                                                                                | 1. Allocation is per Original outlay/B.E.                                                                                                                                                                | 1. Allocation is per Original outlay/B.E.                                                                                                                                                                | 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 the F.Y. 2015 - 16 (upto 31.03.2016 as per FMR) are provisional. | 2. Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year. Expenditure the F.Y. 2015 - 16 (upto 31.03.2016 as per FMR) are provisional. | 2. Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year. Expenditure the F.Y. 2015 - 16 (upto 31.03.2016 as per FMR) are provisional. | 2. Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year. Expenditure the F.Y. 2015 - 16 (upto 31.03.2016 as per FMR) are provisional. | 2. Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year. Expenditure the F.Y. 2015 - 16 (upto 31.03.2016 as per FMR) are provisional. | 2. Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year. Expenditure the F.Y. 2015 - 16 (upto 31.03.2016 as per FMR) are provisional. | 2. Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year. Expenditure the F.Y. 2015 - 16 (upto 31.03.2016 as per FMR) are provisional. | 2. Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year. Expenditure the F.Y. 2015 - 16 (upto 31.03.2016 as per FMR) are provisional. | 2. Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year. Expenditure the F.Y. 2015 - 16 (upto 31.03.2016 as per FMR) are provisional. | 2. Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year. Expenditure the F.Y. 2015 - 16 (upto 31.03.2016 as per FMR) are provisional. | 2. Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year. Expenditure the F.Y. 2015 - 16 (upto 31.03.2016 as per FMR) are provisional. |
| 3. The above Releases relate to Central Govt. Grants & do not include state share contribution.                                                                                                          | 3. The above Releases relate to Central Govt. Grants & do not include state share contribution.                                                                                                          | 3. The above Releases relate to Central Govt. Grants & do not include state share contribution.                                                                                                          | 3. The above Releases relate to Central Govt. Grants & do not include state share contribution.                                                                                                          | 3. The above Releases relate to Central Govt. Grants & do not include state share contribution.                                                                                                          | 3. The above Releases relate to Central Govt. Grants & do not include state share contribution.                                                                                                          | 3. The above Releases relate to Central Govt. Grants & do not include state share contribution.                                                                                                          | 3. The above Releases relate to Central Govt. Grants & do not include state share contribution.                                                                                                          | 3. The above Releases relate to Central Govt. Grants & do not include state share contribution.                                                                                                          | 3. The above Releases relate to Central Govt. Grants & do not include state share contribution.                                                                                                          | 3. The above Releases relate to Central Govt. Grants & do not include state share contribution.                                                                                                          |