Lok Sabha Question No. 1024 (UNSTARRED), answered on 2016-04-29
Subject: Stillbirths
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PRABHAS KUMAR SINGH

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

LOK SABHA UNSTARRED  QUESTION NO. 1024 TO BE ANSWERED ON 29 TH APRIL, 2016

## STILLBIRTHS

## 1024. DR. PRABHAS KUMAR SINGH:

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

- (a) the number of stillbirths reported in comparison to the global average, during the last three years;
- (b) the steps taken/being taken by the Government to meet the targets of the "Every Newborn Action Plan", State/ UTwise;
- (c) whether Janani Suraksha Yojana (JSY) institutions are equipped to deal with institutional deliveries, if so, the details th reof and if not, the reasons therefor; and
- (d)  whether  the  Government  has  taken cognizance  of  delay  in  disbursement  of funds  under Direct  Benefit  Transfer  for  JSY, if  so,  the  details  thereof  and  corrective  steps taken  in  this regard?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a): As per the Sample Registration System (SRS)  report of the Registrar General of India the  reported  Stillbirth  rate  for  last  three  year  in  comparison  with  the  global  data below.
- (b) : Based on the Global Every Newborn Action Plan (ENAP); India Newborn Action Plan (INAP) was launched in September 2014 to make concerted efforts towards attainment of goals of 'Single Digit Neonatal Mortality Rate' and 'Single Digit Stillbirth Rate', by 2030.

| Stillbirth Rate 1000 births)   |   (per 2011 | 2012   | 2013   | 2015   |
|--------------------------------|-------------|--------|--------|--------|
| India                          |           6 | 5      | 4      | NA     |
| World                          |          19 | NA     | NA     | 18     |

INAP has considere d life cycle approach to address the neonatal mortality. That mea health of adolescents as well as care of mother during pregnancy; at the time of deliv after delivery has direct bearing on the health of newborn. Accordingly six life stages h een identified with specific intervention to reduce neonatal mortality.

The concept of continuum of care i.e linking institutions with community care is an strategic approach in the India newborn action plan. The home based newborn care provide AS HA addresses this issue appropriately.

The  newer  evidence  based  approaches  like  empowering  ANM  to  give  injection Gentamycin,  Injection  Vitamin  K  at  birth,  Kangaroo  mother  care  for  preterm  newborn  a strengthening of care of sick newborn services have been incorporated in INAP.

The state Governments have started implementing INAP and this is expected to redu neonatal mortality and thereby overall child mortality in the country.

(c): Public health institutions in states/UTs which implement Janani Suraksha Yojana (JSY) are equipped to deal with institutional deliveries. Funds are being provided to the St under  the  National  Health  Mission  to  strengthen  their  public  health  facilities  in infrastructure up gradation in labour room, wards, hirin g of medical officers and staff nurses, procurement of essential drugs and supplies so that these facilities get equipped for c institutional deliveries.

(d): The  Government  is  aware  of  delay  in  disbursement  of  funds  under  Direct  Benefi Transfer (DBT) for JSY in some states. However, this delay is due to the fact that state may require some time to get accustomed to the processes involved in the new DBT payme mechanism which has been expanded to all the districts only in 2015 - 16.

The Government has fast tracked Public Finance Management System (PFMS) trainings and  completed  State  level  Training  of  Trainers  (ToTs)  for  all  the  States/UTs  and  app Nodal  officers  for  the  States/UTs  to  handhold  them  in  implementation  of  DBT  under  JS Furt her,  DBT  progress  of  states/UTs  is  periodically  analysed  and  feedback  is  shared States/UTs for corrective action.