Lok Sabha Question No. 1155 (UNSTARRED), answered on 2026-02-06
Subject: Health Programmes in Tribal Dominated Districts
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Yaduveer Wadiyar, Smt. Bijuli Kalita Medhi, Shri Ananta Nayak, Shri Dilip Saikia, Shri Bhojraj Nag, Dr. Hemant Vishnu Savara, Shri Lavu Sri Krishna Devarayalu, Shri Manish Jaiswal, Shri Anup Sanjay Dhotre, Shri Mahesh Kashyap

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA

## UNSTARRED QUESTION NO. 1155 TO BE ANSWERED ON 6 th FEBRUARY, 2026

## HEALTH PROGRAMMES IN TRIBALDOMINATED DISTRICTS

## †1155. SHRI DILIP SAIKIA:

SHRI LAVU SRI KRISHNA DEVARAYALU:

SHRI MAHESH KASHYAP:

SHRI MANISH JAISWAL:

SHRI ANANTANAYAK:

SHRI BHOJRAJ NAG:

SHRI ANUPSANJAYDHOTRE:

SHRI YADUVEER WADIYAR:

SMT. BIJULI KALITA MEDHI:

DR. HEMANT VISHNU SAVARA:

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

- (a) the details of the various health and nutrition programmes implemented in tribaldominated districts of the country over the last three years, year-wise and State/UT-wise, particularly in Andhra Pradesh;
- (b) whether the recent data shows any changes in anaemia, malnutrition or maternal health indicators among the tribal population;
- (c) if so, the details thereof, State/UT-wise, particularly in Andhra Pradesh;
- (d) whether any assessment has been carried out to identify high-burden tribal districts in the country and if so, the details thereof, State/UT-wise, particularly in Andhra Pradesh;
- (e) the details of the corrective measures planned or implemented for districts with high rates of malnutrition to address gaps in healthcare delivery and nutrition outcomes, State/UT-wise and district-wise, particularly in the Hazaribagh and Ramgarh districts in Jharkhand and Andhra Pradesh; and
- (f) whether any proposal has been received by the Government from the State Government of Maharashtra regarding health and nutrition programmes in the Palghar district in Maharashtra during the year 2025-26 and if so, the details thereof along with the action taken thereon?

## ANSWER THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

- (a) to (f): The National Health Mission (NHM) provides support for improvement in health infrastructure, availability of adequate human resources in health facilities, to improve

availability and accessibility to quality healthcare across the country including tribaldominated districts in Andhra Pradesh.

Various initiatives carried out under NHM by the Government of India in the country including Andhra Pradesh are operationalisation of Ayushman Arogya Mandir (AAM), Free Drugs Service Initiative, Free Diagnostic Service Initiative, National Ambulance Services, Mobile Medical Units, ASHAs, 24 x 7 Services and First Referral Facilities, Prime Minister's National Dialysis Programme, various activities under Reproductive & Child Health, Anaemia Mukt Bharat (AMB) strategy, TB Mukt Bharat Abhiyaan and Universal Immunization programme.

The Ministry of Health and Family Welfare is implementing Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition (RMNCAH+N) strategy in a life cycle approach under NHM, which includes interventions to increase awareness and address undernutrition including calorie deficiency and protein malnutrition across the country, including Hazaribagh and Ramgarh districts in Jharkhand and Andhra Pradesh as placed below:

-  Facility Based New-born Care : Neonatal Intensive Care Units (NICUs)/ Special Newborn Care Units (SNCUs) are established at Medical College and District Hospital, New-born Stabilization Units (NBSUs) are established at First Referral Units (FRUs)/Community Health Centres (CHCs) for care of sick and small babies.
-  Kangaroo Mother Care (KMC) is implemented at facility and community level for low birth weight/ pre-term babies. It includes early and prolonged skin-to-skin contact with the mother or family member and exclusive and frequent breastfeeding.
-  Mothers' Absolute Affection (MAA) : Early initiation and exclusive breastfeeding for first six months and appropriate Infant and Young Child Feeding (IYCF) practices are promoted under Mothers' Absolute Affection (MAA).
-  Nutrition Rehabilitation Centres (NRCs) are established at public health facilities where children with Severe Acute Malnutrition (SAM) and medical complications are admitted for treatment.
-  Lactation Management Centres are established to ensure availability of Mother's Own Milk or safe, pasteurized Donor Human Milk for feeding of sick, preterm, low birth weight babies admitted in Neonatal Intensive Care Units and Special Newborn Care Units.
-  Anemia Mukt Bharat (AMB) is implemented to reduce the prevalence of anemia among six beneficiary groups -Children (6-59 months), Children (5-9 years), Adolescents (10-19 years), Women of reproductive age (15-49 years), pregnant women and lactating mothers in a lifecycle approach.
-  National Deworming Day (NDD)
-  Vitamin A supplementation Programme
-  Home Based New-born Care (HBNC) and Home-Based Care of Young Children (HBYC) programme
-  Monthly Village Health, Sanitation and Nutrition Day (VHSND)

Under Mission Poshan 2.0, the Government focuses on Maternal Nutrition, Infant and Young Child Feeding Norms, treatment of Severe Acute Malnutrition (SAM)/ Moderate Acute Malnutrition (MAM) and wellness through AYUSH practices to reduce prevalence of wasting, stunting, anaemia and being underweight. Supplementary Nutrition is provided to children age 6 months to 6 years, pregnant women, lactating mothers and adolescent girls at Anganwadi centres as per nutrition norms, based on principles of diet diversity that provides quality protein, healthy fats and micronutrients.

There are various mechanisms and survey agencies which generate data on tribal healthcare on a periodic basis. National Family Health Survey (NFHS) provides details on major changes in anaemia, malnutrition and maternal health indicators among the high-burden tribal districts across the country. Census of India provides population and household details including Tribal areas. National Sample Survey provides household surveys on various socioeconomic subjects. The State-wise list of key indicators NFHS-5 may be extracted from below mentioned link:

http://rchiips.org/nfhs/districtfactsheet\_NFHS-5.shtml

Under NHM, this Ministry provides technical and financial support to the States/UTs, including Maharashtra, to strengthen the public healthcare system in rural areas, based on the proposals received in the form of Programme Implementation Plans (PIPs). Government of India provides approval for the proposals received in the form of Record of Proceedings (RoPs) as per norms & available resources.

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