Lok Sabha Question No. 2214 (UNSTARRED), answered on 2016-07-29
Subject: Health Programmes for Children
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RANGASWAMY DHRUVANARAYANA

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

## LOK SABHA UNSTARRED QUESTION NO. 2214 TO BE ANSWERED ON 29 TH JULY, 2016

## HEALTH PROGRAMMES FO R CHILDREN

## 2214. SHRI R. DHRUVA NARAYANA:

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

- (a) whether the Government has implemented health care programmes/ schemes of children for short duration, if so, the details thereof and the reasons therefor;
- (b) the details of schemes implementedfor the health care of children during the last thr e years, State/UT - wise;
- (c) whether the Government has launched the campaign of ORS for children recently; and
- (d)  if  so,  the  details  thereof  alongwith the  funds  allocated/utilised  for  the purpose,State/UT wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE )

- (a) to (b) : The Government of India is implementing the following health care programmes of children under the National Health Mission (NHM) in all the States/UTs:
- i. Promotion of Institutional deliveries through cash incentive under Janani Suraksha Y (JSY) and Janani Shishu Suraksha Karyakaram (JSSK) which entitles all pregnant women delivering  in  public  health  institutions  to abs lutely  free    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 Hea lth (RMNCH+A) Services, establishment of Maternal  and  Child  Health  (MCH)  Wings  at  high  caseload  facilities,  ensuring  essen newborn care at all delivery points, establishment of Special Newborn Care Units (SNC Newborn Stabilization Units (NBSU) and K angaroo Mother Care (KMC) units for care of sick and small babies.
- iii. Early initiation and exclusive breastfeeding for first six months and appropriate In Young  Child  Feeding  (IYCF)  practices  are  promoted  in  convergence  with  Ministry  o Women and Ch ild Development. Village Health and Nutrition Days (VHNDs) are observed for provision of maternal and child health services and creating awareness on matern child care including health and nutrition education.
- iv. Universal  Immunization  Programme (UIP)  is  being  supported  to  provide  vaccination  to children  against  many  life  threatening  diseases  such  as  Diphtheria,  Pertussis,  T Poliomyelitis,  Tuberculosis,  Measles,  Hepatitis  B,  Meningitis  and  Pneumonia  due Haemophilus  Influenza  type  B.  The Government  of  India  has  also  launched  Mission Indradhanush in April 2015 to reach unreached children. A total of 195.4 lakh childre 51.6 lakh pregnant women have been immunized till June 2016. In addition, vaccinat against  Japanese  Encephalitis  is carried  out  in  endemic  districts  and  vaccination  against Rotavirus  diarrhoea  is  provided  in  four  states  (Odisha,  Himachal  Pradesh,  Haryana Andhra Pradesh).
- v. Name  based  tracking  of  mothers  and  children  till  two  years  of  age  is  done  to  e complete an tenatal, intranatal, postnatal care and complete immunization as per schedul
- vi. Rashtriya Bal Swasthya Karyakram (RBSK) for health screening, early detection of bi defects, diseases, deficiencies, development delays including disability and interv ention  services  has  been  operationalized  to  provide  comprehensive  care  to  all 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  amo ng  the  vulnerable  age  groups,  annual  deworming  on  National Deworming  Day  (NDD),  home  visits  by  ASHAs  under  Home  Based  Newborn  Care  to promote community care practices and early referral of sick newborns and promote use ORS and Zinc for management of dia rrhoea in children.
- viii. Various trainings are being conducted under NHM to train doctors, nurses and ANMs f antenatal, intranatal and post - natal  care,  essential  newborn  care,  early  diagnosis  and  cas management of common ailments of children.
- ix. To sharpen t he focus on the low performing districts, 184 High Priority Districts (HP have  been  prioritized  for  Reproductive  Maternal  Newborn  Child  Health+  Adolescent (RMNCH+A) interventions for achieving improved child health outcomes.

(c)& (d) : Government  of  In dia  has  launched  Intensified  Diarrhoea  Control  Fortnight (IDCF) in 2014 with the ultimate aim of zero child deaths due to childhood diarrhoea. Int Diarrhoea  Control  Fortnight  (IDCF)  comprised  of  a  set  of  activities  implemented  in intensified man ner from to prevent deaths due to childhood diarrhoea across all districts States & UTs. These activities mainly include -tensification of advocacy activities, awareness generation activities, diarrhoea management service provision, establishing O RS - Zinc  Corners and ORS distribution by ASHAs.

Around 6.34 Crore Under - five children were reached by ASHA and prophylactic ORS packets were distributed to them with counselling for care during diarrhoea. During the f 36 lakh children were treated with ORS and zinc for diarrhea, 3.4 lakh ORS and zinc corners were established, 5.4 lakh schools participated, 3.2 lakh village meetings were held.

As  per  IDCF  guidelines  Rs10  lakh  per  districts  is  allocated  to  carry  out  the  activit State/UT wise details of performance during IDCF 2015 are placed at annexure.

## Annexure

| S.L                     | States/Uts              | No of children distributed ORS by ASHA   | No of children treated with ORS   | No of children treated with zinc   | No of ORS Zn corners established   |
|-------------------------|-------------------------|------------------------------------------|-----------------------------------|------------------------------------|------------------------------------|
| A Non EAG High Focussed | A Non EAG High Focussed | A Non EAG High Focussed                  | A Non EAG High Focussed           | A Non EAG High Focussed            | A Non EAG High Focussed            |
| 1                       | Bihar                   | 7529797                                  | 263222                            | 176331                             | 21706                              |
| 2                       | Chhattisgarh            | 2190015                                  | 2052776                           | 743309                             | 5697                               |
| 3                       | Himachal Pradesh        | 274605                                   | 4855                              | 4855                               | 1795                               |
| 4                       | Jammu &Kashmir          | 208885                                   | NA                                | NA                                 | 1186                               |
| 5                       | Jharkhand               | 973350                                   | 41073                             | NA                                 | 1492                               |
| 6                       | Madhya Pradesh          | 7885414                                  | 136111                            | 135737                             | 59277                              |
| 7                       | Odisha                  | 2626000                                  |                                   |                                    |                                    |
| 8                       | Rajasthan               | 5214964                                  | 120879                            | 115273                             | 13523                              |
| 9                       | Uttar Pradesh           | 6410419                                  | 172348                            | 198111                             | 17268                              |
| 10                      | Uttarakhand             | 423468                                   | 5166                              | 5166                               | 2506                               |
| B North Eastern States  | B North Eastern States  | B North Eastern States                   | B North Eastern States            | B North Eastern States             | B North Eastern States             |
| 11                      | Arunachal Pradesh       | 151538                                   | 2236                              | 1518                               | 486                                |
| 12                      | Assam                   | 2659364                                  | 13550                             | 12800                              | 3725                               |
| 13                      | Manipur                 | 296924                                   | 3847                              | 3847                               | 550                                |
| 14 Meghalaya            | 14 Meghalaya            | 14 Meghalaya                             | 14 Meghalaya                      | 14 Meghalaya                       | 14 Meghalaya                       |
| 15                      | Mizoram                 | 95931                                    | 760                               | 760                                | 504                                |
| 16                      | Nagaland                | 65378                                    | 1518                              | 403                                | 558                                |
| 17                      | Sikkim                  | 45740                                    | 394                               | 394                                | 428                                |
| 18 Tripura              | 18 Tripura              | 18 Tripura                               | 18 Tripura                        | 18 Tripura                         | 18 Tripura                         |
| C Non High Focus States | C Non High Focus States | C Non High Focus States                  | C Non High Focus States           | C Non High Focus States            | C Non High Focus States            |
| 19                      | Andhra Pradesh          | 2644280                                  | 16844                             | 14859                              | 17919                              |
| 20                      | Goa                     | 33706                                    | 511                               | 511                                | 227                                |
| 21                      | Gujarat                 | 1503325                                  | 60876                             | 60876                              | 5004                               |
| 22                      | Haryana                 | 1493292                                  | 44825                             | 61306                              | 55121                              |
| 23                      | Karnataka               | 2362371                                  | 4043                              | 41884                              | 12169                              |
| 24                      | Kerala                  | 129562                                   | 4043                              |                                    | 2951                               |
| 25                      | Maharashtra             | 3313724                                  | 565797                            | 486830                             | 11653                              |
| 26                      | Punjab                  | 1127703                                  | 11924                             | 11785                              | 9678                               |
| 27                      | Tamilnadu               | 7008324                                  | 15496                             | 15496                              | 66534                              |
| 28                      | Telengana               | 2634402                                  | 10302                             | 10302                              | 15036                              |
| 29                      | West Bengal             | 3703571                                  | 51734                             | 51021                              | 16446                              |
| Union Territories       | Union Territories       | Union Territories                        | Union Territories                 | Union Territories                  | Union Territories                  |
| D 30 A& N Islands       | D 30 A& N Islands       | D 30 A& N Islands                        | D 30 A& N Islands                 | D 30 A& N Islands                  | D 30 A& N Islands                  |
| 31                      | Chandigarh              | 10735                                    | 1012                              | 1012                               | 55                                 |
| 32                      | Dadar Nagar Haveli      | NA                                       | NA                                | NA                                 | NA                                 |
| 33                      | Daman &Diu              | 12423                                    | 144                               | 137                                | 26                                 |
| 35                      | Delhi                   | 362570                                   | NA                                | NA                                 | 867                                |
| 36                      | Lakshadeep              | 0                                        | 0                                 | 0                                  | 10                                 |
| 37                      | Puducherry              | 34046                                    | 310                               | 310                                | 200                                |
|                         | TOTAL                   | 63425826                                 | 3606596                           | 2154833                            | 344597                             |