Lok Sabha Question No. 787 (UNSTARRED), answered on 2015-07-24
Subject: National Rural Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KESHAV PRASAD MAURYA, JUGAL KISHORE SHARMA, SUKENDER REDDY GUTHA, KOTHA PRABHAKAR REDDY, SHOBHA KARANDLAJE, NISHIKANT  DUBEY, MAULANA BADRUDDIN AJMAL, MEKAPATI RAJAMOHAN REDDY, VINCENT H PALA

**GOVERNMENT OF INDIA**

**MINISTRY OF HEALTH AND FAMILY WELFARE**

**DEPARTMENT OF HEALTH AND FAMILY WELFARE**

**LOK SABHA**

**UNSTARRED QUESTION NO.787**

**TO BE ANSWERED ON 24** **TH** **JULY, 2015**

**National Rural Health Mission**

**787. 	SHRI KESHAV PRASAD MAURYA:**

**SHRI JUGAL KISHORE:**

**SHRI GUTHA SUKENDER REDDY:**

**SHRI PRABHAKAR REDDY KOTHA:**

**KUMARI SHOBHA KARANDLAJE:**

**SHRI NISHIKANT DUBEY:**

**SHRI BADRUDDIN AJMAL:**

**SHRI M. RAJA MOHAN REDDY:**

**SHRI VINCENT H. PALA:**

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

(a) whether the National Rural Health Mission (NRHM) has been successfully implemented across the country, if so, the details thereof indicating the targets achieved thereunder, State/UT-wise and if not, the reasons therefor along with the corrective steps taken/being taken by the Government in this direction;

(b) the funds earmarked, allocated, released and utilised by the Government under the aforesaid programme during each of the last three years and the current year, State/UT-wise;

(c) whether the Government proposes to elevate the spending under the said programme across the country to meet the healthcare requirement of rural populace, if so, the details thereof indicating the proposed increase in spending, State/UTwise and if not, the reasons therefor;

(d) whether the Government proposes to introduce more schemes under the NRHM; and

(e) if so, the details thereof indicating the schemes being implemented/proposed to be implemented to bring down the Infant Mortality Rate (IMR) and Maternal Mortality Rate (MMR) along with the IMR and MMR during each of the last three years and the current year, State/UTwise?

**ANSWER**

**THE MINISTER OF HEALTH AND FAMILY WELFARE**

**(SHRI JAGAT PRAKASH NADDA)**

(a):     The  National  Rural  Health  Mission  (NRHM)  was  launched  to  provide

Contd…….

-2-

accessible, affordable, accountable and effective primary healthcare facilities, especially to the poor and vulnerable sections of the population.

The targets and achievements of the National Rural Health Mission (NRHM) are at Annexure-I. Certain targets as envisaged in 2005 at the launch of NRHM have not been achieved. This is because public health is a State subject and there have been issues of lack of capacities and human resource shortage in certain States and general underfunding for health sector.

(b):    The information on funds allocated, released and utilized under National Health Mission (NHM) during each of the last three years and the current year State/UT-wise is at Annexure- II.

(c):      12th Plan proposes to increase the expenditure on core health by States and the Centre to 1.87% of Gross Domestic Product (GDP) by the end of 12th Plan.

(d) & (e):    Under NHM, health interventions/ initiatives are regularly designed and implemented to address the healthcare needs of the country. A list of  interventions currently being implemented under NHM to reduce IMR and MMR is at Annexure-III.

Information on IMR for the period 2011 to 2013 and on MMR for the period 2010-12 to 2011-13 is at Annexure-IV.

**Annexure-I**

1. **Achievements up to XIth Plan.**

| **Physical Outcomes : Targets & Achievements under NRHM**   |                                                                |                                                                                          |
|-----------------------------------------------------------------|----------------------------------------------------------------|------------------------------------------------------------------------------------------|
| **S.No.**                                                       | **Targets (2005-12)**                                          | **Achievements (up to 2012)**                                                            |
| **1**                                                           | IMR reduced to 30/1000 live births                             | IMR reduced from 58 in 2005 (SRS) to 42 in 2012 (SRS).                                   |
| **2**                                                           | Maternal Mortality to reduce to 100/100,000 live births        | MMR reduced from 254 in 2004-06 (SRS) to 178 in 2010-12 (SRS).                           |
| **3**                                                           | TFR reduced to 2.1                                             | TFR reduced from 2.9 in 2005 (SRS) to 2.4 in 2012 (SRS).                                 |
| **4**                                                           | Malaria Mortality reduction to 60%                             | 70% Malaria mortality reduction- (Reduced from 1707 in 2006 to 519 in 2012).             |
| **5**                                                           | Kala Azar Mortality reduction to 100%                          | 85% Kala Azar mortality reduction- (Reduced from 187 in 2006 to 29 in 2012).             |
| **6**                                                           | Filaria / Microfilaria Reduction Rate to 80%                   | 60% Filaria / Microfilaria Reduction (Reduced from 1.02 in 2005 to 0.41 in 2012)         |
| **7**                                                           | Dengue Mortality reduction by 50%                              | 8% reduction- Dengue Mortality has reduced from 184 in 2006 to 169 in 2011.              |
| **8**                                                           | Cataract operations- increasing to 46 lakhs per year           | Cataract operations of more than 63.49 lakhs per year have been reported in 2012.        |
| **9**                                                           | Leprosy Prevalence Rate reduction to less than 1 per 10,000    | Leprosy Prevalence Rate reduced from 1.34 per 10,000 in 2005 to 0.68 per 10,000 in 2012. |
| **10**                                                          | Tuberculosis Control - over 70% case detection & 85% cure rate | Tuberculosis is having 71% case detection and 88% Cure rate in 2012.                     |

1. **Achievements during XIIth Plan:**
| **Physical Outcomes: Targets & Achievements for NHM/12**  **th**  **FY Plan**   |                                                                                               |                                                                                                             |
|-------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------|
| **S.no.**                                                                           | **Targets (2012-17)**                                                                         | **Achievements**                                                                                            |
| **1**                                                                               | Reduce IMR to 25/1000 live births                                                             | IMR reduced from 42 in 2012 (SRS) to 40 in 2013 (SRS).                                                      |
| **2**                                                                               | Reduce MMR to 1/1000 live births                                                              | MMR has reduced to 167 in 2011-13 (SRS).                                                                    |
| **3**                                                                               | Reduce TFR to 2.1                                                                             | TFR has reduced to 2.3 in 2013 (SRS).                                                                       |
| **4**                                                                               | Reduce annual incidence and mortality from Tuberculosis by half                               | Tuberculosis is having 171 incidence (per lakh population) and 19 mortality (per lakh population)  in 2013. |
| **5**                                                                               | Reduce prevalence of Leprosy to <1/10000 population and incidence to zero in all districts | Leprosy Prevalence Rate  is  < 1/ 10,000 population                                                         |
| **6**                                                                               | Annual Malaria Incidence to be <1/1000                                                        | Annual Malaria Incidence is <1/1000                                                                         |
| **7**                                                                               | Less than 1% microfilaria prevalence in all districts                                         | Out of 255 districts, 222 have reported mf rate of less than 1%                                             |
| **8**                                                                               | Kala-Azar Elimination by 2015, <1 case per 10000 population in all blocks                  | Out of 611 block PHCs, 454 have  reported < 1 case per 10000                                                |

| **INFANT MORTALITY RATE(IMR)**                                                    |                                                                                   |                                                                                   |                                                                                   |
|-----------------------------------------------------------------------------------|-----------------------------------------------------------------------------------|-----------------------------------------------------------------------------------|-----------------------------------------------------------------------------------|
| **Sl.No.**                                                                        | **States**                                                                        | **2005**                                                                          | **2012**                                                                          |
|                                                                                   | **ALL INDIA**                                                                     | **58**                                                                            | **42**                                                                            |
| 1                                                                                 | Andhra Pr.                                                                        | 57                                                                                | 41                                                                                |
| 2                                                                                 | Assam                                                                             | 68                                                                                | 55                                                                                |
| 3                                                                                 | Bihar                                                                             | 61                                                                                | 43                                                                                |
| 4                                                                                 | Chhattisgarh                                                                      | 63                                                                                | 47                                                                                |
| 5                                                                                 | Gujarat                                                                           | 54                                                                                | 38                                                                                |
| 6                                                                                 | Haryana                                                                           | 60                                                                                | 42                                                                                |
| 7                                                                                 | Jharkhand                                                                         | 50                                                                                | 38                                                                                |
| 8                                                                                 | Karnataka                                                                         | 50                                                                                | 32                                                                                |
| 9                                                                                 | Kerala                                                                            | 14                                                                                | 12                                                                                |
| 10                                                                                | Madhya Pr.                                                                        | 76                                                                                | 56                                                                                |
| 11                                                                                | Maharashtra                                                                       | 36                                                                                | 25                                                                                |
| 12                                                                                | Odisha                                                                            | 75                                                                                | 53                                                                                |
| 13                                                                                | Punjab                                                                            | 44                                                                                | 28                                                                                |
| 14                                                                                | Rajasthan                                                                         | 68                                                                                | 49                                                                                |
| 15                                                                                | Tamil Nadu                                                                        | 37                                                                                | 21                                                                                |
| 16                                                                                | Uttar Pr.                                                                         | 73                                                                                | 53                                                                                |
| 17                                                                                | W. Bengal                                                                         | 38                                                                                | 32                                                                                |
| 18                                                                                | Arunachal Pr                                                                      | 37                                                                                | 33                                                                                |
| 19                                                                                | Delhi                                                                             | 35                                                                                | 25                                                                                |
| 20                                                                                | Goa                                                                               | 16                                                                                | 10                                                                                |
| 21                                                                                | Himachal Pr .                                                                     | 49                                                                                | 36                                                                                |
| 22                                                                                | J & K                                                                             | 50                                                                                | 39                                                                                |
| 23                                                                                | Manipur                                                                           | 13                                                                                | 10                                                                                |
| 24                                                                                | Meghalaya                                                                         | 49                                                                                | 49                                                                                |
| 25                                                                                | Mizoram                                                                           | 20                                                                                | 35                                                                                |
| 26                                                                                | Nagaland                                                                          | 18                                                                                | 18                                                                                |
| 27                                                                                | Sikkim                                                                            | 30                                                                                | 24                                                                                |
| 28                                                                                | Tripura                                                                           | 31                                                                                | 28                                                                                |
| 29                                                                                | Uttarakhand                                                                       | 42                                                                                | 34                                                                                |
| 30                                                                                | A&N Islands                                                                       | 27                                                                                | 24                                                                                |
| 31                                                                                | Chandigarh                                                                        | 19                                                                                | 20                                                                                |
| 32                                                                                | D&N Haveli                                                                        | 42                                                                                | 33                                                                                |
| 33                                                                                | Daman & Diu                                                                       | 28                                                                                | 22                                                                                |
| 34                                                                                | Lakshadweep                                                                       | 22                                                                                | 24                                                                                |
| 35                                                                                | Puducherry                                                                        | 28                                                                                | 17                                                                                |
| Source: Sample Registration System, Statistical Report (Registrar General, India) | Source: Sample Registration System, Statistical Report (Registrar General, India) | Source: Sample Registration System, Statistical Report (Registrar General, India) | Source: Sample Registration System, Statistical Report (Registrar General, India) |

| **MATERNAL MORTALITY RATIO (MMR)**                                                 |                                                                                    |                                                                                    |                                                                                    |
|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|
| **S.No.**                                                                          | **India/States**                                                                   | **2004-06**                                                                        | **2011-13**                                                                        |
|                                                                                    | **India**                                                                          | **254**                                                                            | **167**                                                                            |
| 1                                                                                  | Andhra Pradesh                                                                     | 154                                                                                | 92                                                                                 |
| 2                                                                                  | Assam                                                                              | 480                                                                                | 300                                                                                |
| 3                                                                                  | Bihar/Jharkhand                                                                    | 312                                                                                | 208                                                                                |
| 4                                                                                  | Gujarat                                                                            | 160                                                                                | 112                                                                                |
| 5                                                                                  | Haryana                                                                            | 186                                                                                | 127                                                                                |
| 6                                                                                  | Karnataka                                                                          | 213                                                                                | 133                                                                                |
| 7                                                                                  | Kerala                                                                             | 95                                                                                 | 61                                                                                 |
| 8                                                                                  | Madhya Pr/Chhatisgarh                                                              | 335                                                                                | 221                                                                                |
| 9                                                                                  | Maharashtra                                                                        | 130                                                                                | 68                                                                                 |
| 10                                                                                 | Odisha                                                                             | 303                                                                                | 222                                                                                |
| 11                                                                                 | Punjab                                                                             | 192                                                                                | 141                                                                                |
| 12                                                                                 | Rajasthan                                                                          | 388                                                                                | 244                                                                                |
| 13                                                                                 | Tamil Nadu                                                                         | 111                                                                                | 79                                                                                 |
| 14                                                                                 | Uttar Pradesh/Uttarakhand                                                          | 440                                                                                | 285                                                                                |
| 15                                                                                 | West Bengal                                                                        | 141                                                                                | 113                                                                                |
| Source:  Sample Registration System, Statistical Report (Registrar General, India) | Source:  Sample Registration System, Statistical Report (Registrar General, India) | Source:  Sample Registration System, Statistical Report (Registrar General, India) | Source:  Sample Registration System, Statistical Report (Registrar General, India) |

| **TOTAL FERTILITY RATE  (TFR)**                                                     |                                                                                     |                                                                                     |                                                                                     |
|-------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------|
| **S.No.**                                                                           | **State**                                                                           | **2005**                                                                            | **2012**                                                                            |
|                                                                                     | **All India**                                                                       | **2.9**                                                                             | **2.4**                                                                             |
| 1                                                                                   | Andhra Pr.                                                                          | 2.0                                                                                 | 1.8                                                                                 |
| 2                                                                                   | Assam                                                                               | 2.9                                                                                 | 2.4                                                                                 |
| 3                                                                                   | Bihar                                                                               | 4.3                                                                                 | 3.5                                                                                 |
| 4                                                                                   | Chattisgarh                                                                         | 3.4                                                                                 | 2.7                                                                                 |
| 5                                                                                   | Delhi                                                                               | 2.1                                                                                 | 1.8                                                                                 |
| 6                                                                                   | Gujarat                                                                             | 2.8                                                                                 | 2.3                                                                                 |
| 7                                                                                   | Haryana                                                                             | 2.8                                                                                 | 2.3                                                                                 |
| 8                                                                                   | Himachal Pr.                                                                        | 2.2                                                                                 | 1.7                                                                                 |
| 9                                                                                   | J&K                                                                                 | 2.4                                                                                 | 1.9                                                                                 |
| 10                                                                                  | Jharkhand                                                                           | 3.5                                                                                 | 2.8                                                                                 |
| 11                                                                                  | Karnataka                                                                           | 2.2                                                                                 | 1.9                                                                                 |
| 12                                                                                  | Kerala                                                                              | 1.7                                                                                 | 1.8                                                                                 |
| 13                                                                                  | Madhya Pr.                                                                          | 3.6                                                                                 | 2.9                                                                                 |
| 14                                                                                  | Maharashtra                                                                         | 2.2                                                                                 | 1.8                                                                                 |
| 15                                                                                  | Odisha                                                                              | 2.6                                                                                 | 2.1                                                                                 |
| 16                                                                                  | Punjab                                                                              | 2.1                                                                                 | 1.7                                                                                 |
| 17                                                                                  | Rajasthan                                                                           | 3.7                                                                                 | 2.9                                                                                 |
| 18                                                                                  | Tamil Nadu                                                                          | 1.7                                                                                 | 1.7                                                                                 |
| 19                                                                                  | Uttar Pr.                                                                           | 4.2                                                                                 | 3.3                                                                                 |
| 20                                                                                  | West Bengal                                                                         | 2.1                                                                                 | 1.7                                                                                 |
| Source:   Sample Registration System, Statistical Report (Registrar General, India) | Source:   Sample Registration System, Statistical Report (Registrar General, India) | Source:   Sample Registration System, Statistical Report (Registrar General, India) | Source:   Sample Registration System, Statistical Report (Registrar General, India) |

| **Leprosy Prevalence Rate**                    |                                                |                                                  |                                                  |                                                  |                                                  |
|------------------------------------------------|------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|
| Sl.No                                          | State/UT                                       | Prevalence Rate per 10000 Population (2010-2011) | Prevalence Rate per 10000 Population (2011-2012) | Prevalence Rate per 10000 Population (2012-2013) | Prevalence Rate per 10000 Population (2013-2014) |
| 1                                              | Andhra Pradesh                                 | 0.49                                             | 0.58                                             | 0.61                                             | 0.55                                             |
| 2                                              | Arunachal Pradesh                              | 0.35                                             | 0.21                                             | 0.32                                             | 0.2                                              |
| 3                                              | Assam                                          | 0.4                                              | 0.37                                             | 0.35                                             | 0.3                                              |
| 4                                              | Bihar                                          | 1.12                                             | 0.89                                             | 1.2                                              | 0.91                                             |
| 5                                              | Chhattisgarh                                   | 1.94                                             | 1.69                                             | 2.13                                             | 2.1                                              |
| 6                                              | Goa                                            | 0.29                                             | 0.36                                             | 0.25                                             | 0.4                                              |
| 7                                              | Gujarat                                        | 0.79                                             | 0.81                                             | 0.96                                             | 0.83                                             |
| 8                                              | Haryana                                        | 0.13                                             | 0.21                                             | 0.26                                             | 0.27                                             |
| 9                                              | Himachal Pradesh                               | 0.27                                             | 0.25                                             | 0.21                                             | 0.22                                             |
| 10                                             | Jharkhand                                      | 0.65                                             | 0.59                                             | 0.66                                             | 0.7                                              |
| 11                                             | J&K                                            | 0.16                                             | 0.16                                             | 0.17                                             | 0.15                                             |
| 12                                             | Karnataka                                      | 0.44                                             | 0.46                                             | 0.44                                             | 0.44                                             |
| 13                                             | Kerala                                         | 0.27                                             | 0.26                                             | 0.24                                             | 0.25                                             |
| 14                                             | Madhya Pradesh                                 | 0.6                                              | 0.63                                             | 0.72                                             | 0.7                                              |
| 15                                             | Maharashtra                                    | 0.93                                             | 1.07                                             | 1.09                                             | 0.92                                             |
| 16                                             | Manipur                                        | 0.06                                             | 0.06                                             | 0.08                                             | 0.03                                             |
| 17                                             | Meghalaya                                      | 0.24                                             | 0.23                                             | 0.09                                             | 0.08                                             |
| 18                                             | Mizoram                                        | 0.19                                             | 0.1                                              | 0.16                                             | 0.22                                             |
| 19                                             | Nagaland                                       | 0.72                                             | 0.38                                             | 0.5                                              | 0.62                                             |
| 20                                             | Odisha                                         | 0.85                                             | 0.99                                             | 0.98                                             | 1.47                                             |
| 21                                             | Punjab                                         | 0.24                                             | 0.24                                             | 0.21                                             | 0.18                                             |
| 22                                             | Rajasthan                                      | 0.17                                             | 0.15                                             | 0.17                                             | 0.17                                             |
| 23                                             | Sikkim                                         | 0.23                                             | 0.24                                             | 0.23                                             | 0.24                                             |
| 24                                             | Tamil Nadu                                     | 0.44                                             | 0.42                                             | 0.39                                             | 0.4                                              |
| 25                                             | Tripura                                        | 0.24                                             | 0.26                                             | 0.18                                             | 0.12                                             |
| 26                                             | Uttar Pradesh                                  | 0.79                                             | 0.69                                             | 0.72                                             | 0.68                                             |
| 27                                             | Uttarakhand                                    | 0.3                                              | 0.28                                             | 0.25                                             | 0.22                                             |
| 28                                             | West Bengal                                    | 0.92                                             | 1.08                                             | 1.05                                             | 0.87                                             |
| 29                                             | A & N Islands                                  | 0.53                                             | 0.55                                             | 0.36                                             | 0.72                                             |
| 30                                             | Chandigarh                                     | 0.38                                             | 0.55                                             | 0.58                                             | 1.22                                             |
| 31                                             | D & N Haveli                                   | 2.28                                             | 2.93                                             | 3.61                                             | 4.04                                             |
| 32                                             | Daman & Diu                                    | 0.08                                             | 0.12                                             | 0                                                | 0.04                                             |
| 33                                             | Delhi                                          | 0.78                                             | 0.78                                             | 0.73                                             | 0.64                                             |
| 34                                             | Lakshadweep                                    | 0                                                | 0.31                                             | 0                                                | 1.98                                             |
| 35                                             | Puducherry                                     | 0.34                                             | 0.22                                             | 0.21                                             | 0.25                                             |
|                                                | Total                                          | 0.69                                             | 0.68                                             | 0.73                                             | 0.69                                             |
| Source: National Leprosy Eradication Programme | Source: National Leprosy Eradication Programme | Source: National Leprosy Eradication Programme   | Source: National Leprosy Eradication Programme   | Source: National Leprosy Eradication Programme   | Source: National Leprosy Eradication Programme   |

| **Malaria Incidence Rate**   |                   |                                                             |                                                             |
|------------------------------|-------------------|-------------------------------------------------------------|-------------------------------------------------------------|
|                              |                   |                                                             |                                                             |
| S.No                         | States/UT         | Annual Parasite Incidence (API) of malaria per 1000  (2013) | Annual Parasite Incidence (API) of malaria per 1000  (2014) |
| 1                            | Andhra Pradesh    | 0.23                                                        | 0.41                                                        |
| 2                            | Arunachal Pradesh | 4.77                                                        | 4.30                                                        |
| 3                            | Assam             | 0.59                                                        | 0.44                                                        |
| 4                            | Bihar             | 0.03                                                        | 0.02                                                        |
| 5                            | Chhattisgarh      | 4.18                                                        | 4.72                                                        |
| 6                            | Goa               | 1.04                                                        | 0.55                                                        |
| 7                            | Gujarat           | 0.94                                                        | 0.66                                                        |
| 8                            | Haryana           | 0.55                                                        | 0.17                                                        |
| 9                            | Himachal Pradesh  | 0.03                                                        | 0.02                                                        |
| 10                           | Jammu & Kashmir   | 0.13                                                        | 0.05                                                        |
| 11                           | Jharkhand         | 2.84                                                        | 2.94                                                        |
| 12                           | Karnataka         | 0.24                                                        | 0.27                                                        |
| 13                           | Kerala            | 0.05                                                        | 0.05                                                        |
| 14                           | Madhya Pradesh    | 1.04                                                        | 1.26                                                        |
| 15                           | Maharashtra       | 0.38                                                        | 0.46                                                        |
| 16                           | Manipur           | 0.04                                                        | 0.05                                                        |
| 17                           | Meghalaya         | 7.82                                                        | 12.52                                                       |
| 18                           | Mizoram           | 10.80                                                       | 20.74                                                       |
| 19                           | Nagaland          | 1.14                                                        | 0.96                                                        |
| 20                           | Orissa            | 5.32                                                        | 9.08                                                        |
| 21                           | Punjab            | 0.06                                                        | 0.04                                                        |
| 22                           | Rajasthan         | 0.45                                                        | 0.20                                                        |
| 23                           | Sikkim            | 0.20                                                        | 0.17                                                        |
| 24                           | Tamil Nadu        | 0.21                                                        | 0.12                                                        |
| 25                           | Telangana         | 0.00                                                        | 0.15                                                        |
| 26                           | Tripura           | 1.94                                                        | 13.27                                                       |
| 27                           | Uttarakhand       | 0.14                                                        | 0.12                                                        |
| 28                           | Uttar Pradesh     | 0.24                                                        | 0.20                                                        |
| 29                           | West Bengal       | 0.38                                                        | 0.28                                                        |
| 30                           | A & N Islands     | 2.17                                                        | 1.20                                                        |
| 31                           | Chandigarh        | 0.14                                                        | 0.11                                                        |
| 32                           | D & N Haveli      | 4.54                                                        | 1.64                                                        |
| 33                           | Daman & Diu       | 0.34                                                        | 0.20                                                        |
| 34                           | Delhi             | 0.02                                                        | 0.01                                                        |
| 35                           | Lakshdweep        | 0.12                                                        | 0.00                                                        |
| 36                           | Puducherry        | 0.10                                                        | 0.06                                                        |
|                              | Total             | 0.72                                                        | 0.89                                                        |

Source: National Vector Borne Disease Control Programme

| **Microfilaria Rate**                                      |                  |          |          |          |          |          |          |          |             |             |
|------------------------------------------------------------|------------------|----------|----------|----------|----------|----------|----------|----------|-------------|-------------|
| **Average Microfilaria rates (%) in the State since 2005** |                  |          |          |          |          |          |          |          |             |             |
| **Sl. No.**                                                | **States/UT**    | **2005** | **2006** | **2007** | **2008** | **2009** | **2010** | **2011** | **2012**    | **2013**    |
| 1                                                          | Andhra Pradesh   | 0.74     | 0.69     | 0.26     | 0.38     | 0.45     | 0.35     | 0.21     | 0.2         | 0.22        |
| 2                                                          | Assam            | 0.04     | 0.19     | 1.46     | 0.88     | 0.81     | 1.06     | 0.17     | 0.19        | 0.15        |
| 3                                                          | Bihar            | 2.15     | 1.38     | 0.68     | ND       | 1.07     | 0.94     | ND       | 1.15        | ND          |
| 4                                                          | Chhattisgarh     | 1.96     | ND       | 0.61     | 0.45     | 0.54     | 0.4      | 0.1      | 0.1         | 0.08        |
| 5                                                          | Goa              | 0.04     | 0.02     | 0.08     | 0.01     | 0        | 0.01     | 0        | MDA stopped | MDA stopped |
| 6                                                          | Gujarat          | 0.84     | 0.84     | 0.42     | 0.83     | 0.92     | 0.46     | 0.52     | 0.24        | 0.31        |
| 7                                                          | Jharkhand        | 0.84     | 1.4      | 1.34     | 1.1      | 1.11     | 0.82     | 0.63     | NR          | ND          |
| 8                                                          | Karnataka        | 0.84     | 0.69     | 1.15     | 1.07     | 0.93     | 0.89     | 0.83     | 0.65        | 0.6         |
| 9                                                          | Kerala           | 0.5      | 0.67     | 0.65     | 0.29     | 0.39     | 0.17     | 0.14     | 0.21        | 0.15        |
| 10                                                         | Madhya Pradesh   | 0.4      | 0.38     | 0.7      | 0.36     | 0.4      | 0.19     | 0.23     | 0.09        | ND          |
| 11                                                         | Maharashtra      | 1.45     | 1.13     | 0.83     | 0.35     | 0.46     | 0.53     | 0.51     | 0.43        | 0.46        |
| 12                                                         | Orissa           | 2.37     | 1.11     | 0.99     | 0.74     | 0.69     | 0.4      | 0.43     | 0.34        | 0.34        |
| 13                                                         | Tamil Nadu       | 0.38     | 0.39     | 0.29     | 0.15     | 0.12     | 0.07     | 0.09     | 0.17        | ND          |
| 14                                                         | Uttar Pradesh    | 1.01     | 0.81     | 0.32     | 0.41     | ND       | 0.28     | 0.24     | 0.38        | 0.17        |
| 15                                                         | West Bengal      | 4.1      | 2.72     | 2.83     | 0.89     | 0.48     | 0.44     | 0.55     | 0.7         | ND          |
| 16                                                         | A&N Islands      | 0.09     | 0.15     | 0.34     | 0.19     | 0.46     | 0.1      | 0.12     | 0.17        | 0.14        |
| 17                                                         | D & N Haveli     | 2.01     | 2.91     | 3.47     | 1.82     | 1.23     | 0.95     | 1.79     | 0.71        | 0.54        |
| 18                                                         | Daman & Diu      | 0.14     | 0.27     | 0.09     | 0.07     | 0.07     | 0.06     | 0.07     | MDA stopped | MDA stopped |
| 19                                                         | Lakshadweep      | 0.09     | 0.07     | 0.02     | 0.27     | 0        | 0        | ND       | ND          | ND          |
| 20                                                         | Pondicherry      | 0.5      | 0.15     | 0.06     | 0.03     | 0        | 0        | 0        | MDA stopped | MDA stopped |
| National Average                                           | National Average | 1.02     | 0.98     | 0.64     | 0.53     | 0.65     | 0.41     | 0.37     | 0.41        | 0.29        |

*Source : National Vector Borne Disease Control Programme

ND:Not Done

NR: Not Reported

MDA= Mass Drug Administration

**Annexure-II**

**State-wise Allocation, Release and Utilization under National Health Mission**

**Rs. in crore**

| **Sl. No.**                                                                                                                                                                                              | **States**                                                                                                                                                                                               | **2012-13**                                                                                                                                                                                              |                                                                                                                                                                                                          |                                                                                                                                                                                                          | **2013-14**                                                                                                                                                                                              |                                                                                                                                                                                                          |                                                                                                                                                                                                          | **2014-15**                                                                                                                                                                                              |                                                                                                                                                                                                          |                                                                                                                                                                                                          | **2015-16**                                                                                                                                                                                              |                                                                                                                                                                                                          |                                                                                                                                                                                                          |    |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----|
|                                                                                                                                                                                                          |                                                                                                                                                                                                          | **Allocation**                                                                                                                                                                                           | **Release**                                                                                                                                                                                              | **Exp**                                                                                                                                                                                                  | **Allocation**                                                                                                                                                                                           | **Release**                                                                                                                                                                                              | **Exp**                                                                                                                                                                                                  | **Allocation**                                                                                                                                                                                           | **Release**                                                                                                                                                                                              | **Exp**                                                                                                                                                                                                  | **Allocation**                                                                                                                                                                                           | **Release**                                                                                                                                                                                              |                                                                                                                                                                                                          |    |
| 1                                                                                                                                                                                                        | Andaman & Nicobar Islands                                                                                                                                                                                | 22.60                                                                                                                                                                                                    | 7.97                                                                                                                                                                                                     | 27.52                                                                                                                                                                                                    | 23.83                                                                                                                                                                                                    | 29.06                                                                                                                                                                                                    | 29.12                                                                                                                                                                                                    | 28.22                                                                                                                                                                                                    | 23.36                                                                                                                                                                                                    | 24.33                                                                                                                                                                                                    | 28.21                                                                                                                                                                                                    | 15.54                                                                                                                                                                                                    |                                                                                                                                                                                                          |    |
| 2                                                                                                                                                                                                        | Andhra Pradesh                                                                                                                                                                                           | 1088.44                                                                                                                                                                                                  | 837.66                                                                                                                                                                                                   | 1066.65                                                                                                                                                                                                  | 1184.24                                                                                                                                                                                                  | 878.73                                                                                                                                                                                                   | 1044.81                                                                                                                                                                                                  | 707.15                                                                                                                                                                                                   | 519.73                                                                                                                                                                                                   | 902.91                                                                                                                                                                                                   | 616.13                                                                                                                                                                                                   | 156.24                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 3                                                                                                                                                                                                        | Arunachal Pradesh                                                                                                                                                                                        | 74.01                                                                                                                                                                                                    | 55.06                                                                                                                                                                                                    | 73.68                                                                                                                                                                                                    | 86.31                                                                                                                                                                                                    | 78.60                                                                                                                                                                                                    | 92.03                                                                                                                                                                                                    | 185.65                                                                                                                                                                                                   | 139.41                                                                                                                                                                                                   | 69.50                                                                                                                                                                                                    | 160.01                                                                                                                                                                                                   | 6.86                                                                                                                                                                                                     |                                                                                                                                                                                                          |    |
| 4                                                                                                                                                                                                        | Assam                                                                                                                                                                                                    | 1054.14                                                                                                                                                                                                  | 887.86                                                                                                                                                                                                   | 1253.73                                                                                                                                                                                                  | 1214.83                                                                                                                                                                                                  | 1077.81                                                                                                                                                                                                  | 956.89                                                                                                                                                                                                   | 1095.38                                                                                                                                                                                                  | 877.13                                                                                                                                                                                                   | 915.88                                                                                                                                                                                                   | 941.29                                                                                                                                                                                                   | 66.38                                                                                                                                                                                                    |                                                                                                                                                                                                          |    |
| 5                                                                                                                                                                                                        | Bihar                                                                                                                                                                                                    | 1421.32                                                                                                                                                                                                  | 1104.42                                                                                                                                                                                                  | 1333.54                                                                                                                                                                                                  | 1487.65                                                                                                                                                                                                  | 1110.32                                                                                                                                                                                                  | 1480.68                                                                                                                                                                                                  | 1292.13                                                                                                                                                                                                  | 1148.32                                                                                                                                                                                                  | 1427.40                                                                                                                                                                                                  | 1108.61                                                                                                                                                                                                  | 758.25                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 6                                                                                                                                                                                                        | Chandigarh                                                                                                                                                                                               | 14.59                                                                                                                                                                                                    | 6.67                                                                                                                                                                                                     | 12.65                                                                                                                                                                                                    | 18.53                                                                                                                                                                                                    | 11.46                                                                                                                                                                                                    | 14.42                                                                                                                                                                                                    | 19.40                                                                                                                                                                                                    | 12.15                                                                                                                                                                                                    | 15.26                                                                                                                                                                                                    | 14.24                                                                                                                                                                                                    | 6.07                                                                                                                                                                                                     |                                                                                                                                                                                                          |    |
| 7                                                                                                                                                                                                        | Chattisgarh                                                                                                                                                                                              | 473.71                                                                                                                                                                                                   | 369.36                                                                                                                                                                                                   | 512.34                                                                                                                                                                                                   | 500.72                                                                                                                                                                                                   | 355.98                                                                                                                                                                                                   | 805.50                                                                                                                                                                                                   | 555.66                                                                                                                                                                                                   | 500.41                                                                                                                                                                                                   | 716.04                                                                                                                                                                                                   | 479.38                                                                                                                                                                                                   | 246.46                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 8                                                                                                                                                                                                        | Dadra & Nagar Haveli                                                                                                                                                                                     | 7.54                                                                                                                                                                                                     | 5.81                                                                                                                                                                                                     | 7.43                                                                                                                                                                                                     | 8.73                                                                                                                                                                                                     | 9.23                                                                                                                                                                                                     | 9.83                                                                                                                                                                                                     | 13.99                                                                                                                                                                                                    | 8.40                                                                                                                                                                                                     | 8.56                                                                                                                                                                                                     | 11.37                                                                                                                                                                                                    | 3.94                                                                                                                                                                                                     |                                                                                                                                                                                                          |    |
| 9                                                                                                                                                                                                        | Daman & Diu                                                                                                                                                                                              | 5.97                                                                                                                                                                                                     | 1.85                                                                                                                                                                                                     | 6.85                                                                                                                                                                                                     | 6.48                                                                                                                                                                                                     | 6.50                                                                                                                                                                                                     | 8.40                                                                                                                                                                                                     | 9.69                                                                                                                                                                                                     | 6.91                                                                                                                                                                                                     | 7.67                                                                                                                                                                                                     | 9.11                                                                                                                                                                                                     | 4.21                                                                                                                                                                                                     |                                                                                                                                                                                                          |    |
| 10                                                                                                                                                                                                       | Delhi                                                                                                                                                                                                    | 169.95                                                                                                                                                                                                   | 54.21                                                                                                                                                                                                    | 109.30                                                                                                                                                                                                   | 211.46                                                                                                                                                                                                   | 129.78                                                                                                                                                                                                   | 132.59                                                                                                                                                                                                   | 192.59                                                                                                                                                                                                   | 154.04                                                                                                                                                                                                   | 222.64                                                                                                                                                                                                   | 142.81                                                                                                                                                                                                   | 59.01                                                                                                                                                                                                    |                                                                                                                                                                                                          |    |
| 11                                                                                                                                                                                                       | Goa                                                                                                                                                                                                      | 23.96                                                                                                                                                                                                    | 25.11                                                                                                                                                                                                    | 29.63                                                                                                                                                                                                    | 27.12                                                                                                                                                                                                    | 19.35                                                                                                                                                                                                    | 30.58                                                                                                                                                                                                    | 27.63                                                                                                                                                                                                    | 26.03                                                                                                                                                                                                    | 29.50                                                                                                                                                                                                    | 19.41                                                                                                                                                                                                    | 3.23                                                                                                                                                                                                     |                                                                                                                                                                                                          |    |
| 12                                                                                                                                                                                                       | Gujarat                                                                                                                                                                                                  | 715.69                                                                                                                                                                                                   | 669.33                                                                                                                                                                                                   | 821.11                                                                                                                                                                                                   | 833.94                                                                                                                                                                                                   | 833.72                                                                                                                                                                                                   | 977.48                                                                                                                                                                                                   | 858.47                                                                                                                                                                                                   | 832.86                                                                                                                                                                                                   | 873.66                                                                                                                                                                                                   | 677.65                                                                                                                                                                                                   | 387.82                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 13                                                                                                                                                                                                       | Haryana                                                                                                                                                                                                  | 289.15                                                                                                                                                                                                   | 298.27                                                                                                                                                                                                   | 369.63                                                                                                                                                                                                   | 313.57                                                                                                                                                                                                   | 315.94                                                                                                                                                                                                   | 423.79                                                                                                                                                                                                   | 317.42                                                                                                                                                                                                   | 273.60                                                                                                                                                                                                   | 438.18                                                                                                                                                                                                   | 249.33                                                                                                                                                                                                   | 197.86                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 14                                                                                                                                                                                                       | Himachal Pradesh                                                                                                                                                                                         | 141.97                                                                                                                                                                                                   | 115.40                                                                                                                                                                                                   | 276.69                                                                                                                                                                                                   | 225.95                                                                                                                                                                                                   | 205.29                                                                                                                                                                                                   | 158.60                                                                                                                                                                                                   | 232.00                                                                                                                                                                                                   | 185.84                                                                                                                                                                                                   | 306.92                                                                                                                                                                                                   | 197.92                                                                                                                                                                                                   | 139.35                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 15                                                                                                                                                                                                       | Jammu & Kashmir                                                                                                                                                                                          | 209.75                                                                                                                                                                                                   | 198.85                                                                                                                                                                                                   | 293.78                                                                                                                                                                                                   | 433.87                                                                                                                                                                                                   | 395.10                                                                                                                                                                                                   | 391.10                                                                                                                                                                                                   | 435.17                                                                                                                                                                                                   | 335.51                                                                                                                                                                                                   | 393.29                                                                                                                                                                                                   | 368.00                                                                                                                                                                                                   | 21.11                                                                                                                                                                                                    |                                                                                                                                                                                                          |    |
| 16                                                                                                                                                                                                       | Jharkhand                                                                                                                                                                                                | 555.83                                                                                                                                                                                                   | 356.60                                                                                                                                                                                                   | 423.93                                                                                                                                                                                                   | 582.97                                                                                                                                                                                                   | 396.38                                                                                                                                                                                                   | 521.49                                                                                                                                                                                                   | 563.92                                                                                                                                                                                                   | 359.62                                                                                                                                                                                                   | 372.01                                                                                                                                                                                                   | 493.37                                                                                                                                                                                                   | 0.63                                                                                                                                                                                                     |                                                                                                                                                                                                          |    |
| 17                                                                                                                                                                                                       | Karnataka                                                                                                                                                                                                | 721.48                                                                                                                                                                                                   | 653.83                                                                                                                                                                                                   | 807.10                                                                                                                                                                                                   | 814.17                                                                                                                                                                                                   | 611.11                                                                                                                                                                                                   | 812.56                                                                                                                                                                                                   | 834.09                                                                                                                                                                                                   | 697.24                                                                                                                                                                                                   | 858.18                                                                                                                                                                                                   | 706.09                                                                                                                                                                                                   | 422.72                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 18                                                                                                                                                                                                       | Kerala                                                                                                                                                                                                   | 379.23                                                                                                                                                                                                   | 490.55                                                                                                                                                                                                   | 628.24                                                                                                                                                                                                   | 424.15                                                                                                                                                                                                   | 360.98                                                                                                                                                                                                   | 673.07                                                                                                                                                                                                   | 373.58                                                                                                                                                                                                   | 521.99                                                                                                                                                                                                   | 509.83                                                                                                                                                                                                   | 305.87                                                                                                                                                                                                   | 43.25                                                                                                                                                                                                    |                                                                                                                                                                                                          |    |
| 19                                                                                                                                                                                                       | Lakshadweep                                                                                                                                                                                              | 3.52                                                                                                                                                                                                     | 2.48                                                                                                                                                                                                     | 4.44                                                                                                                                                                                                     | 3.61                                                                                                                                                                                                     | 3.20                                                                                                                                                                                                     | 2.28                                                                                                                                                                                                     | 5.89                                                                                                                                                                                                     | 5.08                                                                                                                                                                                                     | 1.36                                                                                                                                                                                                     | 4.28                                                                                                                                                                                                     | 1.62                                                                                                                                                                                                     |                                                                                                                                                                                                          |    |
| 20                                                                                                                                                                                                       | Madhya Pradesh                                                                                                                                                                                           | 1032.41                                                                                                                                                                                                  | 946.08                                                                                                                                                                                                   | 1223.50                                                                                                                                                                                                  | 1141.03                                                                                                                                                                                                  | 865.94                                                                                                                                                                                                   | 1583.60                                                                                                                                                                                                  | 1250.17                                                                                                                                                                                                  | 1162.50                                                                                                                                                                                                  | 1738.02                                                                                                                                                                                                  | 1085.37                                                                                                                                                                                                  | 676.64                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 21                                                                                                                                                                                                       | Maharashtra                                                                                                                                                                                              | 1270.27                                                                                                                                                                                                  | 1418.14                                                                                                                                                                                                  | 1840.14                                                                                                                                                                                                  | 1520.71                                                                                                                                                                                                  | 1218.51                                                                                                                                                                                                  | 1806.86                                                                                                                                                                                                  | 1536.58                                                                                                                                                                                                  | 1431.76                                                                                                                                                                                                  | 1834.40                                                                                                                                                                                                  | 1282.31                                                                                                                                                                                                  | 144.64                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 22                                                                                                                                                                                                       | Manipur                                                                                                                                                                                                  | 114.66                                                                                                                                                                                                   | 25.79                                                                                                                                                                                                    | 68.48                                                                                                                                                                                                    | 127.75                                                                                                                                                                                                   | 88.93                                                                                                                                                                                                    | 74.57                                                                                                                                                                                                    | 144.97                                                                                                                                                                                                   | 128.81                                                                                                                                                                                                   | 86.91                                                                                                                                                                                                    | 118.53                                                                                                                                                                                                   | 10.30                                                                                                                                                                                                    |                                                                                                                                                                                                          |    |
| 23                                                                                                                                                                                                       | Meghalaya                                                                                                                                                                                                | 125.45                                                                                                                                                                                                   | 108.33                                                                                                                                                                                                   | 104.75                                                                                                                                                                                                   | 139.24                                                                                                                                                                                                   | 125.51                                                                                                                                                                                                   | 71.53                                                                                                                                                                                                    | 160.21                                                                                                                                                                                                   | 104.13                                                                                                                                                                                                   | 70.72                                                                                                                                                                                                    | 131.00                                                                                                                                                                                                   | 0.25                                                                                                                                                                                                     |                                                                                                                                                                                                          |    |
| 24                                                                                                                                                                                                       | Mizoram                                                                                                                                                                                                  | 75.84                                                                                                                                                                                                    | 68.41                                                                                                                                                                                                    | 87.69                                                                                                                                                                                                    | 86.20                                                                                                                                                                                                    | 77.43                                                                                                                                                                                                    | 91.89                                                                                                                                                                                                    | 116.53                                                                                                                                                                                                   | 103.28                                                                                                                                                                                                   | 93.29                                                                                                                                                                                                    | 97.87                                                                                                                                                                                                    | 14.47                                                                                                                                                                                                    |                                                                                                                                                                                                          |    |
| 25                                                                                                                                                                                                       | Nagaland                                                                                                                                                                                                 | 95.78                                                                                                                                                                                                    | 95.05                                                                                                                                                                                                    | 105.35                                                                                                                                                                                                   | 114.42                                                                                                                                                                                                   | 99.73                                                                                                                                                                                                    | 90.40                                                                                                                                                                                                    | 131.26                                                                                                                                                                                                   | 114.92                                                                                                                                                                                                   | 63.04                                                                                                                                                                                                    | 108.75                                                                                                                                                                                                   | 12.12                                                                                                                                                                                                    |                                                                                                                                                                                                          |    |
| 26                                                                                                                                                                                                       | Orissa                                                                                                                                                                                                   | 653.52                                                                                                                                                                                                   | 534.49                                                                                                                                                                                                   | 780.73                                                                                                                                                                                                   | 678.99                                                                                                                                                                                                   | 604.20                                                                                                                                                                                                   | 901.65                                                                                                                                                                                                   | 730.09                                                                                                                                                                                                   | 667.16                                                                                                                                                                                                   | 944.10                                                                                                                                                                                                   | 624.71                                                                                                                                                                                                   | 344.28                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 27                                                                                                                                                                                                       | Puducherry                                                                                                                                                                                               | 15.89                                                                                                                                                                                                    | 14.74                                                                                                                                                                                                    | 20.53                                                                                                                                                                                                    | 21.29                                                                                                                                                                                                    | 18.10                                                                                                                                                                                                    | 25.43                                                                                                                                                                                                    | 25.46                                                                                                                                                                                                    | 22.56                                                                                                                                                                                                    | 23.35                                                                                                                                                                                                    | 17.77                                                                                                                                                                                                    | 8.03                                                                                                                                                                                                     |                                                                                                                                                                                                          |    |
| 28                                                                                                                                                                                                       | Punjab                                                                                                                                                                                                   | 318.91                                                                                                                                                                                                   | 321.69                                                                                                                                                                                                   | 423.47                                                                                                                                                                                                   | 362.38                                                                                                                                                                                                   | 333.47                                                                                                                                                                                                   | 437.57                                                                                                                                                                                                   | 351.89                                                                                                                                                                                                   | 379.35                                                                                                                                                                                                   | 460.59                                                                                                                                                                                                   | 284.75                                                                                                                                                                                                   | 143.42                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 29                                                                                                                                                                                                       | Rajasthan                                                                                                                                                                                                | 980.98                                                                                                                                                                                                   | 847.12                                                                                                                                                                                                   | 1181.47                                                                                                                                                                                                  | 1091.20                                                                                                                                                                                                  | 922.93                                                                                                                                                                                                   | 1457.06                                                                                                                                                                                                  | 1238.11                                                                                                                                                                                                  | 1115.96                                                                                                                                                                                                  | 1722.69                                                                                                                                                                                                  | 1069.38                                                                                                                                                                                                  | 877.48                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 30                                                                                                                                                                                                       | Sikkim                                                                                                                                                                                                   | 54.12                                                                                                                                                                                                    | 34.79                                                                                                                                                                                                    | 37.30                                                                                                                                                                                                    | 42.32                                                                                                                                                                                                    | 45.91                                                                                                                                                                                                    | 44.82                                                                                                                                                                                                    | 51.42                                                                                                                                                                                                    | 51.60                                                                                                                                                                                                    | 41.36                                                                                                                                                                                                    | 45.86                                                                                                                                                                                                    | 6.44                                                                                                                                                                                                     |                                                                                                                                                                                                          |    |
| 31                                                                                                                                                                                                       | Tamil Nadu                                                                                                                                                                                               | 867.98                                                                                                                                                                                                   | 948.14                                                                                                                                                                                                   | 900.73                                                                                                                                                                                                   | 1020.75                                                                                                                                                                                                  | 906.24                                                                                                                                                                                                   | 1430.28                                                                                                                                                                                                  | 968.18                                                                                                                                                                                                   | 952.75                                                                                                                                                                                                   | 2248.06                                                                                                                                                                                                  | 794.38                                                                                                                                                                                                   | 443.57                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 32                                                                                                                                                                                                       | Tripura                                                                                                                                                                                                  | 133.44                                                                                                                                                                                                   | 69.54                                                                                                                                                                                                    | 118.96                                                                                                                                                                                                   | 165.43                                                                                                                                                                                                   | 140.15                                                                                                                                                                                                   | 101.93                                                                                                                                                                                                   | 161.75                                                                                                                                                                                                   | 123.11                                                                                                                                                                                                   | 130.15                                                                                                                                                                                                   | 139.08                                                                                                                                                                                                   | 11.55                                                                                                                                                                                                    |                                                                                                                                                                                                          |    |
| 33                                                                                                                                                                                                       | Uttar Pradesh                                                                                                                                                                                            | 2685.50                                                                                                                                                                                                  | 2247.20                                                                                                                                                                                                  | 3263.04                                                                                                                                                                                                  | 3584.98                                                                                                                                                                                                  | 3024.60                                                                                                                                                                                                  | 2924.38                                                                                                                                                                                                  | 2650.25                                                                                                                                                                                                  | 2431.06                                                                                                                                                                                                  | 3671.26                                                                                                                                                                                                  | 2299.49                                                                                                                                                                                                  | 1160.63                                                                                                                                                                                                  |                                                                                                                                                                                                          |    |
| 34                                                                                                                                                                                                       | Uttarakhand                                                                                                                                                                                              | 206.67                                                                                                                                                                                                   | 176.89                                                                                                                                                                                                   | 246.97                                                                                                                                                                                                   | 310.55                                                                                                                                                                                                   | 245.25                                                                                                                                                                                                   | 255.28                                                                                                                                                                                                   | 308.10                                                                                                                                                                                                   | 270.55                                                                                                                                                                                                   | 324.42                                                                                                                                                                                                   | 256.60                                                                                                                                                                                                   | 27.52                                                                                                                                                                                                    |                                                                                                                                                                                                          |    |
| 35                                                                                                                                                                                                       | West Bengal                                                                                                                                                                                              | 1026.41                                                                                                                                                                                                  | 937.53                                                                                                                                                                                                   | 1104.09                                                                                                                                                                                                  | 1179.64                                                                                                                                                                                                  | 948.51                                                                                                                                                                                                   | 1271.71                                                                                                                                                                                                  | 1053.27                                                                                                                                                                                                  | 1058.62                                                                                                                                                                                                  | 1196.78                                                                                                                                                                                                  | 883.49                                                                                                                                                                                                   | 438.47                                                                                                                                                                                                   |                                                                                                                                                                                                          |    |
| 36                                                                                                                                                                                                       | Telangana                                                                                                                                                                                                | 0.00                                                                                                                                                                                                     | 0.00                                                                                                                                                                                                     | 0.00                                                                                                                                                                                                     | 0.00                                                                                                                                                                                                     | 0.00                                                                                                                                                                                                     | 0.00                                                                                                                                                                                                     | 506.45                                                                                                                                                                                                   | 378.72                                                                                                                                                                                                   | 334.68                                                                                                                                                                                                   | 440.58                                                                                                                                                                                                   | 56.88                                                                                                                                                                                                    |                                                                                                                                                                                                          |    |
| **Sub  Total**                                                                                                                                                                                           |                                                                                                                                                                                                          | **17030.69**                                                                                                                                                                                             | **14935.22**                                                                                                                                                                                             | **19565.44**                                                                                                                                                                                             | **19989.01**                                                                                                                                                                                             | **16493.93**                                                                                                                                                                                             | **21134.19**                                                                                                                                                                                             | **19132.72**                                                                                                                                                                                             | **17124.48**                                                                                                                                                                                             | **23076.94**                                                                                                                                                                                             | **16213.00**                                                                                                                                                                                             | **6917.24**                                                                                                                                                                                              |                                                                                                                                                                                                          |    |
| **Others**                                                                                                                                                                                               |                                                                                                                                                                                                          | 11.30                                                                                                                                                                                                    | 67.23                                                                                                                                                                                                    | 41.41                                                                                                                                                                                                    | 132.77                                                                                                                                                                                                   | 89.77                                                                                                                                                                                                    | 4.08                                                                                                                                                                                                     | 1211.51                                                                                                                                                                                                  | 35.83                                                                                                                                                                                                    | 0.00                                                                                                                                                                                                     | 0.00                                                                                                                                                                                                     | 0.00                                                                                                                                                                                                     |                                                                                                                                                                                                          |    |
| **Total**                                                                                                                                                                                                |                                                                                                                                                                                                          | **17041.99**                                                                                                                                                                                             | **15002.45**                                                                                                                                                                                             | **19606.85**                                                                                                                                                                                             | **20121.78**                                                                                                                                                                                             | **16583.70**                                                                                                                                                                                             | **21138.27**                                                                                                                                                                                             | **20344.23**                                                                                                                                                                                             | **17160.31**                                                                                                                                                                                             | **23076.94**                                                                                                                                                                                             | **16213.00**                                                                                                                                                                                             | **6917.24**                                                                                                                                                                                              |                                                                                                                                                                                                          |    |
| 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           | 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           | 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           | 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           | 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           | 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           | 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           | 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           | 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           | 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           | 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           | 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           | 1. Allocation is as per Original outlay / B.E.                                                                                                                                                           |                                                                                                                                                                                                          |    |
| 2. Release is only Central Grants and do not include State share.                                                                                                                                        | 2. Release is only Central Grants and do not include State share.                                                                                                                                        | 2. Release is only Central Grants and do not include State share.                                                                                                                                        | 2. Release is only Central Grants and do not include State share.                                                                                                                                        | 2. Release is only Central Grants and do not include State share.                                                                                                                                        | 2. Release is only Central Grants and do not include State share.                                                                                                                                        | 2. Release is only Central Grants and do not include State share.                                                                                                                                        | 2. Release is only Central Grants and do not include State share.                                                                                                                                        | 2. Release is only Central Grants and do not include State share.                                                                                                                                        | 2. Release is only Central Grants and do not include State share.                                                                                                                                        | 2. Release is only Central Grants and do not include State share.                                                                                                                                        | 2. Release is only Central Grants and do not include State share.                                                                                                                                        | 2. Release is only Central Grants and do not include State share.                                                                                                                                        |                                                                                                                                                                                                          |    |
| 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. | 3.Expenditure includes  expenditure against Central and State release & Unspent balances at the beginning of the year and as per FMR reporting as on 31.03.2015, hence provisional for the year 2014-15. |    |
|                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |    |
|                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |                                                                                                                                                                                                          |    |

**Annexure-III**

The steps taken by the Government under the National Health Mission (NHM) to accelerate the pace of reduction in maternal mortality and infant mortality:

- Promotion of institutional deliveries through Janani Suraksha Yojana.
- Capacity building of health care providers in basic and comprehensive obstetric care.
- Operationalization of Sub-Centres, Primary Health Centres, Community Health Centres and District Hospitals for providing 24x7 basic and comprehensive obstetric care services.
- Name Based Web enabled Tracking of Pregnant Women to ensure antenatal, intranatal and postnatal care.
- Mother and Child Protection Card in collaboration with the Ministry of Women and Child Development to monitor service delivery for mothers and children.
- Antenatal, Intranatal and Postnatal care including Iron and Folic Acid supplementation to pregnant & lactating women for prevention and treatment of anaemia.
- Village Health and Nutrition Days in rural areas as an outreach activity, for provision of maternal and child health services.
- Health and nutrition education to promote dietary diversification, inclusion of iron and foliate rich food as well as food items that promote iron absorption.
- Janani Shishu Suraksha Karyakaram (JSSK) entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery including Caesarean section.  The initiative stipulates free drugs, diagnostics, blood and diet, besides free transport from home to institution, between facilities in case of a referral and drop back home.  Similar entitlements have been put in place for all sick infants accessing public health institutions for treatment.
- 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.

- Emphasis on facility based newborn care at different levels to reduce child morbidity and mortality: Setting up of facilities for care of sick newborn such as Special New Born Care Units (SNCUs), Newborn Stabilization Units (NBSUs) and Newborn Care Corners (NBCCs) at different levels is a thrust area under NHM.
- Capacity building of health care providers: Various trainings are being conducted under NHM to train doctors, nurses and ANMs for essential newborn care, early diagnosis and case management of common ailments of children. These trainings are on Navjaat Shishu, Suraksha Karyakram (NSSK), Integrated Management of Neonatal and Childhood Illnesses (IMNCI), Facility Based Newborn Care (FBNC), Infant and Young Child Feeding practices (IYCF), etc.
- India Newborn Action Plan (INAP) has been launched with an aim to reduce neonatal mortality and stillbirths.
- Newer interventions to reduce newborn mortality- Vitamin K injection at birth, Antenatal corticosteroids for preterm labour, kangaroo mother care and injection gentamicin to young infants in cases of suspected sepsis.
- Home Based New Born Care (HBNC): Home based newborn care through ASHAs has been initiated to improve new born practices at the community level and early detection and referral of sick new born babies.
- Intensified Diarrhoea Control Fortnight (IDCF) to be observed in July-August 2015 focusing on ORS and Zinc distribution for management of diarrhoea and feeding practices.
- Integrated Action Plan for Pneumonia and Diarrhoea (IAPPD) launched in four states with highest infant mortality (UP, MP, Bihar and Rajasthan).
- Management of Malnutrition: Nutritional Rehabilitation Centres (NRCs) have been established for management of severe acute malnutrition in children.
- Appropriate Infant and Young Child Feeding practices are being promoted in convergence with Ministry of Woman and Child Development.
- Universal Immunization Programme (UIP): Vaccination protects children against many life threatening diseases such as Tuberculosis, Diphtheria, Pertussis, Polio, Tetanus, Hepatitis B and Measles. Infants are thus immunized against seven vaccine preventable diseases every year. The Government of India supports the vaccine programme by supply of vaccines and syringes, cold chain equipment and provision of operational costs.
- Mission Indradhanush has been launched in 201 high focus districts to fully immunise more than 89 lakh children who are either unvaccinated or partially vaccinated; those that have not been covered during the rounds of routine immunisation for various reasons. They will be fully immunised against seven life-threatening but vaccine preventable diseases which include diphtheria, whooping cough, tetanus, polio, tuberculosis, measles and hepatitis-B. In addition, vaccination against Japanese Encephalitis and Haemophilus influenza type B will be provided in selected districts/states of the country. Pregnant women will also be immunised against tetanus.
- Mother and Child Tracking System (MCTS): A name based Mother and Child Tracking System has been put in place which is web based to ensure registration and tracking of all pregnant women and new born babies so that provision of regular and complete services to them can be ensured.
- Rashtriya Bal Swasthya Karyakram (RBSK) for health screening and early intervention services has been launched to provide comprehensive care to all the children in the age group of 0-18 years in the community. The purpose of these services is to improve the overall quality of life of children through early detection of birth defects, diseases, deficiencies, development delays including disability.
- Under National Iron Plus Initiative (NIPI), through life cycle approach, age and dose specific IFA supplementation programme is being implemented for the prevention of anaemia among the vulnerable age groups like under-5 children, children of 6 – 10 years of age group, adolescents, pregnant & lactating women and women in reproductive age along with treatment of anaemic children and pregnant mothers at health facilities.

**Annexure-IV**

|                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |
|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|
| **INFANT MORTALITY RATE(IMR)**                                                     |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |
| Sl.No.                                                                             | Sl.No.                                                                             | States                                                                             | 2011                                                                               | 2011                                                                               | 2012                                                                               | 2012                                                                               | 2013                                                                               |                                                                                    |                                                                                    |
|                                                                                    |                                                                                    | ALL INDIA                                                                          | 44                                                                                 | 44                                                                                 | 42                                                                                 | 42                                                                                 | 40                                                                                 |                                                                                    |                                                                                    |
| 1                                                                                  | 1                                                                                  | Andhra Pr.                                                                         | 43                                                                                 | 43                                                                                 | 41                                                                                 | 41                                                                                 | 39                                                                                 |                                                                                    |                                                                                    |
| 2                                                                                  | 2                                                                                  | Assam                                                                              | 55                                                                                 | 55                                                                                 | 55                                                                                 | 55                                                                                 | 54                                                                                 |                                                                                    |                                                                                    |
| 3                                                                                  | 3                                                                                  | Bihar                                                                              | 44                                                                                 | 44                                                                                 | 43                                                                                 | 43                                                                                 | 42                                                                                 |                                                                                    |                                                                                    |
| 4                                                                                  | 4                                                                                  | Chhattisgarh                                                                       | 48                                                                                 | 48                                                                                 | 47                                                                                 | 47                                                                                 | 46                                                                                 |                                                                                    |                                                                                    |
| 5                                                                                  | 5                                                                                  | Gujarat                                                                            | 41                                                                                 | 41                                                                                 | 38                                                                                 | 38                                                                                 | 36                                                                                 |                                                                                    |                                                                                    |
| 6                                                                                  | 6                                                                                  | Haryana                                                                            | 44                                                                                 | 44                                                                                 | 42                                                                                 | 42                                                                                 | 41                                                                                 |                                                                                    |                                                                                    |
| 7                                                                                  | 7                                                                                  | Jharkhand                                                                          | 39                                                                                 | 39                                                                                 | 38                                                                                 | 38                                                                                 | 37                                                                                 |                                                                                    |                                                                                    |
| 8                                                                                  | 8                                                                                  | Karnataka                                                                          | 35                                                                                 | 35                                                                                 | 32                                                                                 | 32                                                                                 | 31                                                                                 |                                                                                    |                                                                                    |
| 9                                                                                  | 9                                                                                  | Kerala                                                                             | 12                                                                                 | 12                                                                                 | 12                                                                                 | 12                                                                                 | 12                                                                                 |                                                                                    |                                                                                    |
| 10                                                                                 | 10                                                                                 | Madhya Pr.                                                                         | 59                                                                                 | 59                                                                                 | 56                                                                                 | 56                                                                                 | 54                                                                                 |                                                                                    |                                                                                    |
| 11                                                                                 | 11                                                                                 | Maharashtra                                                                        | 25                                                                                 | 25                                                                                 | 25                                                                                 | 25                                                                                 | 24                                                                                 |                                                                                    |                                                                                    |
| 12                                                                                 | 12                                                                                 | Odisha                                                                             | 57                                                                                 | 57                                                                                 | 53                                                                                 | 53                                                                                 | 51                                                                                 |                                                                                    |                                                                                    |
| 13                                                                                 | 13                                                                                 | Punjab                                                                             | 30                                                                                 | 30                                                                                 | 28                                                                                 | 28                                                                                 | 26                                                                                 |                                                                                    |                                                                                    |
| 14                                                                                 | 14                                                                                 | Rajasthan                                                                          | 52                                                                                 | 52                                                                                 | 49                                                                                 | 49                                                                                 | 47                                                                                 |                                                                                    |                                                                                    |
| 15                                                                                 | 15                                                                                 | Tamil Nadu                                                                         | 22                                                                                 | 22                                                                                 | 21                                                                                 | 21                                                                                 | 21                                                                                 |                                                                                    |                                                                                    |
| 16                                                                                 | 16                                                                                 | Uttar Pr.                                                                          | 57                                                                                 | 57                                                                                 | 53                                                                                 | 53                                                                                 | 50                                                                                 |                                                                                    |                                                                                    |
| 17                                                                                 | 17                                                                                 | W. Bengal                                                                          | 32                                                                                 | 32                                                                                 | 32                                                                                 | 32                                                                                 | 31                                                                                 |                                                                                    |                                                                                    |
| 18                                                                                 | 18                                                                                 | Arunachal Pr                                                                       | 32                                                                                 | 32                                                                                 | 33                                                                                 | 33                                                                                 | 32                                                                                 |                                                                                    |                                                                                    |
| 19                                                                                 | 19                                                                                 | Delhi                                                                              | 28                                                                                 | 28                                                                                 | 25                                                                                 | 25                                                                                 | 24                                                                                 |                                                                                    |                                                                                    |
| 20                                                                                 | 20                                                                                 | Goa                                                                                | 11                                                                                 | 11                                                                                 | 10                                                                                 | 10                                                                                 | 9                                                                                  |                                                                                    |                                                                                    |
| 21                                                                                 | 21                                                                                 | Himachal Pr .                                                                      | 38                                                                                 | 38                                                                                 | 36                                                                                 | 36                                                                                 | 35                                                                                 |                                                                                    |                                                                                    |
| 22                                                                                 | 22                                                                                 | J & K                                                                              | 41                                                                                 | 41                                                                                 | 39                                                                                 | 39                                                                                 | 37                                                                                 |                                                                                    |                                                                                    |
| 23                                                                                 | 23                                                                                 | Manipur                                                                            | 11                                                                                 | 11                                                                                 | 10                                                                                 | 10                                                                                 | 10                                                                                 |                                                                                    |                                                                                    |
| 24                                                                                 | 24                                                                                 | Meghalaya                                                                          | 52                                                                                 | 52                                                                                 | 49                                                                                 | 49                                                                                 | 47                                                                                 |                                                                                    |                                                                                    |
| 25                                                                                 | 25                                                                                 | Mizoram                                                                            | 34                                                                                 | 34                                                                                 | 35                                                                                 | 35                                                                                 | 35                                                                                 |                                                                                    |                                                                                    |
| 26                                                                                 | 26                                                                                 | Nagaland                                                                           | 21                                                                                 | 21                                                                                 | 18                                                                                 | 18                                                                                 | 18                                                                                 |                                                                                    |                                                                                    |
| 27                                                                                 | 27                                                                                 | Sikkim                                                                             | 26                                                                                 | 26                                                                                 | 24                                                                                 | 24                                                                                 | 22                                                                                 |                                                                                    |                                                                                    |
| 28                                                                                 | 28                                                                                 | Tripura                                                                            | 29                                                                                 | 29                                                                                 | 28                                                                                 | 28                                                                                 | 26                                                                                 |                                                                                    |                                                                                    |
| 29                                                                                 | 29                                                                                 | Uttarakhand                                                                        | 36                                                                                 | 36                                                                                 | 34                                                                                 | 34                                                                                 | 32                                                                                 |                                                                                    |                                                                                    |
| 30                                                                                 | 30                                                                                 | A&N Islands                                                                        | 23                                                                                 | 23                                                                                 | 24                                                                                 | 24                                                                                 | 24                                                                                 |                                                                                    |                                                                                    |
| 31                                                                                 | 31                                                                                 | Chandigarh                                                                         | 20                                                                                 | 20                                                                                 | 20                                                                                 | 20                                                                                 | 21                                                                                 |                                                                                    |                                                                                    |
| 32                                                                                 | 32                                                                                 | D&N Haveli                                                                         | 35                                                                                 | 35                                                                                 | 33                                                                                 | 33                                                                                 | 31                                                                                 |                                                                                    |                                                                                    |
| 33                                                                                 | 33                                                                                 | Daman & Diu                                                                        | 22                                                                                 | 22                                                                                 | 22                                                                                 | 22                                                                                 | 20                                                                                 |                                                                                    |                                                                                    |
| 34                                                                                 | 34                                                                                 | Lakshadweep                                                                        | 24                                                                                 | 24                                                                                 | 24                                                                                 | 24                                                                                 | 24                                                                                 |                                                                                    |                                                                                    |
| 35                                                                                 | 35                                                                                 | Puducherry                                                                         | 19                                                                                 | 19                                                                                 | 17                                                                                 | 17                                                                                 | 17                                                                                 |                                                                                    |                                                                                    |
| **MATERNAL MORTALITY RATIO (MMR)**                                                 |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |                                                                                    |
| **S.No.**                                                                          |                                                                                    | **India/States**                                                                   |                                                                                    |                                                                                    | **2010-12**                                                                        |                                                                                    | **2011-13**                                                                        |                                                                                    |                                                                                    |
|                                                                                    |                                                                                    | **India**                                                                          |                                                                                    |                                                                                    | **178**                                                                            |                                                                                    | **167**                                                                            |                                                                                    |                                                                                    |
| 1                                                                                  | 1                                                                                  | Andhra Pradesh                                                                     | Andhra Pradesh                                                                     | Andhra Pradesh                                                                     | 110                                                                                | 110                                                                                | 92                                                                                 | 92                                                                                 | 92                                                                                 |
| 2                                                                                  | 2                                                                                  | Assam                                                                              | Assam                                                                              | Assam                                                                              | 328                                                                                | 328                                                                                | 300                                                                                | 300                                                                                | 300                                                                                |
| 3                                                                                  | 3                                                                                  | Bihar/Jharkhand                                                                    | Bihar/Jharkhand                                                                    | Bihar/Jharkhand                                                                    | 219                                                                                | 219                                                                                | 208                                                                                | 208                                                                                | 208                                                                                |
| 4                                                                                  | 4                                                                                  | Gujarat                                                                            | Gujarat                                                                            | Gujarat                                                                            | 122                                                                                | 122                                                                                | 112                                                                                | 112                                                                                | 112                                                                                |
| 5                                                                                  | 5                                                                                  | Haryana                                                                            | Haryana                                                                            | Haryana                                                                            | 146                                                                                | 146                                                                                | 127                                                                                | 127                                                                                | 127                                                                                |
| 6                                                                                  | 6                                                                                  | Karnataka                                                                          | Karnataka                                                                          | Karnataka                                                                          | 144                                                                                | 144                                                                                | 133                                                                                | 133                                                                                | 133                                                                                |
| 7                                                                                  | 7                                                                                  | Kerala                                                                             | Kerala                                                                             | Kerala                                                                             | 66                                                                                 | 66                                                                                 | 61                                                                                 | 61                                                                                 | 61                                                                                 |
| 8                                                                                  | 8                                                                                  | Madhya Pr/Chhatisgarh                                                              | Madhya Pr/Chhatisgarh                                                              | Madhya Pr/Chhatisgarh                                                              | 230                                                                                | 230                                                                                | 221                                                                                | 221                                                                                | 221                                                                                |
| 9                                                                                  | 9                                                                                  | Maharashtra                                                                        | Maharashtra                                                                        | Maharashtra                                                                        | 87                                                                                 | 87                                                                                 | 68                                                                                 | 68                                                                                 | 68                                                                                 |
| 10                                                                                 | 10                                                                                 | Odisha                                                                             | Odisha                                                                             | Odisha                                                                             | 235                                                                                | 235                                                                                | 222                                                                                | 222                                                                                | 222                                                                                |
| 11                                                                                 | 11                                                                                 | Punjab                                                                             | Punjab                                                                             | Punjab                                                                             | 155                                                                                | 155                                                                                | 141                                                                                | 141                                                                                | 141                                                                                |
| 12                                                                                 | 12                                                                                 | Rajasthan                                                                          | Rajasthan                                                                          | Rajasthan                                                                          | 255                                                                                | 255                                                                                | 244                                                                                | 244                                                                                | 244                                                                                |
| 13                                                                                 | 13                                                                                 | Tamil Nadu                                                                         | Tamil Nadu                                                                         | Tamil Nadu                                                                         | 90                                                                                 | 90                                                                                 | 79                                                                                 | 79                                                                                 | 79                                                                                 |
| 14                                                                                 | 14                                                                                 | Uttar Pradesh/Uttarakhand                                                          | Uttar Pradesh/Uttarakhand                                                          | Uttar Pradesh/Uttarakhand                                                          | 292                                                                                | 292                                                                                | 285                                                                                | 285                                                                                | 285                                                                                |
| 15                                                                                 | 15                                                                                 | West Bengal                                                                        | West Bengal                                                                        | West Bengal                                                                        | 117                                                                                | 117                                                                                | 113                                                                                | 113                                                                                | 113                                                                                |
| Source:  Sample Registration System, Statistical Report (Registrar General, India) | Source:  Sample Registration System, Statistical Report (Registrar General, India) | Source:  Sample Registration System, Statistical Report (Registrar General, India) | Source:  Sample Registration System, Statistical Report (Registrar General, India) | Source:  Sample Registration System, Statistical Report (Registrar General, India) | Source:  Sample Registration System, Statistical Report (Registrar General, India) | Source:  Sample Registration System, Statistical Report (Registrar General, India) | Source:  Sample Registration System, Statistical Report (Registrar General, India) | Source:  Sample Registration System, Statistical Report (Registrar General, India) | Source:  Sample Registration System, Statistical Report (Registrar General, India) |