Lok Sabha Question No. 3336 (UNSTARRED), answered on 2015-12-18
Subject: Neo-Natal Deaths
Ministry: HEALTH AND FAMILY WELFARE
Asked by: G. HARI, RATTAN LAL KATARIA

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

## LOK SABHA UNSTARRED QUESTION NO. 3336 TO BE ANSWERED ON 18 TH DECEMBER, 2015

## NEO - NATAL DEATHS

## 3336. SHRI G. HARI: SHRI RATTAN LAL KATARIA:

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

- (a) whether reportedly 25 per cent of all neo - nata d aths in the world occur in India;
- (b) if so, the details thereof and the reasons therefor;
- (c) the number of neo - atal deaths re ported during each of the last three years and the curren year, State/UT -wise; and
- (d) the steps taken by the Government in this regard?

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

- (a) & (b) : Yes, as per United Nations Inter - agency estimates, 2013, India accounts for more than  quarter  of  all  neonatal  deaths  in  the  world.  The  main  causes  for  neonatal  dea prematurity, birth asphyxia and sepsis.
- (c):      As per Sample registration System (SRS ) the reported Neonatal Mortality Rate (NMR) of the last three years and the current year , state/UT -wiseis placed at annexure.
- (d): Under the National Health Mission, the follow ing  key interventions are implementedall over the country to bring down theneonatal mortality:
1. Promoting  Institutional  delivery through  Janani  Suraksha  Yojna  (JSY),  a  cash    incentive scheme for pregnant mothers and Janani Shishu Suraksha Karyakaram (JSSK ) which entitles all pregnant women and sick infant toabsolutely free and no expense treatment at the public health facilities.
2. Strengthening  o f  delivery  points  by identifying the 'delivery points' for providing comprehensive and quality RMNCH Services at those health facilities .

Contd……..

3. Strengthening of newborn care services by establishing  facilities for care of Sick Newb such as Special New Born Care Units (SNCUs), New Born Stabilization Units (NBSUs) and New Born CareCorners (NBCCs) and provision of  Home based new born care ( HBNC ) through  ASHAs. Guidelines  for  Use  of  Antenatal  Corticosteroids  in  preterm  labour  an Kangaroo Mother care and Optimal feeding in Low birth weight infants for the managemen of preterm babies have been disseminated to the states.
4. Various trainings in the form of Facility Based Newborn Care (FBNC) training to provide comprehensive care to the sick babies and Navjat Shishu Suraksha Karyakaram (NSSK) t provide essential newborn care is being imparted to medical officers and nurses to bui capacity .
5. Preventi on and treatment of Anaemia by supplementation with Iron and Folic Acid table during pregnancy and lactation .
6. Name Based Tracking of Pregnant Women to ensure complete antenatal, intranatal, postna care and children up to 2 years of age for completing immunization as per UIP schedule.
7. Village Health and Nutrition Days in rural areas as an outreach activity, for prov maternal  and  child  health  services  and  creating  awareness  on  maternal  and  child including health and nutrition education.
8. A s  breastfeeding  reduces  infant  mortality,  early  initiation  and  exclusive  breastfee first six months and appropriate infant and young ch ild feeding practices are promoted in convergence with Ministry of Woman and Child Development.
9. To sharpen the f ocus on vulnerable and marginalized populations in underserved areas, 18 High  Priority  Districts  have  been  identified  for  intensification  of  Reproductive  M Newborn  Child  Health+  Adolescent  (RMNCH+A)  interventions  for  achieving  improved maternal and child health outcomes.

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## Annexure

## Trend of Neonatal mortality rate in India, Sample Registration System ( SRS )

| States           |   2010 |   2011 |   2012 |   2013 |
|------------------|--------|--------|--------|--------|
| India            |     33 |     31 |     29 |     28 |
| Andhra Pradesh   |     30 |     28 |     27 |     25 |
| Assam            |     33 |     30 |     29 |     27 |
| Bihar            |     31 |     29 |     28 |     28 |
| Chhattisgarh     |     37 |     34 |     31 |     31 |
| Delhi            |     19 |     18 |     16 |     16 |
| Gujarat          |     31 |     30 |     28 |     26 |
| Haryana          |     33 |     28 |     28 |     26 |
| Himachal Pradesh |     31 |     28 |     26 |     25 |
| Jammu & Kashmir  |     35 |     32 |     30 |     29 |
| Jharkhand        |     29 |     29 |     27 |     26 |
| Karnataka        |     25 |     24 |     23 |     22 |
| Kerala           |      7 |      7 |      7 |      6 |
| Madhya Pradesh   |     44 |     41 |     39 |     36 |
| Maharashtra      |     22 |     18 |     18 |     17 |
| Orissa           |     42 |     40 |     39 |     37 |
| Punjab           |     25 |     24 |     17 |     16 |
| Rajasthan        |     40 |     37 |     35 |     32 |
| Tamil Nadu       |     16 |     15 |     15 |     15 |
| Uttar Pradesh    |     42 |     40 |     37 |     35 |
| West Bengal      |     23 |     22 |     22 |     21 |