Lok Sabha Question No. 931 (UNSTARRED), answered on 2016-04-29
Subject: Maternal Hortality due to Anaemia
Ministry: HEALTH AND FAMILY WELFARE
Asked by: BHAIRON PRASAD MISHRA

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

## LOK SABHA UNSTARRED  QUESTION NO. 931 TO BE ANSWERED ON 29 TH APRIL, 2016

## MATERNAL M ORTALITY DUE TO ANAE MIA

## 931. SHRI BHAIRON PRASAD MISHRA:

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

- (a)  the  details  of  maternal  mortality  reported  due  to  anaemia  during  the  last  thre State/UT - wise;
- (b)  whether  the  Government  has  put  in  place  programmes/schemes  to  prevent  an aemia  in pregnant women and curb maternal mortality; and
- (c) if so, the details thereof along with the steps taken by the Government in this regard

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

- (a): As per the latest report of the RGI - SRS, MMR of Indiafor the period 2011 - 13 is 167 per 100,000 live births.
- As per the RGI SRS report titled 'Maternal Mortality in India: 2001- 2003 trends, causes and risk factors', major causes of maternal deaths in the country are haemorrhage (38%), sepsis (11%), hypertensive disorders (5%), obstructed labour (5%), abortion (8%) other Conditions (34%) , which includes anaemia.
- Separate  details  of  Maternal  Mortality  reported  due  to  anaemia  during  the  last years, State/UT wise is not available.
- Data on the causes of Maternal deaths(2001 - 2003)is placed at Annexure .
- (b): Under  the  National  Health  Mission  (NHM), various  steps havebeen  taken to  tackle anaemia in pregnant and lactating women t curb Maternal Mortality.

Contd………

(c): The steps taken  to tackle  anaemia  in  pregnant  and  lactating  women  to  curb  Maternal Mortality under NHM are:

- Universal screening of pregnant women for anaemia is a part of ante - na al care and all pregnant  women  are  provided  iron  and  folic  acid  tablets  during  their  ante - natal  visits through the existing network of sub -centers and primary health centres and other health facilities  as  well  as  through  outreach  activities  at  Village Heal h  &  Nutrition  Days (VHNDs.
- Every pregnant woman is given iron and folic acid, after the first trimester, to be tablet daily and same is continued during the post na tal period. Pregnant women, who are found to be clinically anaemic, are given additional 1 tablet for taking two table This has been now expanded to 6 month during ANC and 6 month during PNC.
- Government of India has given directions to the States for identification and tracking of severely anaemic cases at all the sub centres and PHCs for their timely management.
- Health and nutrition education through IEC & BCC to promote dietary diversificati inclusion of iron folate rich food as well as foo d items that promotes iron absorption.
- To  tackle  the  problem  of anemiadue  to  malaria  particularly  in  pregnant  women  and children,  Long  Lasting  Insecticide  Nets  (LLINs)  and  Insecticide Treated  Bed  Nets (ITBNs) are being distributed in endemic areas.
- Both the Health management information system & Mother Child tracking system are reporting the cases of anemicand severely anemicpregnant women.
- 184 High Priority Districts (HPDs) have been identified and prioritized for Reprodu Maternal Newborn Chi ld Health+ Adolescent (RMNCH+A) interventions for achieving improved maternal and child health outcomes.
- Safe Motherhood Booklet is being distributed to the pregnant women for educating th on dietary diversification and promotion of consumption of IF A.

………………

## Annexure

## Causes of Maternal Deaths from 2001 - 3 Special Survey of Deaths*

| Maternal Causes   |   India (%) |   EAG and Assam(%) |   South (%) |   Others (%) |
|-------------------|-------------|--------------------|-------------|--------------|
| Haemorrhage       |          38 |                 37 |          30 |           40 |
| Sepsis            |          11 |                 11 |          17 |           10 |
| Hypertensive      |           5 |                  4 |          13 |            6 |
| Obstructed Labour |           5 |                  5 |           9 |            4 |
| Abortion          |           8 |                 10 |           4 |            3 |
| Other Conditions  |          34 |                 33 |          26 |           37 |
| Total             |         100 |                100 |         100 |          100 |