Lok Sabha Question No. 58 (STARRED), answered on 2016-02-26
Subject: Anaemic Children and Malnourishment
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SHRIKANT EKNATH SHINDE, NAGENDRA KUMAR PRADHAN

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

## LOK SABHA STARRED QUESTION NO. 58 TO BE ANSWERED ON THE 26 TH FEBRUARY, 2016 ANAEMIC CHILDREN AND MALNOURISHMENT

## *58.DR. SHRIKANT EKNATH SHINDE: SHRI NAGENDRA KUMAR PRADHAN:

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

- (a) whether more than 50 per cent of children in 10 States are anaemic as latest National Family Health Survey (NFHS);
- (b) if so, the details thereof indicating the percentage of anaemic childre during each of the last three years and the current year, State/UT - wise;
- (c)  whether  the  said  survey  has  also  highlighted  the  problem  of  malnouris prevalent among the people of the country;
- (d) if so, the details thereof indicating the cases of malnourishment report each of the last three years and the current year, State/UT - wise; and
- (e)  the  steps  taken  by  the  Government  to  tide  over  the  challenges  pos ed  by malnourishment?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## ( SHRI JAGAT PRAKASH NADDA )

- (a) to ( e):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 58* FOR 26 TH FEBRUARY, 2016

(a)& (b):  Yes.

As per the latest National Family Health Survey -4 (NFHS-4), conducted during 2015- 16, information is available for 15 States/UTs till date. Out of t States and UTs, 10 States have more than 50% children aged 6 to 59 mon anaemic.However in all t hese 10 States, there has been reduction in prevalen of anaemia in children in NFHS - 4 (2015 - 16) compared to NFHS - 3 (2005 - 06).

The details on anaemia prevalence in children of 6 to 59 months age grou the 15 States/UTs are given in Annexure 1.

(c)& (d):  Yes.

NFHS - 4 also provides information on prevalence of underweight, stunting wasting in under - five children as well as prevalence of underweight, overwei and obesity as per BMI in adult men and women (15 - 49 years). Most of these States have shown reduction in prevalence of stunting and underweight, whe compared  with  NFHS  3.  However,  only  5  States  have  shown  reduction  in prevalence of wasting.

The details of under - nutrition in children and malnourishment in adults as p NFHS - 4 for 15 States/UTs are given in Annexure 2 & 3 respectively.

(e) The steps taken by the Government to tide over the challenges pose malnourishment are as follows:

1. Promotion of appropriate infant and young child feeding practices that i early initiation of breastfeeding and exclusive breastfeeding till 6 m age.
2. Treatment  of  sick  children  with  severe  acute  malnutrition  at  special called  the  Nutriti on  Rehabilitation  Centres  (NRCs),  set  up  at  public  heal facilities. Presently 934 such centres are functional.
3. Micronutrient  supplementation  such  as  Vitamin  A  and  Iron  Folic  Acid children from 6 months to 5 years.
4. Village Health and Nutrition Days and Mother and Child Protection Card are the  joint  initiative  of  the Ministries  of  Health  &  Family  W elfare  and  the Ministry  of  Woman  and  Child Development for  addressing  the  nutrition concerns in children, pregnant women and lactating mothers. Monthly Vill age Health and Nutrition Days (VHND) are monthly days held at village level Anganwadi centre to increase the awareness and bring about desired chan in the dietary practices including the promotion of breastfeeding.
5. Promotion  for  intake  of  iodised  sa lt  and  monitoring  salt  quality  through testing under National Iodine Deficiency Disorders Control Programme.
6. The Universal Immunisation Programme includes vaccines such as Pentavalent, Measles and BCG that protect children against life threat disease s.
7. Management of malnutrition and common neonatal and childhood illnesses community  and  facility  level  by  training  service  providers  in  IM (Integrated Management of Neonatal and Childhood Illnesses) training.
8. Under  Integrated  Child  Development  Servi ces  Scheme,  Supplementary Nutrition is provided to bridge the gap between the Recommended Dieta Allowance (RDA) and Average Dietary Intake (ADI).

## State - wise Anaemia prevalence in children aged 6 to 59 months ( NFHS - 3 & NFHS - 4)

|   Sr. No. | STATES         | NFHS-3 (2005-06)   | NFHS-4 (2015-16)   |
|-----------|----------------|--------------------|--------------------|
|         1 | A & N Islands  | NA                 | 49                 |
|         2 | Andhra Pradesh | 70.8               | 58.6↓              |
|         3 | Bihar          | 78                 | 63.5↓              |
|         4 | Goa            | 38.2               | 48.3↑              |
|         5 | Haryana        | 72.3               | 71.7↓              |
|         6 | Karnataka      | 70.4               | 60.9↓              |
|         7 | Madhya Pradesh | 74.1               | 68.9↓              |
|         8 | Meghalaya      | 64.4               | 48↓                |
|         9 | Puducherry     | NA                 | 44.9               |
|        10 | Sikkim         | 59.2               | 55.1↓              |
|        11 | Tamil Nadu     | 64.2               | 50.7↓              |
|        12 | Telengana      | NA                 | 60.7               |
|        13 | Tripura        | 62.9               | 48.3↓              |
|        14 | Uttarakhand    | 61.4               | 59.8↓              |
|        15 | West Bengal    | 61                 | 54.2↓              |

## Annexure 2

## State - wiseprevalence of Under - nutrition in children under five years (%) ( NFHS - 3 & NFHS - 4)

| Sl No.   | States         | Stunting         | Stunting         | Wasting          | Wasting          | Under-weight     | Under-weight     |
|----------|----------------|------------------|------------------|------------------|------------------|------------------|------------------|
| Sl No.   | States         | NFHS-3 (2005-06) | NFHS-4 (2015-16) | NFHS-3 (2005-06) | NFHS-4 (2015-16) | NFHS-3 (2005-06) | NFHS-4 (2015-16) |
| 1        | A & N Islands  | NA               | 23.3             | NA               | 18.9             | NA               | 21.6             |
| 2        | Andhra Pradesh | 42.7             | 31.4↓            | 12.2             | 17.2↑            | 32.5             | 31.9↓            |
| 3        | Bihar          | 55.6             | 48.3↓            | 27.1             | 20.8↓            | 55.9             | 43.9↓            |
| 4        | Goa            | 25.6             | 20.1↓            | 14.1             | 21.9↑            | 25               | 23.8↓            |
| 5        | Haryana        | 45.7             | 34↓              | 19.1             | 21.2↑            | 39.6             | 29.4↓            |
| 6        | Karnataka      | 43.7             | 36.2↓            | 17.6             | 26.1↑            | 37.6             | 35.2↓            |
| 7        | Madhya Pradesh | 50               | 42↓              | 35               | 25.8↓            | 60               | 42.8↓            |
| 8        | Meghalaya      | 55.1             | 43.8↓            | 30.7             | 15.3↓            | 48.8             | 29↓              |
| 9        | Puducherry     | NA               | 23.7             | NA               | 23.6             | NA               | 22               |
| 10       | Sikkim         | 38.3             | 29.6↓            | 9.7              | 14.2↑            | 19.7             | 14.2↓            |
| 11       | Tamil Nadu     | 30.9             | 27.1↓            | 22.2             | 19.7↓            | 29.8             | 23.8↓            |
| 12       | Telengana      | NA               | 28.1             | NA               | 18               | NA               | 28.5             |
| 13       | Tripura        | 35.7             | 24.3↓            | 24.6             | 16.8↓            | 39.6             | 24.1↓            |
| 14       | Uttarakhand    | 44.4             | 33.5↓            | 18.8             | 19.5↑            | 38               | 26.6↓            |
| 15       | West Bengal    | 44.6             | 32.5↓            | 16.9             | 20.3↑            | 38.7             | 31.5↓            |

## Annexure 3

## State - wiseprevalence of malnutrition inAdults (%) (NFHS- 4)

|        |                | (NFHS-4 2015-16)                | (NFHS-4 2015-16)                | (NFHS-4 2015-16)                   | (NFHS-4 2015-16)                   |
|--------|----------------|---------------------------------|---------------------------------|------------------------------------|------------------------------------|
| Sl No. | States         | Undernourished (BMI<18.5 Kg/m2) | Undernourished (BMI<18.5 Kg/m2) | Overweight/Obesity (BMI> 25 Kg/m2) | Overweight/Obesity (BMI> 25 Kg/m2) |
|        |                | Male                            | Female                          | Male                               | Female                             |
| 1      | A & N Islands  | 8.7                             | 13.1                            | 38.2                               | 31.8                               |
| 2      | Andhra Pradesh | 14.8                            | 17.6                            | 33.5                               | 33.2                               |
| 3      | Bihar          | 25.4                            | 30.4                            | 12.6                               | 11.7                               |
| 4      | Goa            | 10.8                            | 14.7                            | 32.6                               | 33.5                               |
| 5      | Haryana        | 11.3                            | 15.8                            | 20                                 | 11.3                               |
| 6      | Karnataka      | 16.5                            | 20.7                            | 22.1                               | 23.3                               |
| 7      | Madhya Pradesh | 28.4                            | 28.3                            | 10.9                               | 13.6                               |
| 8      | Meghalaya      | 11.6                            | 12.1                            | 10.1                               | 12.2                               |
| 9      | Puducherry     | 10.2                            | 11.3                            | 37.1                               | 36.7                               |
| 10     | Sikkim         | 2.4                             | 6.4                             | 34.8                               | 26.7                               |
| 11     | Tamil Nadu     | 12.4                            | 14.6                            | 28.2                               | 30.9                               |
| 12     | Telengana      | 21.4                            | 23.1                            | 24.2                               | 28.1                               |
| 13     | Tripura        | 15.7                            | 18.9                            | 15.9                               | 16                                 |
| 14     | Uttarakhand    | 16.1                            | 18.4                            | 17.7                               | 20.4                               |
| 15     | West Bengal    | 19.9                            | 21.3                            | 14.2                               | 19.9                               |