Lok Sabha Question No. 4619 (UNSTARRED), answered on 2026-03-20
Subject: Status of NMR and U5MR
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Dulu Mahato, Dr. K Sudhakar, Shri Shivmangal Singh Tomar, Shri Bhojraj Nag, Shri Chavda Vinod Lakhamshi, Shri Ramesh Awasthi, Shri Shankar Lalwani, Shri Manish Jaiswal, Dr. Rajesh Mishra, Smt. Poonamben Hematbhai Maadam, Shri Yogender Chandolia, Shri Trivendra Singh Rawat, Shri Damodar Agrawal, Ms Kangna Ranaut, Smt. Sanjna Jatav, Shri G M Harish Balayogi, Smt. Smita Uday Wagh, Shri Captain Brijesh Chowta, Shri Chandra Prakash Joshi

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 4619 TO BE ANSWERED ON 20TH MARCH 2026

## STATUS OF NMR AND U5MR

## 4619. MS KANGNARANAUT:

SHRI BHOJRAJ NAG:

SHRI MANISH JAISWAL:

SHRI DAMODAR AGRAWAL:

SHRI DULU MAHATO:

SHRI SHANKAR LALWANI:

SHRI TRIVENDRASINGH RAWAT:

DR. K SUDHAKAR:

SMT. POONAMBEN HEMATBHAI MAADAM:

SHRI CAPTAIN BRIJESH CHOWTA:

SHRI RAMESH AWASTHI:

SMT. SMITA UDAY WAGH:

SHRI G M HARISH BALAYOGI:

DR. RAJESH MISHRA:

SHRI SHIVMANGALSINGH TOMAR:

SHRI YOGENDER CHANDOLIA:

SHRI CHANDRAPRAKASH JOSHI:

SMT. SANJNA JATAV:

SHRI CHAVDAVINOD LAKHAMSHI:

Will the Minister of HEALTH AND FAMILYWELFARE be pleased to state:

- (a) the current status of Neonatal Mortality Rate (NMR) and Under-5 Mortality Rate (U5MR) in the country, State/UT and district-wise comparative data for Jalgaon, Karnataka for Dakshina Kannada, Konaseema, Hazaribagh and Ramgarh and districts under Bharatpur Parliamentary Constituency;
- (b) the specific measures undertaken by the Government to further reduce the said rates in these districts in the country,
- (c) the district level implementation mechanisms in place to ensure targeted intervention in high -burden districts through strengthening institutional deliveries, Special Newborn Care Units (SNCU), immunisation and nutrition interventions;
- (d) the key components and objectives of the Rashtriya Bal Swasthya Karyakram (RBSK) being implemented for early identification and intervention of the 4Ds -Defects at birth, Diseases,

Deficiencies and Developmental delays in the country and its implementation status in Jharkhand including the said districts;

- (e) the details of the number of children screened and treated under the Programme during the last five years, year, State/UT and district-wise data for the said districts;
- (f) the initiatives taken by the Government to strengthen early detection, referral and management of health conditions under RBSK in the country, State/UT-wise, particularly in Jharkhand and Hazaribagh and Ramgarh districts; and
- (g) whether any dedicated referral linkages and follow-up mechanisms have been established at the district level in the country and if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYAPATEL)

(a) As per Sample Registration System (SRS) 2023 Report of Registrar General of India, the Neonatal Mortality Rate (NMR) is 19 per 1000 live births and Under 5 Mortality Rate (U5MR) is 29 per 1000 live births at National level. The State/ UT wise details of NMR and U5MR is placed at Annexure I.

(b) and (c) The Ministry of Health and Family Welfare (MoHFW) supports in implementation of Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition (RMNCAH + N) strategy under National Health Mission (NHM) based on the Annual Program Implementation Plan (APIP) submitted by respective State / UT. The details of interventions to improve health outcome of the children all across the country including State of Maharashtra, Karnataka, Andhra Pradesh, Jharkhand and Rajasthan, are as follows:

-  Promotion of institutional deliveries through cash incentive under Janani Suraksha Yojana (JSY);
-  Under Janani Shishu Suraksha Karyakram (JSSK), pregnant mother and sick infants up to one year of age are entitled to free treatment in public health institutions along with the provision of free transport, diagnostics, medicines, blood and consumables;
-  Establishment of Neonatal Intensive Care Units (NICUs)/Special Newborn Care Units (SNCU) and Newborn Stabilization Units (NBSUs) at district and sub-district level to provide specialized care to sick and small babies;
-  Home Based Newborn Care (HBNC) and Home Based Care of Young Child (HBYC) provided by ASHAs to improve child rearing practices;
-  Mothers' Absolute Affection programme (MAA) to promote early initiation and exclusive breastfeeding for first six months;
-  Promotion of ORS and Zinc for management of diarrhoea in children under STOP Diarrhoea Campaign;
-  Early screening, identification and management of pneumonia under Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS);
-  Under Universal Immunization Programme, provision of 11 vaccines to protect children against 12 vaccine-preventable diseases;
-  In addition, Rashtriya Bal Swasthya Karyakram (RBSK) provides child health screening and early intervention services for defects, diseases, deficiencies and delays to improve the quality of survival.

(d) Rashtriya Bal Swasthya Karyakram (RBSK) is a program under the National Health Mission for early identification and management of 4Ds- Defect at birth, Diseases, Deficiencies and Developmental delays among children from birth to 18 years. Children diagnosed with identified health conditions are provided early intervention services and follow-up care.

The major components of RBSK are as follows:

- i. Comprehensive newborn screening at delivery points to screen birth defects of the newborn.
- ii. Community screening for children in the age group 0-18 years of age by Mobile Health Team.
- a) At the Anganwadi (Twice a year)
- b) At Government schools (once a year)
- iii. Screening of the children by the ASHA through the Home based New born care program as a part of Early Childhood Development (Home visit).
- iv. Therapeutic management of the identified children at the District Early Intervention Centres (DEIC) and Tertiary care centres.

(e) As reported by States/UTs, 7492.25 lakh children have been screened, and 401.74 lakh children have been provided secondary/tertiary care during the last five years. State/UT wise details are placed at Annexure II and III.

(f) The Ministry of Health and Family Welfare (MoHFW) supports the States/UTs through technical and financial guidance based on Annual Programme Implementation Plans (APIP) submitted by State/UTs. For effective implementation of RBSK across India, including Jharkhand and Hazaribagh and Ramgarh districts, the program is monitored by MoHFW through review of quarterly reports, field visits, periodic meetings with State Nodal Officers, and Common Review Missions (CRM).

(g) Under RBSK, as reported by States/UTs 453 District Early Intervention Centres (DEIC) are made functional at the district level. Multitude of services are provided by a team of skilled health professionals at DEIC. These centers facilitate as referral linkages for tertiary-level health services. State/UT-wise details are given at Annexure IV.

*****

Annexure I Annexure referred to in reply to part (a) of Lok Sabha Unstarred Q. No. 4619 to be answered on 20th March 2026

| Status of NMRand U5MR in 22 Larger States and UTs   | Status of NMRand U5MR in 22 Larger States and UTs   | Status of NMRand U5MR in 22 Larger States and UTs   |
|-----------------------------------------------------|-----------------------------------------------------|-----------------------------------------------------|
|                                                     | Neonatal Mortality Rate (NMR)                       | Under 5 Mortality Rate (U5MR)                       |
| India                                               | 19                                                  | 29                                                  |
| Andhra Pradesh                                      | 16                                                  | 21                                                  |
| Assam                                               | 21                                                  | 33                                                  |
| Bihar                                               | 18                                                  | 27                                                  |
| Chhattisgarh                                        | 26                                                  | 41                                                  |
| Delhi                                               | 9                                                   | 16                                                  |
| Gujarat                                             | 15                                                  | 23                                                  |
| Haryana                                             | 19                                                  | 30                                                  |
| Himachal Pradesh                                    | 11                                                  | 17                                                  |
| Jammu &Kashmir                                      | 10                                                  | 15                                                  |
| Jharkhand                                           | 20                                                  | 32                                                  |
| Karnataka                                           | 11                                                  | 17                                                  |
| Kerala                                              | 4                                                   | 8                                                   |
| Madhya Pradesh                                      | 27                                                  | 44                                                  |
| Maharashtra                                         | 11                                                  | 16                                                  |
| Odisha                                              | 21                                                  | 35                                                  |
| Punjab                                              | 12                                                  | 22                                                  |
| Rajasthan                                           | 21                                                  | 34                                                  |
| Tamil Nadu                                          | 9                                                   | 13                                                  |
| Telangana                                           | 14                                                  | 22                                                  |
| Uttar Pradesh                                       | 26                                                  | 42                                                  |
| Uttarakhand                                         | 14                                                  | 23                                                  |
| West Bengal                                         | 13                                                  | 18                                                  |

Source: Sample Registration System, RGI Report

India - SAMPLE REGISTRATION SYSTEM (SRS)-STATISTICAL REPORT 2023

Unit:

Per 1000 live births

## Annexure referred to in reply to part (e) of Lok Sabha Unstarred Q. No. 4619 to be answered on 20 th March 2026

## Annexure II

## (No. In Lakh)

|        |                            | 2020-21                     | 2020-21                                           | 2021-22                     | 2021-22                                           | 2022-23                     | 2022-23                                            | 2023-24                     | 2023-24                                            | 2024-25                     | 2024-25                                            |
|--------|----------------------------|-----------------------------|---------------------------------------------------|-----------------------------|---------------------------------------------------|-----------------------------|----------------------------------------------------|-----------------------------|----------------------------------------------------|-----------------------------|----------------------------------------------------|
| S. No. | State/ UTs                 | Number of Screened Children | Children availed Secondary/ Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary/ Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary / Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary / Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary / Tertiary Care for 4Ds |
| 1      | Andaman &Nicobar           | 0.00                        | 0.00                                              | 0.06                        | 0.01                                              | 0.24                        | 0.02                                               | 0.34                        | 0.03                                               | 0.35                        | 0.02                                               |
| 2      | Andhra Pradesh             | 4.39                        | 0.34                                              | 7.24                        | 1.93                                              | 6.06                        | 1.06                                               | 15.79                       | 2.53                                               | 40.55                       | 2.14                                               |
| 3      | Arunachal Pradesh          | 0.04                        | 0.01                                              | 1.25                        | 0.02                                              | 1.54                        | 0.01                                               | 2.97                        | 0.01                                               | 3.59                        | # 30                                               |
| 4      | Assam                      | 18.36                       | 0.64                                              | 30.27                       | 1.20                                              | 74.44                       | 4.12                                               | 80.67                       | 6.40                                               | 100.69                      | 9.19                                               |
| 5      | Bihar                      | 0.00                        | 0.00                                              | 0.00                        | 0.00                                              | 92.07                       | 1.62                                               | 127.75                      | 2.01                                               | 60.61                       | 1.93                                               |
| 6      | Chandigarh                 | 0.00                        | 0.00                                              | 0.61                        | 0.24                                              | 1.54                        | 0.34                                               | 1.77                        | 0.33                                               | 1.87                        | 0.30                                               |
| 7      | Chhattisgarh               | 0.00                        | 0.00                                              | 18.81                       | 0.04                                              | 32.79                       | 0.14                                               | 61.56                       | 0.29                                               | 79.94                       | 0.87                                               |
| 8      | Dadra &Nagar Haveli and DD | 0.00                        | 0.00                                              | 1.26                        | 0.01                                              | 0.65                        | 0.02                                               | 0.66                        | 0.01                                               | 2.00                        | 0.01                                               |
| 9      | Goa                        | 0.00                        | 0.00                                              | 0.00                        | 0.00                                              | 4.23                        | 0.05                                               | 4.24                        | 0.06                                               | 4.27                        | 0.04                                               |
| 10     | Gujarat                    | 0.00                        | 0.00                                              | 75.29                       | 9.61                                              | 198.29                      | 18.53                                              | 195.09                      | 25.44                                              | 223.59                      | 14.63                                              |
| 11     | Haryana                    | 5.84                        | 0.54                                              | 16.69                       | 2.25                                              | 38.43                       | 12.66                                              | 44.16                       | 6.16                                               | 46.87                       | 5.91                                               |
| 12     | Himachal Pradesh           | 0.00                        | 0.00                                              | 0.00                        | 0.00                                              | 2.96                        | # 98                                               | 10.91                       | # 107                                              | 11.25                       | 0.13                                               |
| 13     | Jammu &Kashmir             | 0.00                        | 0.00                                              | 1.88                        | 0.00                                              | 23.48                       | 1.88                                               | 25.35                       | 1.36                                               | 24.97                       | 1.43                                               |
| 14     | Jharkhand                  | 0.00                        | 0.00                                              | 12.74                       | 0.34                                              | 47.59                       | 2.29                                               | 70.57                       | 1.11                                               | 71.39                       | 0.71                                               |

|        |                | 2020-21                     | 2020-21                                           | 2021-22                     | 2021-22                                           | 2022-23                     | 2022-23                                            | 2023-24                     | 2023-24                                            | 2024-25                     | 2024-25                                            |
|--------|----------------|-----------------------------|---------------------------------------------------|-----------------------------|---------------------------------------------------|-----------------------------|----------------------------------------------------|-----------------------------|----------------------------------------------------|-----------------------------|----------------------------------------------------|
| S. No. | State/ UTs     | Number of Screened Children | Children availed Secondary/ Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary/ Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary / Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary / Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary / Tertiary Care for 4Ds |
| 15     | Karnataka      | 92.82                       | 2.47                                              | 99.41                       | 4.48                                              | 128.34                      | 7.83                                               | 126.61                      | 12.30                                              | 119.30                      | 33.16                                              |
| 16     | Kerala         | 0.00                        | 0.00                                              | 0.46                        | 0.01                                              | 16.83                       | 0.10                                               | 27.50                       | 0.02                                               | 42.18                       | 4.61                                               |
| 17     | Ladakh         | 0.00                        | 0.00                                              | 0.12                        | 0.00                                              | 0.99                        | 0.01                                               | 0.95                        | 0.02                                               | 0.86                        | 0.05                                               |
| 18     | Madhya Pradesh | 22.16                       | 1.27                                              | 89.82                       | 4.34                                              | 140.77                      | 9.17                                               | 139.14                      | 8.97                                               | 144.54                      | 8.50                                               |
| 19     | Maharashtra    | 28.40                       | 0.14                                              | 158.63                      | 3.79                                              | 247.32                      | 9.19                                               | 254.74                      | 8.50                                               | 241.47                      | 15.04                                              |
| 20     | Manipur        | 0.00                        | 0.00                                              | 0.00                        | 0.00                                              | 2.36                        | 0.01                                               | 2.93                        | 0.01                                               | 2.26                        | 0.02                                               |
| 21     | Meghalaya      | 0.66                        | 0.09                                              | 3.34                        | 0.13                                              | 8.56                        | 0.17                                               | 9.17                        | 0.39                                               | 8.20                        | 0.41                                               |
| 22     | Mizoram        | 0.00                        | 0.00                                              | 0.42                        | 0.00                                              | 3.21                        | 0.08                                               | 3.57                        | 0.12                                               | 3.39                        | 0.11                                               |
| 23     | Nagaland       | 0.08                        | 0.00                                              | 0.58                        | 0.00                                              | 1.32                        | 0.00                                               | 1.57                        | # 99                                               | 1.65                        | # 40                                               |
| 24     | Odisha         | 13.25                       | 0.61                                              | 40.47                       | 3.16                                              | 122.28                      | 7.77                                               | 122.24                      | 7.14                                               | 123.83                      | 11.20                                              |
| 25     | Puducherry     | 0.00                        | 0.00                                              | 1.68                        | 0.00                                              | 2.38                        | 0.26                                               | 2.00                        | # 556                                              | 2.34                        | 0.01                                               |
| 26     | Punjab         | 0.55                        | 0.00                                              | 0.00                        | 0.00                                              | 31.98                       | 0.43                                               | 33.41                       | 0.36                                               | 39.57                       | 0.28                                               |
| 27     | Rajasthan      | 0.00                        | 0.00                                              | 37.48                       | 1.55                                              | 85.98                       | 3.15                                               | 99.55                       | 1.92                                               | 60.00                       | 2.25                                               |
| 28     | Sikkim         | 0.00                        | 0.00                                              | 0.27                        | 0.00                                              | 0.76                        | 0.02                                               | 0.91                        | 0.02                                               | 1.17                        | 0.01                                               |
| 29     | Tamil Nadu     | 5.73                        | 0.00                                              | 167.76                      | 2.03                                              | 252.90                      | 4.01                                               | 144.89                      | 3.22                                               | 149.76                      | 2.52                                               |
| 30     | Telangana      | 0.00                        | 0.00                                              | 10.72                       | 0.51                                              | 40.03                       | 1.06                                               | 52.63                       | 1.95                                               | 65.72                       | 1.87                                               |
| 31     | Tripura        | 1.31                        | 0.05                                              | 3.65                        | 0.18                                              | 5.19                        | # 313                                              | 8.02                        | # 423                                              | 8.00                        | 0.33                                               |
| 32     | Uttar Pradesh  | 28.21                       | 0.31                                              | 73.42                       | 1.40                                              | 235.16                      | 7.08                                               | 309.21                      | 9.73                                               | 349.68                      | 13.50                                              |
| 33     | Uttarakhand    | 0.90                        | 0.02                                              | 12.03                       | 0.05                                              | 20.88                       | 0.20                                               | 19.74                       | 0.26                                               | 19.60                       | 0.29                                               |

|              |              | 2020-21                     | 2020-21                                           | 2021-22                     | 2021-22                                           | 2022-23                     | 2022-23                                            | 2023-24                     | 2023-24                                            | 2024-25                     | 2024-25                                            |
|--------------|--------------|-----------------------------|---------------------------------------------------|-----------------------------|---------------------------------------------------|-----------------------------|----------------------------------------------------|-----------------------------|----------------------------------------------------|-----------------------------|----------------------------------------------------|
| S. No.       | State/ UTs   | Number of Screened Children | Children availed Secondary/ Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary/ Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary / Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary / Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary / Tertiary Care for 4Ds |
| 34           | West Bengal  | 0.00                        | 0.00                                              | 0.00                        | 0.00                                              | 126.53                      | 8.66                                               | 174.31                      | 11.81                                              | 174.69                      | 12.08                                              |
| TOTAL(Lakhs) | TOTAL(Lakhs) | 222.70                      | 6.49                                              | 866.36                      | 37.28                                             | 1998.09                     | 101.94                                             | 2174.95                     | 112.48                                             | 2230.15                     | 143.55                                             |

Note1: Community level screening through Mobile Health teams was disrupted during COVID-19 pandemic in 2020-21 and 2021-22 as Anganwadi and schools were closed.

Note2: As per information received from Delhi Health Services Government of NCT of Delhi - 2.08 lakh children screened in FY 2022-23; 2.06 lakh children screened & 0.04 lakh children availed secondary/tertiary care in FY 2023-24 and 15.78 lakh children screened & 0.7 lakh children availed secondary/tertiary care in FY 2024-25.

Note3: As per available data, Lakshadweep has screened 0.11 lakh children in FY 2023-24 and 0.16 lakh children in FY 2024-25.

# The figure represent in the absolute number of cases managed due to small population in the States of Arunachal Pradesh, Himachal Pradesh, Lakshadweep, Nagaland, Puducherry and Tripura.

## Annexure referred to in reply to part (e) of Lok Sabha Unstarred Q. No. 4619 to be answered on 20 th March 2026

## Annexure III

(In Numbers)

|                |                             | 2020-21                     | 2020-21                                           | 2021-22                     | 2021-22                                           | 2022-23                     | 2022-23                                           | 2023-24                     | 2023-24                                           | 2024-25                     | 2024-25                                           |
|----------------|-----------------------------|-----------------------------|---------------------------------------------------|-----------------------------|---------------------------------------------------|-----------------------------|---------------------------------------------------|-----------------------------|---------------------------------------------------|-----------------------------|---------------------------------------------------|
| State          | District                    | Number of Screened Children | Children availed Secondary/ Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary/ Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary/ Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary/ Tertiary Care for 4Ds | Number of Screened Children | Children availed Secondary/ Tertiary Care for 4Ds |
| Maharashtra    | Jalgaon                     | 57310                       | 5085                                              | 1011701                     | 100020                                            | 1269232                     | 61700                                             | 1260057                     | 62532                                             | 1240999                     | 135259                                            |
| Karnataka      | Dakshina Kannada            | 184124                      | 3415                                              | 368410                      | 4705                                              | 430941                      | 21978                                             | 379230                      | 34876                                             | 392672                      | 170284                                            |
| Andhra Pradesh | Dr. B.R. Ambedkar Konaseema | *5794                       | *4574                                             | *6208                       | *4845                                             | 8212                        | 6467                                              | 7239                        | 5374                                              | 6283                        | 4086                                              |
| Jharkhand      | Hazaribagh                  | **0                         | **0                                               | 181302                      | 1046                                              | 288737                      | 1865                                              | 329578                      | 7905                                              | 302663                      | 11064                                             |
|                | Ramgarh                     | **0                         | **0                                               | 97478                       | 551                                               | 181281                      | 1255                                              | 190623                      | 2324                                              | 169223                      | 4559                                              |
|                | Deeg ***                    | NA                          | NA                                                | NA                          | NA                                                | NA                          | NA                                                | NA                          | NA                                                | 154549                      | 4411                                              |
| Rajasthan      | Alwar                       | **0                         | **0                                               | 286923                      | 10154                                             | 327142                      | 12343                                             | 203765                      | 5376                                              | 207706                      | 7747                                              |
| Rajasthan      | Bharatpur                   | **0                         | **0                                               | 231290                      | 9330                                              | 386017                      | 9822                                              | 188098                      | 4702                                              | 174313                      | 3787                                              |

## Annexure referred to in reply to part (g) of Lok Sabha Unstarred Q. No. 4619 to be answered on 20th March 2026

| States/UTs                 |   Number of Operational DEIC(s) |
|----------------------------|---------------------------------|
| Andhra Pradesh             |                              34 |
| Arunachal Pradesh          |                               3 |
| Assam                      |                              20 |
| Bihar                      |                               9 |
| Chandigarh                 |                               1 |
| Chhattisgarh               |                               7 |
| Dadra &Nagar Haveli and DD |                               2 |
| Delhi                      |                               4 |
| Goa                        |                               2 |
| Gujarat                    |                              28 |
| Haryana                    |                              21 |
| Himachal Pradesh           |                              10 |
| Jammu &Kashmir             |                              22 |
| Jharkhand                  |                               8 |
| Karnataka                  |                              16 |
| Kerala                     |                              14 |
| Ladakh                     |                               2 |
| Madhya Pradesh             |                              51 |
| Maharashtra                |                              35 |
| Manipur                    |                               9 |
| Meghalaya                  |                               3 |
| Mizoram                    |                               2 |
| Nagaland                   |                               1 |
| Odisha                     |                              32 |
| Puducherry                 |                               1 |
| Punjab                     |                               5 |
| Rajasthan                  |                              18 |
| Sikkim                     |                               1 |
| Tamil Nadu                 |                              39 |
| Telangana                  |                              19 |
| Tripura                    |                               3 |
| Uttar Pradesh              |                              12 |
| Uttarakhand                |                               5 |
| West Bengal                |                              14 |
| Total                      |                             453 |