Lok Sabha Question No. 1040 (UNSTARRED), answered on 2016-07-22
Subject: NFHS-4
Ministry: HEALTH AND FAMILY WELFARE
Asked by: K. C. VENUGOPAL, RABINDRA KUMAR JENA

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

## LOK SABHA UNSTARRED QUESTION NO. 1040 TO BE ANSWERED ON 2 2 ND JULY, 2016

## NFHS - 4

## 1040. SHRI K.C. VENUGOPAL:

## SHRI RABINDRA KUMAR JENA:

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

- (a) whether the Government has released the entire data of all States and Union Territories in the National Family Health Survey -4, (NFHS- 4) if so, the details thereof in terms of various health parameters in comparison to NFHS - 3 survey, State/UT - wise including Odisha;
- (b) if not, the timeline fixed for timely completion of the survey; and
- (c) the details for malnutrition, State/ UT - wise including Kerala along with the steps taken by the Government to eradicate Stunting and other forms of under - nutrition among children?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE )

- (a) & (b): National Family Health Survey -4, (NFHS- 4) is carried out in two phases. Field work of the States/UTs pertaining to first phase has been completed and key results publi 18 States and UTs.  Field work   of the States/UTs pertaining to second phase ha s commenced in January, 2016. Odisha is covered in the second phase.  Ministry has fixed July, 2017 timeline for the completion of the survey.   A statement showing some key health indicator NFHS - 4 in comparison to NFHS - 3 survey, for 18 States /UTs is given at Annexure -I.
- (c): State/ UT -wise data on nutritional status of children under 5 years of age from NFH - 4 for 18 States/ UTs are given at Annexure -II. The results of Kerala are not available because it covered in the second phase of NF HS - 4.

Various  interventions  are  implemented  under  National  Health  Mission  to  improv nutritional status of children. These inter - alia include:

- I. Promotion  of  appropriate  infant  and  young  child  feeding  practices  duri Village  Health  and  Nutr ition  Days.  Awareness  about  the  benefits  of  breastfeeding  by Accredited social health activists ( ASHAs) through home visits.
- II. Treatment  of  children  with  severe  acute  malnutrition  at  special  units  calle Nutrition Rehabilitation Centres.
- III. Specific program to prevent and combat micronutrient deficiencies of Vitamin A, Iro Folic Acid.  Vitamin A supplementation is provided for children till the age of 5 Under the recently launched National Iron plus Initiative, bi - weekly  Iron & Fol ic Acid supplementation is provided to children from  6 to 60 months.

Integra

- IV. Management  of  under -nutrition  and  common  neonatal  and  childhood  illnesses  at community and facility level by training service providers in Management ofNeonatal and Childhood Illnesses.

Other schemes under different Ministries of Government of India, targeting improvem of nutritional status include Integrated Child Development Services, Rajiv Gandhi Schem Empowerment of Adolescent Girls, Indira Gandhi Matritva Sahyog Yojana, National Programme of Nutritional Support to Primary Education (Mid -Day Meal Programme) etc.

Annexure - I - 06)

## Some key Indicators from NFHS - 4 (2015 - 16) and NFHS- 3 (2005

NA -Not Available*    New Andhra Pradesh State after bifurcation.

| S.No.   | States/Uts                | Total fertility rate   | Total fertility rate   | Infant m ortality rate   | Infant m ortality rate   | Current use of familyplanning -any modern method (%)   | Current use of familyplanning -any modern method (%)   | Institutional Births (%)   | Institutional Births (%)   | Children age 12 - 23 monthsfully immunized (%)   | Children age 12 - 23 monthsfully immunized (%)   | Women age 15- 49 years whose Body Mass Index (BMI) is below normal   | Women age 15- 49 years whose Body Mass Index (BMI) is below normal   | W omen age 15 - 49 years who anaemic (%)   | W omen age 15 - 49 years who anaemic (%)   |
|---------|---------------------------|------------------------|------------------------|--------------------------|--------------------------|--------------------------------------------------------|--------------------------------------------------------|----------------------------|----------------------------|--------------------------------------------------|--------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|--------------------------------------------|--------------------------------------------|
| S.No.   | States/Uts                | NFHS - 4               | NFHS - 3               | NFHS - 4                 | NFHS - 3                 | NFHS - 4                                               | NFHS - 3                                               | NFHS - 4                   | NFHS - 3                   | NFHS - 4                                         | NFHS - 3                                         | NFHS - 4                                                             | NFHS - 3                                                             | NFHS - 4                                   | NFHS - 3                                   |
| 1       | An daman &Nicobar Islands | 1.5                    | NA                     | 10                       | NA                       | 48.3                                                   | NA                                                     | 96.6                       | NA                         | 73.2                                             | NA                                               | 13.1                                                                 | NA                                                                   | 65.7                                       | NA                                         |
| 2       | Andhra Pr adesh *         | 1.8                    | NA                     | 35                       | NA                       | 69.4                                                   | NA                                                     | 91.6                       | NA                         | 65.3                                             | NA                                               | 17.6                                                                 | NA                                                                   | 60.0                                       | NA                                         |
| 3       | Assam                     | 2.2                    | 2.4                    | 48                       | 66                       | 37.0                                                   | 27.0                                                   | 70.6                       | 22.4                       | 47.1                                             | 31.4                                             | 25.7                                                                 | 36.5                                                                 | 46.0                                       | 69.3                                       |
| 4       | Bihar                     | 3.4                    | 4.0                    | 48                       | 61                       | 23.3                                                   | 28.9                                                   | 63.8                       | 19.9                       | 61.7                                             | 32.8                                             | 30.4                                                                 | 45.0                                                                 | 60.3                                       | 67.4                                       |
| 5       | Goa                       | 1.7                    | 1.8                    | 13                       | 15                       | 24.8                                                   | 37.2                                                   | 96.9                       | 92.3                       | 88.4                                             | 78.6                                             | 14.7                                                                 | 27.9                                                                 | 31.3                                       | 38.0                                       |
| 6       | Haryana                   | 2.1                    | 2.7                    | 33                       | 41                       | 59.4                                                   | 58.3                                                   | 80.5                       | 35.7                       | 62.2                                             | 65.3                                             | 15.8                                                                 | 31.4                                                                 | 62.7                                       | 56.1                                       |
| 7       | Karnataka                 | 1.8                    | 2.1                    | 28                       | 43                       | 51.3                                                   | 62.5                                                   | 94.3                       | 64.7                       | 62.6                                             | 55.0                                             | 20.7                                                                 | 35.4                                                                 | 44.8                                       | 51.2                                       |
| 8       | Madhya Pradesh            | 2.3                    | 3.1                    | 51                       | 69                       | 49.6                                                   | 52.8                                                   | 80.8                       | 26.2                       | 53.6                                             | 40.3                                             | 28.3                                                                 | 41.7                                                                 | 52.5                                       | 55.9                                       |
| 9       | Maharasht ra              | 1.9                    | 2.1                    | 24                       | 37                       | 62.6                                                   | 64.9                                                   | 90.3                       | 64.6                       | 56.3                                             | 58.8                                             | 23.5                                                                 | 36.2                                                                 | 48.0                                       | 48.4                                       |
| 10      | Manipur                   | 2.6                    | 2.8                    | 22                       | 30                       | 12.7                                                   | 23.6                                                   | 69.1                       | 45.9                       | 65.9                                             | 46.8                                             | 8.8                                                                  | 14.8                                                                 | 26.4                                       | 35.7                                       |
| 11      | Meghalaya                 | 3.0                    | 3.8                    | 30                       | 44                       | 21.9                                                   | 18.5                                                   | 51.4                       | 29.0                       | 61.5                                             | 32.9                                             | 12.1                                                                 | 14.6                                                                 | 56.2                                       | 46.2                                       |
| 12      | Puducher ry               | 1.7                    | NA                     | 16                       | NA                       | 61.2                                                   | NA                                                     | 99.9                       | NA                         | 91.3                                             | NA                                               | 11.3                                                                 | NA                                                                   | 52.4                                       | NA                                         |
| 13      | Sikkim                    | 1.2                    | 2.0                    | 29                       | 34                       | 45.9                                                   | 48.7                                                   | 94.7                       | 47.2                       | 83.0                                             | 69.6                                             | 6.4                                                                  | 11.2                                                                 | 34.9                                       | 59.5                                       |
| 14      | Tamil Na du               | 1.7                    | 1.8                    | 21                       | 30                       | 52.6                                                   | 60.0                                                   | 99.0                       | 87.8                       | 69.7                                             | 80.9                                             | 14.6                                                                 | 28.4                                                                 | 55.1                                       | 53.2                                       |
| 15      | Telangan a                | 1.8                    | NA                     | 28                       | NA                       | 56.9                                                   | NA                                                     | 91.5                       | NA                         | 68.1                                             | NA                                               | 23.1                                                                 | NA                                                                   | 56.7                                       | NA                                         |
| 16      | Tripura                   | 1.7                    | 2.2                    | 27                       | 51                       | 42.8                                                   | 44.9                                                   | 79.9                       | 46.9                       | 54.5                                             | 49.7                                             | 18.9                                                                 | 36.9                                                                 | 54.5                                       | 65.1                                       |
| 17      | Uttarakh and              | 2.1                    | 2.6                    | 40                       | 42                       | 49.3                                                   | 55.5                                                   | 68.6                       | 32.6                       | 57.7                                             | 60.0                                             | 18.4                                                                 | 30.0                                                                 | 45.2                                       | 54.7                                       |
| 18      | West Bengal               | 1.8                    | 2.3                    | 27                       | 48                       | 57.0                                                   | 49.9                                                   | 75.2                       | 42.0                       | 84.4                                             | 64.3                                             | 21.3                                                                 | 39.1                                                                 | 62.5                                       | 63.2                                       |

## Nutritional Status of Children under age 5 years from NFHS - 4

| State/ UT                   |   Children under 5 years who are stunted* |   Children under 5 years who are wasted* |   Chil dren under 5 years who underweight* |
|-----------------------------|-------------------------------------------|------------------------------------------|--------------------------------------------|
| Andaman and Nicobar Islands |                                      23.3 |                                     18.9 |                                       21.6 |
| Andhra Pradesh              |                                      31.4 |                                     17.2 |                                       31.9 |
| Assam                       |                                      36.4 |                                     17   |                                       29.8 |
| Bihar                       |                                      48.3 |                                     20.8 |                                       43.9 |
| Goa                         |                                      20.1 |                                     21.9 |                                       23.8 |
| Haryana                     |                                      34   |                                     21.2 |                                       29.4 |
| Karnataka                   |                                      36.2 |                                     26.1 |                                       35.2 |
| Madhya Pradesh              |                                      42   |                                     25.8 |                                       42.8 |
| Maharashtra                 |                                      34.4 |                                     25.6 |                                       36   |
| Manipur                     |                                      28.9 |                                      6.8 |                                       13.8 |
| Meghalaya                   |                                      43.8 |                                     15.3 |                                       29   |
| Puducherry                  |                                      23.7 |                                     23.6 |                                       22   |
| Sikkim                      |                                      29.6 |                                     14.2 |                                       14.2 |
| Tamil Nadu                  |                                      27.1 |                                     19.7 |                                       23.8 |
| Telangana                   |                                      28.1 |                                     18   |                                       28.5 |
| Tripura                     |                                      24.3 |                                     16.8 |                                       24.1 |
| Uttarakhand                 |                                      33.5 |                                     19.5 |                                       26.6 |
| West Bengal                 |                                      32.5 |                                     20.3 |                                       31.5 |

*Below - 2 standard deviations, based on the WHO standard.