Lok Sabha Question No. 3418 (UNSTARRED), answered on 2016-08-05
Subject: Maternal and Neo-Natal Tetanus
Ministry: HEALTH AND FAMILY WELFARE
Asked by: VINAYAK BHAURAO RAUT, Shrirang Appa Barne, DHARMENDRA YADAV

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

## LOK SABHA UNSTARRED  QUESTION NO. 3418 TO BE ANSWERED ON 5 TH AUGUST, 2016

## MATERNAL AND NEO - NATAL TETANUS

## 3418. SHRI VINAYAK BHAURAO RAUT: SHRI SHRIRANG APPA BARNE: SHRI DHARMENDRA YADAV:

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

- (a) whether World Health Organisation (WHO) has certified India free from chronic bacterial infections and maternal and neonatal tetanus and if so, the de ails thereof;
- (b) the number of cases of malnutrition and tuberculosis reported during the last three years and the current year, State/UT - wise;
- (c) whether the Government has formulated any scheme to treat and prevent theoccurrence of the above diseases and if so, the details thereof; and

(d) the further steps taken by the Government in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI FAGGAN SINGH KULASTE)

- (a): WHO has cert ified Maternal and N eonatal Tetan us Elimination (MNTE) in India in May 2015, well before the global target date of December 2015. WHO has also certified Inda to be free from YAWS, a chronic bacterial disease, in May 2016.
- (b) : The number of cases of tuberculosis reported during the last three years and the current year,  State/UT -wise  is  given  in Annexure - I . The  details  of  malnutrition  cases  as  assessed through Rapid Survey on Children (RSOC) 2014 isgiven in Annexure -II .
- (c)& (d) : To  prevent  the  occurrence  of  above  mentioned diseases,  following  steps  have been taken by the government:

For Maternal and Neonatal Tetanus, institutional deliveries are being promoted to e clean delivery and pregnant mothers are vaccinated with two doses of Tetanus toxoid.

For  Malnutrition,  v arious  interventions  are  being  undertaken  under  Reproductive  and Child Health Programme which include promotion of appropriate infant and young child feed practices,  management  of  malnutrition  at  community  and  facility  level  under  Integr Management of Neonatal and Childhood Illness (IMNCI), treatment of severe acute malnutrit at  Nutrition  Rehabilitation  Centres  (NRC),  Vitamin  A  supplementation,  Iron  and  Folic Supplementation, promotion of intake of Iodised salt, assistance for nutrition suppo t to preg ant mothers  and  infants  through Janani  Suraksha  Yojana (JSY)  and Janani  Shishu  Suraksha Karyakram (JSSK),  and  early  detection  of  nutritional  deficiencies  through Rashtriya  Bal Swasthya Karyakram (RBSK) and Rashtriya Kishore Swasthya Karyakram ( RKSK).

For Tuberculosis, Revised National Tuberculosis Control Programme (RNTCP) is being implemented in the country for prevention and control of Tuberculosis.

State/UT -wise number of Cases of Tuberculosis

| S No   | State/UTs            | 2013      | 2014      | 2015      | Upto March 2016   |
|--------|----------------------|-----------|-----------|-----------|-------------------|
| 1      | Andaman & Nicobar    | 738       | 756       | 584       | 127               |
| 2      | Andhra Pradesh       | 103,707   | 88,638    | 61,758    | 16,552            |
| 3      | Arunachal Pradesh    | 2,500     | 2,691     | 2,748     | 599               |
| 4      | Assam                | 35,624    | 38,317    | 38,014    | 8,761             |
| 5      | Bihar                | 67,020    | 67,991    | 64,928    | 16,067            |
| 6      | Chandigarh           | 2,890     | 2,869     | 3,143     | 743               |
| 7      | Chhattisgarh         | 25,889    | 28,864    | 29,950    | 7,663             |
| 8      | Dadar & Nagar Haveli | 411       | 450       | 487       | 139               |
| 9      | Daman & Diu          | 742       | 279       | 284       | 90                |
| 10     | Delhi                | 50,727    | 54,037    | 55,260    | 15,253            |
| 11     | Goa                  | 1,778     | 1,660     | 1,599     | 426               |
| 12     | Gujarat              | 74,086    | 77,395    | 82,585    | 22,096            |
| 13     | Haryana              | 38,104    | 39,498    | 40,913    | 9,717             |
| 14     | Himachal Pradesh     | 13,691    | 14,441    | 14,333    | 3,449             |
| 15     | Jammu & Kashmir      | 11,038    | 10,243    | 9,873     | 2,484             |
| 16     | Jharkhand            | 34,941    | 35,907    | 34,792    | 8,417             |
| 17     | Karnataka            | 61,446    | 61,328    | 59,932    | 15,453            |
| 18     | Kerala               | 24,204    | 23,439    | 22,785    | 5,458             |
| 19     | Lakshadweep          | 23        | 27        | 40        | 15                |
| 20     | Madhya Pradesh       | 92,420    | 1,00,034  | 1,03,108  | 24,430            |
| 21     | Maharashtra          | 1,37,237  | 1,35,465  | 1,30,874  | 32,925            |
| 22     | Manipur              | 2,329     | 2,198     | 1,881     | 427               |
| 23     | Meghalaya            | 5,002     | 4,944     | 4,674     | 1,011             |
| 24     | Mizoram              | 2,005     | 1,993     | 2,088     | 531               |
| 25     | Nagaland             | 3,339     | 3,298     | 3,316     | 759               |
| 26     | Orissa               | 45,269    | 45,777    | 45,814    | 11,696            |
| 27     | Pondicherry          | 1,458     | 1,409     | 1,288     | 369               |
| 28     | Punjab               | 37,258    | 38,152    | 38,625    | 9,397             |
| 29     | Rajasthan            | 94,698    | 94,908    | 90,296    | 21,900            |
| 30     | Sikkim               | 1,637     | 1,630     | 1,400     | 379               |
| 31     | Tamil Nadu           | 80,407    | 84,570    | 80,543    | 21,227            |
| 32     | Telangana            | -         | 18,655*   | 39,498    | 10,028            |
| 33     | Tripura              | 2,540     | 2,507     | 7394      | 563               |
| 34     | Uttar Pradesh        | 2,56,733  | 2,55,364  | 246589    | 64,497            |
| 35     | Uttarakhand          | 13,700    | 14,429    | 14317     | 3,477             |
| 36     | West Bengal          | 90,423    | 89,819    | 87468     | 21,086            |
|        | TOTAL                | 14,16,014 | 14,43,942 | 14,23,181 | 3,58,211          |

Source: Central TB Division

State/UT- wise details of Underweight children

| States/UTs        |   % of Underweight children |
|-------------------|-----------------------------|
| Andhra Pradesh    |                        22.3 |
| Arunachal Pradesh |                        24.6 |
| Assam             |                        22.2 |
| Bihar             |                        37.1 |
| Chhattisgarh      |                        33.9 |
| Delhi             |                        19.4 |
| Goa               |                        16.2 |
| Gujarat           |                        33.5 |
| Haryana           |                        22.7 |
| Himachal Pradesh  |                        19.5 |
| Jammu & Kashmir   |                        15.6 |
| Jharkhand         |                        42.1 |
| Karnataka         |                        29   |
| Kerala            |                        18.5 |
| Madhya Pradesh    |                        36.1 |
| Maharashtra       |                        25.2 |
| Manipur           |                        14.1 |
| Meghalaya         |                        30.9 |
| Mizoram           |                        14.8 |
| Nagaland          |                        19.5 |
| Odisha            |                        34.4 |
| Punjab            |                        16.1 |
| Rajasthan         |                        31.5 |
| Sikkim            |                        15.8 |
| Tamil Nadu        |                        23.3 |
| Tripura           |                        30.5 |
| Uttar Pradesh     |                        34.5 |
| Uttarakhand       |                        20.5 |
| West Bengal       |                        30   |
| All - India       |                        29.4 |

Source: Rapid Survey of Children , 2014