Lok Sabha Question No. 560 (UNSTARRED), answered on 2016-02-26
Subject: Anaemia among Women and Adolescent Girls
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SANJAY SHAMRAO DHOTRE, SRINIVAS KESINENI, BHARTRUHARI MAHTAB, DEVAJIBHAI GOVINDBHAI FATEPARA, K. ASHOK KUMAR

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

## LOK SABHA UNSTARRED QUESTION NO. 560 TO BE ANSWERED ON 26 TH FEBRUARY , 2016

## ANAEMIA AMONG WOMEN AND ADOLESCENT GIRLS

## 560. SHRI SANJAY DHOTRE:

SHRI KESINENI NANI:

SHRI BHARTRUHARI MAHTAB:

SHRI DEVAJIBHAI G. FATEPARA:

SHRI K. ASHOK KUMAR:

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

- (a) whether the cases of Anaemia among women and adolescent girls and deaths therefrom have increased in the country despite several measures taken by the Government;
- (b) if so, the details thereof indicating the number of such incidences reported during e last three years and the current year, State/UT - wise including Andhra Pra desh;
- (c)  the  details  of  the  schemes/  programmes  being  implemented  by  the  Government  to  che anaemia cases in the country;
- (d) the funds sanctioned, released and utilized during each of the last three years and year, programme/schemewise a nd State/UT - wise;
- (e) whether the cases of irregularities/ corruption in implementation of the schemes/programmes in the country have come to the notice of the Government during the s period, if so, the details thereof along with the remedial ste ps taken by the Government in this regard; and
- (f) the other steps taken by the Government to tide over the challenge of anaemia?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## (SHRI JAGAT PRAKASH NADDA)

- (a) to (b): As per the  National Family Health Survey -3  (NFHS- 3)        (2005 - 6), 55 percent women and 56 percent adolescent girls were  anaemic. However,  r ecently  conducted National Family Health Survey - 4 (NFHS - 4) (2015 - 16), provides information for 15 States & UTs till d ate, which shows a decline in anaemia prevalence in women (age 15 to 49 years) in most of the se States ascompared to NFHS - 3.

The State - wise details of a naemia prevalence in women and adolescent g irls as per the NFHS - 3 and NFHS- 4 (only for 15 States/UTs) are provided in Annexure -1.

(c) to (f):Government has taken many steps in order to check anaemia in the country. The details of these schemes/programmes are asbelow:

- The Ministry of Health & Family Welfare has launched  National Iron Plus Initiative fo prevention and treatment of anaemia in a life cycle approach as under:
-  For all under - five children, there is provision of supervised biweekly iron folic supplementation by ASHA
-  Weekly IF A tablet supplementation to children 5 -10 years and adolescents 11 -19 years
-  Bi- annual Deworming to all children 1 -19 years
-  Every  pregnant  woman  is  given  100  tablets  of  iron  and  folic  acid,  after  the trimester, to be taken 1 tablet daily and same is continued during the post natal period. Pregnant women, who are found to be clinically anaemic, are given additional 1 tablets for taking two tablets daily. This has been now expanded to 6 month du ANC and 6 month during PNC.
- Universal  screen ing  of  pregnant  women  for  anaemia  is  a  part  of  ante -natal  care  and  all severely anaemic mothers are line listed and followed up for comprehensive management higher facilities.
- I dentification and tracking of severely anaemic cases at all the sub centres and PHCs for their timely management.
- Both  the  Health  Management  Information  System  &  Mother  Child  Tracking  S ystem  are reporting the cases of anaemic and severely anaemic pregnant women.
- In malaria endemic areas, to tackle the problem of anaemia due to m alaria particularly in pregnant  women  and  children,  Long  Lasting  Insecticide  Nets  (LLINs)  and  Insectici Treated Bed Nets (ITBNs) are being distributed.
- Health  and  nutrition  education  through  IEC  &  BCC  to  promote  dietary  diversificati inclusion of iron folate rich food as well as food items that promotes iron absorption.
- Safe Motherhood Booklet is being distributed to the pregnant women for educating them dietary diversification and promotion of consumption of IFA.
- Funds for anaemia prevention and co ntrol programme for women is being provided as a part of annual programme implementation plan budget to the States/UTs which are approved the National Programme Coordination Committee.
- The  details  of  fund  sanctioned  and  utilized  for  the  anaemia  prevent ion  and  co rol programme for adolescent girls during the last three years are provided in Annexure 2.
- The programmes related to anaemia are being implemented by the States/UTs. However, no case  of  corruption  and  irregularities  in  implementation  of  these  schemes/programmes been reported in last three years.

……………

## Annexure 1

## Anaemia Prevalence in Adolescent girls and Women as per NFHS - 3 (2005 - 06) and NFHS - 4 (2015 - 16)

| Sr. No.   |              | Anaemia Prevalence             | Anaemia Prevalence                       | Anaemia Prevalence   |
|-----------|--------------|--------------------------------|------------------------------------------|----------------------|
| Sr. No.   |              | NFHS -3 (2005 - 06)            | NFHS -3 (2005 - 06)                      | NFHS -4 (2015 - 16)  |
| Sr. No.   |              | Adolescent Girls (15-19 years) | Women of reproductive age group (15 -49) | reproductive group   |
|           | All India    | 55.8                           | 55.3                                     | NA                   |
| 1         | AN Islands   | NA                             | NA                                       | 65.7                 |
| 2         | Andhra P.    | 68.3                           | 62.9                                     | 60                   |
| 3         | Arunachal P. | 51.2                           | 50.6                                     | NA                   |
| 4         | Assam        | 67.8                           | 69.5                                     | NA                   |
| 5         | Bihar        | 66.4                           | 67.4                                     | 60.3                 |
| 6         | Chhattisgarh | 58.7                           | 57.5                                     | NA                   |
| 7         | Delhi        | 49.7                           | 44.3                                     | NA                   |
| 8         | Goa          | 39.1                           | 38                                       | 31.3                 |
| 9         | Gujarat      | 57.4                           | 55.3                                     | NA                   |
| 10        | Haryana      | 57.7                           | 56.1                                     | 62.7                 |
| 11        | Himachal P.  | 42.7                           | 43.3                                     | NA                   |
| 12        | J & K        | 53.4                           | 52.1                                     | NA                   |
| 13        | Jharkhand    | 67.2                           | 69.5                                     | NA                   |
| 14        | Karnataka    | 51.3                           | 51.5                                     | 44.8                 |
| 15        | Kerala       | 34.7                           | 32.8                                     | NA                   |
| 16        | Madhya P.    | 52.1                           | 56                                       | 52.5                 |
| 17        | Maharashtra  | 51.7                           | 48.4                                     | NA                   |
| 18        | Manipur      | 30.4                           | 35.7                                     | NA                   |
| 19        | Meghalaya    | 46.5                           | 47.2                                     | 56.2                 |
| 20        | Mizoram      | 39.4                           | 38.6                                     | NA                   |
| 21        | Odisha       | 61.4                           | 61.2                                     | NA                   |
| 22        | Puducherry   | NA                             | NA                                       | 52.4                 |
| 23        | Punjab       | 41.4                           | 38                                       | NA                   |
| 24        | Rajasthan    | 53.9                           | 53.1                                     | NA                   |
| 25        | Sikkim       | 64.1                           | 60                                       | 34.9                 |
| 26        | Tamil Nadu   | 49.7                           | 53.2                                     | 55.1                 |
| 27        | Telengana    | NA                             | NA                                       | 56.7                 |
| 28        | Tripura      | 59.8                           | 65.1                                     | 54.5                 |
| 29        | Uttar P.     | 48.6                           | 49.9                                     | NA                   |
| 30        | Uttarakhand  | 59.3                           | 55.2                                     | 45.2                 |
| 31        | West Bengal  | 62                             | 63.2                                     | 62.5                 |

| Annexure II          | Annexure II          | Annexure II                       | Annexure II          | Annexure II                       | Annexure II          | Annexure II                       | Annexure II          | Annexure II                       | Annexure II          |
|----------------------|----------------------|-----------------------------------|----------------------|-----------------------------------|----------------------|-----------------------------------|----------------------|-----------------------------------|----------------------|
| Sl.                  |                      | 2012-13                           | 2012-13              | 2013-14                           | 2013-14              | 2014-15                           | 2014-15              | Rs. In crore 2015-16              | Rs. In crore 2015-16 |
| No.                  | Activity             | Allocation (Approval as per SPIP) | Utilization          | Allocation (Approval as per SPIP) | Utilization          | Allocation (Approval as per SPIP) | Utilization          | Allocation (Approval as per SPIP) | Utilization          |
| A. High Focus States | A. High Focus States | A. High Focus States              | A. High Focus States | A. High Focus States              | A. High Focus States | A. High Focus States              | A. High Focus States | A. High Focus States              | A. High Focus States |
| 1                    | Bihar                | 25.55                             | 0.52                 | 20.93                             | 3.30                 | 6.54                              | 2.10                 | 4.70                              | 0.30                 |
| 2                    | Chattisgarh          | 15.70                             | 0.38                 | 19.79                             | 0.29                 | 2.26                              | 0.58                 | 0.43                              | 0.33                 |
| 3                    | Himachal Pradesh     | 6.28                              | 2.88                 | 9.38                              | 5.10                 | 0.95                              | 0.48                 | 0.64                              | 0.16                 |
| 4                    | Jammu & Kashmir      | 0.76                              | 0.09                 | 5.18                              | 1.40                 | 3.76                              | 0.71                 | 1.67                              | 0.05                 |
| 5                    | Jharkhand            | 6.82                              | 1.47                 | 11.93                             | 2.34                 | 3.42                              | 1.79                 | 1.58                              | 0.76                 |
| 6                    | Madhya Pradesh       | 4.59                              | 1.45                 | 22.55                             | 7.23                 | 11.03                             | 0.66                 | 4.51                              | 0.13                 |
| 7                    | Orissa               | 9.60                              | 8.17                 | 21.99                             | 12.97                | 7.17                              | 1.31                 | 5.24                              | 0.05                 |
| 8                    | Rajasthan            | 0.73                              | 0.31                 | 10.57                             | 0.80                 | 7.06                              | 0.46                 | 4.59                              | 0.11                 |
| 9                    | Uttar Pradesh        | 36.36                             | 11.40                | 28.55                             | 19.67                | 23.51                             | 1.67                 | 1.08                              | 0.61                 |
| 10                   | Uttarakhand          | 11.08                             | 9.77                 | 12.98                             | 9.83                 | 2.71                              | 2.04                 | 1.68                              | 0.39                 |
|                      | Sub Total            | 117.46                            | 36.45                | 163.85                            | 62.93                | 68.42                             | 11.79                | 26.11                             | 2.88                 |
| B. NE States         | B. NE States         | B. NE States                      | B. NE States         | B. NE States                      | B. NE States         | B. NE States                      | B. NE States         | B. NE States                      | B. NE States         |
| 11                   | Arunachal Pradesh    | 0.69                              | 2.01                 | 4.71                              | 2.95                 | 1.19                              | 0.26                 | 0.48                              | 0.16                 |
| 12                   | Assam                | 15.19                             | 8.87                 | 15.73                             | 5.81                 | 5.63                              | 0.07                 | 2.66                              | 0.04                 |
| 13                   | Manipur              | 1.14                              | 0.39                 | 1.06                              | 0.34                 | 0.54                              | 0.43                 | 0.28                              | 0.07                 |
| 14                   | Meghalaya            | 0.79                              | 0.45                 | 1.99                              | 0.48                 | 2.58                              | 0.79                 | 1.11                              | 0.11                 |
| 15                   | Mizoram              | 1.29                              | 1.03                 | 0.95                              | 0.84                 | 1.28                              | 0.06                 | 0.15                              | 0.48                 |
| 16                   | Nagaland             | 0.33                              | 0.47                 | 2.48                              | 0.42                 | 0.09                              | 0.10                 | 0.21                              | 0.01                 |
| 17                   | Sikkim               | 0.24                              | 0.13                 | 0.83                              | 0.15                 | 0.20                              | 0.04                 | 0.12                              | 0.00                 |
| 18                   | Tripura              | 1.05                              | 0.39                 | 1.11 28.86                        | 0.21                 | 0.29                              | 0.10                 | 0.64                              | 0.04                 |
|                      | Sub Total            | 20.71                             | 13.75                |                                   | 11.20                | 11.79                             | 1.85                 | 5.66                              | 0.91                 |

| C. Non-High Focus States   | C. Non-High Focus States   | C. Non-High Focus States   | C. Non-High Focus States   | C. Non-High Focus States   | C. Non-High Focus States   | C. Non-High Focus States   | C. Non-High Focus States   | C. Non-High Focus States   | C. Non-High Focus States   |
|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|
| 19                         | Andhra Pradesh             | 27.73                      | 16.28                      | 31.62                      | 3.94                       | 1.54                       | 1.40                       | 2.80                       | 0.06                       |
| 20                         | Goa                        | 1.20                       | 0.29                       | 0.94                       | 0.48                       | 0.66                       | 0.21                       | 0.13                       | 0.00                       |
| 21                         | Gujarat                    | 17.44                      | 16.34                      | 32.50                      | 13.29                      | 0.14                       | 0.13                       | 1.04                       | 0.38                       |
| 22                         | Haryana                    | 3.63                       | 2.57                       | 8.84                       | 5.05                       | 2.75                       | 1.58                       | 0.35                       | 0.07                       |
| 23                         | Karnataka                  | 8.32                       | 6.84                       | 20.96                      | 8.50                       | 2.92                       | 1.00                       | 0.40                       | 0.01                       |
| 24                         | Kerala                     | 6.64                       | 6.70                       | 19.88                      | 4.57                       | 0.80                       | 0.20                       | 0.22                       | 0.08                       |
| 25                         | Maharashtra                | 14.43                      | 14.46                      | 33.43                      | 33.63                      | 0.37                       | 0.13                       | 1.13                       | 0.25                       |
| 26                         | Punjab                     | 11.05                      | 5.22                       | 13.00                      | 5.58                       | 6.06                       | 2.38                       | 0.15                       | 0.14                       |
| 27                         | Tamil Nadu                 | 11.87                      | 0.63                       | 18.13                      | 12.77                      | 2.40                       | 0.75                       | 0.49                       | 1.56                       |
| 28                         | Telangana                  | -                          | -                          | -                          | -                          | 7.96                       | 9.42                       | 0.95                       | 0.07                       |
| 29                         | West Bengal                | 10.87                      | 1.83                       | 30.88                      | 11.91                      | 15.01                      | 16.20                      | 4.21                       | 2.80                       |
|                            | Sub Total                  | 113.17                     | 71.15                      | 210.18                     | 99.74                      | 40.63                      | 33.40                      | 11.88                      | 5.40                       |
| D. Small States/UTs        | D. Small States/UTs        | D. Small States/UTs        | D. Small States/UTs        | D. Small States/UTs        | D. Small States/UTs        | D. Small States/UTs        | D. Small States/UTs        | D. Small States/UTs        | D. Small States/UTs        |
| 30                         | Andaman & Nicobar Islands  | 0.23                       | 0.04                       | 0.32                       | 0.07                       | 0.07                       | 0.03                       | 0.07                       | -                          |
| 31                         | Chandigarh                 | 0.48                       | 0.01                       | 0.00                       | 0.00                       | 0.02                       | -                          | 0.00                       | -                          |
| 32                         | Dadra & Nagar Haveli       | 0.18                       | 0.15                       | 0.38                       | 0.34                       | 0.06                       | -                          | 0.11                       | 0.02                       |
| 33                         | Daman & Diu                | 0.20                       | 0.06                       | 0.23                       | 0.09                       | 0.00                       | 0.00                       | 0.01                       | 0.00                       |
| 34                         | Delhi                      | 0.87                       | 0.15                       | 2.69                       | 0.06                       | 0.25                       | 0.08                       | 0.21                       | 0.01                       |
| 35                         | Lakshadweep                | 0.10                       | -                          | 0.02                       | -                          | 0.02                       | -                          | 0.02                       | -                          |
| 36                         | Puducherry                 | 0.05                       | 0.04                       | 0.19                       | 0.08                       | 0.07                       | 0.03                       | 0.09                       | 0.02                       |
|                            | Sub Total                  | 2.10                       | 0.46                       | 3.83                       | 0.63                       | 0.48                       | 0.14                       | 0.51                       | 0.05                       |
|                            | Total                      | 253.45                     | 121.81                     | 406.72                     | 174.50                     | 121.33                     | 47.18                      | 44.16                      | 9.24                       |

Note

1. SPIP stands for State Program implementation Plan.
2. Utilization is inclusive of previous years unspent

balance.

3. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of  th
4. Above mentioned Expenditure figures are as reported by Sta s/UTs up to 31.12.2015.
5. Data of Allocation and Approval for the F.Y. 2012 - 13 & 2013 - 14 is of ARSH Head and in the F.Y. 2014 - 15 & 2015 - 16 is of RKSK Head.