Question : Strategy to Combat Malnutrition


(a) whether the Government has chalked out any strategy to effectively combat malnutrition across the country;
(b) if so the details thereof and the total funds allocated in the last one year, year-wise and State-wise including Tamil Nadu, West Bengal, J&K and Madhya Pradesh;
(c) whether the Government has devised any new initiatives and policies for the restructuring and strengthening of Integrated Child Development Scheme(ICDS) in the country;
(d) if so, the details thereof and the performance of the ICDS programs during the last year, State/UT-wise including South Chennai constituency and if so, the details thereof; and
(e) whether the Government has fixed any accountability for the effective implementation of the said schemes and if so, the details thereof?

Answer given by the minister

ANSWER

MINISTER OF WOMEN AND CHILD DEVELOPMENT
(SHRIMATI SMRITI ZUBIN IRANI)

(a) The Government has accorded high priority to the issue of malnutrition and is implementing several schemes/programmes of different Ministries/Departments through States/UTs to address various aspects related to nutrition. This Ministry is implementing Anganwadi Services,Pradhan Mantri Matru Vandana Yojana (PMMVY) and Scheme for Adolescent Girls( SAG) under the Umbrella Integrated Child Development Services Scheme (ICDS) as direct targeted interventions and POSHAN Abhiyaan as indirect intervention to address the problem of malnutrition among children and women in the country.

Government has set up POSHAN Abhiyaan on 18.12.2017. The goals of POSHAN Abhiyaan are to achieve improvement in nutritional status of Children from 0-6 years, Adolescent Girls, Pregnant Women and Lactating Mothers in a time bound manner with fixed targets as under:

S.No. Objective Target
1. Prevent and reduce Stunting in children
(0- 6 years) @ 2% p.a.
2. Prevent and reduce under-nutrition (underweight prevalence) in children (0-6 years) @ 2% p.a.
3. Reduce the prevalence of anaemia among young Children(6-59 months) @ 3% p.a.
4. Reduce the prevalence of anaemia among Women and Adolescent Girls in the age group of 15-49 years. @ 3% p.a.
5. Reduce Low Birth Weight (LBW). @ 2% p.a.

The Abhiyaan aims to reduce malnutrition in the country in a phased manner, through a lifecycle approach, by adopting a synergised and result oriented approach. The Abhiyaan has mechanisms for timely service delivery and a robust monitoring as well as intervention infrastructure. The major activities undertaken under this Abhiyaan are ensuring convergence with various other programmes; Information Technology enabled Common Application Software for strengthening service delivery and interventions; Community Mobilization and Awareness Advocacy leading to Jan Andolan to educate the people on nutritional aspects; Capacity Building of Frontline Functionaries, incentivizing States/ UTs for achieving goals etc.

Further, steps taken under the National Health Mission (NHM), a flagship programme of Ministry of Health and Family Welfare, to address malnutrition inter alia include promotion of appropriate Infant and Young Child Feeding (IYCF) practices, Anaemia Mukt Bharat, Iron and Folic Acid (IFA) supplementation, de-worming, promotion of iodized salt, Vitamin-A supplementation, Mission Indradhanush to ensure high coverage of vaccination in children, conducting intensified diarrhoea control fortnights to control childhood diarrhoea, management of sick severely malnourished children at Nutrition Rehabilitation Centers, monthly Village Health and Nutrition Days, Home Based Newborn Care (HBNC) and Home Based Young Child Care (HBYC) programmes, Rashtriya Bal Swasthya Karyakram, etc.

(b) The funds allocated in the last one year, year-wise and State-wise including Tamil Nadu, West Bengal, J&K and Madhya Pradesh is at Annexure-I, II, III & IV.

(c) The Government has not devised any new initiatives and policies for the restructuring and strengthening of Integrated Child Development Scheme(ICDS) in the country.
(d) The performance of the Anganwadi Services Schemes (erstwhile ICDS) during the last year, State/UT-wise is at Annexure-I &V.

(e) Effective monitoring of schemes is being ensured as follows:

(i) The Anganwadi Services Scheme has an in-built monitoring system since its inception to track the physical progress of the scheme in respect of various input process, output and impact indicators through a standardized Management Information System (MIS).Further, in order to strengthen the performance of Anganwadi Services, Government has introduced monitoring and review mechanism at different levels (National/ State/ District/ Block and Anganwadi level).

Further, ICDS-Common Application Software has been rolled out to capture data on weight and height of children, opening of Anganwadi Centres, distribution of Take Home Ration, attendance of children for pre-school education at Anganwadi Centres. This data/information is available for monitoring on web-based ICDS-CAS dashboard to the supervisory staff at Block, District, State and National level.

(ii) Under the Scheme for Adolescent Girls, monitoring committees have been setup at all levels (National, State, District, Block and Village level) to take stock of the progress of the scheme as also to strengthen the coordination and convergence between concerned departments.

(iii) The Pradhan Mantri Matru Vandana Yojana (PMMVY) is implemented through web-based Management and Information (MIS) Software, viz., Pradhan Mantri Matru Vandana Yojana-Common Application Software (PMMVY-CAS) which is used as an effective tool for regular monitoring. Further, in order to expedite the implementation of the Scheme, regional review meeting-cum-workshops as well as national level workshops are conducted regularly for highest level monitoring. Monitoring is also undertaken through video conferences with all the States/UTs so as to ensure maximum participation by all officials at the State/UT level.

(iv) Regular reviews and meetings are conducted at National and State/UTs level to monitor the progress of implementation of POSHAN Abhiyaan. Field level checks are carried out by the Ministry &States/UTs. Further, there is a National Nutrition Resource Centre (NNRC) at National level and State Nutrition Resource Centre (SNRC) at State level to closely monitor the implementation of POSHAN Abhiyaan.

(v) Additionally, National Council under the Chairmanship of Vice Chairman, NITI Aayog and the Executive Committee also monitor the progress of POSHAN Abhiyaan regularly.
******








Annexure-I
Statement referred to in reply to part (b) of Lok Sabha Unstarred Question No. 3249due for answer on 13.03.2020, raised by SHRI KUNAR HEMBRAM and others

State/UT-wise Fund released in Supplementary Nutrition component of the Anganwadi Services Scheme during last 1 year:

Sl. No. State/UTs Fund released during 2018-19
SNP GENERAL
1 Andhra Pradesh 37353.55 31895.05
2 Bihar 76987.83 35974.64
3 Chhattisgarh 24279.95 28735.52
4 Goa 859.5 778.06
5 Gujarat 32051.56 29206.4
6 Haryana 7305.22 13276.2
7 Jharkhand 29083.25 18797.43
8 Karnataka 43588.97 43506.22
9 Kerala 10785.38 17058
10 Madhya Pradesh 64088.78 49633.10
11 Maharashtra 106535.22 55705.39
12 Odisha 43450.56 33841.79
13 Punjab 3744.1 13411.95
14 Rajasthan 34950.74 29085.81
15 Tamil Nadu 37271.35 26488.7
16 Telangana 22045.61 21257.53
17 Uttar Pradesh 104579.08 84554.34
18 West Bengal 68046.87 53839.34
19 Delhi 3474.65 5457.19
20 Puducherry 0.00 452.11
21 Himachal Pradesh 6976.21 24112.44
22 Jammu & Kashmir 2128.5 34361.46
23 Uttarakhand 13612.57 18465.2
24 A & N Islands 369.94 883.04
25 Chandigarh 769.72 634.14
26 D&Nagar Haveli 168.86 354.23
27 Daman & Diu 170.08 97.13
28 Lakshadweep 100.26 245.20
29 Arunachal Pradesh 4411.40 7375.84
30 Assam 30597.01 49561.10
31 Manipur 7134.08 8892.39
32 Meghalaya 12364.04 4996.77
33 Mizoram 1843.36 2493.46
34 Nagaland 8231.20 3721.00
35 Sikkim 450.66 1500.366
36 Tripura 7781.78 9406.72
Total 847591.84 760055.26

Annexure –II
Statement referred to in reply to part (b) of Lok Sabha Unstarred Question No. 3249 due for answer on 13.03.2020, raised by SHRI KUNAR HEMBRAM and others

State/UT-wise Fund released under Scheme for Adolescent Girls during last one year:
(Rs. in lakh)
S. No. States/UTs 2018-19
Released Utilised
1 Andhra Pradesh 1011.98 139.57
2 Arunachal Pradesh 0.00 18.44
3 Assam 0.00 774.51
4 Bihar 25.54 686.12
5 Chhattisgarh 724.75 61.70
6 Goa 0.40 0.20
7 Gujarat 5092.44 1206.18
8 Haryana 37.41 44.71
9 Himachal Pradesh 0.00 1.71
10 Jammu & Kashmir 560.39 0.00
11 Jharkhand 0.00 0.00
12 Karnataka 923.76 880.33
13 Kerala 289.74 0.00
14 Madhya Pradesh 5442.40 2810.48
15 Maharashtra 3536.78 2715.98
16 Manipur 0.00 34.21
17 Meghalaya 12.55 23.75
18 Mizoram 69.32 69.32
19 Nagaland 214.30 139.36
20 Odisha 866.77 0.00
21 Punjab 26.30 43.13
22 Rajasthan 0.00 59.39
23 Sikkim 0.00 0.00
24 Tamil Nadu 0.00 32.28
25 Telangana 107.49 0.00
26 Tripura 19.16 103.19
27 Uttar Pradesh 1000.35 0.00
28 Uttaranchal 0.00 0.00
29 West Bengal 101.85 0.00
30 A & N Islands 3.18 0.19
31 Chandigarh 2.33 1.66
32 Daman & Diu 4.53 4.53
33 D & NH 4.94 0.00
34 Delhi 320.48 18.29
35 Lakshadweep 3.11 0.12
36 Pondicherry 1.63 0.04
Total 20403.88 9869.39



Annexure-III

Statement referred to in reply to part (b) of Lok Sabha Unstarred Question No. 3249due for answer on 13.03.2020, raised by SHRI KUNAR HEMBRAM and others

State/UT-wise details of funds released during last one years under PMMVY during last one year

Sl. No. State/UT Total amount released during 2018-19
(?in Lakhs)
1. Andaman & Nicobar Islands 85.12
2. Andhra Pradesh 17,579.76
3. Arunachal Pradesh 205.98
4. Assam 3,726.91
5. Bihar 6,230.17
6. Chandigarh 298.89
7. Chhattisgarh 4,912.25
8. Dadra & Nagar Haveli 100.11
9. Daman & Diu 56.08
10. Delhi 2,528.67
11. Goa 273.59
12. Gujarat 12,682.71
13. Haryana 8,218.45
14. Himachal Pradesh 2,686.16
15. Jammu & Kashmir 2,595.28
16. Jharkhand 5,705.12
17. Karnataka 13,229.82
18. Kerala 7,597.99
19. Lakshadweep 12.44
20. Madhya Pradesh 33,011.12
21. Maharashtra 22,033.21
22. Manipur 274.40
23. Meghalaya 118.26
24. Mizoram 443.51
25. Nagaland 101.44
26. Odisha 0.225
27. Puducherry 315.59
28. Punjab 5,977.33
29. Rajasthan 21,175.55
30. Sikkim 154.81
31. Tamil Nadu 4,178.43
32. Telangana 0.00
33. Tripura 577.30
34. Uttar Pradesh 41,418.59
35. Uttarakhand 1,934.55
36. West Bengal 12,615.01
Grand Total 2,33,054.82


Annexure-IV

Statement referred to in reply to part (b) of Lok Sabha Unstarred Question No. 3249due for answer on 13.03.2020, raised by SHRI KUNAR HEMBRAM and others

State/UT-wise details of funds released during last one year under POSHAN Abhiyaan
(Amount in Rs. Lakh)
S. No. State/UT Release in FY 2018-19
1 Andhra Pradesh 8604.68
2 Bihar 15001.67
3 Chhattisgarh 9629.51
4 Delhi 2206.88
5 Goa 197.78
6 Gujarat 11228.04
7 Haryana 5992.46
8 Himachal Pradesh 4153.15
9 Jammu & Kashmir 8343.52
10 Jharkhand 5110.45
11 Karnataka 9870.89
12 Kerala 6491.91
13 Madhya Pradesh 15894.17
14 Maharashtra 20989.28
15 Odisha 10571.65
16 Puducherry 393.70
17 Punjab 6090.33
18 Rajasthan 9680.99
19 Tamil Nadu 12210.93
20 Telangana 8595.70
21 Uttar Pradesh 29582.87
22 Uttarakhand 4301.57
23 West Bengal 19294.11
24 Arunachal Pradesh 2663.35
25 Assam 15492.36
26 Manipur 3865.37
27 Meghalaya 1713.27
28 Mizoram 957.65
29 Nagaland 1251.97
30 Sikkim 328.47
31 Tripura 3695.72
32 Andaman & Nicobar 416.89
33 Chandigarh 306.82
34 Dadra & Nagar Haveli 129.32
35 Daman & Diu 197.66
36 Ladakh -
37 Lakshadweep 138.90
TOTAL 255593.99
* POSHAN Abhiyaan has been set up on 18.12.2017


Annexure-V
Statement referred to in reply to part (b) of Lok Sabha Unstarred Question No. 3249due for answer on 13.03.2020, raised by SHRI KUNAR HEMBRAM and others
Anganwadi Centres Sanctioned and Operational under Anganwadi Services Scheme Quarter Ending 31 March 2019
S.No. State/UTs No. of ICDS Projects No. of Anganwadi Centres Beneficiaries of Supplementary Nutrition Beneficiaries of Pre-school Education
Sanctioned Operational Sanctioned Operational Children (6 months - 3 years) Children (3 - 6 years) Total Children (6 months - 6 years) Pregnant & lactating Mothers (P&LM) Total Beneficiaries (Children 6 mo-6 years plus P&LM) Boys (3 - 6 years) Girls (3 - 6 years) Total (3 - 6 years)
1 Andhra Pradesh 257 257 55607 55607 1428615 835787 2264402 654975 2919377 425765 429366 855131
2 Telangana 149 149 35700 35634 950000 550000 1500000 400000 1900000 319213 320160 639373
3 Arunachal Pradesh 98 98 6225 6225 92437 96623 189060 24517 213577 48662 47961 96623
4 Assam 231 231 62153 62153 1450009 1580668 3030677 594296 3624973 798997 770373 1569370
5 Bihar 544 544 115009 99583 2458176 3511680 5969856 1404672 7374528 1322649 1359236 2681885
6 Chhattisgarh 220 220 52474 51215 1218800 997200 2216000 493800 2709800 383582 389108 772690
7 Goa 11 11 1262 1262 36098 16898 52996 14637 67633 8304 8459 16763
8 Gujarat 336 336 53029 53029 1697190 1407503 3104693 744902 3849595 731345 711848 1443193
9 Haryana 148 148 25962 25962 571150 268189 839339 263553 1102892 133976 134213 268189
10 Himachal Pradesh 78 78 18925 18925 242255 155857 398112 96365 494477 51275 51428 102703
11 Jammu & Kashmir 141 141 31938 29599 410165 388285 798450 159609 958059 133533 128803 262336
12 Jharkhand 224 224 38432 38432 1676737 1067818 2744555 718337 3462892 579557 654976 1234533
13 Karnataka 204 204 65911 65911 2314824 1633913 3948737 895465 4844202 756722 761405 1518127
14 Kerala 258 258 33318 33244 434574 380920 815494 304349 1119843 198866 182054 380920
15 Madhya Pradesh 453 453 97135 97135 3310508 3260935 6571443 1426266 7997709 1774542 1773200 3547742
16 Maharashtra 553 553 110486 110219 2583119 2613035 5196154 961743 6157897 1265417 1266428 2531845
17 Manipur 43 43 11510 11510 163401 177583 340984 67208 408192 89622 87961 177583
18 Meghalaya 41 41 5896 5896 208905 245214 454119 73879 527998 96680 95944 192624
19 Mizoram 27 27 2244 2244 72283 82939 155222 28150 183372 27851 28483 56334
20 Nagaland 60 60 3980 3980 133392 145418 278810 34366 313176 73028 71181 144209
21 Odisha 338 338 74154 72587 1871082 2047340 3918422 725129 4643551 1044813 1002527 2047340
22 Punjab 155 155 27314 27279 395846 275650 671496 186289 857785 140745 135223 275968
23 Rajasthan 304 304 62010 61974 1709488 957669 2667157 875613 3542770 478010 493403 971413
24 Sikkim 13 13 1308 1308 14500 10000 24500 5800 30300 6285 6215 12500
25 Tamil Nadu 434 434 54439 54439 1781128 659024 2440152 732488 3172640 558896 543460 1102356
26 Tripura 56 56 10145 9911 160446 171907 332353 69304 401657 86945 84962 171907
27 Uttar Pradesh 897 897 190145 187997 8334903 4057703 12392606 3548330 15940936 2146348 1911355 4057703
28 Uttrakhand 105 105 20067 20067 431166 165896 597062 177003 774065 77200 80506 157706
29 West Bengal 576 576 119481 116107 3063226 2848092 5911318 1366355 7277673 1388168 1335134 2723302
30 A & N Islands 5 5 720 720 7423 2168 9591 2375 11966 1079 1089 2168
31 Chandigarh** 3 3 450 450 21641 26906 48547 7231 55778 13991 12915 26906
32 Delhi* 95 95 10897 10897 302812 134234 437046 114264 551310 65895 68339 134234
33 Dadra & N Haveli 2 2 302 302 8888 10475 19363 3523 22886 5185 5290 10475
34 Daman & Diu 2 2 107 107 2762 2388 5150 1451 6601 1156 1232 2388
35 Lakshadweep 9 9 107 107 2607 843 3450 1148 4598 406 437 843
36 Puducherry 5 5 855 855 24210 2596 26806 9157 35963 1309 1287 2596
All India 7075 7075 1399697 [1400000 earlier sanctioned by GOI] 1372872 39584766 30789356 70374122 17186549 87560671 15236017 14955961 30191978
Based on State/UTs level consolidated report.

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