- As per the National Family Health Survey (NFHS) - IV (20015-16), 54.2 percent women (15-49 years) and 59.5 percent children (6-59 months) in rural area of the country are anaemic.
- As per Comprehensive National Nutrition Survey (2016-18), 19% children aged 1-4 years, 17 % children aged 5-9 years and 32% adolescents aged 10-19 years have zinc deficiency in the country.
- The most common cause of anaemia is iron deficiency, caused by inadequate dietary iron intake or absorption, increased needs for iron during pregnancy or growth periods, and increased iron losses as a result of menstruation and helminth (intestinal worms) infestation.
- Other important causes of anaemia include hemoglobinopathies such as Sickle Cell anemia, Thalassaemia etc, Malaria and Flurosis.
- The State/UT-wise detail of anaemia prevalence in women and children in rural areas as per NFHS-4 is given below:
State wise Anaemia prevalence among women of reproductive age (15-49 years)- Rural
Source NFHS-IV
|
Sr no
|
State and UT
|
Any (< 12 gm/dl)
|
Mild (10.0-11.9 gm/dl)
|
Moderate (7.0-9.9 gm/dl)
|
Severe (<7.00 gm/dl)
|
|
1
|
Andaman And Nicobar Islands
|
65.9
|
41.3
|
23.2
|
1.4
|
|
2
|
Andhra Pradesh
|
61.2
|
39.9
|
19.4
|
1.9
|
|
3
|
Arunachal Pradesh
|
43.9
|
34.3
|
8.8
|
0.8
|
|
4
|
Assam
|
46.3
|
37.3
|
8.4
|
0.6
|
|
5
|
Bihar
|
60.6
|
45.8
|
14.1
|
0.7
|
|
6
|
Chandigarh
|
92.3
|
76.9
|
15.4
|
0.0
|
|
7
|
Chhattisgarh
|
48.2
|
38.6
|
8.8
|
0.8
|
|
8
|
Dadra And Nagar Haveli
|
86.6
|
63.8
|
21.5
|
1.3
|
|
9
|
Daman And Diu
|
56.3
|
43.1
|
11.3
|
1.9
|
|
10
|
Goa
|
32.1
|
26.1
|
5.1
|
0.9
|
|
11
|
Gujarat
|
57.5
|
41.3
|
14.5
|
1.7
|
|
12
|
Haryana
|
63.9
|
43.1
|
19.3
|
1.5
|
|
13
|
Himachal Pradesh
|
53.4
|
39.6
|
13.1
|
0.7
|
|
14
|
Jammu And Kashmir
|
48.5
|
32.5
|
14.5
|
1.5
|
|
15
|
Jharkhand
|
67.3
|
50.2
|
16.2
|
0.9
|
|
16
|
Karnataka
|
46.2
|
33.5
|
11.5
|
1.2
|
|
17
|
Kerala
|
32.6
|
28.1
|
4.1
|
0.4
|
|
18
|
Lakshadweep
|
51.6
|
35.0
|
16.1
|
0.5
|
|
19
|
Madhya Pradesh
|
53.8
|
40.2
|
12.5
|
1.1
|
|
20
|
Maharashtra
|
47.8
|
36.2
|
10.6
|
1.0
|
|
21
|
Manipur
|
26.3
|
22.1
|
3.9
|
0.3
|
|
22
|
Meghalaya
|
59.6
|
40.5
|
17.6
|
1.5
|
|
23
|
Mizoram
|
30.0
|
25.7
|
4.2
|
0.1
|
|
24
|
Nagaland
|
29.5
|
22.8
|
5.8
|
0.9
|
|
25
|
Delhi
|
78.0
|
43.7
|
32.0
|
2.3
|
|
26
|
Odisha
|
51.8
|
40.8
|
10.2
|
0.8
|
|
27
|
Puducherry
|
54.8
|
41.4
|
12.3
|
1.1
|
|
28
|
Punjab
|
54.3
|
42.6
|
11.2
|
0.5
|
|
29
|
Rajasthan
|
49.0
|
35.7
|
12.1
|
1.2
|
|
30
|
Sikkim
|
35.1
|
27.2
|
7.3
|
0.6
|
|
31
|
Tamil Nadu
|
56.8
|
40.6
|
14.4
|
1.8
|
|
32
|
Tripura
|
54.1
|
42.2
|
11.4
|
0.5
|
|
33
|
Uttar Pradesh
|
52.3
|
38.6
|
12.6
|
1.1
|
|
34
|
Uttarakhand
|
46.2
|
34.6
|
10.3
|
1.3
|
|
35
|
West Bengal
|
64.3
|
50.4
|
13.2
|
0.7
|
|
36
|
Telangana
|
58.1
|
37.3
|
18.3
|
2.5
|
|
|
All India
|
54.2
|
40.3
|
12.8
|
1.1
|
Table 2: State wise Anaemia prevalence among children (6-59 months)- Rural
Source NFHS-IV
|
Sr no
|
State and UT
|
Any (< 11 gm/dl)
|
Severe (<7.00 gm/dl)
|
Mild (10.0-10.9 gm/dl)
|
Moderate (7.0-9.9 gm/dl)
|
|
1
|
Andaman And Nicobar Islands
|
50.0
|
0.8
|
22.5
|
26.7
|
|
2
|
Andhra Pradesh
|
60.8
|
2.3
|
30.6
|
27.9
|
|
3
|
Arunachal Pradesh
|
55.0
|
1.1
|
24.2
|
29.7
|
|
4
|
Assam
|
36.5
|
0.4
|
11.7
|
24.4
|
|
5
|
Bihar
|
64.0
|
1.3
|
32.2
|
30.5
|
|
6
|
Chandigarh
|
100.0
|
12.5
|
62.5
|
25.0
|
|
7
|
Chhattisgarh
|
41.2
|
0.5
|
17.0
|
23.7
|
|
8
|
Dadra And Nagar Haveli
|
87.7
|
2.2
|
51.5
|
34.0
|
|
9
|
Daman And Diu
|
76.7
|
1.3
|
35.5
|
39.9
|
|
10
|
Goa
|
41.2
|
0.5
|
14.8
|
25.9
|
|
11
|
Gujarat
|
64.5
|
1.9
|
30.7
|
31.9
|
|
12
|
Haryana
|
73.0
|
3.2
|
41.3
|
28.5
|
|
13
|
Himachal Pradesh
|
53.3
|
2.5
|
28.1
|
22.7
|
|
14
|
Jammu And Kashmir
|
55.6
|
2.6
|
30.9
|
22.1
|
|
15
|
Jharkhand
|
71.5
|
1.1
|
38.4
|
32.0
|
|
16
|
Karnataka
|
63.4
|
1.0
|
30.3
|
32.1
|
|
17
|
Kerala
|
35.9
|
0.4
|
12.9
|
22.6
|
|
18
|
Lakshadweep
|
67.2
|
0.0
|
30.0
|
37.2
|
|
19
|
Madhya Pradesh
|
69.8
|
1.9
|
38.1
|
29.8
|
|
20
|
Maharashtra
|
54.0
|
0.8
|
25.5
|
27.7
|
|
21
|
Manipur
|
23.3
|
0.2
|
6.8
|
16.3
|
|
22
|
Meghalaya
|
48.9
|
0.6
|
17.8
|
30.5
|
|
23
|
Mizoram
|
24.5
|
0.9
|
8.0
|
15.6
|
|
24
|
Nagaland
|
28.0
|
0.4
|
11.4
|
16.2
|
|
25
|
Delhi
|
88.2
|
8.7
|
57.5
|
22.0
|
|
26
|
Odisha
|
45.6
|
0.9
|
19.7
|
25.0
|
|
27
|
Puducherry
|
48.5
|
0.7
|
16.3
|
31.5
|
|
28
|
Punjab
|
57.1
|
1.1
|
28.1
|
27.9
|
|
29
|
Rajasthan
|
61.6
|
2.0
|
32.5
|
27.1
|
|
30
|
Sikkim
|
52.7
|
0.5
|
20.7
|
31.5
|
|
31
|
Tamil Nadu
|
52.5
|
1.3
|
23.9
|
27.3
|
|
32
|
Tripura
|
49.2
|
0.3
|
18.8
|
30.1
|
|
33
|
Uttar Pradesh
|
62.6
|
2.1
|
33.9
|
26.6
|
|
34
|
Uttarakhand
|
59.2
|
2.2
|
30.6
|
26.4
|
|
35
|
West Bengal
|
53.7
|
0.6
|
21.4
|
31.7
|
|
36
|
Telangana
|
67.4
|
3.4
|
39.2
|
24.8
|
|
|
All India
|
59.5
|
1.5
|
29.8
|
28.2
|
Government is implementing various schemes in order to reduce anemia cases in the country. The details of these schemes/programmes are as below:
- The Ministry of Health & Family Welfare has launched “Anaemia Mukt Bharat” strategy for prevention and treatment of anaemia in children (6-59 months), pre- school children (5-9 years), adolescents girls and boys (10-19 years), pregnant and lactating women and in women of reproductive age group (15-49 years) in programme mode through life cycle approach via Iron & Folic Acid (IFA) supplementation across life stages.
- Since the initiation of the strategy, various activities have been conducted. These are in the form of guidelines and dissemination, training package, supply chain management assessment, quarterly dashboard report for monitoring and review of programme coverage.
- Universal screening 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 at higher facilities.
- Both the Health Management Information System & Mother Child Tracking System are reporting the cases of anaemic and severely anaemic pregnant women.
- In malaria endemic areas, to tackle the problem of anaemia due to malaria particularly in pregnant women and children, Long Lasting Insecticide Nets (LLINs) and Insecticide Treated Bed Nets (ITBNs) are being distributed.
- Health and nutrition education through IEC & BCC to promote dietary diversification, 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 on dietary diversification and promotion of consumption of IFA.
- The details of fund sanctioned and utilized for the anaemia prevention and control programme during the last three years and current year are given below:
Details on funds released and spent on Anemia control for last three financial years (2016-17, 2017-18, 2018-19 and 2019-209 till Q-2)
|
State-wise details of State Programme Implementation Plans Approvals and Expenditure for Anemia under NHM from the F.Y. 2016-17 to 2019-20
|
|
| |
|
|
|
|
|
|
|
|
(Rs. in Lakhs)
|
|
|
S.No.
|
State
|
2016-17 (Rs in lakhs)
|
2017-18 (Rs in Lakhs)
|
2018-19 (Rs in Lakhs)
|
2019-20 till Q-2 (Rs in Lakhs)
|
|
| |
|
|
|
|
|
A. High Focus States
|
|
SPIP
|
EXP
|
SPIP
|
EXP
|
SPIP
|
EXP
|
SPIP
|
EXP
|
|
|
1
|
Bihar
|
5856.69
|
268.77
|
4665.79
|
1670.42
|
13205.59
|
4029.99
|
12827.90
|
1096.17
|
|
|
2
|
Chattisgarh
|
2784.50
|
633.34
|
4023.29
|
862.81
|
4041.01
|
610.77
|
3351.31
|
1134.99
|
|
|
3
|
Himachal Pradesh
|
60.77
|
58.22
|
109.50
|
29.13
|
1727.14
|
1201.32
|
1207.60
|
340.85
|
|
|
4
|
Jammu & Kashmir
|
736.98
|
199.78
|
911.30
|
86.70
|
3160.14
|
2016.69
|
2311.87
|
682.90
|
|
|
5
|
Jharkhand
|
2083.53
|
535.25
|
1417.08
|
1064.94
|
6524.48
|
5190.68
|
3791.72
|
1245.76
|
|
|
6
|
Madhya Pradesh
|
2212.28
|
1551.86
|
2075.22
|
1077.63
|
10219.90
|
5954.13
|
10644.91
|
2323.41
|
|
|
7
|
Orissa
|
408.91
|
115.33
|
2535.50
|
1186.22
|
5498.59
|
2794.04
|
2462.95
|
183.23
|
|
|
8
|
Rajasthan
|
2273.28
|
802.37
|
1643.52
|
973.49
|
7828.55
|
7630.83
|
9040.06
|
1074.75
|
|
|
9
|
Uttar Pradesh
|
2765.30
|
2352.07
|
7189.98
|
1950.75
|
29094.66
|
21104.70
|
26713.02
|
3597.80
|
|
|
10
|
Uttarakhand
|
133.28
|
192.28
|
490.89
|
339.49
|
1289.98
|
1498.70
|
1114.02
|
777.18
|
|
|
|
Sub Total
|
19315.52
|
6709.26
|
25062.07
|
9241.58
|
82590.04
|
52031.85
|
73465.36
|
12457.04
|
|
|
B. NE States
|
|
|
|
|
|
|
|
|
|
|
|
11
|
Arunachal Pradesh
|
61.11
|
109.02
|
692.11
|
192.45
|
457.03
|
273.75
|
651.03
|
37.86
|
|
|
12
|
Assam
|
2528.34
|
875.24
|
2359.00
|
1122.00
|
6422.18
|
2442.58
|
4519.78
|
904.37
|
|
|
13
|
Manipur
|
172.62
|
155.34
|
188.13
|
60.27
|
404.71
|
278.77
|
529.57
|
57.14
|
|
|
14
|
Meghalaya
|
470.40
|
492.83
|
1623.62
|
791.87
|
847.10
|
2331.98
|
839.31
|
149.94
|
|
|
15
|
Mizoram
|
228.13
|
126.76
|
436.91
|
121.68
|
305.12
|
165.94
|
336.68
|
35.85
|
|
|
16
|
Nagaland
|
160.49
|
115.37
|
312.61
|
436.35
|
413.91
|
217.30
|
488.86
|
40.05
|
|
|
17
|
Sikkim
|
59.00
|
15.28
|
65.87
|
35.60
|
137.23
|
46.59
|
92.91
|
11.75
|
|
|
18
|
Tripura
|
88.07
|
177.72
|
501.98
|
189.33
|
869.09
|
543.74
|
529.08
|
109.61
|
|
|
|
Sub Total
|
3768.16
|
2067.56
|
6180.23
|
2949.56
|
9856.37
|
6300.63
|
7987.22
|
1346.56
|
|
|
C. Non-High Focus States
|
|
|
|
|
|
|
|
|
|
|
|
19
|
Andhra Pradesh
|
1420.18
|
670.49
|
1847.01
|
1199.06
|
4661.23
|
3408.76
|
4671.53
|
1299.53
|
|
|
20
|
Goa
|
57.66
|
43.00
|
96.86
|
62.59
|
194.96
|
103.43
|
131.94
|
42.29
|
|
|
21
|
Gujarat
|
2092.35
|
1970.50
|
2006.09
|
1777.60
|
4672.28
|
3684.33
|
4630.87
|
1366.57
|
|
|
22
|
Haryana
|
228.10
|
36.64
|
752.23
|
123.13
|
1696.82
|
767.90
|
1511.18
|
376.32
|
|
|
23
|
Karnataka
|
1435.33
|
1343.73
|
4228.65
|
1435.29
|
6137.54
|
3016.99
|
6852.27
|
1255.81
|
|
|
24
|
Kerala
|
590.92
|
615.72
|
606.76
|
436.60
|
2286.59
|
2031.74
|
2768.28
|
424.73
|
|
|
25
|
Maharashtra
|
5761.67
|
1785.26
|
7415.30
|
1090.56
|
6187.73
|
3940.79
|
17158.08
|
628.94
|
|
|
26
|
Punjab
|
1280.14
|
1161.75
|
1372.64
|
329.04
|
3934.19
|
343.36
|
4255.40
|
586.93
|
|
|
27
|
Tamil Nadu
|
1746.72
|
1961.67
|
907.48
|
1264.48
|
7193.91
|
5775.45
|
8824.07
|
2314.01
|
|
|
28
|
Telangana
|
1582.83
|
417.75
|
852.06
|
1388.81
|
3045.94
|
1587.74
|
2049.41
|
857.34
|
|
|
29
|
West Bengal
|
3718.45
|
1979.34
|
4016.35
|
3394.70
|
9058.50
|
6348.74
|
12782.80
|
2274.88
|
|
|
|
Sub Total
|
19914.36
|
11985.84
|
24101.43
|
12501.85
|
49069.69
|
31009.23
|
65635.83
|
11427.36
|
|
|
D. Small States/UTs
|
|
|
|
|
|
|
|
|
|
|
|
30
|
Andaman & Nicobar Islands
|
47.37
|
10.66
|
74.65
|
7.95
|
32.37
|
20.50
|
23.99
|
11.17
|
|
|
31
|
Chandigarh
|
15.91
|
1.87
|
2.25
|
0.42
|
126.57
|
106.93
|
1.20
|
0.12
|
|
|
32
|
Dadra & Nagar Haveli
|
119.59
|
9.54
|
30.24
|
102.76
|
124.16
|
23.37
|
15.97
|
0.00
|
|
|
33
|
Daman & Diu
|
13.56
|
4.09
|
24.38
|
11.17
|
30.31
|
7.02
|
33.20
|
0.05
|
|
|
34
|
Delhi
|
38.45
|
15.34
|
203.16
|
11.08
|
1523.28
|
154.58
|
1839.66
|
46.29
|
|
|
35
|
Lakshadweep
|
7.07
|
0.00
|
14.30
|
3.03
|
45.94
|
4.42
|
9.71
|
1.64
|
|
|
36
|
Puducherry
|
130.83
|
132.19
|
124.74
|
86.68
|
320.16
|
186.59
|
356.80
|
13.68
|
|
|
|
Sub Total
|
372.78
|
173.68
|
473.72
|
223.07
|
2202.79
|
503.41
|
2280.53
|
72.95
|
|
|
|
Grand Total
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43370.82
|
20936.35
|
55817.45
|
24916.06
|
143718.89
|
89845.12
|
149368.93
|
25303.91
|
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|
Note:
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1. SPIP means State Programme Implementation Plan.
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2. Expenditure includes expenditure against central Release, State release & unspent balances at the beginning of the year. Data is as updated up to 30.09.2019, hence provisional.
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3. The above data is as per FMR submitted by States, hence provisional.
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The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Lok Sabha here today.
*****
MV/LK