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Developmental Issues
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Anganwadi Services: Under Anganwadi Services, a package of six services is provided to Pregnant Women and Lactating Mothers and to Children under the age of 6 years i.e. (i) Supplementary Nutrition (SNP); (ii) Pre-school Non-formal Education; (iii) Nutrition & Health Education; (iv) Immunization; (v) Health Check-up, and (vi) Referral Services. Three of the six services, viz., Immunization, Health check-up and Referral Services are related to health and are provided through NRHM & Public Health Infrastructure.

Supplementary Nutrition (SNP) is provided as per the norms for 300 days in a year to pregnant women and lactating mothers in the form of Take Home Ration to include 600 kcal and 18-20 gm of protein.

Maternity benefit under Pradhan Mantri Matru Vandana Yojana (PMMVY) is available to all Pregnant Women & Lactating Mothers (PWLM)as compensation for partial wage loss and for promoting institutional deliveries. The scheme excludes PW&LM who are in regular employment with the Central Government or the State Governments or Public Sector Undertakings (PSUs) or those who are in receipt of similar benefits under any law for the time being in force, for first living child of family. Under the scheme Rs.5,000/- are provided to the eligible beneficiary in three installments during pregnancy and lactation. The eligible beneficiary also receives the remaining cash incentive as per approved norms towards maternity benefit under Janani Suraksha Yojana (JSY) after institutional delivery so that on an average, a woman gets Rs.6,000/-.

Schemes pertaining to health and welfare of pregnant women and the foetus are Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakaram (JSSK).

Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Health Mission (NRHM). Launched with the objective of reducing maternal and neonatal mortality, the Janani Suraksha Yojana (JSY) promotes institutional delivery among pregnant women especially with weak socio-economic status i.e. women from Scheduled Castes, Scheduled Tribes and BPL households. The scheme, launched on 12 April 2005, is under implementation in all states and Union Territories (UTs), with a special focus on Low Performing States (LPS).

Ayushman Bharat, a flagship scheme of Government aims to undertake path breaking interventions to holistically address the healthcare system (covering prevention, promotion and ambulatory care) at the primary, secondary and tertiary level. Ayushman Bharat adopts a continuum of care approach, comprising of two inter-related components, namely Health and Wellness Centres (HWCs) and Pradhan Mantri Jan Arogya Yojana (PM-JAY).

GoI launched Janani Shishu Suraksha Karyakaram (JSSK) in June 2011 to eliminate out-of-pocket expenses for pregnant women delivering in public health institutions and sick infants accessing public health institutions for treatment.

The entitlements include:

The number of beneficiaries of Supplementary Nutrition (Pregnant Women and Lactating Mothers) under Anganwadi Services during the last three years and the current year are tabulated below

 

Data as on

Number of beneficiaries of SNP under Anganwadi Services (Pregnant Women and Lactating Mothers)

31.03.2018

1,73,35,216

31.03.2019

1,71,86,549

31.03.2020

1,68,74,975

31.03.2021

1,56,73,127

30.06.2021

1,69,25,928

 

 

The number of beneficiaries of Pradhan Mantri Matru Vandana Yojana (PMMVY) is tabulated below:

 

Year

Parameter

Total

2017-18

No. of Beneficiaries enrolled

2,570,009

No. of Beneficiaries Paid

1,108,929

2018-19

No. of Beneficiaries enrolled

6,060,011

No. of Beneficiaries Paid

6,729,575

2019-20

No. of Beneficiaries enrolled

7,073,619

No. of Beneficiaries Paid

9,633,566

2020-21

No. of Beneficiaries enrolled

6,435,280

No. of Beneficiaries Paid

7,531,575

2021-22 (as on 22.11.2021)

No. of Beneficiaries enrolled

3,037,107

No. of Beneficiaries Paid

3,530,255

As per the information received from Ministry of Health and Family Welfare, the number of such women who benefitted under JSSK scheme in 2018-19, 2019-20 and 2020-21 is given below:

 

Year

Number of Pregnant Women provided - Free Medicines under JSSK

Number of Pregnant Women provided - Free Diet under JSSK

Number of Pregnant Women provided - Free Diagnostics under JSSK

Number of Pregnant Women provided - Free Home to facility transport under JSSK

Number of Pregnant Women provided - Interfacility transfers when needed under JSSK

Number of Pregnant Women provided - Free Drop Back home under JSSK

2018-19

10211852

6878833

11290658

3896711

878827

4190983

2019-20

12721893

7980758

13115920

4926653

943400

4949666

2020-21

15016945

8559415

14497305

5439611

1177112

5343727

 

The number of such women who benefited under JSY scheme in 2018-19, 2019-20 and 2020-21 is given below:

 

Year

No. of beneficiaries (In Lakh)

2018-19

100.41

2019-20

107.35

2020-21

99.92

 

 

The number of Still Births reported during the last three years is tabulated below:

 

 

2018-19

2019-20

2020-21

No. of Still Birth Reported

2,72,693

2,63,342

2,54,462

Source: Health Management Information System (HMIS) - 2018-19, 2019-20, 2020-21

 

All maternal health interventions during antepartum and intrapartum period namely – ANC Check-ups, IFA supplementation and nutrition, High risk pregnancy identification and management, skilled attendance at birth contribute towards prevention of still birth.

This information was given by the Union Minister for Women and Child Development, Smt. Smriti Zubin Irani, in a written reply in Rajya Sabha today.

 

*****

 

BY/AS

Anganwadi Services: Under Anganwadi Services, a package of six services is provided to Pregnant Women and Lactating Mothers and to Children under the age of 6 years i.e. (i) Supplementary Nutrition (SNP); (ii) Pre-school Non-formal Education; (iii) Nutrition & Health Education; (iv) Immunization; (v) Health Check-up, and (vi) Referral Services. Three of the six services, viz., Immunization, Health check-up and Referral Services are related to health and are provided through NRHM & Public Health Infrastructure.

Supplementary Nutrition (SNP) is provided as per the norms for 300 days in a year to pregnant women and lactating mothers in the form of Take Home Ration to include 600 kcal and 18-20 gm of protein.

Maternity benefit under Pradhan Mantri Matru Vandana Yojana (PMMVY) is available to all Pregnant Women & Lactating Mothers (PWLM)as compensation for partial wage loss and for promoting institutional deliveries. The scheme excludes PW&LM who are in regular employment with the Central Government or the State Governments or Public Sector Undertakings (PSUs) or those who are in receipt of similar benefits under any law for the time being in force, for first living child of family. Under the scheme Rs.5,000/- are provided to the eligible beneficiary in three installments during pregnancy and lactation. The eligible beneficiary also receives the remaining cash incentive as per approved norms towards maternity benefit under Janani Suraksha Yojana (JSY) after institutional delivery so that on an average, a woman gets Rs.6,000/-.

Schemes pertaining to health and welfare of pregnant women and the foetus are Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakaram (JSSK).

Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Health Mission (NRHM). Launched with the objective of reducing maternal and neonatal mortality, the Janani Suraksha Yojana (JSY) promotes institutional delivery among pregnant women especially with weak socio-economic status i.e. women from Scheduled Castes, Scheduled Tribes and BPL households. The scheme, launched on 12 April 2005, is under implementation in all states and Union Territories (UTs), with a special focus on Low Performing States (LPS).

Ayushman Bharat, a flagship scheme of Government aims to undertake path breaking interventions to holistically address the healthcare system (covering prevention, promotion and ambulatory care) at the primary, secondary and tertiary level. Ayushman Bharat adopts a continuum of care approach, comprising of two inter-related components, namely Health and Wellness Centres (HWCs) and Pradhan Mantri Jan Arogya Yojana (PM-JAY).

GoI launched Janani Shishu Suraksha Karyakaram (JSSK) in June 2011 to eliminate out-of-pocket expenses for pregnant women delivering in public health institutions and sick infants accessing public health institutions for treatment.

The entitlements include:

The number of beneficiaries of Supplementary Nutrition (Pregnant Women and Lactating Mothers) under Anganwadi Services during the last three years and the current year are tabulated below

 

Data as on

Number of beneficiaries of SNP under Anganwadi Services (Pregnant Women and Lactating Mothers)

31.03.2018

1,73,35,216

31.03.2019

1,71,86,549

31.03.2020

1,68,74,975

31.03.2021

1,56,73,127

30.06.2021

1,69,25,928

 

 

The number of beneficiaries of Pradhan Mantri Matru Vandana Yojana (PMMVY) is tabulated below:

 

Year

Parameter

Total

2017-18

No. of Beneficiaries enrolled

2,570,009

No. of Beneficiaries Paid

1,108,929

2018-19

No. of Beneficiaries enrolled

6,060,011

No. of Beneficiaries Paid

6,729,575

2019-20

No. of Beneficiaries enrolled

7,073,619

No. of Beneficiaries Paid

9,633,566

2020-21

No. of Beneficiaries enrolled

6,435,280

No. of Beneficiaries Paid

7,531,575

2021-22 (as on 22.11.2021)

No. of Beneficiaries enrolled

3,037,107

No. of Beneficiaries Paid

3,530,255

As per the information received from Ministry of Health and Family Welfare, the number of such women who benefitted under JSSK scheme in 2018-19, 2019-20 and 2020-21 is given below:

 

Year

Number of Pregnant Women provided - Free Medicines under JSSK

Number of Pregnant Women provided - Free Diet under JSSK

Number of Pregnant Women provided - Free Diagnostics under JSSK

Number of Pregnant Women provided - Free Home to facility transport under JSSK

Number of Pregnant Women provided - Interfacility transfers when needed under JSSK

Number of Pregnant Women provided - Free Drop Back home under JSSK

2018-19

10211852

6878833

11290658

3896711

878827

4190983

2019-20

12721893

7980758

13115920

4926653

943400

4949666

2020-21

15016945

8559415

14497305

5439611

1177112

5343727

 

The number of such women who benefited under JSY scheme in 2018-19, 2019-20 and 2020-21 is given below:

 

Year

No. of beneficiaries (In Lakh)

2018-19

100.41

2019-20

107.35

2020-21

99.92

 

 

The number of Still Births reported during the last three years is tabulated below:

 

 

2018-19

2019-20

2020-21

No. of Still Birth Reported

2,72,693

2,63,342

2,54,462

Source: Health Management Information System (HMIS) - 2018-19, 2019-20, 2020-21

 

All maternal health interventions during antepartum and intrapartum period namely – ANC Check-ups, IFA supplementation and nutrition, High risk pregnancy identification and management, skilled attendance at birth contribute towards prevention of still birth.

This information was given by the Union Minister for Women and Child Development, Smt. Smriti Zubin Irani, in a written reply in Rajya Sabha today.

 

*****

 

BY/AS

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