**Executive Summary**
This document is a response to Lok Sabha Unstarred Question 1354 concerning the assessment of infant mortality rates (IMR) and child health services. The response was prepared by the Minister of State in the Ministry of Health and Family Welfare and was to be answered on February 6, 2026. It includes data on IMR, under-5 mortality rates (U5MR), availability of newborn care units, and outlines various government initiatives to improve child health.
**Key Points / Main Content**
* **Mortality Rates:**
* Infant Mortality Rate (IMR) and Under 5 Mortality Rate (U5MR) data at the National level and State/UT wise including States of Uttar Pradesh, Rajasthan, Bihar, Madhya Pradesh and Jharkhand, as per Sample Registration System (SRS) 2023 is placed at Annexure I.
* **Newborn Care Units and Paediatric Units:**
* The details of Special Newborn Care Units (SNCUs)/ Neonatal Intensive Care Units (NICUs) and Paediatric Units in the State of Uttar Pradesh, Rajasthan, Bihar, Madhya Pradesh and Jharkhand is placed at Annexure II.
* Recruitment and deployment of doctors and nursing personnel are the responsibility of the respective State Government.
* **Ministry's Review Mechanism:**
* The Ministry reviews the implementation through quarterly State reports, field visits, and meetings with State Nodal Officers during the process of the Annual Programme Implementation Plan (APIP) and the Common Review Mission.
* **Funding and Schemes:**
* Details of funds approved under the National Health Mission (NHM) to improve infant and child health outcome can be accessed at a provided link.
* The Ministry of Health and Family Welfare (MoHFW) supports the implementation of Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition (RMNCAH + N) strategy under the National Health Mission (NHM).
* **Key Government Initiatives:**
* Facility Based Newborn Care: Special New-born Care Units (SNCUs) are established at District Hospital and Medical College level.
* Community Based care of Newborn and Young Children: Under Home Based New-born Care (HBNC) and Home-Based Care of Young Children (HBYC) program, home visits are performed by ASHAs.
* Janani Shishu Suraksha Karyakram (JSSK): Sick infant up to one year of age is entitled to free treatment in public health institutions.
* Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS) initiative implemented since 2019.
* STOP Diarrhoea campaign is implemented.
* Rashtriya Bal Swasthya Karyakram (RBSK): Children from 0 to 18 years of age are screened for 32 health conditions.
**Impact Analysis**
**State Governments (Uttar Pradesh, Rajasthan, Bihar, Madhya Pradesh, Jharkhand):**
* **Impact:** Responsible for the recruitment and deployment of doctors and nursing personnel. Required to implement and report on various health programs.
* **Action Required:** Implement and monitor the outlined interventions and ensure adequate staffing levels. Submit quarterly reports to the Ministry.
**Ministry of Health and Family Welfare (MoHFW):**
* **Impact:** Oversees the implementation of child health programs and monitors their effectiveness. Provides funding through the National Health Mission (NHM).
* **Action Required:** Continue to review State reports, conduct field visits, and provide support and resources to State Governments.
Key Entities Referenced
National Health Mission (NHM): A scheme under which funds are allocated to states to improve infant and child health outcomes.
Sample Registration System (SRS): Source of Infant Mortality Rate (IMR) and Under 5 Mortality Rate (U5MR) data.
Ministry of Health and Family Welfare: The central ministry responsible for overseeing and implementing health policies and programs related to infant and child health.
Janani Shishu Suraksha Karyakram (JSSK): Scheme that entitles sick infants to free treatment in public health institutions.
Uttar Pradesh, Rajasthan, Bihar, Madhya Pradesh, Jharkhand: States for which specific data on Infant Mortality Rate (IMR) and Under 5 Mortality Rate (U5MR) are provided.
GOVERNMENT OFINDIA
MINISTRYOFHEALTHAND FAMILYWELFARE
DEPARTMENT OFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION 1354
TO BE ANSWERED ON6th FEBRUARY2026
ASSESSMENTOFINFANTMORTALITYRATE
1354: SHRILAXMIKANTPAPPU NISHAD:
Will the MINISTER of HEALTH ANDFAMILYWELFAREbe pleased tostate:
(a) whether the Government has assessed the Infant Mortality Rate (PMR) and mortality rate of
children underfive yearsin the country andif so, the detailsthereof, State/UT-wise, includingUttar
Pradesh,Rajasthan, Bihar, Madhya PradeshandJharkhand;
(b) the details of availability of Neonatal Intensive Care Unit (NICU), Special Newborn Care Unit
(SNCU), paediatric beds, trained doctors and nursing staff working in Government hospitals in
these States;
(c)whether infantandchilddeathsare beingadversely affected duetoshortage of specialist doctors,
inadequate health infrastructure, poor referral systems andlack of emergency transport services and
if so, the steps takenby the Government toimprove the situation alongwith detailsthereof;
(d) the funds allocated, released and utilised for child and newborn health services in these States
underNational HealthMission (NHM) andotherrelevant schemesduring the last five years; and
(e) whether the Government is implementing a time-bound action plan to ensure quality child and
newborn healthservices inthese States andif so, the detailsthereof,State/UT-wise?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILYWELFARE
(SHRIPRATAPRAO JADHAV)
(a) As peravailable report of Sample Registration System(SRS) 2023 of Registrar General of India
(RGI), Infant Mortality Rate (IMR) and Under 5 Mortality Rate (U5MR) at the National level and
State/UTwiseincludingStatesofUttarPradesh,Rajasthan,Bihar,MadhyaPradeshandJharkhandis
placedatAnnexureI.
(b)ThedetailsofSpecialNewbornCareUnits(SNCUs)/NeonatalIntensiveCareUnits(NICUs)and
Paediatric Units in the State of Uttar Pradesh, Rajasthan, Bihar, Madhya Pradesh and Jharkhand is
placed at Annexure II. The recruitment and deployment of doctors and nursing personnel are the
responsibilityoftherespectiveStateGovernment.
(c) to (e) The Ministry reviews the implementation through quarterly State reports, field visits,
meetings/ reviews conducted with State Nodal Officers during the process of the Annual
ProgrammeImplementation Plan(APIP)andthe Common ReviewMission.
The details of funds approved under National Health Mission (NHM) to improve infant and child
healthoutcome can be accessed at the following link:https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744
The Ministry of HealthandFamily Welfare(MoHFW) supports inimplementationof Reproductive,
Maternal, Newborn, Child, Adolescent Health and Nutrition (RMNCAH + N) strategy under
National Health Mission (NHM) based on the Annual Program Implementation Plan (APIP)
submitted by respective State / UT. The details of interventions to improve infant and child health
outcome all across the country includingStatesof Uttar Pradesh,Rajasthan, Bihar, Madhya Pradesh
andJharkhand,are placedasbelow:
Facility Based Newborn Care: Special New-born Care Units (SNCUs) are established at
District Hospital and Medical College level, Newborn Stabilization Units (NBSUs) are
established at First Referral Units (FRUs)/ Community Health Centres (CHCs) for care of
sick andsmall babies.
Community Based care of Newborn andYoung Children: Under Home Based New-born
Care (HBNC) and Home-Based Care of Young Children (HBYC) program, home visits are
performed by ASHAs to improve child-rearing practices and to identify sick newborn and
youngchildreninthe community.
Janani Shishu Suraksha Karyakram (JSSK): Sick infant up to one year of age is entitled
to free treatment in public health institutions along with the provision of free transport,
diagnostics, medicines,bloodand consumables.
Social Awareness andActions to NeutralizePneumonia Successfully (SAANS) initiative
implemented since 2019 for reduction of childhood morbidity and mortality due to
Pneumonia.
STOP Diarrhoea campaign is implemented for promoting use of ORS and Zinc and for
reducingmorbidityandmortality due tochildhooddiarrhoea.
Rashtriya Bal Swasthya Karyakram (RBSK): Children from 0 to 18 years of age are
screened for 32 health conditions (i.e.Diseases, Deficiencies, Defects and Developmental
delay) underRashtriya Bal Swasthya Karyakram (RBSK) to improve child survival. District
Early Intervention Centres (DEICs) at district health facility level are established for
confirmationandmanagement of childrenscreenedunderRBSK.Annexure I
Annexure referred to in reply to part (a) of Lok Sabha Unstarred Question No. 1354
for reply on 6th February 2026
Status of Infant Mortality Rate (IMR) and Under 5 Mortality Rate (U5MR)
Infant Mortality Rate Under 5 Mortality
(IMR) Rate (U5MR)
India 25 29
A&N Islands 9
Andhra Pradesh 19 21
Arunachal Pradesh 20
Assam 30 33
Bihar 23 27
Chandigarh 7
Chhattisgarh 37 41
D&N Haveli and Daman & Diu 9
Delhi 14 16
Goa 6
Gujarat 20 23
Haryana 26 30
Himachal Pradesh 14 17
Jammu & Kashmir 14 15
Jharkhand 29 32
Karnataka 14 17
Kerala 5 8
Ladakh 4
Lakshadweep 9
Madhya Pradesh 37 44
Maharashtra 14 16
Manipur 3
Meghalaya 34
Mizoram 13
Nagaland 10
Odisha 30 35
Puducherry 7
Punjab 17 22
Rajasthan 29 34
Sikkim 6
Tamil Nadu 12 13
Telangana 18 22
Tripura 15
Uttar Pradesh 37 42
Uttarakhand 20 23
West Bengal 17 18
Source:SampleRegistrationSystem2023,RGIReport
https://censusindia.gov.in/census.website/data/SRSSTAT
Unit: Per 1000 live births
Note: Under 5 Mortality Rate is available for 22 Bigger States and UTsAnnexure II
Annexure referred to in reply to part (b) of Lok Sabha Unstarred Question No. 1354
for reply on 6th February 2026
No. of SNCUs/ NICUs No. of Paediatric Units
Bihar 45 19
Jharkhand 26 14
Madhya Pradesh 62 67
Rajasthan 72 73
Uttar Pradesh 118 63