Executive Summary:
This document is a response to Lok Sabha Unstarred Question No. 1033 regarding maternal mortality in Assam tea gardens, to be answered on July 25, 2025. It provides details on Maternal Mortality Ratio (MMR) in Assam, institutional deliveries, Janani Suraksha Yojana (JSY) benefits, Anaemia Mukt Bharat Abhiyan, and assessments of central schemes related to maternal health for tea garden workers in Assam. The information is based on data from the Registrar General of India, NFHS-5 (2019-21), HMIS, and information received from the State of Assam.
Key Points / Main Content:
Maternal Mortality and Institutional Deliveries:
* The MMR of Assam is 125 per lakh live births (as per the Special Bulletin on MMR, 2020-22).
* The share of institutional deliveries in Assam is 84.1% (as per NFHS-5, 2019-21).
Janani Suraksha Yojana (JSY):
* Funds approved under NHM for JSY in Assam for the last five years are detailed in Annexure II.
* Year-wise data of tea garden workers availing JSY benefits and funds disbursed to them is not maintained separately by the State of Assam.
Anaemia Mukt Bharat Abhiyan:
* The Abhiyan covers all target age groups, including pregnant and lactating women and women of reproductive age in all tea garden areas of Assam.
* 95% of pregnant women in Assam have been provided with 180 Red Iron and Folic Acid (IFA) tablets in FY2024-25 (as per HMIS).
* Separate coverage data for female tea garden workers and pregnant tea garden workers is not maintained by the State of Assam.
Assessment of Central Schemes:
* The Government assesses the implementation of central schemes under NHM through review meetings, field visits, and Common Review Missions (CRMs).
* A system of regular supportive supervisory visits to states and districts monitors the implementation of central schemes.
* HMIS, RCH portal, and PMSMA portal are used to report, review, and monitor key maternal health indicators.
* Communication with State Governments is maintained through letters and videoconferencing.
Impact Analysis:
State of Assam:
* Impact: Required to implement and monitor central schemes related to maternal health, including JSY and Anaemia Mukt Bharat Abhiyan. Must address data gaps in tracking specific benefits to tea garden workers.
* Action Required: Improve data collection to track JSY benefits and Anaemia Mukt Bharat Abhiyan coverage among tea garden workers separately. Participate in review meetings and address issues identified.
Central Government (Ministry of Health and Family Welfare):
* Impact: Responsible for overseeing the implementation of NHM and related schemes, providing funds, and monitoring progress.
* Action Required: Continue conducting review meetings, field visits, and CRMs to assess scheme implementation. Maintain communication with the State Government to address challenges and ensure effective scheme delivery.
Health Workers:
* Impact: Involved in the implementation of maternal health schemes and providing healthcare services.
* Action Required: Conduct regular supervisory visits, accurately report data through HMIS, RCH portal, and PMSMA portal, and ensure effective service delivery.
Key Entities Referenced
Maternal Mortality Ratio: A key health indicator measuring the number of maternal deaths per 100,000 live births, used to assess maternal health.
Assam: A state in Northeast India, specifically focused on in the context of tea gardens and maternal health initiatives.
Janani Suraksha Yojana: A conditional cash transfer scheme under the National Health Mission to reduce maternal and neonatal mortality by promoting institutional deliveries.
Anaemia Mukt Bharat Abhiyan: A national program to reduce anemia among women and children in India, including the provision of Iron and Folic Acid (IFA) supplements.
National Health Mission: A centrally sponsored scheme to address the health needs of under-served rural and urban areas.
Health Management Information System: A web based monitoring system used to monitor various health programs.
SMT. ANUPRIYA PATEL: Minister of State in the Ministry of Health and Family Welfare
NFHS5 2019-21: National Family Health Survey, a large-scale, multi-round survey conducted in India.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 1033
TOBE ANSWERED ON25THJULY,2025
MATERNALMORTALITYRATIO IN ASSAMTEAGARDENS
†1033 SHRIPRADYUTBORDOLOI:
Will the Ministerof HEALTHANDFAMILYWELFAREbe pleasedtostate:
(a) the details of the Maternal Mortality Ratio (MMR) in Assam’s tea gardens and the share
of institutional deliveries amongst tea garden workers in the country, State/UT-wise,
particularlyinAssam;
(b) the details of the number of tea garden workers in Assam who availed benefits under the
Janani Suraksha Yojna during the last five years and the amount of funds disbursed to them,
year-wise;
(c) the details of the number of female tea garden workers in Assam covered under the
Anaemia Mukt Bharat Abhiyan and the share of pregnant tea garden workers who received
180Red Iron andFolicAcid (IFA) tabletsunderthe scheme; and
(d) whether the Government hasundertakenanyassessments regardingthe delivery of central
schemes related to maternal health to tea garden workers in Assam and if so, the findings
thereof?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILY
WELFARE
(SMT. ANUPRIYAPATEL)
(a):Asperthe Special Bulletin on Maternal Mortality Ratio (MMR), 2020-22 released by the
Registrar General of India, which provides MMR at State level, the MMR of Assam is 125
per lakh live births. The share of institutional deliveries at State/UT level including the State
of Assam asperthe NFHS-5(2019-21), isplacedat Annexure I.
(b): The details of the funds approved under NHM for Janani Suraksha Yojana (JSY) in
Assam, in the last five years are placed at AnnexureII. As per the information received from
the state of Assam, the year-wise data of tea garden workers who have availed JSY benefits
andthe amountof funds disbursed tothem isnot maintainedseparately.
(c): Under Anemia Mukt Bharat Abhiyan, all the target age groups, including pregnant and
lactating women and women of reproductive age group are covered across all the States andUTs, including all tea garden areas of Assam. As per the Health Management Information
System (HMIS), 95% of pregnant women in Assam have been provided with 180 Red Iron
andFolicAcid (IFA) tabletsinFY2024-25. Asperthe informationreceivedfrom the Stateof
Assam, the separate coverage data for female tea garden workers and pregnant tea garden
workers isnot maintained.
(d): The Government assesses the implementation of central schemes under National Health
Mission (NHM) by undertaking periodic Regional/State level review meetings, field visits in
various States/UTs and Common Review Missions (CRMs). Further, Government of India
has taken following steps for effective implementation and strengthening of central schemes,
across allStatesandUTs, includingtea gardensinAssam:
Asystem of regular supportive supervisory visits to the states and districts to monitor
the implementation of centralschemeshas beenput inplace.
Health Management Information System (HMIS), Reproductive and Child Health
(RCH) portal and Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) portal are
the major tools toreport, review andmonitor the keymaternal health indicators under
the centralschemes.
Communications through multiple channels with State Governments including letters
andvideoconferencing.
*****Annexure referred to in reply to part (a) of Lok Sabha Unstarred Q. No 1033 to be
answered on25.07.2025
Annexure I
IndiaandState/UTwise shareof Institutional DeliveriesasperNFHS-5 (2019-21)
S.No. State/UT InstitutionalDelivery%
India 88.6
1 AndamanandNicobar Islands 98.9
2 Andhra Pradesh 96.5
3 Arunachal Pradesh 79.2
4 Assam 84.1
5 Bihar 76.2
6 Chandigarh 96.9
7 Chhattisgarh 85.7
8 Delhi 91.8
9 Goa 99.7
10 Gujarat 94.3
11 Haryana 94.9
12 HimachalPradesh 88.2
13 Jammu andKashmir 92.4
14 Jharkhand 75.8
15 Karnataka 97.0
16 Kerala 99.8
17 Ladakh 95.1
18 Lakshadweep 99.6
19 Madhya Pradesh 90.7
20 Maharashtra 94.7
21 Manipur 79.9
22 Meghalaya 58.1
23 Mizoram 85.8
24 Nagaland 45.7
25 Odisha 92.2
26 Puducherry 99.6
27 Punjab 94.3
28 Rajasthan 94.9
29 Sikkim 94.7
30 Tamil Nadu 99.6
31 Telangana 97.0
32 The Dadra Nagar Haveli andDaman&Diu 96.5
33 Tripura 89.2
34 Uttarakhand 83.2
35 Uttar Pradesh 83.4
36 West Bengal 91.7Annexure referred to in reply to part (b) of Lok Sabha Unstarred Q. No 1033 to be
answered on25.07.2025
Annexure II
State Program Implementation Plan (SPIP)Approvalsfor the last 5 years under JSYfor
Assam
SPIPApproval
FinancialYear
(Rs.in lakh)
2020-21 6,933.61
2021-22 4,634.84
2022-23 7,917.38
2023-24 8,248.54
2024-25 8,554.27