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02<br />
Survival<br />
Development<br />
Protection<br />
Participation<br />
Recent survey conducted by the National Institute of Nutrition, Hyderabad shows a slight decline of 8.23<br />
percent in the existing malnutrition levels as compared to NFHS-3. This means that still more than seven<br />
lakh children continue to be grossly underfed in the state.<br />
Alarming Facts on Child Health<br />
8 At present 51.77 percent children in Madhya Pradesh are malnourished out of which 8.34<br />
2<br />
percent comes under the category of severely malnourished .<br />
8 MP ranks second with 74.1 percent children being anaemic under five years of age *.<br />
8 State ranks second with under five mortality rate at 89per 1000 child population **.<br />
8 Infant Mortality Rate is also highest in Madhya Pradesh with 62 per thous<strong>and</strong> live birth ***.<br />
The concern of child health in Madhya Pradesh has been well corroborated from the findings of various<br />
empirical studies, reports <strong>and</strong> surveys. Thus, probing into the situation of child health is urgent <strong>and</strong><br />
3<br />
important because of considerable size of child population in the state. Children (0-6 years) in Madhya<br />
Pradesh, constitute about 14.5 percent of total population according to Census 2011 that comes around<br />
10.54 million in numbers indicating a decline of 3.1 percent in males <strong>and</strong> 3.6 percent in females, over<br />
Census 2001.<br />
State's investment on child health is most desirable social investment for a prosperous <strong>and</strong> sustainable<br />
society. But against the backdrop of poor health of children, state’s expenditure on child health is not<br />
encouraging too. Analysis of state budget reveals that on an average state is spending Rs. 4095 crores i.e<br />
4<br />
15.94 percent of the total state budget (ava for 2001-02 to 2008-09) per annum on children . Among<br />
different sector of child budget, the proportionate constitution of child health (0.72%) <strong>and</strong> child<br />
development (8.18%) is very minuscule.<br />
Madhya Pradesh is positioned at lower ends in terms of per child expenditure (ava for the period 2004-05<br />
to 2008-09) among the states like UP, HP, AP, Orissa, West Bengal <strong>and</strong> Assam. The state is spending Rs 404<br />
on child development <strong>and</strong> merely Rs 15.02 on child health on every child every year as revealed by the<br />
5<br />
study titled “Budget for Children in Madhya Pradesh”, 2010 by Sanket Centre for Budget Studies, Bhopal .<br />
2. Ground Realities of Child Health in M.P. : Annual Health Survey<br />
6<br />
Latest released data of Annual heath survey; 2010-11 depicts the shocking results in context of Infant<br />
Mortality Rate (IMR), Child Mortality Rate (CMR/U5MR) <strong>and</strong> Neo Natal Mortality Rate (NMR). In all EAG<br />
2<br />
Survey conducted by the National Institute of Nutrition, Hyderabad in 2011<br />
3<br />
Individuals in the age group 0-18 are defined as Children in consonance with UNCRC <strong>and</strong> Juvenile Justice Act, 2000<br />
4<br />
Budget for Children in Madhya Pradesh”, 2010 by Sanket Centre for Budget Studies, Bhopal.<br />
5<br />
This spending, however, does not include the spending on NRHM <strong>and</strong> RCH that bypasses the state budget.<br />
6<br />
AHS has been implemented by the Office of Registrar General, India in all the 284 districts (as per 2001 Census)<br />
in 8 Empowered Action Group States (Bihar, Jharkh<strong>and</strong>, Uttar Pradesh, Uttarakh<strong>and</strong>, Madhya Pradesh, Chhattisgarh, Orissa <strong>and</strong><br />
Rajasthan) <strong>and</strong> Assam for a three year period during XI Five Year Plan period.<br />
*NRHS-3 **Annual Health Survey 2010-11 ***Annual Health Survey 2010-11