In 2018, the Government of India launched the Anaemia Mukt Bharat (AMB) strategy to reduce prevalence of anaemia in women, children and adolescents through life cycle approach. The 6X6X6 strategy aims to reduce anaemia among six beneficiaries age groups through implementation of six interventions and six institutional mechanisms. The UT of Jammu and Kashmir is implementing Anaemia Mukt Bharat strategy as per GOI guidelines.

In the UT of Jammu and Kashmir, all Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition (RMNCAH+N) services are provided across all the districts. Further, two aspirational districts (Kupwara district and Baramulla district) are identified under the Aspirational District programme to prioritize the reproductive health of women and children, including anaemia.

The steps taken by Government including the age specific interventions for reduction in anaemia among women and children across the country are provided at Annexure I.

1. Periodic deworming

• MoHFW is implementing National Deworming Day (NDD) programme under which biannual mass deworming for children and adolescents in age group 1-19 years is carried on designated dates – 10^th February and 10^th August every year
• Pregnant women are provided services under the strategy through antenatal care contacts (ANC clinics/ VHND) for deworming (in the second trimester)

2. Intensified year-round Behaviour Change Communication (BCC) Campaign for compliance to IFA and deworming; Appropriate Infant and Young Child Feeding (IYCF); Increase intake of iron-rich, protein-rich and vitamin C-rich foods; dietary diversification
3. Testing and Treatment of anemia using digital methods (Digital Invasive Haemoglobinometer) in field settings, Sub Health Centres, Health and Wellness Centres; and Semi-auto analyzer in health facilities PHC and above; and point of care treatment. Anaemia Management protocols to be followed are mentioned in Operational Guidelines for Anaemia Mukt Bharat
4. Management of severe anaemia in pregnant women by administration of IV Iron Sucrose/ Blood transfusion
5. Providing incentives to ASHA for identification and follow-up of high-risk pregnancies including severe anaemia in pregnant women
6. Provision of IFA fortified food in government funded public health programmes
7. Addressing non-nutritional causes of anaemia in endemic pockets with special focus on malaria, hemoglobinopathies and fluorosis
8. Strengthening supply chain management of Iron and Folic Acid supplements
9. Convergence and coordination with other line departments and ministries for strengthening implementation
10. National Centre of Excellence and Advanced Research on Anaemia Control (NCEAR-A) at AIIMS, Delhi engaged in capacity building of health care providers and development of training toolkit.

Annexure I

Steps taken by the Ministry of Health and Family Welfare for reduction in anaemia among women and children across the country

11. Prophylactic Iron Folic Acid Supplementation to all six beneficiaries age group

 

Age group	Dose and Regime for IFA supplementation
6 – 59 months of age	Biweekly, 1 ml Iron and Folic Acid syrup Each ml of Iron and Folic Acid syrup containing 20 mg elemental Iron + 100 mcg of Folic Acid
5- 10 years children	Weekly, 1 Iron and Folic Acid tablet Each tablet containing 45 mg elemental Iron + 400 mcg Folic Acid, sugar-coated, pink colour
School going adolescent girls and boys, 10-19 years of age and Out of school adolescent girls 10-19 years age	Weekly, 1 Iron and Folic Acid tablet Each tablet containing 60 mg elemental iron + 500 mcg Folic Acid, sugar-coated, blue colour
Women of reproductive age (non-pregnant, non-lactating) 20-49 years	Weekly, 1 Iron and Folic Acid tablet Each tablet containing 60 mg elemental Iron + 500 mcg Folic Acid, sugar-coated, red colour All women in the reproductive age group in the pre-conception period and upto the first trimester of the pregnancy are advised to have 400 mcg of Folic Acid tablets, daily
Pregnant women and lactating mothers (0-6 months child)	Daily, 1 Iron and Folic Acid tablet starting from the fourth month of pregnancy (that is from the second trimester), continued throughout pregnancy (minimum 180 days during pregnancy) and to be continued for 180 days, post-partum Each tablet containing 60 mg elemental Iron + 500 mcg Folic Acid, sugar-coated, red colour

 

The Union Minister of State for Health and Family Welfare, Dr. Bharati Pravin Pawar stated this in a written reply in the Lok Sabha today.

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HFW/ PQ /Anemia Mukt Bharat/24thMarch2023/3

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