Anemia Mukt Bharat (AMB)

Introduction

• Launched September 2018 by Ministry of Health & Family Welfare under POSHAN Abhiyaan
• National strategy to reduce anemia prevalence by 3 percentage points per annum using life-cycle approach
• NFHS-5 baseline: 67.1% in children 6–59 months, 59.1% in adolescent girls; major contributor to under-5 morbidity, impaired cognition, reduced school performance
• Goal: “Anemia-free India” through nutritional + non-nutritional interventions

6×6×6 Strategy

6 Target Groups (Pediatric Focus)

• Children 6–59 months
• Children 5–9 years
• Adolescents 10–19 years (boys & girls)

6 Interventions

• Prophylactic Iron-Folic Acid (IFA) supplementation
• Periodic deworming (biannual Albendazole)
• Intensified year-round Behaviour Change Communication (BCC)
• Test-Treat-Track approach using digital hemoglobinometers
• Mandatory provision of IFA-fortified foods in public programmes
• Addressing non-nutritional causes (malaria, haemoglobinopathies, fluorosis)

6 Institutional Mechanisms

• Intra- & inter-ministerial convergence
• National AMB Unit + State/District units
• Supply-chain strengthening & logistics
• Real-time monitoring through AMB dashboard & ABDM
• Capacity building of ASHA/ANM/AWW
• Community ownership & sustained BCC

Age-Specific Prophylactic IFA Supplementation

6–59 months

• Bi-weekly: 1 ml IFA syrup (20 mg elemental iron + 100 mcg folic acid); auto-dispenser bottle
• Administered at Anganwadi centres/immunization sessions

5–9 years

• Weekly: 1 pink sugar-coated IFA tablet (45 mg elemental iron + 400 mcg folic acid)
• School-based + out-of-school through Junior WIFS

10–19 years

• Weekly: 1 blue IFA tablet (60 mg elemental iron + 500 mcg folic acid)
• School Health Programme + RKSK Saathiya sessions

Deworming

• Biannual Albendazole on National Deworming Days (10 February & 10 August)
• 6–23 months: ½ tablet (200 mg)
• ≥24 months to 19 years: 1 tablet (400 mg)
• Co-administered with IFA for synergistic effect

Screening, Diagnosis & Test-Treat Approach

• Point-of-care digital hemoglobinometer (HemoCue/TrueHb) at all levels
• Integrated in RBSK biannual school screening, well-baby visits, immunization, RKSK
• Classification (WHO): Mild, moderate, severe anemia
• Mandatory Hb testing before IFA in high-risk children

Management of Anemia (Therapeutic)

• Mild/Moderate: Therapeutic IFA (double prophylactic dose) + dietary counseling + deworming + 3-month follow-up
• Severe: Hospital referral, injectable iron (if oral intolerance), blood transfusion if Hb <7 g/dL or cardiac failure; investigate underlying causes (thalassemia screen, stool for occult blood, malaria)
• Nutritional counseling: Iron-rich foods + vitamin C; avoid tea/milk with meals

Pediatrician’s Role & Integration

• Routine OPD/IPD screening & early detection
• Ensure 100% IFA compliance monitoring via ABDM/ABHA-linked records
• Counsel caregivers on BCC messages, dietary diversity, hygiene
• Link moderate/severe cases to DEIC (RBSK) for developmental assessment
• Convergence: RBSK (Deficiencies component), RKSK (adolescent anemia), U-WIN (immunization days), POSHAN Tracker, School Health Programme
• Private sector: Report to Ni-kshay-like portal; prescribe fortified foods

Monitoring, Recent Developments & Impact (2026)

• AMB Dashboard + ABDM real-time tracking of IFA coverage & Hb
• Coverage increased from 35.5% (2018–19) to 57.6% (2022–23); continued rise in 2025–26
• Pediatrician-led audits in DEIC/SNCU for compliance
• Outcome: Reduced stunting, improved cognitive scores, lower school absenteeism