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LATEST NEWS UPDATES | Decline in Rates of Maternal and Infant Mortality

Decline in Rates of Maternal and Infant Mortality

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published Published on Feb 11, 2014   modified Modified on Feb 11, 2014
-Press Information Bureau (Ministry of Health and Family Welfare)


As per the Sample Registration System (SRS), Registrar General of India (RGI-SRS), Maternal Mortality Ratio (MMR) has shown a decline from 212 per 100,000 live births in the period 2007-09 to 178 per 100,000 live births in the period 2010- 12 and Infant Mortality Rate (IMR) has declined from 47 per 1000 live births in the year 2010 to 42 per 1000 live births in 2012.

The RGI-SRS provides MMR for the country and major states at 3-year intervals. The latest data on MMR for 2007-09 and 2010-12 is given in table below:-

Table 1 MMR

The latest data on IMR for the years 2010, 2011 and 2012 is given in table below:-

Table 2 IMR

The State /UTs-wise MMR for 2007-09 & 2010-12 and IMR for last 3 years are given in table below respectively:-

Please click here to get the state-wise IMR and MMR data.

As per the RGI-SRS report titled "Maternal Mortality in India: 1997-2003 trends, causes and risk factors", major causes of maternal deaths in the country are haemorrhage (38%), sepsis (11%), hypertensive disorders (5%), obstructed labour (5%), abortion (8%) and other Conditions (34%) , which includes anaemia.

 

Maternal Mortality is also influenced by other determinants which include low literacy, lack of spacing between births, early age at marriage & child bearing, high parity, cultural misconceptions, economic dependency of women etc.

 

The main reasons for Infant Mortality in India as per the Registrar General of India (2001-03) are perinatal conditions (46%), respiratory infections (22%), diarrhoeal diseases (10%), other infectious and parasitic diseases (8%) and congenital anomalies (3.1%).

 

Under the National Health Mission (NHM), the key steps taken by the Government of India to accelerate the pace of decline in maternal & infant mortality are:

• Demand promotion through Janani Suraksha Yojana (JSY), a conditional cash transfer scheme to promote institutional deliveries
• Providing resources for operationalization of sub-centers, Primary Health Centers, Community Health Centers and District Hospitals for providing 24x7 basic and comprehensive obstetric care, neonatal, infant and child care services
• Strengthening of Facility based newborn care by setting up Newborn care corners (NBCC) in all health facilities where deliveries take place; Special New Born Care Units (SNCUs) at District Hospitals and New Born Stabilization Units (NBSUs) at First Referral Units for the care of sick newborn.
• Capacity building of health care providers through training programmes in basic and comprehensive obstetric care, skilled attendance at birth, Integrated Management of Neo-natal and Childhood Illness (IMNCI) and Navjaat Shishu Suraksha Karyakaram (NSSK), facility & home based newborn care, etc.
• Name Based web enabled tracking of pregnant women & children to ensure optimal antenatal, intranatal and postnatal care to pregnant women and care to new-borns, infants and children.
• Under the National Iron+ Initiative, Iron and Folic Acid supplementation to pregnant, lactating women and to children and adolescents for prevention and treatment of anaemia
• Identifying the severely anaemic cases in pregnant women and children at sub centres and PHCs for their timely management
• To tackle the problem of anaemia due to malaria particularly in pregnant women and children, Long Lasting Insecticide Nets (LLINs) and Insecticide Treated Bed Nets (ITBNs) are being distributed in endemic areas.
• Exclusive breastfeeding for first six months and promotion of appropriate infant and young child feeding practices
• Engagement of more than 8.8 lakhs Accredited Social Health Activists (ASHAs) to generate demand and facilitate accessing of health care services by the community.
• Home Based Newborn Care (HBNC) has been initiated through ASHA to improve new born care practices at the community level and for early detection and referral of sick new born babies.
• Village Health and Nutrition Days in rural areas as an outreach activity, for provision of maternal and child health services and creating awareness on maternal and child care including health and nutrition education.
• Universal Immunization Program (UIP) against seven diseases for all children.
· Vitamin A supplementation for children aged 6 months to 5 years.
· Janani Shishu Suraksha Karyakaram (JSSK) has been launched in 2011, which entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery including Caesarean section. The initiative stipulates free drugs, diagnostics, blood and diet, besides free transport from home to institution, between facilities in case of a referral and drop back home. Similar entitlements are available for sick newborns and infants accessing public health institutions for treatment.

· To sharpen the focus on vulnerable and marginalized populations in underserved areas, 184 High Priority Districts have been identified for implementation of Reproductive Maternal Newborn Child Health+ Adolescent (RMNCH+A) interventions for achieving improved maternal and child health outcomes.


The State / UT-wise allocation of funds and their utilization under Maternal & Child Health Programme during last 3 years is given in table below:-

Click Here to See Table

This was stated by Shri Ghulam Nabi Azad, Union Minister for Health and Family Welfare in a written reply to the Rajya Sabha today.

*********

MV/GM/BK

(Release ID :103446)

A message from Inclusive Media for Change: Please click here to access the Presentation on Maternal Mortality Levels (2010-12). 


Press Information Bureau, 11 February, 2014, http://www.pib.nic.in/newsite/erelease.aspx?relid=103446


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