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LATEST NEWS UPDATES | On track, but more needed -R Prasad

On track, but more needed -R Prasad

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published Published on Mar 12, 2017   modified Modified on Mar 12, 2017
-The Hindu

Institutional deliveries are up in India, but breastfeeding within the first hour of birth needs to keep pace

Despite institutional delivery being as high as nearly 79% nationally, the number of children in India breastfed within one hour of birth is less than 42% — near 43% in urban areas and 41% in rural India, according to the National Family Health Survey 4 (NFHS-4) data released a few days ago. The Janani Suraksha Yojana — cash incentives to pregnant women to attend antenatal clinics and opt for institutional deliveries — has led to a sharp increase in institutional delivery (from 39% in 2005-06 to 79% in 2015-16) and near doubling of children breastfed within one hour of birth in the last 10 years.

Breastfeeding babies soon after birth can prevent a significant number of neonatal deaths — about 20% newborn deaths and 13% under-five deaths, according to C.K. Mishra, Secretary, Ministry of Health and Family Welfare.

Improvements all around

At 99.9% in both urban and rural areas, Kerala has the highest institutional births in the country. Tamil Nadu is a close second with 99.2% institutional births in urban areas and 98.7% in rural areas. Yet, Kerala and Tamil Nadu do not fare greatly when it comes to initiating breastfeeding within one hour of birth. At 64%, Kerala is well below Goa’s average of 73%. Similarly, Maharashtra with 90% institutional deliveries has 57.5% for early initiation of breastfeeding compared to Tamil Nadu’s nearly 55%.

Bihar has shown the most improvement in initiating breastfeeding within one hour of birth — from 4% in 2005-06 to 35% in 2015-16. Though Uttar Pradesh has improved its performance, it is still about half of the national average — 7.2% in 2005-06 to 25% in 2015-16. Other States that have shown good improvement on this front are Haryana, Jharkhand, Madhya Pradesh, Punjab and Rajasthan.

Similarly, all States have registered an improvement in the case of exclusive breastfeeding of children under age six months. While Goa has shown a dramatic increase from 17.7% in 2005-06 to nearly 61% in 2015-16, Chhattisgarh has witnessed a drop from 82% to 77%.

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The Hindu, 12 March, 2017, http://www.thehindu.com/sci-tech/health/on-track-but-more-needed/article17449529.ece?homepage=true


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