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Resource centre on India's rural distress
 
 

The drop in the maternal mortality ratio is just the first step

-The Telegraph

Policymakers need to look at women’s reproductive health comprehensively

Light seems to have finally appeared at the end of a long, dark tunnel for India. According to the latest Sample Registration System report, the maternal mortality ratio has declined by eight points between 2014-16 and 2015-17. In real numbers, 2,000 deaths have been averted per year in this period. One of the reasons behind this success is the increased access to maternal health services — institutional deliveries in public facilities have almost tripled since 2005. This rise was no doubt facilitated by the provision of free transport to mothers delivering in public health facilities. But it will not do to rest on these laurels. A recent report by the United Nations found that three-fourths of India’s health infrastructure is concentrated in urban areas where only one-fourth of its population lives. A free ride cannot make up for the bad roads or the precious time wasted in travelling, both of which can mean the difference between life and death in critical cases. Further, as is the wont in India, there are gaps in the implementation of welfare schemes. For instance, the National Health Profile shows that only 21 per cent pregnant women in India get full antenatal care — the key to reducing maternal mortality. Given these figures, it is not surprising that in spite of the drop in MMR, India still accounted for 12 per cent of all such deaths around the world in 2017.

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