The Ministry of Health and Family Welfare (MoHFW) has noted that with a continued decline in MMR, India is on track to meet the National Health Policy (NHP) target of 100 births. alive for 1 lakh by 2020 and certainly on track to achieve sustainable development. Goals (SDG) target of 70 live births per lakh by 2030.
The number of states that have achieved the SDG target has now increased from five to seven, namely Kerala, Maharashtra, Telangana, Tamil Nadu, Andhra Pradesh, Jharkhand and Gujarat. Nine states that have achieved the RMM target set by the NHP include the above seven states and two other states are Karnataka and Haryana.
According to the SRS, the ratio fell from 113 in 2016-18 to 103 in 2017-19 and the country has seen a gradual reduction in MMR.
Three states – Kerala, Maharashtra and Uttar Pradesh recorded more than 15% decline in MMR, while six states namely Jharkhand, Rajasthan, Bihar, Punjab, Telangana and Andhra Pradesh, recorded a decline of 10-15%. Four states of Madhya Pradesh, Gujarat, Odisha and Karnataka saw declines of 5-10%.
States like West Bengal, Haryana, Uttarakhand and Chhattisgarh however showed an increase in MMR need to reassess their strategy and intensify their efforts to accelerate the decline in MMR to achieve the SDG target, says the SRS report.
“It is pertinent to point out that strategic investments under the National Health Mission (NHM) through various programs have consistently yielded growing dividends. Remarkable gains have been made under Pradhan Mantri Surakshit Matritva Abhiyan and of the Labor Room Quality Improvement Initiative (LaQshya) in collaboration with existing programs like Janani Shishu Suraksha Karyakram (JSS) and Janani Suraksha Yojana (JSY),” the statement read.
Further noted that programs of the Ministry of Women and Child Development (MoWCD), such as the Pradhan Mantri Matru Vandana Yojana (PMMVY) and the poshan abhiyan, target the provision of nutrition to vulnerable populations, especially pregnant and lactating women and children.’Surakshit Matritva Aashwasan’ for women by creating a responsive health system that strives to achieve zero preventable maternal and newborn deaths.
The MoHFW also highlighted the use of Maternal Perinatal Child Death Surveillance Response (MPCDSR) software in 2021 to create an integrated one-stop information platform to capture actionable data for the two maternal deaths aided. The creation of a new cadre of “Midwifery Nurse Practitioners” under the Midwifery Initiative has contributed to a positive birthing experience for women with respect and dignity in units led by midwives.