Lok Sabha Question No. 1321 (UNSTARRED), answered on 2018-02-09
Subject: MMR and IMR Targets under SDG
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SANJAY JAISWAL, SUSHMITA DEV, RAM CHARITRA

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 1321 TO BE ANSWERED ON 9 TH FEBRUARY, 2018

## MMR AND IMR TARGETS UNDER SDG

## 1321. DR. SANJAY JAISWAL: KUMARI SUSHMITA DEV: SHRI RAM CHARITRA NISHAD:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the Government has identified the primary cause for maternal deaths in the country, if so, the details thereof;
- (b)  whether the  Government  is  aware that  the  country  has  managed  to  achieve  its target  of bringing down Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) as set in the MillenniumDevelopment Goal (MDG);
- (c) if so, the details of the targets set for MMR and IMR as per India's Sustainable Development Goal  (SDG) commitment  and  the  present  status  of  the same  and  the  details  of  the  funds sanctioned and utilized during the last ten years;
- (d) the total number of women who have benefited under the Janani Surak sha Yojana scheme; and
- (e) whether the Government has any plan to increase the payout given under the said scheme and if so, the details thereof and if not, the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a): The Registrar General of India, Sample Registration System (RGI - SRS) provides a nation -wide disaggregated data on the different causes of maternal mortality at different interva

The major causes of maternal deaths as per     RGI - SRS(2001- 03) are :

- Haemorrhage: 38% occur mainly because of post -partum Haemorrhage.
- Sepsis: 11%, because of any infection during pregnancy, labor and in post - partum period.
- Abortion: 8%, because of unsafe abortions.
- Hypertensive disorders: 5%, because of High Blood pressure during pregnancy.
- Obstructed labor :5%
- Other causes: 34% -includes anaemia and various other causes.

(b):      Under the Millennium Development Goal (MDG) 5, the target was to reduce Mater Mortality Ratio (MMR) to 14 0 per 1,00,000 live births by the year 2015 taking a baseline of per 100,000 live births in 1990. As per the latest report of the Registrar General of India, Sample Registration System (RGI SRS), Maternal Mortality Ratio (MMR) of India has shown a de cline from 212 per 100,000 live births in the period 2007 -09 to 167 per 100,000 live births in the period 2011 - 13. Presuming  the  MMR  decline  continued  at  the  same  pace,  India  would  have achieved the MDG5. The  MDG4  is  related  to  under  5  child  morta lity.    Under  MDG4,  the  Under  5 Mortality Rate (U5MR) target was 42 per 1000 live births by 2015 and India achieved U5MR 43 per 1000 live births as per SRS, 2015 report and 39 as per SRS 2016 report. (c)  As  per  Sustainable  Development  Goal(SDG)  target  fo r  MMR  is  to  reduce  the  Maternal Mortality Ratio (MMR) to less than 70 per 100,000 livebirths by 2030. There is no target Infant Mortality Rate  (IMR) under Sustainable  Development Goals (SDGs). Under SDG, the targets set for Under 5 Mortality Rate i s 25 per 1000 live births and Neo - natal Mortality Rate is ≤ 12 per 1000 live births by 2030. Total  budget  sanctioned  and  utilized  under  Maternal  health,  Child  health immunization for last t en years is placed at annexure. (d) : As  pe r  reports  received  from  States/UTs,  a  total  of  10.91  crore  women  have  be benefitted under Janani Suraksha Yojana since its inception in April 2005 till September 2 (e) : The Government has no plan to increase the payout in the Janani Suraksha Yoja na. In June  2011,  the  Government  of  India  launched  a  nationwide  scheme  namely  Janani  Shish Suraksha Karyakram (JSSK), a cashless delivery services scheme, which entitles all pre woman and sick infant, accessing the public health institutions, free re ferral transport, free diet during her stay in hospital, free drugs and free diagnostic services. Since JSSK is imp throughout  the  country  in  Government  health  facilities  to  cover  the  out  of  pocket  ex during  delivery  of  pregnant  women,  there is  no  plan  to  increase  the  payout  given  under  the Janani Suraksha Yojana.

- ………………

## Annexure

| Details of State Programme Implementation Plans (PIP) Approvals vs Expenditure for the F.Y. 2007-08 to 2016-17   | Details of State Programme Implementation Plans (PIP) Approvals vs Expenditure for the F.Y. 2007-08 to 2016-17   | Details of State Programme Implementation Plans (PIP) Approvals vs Expenditure for the F.Y. 2007-08 to 2016-17   |
|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|
|                                                                                                                  |                                                                                                                  | Rs. in lakhs                                                                                                     |
| Financial Year                                                                                                   | Total                                                                                                            |                                                                                                                  |
|                                                                                                                  | State PIP (sanctioned)                                                                                           | Expenditure                                                                                                      |
| 2007-08                                                                                                          | 48744.12                                                                                                         | 147242.9                                                                                                         |
| 2008-09                                                                                                          | 199070                                                                                                           | 201790.9                                                                                                         |
| 2009-10                                                                                                          | 201946.4                                                                                                         | 228960.1                                                                                                         |
| 2010-11                                                                                                          | 269860.2                                                                                                         | 248074                                                                                                           |
| 2011-12                                                                                                          | 305840.6                                                                                                         | 247582.7                                                                                                         |
| 2012-13                                                                                                          | 474126.1                                                                                                         | 346576                                                                                                           |
| 2013-14                                                                                                          | 510302.7                                                                                                         | 396812.1                                                                                                         |
| 2014-15                                                                                                          | 507234.3                                                                                                         | 402583.5                                                                                                         |
| 2015-16                                                                                                          | 494020.8                                                                                                         | 404692                                                                                                           |
| 2016-17                                                                                                          | 536550.3                                                                                                         | 421483.8                                                                                                         |
| Total                                                                                                            | 3547695                                                                                                          | 3045798                                                                                                          |