Lok Sabha Question No. 3178 (UNSTARRED), answered on 2019-12-06
Subject: Maternal and Infant Mortality Rates
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Andimuthu Raja, V. Kalanidhi

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

## LOK SABHA UNSTARRED QUESTION NO. 3178 TO BE ANSWERED ON 6 TH DECEMBER, 2019

## MATERNAL AND INFANT MORTALITY RATES

## 3178. SHRI A. RAJA: DR. KALANIDHI VEERASWAMY:

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

- (a) the details of the maternal and infant mortality rates within the country, State/UT - wise including Tamil Nadu during the last three years and the current year;
- (b) wheth er the Government has imed for zero preventable maternal and newborn deaths within the country;
- (c) if so, the details thereof;
- (d) whether the Government is planning to launch a new scheme to meet this aim within the country;
- (e) if so, the details thereof; and
- (f) the funds likely to be sanctioned for this, State/UT - wise including Tamil Nadu along with the number of facilities and services likely to be provided under this scheme?

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

- (a) : Registrar  General  of  India  provides  estimates  on  fertility  and  mortality  usi Sample  Registration  System  (SRS),  which  does  not  generate  maternal  mortality  data yearly basis. Maternal deaths being a rare event, require prohibitively large sample e to provide robust estimates. In order to enhance the SRS sample size, the results are der pooling the three years data to yield reliable estimates of maternal mortality.

The  details  of  the  maternal  mortality  ratio  and  infant  mortality  rates  with n  the country, State/UT -wise including Tamil Nadu during the last three years and the current y is placed at annexure A.

- (b )to(e ) : In order to end all preventable maternal and newborn deaths, morbidities to provide a positive birthing experienc e, MoHFW has launched the SUMAN initiative on 10th October 2019. The initiative aims to provide Assured, dignified, respectful and healthcare, at no cost and zero tolerance for denial of services, for every woman and visiting the public hea lth facility.

The main objectives of SUMAN are;

- Provide high quality medical and emergency services and Create a responsive health care system.

referrals

- Use institutional and other community - based platforms like NGOs,  SHGs,  PRIs,  and  elected representatives  to  spread  awareness,  mobilize  the community and facilitate 100% reporting and review of Maternal Deaths.
- Develop and establish a system of continuous client and redressal of grievances for maternity services.
- Create awareness; buil d capacities and motivation of service providers.
- Provide an interdepartmental platform for convergent action plans.
- Create steering committees for effective governance formulating strategies, supervision and review of the corrective actions.

including program

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(f): 'Public  Health  and  Hospital'  being  a  State  Subject,  the  primary  responsibility  of provision of healthcare to all lies with respective State Government. However, under Na Health Mission (NHM), every year proposals are received from all States/ UTs in the form of Programme  Implementation Plans (PIPs). The PIPs are approved in the National Progra Coordination Committee (NPCC) meetings and Record of Proceedings (RoPs) is drawn. The funds for SUMAN initiative, State/UT -wise including Tamil Nadu along with the number of facilities to be covered would be based on the requirements posed by States/UTs within their overall resource envelope.

feedback

## State-wise Maternal Mortality Ratio (MMR)

| MMR-SRS   | MMR-SRS        | MMR-SRS   | MMR-SRS   | MMR-SRS   |
|-----------|----------------|-----------|-----------|-----------|
| Sl. No    | India/States   | 2011-13   | 2014-16   | 2015-17   |
| 1         | Andhra Pradesh | 92        | 74        | 74        |
| 2         | Assam          | 300       | 237       | 229       |
| 3         | Bihar          | 208       | 165       | 165       |
| 4         | Jharkhand      | 208       | 165       | 76        |
| 5         | Gujarat        | 112       | 91        | 87        |
| 6         | Haryana        | 127       | 101       | 98        |
| 7         | India          | 167       | 130       | 122       |
| 8         | Karnataka      | 133       | 108       | 97        |
| 9         | Kerala         | 61        | 46        | 42        |
| 10        | Madhya Pradesh | 221       | 173       | 188       |
| 11        | Chhatisgarh    | 221       | 173       | 141       |
| 12        | Maharashtra    | 68        | 61        | 55        |
| 13        | Odisha         | 222       | 180       | 168       |
| 16        | Punjab         | 141       | 122       | 122       |
| 14        | Rajasthan      | 244       | 199       | 186       |
| 15        | Tamil Nadu     | 79        | 66        | 63        |
| 16        | Telangana      | 92        | 81        | 76        |
| 17        | Uttarakhand    | 285       | 201       | 89        |
| 18        | Uttar Pradesh  | 285       | 201       | 216       |
| 19        | West Bengal    | 113       | 101       | 94        |
| 20        | Other States   | 126       | 97        | 96        |

As  per  SRS,  the details  of  Infant  mortality  rates  for  last  three  years  an current year -

| Infant Mortality Rate (2014 to 2017)-SRS   |   Infant Mortality Rate (2014 to 2017)-SRS |   Infant Mortality Rate (2014 to 2017)-SRS |   Infant Mortality Rate (2014 to 2017)-SRS |   Infant Mortality Rate (2014 to 2017)-SRS |
|--------------------------------------------|--------------------------------------------|--------------------------------------------|--------------------------------------------|--------------------------------------------|
| State/UTs                                  |                                       2014 |                                       2015 |                                       2016 |                                       2017 |
| India                                      |                                         39 |                                         37 |                                         34 |                                         33 |
| Tamil Nadu                                 |                                         20 |                                         19 |                                         17 |                                         16 |
| Bihar                                      |                                         42 |                                         42 |                                         38 |                                         35 |
| Chhattisgarh                               |                                         43 |                                         41 |                                         39 |                                         38 |
| Himachal Pradesh                           |                                         32 |                                         28 |                                         25 |                                         22 |
| Jammu &Kashmir                             |                                         34 |                                         26 |                                         24 |                                         23 |
| Jharkhand                                  |                                         34 |                                         32 |                                         29 |                                         29 |
| Madhya Pradesh                             |                                         52 |                                         50 |                                         47 |                                         47 |
| Odisha                                     |                                         49 |                                         46 |                                         44 |                                         41 |
| Rajasthan                                  |                                         46 |                                         43 |                                         41 |                                         38 |
| Uttar Pradesh                              |                                         48 |                                         46 |                                         43 |                                         41 |
| Uttarakhand                                |                                         33 |                                         34 |                                         38 |                                         32 |
| Arunachal Pradesh                          |                                         30 |                                         30 |                                         36 |                                         42 |
| Assam                                      |                                         49 |                                         47 |                                         44 |                                         44 |
| Manipur                                    |                                         11 |                                          9 |                                         11 |                                         12 |
| Meghalaya                                  |                                         46 |                                         42 |                                         39 |                                         39 |
| Mizoram                                    |                                         32 |                                         32 |                                         27 |                                         15 |
| Nagaland                                   |                                         14 |                                         12 |                                         12 |                                          7 |
| Sikkim                                     |                                         19 |                                         18 |                                         16 |                                         12 |
| Tripura                                    |                                         21 |                                         20 |                                         24 |                                         29 |
| Andhra Pradesh                             |                                         39 |                                         37 |                                         34 |                                         32 |
| Goa                                        |                                         10 |                                          9 |                                          8 |                                          9 |
| Gujarat                                    |                                         35 |                                         33 |                                         30 |                                         30 |
| Haryana                                    |                                         36 |                                         36 |                                         33 |                                         30 |
| Karnataka                                  |                                         29 |                                         28 |                                         24 |                                         25 |
| Kerala                                     |                                         12 |                                         12 |                                         10 |                                         10 |
| Maharashtra                                |                                         22 |                                         21 |                                         19 |                                         19 |
| Punjab                                     |                                         24 |                                         23 |                                         21 |                                         21 |
| Telangana                                  |                                         35 |                                         34 |                                         31 |                                         29 |
| West Bengal                                |                                         28 |                                         26 |                                         25 |                                         24 |
| A & N Islands                              |                                         22 |                                         20 |                                         16 |                                         14 |
| Chandigarh                                 |                                         23 |                                         21 |                                         14 |                                         14 |
| D &NHaveli                                 |                                         26 |                                         21 |                                         17 |                                         13 |
| Daman &Diu                                 |                                         18 |                                         18 |                                         19 |                                         17 |
| Delhi                                      |                                         20 |                                         18 |                                         18 |                                         16 |
| Lakshadweep                                |                                         20 |                                         20 |                                         19 |                                         20 |
| Puducherry                                 |                                         14 |                                         11 |                                         10 |                                         11 |