Lok Sabha Question No. 1717 (UNSTARRED), answered on 2018-07-27
Subject: Maternal Death
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SANJAY JAISWAL

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

## LOK SABHA UNSTARRED QUESTION NO. 1717 TO BE ANSWERED ON 27 th JULY, 2018

## MATERNAL DEATH

## 1717. DR. SANJAY JAISWAL:

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

- (a) the details of maternal deaths reported in the country during the last one year, State - wise;
- (b)  whether  the  Government  has identified  the  primary  causes  for  such deaths  and  if  so,  the details thereof;
- (c)whether the Government is aware that Anemia is one of the reasons behind maternal deaths and if so, the measures taken by the Government to address this issue; and
- (d)  the  other  measures  taken  by  the Government  to  reduce  maternal  deaths during  the  said period, State/UT - wise?

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

- (a) &(b) : As  per  the  latest  report  released  by  Registrar  General  of  India,  Sam Registration System (RGI - SRS), maternal mort ality ratio of India is 130 per 100,000 live birth in 2014 - 16. The detailed state - wise MMR is placed at Annexure.

As per the latest RGI - SRS Report on Causes of Maternal Deaths (2001 - 20 3) the identified primary causes of maternal deaths are haemorrhage (38%), sepsis (11%), abortion -(8%), hypertensive disorders - (5%), obstructed labour (5%), other conditions (ectopic pregnancy severe anaemia, embolism) etc. (34%).

- (c)& (d) : Anaemia has been identified as one of the causes of maternal deaths by Minis of Health and Family Welfare (MoHFW).

Under  the  National  Health  Mission  (NHM),  following  are  the  steps  taken  to  tack anaemia and to reduce maternal deaths in the country:

- Safe ins titutional deliveries are promoted through schemes like Janani Suraksha Yoj and Janani Shishu Suraksha Karyakram.
- Universal screening of pregnant women including anemic PW is carried out at all pu health facilities.180 iron and folic acid (IFA) tab lets are givenin the ante natal and 180 IFA tablets Are given in the post - natal periodto all pregnant women. Of these who are found  to  be  clinically  anemic,  are  given  double  doses  tablets  as  a  part  of  tr regimen.
- To address anaemia due to worm inf estation, deworming of pregnant women is done after first trimester preferably in second trimester of pregnancy.
- Under Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) special antenatal checkup on  9th  of  every  month  are  provided  byspecialists  to  detect  a nd manage high  risk pregnancieswhich include cases of anemia.
- Operationalization of   Blood Bank in District Hospitals and Blood Storage Unit in district  facilities  such  as  Sub - Divisional  Hospital/  Community  health  Centers  is  being taken up to tackle complications due to severe anemia etc.
- To  tackle  the  problem  of  anemia  due  to  malaria  particularly  in  pregnant  women  a children,  Long  Lasting  Insecticide  Nets  (LLINs)  and  Insecticide  Treated  Bed  N (ITBNs) are being distributed in endemic areas.
- Mo nitoring of maternal deaths and anemia in pregnant women is done through Healt Management information system &Reproductive and Child Health (RCH) Portal.
- Dietary counselling to pregnant women is provided during ante - natal visits through the existing netw ork of sub -centers and primary health centers and other health facilities well as through outreach activities at Village Health & Nutrition Days (VHNDs).
- Health  and  nutrition  education  through  Information,  Education  and  Communication (IEC) material in the form of posters, hoardings, wall - writings and audio -visuals, Mother and Child Protection Card and Safe Motherhood Booklet is undertaken.
- Engagement  ofmore  than  10  lakhs  Accredited  Social  Health  Activists  (ASHAs)  to generate demand and facilitate accessing of health care services by the community.
- LaQshya a Labour Room quality improvement programme has been implemented in over 2100 health facilities ac ross the country including medical colleges.

## Maternal Mortality Ratio: India and State wise

(Source: RGI-SRS MMR Bulletin 2014-16)

| States                       |   maternal deaths/ 1,00,000 live births |
|------------------------------|-----------------------------------------|
| India                        |                                     130 |
| Assam                        |                                     237 |
| Andhra Pradesh               |                                      74 |
| Bihar/Jharkhand              |                                     165 |
| Gujarat                      |                                      91 |
| Haryana                      |                                     101 |
| Karnataka                    |                                     108 |
| Kerala                       |                                      46 |
| Madhya Pradesh /Chhattisgarh |                                     173 |
| Maharashtra                  |                                      61 |
| Odisha                       |                                     180 |
| Punjab                       |                                     122 |
| Rajasthan                    |                                     199 |
| Tamil Nadu                   |                                      66 |
| Telangana                    |                                      81 |
| Uttar Pradesh /Uttarakhand   |                                     201 |
| West Bengal                  |                                     101 |
| *Others                      |                                      97 |