Lok Sabha Question No. 5585 (UNSTARRED), answered on 2019-07-26
Subject: Maternal Mortality Rate
Ministry: HEALTH AND FAMILY WELFARE
Asked by: T.N. Prathapan

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

LOK SABHA UNSTARRED QUESTION NO. 5585 TO BE ANSWERED ON 26 TH JULY, 2019

## MATERNAL MORTALITY R ATE

## 5585. SHRI T.N. PRATHAPAN:

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

- (a) the details of the current Maternal Mortality Rate (MMR) in the country, State/UT -wise;
- (b) the details of States/UTs having the highest MMR along with the reasons therefor;
- (c) the schemes being implemente d by the Government to reduce the MMR;
- (d) whether the Government has any collaboration with any international agencies workin reduction of MMR; and
- (e) if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

- (a) &(b) : As per the latest report (2014 - 16) of Sample Registration System (SRS) released by  Registrar  General  of  India  (RGI),  Maternal  Mortality  Ratio(MMR)  of  India  is  130 100,000 live births. The detailed state - wise MMR is placed at Annexure .

RGI - SRS  Report  (2001 - 2003)    on  Causes  of  Maternal  Deaths  has  identified  primary causes  of  maternal  deaths  as  follows:    haemorrhage  (38%),  sepsis  (11%),  abortion - (8%), hypertensive disorders - (5%), obstructed labour (5%), ot her conditions (ectopic pregnancy, severe anaemia, embolism) etc. (34%)

- (c)to(e) : Several interventions have been under taken by the Government of India to redu MMR which include:-
- Janani Suraksha Yojana is a conditional cash assistance scheme to institutional deliveries.

encourage

- Janani  Shishu  Suraksha  Karyakaram  is  implemented  in  order  to  reduce  out  of  pock expenditure for pregnant women and sick neonates.
- Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) was launched in 2016 to provide fixed - day, assured, comprehensive and quality antenatal care universally to all pre women on the 9th of every month.
- Monthly Village Health and Nutrition Days (VHND) are organised as outreach activiti at  Angan wadi  centres  for  provision  of  maternal  and  child  care  including  nutritio convergence with the ICDS.
- LaQshya programme was launched in December 2017 to improve the quality of care in Labour room and Maternity operation theatres to ensure that pregnant women receive respectful and quality care during delivery and immediate post - partum period.
- FRUs have been operationalized across the nation to provide comprehensive emergenc obstetric and new - born care services including caesarean section and blood tra nsfusion services.
- Maternal Death Review (MDR) is being implemented across the country both at facilit and in the community for corrective action at appropriate levels.
- Capacity building programmes are undertaken to enhance skill and competence of Hea lth Care Providers.
- Various development partners like WHO, UNICEF, USAID are working in collaboration with the Government of India to reduce MMR.

## Maternal Mortality Ratio: India and State wise (Source: RGI-SRS 2014-16)

| States                       |   2014-16 |
|------------------------------|-----------|
| India                        |       130 |
| Assam                        |       237 |
| Bihar/Jharkhand              |       165 |
| Madhya Pradesh/ Chhattisgarh |       173 |
| Odisha                       |       180 |
| Rajasthan                    |       199 |
| Uttar Pradesh/Uttarakhand    |       201 |
| Andhra Pradesh               |        74 |
| Telangana                    |        81 |
| Karnataka                    |       108 |
| Kerala                       |        46 |
| Tamil Nadu                   |        66 |
| Gujarat                      |        91 |
| Haryana                      |       101 |
| Maharashtra                  |        61 |
| Punjab                       |       122 |
| West Bengal                  |       101 |
| Other States                 |        97 |