Lok Sabha Question No. 1589 (UNSTARRED), answered on 2023-02-10
Subject: Cases of Maternal Deaths
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shankar Lalwani, Bharatiben Dhirubhai Shyal

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

## LOK SABHA UNSTARRED QUESTION Q.NO. 1589 TO BE ANSWERED ON 10.02.2023

## CASES OF MATERNAL DEATHS

## 1589.  SHRI SHANKAR LALWANI: DR. BHARATIBEN DHIRUBHAI SHIYAL :

## Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to State:

- (a) whether  the  maternal  mortality  rate  has  decreased  in  the  country,  if  so,  the  details thereof;
- (b) whether  the  Government  has  been  able  to  achieve  the  desired  goal  with  regard  to reduction in maternal deaths and if not, the reasons therefor;
- (c) the number of maternal deaths occurred during the last five years, State/UT-wise; and
- (d) the steps taken / likely to be taken by the Government to achieve 100 percent of the set target for reduction in maternal deaths?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

## (a)  to (c):

As per the report of Sample Registration System (SRS) released by Registrar General of India (RGI), Maternal Mortality Ratio (MMR) of India has declined by 6 points from 103 per 1 lakh live births in SRS 2017-19  to 97 per 1 lakh live births in 2018-20 .

India has achieved the National Health Policy (NHP) target for MMR of less than 100/ 1 lakh live births and is on track to achieve the Sustainable Development Goals (SDG) target of MMR less than 70/1 lakh live births by 2030.

Eight  States  have  achieved  the  SDG  target  for  MMR  viz.  Kerala  (19),  Maharashtra  (33), Telangana  (43),  Andhra  Pradesh  (45),  Tamil  Nadu  (54),  Jharkhand  (56),  Gujarat  (57)  and Karnataka (69).

The details of State wise MMR during the last five years is placed at Annexure.

## (d)

The steps taken by Government of India under the National Health Mission (NHM), to achieve 100 percent of the set target for reduction in maternal deaths are:

-  Surakshit Matritva Aashwasan (SUMAN) provides assured, dignified, respectful and quality healthcare at no cost and zero tolerance for denial of services for every woman and  newborn  visiting  public  health  facilities  to  end  all  preventable  maternal  and newborn deaths.
-  Janani Suraksha Yojana (JSY) , a demand promotion and conditional cash transfer scheme for promoting institutional delivery.
-  Under Janani  Shishu  Suraksha  Karyakram  (JSSK), every  pregnant  woman  is entitled to free delivery, including caesarean section, in public health institutions along with the provision of free transport, diagnostics, medicines, other consumables & diet.
-  Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) provides pregnant women a fixed day, free of cost assured and quality antenatal check up by a Specialist/Medical Officer on the 9th day of every month.
-  LaQshya i mproves 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.
-  Monthly Village Health, Sanitation and Nutrition Day (VHSND) is  an  outreach activity  at  Anganwadi  centers  for  provision  of  maternal  and  child  care  including nutrition in convergence with the ICDS.
-  Birth Waiting Homes (BWH) are established in remote and tribal areas to promote institutional delivery and improve access to healthcare facilities
-  Outreach  camps are  provisioned  for  improving  the  reach  of  health  care  services especially  in  tribal  and  hard  to  reach  areas.  This  platform  is  used  to  increase  the awareness for the Maternal &Child health services, community mobilization as well asto track high risk pregnancies.
-  Reproductive and child health (RCH) portal is a name-based web-enabled tracking system for pregnant women and new born so as to ensure seamless provision of regular and complete services to them including antenatal care, institutional delivery and postnatal care.
-  MCP Card and Safe Motherhood Booklet are distributed to the pregnant women for educating  them  on  diet,  rest,  danger  signs  of  pregnancy,  benefit  schemes  and institutional deliveries.
-  Setting up of Maternal and Child Health (MCH) Wings at high caseload facilities to improve the quality of care provided to mothers and children.
-  Functionalization  of  First  Referral  Units  (FRUs) by  ensuring  manpower,  blood storage units, referral linkages to improve the access to quality of care for pregnant women.

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State/ UT wise Maternal Mortality Ratio (MMR) as per Sample Registration System (SRS) for last five years

|                |   SRS 2015-17 |   SRS 2016-18 |   SRS 2017-19 |   SRS 2018-20 |
|----------------|---------------|---------------|---------------|---------------|
| Assam          |           229 |           215 |           205 |           195 |
| Madhya Pradesh |           188 |           173 |           163 |           173 |
| Uttar Pradesh  |           216 |           197 |           167 |           167 |
| Chhattisgarh   |           141 |           159 |           160 |           137 |
| Odisha         |           168 |           150 |           136 |           119 |
| Bihar          |           165 |           149 |           130 |           118 |
| Rajasthan      |           186 |           164 |           141 |           113 |
| Haryana        |            98 |            91 |            96 |           110 |
| Punjab         |           122 |           129 |           114 |           105 |
| West Bengal    |            94 |            98 |           109 |           103 |
| Uttarakhand    |            89 |            99 |           101 |           103 |
| India          |           122 |           113 |           103 |            97 |
| Karnataka      |            97 |            92 |            83 |            69 |
| Gujarat        |            87 |            75 |            70 |            57 |
| Jharkhand      |            76 |            71 |            61 |            56 |
| Tamil Nadu     |            63 |            60 |            58 |            54 |
| Andhra Pradesh |            74 |            65 |            58 |            45 |
| Telangana      |            76 |            63 |            56 |            43 |
| Maharashtra    |            55 |            46 |            38 |            33 |
| Kerala         |            42 |            43 |            30 |            19 |
| Other States   |            96 |            85 |            77 |            77 |

(Source: RGI: Special Bulletin on MMR)