The Target
for Fifth Millennium Development Goal is: “Reduce by
three quarters the maternal mortality ratio in 1990”.
Where India stand now:
Maternal mortality in
India continues to be a major concern given the reduced social, cultural and
economic status of Indian women that inhibits them from adequate access to
health facilities. Though it is a major social concern, there are no reliable
estimates available on maternal mortality for early 1990’s.
The
estimates available are from the National Family Health Surveys (I and II) and
by the Sample Registration System (SRS) officially for few years. The average
maternal mortality ratio at the national level estimated for 1998-99 in NFHS II
was 540 per 100,000 live births which was higher than the previous estimate of
424 maternal deaths for 1992-93 (NFHS I). These figures are inconsistent and
can not be relied upon as the sample size requirement for estimating the same
is much more to have reliable estimates.
From the SRS, we have the
following estimates:
Maternal Mortality Ratio (MMR) per 1,00,000 Live Births
|
|||||
Year
|
1997-98
|
1999-2001
|
2001-03
|
2004-06
|
2007-09
|
MMR
|
398
|
327
|
301
|
254
|
212
|
As per UNDP, MMR for India was 437 per 100,000 live births in 1990-91. For 1990, so we may adopt this estimate which
is also consistent with NFHS I estimate.
From a Maternal
Mortality Rate (MMR) of 437 per 100,000 live births in 1990-91, India is
required to reduce MMR to 109 per 100,000 live births by 2015. Between 1990 and
2009, there has been some improvement in the Maternal Mortality Rate (MMR)
which has declined to 212 per 100,000 live births as compared to 437 in 1990.
Safe motherhood depends on the delivery by trained personnel, particularly
through institutional facilities. However, delivery in institutional facilities
has risen slowly from 26 percent in 1992-93 to 78.5 percent in 2010-11.
Consequently, deliveries by skilled personnel have also increased at the same
pace.
UNDP says that India
will miss the fifth MDG target by 26 points.
But we think contrary because of the following analysis:
If the decreasing trend
depicted in the official estimates of MMR continues and this would be because
of National Rural Health Mission in place in India, one may easily see that
this MDG Goal would be achieved quite comfortably as the linear regression
estimate for 2015 is less than 91 ( instead of requirement of 109). Yes, it may not be achievable in respect of
a few bigger states of India i.e., out of EAG States like Uttar Pradesh, Bihar,
and Madhya Pradesh and these states, no doubt, are as big or even bigger than
many European countries as far as number of females in the reproductive age
group is concerned.
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