The Infant Mortality Rate
(IMR) of a population is the number of children dying before celebrating their
first birth day out of one thousand number of children born.
As per ORGI’s Sample
Registration System’s Statistical Reports, the Infant Mortality Rate (IMR)
across the country had declined to 44 in 2011 from 58 in 2005, the year when
National Rural Health Mission was launched.
While 15 states or Union Territories out of 35 states have
achieved the expected/targeted level of IMR of 30. The states having IMR falling in the range (30,
44] are thirteen states namely, Andhra Pradesh, Empowered Action Group (EAG) States (Bihar, Jharkhand, Uttarakhand), Gujarat, Haryana, ,
Karnataka, West Bengal, Arunachal Pradesh, Himachal Pradesh, Jammu &
Kashmir, Mizoram, and Dadar & Nagar Haveli and the remaining seven
states/UTs have IMR above 44 and these are: Assam, five EAG States (Chhattisgarh,
Madhya Pradesh, Odisha, Rajasthan, Uttar Pradesh) and Meghalaya.
The highest IMR for any
state/UT is for Madhya Pradesh (59) followed by Odisha (57) and Uttar Pradesh (57).
The
Government has already addressing the issue through State Governments in
mission mode by having National Rural Health Mission. The Janani Suraksha Yojana (JSY) is one of
the most important programmes under the overall umbrella of National Rural
Health Mission by the Government of India and is aimed at reducing Maternal
Mortality Ratio (MMR) and Neo-natal Mortality Rate by promoting institutional
deliveries. Under the Scheme, cash incentives are provided to mothers and they
are facilitated by Accredited Social Health Activists (ASHAs) (the name is
different in some of the states like Rajasthan it is known by the name
Sahyogini) to deliver their babies in a health facility. There are also
provisions for cost reimbursement for transport and incentives to ASHAs for
encouraging mothers to opt for institutional delivery. The scheme is fully sponsored
by the Central Government and is implemented
in all States and Union Territories, with special focus on low-performing
States like EAG states where the Infant Mortality Rate (IMR) and MMR are the
highest in the country. Thus, seeing above much more focus should be given to
the above mentioned five EAG States, Assam and Meghalaya
(north eastern states). For the other above
thirteen listed states, three being EAG states, where still the IMR is more
than the targeted value of 30 need to be addressed by strengthening the
implementation of already existing JSY programme. As about two-third of infants
die within first four weeks and quite many are vulnerable in the very first
week of their life, they need much more care particularly during the first week
after delivery. For the mothers and/or
children who have some kind of illness or complications at the time of
delivery, they need to be taken care more and should be kept in the
hospital/health institution for more number of days just after the delivery
than the normal period of the stay post delivery.
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