State maternal deaths down, but higher than nat’l average | Bhubaneswar News timesofindia.indiatimes.com

timesofindia.indiatimes.com

Bhubaneswar: The state’s maternal mortality ratio (MMR) — which measures maternal deaths per one lakh live births — has been steadily decreasing for the past 10 years, the latest bulletin of the Sample Registration System (SRS) shows.
Government officials said the steady decline showed that the different schemes to reduce maternal deaths were paying dividends.
Odisha’s MMR stands at 168, says the Special Bulletin on Maternal Morality in India 2015-17 that was released on November 1. This is a decrease from the 180 recorded in the survey (SRS 2014-2016) released a year ago. The state’s MMR was 235 in the SRS 2010-12.
Though the number is still significantly higher than the national average, the decline rate is among the fastest. The decline was the second highest (12 points) after Rajasthan (13 points). The MMR of the country overall decreased from 130 in 2014-2016 to 122 in 2015-17.
The states of Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Rajasthan, Uttar Pradesh Uttarakhand and Assam, as well as Odisha, where the MMR is worse than the national average, are categorised as EAG states in the SRS. The average MMR of these states has been found to be 175 in the latest survey, compared to 188 in the previous bulletin (2014-2016).
Odisha’s MMR is better than that of Assam (229), Madhya Pradesh (188), Uttar Pradesh (216), Rajasthan (186) but worse than that of Bihar (165), Jharkhand (76), Chhattisgarh (141) and Uttarakhand (89). “Between the two latest survey periods from SRS 2014-2016 to SRS 2015-2017, Odisha has recorded a 12-point decline in the MMR, which is the second highest in the country after Rajasthan. This tremendous achievement has been possible due to the focused attention of the state government towards accelerated reduction of the MMR,” said health secretary Pramod Meherda said.
The state has set up high dependency units at district headquarters hospitals for management of obstetric emergency and critical conditions. The government provides Rs 5,000 cash assistance to pregnant woman under its scheme ‘Mamata’ (launched in 2011) besides incentives under Janani Janani O Sishu Surakhya Karyakrama and free ambulance services (102 Janani Express).
Under JSSK, also launched in 2011, the government bears all delivery-related costs: free and cashless delivery, free Caesarean section, free treatment of sick newborn up to 30 days, exemption from user charges, free drugs and consumables, free diagnostics and free diet during stay in the health institutions, free provision of blood and free transport.To further reduce MMR and infant mortality rate (IMR), the state government in 2017 has launched SAMMPurNA, (Sishu Abom Matru Mrityuhara Purna Nirakaran Abhijan) with a budgetary allocation of Rs 300 crore. The scheme is meant to ensure 100% institutional delivery. The state government has set up maternity waiting homes in hospitals and provides incentives of Rs 1,000 to mothers to come for institution delivery from hard-to-reach areas and assistance of Rs 500 for a drop-back.





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