●Decline in Maternal Mortality Ratio in India
•As per the World Health Organization, maternal death is the death of a woman while pregnant or within 42 days of termination of pregnancy, from any cause related to or aggravated by the pregnancy or its management
•Recently, the Office of the Registrar General’s Sample Registration System (SRS) has released a special bulletin on Maternal Mortality in India 2016-18
•MMR has declined to 113 in 2016-18 from 122 in 2015-17 and 130 in 2014-2016
•MMR is defined as the number of maternal deaths during a given time period per 1,00,000 live births during the same time period
•Assam (215)[ Highest]
•Uttar Pradesh (197),
•Madhya Pradesh (173)
•Kerala (43) [Lowest]
•Tamil Nadu (60)
【The Office of the Registrar General is under the Ministry of Home Affairs.】
•Apart from conducting the Population Census and monitoring the implementation of the Registration of Births and Deaths in the country, it has been giving estimates on fertility and mortality using the Sample Registration System (SRS).
•SRS is the largest demographic sample survey in the country that among other indicators provide direct estimates of maternal mortality through a nationally representative sample.
•Verbal Autopsy (VA) instruments are administered for the deaths reported under the SRS on a regular basis to yield a cause-specific mortality profile in the country.
•Janani Suraksha Yojana under the National Health Mission to link cash assistance to institutional deliveries.
•The Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) provides a fixed day for assured, comprehensive and quality antenatal care free of cost to pregnant women on 9th of every month.
•Pradhan Mantri Matru Vandana Yojana and LaQshya Guidelines.
•Maternal mortality in a region is a measure of reproductive health of women in the area.
•The WHO has already appreciated India’s efforts in reducing the maternal mortality rate. India needs to give a special focus to states with higher maternal mortality ratio