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Infant Mortality and Maternal Mortality in India

Ronan Kelly

Retired 2020
Steadily falling infant deaths show a sudden rise in '09
TNN, 13 February 2010, 05:54am IST

MUMBAI: It may come as a shock that the city which had been seeing a steady decline in the number of infant deaths since the past few years, recorded a sudden increase in their numbers in 2009.

The year saw more infants dying than in 2008 ? 5,866 infants in 2009 compared with 5,754 in 2008. This was revealed in a recent data retrieved through the Right to Information.

Of the infants who died in 2009, 2,738 were female while 3,128 were male.
The maximum number of deaths was recorded in May at 742. Comparatively, fewer deaths were registered in February and March.

Since 2006, the number of infant deaths recorded by the BMC kept dropping every successive year.

While 6,218 infants died in 2006, 5,892 died in 2007. Details received under the RTI, which was filed by Chetan Kothari, show up that the maximum number of deaths took place in the M-East Ward at 920, followed by 493 deaths in the L Ward.

In fact, the recent Human Development Report (2009), prepared by the National Resource Centre for Urban Property and the All-India Institute of Local Self-Government, Mumbai, with support from the UN Development Programme, the Union ministry of housing and urban poverty alleviation and the BMC, pointed to the fact that the M-East Ward, which includes Deonar, Anushakti Nagar, Trombay and Mankhurd, was ranked the worst.
In fact, of the six wards in the eastern suburbs, five were below the city?s human development measure (HDM) average, including the L Ward, which includes Kurla.

Meanwhile, the RTI figures also show that the number of births fell last year compared with those in the earlier year.
While 1,75,298 births were recorded in 2009, 1,82,759 were registered in 2008.

Experts said the deaths are directly proportional to the population.

Explaining that the population at the M-East Ward and the L Ward has been significantly increasing, Dr Gourish Ambe, the civic executive health officer, said, ?The socio-economic condition in the two wards is not very high either. The slum population in these areas is about 80-90%.??

Ambe, though, emphasied that the rise in infant deaths by a mere 100-odd number is not significant. ?The population of the city increases every year. If the death figures are touching 5,000 or 6,000, a difference of a few 100 is not significant,?? he said.

However, social experts still see this as a significant increase. ?Although the population increases, and there is a new entry of migrants, an increase by 100 deaths is still high. One thing is true, that there is no sign of decline of mortality,?? said professor R N Sharma of the Centre for Development Studies at the Tata Institute of Social Sciences (TISS). ?It?s not surprising that most deaths are in the M-East Ward because it has become the dumping grounds of the poor.?

About the decrease in the number of births, Sharma said that the authenticity of the figures should first be established. ?It is difficult to comment on this because one is not sure if they are real or projected figures,?? he said.
A Unicef report titled The State of the World?s Children 2009 showed that while Maharashtra fared better than several other Indian states, the statistics were alarming ? 149 of every 1,00,000 women who go into labour die during childbirth, and 65% of the total deaths of infants under five years of age occur within 28 days of their birth.
Dr Indu Khosla, paediatrician who practised in Andheri, said that 30% of infant deaths occur, as early neo-natal deaths.

?Mostly, they die immediately after birth, or within a month after birth. The common causes are asphyxia, pre-maturity and retardation in growth,? said Khosla. ?Then, the common causes of death within the year since birth are respiratory infections such as bronchiolosis and pneumonia, followed by diarrhoea and dehydration,? Khosla added.
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http://timesofindia.indiatimes.com/...w-a-sudden-rise-in-09/articleshow/5567336.cms
 
Re: Infant Mortality in Mumbai

Re: Infant Mortality in Mumbai

To give an idea of the size of these numbers, In Mumbai alone, 16 infants die each day of various causes including pneumonia. 261 women died in labor in 2009 in Mumbai.
Mumbai and its metropolitan area have a population of over 21 million.
Translated to India as a whole, this equates to almost 1,000 infant deaths each day, and and over 15,000 annual deaths of women in labor.
 
Re: Infant Mortality in Mumbai

Re: Infant Mortality in Mumbai

Concern over high infant, maternal mortality rate (Orissa)
Staff Reporter

Global organisation calls for ideas to find a solution

BHUBANESWAR: Even as the government projects failed to arrest both infant mortality and maternal mortality rates in the State, Concern Worldwide, a non- governmental, international and humanitarian organisation here on Saturday launched an innovative project titled ?Give light to their lives with your idea? to understand the problem.

As part of the campaign, Concern Worldwide announced an open competition -- ?Call for Ideas? -- to invite people across Orissa to contribute bold ideas for overcoming major maternal and child health challenges that result in unnecessary deaths every year.

?This is the first of its kind campaign that seeks to mobilise people with traditionally limited influence or decision-making power in the health sector. This will provide enthusiastic public from diverse backgrounds an opportunity to speak up and be a part of the solution,? said Dipankar Datta, country director of the organisation.

The IMR prevailing in Orissa is 69 per thousand live births (the highest in the country) and MMR is 303. (per 100,000)

Cash prize for winners


The humanitarian organisation offered a prize of Rs.1 lakh to winners who submit the most innovative ideas.

Concern Worldwide was conducting the campaign across Orissa and identified five districts and two cities where specific campaign activities would be organised. The districts were Kalahandi, Koraput, Keonjhar Rayagada and Gajapati. The cities were Cuttack and Bhubaneshwar, said the director.

?The campaign should be seen as a compliment to efforts being made by the government, civil society and individuals to improve mother and child health in the State. From this perspective, this campaign is inclusive in its orientation,? observed Rashmi Mohanty, its country manager.

http://www.hindu.com/2010/02/14/stories/2010021451650300.htm
 
Re: Infant Mortality and Maternal Mortality in India

Madhya Pradesh child mortality rate is one of the highest in world, says report



Mahim Pratap Singh

Bhopal: The Asian Legal Resource Centre (ALRC), a human rights organization with a General Consultative status with the United Nations? Economic and Social Council, has pointed out conditions of mass deprivation, especially hunger, malnutrition and distress migration, in Madhya Pradesh in its country report on India to the UN Human Rights Council.

The report, expressing concern over the right to food situation in India, points out the shocking state of affairs in Madhya Pradesh regarding several human development indicators, especially malnutrition among tribals.

According to the report, Madhya Pradesh is the one of the biggest contributors to neo-natal and child mortality in the world. Laying special emphasis on tribal communities, the report states that the mortality rate among children under the age of five in the State?s tribal community is far higher than the State and national average.

The chance of survival of a tribal child is low, with 71.4% tribal children being malnourished and 82.5% children being anaemic, says the report. The report points out that in the last three months, 43 children have died of malnutrition in three tribal villages in the State.

Since 2009, the ALRC and its sister organization, the Asian Human Rights Commission (AHRC), have been reporting on the situation of child malnutrition and its causes focusing on four tribal districts ? Khandwa, Rewa, Sidhi, and Jhabua in Madhya Pradesh.

Taking on the Targeted Public Distribution System (TPDS), the report brings out the Centre-State mismatch in the number of Below Poverty Line (BPL) families in Madhya Pradesh. The Centre has identified only 4.2 million BPL families against the State?s claim of 6.5 million in Madhya Pradesh. Due to this reason, 200,000 families are denied BPL status. The report states that while 67% of the people live below the poverty line, 60% of the children are undernourished and 73.9% of tribal women are anaemic, the outlay for health services accounts for merely 2.4% of the total State Budget.

?One bed is available for every 2,425 persons in hospitals, and more than 1,300 of 5,005 doctor posts remain vacant. Although child malnutrition has increased over the last five years, not one Primary Health Centre has been built and 1,659 of 4,708 medical officer posts remain vacant at the centres,? says the report.
http://www.hindu.com/2010/02/22/stories/2010022260850500.htm
 
Re: Infant Mortality and Maternal Mortality in India

A Closer Look at Child Mortality among Adivasis in India - WPS523
Source: The World Bank Group

Date: 01 Mar 2010


Full_Report (pdf* format - 806.5 Kbytes)

INTRODUCTION

Almost every monsoon the Indian media is rife with stories of child deaths in tribal areas, with furious debates in Parliament and state legislative assemblies and outrage among civil society activists. This is the starkest manifestation of Adivasi deprivation in India ? an average Indian child has a 25 percent lower likelihood of dying under the age of five compared to an Adivasi child. In rural areas, where the majority of Adivasi children live, they made up about 11 percent of all births but 23 percent of all deaths in the five years preceding the National Family Heath Survey 2005. While there has been progress in child survival over the years and greater awareness of the hazards, which often leads to these stories surfacing in the media at all, the fact remains that children in tribal areas are at much greater risk of dying than those in other areas.

The rich and longstanding demographic and medical literature on child mortality can broadly be classified into three groups ? the first focuses on "routes to low mortality" and aggregate declines in mortality through cross-country studies (for instance, Caldwell 1986; Claeson et al, 2000); the second on the determinants of child mortality (for instance see Mosley and Chen 1984); and the third on inequalities in child mortality across countries, within countries and across households (for instance see Hill and Pebly 1989; Cesar et al, 2003). Differential fertility and mortality patterns within India by caste and tribal status have received greater attention over the last few decades (see Murthi et al, 1996; Dyson and Moore, 1993; Dreze and Gazdar, 1997; Maharatna, 1998; 2000). The preoccupation of such studies on child mortality has however been on correlates of mortality and the slow decline in child mortality in recent years. There is a good reason for this as India looks likely to falter on achieving this important Millennium Development Goal ? a fear expressed in 2000 by Claeson et al.

The anthropological literature has also focused on access to health for India's Adivasis. Excess mortality of tribal children during monsoons in particular has been analyzed by activists more recently through a food security lens. The Right to Food movement and the recent Supreme Court judgments exhort governments to take more aggressive action to address malnutrition nationally but more so in tribal areas. The evidence from the grassroots highlights the peculiar problems in tribal areas because of which poverty is higher, and health and education outcomes are lower. There is for instance, wide acknowledgment that excess mortality in childhood for tribals is partly due to poverty and partly to poor access to services. Our own previous analysis of mortality using data from India's Reproductive and Child Health Surveys, 2005 (see World Bank, 2006) and a recent study on Orissa also shows that once poverty levels are controlled for, the effect of tribal (or indeed Dalit or Scheduled Caste (SC)) status goes away. By and large, therefore, much of the analytical work on Scheduled Tribes (STs) in India has confirmed what we already know about child mortality and its correlates. This paper is an attempt to drill deeper into that knowledge to come up with some disaggregated patterns that more fully describe and explain the high levels of mortality of tribal children.

proximate.PNG
Full_Report http://ocha-gwapps1.unog.ch/rw/rwb....gent&shortid=SMAR-8374EH&file=Full_Report.pdf
 
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