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Tuesday, April 5, 2011

infant mortality rate:facts figures and some new with analysis

According to SRS 2009 :

India's IMR is 53/1000 livebirth

Top 5 Indian states with high infant mortality rate are as follows:

1) Madhya Pradesh - 70/1000 livebirth
2) Orrisa - 69/1000 livebirth
3) Uttar Pradesh - 67/1000 livebirth
4) Assam - 64/1000 livebirth
5) Rajasthan - 63/1000 livebirth

5 Indian states with least infant mortality rate are as follows:

1) Goa - 10/1000 livebirths
2) Kerala - 12/1000 livebirths
3) Manipur - 14/1000 livebirths
4) Puducherry - 25/1000 livebirths
5) Nagland - 26/1000 livebirths

Unfulfilled promise
In 2000, 189 heads of state and governments, including India, made a promise to reduce the under five mortality rate by two-thirds by 2015 under the United Nation’s Millennium Development Goal No 4 (MDG4).

However, going by the present trends, India will not meet MDG4 until 2020, which is five years after the promised date, ‘Save the Children’ points out.
Even countries like Nepal, Bangladesh, Peru and the Philippines are on track to meet MDG4, exploding the myth that the costs of reducing new born and child mortality are high, it says.


Infant Mortality Rate Mission, IMR: Orissa
Details of Infant Mortality Rate Mission, IMR
Particulars Description
Name of the Scheme Infant Mortality Rate Mission, IMR
Sponsored by State Government
Funding Pattern It is a State Government sponsored scheme, so the funding is managed by the Government of Orissa.
Ministry/Department Department of Health & Family Welfare Department
Description Infant Mortality Rate continues to be high in Orissa. It is recognized that about 60 percent of infant deaths occur during the neonatal period, or the first four weeks of life. Most of these deaths are due to prematurity, low birth weight, respiratory infections, diarrhea and malnutrition. It is also acknowledged that infant mortality is higher in lower socioeconomic groups residing in backward tribal districts of Orissa. Notwithstanding the fact that several strategic interventions are being implemented to reduce MMR and IMR, the decline has been marginal. In the year 2001 when IMR was 97 per 1000 live births, the State Government decided to launch the IMR Mission to focus more on interventions addressing more proximal determinants of infant mortality. Home delivery by unskilled persons is a major cause of high infant mortality and morbidity. To promote institutional delivery, cash assistance was provided to beneficiaries to reach the health facility for delivery.
Beneficiaries Women,Children,other,
Other Beneficiaries Infants, mothers
Benefits
Benefit Type Others,
Other Benefits healthcare facility
Eligibility criteria Newly born children of both tribal and non tribal areas are eligible for this scheme.
How to Avail By contacting the nearest Health Centers or NGOs.
Validity of the Scheme
Introduced On 01 / 01 / 2001
Valid Upto 02 / 01 / 2012


Govt scheme to arrest infant mortality fails to deliver
TNN, Mar 31, 2011, 12.19am IST
GANDHINAGAR: The government has failed to achieve the infant mortality rate (IMR) target set under Chiranjeevi project, five years after it was launched. Besides, in at least 93 talukas, the empanelled private medical practitioners are yet to actually join the project.
Comptroller and Auditor General of India (CAG) pointed this out in its report tabled in the state assembly on Friday. The Gujarat government launched Chiranjeevi project as a special intervention programme for reduction of infant mortality rate from 57 deaths per 1,000 live births to 30 deaths per 1,000 live births and maternal mortality rate from 3.89 deaths per 1,000 live births to 1 death per 1,000 live births. This goal was to be achieved by the end of 2010.

For this, the project envisaged obtaining services of empanelled private doctors to increase institutional deliveries, especially in rural areas. Yet, years after in 93 of 231 talukas in the states, the empanelled doctors were not available.
The CAG report stated that health department provided funds to the State Health Society (SHS) and Chief District Health Officers (CDHOs) for carrying out programme activities. While the department was allocating the funds directly to CDHOs, the SHS were also releasing the funds to district health society.
A part of the funds was also provided by project administrators, Integrated Tribal Development Project. Since funds under the programme were provided through three different sources, the department had no consolidated details on the actual release.
In the absence of a centralised monitoring authority and availability, a huge amount lay untilised. Of the total Rs 134.18 crore released for the project, 36 per cent (Rs 48.30 crore) was not utilised as on March 31, 2010.
Also, the report pointed out that the beneficiaries under the scheme - expectant mothers from the Below Poverty Line (BPL) families - were paid less transport charges in several instances. Chief district officers had not established a system for cross-checking the BPL claims furnished by the empanelled private practitioners. Due to this, there was a risk of processing bogus and fraudulent claims.


Infant Mortality rate diminishes in Bihar, thanks to Cash on Delivery Scheme
The Centre’s scheme of giving cash rewards to women who have their babies in health centres has lowered newborn deaths and still births in the country’s 10 poorest states, says an India-US study, reported in the international journal Lancet.
The study evaluated the centrally-funded Janani Suraksha Yojana (JSY) and reported that the cash incentive lowered stillbirths by 4 and newborn deaths by 2 per 1,000 live births.
India’s infant mortality rate — newborn deaths per 1,000 live births — was 53 in 2008, with one in five newborn deaths in the world occurring in India.
Launched in 2005, JSY benefits 10 million women every year. It integrates cash assistance with delivery and post-delivery care for woman in 10 states with low institutional delivery rates — Uttar Pradesh, Uttarakhand, Bihar,
Jharkhand, Madhya Pradesh, Chhattisgarh, Assam, Rajasthan, Orissa and Jammu and Kashmir.
The cash incentives given to these ‘low performing states’ are higher than in other states.
In these poor states, pregnant women in rural areas get Rs 1,400 while the healthworkers who bring them to health centres get Rs 600.
In urban areas, the women get Rs 1,000 and the healthworkers Rs 200.
In richer states, the cash incentive for mothers is Rs 700 in rural areas and Rs 600 in urban centres.
The study was conducted by the Public Health Foundation of India and the Seattle-based Institute for Health Metrics and Evaluation.
“The success of JSY in this nationwide analysis, which used two rounds of district-level household surveys, is very encouraging. But more work needs to be done to reach the poorest and most disadvantaged women,” said Dr Lalit Dandona, a professor at both institutes who was part of the study.
For instance, there were wide variations among the states both in implementation and impact. Between 2007 and 2008, some states had just 5 per cent of all pregnant women participating while others had 44 per cent participation.
Dandona also suggested that instead of making all women in the 10 high-focus states eligible for JSY financial assistance, only those below the poverty line should be given the money.
“JSY is the biggest programme of its kind in the world, and its success has huge implications for global health policy,” said Dr Stephen Lim, assistant professor at IHME and the study’s lead author.
“One out of every five child deaths occurs in India. Finding ways to reduce newborn deaths in India is a critical part of achieving global goals on improving child survival.”






Infant Mortality rate diminishes in Bihar, thanks to Cash on Delivery Scheme


The Centre’s scheme of giving cash rewards to women who have their babies in health centres has lowered newborn deaths and still births in the country’s 10 poorest states, says an India-US study, reported in the international journal Lancet.

The study evaluated the centrally-funded Janani Suraksha Yojana (JSY) and reported that the cash incentive lowered stillbirths by 4 and newborn deaths by 2 per 1,000 live births.

India’s infant mortality rate — newborn deaths per 1,000 live births — was 53 in 2008, with one in five newborn deaths in the world occurring in India.

Launched in 2005, JSY benefits 10 million women every year. It integrates cash assistance with delivery and post-delivery care for woman in 10 states with low institutional delivery rates — Uttar Pradesh, Uttarakhand, Bihar,

Jharkhand, Madhya Pradesh, Chhattisgarh, Assam, Rajasthan, Orissa and Jammu and Kashmir.

The cash incentives given to these ‘low performing states’ are higher than in other states.

In these poor states, pregnant women in rural areas get Rs 1,400 while the healthworkers who bring them to health centres get Rs 600.

In urban areas, the women get Rs 1,000 and the healthworkers Rs 200.

In richer states, the cash incentive for mothers is Rs 700 in rural areas and Rs 600 in urban centres.

The study was conducted by the Public Health Foundation of India and the Seattle-based Institute for Health Metrics and Evaluation.

“The success of JSY in this nationwide analysis, which used two rounds of district-level household surveys, is very encouraging. But more work needs to be done to reach the poorest and most disadvantaged women,” said Dr Lalit Dandona, a professor at both institutes who was part of the study.

For instance, there were wide variations among the states both in implementation and impact. Between 2007 and 2008, some states had just 5 per cent of all pregnant women participating while others had 44 per cent participation.

Dandona also suggested that instead of making all women in the 10 high-focus states eligible for JSY financial assistance, only those below the poverty line should be given the money.

“JSY is the biggest programme of its kind in the world, and its success has huge implications for global health policy,” said Dr Stephen Lim, assistant professor at IHME and the study’s lead author.

“One out of every five child deaths occurs in India. Finding ways to reduce newborn deaths in India is a critical part of achieving global goals on improving child survival.”





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