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04
Survival
Development
Protection
Participation
period between 2007 to 2010, IMR is declining at the rate of 1.75 points. If Madhya Pradesh wants to
achieve the target set by MDG, it will have to reduce 7.8 points per year, otherwise with the present speed
it will take 22 year to achieve this minimal target.
The health outcomes of SC/ST populations and girls/women are worse. Estimates suggest that MP is
unlikely to meet the targeted reductions in maternal and child mortality without focused and renewed
efforts; the prevalence child malnutrition is high in comparison with the rest of India.
To achieve the goals of MDG and to reduce the IMR there is a need for specific intervention and their better
implementation at grass root level. Government of Madhya Pradesh is running various schemes to
improve the situation of state in child and maternal health. But the progress rate is very slow. To reach the
goal of MDG. The reason behind this is the lack of adequate co-ordination among of responsible
department and various flaws in service delivery mechanism like, we don’t have sufficient Aaganwadi
centres in each and every village. Health services are not only inadequate but also suffer from quality gaps.
Rural health institutions like CHC/ PHC/ SHCs are not functional with adequate supply of infrastructure and
services. No effective measures are being adopted for monitoring of health and nutritional services.
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3. Medical Causes of Child Deaths in Madhya Pradesh
Recently NHSRC releases the analysis of Annual Health Survey data 2010-11.This data shares the situation
of maternal health as well as child health. NHSRC analyze the district wise data of NRHM from the time
period of April 2010 to 2011.
Mortality Age Group Total deaths Deaths within Causes of Causes of
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24 hours of Birth death known not known
Neonatal Deaths 18182 4918 5234 8030 (61%)
Infant Deaths 23586 4918 6640 12028 (64%)
1 Year to 5 years 5756 - 1398 4358 (76%)
6 to 14 years 6947 - 4069 2878 (41%)
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If we compare the Infant Mortality Rate of SRS bulletin with NRHM data we found shocking figures,
according to SRS bulletin 2011 the IMR of Madhya Pradesh is 67 but according to NRHM data analysis the
IMR of Madhya Pradesh is 15. It shows the poor recording of deaths of Infants by the government. The
drastic difference between both the figures shows that big numbers of deaths have not been reported and
the deaths which reported in most of cases causes of deaths are not either reported or not known.
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National Health System Resource Center (NHSRC)
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There is no explanation given for causes of deaths within 24 hours of birth, and after excluding deaths
within 24 hours rest number of deaths divided into causes known and unknown.
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NHSRC data from April 2010 to March 2011