XI Five Year Plan 2007-2012 - Public Health & Family Welfare ...

Total Fertility Rate:
At present population is growing at a very rapid pace. The total fertility rate which was
5.2 in 1987 has come down to 3.8 in 2003 but still a long way is to be covered to reach
a level of TFR 2.1 by the year 2011 as mentioned in the state population policy. In most
of the districts proportion of births with order 3 and above is very large and the use of
terminal method is very low. This is resulting in to large size of the family having 5 to 6
children per family.
Infant Mortality Rate:
A large number of infant deaths occurred during the neo-natal period. During the last
two decade, IMR has reduced to a level of 79 in 2004 from a level of 142 in 1981. The
reduction in IMR during the period 1981 to 1994 was very sharp where as the pace of
decline in IMR during last decade has revealed a stagnant trend.
Maternal Mortality Rate:
The maternal mortality rates can be reduced by way of establishing facilities for
essential and emergency obstetric care. At present the level of ante natal registration is
very poor and the current survey findings reveal that the complete ANC check-ups are
not being done. Proper referral of the high risk pregnancy cases is also not being done
which is resulting in to high MMR in the state. Due to poor access and availability to
health facilities, more than 75 percent deliveries are conducted at home and most of
them are being conducted by unskilled persons in unhygienic conditions, there by
contributing to the increased rate of MMR.
Status of Key Health Indicators
Health Indicator
Referral
Year
M.P. India Goal by
year 2011
Birth Rate 2004 29.8 24.1 21.0
Death Rate 2004 9.2 7.5 9.0
Infant Mortality Rate 2004 79 58 60
Maternal Mortality 2003 379 301 220
Rate
Total Fertility Rate 2003 3.8 3.0 2.1