Decline and Disparity in Maternal Mortality in Pre‑ and Post‑National Health Mission Period in India.

ABSTRACT

Country‑ and state‑wise maternal mortality shows the highest disparity among health statistics. The erstwhile National Rural Health Mission (NRHM) in India aimed reduction in maternal mortality ratio (MMR) to <100 per lakh live births. Accordingly, many new initiatives were planned and started. This analysis was carried out using data from the Sample Registration System. The data from 1997 to 1998 are available which dates 8 years prior to the launching of NRHM. Hence, comparison period was considered as 8 years of implementation of NRHM. The overall decline in MMR prior to NRHM was 36% and after NRHM implementation 30%. The difference is not significant. The best states and lowest states had changed, but the disparity also has remained almost at the ratio of 15. The pace of decline has not increased after NRHM. As well disparity ratio has not reduced indicating the differentially better treatment to the vulnerable states was not adequate.