This is a snapshot of a Safe Motherhood Project with a focus upon India.
- 20% of all Maternal deaths globally occur in India.
- Majority of deaths among the poor, rural and remote.
- The largest cause of death is Post Partum Hemorrhage.
- Of the 28 states, many states have low MMR and 18 have high MMR.
Ongoing work in MMR reduction in India
MMR – Maternal Mortality Rate
- Indian Government has a program called the Janani Suraksha Yojana (Safe Motherhood Program). The program is a component of the National Rural Health Mission (NRHM). The focus of the program is upon 18 states with high MMR.
- There are case studies of dramatic reduction in MMR – Gujarat has an example of social focus that has reduced MMR by 40%, and Tamil Nadu is an example of a well designed and operated system. These case studies serve as models for best practice.
- The NRHM is a well designed and funded program. 92 % of the funding is by the Government of India. 8 % is international funding. The Govt of India has limited international funding to 6 sources (US, Canada, UK, Japan, Sweden, EU).
Options for Intervention
- There are two modes of participation in the ongoing project of MMR reduction in India: the Inquiry led mode and the Direct mode.
- The inquiry led mode is a focus upon capacity development from an institutional base.
- The Direct mode is in the form of relief – that is providing supplies, equipment and infrastructure – from an aid focus.