Millennium (Sustainable) Development Goals 4, 5 and 6: A Study of Maternal and Infant Mortality in BIMARU States of India on the Precise Course

Author:Ashok Kumar

Abstract:
Background: India is in a race against time to achieve the Millennium Development Goals (MDGs) 4, 5 and 6, to reduce Infant Mortality Rate (IMR) to ‘27’ and Maternal Mortality Ratio (MMR) to ‘109’ by 2015. This study estimates the percent net contribution of the states and the periods in shaping BIMARU’s IMR/MMR, and predicts future levels. Methods: A standardized decomposition technique was used to estimate each state’s and period’s percent share in shaping India’s decline in IMR/MMR between two time points. Linear and exponential regression curves were fitted for IMR/MMR values of the past two decades to predict IMR/MMR levels for 2015 for India and for the BIMARU’s states of India. Results: Due to favourable maternal mortality reduction efforts in Bihar/Jharkhand (19%) and Madhya Pradesh/Chhattisgarh (11%), Uttar Pradesh/Uttarkhand (33%) - India is predicted to attain the MDG-5 target by 2016, assuming the pace of decline observed in MMR during 1997-2015 continues to follow a linear-trend, while the wait may continue until 2023-2024 if the decline follows an exponential trend. Attaining MDG-4 may take until 2023-2024, due to low acceleration in IMR drop in Bihar/Jharkhand, Uttar Pradesh/Uttarakhand and Rajasthan. The maximum decline in MMR during 2003-2015 coincided with the launch and uptake of the National Rural Health Mission (NRHM) currently well known as National Health Mission (NHM). Conclusions: Even though India as a nation is not predicted to attain all the MDG 4 and 5 (6) targets, at least four of its BIMARU’s states are predicted to do so. In the past two decades, MMR reduction efforts were more effective than IMR reduction efforts. Abbreviation used: BIMARU-Where BI-Bihar/Jharkhand, MA-Madhya Pradesh/Chattisgarh, R-Rajasthan, U-Uttar Pradesh/Uttarakhand.

Keywords:Key words: Infant mortality rate, maternal mortality ratio, Millennium Development Goals, BIMARU states of India.

DOI:

International Journal of Trade & Commerce (Vol: 6 Issue:1)