As
per Office of Registrar General of India SRS reports, the Infant mortality rate
has declined from 50 per 1000 live births in 2009 to 42 per 1000 live births in
2012.
Under
the National Rural Health Mission (NRHM) the following programmes/schemes and
awareness campaign is launched by the Government to reduce infant mortality
rate:
i)
Establishment of Sick New Born Care
Units at District Hospitals, newborn stabilization Units at Community Health
Centres (CHCs) and New Born Care corners at 24x7 Primary Health Centres (PHCs)
to provide new born and child care services.
ii)
Navjaat Shishu Suraksha Karyakram (NSSK), a programme for training health care
providers on essential newborn care and resuscitation.
iii)
Home Based New Born Care (HBNC) through
ASHAs with series of home visits.
iv)
Integrated Management of Neonatal and
Childhood Illness (IMNCI) and Facility Based Integrate Management of Neonatal
and Childhood Illnesses (F-IMNCI).
v)
Early identification and appropriate
management of Diarrhoea disease and Acute Respiratory Infections.
vi)
Improving Infant and young child feeding
practices including breastfeeding promotion.
vii)
Immunisation against seven vaccine
preventable diseases.
viii)
Vitamin A supplementation and Iron and
Folic Acid supplementation;
ix)
Establishment of Nutritional
Rehabilitation Centres to address severe and acute malnutrition.
x)
Promotion of institutional deliveries through
JananiSurakshaYojana (JSY);
xi)
Capacity building of health care
providers in basic and comprehensive obstetric care;Â Â
xii)
Operationalization of sub-centres,
Primary Health Centres, Community Health Centres and District Hospitals for
providing 24x7 basic and comprehensive obstetric care services;
xiii)
Name based web enabled tracking of
pregnant women to ensure antenatal, intra-natal and postnatal care.
xiv)
Mother and Child Protection Card in
collaboration with the Ministry of Women and Child Development to monitor
service delivery for mothers and children.
xv)
Antenatal, Intra-natal and Postnatal
care including Iron and Folic Acid supplementation to pregnant & lactating
women for prevention and treatment of anaemia.
xvi)
Engagement of more than 8.8lakhs
Accredited Social Health Activists (ASHAs) to generate demand and facilitate
accessing of health care services by the community.
xvii)
Village Health and Nutrition Days in
rural areas as an outreach activity, for provision of maternal and child health
services.
xviii)
Health and nutrition education to
promote dietary diversification, inclusion of iron and foliate rich food as
well as food items that promote iron absorption. Â
xix)
Janani Shishu Suraksha Karyakaram (JSSK) has been launched on 1st June, 2011,
which entitles all pregnant women delivering in public health institutions to
absolutely free and no expense delivery including Caesarean section. The initiative stipulates free drugs,
diagnostics, blood and diet, besides free transport from home to institution,
between facilities in case of a referral and drop back home. Similar entitlements have been put in place
for all sick infants accessing public health institutions for treatment.Â
xx)
Rashtriya Bal Swasthya Karyakram
(RBSK), an introduction of child health screening for 4Ds i.e. defects at
birth, deficiencies, diseases, development delays and their management among
the children 0-18 years of age.
States/UTs wise IMR over past three years is as follows:
States/UTs wise IMR during last 3
years
Sr. No
|
State/UTs
|
Infant Mortality Rate (IMR) per 1000 live
births
|
SRS, 2009
|
 SRS,
2010
|
SRS, 2011
|
SRS, 2012
|
India
|
50
|
47
|
44
|
42
|
A.
Non-NE High Focus States
|
1
|
Bihar
|
52
|
48
|
44
|
43
|
2
|
Chhattisgarh
|
54
|
51
|
48
|
47
|
3
|
Himachal
Pradesh
|
45
|
40
|
38
|
36
|
4
|
Jammu
& Kashmir
|
45
|
43
|
41
|
39
|
5
|
Jharkhand
|
44
|
42
|
39
|
38
|
6
|
Madhya
Pradesh
|
67
|
62
|
59
|
56
|
7
|
Odisha
|
65
|
61
|
57
|
53
|
8
|
Rajasthan
|
59
|
55
|
52
|
49
|
9
|
Uttar
Pradesh
|
63
|
61
|
57
|
53
|
10
|
Uttarakhand
|
41
|
38
|
36
|
34
|
B.
NE States
|
11
|
Arunachal
Pradesh
|
32
|
31
|
32
|
33
|
12
|
Assam
|
61
|
58
|
55
|
55
|
13
|
Manipur
|
16
|
14
|
11
|
10
|
14
|
Meghalaya
|
59
|
55
|
52
|
49
|
15
|
Mizoram
|
36
|
37
|
34
|
35
|
16
|
Nagaland
|
26
|
23
|
21
|
18
|
17
|
Sikkim
|
34
|
30
|
26
|
24
|
18
|
Tripura
|
31
|
27
|
29
|
28
|
C.
Non High Focus States
|
19
|
Andhra
Pradesh
|
49
|
46
|
43
|
41
|
20
|
Goa
|
11
|
10
|
11
|
10
|
21
|
Gujarat
|
48
|
44
|
41
|
38
|
22
|
Haryana
|
51
|
48
|
44
|
42
|
23
|
Karnataka
|
41
|
38
|
35
|
32
|
24
|
Kerala
|
12
|
13
|
12
|
12
|
25
|
Maharashtra
|
31
|
28
|
25
|
25
|
26
|
Punjab
|
38
|
34
|
30
|
28
|
27
|
Tamil
Nadu
|
28
|
24
|
22
|
21
|
28
|
West
Bengal
|
33
|
31
|
32
|
32
|
D.
Union Territories
|
29
|
A
& N Islands
|
27
|
25
|
23
|
24
|
30
|
Chandigarh
|
25
|
22
|
20
|
20
|
31
|
D
& N Haveli
|
37
|
38
|
35
|
33
|
32
|
Daman
& Diu
|
24
|
23
|
22
|
22
|
33
|
Delhi
|
33
|
30
|
28
|
25
|
34
|
Lakshadweep
|
25
|
25
|
24
|
24
|
35
|
Pondicherry
|
22
|
22
|
19
|
17
|
This was stated
by Shri Ghulam Nabi Azad, Union Minister for Health and Family Welfare in
a written reply to the Rajya Sabha
today.
*********
MV/GM