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Maternal mortality estimates for the year 2015-16 at district of Tumakuru: a revisit to dynamics of maternal mortality ratio in India

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Original Article

Author Details : Girish BL, Indira N, Nandagopal KM, Omkarmurthy K

Volume : 4, Issue : 1, Year : 2017

Article Page : 35-38

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Abstract

Background: Maternal mortality has been burden to the health care system and the society. It is rightly considered as a measure for efficiency of health care system of a given community and it is considered as one of the indicators of reproductive health care. The African and south Asian countries have failed considerably, as seen in historical data of these regions.
Objective of this study: India committed to work towards Millennium Development Goal by being a signatory of United Nation Millennium Declaration in the year 2000. MDG5A calls for 75% reduction in MMR between 19990 and 2015. National targets were set and monitored byinternational and national agencies. This study is taken out of interest to know the performance at the district level and relate the results with the performance at state, national and international level.
Material and Methods: The pooled data for maternal death is maintained atthe district level by the Reproductive Health Office, which works under the purview of District Health Officer. Data for the year April 2015-March 2016 is taken for analysis.
Results: Total number of live births was 34432 among them 34321 were Institutional deliveriesand 111 were home deliveries. Total number of maternal deaths were 20 and Maternal mortality ratio was 58.086 per 1,00,000 live births: Among maternal deaths 19(95%) delivered in hospital as compared to home delivery 1(5%); .4 (20%) died anteparrtum, 9(45%) died intrapartum, 7 (35%) died postpartum. 11(55%) had less than 3 antenatal care visits, 9(45%) had more than 3 visits; 2(10%) were aged less than 20 years, 15 (75%) were aged between 20 and 30 years and 3(15%) were aged above 30 years; 7(35%)were nulliparous, 12(60%) were between p2 and p5, 1(5%) was more than p5.18(90%) were from rural background 2(10%) were from urban.
Conclusion: There has been a mixed trends in achievement in reduction of MMR (Maternal Mortality Ratio). The area where study was conducted had satisfactory achievements, mainly because of it being a developed district, socially and economically. However, the achievements towards MMR reductions have wide disparities between districts in the state and states within the country. South Indian states have a better performance as compared to north Indian states. None of the states achieved the targets set for 2015 under MDG5a. More efforts are required for achieving new target set under SDG by 2030.

Keywords: Maternal mortality, Maternal mortality ratio, MDG goals, Estimates of MMR

How to cite : Girish Bl, Indira N, Nandagopal Km, Omkarmurthy K, Maternal mortality estimates for the year 2015-16 at district of Tumakuru: a revisit to dynamics of maternal mortality ratio in India. Indian J Obstet Gynecol Res 2017;4(1):35-38

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