MP
Reports A Child Death Every Five Minutes, Maternal Death Every Hour
By Anil Gulati
15 May, 2007
Countercurrents.org
Madhya
Pradesh is a second largest state which lies in the central region of
India . It has a population of about 60.38 million people (re :census
2001) in its forty eight district spread across an area of 308,000 square
kilometers. About 20 % of its population is tribal and majority of its
population lives in rural area. Human development indicators of the
state point out an urgency of the need of the state to bring intensive
focus on survival of women and children of the state and their care.
It is said that first three years of life play a critical role are a
best start to a child's life, probably an area which needs attention
in the state.
As per the latest National
Family Health Survey Madhya Pradesh have highest rates of malnutrition
among children. 60.3 % of its children in the age group of 0 –
3 years are under nourished. Though steps to improve the systems and
respond to the situation are being made but probably with an issue like
this which impacts survival need to save lives is immediate. State has
69, 238 approved integrated child development centre but only 49, 806
are functional. Integrated Child development centers, commonly known
as anganwadi centres provide nutritional support to children, monitor
its growth, provide immunization and others services to pregnant women
and children including pre school education to child and counseling
on right care practices to pregnant mother. But when thousands of these
child care centres are not even functional indicates that we have been
missing on reaching out to thousands of children in the state. One of
its districts Sheopur was called 'World's hotspots of malnutrition'
by a Joint Commission of Enquiry which was set up by Supreme Court Commissioners
on the ongoing public interest litigation on the issue of right to food
and malnutrition in the country.
State also has highest infant
mortality rate in the country. At present infant mortality rate is 76
infant deaths per thousand live births - meaning out of every one thousand
children born seventy six die even before their first birth day. If
we calculate on an indicative terms this means that approximately every
four to five minutes a child dies in the state of Madhya Pradesh. Even
deaths rate within first month ( i.e. neo natal mortality rate) is also
very high in the state and, which along with Uttar Pradesh and Bihar
contributes 15 % of global neo natal mortality rate. As per Lancet 'child
survival series' titled as Where and why are 10 million children dying
every year? by Prof Robert E Black , Saul S Morris and Jennifer Bryce
states that more than 10 million children die each year, most from preventable
causes and almost all in poor countries. Six countries account for 50%
of worldwide deaths in children younger than 5 years (which includes
India), and 42 countries for 90%. The causes of death differ substantially
from one country to another, highlighting the need to expand understanding
of child health epidemiology at a country level rather than in geopolitical
regions. Other key issues include the importance of under nutrition
as an underlying cause of child deaths associated with infectious diseases,
the effects of multiple concurrent illnesses, and recognition that pneumonia
and diarrhoea remain the diseases that are most often associated with
child deaths. Research studies point out that colostrum and exclusive
breastfeeding till six months of age play a role in combating under
nutrition and decreasing infant mortality. Even though breastfeeding
is common in India and the state but only 14.6 % children are exclusively
breastfed in Madhya Pradesh. 60 % of its children in the state under
one year of age are not even fully immunized.
40 % of women in the state
are said to have low body mass index or are under nourished and adolescent
and women have high rates of anemia. State falls amongst six states
in India which contribute maximum to maternal morality ratio in the
country. It has maternal mortality ratio of 370 maternal deaths per
one lakh live births, meaning a women dies every hour in the state while
she gives birth to a new life or within 42 days after delivery. T he
medical reasons could be many like hemorrhage, sepsis, unsafe abortion,
obstructed labor, hypertensive Disorders. But importantly it is about
providing basic facilities in rural areas including those at the time
of delivery. Many underlying factors like anaemia, poor food quality,
low status of women, and accessibility of medical facilities or high
cost of private medical facilities due to unavailability of the state
medical facilities contribute immensely to the above medical reasons
and maternal deaths.
No doubt issue of survival
of women and children are extremely crucial in the state of Madhya Pradesh
- an area which needs most urgent attention in the state. State has
recently announced many schemes, measures to combat the situation, results
of which are coming but when need is such grave and with implementation
glitches of such measures are immense coupled with weak infrastructure
probably we may need to think differently, effectively but with keeping
local perspectives in mind not just replicate successes elsewhere. Women
and Children need highest focus in the state and not only by one or
two departments, but by all Ministries. Monitoring of the situation
should be part of all decisions and discussions which happen in all
Ministries and in all the arenas of the state right from political debates,
cabinet discussions, civil society and media debates and all decisions
in this regards should get highest attention.
Contact email - [email protected]
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