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Nirogi Bal Varsh 2008-09. Current scenario. Infant Mortality in India. ….. a sensitive measure of social development. India-57. SRS 2006. Where are we now?. Reference: IMR - SRS 2006 MMR -SRS 2001-2003. Slow decline in Infant Mortality. 66% in first 7 days. 62 R.
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Infant Mortality in India …..a sensitive measure of social development India-57 SRS 2006
Where are we now? Reference: IMR - SRS 2006 MMR -SRS 2001-2003
Slow decline in Infant Mortality 66% in first 7 days 62 R 53 T 37 U Goal 27 Source: SRS Wide difference in Rural and Urban areas
Sharp fall in child mortality rate (1-4 years) Faster decline in U5MR. The decline in IMR has not been as fast Slow rate of decline in the neonatal mortality Trends in neo-natal mortality, IMR and U5MR NFHS
WHO IS PROVIDING HEALTH CARE? NSSO 60TH ROUND
Key components for the Nirogi Bal Varsh • Care of the mother • Right of the Girl child to be born • Unmet need for Family Planning • Addressing malnutrition • Care of the neonates • School health • Care of special children • Clean drinking water and sanitation • Inter departmental coordination
“ Focus on 100% institutional delivery “ Two districts shall be soon “safe delivery district” (Mehsana & Gandhinagar)
Outcome of Chiranjeevi Scheme: Mothers & New Born babies saved • Normal Deliveries: 159871 • C-Section: 11407 (6.22%) • Complicated Deliveries: 12237 (6.67%) • Private specialist enrolled: 862/2000
Ahmedabad Region Surendranagar Limbdi Muli Sayla
Key components for the Nirogi Bal Varsh • Care of the mother • Unmet need for Family Planning • Right of the Girl child to be born • Addressing malnutrition • Care of the neonates • School health • Care of special children • Clean drinking water and sanitation • Inter departmental coordination
Key components for the Nirogi Bal Varsh • Care of the mother • Unmet need for Family Planning • Right of the Girl child to be born • Addressing malnutrition • Care of the neonates • School health • Care of special children • Clean drinking water and sanitation • Inter departmental coordination
5 Districts showing deterioration in sex ratio State average: 870 (2006)
Sex ratio of a private clinic followed over a period of time
Key components for the Nirogi Bal Varsh • Care of the mother • Unmet need for Family Planning • Right of the Girl child to be born • Addressing malnutrition • Care of the neonates • School health • Care of special children • Clean drinking water and sanitation • Inter departmental coordination
Anaemia in Gujarat Vegetarianism, wheat cereal based diet and very low intake of green leafy vegetables
Banaskantha Patan Sabarkantha Mehsana Kutch Gandhinagar Panchmahals Ahmedabad Dahod Kheda Surendranagar Anand Jamnagar Vadodara Rajkot Narmada Porbandar Bharuch Bhavnagar Amreli Surat Junagadh ≥ 50 % 40-49 % Navsari Dangs 30-39% 20-29% Valsad 46 Source : National Family Health Survey-III 05-06
Mal-nutrition Contributes A Large Share of Child Deaths Black et al. The Lancet 2003 ; 361: 2226-34
Consumption pattern of 4-6 yrs Source:- NNMB (04-05)
Consumption pattern of 1-3 yrs Source:- NNMB (04-05)
Protein & Calorie adequacy status Source:- NNMB (04-05). For Gujarat