Impact of government schemes on maternal mortality

Kamala Verma, Sudesh Agrawal, Girish Chandra Baniya


Background: To analyze the causes of maternal death over a period of 5 years with respect to direct and indirect causes and to see the effect of various government schemes in MMR reduction.

Methods: A retrospective study of maternal death cases was conducted over a 5-year period, from January 2016 to December 2020, in our tertiary health center. Each case was analyzed with respect to age, parity, residence, antenatal booking, admission- mortality interval, etc. Results were analyzed by using percentage and proportion.

Results: In our study, there were total 161 maternal death and 66,806 live births giving an MMR of 240.9 per one lac live birth. In the year 2016, there was total 12303 live birth, and it was increased to 14783 in the year 2020. MMR in 2016 was 243.84, and it also increased by 277.34 in the year 2020. Obstetric hemorrhage (28.57%), severe PIH, and eclampsia (19.87%) followed by septicemia (9.93%) were common direct causes of death. Anemia was the most important indirect cause of death.

Conclusions: Although various government maternity programs like JSY and JSSK are successful in improving the number of institutional deliveries, but they are still less effective in the reduction of MMR. Besides these schemes, MMR can be reduced by improving female literacy, health, and good antenatal care and by the provision of quality of emergency obstetric care with skilled birth attendance.


Maternal mortality, JSSK, Millennium development goal and hemorrhage

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Maternal mortality data about mother dying per minute. Available at: Accessed on 20 January 2021.

Park K. Preventive medicine in obstetric, Paediatrics and geriatrics: Park's Text Book of Preventive and Social Medicine. 20th ed. Jabalpur: M/S Banarasi Das Bhanot. 2009;479-83.

India's maternal mortality rate. Available at: Accessed on 20 January 2021.

Janani Shishu Suraksha Karyakaram (JSSK). Available at: Accessed on 20 January 2021.

Maternal mortality ratio in Rajasthan. Available at: Accessed on 20 January 202.

Puri A, Yadav I and Jain N. Maternal mortality in an urban tertiary care hospital of North India. The Journal of Obstetrics and Gynecology of India. 2011;61:280-5.

Kaur H, Kaur S, Singh S. Trends in Maternal Mortality Ratio in a Tertiary Referral Hospital and the Effects of Various Maternity Schemes on It. Journal of family & reproductive health. 2015;9:89-92.

Montgomery AL, Ram U, Kumar R, Jha P. Maternal mortality in India: causes and healthcare service use based on a nationally representative survey. PloS one. 2014;9:e83331.

Bangal VB, Giri PA, Garg R. Maternal mortality at a tertiary care teaching hospital of rural india: a retrospective study. 2011.

Ng M, Misra A, Diwan V, Agnani M, Levin-Rector A, De Costa A. An assessment of the impact of the JSY cash transfer program on maternal mortality reduction in Madhya Pradesh, India. Global health action. 2014;7:24939.

Randive B, San Sebastian M, De Costa A, Lindholm L. Inequalities in institutional delivery uptake and maternal mortality reduction in the context of cash incentive program, Janani Suraksha Yojana: results from nine states in India. Social science & medicine. 2014;123:1-6.