DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20212158

Impact of government schemes on maternal mortality

Kamala Verma, Sudesh Agrawal, Girish Chandra Baniya

Abstract


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.


Keywords


Maternal mortality, JSSK, Millennium development goal and hemorrhage

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References


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