12-Feb-2021: Maternal Mortality Rate (MMR)

As per the Sample Registration System (SRS) report by Registrar General of India (RGI) for the last three years, Maternal Mortality Ratio (MMR) of India has reduced from 130 per 100,000 live births in SRS  2014-16 to 122 in SRS 2015-17 and to 113 per 100,000 live births in SRS 2016-18.

State/ UT Wise Details of Maternal Mortality Ratio (MMR)  During Last Three Years Period

India & bigger States

Maternal Mortality Ratio (MMR)

   
 

SRS 2014-16

SRS 2015-17

SRS 2016-18

India

130

122

113

       

Assam

237

229

215

Bihar

165

165

149

Jharkhand

165

76

71

Madhya Pradesh

173

188

173

Chhattisgarh

173

141

159

Odisha

180

168

150

Rajasthan

199

186

164

Uttar Pradesh

201

216

197

Uttarakhand

201

89

99

EAG AND ASSAM SUBTOTAL

188

175

161

Andhra Pradesh  

74

74

65

Telangana

81

76

63

Karnataka

108

97

92

Kerala

46

42

43

Tamil Nadu

66

63

60

SOUTH SUBTOTAL

77

72

67

Gujarat

91

87

75

Haryana

101

98

91

Maharashtra

61

55

46

Punjab

122

122

129

West Bengal

101

94

98

Other states

96

96

85

OTHER SUBTOTAL

93

90

83

5-Feb-2021: Maternal Mortality Ratio

A Task Force had been constituted by the Government to examine the correlation of age of marriage and motherhood with (i) health, medical well-being and nutritional status of mother and neonate/ infant/ child, during pregnancy, birth and thereafter,  (ii) key parameters like Infant Mortality Rate (IMR), Maternal Mortality Rate (MMR), Total Fertility Rate (TFR), Sex Ratio at Birth (SRB), Child Sex Ratio (CSR) etc. and (iii) any other relevant points pertaining to health and nutrition in this context.

10-Jun-2018: WHO commends India for reducing maternal mortality ratio by 77%.

WHO commends India for its groundbreaking progress in recent years in reducing the maternal mortality ratio (MMR) by 77%, from 556 per 100 000 live births in 1990 to 130 per 100 000 live births in 2016. India’s present MMR is below the Millennium Development Goal (MDG) target and puts the country on track to achieve the Sustainable Development Goal (SDG) target of an MMR below 70 by 2030.

Four key actions are responsible for India’s remarkable achievement.

First, India has made a concerted push to increase access to quality maternal health services. Since 2005, coverage of essential maternal health services has doubled, while the proportion of institutional deliveries in public facilities has almost tripled, from 18% in 2005 to 52% in 2016 (including private facilities, institutional deliveries now stand at 79%).

Second, state-subsidized demand-side financing like the Janani Shishu Suraksha Karyakram – which allows all pregnant women delivering in public health institutions to free transport and no-expense delivery, including caesarian section – has largely closed the urban-rural divide traditionally seen in institutional births. Overall, 75% of rural births are now supervised, as compared to 89% of urban deliveries.

Third, India has put significant emphasis on mitigating the social determinants of maternal health. Women in India are more literate than ever, with 68% now able to read and write. They are also entering marriage at an older age, with just 27% now wedded before the age of 18. These factors alone have enabled Indian women to better control their reproductive lives and make decisions that reflect their own interests and wants.

Finally, the government has put in substantive efforts to facilitate positive engagement between public and private health care providers. Campaigns such as the Pradhan Mantri Surakshit Matritva Abhiyan have been introduced with great impact, allowing women access to antenatal check-ups, obstetric gynecologists and to track high-risk pregnancies – exactly what is needed to make further gains and achieve the SDG targets.

India’s achievements are already having wide-ranging human impact, and are of immense inspiration to WHO Member States, both in the Region and beyond. As per WHO South-East Asia’s Flagship Priority of advancing maternal, newborn, child and adolescent health, the Organization will continue to provide technical and operational support as and where needed in India and across the Region to end preventable deaths due to pregnancy and childbirth and to ensure every woman has full control over her reproductive life.

13-Mar-2020: Research and New Methods of Cancer Treatment

As per National Cancer Registry Programme (NCRP) of Indian Council of Medical Research (ICMR), the estimated number of incidence of cancer cases reported in the country during the three years is given below:

Year

2016

2017

2018

Estimated Incidence of cancer cases

14,51,417

15,17,426

15,86,571

Health is a State subject and the Central Government supplements the efforts of the State Governments in preventing and controlling cancer. The objectives of National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS), being implemented by Central Government under National Health Mission (NHM) for interventions upto the district level, includes awareness generation for cancer prevention, screening, early detection and referral to an appropriate level institution for treatment. For cancer,  the focus is on three cancers, namely breast, cervical and oral.  A population level initiative for prevention, control and screening for common Non-Communicable Diseases (NCDs) i.e. diabetes, hypertension and common cancers viz. oral, breast and cervical cancer, has been rolled out in over 215 districts of the country, as a part of comprehensive primary healthcare. Screening of common NCDs including three common cancers i.e. oral, breast and cervical is also an integral part of service delivery under Ayushman Bharat - Health and Wellness Centres. Cancer is diagnosed and treated at various levels in the health care system. In Government hospitals, treatment is either free or highly subsidized. Treatment of cancers is also available under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PMJAY). Besides this, Affordable Medicines and Reliable Implants for Treatment (AMRIT) Deendayal outlets have been opened at 203 Institutions/Hospitals with an objective to make available drugs and implants at discounted prices to the patients. Under the umbrella scheme of Rashtriya Arogya Nidhi, financial assistance is provided to families living below threshold poverty line for their treatment, including treatment of cancer, in Government hospitals.

Scientific Institutions/Departments such as Indian Council of Medical Research (ICMR), Department of Biotechnology and    Council of Scientific & Industrial Research (CSIR)support research in various filed including treatment of cancer. Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Kerala, has developed a technology to make Curcumin, an active ingredient in Turmeric with anti-cancer properties, water soluble by binding it with human albumin. This research was supported by ICMR. More studies are however needed to get regulatory nod.

To enhance the facilities for tertiary care of cancer, the Central Government is implementing Strengthening of Tertiary Care for Cancer Scheme, under which setting up of 19 State Cancer Institutes (SCI) and 20 Tertiary Care Cancer Centres (TCCC) have been approved. The list of such approved SCIs and TCCCs in the country including in the State of Kerala, is given below:

State/UT-wise list of approved State Cancer Institutes (SCI) and Tertiary Care Cancer Centres (TCCCs).

S No

State

Name of the Institute

SCI/

TCCC

1

Andhra Pradesh

Kurnool Medical College, Kurnool

SCI

2

Assam

Gauhati Medical College & Hospital, Guwahati

SCI

3

Bihar

Indira Gandhi Institute of Medical Sciences, Patna

SCI

4

Chhattisgarh

Chhattisgarh Institute of Medical Sciences, Bilaspur

SCI

5

Delhi

Lok Nayak Hospital

TCCC

6

Gujarat

Gujarat Cancer Research Institute, Ahmedabad

SCI

7

Goa

Goa Medical College, Panaji

TCCC

8

Haryana

Civil Hospital, Ambala Cantt.

TCCC

9

Himachal Pradesh

Indira Gandhi Medical College, Shimla

TCCC

10

 

Shri Lal Bahadur Shastri Medical College, Mandi

TCCC

11

Jammu & Kashmir

Sher-i-Kashmir Institute of Medical Sciences, Srinagar

SCI

12

 

Government Medical College, Jammu

SCI

13

Jharkhand

Rajendra Institute of Medical Sciences, Ranchi

SCI

14

Karnataka

Kidwai Memorial Institute of Oncology (RCC), Bengaluru

SCI

15

 

Mandya Institute of Medical Sciences, Mandya

TCCC

16

Kerala

Regional Cancer Centre, Thiruvananthapuram

SCI

17

 

Government Medical College, Kozhikode

TCCC

18

Madhya Pradesh

G.R. Medical College, Gwalior

TCCC

19

 

Netaji Subhas Chandra Bose Medical College, Jabalpur

SCI

20

Maharashtra

Rashtrasant Tukdoji Regional Cancer Hospital & Research Centre, Nagpur

TCCC

21

 

Government Medical College, Aurangabad

SCI

22

 

Vivekanand Foundation & Research Centre, Latur

TCCC

23

Mizoram

Mizoram State Cancer Institute, Aizawl

TCCC

24

Nagaland

District Hospital, Kohima

TCCC

25

Odisha

Acharya Harihar Regional Cancer Centre, Cuttack

SCI

26

Punjab

Government Medical College, Amritsar

SCI

27

 

Civil Hospital, Fazilka

TCCC

28

Rajasthan

S P Medical College, Bikaner

TCCC

29

 

SMS Medical College, Jaipur

SCI

30

 

Jhalawar Medical College & Hospital, Jhalawar

TCCC

31

Sikkim

Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim

TCCC

32

Tamil Nadu

Cancer Institute (RCC), Adyar, Chennai

SCI

33

Telangana

MNJ Institute of Oncology & RCC, Hyderabad

SCI

34

Tripura

Cancer Hospital (RCC), Agartala

SCI

35

Uttar Pradesh

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow

TCCC

36

Uttarakhand

Government Medical College, Haldwani

SCI

37

West Bengal

Government Medical College, Burdwan

TCCC

38

 

Murshidabad Medical College & Hospital, Berhampur, Murshidabad

TCCC

39

 

Sagore Dutta Memorial Medical College and Hospital, Kolkata

TCCC

In addition, Tata Memorial Centre, a grant-in-aid institution under the Department of Atomic Energy has informed that following new cancer hospitals have been approved in the last three years:

  1. Mahamana Pandit Madanmohan Malviya Cancer Centre and Homi Bhabha Cancer Hospital, Varanasi, Uttar Pradesh.
  2. Homi Bhabha Cancer Hospital and Research Centre, Vishakhapatnam, Andhra Pradesh
  3. Homi Bhabha Cancer Hospital, Mullanpur, Punjab
  4. Dr. B. Borooah Cancer Institute, Guwahati, Assam
  5. Homi Bhabha Cancer Hospital and Research Centre, Muzaffarpur, Bihar.

Further, Oncology is also one of the focus areas in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY). Setting up of National Cancer Institute at Jhajjar in Haryana and strengthening of Chittaranjan National Cancer Institute, Kolkata, are also steps in the same direction.

2-Apr-2020: Dr. Jitendra Singh releases National Corona Survey conducted in 410 Districts of the Country

Dr. Jitendra Singh, Minister of State for Personnel, Public Grievances and Pensions today released the National Preparedness Survey on COVID 19 – Responses of District Collectors and IAS Officers (2014-2018 batches). A copy of the report is available at https://darpg.gov.in.

The COVID 19 National Preparedness Survey 2020 was conducted in 410 Districts in the Country within 3 working days to attain a bird’s eye view of the governance challenges of the Nation while coping with the greatest health crisis India faced since Independence.

The objectives of this preparedness survey are as follows:

  • to develop a comparative analysis of COVID 19 preparedness across States;
  • to highlight the main priorities and constraints of COVID 19 preparedness, as they are perceived by the civil servants working in the field;
  • to access enabling factors in making institutional/ logistics/ hospital preparedness, etc.;
  • to capture trends to identify systemic and process related deficiencies, in combating COVID 19 in the districts of India.

Speaking on the occasion, Dr. Jitendra Singh said that the Prime Minister in his address to the Nation on March 19, 2020 and March 24, 2020 had urged the Indian people to fight to stop the virus with every resource at their disposal.

Dr. Jitendra Singh said that the National Preparedness Survey on COVID 19, points out that India’s response has been coherent, purposeful and determined. Further he added the Survey has highlighted that the policy actions of the Government – Janata Curfew, National Lockdown, the Economic Package of Rs. 1.7 billion, the RBI announcements are steps which have received overwhelming support.

Dr. Jitendra Singh recognized the immense efforts of Civil Servants, Doctors, Nurses, Health Sector Specialists, Police Officials in implementing the National Lockdown. He felt that the survey will serve as a benchmark for policy makers at National and State levels. Dr. Jitendra Singh thanked the Prime Minister for his leadership role in this moment of crisis.

Secretary DARPG, Dr. Kshtrapati Shivaji, Additional Secretary DARPG V. Srinivas, Joint Secretaries Smt. Jaya Dubey and N.B.S. Rajput along with senior officials of the Department participated in the launch through video conferencing facility.