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:
- Mahamana Pandit Madanmohan Malviya Cancer Centre and Homi Bhabha Cancer Hospital, Varanasi, Uttar Pradesh.
- Homi Bhabha Cancer Hospital and Research Centre, Vishakhapatnam, Andhra Pradesh
- Homi Bhabha Cancer Hospital, Mullanpur, Punjab
- Dr. B. Borooah Cancer Institute, Guwahati, Assam
- 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.