Making the health system work for over 25 million births annually: drivers of the notable decline in maternal and newborn mortality in India.

ABSTRACT:

Introduction

India's progress in reducing maternal and neonatal mortality since the 1990s was faster than the regional average. We systematically analysed how national health policies, services for maternal and newborn health, and socioeconomic contextual changes, drove these mortality reductions.

Methods

The study's mixed-methods design integrated quantitative trend analyses of mortality, intervention coverage and equity since the 1990s, using the sample registration system and national surveys, with interpretive understandings from policy documents and 13 key informant interviews.

Results

India's maternal mortality ratio (MMR) declined from 412 to 103 maternal deaths per 100 000 live births between 1997-1998 and 2017-2019. The neonatal mortality rate (NMR) declined

SUBMITTER: Bhushan H 

PROVIDER: S-EPMC11085693 | biostudies-literature | 2024 May

REPOSITORIES: biostudies-literature