A tale of two exemplars: the maternal and newborn mortality transitions of two state clusters in India.

ABSTRACT:

Background

India's progress in reducing maternal and newborn mortality since the 1990s has been exemplary across diverse contexts. This paper examines progress in two state clusters: higher mortality states (HMS) with lower per capita income and lower mortality states (LMS) with higher per capita income.

Methods

We characterised state clusters' progress in five characteristics of a mortality transition model (mortality levels, causes, health intervention coverage/equity, fertility and socioeconomic development) and examined health policy and systems changes. We conducted quantitative trend analyses, and qualitative document review, interviews and discussions with national and state experts.

Results

Both clusters reduced maternal and neonatal mortality by over two-thir

SUBMITTER: Ram U 

PROVIDER: S-EPMC11085921 | biostudies-literature | 2024 May

REPOSITORIES: biostudies-literature