


{"id":96115,"date":"2026-04-01T20:09:05","date_gmt":"2026-04-01T14:39:05","guid":{"rendered":"https:\/\/vajiramandravi.com\/current-affairs\/?p=96115"},"modified":"2026-04-01T20:09:05","modified_gmt":"2026-04-01T14:39:05","slug":"maternal-mortality-ratio","status":"publish","type":"post","link":"https:\/\/vajiramandravi.com\/current-affairs\/maternal-mortality-ratio\/","title":{"rendered":"Maternal Mortality Ratio, Meaning, Trends, Causes, Initiatives"},"content":{"rendered":"<p><b>Maternal Mortality Ratio (MMR)<\/b><span style=\"font-weight: 400;\"> is an important indicator of a country\u2019s healthcare system, particularly the quality of maternal health services. It reflects the risk associated with pregnancy and childbirth and highlights the effectiveness of healthcare delivery, nutrition, and social conditions affecting women.<\/span><\/p>\n<h2><b>What is Maternal Mortality Ratio?<\/b><\/h2>\n<p><b>Maternal Mortality Ratio<\/b><span style=\"font-weight: 400;\"> refers to the <\/span><b>number of maternal deaths per 100,000 live births in a given time period<\/b><span style=\"font-weight: 400;\">. A <\/span><b>maternal death<\/b><span style=\"font-weight: 400;\"> is defined as the <\/span><b>death of a woman during pregnancy, childbirth, or within 42 days of termination of pregnancy<\/b><span style=\"font-weight: 400;\">, due to causes related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes.<\/span><\/p>\n<h2><b>Maternal Mortality Ratio (MMR) Trends<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">According to the Sample Registration System (SRS) 2021-23, <\/span><b>India\u2019s Maternal Mortality Ratio <\/b><span style=\"font-weight: 400;\">stands at <\/span><b>88 per lakh live births, <\/b><span style=\"font-weight: 400;\">indicating continued progress.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to the latest <\/span><b>United Nations Maternal Mortality Estimation Inter-Agency Group (UN-MMEIG) Report<\/b><span style=\"font-weight: 400;\">, India has achieved an <\/span><b>86% reduction in Maternal Mortality Ratio since 1990, which far exceeds the global average of 48%.\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">India&#8217;s maternal mortality ratio of 2023 has <\/span><b>reduced by nearly 80 per cent since 1990 from 508 per one lakh livebirths to 116 per one lakh livebirths<\/b><span style=\"font-weight: 400;\">, according to a new global analysis published in The Lancet Obstetrics, Gynaecology, and Women&#8217;s Health journal.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, <\/span><b>despite this progress, India remains among the highest-burden countries globally, alongside nations like Nigeria, Pakistan, and Ethiopia. According to a major study published in The Lancet Obstetrics, Gynaecology &amp; Women\u2019s Health, India accounted for about 24,700 maternal deaths in 2023, which is roughly one in ten maternal deaths worldwide.\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">At the global level, maternal mortality has declined significantly over the past few decades due to improvements in healthcare services, institutional deliveries, and access to skilled birth attendants. However, progress remains uneven across regions. Developing countries, especially in Sub-Saharan Africa and South Asia, account for the majority of maternal deaths. Under the Sustainable Development Goals, the global target is to reduce <\/span><b>MMR to less than 70 per 100,000 live births by 2030<\/b><span style=\"font-weight: 400;\">. Achieving this target remains challenging due to inequalities in healthcare access, poverty, and gender disparities.<\/span><\/p>\n<h2><b>Maternal Mortality in India Causes<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Maternal mortality in India is a multifaceted public health challenge arising from a complex interplay of medical, socio-economic, cultural, and systemic factors that collectively increase the risk of death during pregnancy and childbirth.<\/span><\/p>\n<h3><b>Direct Medical Causes<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe bleeding, especially postpartum <\/span><b>hemorrhage<\/b><span style=\"font-weight: 400;\">, remains the leading cause of maternal deaths in India, often due to lack of timely medical intervention.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hypertensive disorders such as pre-eclampsia and eclampsia contribute significantly to maternal mortality when not diagnosed and managed early.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Infections like sepsis occur due to poor hygiene during delivery or lack of proper postnatal care.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unsafe abortions continue to cause maternal deaths, particularly where access to safe and legal abortion services is limited.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Obstructed or prolonged labour leads to fatal complications when emergency obstetric care is not available.<\/span><\/li>\n<\/ul>\n<h3><b>Indirect Medical Causes<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Anemia <\/b><span style=\"font-weight: 400;\">is highly prevalent among Indian women and increases the risk of complications during pregnancy and childbirth.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Malnutrition weakens the overall health of women, making them more vulnerable to pregnancy-related risks.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pre-existing diseases such as heart conditions, diabetes, and infections can worsen during pregnancy and lead to complications.<\/span><\/li>\n<\/ul>\n<h3><b>Healthcare System-Related Causes<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Inadequate healthcare infrastructure, especially in rural areas, limits access to quality maternal care.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shortage of skilled healthcare professionals, including doctors, nurses, and midwives, affects safe delivery services.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lack of emergency obstetric care facilities results in delays in managing complications.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poor quality of care in health institutions, including lack of equipment and overcrowding, contributes to maternal deaths.<\/span><\/li>\n<\/ul>\n<h3><b>Socio-Economic Causes<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poverty restricts access to nutritious food, healthcare services, and transportation.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Early marriage and early pregnancy increase health risks for young mothers.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low status of women in society often limits their decision-making power regarding healthcare.<\/span><\/li>\n<\/ul>\n<h3><b>Educational and Awareness-Related Causes<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low female literacy leads to poor awareness about maternal health, nutrition, and the importance of institutional delivery.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lack of knowledge about danger signs during pregnancy results in delayed medical intervention.<\/span><\/li>\n<\/ul>\n<h3><b>Cultural and Behavioral Causes<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Preference for home deliveries in some areas increases the risk of complications.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Traditional beliefs and practices may discourage women from seeking timely medical care.<\/span><\/li>\n<\/ul>\n<h3><b>Accessibility and Infrastructure Issues (Three Delays)<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Delay in deciding to seek care due to lack of awareness or social barriers.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Delay in reaching healthcare facilities due to poor transport and connectivity.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Delay in receiving proper treatment due to inadequate facilities or staff shortages.<\/span><\/li>\n<\/ul>\n<h2><b>Government Initiatives to Reduce Maternal Mortality in India<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">India has undertaken a comprehensive and multi-pronged policy approach to reduce maternal mortality by strengthening healthcare delivery, improving access to maternal services, promoting institutional care, and addressing underlying socio-economic and nutritional determinants.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Janani Suraksha Yojana (JSY)<\/b><span style=\"font-weight: 400;\">: Launched in 2005 with the objective of reducing maternal and neonatal mortality, JSY promotes institutional delivery among pregnant women especially with weak socio-economic status i.e. women from Scheduled Castes, Scheduled Tribes and BPL households.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Pradhan Mantri Matru Vandana Yojana (PMMVY)<\/b><span style=\"font-weight: 400;\">, is a maternity benefit program run by the Ministry of Women and Child Development, Government of India. The maternity benefit, of Rs. 5000\/-, is available to a woman for the first living child of the family subject to fulfilment of conditionalities. All Pregnant Women who have their pregnancy for the first child in the family on or after 01.01.2017 are eligible for getting benefit under the programme. Further, as per the new guideline for<\/span><b> &#8216;Mission Shakti\u2019<\/b><span style=\"font-weight: 400;\">, applicable with effect from 01.04.2022, the scheme (PMMVY 2.0) seeks to promote positive behavioural change towards girl child by providing additional cash incentive for the second child, if that is a girl child.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Janani Shishu Suraksha Karyakaram (JSSK)<\/b><span style=\"font-weight: 400;\">: Launched in 2011, JSSK aims at eliminating out-of-pocket expenses for pregnant women and sick infants by entitling them to free delivery, including caesarean section, free transport, diagnostics, medicines, other consumables, diet and blood in public health institutions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Surakshit Matritva Aashwasan (SUMAN)<\/b><span style=\"font-weight: 400;\">: Launched in 2019, SUMAN aims to provide assured, dignified, respectful and quality healthcare at no cost and zero tolerance for denial of services for every woman and new-born visiting the public health facility to end all preventable maternal and new-born deaths.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)<\/b><span style=\"font-weight: 400;\">: Launched in 2016, PMSMA provides pregnant women a fixed day, free of cost assured and quality Antenatal Care on the 9<\/span><span style=\"font-weight: 400;\">th<\/span><span style=\"font-weight: 400;\"> day of every month. Further, Extended PMSMA (e-PMSMA) strategy is implemented to ensure quality ANC to pregnant women, especially to high-risk pregnancy (HRP) women and individual HRP tracking till a safe delivery is achieved by means of financial incentivization for the identified high risk pregnant women and accompanying ASHA for extra 3 visits over and above the PMSMA visit. As on March 21, 2025, more than 5.9 crore pregnant women have been examined under this scheme.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>LaQshya<\/b><span style=\"font-weight: 400;\">: Launched in 2017, LaQshya aims to improve the quality of care in labour room and maternity operation theatres to ensure that pregnant women receive respectful and quality care during delivery and immediate post-partum.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Capacity building<\/b><span style=\"font-weight: 400;\"> is taken-up for MBBS doctors in Anesthesia (LSAS) and Obstetric Care including C-section (EmOC) skills to overcome the shortage of specialists in these disciplines, particularly in rural areas.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Maternal Death Surveillance Review (MDSR) <\/b><span style=\"font-weight: 400;\">is implemented both at facilities and at the community level. The purpose is to take corrective action at appropriate levels and improve the quality of obstetric care.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Monthly Village Health, Sanitation and Nutrition Day (VHSND) <\/b><span style=\"font-weight: 400;\">is an outreach activity for provision of maternal and child care including nutrition.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>MCP Cards and Safe Motherhood Booklet <\/b><span style=\"font-weight: 400;\">are distributed to the pregnant women for educating them on diet, rest, danger signs of pregnancy, benefit schemes and institutional deliveries.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Reproductive and child health (RCH) portal<\/b><span style=\"font-weight: 400;\"> is a name-based web-enabled tracking of pregnant women and new-born to ensure provision of regular and complete services to them including antenatal care, institutional delivery and post-natal care.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Anaemia Mukt Bharat (AMB) strategy as a part of <a href=\"https:\/\/vajiramandravi.com\/upsc-exam\/poshan-abhiyaan\/\" target=\"_blank\">POSHAN Abhiyan<\/a><\/b><span style=\"font-weight: 400;\"> aims to strengthen the existing mechanisms and foster newer strategies to tackle anaemia which include testing &amp; treatment of anaemia in school going adolescents &amp; pregnant women, addressing non-nutritional causes of anaemia and a comprehensive communication strategy.<\/span><\/li>\n<\/ul>\n<p><b>Several states have pioneered unique initiatives that have significantly contributed to reducing maternal mortality, including:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Madhya Pradesh\u2019s &#8216;Dastak Abhiyan<\/b><span style=\"font-weight: 400;\">&#8216;: A community-driven campaign that focuses on early detection of maternal health risks and ensures timely medical intervention.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tamil Nadu\u2019s Emergency Obstetric Care Model<\/b><span style=\"font-weight: 400;\">: A robust referral system that ensures pregnant women receive timely emergency care, reducing maternal complications.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">By building on these success stories and adopting innovative approaches, India is on the right path to achieving further reductions in maternal mortality and ensuring safer pregnancies for all women. To further reduce maternal mortality, India must continue strengthening healthcare systems, enhancing policies, and expanding access to quality maternal health services.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Know about Maternal Mortality Ratio, key causes, India trends, and initiatives driving improvements in maternal health and safe delivery services.<\/p>\n","protected":false},"author":11,"featured_media":96067,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[786],"tags":[6533],"class_list":{"0":"post-96115","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-general-studies","8":"tag-maternal-mortality-ratio","9":"no-featured-image-padding"},"acf":[],"_links":{"self":[{"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/posts\/96115","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/comments?post=96115"}],"version-history":[{"count":1,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/posts\/96115\/revisions"}],"predecessor-version":[{"id":96116,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/posts\/96115\/revisions\/96116"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/media\/96067"}],"wp:attachment":[{"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/media?parent=96115"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/categories?post=96115"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vajiramandravi.com\/current-affairs\/wp-json\/wp\/v2\/tags?post=96115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}