Executive Summary:
This document presents the Indian Ministry of Health and Family Welfare's response to Lok Sabha Unstarred Question No. 3343, concerning the decline in the Maternal Mortality Ratio (MMR). It provides data on the MMR, categorizes states based on health indicators, and details funds allocated under the Maternal Health Programme. The data includes information up to the financial year 2024-2025.
Key Points / Main Content:
* **Maternal Mortality Ratio (MMR):**
* The country's MMR is 88 per lakh live births, according to the Sample Registration System (SRS) Special Bulletin on Maternal Mortality 2020-22.
* MMR has declined steadily from 130 in SRS 2014-16 to 88 in SRS 2020-22.
* **State Categorization:**
* States are categorized into three groups:
* Empowered Action Group (EAG) States: Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Odisha, Rajasthan, Uttar Pradesh, Uttarakhand, and Assam.
* Southern States: Andhra Pradesh, Telangana, Karnataka, Kerala, and Tamil Nadu.
* Other States: Gujarat, Haryana, Maharashtra, Punjab, and West Bengal.
* **Maternal Health Programme Funding:**
* Details of funds sanctioned and spent under the Maternal Health Programme are provided.
* Expenditure data is state/UT-wise for Financial Years 2022-23 to 2024-25.
* Expenditure includes spending against Central Release, State release, and unspent balances at the beginning of the year.
Impact Analysis:
* **State Governments/Union Territories:**
* Impact: Affected by the allocation of funds under the Maternal Health Programme and categorized based on MMR.
* Action Required: Review funding details for FY2022-23 to FY2024-25 and utilize funds effectively for maternal health initiatives. Need to submit Financial Management Reports (FMRs).
* **Ministry of Health and Family Welfare:**
* Impact: Responsible for monitoring MMR trends, categorizing states, and allocating funds.
* Action Required: Continue monitoring MMR, refine state categorization as needed, and ensure effective allocation and utilization of funds.
* **Registrar General of India (RGI):**
* Impact: Responsible for providing MMR data through the Sample Registration System (SRS).
* Action Required: Continue to collect and disseminate accurate and timely MMR data.
Key Entities Referenced
Maternal Mortality Ratio (MMR): A key indicator representing the number of maternal deaths per 100,000 live births, used to assess maternal health outcomes.
Sample Registration System (SRS): A demographic survey conducted by the Registrar General of India to provide reliable estimates of vital rates, including the Maternal Mortality Ratio (MMR).
Empowered Action Group (EAG) States: A group of states in India with historically weaker socioeconomic indicators, including health outcomes. Specifically mentioned are Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Odisha, Rajasthan, Uttar Pradesh, Uttarakhand and Assam.
Andhra Pradesh: A state in Southern India.
Telangana: A state in Southern India.
Karnataka: A state in Southern India.
Kerala: A state in Southern India.
Tamil Nadu: A state in Southern India.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 3343
TO BE ANSWERED ON 8THAUGUST, 2025
DECLINE IN MATERNALMORTALITYRATIO
3343SHRIEATALARAJENDER:
Will the Minister of HEALTHANDFAMILYWELFAREbe pleasedtostate:
(a) whether it is a fact that the Maternal Mortality Ratio (MMR) estimate for the country is
expectedtobe around93per100,000live birthsandif so, the detailsthereof;
(b) whether it is a fact that the MMR i.e. the proportion of maternal death per 100,000 live
births, reportedunder the Sample Registration System (SRS)and MMR decline overthe year
andif so, the detailsthereof;
(c) whether the States have been categorised into three Empowered Action Group (EAG)
Statesandif so, the details thereof; and
(d) the detailsof the funds sanctioned andspent, state/UT-wise inthisregardtill date?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILY
WELFARE
(SMT. ANUPRIYAPATEL)
(a): The Sample Registration System (SRS) released by the Registrar General of India (RGI)
provides Maternal Mortality Ratio (MMR) at the National and State level. As per the SRS
Special Bulletin on Maternal Mortality 2020-22, the MMR of the country is 88 per lakh live
births.
(b): The decline in MMR over the years from SRS 2014-16 to SRS 2020-22 in the country is
placedatAnnexure I.
(c): As per the Special Bulletin on Maternal Mortality in India, the States have been
categorized into three groups namely, “Empowered Action Group” (EAG) States comprising
Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Odisha, Rajasthan, Uttar Pradesh,
Uttarakhand and Assam; “Southern” States which include Andhra Pradesh, Telangana,
Karnataka, Kerala and Tamil Nadu; and “Other” States including Gujarat, Haryana,
Maharashtra, PunjabandWestBengal.
(d):The detailsoffundsunderMaternalHealthProgrammeisplacedatAnnexure-II.
*****Annexure referred to in reply to part (b) of Lok Sabha Unstarred Q. No. 3343 to be
answered on08.08.2025
Annexure I
DeclineinMMR(perlakhlive birth)over theyearsfromSRS2014-16 to SRS2020-22
inthecountry
SRS
2014-16 2015-17 2016-18 2017-19 2018-20 2019-21 2020-22
(Year)
MMR 130 122 113 103 97 93 88Annexure referred to in reply to part (d) of Lok Sabha Unstarred Q. No. 3343 to be
answered on08.08.2025
Annexure II
State/UT-wise details of ExpenditureunderMaternalHealth Programmeof NHM for
theFY2022-23 to 2024-25 (Rs. inlakhs)
S.
State/UT FY2022-23 FY2023-24 FY2024-25
No.
1 AndamanandNicobar
6.24 15.41 19.83
Islands
2 Andhra Pradesh
9,768.92 15,794.93 10,609.20
3 Arunachal Pradesh
2,338.14 475.78 1,114.00
4 Assam
19,155.49 19,334.93 21,652.64
5 Bihar
52,066.07 54,606.05 45,434.13
6 Chandigarh
3.47 7.76 16.87
7 Chhattisgarh
11,208.47 9,130.78 10,509.31
Dadra andNagar
8 Haveli andDaman 63.00 55.45 147.06
andDiu
9 Delhi
301.31 482.28 842.23
10 Goa
236.29 193.94 174.00
11 Gujarat
11,391.40 21,448.50 11,306.77
12 Haryana
6,183.48 5,338.96 4,259.63
13 HimachalPradesh
4,122.25 2,026.36 2,075.38
14 Jammu andKashmir
8,491.99 4,946.25 7,365.08
15 Jharkhand
23,352.28 22,711.17 22,685.77
16 Karnataka
25,683.41 20,982.99 11,948.83
17 Kerala
7,625.60 3,842.05 5,912.02
18 Ladakh
331.64 212.52 379.19
19 Lakshadweep
31.70 27.98 28.70
20 Madhya Pradesh
35,137.69 35,156.80 32,118.89
21 Maharashtra
19,139.45 20,684.00 15,186.39
22 Manipur
578.97 449.33 1,015.77
23 Meghalaya
2,172.33 2,317.96 3,114.44
24 Mizoram
122.67 346.48 181.17
25 Nagaland
499.49 810.18 1,132.21State/UT-wise details of ExpenditureunderMaternalHealth Programmeof NHM for
theFY2022-23 to 2024-25 (Rs. inlakhs)
S.
State/UT FY2022-23 FY2023-24 FY2024-25
No.
26 Odisha
22,510.76 21,825.73 18,127.28
27 Puducherry
308.77 126.10 204.49
28 Punjab
7,770.19 9,290.55 6,034.84
29 Rajasthan
37,245.29 38,092.64 43,735.92
30 Sikkim
626.47 210.29 407.95
31 Tamil Nadu
21,273.45 16,834.42 16,583.37
32 Telangana
24,057.55 6,166.25 7,036.02
33 Tripura
1,573.45 1,696.22 1,804.04
34 Uttar Pradesh
61,869.06 74,962.19 67,356.17
35 Uttarakhand
4,158.66 3,126.73 3,150.45
36 West Bengal
29,780.15 26,793.23 20,568.28
Note:
1. The above information is as per available Financial Management Reports (FMRs)
submitted byStates/UTs andisprovisional.
2. Expenditure includes expenditure against Central Release, State release & unspent
balancesat the beginningof the year.