With am aim of reducing the maternal mortality ratio (MMR) of Uttar Pradesh from 345 to 200 by 2017,the state programme management unit (SPMU) of National Rural Health Mission (NRHM) has planned to add 8,000 beds for institutional deliveries in the next two years and purchase additional 1,000 ambulances for transport facilities for pregnant women to and from the hospitals in 2013-14.
Addressing a media workshop on the eve of Safe Motherhood Day,which will be celebrated across the country on Thursday,Amit Ghosh,Mission Director,NRHM,Uttar Pradesh,said that the state has managed to bring down the MMR by 49 per cent in the last 15 years. Yet,it is quite high compared to the national MMR of 212.
Uttar Pradesh has the second highest MMR in the country,after Assam,with 345 women dying while pregnancy or within 42 days of pregnancy termination per one lakh live births. This amounts to 18,000 deaths of mothers every year and almost 50 every day in the state. The worst performing divisions are Faizabad (451),Allahabad (442),Bareilly (437),Gonda (434) and Basti (412) and the best is Jhansi (241).
To bring down the MMR in these divisions,the state has planned death audit of each maternal death by a team of independent evaluators,in order to find the reason of death in each case. To tackle the problem of under-reporting of maternal deaths,ASHA bahus will now be given Rs 200 instead of Rs 100 in these districts for reporting each such death.
Another significant intervention,said Dr Neera Jain,general manager,Maternal Health and Family Planning,SPMU-NRHM,is to trace down high risk cases of pregnancy through the online mother and child tracking system. Already rolled out across the state,the system will now be used by doctors to access readings of each of the pregnant womans haemoglobin and blood pressure levels for all three ante-natal care. High risk cases of pregnancies will thus be identified and planning for safe deliveries of these cases can be done at state level,said Dr Jain.
The department is also introducing partograph,a technique which charts the progress of a woman during delivery and can easily tell the ANM or staff nurse attending her if she is developing obstructed labour and thus,can be referred early to higher facilities. We have already trained 2,600 ANMs and staff nurse of sub-centre and primary health centre level,where they can only handle normal deliveries.
2 held for rape
The police on Wednesday arrested Rajeev Bhandari,a resident of Madiaon area,and his friend Sumit Jaiswal,a resident of Aminabad,for allegedly raping a girl at the formers house in Madiaon area on Monday.
Lucknow polices special operation group in-charge Nagendra Chaubey confirmed the arrests from Madiaon. He said a woman and her daughter,both residents of Allahabad,had come to Lucknow on Monday to meet Bhandari,who had promised the woman that he will provide a job to her daughter in a beauty parlour.
Chaubey said after the girl and her mother had reached Bhandaris residence,they were held hostage there. The girl was then raped by Bhandari and Jaiswal,he said. After they left the house,the girl and her mother met Lucknow SSP J Ravinder Goud,who sent them to Mahila police station where an FIR was lodged on Monday,Chaubey said.
He said police investigation has revealed that Bhandari and Jaiswal run a sex racket in the city and wanted to force the girl into flesh trade.