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Attaining the Millennium Development Goals. Interventions to reduce infant and maternal mortality. Prasanna Hota Secretary Department of Family Welfare. Goal 4: Infant and Child Mortality. 2/3 rd reduction in child mortality between 1990 and 2015.

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attaining the millennium development goals

Attaining the Millennium Development Goals

Interventions to reduce infant and maternal mortality

Prasanna Hota

Secretary

Department of Family Welfare

goal 4 infant and child mortality
Goal 4:Infant and Child Mortality

2/3rd reduction in child mortality between 1990 and 2015

In India this implies reducing IMR to 27 per 1000 live births and Under 5 mortality to 32 per 1000 live births by 2015.

key findings
Key Findings
  • Substantial declines in IMR
  • Inter- and intra- state variations in levels and in rates of change
  • Clustering of deaths in a few states
  • Gender disparity in infant mortality
  • Maternal education and female literacy
  • Strong inverse association with immunization coverage
  • Ante-, neo-, and post-natal care improvements will help reduce IMR
  • The MDGs CAN be attained with some commitment
slide4

The report…

  • successfully demonstrates and reconfirms what many of us working in this area have intuitively believed to be true;
  • needs a second volume, that focuses on a “product package” that will enable us to move from from what we know and have now cogently demonstrated to the desired outcomes.
what do we need
What do we need?
  • A Navigation System that tells me how to get to my goals most effectively.

We need a road map to tell us how we should get there.

what are the problems
What are the problems?
  • Basic housekeeping is lacking in this sector;
  • Efficiency – converting interventions to outcomes is poor;
  • Data systems are inadequate and needs to be strengthened in numerous dimensions – including coverage and quality;
  • Accountability needs to be incentivized;
how can this be done
How can this be done?
  • Improve social service delivery. This is difficult since:
  • (a) it is more difficult to standardize quality across services than products, as there is people to people interaction;
  • (b) Quality of service can be intangible;
  • (c) Intimate contact between service provider and service user.

Some of these concerns could be addressed through technical solutions such as e-services and through improving monitoring and evaluation.

how can this be done1
How can this be done?
  • Improve management capability in the medical and health services community
  • In finance management
  • Human resource management
  • Product and process flows
slide9
Way Forward

Identify a target to focus on – say, IMR;

Let us sit with our medical, public health, infrastructure, economic, planning specialists and public officials to develop a proposal to attack IMR in a specified high IMR area in India;

We then sit with financial experts, chartered and cost accountants and fully cost this intervention;

We set in place the necessary personnel, M&E, and other inputs prior to initiating the IMR intervention;

Implement this intervention and study the results.