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Attaining the Millennium Development Goals Prasanna Hota Secretary Department of Family Welfare Interventions to reduce infant and maternal mortality.

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Presentation on theme: "Attaining the Millennium Development Goals Prasanna Hota Secretary Department of Family Welfare Interventions to reduce infant and maternal mortality."— Presentation transcript:

1 Attaining the Millennium Development Goals Prasanna Hota Secretary Department of Family Welfare Interventions to reduce infant and maternal mortality

2 Goal 4: Infant and Child Mortality 2/3 rd 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.

3 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

4 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. The report…

5 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.

6 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;

7 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.

8 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

9 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.


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