Child, maternal malnutrition led to 68% under-5 fatalities: Report
NEW DELHI: It seems the Centre's tall claims of providing nutrition-rich food to pregnant women through different schemes have fallen flat as the child and maternal malnutrition has contributed the 68 per cent of the under-five fatalities in India, while low birth weight and short gestation led to 83 per cent of neonatal deaths from 2000 to 2017.
As per the findings of the India State-level Disease Burden Initiative, which was released on Tuesday, the indicators of malnutrition have substantially improved across India during 2000-2017 while the inequality between districts has increased within many states.
The findings, which are part of two scientific papers on child survival, have been published at a time when the country is fighting COVID-19 pandemic.
Health experts say that they remind us that while we must do all that we can to control coronavirus infection, other crucial health issues in India should also continue to receive attention commensurate with their contribution to health loss in India.
The studies stated that the under-5 Mortality Rate (U5MR) dropped in India since 2000 by 49 per cent but there is a 6-fold variation in the rate between the states and 11-fold variation between districts of India.
There were 1.04 million under-5 deaths in India in 2017, of which 0.57 million were neonatal deaths, down from 2.24 million under-5 deaths including 1.02 million neonatal deaths in 2000. Neonatal Mortality Rate (NMR) has dropped by 38 per cent since 2000 but there is a 5-fold variation in the rate between the states and 8-fold variation between districts of India, the study stated.
“The reduction in NMR has been less than for U5MR, and this reduction has been quite variable across states and districts," the study stated.
Child growth failure, measured as stunting, wasting and underweight has improved in India since 2000, but their rates vary 4-5 fold between the districts of India and the inequality between districts within many states has increased, the study highlighted.
“If the trends observed up to 2017 were to continue, India would meet the SDG 2030 U5MR target but not the SDG 2030 NMR target. 34 per cent of the districts in India would need higher U5MR reduction and 60 per cent districts would need higher NMR reduction to individually meet the SDG targets,” it stated.
“The district-level trends reported in these papers provide useful guidance for identifying priority districts in each state that need the highest attention,” ICMR'S DG Dr Balram Bhargava said, adding that bringing down death numbers among newborns in the first month of life by addressing specific causes of death is crucial.