The Journal of Health, Population and Nutrition
Vol. 27, No. 2, 2009, pp. 202-219
Bioline Code: hn09020
Full paper language: English
Document type: Research Article
Document available free of charge
The Journal of Health, Population and Nutrition, Vol. 27, No. 2, 2009, pp. 202-219
© Copyright 2009 - International Centre For Diarrhoeal Disease Research, Bangladesh
Innovations and Challenges in Reducing Maternal Mortality in Tamil Nadu, India|
Padmanaban, P.; Raman, Parvathy Sankara & Mavalankar, Dileep V.
Although India has made slow progress in reducing maternal mortality, progress in Tamil Nadu has been rapid. This case study documents how Tamil Nadu has taken initiatives to improve maternal health services
leading to reduction in maternal morality from 380 in 1993 to 90 in 2007. Various initiatives include establishment of maternal death registration and audit, establishment and certification of comprehensive emergency obstetric and newborn-care centres, 24-hour x 7-day delivery services through posting of three staff nurses at the primary health centre level, and attracting medical officers to rural areas through incentives
in terms of reserved seats in postgraduate studies and others. This is supported by the better management
capacity at the state and district levels through dedicated public-health officers. Despite substantial progress, there is some scope for further improvement of quality of infrastructure and services. The paper draws out lessons for other states and countries in the region.
Maternal health; Maternal mortality; Obstetric care; Verbal autopsy; India
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