Public-private partnership to reduce maternity mortality rate in India

MUMBAI: The Organisation of Pharmaceutical Producers of India has joined hands with the Maharashtra government, Rotary Club of Mumbai, the Indian Medical Association and NGO Pragati Pratishthan to help reducing the maternity mortality ratio in the country. The project begins with a pilot study by conducting medical camps across the tribal areas of Thane district in Maharashtra.

The medical causes of 'maternal mortality' include severe hemorrhage, infection, injury, anemia, raised blood pressure, and injuries during childbirth. More importantly, delay in diagnosis of urgent and serious medical problems, coupled with inadequate transport facilities with consequent delay in accessing expert care further contribute to the toll.

Millennium Development Goal (MDG) 5A of the UN aims at three quarter reduction of Maternal Mortality Ratio ( MMR) between 1990 and 2015. Slow progress in achieving the goal of MDG 5A, is partly due to programmes aimed at improvements through specific single areas of remedial action such as training of professionals, building of infrastructure, or correction of deficient resources, some working at the grass root level. Major obstacles include lack of knowledge at the grass root level, about the benefits of modern medical practice and ways of accessing modern practice and resources - both medical and surgical.

The volunteers and professionals (Rotary and IMA) conducting these camps are being given vocational training and will travel to the target areas, offering hands on skills training, assistance with the time bound plan for correction of deficient resources.

"This exercise will also help encouraging local women's group to imbibe the principles of antenatal and postnatal care, family spacing, and child immunisation. Monitoring and evaluation against pre-agreed parameters will be the important components of this campaign," said OPPI director general, Tapan Ray.

In spite of focus on upgrading institutions to make Emergency Obstetric Care (EmOC) available, the proportion of institutional deliveries has shown a meager increase, from 26% to 39% between 1990s to early 2000s. During the same period, skilled birth attendance increased marginally from 33% to 47%, while women receiving the minimum three antenatal examinations rose from just 44% to 51%. As many as 61% of women in India still continue to give birth at home , implying that the majority of Indian women deliver away from an EmOC institution increasing the risk of maternal morbidity/mortality.

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