UNICEF: SCs/STs account for 50% pregnancy deaths

Times of India, Oct 10, 2008

NEW DELHI: Of the 301 women who die annually for every 1,00,000 live births, there are many stories that go untold. New data suggests that among the
women dying during pregnancy, delivery or post-partum complications, a large proportion — about 50% — are from the scheduled castes and scheduled tribes.

According to data collected by Unicef from 16 districts of Rajasthan, West Bengal, Orissa, Jharkhand and Madhya Pradesh, the maternal mortality ratio (MMR) shows that women are dying of preventable causes of death.

In the first phase of implementation of Unicef's maternal and perinatal death inquiry and response (MAPEDIR), cases of 1,600 women were analysed. While in Dholpur (Rajasthan), 49% of deaths were from SC/STs, in Purulia (West Bengal) of the 375 deaths examined between 2005 and 2008, 51% were from SC/STs.

In Ranchi (Jharkhand), 123 deaths in the last year were examined, of which 56% were from SC/STs and in 8 districts of Orissa — including Koraput, Rayagada, Kalahandi, Nuapada, Bolangir and Sonepur — the percentage of SC/ST deaths was as high as 68. In Madhya Pradesh's Shivpuri district, 60% of the deaths were of SC/STs while in Guna district the figure was 49.4%.

In some states, the MMR was higher that the national average of 301 — 358 in Orissa, 371 in Bihar and 379 in MP. Since many deaths occurred in the anonymity of women's homes or on the way to seek help at a medical facility, they often go unrecorded. An estimated 80,000 pregnant women or new mothers die each year in India often from preventable causes, including haemorrhage, eclampsia, sepsis and anaemia.

"The tragic reality is that too often maternal deaths are not visible. They don't leave any trace behind, and their deaths are not accounted for," Chris Hirabayashi, Unicef India deputy director of programmes, stating that Unicef was committed to continue working with the National Rural Health Mission to promote surveillance as a key strategy to lower maternal and child mortality.

For India to achieve the Millennium Development Goal of reducing maternal mortality by three quarters by 2015, social and economic factors like the low status of women in communities, the poor understanding of families on when to seek care, lack of transport, poor roads, the cost of seeking care, multiple referrals to different health facilities and delay in life-saving measures in rural areas need to be addressed. For the survey, a team of state government health and nutrition officials and NGO members, headed by a member of the local village council, conducted interviews with surviving family members at the community-level.