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THE SITUATION

We are losing a woman from pregnancy or childbirth complications every two minutes, and with every passing minute, a child under five dies.

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45,000 women die annually in India due to pregnancy and childbirth-related complications. 

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That’s nearly 125 women every day, making up 15% of the global maternal deaths.

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Furthermore, over 800,000 children under the age of five die each year in India.

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This staggering figure equates to more than one child every minute.

Most of these Deaths are Preventable – and this is unacceptable.

INTERVENTION CONTEXT IN INDIA

India has a complex public health landscape: 

Maternal Mortality in the country is significantly higher than in developed countries

Neonatal and infant mortality rates remain high, with most deaths occurring within the first seven days of a child's life

Diverse demography

Socio-economic disparities

Underequipped healthcare systems

Complicated geography

Social and cultural norms

Unfair disease burden

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Despite significant strides, India continues to face challenges in tackling mortality rates, especially in specific states.

PUBLIC HEALTH CHALLENGES DISPROPORTIONATELY IMPACT THE VULNERABLE 

Madhya Pradesh (MP) has one of the highest maternal mortality ratios in the country and progresses at half the rate of the national average.

 

Most maternal and child deaths in the state are due to preventable causes and disproportionally impact the socio-economically weaker sections.    

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Within India, 16 states have below average Maternal Mortality Rate (MMR), Madhya Pradesh (MP) amongst worst performing states

Madhya Pradesh has highest tribal population with 15M+ people - that is nearly 15 % of the nation’s tribal population.

This tribal population is characterized by lack of access, poor quality of care and social norms and practices detrimental to the health of women and children, leading to them performing poorly on several health indicators in comparison to other social classes

19%

greater risk of dying in the neonatal period​

45%

greater risk of dying in the post-neonatal period​

14%

Child mortality rate​

(~5% among other groups)​

14%

lesser institutional delivery rates​

13%

more cases of stunting​

ON-GROUND COMPLEXITY

LOCAL HEALTH SYSTEMS ARE OVERBURDENED

Frontline workers face scattered populations, limited capacity, and disjointed workflows, leaving them disconnected from the vulnerable, who remain unaware of their healthcare needs and often resist services.

THESE SYSTEMS PRODUCE INCONSISTENT SERVICE

Underserved populations, already unaware of their medical needs, continue to suffer due to delays in risk identification, management, counseling, support, and referrals.

THIS RESULTS IN LIFE-LONG HEALTH COMPLICATIONS

Lack of early care leads to severe long-term consequences—chronic health issues, life-long afflictions, and, all too often, death for the most vulnerable, already facing last-mile healthcare challenges.

​ROADBLOCKS TO HEALTH EQUITY 

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Low Knowledge Scores of frontline workers and insufficient training and development  

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Complex geography and poor transportation results in limited healthcare access 

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Weak Health Systems Management for logistics, infrastructure and

data reporting 

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Lack of health education and awareness in communities about their health needs  

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Limited risk management, emergency care, and specialized services

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Inconsistent health-seeking behavior with a preference for home deliveries and stigma toward institutional care

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