India

DEMOGRAPHICS MATERNAL AND NEWBORN HEALTH

Total population (000) 1,151,751 (2006) Under-five mortality rate Causes of under-five deaths Causes of maternal deaths Coverage along the continuum of care
Deaths per 1000 live births Globally more than one third of child deaths are attributable to Regional estimates for Asia, 1997-2002
Total under-five population (000) 126,843 (2006) undernutrition
Causes of neonatal
Unmet need for family planning (%) 13 (2005-2006) Abortion
Births (000) 27,195 (2006) Injuries Malaria Contraceptive
Measles 2% 1% HIV/AIDS deaths Obstructed labor 6% 56
150 4% Antenatal visits for woman (4 or more visits, %) 51 (2005-2006) prevalence rate Pre-pregnancy
Birth registration (%) 41 (2006) 1%
Diarrhoea 2% 9%
Other Tetanus 3% Antenatal visit
115 Other 6% 74
Under-five mortality rate (per 1000 live births) 76 (2006) 120 9% Congenital 6% Intermittent preventive treatment for malaria (%) --- (1 or more) Pregnancy
Hypertensive
57 (2006) Pneumonia Haemorrhage Skilled attendant
Infant mortality rate (per 1000 live births) disorders 47 Birth
90 76 19% Asphyxia 23%
C-section rate (total, urban, rural; %) 9% 31% at birth
Neonatal mortality rate (per 1000 live births) 43 (2000) Neonatal (Minimum target is 5% and maximum target is 15%) 9,17,6 (2005-2006) 37
45% *Postnatal care Neonatal period
Total under-five deaths (000) 2,067 (2006) 60 Sepsis/
Sepsis/Infections,
38 Pneumonia 25%
Early initiation of breastfeeding (within 1 hr of birth, %) 25 (2005-2006) including AIDS Exclusive
46 Infancy
Maternal mortality ratio (per 100,000 live births) 450 (2005) 30 breastfeeding
MDG Target 12%
Postnatal visit for baby (within 2 days for home births, %) ---
Lifetime risk of maternal death (1 in N) 70 (2005) Preterm 35% Other causes Measles 59
0 Diarrhoea Anaemia 21%
Total maternal deaths 117,000 (2005) 1990 1995 2000 2005 2010 2015 20% 13%
Source: Lawn JE, Cousens SN for
0 20 40 60 80 100
Source: UNICEF, 2006 Source: WHO, 2006 CHERG (Nov 2006) Source: Khan, Khalid S., et al, Lancet 2006:367:1066-74 Source: DHS, MICS, Other NS
*See Annex for indicator definition

Antenatal care Skilled attendant at delivery Neonatal tetanus protection

INTERVENTION COVERAGE FOR MOTHERS, NEWBORNS AND CHILDREN Percent women aged 15-49 years attended at least once by a Percent live births attended by skilled health personnel Percent of newborns protected against tetanus

NUTRITION skilled health provider during pregnancy

Stunting prevalence (moderate and severe, %) 48 (2005-2006) Complementary feeding rate (6-9 months, %) 56 (2005-2006) 100 100 100
Wasting prevalence (moderate and severe, %) 20 (2005-2006) Low birthweight incidence (%) 30 (1998-1999) 74 86
80 80 80
60 62
Underweight prevalence Exclusive breastfeeding Vitamin A supplementation 60 49 60 60

Percent

Percent

Percent
43 47
Percent children < 3 years underweight for age* Percent infants < 6 months exclusively breastfed Percent children 6-59 months receiving vitamin A doses 42
40 40 34 40
At least one dose Two doses
100 100 100 20 20 20
55
80 80 80 0 0
64 1992-1993 1998-1999 2000 2005-2006 1992-1993 1998-1999 2000 2005-2006 1980 1985 1990 1995 2000 2006
60 60 60 51 NFHS NFHS MICS NFHS NFHS NFHS MICS NFHS
46 46
Percent

Percent

Percent
44 44 45 64 Source: WHO/UNICEF
41 37 51
40 40 40 27 45
25
20 20 20 15
22
27
WATER AND SANITATION EQUITY
0 0 0
0 0 0
1998-1999 2005-2006 1992-1993 1998-1999 2000 2005-2006 1999 2000 2001 2002 2003 2004 2005 Water Sanitation Coverage gap by wealth quintile
NFHS NFHS NFHS NFHS MICS NFHS
Source: UNICEF
Percent population using improved drinking water sources Percent population using improved sanitation facilities
*Based on 2006 WHO reference population Rural Urban Total Rural Urban Total
95
100 89 100 100
CHILD HEALTH 83 86
80 70 80 80
64
59
Immunization Malaria prevention Prevention of mother to child 60 60
45
60

Percent

Percent

Percent
Percent of children immunised against measles
Percent of children immunised with 3 doses DPT
Percent children < 5 years sleeping under ITNs* transmission of HIV 33
Percent HIV+ pregnant women receiving ARVs for PMTCT
40 40 40
Percent of children immunised with 3 doses Hib 22
14
20 20 20
100 20 3
0 0 0
80 16 1990 2004 1990 2004 Poorest 2nd 3rd 4th Wealthiest
59 Source: WHO/UNICEF JMP, 2006 Source: WHO/UNICEF JMP, 2006
60 12 10 1993 1999 2006
Percent

Percent

55 No data DHS DHS DHS

40 8
5
POLICIES SYSTEMS
20 4 3
Coverage gap (%) 49 42 36
International Code of Marketing of Breastmilk Financial Flows and Human Resources
0 0 Substitutes Yes Ratio
1990 1995 2000 2005 2006 2004 2005 2006 Per capita total expenditure on health (US$) 91 (2007) poorest/wealthiest 2.7 2.9 3.0
Source: WHO/UNICEF Other NS Other NS Other NS
New ORS formula and zinc for management of Difference
*Sub-national risk of malaria transmission General government expenditure on health as
diarrhoea Yes poorest-wealthiest (%) 40 39 34
% of total government expenditure (%) 3 (2007)
Diarrhoeal disease treatment Malaria treatment Pneumonia treatment
Percent children < 5 years with diarrhoea receiving oral rehydration Percent febrile children < 5 years using antimalarials* Percent children < 5 years with suspected pneumonia taken to Community treatment of pneumonia with antibiotics Yes Out-of-pocket expenditure as % of total
therapy or increased fluids, with continued feeding appropriate health provider
Percent children < 5 years with suspected pneumonia receiving expenditure on health (%) 78 (2007)
IMCI adapted to cover newborns 0-1 week of age Yes
antibiotics
Density of health workers (per 1000 population) 1.9 (2004)
100 100 100 Costed implementation plan(s) for maternal,
newborn and child health available Yes Official Development Assistance to child health
80 80 80 per child (US$) 1 (2005)
69 67 69 Midwives be authorised to administer a core set of
60 60 60 life saving interventions Partial Official Development Assistance to maternal and
India
Percent

Percent

Percent

neonatal health per live birth (US$) 3 (2005)

40 32 40 40 33 Maternity protection in accordance with ILO
22 Convention 183 No National availability of Emergency Obstetric Care
20 20 20 services (% of recommended minimum) ---
12
Specific notification of maternal deaths Yes
0 0 0
1998-1999
NFHS
2005-2006
NFHS
2000
MICS
1992-1993 1998-1999 2005-2006
NFHS NFHS NFHS
Countdown to 2015
*Sub-national risk of malaria transmission 2008 Report