Indian Pediatrics

, Volume 49, Issue 2, pp 136–138 | Cite as

Impact of National Rural Health Mission on perinatal mortality in rural India

  • Sharad Kumar Singh
  • Ravinder Kaur
  • Madhu Gupta
  • Rajesh Kumar
Research Brief


Innovations under National Rural Health Mission have paved the way for increased utilization of hospitals for childbirth. The association of increase in hospital deliveries with decline in the perinatal mortality rate in rural India after the launch of NRHM in 2005 was assessed using the Sample Registration System reports. Relative increase in hospital deliveries was 57% from year 2005 to 2008 but relative decline in the PNMR was only 2.5% in the rural areas of Indian states (r=0.2; 95% confidence interval −0.2–0.6; P=0.3). Hence, quality of care at the time of childbirth needs to be assessed.

Key words

Evaluation Mortality Perinatal Rural Quality of care 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Lawn JE, Gravett MG, Nunes TM, Rubens CE, Stanton C, and the GAPPS Review Group. Global report on preterm birth and stillbirth (1 of 7): definitions, description of the burden and opportunities to improve data. BMC Pregnancy and Childbirth. 2010; 10(Suppl 1):S1.PubMedGoogle Scholar
  2. 2.
    Zupan J, Aahman E. Neonatal and perinatal mortality: country, regional and global estimates 2004 developed by WHO. Geneva: World Health Organization, 2007.Google Scholar
  3. 3.
    Zupan J. Perinatal Mortality in developing countries. NEJM. 2005;352:2047–2048.PubMedCrossRefGoogle Scholar
  4. 4.
    Zupan J, Aahman E. Neonatal and perinatal mortality: country, regional and global estimates 2000 developed by WHO. Geneva: World Health Organization, 2005.Google Scholar
  5. 5.
    Kerber KJ, Johnson JEG, Bhutta ZA, Okong P, Starrs A, Lawn JE. Continuum of care for maternal, newborn, and child health: from slogan to service delivery. Lancet. 2007;370:1358–1369.PubMedCrossRefGoogle Scholar
  6. 6.
    Sample Registration System. Statistical Report 2008, Report No. 1 of 2009. New Delhi: Office of Registrar General, India, Ministry of Home Affairs, Government of India, 2009.Google Scholar
  7. 7.
    Ngoc NT, Merialdi M, Aleem HA, Carroli G, Purmar M, Zavaleta N, et al. Causes of stillbirths and early neonatal death, data from 7993 pregnancies in six developing countries. Bull World Health Organ. 2006;84:699–705.PubMedCrossRefGoogle Scholar
  8. 8.
    Cruz-Anguiano V, Talavera JO, Vázquez L, Antonio A, Castellanos A, Lezana MA, et al. The importance of quality of care in perinatal mortality: a case-control study in Chiapas, Mexico. Arch Med Res. 2004;35:554–562.PubMedCrossRefGoogle Scholar
  9. 9.
    United Nations. Promotion and protection of all human Rights, Civil, Political, Economic, Social and Cultural Rights, including the right to development. Report of the Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of health, Addendum. Mission to India. Human Rights Council, Fourteenth session, Agenda item 3. United Nations A/HRC/14/20/Add.2. Available online at Accessed on 21 February, 2011.
  10. 10.
    International Institute of Population Sciences. District Level Household and Facility Survey 2007–2008, India. Mumbai, 2010. Available from Accessed on 13 May, 2011.

Copyright information

© Indian Academy of Pediatrics 2012

Authors and Affiliations

  • Sharad Kumar Singh
    • 1
  • Ravinder Kaur
    • 1
  • Madhu Gupta
    • 1
    • 2
  • Rajesh Kumar
    • 1
  1. 1.PGIMER School of Public HealthChandigarhIndia
  2. 2.School of Public HealthPost Graduate Institute of Medical Education and Research (PGIMER)ChandigarhIndia

Personalised recommendations