Reducing infant (0–11 months) and child (0–4 years) mortality in India: a disposition from the Sample Registration System

Abstract

Aim

Despite major advances in maternal and child health care initiatives in India, the Millennium Development Goal (MDG)-4 targeting a two-third reduction in under-five mortality appears to be unattainable by 2015. This paper assesses India’s feasibility towards averting infant (0–11 months) and child (0–4 years) mortality by 2015 across regions and major states.

Subjects and methods

Using statewise estimates on infant mortality rate (IMR) during 1990–2009 and child mortality rate (CMR) during 1990–2008 from the Sample Registration System of India, this paper estimates average annual rate of reduction (AARR) in IMR and CMR across regions and major states. The estimates are also provided for the shortfall in IMR and CMR from the projected estimates of 2015 and the required AARR for the successive years up to 2015.

Results

Estimated figures suggest that India has experienced a substantial decline in the IMR and CMR since 1990. However, an AARR of around 10 and 8 % is required for reducing infant (during 2010–2015) and child mortality (during 2009–2015), respectively, in order to achieve a two-third reduction in the IMR and CMR from the level of 1990.

Conclusion

Although the MDG-4 target is based on U5MR in totality, this study draws attention towards the progress in major components of the U5MR separately, and advocates for disaggregation of MDG target at national level in terms of focus (region-specific) towards achieving required reduction in separate components of under-five mortality.

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Acknowledgements

Authors are grateful to Dr. Sulabha Parasuraman, Former Professor and Head, Department of Population Policies and Programme, International Institute for Population Sciences (IIPS), Mumbai, India for her thoughtful insight, discussions, and suggestions, which helped immensely in formulating this paper. Authors also extend their sincere thanks to the editor and anonymous reviewers for their constructive suggestions.

Conflict of interest

The authors declare that they have no conflict of interest.

Funding

No funding was obtained to perform this study.

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Correspondence to Chandan Kumar.

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Kumar, C., Rai, R.K. & Singh, P.K. Reducing infant (0–11 months) and child (0–4 years) mortality in India: a disposition from the Sample Registration System. J Public Health 21, 575–582 (2013). https://doi.org/10.1007/s10389-013-0585-4

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Keywords

  • Infant mortality
  • Child mortality
  • Millennium development goal
  • India