Puncturing tall government claims, a World Health Organisation (WHO) report claimed on Wednesday India accounted for most maternal deaths in the world, with at least 63,000 such deaths taking place in 2008 alone.
In fact, India fared worse than even Nigeria (50,000 maternal deaths in 2008), Congo (19,000), Afghanistan (18,000), Ethiopia (14,000), Pakistan (14,000), Tanzania (14,000), Bangladesh (12,000), Indonesia (10,000), Sudan (9,700) and Kenya (7,900).
An estimated 65% of maternal deaths globally occurred in these 11 countries in 2008, with India contributing the most.
Though India’s maternal mortality ratio (MMR) came down from 570 deaths per 1,00,000 live births to 230 in 2008, the change in percentage was negative-59.
Health ministry officials, however, put on a brave face, saying the figures were stale and fresh data would surely present a better picture.
The WHO report, ‘Trends in maternal mortality’, contradicts a nationwide survey commissioned by Unicef in 2009 which recently claimed that important parameters of maternal health, such as institutional delivery, safe delivery by skilled birth attendants and three or more ante-natal check-ups by mothers, had increased impressively since 2005-06.
It says the number of women dying due to complications during pregnancy and childbirth decreased by 34%, from an estimated 5,46,000 in 1990 to 3,58,000, in 2008 worldwide. But the annual rate of decline was less than half the target to achieve the millennium development goal of reducing MMR by 75% between 1990 and 2015. Developing countries continued to account for 99% (3,55,000) of such deaths, while sub-Saharan Africa and South Asia accounted for 87% (3,13,000).
It is estimated that overall, there were 42, 000 deaths due to HIV/AIDS among pregnant women.