Reduce by three quarters the maternal morality ratio by

2015. Access by 2015 universal access to reproductive health.

Achievement
The Maternal Mortality Ratio (MMR) is the number of

women who die from any cause related to or aggravated by pregnancy or its management during pregnancy and child birth or within 42 days of termination of pregnancy ; irrespective of the duration and site of pregnancy per 100000 live births. The national MMR level has come down from 398 per 100,000 live births in 199798 to 254 per 100,000 live births in 2004-06, a 36% decline over a span of 7 year. Given to achieve an MMR of 109 per 100,000 live births by 2015, India tends to fall short by about 26 points as it tends to reach MMR of about 135 per 100,000 live births in 2015.

State wise MMR Report

 The States which seem to have done considerably well

Interpretation

in arresting incidence of maternal deaths and tend their respective targets before 2015 are Kerala and West Bengal. From a level of very high incidence of maternal mortality in 1990 ,Bihar/Jharkhand is tending to reduce 3/4th of its MMR by 2015. From their 200406 levels, Assam (480), Haryana (186) and Orissa (303), the States having upsdowns in MMR levels in the last one decade, are likely to fall short of their targets by huge margins. As many as 4 States are likely to get by 2015 to an MMR level even worse than the 200406 national level (254 per 100,000 live births).

Factors responsible for Safe Mother Hood

Life risk in motherhood is gradually diminishing

across the country mainly due to promotion of reproductive health care facilities through governmentrun programmes. The proportion of deliveries attended by skilled personnel has increased from 33% in the year 1992-93 to 47% in the year 2005-06 to 52% in the year 2007-08. There is also a slow increase in institutional deliveries ; from 26.1% in 199293 to 33.6% in 199899 and then to 41% in 200506 and 47% in 200708.

The Path to go
The ultimate objective of reducing maternal deaths to

the level that should be reached by 2015, will continue to remain distant un till and unless institutional delivery in the States, particularly in those which are lagging way behind the national coverage, is widely accessible and becomes a way of life. The rural- urban gap has to be narrowed down in terms of deliveries being attended by skilled personnel. India is likely to attain 62% deliveryattendance by skilled personnel by 2015. This is not particularly satisfying progress if India has to bring down maternal mortality ratio to about 109 per 100,000 live births by 2015. It has to be improved drastically.