The budget is huge, but it is the highest number of newborn deaths, 38 babies die daily in government hospitals, 41 thousand deaths in three years.

MP: The budget is huge, but it is the highest number of newborn deaths, 38 babies die daily in government hospitals, 41 thousand died in three years

(Rear Entry: Manoj Jain)

BHOPAL: The stigma of poor health systems is not being eradicated from the Madhya Pradesh front. And now how bad the state’s health services are for newborns, has been shown by the data that the central government has given to Parliament. These figures are very embarrassing. In response to a question in Parliament by Kerala Communist Party Rajya Sabha MP P Santhosh Kumar, the government has said that around 38 newborns die every day in the Special Neonatal Care Units (SNCUs) of government hospitals in Madhya Pradesh. Compared to other states in the country, Madhya Pradesh has the highest number of neonatal deaths. This figure has been given based on deaths in the Special Neonatal Care Unit (SNCU) across the country.

Madhya Pradesh lags behind backward states and poor African countries

This number of newborn deaths is the highest in the country. Even in the states that belong to the backward/bimaru state category, this figure is much lower than that of Madhya Pradesh. 15 newborn deaths were reported in Bihar, 24 in Uttar Pradesh, 26 in Rajasthan and 36 in West Bengal every day. This number of neonatal deaths in SNCU in MP is higher than the total infant mortality rate of some African countries considered marginalized in terms of health services, such as Ethiopia (35), Tanzania (34), Uganda (31) and Congo (32). ). (IMR) is greater than

41 thousand newborn deaths in government hospitals in 3 years

In the year 2019-2020, 14 thousand 749 children died in SNCUs of government hospitals in Madhya Pradesh. In 2020-2021, 13,486 children died. In the year 2021-2022, 13 thousand 316 newborns died. In other words, in three years, a total of 41 thousand 551 newborns have died in government hospitals in the state. And every day 37.94, that is, about 38 babies took their last breath. The good thing is that despite all the efforts of the Madhya Pradesh government, the state is at the top in newborn deaths for the third year in a row.

MP fails on all parameters of child health

  • Example of registration system-2022: Not only this, according to the Sample Registration System-2022 released in May, Madhya Pradesh also ranks first in the country in terms of infant mortality. According to this, out of every 1000 children born in Madhya Pradesh, 43 children still die within one year of birth, in 2019 this figure was 46. This is higher than the national average of 28.
  • NFHS-5: In the National Family Health Survey 5 report as well, Madhya Pradesh has fallen to the fourth position in the country. According to survey data, the infant mortality rate (28-365 days) in the state is 41.3 (per 1,000 live births). The neonatal mortality rate is also 29 (per 1000 live births).

According to the report of the Registrar General of India, the main reasons for the increase in the mortality of newborns

Premature birth and low birth weight (46.1%), asphyxia and birth trauma (13.5%), neonatal pneumonia (11.3%), other non-communicable diseases (8.4%), sepsis (5, 7%), congenital anomalies (4.3%), diarrheal disease (2.3%), fever of unknown cause (1.4%), injury (1.2%), unknown cause (5.3%), other cause (0.6%)

Now the question is, why despite all the efforts of the government, the chain of newborn deaths does not take the name of stopping. Although the budget is huge. This year, the MP’s government has made a separate budget for children. The budget allocation for 17 departments that manage programs for children was 57 thousand 803 million rupees. It also includes the budget of the Department of Health.

We are lagging far behind in child health parameters, staff shortage is the main reason: Rakesh Srivastava, Superintendent, JP Hospital

  • When the source spoke to Dr. Rakesh Srivastava, Civil Surgeon and Chief Superintendent of Jai Prakash Hospital, located in the capital Bhopal, he admitted that we are lagging behind in this parameter of child health. However, the government is trying to fix it. About 100 newborns are admitted to the Special Neonatal Care Unit at Jai Prakash Hospital every month, of which only 90 survive. Describing the reason for the rising death of newborns, Dr Rakesh Srivastava says that in many cases the children do not make it to the hospital in time and that is why it is difficult to save them and they die. He said there is an acute shortage of staff in hospitals. And it increases the workload of limited staff, so sometimes the right services don’t get to people. The same shortage of staff in the Special Newborn Care Units (SNCUs) located in four districts of Indore division – Jhabua, Khargone, Khandwa and Barwani is one of the main causes of infant deaths. In most of these districts, the same Pediatrician manages both the SNCU and the PICU, placing more burden on them. According to regional director health records, these four districts were responsible for about 70% of newborn deaths in Indore division till February 2021-22.
  • At the same time, speaking to the SNCU operator Dr Om Prajapati said that the main reason behind the increase in newborn mortality is that expectant mothers are not well cared for during pregnancy. This is why babies are often born prematurely. Premature babies need more care than is available. Many times the leaders already have physical problems that affect the child. Dr Om Prajapati said that poor level of education is also one of the main causes of newborn deaths. The doctor placed the responsibility of the newborn’s health on the family members and said that there is a greater need for awareness among people that expectant mothers and babies should be well taken care of. Attention must be paid to the diet of pregnant women, so that the fetus is not malnourished. Emphasis should be placed on prenatal checkups.

If not only in SNCU, less than 20 beds in 3 SNCU, 26 deaths in three months in Bhind SNCU

  • One thing that both Dr. Rakesh Srivastava and Dr. Om Prajapati were asked if poor health infrastructure in the state is not a big reason for this? So they both denied this. And he said there are newborn units in every district where newborns are cared for.
  • But according to data collected by The Sutra, the truth is different. In other words, some districts of the state do not have a single specialized newborn care unit. There are about 54 SNCUs in 50 districts of Madhya Pradesh. Of this, Bhopal, Jabalpur, Gwalior and Rewa have more than one SNCU. But there is no functional SNCU in Agar district. The three SNCUs at Singrauli, Dewas and Jabalpur have less than 20 beds. While 43 SNCUs have only 20-30 beds. Only eight SNCUs are reported to have more than 30 beds. Due to fewer beds, sometimes two newborns have to be admitted to the same warmer.
  • At the same time, only 120 government hospitals in the state have the facility of Caesarian delivery. Not all birthing centers have Newborn Corners everywhere. In Madhya Pradesh, 2.5% of deliveries are still done at home. Despite the government’s promotion of institutional deliveries, this figure is worrying. According to NFHS-5, more than 50 percent of pregnant women suffer from anemia.
  • Not only this, if we talk about the established SNCUs, the condition of the special newborn care unit located at the Bhind District Government Hospital is bad. Currently, during rainy days, the water here remains full. Due to lack of adequate resources and facilities in hospitals, babies die here. About 26 newborns have died in the last three months in the Special Neonatal Care Unit. Here in April 4 newborns died, while in May a maximum of 15 newborns died. And in June 7 children died.
  • According to a media report, 13 babies died in Shahdol District Hospital in one week between November 27 and December 3, 2020, due to poor infrastructure and shortage of doctors in the Special Neonatal Care Units (SNCU). Of this, one baby was born prematurely and did not survive as the hospital did not have an incubation unit. According to hospital data, 262 of the 1,516 babies admitted to SNCU died between April and November 2020.

It is clear that the government has initiated many schemes to say this, but no effect is seen yet. The Sutra has already shown in its news how pregnant women who do not receive the proper diet and proper care can cause various diseases, including malnutrition in babies from the moment of birth. And in most cases these diseases are not recognized in time. And now these figures given to Parliament regarding children’s health also expose the government’s claims.

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