The State of Madhya Pradesh has the third highest maternal mortality rate in the country, viz., 498 deaths per 1,00,000 live births. However, the ‘State Programme Implementation Plan 2006-2012’ (hereinafter referred to as “the State PIP 2006-2012”) states that the State maternal mortality rate (hereinafter “the MMR) is 350 per 1,00,000 live births, and sets of target of reducing it to 220 per 1,00,000 live births by the period 2009-2010.
Women are dying because of the high costs of health care, of corruption within the public health system (including the procurement of medicines), the lack of qualified medical staff in rural areas, a lack of appropriate transport, cultural and social reasons that deny women effective and adequate access to health care. For example, a mother from the richest 20% of the population is 3.6 times more likely to receive antenatal care from a medically trained person, compared to a mother from the poorest 20%. The delivery of the richer mother is over six times more likely to be attended by a medically trained person than the delivery of the poor mother.