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India's MMR Drops to 88/1 lac Live Births – Impact of NHM Schemes and Infrastructure Upgrades (2021‑23) — UPSC Current Affairs | March 13, 2026
India's MMR Drops to 88/1 lac Live Births – Impact of NHM Schemes and Infrastructure Upgrades (2021‑23)
The Ministry of Health and Family Welfare reports that India's Maternal Mortality Ratio (MMR) fell to 88 per 1 lac live births, with over 5.93 crore institutional deliveries in the last three years. A suite of NHM‑driven schemes—JSY, JSSK, PMSMA, LaQshya, SUMAN and infrastructure upgrades—are credited for the decline, underscoring the government's focus on safe motherhood and its relevance for UPSC aspirants.
India’s Maternal Mortality Ratio (MMR) Improves to 88 per 1 lac Live Births The Ministry of Health and Family Welfare released the latest bulletin (2021‑23) showing a reduction of the national MMR to 88 . Over the past three fiscal years, more than 5.93 crore institutional deliveries were recorded, reflecting the impact of multiple health‑sector interventions. Key Schemes Driving the Decline JSY : Cash incentives for pregnant women to deliver in health facilities. JSSK : Zero‑expense delivery and post‑natal care in public hospitals. PMSMA and its extended version: Quality ANC for high‑risk pregnancies with additional ASHA visits. LaQshya : Enhances infrastructure and service standards. SUMAN : Guarantees no‑cost, quality care for every pregnant woman. NHM : Provides the overarching framework for maternal health interventions. Infrastructure Strengthening Investments in FRUs , dedicated MCH Wings , Obstetric HDUs/ICUs, and Birth Waiting Homes have expanded access, especially in tribal and hard‑to‑reach regions. Important Statistics National MMR : 88 (down from 93 in 2019‑21). State‑wise variation: Lowest in Kerala (30) , highest in Madhya Pradesh (142) (2021‑23 SRS data). Institutional deliveries: FY 2022‑23 – 20,165,533; FY 2023‑24 – 19,799,153; FY 2024‑25 – 19,355,420. UPSC Relevance Understanding these schemes is vital for GS 1 (Society) and GS 4 (Ethics) as they illustrate government efforts to achieve Sustainable Development Goal 3 (Good Health & Well‑being). The data also serve as a case study for policy analysis in GS 3 (Governance) – assessing programme design, cash‑transfer mechanisms, and health‑system strengthening. Way Forward Strengthen ASHA incentives for early detection of postpartum danger signs. Scale up VHSND to improve coverage in remote areas. Expand high‑dependency obstetric units and ensure 24‑hour specialist availability at FRUs. Enhance data‑driven monitoring of high‑risk pregnancies through digital health platforms. Collectively, these measures aim to sustain the downward trend in maternal deaths and move India closer to the SDG target of MMR below 70 per 1 lac live births by 2030.
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Overview

MMR drops to 88 per lakh births, highlighting NHM’s governance success in maternal health

Key Facts

  1. National Maternal Mortality Ratio (MMR) for 2021‑23 = 88 per 1 lac live births (down from 93 in 2019‑21).
  2. Over 5.93 crore institutional deliveries recorded in the last three fiscal years.
  3. Key NHM‑driven schemes: JSY, JSSK, PMSMA (incl. extended version), LaQshya, SUMAN.
  4. Infrastructure upgrades: FRUs, MCH wings, obstetric HDUs/ICUs, Birth Waiting Homes expanded across tribal and remote areas.
  5. State‑wise extremes: Kerala lowest MMR 30; Madhya Pradesh highest MMR 142 (2021‑23 SRS).
  6. SDG‑3 target: MMR < 70 per 1 lac live births by 2030; current trajectory shows progress but gap remains.
  7. Institutional delivery numbers: FY 2022‑23 – 20,165,533; FY 2023‑24 – 19,799,153; FY 2024‑25 – 19,355,420.

Background & Context

Maternal mortality is a core health‑development indicator under SDG‑3 and features in GS‑1 (Society) and GS‑4 (Ethics). The decline reflects the convergence of cash‑transfer schemes, free‑service programmes and health‑system strengthening under the National Health Mission, illustrating governance‑driven service delivery reforms.

UPSC Syllabus Connections

Prelims_GS•Demographics and Social SectorEssay•Economy, Development and InequalityEssay•Youth, Health and WelfareGS2•Welfare schemes for vulnerable sectionsGS4•Work culture, quality of service delivery, utilization of public funds, corruptionGS1•Population and Associated IssuesGS4•Information sharing, transparency, RTI, codes of ethics and conductPrelims_GS•Sustainable Development and InclusionGS2•Functions and responsibilities of Union and StatesGS2•Issues relating to poverty and hunger

Mains Answer Angle

GS‑3 (Governance) – Evaluate the effectiveness of NHM‑led schemes and infrastructure upgrades in reducing India’s MMR and suggest policy measures to achieve the SDG target of < 70 by 2030.

Full Article

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Analysis

Practice Questions

GS1
Easy
Prelims MCQ

Maternal Mortality Ratio (MMR)

1 marks
3 keywords
GS3
Medium
Mains Short Answer

NHM schemes for maternal health

5 marks
5 keywords
GS3
Hard
Mains Essay

Maternal health governance and SDG‑3

20 marks
9 keywords
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