Pawan Dubey, Priyanka Tiwari
Medical
June 2025
Neonatal mortality remains a pressing public health issue in India, especially in Madhya Pradesh, which reported one of the highest Neonatal Mortality Rates (NMR) at 30 per 1,000 live births (SRS, 2021). This research examines the correlation between institutional deliveries and neonatal mortality reduction using secondary data from HMIS, NFHS-4 and NFHS-5, and SRS 2025. The study finds a significant rise in institutional deliveries from 90.1% in 2017 to 98.9% by 2024–25 accompanied by a decline in home deliveries and a projected drop in NMR to 26 per 1,000 by 2025. While institutional births are associated with improved neonatal outcomes, the study reveals that quality of care, skilled attendance, and postnatal follow-up remain critical challenges. Recommendations emphasize enhancing rural health infrastructure, expanding Facility-Based new-born Care (FBNC), and reinforcing public health schemes to meet the SDG target of NMR ≤12 by 2030.
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