2020 · Paper IV · 10 marksFrequently asked

Discuss the factors responsible for the high infant mortality rate and maternal mortality rate in India? What policy measures do you suggest to improve these indicators?

In short

High infant and maternal mortality in India stem from neonatal and obstetric complications, malnutrition, early marriage, poor sanitation, low institutional delivery and weak public health spending. Key remedies are filling health staff vacancies, empowering ASHA and anganwadi workers, scaling Janani Suraksha Yojana and raising health budgets.

Model answer

Ghissu Editorial · Verified 4 Oct 2026

Introduction
India’s high infant mortality rate1 (IMR) and maternal mortality rate (MMR) persist due to healthcare access issues, socio-economic disparities, and infrastructural deficits, hindering Sustainable Development Goals.
Factors Responsible for High Infant Mortality Rate in India
•

Neonatal Complications and Healthcare Gaps

Preterm birth complications and infections remain leading causes, worsened by inadequate institutional care and skilled staff shortages in rural India.

•

Socio-economic and Cultural Barriers

Poverty, low maternal education, and gender discrimination limit healthcare access, with Scheduled Tribes and rural populations disproportionately affected.

Factors Responsible for High Maternal Mortality Rate in India
•

Medical Complications and Infrastructure Deficits

Post-partum haemorrhage, sepsis, unsafe abortions, and anaemia cause maternal deaths, worsened by Andhra Pradesh32’s 22% vacancy in secondary healthcare medical officers and low public health spending.

•

Low Institutional Delivery and Antenatal Care

Despite improvements, many women still deliver at home due to fear or access issues; only 70% receive first trimester antenatal visits.

Policy Measures to Improve Infant and Maternal Mortality Indicators
•

Strengthening Health Infrastructure and Workforce

Upgrade facilities and fill vacancies, prioritizing underserved areas like Andhra Pradesh’s shortage of Community Health Centres4.

•

Promoting Institutional Deliveries and Antenatal Care

Scale up Janani Suraksha Yojana and Pradhan Mantri Matru Vandana Yojana with better monitoring and incentives.

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Increasing Public Health Expenditure and Data Systems

Raise health budgets and improve data collection for targeted interventions.

Conclusion
Integrated policy measures addressing medical, socio-economic, and infrastructural challenges are vital to sustainably reduce India’s IMR and MMR.

This model answer is indicative and the model can make mistakes; please verify key facts independently.

Hand-drawn diagram: Why IMR and MMR Stay High. Why IMR and MMR Stay High. Diagram (fishbone): Why IMR and MMR Stay High; High IMR and MMR; Neonatal complications; Poverty, low maternal education; Early marriage; Unsafe water, poor sanitation; Haemorrhage, sepsis, anaemia; Low health spending
Diagram: Why IMR and MMR Stay High

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Inclusive Growth: India and AP schemes49 questions

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2025
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