Full Breakdown
Progress and Challenges in Reducing Maternal Mortality in India and Nigeria
9/11/2025, 10:15:52 PM
Decline in Maternal Mortality in Tamil Nadu
Tamil Nadu has reported a decline in its Maternal Mortality Ratio (MMR), which fell from 38 to 35 per 100,000 live births between 2020-2022 and 2021-2023, according to the Sample Registration System’s latest bulletin. This positions Tamil Nadu as having the second-lowest MMR in India, following Kerala and Andhra Pradesh, both at 30. A. Somasundaram, Director of Public Health and Preventive Medicine, attributed this achievement to sustained efforts and new initiatives aimed at improving maternal health. He emphasized the importance of planning for safe delivery locations, particularly for women at risk due to previous caesarean sections or other health concerns.
Despite these advancements, K. Kolandasamy, former Director of Public Health, highlighted ongoing challenges, particularly in underserved districts like Tiruvannamalai and Nagapattinam. He called for targeted efforts to improve access to maternal and child health services in these areas, suggesting the recruitment of specialists and the establishment of a midwifery cadre to enhance care.
Nigeria's Initiative to Combat Maternal Mortality
In Nigeria, the Federal Government has initiated a nationwide distribution of maternal and child health commodities valued at N2.9 billion, targeting ten states including Bauchi, Borno, and Kaduna. Dr. Muyi Aina, Executive Director of the National Primary Health Care Development Agency, described this initiative as essential for reducing stock-outs and equipping health workers to save lives. The program aims to address Nigeria's high maternal mortality rate, which stands at 576 per 100,000 live births, one of the highest globally.
The initiative includes the distribution of 21 categories of health commodities across 1,936 primary healthcare facilities, alongside training for health workers and infrastructure upgrades. Aina stressed the need for state and local governments to ensure sustainability in these efforts, noting that too many women die from preventable causes.
Criticism and Challenges
While Tamil Nadu's progress is commendable, experts like Kolandasamy point out that reaching the most vulnerable populations remains a significant challenge. In Nigeria, despite the government's efforts, the maternal mortality rate is still alarmingly high, with many deaths attributed to preventable causes. Aina acknowledged that regardless of the statistics, the loss of any life is unacceptable.
Verbatim Quotes
- “Sustained efforts and new initiatives have helped the State to steadily reduce its MMR,” — A. Somasundaram, Director of Public Health and Preventive Medicine
- “We need to remind ourselves that our mothers and newborns deserve better. Too many women die needlessly from preventable causes,” — Dr. Muyi Aina, Executive Director, NPHCDA
- “Regardless of where you look, too many women die needlessly from preventable causes.” — Dr. Muyi Aina, Executive Director, NPHCDA
Conclusion
Both Tamil Nadu and Nigeria are making strides in reducing maternal mortality, yet significant challenges remain. In Tamil Nadu, targeted efforts are needed to reach underserved populations, while Nigeria must address systemic issues to lower its high maternal mortality rate. The commitment from both state and federal governments, alongside community engagement, will be crucial in sustaining these improvements.
