Analysing Gujarat’s Malnutrition, Infant Mortality Rate

18 children died over 3 days in Ahmedabad’s main civil hospital in October.

Image used for representation only.

(Photo: Harsh Sahani/The Quint)

As national attention was focussed on the death of 18 children over three days in Ahmedabad’s main civil hospital in October 2017, officials said most children were underweight and thus vulnerable.

That defence spotlights the fact that Gujarat – which is ranked second by industries and fifth by per capita income – is ranked 17th among 29 states on infant mortality and 25th by underweight prevalence among under-five children.

Up to 33 infants die per 1,000 live births in Gujarat, compared to Kerala (12), Tamil Nadu (19), Maharashtra (21) and Punjab (23), according to the Sample Registration System Statistical Report 2015, the latest available data.

Up to 39 percent of children in Gujarat are underweight – the national average is 35 percent – compared to 16 percent in Kerala, 21 percent in Punjab, 23 percent in Tamil Nadu and 36 percent in Maharashtra, according to the National Family Health Survey 2015-16, the latest available data.

Among 29 states, Gujarat is India’s second-most industrialised state by gross valued added, its state gross domestic product is fourth-highest in the country, and it is ranked fifth by per capita income, according to government data.

On underweight prevalence, Gujarat is ranked, as we said, 25th among 29 states – only ahead of Uttar Pradesh, Madhya Pradesh, Bihar and Jharkhand.

Smaller states such as Mizoram (11.9 percent) and Manipur (13.8 percent) and bigger states such as Kerala (16 percent), Punjab (21 percent) and Tamil Nadu (23 percent) have lower proportions of underweight children.

As we said, Gujarat’s infant mortality rate (IMR, or infant deaths per 1,000 live births) is an outlier compared to its economic indicators, as is its under-five mortality rate, by which it ranks 18th, with India’s top five being Goa (13), Kerala (13), Tamil Nadu (20), Maharashtra (24) and Manipur (26).

Gujarat, which is ranked fourth based on state domestic product, is ranked 17th on infant mortality, behind poorer states such as Manipur (22), Arunachal Pradesh (23) and Tripura (27).

Gujarat has a per capita income of Rs 122,502 that is almost close to Maharashtra (Rs 1,21,514) and Kerala (Rs 1,19,763). However, its child health indicators lag Maharashtra and Kerala on all three parameters–underweight children under five, infant mortality and under-five mortality.

Jammu & Kashmir, with a per capita income of Rs 60,171 – 50 percent lower than Gujarat – has lower infant mortality (26) and under-five mortality (28).

Nearly 1.08 million Indian children under the age of five years died in 2015 – that is 2,959 deaths every day or two each minute – many of them of causes that were preventable and treatable, IndiaSpend reported on 16 August 2017.

India has reduced its IMR by 68 percent in the last 41 years from 130 in 1975 to 41 in 2015-16, data from the National Family Health Survey 2015-16 reveal, IndiaSpend reported on 3 May 2017.

India’s IMR of 41 deaths is worse than than poorer neighbours Bangladesh (31) and Nepal (29).

The deaths of infants at public hospitals is a nationwide issue, revealing the depth of the crisis in India’s public-health system, IndiaSpend reported on 29 August 2017. This year, 52 infants died over 30 days at Jamshedpur’s Mahatma Gandhi Memorial Medical College hospital in Jharkhand, two weeks after 70 children died at the Baba Raghav Das Medical College Hospital at Gorakhpur, Uttar Pradesh.

(This article was originally published on IndiaSpend)

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