It was in August 2017, a news story on 62 infant deaths in gorakhpur government hospital drew flak from one and all. And this year, Uttar Pradesh has earned the dubious distinction of state with highest Infant Mortality Rate (IMR) of 64. This is followed by Chattisgarh (54), Madhya Pradesh (51), Assam (48), Bihar(48) and Jharkhand (44). While the media played stories after stories on dismal state of health affairs, our so called Netas tried to wash off their hands off by playing the blame game. However, there is also a flip side to this, I googled and was zapped to find out that Kerala has the lowest infant mortality(IMR) rate. The state has consistently worked on to reduce it's IMR and has finally succeeded to bring it to single digit. In a nation where half of the women do not have access to proper health care during pregnancy, why and how does Kerala has low infant deaths. Here is what I found:
Even though Kerala stands lowest in terms of infant mortality rate, instead of basking in this glory, it has consistently worked on making it's IMR number to 6 by increasing it's health care budget every year. For this purpose the state government sought help of Indian Academy of Paediatrics (IAP).
Another major reason for low IMR was, high female literacy in Kerala. Going by the saying 'Educate a woman and you are educating a family', Kerala gives priority to women education. Even remotest areas of the state have well equipped school with educated teachers.
Third reason for low IMR is access to healthcare facilities. Women in Kerala have better access to health care facilities as compared to other states. This can be inferred from the fact that almost 90 per cent deliveries in the state are institutional.
It was all the more shocking that states with low IMRs have even lower female literary rates and worse health care facilites. Over the years, states with low female literacy like Rajasthan, Uttar Pradesh, Bihar, Orissa and Assam have even lower IMRs. The main reason why Kerala has lowest IMR is because it has highest female literacy rate. Female literacy and IMRs are inversely proportional.
Then I googled the health care budget of these states over the recent years. Here is what I found:
Over the years, states with low IMRs and low literacy rates have been only marginally increasing the budget for sectors like education and health. The condition of education and health care continues to remain dismal in these states. This clearly shows rampant corruption and how Netas and government officials ensure no facilities are available for poor.
Even states with mediocre IMRs and literacy rates prefer allocating large budgets only to sectors like urban development. The amount alloted to urban development is easily siphoned off by Netas and corrupt officials. Shockingly, Modi's model state Gujarat has been religiously decreasing it's health and education budget in recent years. It is only in the election years 2018-2019 that the central and state governments have given a thought to increase the education and health budget, but only marginally. Enough for the government to garner votes.
