It has the highest maternal mortality rate in the country since nearly 40,000 women lose their lives giving birth, each year. Thus roughly one out of every 15 maternal deaths worldwide takes place in Uttar Pradesh
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A maternal death audit conducted by the ministry of health and family planning showed that the maternal mortality rate in Uttar Pradesh was 707 per 100,000, whereas for the rest of India the figure was 404 per 100,000.
Uttar Pradesh's statistics on maternal and child health
Total population of Uttar Pradesh: 16.6 crore (2001 census)
Around 54,00,000 children are born in Uttar Pradesh each year.
Of these, 450,000 infants die before they are one year old,
275,000 infants die before the age of one month.
Of the more than 54,00,000 pregnant women, only 225,000 receive the full check-up and care that they require during pregnancy.
Over 40,00,000 women deliver without any skilled attendant present, and
over 45,00,000 deliver at home.
Of the women who deliver at home, 42,00,000 are not visited by a health worker even two months after childbirth.
Conditions at government health centres and hospitals - The Government of India conducted a survey to understand the status of government healthcare facilities in 2000. The report on Uttar Pradesh mentions:
Total number of Primary Health Centers surveyed: 486.
Only 10 had a working telephone, 418 did not have a working vehicle.
A medical officer was not present at 107 PHCs. Female health staff was not complete in 442 PHCs; Male staff was incomplete in 403 places.
342 PHCs did not have labour room equipment;
418 places did not have normal delivery kits; and 467 places did not have emergency delivery kits/drugs.
Of a total number of 34 first referral units surveyed (FRUs are hospitals like community health centres and district hospitals where facilities for Caesarean operations should be available),
16 FRUs did not have a working vehicle,
24 FRUs did not have a telephone.
Eighteen FRUs had an obstetrician posted,
but only two places had an anaesthetist.
Anaesthesia equipment was available in 16 places, but emergency labour drugs were only available in six places.
Oxygen cylinders were available in 19 places.