New Delhi: Uttar Pradesh, Madhya Pradesh and
Orissa have fared the worst on child health indicators in the
first-ever district-level health survey conducted by the
The survey by Registrar General and Census Commissioner of
India also shows infant deaths in villages far outnumber those
in cities, putting a question mark on the quality of rural
Among the 284 districts mapped for the purpose in eight
most populous states of the country and Assam, UP`s Shrawasti
district has ended up at the bottom of the list, reporting the
highest Infant Mortality Rate (IMR) and the second highest
Neonatal (NNMR) and Under 5 Mortality Rate (U5MR).
UP has been in the eye of a storm following irregularities
in the National Rural Health Mission.
In Shrawasti district of the state, the IMR is a whopping
103 which means these many infants per 1000 live births die in
this district before they reach their first birthday.
Next to UP on the worst performers` list on this crucial
health indicator is Orissa`s Bolangir district with an infant
mortality rate of 100, Madhya Pradesh`s Panna district with 93
and Rajasthan`s Jalor district with 79.
In these districts, one in every 10 infants die before
they turn one year old .
Health of female infants and of children in rural areas is
particularly poor with death rate being much higher in
villages than in the cities.
In UP, for instance, rural infant mortality rate is 74,
much higher than 54 in urban areas.
Likewise, female IMR in UP is 72 as against male IMR of