The decline in IMR of Maharashtra was 12 points (33.3%) since 2005. As per the SRS report 2013, NMR of Maharashtra was 11 points below the national level. Still about 65% of child deaths during neonatal period and about 27% child deaths are taking place after neonatal period and before first year of birth. Lack of child care services in rural areas coupled with early marriage, teenage pregnancies, anaemia amongst mothers, and low level of ANC and immunization coverage affecting the survival of children in the district. Aurangabad has witnessed rapidly growing population due to industrialisation but required health facilities at different levels were lacking. A large proportion of women access government facilities for pregnancy and childbirth related services. High anemia among women and low birth weight are important factors affecting infant and child mortality. The state specific innovations were quite effective in addressing anemia among women, malnutrition among children and childhood diseases especially among tribal/nomadic population in the district. However, there are a few shortfalls in achievements that get accentuated when disaggregated by gender, rural–urban sectors and social groups at the grass root level.
PD Kulkarni, VK Tiwari, Sherin Raj TP, Sandeep Raut. Programmatic Factors Affecting Infant and Child Mortality in Aurangabad District of Maharashtra. International Journal of Multidisciplinary Research and Development, Volume 3, Issue 2, 2016, Pages 129-134