The Madhya Pradesh Exemplar Report highlights the state’s significant progress in reducing maternal and newborn mortality between 2000 and 2020, outperforming many other high-mortality states in India. These findings are part of the Exemplars in Maternal and Newborn Health Study, that aims to understand positive outliers and inform policy and practice.

Key Findings: 

  • Notable gains in antenatal care, institutional deliveries, and C-section rates, driven primarily by the public health system. 
  • Expansion of delivery points, free referral transportation, creation of district-level vehicle control cells, and better blood transfusion facilities. 
  • Training programs, rural service incentives, fellowship opportunities, and improved staffing at delivery centres. 
  • Implementation of quality standards, time-bound grievance systems, maternal death reviews, and strong monitoring mechanisms. 
  • The state established Public Health Services Corporation Limited (PHSCL) and has streamlined drug and equipment procurement. 
  • Design of new MCH wings, SNCUs, and the state was also the first to incentivise doctors to work in rural government facilities by posting medical students to primary health centres (PHCs) and reserving postgraduate training seats for “in service” government candidates. 
  • Transition to digital tracking system (RCH system 2016) for mother and child health and recruitment of dedicated data staff.  

This report presents the Madhya Pradesh sub-study and provides background information on the broader India study.   

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