Madhya Pradesh still one of the Unhealthiest State

 Nisha Yadav
Madhya Pradesh being the second-largest state of the country with the fifth largest population of over 7.2 crore people, as per census 2011, is failing to keep pace with country’s overall health index. According to a health index report released by Niti Ayog in year 2018, Madhya Pradesh ranked 18 out of 21 largest states in India. 

Among the six least-performing states based on 23 health indicators including under-five mortality rate, stunting, mental health/illness and others, Madhya Pradesh bears the highest burden of anemia and malnutrition. The other largest states that followed with tottering health parameters are Uttar Pradesh, Bihar, Odisha, Uttarakhand and Rajasthan. 
The state is placed under the national glare for poor health and nutrition indices among children. In a recent Comprehensive National Nutrition Survey(CNNS) conducted by Ministry of Health and Family Welfare it was found that about 5 per cent of kids between 1 and 4 years are anemic in Madhya Pradesh, compared to the 41 per cent national average. Similarly, 32 per cents of adolescents(10-19) in the state are moderately or severely thin, compared to the national average of 24 per cent.

Meanwhile, the survey shows that the malnutrition burden in Madhya Pradesh as well as in the country has reduced when compared to National Family Health survey-4 of duration 2015-16. The state has witnessed a downward trend of 17.2 per cent in the cases of children under 5 years who are underweight, dropping to 42.8 per cent in NFHS-4(2015-16), from 60 per cent in NFHS-3(2005-06).
The state saw a minor 8 per cent decrease in the cases of stunting in children below the age of 5, as per NFHS-4. It recorded 42 per cent of stunting cases while the figure stood 50 in NFHS-3.  In the same survey, Madhya Pradesh saw reduction in the cases underweight children and wasting of children with a respective estimation of 35.8 per cent and 25.8 per cent in year 22015-16.
The Infant Mortality Rate(IMR) and Under-five(UMR) also saw a decline of about 27 per cent and 30 per cent respectively in NFHS-4. According to National Health Profile 2018 report, death rates of children due to diarrhea has also come down. In 2016, 122 diarrhoeal deaths were recorded which came down to 102 in 2017 by 16.39 per cent. Out of the total of 1.3 crore diarrhea cases in India, Madhya Pradesh contributed nearly 7 lakh cases that was about 5.4 per cent of the total.
The records, overall the country as well as for the state has shown a down trend in health indicators like mortality rates, stunting, anemia, diarrhea and malnutrition but  Madhya Pradesh, despite all the improvements, needs consideration to keep up the pace.

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