Policy Brief: Preventing stillbirths in Maharashtra: where to focus?

This policy brief focuses on the concerning issue of stillbirths in Maharashtra, India, with a particular emphasis on understanding its prevalence, identifying high-burden clusters, and outlining actionable policy recommendations. We present an analysis of Health Management Information System (HMIS) and National Family Health Survey (NFHS) data to highlight the persistently high stillbirth rates in certain districts.

Policy Brief: Analysis of the seasonal variations in birth in Maharashtra – HMIS 2017-20

This policy brief raises a concern about the persistently low rates of deworming among pregnant women, as reported through the Health Management Information System (HMIS) data. Deworming using a single dose of Albendazole during the pregnancy is an important component of the package of services under the ante-natal-care (ANC). The adverse effects of worm infestation on morbidity, malnutrition and other peri-natal outcomes are well documented. Yet coverage rates for albendazole remain significantly low compared to distribution of IFA and Ca tablets, both multi-dose, and the Tetanus Toxoid (TT) injection. This ‘coverage deficit’ for deworming service amounts to filling a ‘leaking bucket’. The helminths have the last laugh, notwithstanding the high coverage under other ANC components. It is high time that this deficit is eliminated with all seriousness.