India in Pursuit of Millennium Development Goals: Were the Targets Really Feasible?

Abstract

In recent years, the Indian National Health Mission (NHM) was introduced by the Government of India as an umbrella of health programs to cover reproductive and child health, adolescent health, and selected disease control programs. These programs were given a mandate to accelerate the achievement of the health-related Millennium Development Goals (MDGs) by 2015. Considerable progress toward realizing the MDG objectives has been achieved, especially reductions in infant and child mortality and improvement in measles vaccination coverage (MDG Goal 4), as well as the reduction of maternal mortality and an increase in the number of births attended by skilled personnel (MDG Goal 5). Nevertheless, an overall appraisal of the status of the indicators in 2015 reveals that many of the targets remained to be achieved. The analytical issue explored here is whether the targets were too high to achieve or whether Indian health policies were flawed or too long delayed. This article offers a state-wise analysis of the achievements in health indicators relating to MDGs 4 and 5. The rate of achievement for two time periods, pre-NHM and NHM until 2015, is analyzed here. Our key finding is that most of the targets were indeed infeasible, but that lack of achievement could be attributed to delays in planning; sometimes poor execution of the policies and programs; and to the economic, social, and political disparities within the country. Better organized and more innovative approaches at the state level could improve the realization of vital MDG targets, providing improved public health for all.

Youth Empowerment as Catalyst for Sustainable Development in Nigeria

“…These programs were given a mandate to accelerate the achievement of Millennium Development Goals (MDGs) by 2015. However, Prachita, Akshay Dhume & Subramanian (2019) noted that though a considerable progress towards realizing the MDG objectives has been achieved, an overall appraisal of the status of the indicators in 2015 revealed that many of the targets remained to be achieved. The paper attributed the failure to the flaws in Indian health policies including long delays in implementation and non-involvement of all the stake holders including the youth.…”

Facilitating behavioral change: A comparative assessment of ASHA efficacy in rural Bihar

“…The goals of increasing uptake of such behaviors are to lower the high rates of maternal and infant mortality and morbidity that prevails in much of India, particularly in rural and hard-to-reach areas. For instance, Bihar, where the present study takes place, had the lowest per capita gross domestic state product in India in 2015, along with the lowest literacy rate and lowest real per capita revenue expenditure on health [10]. Bihar also has high levels of under-five mortality (58 per 1000 live births), infant mortality (42 per 1000 live births), and maternal mortality (208 per 100,000 live births) [10], all of which are higher than the averages across India and are of major concern from a global public health perspective.…”

“…For instance, Bihar, where the present study takes place, had the lowest per capita gross domestic state product in India in 2015, along with the lowest literacy rate and lowest real per capita revenue expenditure on health [10]. Bihar also has high levels of under-five mortality (58 per 1000 live births), infant mortality (42 per 1000 live births), and maternal mortality (208 per 100,000 live births) [10], all of which are higher than the averages across India and are of major concern from a global public health perspective. Motivated by indicators like these, considerable effort has gone into the development of public health initiatives and CHW programs in Bihar and across India.…”