Effective public service delivery through innovative governance knowledge exchange
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Improving Maternal and Child Survival in Tamil Nadu
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The initiative of Department of Health, Tamil Nadu has brought a drastic reduction in maternal mortality and improved child health through innovative strategies and programmes on maternal and infant health policies in the state.

The Health Department with the support from the World Bank and Danish International Development Agency (DANIDA) worked on a phased manner and were successful in bringing down the maternal mortality ratio from 380 per 10,000 live births in 1993 to 90 in 2007. The female infanticide death was also reduced from 3000 per year in 1970 to 70 in 2007. The procedure involved efficiency in reporting and monitoring of maternal and infant deaths in the state and later the reports were sent to the Commissioner for Maternal, Child Health and Welfare within 15 days for investigation called the Maternal Death Audit. Workshops and Programmes were held at district and state level related to maternal care and chances of survival of pregnant women. 24 Hour Primary Health Centres (PHS) were established round the clock to meet emergencies. Other steps included were setting up of Central Emergency Obstetric Care and New Born Care, and Birth Companion Programme.

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