India's Sample Registration System (SRS) 2022 report estimated the Maternal Mortality Ratio (MMR) at 97 per 100,000 live births nationally. Which state/UT has consistently reported the highest MMR in recent SRS reports?

• A Assam ✓
• B Uttar Pradesh
• C Madhya Pradesh
• D Rajasthan

Explanation

Assam has consistently recorded the highest MMR among all Indian states in successive SRS reports, with values well above the national average (historically over 200 per 100,000 live births even as the national MMR declined). The other Empowered Action Group (EAG) states — UP, MP, Rajasthan — also have high MMR but none as persistently high as Assam. Kerala and Maharashtra have the lowest MMR, reflecting the strong inverse relationship between MMR and institutional delivery rates, skilled birth attendants, and female literacy. The SDG target for MMR is <70 per 100,000 live births by 2030.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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Written and medically reviewed by the StethoPrep medical team.