The maternal mortality ratio (MMR) in India was reported as 97 per 100,000 live births in the SRS-based MMR Bulletin 2018–20. Which Indian state had the HIGHEST MMR according to this report?

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

Explanation

According to the SRS-based Maternal Mortality Report 2018–20, Assam had the highest MMR among major Indian states at 195 per 100,000 live births, followed by Madhya Pradesh (173) and Uttar Pradesh/Uttarakhand (167). The 'EAG states' (Empowered Action Group: UP, MP, Bihar, Odisha, Rajasthan, Jharkhand, Chhattisgarh, Uttarakhand) + Assam collectively account for the majority of India's maternal deaths. Southern states like Kerala (19), Maharashtra (33), and Tamil Nadu (54) have the lowest MMR. This gradient reflects disparities in skilled birth attendance, ANC access, and health system capacity.

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

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