Eleventh Five Year Plan

60 Eleventh Five Year PlanSource: RGI (2006).FIGURE 3.1.2: MMR in India: Trends Based on Log-linear Model, 1997–2012Source: NFHS-3, IIPS (2005–06).FIGURE 3.1.3: Trends in Full Immunization CoverageDisparities and Divides3.1.14 Within the country, there is persistence ofextreme inequality and disparity both in terms ofaccess to care as well as health outcomes. Kerala’slife-expectancy at birth is about 10 years more thanthat of MP and Assam. IMRs in MP and Orissa areabout five times that of Kerala. MMR in UP is morethan four times that of Kerala and more than threetimes that of Haryana. Crude death rates among Statesalso reveal wide variations. Crude death rates in Orissaand MP are about twice the crude death rates in Delhiand Nagaland. This high degree of variation of healthindices is itself a reflection of the high variance in theavailability of health services in different parts of thecountry.3.1.15 Approximately a quarter of the districts accountfor 40% of the poor, over half of the malnourished,nearly two-thirds of malaria and kala-azar, leprosy,Rate8070605040302010074 74 72 71 72 706866 636058 581994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005YearSource: SRS Bulletin, RGI (October 2006).FIGURE 3.1.4: IMR in India