According to SRS-2017, what is the Infant Mortality Rate (IMR) of Madhya Pradesh?

Appeared in: P.CHO-2019

Explanation

The question asks for a specific data point: the Infant Mortality Rate (IMR) for the state of Madhya Pradesh from the Sample Registration System (SRS) report of 2017.
According to the SRS 2017 data, Madhya Pradesh had the highest IMR in the country.
The value was 47 deaths per 1,000 live births.

Option A: This value, 33, represents the national average IMR for India in 2017, not the specific rate for Madhya Pradesh.
Option B: This is an incorrect value. The IMR for Madhya Pradesh in 2017 was significantly higher.
Option C: This is an incorrect value. It is lower than both the national average and the actual rate for Madhya Pradesh in 2017.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Infant Mortality Rate (IMR) as per Sample Registration System (SRS) data as background academic context rather than a clinical decision trigger.
IMR is a critical public health statistic that nurses, especially those in community health and pediatrics, must be aware of. It reflects the quality of prenatal care, delivery practices, and postnatal care.
A high IMR in a region like Madhya Pradesh signals a need for intensified public health nursing interventions, such as promoting institutional deliveries, ensuring full immunization, encouraging exclusive breastfeeding, and educating mothers on newborn care and danger signs.
What if the question asked for the IMR in 2020? The IMR for Madhya Pradesh had decreased to 43 by 2020, showing progress but still remaining one of the highest in the country. This highlights the dynamic nature of health statistics and the impact of ongoing health programs.

How to Approach the Question

First, identify the key components of the question: the specific indicator (IMR), the specific region (Madhya Pradesh), and the specific time frame (SRS-2017).
This is a factual recall question common in community health nursing and general knowledge sections of nursing exams.
Access your knowledge of national health statistics. Be aware of common distractors, such as the national average being presented as an option for a state-specific question.
Recall that Madhya Pradesh, along with states like Assam and Uttar Pradesh, has historically had higher IMRs compared to the national average.
Compare the options with the recalled data. 47 was the IMR for MP in 2017, while 33 was the national average. Select the value specific to Madhya Pradesh.

Concept Tested & Keywords

Concept Tested: Infant Mortality Rate (IMR) as per Sample Registration System (SRS) data.
Stem keywords: SRS-2017, Infant Mortality Rate (IMR), Madhya Pradesh
Lead-in keywords: what is
Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.

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E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 68-70

Practise the full P.CHO-2019

Attempt every question from this paper in a timed mock, then review the full solution for each one.