IMR of India as per SRS report-2016-18?

Appeared in: Hariyana-CHO-2021

Explanation

According to the Sample Registration System (SRS) report for 2018, the Infant Mortality Rate (IMR) for India was 32 deaths per 1,000 live births.
IMR is defined as the number of deaths of children under one year of age per 1,000 live births in a given year.
This key health indicator reflects the effectiveness of maternal and child health services, nutritional status, and overall socioeconomic development.

Option B: This value represents the IMR from an earlier period. India's IMR was higher in the years preceding 2018.
Option C: An IMR of 50 is a much older figure and does not reflect the significant progress made in reducing infant mortality in the last decade.
Option D: This value is lower than the actual IMR for 2018. It is closer to the IMR recorded in more recent years (the IMR for 2020 was 28) or represents a future target.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Infant Mortality Rate (IMR) in India as per SRS data as background academic context rather than a clinical decision trigger.
IMR is a critical indicator for community health nurses to assess the health status of a population and identify the need for targeted interventions like improving antenatal care, nutrition, and immunization.
A significant portion of infant deaths occurs in the neonatal period (first 28 days). Nurses play a vital role in newborn care, including resuscitation, thermal protection, early initiation of breastfeeding, and infection prevention.
What if the question asked for the state with the highest IMR in 2020? The answer would be Madhya Pradesh (43 per 1,000 live births), highlighting the significant regional disparities within India.

How to Approach the Question

First, identify the specific statistic requested: Infant Mortality Rate (IMR).
Next, note the specific authority and time frame: 'SRS report-2016-18'. This points to official data from a specific period.
Recognize this as a factual recall question common in community health nursing, requiring knowledge of key national health statistics.
Recall the general trend of IMR in India, which has been steadily declining over the past decades.
Evaluate the options based on this trend. A very high number (50) is likely from the distant past, while a very low number (25) is likely from a more recent year or a future goal.
Select the value that accurately corresponds to the 2018 data point, which is 32.

Concept Tested & Keywords

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E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 1 (pp 36-238 of 713) p. 58-60

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 66-68

Practise the full Hariyana-CHO-2021

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