Kerala's Infant Mortality Rate (IMR) has plummeted to an unprecedented 5 per 1,000 live births, surpassing the United States' rate of 5.6, according to the latest Sample Registration System (SRS) Statistical Report. State Health Minister Veena George announced this milestone on Saturday, marking the first time Kerala's IMR has dipped below that of many developed nations.
IMR, a critical measure of public health, represents the number of deaths of children under one year of age per 1,000 live births. A lower IMR reflects superior healthcare access and quality. "Kerala now boasts India's lowest IMR at 5, compared to the national average of 25," George stated, highlighting the state's exceptional progress. She also noted that Kerala's neonatal mortality rate stands at an impressive 4, aligning with standards seen in advanced economies, while the national figure lags at 18.
This remarkable decline from an IMR of 6 in 2021 to 5 in 2025 is attributed to Kerala's robust healthcare initiatives. George praised the tireless efforts of health workers, doctors, and officials who have driven this success through innovative programs and unwavering commitment. The state has prioritized maternal and child care, implementing measures such as enhanced prenatal and postnatal services, widespread vaccination drives, and improved nutrition programs for mothers and infants.
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A key factor in this achievement is the equitable distribution of healthcare services across urban and rural areas, eliminating the urban-rural divide. The government has established neonatal intensive care units (NICUs) in underserved regions, including tribal and coastal communities, ensuring that even the most marginalized populations benefit from high-quality medical care. "This report is a testament to Kerala's inclusive healthcare model, accessible to all sections of society," George emphasized.
The SRS Report, conducted annually by the Office of the Registrar General and Census Commissioner, India, underscores Kerala's leadership in public health. By achieving an IMR lower than that of the US and other developed nations, Kerala sets a global benchmark, proving that strategic investments in healthcare can yield transformative results. As the state continues to strengthen its health infrastructure, it remains a shining example of how dedication and innovation can save lives and build a healthier future for all.
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