To get an idea of India’s global standing, compare its 2015 IMR average of 37 with IMRs of 35 for 154 low and middle-income nations; 5 for 26 north American nations and 3 for 39 nations in the Euro area.
There were wide variations in IMR–a bellwether of national health–across India, according to the latest report from the Sample Registration System (SRS) bulletin, with smaller, more literate states reporting IMRs close to or better than richer countries and larger, poorer states reporting more deaths than poorer countries, indicating the uneven nature of healthcare.
The overall improvement in IMR over a quarter century is likely linked to a variety of government interventions, including institutional deliveries and providing iron and folic-acid tablets to pregnant women, and rising incomes and living circumstances since economic liberalisation in 1991.