The document provides demographic and health indicators for the state of Gujarat in India. It discusses initiatives by the Gujarat government to improve maternal health outcomes, including the Chiranjeevi Yojana program which provides subsidized delivery care through private providers. It also describes the Emergency Management and Research Institute's (EMRI) "108" emergency response service in Gujarat, which operates over 1,500 ambulances and handles over 7,000 emergencies per day.

1. Safe Motherhood Programme and emergency medical transport, Gujarat, India Gujarat EMRI Services

3. 933 921 Sex Ratio (No. of women per 1000 men) 67 75 54 69 80 58 Literacy Rate : total Male Female 407 (200-300) Maternal Mortality Rate 3.2 2.9 Total Fertility Rate 58 53 Infant Mortality Rate (2004) 7.50 6.90 Death Rate (2005) 23.80 23.70 Birth Rate (2005) 22.66 21.34 Decadal Growth rate (1991-01) 1027 50.60 Population in million ( 2001) India Gujarat Key Demographic & Health Indicators

5. “ Every Pregnancy Is at Risk:” Current Approach to Reduction of Maternal Mortality Advances in Maternal and Neonatal Health

8. Global Causes of Maternal Mortality

11. Effect on Performance Indicators 54 - - Mothers who received post partum check up within two days of delivery 65 54 43 Delivery attended by Doc, nurse, ANM. 8.5 3 Caesarean section 32 20 Private sector 11 15 Public sector deliveries 45 54 65 Domiciliary 55 46 37 Institutional Deliveries 65 61 61 Mothers who received 3 ANC visits NFHS 3 2006 NFHS 2 1998 NFHS 1 1993 Indicator- all values are in %

15. Changing the World The experience of EMRI as India’s First and Only Professional Integrated Emergency Response Provider

23. Medical Emergencies - Gujarat Medical Emergency % of Total Rural % Female % Age Yrs Pregnancy related 34 91 100 23 Injuries 18 60 21 29 Cardiac related 5 61 39 51 Respiratory related 5 59 37 51 Acute Abdomen 4 78 42 37 Suicide related 1 65 41 26

24. Robbery – Thief requested wife to dial 108 after 10 minutes to take the injured husband to hospital Extraordinary Performance from Ordinary People 3 Hour Neonate (Baby Girl) Buried Firing - Between Army Commanders and Naxalites Cyclist– Fell on road divider rod

25. Bomb Blasts Ahmedabad Snake Bite Suicide Attempt Candle Light Delivery 35 Ambulances to Bihar Extraordinary Performance from Ordinary People

26. MMR declining in Gujarat