Kerala has long stood out as a model for maternal and child health care in India. In yet another remarkable milestone, the state has recorded the nation’s lowest infant mortality rate (IMR) of 5, according to the latest Sample Registration System (SRS) statistical report. While India’s national average remains at 25, Kerala’s achievement sets a benchmark comparable to developed countries. The fact that the United States has an IMR of 5.6 underscores the global significance of this accomplishment.

Recent data also highlight that Kerala’s neonatal mortality rate (NMR) has declined to below 4, against the national average of 18—placing it on par with the standards of advanced health systems worldwide. The fall in IMR from 6 in 2021 to 5 in 2023 represents a significant stride forward in public health.This progress has been driven by the state’s sustained focus on maternal and child health. The government has invested heavily in improving maternity hospital infrastructure, resulting in 16 hospitals receiving National Target Quality Certification and 6 hospitals earning national MUSKAN accreditation. The Mother and Child Friendly Hospital Initiative—a first in the country—and the Comprehensive Newborn Screening Scheme, which enables early detection and treatment of birth defects, stand out as pioneering interventions.

Several dedicated schemes have further strengthened child health outcomes. The Hridyam program, which identifies congenital heart defects and provides free corrective surgeries, has already benefitted 8,450 children. The 1,000 Days Initiative has created a supportive environment for physical and mental development during the crucial early years of life. Likewise, the Matruyanam scheme—ensuring free transportation for mothers and newborns after delivery—has been rolled out across all government hospitals. Free treatment facilities for rare genetic diseases have also helped significantly reduce child mortality linked to such conditions.

Equity in healthcare access has been the cornerstone of Kerala’s success. By establishing neonatal intensive care units (NICUs) in tribal and coastal regions, the state has ensured that quality health services reach even its most marginalised populations. This landmark achievement positions Kerala not only as a national leader but also as a global exemplar in maternal and child health care—demonstrating how focused policies, robust health infrastructure, and inclusive governance can deliver outcomes on par with developed nations.