## Target for Institutional Delivery Under RMNCH+A Strategy **Key Point:** The RMNCH+A strategy, launched as part of the National Health Mission, aims to achieve 90% institutional delivery rate by 2025 as a key performance indicator for maternal health improvement in India. **High-Yield:** This target is part of the broader goal to reduce maternal mortality ratio (MMR) and neonatal mortality rate (NMR) through increased access to skilled birth attendance and facility-based deliveries. **Clinical Pearl:** Institutional delivery ensures access to emergency obstetric care, skilled birth attendants, and immediate neonatal resuscitation—critical factors in reducing maternal and perinatal mortality. ## Context The RMNCH+A strategy encompasses: - Reproductive health - Maternal health - Newborn health - Child health - Adolescent health Institutional delivery is a cornerstone indicator because it directly correlates with: - Reduced maternal mortality - Lower neonatal mortality - Early detection and management of complications - Access to blood transfusion and surgical facilities **Mnemonic:** RMNCH+A = **R**eproductive, **M**aternal, **N**ewborn, **C**hild, **A**dolescent Health [cite:Park 26e Ch 3]
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