The greatest challenges for Chhattisgarhare wide disparities in terms of gender, geographical location, civil strife, rural-urban anda widening gap in the availability of human resources. According to recent health statistics, the infant mortality rate is 46 deaths per 1000 live births, the maternal mortality rate is 269, and the total fertility rate is 2.7.
There is need to scale up efforts to achieve development goals by putting efforts using the strategies in Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A). Malnutrition in the state has been a concern as the recent NFHS-3 data shows that the prevalence of stunting at 53 per cent, underweight at 48 per cent and wasting at 24 per cent.
The quality of education is also a concern. National Council for Educational Research and Training data for 2014 revealed that performance of children in both language and mathematics is lowest in the country. There is also low enrolment and school completion in children from disadvantaged groups and not enough effort is being made towards multilingual education.
According to District Information System for Education (DISE) data analysis undertaken by UNICEF for 2012-13, there is high Gender Parity Index (GPI) at the primary level (0.96), and (0.97) at the upper primary level. Chhattisgarh’s all India Early Development Index (EDI) rank at the primary level is an impressive eighth, but at the upper primary level the state ranks a low 25th.
Significant challenges also exist in the civil-strife affected districts of Bijapur, Narayanpur, Dantewada, Bastar and Kanker, which account for about nine per cent of the total population in the state and where the outreach and provision of social services is extremely difficult.
Communities in most of regions still need to be informed about and have made social programmes and services made more accessible. The lack of avenues for the families and children to express fears and concerns related to the provision of essential services, integration with families and communities, and livelihoods – especially in hard to reach areas – has been a challenge.