Kolar’s RRR formula cuts maternal deaths by 50%, draws national attention
Kolar: In a significant public health achievement, Kolar district has managed to drastically reduce maternal mortality through an innovative “RRR formula,” bringing down deaths among pregnant women by nearly 50% within a year.
Childbirth is often considered a second life for women, yet complications during delivery continue to claim lives across India. The Maternal Mortality Ratio (MMR) remains a serious concern, with national figures hovering around 97, while Karnataka records about 68. However, Kolar district has brought this number down to an impressive 23, making it a model for the rest of the country.
The breakthrough comes from a focused intervention introduced about one-and-a-half years ago under the leadership of Deputy Commissioner M R Ravi and district health officials. The initiative, known as the RRR formula, was designed after multiple expert consultations aimed at addressing delays and risks during childbirth.
The results have been remarkable. In 2023–24, nine maternal deaths were recorded, followed by eight in 2024–25. After implementing the RRR approach, the number dropped to just four in 2025–26, cutting the mortality rate to 23%.
The RRR formula stands for “Re-assessment of Risk,” “Reduce the Delay,” and “Respond Quickly.” Under this system, high-risk pregnancies are closely monitored, delays in hospital admission are minimised, and emergency responses are accelerated. If complications arise, patients are shifted to higher medical facilities within 10–15 minutes.
District Health Officer Dr Srinivas said that continuous monitoring of high-risk cases played a crucial role in achieving this outcome. Officials emphasised that coordinated efforts between healthcare staff and administration made the difference.
The success of the initiative has drawn attention at the national level, with experts suggesting it could be replicated in other districts. Authorities in Kolar aim to further reduce maternal deaths in the coming years through sustained efforts and improved healthcare access.
