Background Millennium Development Goal 4 (MDG 4) calls for reducing by two-thirds the mortality rate of children under the age of 5 years, between 1990 and 2015. Almost 90% of all child deaths are attributable to just five conditions: Neonatal Causes, Pneumonia, Diarrhoea, Malaria and Measles. According to SRS 2013, MP has shown highest fall in Neonatal Mortality in the country by 3 points while National fall is by 1 point. Similarly MP has shown highest decline in U-5 mortality this year by 4 points while national decline is 3 points. MP no longer has the dubious distinctions of having highest NMR and U-5 mortality in the country.