Compared to national averages, Sikkim generally performs well in terms of:

Maternal mortality rates
Child immunization coverage
Control of communicable diseases
All of the above

The correct answer is: d) All of the above

Sikkim has been consistently performing well in terms of maternal mortality rates, child immunization coverage, and control of communicable diseases. In 2018, the maternal mortality rate in Sikkim was 62 per 100,000 live births, which is significantly lower than the national average of 113 per 100,000 live births. The child immunization coverage in Sikkim is also very high, with 99% of children under the age of 5 being fully immunized. Sikkim has also been successful in controlling communicable diseases, such as malaria and tuberculosis.

There are a number of factors that contribute to Sikkim’s good performance in these areas. One factor is the state’s strong commitment to public health. Sikkim has a well-developed public health system that provides quality healthcare to all citizens. The state also has a strong focus on preventive healthcare, which has helped to reduce the incidence of communicable diseases.

Another factor that contributes to Sikkim’s good performance is the state’s high level of education. The literacy rate in Sikkim is 87%, which is higher than the national average of 74%. This high level of education helps to ensure that people are aware of the importance of health and are able to make informed decisions about their health.

Finally, Sikkim’s good performance is also due to the state’s strong social support system. Sikkim has a strong tradition of community support, which helps to ensure that everyone has access to healthcare and other essential services.

Sikkim’s good performance in terms of maternal mortality rates, child immunization coverage, and control of communicable diseases is a testament to the state’s commitment to public health. Sikkim’s success in these areas provides a model for other states to follow.