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As India strives towards achieving the Sustainable Development Goals (SDGs) and looks ahead to the post - 2015 era, progress in reducing maternal mortality becomes an important frontier. Every pregnancy is special and every pregnant woman must receive special care. Any pregnant woman can develop life-threatening complications with little or no advance warning, so all pregnant women need access to quality antenatal services to detect and prevent life- threatening complications during childbirth.
With the implementation of several schemes, significant progress was observed in the maternal health care service indicators like institutional deliveries and Ante Natal Care (ANC) coverage. As per latest data of the Rapid Survey on Children (2013 - 14), the institutional deliveries in India are 78.7%. Inspite of this massive increase in the number of pregnant women coming to institutions for delivery, till date only 61.8% women receive first ANC in first trimester (RSOC) and the coverage of full ANC (provision of 100 IFA tablets, 2 tetanus toxoid injections and minimum 3 ANC visits) is as low as 19.7 % ( RSOC ).
Despite availability of treatment guidelines, mechanisms for monitoring and supportive supervision, regular training of health care providers at different levels across the country and the existence of outreach platforms like Village Health and Nutrition Day (VHND), the desired coverage and quality of maternal health services is still a matter of concern. Maternal mortality with MMR of 167 per 1,00,000 live births still remains high even with improved access to maternal health care services. Timely detection of risk factor during pregnancy and childbirth can prevent deaths due to 5 preventable causes. This can only be possible if the complete range of the required services is accessed by the pregnant women.
With the objective to provide quality ANC to every pregnant woman the Government of India has launched the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA), a fixed day ANCs given every month across the country. This is to be given in addition of the routine ANC at the health facilit.
About the campaign
Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) is a fixed day strategy, every month across the country during which a range of quality maternal health services are envisaged to be provided as part of Antenatal Care.
Under the campaign, a minimum package of antenatal care services is to be provided to the beneficiaries on the 9th day of every month at the Pradhan Mantri Surakshit Matritva Clinics to ensure that every pregnant woman receives at least one checkup in the 2nd/ 3rd trimester of pregnancy. If the 9th day of the month is a Sunday / a holiday, then the Clinic should be organized on the next working day.
Target beneficiaries
The programme aims to reach out to all Pregnant Women who are in the 2nd & 3rd Trimesters of pregnancy.
Public Health Facilities to access services under PMSMA
Provision of services during PMSMA
Following are details of specific services which will be provided during Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) :
Those pregnant women with unwanted pregnancies need to be provided with safe abortion care services after proper counselling.
Referral Transport Mechanism for High risk women: During PMSMA, 108 /102 /State owned ambulances/Private empanelled ambulances can also be used for referring those cases identified as high risk.
By: Abhishek pratap Singh ProfileResourcesReport error
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