Lok Sabha Question No. 573 (STARRED), answered on 2018-04-06
Subject: Respectful Maternity Care
Ministry: HEALTH AND FAMILY WELFARE
Asked by: C. MAHENDRAN, (ADV.) JOICE GEORGE

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 573 TO BE ANSWERED ON THE 6 TH APRIL , 2018 RESPECTFUL MATERNITY CARE

## *573. SHRI C. MAHENDRAN:

## ADV. JOICE GEORGE:

Will  the  Minister  of HEALTH  AND  FAMILY  WELFARE be  pleased  to state:

- (a) whether the Government has recently launched a programme called LaQshy provide  Respectful  Maternity  Care  to  all  pregnant  women  attending  public facili ties  by  improving  the  quality  of  maternity  care  in  labour  room,  ma operation theatre, obstetrics intensive care units and high dependency unit the details thereof along with the aims and objectives of the programme;
- (b) whether the sai d programme will improve the quality of care during delivery immediate post - partum period and enhance satisfaction of the beneficiaries and the details thereof; and
- (c) whether this programme is implemented in all Government hospitals and if o, the details thereof?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

(a)to ( c) : A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 573* FOR 6 TH APRIL , 2018

(a) Ministry of Health & Family Welfare has recently launched a program na LaQshya  on  11 th December  2017.  This  program  aims  to  reduce  preventable maternal and newborn mortality, morbidity and stillbirths associated with around birth by improving quality of care in the labour room, maternity opera theatre,  obstetrics  intensive  care  units  (Obs  ICUs)  and  high  dependen (HDUs). The main objectives are:

1. To  reduce  maternal  and  newborn  mortality  &  morbidity  due  to  Ante - partum Haemorrhage (APH), post - partum Haemorrhage (PPH), retained placenta, preterm preeclampsia & eclampsia, obstructed labour, puerperal sepsis, newborn as sepsis etc.

2. To  improve  Quality  of  care  during  the  delivery  and  immediate  post - partum care,  stabilization  of  c omplications,  to  ensure  timely  referrals  with  an  effe two- way follow - up system.

3. To enhance satisfaction of beneficiaries and to provide Respectful M Care (RMC) to all pregnant women attending the public health facility.

(b) LaQshya  program is  a  focused  and  targeted  approach  to  strengthen processes related to the labour room and maternity operation theatre with period  to  achieve  time  bound  targets  thereby  ensuring  desired  outcomes. programme  consists  of  rigorously  supervis ed  six  cycles  of  rapid  improvement during  delivery  and  in  immediate  post - partum  period.  Focus  is  to  be  given  to improve close monitoring of delivery, presence of birth companion as per p women's  choice,  provision  of  respectful  maternity  care,  timely management  of complications, strengthening of referral protocols, adherence to standard essential  &  emergency  newborn  care,  early  initiation  of  breast  feedi infection prevention including biomedical waste management.

Satisfaction  level  o f  clients  is  to  be  assessed  by  taking  feedback beneficiaries through Mera Aspatal. The facilities with more than beneficiaries satisfied score along with other National Quality Assurance (NQAS) indicators for labour room & maternity OT w ill be LaQshya certified.

(c) The  programme  is  planned  to  improve  quality  of  care  in    Governm hospitals especially:

- All government medical college hospitals.
- All District Hospitals & equivalent health facilities.
- All designated FRUs and high case load CHCs with over 100 deliveries/60 deliveries (per month) in hills and desert areas.

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