Lok Sabha Question No. 2293 (UNSTARRED), answered on 2020-09-23
Subject: Institutional Births/Deliveries
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Locket Chatterjee

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

## LOK SABHA UNSTARRED QUE STION NO. 2293 TO BE ANSWERED ON 23 RD SEPTEMBER, 2020

## INSTITUTIONAL BIRTHS /DELIVERIES

## 2293. MS. LOCKET CHA TTERJEE:

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

- (a) whether the Government has set up a deadline for achieving 100 percent Institutional Births in the country, if so, the details thereof;
- (b) the steps taken to increase institutional Bi rths;
- (c) whether the Government is aware of the substandard and inhuman facilities in various health centres as a result of which several women are choosing noninstitutional deliveries, if so, the details thereof; and
- (d)  whether  the  Government  has  found serious  cases of  non - institutional  deliveries  in Cities/ urban areas?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

- ( a) The Government has not set up any deadline for achieving 100 percent Institutional Births in the country.
- ( b) The steps taken to increase the Institutional births in the country are placed at Anne
- (c)& (d) No such information is available with the Government.

## Annexure

- Surakshit Matritva Aashwasan (SUMAN) a comprehensive multipronged  and coordinated approach with the aim to provide assured, dignified, respectful and quality healthcar cost and zero tolerance for denial of services to every woman and newborn visiting p health facilities  in orde r t  end all preventable maternal and newborn deaths and morbiditie and provide positive birthing experience
- The Pradhan  Mantri  Surakshit  Matritva  Abhiyan (PMSMA)  Under  PMSMA,  all pregnant  women  in  the  country  are  provided  fixed  day,  free  of  cost,    assure d  quality Antenatal Care on the 9 th day of every month.
- Janani Suraksha Yojana (JSY), a demand promotion and conditional cash transfer scheme was launched in April 2005 with the objective of increasing the Institutional Delivery.
- Janani Shishu Suraksha Kar yakram (JSSK) was launched in June 2011 to reduce out of pocket expenditure for pregnant women and sick neonates. The initiative entitles all p women delivering in public health institutions to absolutely free and no expense de including caesar e n section.
- LaQshya -LaQshya programme was launched in December 2017 to improve the quality of care in Labour room and Maternity operation theatres to ensure that pregnant women rec respectful and quality care during delivery and immediate post - part um period.
- Midwifery programme has been initiated in 2018 with the aim to create a cadre for Nu Practitioners in Midwifery who are skilled in accordance to International Confederat Midwives  (ICM)  competencies  and  capable  of  providing  compassionate  women -centred, reproductive, maternal and new - born health care services.
- Functionalisation of FRUs : Provision of Emergency Obstetric Care at FRUs is being done by  operationalizing  all  FRUs  in  the  country.  While  operationalizing,  the  thrust strengthening  the  critical  components  s uch  as  manpower,  blood  storage  units,  referral linkages etc.
- Maternal  and  Child  Health  (MCH)  Wings established  at  high  caseload  facilities  to improve the quality of care provided to mothers and children
- Operationalization of Sub - Centers, Primary Health Cen ters, Community Health Centers and District Hospitals for providing 24x7 basic and comprehensive obstetric care.
- Delivery Points Over 25,000 'Delivery Points' across the country have been strengthened in terms of infrastructure, equipment, and trained manp ower for provision of comprehensive RMNCHA+N services.
- Obs HDU&ICU -Operationalization of Obstetric ICU/HDU in high case load tertiary ca facilities is being done across the country to handle complicated pregnancies.
- Mother and Child Tracking System (MCTS) : A Web based system has been introduced by Government of India to track every pregnant woman and child in order to ensure timely quality services.
- Capacity building of health care providers on Daksh and Dakshata and for MBBS doctors on Anesthesi a  (LSAS)  and  Obstetric  Care  including  C - section  (CEmONC)  skills  to overcome the shortage of specialists in these disciplines, particularly in rural areas.