Lok Sabha Question No. 4411 (UNSTARRED), answered on 2020-03-20
Subject: Post Partum Deaths
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ranjanben Dhananjay Bhatt

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

LOK SABHA UNSTARRED QUESTION NO. 4411 TO BE ANSWERED ON 20 TH MARCH, 2020

## POST PARTUM DEATHS

## 4411. SHRIMATI RANJANBEN DHANANJAY BHATT:

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

- (a) whether the Government is contemplating to take effective and concrete steps to preve portum deaths;
- (b) if so, the details thereof; and
- (c) if not, the reasons therefor?

## ANSWER

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

(SHRI ASHWINI KUMAR CHOUBEY)

(a)  to  (c):                  The  Government  of  India  has  initiated  following  key  strategies maternal deaths which includes post partum deaths.

- Promotion of institutional deliveries through Janani Suraksha Yojana (JSY) . A demand promotion and conditional cash transfer scheme was launched with the objective of redu Maternal and Infant Mortality.
- Janani Shishu Suraksha Karyakram (JSSK) aims to e liminate out - of - pocket expenses for pregnant  women  and  sick  infants  (up  to  one  year  of  age).    Under  JSSK,  every  pregn woman is entitled to free delivery, including caesarean section, in public health ins This also includes free transport, diag nostics, medicines, other consumables, diet and blood (if required).
- Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA): Under PMSMA, all pregnant women are provided a minimum package of antenatal care services (investigations & dru on fixed day, 9 th of every month. As part of the campaign, identification and line - listing of high risk pregnancies based on Obstetric/medical history and existing clinical condit carried out.
- To prevent anemia, every pregnant women is given 180 tablets of iron and folic acid after the first trimester, to be taken 1 tablet daily for 6 months and same is continued during -natal period (till 180 days). Pregnant women who are found to be clinically anemic, ar two tablets daily.
- Surakshit Matratva Ashwasa n( SUMAN) a comprehensive multipronged  and coordinated policy approach with an aim to assured, dignified, respectful and quality healthcare a
- and zero tolerance for denial of services for every women and newborn visiting public facilities in order to end all preventable maternal and newborn deaths and morbidities provide positive birthing experience
- Midwifery Initiative has been started to create a cadre for Nurse Practitioners in Midwif who are skilled in accordance to Internation al Confederation of Midwives (ICM) competencies and  capable  of  providing compassionate  women -centred,  reproductive, maternal and new - born health care services.
- LaQshya - LaQshya programme aims to improve the quality of care in Labour room and Maternity ope ration theatres to ensure that pregnant women receive respectful and qua care during delivery and immediate post - partum.
- Functionalisation of FRUs : Provision of Emergency Obstetric care at FRUs is being done by operationalizing FRUs. While operational izing, the thrust is on the critical components such as manpower, blood storage units, referral linkages etc.
- Operationalization  of      Blood  Bank  in  District  Hospitals  and  Blood  Storage  Unit  in district facilities is being taken to tackle complications due to severe anemia.
- Obstetric High Dependency Unit & Intensive Care Unit: Operationalization of Obstetric High  Dependency  Unit  &  Intensive  Care  Unit  in  a  high  case  load  tertiary  care  faci across country to handle complicated pregnancies.
- Preventi on  of  Post -Partum  Hemorrhage  (PPH)  through  ' Community  based  advance distribution of Misoprostol ' by ASHAs/ANMs for high home delivesry districts.
- Capacity building is undertaken of MBBS doctors in Anesthesia (LSAS) and Obstetric Care including  C - section  (C EmONC)  skills  to  overcome  the  shortage  of  specialists  in  these disciplines, particularly in rural areas. Dakshata initiative aims to enable service providers in providing high quality services during childbirth at the institutions.
- Skill Labs with earmarke d skill stations for different training programs are establishe enhance the quality of training. Five National and over 100 State level Skills labs operational for conducting training.
- Maternal Death Surveillance Review (MDSR) is being implemen ted both at facilities and at the community level. The purpose is to take corrective action at appropriate lev improve the quality of obstetric care.

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