Lok Sabha Question No. 406 (UNSTARRED), answered on 2023-02-03
Subject: Pradhan Mantri Surakshit Matritva Abhiyan
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ghanshyam Singh Lodhi

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

## LOK SABHA UNSTARRED QUESTION.NO. 406 TO BE ANSWERED ON 3 RD  FEBRUARY, 2023

## PRADHAN MANTRI SURAKSHIT MATRITVA ABHIYAN 406. SHRI GHANSHYAM SINGH LODHI

Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the Government is implementing Pradhan Mantri Surakshit Matritva Abhiyan in Uttar Pradesh through private hospitals as well and if so, the details thereof;
- (b) if not, whether any decision is likely to be taken in this regard;
- (c) the details of the guidelines issued to the State Governments for proper implementation of the said scheme in the country; and
- (d)  the  number  of  beneficiaries  of  private  hospitals  and  Government  hospitals  in  Uttar Pradesh under the said scheme, district-wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a)  to  (c): Government of India implements 'Pradhan Mantri Surakshit Matritva Abhiyan' (PMSMA) with an aim to provide fixed-day, free of cost, assured, comprehensive and quality antenatal care on the 9 th day of every month universally to all pregnant women in their 2nd / 3rd trimesters of pregnancy, at  designated public health facilities by  Obstetricians/Medical officers.  The  programme  also  invites  active  participation  from  private  practitioners  on  a voluntary basis. The details of guidelines issued to the States/UTs for proper implementation of PMSMA are placed at 'Annexure-1'

(d): The district-wise, number of beneficiaries in Uttar Pradesh under PMSMA is placed at 'Annexure-2'.

******

## 1. Introduction:

- 1.1. The  Pradhan  Mantri  Surakshit  Matritva  Abhiyan  (PMSMA)  was introduced to ensure quality antenatal care to pregnant women in the country. Under the campaign, a minimum package of antenatal care services  is  provided  to  the  beneficiaries  on  the  9th  day  of  every month at the designated public health facilities to ensure that every pregnant  woman  receives  at  least  one  checkup  in  the  2nd  or  3rd trimester of pregnancy by a doctor.
- 1.2. During  this  campaign,  trained  service  providers  and  ASHA  focus their efforts to identify and reach out to pregnant women who have not registered for ANC (left out/missed ANC) and also those who have registered but not availed ANC services (dropout) as well as High Risk pregnant women. It also ensures that not only all pregnant women complete their scheduled ANC visits but also undertake all essential investigation.
- 1.3. PMSMA provides quality ANC & also detection, referral, treatment and follow-up of high risk pregnancies and women  having complications.

## 2. Key  focus  areas  Pradhan  Mantri  Surakshit  Matritva  Abhiyan (PMSMA):

- 2.1. Key focus area  under  Pradhan  Mantri  Surakshit  Matritva  Abhiyan (PMSMA)  is  to  generate  demand  through  Information  Education &Communication  (IEC),  Inter-personal  Communication  (IPC)  and Behaviour Change Communication (BCC) activities. Extensive use of  audio-visual  and  print  media  in  raising  mass  awareness  is  an integral  part  of  IEC/BCC  campaign.  Auxiliary  Nurse  Midwife (ANM), ASHA and Anganwadi Worker (AWW) play a pivotal role in  mobilization  of  the  community  and  potential  beneficiaries  in bothrural and urban areas for availing services.

## 3. Objective:

- 3.1. To provide adequate, appropriate and quality ANC to every pregnant woman across the country.

## Details of PMSMA guideline

## 4. Engagement with Private/voluntary sector

- 4.1. Under PMSMA, services are provided by the Medical Officer and OBGY  specialist.  Facilities  where  such  trained  manpower  is  not available, services from Private Practitioners (OBGY) on a voluntary basis are arranged.
- 4.2. Obstetricians/  physicians  from  private  sector  and  retired  OBGY specialists are encouraged to provide voluntary services at designated public health facilities on the 9th of every month.

## 4.3. Strategies implemented for engaging with private sector encompass:

- -A  portal  for  registration  of  doctors  willing  to  volunteer  for  the PMSMA is created at the National level.
- -States /UTs to collaborate with organizations such as Federation of Obstetric and Gynecological Societies of India (FOGSI), & Indian Medical Association (IMA) to facilitate the participation of private doctors in the initiative

## 4.4. Strategies to sustain participation:

- -Recognition of efforts of volunteer doctors for providing exemplary services through awards
- -Utilization of social media for recognizing the work of volunteers.

Annexure-2

District-wise, number of beneficiaries in Uttar Pradesh under PMSMA for Financial Year 2021-2022

|   Sr. No | District            |   No of pregnant women who received Antenatal care underPMSMA | Sr. No   | District          |   No of pregnant women who received Antenatal care underPMSMA |
|----------|---------------------|---------------------------------------------------------------|----------|-------------------|---------------------------------------------------------------|
|        1 | Agra                |                                                         34933 | 39       | Jalaun            |                                                          8720 |
|        2 | Aligarh             |                                                         19140 | 40       | Jaunpur           |                                                         32984 |
|        3 | Allahabad           |                                                         29993 | 41       | Jhansi            |                                                         11919 |
|        4 | Ambedkar Nagar      |                                                          6624 | 42       | Kannauj           |                                                          7388 |
|        5 | Amethi              |                                                          7748 | 43       | Kanpur Dehat      |                                                          7490 |
|        6 | Amroha              |                                                         12524 | 44       | Kanpur Nagar      |                                                         22110 |
|        7 | Auraiya             |                                                          8960 | 45       | Kasganj           |                                                          9324 |
|        8 | Azamgarh            |                                                         41531 | 46       | Kaushambi         |                                                         16778 |
|        9 | Baghpat             |                                                         10048 | 47       | Kheri             |                                                         21020 |
|       10 | Bahraich            |                                                          8175 | 48       | Kushi Nagar       |                                                         12678 |
|       11 | Ballia              |                                                          7282 | 49       | Lalitpur          |                                                          7569 |
|       12 | Balrampur           |                                                         14564 | 50       | Lucknow           |                                                         29897 |
|       13 | Banda               |                                                         10899 | 51       | Maharajganj       |                                                         13262 |
|       14 | Barabanki           |                                                         16607 | 52       | Mahoba            |                                                          5432 |
|       15 | Bareilly            |                                                         22227 | 53       | Mainpuri          |                                                          9466 |
|       16 | Basti               |                                                         16274 | 54       | Mathura           |                                                         15934 |
|       17 | Bhadohi             |                                                          3525 | 55       | Mau               |                                                         14924 |
|       18 | Bijnor              |                                                         18968 | 56       | Meerut            |                                                         11537 |
|       19 | Budaun              |                                                         27809 | 57       | Mirzapur          |                                                          8528 |
|       20 | Bulandshahr         |                                                         21429 | 58       | Moradabad         |                                                         13000 |
|       21 | Chandauli           |                                                         11086 | 59       | Muzaffarnagar     |                                                         27566 |
|       22 | Chitrakoot          |                                                          5995 | 60       | Pilibhit          |                                                         12182 |
|       23 | Deoria              |                                                         22861 | 61       | Pratapgarh        |                                                         13286 |
|       24 | Etah                |                                                          8306 | 62       | Rae Bareli        |                                                         10801 |
|       25 | Etawah              |                                                         20355 | 63       | Rampur            |                                                         13020 |
|       26 | Faizabad            |                                                         10574 | 64       | Saharanpur        |                                                         18839 |
|       27 | Farrukhabad         |                                                         10873 | 65       | Sambhal           |                                                         10835 |
|       28 | Fatehpur            |                                                         10741 | 66       | Sant Kabeer Nagar |                                                          8248 |
|       29 | Firozabad           |                                                         21334 | 67       | Shahjahanpur      |                                                         19111 |
|       30 | Gautam Buddha Nagar |                                                          8211 | 68       | Shamli            |                                                          6769 |
|       31 | Ghaziabad           |                                                         22838 | 69       | Shravasti         |                                                         10765 |
|       32 | Ghazipur            |                                                         10448 | 70       | Siddharth Nagar   |                                                         28060 |
|       33 | Gonda               |                                                         13906 | 71       | Sitapur           |                                                         21689 |
|       34 | Gorakhpur           |                                                         26407 | 72       | Sonbhadra         |                                                         15258 |
|       35 | Hamirpur            |                                                         10266 | 73       | Sultanpur         |                                                         16374 |
|       36 | Hapur               |                                                          8549 | 74       | Unnao             |                                                         15909 |
|       37 | Hardoi              |                                                         13135 | 75       | Varanasi          |                                                         22753 |
|       38 | Hathras             |                                                          9179 |          | Total             |                                                       1135749 |

(Source: PMSMA Portal)