Lok Sabha Question No. 3937 (UNSTARRED), answered on 2023-03-24
Subject: LaQshya Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sujay Radhakrishna Vikhepatil, Rita Bahuguna Joshi, Krishna Pal Singh Yadav, Shrikant Eknath Shinde, Heena Vijaykumar Gavit, Unmesh Bhaiyyasaheb Patil

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

## LOK SABHA UNSTARRED  QUESTION NO. 3937

TO BE ANSWERED ON 24 TH  MARCH, 2023

## LAQSHYA PROGRAMME

## 3937. DR. SUJAY RADHAKRISHNA VIKHE PATIL:

PROF. RITA BAHUGUNA JOSHI:

DR. KRISHNA PAL SINGH YADAV:

DR. SHRIKANT EKNATH SHINDE:

DR. HEENA VIJAYKUMAR GAVIT:

SHRI UNMESH BHAIYYASAHEB PATIL:

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

- (a) the details of the funds allocated, released and spent on the LaQshya programme, since its launch;
- (b) the number of Government Medical College hospitals and high case-load district hospitals with dedicated obstetric HDUs as per the guidelines issued by the Government;
- (c)  the  number  of  Labour  Room  and  OT  Quality  Circles  that  are  oriented  to  latest  labour room protocols; and
- (d)  whether  there  has  been  a  reduction  in  surgical  site  infection  rate  in  the  Maternity  OT, since the launch of the scheme and if so, the details thereof?

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

- (a)   LaQshya is a quality improvement initiative which aims to ensure Quality of Care during intrapartum and immediate post-partum period in Labour Room and Maternity OT. It targets all Government Medical College Hospitals, District Hospitals & equivalent health facilities, designated  FRUs  as  well  as  high  case  load  CHCs.  The  details  of  the  funds  approved  and expenditure made on the LaQshya programme, since its launch have been placed at Annexure I.

(b)    A  total  of  283  obstetric  high  dependency  unit (HDU)  /Intensive  care  unit  (ICU)  have been approved in high caseload tertiary care facilities including Government Medical College hospitals and district hospitals, across the country. (c)  All  the  targeted  facilities  (which  include  2660  Labour  Rooms  and  1989  Maternity Operation  Theatres)  for  LaQshya  certification  and  certified  facilities  under  the  LaQshya programme conduct the sensitization/ orientation of the latest Labour Room protocols. (d)  Under the purview of LaQshya, one of the facility-level targets is to achieve 5% or less Surgical Site Infection Rate in Maternity OT or at least a reduction of 30% from the baseline. At the time of LaQshya certification, compliance with the above-mentioned requirement is verified by the independent empanelled NQAS assessors.

*****

Annexure I SPIP Approval and Expenditure under LaQshya programme form 2018-19 to 2021-22

## (Rs. In Lakhs)

| Sl. No   | State                              | 2018-19        | 2018-19      | 2019-20        | 2019-20      | 2020-21        | 2020-21      | 2021-22        | 2021-22      |
|----------|------------------------------------|----------------|--------------|----------------|--------------|----------------|--------------|----------------|--------------|
| .        | State                              | SPIP Appro val | Expend iture | SPIP Appr oval | Expend iture | SPIP Appr oval | Expend iture | SPIP Appr oval | Expend iture |
| 1        | Andama n& Nicobar Islands          | 53.15          | 4.71         | 0.60           | 22.28        | 31.63          | -            | 4.87           | 0.47         |
| 2        | Andhra Pradesh                     | 3.50           | -            | 212.6 7        | 42.84        | 284.9 0        | 284.90       | 33.32          | 15.55        |
| 3        | Arunach al Pradesh                 | 43.25          | 17.15        | 18.90          | 15.40        | 62.77          | 51.65        | 32.29          | 21.70        |
| 4        | Assam                              | 559.06         | 154.33       | 473.0 1        | 42.38        | 254.9 2        | 66.29        | 39.68          | 94.12        |
| 5        | Bihar                              | 8,040.5 9      | 166.62       | 7,901. 81      | 551.50       | 1,201. 52      | 539.17       | 370.2 5        | 1,442.4 2    |
| 6        | Chandig arh                        | 2.36           | 0.23         | 0.60           | 0.58         | 18.87          | 0.12         | 8.17           | 5.05         |
| 7        | Chattisg arh                       | 81.77          | 29.43        | 172.3 9        | 29.96        | 104.5 6        | 102.10       | -              | 2.70         |
| 8        | Dadra& Nagar Haveli and Daman &Diu | 1.90           | 0.03         | 0.10           | 0.05         | 4.60           | -            | -              | 1.40         |
| 9        | Delhi                              | 54.00          | -            | 56.00          | 0.93         | 20.00          | 3.28         | 42.00          | 0.68         |
| 10       | Goa                                | 17.34          | 4.90         | 43.55          | 22.18        | 35.30          | 25.20        | 4.40           | 0.13         |
| 11       | Gujarat                            | 347.13         | 227.87       | 17.70          | 12.76        | 662.6 6        | 415.79       | 281.9 1        | 156.93       |
| 12       | Haryana                            | 112.19         | 21.12        | 481.2 0        | 140.99       | 59.27          | 71.98        | 29.01          | 10.81        |
| 13       | Himach al Pradesh                  | 34.20          | 5.20         | 432.4 3        | 2.86         | 148.9 3        | 42.23        | 66.17          | 33.31        |
| 14       | Jammu & Kashmir                    | 56.59          | 44.40        | 202.5 1        | 9.05         | 114.3 8        | 122.24       | 41.00          | 0.99         |
| 15       | Jharkha nd                         | 83.75          | 25.59        | 76.56          | 4.48         | 135.3 7        | 28.80        | 702.4 8        | 113.96       |
| 16       | Karnata ka                         | 1,268.1 6      | 76.29        | 147.2 6        | 129.37       | 780.9 9        | 52.01        | 90.25          | 11.64        |
| 17       | Kerala                             | 23.60          | 18.19        | 534.9 3        | 14.55        | 645.1 6        | 296.97       | 159.7 0        | 63.24        |
| 18       | Ladakh                             | -              | -            | -              | -            | 20.40          | 0.78         | 9.53           | 0.75         |

|   19 | Lakshad weep   | 4.10      | 0.63   | 0.60      | 0.34   | 9.10      | 0.05      | 8.40    |   0.92 |
|------|----------------|-----------|--------|-----------|--------|-----------|-----------|---------|--------|
|   20 | Madhya Pradesh | 1,265.9 4 | 289.28 | 2,055. 04 | 512.45 | 2,917. 09 | 1,661.7 9 | 414.3 2 | 269.42 |
|   21 | Maharas htra   | 1,172.2 6 | 176.17 | 536.4 2   | 128.38 | 677.3 3   | 458.28    | 63.81   |  10.79 |
|   22 | Manipur        | 128.31    | 5.14   | 126.4 5   | 122.02 | 81.17     | 23.94     | 23.28   |   0.99 |
|   23 | Meghala ya     | 387.19    | 13.35  | 43.50     | 44.05  | 28.80     | 23.75     | 47.76   |   9.33 |
|   24 | Mizora m       | 34.64     | 7.20   | 32.87     | 25.54  | 62.57     | 10.83     | 11.25   |   0.36 |
|   25 | Nagalan d      | 18.66     | 3.47   | 32.19     | 3.69   | 49.75     | 10.04     | 21.70   |   1.48 |
|   26 | Odisha         | 207.09    | 54.75  | 144.1 5   | 51.95  | 321.8 7   | 78.94     | 314.7 8 | 118.39 |
|   27 | Puduche rry    | 4.75      | 3.12   | 4.91      | 2.03   | 9.51      | 0.12      | 16.98   |   9.76 |
|   28 | Punjab         | 109.44    | 3.61   | 381.0 9   | 130.01 | 342.5 8   | 216.65    | 47.50   |  20.23 |
|   29 | Rajastha n     | 52.76     | 8.99   | 72.31     | 16.91  | 617.0 4   | 263.92    | 79.60   |  73.35 |
|   30 | Sikkim         | 22.10     | 0.33   | 7.25      | 6.75   | 11.70     | 0.22      | 5.20    |   1.05 |
|   31 | Tamil Nadu     | 147.25    | 110.47 | 193.8 7   | 224.76 | 708.7 4   | 25.01     | 254.0 4 | 105.92 |
|   32 | Telanga na     | 200.88    | -      | 8.25      | -      | 107.9 0   | -         | 180.0 0 |   3.6  |
|   33 | Tripura        | 10.20     | 1.32   | 73.10     | 38.91  | 7.33      | 2.79      | 5.40    |   8.08 |
|   34 | Uttar Pradesh  | 1,807.7 6 | 409.21 | 2,729. 91 | 359.46 | 3,447. 02 | 382.67    | 155.6 2 |  41.47 |
|   35 | Uttarakh and   | 18.40     | 7.14   | 55.54     | 9.00   | 174.5 6   | 163.36    | 37.84   |  28.3  |
|   36 | West Bengal    | 516.77    | 2.51   | 641.3 3   | 247.88 | 1,559. 98 | 663.04    | 110.8 4 |  99.96 |

## Note:

1. The SPIP Approvals and Expenditure are as available FMRs reported by States/Uts. It is updated upto 31.03.2022, hence provisional.
2. Expenditure includes central release, state release & unspent balances at the beginning of the year.
3.  After  the  Reorganisation  of  the  State  of  Jammu  and  Kashmir  (J&K)  into  the  Union Territory  of  J&K  and  Union  Territory  of  Ladakh,  NHM  funds  to  the  UT  of  Ladakh  were disbursed for the first time during 2020-21.