Lok Sabha Question No. 1925 (UNSTARRED), answered on 2024-08-02
Subject: Free of cost Quality Antenatal Care
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Shyamkumar Daulat Barve, Shri Omprakash Bhupalsinh Alias Pavan Rajenimbalkar, Shri Arvind Ganpat Sawant, Shri Shrirang Appa Chandu Barne

## GOVERNMENTOFINDIA MINISTRYOF HEALTH & FAMILY WELFARE DEPARTMENTOFHEALTH & FAMILY WELFARE

## LOK SABHA

## UNSTARRED QUESTION No. 1925 TO BE ANSWERED ON 02/08/2024

## 'FREE OF COST QUALITY ANTENATAL CARE'

## 1925: SHRI SHYAMKUMAR DAULATBARVE: SHRI OMPRAKASH BHUPALSINH ALIAS PAVAN RAJENIMBALKAR: SHRI ARVIND GANPAT SAWANT: SHRI SHRIRANG APPACHANDU BARNE:

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

- (a) whether the Government has launched Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) to provide fixed-day, free-of-cost, assured, comprehensive and quality antenatal care on the ninth day of every month to all pregnant women in their second and third trimester;
- (b) if so, the number of women received antenatal care under the PMSMA in the country during the last three years till date, State-wise/year-wise particularly in Maharashtra;
- (c) whether there is any requirement to track high-risk pregnancy to save more lives for both mother and the newborn;
- (d) if so, the steps taken/proposed to be taken by the Government for tracking individual high-risk pregnancy and providing additional PMSMA sessions to save more lives; and
- (e) whether the Government has expended its list of categories of high-risk pregnancies to ensure that more women have institutional deliveries and reduce deaths during/after childbirth and if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYAPATEL)

(a) and (b) The Government of India has launched ' 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 number of pregnant women received antenatal care under the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) during the last three years and current year in the country, state-wise/year-wise including Maharashtra is attached at Annexure-1.

(c) and (d) Tracking high-risk pregnancies (HRP) is crucial for early identification of potential complications, enabling timely interventions and specialized care. This proactive approach significantly improves maternal and newborn health outcomes by preventing adverse events thus saving life of both mother and newborn.

Continuing with the efforts to ensure safe motherhood through PMSMA and with the vision for further improvement, Extended PMSMA strategy was launched to ensure quality ANC to pregnant women, for individual tracking of high-risk pregnancy and provision of additional PMSMA sessions over and above 9 th of every month.

(e) The Government of India has expanded the list of high risk pregnancy from 10 categories to 25 high risk pregnancy categories to ensure early identification and timely management of complications to reduce morbidity & mortality and ensure institutional delivery by tagging with the nearest First Referral Unit (FRU). List of the 25 high risk pregnancy (HRP)categories is attached at Annexure-2.

## Annexure referred to the reply to parts (a) to (b) of Lok Sabha Unstarred Question No. 1925 for answer on 02.08.2024

## Annexure 1

| Sl. No.   | Sate/UT                   | Total number of pregnant women Received Antenatal care under PMSMA   | Total number of pregnant women Received Antenatal care under PMSMA   | Total number of pregnant women Received Antenatal care under PMSMA   | Total number of pregnant women Received Antenatal care under PMSMA   |
|-----------|---------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|
| Sl. No.   | Sate/UT                   | (1 Apr 2021 to 31 Mar 2022)                                          | (1 Apr 2022 to 31 Mar 2023)                                          | (1 Apr 2023 to 31 Mar 2024)                                          | (1 Apr 2024 to 26 th July 2024)                                      |
| 1         | ANDAMANAND NICOBARISLANDS | 3190                                                                 | 3257                                                                 | 3631                                                                 | 323                                                                  |
| 2         | ANDHRAPRADESH             | 461251                                                               | 905747                                                               | 838264                                                               | 294466                                                               |
| 3         | ARUNACHAL PRADESH         | 4940                                                                 | 3462                                                                 | 3655                                                                 | 1190                                                                 |
| 4         | ASSAM                     | 33620                                                                | 59961                                                                | 58987                                                                | 17842                                                                |
| 5         | BIHAR                     | 537892                                                               | 809779                                                               | 852059                                                               | 271356                                                               |
| 6         | CHANDIGARH                | 6560                                                                 | 7953                                                                 | 8419                                                                 | 4771                                                                 |
| 7         | CHHATTISGARH              | 83269                                                                | 268203                                                               | 312420                                                               | 91847                                                                |
| 8         | DADRAAND NAGARHAVELI      | 4755                                                                 | 6531                                                                 | 4214                                                                 | 758                                                                  |
| 9         | DAMANANDDIU               | 3936                                                                 | 20984                                                                | 18016                                                                | 529                                                                  |
| 10        | DELHI                     | 44875                                                                | 52098                                                                | 61514                                                                | 28829                                                                |
| 11        | GOA                       | 2975                                                                 | 6170                                                                 | 18872                                                                | 3950                                                                 |
| 12        | GUJARAT                   | 229520                                                               | 257701                                                               | 276169                                                               | 75402                                                                |
| 13        | HARYANA                   | 238160                                                               | 337817                                                               | 382963                                                               | 124528                                                               |
| 14        | HIMACHAL PRADESH          | 45152                                                                | 56224                                                                | 57204                                                                | 21870                                                                |
| 15        | JAMMUAND KASHMIR          | 29154                                                                | 58588                                                                | 66535                                                                | 21418                                                                |
| 16        | JHARKHAND                 | 98188                                                                | 149758                                                               | 178620                                                               | 67800                                                                |
| 17        | KARNATAKA                 | 42093                                                                | 224946                                                               | 537531                                                               | 186603                                                               |
| 18        | KERALA                    | 2907                                                                 | 3364                                                                 | 3572                                                                 | 714                                                                  |
| 19        | LAKSHADWEEP               | 893                                                                  | 827                                                                  | 898                                                                  | 639                                                                  |
| 20        | MADHYAPRADESH             | 530716                                                               | 200625                                                               | 351696                                                               | 202259                                                               |
| 21        | MAHARASHTRA               | 74024                                                                | 292039                                                               | 278956                                                               | 76480                                                                |
| 22        | MANIPUR                   | 4104                                                                 | 9848                                                                 | 8820                                                                 | 3100                                                                 |
| 23        | MEGHALAYA                 | 3620                                                                 | 58902                                                                | 63035                                                                | 21096                                                                |
| 24        | MIZORAM                   | 6768                                                                 | 7161                                                                 | 7993                                                                 | 1919                                                                 |
| 25        | NAGALAND                  | 2285                                                                 | 2859                                                                 | 1985                                                                 | 609                                                                  |
| 26        | ODISHA                    | 141197                                                               | 270561                                                               | 375076                                                               | 115385                                                               |
| 27        | PUDUCHERRY                | 0                                                                    | 99                                                                   | 2244                                                                 | 3130                                                                 |
| 28        | PUNJAB                    | 69523                                                                | 115905                                                               | 177441                                                               | 77542                                                                |
| 29        | RAJASTHAN                 | 153439                                                               | 522258                                                               | 526829                                                               | 241414                                                               |
| 30        | SIKKIM                    | 950                                                                  | 1290                                                                 | 883                                                                  | 44                                                                   |
| 31        | TAMILNADU                 | 346309                                                               | 329832                                                               | 329365                                                               | 74308                                                                |
| 32        | TELANGANA                 | 247737                                                               | 296112                                                               | 259288                                                               | 57750                                                                |
| 33        | TRIPURA                   | 19519                                                                | 22143                                                                | 27777                                                                | 9406                                                                 |
| 34        | UTTARPRADESH              | 1135849                                                              | 1680849                                                              | 2833000                                                              | 997140                                                               |
| 35        | UTTARAKHAND               | 23702                                                                | 28339                                                                | 24258                                                                | 5704                                                                 |
| 36        | WESTBENGAL                | 115186                                                               | 285119                                                               | 364089                                                               | 137434                                                               |
|           | Total                     | 4748258                                                              | 7357311                                                              | 9316278                                                              | 3239555                                                              |

## Annexure referred to the reply to part (e) of Lok Sabha Unstarred Question No. 1925 for answer on 02.08.2024

Annexure 2

|   Sl. No. | High Risk Pregnancy (HRP) categories   |
|-----------|----------------------------------------|
|         1 | HIV                                    |
|         2 | Syphilis                               |
|         3 | Severe anemia                          |
|         4 | Pregnancy Induced Hypertension         |
|         5 | Gestational Diabetes Mellitus          |
|         6 | Hypothyroidism                         |
|         7 | Tuberculosis                           |
|         8 | Malaria                                |
|         9 | Previous LSCS                          |
|        10 | Cephalo-pelvic Disproportion           |
|        11 | Bad Obstetric History                  |
|        12 | Twins/Multiple pregnancy               |
|        13 | Hepatitis B                            |
|        14 | Abnormal fetal heart rate              |
|        15 | Teenage Pregnancy                      |
|        16 | High Fever                             |
|        17 | RTI/STI                                |
|        18 | H/O Still Birth                        |
|        19 | Congenital Malformation                |
|        20 | Negative Blood Group                   |
|        21 | Early Primi                            |
|        22 | Elderly Primi                          |
|        23 | Grand Multipara                        |
|        24 | Short Stature                          |
|        25 | Others specify                         |