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GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA
STARRED QUESTION NO: 573
ANSWERED ON:  06.04.2018
Respectful Maternity Care
C. MAHENDRAN
(ADV.) JOICE GEORGE
Will the Minister of



HEALTH AND FAMILY WELFARE be pleased to state:-


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

(a) whether the Government has recently launched a programme called LaQshya to provide Respectful Maternity Care to all pregnant women attending public health facilities by improving the quality of maternity care in labour room, maternity operation theatre, obstetrics intensive care units and high dependency units and if so, the details thereof along with the aims and objectives of the programme;

(b) whether the said programme will improve the quality of care during delivery and immediate post-partum period and enhance satisfaction of the beneficiaries and if so, the details thereof; and

(c) whether this programme is implemented in all Government hospitals and if so, the details thereof?


ANSWER
ANSWER
THE MINISTER OF HEALTH AND FAMILY WELFARE
(SHRI JAGAT PRAKASH NADDA)

(a) to (c) : A Statement is laid on the Table of the House.


STATEMENT REFERRED TO IN REPLY TO LOK SABHA
STARRED QUESTION NO. 573* FOR 6TH APRIL, 2018

(a) Ministry of Health & Family Welfare has recently launched a program named LaQshya on 11th December 2017. This program aims to reduce preventable maternal and newborn mortality, morbidity and stillbirths associated with the care around birth by improving quality of care in the labour room, maternity operation theatre, obstetrics intensive care units (Obs ICUs) and high dependency units (HDUs). The main objectives are:

1. To reduce maternal and newborn mortality & morbidity due to Ante-partum Haemorrhage (APH), post-partum Haemorrhage (PPH), retained placenta, preterm, preeclampsia & eclampsia, obstructed labour, puerperal sepsis, newborn asphyxia, sepsis etc.
2. To improve Quality of care during the delivery and immediate post-partum care, stabilization of complications, to ensure timely referrals with an effective two-way follow-up system.
3. To enhance satisfaction of beneficiaries and to provide Respectful Maternity Care (RMC) to all pregnant women attending the public health facility.

(b) LaQshya program is a focused and targeted approach to strengthen key processes related to the labour room and maternity operation theatre within a short period to achieve time bound targets thereby ensuring desired outcomes. This programme consists of rigorously supervised six cycles of rapid improvement during delivery and in immediate post-partum period. Focus is to be given to improve close monitoring of delivery, presence of birth companion as per pregnant women’s choice, provision of respectful maternity care, timely management of complications, strengthening of referral protocols, adherence to standard protocols, essential & emergency newborn care, early initiation of breast feeding and infection prevention including biomedical waste management.

Satisfaction level of clients is to be assessed by taking feedback from beneficiaries through Mera Aspatal. The facilities with more than 80% beneficiaries satisfied score along with other National Quality Assurance Standards (NQAS) indicators for labour room & maternity OT will be LaQshya certified.

(c) The programme is planned to improve quality of care in Government hospitals especially:
• All government medical college hospitals.
• All District Hospitals & equivalent health facilities.
• All designated FRUs and high case load CHCs with over 100 deliveries/60 deliveries (per month) in hills and desert areas.

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