MATERNAL HEALTH

Maternal Health
NHM,Assam
 JSY
• Incentivised scheme to increase institutional deliveries.

• Incentives provided to mother and the concerned ASHA

after institutional deliveries.

Action needed:

• Since JSY beneficiaries get benefits through DBT(Direct Bank

Transfer) only, having a bank account is mandatory.

• Create awareness about the importance of documents

(hospital and ANC)and bank details
 JSSK
• This initiative aims to end the out of pocket
expenditure(OOPE). Free and cashless delivery, free
diet during hospital stay , free drugs , free provision
of blood , free diagnostics and free transport
provided.

• IEC materials to be placed in prominent places for

increasing awareness regarding this programme.
 SAMAHAR
• As per JSSK guideline all pregnant women delivering in the
public health Institutions are entitled to get free diet for three
days for normal delivery and seven days for C- Section
delivery. In this regard, Government of Assam has
implemented a scheme with name SAMAHAR.

• A package of non- perishable food items (ofapprox. 3016 kcal

energy and 116g protein per day) is supplied to her hospital
stay. 1 packet for women undergoing normal vaginal delivery
and 2 packages for women having Caesarian section.

• IEC regarding SAMAHAR to increase institutional deliveries.

 PMSMA /e PMSMA
• PMSMA was launched in 2016 as a fixed day,
assured, comprehensive quality ANC service on 9th of
every month to every pregnant women.

• e PMSMA was introduced in December 2021 for

tracking HRP.

• IEC in prominent places regarding PMSMA and e

PMSMA. IEC campaigns before 9th of every month.
 SUMAN
This scheme aims to “end all preventable Maternal
and Neonatal deaths”, by going beyond ‘service
delivery’ to ‘assured service delivery’.

Target beneficiaries:
• All pregnant women
• All mother upto 6 months post delivery
• All sick infants.

Intensified IEC required as it is a new initiative

COMPREHENSIVE ABORTION CARE(CAC)
• Woman Centered Comprehensive Abortion Care means providing
safe and legal abortion services, taking into account different
factors influencing a woman’s physical and mental health needs, her
personal circumstances and ability to access abortion services.

• Providing clear and concise information for better implementation

of the CAC interventions in the district.

• Information to the community that abortion is legal in India under

MTP Act 1971 as IEC is effective in improving public acceptability.

• Information about post abortion family planning services to

improve contraceptive acceptance and help break cycle of repeated
unwanted pregnancies
 HOME DELIVERY POCKETS
• 5 districts ( Dhubri , South Salmara, Hojai, Barpeta and
Karimganj ) contributes to > 85% of home deliveries of Assam.

• Mapping of Home Delivery pockets in these districts has

brought forward the fact that one of the most important cause
is resistance and reluctance of the population to assess
healthcare.

• Intensive IEC -BCC activities required in the specific home

delivery pockets which caters to resistant population.

• IEC drive to be extended to other home delivery pockets with

high home delivery load in other districts.
 HIGH RISK PREGNANCY
• HRP identification, follow up , microplanning before
delivery is essential to decrease MMR.

• IEC- BCC for HRP(High Risk Pregnancy) required to

increase institutional deliveries and bring all HRP in
the healthcare loop and ensure adequate treatment
and follow up.

• IEC with HRP conditions in vinyl board to be

displayed in SUMAN branded facilities.
 WAGE COMPENSATION SCHEME
• Wage compensation scheme was initiated in the year 2018 by
government of Assam , specifically designed for tea garden pregnant
work

• 1st installment- During ANC registration-Rs.2000/

2nd installment- 6th month of pregnancy-Rs.4000/
3rd installment- During delivery in -Rs.3000/
government/government approved HI
4th installment- Sixth week post delivery-Rs.3000/

• IEC required to be done in crowded places in the vicinity of tea gardens

 PROJECT AAVARAN
• Carried out in Bongaigaon and Morigaon districts in pilot
basis.9 more districts are taken for the next financial year.
• Objectives:
1. To identify, register the left out pregnancies and track the drop
out by doing house to house visit.
2. To link the pregnant women to local health institution in case
of migration from one place to another.
• This special ANC drive will be carried out for one week per
quarter for a total of three quarters. Activity to be started
from 5th of the chosen month and to be continued till 11th of
the said month. IEC activities in these districts are to be
carried out in the first week of first month of each quarter.
GESTATIONAL DIABETES MELLITUS (GDM)
• Carried out as antenatal screening in aspirational
districts.

• IEC to be done along with the regular Antenatal

awareness generation, emphasising on the dangers
of GDM in pregnancy and the effects on the baby.
National Viral Hepatitis Control Programme (NVHCP)

• Aims elimination of Hepatitis C by 2030, Reduction in the

infected population, morbidity and mortality associated with
Hepatitis B and C, Reduce the risk, morbidity and mortality
due to Hepatitis A and E.

• Screening of pregnant women for HBsAg to be done where

institutional deliveries are <80% to ensure their referral for ID
and ensure birth dose of Hep B vaccine.

• Preventive component is the cornerstone of NVHCP , which

mainly requires awareness generation and BCC , emphasising
on safety of blood products,injection safety,safe water,safe
socio cultural practices,hygiene and sanitary toilets.
THANK YOU