Pradhan Mantri Surakshit Matritva Abhiyan | UPSC
Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) was launched to provide fixed-day assured, comprehensive and quality antenatal care universally to all pregnant women (in 2nd and 3rd trimester) on the 9th of every month.
While antenatal care is routinely provided to pregnant women, special ANC services are provided by OBGY specialists/ Radiologist/ Physicians at government health facilities under PMSMA
Using the principles of a single window system, it is envisaged that a minimum package of investigations and medicines such as IFA and calcium supplements etc would be provided to all pregnant women attending the PMSMA clinics.
One of the critical components of the Abhiyan is identification and follow-up of high risk pregnancies and red stickers are added on to the Mother and Child Protection cards of women with high risk pregnancies.
Goal & Objectives of PMSMA
Goal of the PMSMA
Pradhan Mantri Surakshit Matritva Abhiyan envisages to improve the quality and coverage of Antenatal Care (ANC) including diagnostics and counselling services as part of the Reproductive Maternal Neonatal Child and Adolescent Health (RMNCH+A) Strategy.
Objectives of the program:
- Ensure at least one antenatal checkup for all pregnant women in their second or third trimester by a physician/specialist
- Improve the quality of care during ante-natal visits. This includes ensuring provision of the following services:
- All applicable diagnostic services
- Screening for the applicable clinical conditions
- Appropriate management of any existing clinical condition such as Anaemia, Pregnancy induced hypertension, Gestational Diabetes etc.
- Appropriate counselling services and proper documentation of services rendered
- Additional service opportunity to pregnant women who have missed ante-natal visits
- Identification and line-listing of high-risk pregnancies based on obstetric/ medical history and existing clinical conditions.
- Appropriate birth planning and complication readiness for each pregnant woman especially those identified with any risk factor or comorbid condition.
- Special emphasis on early diagnosis, and adequate and appropriate management of women with malnutrition.
- Special focus on adolescent and early pregnancies as these pregnancies need extra and specialized care
Key Features of PMSMA
- PMSMA is based on the premise — that if every pregnant woman in India is examined by a physician and appropriately investigated at least once during the PMSMA and then appropriately followed up — the process can result in reduction in the number of maternal and neonatal deaths in our country.
- Antenatal checkup services would be provided by OBGY specialists / Radiologist/physicians with support from private sector doctors to supplement the efforts of the government sector.
- A minimum package of antenatal care services (including investigations and drugs) would be provided to the beneficiaries on the 9th day of every month at identified public health facilities (PHCs/ CHCs, DHs/ urban health facilities etc) in both urban and rural areas in addition to the routine ANC at the health facility/ outreach.
- Using the principles of a single window system, it is envisaged that a minimum package of investigations (including one ultrasound during the 2nd trimester of pregnancy) and medicines such as IFA supplements, calcium supplements etc would be provided to all pregnant women attending the PMSMA clinics.
- While the target would reach out to all pregnant women, special efforts would be made to reach out to 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.
- OBGY specialists/ Radiologist/physicians from private sector would be encouraged to provide voluntary services at public health facilities where government sector practitioners are not available or inadequate.
- Pregnant women would be given Mother and Child Protection Cards and safe motherhood booklets.
- One of the critical components of the Abhiyan is identification and follow up of high risk pregnancies. A sticker indicating the condition and risk factor of the pregnant women would be added onto MCP card for each visit:
- Green Sticker- for women with no risk factor detected
- Red Sticker – for women with a high-risk pregnancy
- Blue Sticker – for pregnancy-induced hypertension
- Yellow Sticker – for co-morbidities ( like DM, STDs, hypothyroidism )
- A National Portal for PMSMA and a Mobile application have been developed to facilitate the engagement of private/ voluntary sector.
- ‘IPledgeFor9’ Achievers Awards have been devised to celebrate individual and team achievements and acknowledge voluntary contributions for PMSMA in states and districts across India.
Engagement with Private/ Voluntary Sector
- Hon’ble Prime Minister of India highlighted the aim and purpose of introduction of the Pradhan Mantri Surakshit Matritva Abhiyan in the July31, 2016 episode of Mann Ki Baat and asked doctors to dedicate 12 days in a year to this initiative.
- A National Portal for PMSMA and a Mobile application have been developed to facilitate the engagement of doctors from private/ voluntary sector.
- OBGY specialists / Radiologist/ Physicians working in the private sector are encouraged to volunteer for the campaign and can register for the campaign through any of the following mechanisms:
- Toll Free Number – Doctors can call 18001801104 to register
- SMS- Doctors can SMS ‘PMSMA <Name> to 5616115
- PMSMA Portal- Register atpmsma.nhp.gov.in
- Register using the ‘Volunteer Registration’ Section of the Mobile Application
PMSMA ‘Nearest Facility’ Search
- As a step towards Hon’ble Prime Minister’s dream of ‘Digital India’, a mobile/ web based application has been designed to help pregnant women find their nearest PMSMA facility. In order to access this service, pregnant women can visit https://pmsma.nhp.gov.in/or download the ‘PMSMA’ mobile application.
PMSMA ‘IPledgefor9’ Achievers Awards
- PMSMA ‘I Pledge For 9’Achievers Awards‘ have been devised to celebrate individual and team achievements, identify and recognize excellence in performance in PMSMA at various levels and focus on awarding government teams and private sector doctors who have volunteered for the programme.
- The NationalPMSMA ‘IPledgefor9’ Achievers Awards ceremony was held in June 2018. Contributions of States/ UTs were recognized through a physical award ceremony as well as through a virtual a ‘Hall of Fame’ for wide Public and social recognition of their contributions.
