PT JNM MEDICAL COLLEGE RAIPUR

DEPARTMENT OF COMMUNITY MEDICINE

PRADHAN MANTRI
SURAKSHIT MATRITVA ABHIYAN
GUIDED BY
• DR NIRMAL VERMA SIR
PRESENTED BY
(HOD,DEPT OF COMMUNITY MEDICINE) • SAURAV SUMAN
SUPERVISED BY • SANJAY PATEL
• DR MANISH A PRASAD SIR • SEEMA AHUJA
(ASST. PROFESSOR,DEPT OF COMMUNITY MEDICINE) • SFURTI TRIPATHI
ASSISTED BY
• DR NANDLAL SIR
• SHALINI THAKUR
www.mohfw.com
(PG SCHOLAR,DEPT OF COMMUNITY MEDICINE) • SASHILATA TIRKEY
INDEX

• LEARNING OBJECTIVES
• INTRODUCTION
• HISTORY & OBJECTIVES
• COMMITTEES FOR PMSMA
• AT PMSMA SITE: GROUND RULES
• MONITORING & SUPERVISION
• TRACKING HIGH RISK PREGNANCY
• ROLES & RESPONSIBILITIES
• STRATEGIES FOE ENGAGEMENT OF PRIVATE SECTOR
• SWOT ANALYSIS
• SUMMARY & REFERENCES www.mohfw.com
Learning Launching & details of PMSMA
Objectives
Objectives of this program

Previous programmes related to

maternal health.
Implementation, planning &
programming management
Beneficary packages & services provided
to pregnant women
Main work of CMO, Nodal officer, ASHA,
ANM in PMSMA.
Success ratio of this program.

www.mohfw.com
www.mohfw.com
 Pregnant women who have not
registered for ANC

those who have registered for

ANC but are drop outs
FOCUS OF
PMSMA
High risk pregnant women

target beneficiaries- it aims to reach all

pregnant women who are in 2nd and 3rd
trimester of pregnancy
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 BACKGROUND
Every pregnancy is special and every pregnant women must
receive special care

Any pregnant women can develop life-threatening

complications so they need access to quality antenatal services

For achieving sustainable development goal reduction in

maternal mortality becomes important.

www.mohfw.com
 Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)

1 2 3 4
Minimum
Ministry of package of Engagement
Assured,compre
Health and antenatal care with private
-hensive and
Family Welfare services to sector: to
quality
women in their volunteer for
antenatal
2nd or 3rd campaign;
care,free of
trimester of generating
cost,universally
pregnancy awareness and
to all pregnant
appealing to the
women on 9th of
private sector to
every month
participate.
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www.mohfw.com
 OBJECTIVES

• 1.To provide healthy life to a pregnant mother.

• ANC Visit
• ANC Care- 1)To promote,protect and maintain
health of mother during pregnancy
2)To educate the mother about child
care,nutrition,personal hygiene,environmental
sanitation.
3)Remove anxiety associated with delivery.
www.mohfw.com
 OBJECTIVES

2. To lower the maternal mortality ratio,improve

the quality of care during ANC visit includes-
• Screening
• Diagnostic services
• Appropriate management
• Appropriate counselling Services
• Additional services opportunity to pregnant women who
have missed ANC visits
3. To make pregnant women aware of their
Health issues and Diseases www.mohfw.com
 OBJECTIVES

4. To ensure safe delivery and Healthy life of the baby

INTRANATAL CARE- Aseptic precautions during delivery
-Delivery with minimum injury to the infant and mother
-Readiness to deal with complications
- Care of the baby at delivery
POSTNATAL CARE-
-to check adequacy of breast feeding
- to provide family planning services
- to provide basic health education to mother/family

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www.mohfw.com
 • JANANI SURAKSHA
YOJANA(JSY)-
PREVIOUS 1. launched on 12 April
2005
PROGRAMME 2. ANC and PNC visits
RELATED TO 3. 24hr delivery services .
MATERNAL 4. Identification of
complicated cases.
HEALTH
5. Referral servies and
transport facilities are
provided.

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www.mohfw.com
www.mohfw.com
 JANANI SHISHU SURSKSHA
KARYAKRAM-

1.Launched on 1st june 2011.

2.Free for all pregnant women.
3.Pregnancy related diagnosis such as USG
and blood test is referred to private
diagnostic and beneficiaries have to pay
for it.

www.mohfw.com
 IMPLEMENTATION PLANNING AND
PROGRAM MANAGEMENT

1 PMSMA State 2 PMSMA

level Committee District level
(PSC) Committee (PDC)

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PMSMA State level Committee (PSC)

It includes director ICDS,

Formed under the
urban local bodies,Nodal
Chairpersonship of principle
Officer for maternal health,
secretary(Health and Family
representative of obs-gynae
Welfare) and led by Misson
and PSM department in
Director
medical colleges.

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Responsibilities of State Level Committee

1. Ensure necessary budget provided for PMSMA.

2. Prepare a plan for linking private provider to PMSMA
facilities.
3. Timely allocation of resources for drugs and
diagnostics.
4. Monitor status of implementation and follow up with
district for timely submission of reports.

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 PMSMA District Level Committee
(PDC)

Formulated under the Chairpersonship of District

Magistrate and led by Chief Medical Officer.
RESPONSIBILITES=
Orientation of ASHAs and ANM regarding their
roles and responsibilities
Ensure implementation status and submission of
reports
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www.mohfw.com
 1. Estimation of the Clinic load
2. Identification of PMSMA
Facilities and Planning for
HR,Drugs, DiagnosticsPMSMA
3. Flow of beneficiaries on the 9th
At PMSMA of every month i.e. on the day of
Site: Ground PMSMA
rules 4. Transportation Facilities
5. Tracking of high risk pregnant
women
6. Completing the Loop
7. Community awareness and
mobilization
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 Estimation of the Clinic load

• Probable number of
pregnancies per
= 1634000 X 26.1 (Birth Rate of Raipur)
1000
year for Raipur
district of 1.634
million population = 42647 Pregnancies/ year

•Number of Pregnancies per month = 3553 pregnancies/month

•As per RSOC 2013-14, 65.7 % pregnant women availed ANC services at AWCs/
government health facilities.

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2. Identification of PMSMA Facilities and
Planning for HR,Drugs, Diagnostics

Identification of Facilities: Ascertain how many health facilities in the

district have the requisite infrastructure and equipment’s

Ascertaining Requirement for Human Resources Gynecologists,

Medical Officers, Ultra-sonologists, lab technicians etc.

Ascertaining requirement of Drugs and Diagnostics:

PMSMA services could initiallybe operationalized at DH, SDH, CHC-

FRUs and non CHC FRUs

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www.mohfw.com
Flow of beneficiaries on the 9th of every month i.e. on the day of PMSMA

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 Transportation Facilities

States should however plan to provide

transportation facilities to PW residing in
inaccessible areas where public transport
For beneficiaries is either not available or very poor, PW
from vulnerable communities and in
blocks with home deliveries >20% under
JSSK

Obstetricians/ medical
For private providers
officers who require
transportation can be
provided transportation or
paid TA as per State
government norms.
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 MONITORING AND SUPERVISION PLAN

GOI will monitor States will also Nodal officer All monitoring
PMSMA activities designate will monitor formats will be
by randomly teams for field and supervise submitted to
visiting PMSMA monitoring. PMSMA nodal
sites. at district level.
officers at
district level.

www.mohfw.com
 REPORTING SYSTEM OF THE ACTIVITIES-

FOR INITIAL 6 MONTHS – FOR INITIAL 3 MONTHS –

STATE LEVEL 8th day of NATIONAL LEVEL MONITORS

MONITOR month

4-5 health
reach district- Monitor the programme and visit district
facility – see
see preparation
implementation
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www.mohfw.com
TRACKING OF HIGH RISK PREGNANT WOMEN

ANMs and ASHA It is mandatory that all

maintain a list of identified high risk
high risk pregnant cases must be linked
women. with such facility .

Emergency number
should be Should be
mentioned on her individually tracked.
card.

BOTH NODAL OFFICER

HIGH RISK PREGNANT AND DRIVERS OF
WOMEN SHOULD GET AMBULANCE SHOULD BE
ASSURED REFERRAL. ORIENTED FOR QUICK
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RESPONSE.
www.mohfw.com
COMMUNITY AWARENESS AND MOBILISATION

MASS MEDIA PRINT MEDIA

AWARENESS
ACTIVITY –
HEALTH OUTDOOR FOLK MEDIA
HELPLINE MEDIA
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 COMMUNITY AWARENESS AND
MOBILISATION

•INTERPERSONAL –
• ASHAs are directly linked between community and
health facilities.
•By the 5th day of every month ASHA prepare a list of
pregnant women in 2nd and 3rd trimester.
• Sensitization of members of community on PMSMA.
• Involving religious leaders to spread awareness.

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 • 1) District
CMO/CS/DHO/CMHO
ROLES AND • 2)District Nodal officer for
RESPONSIBILTIES PMSMA
OF SERVICE
• 3)Facility in charge
PROVIDERS
• 4)ANM
• 5)ASHA

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DISTRICT CMO/CS/DHO/CMHO

Nominates

Nodal officer IEC/BCC

for PMSMA nodal person

Execution of Execution of
PMSMA in awareness
the district campaign
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 DISTRICT NODAL OFFICER

Ensure that every facility Conduct orientation and

is provided. training of all the staff.

Coordinate with district Coordinate with district

programme manager in IEC/BCC nodal person
providing all the logistics for awareness
required. campaigns.

Facilitate mapping of
private specialist www.mohfw.com
doctors.
 FACILITY- IN- CHARGE
(nodal person for planning and execution of
PMSMA)

ENSURE CONDUCT ENSURE REGULAR PLAN FOR

ORIENTATION MEETINGS WITH DISTRIBUTION ESTIMATION OF MOBILISING A
AND TRAINING OTHER OF ALL THE IEC REQUIREMENT SPECIALIST
OF STAFF FOR DEPARTMENTS MATERIALS. OF LOGISTICS. FROM HIGHER
SERVICES TO BE I.E. ICDS ,LOCAL CENTRES TO
PROVIDED. NGOS. PROVIDE
QUALITY
SERVICES.
www.mohfw.com
 AUXILLARY NURSE MIDWIFERY

EDUCATES THE IDENTIFICATION & ESTIMATION OF

COMMUNITY ABOUT MOTIVATION OF EXPECTED
ARRANGE FOR
PMSMA AND MISSED OUT AND LEFT BENEFICIARIES &
COLLECTION OF
DISTRIBUTES LEAFLETS OUT BENEFICIARIES. PROVIDE IT TO FACILITY
REPORTS.
AND PAMPHLETS. IN CHARGE.

ARRANGE FOR
ENSURE FURTHER
REFERRAL OF HIGH
VISITS OF IDENTIFIED
RISK PREGNANCIES.www.mohfw.com
HIGH RISK CASES.
 ACCREDITED SOCIAL HEALTH ACTIVIST

Home visits or Identify missed out

Maintain the line list of
meetings with cases & left out
all beneficiaries.
pregnant women. pregnant women.

Ensure visit of referred

cases to higher centres Motivate for
for management & institutional deliveries.
treatment.

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 STRATEGIES
FOR
ENGAGEMENT
OF PRIVATE
SECTOR

www.mohfw.com
www.nrhmhp.gov.in
www.mohfw.com
 GENERATE AWARENESS

• Appeals from hon’ble chief ministers & health

ministers through TV/radio.
• National level communication strategies developed
and implemented.
• IEC campaign project the obs/medical officer as
celebrities of the campaigns.
• Collaberation of states/Uts with organisations like
FOGSI,IMA,etc. they are requested to hold CMEs and
promote the abhiyan through newsletters.
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 FACILITATE PARTICIPATION

portal launched for

Enables private doctors
doctors willing to
to register
volunteer

Communication sent to
District Nodal officer
authorities with
assign a public health
volunteer’s contact
facility
details

Nodal officer collect

Volunteers provide
information about the
services www.mohfw.com
facility
 SUSTAIN PARTICIPATION

• Volunteers made comfortable during visits &

acknowledged services provided.
• Multiple platforms used for acknowledgement like award
functions, social media,TV etc.
Criteria for
awards:

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SWOT ANALYSIS
Scan of internal & external environment of a
program

www.mohfw.com
www.nrhmhp.gov.in
www.mohfw.com
• STRENGTH- describes what an organization

S
excels at and separates it from the
competition.

w
• WEAKNESS- stop an organization from
performing at its optimum level.

• OPPORTUNITIES- refer to favourable

o
external factors that an organization can use
to give it a competitive advantage.

• THREATS- refers to factors that have the

t
potential to harm an organization.

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 Atleast 1 antenatal check-
up of pregnant woman by
a doctor/gynaecologist ,
during 2nd & 3rd
trimester

no high risk
pregnancy remains
STRENGTH undetected

prevent maternal &

child death
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 STRENGTH

• Coverage of full ANC: 180 IFA tablets

2 tetanus toxoid injection
minimum 3 ANC visits

• Stickers labelled pregnant woman

GREEN - no risk factor
RED - anemia
BLUE - pregnancy induced hypertension
YELLOW- other co-morbid conditions

• All essential maternal health services & safe abortion

services provided for unwanted pregnancies. www.mohfw.com
 STRENGTH

• If 9th day of month closed due to Sunday/holiday: PMSMA

organized on next working day.
• Intense monitoring on 8th day mandatory
state level : initial 6 months
national level : initial 3 months
• If special investigation required : sample collected &
transported by ANM/ MPW to higher centres & results
conveyed to pregnant woman.
• Compiling of the reports & submitted by districts to
MoHFW within 15 days of PMSMA.
www.mohfw.com
 STRENGTH

ANM organize mother’s meetings with support from ASHA &

AWW , 1 week prior to PMSMA.

108 / 102 / state owned ambulances/ private empanelled

ambulances provided for high risk pregnancy cases.

Reports reaching to doctor/specialist (OBGY) 1 hr before

meeting the pregnant women.

PMSMA app provides online registration & finding nearest

PMSMA facility. www.mohfw.com
 WEAKNESS

1 2 3
Where manpower not No financial support Compiling the
available, services from provided to pregnant requirements at health
private practitioners women. facilities & procuring
are not provided on a these in advance
regular basis. required.

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 OPPORTUNITIES

• Development partners can play a pivotal role in

coordinating with stake holders for monitoring &
supportive supervision activities.

• Identification of private facilities & institution

volunteering to provide services.

• Separate Information Education Communication (IEC) &

Behaviour Change Communication (BCC) strategies
should be developed to cover unreached beneficiaries.
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 OPPORTUNITIES

STATES MAY ALSO PMSMA APP: ONLINE ENTERTAIN DIGITAL

PROPOSE FOR ASHA APPOINTMENTS TO MONITORING OF ALL
INCENTIVES FOR NEAREST LOCATION TEST REPORTS
MOBILIZING
PREGNANT WOMEN
TO PMSMA.

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 THREATS

• Lack of infrastructure & health professionals

• Doctor: Pregnant woman= 1:2000 i.e. very poor due to

which quality checking will be hampered.

• Mindset of people.

• PMSMA is based on volunteer participation of

specialist (OBGY) & doctors.
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 ACHIEVEMENTS

• 10 states achieved a one-third reduction in Maternal

Mortality Ratio (MMR).

• State awards for Maternal Mortality Ratio reduction

who achieved a significant decline:
KERALA
MAHARASHTRA
TAMIL MADU
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 ACHIEVEMENTS

• Maximum proportion of pregnant women reaching PSMSA delivered to:

UTTAR PRADESH
UTTARAKHAND
KERALA
MADHYA PRADESH
CHHATTISGARH
• 5.5 lakh high risk pregnancies identified in 18 months (June 2016 to Dec 2017)
in New Delhi.

• Overall country: more than 10 million checkups done & 2.5 million high risk
pregnancies identified for focused attention.
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www.mohfw.com
• Till now, to enable early detection:
> 8.4 million Hb tests
> 5.5 million HIV tests
> 4.1 million OGTT tests for gestational
diabetes
> 3.3 million VDRL tests
> 1.5 million USG
have been conducted.

• More than 4800 private sectors have

pledged to provide voluntary service
under PMSMA.

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 CHHATTISGARH STATISTICS

1.50 lakh antenatal 25,000 high risk 524 PMSMA health out of which 40 are
checkups conducted pregnancies detected. facilities available in located in Raipur.
till now. C.G.

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www.mohfw.com
 SUMMARY

PradhanMantri Surakshit Matritva abhiyan

was launched on June 9 , 2016.
 It is conducted on 9th of every month
signifying 9 months of pregnancy.
 Free ANC checkups with proper
investigations including USG on the
same day.
 Prior identification of high risk
pregnancies.
www.mohfw.com
 REFERENCE

 www.mohfw.com
 www.nrhmhp.gov.in
 Censusindia.gov.in
 Pmsma.nhp.gov.in
 www.who.int
 www.education.vic.gov.au
 www.cfhi.org
www.mohfw.com
WE PLEDGE FOR 9

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 QUESTIONS
1) WHEN WAS PRADHANMANTRI SURAKSHIT
MATRITVA ABHIYAN LAUNCHED?
2)WHAT DOES 9TH DAY OF EVERY MONTH
SIGNIFY?
3)WHAT ARE THE DIFFERENT STICKERS FOR
LABELLING PREGNANT WOMEN?
4)HOW MUCH MONEY IS PROVIDED BY THIS
PROGRAMME?
5)WHAT ARE THE GOALS OF
PRADHANMANTRI SURAKSHIT MATRITVA
ABHIYAN?
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