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March 21, 2023
By
Harshini

Pradhan Mantri Surakshit Matritva Abhiyan

The Ministry of Health and Family Welfare (MoHFW) launched the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA). This program aims to provide comprehensive, free-of-cost, assured, and quality antenatal care to all pregnant women on the ninth of every month.

The PMSMA guarantees minimum antenatal care services to women in their second or third trimester of pregnancy at designated government health facilities. This program follows a systematic approach to engagement with the private sector, which includes developing strategies for generating awareness, motivating private practitioners to volunteer for the program campaign, and appealing to the private sector to participate in the PMSMA at government health facilities.

Let us understand a bit more about this scheme further in this article

Objectives of PMSMA

The Pradhan Mantri Surakshit Matritva Abhiyan aims to improve the coverage and quality of Antenatal Care (ANC), including counseling and diagnostics services, as a part of the Reproductive Maternal Neonatal Child and Adolescent Health (RMNCH+A) strategy. The following are the objectives of the PMSMA:

1. Ensure at least one antenatal care check-up for all pregnant women in their third or second trimester by a specialist or physician.

2. Improve the quality of care during ANC visits, including the following services:

  • Every applicable diagnostic service.
  • Screening for the relevant clinical conditions.
  • Appropriate management of an existing clinical condition such as pregnancy-induced hypertension, anemia, gestational diabetes, etc.
  • Proper documentation of services rendered and appropriate counseling services.
  • Additional service opportunities for pregnant women who have missed ANC visits.

3. Identifying and line-listing high-risk pregnancies based on existing clinical conditions and obstetric or medical history.

4. Appropriate birth complication readiness and planning for each pregnant woman, especially those identified with any comorbid or risk factor condition.

5. Special emphasis on appropriate and adequate management of women with malnutrition and early diagnosis.

6. Special focus on early and adolescent pregnancies as these pregnancies requires specialized and extra care.

Features of PMSMA

1. PMSMA is based on the premise that when each pregnant woman is appropriately investigated and examined by a physician at least once during the PMSMA and adequately followed up, it can result in a reduction of neonatal and maternal deaths in India.

2. OB GYN specialists, physicians, or radiologists provide antenatal check-up services with support from private-sector doctors to supplement the government sector efforts.

3. The beneficiaries will receive a minimum package of antenatal care services (including drugs and investigations on the ninth day of each month at identified public health facilities, such as CHCs, PHCs, urban health facilities, DHs, etc.) in urban and rural areas in addition to the routine ANC at a health outreach or facility.

4. Pregnant women attending the PMSMA clinics will receive a minimum package of investigations, including one ultrasound during the second trimester of pregnancy, and medicines such as calcium supplements, IFA supplements, etc., using the principles of a single window system.

5. The program targets to reach out to all pregnant women. Special efforts are made to reach out to women not registered for ANC; those registered but not availed of the ANC services and high-risk pregnant women.

6. OB GYN specialists, physicians, or radiologists from the private sector will be encouraged to give voluntary services at public health facilities where the government sector practitioners are inadequate or unavailable.

7. Pregnant women will be given safe motherhood booklets and ‘Mother and Child Protection Cards’ (MCP).

Services Provided Under PMSMA

The following services are provided under the PMSMA to all pregnant women in India after registration:

1. Auxiliary Nurse Midwifery (ANM) and Student Nurses (SN) ensure that all basic laboratory investigations are done before the OBGYN medical officer examines the beneficiary.

2. The investigations reported by the ANM and SN are generally handed over within an hour or before the beneficiaries meet the doctors for further check-ups. This will ensure the identification of any high-risk status, like gestational diabetes, anemia, infection, hypertension, etc., during the examination and further advice.

3. In certain cases, beneficiaries are advised to get ANM and SN investigations done where additional investigations are required and share the report during the next PMSMA or routine ANC check-up visit.

4. The following lab investigations are provided under the PMSMA:

  • Ultrasound Sonography Test (USG).
  • Hemoglobin (Hb) level.
  • Urine albumin.
  • Random Blood Sugar (Dipstick).
  • Rapid malaria test.
  • Blood grouping.

FAQS

1. What is the goal of the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)?

The goal of the Pradhan Mantri Surakshit Matritva Abhiyan is to improve the coverage and quality of pre-birth care including counseling services and diagnostics as a part of the Reproductive Maternal Neonatal Child and Adolescent Health (RMNCH+A) Strategy.

2. When was the PMSMA launched?

The Pradhan Mantri Surakshit Matritva Abhiyan or PMSMA was launched on June 9, 2016.

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