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Deliveries in Haryana hospitals up from 89% to 98% in 9 yrs
Deliveries in Haryana hospitals up from 89% to 98% in 9 yrs

Time of India

time22-05-2025

  • Health
  • Time of India

Deliveries in Haryana hospitals up from 89% to 98% in 9 yrs

1 2 3 Gurgaon: Most women in Haryana are choosing to give birth in hospitals and health centres, according to govt data that shows 98.3% of deliveries recorded across the state in 2024 were in medical facilities, a jump from 89% in 2015. Officials said on Wednesday that institutional deliveries was helping make childbirth safer and reduce maternal mortality rate (MMR) in the state. The Special Bulletin on Maternal Mortality in India, released this month, said Haryana's MMR reduced from 110 per 100,000 live births in 2017–19 to 106 in 2019-21. The state aims to bring down MMR to the global goal of 70 for 100,000 births by 2030. Maternal mortality is defined as the death of a woman while she is pregnant, death after giving birth or within six weeks of giving birth. Health department officials said several govt initiatives are helping make these changes possible. Among them is the 'Zero Home Delivery' campaign, which spreads awareness about the importance of delivering a child at health centres with trained medical professionals. The state also asked all districts to improve ante-natal care and identify high-risk pregnancy cases. They were asked to maintain dashboards with high-risk cases at all govt health centres, and ensure that all anaemic women with low red blood cell count get mandatory blood transfusion. Another key initiative is the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA), which facilitates check-ups for pregnant women in the early stages of conception. Under the National Health Mission (NHM), Haryana also introduced its 'blanket sanction' policy that allows districts to directly hire doctors and specialists in under-staffed regions. "All labour rooms across the state have been upgraded with essential drugs, equipment, and logistics. These advancements aim to ensure that every childbirth is safe, dignified and well-supported," said Dr Ripu Daman Singh Dhillon, mission director of NHM-Haryana. Dhillon said that the state also carried out several programmes, including identifying high-risk pregnancies, to intervene before any complications can arise. For instance, the Janani Surakshit Maah (JSM) campaign facilitates additional resources and medical attention for high-risk pregnancy cases. The Janani Suraksha Yojana (JSY) provides monetary support for institutional deliveries to women from economically disadvantaged sections. Similarly, Janani Shishu Suraksha Karyakram (JSSK) eliminates out-of-pocket expenses by offering free drugs, diagnostics, diet, blood transfusions and referral transport services to women. "The state also implemented a maternal death review (MDR) system, conducting one-to-one reviews at the state level to identify systemic gaps and implement corrective measures promptly. This data-driven approach allows for continuous improvement," said Dr Virender Yadav, director, NHM-Haryana.

Lives of 8K more moms saved during childbirth in UP in 10yrs
Lives of 8K more moms saved during childbirth in UP in 10yrs

Time of India

time15-05-2025

  • Health
  • Time of India

Lives of 8K more moms saved during childbirth in UP in 10yrs

Lucknow: More expectant mothers are being saved from dying during childbirth in UP now compared to a decade ago, suggests a comparison of the sample registration system (SRS) bulletin on maternal mortality. The bulletin for the reference year 2021 was released last week. It showed that compared to a maternal mortality ratio (MMR) of 285 in 2011, UP's MMR was reported to be 151 in 2021. Maternal deaths are measured in terms of lives lost per one lakh live births. This means that in 2011-13, for every one lakh live births, 285 mothers were dying. This number declined to 151 in 2019-2021. UP's birth rate stands at 24.8 per 1000 population as of now. This translates into some 62 lakh live births in a year, keeping the state's population of 25 crore in mind. So, an estimated 8,308 expectant mothers were saved from dying during childbirth in the SRS year. The decline is a multi-factorial outcome, said mission director of National Health Mission, UP, Pinky Jowel. "Our entire team worked tirelessly to ensure access, quality and timeliness of healthcare services. ASHA workers, ANMs and medical officers improved service delivery at the grassroots level, which paid dividends," she said. She added that the strategy of caring for mothers and children for 1,000 days has proven effective in reducing MMR. "This included registering pregnant women immediately upon conception, ensuring at least four antenatal check-ups (ANC), and identifying and managing high-risk pregnancies under the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)," she said. She said that the state worked hard to strengthen First Referral Units (FRUs) to save more lives. "While on one hand, the state rolled out a massive programme to train doctors in emergency obstetric care to manage complications during pregnancy, childbirth and the postpartum period to prevent any untoward incidents, it invested in ensuring the availability of 24x7 delivery services at the FRUs by deploying specialist doctors, trained staff, providing blood storage units and operation theatres," she said. The multi-pronged strategy also included promoting institutional deliveries, maintaining the quality of healthcare services under the National Quality Assurance Standards (NQAS), strengthening emergency medical transport service (102-108 ambulance) and reducing its response time to promote institutional deliveries. It also involved monitoring the health of mothers even when they reach home through MANTRA and e-KAVACH apps, among others. Despite this reason to smile, UP needs to continue to work on the count for several reasons. First, the state's burden of MMR is the third highest in the country. Second, it is way behind the national figure of 93. Finally, it is far from the sustainable development goal target of 70. Asked what the state govt would do to improve its performance on the count, Jowel said: "Our future goal is to achieve NQAS certification for more FRUs and to strengthen data-driven decision-making systems to continuously improve the reach and quality of maternal and newborn care services, bringing UP's standards on par with national standards."

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