LaQshya : Labour Room Quality Improvement Initiative was launched under the National Health Mission of Ministry of Health & Family Welfare, Government of India.
Pregnant women are often meted out rude and uncourteous treatment at the health facilities.
Respectful maternity care not only contributes in ensuring positive outcomes for the mothers and newborns, but also supports cognitive development of the babies later in the life.
LaQshya was launched with the following objectives
- To reduce maternal and newborn mortality & morbidity due to APH, PPH, retained placenta, preterm, preeclampsia & eclampsia, obstructed labour, puerperal sepsis, newborn asphyxia, and sepsis, etc.
- To improve Quality of care during the delivery and immediate post-partum care, stabilization of complications and ensure timely referrals, and enable an effective two-way follow-up system.
- To enhance satisfaction of beneficiaries visiting the health facilities and provide Respectful Maternity Care (RMC) to all pregnant women attending the public health facility
To meet the objectives the Ministry of Health & Family Welfare, Government of India issued ‘Labour Room Standardization Guidelines’ and ‘Maternal & Newborn Health Toolkit’ .
LaQshya aims to reduce the MMR Maternal Mortality Rate.
Sustainable Development Goal 3 by United Nations regarding “Good Health and Well-being”, one of the 17 Sustainable Development Goals established by the United Nations in 2015, aims to reduce the global maternal mortality ratio to less than 70 per 100,000 live births.
Maternal Mortality Ratio (MMR) in India was exceptionally high in 1990 with 556 women dying during child birth per hundred thousand live births.
Approximately, 1.38 lakh women were dying every year on account of complications related to pregnancy and child birth. The global MMR at the time was much lower at 385. There has, however, been an accelerated decline in MMR in India. MMR in the country has declined to 167 (2011-13) against a global MMR of 216 (2015). The number of maternal deaths stands reduced by 68.7%. India’s share among global maternal deaths has declined significantly to about 15% as per the MMEIG report.
The World Health Organization (WHO) defines maternal death as the death of a pregnant woman due to complications related to pregnancy, underlying conditions worsened by the pregnancy or management of these conditions. This can occur either while she is pregnant or within six weeks of resolution of the pregnancy.
“Maternal death is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes.”
States which have achieved an MMR of 100 per 1,00,000 live-births in 2011-13 are Kerala, Tamil Nadu, Maharashtra and Andhra Pradesh.
The States of Gujarat, Haryana, Karnataka and West Bengal have also reached the MDG-5 target.
India has committed itself to the latest UN target for the Sustainable Development Goals (SDGs) for MMR at 70 per 1,00,000 live births by 2030.
For bringing pregnant women to health facilities for ensuring safe delivery and emergency obstetric care, Janani Suraksha Yojana (JSY), a demand generation scheme was launched in April, 2005
Janani Suraksha Yojana (JSY) is a safe motherhood intervention under National Health Mission (NHM), being implemented with the objective to reduce maternal and neonatal mortality by promoting
institutional delivery among pregnant women. JSY is a centrally sponsored scheme which integrates cash assistance with delivery and post-delivery care. The Yojana has identified Accredited Social Health Activist (ASHA) as an effective link between the Government and pregnant women