An overview of Maternal Health Initiatives

under NQAS(LaQshya, SUMAN & MusQan)

Dr Rekha Gaikwad, Deputy Director

(F.W.), State Family Welfare bureau,
Pune
 Introduction
 Leverage the part certification under NQAS
 NQAS part certified facilities will be
declared certified for Suman service
packages (on meeting the defined criteria)
 Departments need to be the part of Suman
packages are discussed between QI & MH
team*
 Roles defined for State/district level MH-
QI teams
 Glimpses
Underlines the commitment towards
ensuring compliance to the existing National
Quality Assurance Standards (NQAS) at all
levels of committed services as one of the
broad pillars

All the SUMAN notified facilities

SUMAN – Surakshit Matritva should ensure State level NQAS
certification followed by attainment
Aashwasan National NQAS certified status within
six months
 QUALITY ASSURANCE UNDER SUMAN

After notification of SUMAN CEmONC facilities, States/UTs shall attain

either full NQAS certification / Part NQAS certification of those
additional departments in such facilities, where SUMAN services are
being delivered.

Non-FRU CHCs and PHCs, designated for SUMAN BEmONC services

should attain NQAS certification of such designated health facilities.

SUMAN compliant HWC-Sub Centres should also attain the NQAS

certification

At the time of notification of SUMAN facilities, the states need to ensure that such facilities attain
National NQAS certification/ LaQshya certification within six months of the notification.
 Departments
CHC
UPHC

OPD (Antenatal clinic &

pediatrics services), Labour PHC General clinic, Maternal
room, OT, IPD, NBSU, Post-
Health, New born and Child
DH/SDH Partum unit, Blood Storage HWC/SC
health, Immunization,
Unit, General
Family Planning, Outreach,
Administration
General Administration
All departments (LR, OPD, .
OPD (should prioritize
IPD, General
antenatal & pediatrics
Administration, National
services), Labour room,
Health Programme &
Maternity OT, Maternity
Laboratory). States may
ward, Pediatric ward, SNCU,
take exemptions for the 7 mandatory packages
Post-Partum unit, Blood
National Health Programme
Bank/Blood storage unit,
& Laboratory, if needed.
General Administration
.
.
 Departments for part NQAS certification at SUMAN
notified facility
Level of Facility Departments/Thematic areas
District Hospitals / SDH 1) OPD (should prioritize antenatal & pediatrics services), 2) Labour room,
3)Maternity OT, 4) Maternity ward, 5) Pediatric ward, 6) SNCU, 7) Post-
Partum unit, 8) Blood Bank/Blood storage unit, 9) General Administration
CHC 1) OPD (Antenatal clinic & pediatrics services), 2)Labour room, 3)OT,
4)IPD, 5)NBSU, 6)Post-Partum unit, 7)Blood Storage Unit, 8)General
Administration
PHC All departments (LR, OPD, IPD, General Administration, National Health
Programme & Laboratory). States may take exemptions for the National
Health Programme & Laboratory, if needed.

UPHC 1)General clinic, 2)Maternal Health, 3)New born and Child health,
4)Immunization, 5)Family Planning, 6)Outreach, 7)General Administration
 Departments for part NQAS certification at SUMAN
notified facility
Level of Facility Departments/Thematic areas

HWC-SC (7 mandatory 1) Care in pregnancy & child-birth, 2) Neo-natal & infant

packages) health care services, 3)Family planning and
contraceptive services and other Reproductive Health
Care Services, 4) Management of communicable diseases
including National Health Programme, 5)Management of
common communication diseases & 6)outdoor care for
acute simple illness and minor ailments, 7)Screening,
prevention,control and management of non-
communicable diseases
 Facility

Internal assessment as per NQAS by

Formal training for the staffs

1. 2. 3.
Self assessment as per joint District team (Experienced
of Quality Team/service
SUMAN guideline. NQAS IAs/DQT/DQAU/District RCH
providers.
Officer/District Consultant for
MH/CH/FP etc.).

Ensure all Reporting of indicators

4. 5. 6.
Identification of gaps &
statutory/regulatory under SUMAN along with
their closure.
requirements. KPIs.

Submission of application ITEM 08 ITEM 09

7. for state/national level

certification. Green marketing is a practice
whereby companies seek to.
9. Green marketing is a practice
whereby companies seek to.
• Targeted interventions in
intrapartum and immediate
postnatal care
• Patient centric
• Respectful maternity care
• Medical Colleges, DH,SDH
and high case load CHCs.
What is Quality of Care in Maternal Health & Child Health
and why is it important?
Due to focused efforts India has made tremendous progress in
increasing Institutional Deliveries.

However, this increase in coverage often has not translated in the

expected reduction of maternal and newborn mortality and stillbirths.

This is due to inadequacies in the quality of care provided in health

facilities.
Programme Framework
Rapid Improvement Cycle
 LaQshya Interventions
Ensuring skill assessment of all staff of LR & Maternal OT through OSCE
Creating an enabling environment for natural birthing process.
Ensuring systematic facility-level audit
Operationalization of ‘C’ Section audit.
Quality Improvement Cycles.
Implementation of Clinical Guidelines, Labor Room Clinical Pathways, Referral
Protocols, safe birth checklist (in Labor room and Maternity OT) and surgical
safety check-list.
Ensuring round the clock availability of Blood transfusion services, diagnostic
services, drugs & consumables.
Respectful Maternity Care
 MusQan

Hon’ble HFM in the presence of Hon’ble MoS

launched MusQan on dated 17 September 2021

MusQan aims to ensure provision of Qulaity

Child friendly Services in Public Health Facilities
to reduce preventable newborn and child
morbidity & mortality
 Objectives

1. To reduce preventable mortality & morbidity of children below 12 year of age.

2. To enhance the quality of care as per National Quality Assurance Standards

(NQAS).

3. To promote adherence to evidence-based practices and standard guidelines.

4. To provide child-friendly services to the newborn and children in humane and

supportive environment.

5. To enhance satisfaction of mother/ parent- attendants, seeking health care services

for their sick child/ward.
 Scope
District Hospitals Sub District Hospitals All functional FRU All other facilities

(SDH) CHCs (Example: LaQshya

certified, Medical
Colleges)

4 Departments 3 Departments 3 Departments 4 Departments

• Paediatric OPD • Paediatric OPD • Paediatric • Paediatric OPD
• Paediatric Ward • Paediatric Ward OPD • Paediatric Ward
• SNCU • SNCU/ NBSU • NBSU • SNCU/NICU
• Nutrition • Nutrition
• SNCU (if
Rehabilitation Rehabilitation
Centre available) Centre
 Key Strategies:
Ensuring Child Friendly Services–

• Ensuring dedicated services or

department for newborn and
making them accessible and
available for children

• Developing Child-friendly
ambience

• Ensuring availability of
drugs(paediatric) and
formulation
Thank You