LaQshya

After the launch of the National Health Mission (NHM) in 2013, there has been a substantial increase in the number of institutional deliveries. However, this increase in the numbers has not resulted in commensurate improvements in the key maternal and new-born health indicators.
It is estimated that approximately 46% maternal deaths, over 40% stillbirths and 40% newborn deaths take place on the day of the delivery.
A transformational change in the processes related to the care during the delivery, which essentially relates to intrapartum and immediate postpartum care, is required to achieve tangible results within a short period of time. Prerequisite of such approach would also hinge upon the health system’s preparedness for prompt identification and management of maternal and newborn complications.

In this context, the Ministry of Health and Family Welfare launched the ‘LaQshya’ (Labour room Quality Improvement Initiative) programme in 2017 which aimed at improving quality of care in labour room and maternity Operation Theatre (OT).

Reduce maternal and newborn morbidity and mortality;
Improve quality of care during delivery and immediate post-partum period;
Enhance satisfaction of beneficiaries, positive birthing experience and provide Respectful Maternity Care (RMC) to all pregnant women attending public health facilities.

LaQshya program will benefit every pregnant woman and newborn delivering in public health institutions. Program will improve quality of care for pregnant women in the labour room, maternity Operation Theatre and Obstetrics Intensive Care Units (ICUs) & High Dependency Units (HDUs).

LaQshya program envisages to improve quality of care in labour room and maternity OT.
Under the initiative, multi-pronged strategy has been adopted such as improving Infrastructure upgradation, ensuring availability of essential equipment, providing adequate Human Resources, capacity building of health care workers and improving quality processes in the labour room.
Implementation of ‘fast-track’ interventions (National Quality Assurance Standards (NQAS) assessment, Trainings, Mentoring, Reviews etc.)
Capacity-building of healthcare workers by skill-based training.
To strengthen critical care in Obstetrics, dedicated Obstetric ICUs at Medical College Hospital level and Obstetric HDUs at District Hospital are operationalized under LaQshya program.

The Ministry of Health and Family Welfare conducted an awareness drive about the ‘LaQshya’ (Labour room Quality Improvement Initiative) programme.

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