Parliament Question: Pradhan Mantri Surakshit Matritva Abhiyan

GOVERNMENTOFINDIA MINISTRYOFHEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE LOK SABHA UNSTARREDQUESTION NO. 2179 TO BE ANSWEREDON31st JULY2026 PRADHAN MANTRISURAKSHIT MATRITVAABHIYAN 2179 SHRIB YRAGHAVENDRA:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased tostate:

(a) the details of the salient features of the Pradhan Mantri Surakshit Matritva Abhiyan

(PMSMA) including the manner in which it provides fixed-day, assured and specialist-led antenatal care and the progress made thereunder since its launch along with the improvement inmaternalhealth indicators;

(b) the cumulative number of antenatal check-ups conducted and high-risk pregnancies identified under the Abhiyan since its launch, State/UT-wise, particularly in Karnataka, district-wise;

(c) the details of the approachadopted underthe Abhiyan for early identification,referral and management of high-risk pregnancies including the expansion of conditions screened and the individualtrackingof such pregnanciesunderthe extendede-PMSMAstrategy until a healthy outcome for motherandchild;

(d) the steps taken by the Government to encourage participation of private sector specialists andvolunteerdoctorsunderthe Abhiyan; and

(e) the steps taken or proposed to be taken by the Government to further strengthen the Abhiyan, particularlyinrural andremote areasof the country? ANSWER THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILY WELFARE (SMT. ANUPRIYAPATEL)

(a)The salient featuresof PradhanMantri SurakshitMatritva Abhiyan are asfollows:  Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) provides a fixed day, free of cost, assured andquality AntenatalCare onthe 9thdayof everymonth.

 Under PMSMA, all pregnant women are provided services including drugs, laboratoryinvestigations, ultrasound, andantenatalcheck-upbythe OBGYspecialist/ Medical Officer at designated Public Health facilities including DH, SDH, CHC- FRUs, non-CHC-FRUs, andPHCs. Obstetricians/ physicians from private sector and retired OBGY specialists are encouraged to provide voluntary services at designated public health facilities on the 9thof everymonth.

 Group Counselling is also provided to all pregnant women for diet, sleep, regular ANC check-up, institutional delivery, and breastfeeding including awareness about supplementarynutrition.  InformationEducation&Communication(IEC),Inter-personalCommunication(IPC) andBehaviourChange Communication(BCC) activitiesare undertaken.

(b) The progress made under PradhanMantri SurakshitMatritva Abhiyan (PMSMA) since its launchandimprovement inmaternalhealthindicatorsare asfollows;  Since its inception (2016), more than 7.91 crore pregnant women received antenatal care services and more than1.24crore high-risk pregnancieshave beenidentified.

 As per the Sample Registration System (SRS), India's Maternal Mortality Ratio

(MMR) hasdeclinedby43 pointsfrom 130per one lakhlive birthsinSRS(2014–16) to87 perone lakhlive birthsinSRS(2022–24).  First trimester antenatalregistration of India increased from 58.6% inNFHS-4(2015-

16) to76.2% inNFHS-6(2023-24).  Mothers receiving four or more antenatal care visits in India increased significantly from 51.2% inNFHS-4(2015-16) to65.2% in NFHS-6(2023-24).  Institutional deliveries inIndia increased from 78.9% in NFHS-4(2015-16) to 90.6% inNFHS-6(2023-24).

The State/UT-wise, including district-wise details for Karnataka, are placed at Annexure-I andAnnexure-II, respectively.

(c) Government of India has adopted several approaches under the Abhiyan for early identification, referral and management of high-risk pregnancies, including the expansion of condition screened and the individual tracking of such pregnancies under the extended e- PMSMAstrategy until a healthy outcome of motherandchild. Thekeystepsareasfollows:

 PMSMA is based on a fixed day strategy, and it provides free of cost assured and quality antenatal check up by a Specialist/Medical Officer on the 9th day of every month.  Early identification and clinical management of High-Risk Pregnancies (HRPs) throughcomprehensive antenatalcheck-ups.

 Name-based tracking of every identified High-Risk Pregnancy until 45 days after delivery, ensuring healthy outcome for both the mother and the new-born across all States/UTsunderextendede-PMSMA.  Provision of three additional antenatal check-ups for all HRPs, screened by Medical Officers/Obstetricians tomonitormaternalandfoetalwell-being.

 Automated SMS alerts to beneficiaries and ASHAs at the time of HRP registration, remindersforscheduledvisits,andfollow-up appointments. Linkage of HRPs to the nearest First Referral Units (FRUs) to ensure safe delivery andtimelymanagement of complications.

 Provisionof incentivesfor High-Risk PregnantWomen towards free transportation to attendfollow-upANCvisits.

(d) The following steps have been taken by the Government to encourage the private sector specialists andvolunteerdoctorstoextendtheirservices voluntarilytopregnantwomen under the Abhiyan;  Provision of ‘I PledgeFor9’ Achievers Awards for acknowledging voluntary contributionsbyprivate doctorsforPMSMA.

 Centralised PMSMAPortalhasbeencreatedfor registeringprivate practitioners.  Participation of professional organisations viz. FOGSI (Federation of Obstetric and GynaecologicalSocietiesofIndia),IMA(IndianMedical Association).

(e)The Government hastakenseveral measures tofurther strengthen PMSMA, particularlyin rural andremote areasof the country.These include:  Provision of additional PMSMA sessions beyond the designated 9th day of every month under the Extended Pradhan Mantri Surakshit Matritva Abhiyan (e-PMSMA) for timelyfollow-up andcontinuity of antenatalcare for high-risk pregnantwomen.

 Strengthening of individual name-based line listing, tracking, and monitoring of identifiedhigh-risk pregnancies through the centralizedPMSMAPortal.  Capacity building of healthcare providers at all levels for early identification, risk stratification,timely referral,andappropriate management of high-risk pregnancies.

 Early identification of high-risk pregnancies and referral linkages for timely management of obstetric complications and prevent adverse maternal and neonatal outcomes.  Provision of case-based incentives to ASHAs for mobilizing and follow-up of high- risk pregnant women, along with transport incentives for beneficiaries to facilitate attendanceat scheduled antenatalcare (ANC) visits.

 Regular monitoring and review of programme implementation at National and State levelstoimprove service deliveryandcoverage.  Promoting awareness through regular Information, Education and Communication

(IEC) andBehaviourChange Communication (BCC) activities. *****Annexure referred in reply to part (b) of Lok Sabha Unstarred Q No. 2179 to be answered on31.07.2026 Annexure-I Sinceitslaunch,State/UT-wise the totalnumberof PregnantWomenwho received antenatal care andHigh-risk pregnanciesidentified underPMSMA(Source:PMSMAPortal) Totalnumberof pregnant women Total Numberof high- ReceivedAntenatalcareunder risk pregnancies Sr.No. State/UT PMSMA identified India 7,91,68,912 1,24,05,174 1 AndamanandNicobar Islands 29,208 4,885 2 Andhra Pradesh 64,23,068 14,27,713 3 Arunachal Pradesh 33,884 1,966 4 Assam 9,74,293 1,32,614 5 Bihar 81,46,004 3,91,028 6 Chandigarh 1,03,352 28,803 7 Chhattisgarh 25,43,159 3,48,469 Dadra andNagar haveli and 8 damanandDiu 1,24,426 13,267 9 Delhi 7,06,873 1,17,428 10 Goa 1,00,291 12,308 11 Gujarat 37,54,360 5,44,778 12 Haryana 30,46,173 5,75,459 13 HimachalPradesh 5,77,036 77,045 14 Jammu andKashmir 5,81,140 61,640 15 Jharkhand 18,84,336 77,849 16 Karnataka 35,13,527 12,28,200 17 Kerala 49,435 6,806 18 Ladakh 20,835 2,577 19 Lakshadweep 8,354 3,114 20 Madhya Pradesh 63,18,495 9,86,332 21 Maharashtra 43,46,267 5,28,494 22 Manipur 1,00,072 7,902 23 Meghalaya 3,47,867 82,665 24 Mizoram 82,237 6,375 25 Nagaland 25,594 2,897 26 Odisha 27,84,723 5,24,893 27 Puducherry 42,848 9,211 28 Punjab 13,13,032 2,92,146 29 Rajasthan 58,97,428 3,69,111 30 Sikkim 13,767 1,868 31 Tamil Nadu 34,40,002 11,94,104 32 Telangana 23,33,882 4,57,346 33 Tripura 1,68,387 19,381 34 Uttar Pradesh 1,69,29,896 18,98,267 35 Uttarakhand 2,24,206 21,589 36 West Bengal 21,80,456 9,46,644Annexure referred in reply to part (b) of Lok Sabha Unstarred Q No. 2179 to be answered on31.07.2026 Annexure-II Since its inception, district-wise the total number of PregnantWomen who received antenatal care and High-risk pregnancies identified under PMSMA in Karnataka (Source: PMSMA Portal) Totalnumberof pregnantwomen who receivedantenatal care under Total Number of highrisk Sr.No. District PMSMA pregnancies identified 1 Bagalkot 52,511 22,718 2 Ballari 1,32,430 49,564 3 Belagavi 3,59,159 1,92,339 4 Bengalururural 27,980 11,259 5 Bengaluruurban 1,81,870 77,791 6 Bidar 92,553 20,138 7 Chamarajanagar 22,775 5,878 8 Chikballapur 76,282 47,664 9 Chikkamagaluru 99,836 36,791 10 Chitradurga 1,44,983 44,857 11 Dakshin kannad 83,309 21,068 12 Davangere 1,74,442 31,178 13 Dharwad 1,76,799 1,18,892 14 Gadag 1,09,808 52,317 15 Hassan 1,50,399 21,404 16 Haveri 29,907 13,303 17 Kalaburagi 1,31,082 31,915 18 Kodagu 37,497 10,062 19 Kolar 79,665 49,646 20 Koppal 1,23,592 35,780 21 Mandya 1,24,041 29,368 22 Mysuru 2,34,163 43,768 23 Raichur 1,11,449 26,630 24 Ramanagara 1,87,965 54,697 25 Shivamogga 58,763 21,112 26 Tumakuru 1,43,154 39,135 27 Udupi 63,559 20,901 28 Uttar kannad 1,14,779 41,274 29 Vijayanagar 37,334 16,490 30 Vijayapura 1,15,611 25,442 31 Yadgir 35,918 14,878