Registration of an Eligible couple is done by ANM after a door to door survey  on every year 

• ANM registers the beneficiaries of her catchment area 

• Some cases ANM registers the migrated population also 

• Collects all the personal and demographic information and other information 

ANM visits the house of the eligible couple every month. At every visit, ANM records the date of visit, asks about the method of contraceptive being used by the couple for family planning, and updates the same on the ANMOL application. 

On her visit to the beneficiary, if the woman is pregnant or suspected to be pregnant, ANM conducts a ‘Rapid Pregnancy Test’ a writes the result. If the pregnancy test result is positive, the woman's record shifts from the EC tracking module to the PW Registration module. 

ANM tracks a PW for immunization services and other medical services, based on due dates. 

The delivery outcome can be live birth or still-birth. If the JSY option is “YES” in the Pregnant women registration form, then the system will also ask about “JSY” information. ANM enters the delivery outcome details like 

• Date & Time of delivery 

• Place of delivery 

• Who conducted delivery 

• Type of delivery 

• Complication(s) during delivery 

• Outcome of delivery i.e. Discharge date & time. 

• JSY Details 

ANM records the infant details like 

•        Full Term / Preterm 

•        Gender of the child 

•        Any defect seen at birth 

•        Weight at birth 

•        Breast feed within one hour or not etc. 

She also captures information related to birth doses i.e. BCG, OPV, Hepatitis B (Zero), and Vit K. Once the infant details get updated and synced with the server, a RCH ID (Starts with 2+2 digit state code+9 serial number) is generated and infant record get shifted to Infant PNC module and Child Registration module. 

Antenatal care is the systematic supervision of women during pregnancy to monitor the progress of foetal growth and to ascertain the well-being of the mother and the foetus. A proper antenatal check-up provides necessary care to the mother and helps identify any complication (s) of pregnancy (such as anaemia, pre-eclampsia, hypertension etc.) and slow/inadequate growth of the foetus.

 A pregnant woman should make “1, 2, 3……n” number of visits to a health facility for ANC check-ups. There should be 30 days gap between Ante-Natal care visits. The schedule (Standard protocol) for antenatal care periods types during pregnancy are as follows: 

1) 1st Visit: Within 12 weeks of pregnancy 

2) 2nd visit: Within 14 to 26 weeks of pregnancy 

3) 3rd visit: Within 28 to 34 weeks of pregnancy 

4) 4th visit: Between 36 weeks and full term / expected date of delivery, However, ANC services are provided and information is captured whenever a pregnant woman comes for check-up irrespective of the number of weeks of pregnancy. 

Pregnancy is the physiological process of a developing fetus within the maternal body. The term high-risk pregnancy is used by health care providers to demarcate a pregnancy in which a mother, her foetus or both are at higher risk of developing complications during pregnancy or childbirth than in a normal pregnancy. Women with high-risk pregnancies should receive care from a special team of health care providers to ensure the best possible outcomes.

High-risk pregnancy may result because of various conditions which are there either before getting pregnant such as diabetes or high blood pressure, complications from a previous pregnancy, or conditions during pregnancy or delivery.

 In India, about 20-30% of pregnancies belong to high-risk category, which is responsible for 75% of perinatal morbidity and mortality. Early detection and effective management of high-risk pregnancies can contribute substantially to the reduction of maternal and foetal adverse outcomes.

 In case of high-risk pregnancy, PW may make more than four visits to a health facility for ANC Check-ups; provide her all the necessary services as per her complication(s) status. However, enter the details of ANC check-ups, minimum four times in the RCH register as per the standard protocol (scheduled period) i.e. within 12 weeks, 13-26 weeks, 28-34 weeks and 36 weeks to EDD. 

The child whose mother is not registered on RCH Server and has no child id can be directly registered through this module. 

ANM registers a child after entering his/her basic details like 

•        Name 

•        Gender 

•        Mother’s name 

•        Father’s name 

•        Mobile number 

•        Date of birth 

•        Weight at birth 

•        Place of birth etc. 

The registered child was further tracked for immunization and child medical services. 

SAMGRA

E-VITT

SMS

SAMBAL

MPBOC

ANM tracks a child for immunization services, based on due dates. 

Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Rural Health Mission (NRHM) being implemented with the objective of reducing maternal and neonatal mortality by promoting institutional delivery among poor pregnant women. 

The Yojana, launched on 12th April 2005, by the Hon’ble Prime Minister, is being implemented in all states and UTs with a special focus on low-performing states.

JSY is a 100 % centrally sponsored scheme and it integrates cash assistance with delivery and post-delivery care. The success of the scheme would be determined by the increase in institutional delivery among the poor families 

The state govt. of MP has started the implementation of the Mukhya Mantri Shramik Seva (Prasuti Sahayata) Yojana 2021. In order to avail of the benefits of the scheme, all pregnant women can make registration. In this article, we will tell you about the scheme objectives, eligibility, how to apply, major beneficiaries, and complete details.

 Key Objectives of MMSSPSY Scheme

The MP Mukhya Mantri Shramik Seva Prasuti Sahayata Yojana is effective from 1 April 2018. The key objectives of the MMSSPY 

Scheme are as follows:-

Provide compensation for the wage loss – To allow a woman to take rest before and after delivery of the first two live births.

 Cash incentive – Improved health-seeking behavior among pregnant women & lactating mothers especially for promotion of:-

• Early identification of high-risk pregnancies.

• Safe deliveries (institutional).

• Early initiation of breastfeeding and 0 dose immunization of newborn.

• Benefits Under the Scheme – Direct Conditional Cash transfer of Rs.16,000 in 2 installments. 

On 10th October 2019, the Government of India launched “SUMAN”, a Safe motherhood guarantee scheme as an opportunity to address high MMR and NMR by ensuring the wellbeing of women and newborns. The scheme envisages the attainment of the following goals:

1.        To move towards Zero Preventable Mortality and Morbidity for pregnant women

2.        To move towards Zero Preventable Mortality and Morbidity for the newborns

3.        To bring coherence and continuity by the amalgamation of all the separate existing programmatic interventions of Maternal and Child Health including Janani Swasthya Suraksha Karyakram (JSSK), Pradhan Mantri Surakshit Matritva Abhiyaan (PMSMA), Labour room Quality Improvement Initiative(LaQshya), Sick Newborn Care Unit (SNCU), First Referral Units (FRUs), etc. under one broad umbrella of SUMAN

4.        To incentivize primary informants of maternal deaths under the SUMAN program

Key objectives to engage an agency for setting-up up command/call center services under the SUMAN program are as follows:

1. To optimally utilize evidence-based management and planning systems for tracking and monitoring of High-risk Pregnancy patients both at the ANC and PNC stage

2. To ensure newborn healthcare services through assured management of complications and encompassing wider access to free, and quality services in the state of M.P.

3. To bring down maternal and infant mortality rates in the state by providing zero expense access to identification and management of complications during and after the pregnancy

4. To create a reliable, effective, and sustainable mechanism for the identification, tracking, and monitoring of the pre and post-delivery health of women, and newborn children

5. To provide guidance, coordination, and support to government health workers such as ANM/ASHA/MO at the furthest reaches of the state in their efforts to reduce maternal and infant morbidity 

Laddoo Project is just like a supply chain management system, which works with RCH and Suman. Its automated the MHN-Kit (Laddoo ) distribution details. With the help of these modules track the all detail of MHN-Kit (Laddoo ). How many MHN-Kit (Laddoo ) will dispatch by the supplier the to district and Block Level. How many MHN-Kit (Laddoo ) are in stock per month. How many MHN-Kit (Laddoo ) are distributed to Pregnant women by Aganwadi Kendra. All information will be kept/tracked by the system. In collaboration with Suman modules, we will take the feedback on all the above things. Below are three sub-modules .

1 Supplier: Who supplies the MHN-Kit(Laddo) to all districts of the state.

2. Block Level: in this level, MHN-Kit will be dispatched to all Aganwadi Kendra of block

3. Aganwadi Level: ANM/Asha will be disturbed to all PW  of Anganwadi Kendra. 

Special Newborn Care Units (SNCUs) have been established at district hospitals and sub-district hospitals with an annual delivery load of more than 3000 to provide care for sick newborns, that is, all types of neonatal care except assisted ventilation and major surgeries. 

It is a separate unit in close proximity to the labor room with 12 or more beds and managed by adequately trained doctors, staff nurses, and support staff to provide 24x7 services. 

Newborn Stabilization Unit (NBSU) NBSU is a facility within or in close proximity of the maternity ward where sick and low birth weight newborns can be cared for during short periods. 

Newborn Stabilization Unit (NBSU) NBSU is a facility within or in close proximity of the maternity ward where sick and low birth weight newborns can be cared for during short periods.