Identification of HRPW and Batching and Matching (Madhya Pradesh)

As Per SRS MMR Bulletin - 2015-17 maternal mortality of Madhya Pradesh is 188 per lakh live births which is quite higher than national average (122 per lakh live births). State has committed to reduce it to 70 per lakh live birth by 2030 under Sustainable development Goal.

Programme Description

To improve the quality ANC department of health and family welfare, has started Batching and Matching of high-risk pregnant women with service provider and with facility for institutional delivery.

Programme Outcomes

• Eligible couple tracking by ASHAs for menstrual cycle.
• 90% ANC registration against the annual target.
• All ANMs are providing ANC services at VHNDs At least 85% ANC registration in first Trimester.
• High Risk Pregnant women identified by ANMs.
• Regular sector meeting on Saturday
• All sectors have batching and matching plan.
• Gynecologist CHC visit plan
• Facility wise monthly delivery plan
• 100% HRPW tagged with facilities for safe delivery.
• 100% entries in Anmol/RCH portal.

This RCH mirror portal is integrated with RCH portal so that the entry in RCH Mirror portal automatically will transfer to ANMOL and RCH portal. RCH mirror portal has following characteristics:

• ANM will get month wise EDD calendarLine list of PW.
• Sector medical officer will get the line list of All PW.
• Each facility will get the line list of matched PW for delivery.
• Gynaecologist will get the month wise line list of PW to be delivered in her facility.
• Dashboard for Sector, Block, District and State level.
• Payment gateway for Conditional cash transfer scheme.

Batching and Matching of HRPW with facility will reduce in-appropriate and multiple facility referrals. Also helps in reducing normal delivery load on L3 delivery point so that the High-Risk cases will get proper attention. Over all impact of batching and matching would the early identification of pregnancy, high risk factors and delivery of each cases at appropriate facility with real time monitoring at each level. 

Source : We Care Coffee Table Book - Good, Replicable and Innovative Practices 2019