India : Readiness for Quality of Care Implementation


Population 1.3 billion
Fertility rate per woman 2.3
Total maternal deaths (2015) 44,000
Neonatal mortality rate (per 1,000 live births) 26
Stillbirth rate (per 1,000 total births) 22


National Policies

Midwives authorised for specific tasks 6 of 7
Maternal deaths notification Yes
Postnatal home visits in first week after birth Yes
Kangaroo mother care in facilities for low birth weight/preterm newborns Yes
Antenatal corticosteroids as part of the manage-ment of preterm labour Yes
International Code of Marketing of Breastmilk Substitutes Yes

Coverage of essential interventions %

Demand for family planning satisfied 54
Antenatal care (4 or more visits) 45.5
Skilled attendance at delivery 81.1
C-section rate 15.1
Early initiation of breastfeeding 44.6
Exclusive breastfeeding 64.9
Postnatal visit for baby (within 2 days) 33.6
Postnatal care for mother (within 2 days) 39.3

Readiness to improve quality of care

Functional Leadership Structure for Quality Improvement
Quality of Care Committees established in District Health Management Teams
Plans, strategies & standards
National Quality of Care Strategy for the Health Sector
National Strategy for Maternal and Newborn Health addresses Quality of Care
National Quality of Care Standards and Protocols
National Situational Analysis for Quality of Care up to date
Assessment of Quality of Care in Health Facilities completed in the past two years
Supporting systems
Maternal and Perinatal Death Surveillance and Response System established
All Maternal and Newborn Lifesaving Commodities on the Essential Medicine List Implementation of maternal and newborn standards
Water Coverage in Health Care Facilities (%) 68%
Skilled attendance at delivery (%) 81.1%
National Availability of EmOC (% of recommended minimum) 37%
Not Started
No Data