The Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) is a flagship initiative of the Ministry of Health and Family Welfare, and has successfully completed Nine years.
About Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)
It was designed to provide assured, comprehensive, and quality antenatal care (ANC) services free of cost to all pregnant women on the 9th of every month, particularly during the second and third trimesters.
- Launch: June 2016,
- Aim: To reduce maternal and neonatal mortality by facilitating early detection and prompt management of high-risk pregnancies.
Objectives
- The PMSMA aligns with the broader goals of the Reproductive, Maternal, Newborn, Child, and Adolescent Health plus Nutrition (RMNCAH+N) strategy under the National Health Mission (NHM).
- Ensuring that every pregnant woman receives at least one check-up by a physician/specialist during the second or third trimester.
- Improve the quality of care during antenatal visits.
- Identifying and managing high-risk pregnancies (HRP) at an early stage.
- Appropriate birth planning and complication readiness for each pregnant woman.
- Ensuring appropriate management of women with malnutrition.
- Special focus on adolescent and early pregnancies.
Key Features
- Monthly antenatal checkups on the 9th of every month at public health facilities.
- Services provided by OBGY specialists, radiologists, physicians, with private sector support.
- Minimum package for every woman: essential investigations (including 2nd trimester ultrasound) and medicines (IFA, calcium).
- Single window system for all ANC services and investigations.
- Special focus on:
- Unregistered or missed ANC women
- Dropouts
- High-risk pregnancies
- Distribution of Mother and Child Protection Cards and safe motherhood booklets.
- High-risk pregnancy identification:
- Green sticker, no risk
- Red sticker: high risk
Key Achievements and Success
- As of now, 6.19 crore pregnant women have been examined under PMSMA.
- Declined in the Maternal Mortality Ratio (MMR) from 130 per lakh live births in 2014-16 to 80 per lakh live births in 2021-23.
- As of December 31, 2024, more than 78.27 lakhs High Risk Pregnancies have been identified across all States/UTs.
Extended PMSMA (E-PMSMA)
- The E-PMSMA strategy was rolled out in January 2022 to ensure tracing and tracking of High-Risk Pregnant (HRP) women till a safe delivery
Key features of E-PMSMA are
- Name-based line listing of HRPs.
- Provision of additional PMSMA Session (Max 4 times in a month).
- Individual tracking of HRP up to a healthy outcome (till 45th day after delivery).
- SMS alert to beneficiary as well as to the ASHA for registration of HRP & follow-up visits.
Other Government Initiatives
- Janani Suraksha Yojana (JSY): Launched to incentivize institutional deliveries through conditional cash transfers.
- This scheme has benefitted over 11.07 crore women as of March 2025.
- Janani Shishu Suraksha Karyakram (JSSK): Launched to promote free institutional delivery and neonatal care.
- More than 16.60 crore beneficiaries have been served since 2014–15.
- LaQshya: Initiative for improving quality of care in labour rooms.
- Surakshit Matritva Aashwasan (SUMAN): Launched to strengthen respectful and quality care for pregnant women.
- 90,015 SUMAN health facilities have been notified across the country by March 2025.
- POSHAN Abhiyaan: Launched to target the most vulnerable—children, adolescent girls, pregnant women, and lactating mothers—by revamping the nutrition services.
- As of present, there are 6.97 crore Poshan Pakhwadas across the country.
- Pradhan Mantri Matru Vandana Yojana (PMMVY): Launched to promote institutional delivery and ensuring maternal health, the scheme provides direct cash benefits of ₹5,000 to pregnant and lactating women.
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