Ministry of Health and Family Welfare

Government of India

SURAKSHIT
MATRITVA
AASHWASAN
(SUMAN)
An Initiative for Zero
Preventable Maternal
and Newborn Deaths
Background
• Safe pregnancy and the immediate • 52% pregnant women access public health
postpartum period are important milestone facilities for delivery services. It presents an
events to achieve optimal maternal and opportunity to provide respectful and quality
neonatal outcomes health care services at no cost and ensures
• In order to reduce the MMR to below 70 by all complete and comprehensive care during
the states before 2030, systematic efforts need pregnancy and childbirth
to be made to eliminate disparities in maternal • Hence it is important to formulate a proper
health outcomes across the country policy that not only promotes safe pregnancy,
• This requires adopting a comprehensive, childbirth and immediate postpartum care with
multipronged and coordinated policy approach respect and dignity but also translates the
that incorporates a relentless focus on entitlements into a service guarantee which is
monitoring the implementation of Safe more meaningful for the beneficiaries
Motherhood guidelines

SURAKSHIT MATRITVA AASHWASAN - (SUMAN)

The initiative focuses on assured delivery of maternal and newborn healthcare services
encompassing wider access to quality care services, at no cost, zero tolerance for denial of
services, assured management of complications along with respect for women's autonomy, dignity,
feelings, choices and preferences, etc.

Aim
Assured, dignified, respectful and quality healthcare at no cost and zero tolerance for denial of services
for every woman and newborn visiting the public health facility in order to end all preventable maternal
and newborn deaths and morbidities and provide a positive birthing experience.

Pregnancy, birth and the postpartum period are milestone events in the continuum of life. These
experiences profoundly affect women, babies and their families and have an important and long lasting
effect on the society.

The World Health Organization (WHO) defines Quality of Care for mothers and newborns as
“the extent to which health care services provided to individuals and patient populations
improve desired health outcomes. In order to achieve this, health care must be safe, effective,
timely, efficiently integrated, equitable and people-centered.”

Content Experience
of Care of Care
Conceptual Framework
for SUMAN

Zero
Tolerance
for any
Integrates
Negligence
existing initiatives
Intersectoral
(JSSK, PMSMA,
Convergence
LaQshya, FRUs,
etc)

Respect
Community for Women's
Engagement & Autonomy, Dignity,
Mega IEC/BCC Feelings and
Zero Preventable
Choices
Maternal and Newborn
Deaths and high quality
of maternity care
delivered with dignity
and respect. 100%
Community
Level Maternal Maternal Death
Death Reporting Reporting and
Reviews

Grievance
Awards to
Redressal
Champions
Mechanism
Client
Feedback
Mechanism
Objectives

Provide high quality medical and emergency services and referrals.

Create a responsive health care system.

Use institutional and other community-based platforms like NGOs,

SHGs, PRIs and elected representatives from community etc. to
help spread awareness and mobilize community and facilitate
100% reporting and review of Maternal Deaths.

Develop and establish a system of continuous client feedback and

redressal of grievances for maternity services.

Create awareness, build capacities and motivation

of all service providers.

Provide an interdepartmental platform for convergent action plans.

Create a steering committee for effective governance including

formulating strategies, supervision and review of the program for
corrective actions.

Beneficiaries of the Scheme

All
All Mothers
Pregnant upto 6 All Sick
Women months Post Newborns
Delivery
Service Guarantee Charter
Surakshit Matritva Aashwasan - (SUMAN)
All Pregnant Women/Newborns visiting public health facilities are entitled to the
following free services:
• At least 4 ANC checkups (including one checkup during the 1st trimester, at
least one checkup under Pradhan Mantri Surakshit Matritva Abhiyan, Iron Folic
Acid supplementation, Tetanus diptheria injection and other components of
comprehensive ANC package) and 6 home-based newborn care visits
• Comprehensive Abortion Care services in line with the MTP Act
• Safe Motherhood booklet and Mother and Child Protection Card with service
guarantee charter
• Zero expense access to identification and management of complications
• Free transport from home to health institutions (dial 102/108), assured referral
services with scope of reaching health facility within one hour of any critical
case emergency and Drop back from institution to home after due discharge
(minimum 48 hrs)
• Zero expense delivery and C-section facility in case of complications at public
health facilities
• Services for Elimination of Mother to Child Transmission (EMTCT) of HIV, HBV
& Syphilis
• Quality care by trained personnel (including Midwife/SBA)
• Respectful care with privacy and dignity
• Choice for delayed cord clamping beyond five minutes/ upto delivery of
the placenta
• Early initiation and support for breastfeeding
• Zero dose vaccination
• Free and zero expense services for sick newborns and neonates
• Birth registration certificates from healthcare facilities
• Conditional Cash transfers/ direct benefit transfers under various central and
state specific schemes
• Postpartum family planning counseling
• Time bound redressal of grievances including responsive call center/helpline,
web portal, etc.
• Counselling and IEC/BCC for safe motherhood
SUMAN
Free ANC, delivery and post natal care

Free management of sick neonates

Assured delivery plan for the High Risk Pregnant women

Ensuring quality standards at all levels of delivery points

Service Community Health System Monitoring & Incentives &

IEC/BCC
Guarantee Awareness Strengthening Reporting Awards
 JSSK  Involving  Infrastructure  Responsive  Awards and  Mega
 JSY
VHSNC and - LDR, OT, call center for recognitions IEC/BCC
SHGs for Obstetric- better to performers activities
 PMSMA better HDU/ICU,NB Grievance promoting
 First
 LaQshya community CC, NBSU, Redressal and responder of "zero
engagement SNCU Reporting maternal preventable
 MAA maternal &
 Inter-  Human  MCP card death to get
 Dakshta departmental resource and Safe Rs 1000/- newborn
 SNCU care convergence Motherhood deaths"
 Drugs and
for sick &  Community diagnostics booklet with
small babies Champions Service
 Assured Gurantee
 Home based  Use of Safe Referral
care for Charter
Motherhood systems
mothers &  Monthly
booklet and  Creating
newborns MCP card reporting
(HBNC) centre of
 HMIS
excellences
analysis
 Formation of
National,
State level
monitors

Committees at National, State, District & Block Level

Union Health
National
Secretary
Steering
Committee
Joint Secretary RCH
National
Working Group
Chief Secretary
State Level
Committee
District Collector
District Level
Committee
Block Medical
Block Level Officer
Committee
Entitlements under the Initiative
Provision of atleast Free and zero expense
Safe Motherhood Deliveries by trained access for identification
4 ANC checkups, booklet and Mother & personnel (including
1 PMSA checkup and management of
Child Protection card. Midwife/SBA). maternal complications.
and 6 HBNC visits.

Early initiation and Choice for Delayed

support for Respectful Care with Cord Clamping Zero dose
breastfeeding. privacy and dignity. beyond 5 mins/upto vaccination.
delivery of placenta.

Free transport from Assured referral Services for

services with scope of Drop back from Elimination of Mother
home to health institution to home
institution. reaching health facility to Child Transmission
within 1hour of any after due discharge (EMTCT) of HIV, HBV
(Dial 102/108) critical case emergency. (minimum 48 hrs.). & Syphilis.

Time bound redressal

of grievances Conditional cash
Management of sick Birth registration transfers/direct
including responsive certficates from
neonates. call center/helpline, benefit transfer under
healthcare facilities. various schemes.
web portal, etc.

Counselling and
Postpartum FP IEC/BCC for safe
counselling. motherhood.

*Each health facility would notify the service guarantee package on the basis of the current resource and service availability with
measures put in place to reach 100% of the expected service standards for the level of the facility.

Grievance Redressal Mechanism

‘SUMAN’
space their name SUMAN
at 5616115 Web Portal

WE B
PO
Call via S MS R TA
L High case
Toll Free No.
1800-180-1104 load facilities
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LP
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DES
CALL