Uttar Pradesh (UP) is India’s most populous state with a population of roughly 235 million accounting for approximately one-sixth of India’s population.1 Maternal, neonatal, infant and child mortality rates are substantially higher in UP than the India average. e. The maternal mortality ratio (MMR) in UP has reduced from an estimated 285 per 100,000 live births for the period 2011-132 to 167 per 100,000 live births for the period 2018-203.  

A key strategy to reduce maternal and newborn deaths is ensuring the presence of a skilled birth attendant for every delivery, including normal labour and those requiring emergency care for complications. Planning and preparing mothers for institutional delivery at a facility that can manage complications that are detected during the antenatal period and that occur inadvertently during childbirth is a critical activity to ensure safe motherhood and childbirth. Strengthening the core competencies of doctors and healthcare teams in the First Referral Units4 (FRUs) in UP to ensure the quality of Comprehensive Emergency Obstetric and Newborn Care (CEmONC) services is therefore a critical activity to improve the quality of CEmONC services and maternal and newborn outcomes. 

IHAT – UP TSU collaborated with the Government of Uttar Pradesh to establish the Regional Resource Training Centre (RRTC) program. The program engaged faculty from government medical colleges to provide training and mentoring to government doctors and healthcare teams for CEmONC services. The program has expanded to 16 medical colleges across all 75 districts of UP, initially targeting 4 colleges in 25 High Priority Districts. 

Read the full report to understand the interventions in the link below.

1 Matra Evam Shishu Swasthya Sanrakshan Abhiyan-2015, National Health Mission (http://upnrhm.gov.in/Home/MCHCampaign)
2 The MMR Bulletin 2011-2013 (https://censusindia.gov.in/vital_statistics/mmr_bulletin_2011-13.pdf)
3 Special Bulletin on Maternal Mortality in India 2018-20 (https://censusindia.gov.in/nada/index.php/catalog/44379)
4 Health facilities providing comprehensive emergency obstetric and newborn care services including deliveries by Caesarean section surgery and blood transfusion services are designated as
First Referral Units in India

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