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Mamta day discussion Health and Wellness Centre HWC
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Mamta day maternal child health programme activities
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Mamta day immunization antenatal postnatal community health
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Health and Wellness Centre HWC sub health centre ASHA ANM services
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Mamta Day: Discussion and Visit to HWC
What is Mamta Day?
Mamta Day (also called Mamta Diwas) is a fixed monthly community-level health event conducted under the National Health Mission (NHM) in India, particularly prominent in states like Gujarat, Rajasthan, and Madhya Pradesh. It is a convergence platform organized at the sub-centre / Health and Wellness Centre (HWC) level, primarily targeting mothers and children.
The term Mamta means "maternal affection," reflecting the program's focus on the health of women and children.
Objectives of Mamta Day
| Objective | Details |
|---|---|
| Improve maternal health | ANC (Antenatal Care) registration and follow-up |
| Child health promotion | Immunization, nutrition monitoring |
| Convergence of services | Health, ICDS (nutrition), and WASH services at one point |
| Community mobilization | Awareness on health, hygiene, family planning |
| Early detection | Identification of high-risk pregnancies and malnourished children |
Mamta Day Discussion: Key Components
1. Beneficiary-Level Discussions
- Review of ANC registration status in the village
- Follow-up on institutional delivery status
- Discussion on postnatal care (PNC) – home visits completed, health status of mother and newborn
- Newborn care counselling – breastfeeding, warmth, danger signs
- Identification of high-risk pregnancies (HRP): anemia, hypertension, previous complications
2. Child Health Discussions
- Immunization status of all children under 5 years – review of due list
- Growth monitoring – weight for age, identification of SAM (Severely Acute Malnourished) and MAM (Moderately Acute Malnourished) children
- Referral of malnourished children to NRC (Nutritional Rehabilitation Centre) or AWC (Anganwadi Centre)
- Vitamin A supplementation and deworming schedule
3. Intersectoral Coordination Discussion
- Coordination with AWW (Anganwadi Worker) for ICDS services
- ASHA's reporting of pending home visits
- Discussion on sanitation and hygiene – open defecation free (ODF) status
- Water quality and safe drinking water access
4. Family Planning Discussion
- Promotion of spacing methods (OCP, condoms, IUCD)
- Post-partum family planning counselling
- Tracking of eligible couples
Visit to Health and Wellness Centre (HWC)
What is an HWC?
Health and Wellness Centres (HWCs) are upgraded Sub-Health Centres (SHCs) and Primary Health Centres (PHCs) established under Ayushman Bharat (launched 2018). They aim to provide Comprehensive Primary Health Care (CPHC) closer to the community.
HWCs are staffed primarily by a Community Health Officer (CHO) – a mid-level health provider with a B.Sc. or post-B.Sc. Community Health qualification.
HWC Services Available During Mamta Day Visit
Maternal and Child Health Services
- ANC check-up: BP measurement, weight, fundal height, foetal heart sounds, urine albumin/sugar testing
- Tetanus Toxoid (TT) / Td vaccination for pregnant women
- IFA (Iron Folic Acid) tablet distribution
- Postnatal check-up for mother and newborn
- Immunization for children (BCG, OPV, DPT, Measles, Pentavalent, etc.)
Nutrition Services
- Mid-Upper Arm Circumference (MUAC) measurement
- Weight and height recording – plotting on growth chart
- Counselling on complementary feeding, exclusive breastfeeding
Screening Services (Expanded at HWC)
- Hemoglobin (Hb) testing for anaemia detection
- Blood pressure measurement
- Blood sugar testing for GDM screening
- Sickle cell disease screening (in tribal areas)
Curative Services
- Treatment of minor illnesses in children (diarrhea, ARI)
- ORS and Zinc therapy
- Essential drug dispensing
IEC/BCC Activities
- Health talks on:
- Nutrition during pregnancy
- Danger signs in pregnancy
- Newborn care and IYCF (Infant and Young Child Feeding)
- Family planning
- Distribution of IEC materials
Roles of Key Functionaries on Mamta Day
| Functionary | Role |
|---|---|
| ANM (Auxiliary Nurse Midwife) | Conducts ANC, immunization, PNC, maintains registers |
| ASHA | Mobilizes beneficiaries, supports home visits, maintains due lists |
| AWW (Anganwadi Worker) | Provides nutrition services, weight monitoring, supplementary nutrition |
| CHO (Community Health Officer) | Clinical care, screening, management of HWC |
| MPW (Male) | Male engagement, sanitation, surveillance support |
Registers and Records Maintained
- Mother and Child Protection (MCP) Card – updated for every beneficiary
- Village Health Register – tracking of pregnant women, newborns, children
- Immunization Register – due list and administered vaccines
- Mamta Card (Gujarat specific) – comprehensive tracking card for mother and child
Expected Outcomes of Mamta Day
- Increased ANC registration in the first trimester
- Higher institutional delivery rates
- Full immunization coverage of children under 2 years
- Reduction in maternal and infant mortality
- Improved nutritional status of mothers and children
- Strengthened community-provider relationships
Summary
Mamta Day is a monthly convergence event at the village/sub-centre level where ASHA, ANM, AWW, and CHO come together to deliver a package of maternal, newborn, child health, nutrition, and family planning services. The visit to the HWC forms the backbone of this activity, where clinical services (ANC, immunization, screening) and counselling are delivered in an integrated manner, while community-level discussions review progress, identify gaps, and plan corrective actions for the coming month.
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