Orris

LaQshya program for viva

Reading File
Finding Sources
Searching the Web

LaQshya program Ministry of Health India objectives features viva questions

Reading File

LaQshya (Labour Room Quality Improvement Initiative) — Viva Notes

Full form: LaQshya = Labour room Quality improvement Initiative (name also evokes "Lakshya" = target/goal in Hindi)
Launched by: Ministry of Health and Family Welfare (MoHFW), Government of India Date: 11th December 2017

Aim

To reduce preventable maternal and newborn mortality, morbidity and stillbirths associated with the care around delivery in the Labour Room and Maternity Operation Theatre (OT), and to ensure Respectful Maternity Care (RMC) to all pregnant women.

Rationale / Why it was needed

The intrapartum and immediate postpartum period is the most vulnerable time for a woman and her newborn and contributes to a significant proportion of maternal and neonatal deaths - so quality of care around the time of delivery was targeted specifically.

Objectives (common viva points)

  1. Reduce maternal and newborn mortality/morbidity due to complications during and immediately after delivery.
  2. Improve quality of care during delivery and immediate post-partum care.
  3. Stabilization of complications and ensure timely referrals.
  4. Enable an effective two-way follow-up system to enhance beneficiary satisfaction.
  5. Provide Respectful Maternity Care (RMC) to all pregnant women in public health facilities.

Strategy — Three Key Pillars/Levers

  1. Infrastructure upgradation - remodeled and standardized labour rooms (LRs) and maternity OTs
  2. Protocol-based care - adherence to clinical guidelines, availability of essential equipment, capacity building of health care workers, improved quality processes
  3. Respectful Maternity Care (RMC) - enhanced client satisfaction

Monitoring/Standard used

Quality improvement is measured against the National Quality Assurance Standards (NQAS), which monitors labour room and maternity OT quality.

Facilities covered

Implemented at:
  • District Hospitals (DH)
  • Sub-District Hospitals (SDH)
  • High case-load Community Health Centres (CHC)
  • First Referral Units (FRUs)
  • Medical Colleges
(As per Park's PSM textbook data: 2,445 public health facilities including 193 medical colleges identified under LaQshya; 441 labour rooms and 392 OTs achieved state certification; 152 labour rooms and 127 OTs achieved national certification till October 2019.)

Implementation mechanisms

  • Regional Training of Trainers (ToT) conducted across all States/UTs to build a critical mass of trainers (training cascade model).
  • State orientation and baseline assessment done for all States/UTs.
  • Gap closure plans prepared by states based on baseline gaps.
  • Onsite mentoring in identified medical colleges to accelerate certification.
  • LaQshya portal - for digitization of program data, dashboards, and visualization of results.
  • Voluntary program - facilities opt in for certification.

Certification levels (typical viva point)

Facilities are assessed and certified at state level and national level based on NQAS scores for the labour room and maternity OT.

Complications it targets

Hemorrhage, retained placenta, preterm birth, preeclampsia/eclampsia, obstructed labour, sepsis, and birth asphyxia.

Quick one-line answer (if asked directly)

"LaQshya is a MoHFW initiative launched in December 2017 to improve the quality of care in labour rooms and maternity OTs of public health facilities, aiming to reduce preventable maternal and newborn mortality/morbidity around childbirth and ensure respectful maternity care, using NQAS-based certification."
Source: Park's Textbook of Preventive and Social Medicine (LaQshya Programme section); supplemented with PIB press release on LaQshya and NHSRC LaQshya overview.
If your viva is focused on a specific angle (e.g., difference from Kayakalp/MusQan, NQAS checklist points, or numbers/statistics), tell me and I can go deeper on that specific angle.
This is a shared conversation. Sign in to Orris to start your own chat.