LaQshya
Labour Room Quality Improvement Initiative (LaQshya) is a national program aimed at improving the quality of care in Labour Rooms and Maternity Operation Theatres to ensure safe childbirth and better maternal and neonatal outcomes.
Background
Every pregnant woman and her family aspire to experience a safe and joyful childbirth. The quality of care provided during labour and immediate postpartum period plays a crucial role in achieving this outcome.
LaQshya was launched by the Ministry of Health & Family Welfare to enhance patient-centric care, improve clinical practices, and ensure respectful maternity care across government healthcare facilities.
Goal & Objectives
- Improve quality of care in Labour Rooms and Maternity OTs
- Ensure respectful and patient-centric maternity care
- Reduce maternal and neonatal mortality and morbidity
- Strengthen adherence to clinical protocols and standards
Key Interventions
Skill Assessment
Assessment of staff through OSCE to ensure competencyNatural Birthing
Promoting safe and natural childbirth practicesClinical Audits
Regular facility-level and C-section auditsQuality Improvement
Continuous Quality Improvement (QI) cyclesStandard Protocols
Implementation of clinical pathways and safety checklists24×7 Services
Availability of blood, diagnostics, drugs & consumablesStrategies
- Standardization of Labour Room and OT layout as per GoI guidelines
- Establishment of Obstetric HDUs in high case-load hospitals
- Strict adherence to clinical protocols and referral systems
Implementation Coverage
188 Delivery Points
Including 126 CEmONC CentersDME
22 Medical College HospitalsDMS
31 District HQ Hospitals + 73 Sub District HospitalsDPH
62 Community Health CentersOutcome
The initiative aims to achieve LaQshya Certification across all delivery points, ensuring improved quality of care and significant reduction in maternal and neonatal mortality.