Uttar Pradesh

Community level

• Use of Village Health Nutrition Day as a platform for providing prenatal health care, family planning services, and nutrition services as well as appropriate reproductive, maternal, newborn, and child health and nutrition (RMNCHN) counseling across the state.
• Expansion of community health worker mentoring to improve reproductive, maternal, newborn, and child health service delivery.
• Improved identification and tracking of high-risk pregnancies, along with referrals to facilities. For example, registration of pregnancies in the first trimester more than doubled, from 29 percent to 65 percent, between 2014 and 2019, and the number of women receiving prenatal care in the third trimester rose from 36 percent to 72 percent during the same period.
• Improved home-based maternal and newborn care, including identification and tracking of low-birth-weight newborns.
• Improved nutrition services, especially focusing on pregnant women, infants, and young children, through home visits and community-based Anganwadi centers. These nutrition efforts have led to substantial increases in behaviors and practices such as complementary feeding and the consumption of at least four food groups by children between 6 and 11 months of age.

Facility level

• Increased rates of institutional deliveries, including through community outreach and investments in staffing levels, nurse training and mentoring, infrastructure, equipment, and commodities.
• Integrated facility strengthening work into the national government’s quality improvement initiative, LaQshya, and strengthening of referral linkages through vertical integration approaches.
• Increased availability of new contraceptives, expanded contraceptive choices, and the creation of a contraceptive specialist cadre.

Health system level

• Improved human resources for health through reforms and innovations including the development of a new electronic human resources management system.
• Stronger supply chain systems through the establishment of a self-sustaining autonomous corporation that acts as the central procurement agency for all drugs and equipment.
• Expanded and improved use of data for decision-making through the development of a unified health digital platform and use of data audits and health dashboards.