First person: ‘Every woman deserves safe, timely healthcare’

It’s been a truly meaningful year for maternal healthcare in Ludhiana. As I reflect on our progress, one of the most encouraging developments has been the decline in the Maternal Mortality Rate (MMR) — from 101 to 94 in 2024–25. This is not only the lowest figure recorded in the past four years, but also lower than the state average of 105 and the national average of 97.

These statistics reflect far more than numbers, they represent lives saved. Women who, thanks to timely intervention and a stronger public health system, returned home to their families. The district witnessed a reduction in maternal deaths from 50 last year to 43 this year. These tragic losses tend to occur during pregnancy, childbirth, or within 42 days of delivery — often due to preventable complications.

Many of these cases involved young women between the ages of 20 and 30, especially from migrant communities. These women are particularly vulnerable due to factors like anaemia, malnutrition and the absence of proper antenatal documentation. When a woman comes in with no medical history or records, it becomes much harder for doctors to anticipate risks. That’s one of the things we’re determined to change.

Interestingly, this year’s urban and rural figures were almost evenly split — 20 deaths in urban areas and 23 in rural. But the data also reveals deeper gaps in access. Rural regions continue to struggle with issues of distance and awareness. That’s where our Accredited Social Health Activists (ASHAs) come in — acting as lifelines, building trust and ensuring families are linked to proper care.

One of the most impactful strategies we’ve implemented has been the early identification of high-risk pregnancies. Our referral protocols have been significantly strengthened so that by the time a patient is referred, the medical team is prepared and equipped. We don’t wait for emergencies — we prepare for them. That change in approach has made a real difference.

Preventive care is also receiving much more attention now. We’re expanding family planning awareness and accessibility, ensuring that families have real choices. Whether it’s through contraceptive access, counselling, follow-up visits, or community outreach, our aim is to empower people with information and options. We regularly conduct training and refresher workshops to keep our health workers responsive and well-informed.

Another development I take pride in is the steady rise in institutional deliveries. Through financial incentive schemes, improved hospital infrastructure and personalised outreach to expectant mothers, we’ve seen a clear shift away from home births. The trust that families are showing in government hospitals today is heartening.

I remain committed to the vision that every woman, no matter where she lives, should have access to safe, respectful, and timely healthcare.