Understand the topic
What this means in daily life
Safe delivery depends on skilled care and rapid access to higher-level help when needed. The proposal examines professional readiness, referral and continuity rather than offer clinical instructions or assume every facility has the same capabilities.
A referral depends on more than a vehicle: the receiving facility must be able to provide the required professional care. The proposed system would examine acceptance, current readiness and continuity after transfer through qualified maternity teams.
Data reference table
Evidence Snapshot
Read each value with its reporting period, population and limitations. A historical national reference is not a local baseline or proof that an IFT proposal works.
1 source-linked reference record. 3 measurement records still need data and a review of their relevance.
| Signal | Reference Value | Period / Population | How to Read It | Source Status |
|---|---|---|---|---|
| Institutional births | 88.6% Reported value — scope clarification required | NFHS-5, 2019–21 Births covered by the cited NFHS-5 indicator; the exact eligible birth-history lookback needs confirmation. | Birth in a facility is an access indicator; it does not by itself establish respectful, timely or safe care. Limitations: Historical household-survey estimate. Sampling, non-response and measurement limitations apply; the India figure cannot be assigned to a district or an individual. This is not a facility-readiness or maternal-outcome rate. Do not interpret survey fieldwork years as the birth-history denominator. | Ministry of Finance, Government of India; underlying NFHS data: Ministry of Health and Family Welfare Official government release Economic Survey 2022–23: health indicator table Published: 2023-01-31 Publication checked: 2026-11-04 Period / coverage needs clarification |
| Early registration and quality ANC | Not established Data required — not zero | Reporting period: Information Required Population and geography: Information Required | Proposed measure; no observed value is established here. Limitations: Define the measure, unit, reporting period and covered population; obtain a traceable dataset and review its suitability for this topic before using a number. | Source organisation: Information Required Direct source URL: not yet verified Source publication date: not established Verification status: Data required |
| Risk detection-to-referral time | Not established Data required — not zero | Reporting period: Information Required Population and geography: Information Required | Proposed measure; no observed value is established here. Limitations: Define the measure, unit, reporting period and covered population; obtain a traceable dataset and review its suitability for this topic before using a number. | Source organisation: Information Required Direct source URL: not yet verified Source publication date: not established Verification status: Data required |
| Emergency obstetric readiness | Not established Data required — not zero | Reporting period: Information Required Population and geography: Information Required | Proposed measure; no observed value is established here. Limitations: Define the measure, unit, reporting period and covered population; obtain a traceable dataset and review its suitability for this topic before using a number. | Source organisation: Information Required Direct source URL: not yet verified Source publication date: not established Verification status: Data required |
Different surveys, administrative records, estimates and reporting years are not interchangeable. No combined IFT score is calculated from these rows.
Evidence coverage and review log (CSV) · Structured evidence register (JSON)
10 ideas for this topic
What could be done — and what needs testing
These are proposals for research and local testing. They are not claims that a project has been funded, implemented or proved successful.
Skilled staffing review
Ask maternity leaders to verify actual roster coverage
What to check: Check nights weekends and unexpected absence
Receiving facility readiness
Confirm the professional capabilities needed for a referral
What to check: Distinguish an equipment list from a usable service
Blood-service coordination
Review authorised arrangements for timely blood access
What to check: Test responsibility and communication through approved exercises
Oxygen readiness
Have competent clinical and engineering teams inspect supply dependencies
What to check: Record maintenance and outage response gaps
Surgery and anaesthesia link
Confirm access through qualified referral arrangements
What to check: Review where responsibility transfers between facilities
Newborn support
Examine trained newborn-care and resuscitation readiness
What to check: Use professional competency review rather than public treatment advice
Transport acceptance
Link dispatch with an accepting maternity service
What to check: Track arrival and reception rather than vehicle movement alone
Respectful birth care
Offer protected feedback on communication and treatment
What to check: Ensure complaints cannot affect ongoing care
Discharge continuity
Confirm the team providing maternal and newborn follow-up
What to check: Check that the family knows the agreed next contact
Clinical delay review
Examine documented severe delays through authorised teams
What to check: Publish corrective service lessons without exposing families
References and evidence limits
- WHO: Antenatal care for a positive pregnancy experience
Professional assessment, person-centred care and service continuity; local clinical protocols and individual decisions require qualified review.
Reference guidance informs the proposal. It does not establish local conditions, approve a design or prove that these proposed projects work.