The Nirikhyana Programme is a game-changer in maternal healthcare, launched by the Ganjam District administration to ensure every pregnant woman gets access to free ultrasound tests. It’s a simple yet powerful intervention that addresses a critical gap—early detection of high-risk pregnancies. By identifying complications early, the program has significantly improved maternal and neonatal health outcomes, reducing risks and saving lives.

Barriers to Care

For years, expectant mothers in Ganjam faced multiple hurdles—financial constraints, logistical challenges and a general lack of awareness about the importance of ultrasound screenings. These delays in detecting high-risk pregnancies often led to complications, contributing to high maternal and neonatal mortality rates. The uptake of ultrasound tests was alarmingly low and many high-risk cases slipped through the cracks.

Inclusive Approach

To bridge these gaps, the district administration introduced Nirikhyana, a holistic initiative designed to make ultrasound tests accessible, affordable and systematic. Here’s how they made it work:

• The programme actively engaged pregnant women and their families, emphasising the importance of early screenings.
• Private ultrasound centres under PPP were roped in to provide free USG tests, ensuring that no woman was left behind.
• Accredited Social Health Activists (ASHAs) were trained to mobilise women for screenings, guiding them through the process.
• Expectant mothers were identified through ANC (Antenatal Care) registers. They were issued coupons for free USG tests and provided ASHA escorts for seamless access to diagnostic centres.

Innovation in Action

Nirikhyana isn’t just about providing ultrasound tests—it’s about integrating technology, expanding healthcare access and making services flexible. One of its standout features is the inclusion of ultrasound screenings in the first trimester, a crucial step in detecting potential risks early. By ensuring systematic screenings and timely medical interventions, the programme has redefined maternal healthcare in the district.

Numbers that Speak

• USG Test Coverage: The percentage of pregnant women undergoing ultrasound tests soared to nearly 100% in 2023-24.
• High-Risk Pregnancy Detection: The detection rate jumped from 6% to 24.7%, enabling timely medical care and reducing complications.
• Institutional Births: The rate of deliveries in medical facilities increased from 97% to 98.6%, ensuring safer childbirth conditions.