Dakshata Program (Odisha and Madhya Pradesh)

Given that most maternal and newborn deaths occur around and during delivery, quality improvement of childbirth services is critical. In line with the Government of India’s strategic initiative, Dakshata, NIPI supports Jhpiego’s Maternal Newborn Health program, which focuses on strengthening the quality of care in labour rooms in two NIPI focus states of Madhya Pradesh and Odisha.

NIPI-supported technical assistance by Jhpiego at the national level contributed significantly to the design of the Dakshata initiative, informed by learnings from Jhpiego’s own Safe Childbirth Checklist. NIPI also supported the roll out of Dakshata at the national and state levels.


Dakshata uses a multi-pronged approach:

  • Strengthening competency of service providers in labour rooms through training and onsite mentorship for translation of skills into practice
  • Ensuring availability of resources necessary for essential practices
  • Improving adherence to evidence-based practices through use of compliance tools
  • Improving accountability through better data recording, utilization, and reporting

Jhpiego provides direct program implementation support in the NIPI focus districts, while providing strategic technical assistance for implementation in the Government’s high priority districts of these two states with NIPI funding.


  • National/ State level launch of the initiative in Madhya Pradesh and Odisha with development of state operational plans
  • Approximately 170 delivery points across 27 districts targeted for Dakshata implementation
  • Learning resource packages developed for capacity building of health workers working in labour rooms in line with Dakshata operational guidelines
  • District level program sensitization meetings organized in target districts, engaging more than 700 key officials and health workers on Dakshata
  • Facility assessments conducted in all 169 health facilities in the two states using the Dakshata program tools to identify gaps relating to skills, resources, and infrastructure
  • Remedial plans included as a part of state Program Implementation Plans (PIPs)
  • Five batches of training of trainers (TOTs) completed in these states training 60 master trainers
  • 24 batches of training of District Hospital staff completed, training more than 350 health workers on life-saving practices
  • Dakshata coordinators (quality improvement mentors), responsible for implementing the program at the district level, have been deployed in all target districts in Odisha and Madhya Pradesh.

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