With reference to the ‘Pradhan Mantri Surakshit Matritva Abhiyan’, consider the following statements: 1. This scheme guarantees a minimum package of antenatal care services to women in their second and third trimesters of pregnancy and six months post-delivery health care service in any government health facility. 2. Under this scheme, private sector health care providers of certain specialities can volunteer to provide services at nearby government health facilities. Which of the statements given above is/are correct?

Updated 11 Apr 2026 · From UPSC Prelims GS Paper I 2024, Q59

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UPSC Prelims GS2024Indian Economy
  1. A1 only
  2. B2 only
  3. CBoth 1 and 2
  4. DNeither 1 nor 2
Show answer

Answer: (B) 2 only

Correct Answer: (b) Statement 2 only.

Statement 1: Provides antenatal care + 6 months post-delivery care — ✗ WRONG.

The scheme provides a checkup in the 2nd or 3rd trimester of pregnancy on the 9th of every month.

It does NOT guarantee six months of post-delivery healthcare.

The exaggeration of scope is the trap.

Statement 2: Private sector specialists can volunteer at government facilities — ✓ CORRECT.

OB-GYN specialists, radiologists, and physicians from the private sector are encouraged to provide voluntary services at government health centres where government doctors are unavailable.

PMSMA focuses on ensuring at least one quality antenatal checkup during pregnancy, not a comprehensive package spanning pregnancy to post-delivery.

Why this was asked

PMSMA provides one guaranteed antenatal checkup on the 9th of every month for pregnant women, not comprehensive care from pregnancy through post-delivery.

The scheme allows private OB-GYN specialists, radiologists, and physicians to volunteer at government health facilities where government doctors are unavailable.

Pradhan Mantri Surakshit Matritva Abhiyan

Indian Economy Pradhan Mantri Surakshit Matritva Abhiyan antenatal care services second and third trimesters post-delivery health care private sector health care providers

Pradhan Mantri Surakshit Matritva Abhiyan: Scope & Private Participation

Must know

PMSMA provides one quality antenatal checkup on 9th of every month for pregnant women

Targets women in 2nd and 3rd trimesters of pregnancy only

Private specialists volunteer at government health facilities where govt doctors unavailable

No post-delivery care component in the scheme

What is PMSMA

Pradhan Mantri Surakshit Matritva Abhiyan is a maternal health scheme launched in 2016 to ensure at least one quality antenatal checkup for pregnant women. The scheme operates on a fixed monthly schedule and leverages private sector expertise to fill gaps in government healthcare.

PMSMA Key Features

Aspect

Details

Key Point

Target Group

Pregnant women in 2nd & 3rd trimesters

Not for 1st trimester or post-delivery

Schedule

9th of every month

Fixed date approach

Services

Comprehensive antenatal checkup

Blood test, BP, weight, clinical examination

Providers

Government doctors + voluntary private specialists

OB-GYN, radiologists, physicians

Duration

Pregnancy period only

No post-delivery component

Private Sector Participation

Obstetricians & Gynecologists, radiologists, and physicians can volunteer

Private specialists provide services at government health centers where govt doctors are unavailable

Voluntary participation - no mandatory requirement for private providers

Helps bridge the gap in specialist availability in rural/remote areas

Question Analysis

The PYQ tested the exact scope of PMSMA. Statement 1 incorrectly expanded the scheme to include six months post-delivery care, which PMSMA does not provide. Statement 2 correctly captured the voluntary private sector participation model.

Exam traps

Trap: PMSMA does NOT provide post-delivery care - only antenatal care during pregnancy

Trap: Scheme is monthly checkups, not a comprehensive package of services

Confusion: Don't mix with Janani Suraksha Yojana which covers delivery and post-delivery care

Scope trap: PMSMA is limited to 2nd & 3rd trimesters, not entire pregnancy period

India's Maternal Health Schemes

Indian Economy

Major Maternal Health Schemes: Comparison & Coverage

Must know

JSY covers delivery and post-delivery, PMSMA covers only antenatal care

Good to know

Janani Shishu Suraksha Karyakram provides free delivery and transport

LaQshya focuses on quality improvement in labor rooms

Maternal Health Schemes Comparison

Scheme

Coverage

Cash Incentive

Key Feature

Janani Suraksha Yojana (JSY)

Delivery + 42 days post-delivery

₹1,400 (rural), ₹1,000 (urban)

Conditional cash transfer

PMSMA

Antenatal care only (2nd & 3rd trimester)

No cash component

Monthly checkups on 9th

Janani Shishu Suraksha Karyakram

Delivery + newborn care

Free services

Free transport, drugs, diagnostics

LaQshya

Quality improvement

No cash component

Labor room quality standards

Integration & Coordination

ASHA workers are key implementers across all schemes

Schemes complement each other - PMSMA for antenatal, JSY for delivery, JSSK for free services

All schemes aim to reduce Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR)

National Health Mission provides the overarching framework

Exam traps

Don't confuse: JSY has cash incentives, PMSMA does not

Coverage trap: JSY covers post-delivery care, PMSMA does not

Timing confusion: PMSMA is monthly, JSY is delivery-based

Public-Private Partnership in Healthcare

Indian Economy private sector health care providers volunteer

PPP Models in Healthcare: Voluntary & Contractual Arrangements

Must know

Voluntary model - private specialists provide free services at govt facilities

Good to know

Contract model - govt pays private providers for specific services

Concession model - private entity manages govt hospital under agreement

PPP in Healthcare Context

Public-Private Partnerships in healthcare help bridge gaps in specialist availability and infrastructure. The voluntary model used in PMSMA represents the lightest form of PPP where private providers contribute expertise without financial compensation.

Healthcare PPP Models

Model

Payment

Example

Key Feature

Voluntary Services

No payment

PMSMA specialists

CSR-driven participation

Fee-for-Service

Govt pays per service

Dialysis centers

Output-based payment

Management Contract

Fixed fee for management

Some district hospitals

Private management of public facility

Build-Operate-Transfer

Revenue sharing

Super-specialty hospitals

Private investment + operations

Advantages of Voluntary Model

No financial burden on government exchequer

Leverages existing private sector capacity without additional infrastructure

Provides CSR opportunity for private healthcare providers

Flexible participation - specialists can volunteer based on availability

Exam traps

Voluntary ≠ Mandatory: Private participation in PMSMA is voluntary, not compulsory

No payment involved: Voluntary model means free services, not fee-for-service

Location specific: Private providers volunteer at government facilities, not their own clinics