National Health Mission in Assam and Kamrup District with the support of Piramal Foundation launched “Xushrukha,” first of its kind research initiative to manage high-risk pregnancy cases

  • The initiative was inaugurated by Smt. Keerthi Jalli (IAS), the Kamrup Rural District Commissioner, in presence of senior government health authorities
  • Around 126,000 women are expected to participate in awareness sessions, aligning with World Health Organization (WHO) Preconception Care guidelines, to improve their pregnancy experience, with an estimated 12,600 (10%) of them being potential high-risk pregnancy cases
  • Piramal Foundation has developed customized, innovative mobile applications containing counseling content and guidelines on how to manage and monitor high risk cases for the research

India | October 12, 2022: National Health Mission (NHM) Assam, in collaboration with Kamrup district authorities, unveiled “Xushrukha” (meaning “Taking Care” in Assamese), an innovative 18-month research program that will help reduce the rate of probable high-risk pregnancy (HRP) cases in the state. This first of its kind initiative in Assam, supported by the Piramal Foundation, is aimed at addressing and reducing high-risk pregnancies in the state, with a focus on the Chaygaon, Nagerbera, and Rangia blocks of Kamrup district

Dignitaries present at the event included the Joint Director (Health), Dr. Mahitosh Banerjee, Additional Deputy Commissioner (Health), Shri. Kamal Boruah (ACS), State NHM Behavior Change Communications expert, Smt. Shikha Borthakur, amongst others.

With Assam’s Maternal Mortality Rate (MMR) standing at a concerning 215 (Sample Registration System 2016-18), well above the national average, state health officials have made it a top priority to address this critical issue. This research program aims to assist state and district health authorities in reducing maternal mortality by proactively identifying and providing counseling for at-risk women in the eligible couple category. Approximately 1,26,000 women will participate in awareness sessions focused on adhering to the World Health Organization’s (WHO) recommendations for preconception care, ultimately enhancing their pregnancy experiences. 

The program includes:

  1. Early identification of probable and current high-risk pregnancies (HRPs) during Eligible Couple Registration by ASHAs
  2. Targeted Counselling on Family Planning for identified high-risk beneficiaries by ASHAs
  3. Care and counselling is provided through the entire 18 months cycle – starting with preconception upto a few months after the birth of the child

The Piramal Foundation plays a pivotal role in enabling and supporting the implementation of the groundbreaking Xushrukha project. Within this initiative, the Foundation has developed innovative mobile applications containing counseling content and guidelines.  These tools will empower the digital knowledge of 694 Accredited Social Health Activists (ASHAs) to conduct door-to-door screenings and provide support to pregnant women facing high-risk situations.  In addition to training the ASHAs, the Foundation will provide analytics to districts and blocks, thereby affecting governance and healthcare delivery. At the project’s conclusion, the Piramal Foundation will publish a comprehensive study in collaboration with NHM, Assam that will lay the groundwork for the expansion of this crucial program across the entire state of Assam.

At the launch, District Commissioner, Smt. Keerthi Jalli (IAS), said, “The High Risk Pregnancy identification program will help the district to identify probable high risk cases at the pre and ante-natal phases, to work on ensuring safe pregnancy outcomes. I am happy that this is being implemented in Kamrup district. The positive outcomes can be later scaled up.”

According to Sanjeet Roychoudhury, Director, Piramal Foundation,” Identifying probable high-risk cases early in the prenatal stages will support working on better management during pregnancy and its outcomes. It is our privilege to collaborate with NHM, Assam in such an innovative study, which may have the potential for larger assimilation in the state. At the end of the project, we will publish a comprehensive study based on this partnership”. 

About Piramal Foundation

Piramal Foundation is the philanthropic arm of Piramal Group. Aligned to the Sustainable Development Goals the Foundation is committed to improving the lives of marginalized communities, by leveraging the power of youth and strengthening Government systems. With operations supported by 5000+ employees, and spread across 27 States and 2 Union Territories, over the last 16 years it has touched the lives of more than 11.3 crore Indians.

About Digital Bharat Collaborative

Digital Bharat Collaborative (a part of Piramal Foundation) is committed to supporting the government to create an India where every person enjoys equitable access to quality healthcare services and equal opportunities to live to their fullest potential.

About National Health Mission (NHM)

The NHM, launched in 2005 by the Government of India, envisages achievement of universal access to equitable, affordable & quality health care services that are accountable and responsive to people’s needs.


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