Maternal and child health in India has seen improvements over the years, but significant challenges remain. High maternal mortality rates and infant mortality rates persist, especially in rural and underserved areas. Key issues include inadequate access to quality healthcare, malnutrition, and poor sanitation.

To improve health outcomes, several interventions are needed:

1. **Enhancing healthcare access**: Strengthening healthcare infrastructure in rural areas by establishing more primary health centers and improving transportation for emergency care can ensure timely medical attention for mothers and children.

2. **Skilled birth attendants**: Increasing the availability of skilled birth attendants and ensuring their presence during deliveries can reduce maternal and neonatal mortality rates.

3. **Nutrition programs**: Expanding nutrition programs for pregnant women and young children can address malnutrition, which is a major contributor to poor maternal and child health.

4. **Education and awareness**: Promoting health education about prenatal and postnatal care, breastfeeding, and family planning can empower women to make informed health decisions.

5. **Immunization**: Strengthening immunization programs to ensure all children receive necessary vaccines can prevent life-threatening diseases.

6. **Sanitation and hygiene**: Improving sanitation and access to clean water can reduce the incidence of infections and improve overall health.

7. **Monitoring and evaluation**: Implementing robust monitoring systems to track health outcomes and program effectiveness can help in making data-driven improvements.

Focusing on these interventions can significantly enhance maternal and child health in India.