IVF & Fertility

NABH Accreditation for Fertility Clinics in India: What the ART Standards Require (2026)

Antony Dick·Founder & CEO, CuraVerto·12 June 2026·Updated 11 October 2026·8 min read
The 60-second version

What the NABH ART standards say, and what they do not.

Checked against NABH's own document.
1
Pick what you want to know
One tap jumps to that part.
2
See the simple version
Plain words, one picture.
  • Ten chaptersFive are patient-centred and five are organisation-centred.
  • 28 listed indicatorsAnnexure 1 gives a definition, formula, unit and frequency for each.
  • No pass or fail ratesWe found no benchmark thresholds in the annexure.
  • Four-year certificateAccreditation is voluntary and separate from ART Act registration.

Read the annexure itself for exact definitions before you rely on any summary.

3
See it on your own cycle data
A real person sets it up with you.

Ask us how CuraVerto's IVF module computes indicators from cycle records, and where it does not reproduce the full list.

Ask us on WhatsApp
28 indicatorslisted in NABH Annexure 1. CuraVerto does not currently claim to reproduce all 28.
11 October 2026date this guide was checked against NABH's document.
Want the detail? Read the full guide (8 min) ↓

NABH has published accreditation standards for Assisted Reproductive Technology (ART) clinics, 1st edition, available from nabh.co. The standards are organised in ten chapters, list 28 key performance indicators in an annexure (most of them for monthly monitoring), and lead to a four-year accreditation certificate. This guide was checked against NABH's own document on 11 October 2026.

Accreditation is voluntary
NABH (National Accreditation Board for Hospitals & Healthcare Providers) is India's national healthcare quality accreditation body. The ART standards apply to an organisation that is in operation, is willing to apply, and commits to NABH standards and applicable legal requirements. NABH's own list of purposes includes providing "an objective system of empanelment by insurance companies and other third parties". That is NABH's stated purpose, not a statement that any insurer requires it, and we found no source that does. Check an insurer's own written criteria before spending on accreditation.

What the NABH ART standards cover

Ten chapters, the same set NABH uses for its other clinic programmes. The first five are patient-centred and the last five are organisation-centred.

NABH chapterCodeFocus
Access, Assessment and Continuity of CareAACScope of services, registration, assessment, laboratory and imaging services, IVF laboratory services
Care of PatientsCOPClinical care, including the care of OHSS and emergency response
Management of MedicationMOMMedicine storage, prescribing and administration
Patient Rights and EducationPREPatient rights, information and informed consent
Infection Prevention and ControlIPCInfection control practice and surveillance
Patient Safety and Quality ImprovementPSQQuality programme and key indicators (PSQ.3)
Responsibilities of ManagementROMGovernance, policies and legal compliance
Facility Management and SafetyFMSPremises, equipment and safety
Human Resource ManagementHRMStaffing, credentials and training
Information Management SystemIMSMedical records, retention and information security

Which indicators does NABH list for fertility clinics?

Annexure 1 lists 28 indicators with a definition, formula, unit and monitoring frequency for each.

Standard PSQ.3
Standard PSQ.3 requires the organisation to identify and monitor key indicators for clinical structures, processes and outcomes. Its interpretation text names, for assisted reproduction, the ICSI fertilization rate, Day 5 usable blastocyst rate, clinical pregnancy rate and carry-home baby rate. A selection of the ART indicators is below; read the annexure itself for the full list and exact definitions.
Indicator (NABH Annexure 1)What it measuresListed frequency
ICSI fertilisation rateOocytes with 2PN and 2PB as a share of MII oocytes injectedMonthly
IVF fertilisation rateOocytes with 2PN and 2PB as a share of cumulus oocyte complexes inseminatedMonthly
Day 5 usable blastocyst rateGood quality blastocysts on day 5 as a share of oocytes with 2PNMonthly
Total usable blastocyst rateGood quality blastocysts on day 5 and 6 as a share of oocytes with 2PNMonthly
Day 5 clinical pregnancy rateFresh day 5 transfers resulting in a fetal heart beat at weeks 7 to 9Monthly
Cumulative clinical pregnancy rateFresh or frozen-thawed blastocyst transfers within 6 months of OPU resulting in a fetal heart beat, per fresh cycleSee annexure
Blastocyst cryosurvival rateBlastocysts appearing intact as a share of blastocysts warmedMonthly
Implantation rate (cleavage and blastocyst stage)Sacs seen on ultrasound as a share of embryos transferredMonthly
Annexure 1 also lists indicators that are not ART-specific
  • Medication errors
  • Surgical site infection rate
  • Incidence of patient falls
  • Time for initial assessment
  • Patient satisfaction index
No benchmark thresholds found
NABH says each organisation can design its own methodology of data collection, and the annexure gives sample size guidance. We found no benchmark thresholds, such as a minimum pregnancy rate, in the annexure. Accreditation is scored on objective elements instead: all legal requirements met, at least 80% overall compliance, every Core element scored 4 or above, and no standard with more than one element scored 2 or less.

Process, validity and what it does not require

The certificate is valid for four years, with a surveillance assessment at 14 to 18 months.

  1. STEP 1
    Application to approval
    Application, with an optional pre-assessment, then a final assessment, review by the NABH Secretariat, a recommendation by the Accreditation Committee and approval.
  2. STEP 2
    Validity and renewal
    The accreditation certificate is valid for four years, with a surveillance assessment at 14 to 18 months. A renewal application is due six months before expiry.
  3. STEP 3
    Whole organisation
    The standards apply to the whole organisation, not a single service within it.
  4. STEP 4
    ART Act is separate
    Registration under the ART (Regulation) Act, 2021 and its Rules is a separate legal requirement. The NABH standards refer to the ART Act in several places, for example for donor identification, surrogacy and written guidance.

Which consents are legally required, and for how long, is set by the ART Act and Rules, not by NABH.

Under the NABH standards
  • Informed consent sits in the Patient Rights and Education chapter
  • The Information Management chapter requires a retention period for each category of medical record, in line with NMC rules and the relevant authorities, with written guidance as per the ART Act
Set by the ART Act and Rules
  • Which consents are legally required for each cycle type
  • How long they must be kept
  • Take these from the legal text

Our consent and documentation checklist, linked below, walks through them.

Why manual indicator compilation creates audit risk

Compiling indicators by hand each month is slow and hard to verify, and a discrepancy is the kind of finding an assessor can raise.

Data comes from several stages, recorded by different staff at different times
  • Stimulation
  • Retrieval
  • Fertilisation
  • Embryo development
  • Transfer
  • Pregnancy confirmation

NABH also expects data to be verified by the quality team and analysed (PSQ.3, objective element c).

How IVF software helps, and its limits

CuraVerto does not currently claim to reproduce all 28 of NABH's listed indicators. Compare any system you evaluate against Annexure 1.

  1. STEP 1
    Cycle record linking
    Connects stimulation notes, OPU record, embryology grading, transfer record, and pregnancy confirmation into a single cycle timeline.
  2. STEP 2
    Computed indicators
    CuraVerto computes embryology lab indicators such as fertilisation rate and blastocyst formation rate from structured cycle records, so they do not need a manual export.
  3. STEP 3
    Consent records
    Structured consent forms with digital signature capture, so consent evidence is retrieved from the cycle record.
  4. STEP 4
    Immutable records
    Consent documents and cycle records are write-once after approval, and every change is audit-logged with who changed it and the before and after state.
Pricing sources
NABH: Accreditation Standards for ART Clinics, 1st edition →Listed under Accreditation Standards. Scope, ten chapters, PSQ.3, Annexure 1 (28 indicators), process chart and four-year validity read from the PDF on 2026-10-11
NABH: Public notice for comments on the draft ART standards →Dated 27 August 2025, comments closed 1 September 2025. Shows the standards were drafted in 2025 and finalised since. Checked 2026-10-11
ART (Regulation) Act, 2021 →Ministry of Health: legal registration and consent requirements for ART clinics are set here, separately from NABH
Related reading

Frequently asked questions

Five short answers, each checked on 11 October 2026.

Is NABH accreditation mandatory for fertility clinics in India?
No. NABH describes its ART standards as applicable to organisations "willing to apply", so accreditation is voluntary. It is separate from the legal registration an ART clinic needs under the ART (Regulation) Act, 2021 and its Rules. NABH's standards state that one purpose is to provide an objective system of empanelment by insurance companies and other third parties, but we found no NABH or insurer source that makes NABH accreditation a requirement for an ART clinic. Ask any insurer or network for its written criteria. Checked 11 October 2026.
How many KPIs does NABH require for fertility clinics?
NABH's ART Clinics standards (1st edition) list 28 indicators in Annexure 1, not nine. Most are ART laboratory and outcome indicators, such as ICSI and IVF fertilisation rate, Day 5 usable blastocyst rate, clinical pregnancy rate and blastocyst cryosurvival rate, and the list also includes medication errors, surgical site infection, patient falls, time for initial assessment and patient satisfaction. The annexure gives a definition and formula for each and lists monthly data collation for the ART indicators. The standards also require the clinic to identify and monitor its own key indicators under standard PSQ.3. Checked 11 October 2026.
Does NABH set benchmark targets such as a minimum clinical pregnancy rate?
Not in Annexure 1, which gives definitions, formulas, units and frequency but no pass or fail thresholds that we found. NABH accreditation is scored on objective elements: a clinic must meet all legal requirements, reach at least 80% overall compliance and score every Core element at 4 or above, among other rules. Any benchmark percentage you see quoted should be traced to its source before you rely on it.
How long is NABH accreditation valid for an ART clinic?
The certificate is valid for four years, with a surveillance assessment at 14 to 18 months and a renewal application six months before expiry, per NABH's process chart in the ART Clinics standards. A pre-assessment is optional. NABH does not publish a total preparation time that we found, so any preparation timeline is a planning assumption.
Can clinic software automate NABH KPI reporting?
Software can compute indicators from structured cycle data, which removes manual compilation, but you should check any system against NABH's own Annexure 1 list rather than a generic claim. A general EMR cannot compute fertility indicators because it lacks structured embryology and outcome data. CuraVerto's IVF module computes embryology lab indicators such as fertilisation rate and blastocyst formation rate from cycle records, and it does not currently claim to reproduce all 28 of NABH's listed indicators.

Frequently asked questions

Indicators computed from your cycle data, not a spreadsheet

CuraVerto's IVF module connects stimulation records, embryology grading, transfer records, and obstetric outcomes, and computes embryology lab indicators from them as the data is recorded. No monthly spreadsheet exercise.

Explore the IVF module →Book a demo for your fertility clinicChat on WhatsApp

Prefer not to use WhatsApp? Leave your number and we will call.

We use your name, clinic and number only to contact you about CuraVerto. If you say how you heard of us, we keep that with your request. See our privacy policy.

More from the blog