Rollout of quality assurance interventions in labor room in two districts of Bihar, India

Jyoti Sharma; Sutapa B Neogi; Preeti Negandhi; Monika Chauhan; Siddharth Reddy; Ghanshyam Sethy

doi:10.4103/0019-557X.195867

Users Online: 1285

Home

About us

Editorial board

Ahead of print

Current issue

Archives

Submit article

Instructions

Contacts

ORIGINAL ARTICLE

Year : 2016 | Volume : 60 | Issue : 4 | Page : 323-328

Rollout of quality assurance interventions in labor room in two districts of Bihar, India

Jyoti Sharma¹, Sutapa B Neogi², Preeti Negandhi¹, Monika Chauhan³, Siddharth Reddy⁴, Ghanshyam Sethy⁵
¹ Associate Professor, Indian Institute of Public Health-Delhi, Public Health Foundation of India, Gurgaon, Delhi-NCR, Haryana, India
² Additional Professor, Indian Institute of Public Health-Delhi, Public Health Foundation of India, Gurgaon, Delhi-NCR, Haryana, India
³ Project Associate, Indian Institute of Public Health-Delhi, Public Health Foundation of India, Gurgaon, Delhi-NCR, Haryana, India
⁴ Health Officer, UNICEF, Bihar, India
⁵ Health Specialist, UNICEF, Bihar, India

Correspondence Address:
Jyoti Sharma
Indian Institute of Public Health-Delhi, Public Health Foundation of India, Plot No. 47, Sector 44, Gurgaon, Delhi-NCR, Haryana
India

Source of Support: None, Conflict of Interest: None

Check

DOI: 10.4103/0019-557X.195867

Background: Quality of care at the facilities during childbirth remains a major concern. Improved quality could have the greatest dividend in saving maternal and newborn lives. Objective: The objective of this study was to implement quality assurance measures in the labor rooms of select public health facilities in two districts of Bihar. Methods: The labor room quality assurance intervention was implemented in two districts, Gaya and Purnea in Bihar. Health facilities having >200 deliveries/month were assessed using labor room quality assurance checklist developed by the Ministry of Health and Family Welfare. The critical gaps affecting service delivery were identified, and a list of priority actions for quality improvement was developed. An intervention model was rolled out in consultation with the district authorities focusing on the building blocks of the health system. The interventions were implemented from August 2014 to March 2016 in selected facilities after which an assessment was conducted. Results: Initial assessment of labor room was conducted in 24 facilities. After 2 years of intervention, there was a definite improvement in quality assurance scores in most facilities. The infection control scores increased by 20 points in Gaya (from 40 to 59.9) and 10 points in Purnea (from 57.6 to 67.1). The highest gain in scores was observed in quality management component in Gaya (from 6.2 to 58.2). The model attempted to incorporate all the elements of the health system to ensure scalability and sustainability. Conclusion: It is possible to have an implementable quality assurance mechanism within public health system with sustained efforts and commitment.

[FULL TEXT] [PDF]*

Table of Contents

Similar in PUBMED

Search Pubmed for

Search in Google Scholar for

Related articles

Citation Manager

Access Statistics

Reader Comments

Email Alert *

Add to My List *

* Requires registration (Free)

Article Access Statistics

Viewed	2640

Printed	60

Emailed	0

PDF Downloaded	341

Comments	[Add]

Cited by others	2