Evaluation of a quality improvement intervention for obstetric and neonatal care in selected public health facilities across six states of India

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dc.contributor.author Sarin, Enisha
dc.contributor.author Kole, Subir K.
dc.contributor.author Patel, Rachana
dc.contributor.author Sooden, Ankur
dc.contributor.author Kharwal, Sanchit
dc.contributor.author Singh, Rashmi
dc.contributor.author Rahimzai, Mirwais
dc.contributor.author Livesley, Nigel
dc.date.accessioned 2017-05-29T13:11:42Z
dc.date.available 2017-05-29T13:11:42Z
dc.date.issued 2017-05-02
dc.identifier.citation Sarin, Enisha; Kole, Subir K.; Patel, Rachana; Sooden, Ankur; Kharwal, Sanchit;Singh, Rashmi; Rahimzai, Mirwais and Livesley, Nigel, “Evaluation of a quality improvement intervention for obstetric and neonatal care in selected public health facilities across six states of India”, BMC Pregnancy and Childbirth, DOI: 10.1186/s12884-017-1318-4, vol. 17, no. 134, 02 May 2017. en_US
dc.identifier.issn 1471-2393
dc.identifier.issn 1471-2393
dc.identifier.uri https://repository.iitgn.ac.in/handle/123456789/2955
dc.identifier.uri http://dx.doi.org/10.1186/s12884-017-1318-4
dc.description.abstract Background While increase in the number of women delivering in health facilities has been rapid, the quality of obstetric and neonatal care continues to be poor in India, contributing to high maternal and neonatal mortality. Methods The USAID ASSIST Project supported health workers in 125 public health facilities (delivering approximately 180,000 babies per year) across six states to use quality improvement (QI) approaches to provide better care to women and babies before, during and immediately after delivery. As part of this intervention, each month, health workers recorded data related to nine elements of routine care alongside data on perinatal mortality. We aggregated facility level data and conducted segmented regression to analyse the effect of the intervention over time. Results Care improved to 90–99% significantly (p < 0.001) for eight of the nine process elements. A significant (p < 0.001) positive change of 30–70% points was observed during post intervention for all the indicators and 3–17% points month-to-month progress shown from the segmented results. Perinatal mortality declined from 26.7 to 22.9 deaths/1000 live births (p < 0.01) over time, however, it is not clear that the intervention had any significant effect on it. Conclusion These results demonstrate the effectiveness of QI approaches in improving provision of routine care, yet these approaches are underused in the Indian health system. We discuss the implications of this for policy makers. en_US
dc.description.statementofresponsibility by Enisha Sarin, Subir K. Kole, Rachana Patel, Ankur Sooden, Sanchit Kharwal, Rashmi Singh, Mirwais Rahimzai and Nige Livesley
dc.format.extent Vol. 17, no. 134
dc.language.iso en_US en_US
dc.publisher BioMed Central en_US
dc.subject Quality improvement en_US
dc.subject Obstetric care en_US
dc.subject Neonatal care en_US
dc.subject Health care delivery en_US
dc.subject Health system strengthening en_US
dc.subject India en_US
dc.title Evaluation of a quality improvement intervention for obstetric and neonatal care in selected public health facilities across six states of India en_US
dc.type Article en_US
dc.relation.journal BMC Pregnancy and Childbirth


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