Improving Quality of Care for Mother and Newborn Care at Public Health Fcailities
Completed
- Conditions
- Encounter for full-term uncomplicated delivery, (2) ICD-10 Condition: P84||Other problems with newborn, Pregnant women attending the hospitals for delivery and antenatal care and sick newborns admitted,
- Registration Number
- CTRI/2018/01/011434
- Lead Sponsor
- World Health Organisation
- Brief Summary
**Objectives:** Thisimplementation research focuses on improving quality of care for pregnant womenand their newborns in the three districts (Faridabad, Rewari and Jhajjar) ofHaryana. A total of 9 facilities including 3 district hospitals and 6 FRUs inthese three districts shall be part of the implementation research. The implementation research objectives are:
1. Design and implement context specificinterventions at these hospitals to improve the quality of care includingskilled attendance at birth, emergency obstetric care and sick newborn care.
2. Develop local capacity for quality improvementprocesses for the maternal and newborn care.
3. Enhance local capacity to collect and useinformation for continuous improvement
4. To assess the feasibility, acceptabilityand sustainability of the quality improvement interventions.
**Studydesign:** This implementation research project shall adopt pre-post study design with repeatedobservations comprising of mixed methodology (qualitative and quantitative).For implementation of the interventions, we shall adopt continuous PDSA(plan-do-study-act) cycle quality improvement approach.
**Implementation:** At theselected facilities the service areas which will be included as part of thequality improvement process are:
· Maternal care: Labour room, operationtheatre, maternal ward and ANC OPDs
· Newborn care: Sick newborn care units andnewborn stabilization units
The project shall be implemented in phasesover 24 months:
· ***Phase 1- Formative research andsituational analysis (3 months)***
· ***Phase 2: Implementation of the improvementcycles (15 months)***
· ***Phase 3: Documentation of impact (6months)***
· ***Partners:*** The project isbeing implemented with facilitation and support from National Health Mission, Governmentof Haryana; Government of India, NSHRC, WHO and technical experts from severalmedical colleges.
Timeline: The implementation shall be done during April 2017- Mar 2019.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 480
Inclusion Criteria
Pregnant women of any age attending the hospitals for ANC and delivery Newborns (01 days to 28 days) attending the hospitals.
Exclusion Criteria
Participants/LAR not giving consent.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. Maternal health care Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction 2.Newborn health care Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •Functional bags and masks Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •Facility NMR status Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction 3. General health facility Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction Improvement in quality of care: Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •Stillbirth rate Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •Stock-outs of essential medicines Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •Delivery care Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •Sepsis in postnatal period Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •High risk screening Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •Essential newborns care Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •Skin-to-skin contact Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •Birth planning advice Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •Maternal and perinatal death review Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •Disinfection practices Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction •Uninterrupted oxygen supply Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction 4.Client satisfaction Improvement in quality of care: | 1. Maternal health care | •Delivery care | •Stillbirth rate | •Sepsis in postnatal period | •High risk screening | •Birth planning advice | 2.Newborn health care | •Functional bags and masks | •Essential newborns care | •Skin-to-skin contact | •Facility NMR status | 3. General health facility | •Stock-outs of essential medicines | •Maternal and perinatal death review | •Disinfection practices | •Uninterrupted oxygen supply | 4.Client satisfaction
- Secondary Outcome Measures
Name Time Method Adoption and [practice of quality improvement processes at the facilities During the process of implementation
Trial Locations
- Locations (1)
District hospital- Faridabad, Rewari and Jhajjar
🇮🇳Faridabad, HARYANA, India
District hospital- Faridabad, Rewari and Jhajjar🇮🇳Faridabad, HARYANA, IndiaDr Suresh DalpathPrincipal investigator9501650700dhs.ddmch@hry.nic.in