Improving Quality of Care for Mothers and Newborns at District Hospitals and FRUs of Three Districts of Haryana
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 480
- 试验地点
- 1
- 主要终点
- 1. Maternal health care
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 1.00 Day(s) 至 45.00 Year(s)（—）
- 性别
- All
入选标准
- •Pregnant women of any age attending the hospitals for ANC and delivery Newborns (01 days to 28 days) attending the hospitals.
排除标准
- •Participants/LAR not giving consent.
结局指标
主要结局
1. Maternal health care
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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:
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
次要结局
- Adoption and [practice of quality improvement processes at the facilities(During the process of implementation)