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- Title
Addressing Quality of Care in Pediatric Units using a Digital Tool: Implementation Experience from 18 SNCU of India.
- Authors
MD, Prasant Kumar Saboth; PhD, Enisha Sarin; MD, Varun Alwadhi; MPH, Avinash Jaiswal; MD, Jaya Swarup Mohanty; DCH, Nidhi Choudhary; MBBS, Nitin Bisht; MBBS, Anil Gupta; BSc, Arvind Kumar; MD, Sachin Gupta; MD, Harish Kumar; Saboth Md, Prasant Kumar; Sarin PhD, Enisha; Alwadhi Md, Varun; Jaiswal Mph, Avinash; Mohanty Md, Jaya Swarup; Choudhary Dch, Nidhi; Bisht Mbbs, Nitin; Gupta Mbbs, Anil; Kumar BSc, Arvind
- Abstract
Lack of quality care is associated with newborn mortality and stillbirth. India launched the Special newborn care unit (SNCU) Quality of Care Index (SQCI) for measuring quality indicators in SNCU. The USAID Vriddhi project provided support to the use of SQCI in 19 SNCU across aspirational districts of Jharkhand, Uttarakhand, Himachal Pradesh, Punjab and Haryana. The objective was to provide holistic support to quality care processes by generating analyzed quarterly reports for action with the goal toward sustainability by capacitating SNCU personnel and program officers to use SQCI, over a 1period from April 2019 to June 2020. The composite index has seven indicators and converts them into indices, each having a range from 0.1 to 1, to measure performance of SNCU.7 of the 18 SNCU improved their composite scores from the first to the last quarter. Rational use of antibiotics showed improvement in 12 SNCU. Survival in newborns >2500 g and <2500, low birth weight admission and optimal bed utilization had the most variations between and within facilities. Based on quarterly data analysis, all facilities introduced KMC, 10 facilities improved equipment and drug supply, 9 facilities launched in-house capacity building to improve asphyxia management. The SQCI implementation helped to show a process of using SQCI data for identifying bottlenecks and addressing quality concerns. The project has transitioned to complete responsibility of SQCI usage by the district and facility teams. Use of an existing mechanism of quality monitoring without any major external support makes the SQCI usable and doable.
- Subjects
INDIA; LOW birth weight; QUARTERLY reports; MEDICAL quality control; RESEARCH; RESEARCH methodology; MEDICAL cooperation; EVALUATION research; COMPARATIVE studies; HOSPITAL wards
- Publication
Journal of Tropical Pediatrics, 2021, Vol 67, Issue 1, p1
- ISSN
0142-6338
- Publication type
journal article
- DOI
10.1093/tropej/fmab005