Setting up a Quality Assurance Model for Newborn Care to Strengthen Health System in Bihar, India.
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Date
2014-02
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Abstract
Background: A Quality Assurance model was rolled out in Bihar, India. It had two
components: external and internal monitoring and giving feedback for action. The
parameters included infrastructure and policy, equipment maintenance, stock supply and
aseptic measures. Methods: The performance and gradation into good/average/poor was
measured based on the scores translated from the data collected after giving appropriate
weights. Result: 12%, 63%, and 25% units were categorized as good, average and poor
based on infrastructure. For equipment, 68% of units performed poorly; for stock
maintenance 64% and 35% of NBCCs fell under good and average categories respectively;
most (54%) NBCCs had average scores for aseptic measures; 30% fell in the poor category.
Conclusions: Involvement of government in monitoring and feedback mechanism,
establishing a system of data collection at the grass root level and analysis at the state level
were the positive outcomes.
Description
Keywords
Facility based, Health system, Newborn care, Quality assurance
Citation
Neogi Sutapa B, Shetty Ghanashyam, Ray Shomik, Sadhukhan Projna, Reddy S S. Setting up a Quality Assurance Model for Newborn Care to Strengthen Health System in Bihar, India. Indian Pediatrics. 2014 February; 51(2): 136-138.