Quality care: right of every mother and baby
Quality of Care has remained a challenge in most large scale health systems, globally. Vriddhi project through its support to Govt. of India’s National Quality Improvement initiative LaQshya is working towards improving quality of care and prevention and management of complications to have a significant impact on reducing maternal deaths, still births and early neonatal deaths.
Vriddhi facilitated the process of institutionalizing the process at the national level by setting up a Program Management Unit and at the states by overall supporting the implementation of the initiatives and by working with facilities directly undertaking assessments and mentoring them.
One example of how Vriddhi has helped facilities achieve quality standards and be able to provide quality health care services in low resource settings is of District Hospital Raipur, Chhattisgarh. The facility received the Govt. of India’s “National Quality Certification”, and the project team had a significant role to play in helping them achieve it.
Manisha Mishra, labor room incharge at District Hospital. Raipur says “We were conducting deliveries at the hospital but probably not the way it should be done. Before the Vriddhi project started working with us, we did not have a labour table, also we were not aware about the autoclave of all instruments and our understanding on various steps to be done under active management of third stage of labour resuscitation of a baby improved. Now we confidently do these things on our own.”
The projects efforts and support included mentoring visits to the facility where identified gaps were discussed with the labour room staff and an action plan was created for improvement. Advocacy was also a crucial input by the project team and facility incharge (Medical Superintendent) and district officials were brought on the discussion table and support with procuring of missing resources, which were critical to the functioning of the labour room. Simple and achievable targets were set which enables the facility to achieve goals and better prepare for the National Quality Certification under LaQshya program. Some of the key changes brought in were well-prepared labour room with essential requirements (medicine trays, thermometers, autoclave equipment, etc.). Further curtains were introduced for privacy and labour tables for delivery and smiling and courteous trained staff.
These small yet significant changes are translating to better quality care for the beneficiaries, Kanak a young mother who delivered for the second time in the facility says ”having my sister as a birth companion during my delivery enhanced my experience of care at the hospital, I felt supported with her around.”
Promoting simple yet effective respectful maternity care practices in the facility as part of LaQshya initiative has improved quality & experience of care in many ways.
The facility staff is very motivated and enthusiastic following the high score achieved during the national assessment and they plan to sustain the momentum of the work and they plan to make their facility a model facility. They state that since they are doing well and their delivery load is increasing they have demanded for more resources to be able to handle the delivery load so that they are able to provide best possible care to every mother who comes.