India Has Made Significant Progress in Reducing Maternal and New-BORN Mortality Since 2005. The hearth systems imaged nationwide as part of the national h EALTH MISSION HAVE AVERTED MILLIONS of New-Born Deaths and Saved The Lives of Women [1, 2]DESPITE This DeClining Trend, The Burden of Maternal and Neonatal Mortality Remains High. d the neonatal mortality rate (nmr) is 20 per 1000 live birdHs [3, 4]. Almost has had the maternal deths, 40% of all strongbirths, and neonatal deths occur during labor, on the day of birth [5]. This happy having a rater of pr Oven Intervents and Technologies that Can Effectively Address the Cautality Mortality [[6,7,8].New Delhi Wealth Management
While the inquitable arrangements of service deliverly and inEfficient Health Systems can be considered the root cause. Ant Contributors to the Excess Mortality AMONG MOTHERS and Children [9,10,11]. "A lack of question careIn the Health Facilities of India Is Perceived as the Factor Most Contributing to the Maternal Deaths by Family Members of Deceased Women ". Ment During Childbns is Also WideSpream, With 70% of WOMEN Reporting Experiencing Some Form of Mistreatment [13]. To develop effective solutions, better measurements of healthcare quality are needed to pinpoint where interventions would have the greatest impact to address both systemic and care delivery issues to improve maternal and child health outcomes.
Globally, Several Standardized Facility Assessment Tools Exist to Compirenesively Assess Maternal, NewBorn and Child Health. Their objective and ST Ructure Vary Significantly. As Example – The Service Delivery Indicators (SDI) Initiative of the World BANK AIMS TO PROVIDE BENCHMARKING of Service Standard [14], Service Availability and Readiness Assessment (SARA) Developed by the World Heganization (WHO) Monitors Indicators Related to the Continuum of Care [15] And Lastly Service Provision Assessment (SPA) Spearheaded by Demography and Health Survey Program (DHS)Includes Several Quality of Care Indicators -Related to Antenatal Care, Family Planning, and SICK Child Care -But Not Related to Prenatal Care During Childbring [ 16]. Recently, Who Led The Development of the Harmonized Health Facility Assessment (HHFA) Through a Collaborative, Multi-Stakeholder Process. The HHFA PROVIDES MODULES and Tools for a Comprehensive, Standardized Assessment of Health Facility Services, Including Y of Care Through Record Reviews, to Generate Evidence to Streangthen Health Systems [17]Surat Wealth Management. However, Prominent Assessment Methods SpecifiedQuality of Maternity and Newborn Care in Health Facilities Use Global Include WHO’s Standards for Enhancing The Quality of Maternal and Newborn Care [18], A Toolkit Developd by Jhpiego for Site Assessment and Streangthening of Maternal and Newborn Health ProgramS [19], and the MaternalAnd Child Health Integrated Program Health Facility Survey Toolkit By USAID [20]. AMONG theceSe, The WHO Framework is widly used and consured the only. Unified Global Tool with A Comprehensive Set of Indicators for Maternal and NewBorn Health [21].
In India, WOMEN Can Access Maternal Health Services at Different Levels, Ranging from Community to the Highest Tier of HealthCare Facilities, Encompassing Both the PU BLIC and Private Health Systems. In the Public Health System, Sub-CENTRES Health and Wellness Center (SC-HWCS) AT 3000–5000 Population, Serve as the Primary Level Facilities for Basic Maternal Health Services, Managed by Trained Community Health Office, At Least One Or O Female Multi-Purpose Workers and 4 –5 ASHAS (Community Health Workers) WHO CONDUCT OUTREACHServices for Pregnancy Registration, ANTENATAL and Postnatal Care, and Family Planning. Primary Health Center 0,000 Popuration in Urban Areas Act as Women’s Initial Point of Contract with PHYSICIANS, Offering MoreExpanded Services and with a Longer Time or 24-Hour AvaiLiality of Services.
The First Tier of Secondary Care Facilities is 50–100 Bedded Community Health Center (CHCS) at the Sub-Distribe. AECOLOGY, Paediatrics, and Anaesthesia, Along with Trained Nursing Staff. CHC’s Offer 24-Hour DeliveryReferrals for complications, postnatal care for 0 & 3rd day, management of oblications and basic objectric care. CHCS Designated As First l units (Frus) Can Performaesarean Sections and Have Blood Storage Units. Sub-Divisional (100 Bedded) atSub-Distrights and Distribict Hospitals Iveries that chugs cannit handle, Address Association Maternal and Neonatal ComplicationsJaipur Investment. SDHS Are Expected to Have 2 Specialist EACH inOBSTRICS and GNECOLOGY, Pediatrics, and ANESTHESIA, Along with Five Medical Officeers and Adequately Trained Nursing Staff to enter Hensive Maternity Care Services. While district Hospitals Have Larger Number of SpecialistAnd gynecology, Pediatrics, and ANESTHESIA, An Adequate Number of Medical Officers and Trained Nursing Staff to Deliver Compirensive Maternity Care Services. Vernment Medical Colleges and Specialty Hospitals, Tertiary Facilities, Handle the Most Complex Maternal Health Conditions [22, 23,244, 25].
Over the last two decades, Several Programs Have Been Implement to Improve the Quality of Care in the Health Facilities [26]. MILY WELFAR (MOHFW) Has Been Implementing the National Quality Assurance Program (NQAP) as the Primary Meanssof question assessment of health proprams since 2013. As part of the nqap, mohfw has ben user quality assurance stanDards (NQAS), account National Society for Quality in Health Care (Isqua), Which FURTHER Adapted Measures Based on the Three Aspectsof the Donabedian Model of Quality of Care-The Structure, Process, and the Outcom [27]. Nonetheless, India’s Record of Ensuring High-Quality Maternal and NE NE WBORN CARE ReMAINEED SUBOPTIMAL [11, 28, 29]. SEVERAL FACTORS ContributeIn Health Facilities, Including Delays in Privediding Care to Intrapartum Mothes, Incomplete Adherence to Safe Bird, BIRTH, Referrals Not Resulting in Treatment, Low Competence AMOFF to Manage ObStetric Complications, The Absence of Skilled Birth ATTENDANTS,and Instances of Staff Abuse and Neglet During During Delivery RAM Specifically Targeting Maternity and Newborn Care to Improve Health Outcomes.
In Response, The GoverNMENT LAUNCHED The Labor Room Quality Improvement Initiative (Laqshya) in 2017. E outComes by Enhancing the Quality of Maternal and Newborn Care. ITS Goals Include Decreasing Complications Such as Hemorrhage, Retaind Placenta, PRETERMBIRTH, PREECLAMPSIA, OBSTRUCTD LABOR, SEPSIS, and ASPHYXIA, ETC. It Also Focuses on Building CapaCities for PromPT Stabilization of Above Complications, T Imely Referrals, and Building An Effective Two-Way Follow-Up System Through Effective Communication Between Health PROVIDERS at Different Levelsof the health care system. Extending Respectful Maternity Care (RMC) to All Pregnant Women is Another objashya [34]. ATION, Measurement Metrics, and ProcessSses to Assess the Quality of Intracartum and ImmediaTPARTUM CARE IN LAQSHYYA WERE DREE DRAWNFrom nqas.Jaipur Wealth Management
Over the last simix years, that only a Few Studies have been confined to exmine laqshya’s performance, which indicTural and Proces ATED Improvements in Service Delivery Under Laqshya, Including Infrastic Upgrades, New Protocols, Training Programs, and Infection ConTrol s [3536].
However, The Studies are limited in scope and depth, providing insufficient insights into the overalial effects of laqshyaGuoabong Stock. EW Aspects of the Program, Such as RMC or Adherence to Guidelines, or They Report on Changes Experienced Due to the ProgramFrom A Single Health Facility. The Studies Lack A Thorough Examination of Laqshya’s Implementation Experience that can help in Identifying Bottleneck with The. Program and Specific areas of improvement to starthen the program.
Furthermore, to date, no comparative analysis have been consiductal laqshya again, Such as the Framework Outlined by the WHO [18]. An Analysis Could PROVIDE VALUABLE Insights Into How Laqshya Aligns with Established InternationalThen, then
This paper aims to address these knowledge gaps and appraise LaQshya’s potential in measuring the quality of care for mothers and newborns. We begin by offering a descriptive case analysis of LaQshya’s operational elements, strengths, implementation experience, and challenges. Next, we compare LaQshya’s measurementMetrics and Facility Assessment Tools with The WHO’s Standards for Impriving Quality of Maternity and Newborn Care in Health Facilities. IPTIVE CASE ANALYSIS and Comparative Assessment, We Draw Insights Into Laqshya’s Capacity to Measure The Quality of Mothers and NEWBOR ns in public healthFacilities.
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