Adopting an integrated implementation framework that combined training, mentoring, and quality improvement processes to improve the quality, equity, and dignity of care during the intrapartum and immediate postpartum periods, the Care Around Birth approach addressed key drivers of maternal and newborn mortality. nThe approach refocused energy on facility-based quality processes that are currently central to efforts in reducing mortality and achieving Sustainable Development Goal targets.
Background:
The effective implementation of evidence-based practices including the use of partograph to improve maternal and newborn outcomes is critical on account of increased institutional delivery. However, despite clear guidelines, partograph use in India is not widely practiced.
Materials and Methods:
Quality improvement (QI) efforts along with training and mentoring were operationalized in a total of 141 facilities across 26 high priority districts of India. Assessments were conducted across baseline, intervention period, and end line. These included reviewing the availability of partograph and staff competency in filling them at baseline and end line, as well as reviewing monthly data for use and completeness of filling. The monthly data were tabulated quarter wise to study trends. Competency scores were tabulated to show the difference across assessments.
Results:
An overall upward trend from 29% to 61% was seen in the practice of partograph use. Simultaneously, completeness in filling up the partograph increased from 32% to 81%. Staff competency in filling partograph improved considerably: proportion of staff scoring low decreased over the intervention period from 63% to 2.5% (
P
< 0.0001), and the proportion scoring high increased from 13% to 72% (
P
< 0.0001) from baseline to end line.
Conclusion:
The integrated approach of training, mentoring, and QI can be used in similar settings to strengthen partograph use.
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