Effect of WHO-SCC based intra-department mentoring program on quality of intrapartum care in public sector secondary hospitals in Andhra Pradesh, India
Pre-post mixed methods evaluation
Bibliographic Data
| ID | 19592255 |
|---|---|
| Authors | Samiksha Singh (0000-0001-9441-0657, Institute of Public Health Bengaluru, corresponding author), N K Kannuri (0000-0003-2352-6972, Institute of Public Health Bengaluru), Aparajita Mishra (0000-0002-7705-9276, Institute of Public Health Bengaluru), Leena Gaikwad (0000-0001-6428-7854, Institute of Public Health Bengaluru), Rajan Shukla (0000-0002-1958-7396, Institute of Public Health Bengaluru), Mukta Tyagi (0000-0001-9821-934X, Institute of Public Health Bengaluru), Swecha Chamarthy (Institute of Public Health Bengaluru) |
| Editors | Anil Gumber (0000-0002-8621-6966) |
| Year | 2022 |
| Volume | 2 |
| Issue | 8 |
| Pages | e0000530 |
| Publication date | 2022-08-16 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | PLOS Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2767-3375 • E-ISSN: 2767-3375 |
| Publisher | Public Library of Science (PLoS) (PUBLISHER) |
| DOI | 10.1371/journal.pgph.0000530 |
| PMID | 36962724 |
| OpenAlex | W4291993572 |
| Language | EN |
| References cited | 10 |
Quality of intrapartum care is essential for improving pregnancy outcomes; several models for improving performance are tested, globally. Dakshata is one such WHO SCC-based national program—improving resources, providers’ competence, and accountability—in public sector secondary care hospitals of India. Andhra Pradesh state devised strategy of mentoring by the handpicked member from within the obstetric team, supported by external technical partner. We evaluated the effectiveness and assessed contextual factors to success of the program. We conducted pre and post mentoring mixed-method surveys to evaluate the change in evidence-based intrapartum and newborn care practices and stillbirth rates, across 23 of 38 eligible hospitals. We directly observed obstetric assessments and childbirth, extracted data from casesheets and registers, interviewed beneficiaries and conducted facility surveys. We in-depth interviewed stakeholders from state, district and facility managers, mentors and obstetric staff, and external managers for theory-driven qualitative assessment. After one year we found, average adherence to practices sustained high during admission (81%, 81%); improved during childbirth (78%, 86%; p = 0.016); moderate within one hour of birth (72%, 71%), and poor postpartum care before discharge (46% to 43%). Stillbirths reduced from 11(95% CI, 9–13) to 4(3–5) per 1000 births (p
Family medicine · Political science · Public sector · Family and Patient Care in Intensive Care Units · Global Maternal and Child Health · Maternal and Perinatal Health Interventions · Medicine
| Citation velocity | historical |
|---|---|
| Highly cited | No |