The Jhpiego Difference The MNH Approach 29, Okhla Phase – III, New Delhi – 110020, India. Tel: (91) 11-49575100 www.jhpiego.org/india Jhpiego’s MNH programs in India started from 2012 Working in private and public sector healthcare institutions across eight high focus states India Improving Quality of Maternal and Newborn Health (MNH) in India Donors Supporting quality improvement in more than 1000 facilities Ensuring high quality care during the most critical period— the intra and immediate postpartum period Systems Institutions Providers updated till April 2017 This is done through To ensure sustainable impact at every level of the healthcare system Readiness Assessments to identify gaps Ensuring availability of essential resources Strategic skill building in life saving practices Improving individual & institutional compliance & accountability Involvement of all stakeholders Supporting a quality enabling environment in labor rooms Facilitating use of data for action Strong partnerships Programming approach adaptable to specific needs Innovations in processes and tools 360 degree strategy in quality improvement Focus on transfer of learning
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The Jhpiego Difference
The MNH Approach
29, Okhla Phase – III, New Delhi – 110020, India. Tel: (91) 11-49575100www.jhpiego.org/india
Jhpiego’s MNH programs in India started from 2012
Working in private and public sector healthcare institutions across eight high focus states
India
Improving Quality of Maternal and
Newborn Health (MNH) in India
Donors
Supporting quality improvement in more than 1000 facilities
Ensuring high quality care
during the most critical period— the intra and immediate postpartum period
Systems
Institutions
Providers
updated till April 2017
This is done through
To ensure sustainable impact at every level of the healthcare system
Readiness Assessments to
identify gaps
Ensuring availability of
essential resources
Strategic skill building in life
saving practices
Improving individual & institutional compliance & accountability
Involvement of all stakeholders
Supporting a quality enabling environment in
labor rooms
Facilitating use of data for
action
Strong partnerships
Programming approach adaptable to specific needs
Innovations in processes and tools
360 degree strategy in quality improvement
Focus on transfer of learning
Evidence Based - Life Saving Practices for Safe Childbirth
What are we up against?
A large mortality burden:
Ÿ
Ÿ
20% of global maternal deaths occur in India. Every 10 minutes a woman dies due to complications related to pregnancy and childbirth
India is the largest contributor to neonatal deaths in the world. Every two minutes an infant dies in India. 1.2 million babies do not make it to their 5th week of birth
Where do most of these deaths occur?
Ÿ
Up to half of maternal and neonatal deaths occur during the intrapartum period or on the day of birth
Can these deaths be prevented? Ÿ A large proportion of these deaths
are preventable by adherence to simple, evidence based care practices
Sub-optimal Quality:Ÿ Decrease in maternal and neonatal
mortality is not commensurate with the increase in institutional births, reflecting sub-optimal quality of care at facilities
What are the opportunities?Ÿ Women are at healthcare facilities during this critical intrapartum and immediate
postpartum periodŸ Focusing on specific time around childbirth may be an efficient strategyŸ Ensuring quality of childbirth care is a strategic priority for the Government of India
The Dakshata Initiative
Drawing heavily from the learnings of Jhpiego's quality improvement initiatives —the Safe Childbirth Checklist (SCC) program in Rajasthan and the standards based quality improvement program in Maharashtra--- the Government of India in 2015 launched---
ŸTo strengthen quality of care during and immediately after childbirth through competent, skilled and confident providers
ŸCurrently working in over 90 districts across 7 statesŸTrained more than 650 trainers and more than 8200
healthcare providersŸContinues to provide technical support at national,
state and district levels through advocacy, support in trainings, onsite mentoring
Jhpiego's MSD for Mothers supported program for the private sector, recently transitioned from
Leveraging Private Enterprise to Improve
Maternal Newborn Health and Family Planning in India
Sustaining Quality Assurance
Accreditation for Maternal Healthcare in
India’s Private Sector
Ÿ Improved adherence to high impact practices in the 140 target facilities in Uttar Pradesh and Jharkhand
Ÿ Presented a scalable model for quality improvement of maternity services in the private sector
Ÿ Piloted concept of developing a commercially viable quality management model involving NABH entry level certification: 3 facilities certified
Ÿ
Ÿ
Ÿ
Manyata is currently being implemented in
Jhpiego proposes to develop and validate a viable and investable business model for quality assurance mechanism and continue laying the groundwork for sustainable quality improvement
Quality management program 'Manyata' launched in partnership with FOGSI and NABH in January 2017
Uttar Pradesh, Maharashtra and Jharkhand
ŸFocused and customized training
ŸResource availability
ŸImproved monitoring and accountability
Ÿstrategy for transfer of learning
SCC has been used to define the framework
of action
GoI’s strategic initiative
Jhpiego is GoI's lead technical
partner
Phase 2
Phase 1
NABH- National Accreditation Board for Hospitals & Healthcare ProvidersFOGSI- Federation of Obstetric and Gynaecological Societies of India
DAKSHATA
*Data till March 2017
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