Success-Stories-on-Health-Sector

tElangana
labour room manDatorY ProtoCols anD qualitY PraCtiCEs:
saFE CHilDbirtH CHECKlist
ProblEm statEmEnt
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Most mothers dying in postnatal period – 48.2%.
21.4% mothers Maternal Deaths in labour.
28.6% in Antenatal period.
1.8% deaths due to Abortion.
ProgrammE DEsCriPtion
The project was started on 11th March, 2014. Under
the project all delivery points covering 10 HPDs were
covered.
Geographical area of TS 114,840 sq.kms/44,360 sq.miles and
6.7 lakhs expected deliveries in public health facilities.
Methodology: Strategy for rollout
• State Level Sensitisation Workshop and TOT for
creating State resource pool.
• District level trainings for service providers.
• Rapid assessment of Delivery points prior to
implementation.
• Preparation of score cards and dissemination workshop
focusing on complete gap filling.
• implementation of labour room mandatory protocols
and practices.
• Review and gap analysis by identified monitoring
teams.
• Evaluation and discussion of findings at State level.
• Monitoring and supportive supervision.
• The monitoring team in the districts visit the facilities
quarterly for supportive supervision.
ProgrammE outComEs
• 154 master trainers and monitors trained.
• District level TOT conducted training a pool of 10-12
master trainers per district.
• Rapid assessment of Delivery points in a phased
manner covering high load conducted in 2014-15; gaps
identified and dissemination of gap filling exercises
conducted.
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gap analysis presented and discussed in presence of
State level highest authorities.
On duty job aid.
Memory tool.
Uniform standards and evidence of implementation/
gap (checklist).
Checklist audits analysis is constant reminder of the
gaps in infrastructure/drugs/consumables/adherence
to protocols/best practices status.
Minimising errors during the crucial period so as to
reduce MMR and ENMR rapidly and significantly.
imPlEmEnting PartnErs
JHPiEgO
Evaluation
Observation by 8th CRM Team 9 and JHPEigO team but
no formal evaluation.
FinanCial invEstmEnt
The total cost of checking with SCC including initial
assessment, training of all service providers at all Delivery
points, printing of checklist, monitoring and supervision
with periodical assessment Rs. 122.93 lakhs. @Rs. 12 lakhs
per district.
sCalabilitY
• Move from high load delivery points to optimal load
i.e starting from Medical College DPs to District
Headquarter Hospital, sub-district hospitals (aH/
CHC- FRU’S),24x7 PHCs and finally the private
hospitals.
• Move from High Priority districts to all districts.
ConClusions/lEssons lEarnt
SCC is unique by addressing important issues missed in
MCH trainings and even included in curriculum at
medical college.
rEFErEnCEs
1. EMOC, BEMOC and SBA guidelines by MOHFW.
2. Mudaliar and Menon's Clinical Obstetrics Book.
3. Oxorn Foote Human Labor and Birth, Sixth Edition.
4. ian Donald's Practical Obstetric Problems Book.
5. DC Dutta's Textbook of Obstetrics.
Contact
State coordinator IIHFW Vengalrao nagar
138 | Making a Difference : good, Replicable and innovative Practices