Success-Stories-on-Health-Sector

iHar
roll-out oF national qualitY assuranCE ProgrammE
at DistriCt HosPitals
ProblEm statEmEnt
Quality of Services at Public Health Facilities has been
cause of concern. The envisaged system for Quality
Assurance was expected to be internalised, flexible, less
resource intensive and addressing the needs of Public
Health System in the State.
ProgrammE DEsCriPtion
After launch of the ‘Operational Guidelines for Quality
assurance in Public Health Facilities’ by the MoHFW gOi
in Nov 2013, the programme has started in the State with
the objective completing baseline assessment of all district
hospitals, without waiting for induction of the additional
HR into the Quality Assurance Team. So that actions for
the gap-closure starts in full earnest. For completing the
assessment quickly, a 4-5 members assessment team,
consisting of Development Partners, Hospital Managers,
DH functionaries, RPMUs, DPMUs (under NRHM) was
formed in Dec 2013 with Deputy Superintendent having
a pivotal role in the process. Base-line assessment of all
district hospitals was completed in two phases. First phase
was conducted from 1st June 2014 to 30th June 2014. Total
17 Sadar Hospitals + MCH Unit of PMCH and SKMCH
covered in this phase. Second phase was conducted for
19 Sadar Hospitals from 1st October 2014 to 20th October
2014. Findings of baseline assessment has been categorised
and resource allocation has been made. For strengthening
labour rooms of 149 FRUs resources has also been allocated
under Quality Assurance Programme.
in order to consolidate the gains made, 48 hospitals are
being taken-up for the National level QA certification.
ProgrammE outComEs
• improved external appearance of the health facility.
• Cleaner environment around and inside of the health
facility.
• Display of signages and clear information about
services, incentives and availability of free drugs.
• As per SOPs, services & service delivery practices are
carried out.
• Functioning equipment.
• Reduced waiting times for registration and
consultations.
• Increased uptake for both major and minor surgery
increased OPD, deliveries in hospitals, better inpatient
care.
• improved and rationalised record keeping.
Evaluation
External evaluation of the programme initiative has not
yet been taken.
sCalabilitY
There are 17 district hospitals which have been proposed
for the National certification. Baseline Assessment Process
has already started in 30 FRU’s and being prepared for the
National certification.
ConClusions/lEssons lEarnt
Implementation of Quality Assurance at Public Health
Facilities needs harnessing available resources, creation
of enabling environment, and supportive supervision.
Patient satisfaction appears to have improved besides
improvement in Staff morale.
Contact
Deputy Director, M and E, nHM, Bihar
Email: mecell@statehealthsocietybihar.org
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