Livesley Nigel, Sharma Praveen Kumar
University Research Co., LLC, Abuja, Nigeria
Formerly with University Research Co., LLC (URC), New Delhi, India
To improve maternal and newborn survival, the Government of India launched the Reproductive, Maternal, Neonatal, Child, and Adolescent Health initiative in 2013. The initiative provided additional support to districts in states that fell within the bottom quartile on a number of health indicators, including the State of Himachal Pradesh. This case describes (1) how a USAID-supported project introduced the QI approach in Chamba District of Himachal Pradesh, (2) how the project provided initial support to form QI teams and get improvement work on maternal and newborn care started, (3) why the district government staff decided they wanted to scale up the use of QI, (4) how the district government spread QI to new blocks and facilities, and (5) what happened after the project withdrew support. The case also offers insights about key features of improvement work.
为提高孕产妇和新生儿存活率，印度政府于2013年发起了生殖、孕产妇、新生儿、儿童和青少年健康倡议。该倡议为一些健康指标处于后四分之一的邦内的地区提供了额外支持，包括喜马偕尔邦。本案例描述了：（1）一个由美国国际开发署支持的项目如何在喜马偕尔邦的恰姆巴区引入质量改进方法；（2）该项目如何提供初步支持以组建质量改进团队并启动孕产妇和新生儿护理方面的改进工作；（3）区政府工作人员为何决定扩大质量改进方法的使用；（4）区政府如何将质量改进方法推广到新的街区和设施；（5）项目撤出支持后发生了什么。该案例还提供了关于改进工作关键特征的见解。
