Abstract
India contributes to the largest pool of the global neonatal and under-five mortalities. The current healthcare delivery services have a scope for improvement in terms of the quality of care at the point of delivery. In this era of resource constraints across the low- and middle-income countries (LMIC), quality improvement techniques can be a game changer to positively address the common bottlenecks of health service delivery and increase community participation. Globally, networks of quality of care and collaboratives have demonstrated significant impact in improving processes of care and the quality of services delivered to the end user. The Nationwide quality of care network (NQOCN) is a self-sustaining network of quality improvement teams, which have cohesively led the spread and adoption of simple quality improvement strategies across the Indian subcontinent. The current perspective apprises the reader about NQOCN, its relevance and impact in current times.
Similar content being viewed by others
References
Sankar MJ, Neogi SB, Sharma J, Chauhan M, Srivastava R, Prabhakar PK, et al. State of newborn health in India. J Perinatol. 2016;36:3–8.
WHO Global Atlas of the Health Workforce, November 2010. Available from: https://doi.org/www.who.int/hrh/resources/57_countries_chart.pdf. Accessed December 18, 2017.
Hogan DR, Stevens GA, Hosseinpoor AR, Boerma T. Monitoring universal health coverage within the Sustainable Development Goals: Development and baseline data for an index of essential health services. Lancet Glob Health. 2018;6:e152–e168.
Neogi SB, Khanna R, Chauhan M, Sharma J, Gupta G, Srivastava R, et al. Inpatient care of small and sicknewborns in healthcare facilities. J Perinatol. 2016;36:S18–S23.
National Child Health Review Cum Workshop 2017; 2017 Oct 10-11; New Delhi, India: Ministry of Health and Family Welfare, Government of India.
World Health Organization. Introduction to Quality Improvement. Available from: https://doi.org/www.who.int/hiv/pub/imai/om_11_quality_improvement.pdf. Accessed March 27, 2018.
World Health Organization. Chapter 11 Quality Improvement. Available from: https://doi.org/www.who.int/hiv/pub/imai/om_11_quality_improvement.pdf. Accessed March 7,2018.
Quality of Care Network. Available from: https://doi.org/www.qualityofcarenetwork.org/ Accessed April 3, 2018.
World Health Organization, South East Asia Regional Office. Recommendations for Member States. Available from: https://doi.org/www.searo.who.int/entity/child_adolescent/topics/child_health/qi-report-may-2016.pdf?ua=1. Accessed March 7, 2018.
ØVretveit J, Bate P, Cleary P, Cretin S, Gustafson D, McInnes K, et al. Quality collaboratives: Lessons from research. Qual Saf Health Care. 2002;11:345–51.
Schouten LM, Hulscher ME, van Everdingen JJ, Huijsman R, Grol RP. Evidence for the impact of quality improvement collaboratives: systematic review. BMJ. 2008;336:1491–4.
Kilo CM. Improving care through collaboration. Pediatrics. 1999;103:384–93.
Quality of Care Network. Vision and Objectives. Available from: https://doi.org/www.qualityofcarenetwork.org/about/visionand-objective. Accessed December 12, 2017.
Wells S, Tamir O, Gray J, Naidoo D, Bekhit M, Goldmann D. Are quality improvement collaboratives effective? A systematic review. BMJ Qual Saf. 2017. Pii:bmjqs-2017-006926.
Landfeldt E, Lindgren P, Bell CF, Schmitt C, Guglieri M, Straub V, et al. Compliance to care guidelines for duchenne muscular dystrophy. J Neuromuscular Dis. 2015;2:63–72.
Penders R, Mallet M. Survive On Call - A QIProject to improve access to hospital clinical guidelines. BMJ Quality Improvement Reports. 2016;5;u210274.w4363.
Mehta RH, Montoye CK, Gallogly M, Baker P, Blount A, Faul J. Improving quality of care for acute myocardial infarction: The guidelines applied in practice (GAP) initiative. JAMA. 2002;287:1269–76.
Deorari A, Mehta R, Livesley N. Improving the quality of care for mothers and newborns in health facilities: point of care quality improvement. Coaching manual. New Delhi, India: World Health Organization, Regional Office for South-East Asia. Available from: https://doi.org/www.searo.who.int/entity/child_adolescent/topics/pocqi_learnermanual.pdf. Accessed January 4, 2018.
Datta V, Saili A, Goel S, Sooden A, Singh M, Vaid S, et al. Reducing hypothermia in newborns admitted to a neonatal care unit in a large academic hospital in New Delhi, India. BMJ Open Qual. 2017;6:e000183.
Nationwide Quality of Care Network. Roadmap for Improvement of Neonatal Healthcare Facilities in Meghalaya. NHM Meghalaya 2016. Available from: https://doi.org/qoc.net.in/resources/view/TlFPQ04tYjIyOTQyMjRlNDRjMzZhM2U0YjVjM2Y0ODBiY2JhMjMucGRm. Accessed January 10, 2018.
Nembhard IM. Learning and improving in quality improvement collaboratives: Which collaborative features do participants value most? Health Services Research. 2009;44:359–78.
USAID ASSIST Project. Virtual versus in-person quality improvement coaching support in India: A brief analysis of resource expenditures. Available from: https://doi.org/www.usaidassist.org/sites/assist/files/meghalaya_costing_final_16aug_a4_ada.pdf. Accessed December 18, 2016.
Quality of Care Network. Webinar on NQOCN, India for quality of care network. Available from: https://doi.org/qualityofcarenetwork.org/content/vikram-dattas-presentation-qualitycare-improvementnewborn-health-examplenational-quality. Accessed December 18, 2017.
World Health Organisation. GLL Webinar 4: Quality of care for mothers, new-borns and children: A pathfinder for enhanced quality of service delivery. Available from: https://doi.org/www.who.int/servicedeliverysafety/areas/qhc/gll/en/index4.html. Accessed December 18, 2017.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Datta, V., Srivastava, S. & Singh, M. Formation of Quality of Care Network in India: Challenges and Way Forward. Indian Pediatr 55, 824–827 (2018). https://doi.org/10.1007/s13312-018-1388-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13312-018-1388-z