The Indian Journal of Pediatrics

, Volume 81, Issue 12, pp 1367–1372 | Cite as

Quality Improvement in Neonatal Care — A New Paradigm for Developing Countries

  • Deepak Chawla
  • Gautham K. Suresh
Review Article


Infrastructure for facility-based neonatal care has rapidly grown in India over last few years. Experience from developed countries indicates that different health facilities have varying clinical outcomes despite accounting for differences in illness severity of admitted neonates and random variation. Variation in quality of care provided at different neonatal units may account for variable clinical outcomes. Monitoring quality of care, comparing outcomes across different centers and conducting collaborative quality improvement projects can improve outcome of neonates in health facilities. Top priority should be given to establishing quality monitoring and improvement procedures at special care neonatal units and neonatal intensive care units of the country. This article presents an overview of methods of quality improvement. Literature reports of successful collaborative quality improvement projects in neonatal health are also reviewed.


Neonate Quality improvement Network 



DC and GKS: Conducted literature search; DC: Wrote the first draft and will act as guarantor for this paper. Final manuscript version was approved by both the authors.

Conflict of Interest


Role of Funding Source



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Copyright information

© Dr. K C Chaudhuri Foundation 2014

Authors and Affiliations

  1. 1.Department of PediatricsGovernment Medical College HospitalChandigarhIndia
  2. 2.Department of Pediatrics and Community and Family Medicine, The Dartmouth Institute of Health Policy and Clinical PracticeDartmouth-Hitchcock Medical CenterLebanonUSA

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