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Quality of Care at Public Health Institutions: Identifying Gaps

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Abstract

Facility births in Bihar have nearly doubled over the last decade, specifically with the implementation of NRHM and its introduction of financial schemes. The unprecedented rise in institutional births, however, has not percolated down sufficiently to reduce adverse birth outcomes. It appears that efforts to increase facility birth, without a corresponding improvement in the quality of care, do not offer much of an opportunity to reduce newborn deaths. This underscores the quality of institutional care that constitutes a major indicator for newborn survival. The present chapter provides a situational analysis of the quality of services around childbirth by emphasising two aspects: Patients’ satisfaction with the services at the institutions and the provision of the services as per the norms set up. The evidence on the ground shows that the poor quality of care at facilities is associated with long waiting times, inappropriate staff behaviour, inadequate facilities, poor counselling on postnatal care, and a lack of ambulance services. The public health system of the state should address these institutional shortcomings so as to improve the quality of care and, consequently, newborn survival.

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Mahapatro, S.R. (2022). Quality of Care at Public Health Institutions: Identifying Gaps. In: Towards Newborn Survival. Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-19-3417-9_5

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  • DOI: https://doi.org/10.1007/978-981-19-3417-9_5

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  • Publisher Name: Palgrave Macmillan, Singapore

  • Print ISBN: 978-981-19-3416-2

  • Online ISBN: 978-981-19-3417-9

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