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.
CITATION STYLE
Livesley, N., & Sharma, P. K. (2020). Scaling up a quality improvement initiative: Lessons from Chamba District, India. In Improving Health Care in Low- and Middle-Income Countries: A Case Book (pp. 77–88). Springer International Publishing. https://doi.org/10.1007/978-3-030-43112-9_6
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