Serial.number | Facility (code) | Department | Aim to be achieved in the study period | Results achieved in the study period | Start and end dates | No. of mentoring visits (network mentor/hub mentor) | QI project duration (days) |
1 | RMC | Obstetrics OT | Reduce decision to delivery time in LSCS for 90 minutes to 30 minutes. | Reduced to 52.5 min from baseline of 94.5 min. | August 2018–November 2018 | 6 visits – network mentors | 92 |
2 | RMC | Labour room | Increase partograph use in all eligible women in labour from baseline to 90%. | Improved to 76% from baseline of 30%. | August 2018–April 2019 | 6 visits – network mentors | 272 |
3 | RMC | Labour room | Decrease hypothermia among newborns in LR | Reduced the incidence of hypothermia to <10% from the baseline of 66% at start of the project. | July 2018–May 2019 | 6 visits – network mentors | 304 |
4 | RMC | NICU | Increase exclusive breast milk feeding in sick newborns | Improved to from baseline of 35%–88%. | July 2018 – May 2019 | 6 visits – network mentors | 304 |
5 | RMC | PICU | Reduce phlebitis rates by 50% among admitted children undergoing peripheral intravenous catheterisation. | Reduced rates from baseline of 18%–7.8%. | December 2018–April 2019 | 6 visits – network mentors | 121 |
6 | R1 – DH | Labour room | Increase delayed cord clamping rates in LR from <50% to 100%. | Delayed cord clamping rates improved to 100% from baseline of 68% and were sustained at this level for 18 weeks. | September 2018–February 2019 | 6 visits – network mentors and 2 visits – hub mentors | 153 |
7 | R2 – RH | Labour room | Increase rate of normothermia in newborns born in LR. | Rate of normothermia in newborns increased to 100% and was sustained at 77% for 22 weeks. | Aug 2018 – May 2019 | 6 visits – Network Mentors & 2 visits – Hub Mentors | 273 |
8 | R3 – PHC | In-patient ward | Reduce dropout rate of pregnant women receiving prescribed doses of iron sucrose injection by 50% from baseline. | The dropout rates reduced to almost 4% from baseline value of 30% at the end of 6 months of running the project. In addition, the rates of delayed doses also reduced to almost 8% from baseline of 30%, over the same duration. | Sep 2018 – Mar 2019 | 6 visits – Network Mentors | 181 |
9 | U1 – DH | Labour Room | Increase identification of high-risk pregnancies in LR (to decrease the rate of complications). | Identification rates of HRP cases increased to 91% from baseline of 33.4%. | January 2019–May 2019 | 4 visits – network mentors | 120 |
10 | U2 – DH | Labour Room | Increase early initiation of breast feeding in newborns born in LR. | Rate of newborns being breast fed rose from baseline of 48% to 92%. | August 2018–January 2019 | 4 visits – network mentors | 153 |
DH, district hospital; HRP, High Risk Pregnancy; LR, Labour Room; NICU, Neonatal Intensive Care Unit; OT, Operation Theater; PHC, primary health centre; PICU, Pediatric Intensive Care Unit; QI, quality improvement; RH, rural hospital; RMC, rural medical college.