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| Формат: | Recurso digital |
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| Опубликовано: |
Zenodo
2025
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| Предметы: | |
| Online-ссылка: | https://doi.org/10.5281/zenodo.17454637 |
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Оглавление:
- <p><span lang="EN-IN">Reducing preventable maternal and new-born mortality is critical under the Sustainable Development Goals (SDG 3.1 & 3.2). In India, the Ministry of Health launched the LaQshya (Labour Room Quality Improvement Initiative) in 2017 to elevate the Quality of Care (QoC) through standardization based on National Quality Assurance Standards (NQAS). This study aimed to evaluate LaQshya implementation at the District Hospital, Mulugu, Telangana, and assess staff knowledge of continuous quality cycles (CQI), documentation, and Respectful Maternity Care (RMC) principles. A descriptive, cross-sectional, mixed-methods design was employed at the District Hospital, Mulugu. Data were collected from a convenience sample (N=30) of healthcare professionals (HCPs). The methodology utilized a validated observational checklist and a semi-structured interview schedule to capture both practice and programmatic awareness. Staff demonstrated high clinical experience (36.7% with ≥10 years in labour room) and high awareness of core clinical protocols, such as Active Management of Third Stage of Labour (AMTSL) (96.7% to 100% awareness). However, a significant programmatic knowledge deficit was found: only 23.3% were fully aware of the six required CQI cycles, and just 16.7% fully aware of strengthened documentation procedures. RMC awareness was moderate (20.0% reporting full awareness). LaQshya implementation at the District Hospital, Mulugu, faces a critical barrier, a disconnect between high clinical competency and low programmatic awareness regarding CQI and documentation. Achieving LaQshya's objectives requires actionable, evidence-based interventions focusing on system-level training and governance to bridge this gap and ensure high-quality maternal and new-born care</span><span>.</span></p>