Facilitating quality improvement by implementing quality accreditation standards at primary health care centre in Panvel taluka of Raigad district Maharashtra
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20233446Keywords:
PHC, Kayakalp, IPHS, Continues quality improvement, Accreditation, Patient satisfaction, Public private partnershipAbstract
Background: The Indian public health standard and Kayakalp guidelines are the main driver for continuous improvement in quality and bench mark for assessing the functional and cleanliness status of health facilities. Objectives were to assess PHC on IPHS and Kayakalp standard for continuous quality improvement. To conduct baseline and peer assessment of quality parameters using Indian public health standards and Kayakalp standard at primary health centre. To perform gap analysis and suggest quality improvement measures for meeting accreditation standards. To establish public private partnership for strengthening health services at PHC level.
Methods: Descriptive observational study was conducted from September 2022 to June 2023 at Ajiwali PHC-Panvel taluka was selected using simple random sampling technique. Sample size of 83 patients was calculated as per the monthly case load of PHC. IPHS and Kayakalp assessment checklist, patient satisfaction forms were used for the survey. Various statistical tests like frequency, mean, percentage, S.E of difference between two proportions and two means were applied.
Results: Kayakalp checklist baseline assessment score was 52.5% while post assessment score 72.5% showing significant improvement. Patient satisfaction survey pre and post assessment shows significant improvement where p value was <0.001 which was highly significant. IPHS survey shows partial improvement in training and quality parameters while other indicator remained the same.
Conclusions: Regular quality assessment and accreditation leads to continuous quality improvement. Training and capacity building of PHC staff should be undertaken at regular intervals. Public private partnership modelling for various departments or service delivery components should be undertaken.
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References
SDH. DHIPHS Guidelines, 2022. Available at: https://nhm.gov.in/index1.php?lang=1andleveldsublinkid=971andlid=154. Accessed on 12 April 2023.
WHO. Universal health Coverage, 2023. Available at: https://www.who.int/news-room/fact-sheets/detail/universal. Accessed on 12 April 2023.
Mandaviya M. Indian Public Health Standards Health and Wellness Centre- Primary Health Centre. Vol. 3. Ministry of Health and Family Welfare; 2022.
NHSRC. Award to public health facilities Kayakalp, 2019. Available at: https://nhsrcindia.org/sites/default/files/202105/Award%20to%20Kayakalp%20in%. Accessed on 12 April 2023.
Srinath V, Veena R. Nrhm and Iphs-Standards in Primary Health Care. Int J Pharm Med Biol Sci. 2012;1(2).
Rattan S, Gupta A, Sharma GA. ‘Kayakalp’ Peer assessment of phc’s-infection control and hygiene promotion at first point of contact for care. Management. 2019;60(9):20.
Mathur RN, Tanwar H, Kaur D, Mathur M, Singh S. 2022. Assessment of Services at Primary Health Center of Jaipur District as Per Indian Public Health Standards. Indian J Public Health Res Develop. 2022;13(2):137-43.
Masood A, Singh AK, Martolia DS, Midha T. Assessment of Indian public health standards in the primary health centers in a district of Uttar Pradesh, India. Int J Adv Integ Med Sci. 2017;2(2):53-60.
Sharma S, Kumari B, Mukherjee R. Study report on Qualitative assessment of Kayakalp programme for Public Health care Facilities. Population Research Centre Institute of Economic Growth. 2020.
National Health Mission. IPHS guidelines, 2012. Available at: https://nhm.gov.in›iphs-revised-guidelines-2019. Accessed on 12 April 2023.
Lal AV. Evaluation of effectiveness of Primary Health Centre on IPHS Norms. Available at: https://www.researchgate.net/profilLal/publication/342332482_Evaluation_of_effectiveness_of_Primary_Health_Centre_on_IPHS_Norms/links/5f036d6892851c52d61a0a90/Evaluation-HealtIPHS-Norms.pdf. Accessed on 12 April 2023.
PHC. Kayakalp Checklist, 2019. Available at: https://nhsrcindia.org/. Accessed on 12 April 2023.
Guidelines for Jan Arogya Samiti- National Health Mission. Available from: https://ab-hwc.nhp.gov.in/download/document/Jan_Aarogya_Samiti_Web_Compressed.pdf. Accessed on 12 April 2023.
Planning and monitoring level checklist PHC, 2023. Available from: https://nrhm.maharashtra.gov. in/SSP/PHC%20CHC%20Non%20FRU%20Checklist.pdf. Accessed on 12 April 2023.