1) The DAKSHATA program aims to improve the quality of maternal and newborn care during labor and delivery through strengthening the competency of providers.
2) It focuses on training providers, ensuring essential supplies are available, improving monitoring and accountability, and implementing strategies to reinforce learning.
3) The program's goals are to reduce maternal and newborn mortality and morbidity by promoting evidence-based practices through competent providers.
This is the program started to benefit the labour room and maternity cases in govt sector of health care. Quality of care is import in health sectors. Providing Safe birth to the pregnent aldy even at the pheripheral level is the main intenstion of the program
An initiative of Ministry of Health & Family Welfare to leverage information technology for ensuring delivery of full spectrum of healthcare and immunization services to pregnant women and children up to 5 years of age.
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This is the program started to benefit the labour room and maternity cases in govt sector of health care. Quality of care is import in health sectors. Providing Safe birth to the pregnent aldy even at the pheripheral level is the main intenstion of the program
An initiative of Ministry of Health & Family Welfare to leverage information technology for ensuring delivery of full spectrum of healthcare and immunization services to pregnant women and children up to 5 years of age.
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India's 12th Five year plan is widely believed to be Health Plan. Presentation summarizes the major highlights from Health chapter of 12th Plan of India.
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This topic contains introduction of vital statistics, list of important statistics, birth rate, death rate, specific death rates, infant mortality rate, neonatal mortality rate, under five mortality rate, maternal mortality rate (detailed), perinatal mortality rate (detailed), expectation of life, general fertility rate and still births.
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It deals with:
Introduction
International Perspectives
National Status
Complication during Pregnancy, Childbirth, Postpartum period including Neonatal Problems
Causes of Maternal and neonatal mortality
Framework of determinants of maternal mortality
Three delay model
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Maternal and Neonatal morbidity and MortalityBPKIHS
It deals with:
Introduction
International Perspectives
National Status
Complication during Pregnancy, Childbirth, Postpartum period including Neonatal Problems
Causes of Maternal and neonatal mortality
Framework of determinants of maternal mortality
Three delay model
In 2011 to reduce neonatal mortality government of India launched Home based new born care program based on Gadchirolli model of SEARCH. This presentation will tell about how the program is enrolling in our country.
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In this respect, Ministry of Health and Family Welfare has launched program 'LaQshya'- quality improvement initiative in labour room & maternity OT, aimed at improving quality of care for mothers and newborn during intrapartum and immediate post-partum period.
Labour Room Quality Improvement Initiative (LaQshya).pptxanjalatchi
LaQshya program will benefit every pregnant woman and newborn delivering in public health institutions. Program will improve quality of care for pregnant women in labour room, maternity Operation Theatre and Obstetrics Intensive Care Units (ICUs) & High Dependency Units (HDUs)
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Every facility achieving 70% score on NQAS will be certified as LaQshya certified facility. Furthermore, branding of LaQshya certified facilities will be done as per the NQAS score. Facilities scoring more than 90%, 80% and 70% will be given Platinum, Gold and Silver badge accordingly
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Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
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One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
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There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
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1. DAKSHATA
Empowering Providers for Improved MNH Care during Institutional
Deliveries
A strategic initiative to strengthen quality of intra- and immediate postpartum care
Dr. Swati Sharma
BDS (Pt.B.D Sharma Uni., Rohtak)
PGDPHM(student)
(NIHFW)
2. • A strategic initiative to strengthen
quality of intra- and immediate
postpartum care
• Maternal Health Division Ministry of
Health and Family Welfare
Government of India
• DAKSHATA Empowering Providers for
Improved MNH Care during
Institutional Deliveries
• April 2015
Pregnancy and motherhood are the most beautiful and significantly life-altering events that one can ever experience
3. • The recently launched India Newborn
Action Plan (INAP) recognizes quality of
intra-partum and immediate post partum
care as an important pillar.
• The program brings together maternal and
new born interventions under one umbrella.
• ‘Day of birth’ - uses unique combination of
services.
6. OBJECTIVES
Objective 1: To strengthen the competency of providers of the labor room, including medical officers, staff nurses,
and ANMs to perform evidence-based practices as per the established labor room protocols and standards.
Objective 2: To implement enabling strategies to ensure transfer of learning towards improved adherence to
evidence based clinical practices
Objective 3: To improve the availability of essential supplies and commodities in the labor room and the
postpartum wards.
Objective 4: To improve accountability of service providers through improved recording, reporting and utilization of
data
Objective 5: (intermediate term objective): Implementation of the MNH Tool kit at the delivery points, in a phased
manner.
7. Rationale:
• During childbirth, the risk of maternal and new born mortality and morbidity are significantly
high. Majority of the complications are preventable through appropriate interventions and
intra and postpartum care.
• percentage of women who deliver at a health facility
70.625% (2008-09) 4 years 82.864% (2012-13)
1.Open Government Data. (OGD)
8. • Evidence for sub-optimal
quality of health services during
institutional deliveries.
• Despite of all the efforts and safe motherhood
initiatives, the country has not seen the expected
decline in Maternal and new born Mortality
• So, if we improve the competency level of
Health Care providers,
through competency based training and
supervision, we can improve our statistics of
Maternal Mortality with much less efforts
and resources.
who are reaching to 82.864% of mothers
9. Strategic approach:
Aims to address the major drivers and determinants of the quality of care
time of her
admission
process of
childbirth
time of her
discharge
10. Drivers of Quality of Care in Indian Context
Programs and Guidelines
Human Resources
Competencies
Translation of Skills to Practice
Infrastructure & Commodities
Accountability and Commitment
11. The major determinants for impact clinical practices by providers in the labor room
• Availability of sufficient number of clinically competent providers, which
includes updated knowledge and clinical skills
• Availability of essential commodities, supplies and equipment.
• Strong clinical mentorship and leadership
• 360 degree accountability of all stakeholders, which in turn depends on
recording, reporting, analysis and utilization of data.
12. Key Activities under Dakshata
Sensitization
Workshop for district
and facility level
officials on Dakshata
program
Identification and
mapping of target
facilities with
resource availability
Hiring of quality
improvement mentor
5 days training of
trainers and quality
improvement mentor
Ensuring availability
of essential supplies
and other resources
Rapid Assessment of
resource availability
and practices status
Preparation of training
micro-plan for each
facility
3 days on-site training
of labor room staff at
district hospital
Post-training follow-up
and support to district
hospitals
Implementation of
data recording tools
and dashboard
indicators
Post training follow-up
and support to SDL
facilities by trainers
and mentors
3 days training of staff
from sub district level
facilities at DH
13. PROGRAM MONITORING
1. Program management monitoring: done by supervisors, development partners, and other supervisory cadre
workers using the GoI’s supportive supervision checklist.
2. Clinical monitoring by the mentors: all the trainers and mentors will monitor and report the adherence to quality
of care practices at the target institutions apart from providing post training follow-up and support.
3. Dashboard of indicators: Facilities participating under the program will send monthly reports to districts and
districts will send monthly reports to the states for inclusion into the dashboard of
indicators.
14. BUDGET
• dedicated human resources
• logistics of post-training follow-up and support
• procurement of training materials,
• conducting training of health workers.
• Additional funds will be provided for these activities under the NHM funds.
15. Skill Building through training programs for all categories of service providers
• Training of MBBS doctors in Life Saving Anesthesia Skills (LSAS),
• Emergency Obstetric Care (EMoC)including Caesarean -sections;
• Training of Nurses and ANMs in Skilled Birth Attendance (SBA);
• Training of MOs in Comprehensive Abortion Care (CAC).
• More than 1300 doctors have been trained in EmOC while more than 1800 trained in LSAS as per latest reports
submitted by the states.
• To strengthen the quality of training, a new initiative has been taken for setting up of Skill Labs with earmarked
skill stations for different training programs in the states for which necessary allocation of funds is made under
NHM
mailto:http://www.mohfw.nic.in/WriteReadData/c08032016/Review_of_Performance.pdf
16. Role of NIHFW
• The national institute of health and family welfare
(NIHFW) has a mandate to promote development of a
system for continuing in –service training for Mo&FW
personnel at different levels.
• 17 State institute of health and family welfare have been
identified to laisse with the State /UT allotted to them.