Improving maternal Health Perceptions and Outcomes through multiple Interventions: Using the complex adaptive Systems Approach
International Hospital Federation - IHF
| 2 years ago
Author: Anupama Shetty, Narayana Health LTD.
ABSTRACT: The Maternal Obstetric Monitoring (MOM) program was envisaged as a public-private partnership in a high priority district in the southern State of Karnataka, India. Lack of specialists, infrastructure, real-time identification and monitoring of high-risk pregnancies had impacted maternal morbidity and mortality indices. The program placed emphasis on first referral unit strengthening along with high-risk pregnancy identification focusing on the introduction of software, diagnostics, workflow innovations and capacity building. While software solutions allowed for identification and remote viewing of patient data, simple documentation measures allowed for gains in the understanding spectrum of high-risk conditions in pregnancy. Among the results obtained, communitization activities led to a 40% increase in awareness of high-risk pregnancy symptoms among pregnant women and increase in awareness of maternal government health schemes from 58% to 100%. Multiple linked interventions in terms of revised workflows, technology interface, engagement with frontline healthcare workers and community, communication across multiple stakeholders led to sustained gains in the program. Improving maternal Health Perceptions and Outcomes through multiple Interventions: Using the complex adaptive Systems Approach (pdf 748.34kB)