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Assessmentof the quality of clinical documentation in India’s JSY cash transfer program for facility births in Madhya Pradesh

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Chaturvedi, Sarika, Randive, Bharat, Raven, Joanna, Diwan, Vishal and De Costa, Ayesha (2015) 'Assessmentof the quality of clinical documentation in India’s JSY cash transfer program for facility births in Madhya Pradesh'. International Journal of Gynecology & Obstetrics, Vol 132, Issue 2, pp. 179-183.

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Abstract

Objective:
To gain insight into the quality of care in facilities implementing the Janani Suraksha Yojana (JSY) cash transfer program in Madhya Pradesh, India, by reviewing the level of documentation in the clinical records of women who delivered.

Methods:
The present retrospective, descriptive study reviewed case records of women who delivered at 73 primary, secondary, and tertiary level facilities in three districts of Madhya Pradesh between 2012 and 2013. Twenty elements of care were assessed encompassing clinical history and admission details, care during delivery and postnatal period, and discharge details.

Results:
A total of 1239 records were reviewed. The extent of documentation varied among the elements assessed—e.g. 24(1.9%) records documented advice at discharge, 171 (13.8%)documented postnatal blood pressure, 437 (35.3%)documented fetal heart rate, and1220 (98.5%) documented admission date. The extent of documentation was relatively better at higher level facilities.

Conclusion:
The quality of clinical documentation in the JSY program was found to be unacceptably poor in Madhya Pradesh. Improving staff skills and practices in clinical documentation and record keeping will be required to enable clinical processes to be assessed and quality of care to be improved.

Item Type: Article
Subjects: W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84 Health services. Delivery of health care
WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WA Public Health > Statistics. Surveys > WA 950 Theory or methods of medical statistics. Epidemiologic methods
WQ Obstetrics > WQ 100 General works
WQ Obstetrics > Childbirth. Prenatal Care > WQ 160 Midwifery
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1016/j.ijgo.2015.07.016
Depositing User: Jan Randles
Date Deposited: 09 Sep 2016 11:43
Last Modified: 06 Feb 2018 13:13
URI: https://archive.lstmed.ac.uk/id/eprint/6110

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