Relevant bibliographies by topics / Rural hospitals India Quality control

Academic literature on the topic 'Rural hospitals India Quality control'

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Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Rural hospitals India Quality control"

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Singh, Ajai K., Poonam Chaturvedi, Pradeep K. Maurya, Dinkar Kulshreshtha, Abdul Qavi, and Anup Thacker. "Early PNF exercises functional outcome and quality in patients with stroke of urban and rural area in Uttar Pradesh: a prospective community based study." International Journal of Research in Medical Sciences 6, no. 2 (January 24, 2018): 639. http://dx.doi.org/10.18203/2320-6012.ijrms20180313.

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Background: Early rehabilitation plays a very important role in stroke outcome. In India people from rural areas get primary treatment from district hospitals, where the rehabilitation facilities are not available, and then referred to the tertiary care hospital (after 2-3weeks) hence the rehabilitation process is delayed. It may delay the improvement in functional outcome and quality of life. These factors should be evaluated. To evaluate effects of PNF intervention in urban and rural population in Uttar Pradesh.Methods: Total 90 patients were recruited in this study and divided into rural (coming from rural areas of Uttar Pradesh) and urban (coming from urban areas) groups. Patients were given rehabilitation for 4weeks and improvement in functional activities was assessed by Barthel's-Index (BI), Quality of Life was assessed by Stroke Specific Quality of Life Scale (SSQOL) and sensory motor improvement was assessed by Fugl- Meyer Assessment before and after the intervention. Patients were again assessed at 6months.Results: 41 patients in experimental and 49 patients in control group completed the 6 months follow up and were available for analysis. On analysis urban group showed better (<0.05) improvement in functional activities, sensory motor improvement (FMA) and quality of life (SSQOL) as well. People who directly admitted to our multispecialty and tertiary care hospital and received early rehabilitation showed better improvement than the patients who received late rehabilitation.Conclusions: Early rehabilitation leads to early improvement in functional activities. PNF exercises are very effective in improving motor function and should be given from the first day after stroke.
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Nagaonkar, Bahubali. "Strengthening health system through outsourcing of non-clinical services: inputs for improving management." Bharati Vidyapeeth Medical Journal 1, no. 3 (December 22, 2021): 23–35. http://dx.doi.org/10.56136/bvmj/2021_00037.

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Background: Public-Private Partnership (PPP) as a strategic management policy to improve hospital health services standards to the Indian Public Health Standards level, specially the non-clinical services. The studies on the qualitative as well quantitative aspects of services by identifying components that are suitable for execution Public Private partnerships for improving hospital services specially for non-clinical services are needed. There is also a need to identify probable modalities for the sustainability of the same. Objectives: The aim was to propose management inputs in improving non-clinical services of cleaning, security, diet, driver, and laundry in the hospitals under Public Health Department Maharashtra. The objectives were to assess the scope and feasibility of specific managerial inputs to promote the Public-Private Partnership under the National Rural Health Mission in emphasizing the qualitative aspect of service. To identify components where Public-Private Partnership can be evolved for hospital services, develop probable modalities for sustainability. Material and methods: The study adopted an experimental, epidemiological study design involving a study and control group. The study group of six sub-districts hospitals received an intervention package, and the control group of 14 sub-district hospitals did not receive an intervention package. Which included interventions to improve performance of clinical quality indicators, training, monitoring, and corrections. The author randomly selected the hospitals from betterperforming hospitals. The focus was mainly on “outsourcing'' components such as non-clinical services and their impact on the quality of services. In the evaluation of non-clinical services, the focus was on the quality of performance and cost-saving, compared to expenditure if regularly appointed employees would have delivered the services. Results and impact: Only 25% of patients were satisfied with non-clinical services. The contractors did not pay as per Minimum Wages Act 1948. The department accepted the checklist for monitoring cleaning and security services and disseminated it across the state as a circular.
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Jain, Shuchi, Pramod Kumar, Manish Jain, Megha Bathla, Shiv Joshi, Sushil Srivastava, Mahtab Singh, Ajit Sudke, Vikram Datta, and Poonam Shivkumar. "Increasing adherence to plotting e-partograph: a quality improvement project in a rural maternity hospital in India." BMJ Open Quality 10, Suppl 1 (July 2021): e001404. http://dx.doi.org/10.1136/bmjoq-2021-001404.

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Abnormal prolonged labour and its effects are important contributors to maternal and perinatal mortality and morbidity worldwide. E-partograph is a modern tool for real-time computerised recording of labour data which improves maternal and neonatal outcome. The aim was to improve the rates of e-partograph plotting in all eligible women in the labour room from existing 30% to achieve 90% in 6 months through a quality improvement (QI) process.A team of nurses, obstetricians, postgraduates and a data entry operator did a root cause analysis to identify the possible reasons for the drop in e-partograph plotting to 30%. The team used process flow mapping and fish bone analysis. Various change ideas were tested through sequential Plan-Do-Study-Act (PDSA) cycles to address the issues identified.The interventions included training labour room staff, identification of eligible women and providing an additional computer and internet facility for plotting and assigning responsibility of plotting e-partographs. We implemented these interventions in five PDSA cycles and observed outcomes by using control charts. A set of process, output and outcome indicators were used to track if the changes made were leading to improvement.The rate of e-partograph plotting increased from 30% to 93% over the study period of 6 months from August 2018 to January 2019. The result has been sustained since the last PDSA cycle. The maternal outcome included a decrease in obstructed and prolonged labour with its associated complications from 6.2% to 2.4%. The neonatal outcomes included a decrease in admissions in the neonatal intensive care unit for birth asphyxia from 8% to 3.4%. It can thus be concluded that a QI approach can help in improving adherence to e-partography plotting resulting in improved maternal health services in a rural maternity hospital in India.
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Prajapati, Deoraj, and Gaurav Suman. "Six sigma approach for neonatal jaundice patients in an Indian rural hospital – a case study." International Journal of Health Care Quality Assurance 33, no. 1 (December 17, 2019): 36–51. http://dx.doi.org/10.1108/ijhcqa-07-2019-0135.

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Purpose The purpose of this paper is to implement Six Sigma approach to decrease the length of stay (LOS) of neonatal jaundice patients in an Indian government rural hospital situated in northern hill region. Design/methodology/approach Six Sigma’s Define–Measure–Analyse–Improve–Control procedure is applied in order to decrease the LOS of neonatal jaundice patients. The mean and standard deviation have been computed as 34.53 and 20.01 h, respectively. The cause and effect diagram is used in the “Analyse” phase of the Six Sigma. The regression analysis and GEMBA observation techniques are used to validate the causes identified through cause and effect diagram. Findings The waiting time for registration, waiting time for tests, waiting time for phototherapy and time for discharge implementation are the main factors that are responsible for longer LOS. Based on the identified root causes, some recommendations are suggested to the hospital administration and staff members in order to reduce the LOS. Research limitations/implications The present research is limited to provide recommendations to the hospital administration to reduce LOS and it entirely depends upon the implementation of the administration. However, target of administration is to reduce the LOS up to 24 h. Practical implications Six Sigma model will reduce bottlenecks in LOS and enhance service quality of hospital. The developed regression model will help the doctors and staff members to assess and control the LOS by controlling and minimising the independent variables. Social implications The project will directly provide benefits to society, as LOS will decrease and patients’ satisfaction will automatically increase. Originality/value Six Sigma is a developed methodology, but its application in paediatric department is very limited. This is the first ever study of applying Six Sigma for neonatal jaundice patients in India.
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Syed, Thabish, Rakesh Thakuriya, and J. P. Rishi. "The profile of Autosomal Dominant Polycystic Kidney Disease (ADPKD) patients in rural areas of North India." Journal of Scientific and Innovative Research 5, no. 4 (August 25, 2016): 119–21. http://dx.doi.org/10.31254/jsir.2016.5403.

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Aims & Objectives: To study the profile of Autosomal Dominant Polycystic Kidney Disease (ADPKD) in low lying areas of NorthIndia. This is a 2 year observation study of patients attending Nephrology department in National Institute of Medical Sciences, Shobha Nagar, Jaipur, Rajasthan, India. Material & Methods: This is a 2 year prospective study done in National Institute of Medical Sciences- a tertiary hospital in rural area close to Jaipur. All ADPKD patients attending Nephrology department were studied to know their complete profile. Results: A total of 54 ADPKD patients attended Nephrology department between Jan 2014-Jan 2016, Out of which 34 patients presented with pain abdomen, 22 patients with hypertension, 8 patients with chronic renal failure kept on medical management, 8 with Chronic Kidney Disease CKD-ESRD (End Stage Renal Disease) on maintenance hemodialysis(MHD). Out of these 8 CKD-ESRD, there were 4 incidents of AV fistula thrombosis and 1 died recently whereas 20 patients remained completely asymptomatic. Conclusion: Timely diagnosis, proper understanding of disease by patients will provide good quality of life in these patients. Low salt diet, good control of hypertension (<130/80 mm of hg) delays progression to ESRD in these patients.
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Menezes, Anna Rachel. "Standard operating procedure for the management of hypertensive urgencies in a community health centre in rural Tamil Nadu: a quality improvement project." International Journal Of Community Medicine And Public Health 9, no. 6 (May 27, 2022): 2678. http://dx.doi.org/10.18203/2394-6040.ijcmph20221552.

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Background: Hypertension is one of the heaviest health care burdens in rural India where less than 1/10th of patients has blood pressures under control. This sheds limelight on community healthcare centers to proactively prevent, manage and treat hypertension and its complications. St. Ann’s Hospital is one such CHC located in the Elathigiri subdisrtict of Tamil Nadu. We formulated a standard operating procedure at the CHC for the effective prevention and treatment of hypertensive urgency- one of the easily treatable but highly impactful complications of hypertension. We then strengthened its usage using plan-do-study-act cyclesMethods: An SOP was formulated using international and national guidelines, contoured to the low resources present at the center. Healthcare workers were trained to follow the SOP. Sequential PDSA cycles were then used to evaluate and control the step-ladder of barriers in effective management. The results were analyzed using indicators and compared to baseline values established at the start of the study.Results: A rise of 41.4% was seen in correct SOP execution at the end of PDSA-2. At the end of the study, there was a 22% increase in the percent of patients correctly diagnosed, 19% increase in patients stabilized in the first hour and 14% increase in patients returning for follow up visits (p<0.05).Conclusions: Our SOP could significantly reduce the burden of HU at the CHC. We encourage its usage in similar low resource centers and promote PDSA cycles as a method to ensure its efficient utilization.
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Gupta, Vinod, Akhil Gupta, and Sucheta Gupta. "Risk factors of Helicobacter pylori infection in children: a cross-sectional study in Chenani." International Journal of Advances in Medicine 8, no. 7 (June 23, 2021): 892. http://dx.doi.org/10.18203/2349-3933.ijam20212344.

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Background: H. pylori infections generally occur early in childhood and continue to cause gastric diseases later in life. Epidemiological studies suggest its transmission through fecal to oral and oral to oral routes. Several factors control this transmission including socioeconomic status, quality of drinking water, personal and environmental hygiene, contamination of food, overcrowding and density of population.Methods: A cross-sectional study, involving 100 children aged 1 to 15 years, presenting gastrointestinal complaints was conducted in the department of medicine, district hospital, Udhampur, Jammu, Jammu and Kashmir, India from October 2019 to March 2020. Children with the pathology of central nervous system or with any other known pathology were excluded.Results: Majority of children belonged to the group >6, ≤11 years age (41%), 89% of children were school-going and 78% of participants belonged to the rural areas. Major economic activity of the participants came out to be business and trading (31%), as much as 62% of households were having a size of >4 persons per unit. As many as 24 children were found positive for antigen test upon stool sample examination. The infection rate was significantly higher among children having unsafe source of drinking water (14/24, 58.3%) and poor sanitation facilities (18/24, 66.7%). Overcrowding at home due to bigger household size was found to be a major risk factor among children.Conclusions: The prevalence of H. pylori among children was quite high. Major risk factors included sanitation and drinking water facilities at home and at schools.
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Paulraj, Kannan, and Saravanan Rangaswamy. "Patients Perception towards Quality of Health Care & Hospitals in Rural India." Asian Journal of Research in Social Sciences and Humanities 6, no. 7 (2016): 41. http://dx.doi.org/10.5958/2249-7315.2016.00408.1.

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Zakotnova, N. V. "Quality performance of medical service in rural treatment-and-prophylactic institutions in Tomsk region." Bulletin of Siberian Medicine 3, no. 3 (September 30, 2004): 71–75. http://dx.doi.org/10.20538/1682-0363-2004-3-71-75.

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Rural treatment-and-prophylactic institutions (TPI) and mainly central regional hospitals (CRH) – the key rural health protection units – insufficiently control and improve the medical service system quality due to a number of reasons. In rural CRH a number of incomplete examination cases and, consequently, a number of wrong diagnosis cases is higher significantly. Incomplete treatment becomes evident in rural areas more frequently as well. As a result the treatment quality in rural CRH is lower significantly than in Tomsk TPI. It is necessary to draw a special attention to the problem of rural medical service quality increase and to liven up the control of privided medical service quality in regional centers.
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Mohite, VR, AK Pratinidhi, and RV Mohite. "Dietary factors and breast cancer: A case control study from rural India." Asian Journal of Medical Sciences 6, no. 1 (July 25, 2014): 55–60. http://dx.doi.org/10.3126/ajms.v6i1.10285.

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Background: Diet, a modifiable risk factor for breast cancer is estimated approximately one-third of cases could be prevented by dietary modification. Objectives: To identify possible dietary risk factors of breast cancer among newly diagnosed cases of breast cancer and to determine the strength of association of the risk factors and cancer of breast. Methods: A hospital based case- control study was conducted in Satara district, India during year 2009 to 2011 among newly diagnosed cases of breast cancer and matched controls. The total number of 217 breast cancer cases and equal number of controls age, religion and residence matched were enrolled by purposive sampling technique from selected hospitals of the study area. The data was collected individually by employing pre-tested questionnaire utilizing interview method. Descriptive statistics, Odd’s ratio and chi-square test was used to find out the strength of association and statistically significant differences. Results: Maximum, 31.80% breast cancer cases were in age group 40-49 yrs with lowest age at diagnosis of disease was 25 years. Max, 63.59%, 71.42% and 56.68% breast cancer cases were housewives, literate and from upper economic class respectively. The risk of developing breast cancer as indicated by odd’s ratio was 2.38 times higher in overweight women, 2.1 times in women consuming non-vegetarian diet, 3.9 times with women consuming extra fat in diet and 13.5 times in women with having excess salt in their diet. Conclusion: The dietary risk factors such as non-vegetarian diet, excess fat and salt in diet and overweight was strongly associated with breast cancer. DOI: http://dx.doi.org/10.3126/ajms.v6i1.10285 Asian Journal of Medical Sciences Vol.6(1) 2015 55-60
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Dissertations / Theses on the topic "Rural hospitals India Quality control"

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Ruxwana, Nkqubela. "The adoption of quality assurance in e-Health acquisition for rural hospitals in the Eastern Cape Province." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/1514.

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The evolution of e-health has the potential to assist in the management of scarce resources and the shortage of skills, enhance efficiencies, improve quality and increase work productivity within the healthcare sector. As a result, an increase is seen in e-health solutions developments with the aim to improve healthcare services, hospital information systems, health decision support, telemedicine and other technical systems that have the potential to reduce cost, improve quality, and enhance the accessibility and delivery of healthcare. However, unfortunately their implementation contiues to fail. Although there are several reasons for this, in this study a lack of project quality management is viewed as a key contributor to the failure of e-health solutions implementation projects in rural hospitals. This results in neglected aspects of quality assurance (QA), which forms an integral part of project quality management. The purpose of this study is to develop a Genertic Quality Assurance Model (GQAM) for the successful acquisition (i.e. development and implementation) of e-health solutions in rural hospitals in the Eastern Cape Province to enable improved quality of care and service delivery. In order to develop and test this model it was necessary to identify the QA methodologies that are currently used in rural hospitals and to evaluate their strengths and weaknesses, as well as their impact on project success. The study is divided into four phases; in each phase different study designs were followed. The study used triangulation of qualitative and some elements of quantitative research approaches, in terms of which a case study approach was adpoted to answer the research questions. This study did indeed develop a GQAM that can be used to ensure e-health solution success in rural hospitals. Furthermore, to aid in the implementation of this model, a set of QA value chain implementation guidelines were developed, as a framework, to inject the nodel into typical (SDLC) phases.
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Books on the topic "Rural hospitals India Quality control"

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United States. Congress. House. Select Committee on Aging. Sustaining quality health care under cost containment: Joint hearing : joint hearing before the Select Committee on Aging and the Task Force on the Rural Elderly of the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, first session, February 26, 1985. Washington: U.S. G.P.O., 1985.

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Office, General Accounting. Medicare: Federal efforts to enhance patient quality of care. Washington, D.C: The Office, 1996.

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Office, General Accounting. Medicare: Increased HMO oversight could improve quality and access to care : report to the Special Committee on Aging, U.S. Senate. Washington, D.C: The Office, 1995.

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Office, General Accounting. Medicare: Physician incentive payments by prepaid health plans could lower quality of care : report to the chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives. Washington, D.C: GAO, 1988.

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Office, General Accounting. Medicare: Need to strengthen home health care payment controls and address unmet needs : report to the chairman, Special Committee on Aging, United States Senate. Washington, D.C: GAO, 1986.

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Office, General Accounting. Medicare: Program designed to inform beneficiaries and promote choice faces challenges : report to Congressional Committees. Washington, D.C: The Office, 2001.

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Office, General Accounting. Medicare: Changes to HMO rate setting method are needed to reduce program costs : report to Congressional committees. Washington, D.C: The Office, 1994.

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Office, General Accounting. Medicare: Indirect medical education payments are too high. Washington, D.C: The Office, 1989.

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Office, General Accounting. Medicare: Many HMOs experience high rates of beneficiary disenrollment : report to the Special Committee on Aging, U.S. Senate. Washington, D.C. (P.O. Box 37050, Washington, D.C. 20013): The Office, 1998.

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Office, General Accounting. Medicare. Washington, D.C: The Office, 1997.

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Conference papers on the topic "Rural hospitals India Quality control"

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Mittal, Sujata. "Cervical cancer management in Rural India: Are we really living in 21st century or need to focus on health education of our doctors." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685408.

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Objectives: To study cases of cervical cancer managed/unmanaged in rural India and to analyze the reasons for poor outcome. Methods: This is a retrospective study of 218 cases of cervical cancers between 2008-2013 with resultant outcome in terms of treatment or absence of treatment in spite of diagnosis. Reasons for not taking the treatment have been analyzed. Also, analysis of 21 cases of simple hysterectomy with resultant complications like VVF, RVF has been done. Indications of surgery, operating surgeon, availability of preoperative/postoperative HPR, slides/blocks, discharge summary and disease status at the time of referral was done. Results: 44% refused to take treatment in spite of stage III diagnosis citing financial constraints, distance to be traveled daily for RT and apathetic attitude of family towards females. 20.65% opted for other hospitals. 29.8% took complete treatment. 80% of females were illiterate and dependent. 9.7% had simple hysterectomy for invasive disease. 95% of simple hysterectomies were performed by general surgeons in private setups resulting in 19% of complications like VVF, RVF. 100% cases of simple Hysterectomy did not have pre-operative biopsy. Only 50% cases had post-operative biopsy report and in none of the cases were slide/blocks available for review as trained pathologists were not available. General surgeons who had performed surgery were neither trained in doing P/V examinations nor aware of staging of cervical cancer. Conclusion: Illiteracy, poverty and absence of implementation of cancer control programs are the major hurdles in control of cervical cancer. The study highlights the absence of Government’s will to control cervical cancer in rural India. It emphasizes on the need of intensive training and health education of gynaecologists and surgeons at district/rural level, lack of which is a primary factor for violation of medical ethics by the doctors.
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Mittal, Sulbha. "Chemoradiation for the management of locally advanced carcinoma uterine cervix: Comparative evaluation of concomitant weekly versus three weekly cisplatin." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685285.

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Aims and Objectives: To determine and evaluate the difference/s, in terms of tumor control and side effects, between weekly and three weekly cisplatin concomitant with external beam radiotherapyfor locally advanced carcinoma of cervix. Materials and Methods: The study was conducted in Radiotherapy Department, University of Health Sciences, Rohtak (India), on sixty previously untreated, histopathologically proven patients of locally advanced carcinoma of uterine cervix. The patients were treated with External Beam Radiotherapy (EBRT) 50 Gy/25 fractions over 5 weeks and concomitant cisplatin, followed by intra-cavitary HDR brachytherapy (ICBT) 700 cGy to point A; three times, once in a week. The patients were assigned randomly either of two groups of 30 patients each. In Group I (Study Group) the patients received three weekly cisplatin 75 mg/m2 for 2 cycles whilein Group II (Control Group) the patients received weekly cisplatin 40 mg/m2 for 5 cycles. Evaluation of response and toxicity was done weekly during treatment and monthly thereafter up to six months. The data thus obtained was assessed and analysed using LaMorte statistical tool. The study was approved by Ethical Committee of the institute and quality was periodically monitored by senior consultant and guide. Results: Stage wise disease response in study and control respectively at the end of treatment was as follows: Stage IIA - CR (80% vs 100%), PR (20% vs 0%); Stage IIB - CR (80% vs 76.47%), PR (20% vs 23.53%); Stage IIIA - CR (60% vs 100%), PR (40% vs 0%); Stage IIIB - CR (60% vs 60%), PR (40% vs 20%), NR(0% vs 20%). Stage wise disease status at the end of sixth month follow up was as follows: Stage IIA – NED (80% vs 100%), RD (20% vs 0%); Stage IIB - NED (80% vs 76.67%), RD (20% vs 23.53%); Stage IIIA - NED (60% vs 100%), RD (40% vs 0%); Stage IIIB - NED (60% vs 60%), RD (40% vs 40%). Tumor response was not significantly different in the two groups with respect to age distribution, rural/urban distribution, histopathological distribution and treatment interruption. Maximum level of hematological toxicity (WHO criteria) observed in study and control group respectively at the end of treatment was as follows: Anaemia; Grade II - 4 (13.33%) in both the groups, leukopenia; Grade II – 1 (3.33%) vs 0 (0%). The worst acute skin reactions observed by the end of treatment in Group I and II respectively were Grade II – 2 (6.67%) vs 0 (0%). The worst acute mucosal reactions were Grade II - 5(16.66%) vs 0 (0%). Upper gastrointestinal toxicity (Grade II & III) was 16.7% versus 13.3% respectively. Lower gastrointestinal toxicity (Grade II & III) was 30.0% versus 36.7%. No significant weight loss was observed in either of the groups. Though, all the patients completed the intended treatment, treatment interruption for more than a week was observed in 10 (33.33%) vs 8 (26.67%) patients respectively, due to acute toxicities. Conclusion: Three weekly cisplatin, concomitant with radiation seems to be the potential, effective and acceptable alternate as standard of treatment for locally advanced carcinoma cervix; especially for increased work load and limited resource setups.
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Mittal, Sulbha, Ashok Chauhan, Parajeet Kaur, and Yash Pal Verma. "Chemoradiation for the management of locally advanced carcinoma uterine cervix: Comparative evaluation of concomitant weekly versus three weekly cisplatin." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685271.

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Aims and Objectives: To determine and evaluate the difference/s, in terms of tumor control and side effects, between weekly and three weekly cisplatin concomitant with external beam radiotherapyfor locally advanced carcinoma of cervix. Materials and Methods: The study was conducted in Radiotherapy Department, University of Health Sciences, Rohtak (India), on sixty previously untreated, histopathologically proven patients of locally advanced carcinoma of uterine cervix. The patients were treated with External Beam Radiotherapy (EBRT) 50 Gy/25 fractions over 5 weeks and concomitant cisplatin, followed by intra-cavitary HDR brachytherapy (ICBT) 700 cGy to point A; three times, once in a week. The patients were assigned randomly either of two groups of 30 patients each. In Group I (Study Group) the patients received three weekly cisplatin 75 mg/m2 for 2 cycles whilein Group II (Control Group) the patients received weekly cisplatin 40 mg/m2 for 5 cycles. Evaluation of response and toxicity was done weekly during treatment and monthly thereafter up to six months. The data thus obtained was assessed and analysed using La Morte statistical tool. The study was approved by Ethical committee of the institute and quality was periodically monitored by senior consultant and guide. Results: Stage wise disease response in study and control respectively at the end of treatment was as follows: Stage IIA-CR (80% vs 100%), PR (20% vs 0%); Stage IIB-CR (80% vs 76.47%), PR (20% vs 23.53%); Stage IIIA-CR (60% vs 100%), PR (40% vs 0%); Stage IIIB-CR (60% vs 60%), PR (40% vs 20%), NR (0% vs 20%). Stage wise disease status at the end of sixth month follow up was as follows: Stage IIA – NED (80% vs 100%), RD (20% vs 0%); Stage IIB – NED (80% vs 76.67%), RD (20% vs 23.53%); Stage IIIA – NED (60% vs 100%), RD (40% vs 0%); Stage IIIB - NED (60% vs 60%), RD (40% vs 40%). Tumor response was not significantly different in the two groups with respect to age distribution, rural/urban distribution, histopathological distribution and treatment interruption. Maximum level of hematological toxicity (WHO criteria) observed in study and control group respectively at the end of treatment was as follows: Anaemia; Grade II - 4 (13.33%) in both the groups, Leukopenia; Grade II - 1 (3.33%) vs 0 (0%). The worst acute skin reactions observed by the end of treatment in Group I and II respectively were grade II - 2 (6.67%) vs 0 (0%). The worst acute mucosal reactions were grade II - 5 (16.66%) vs 0 (0%). Upper Gastrointestinal toxicity (Grade II & III) was 16.7% versus 13.3% respectively. Lower gastrointestinal toxicity (Grade II & III) was 30.0% versus 36.7%. No significant weight loss was observed in either of the groups. Though, all the patients completed the intended treatment, treatment interruption for more than a week was observed in 10 (33.33%) vs 8 (26.67%) patients respectively, due to acute toxicities. Conclusion: Three weekly cisplatin, concomitant with radiation seems to be the potential, effective and acceptable alternate as standard of treatment for locally advanced carcinoma cervix; especially for increased work load and limited resource setups.
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Reports on the topic "Rural hospitals India Quality control"

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The PLHA-friendly achievement checklist: A self-assessment tool for hospitals and other medical institutions caring for people living with HIV/AIDS (PLHA). Population Council, 2003. http://dx.doi.org/10.31899/hiv2003.1005.

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The Population Council/Horizons (New Delhi and Washington, DC) and the Society for Service to Urban Poverty (New Delhi) are conducting an operations research study in three New Delhi hospitals. The study, entitled “Improving the hospital environment for HIV-positive clients in India,” is endorsed by the National AIDS Control Organization (NACO) of India. The main objective is to assess factors that affect the quality and type of care received by the general patient population, with special emphasis on patients with HIV. Another objective is to assess and address factors that affect staff safety with respect to infectious diseases. As part of the study, a practical checklist was developed that can be used by managers and others to identify institutional strengths, pinpoint problems, and set goals for improvement of services for people living with HIV/AIDS (PLHA) and staff safety. The PLHA-friendly Achievement Checklist is intended as a self-assessment tool for managers to use in gauging how well their facility reaches, serves, and treats HIV-positive patients. NACO plans to distribute the checklist to all government medical facilities throughout India.
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