Statewide implementation of a quality improvement initiative for reproductive, maternal, newborn and child health and nutritionin Bihar, India.

Background: CARE India designed and implemented a comprehensive, statewide quality improvement (QI) initiative to improve reproductive, maternal, newborn, and child health and nutrition (RMNCHN) services in public facilities in Bihar. We provide a description of this initiative and its key results during 2014-2017.

Methods: We reviewed program documents to identify QI strategies employed and ascertain their coverage.

Tuberculosis of larynx: a case report.

A case of tuberculosis of larynx in a 45-year-old male patient has been described here. Usually, the signs and symptoms of laryngeal tuberculosis resemble with malignant diseases of larynx. The diagnosis was made here by the microscopic examination of sputum smear for Acid Fast Bacilli, chest x-ray, direct laryngoscopy and biopsy from the laryngeal lesion.