Quality improvement collaborative to increase access to caesarean sections: lessons from Bihar, India.

Background: Countries with resource-poor health systems have struggled to improve access to and the quality of caesarean section (C-section; CS) for women seeking care in public health facilities. Access to C-section in Bihar State remains very low, while access has increased in many other contexts.

Methods: We used quality improvement (QI) combined with targeted resource management to test and implement changes that were designed to increase C-section delivery.

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.