Maternal and neonatal mortality ratios are indicators of a state’s health status. In Bihar, these numbers were a challenge since the maternal and neonatal complication identification and management rates were poor. Often, complications like obstructed labour, prolonged labour with fetal distress failed to get timely and emergency caesarean sections. Records of patients with complications were not adequately recorded and the practice of post-facto and retrospective documentation of patient records prevailed.
Our approach has been to use systems-thinking and evidence to strengthen the health systems and influence the microsystems at facility and outreach levels. Dedicated verticals/technical teams were formed to advocate and facilitate the usher of reformative and renovative transformation in the existing way of work.