Increasing institutional deliveries through improving community-facility linkages in Mewat, Haryana State, India
Empowering communities and frontline health workers to use quality improvement (QI) methods to achieve better antenatal and intrapartum care, the USAID ASSIST Project supported a community QI team in Mewat, Haryana. The team observed that fewer than 20 percent of pregnant women in Salaheri village had institutional deliveries due to rumours that male doctors delivered babies and staff did not treat patients well. The QI team addressed these issues during regular home visits by frontline workers, leading to some improvement. To further improve the relationship between pregnant women in the community and the facility, the team arranged an exposure visit to a Community Health Centre. The exposure visits were important in reducing the community’s negative impressions of the quality of care in facilities and also helped health workers identify other gaps in their own performance.