Strengthen Clinical Practices
Project ADHUNA is driving systemic improvements in how care is delivered to mothers and newborns during the most critical moments—labour, childbirth, and the immediate newborn period. Following a phased, evidence-informed approach aligned with WHO, ICMR, and MoHFW guidelines, ADHUNA focuses on improving the quality of intrapartum and essential newborn care across private healthcare facilities.
1
Grounded in Research
Conducting secondary research to identify evidence-based practices that facilities and healthcare providers can adopt to improve quality of intrapartum and newborn care.
Key Actions:- Reviewing global and national guidelines (WHO, ICMR, MoHFW).
- Identifying proven clinical practices that enhance labour and newborn outcomes.
- Mapping gaps in current private sector practices.
2
Setting the Gold Standard
Developing and formally endorsing a standardised set of FOGSI-approved clinical practices that clearly define what high-quality intrapartum and newborn care looks like.
Key Actions:- Creating a consolidated quality-of-care framework.
- Defining essential practices for labour, delivery, and immediate newborn care.
- Getting formal endorsement from FOGSI experts and leadership.
3
Understanding the Baseline
Gathering insights from private sector facilities to understand care delivery patterns, patient load, and current challenges in actual practice.
Key Actions:- Collecting data from private maternity facilities.
- Identifying common challenges in implementing quality intrapartum care.
- Assessing readiness for adopting improved clinical practices.
4
Curating CPD Modules
Developing structured Continuing Professional Development (CPD) modules and training manuals aligned with FOGSI-endorsed clinical practices.
Key Actions:- Designing step-by-step CPD modules for providers and facilities.
- Creating training manuals and learning tools.
- Enabling smooth adoption of gold standard clinical practices.
5
Evaluating and Evolving
Monitoring improvements in knowledge and clinical practice, and refining the CPD structure based on real-world insights.
Key Actions:- Tracking provider knowledge before and after training.
- Assessing changes in clinical practice adoption.
- Improving CPD modules based on evaluation findings.
Outcome 1 : At a Glance
| Focus Area | Key Activities |
|---|---|
| Evidence Synthesis | Secondary research on best practices for intrapartum & newborn care |
| Standard Setting | Developing set of clinical practices defining quality care standards |
| Baseline | Understanding the current practices surrounding maternal and newborn care |
| Training Modules | Designing Continuing Professional Development (CPD) modules for doctors and paramedical staff |
| Training Delivery | Rolling out CPDs across 29 districts |
| Practice Monitoring | Adoption tracked through routine follow-ups and field visits |
| Evaluation | Evaluating changes in the practices and making necessary improvements in the CPD |
