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Implemented at the Institute of Social Obstetrics, Government Kasturba Gandhi Hospital for Women and Children since 2019, it drove structural and process improvements and evaluated outcomes using key performance indicators before and after rollout. Baseline quality began at 40% and improved to 93%, culminating in a platinum badge. 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Mahalakshmi, K. Kanmani., Vidyaa U. Kirubanidhi, S. Swetha  \nDepartment of Obstetrics and Gynecology, Institute of Social Government Kasturba Gandhi Hospital for Women and Children, Madras Medical College, Tamil Nadu, India  \nReceived: 30 November 2022  \nRevised: 31 January 2023  \nAccepted: 01 February 2023  \n*Correspondence:  \nDr. Vidyaa U. Kirubanidhi,  \n[E-mail: vidyaa.kirubanidhi@gmail.com](E-mail: vidyaa.kirubanidhi@gmail.com)  \nCopyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nABSTRACT  \nLaQshya-labour room quality improvement initiative, a National Quality Assurance Programme was launched by the National Health Mission, Government of India in 2017 for improving the quality of services provided at the time of delivery and immediate post-partum period. The programme has been implemented at the Institute of Social Obstetrics, Government Kasturba Gandhi Hospital for women and children from the year 2019. A plethora of changes have been brought about at the legendary institution since then. A retrospective programme review of the changes brought about at the Institute of Social Obstetrics, Government Kasturba Gandhi Hospital for Women and Children in the dimensions described under the LaQshya program i.e.; structural improvement and process improvement and henceforth a comparison of the various outcome as key performance indicators before and after the implementation of the programme. The quality of Institute of Social Obstetrics Government Kasturba Gandhi Hospital started at the bottom with 40%, under the guidance of LaQshya has improved to an astounding 93% making us the proud bearers of the prestigious platinum badge which was evident with the obvious improvement in various outcome indicators. Despite the implementation, LaQshya was an uphill trudge, to break old habits and restrain into new norms and guidelines, the results as mentioned proved to be a beautiful view at the end of the climb. LaQshya is indeed a boon not only to themothers benefiting from it but also to the service provider as a tool to be a better health care personnel.  \nKeywords: LaQshya, Key performance indicator, Improvement, Quality  \nINTRODUCTION  \nLaQshya-Labour room quality improvement initiative, a National Quality Assurance Programme was launched by the National Health Mission,Government of India in 2017 for improving the quality of care at public health facilities, quality assurance standards for District Hospitals, Community Health centers, Primary health centers and Urban primary health centers.1 The objectives of the programme in a nutshell, is to reduce maternal and newborn mortality and morbidity, to improve quality of of care during the delivery and immediate postpartum care, to enhance satisfaction of beneficiaries visiting the health facilities and provide respectful maternity care.2 The programme set out to achieve its objectives by providing  \nthe institutions various new established norms as issued by the Ministry of Health and Family welfare such as “Labour Room Standardization Guidelines”, “Maternal and Newborn Health tool kit”, ensuring that all Government medical college hospitals and high case load District hospitals have a dedicated obstetric HDU and ensuring that there is strict adherence to clinical protocols for management and stabilization of complicated cases.1  \nNot only did the programme provide a goal for the Institution to achieve utmost quality in service but also aided by providing with targets to be achieve","cbCaik5w9F9T5jEA","https://ap.wps.com/l/cbCaik5w9F9T5jEA","pdf",190977,"English","# Abstract\n# Introduction\n## Programme objectives and standards\n## Institutional background and quality journey\n## LaQshya implementation experience","[{\"question\":\"What is the LaQshya programme intended to improve?\",\"answer\":\"LaQshya aims to improve quality of care during delivery and immediate post-partum, while supporting reductions in maternal and newborn mortality and morbidity, and enhancing beneficiary satisfaction and respectful maternity care.\"},{\"question\":\"Where was the programme implemented in this review?\",\"answer\":\"It was implemented at the Institute of Social Obstetrics, Government Kasturba Gandhi Hospital for Women and Children (ISO-Government KGH) in Chennai from 2019.\"},{\"question\":\"How did the quality benchmarks change after implementation?\",\"answer\":\"The institution’s quality started at 40% and improved to 93%, reflected in multiple outcome indicators leading to a platinum badge.\"}]","LaQshya-an uphill climb - a review of implementation of LaQshya programme at a tertiary centre in Chennai | PDF",1789927587,23]