Abstract of Dissertation

Keyword : Rashtriya Swasthya Bima Yojana; NRHM; Health Insurance; Healthcare Delivery System

Objective : The objectives of the present were; 1) To identify the effectiveness of Supportive Supervision audit for the data quality improvement in MNCH. 2) To identify the factors of good quality reporting and poor-quality reporting of selected indicators among block/DWH in Districts.

Background : Ministry of Health and Family Welfare launched the National Rural Health Mission (NRHM) to ensure necessary architectural corrections in the basic health care delivery system. The interventions have increased the demand for data on population and health for use in both micro-level planning and programmed implementation. All levels in a health department; be it a Primary Health Centre or a District Hospital or the State or National Office, need information on a regular basis, Therefore, a robust information system which can provide accurate, up-to-date, and timely information to the health department is needed at every level. Data flows from sub-center level to state level. So, gaps and quality issues at the sub-center level may hinder the analysis and will lead to false interpretation.

Methodology : The present study was a descriptive study. The respective study was conducted in Four Technical support unit Blocks (Bilaspur, Milak, Swar, Tanda) of District Rampur, Uttar Pradesh. 4 BPM and 4 MOIC, the block was taken as respondents to collect the desired information for the study. The analysis was done at the sub-center level. Primary data was collected. Quantitative analysis was done.

Recommendations : Study shows that bottlenecks were identified at the sub-center level due to which data quality was affected. Factors resulting in poor data quality are not using the format. There is 1 facility which needs special attention, which has deteriorated in data quality assurance. i.e. CHC Tanda. There is a substantial gap in understanding of arrival and admission The major gaps in the register are found is; Availability of source register mainly for maternal and new-born complication related data elements are low among facility. The improvement in the availability of source documents is relatively lower among these poor performing facilities while considering their potential scope for improvement.