NDLI: A quality improvement initiative to improve growth monitoring of children attending immunization clinic in an urban primary health centre in Delhi

Content Provider	Springer Nature : BioMed Central
Author	Kaur, Ravneet Singh, Udita Srinath, K. Ranjith, Anjusha Nongkynrih, Baridalyne
Abstract	Background Immunization clinics present an opportunity for passive screening for malnutrition among young children through plotting of growth charts. Passive screening for malnutrition can enable timely interventions and improve morbidity and mortality of under-five children. Therefore, we aimed to increase the plotting of growth charts (weight-for-age) to 90%, among under-five children attending immunization clinics in an Urban Health Centre (UHC) in south Delhi over three months. Methodology A Quality Improvement (QI) initiative was undertaken in the immunization clinic of an urban primary health centre in southern Delhi, from January to March 2024. A multi-faceted QI team was formed. The baseline coverage of weight-for-age growth chart plotting in the immunization clinic was 31%. The process flow was mapped, and critical gaps identified by root cause analysis (Fish Bone technique). Change ideas were discussed and prioritized using a prioritization matrix to implement these through sequential PDSA cycles. The main change ideas implemented were training of health workers, allotting regular supervisors for the session, and appending a stamp for quick identification of underweight children. Run chart was used to assess the changes over time. We considered the outcome achieved if the plotting coverage was more than 90% sustained for at least six consecutive immunization sessions. Results Multiple change ideas were implemented over a period of three months. The coverage of growth chart plotting increased to more than 90%. Lack of motivation among stakeholders was a challenge for some change ideas. Monitoring of immunization sessions for plotting of growth chart was continued post the implementation of all change ideas to assess sustainability which showed positive results. Post-implementation of the change ideas, a meeting was held with the members of the QI team to get feedback on this activity. Conclusion There is potential for improving growth monitoring at immunization clinics, which can be beneficial in strengthening passive screening for malnutrition in primary care settings. Clinical trial number Not applicable.
Related Links	https://bmcpediatr.biomedcentral.com/counter/pdf/10.1186/s12887-024-05373-y.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14712431
DOI	10.1186/s12887-024-05373-y
Journal	BMC Pediatrics
Issue Number	1
Volume Number	25
Language	English
Publisher	BioMed Central
Publisher Date	2025-01-17
Access Restriction	Open
Subject Keyword	Pediatrics Internal Medicine Quality improvement Primary care Immunization Growth monitoring Under-five population
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health
Journal Impact Factor	2/2023
5-Year Journal Impact Factor	2.4/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Anemia in disadvantaged children aged under five years; quality of care in primary practice

Quality of Care for Children Under Five with Malaria Using IMCI Approach at Public Health Centre: Literature Review

Shared Care: A Quality Improvement Initiative to Optimize Primary Care Management of Constipation

Determinants of healthcare seeking for childhood illnesses among caregivers of under-five children in urban slums in Malawi: a population-based cross-sectional study

Prevalence and factors associated with immunization coverage among children under five years in Mohamed Mooge health center, Hargeisa, Somaliland: a cross-sectional study

Immune response and associated factors to Hepatitis B vaccination among children under five attending care at mulago hospital

Quality Improvement Initiative to Reduce Serious Safety Events and Improve Patient Safety Culture

Prevalence of acute diarrhea and associated factors among children under five in semi-urban areas of northeastern Ethiopia

Investigating Factors Associated with Immunization Incompletion of Children Under Five in Ebonyi State, Southeast Nigeria: Implication for Policy Dialogue

A quality improvement initiative to improve growth monitoring of children attending immunization clinic in an urban primary health centre in Delhi

Similar Documents

Anemia in disadvantaged children aged under five years; quality of care in primary practice

Quality of Care for Children Under Five with Malaria Using IMCI Approach at Public Health Centre: Literature Review

Shared Care: A Quality Improvement Initiative to Optimize Primary Care Management of Constipation

Determinants of healthcare seeking for childhood illnesses among caregivers of under-five children in urban slums in Malawi: a population-based cross-sectional study

Prevalence and factors associated with immunization coverage among children under five years in Mohamed Mooge health center, Hargeisa, Somaliland: a cross-sectional study

Immune response and associated factors to Hepatitis B vaccination among children under five attending care at mulago hospital

Quality Improvement Initiative to Reduce Serious Safety Events and Improve Patient Safety Culture

Prevalence of acute diarrhea and associated factors among children under five in semi-urban areas of northeastern Ethiopia

Investigating Factors Associated with Immunization Incompletion of Children Under Five in Ebonyi State, Southeast Nigeria: Implication for Policy Dialogue

A quality improvement initiative to improve growth monitoring of children attending immunization clinic in an urban primary health centre in Delhi