Identifying barriers and facilitators in implementation of quality improvement(QI) program in private sector health facilities-- An Interstate Qualitative Study.

ABSTRACT: Aims and objectives: 1. To identify facilitators and barriers faced by CSE(Centre for skill Enhancement) personnel during implementation of Manyata program activities in the two states of Maharashtra and Uttar Pradesh. 2. To provide actionable recommendations for enhancing the implementation and sustainability of the Manyata Program. Material and methods: The trainers and health care providers of the CSEs across two states: Uttar Pradesh and Maharashtra were interviewed for qualitative data, their audio-recorded transcripts read and thematic analysis done Observations: The feedback of trainers for effective reception at staff level and practical issues in implementation of clinical standards and adherence to protocols to enhance quality maternity care were analysed. Conclusion: The study provides a nuanced perspective of the facilitators and barriers in implementing the Manyata Program's CSE activities. Based on the findings, the study proposed evidence-based recommendations for CSEs as well as for private health facilities to develop strategies so as to enhance the QI training programs for capacity building of private nursing homes Key words: Manyata, Quality health care, Clinical standards, Nursing staff, Nurses trainers, Respectful maternity care, private maternity nursing homes