MusQan Initiative

Relevance

• GS 2: Welfare schemes for vulnerable sections of the population by the Centre and States

Context

• Recently, Ministry of Health and Family Welfare has launched MusQan initiative to ensure child friendly services in public health facilities.

Key points

• MusQan is a new quality improvement initiative for the paediatric age group (0-12 years), within the existing National Quality Assurance Standards (NQAS) framework.
• MusQan is designed to ensure provision of quality child-friendly facility based services from birth to children upto 12 years of age.

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Goal

• MusQan aims to ensure provision of quality child-friendly services in public health facilities to reduce preventable newborn and child morbidity and mortality.

Objectives

• To reduce preventable mortality and morbidity among children below 12 years of age.
• To enhance Quality of Care (QoC) as per National Quality Assurance Standards (NQAS).
• To promote adherence to evidence-based practices and standard treatment guidelines & protocols.
• To provide child-friendly services to newborn and children in humane and supportive environment.
• To enhance satisfaction of mother and family, seeking healthcare for their child.

Strategies

• A framework has been developed to highlight four key strategies for rollout of ‘MusQan’ along with proposed actions for implementation.
  • Strengthen clinical protocols and management processes
  • Children & parent-attendant friendly ambience and infrastructure
  • Strengthen referral and follow up service
  • Provision of respectful and dignified care

Institutional Framework

National level

• The primary role of the Central Quality Supervisory Committee (CQSC) is to provide overall guidance, monitoring and mentoring of quality assurance efforts under various programmes/initiatives.

State level

• State Quality Assurance Committees (SQACs) are functional in all states/UTs
• The committee’s main responsibility is to oversee quality assurance activities in the state in accordance with National & State guidelines.

District level

• District Quality Assurance Units (DQAUs) are the functional arm of District Quality Assurance Committees in the States/UTs.
• The DQAU’s main responsibility is to oversee quality assurance activities across the district in accordance with National & State guidelines.

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Facility level

• The facility-level team comprises of Medical Superintendent or facility in-charge, Hospital Manager (wherever available), nursing in-charge and representative from other functional and related departments.
• The primary responsibility of the quality team is to oversee quality assurance activities across the facility.

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