SQCI tool description

SQCI is a GOI recommended decision making tool that makes use of already available SNCU online data to generate seven specific indices on key indicators to assess mortality outcomes, gaps in clinical practices and optimal utilization of services in SNCUs. The tool was developed by a team of national neonatal and child health experts and has been developed using reliable indicators that measure quality of care. Optimal utilization of services is reflected from avoidance of unnecessary admissions, admission of small babies and bed occupancy. Adequacy of clinical practices could be assessed from admissions of inborn babies with birth asphyxia (which indirectly means lack of skills for resuscitation) and use of antibiotics. Outcomes could be assessed from survival of normal and low weight babies separately. The index has seven indices each having a range of 0.01–1.0. Performance grading is categorized into: good (0.71–1.0), satisfactory (0.4–0.7) and unsatisfactory (<0.4). The indices are color coded for better understanding and ease of tracking progress (Table 1).

Components of SQCI

1 − | (1−average admission) |

Average admission = (total admissions/total number of beds × 6 ×no. of months)