Maternal and child health is a critical indicator of the health sector's performance and a major focus for the Government of India, which aims for "Zero Preventable Maternal and Newborn Deaths" and high-quality maternity care delivered with dignity and respect. Despite these goals, neonatal mortality and morbidity remain significant concerns in Uttar Pradesh, where the neonatal mortality rate is 30 per 1,000 live births, surpassing the national average of 20 per 1,000 live births. To improve maternal and neonatal outcomes, the government has mandated 100 percent institutional deliveries. However, Level 3, neonatal care and handling complicated deliveries remain unaffordable for the economically weaker sections. Many such complicated pregnancies are referred to tertiary care hospitals by state-run district hospitals in Ghaziabad.
In response, Santosh Hospital has adopted a practice of offering free antenatal care, delivery, and neonatal care with the following objectives:
The Context
Acceptability of Care
The Practice
To benefit the Ghaziabad community, Santosh Hospital launched the "Santosh Hospital Maternal and Neonatal Care initiative" in 2022 and christened it as Santosh Matr Shishu kalyan Yojna. This scheme offers state-of-the-art tertiary-level obstetric and neonatal care, free of cost to the underprivileged community. Free services include antenatal checkups, medications, and investigations. Antenatal patients are admitted during labor, and obstetric care is provided free of cost, irrespective of the delivery mode—normal vaginal, forceps, or LSCS, based on the case's merit. Supportive care and intensive care facilities are also provided free of charge.
Routine neonatal care is offered to stable newborns, while Level 2 or 3 care is provided to unstable neonates. Neonatal services such as open warmer care, phototherapy, exchange transfusion, and both non-invasive and invasive ventilation are offered completely free, covering medications, investigations, and consumables.
The practice is facilitated by ASHA workers, social workers, and community health workers who ensure timely referral of expectant mothers for better maternal and neonatal outcomes. The initiative is widely publicized through newspapers and hoardings.
Evidence of Success
Since the inception of scheme in July 2022 the number of vaginal and LSCS deliveries have been increasing at a phenomenal rate from 529 in 1st 6 months in 2022 to 1537 in next 6 months after scheme was launched ( 290 % increase ) , Institution had 3574 beneficiaries in 2023 ( further increase of 172 % over 2022 ) 4452 beneficiaries ( further increase by 124 % over 2023 ) . A total of 9563 mothers have benefited from the scheme till December 2024.
The NICU admissions increased from 426 in 2022 to more than 1200 in 2023 and 2024 ( 355 % increase ).
Babies requiring ventilatory support also increased from 10 % to 23 % signifying the complex cases that are being attended by our doctors.
There has been no mortality in the mothers . However in the neonates an improved survival with mortality less than 1% was appreciable.
Financial ISR commitment of institute to the project as Institutional social responsibility exceeded 1 crore, with increased workload and cross-referrals enhancing teaching and training facilities. All complicated cases are referred to our hospital, providing opportunities to achieve expertise.
Problems Encountered and Resources Required
Financial constraints are the major obstacle, as tertiary care for both mothers and neonates are expensive. Additionally, the extra manpower required for the increased workload adds to the running costs.
How were they overcome
A separate fund was allocated from the University under the university ISR Head to fund this Philanthropic activity thereby overcoming the challenge of finances.
Title of the Practice - Digital Transformation of Education
Objectives of the Practice
The Context
Santosh University focus on healthcare education recognizes the need to adapt to the digital age to remain competitive and effective. Facing challenges such as increased demand for online learning options the need to update traditional curriculums and the drive to support diverse student needs the university embarked on a digital transformation journey.
The Practice
Evidence of Success
Problems Encountered
Resources Required
By aligning these practices with the objectives Santosh Deemed to be University aims to set a benchmark in digital transformation within the educational sector, equipping students and faculty with the necessary tools to thrive in a digital world.