biostudies-literatureUnknown10(2)Creanga AA<h4>Background</h4>CARE India designed and implemented a comprehensive, statewide quality improvement (QI) initiative to improve reproductive, maternal, newborn, and child health and nutrition (RMNCHN) services in public facilities in Bihar. We provide a description of this initiative and its key results during 2014-2017.<h4>Methods</h4>We reviewed program documents to identify QI strategies employed and ascertain their coverage. We analysed data from: a) two public facility assessments to ascertain the availability of essential equipment and supplies and the distribution of human resources by facility level; b) a four-phase provider mentoring and training intervention covering 319 facilities to examine changes in emergency obstetric and newborn care (EmONC) practices; and c) four state-reJournal of global health021008https://www.ebi.ac.uk/biostudies/studies/S-EPMC7759019biostudies-literatureStatewide implementation of a quality improvement initiative for reproductive, maternal, newborn and child health and nutritionin Bihar, India.PMC7759019Sonthalia SGore ADarmstadt GLKaul SDurbha RSrikantiah SMahapatra TMoharana PRShah HGalavotti CCreanga AAPepper KTLaterra ADaulatrao SDas AfalseStatewide implementation of a quality improvement initiative for reproductive, maternal, newborn and child health and nutritionin Bihar, India.<h4>Background</h4>CARE India designed and implemented a comprehensive, statewide quality improvement (QI) initiative to improve reproductive, maternal, newborn, and child health and nutrition (RMNCHN) services in public facilities in Bihar. We provide a description of this initiative and its key results during 2014-2017.<h4>Methods</h4>We reviewed program documents to identify QI strategies employed and ascertain their coverage. We analysed data from: a) two public facility assessments to ascertain the availability of essential equipment and supplies and the distribution of human resources by facility level; b) a four-phase provider mentoring and training intervention covering 319 facilities to examine changes in emergency obstetric and newborn care (EmONC) practices; and c) four state-re2020-01-01T00:00:00Z2020 Dec2025-04-05T00:11:30.452Z2025-04-05T00:11:30.452ZS-EPMC77590193342533210.7189/jogh.10.021008