Child Health Quality Improvement Initiative
MUSQAN
Ensuring Child-Friendly Services in Public Health Facilities
MusQan is a focused quality improvement initiative aimed at ensuring delivery of quality care to children aged 0–12 years in public health facilities through child-friendly infrastructure, evidence-based clinical practices, and strengthened quality assurance systems. :contentReference[oaicite:0]{index=0}2021
Launched on 17 September 2021
Objectives
Reduce Mortality & Morbidity
Reduce preventable mortality and morbidity among children below 12 years of age.Quality of Care
Enhance Quality of Care (QoC) as per National Quality Assurance Standards (NQAS).Evidence-Based Practices
Promote adherence to standard treatment guidelines, protocols and evidence-based practices.Child-Friendly Environment
Provide humane, supportive and child-friendly healthcare services.Scope of MusQan
| District Hospitals | Sub District Hospitals (SDH) | Functional FRU CHCs | Other Facilities |
|---|---|---|---|
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Areas of Concern
Services Provision
Patient Rights
Inputs
Support Services
Clinical Services
Infection Control
Quality Management System
Outcome
Framework for Improving Quality of Paediatric Care
Evidence-based practices for illness management
Actionable information systems
Functional referral systems
Participatory and effective communication
Respectful and rightful care
Emotional and psychological support
Competent, motivated and empathetic HR
Essential child-friendly physical resources
MusQan Quality Initiative – Key Actions
Strengthen Clinical Protocols & Management Processes
- Strengthening early screening, diagnosis and intervention services
- Preparedness of facilities to manage sick children
- Competence and skill enhancement of staff
- Promotion, protection and support for breastfeeding
Child & Parent-Friendly Infrastructure
- Accessibility, availability and affordability of services
- Development of child-friendly ambience
- Managing co-location of services
- Availability of essential paediatric drugs
Respectful & Dignified Care
- Culture of respect in child care services
- Training for mothers and parents
- Empathetic staff behaviour
- Family participatory care
Referral & Follow-Up Services
- Establishing continuum of care
- Timely and appropriate linkages
- Referral audit mechanisms
Steps for Assessment & Certification
Step 1
Internal Assessment
Step 2
Assessment Using MusQan Checklist
Step 3
State Certification
Step 4
Meet State Certification Criteria
Step 5
National Certification
Step 6
Meet National Certification Criteria
State & National Certification
| State Certification | National Certification |
|---|---|
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MusQan Incentives
₹3L
Medical College & Hospital
₹15L
District Hospital
₹5L
Sub District Hospital
₹23L
Community Health Centre
Physical Performance
16
District Hospitals (DH)
3
Sub-District Hospitals (SDH)
3
Medical College Hospitals (MCH)