Table 5

Areas needing improvement when implementing Moyo FHRM in four DHs in Bihar

Health systemManagementTraining of staffSupport network
Improving the existing practices according to national guidelines.6
Finding ways to keep equipment in safe places.
Making the staff aware of the existing national guidelines.
Making sure that the staff is able to follow the guidelines.
Doctors need to lead the implementation process in DHs.
Reconciling the tasks and workload of staff.
Sufficient uninterrupted training time for staff.
Own training programme for doctors.
Regular case review sessions.
A support network for doctors where they can get support during the decision-making process, especially during learning phase.