title: Operational efficiency of an immunization clinic attached to rural health training centre in delhi, India: a time and motion study.
abstract: Background. Obtaining baseline data about current patterns of work is important for assessing the effects of interventions designed to improve care delivery. Time and motion studies allow for the most accurate measurement of structured components. Therefore, the present study was conducted to study the operational efficiency of an immunization clinic in Delhi, India. Methods. An observational cross-sectional study was conducted at the immunization clinic of Rural Health Training Centre in Delhi, India, from January 2014 to March 2014. The study composed two stage evaluations, a passive observation and a time and motion study. Systemic random sampling method was used to select 863 mothers/caregivers attending the immunization clinic. Results. At the immunization clinic, the study participants spent 64.1% of their total time in waiting. For new cases, the mean time taken for initial registration and receiving postvaccination advice was found to be significantly longer than old cases. Delivering health care services took more time during Mondays and also during the first hour of the day. Conclusion. Results of this study will guide public health decision-makers at all government levels in planning and implementation of immunization programs in developing countries.
authors.affiliation: Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Varun
authors.initials: V
authors.lastname: Kumar
authors.affiliation: Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Abha
authors.initials: A
authors.lastname: Mangal
authors.affiliation: Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Sanjeet
authors.initials: S
authors.lastname: Panesar
authors.affiliation: Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Geeta
authors.initials: G
authors.lastname: Yadav
authors.affiliation: Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Richa
authors.initials: R
authors.lastname: Talwar
authors.affiliation: Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Deepak
authors.initials: D
authors.lastname: Raut
authors.affiliation: Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India.
authors.forename: Saudan
authors.initials: S
authors.lastname: Singh