BackgroundQuality instillation has its own challenges, facilitators and barriers in various settings. This paper focuses on exploration of quality components related to practices, health system challenges and quality enablers from providers’ perspectives with a focus on maternal health studied through a pilot research conducted in 2012–2013 in two states of India—Bihar and Jharkhand—with relatively poor indicators for maternal health.MethodsQualitative data through in-depth interviews of 49 health providers purposively selected from various cadres of public health system in two districts each from Bihar and Jharkhand states was thematically analysed using MAXQDA Version 10.ResultsMaternity management guidelines developed by the National Health Mission, India, were considered as a tool to learn instillation of quality in provision of health services in various selected health facilities. Infrastructure, human resources, equipments and materials, drugs, training capacity and health information systems were described as health system challenges by medical and paramedical health providers. On a positive note, the study findings simultaneously identified quality enablers such as appreciation of public-private partnerships, availability of clinical guidelines in the form of wall posters in health facilities, efforts to translate knowledge and evidence through practice and enthusiasm towards value of guidelines.ConclusionsAgainst the backdrop of quality initiatives in the country to foster United Health Care (UHC), frontline health providers’ perspectives about quality and safety need to be considered and utilized. The provision of adequate health infrastructure, strong health management information system, introduction of evidence-based education and training with supportive supervision must constitute parallel efforts.

Despite being clinically sound, Indian guidelines score poorly due to weak documentation about their development process. It is recommended that the guideline development process be improved with systematic documentation for achieving standardization.

ABSTRACT:A composite structure consist of two face sheets made from material such as metal or fibre composite bonded to light weight material called as core. This light weight composite structure used in application of aircrafts, wind turbine blades, marine and also in other industrial sectors. In this composite structure have top and bottom side mild steel face sheets are used and for core material selected glass fiber reinforced polymer (E-glass/epoxy). In this way minimum weight and increasing of strength can be obtained. In this paper analysis of composite structure is done in Ansys work bench and Total deformation and equivalent stress is analyzed. The model of composite structure is generated in CATIA. The rectangular core composite structure results are compared with circular core composite structure and V core composite structure of with same weight and same boundary conditions and loading.

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