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Admission Announcement for Session-2012-14

Application Form-2012-2014

Planning and Managing IEC/BCC in Health Sector-24/06/2012-29/06/2012

Admissions to PGDHM Programme for Non-Resident Indians

India's Best Healthcare Institute

Corrigendum

Research Projects Ongoing

Monitoring and Evaluation Technical Assistance for Strengthening Health of the Rural Poor (METASHARP)

Agency: Ministry of Public Health, Afghanistan
Project Team: S. D. Gupta , L.P.Singh , Anubhav Agarwal, Rajpal Singh Yadav, Suhail Ismail Sheikh, B Gowtham Ghosh
Under the METASHARP contract between the Ministry of Public Health (MOPH) of Islamic Republic of Afghanistan and Johns Hopkins School of Public Health (JHSPH), the JHSPH is supposed to carry out four rounds each of National Health System Performance Assessment of all types of health facilities including the district hospitals, comprehensive health centers, basic health centers, sub-centers and health posts in all provinces of Afghanistan and National Hospital Performance Assessment. In addition, two rounds of national household surveys and drug quality assessment will be undertaken. Technical support will be provided to the Provincial Health Offices and MOPH to enable them to play a greater role in data analysis and monitoring and evaluation activities.

The national level balanced scorecard for Afghanistan for the year 2009-10 has been prepared. During 2010, a major exercise was undertaken to revise the balanced scorecard to make it relevant to changing health sector scenario in Afghanistan. The new set of tools and indicators have been developed.
Pharmaceutical Manufacturing Industry Assessment Study in Afghanistan under the Capacity Building and Access to Medicine (CBAM) Project
Supported by: Health Partners International of Canada
Project Team: L.P. Singh, Nirmal K Gurbani, Jatinder Bir Singh, ACTD Team
The goal of the assessment study is to determine the current capacities, strengths and weaknesses of the pharmaceutical manufacturing industry in Afghanistan. The assessment will review all sectors of the manufacturing industry in the country, including the private, public and non-profit sectors involved. Past successes and failures in the pharmaceutical manufacturing industry will also be explored to better understand the current situation and to learn from past experiences. In addition, the results of the study will be disseminated to participants and stakeholders to provide information and recommendations in drafting the next-step strategies through a stakeholders’ meeting to be convened upon the conclusion of the study.

The objectives of the study are to conduct an information review of documents and sources of information pertaining to the Afghan pharmaceutical production industry, as well as relevant regional information, international guidelines and pertinent literature; assessment of the pharmaceutical manufacturing industry in Afghanistan and compile data in a report, including recommendations for how industry, government and nongovernment players in the pharmaceutical production industry can move forward to increase access to pharmaceuticals for the people of Afghanistan.

Financial Resource Flow for Population and AIDS Activities (RF 2009 - 82 Countries)

Conducted by: NIDI, Netherlands
Project Team: Anoop Khanna, Saheli Manish Kumar
The Resource Flows (RF) is a joint collaboration between UNFPA, Netherlands Interdisciplinary Demographic Institute (NIDI) and IIHMR. The broad objective of the project is to monitor the flow of financial resources in the developing countries, in pursuance of the ICPD and UNGASS commitments. The data includes income from domestic and donor sources as well as the domestic expenditure incurred by the countries. The data is collected through mail surveys and analysed on an annual basis. This year, the survey included 82 core countries.

The database is managed through SQL servers established at NIDI, and being accessed through a web-based remote access method. Data on donor assistance and domestic expenditures for population and AIDS activities in developing countries/countries in transition are disseminated by means of different publications. Financial Resource Flows for Population Activities Report (FRFPAR) is the most comprehensive publication of the RF project and is annually published by UNFPA. The project also publishes RF Newsletter, which was initiated as a tool to inform the public about resource tracking for population and AIDS activities in general and the role of the RF project in particular.

Health Advisory Board, Johns Hopkins Bloomberg School of Public Health at IIHMR, Jaipur

Future Health System: Consortium for Research, Innovation, Participation and Policy on Health Systems and Economic for the World's Poor- Jointly Conducting with Johns Hopkins University and Five Other Institutions

Agency: DFID (UK)
Project Team: Barun Kanjilal, Papiya Guha Mazumdar ( Consultant ) , Debjani Barman, Swadhin Mondal, Moumita Mukherjee, Arnab Mandal
The Future Health System research project in India was initiated by IIHMR in 2006 as a part of a Research Program Consortium led by the Bloomberg School of Public Health, the Johns Hopkins University and in partnership with six other institutions across the world. The primary objective of this project was to prepare a knowledge base on which an appropriate strategy for a more equitable health system would be developed.

The project currently focuses on the health care system in the Sundarban area of West Bengal. A comprehensive study on this topic has been completed and a master health plan for the Sundarban areas has been prepared and submitted to the Government of West Bengal. The project also conducted a study on child malnutrition in India based on NFHS data from which a paper has been published in an international journal (International Journal of Equity in Health). Several other study reports, research briefs and working papers have also been produced during the project period (see http:// www.futurehealthsystems.org/India for these products). 

Encouragingly, the project consortium has received a substantial grant from DFID to continue its work for another five year period (2011-2016). At present, the new grant is in its inception phase which will lead to a full-fledged operational plan for a series of operational research in the Indian part of the Sundarbans to improve the health service delivery system in this area.

Evaluation of Health Sector Development Initiative (HSDI), West Bengal

Agency: DFID, New Delhi
Project Team: Barun Kanjilal, Manasee Mishra, Swadhin Mondal, Debjani Barman, Moumita Mukherjee, Arnab Mandal, Lalitha Verdevu, Sulagna Das, Suman Chakroborty, Suresh Joshi, Rohit Jain
HSDI is a five-year reform program which was launched in August 2005 by the Department of Health and Family Welfare, Government of West Bengal with support from DFID (India). The broad objective of this initiative was to support and operationalize the state's health sector strategy developed in 2003 (HSS, 2004-13).

IIHMR was selected through a national bidding process to carry out the end-line evaluation of HSDI in the state. The key objective of the evaluation was to assess the effectiveness, efficiency, and economy of the initiative. The evaluation was carried out on the basis of secondary data including various reports, studies, database, and documents related to HSDI, in-depth consultations with multiple stakeholders at all levels of health care system, field trips to three districts, and a set of primary data collected through community level survey.

The first phase of the evaluation which focused on health component of the initiative was completed in June, 2010. The second phase which focused on the nutrition component started in July, 2010 and continued until March, 2011. The evaluation reports and key findings were shared with all key stakeholders.

Strengthening of HMIS in Bihar

Agency: UNFPA
Project Team: Santosh Kumar, Rajeev Kamal Kumar, SP Chattopadhyay, Jaspreet Mahal, Tukaram Khandade, Anisha Saxena, Jitendra Kumar Jha, Ashok Kumar Prasad, Karuna Shankar, Vikas R Pandey, Rakesh Kumar Singh, Anthony John, Rajesh, Tarun Kumar Singh, Preeti
Health Management and Information System (HMIS) is one of the critical elements of managing various public health programs under the Department of Health. Properly organized, implemented and used, this alone can contribute significantly to improving program performance. To ensure quality of data recording, analysis and use for decisionmaking, The Government of Bihar through UNFPA has entrusted IIHMR, Jaipur with the task to undertake capacity building of health staff at different levels on HMIS including basic training and follow up to ensure implementation of HMIS.

In the first phase of this project, a training need assessment was done. Based on the findings of the study, training modules for health workers were developed. In the second phase of the project all the ANMs, supervisors and block health managers, were trained about monthly NRHM reporting system. To measure the effectiveness of the training, results of the pre-test and post-test of training programs were analyzed. In the last phase of the project extensive supportive supervisory visits are being made by the zonal officials of the IIHMR project team. They also attend the monthly and weekly meetings of the ANM and health officials organized at block, district and state to discuss the HMIS issues and provide feedback.

 

External Monitoring System for Medical Mobile Unit in Rajasthan

Agency: Directorate of Medical and Health, Government of Rajasthan
Project Team: Santosh Kumar, Atul Mehta, Manoj Soni
With the objective to take health care to the door steps of the public in the rural areas, Mobile Medical Units (MMUs) have been provided for each district under NRHM. The Government of Rajasthan has given these MMUs to various NGOs working in the state.

To ensure that the program fulfils its objectives and operates on a long-term basis, IIHMR has been identified by the government to establish an 'external monitoring system'. The major objective of the system is to ensure that the MMU program is implemented on the sustainable basis in the state.

During December 2009 to March 2011 a total of 1512 camps were monitored by the external monitors appointed by IIHMR. The major lacunae observed during the initial phases of the project revealed the problems of insufficient staff, lack of medicines and equipment, absence of a female doctor and lack of proper publicity. Based on these observations, performance reports of each NGO is shared with the Mission Director, NRHM, Rajasthan.

An Assessment of Mobile Health Vans in Uttarakhand

Agency: Furtures Group
Project Team: Neetu Purohit, Dipti Govil, Sonia Luna, Lalit Mohan Nayak
The Government of Uttarakhand has adopted several innovations to improve the access to health care services for disadvantageous section of people in the state. One of the innovations is the introduction of Mobile Health Vans (MHV) with the objective of serving the underserved areas, especially the BPL families and women. Through these vans, while the BPL families have been availing free of cost health care services, APL beneficiaries are required to pay nominal charges. Currently, the state is operating 30 mobile health vans under different set of mechanisms in all the 13 districts of Uttarakhand.

Futures Group which is providing technical support to the government of Uttarakhand has hired the services of IIHMR to assess the functioning of various vans, its allied concerns and subsequent ways to solve them. The specific objectives of the study are to review the management of the vans to gain an understanding of the operational issues and to study the demand generation and client satisfaction

Monitoring the Performance of Accredited Social Health Activist (ASHA Sahayogini) in Rajasthan

Agency: Department of Medical, Health and Family Welfare, Government of Rajasthan
Project Team: Dipti Govil, Neetu Purohit, Rakhi Mathur, Hemant Mishra, Manoj Soni
Since the implementation of the strategy with regard to ASHA Sahayogini, evaluation studies conducted on the performance assessment have indicated that the focus on motivation of ASHA remained unaddressed, resulting in deviation from achieving the overall objective of NRHM. Thus, there seemed a need to monitor the ASHA intervention in Rajasthan to achieve the desired outcomes or the objectives of NRHM to provide door to door quality services.

The Government of Rajasthan has commissioned a study to IIHMR to monitor the performance of ASHA Sahayogini in the state and provide regular feedback to the state government.

Development of Comprehensive Training Manual/Uniform for Birth Registration Officials t o Strengthen t h e C i v i l Registration System

Agency:  UNICEF, Delhi
Project Team: Nutan Jain, Shalini Meshram
A lack of continuous capacity building opportunities for civil registrars has led to low levels of knowledge about the processes and procedures, reporting requirements and management of vital statistics.

The objective is to develop a uniform and comprehensive training manual for trainers and for the training of CRS officials. The specific objectives are to develop and deliver training on CRS system for trainers and for the training of registrars and other officials at the primary level supporting the Registrars in 12 major languages.

Tabari Ri Pehli Pehchan': Mobilizing Civil Society for Ensuring Birth Registration of Girl Children in Rural Rajasthan

Agency: Plan India, New Delhi
Project Team: Nutan Jain, Vidya Bhushan Tripathi
The Institute has been working on birth registration since 2005 in selected districts of Rajasthan. The data shows that the registration of girls was lower than that of boys. The goal of the project is to know whether the children, especially the girls in Rajasthan, grow up and develop in safe and enabling environments and to ensure that their right to protection is respected and realised, and that they can grow and develop free from abuse, discrimination and exclusion. The project is in progress in seven districts of Rajasthan.

The overall objective of the project is to promote universal registration and provision of birth certificates to the girl child, as a tool for ensuring the right to survival, protection and identity. The project seeks to accomplish this by raising the knowledge level of community members on traditional harmful practices affecting the girl child (sex selection, child marriage and child abuse) and sensitization of the Village Health and Sanitation Committees.

Launching of Birth Registration of Girl Child in Rajasthan

'Counting the Girl Child': A Pilot for Ensuring Rights to Girl Child through Birth Registration in Rural and Urban Areas: Baseline and Endline Survey

Agency: Plan India, New Delhi
Project Team: Nutan Jain
The project focuses on the poor and vulnerable children, especially the girl child of the deprived sections of the society, to obtain identification through birth registration. Birth registration refers not only to registration but also to receiving the birth certificate. Children below 10 years of age will be covered for birth registration under the National Campaign. The project will also try to link issues of child rights violation with birth registration and certification.

IIHMR provides support to Plan India and the partner organizations in Rajasthan and Delhi for baseline and endline surveys, process documentation, conducting workshop with stakeholders and writing papers on sex ratio at birth. 

Rational Deployment of Health Infrastructure and Health Human Resources in India

Agency:  Indian Council of Medical Research
Project Team: Neetu Purohit, Nutan Jain
The overall objective of the study is to understand the deployment and distribution of health human resource in rural Rajasthan with respect to RCH II and identify the factors which affect availability of the resources and utilization of the services. The specific objectives of the study are to review the existing policies used for deploying and development of the human resources at various health facilities in rural areas; the distribution and availability of human resources for health in the government health facilities in rural areas: and the factors which affect availability of the healthcare staff. 

Healthcare Reforms for Police Personnel and their Families in Rajasthan

Agency: Indian Council of Medical Research
Project Team:AK Mathur, Bhupendra Singh-IPS, Lokesh Chaturvedi
The overall goal of the project is to study and develop interventions to improve the quality of life and health of the police personnel in Rajasthan through reduction in stress, anxiety and behavioral problems and improve their efficiency, which is expected to lead to increased public satisfaction.

The specific objectives are to study the health status and the factors that influence health and behavior of the police personnel and conduct periodic evaluation of their level of stress and prevalence of substance use. This will aid in the development of a work place policy for all police stations and offices and establishment of a dedicated health resource centre and a helpline at the Rajasthan Police Academy in Jaipur. The helpline will be set up for providing information and counseling on health problems among the police personnel and their family members.

Preparing the Hospital for Implementation of NABH Standards

Agency:  Bhakti Vedanta Hospital, Mumbai
Project Team: Santosh Kumar, Gouri Sirke
The Bhakti Vedanta Hospital, Mumbai entrusted the Institute with the task of preparing the hospital for implementation of NABH.

In the beginning, a quality coordination team comprising of the medical administrator, assistant nursing superintendent, staff nurse and IIHMR NABH coordinator was constituted. Hospital's system audit was done using a specially designed checklist with an aim to find out the gap against the NABH standards. All Heads of Departments were trained on NABH standards during a two-day training program. Based on gap analysis, SOPs were defined and communicated to the management along with GANTT chart. More than 15 committees were constituted to monitor quality in the hospital. IIHMR coordinated the meetings of these committees. Training plans on various issues were made and more than 35 training sessions have been organized in the last six months to orient all hospital staff about NABH Programs, patient perspectives, safety guidelines, waste management system and disaster management.

The hospital is expected to apply for NABH in June 2011.

Client Exit Interviews Survey 2010 in Rajasthan

Agency: Marie Stops India, New Delhi
Project Team: Santosh Kumar
Marie Stopes India (MSI) assists the government to improve their public health system and service delivery practices for delivery of quality sexual reproductive health services. MSI is involved in two types of camps, viz. MSI- Supported Government camps and MSI Clinical Outreach Team camps. In the first type of camp, MSI provides support to the government camps on demand generation, client motivation, camp management and quality improvement. The second type of camps are MSI's own camps in which MSI clinical outreach teams perform all the functions.

A client exit interview survey was carried out in January 2011 in selected districts of Rajasthan to assess the client satisfaction, utilization of services and quality of care provided by MSI's sexual and reproductive health services to the clients attending these camps.

Food Fortification- Integrated Program Strategy in Rajasthan

Agency:  Global Alliance for Improved Nutrition (GAIN)
Project Team:Dhirendra Kumar, Suresh Joshi, Jatinder Bir Singh, Rajeev Baghel, Sumita Mathur, Smita Verma, Dushyant Mishra, Ganga Prasad Sharma, Suhas Khedkar
The project aims to reduce the prevalence of micronutrient deficiencies in the State of Rajasthan. The objective is to reduce micronutrient malnutrition in the state by making available fortified wheat flour, oil, milk and soydal analogue through both the open market and government distribution channels.

The Project will focus on ensuring that the fortified foods are sold through open market channels and also distributed through the Public Distribution System and through other public funded programs such as the Integrated Child and Development Scheme and Mid Day Meal programs. The core project components are: production and distribution, social marketing and communication, legislation and quality control, monitoring and evaluation and project management unit.

A Project Management Unit (PMU) is set up at IHMR for the implementation of the project. The unit was inaugurated on February 8, 2011 by Shri M.L. Mehta. The project is now in final stages of selecting implementing partners for production and distribution and social marketing and communication components. With this, the fortified food items are expected to be available very soon in the marker (under the project). Identification and selection of implementing partners for legislation and quality control and monitoring and evaluation is also in process.
Inanguration of Center for Micronutrient Studies at the Institute

Baseline Studies for Developing Implementation Model for Strengthening Maternal and Newborn Health Services in District Bharatpur, Rajasthan using Health Systems Approach under NRHM

Agency:  WHO India
Project Team:P.R. Sodani, S.D. Gupta
The baseline assessment was carried out to identify existing gaps in the district health system and service delivery mechanism vis-a-vis maternal and newborn health at all levels of care in the Bharatpur district of Rajasthan. The following five baseline studies were conducted in the district: facility assessment, training needs assessment, techno-managerial capacity assessment, quality of care assessment and community needs assessment. The facility assessment was done at public health facilities in the district. The training needs assessment was carried out by interviewing health functionaries, which included medical officer and nursing staff at DH, FRU/CHC, and 24*7 PHCs in the district. The third assessment study was focused on to assess techno-managerial capacity of the district / and block level officials. The quality of care assessment was done by observing service provisions and conducting exit interviews of patients and/or relatives at public health facilities. The client satisfaction survey included information related to access to health care facility, utilization of health services and client-provider interaction.

A detailed report on the baseline assessment has been submitted to WHO India Country Office.

Endline Survey: Maternal Anemia Reduction (A2Z)

Agency:  Academy for Education Development
Project Team:Anoop Khanna, J.P. Singh, B Gowtham Ghosh, Saheli Manish Kumar, Roma Bhowmik, Manoj Soni
The A2Z Project has been designed and applied, through the government system packages, to scale up anemia prevention in pregnant women in selected three districts of Uttar Pradesh and three districts of Jharkhand. A baseline study was conducted in the year 2007 in Jharkhand and 2008 in Uttar Pradesh to measure the ANC coverage, provision of services, utilization of services and anemia prevalence and its related factors. The intervention then was carried out using a system strengthening approach and efforts were made to improve the existing system rather than creating a new one.

The objective of the current project is to document the improvement in the coverage and utilization of services and reduction of anemia prevalence, if any. Further, the study will document the lessons learnt and can be used for scale up for other blocks of the districts and to other districts of the state. The main purpose of the endline survey is to provide representative, valid and reliable population-based estimates of intervention coverage, participation and knowledge, attitude and practice related to anemia and anemia prevalence in the target populations within the intervention and non-intervention blocks. The results will be compared against baseline measures to assess whether the intervention package achieved the desired changes in key performance and outcome indicators..
Dialogue with the community for prevention of anemia among women

Periodical Assessment of ICDS Services in Rajasthan

Agency:  Department of Women and Child, Government of Rajasthan and UNICEF
Project Team:Neetu Purohit, Dipti Govil, Hemant Mishra, Rakhi Mathur, Rohit Jain, Manoj Soni
It is well recognized that ICDS scheme has not been able to bring about remarkable changes in the nutrition status of its target beneficiaries. If the reach and quality of the services is to be improved, the gaps are to be indentified and rectified. In view of the above, the Department of Women and Child Development is of the opinion that a periodical assessment of the ICDS services in the state should be done to identify the loopholes so that timely measures could be taken to improve the services.

IIHMR is conducting a periodical assessment of the reach and quality of the services as per defined ICDS indicators and to identify gaps in the implementation of the services, providing suggestions and recommendation for improving the services.

Assessing Janani Suraksha Yojana for Cost Effectiveness: A Case of Madhya Pradesh

Agency:  UNFPA, Bangkok
Project Team:Dipti Govil, Neetu Purohit, Shilpi M Sharma, Vrinda Mehra
With a view to preventing the deaths due to preventable causes, The Government of India introduced a centrally sponsored scheme- Janani Suraksha Yojana (JSY) as a demand side intervention for promoting safe delivery under The National Rural Health Mission. After five years of the intervention, JSY has been recognized as a successful scheme.

The overall objective of the study is to provide the evidence on the effectiveness and efficiency of JSY in terms of its cost effectiveness. The positive and negative role of the incentive-driven scheme in terms of the benefits for maternal health would provide valuable insights into the implementation of JSY. This will help in deriving lessons for improvement as well as for replication at other or higher levels. The study is proposed to be conducted in the state of Madhya Pradesh.

Utilization of Emergency Contraception Pill among Rural and Urban Women in Rajasthan: A Study of Psychosocial Determinants

Agency:  Indian Council of Medical Research
Project Team:Neetu Purohit, Shilpi Mishra
Emergency contraception pill is a back-up birth control method that is used within days of unprotected sex or in the event of a known contraceptive failure. It is not intended for use as a regular contraceptive method. This research, therefore, aims is to understand the pattern of use of emergency contraceptive pill and associated psycho-social determinants among rural and urban women of Rajasthan. The specific objectives of the study are to assess the level of awareness and knowledge of the women about emergency contraceptive pill; the utilization pattern of these pills and perceived immediate and prolonged health effects; the facilitating and hindering factors influencing their availability, accessibility, acceptability and affordability; and the role of mass media in the dissemination of information and knowledge.

Capacity Building of Basic Health Workers and Link Workers for Creating Awareness and Generation Demand for Revitalization of Post Partum Intrauterine Contraceptive Device

Agency:  JHPIEGO Corp. USA
Project Team:Sunita Nigam, Priyanka Bakshi
The goal of the study is to create awareness and generation of demand for PPFP/PPIUCD services in Rajasthan. The objectives of the research study are to develop a state-specific strategy on BCC for PPFP/PPIUCD services; develop training packages and job aides on counseling for community/facility based link workers; training of the community/facility based workers of Jaipur and NIPI Focus districts and render support to implementation of the demand generation strategy.

With active help of IIHMR counseling, job aids will be developed, which will be used by community health workers—Yashodas, ASHAs and Anganwadi Workers. These packages will be integrated with existing education packets for Yashodas and home-based postnatal care services provided by ASHAs.

Reaching Out-of-school Youth in Secondary Schools in Bihar with Information and Skill for Improvement of Health and Well- being: Baseline Survey in Bihar

Agency:  CEDPA, New Delhi
Project Team: Nutan Jain, L P Singh, Jatinder Bir, Laxman Sharma, Vidya Bhushan Tripathi, Abdul Jaleel, Dinesh Pant, Dushyant Mishra
In partnership with the Department of Human Resource Development (HRD) Government of Bihar and supported by United Nations Population Fund (UNFPA) CEDPA is implementing the Adolescent Education Program in nine districts of Bihar since June 2010.

The program seeks to empower young people in secondary schools with information and skills for improved health (including reproductive and sexual health) and well being. The baseline evaluation of the Adolescence Education Program in Bihar was conducted to assess the knowledge and attitudes of adolescents' towards issues related to their health and well-being; adolescents' abilities to apply life skills in the context of their health and well being; knowledge and attitudes of teachers towards adolescent health and well being and the capacity of the education department at the state and district level in implementing and sustaining the program.

Impact of Internet Use on Behavior, Well-being and D e v e l o p m e n t o f U r b a n Adolescents in Rajasthan

Agency:  Indian Council of Medical Research
Project Team: AK Mathur, Anoop Khanna, Shilpi Mishra, J.P. Singh
The broad objective of the study is to assess the effect of excessive use of internet among adolescents. The specific objectives are to assess the proportion of time spent by adolescents on social networking websites; to find out the gratifying factors that result in consistent use of social networking sites and other commonly accessed websites; to explore the manner in which use of internet has affected the life style of adolescents in terms of their behavior and to understand the parents perspective on internet use by their children.

This study will analyze the relationship between different variables which are significant for adolescents in terms of their behavior, well being and development. The study will be carried out in the urban area of identified five districts of Rajasthan viz. Ajmer, Jaipur, Jodhpur, Kota and Udaipur.

Double-blinded Randomized, Placebo-controlled Field Trial to Assess the Efficacy of Aquatabs NaDCC Tablets to Prevent Diarrhoeal Diseases

Agency:  London School of Hygiene and Tropical Medicine
Project Team: L.P. Singh, Vinod Kumar S.V.
The aim of the project is to investigate the efficacy of chlorine tablets in improving water quality and preventing diarrhoeal diseases in Orissa.

IIHMR, Jaipur is involved as the local research partner in this study to undertake process evaluation of program implementation, data quality control and cost effectiveness analysis and assessment of the impact in terms of the number of episodes of diarrhoeal disease averted.

Assessment of Vulnerability, Impact and Adaptation for Climate-sensitive Diseases at the Local Level in India

Agency:  WHO
Project Team: Nitish Dogra and other team members of IIHMR Delhi, Barun Kanjilal, Goutam Sadhu
The relationship between climate change and human health is undeniable. The primary objective of the study is to assess the current vulnerability, impact and adaptation at the local level to climate-sensitive diseases. Vulnerability assessment involves determining profiles and trends for such diseases at the district level and developing a vulnerability index, whereas impact assessment involves an analysis of the climate variability at the sub-district level. Adaptation assessment, on the other hand, recommends future measures enabling adaptation to climate change. Diseases which are thought to be sensitive to climate change are diarrhoea, vector-borne diseases, malnutrition and asthma. Heat waves, floods and other hazards such as cyclone also result in additional morbidity and mortality

Nuh Block in Mewat District and Bawal Block in Rewari District in the state of Haryana has been chosen for the study.

Implement the “Empowering Dairy Cooperatives on Reproductive and Sexual Health through Knowledge Power Project”

Agency:  Indian Council of Medical Research, New Delhi
Project Team: Gautam Sadhu, Santosh Kumar
The objectives of the project are to undertake health and empowerment pre- intervention audit with both providers and clients regarding the reproductive and sexual health issues; to build the capacity of the cooperative agencies and its leaders/staff as resource persons/change agents to improve overall health status of the families/community involved in dairy collectives and cooperatives and to evaluate the impact of educational intervention and the level of capacity building on dairy collectives.

IIHMR is responsible for the planning, designing and implementation of the project. For the purpose of field work, the Institute has engaged Gramodaya Samagic Sansthan NGO.

Health of the Urban Poor- Technical Support Project for Improved Delivery of Comprehensive Package of Health Services for the Urban Poor

Agency:  USAID India through Population Foundation of India, New Delhi
Project Team: R.S. Goyal, Bir Singh, Peter Joseph Trinidad
The goal of this project is to improve the health status of the urban poor in the eight EAG states in India by partnering with the concerned government agencies and independent sector organizations and providing technical support. This ambitious project is designed to contribute to the implementation of National Urban Health Mission and converge with Jawaharlal Nehru National Urban Renewal Mission, ICDS as well as other urban poverty alleviation programs. The cities of Jaipur, Pune and Bhubaneswar will serve as a field lab for nurturing demonstration projects.

IIHMR, Jaipur is implementing this project in Rajasthan and Chhattisgarh. The project activities in Rajasthan have been initiated by organizing a stakeholders' consultation.

Access to Health Care and Health Care Seeking Behavior among Urban Poor in Rajasthan

Agency:  HUP Project, IIHMR, Jaipur
Project Team: Dipti Govil, Jyoti Dua, Manoj Soni
Population projections suggest that slum growth in future is expected to surpass the capacities of civic authorities to respond to the health and infrastructure needs of this population group. Managing urban health, thus, assumes critical importance in the overall objective to achieve better health outcomes in the country. There is an apparent/urgent need to understand the health care needs of the urban poor. IIHMR, Jaipur is a part of Health of the Urban Poor (HUP) project consortium. The purpose of the project is to improve delivery of a comprehensive package of maternal, child health and nutrition interventions, including promotion of water supply, sanitation and hygiene services in urban communities. Under the project, a small study is commissioned to examine the health care needs and health care seeking behavior of the urban poor in Jaipur City, Rajasthan.

The specific objectives of the study are to assess the health needs and health seeking behavior of the slum residents and study the barriers to the access to health care services

Migration, Poverty and Access to Healthcare: Multi-centric Study on People's Access and Health System's Responsiveness in Fastgrowing Smaller Cities

Agency:  ICMR
Project Team: L.P. Singh, AK Mathur, Vinod Kumar S.V.
The objectives of the study are to assess the migrants' healthcare access in the vulnerability context of migration and livelihood insecurity; to understand the factors (individual- /community-/system-level) affecting the migrants' access to healthcare services; and to identify key points to develop an intervention to improve healthcare access to the socioeconomically disadvantaged migrants.

Promotion of Roof-top Rainwater Harvesting Structures in the Villages of Churu District in Rajasthan

Agency:  Safe Water Network, USA
Project Team: Goutam Sadhu, Monika Chaudhary, N.K. Sharma, Parvinder Sharma, Mangalika Tripathi, Dushyant Mishra
Under the financial support of the Safe Water Network, USA Phase I of the Project was implemented by Bhoruka Charitable Trust (BCT) from August to December 2008. In addition to the physical construction of individual household tanks and rehabilitation of community tanks undertaken during the earlier phase, Phase II of the project has been designed to include more software components: micro-financing (to be supported by the Centre for micro Finance -CmF), construction of tanks to be looked after by BCT and Quality Assurance; Health and Hygiene Education (to be supported by IIHMR, Jaipur).

The objectives of Phase II of the Project are to provide safe drinking water for rural residents in 40 villages in Rajgarh Block, of Churu district and, through experience and lessons learnt from Phase I, to make the project more sustainable, affordable and scalable.

The following activities are being undertaken as part of the Project: risk assessment through socio-economic household surveys; design and delivery of training to health and hygiene promoters and technical support for identification and promotion of low-cost effective treatment methods.

Preparation of Water Security Plan for 2159 Villages of Ajmer, Bikaner and Jaipur Regions

Agency:  Public Health Engineering Department, Government of Rajasthan
Project Team: Goutam Sadhu, Monika Chaudhary, SM Gupta, Parvinder Sharma, Prince Purohit
The project is being carried out in four districts of Ajmer Region, viz. Ajmer, Bhilwara, Nagaur and Tonk; four districts of Bikaner Region, viz. Bikaner, Churu, Ganganagar and Hanumangarh; and five districts of Jaipur Region, viz. Alwar, Dausa, Jaipur, Jhunjhunun and Sikar.

The objectives of the project are to develop Village Water Security Plans to ensure household water security through community participation; to promote conjunctive use of water sources; to promote differential use of water sources based on quality; and to involve the community in planning, cost sharing, executing, owning, running-operatingmaintaining and augmenting on a sustainable basis.

On the basis of the findings, the village water security plan will be prepared.

Impact Assessment Study Aapni Yojna, Churu

Agency:  The Government of Germany through its development bank, KfW
Project Team: Goutam Sadhu, Parvinder Sharma, Subham Nepola
To improve the rural water supply situation and the communities' health in north-western Rajasthan, the Government of Rajasthan has implemented Phase 1 of 'Aapni Yojna'- the Integrated Water Supply, Sanitation and Health Education Program- in two districts of Rajasthan. To support the Government in this project, the German Government had committed themselves to providing financial co-operation funds of Euro 95 million. The project started in 1994 and to date 350 villages have been connected to the system.

The objective of the study is to assess the impact of Aapni Yojna on improving the living conditions of women and children through the reliable provision of clean and safe drinking water, sanitation facilities, as well as health education. The study would assess the behavioral changes in the target population and the effects on their daily lives.

The result of the study will provide an insight into how effectively CPU and the other project partners have reached and changed the lives of the beneficiaries in terms of their health, living conditions and local level participation and self-governance. It will assess the viability of the Aapni Yojna Model for future projects in Rajasthan and India and thereby make proposals for policy makers.

Promotion of Rain Water Harvesting in the Villages of Nagaur District

Agency:  Indiabulls Foundation, New Delhi, India
Project Team: Gautam Sadhu, Monika Choudhary, SM Gupta, Prince Purohit, Parvinder Sharma
The objectives of the project are to provide safe water for rural residents in the villages of Nagaur district; to document the evidence based research on rain water harvesting and to further up-scale in 300 villages of the district; to encourage the community to take up measures to use surplus rain water of their household for recharge purposes and to construct sanitation unit.

IIHMR is the lead partner in the project. The Institute oversees the project work to provide substantial inputs in the areas of concept development, water quality management and health and hygiene promotion, research, development of MIS and documentation for the policy makers.

The following activities are to be carried out as part of the project: risk assessment, socioeconomic household surveys, health assessment, hygiene education, water quality test and identification and promotion of low-cost and effective treatment methods for microbiological pollutants.

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