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National health services performance assessment,
Ministry of Public Health, Islamic Republic of Afghanistan |
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Agency: Ministry of Public Health, Afghanistan and the World Bank |
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Project Team: D.Gupta, Dhirendra Kumar, Binay Kumar, Anubhav Agrawal,
Manish Kumar and Dushyant Mishra |
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The Johns Hopkins University Bloomberg School of Public Health (JHU) and the IIHMR
were awarded a contract by the Ministry of Public Health, Islamic
Republic of Afghanistan to provide Monitoring and
Technical Support to the Ministry of Public Health from April 1, 2008 to January
31, 2009.
The objectives of the project were: a) to
provide an independent assessment of how NGOs and the MoPH are doing
in improving the delivery of the basic package of health services (BPHS); b) to
strengthen the capacity of the MoPH to evaluate service delivery so that they will
be able to do it themselves in the future. IIHMR and JHU have completed successfully
the following activities to support Ministry of Public Health, Islamic Republic
of Afghanistan.
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- Conducted four rounds of National Health Services Performance Assessment at
the national level and developed a Balanced Scorecard for
the health sector in Afghanistan.
- Provided the Ministry of Public Health with Community Feedback on the health services.
- Developed a framework for monitoring and evaluation of the Essential Package of
Health Services and other hospital services.
- Conducted two rounds of the National Hospital
Performance Assessment, focusing on delivery of the Essential Package of Health
Services and other hospital services.
- Conducted a household survey in 2006 in order to provide estimates of priority health
indicators for rural Afghanistan and to describe case seeking practices and health
expenditure patterns across rural Afghanistan.
- Conducted a Capacity Building and Learning Needs Assessment in close partnership
with MOPH’s General Directorate for Human Resources.
- Conducted an assessment of the quality of drugs
provided through Basic Package of Health Services (BPHS) facilities in each province
and in private pharmacies in five major urban centers of Afghanistan.
- Designed and analyzed the health module for the 2007 National Risk and Vulnerability
Assessment (NRVA).
- Provided GCMU, senior managers of MoPH, concerned NGOs and donors with user-friendly
results of the analyses from all of the above assessments.
- Trained and advised MoPH provincial and central level staff in the collection, analysis,
reporting and dissemination of the data from the assessments so that they can take
increasing responsibility for monitoring and analysis of information.
- Helped develop capacity of the ministerial staff and Afghan Public Health Institute
(APHI) to undertake research and health services performance assessment.
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Short training on research methods for reproductive health organized in collaboration
with Afghan Public Health Institute |
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Agency: Ministry of Public Health, Afghanistan and the World Bank |
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Project Team: Dhirendra Kumar, Binay Kumar |
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Afghan Public Health Institute (APHI) with technical
support from IIHMR conducted three rounds of 10-days training programs at Kabul.
The financial and technical support was received from Reproductive Health Division,
WHO, Geneva. About 25 medical officers mostly female doctors from various provincial
hospitals of Nanagarhar, Balk, Heart and Kabul participated in the training. Training
sessions included various topics on research methodology, sample design, sample
size, data management, analysis report writing and reproductive health. The participants
were encouraged to develop a research protocol for funding from WHO.
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Mid-term review of health sector development initiative (HSDI), West Bengal |
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Agency: DFID (India), New Delhi |
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Project Team: Barun Kanjilal, L P Singh, Sneha Singh, Swadhin Mondal,
Arnab Mandal |
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Health Sector Development Initiative (HSDI), a five-year reform programme, was launched
in August, 2005 in West Bengal by the Department of Health and Family Welfare, Government
of West Bengal with the 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 mid- term review of HSDI in the state. The overall
objective of the Mid-term Review (MTR) was to review
the progress undertaken under HSDI/HSS in seven milestone areas (strategic
and policy framework, health coverage priorities, organizations and management systems,
Health financing, access and demand, private sector and asset & supply management)
and suggest measures to strengthen and sustain the reform process 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, and field trips to three districts. The review
spelt out the potential strengths and weakness of the initiative and provided the
key stakeholders with a set of recommendations to
strengthen the process.
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Capacity assessment study of NGO partner's on Plan India's country programme
framework (CPF) for health |
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Agency: PLAN International, New Delhi |
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Project Team: L.P. Singh, Nutan Jain, Saumya Verma, Preeti Bajaj |
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The study aims at critically analyzing health and survival challenges that threaten
the lives of children and women in the project areas of the Plan and its partners’
involvement, contribution and support towards realizing the Plan’s health objectives.
The specific objectives are: a) to identify and map health challenges and opportunity
to work for achieving optimal health in the project areas; b) to assess and report
partners’ (health department) current capacity and future needs of the project both
in terms of technical and managerial sectors; c) to explore opportunities to coordinate
with the government services in the project areas to supplement their efforts and
developing synergies; d) to explore possibilities and opportunities for linkages
/ partnerships with the key stakeholders; e) to identify professional institutions
in India (national and regional level) with whom the Plan’s partners can have linkages
for learning, sharing and networking as long-term partnership; and
f) to make suggestions for further improvement of the projects, coordination
and capacity building needs and their redressal.
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Study of cardio vascular disease related lifestyles and their behavioural determinants
among different population groups in India |
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Agency: ICMR, New Delhi |
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Project Team: S.D. Gupta, Neetu Purohit, Surabhi Arora, Mittu Muthu
Varghese |
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Cardiovascular disease is a major cause of morbidity and mortality in the world
today and will become the leading cause of death and disability worldwide by 2020.
India is undergoing a rapid health transition associated with a rising burden of
cardiovascular diseases. In India, WHO and its collaborators such as ICMR and IC
Health are in the process of surveillance studies identifying
non- communicable diseases risk factors in the population in which cardiac
diseases play a part. As part of this activity ICMR entrusted IIHMR with the task
of understanding a study on cardiovascular diseases and
related lifestyle behaviors with the following objectives: 1) to identify
lifestyle behaviors related to risk of CVD; 2) to find out the determinants of risky
life style behaviors; 3) to study the associated socio-economic and
cultural factors; 4) to understand the perceived
risk of different lifestyle behaviors; 5) to find out the health
seeking behavior related to CVD; and 6) to understand the barriers and motivators
for behavior change. The study was carried out in five states, namely Delhi, Rajasthan,
Maharashtra, Tamil Nadu and West Bengal., which represent different regions of the
country. IIHMR conducted the study in Delhi
and Rajasthan. The study revealed that of the respondents who were current
smokers (23%), about 7 percent were suffering from the problem of blood pressure
and around two percent were suffering from a heart problem. Of those who were suffering
from blood pressure, about 25 percent were from the urban area; around 58 percent
were from metro and around 17 percent from rural area. Of the current smokers, who
were suffering from a heart problem, about 50 percent were from the urban area,
around 17 percent were from metro area and around 33 percent were from the rural
area. Of the respondents who were current alcoholics (13%), about 8 percent reported
for the problem of high blood pressure. As far as their geographical distribution
was concerned, about 25 percent of the respondents were from the urban, around 69
percent were from the metro area and about 6 percent were from the rural area. And
more than one percent of the current alcoholics were suffering from some heart problem.
About 33 percent of such respondents were from the urban area and around 68 percent
were from the metro. About 37 percent of the respondents reported to be engaged
in some physical activity or exercise. About 27 percent of the respondents were
from the rural area and 23 percent were from the urban area
and the remaining respondents were from the metro. Almost three
fourth of the respondents reported to be adhering to a uniform timing for eating.
Of this, 40 percent were from the rural area, about 35 percent were from the metro
and around 28 percent were from the urban area.
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A community survey in five states for understating the community dynamics for
success of community based projects |
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Agency: Micro Insurance Academy, New Delhi |
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Project Team: Santosh Kumar, Arindam Das, N.D. Sharma, S.P. Chattopadhyay,
Nilesh Wavare, Khatirbur Rahaman, Rohit Jain, Manoj Soni |
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The aim of the survey was to understand the underlying processes of ‘community dynamics’
that drives ‘success’ in each case, and gather how
those features can be incorporated while providing
community micro- insurance. A household survey was
conducted in six districts, namely Churu (Rajasthan),
Pithoragarh (Uttrakhand), Jhobua (Madhya Pradesh), Wardha
(Maharashtra), Ganjam (Orrisa) and Sundergarh (Orissa). Case studies were also conducted
on collective action in different domains. The key domains included as water management,
agriculture, education, livelihood, health etc.
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PEHLI PEHCHAN: Mobilizing deprived section of society for universal birth registration
in Rajasthan |
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Agency: PLAN International/ Plan India, New Delhi |
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Project Team: Nutan Jain, Suchitra Godara, Rajpal Singh Yadav
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The initiatives for mobilizing Civil Society for
Universalizing Birth Registration in Rajasthan from
January 2006 have resulted in increased awareness of the importance of birth registration.
As per the Mid-term Evaluation report (2008) one of the challenges mentioned is
that registration services in rural areas need
to be strengthened. To reach the most vulnerable children in rural areas
the focus must be on the registration
of domiciliary births, on low performing districts, blocks and villages. The
focus must be given to children from socially excluded communities like Nuts, Bhils,
and Banjara s who live on the margins of the society. The potential birth registration
of a child should influence or should
be influenced by different events that occur from the child’s birth until
the age of five. Early childhood services may provide an access point for registration,
and the likelihood that the child is registered might be related to institutional
delivery, vaccination, supplementary nutrition, and early childhood education.
After successful implementation of the birth registration initiatives in eight districts
of Rajasthan, the Plan India has decided to continue working on the project activities
in eight districts (Bhilwara, Bikaner, Churu, Jhunjhunu, Jodhpur, Karauli, Nagaur,
and Pali) of Rajasthan focusing on the most deprived section of the society. The
objectives are as follows: a) to analyze birth registration situation among the
communities of deprived section of society; b) to create awareness of
birth registration among the communities of deprived sections
of society; c) to facilitate birth registration of all the children born during
the project/ reference period among the communities of deprived section of society;
and d) to facilitate birth registration of all the children aged below 10 years
of the communities of deprived section s of society.
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Assessment of health and education programme interventions supported by Lakshmi
and Usha Mittal Foundation in Rajgarh block of Churu |
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Agency: Lakshmi and Usha Mittal Foundation |
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Project Team: Neetu Purohit, Nilesh wavre, Preeti Bajaj |
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The study was carried out to assess the interventions in the field of health and
education by Lakshmi and Usha Mittal Foundation (LUMF). The specific
objectives of are as follows: 1) to assess the level of awareness
of the community with regard to the activities carried out in the field of health
and education; 2) To assess the interventions carried out in the project
area to improve the health status; 3)
to evaluate the interventions carried out the education field to improve the
educational level; 4) to review the aptness and utility of the scholarships and
other assistance being provided to needy students; 5) to compare the project driven
services with the government run services; and 6) to make recommendation for improving
the services. The study findings indicated an impressive status of the health and
education indicators on which LUMF was working.
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Data quality assessment of MIS implemented at the network of PLHIVs |
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Agency: Population Foundation of India |
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Project Team: Neetu Purohit, Sunita Nigam, Vidhya Bhushan Tripathi,
Nilesh Wavare |
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The Global Fund and Population Foundation of India (PFI) have signed a grant agreement
to implement the project “Promoting Access to Care and Treatment (PACT)” programme
in eight highly vulnerable states: Uttar Pradesh, Madhya Pradesh, Rajasthan, Gujarat,
Bihar, Chhattisgarh, West Bengal and Orissa. This program offers care and support
services to People Living with HIV/AIDS (PLHIV). PFI, being the principal recipient,
disburses the allocated fund to sub-recipients i.e. INP+, HLFPPT and CBCI to implement
the programme in their respective geographical areas. With a view to monitoring
the programme, PFI had developed an MIS for the networks functioning in the selected
states and districts. MIS audit was conceived to use it as a mechanism
for assessing the quality of programme data and assist
sub-recipients to improve quality of their reporting. Specifically, MIS audit was
carried out to meet the following objectives: 1) to check the reliability of the
data recorded in the reports with regard to their accuracy and consistency; and
2) to check the validity of the clients by verifying the authenticity of the enrolled
PLHAs.
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State project implementation plan for ICDS IV, Rajasthan |
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Agency: UNICEF, Rajasthan |
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Project Team: Neetu Purohit, Preety Sharma, Manish Kumar |
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The major objectives of the assignment were to critically review and analyze the
performance of ICDS III and to identify and prioritize the programme implementation
to be addressed in ICDS IV for Government of Rajasthan. The State Project Implementation
Plan for ICDS IV was prepared using logical framework approach in consultation with
UNICEF and Department of Women and Child Development.
ICDS IV aims at accelerating action in a ‘Mission Mode’ to improve the nutritional
and health status of children 0-6 yrs and women, by providing a package of
six services comprising of supplementary nutrition, early
childhood education (pre-school education), nutrition and health
education, immunization, health check-up, and referral services
to the children below six years and pregnant
women and lactating mothers.
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District level household survey -3 (DLHS-3): Rajasthan, Punjab and Chandigarh
under RCH Programme |
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Agency: Ministry of Health and Family Welfare, Government of India/IIPS,
Mumbai
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Project Team (Punjab and Chandigarh): J.P. Singh, N.D.Sharma, Khatibur
Rahman Arif, Vidya Bhushan Tripathi, Richa Pandey, Aparna Vaidya, Rohit Jain, Mukesh
Gehalot
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The district level household survey under reproductive and child health programme
was designed to provide information on population, reproductive and child health,
immunization, family planning, reproductive tract infection/
sexually transmitted infections, human immuno deficiency virus/acquired immunodeficiency
syndrome and women’s health status. The survey involved
interviewing a randomly selected group of ever-married women who were between 15
and 49 years of age and unmarried women who were between 15 and 24 years of age.
IIPS was the nodal agency to design and co-ordinated this large-scale demographic
and health survey. IIHMR was identified as the regional agency for Rajasthan and
Punjab & Chandigarh for conducting the survey, which included mapping and house-listing
of selected areas, administering the questionnaires and gathering
information from government health facilities and households.
The field work and data collection has been completed. Data analysis and preparation
of fact sheet is under progress for Punjab and Chandigarh. The fact sheet has been
submitted to IIPS for final approval.
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Assessing the role of NGO partners in UNICEF assisted project - Gramshakti and
behaviour change communication in Tonk district |
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Agency: UNICEF, Rajasthan |
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Project Team: Neetu Purohit, Vidhya Bhushan Tripati, Nilesh Wavare |
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To improve the quality of life of women and children of Tonk district in Rajasthan,
UNICEF, in partnership with the government, the NGOs and the like-minded institutions,
is on its way to carry forward the reform processes cross cutting all sectors
and initiating an action oriented programming through
proactive participation of the rural communities. The Gramshakti project has
ended and Behaviour Change Communication project is
being implemented by almost the same NGOs which
implemented Gramshakti project from 2005 onwards. The study was conducted with the
following objectives: 1) to undertake desk review with respect
to the studies conducted on the subject and in the field area
in the past; 2) to assess the status of the key indicators among the target community;
3) to explore the extent to which behaviour change could occur among the beneficiaries;
4) to assess the effectiveness of the NGOs with respect to the desired performance;
and 5) to make recommendations on the future course of action in supporting BCC
partnerships.
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Measuring patient satisfaction at public health facilities in Madhya Pradesh:
a research study under quality assurance project |
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Agency: Directorate of Health Services, Government of Madhya Pradesh |
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Project Team: P.R. Sodani, Rajeev Kamal Kumar, Jayati Srivastava,
Manoj Soni
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The objective of the study was to measure
patient satisfaction at public health facilities in
the State for improving the quality of health care services. In
all, eight districts were selected, one from each division of Madhya Pradesh. From
each district, a sample of public health institutions was selected to
measure the patient satisfaction. In total, 1121
patients were interviewed including 561 outdoor patients, 280
indoor patients and 280 patients utilized investigative facilities.
In-depth interviews of hospital administrators and service providers were
also conducted. A detailed report has been submitted to the Government of Madhya
Pradesh to use the study findings in improving the quality of service at public
health facilities.
The study showed that quality of health services in public hospitals was poor and
the level of patient’s satisfaction was also low mainly because of poor public health
infrastructure, lack of skilled human resources, weak
communication among staff as well as with patients. The patients were also not much
satisfied with the in-door and investigation/diagnostic services provided at the
public health institutions. The major recommendations of the study to improve patients’
satisfaction at public health facilities were as follows:
- Improving the infrastructure including building and other basic amenities
- Improving skilled manpower in the public health
facilities
- Proper equipment and furniture in the health facilities in adequate number
- Improving the quality of OPD, IPD and investigating services
- Capacity building of MOIC/hospital superintendents
- BCC training to the medical and para-medical staff
- Reducing the work load from technical and nursing staff
- Internal quality measurement mechanism for taking care of the hospital performance
and patient satisfaction at regular intervals.
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Technical Support Unit for Rajasthan State AIDS Control Society (RSACS) |
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Agency: UNFPA |
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Project Team: Alok Mathur, N.K. Godhara, Pritam Pal, Suresh Tehliani,
Sunita Nigam, Hemant Mishra, Anil Bahuguna, Ashuthosh Sharma,
Rohit Jain, Mukesh Gehalot
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For effective implementation of National AIDS Control Programme in the State of
Rajasthan, UNFPA and NACO have entrusted IHMR with the task of providing technical
support to the Rajasthan AIDS Control Society. For this purpose, a well-equipped
Technical Support Unit has been established at IHMR. It
is providing support to Rajasthan State AIDS Control Society.
The key areas for technical support include targeted interventions, capacity building,
promoting public-private partnership, and strategic management.
Under strategic management, the TSU has developed the Annual Action Plan for 2008-09
for the State. Now the plans for high priority districts will be prepared with the
district authorities. A strategic paper for involving two private hospitals
in priority district for starting ICTC services is
underway.
The technical support unit is preparing modules
and training manual for different personnel working in and with RSACS for
HIV prevention, care and support. A training calendar for the year 2008-09 for RSACS
has been developed by TSU. One of the important tasks of TSU is to monitor the quality
of the training.
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Independent assessment of NGOs working in the RNTCP |
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Sponsoring Agency: Central TB Division, MoHFW, Government of India |
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Project Team: L P Singh, Nutan Jain, Preeti Bajaj and Aparna Vaidya |
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The objectives of the study were: a) to assess the overall capacity and contribution
of NGO to overall performance of RNTCP to establish relevance of the NGOs involvement
to the mandate of TB control program at the district level; b) to study the scheme
components under the program, its planning, implementation, monitoring, evaluation
and efficacy; c) to review organizational structures of NGOs involved for RNTCP;
d) to assess staffing (both technical and managerial) pattern in the NGO in line
with prescribed procedure and norms; and also to assess requirements for efficient
and effective project implementation; e) to assess competency and performance of
the staff involved under RNTCP against the given roles and responsibilities at the
NGO level; f) to review the management information system (recording and reporting
mechanisms) as per RNTCP guidelines; g) to assess the utilization of program funds
and fund management at the NGO; h) to
evaluate coordination mechanism with the district program cell; and i) to
recommend suitable changes in the program strategy, if necessary. Four states, namely
Andhra Pradesh, Jharkhand, Rajasthan and Uttar Pradesh were covered under the study.
The consultations were conducted with the Central TB Division, State TB Office and
District TB Offices and a group of selected NGOs working with the Central TB Division.
All the NGOs visited during the assessment were working in relatively poor areas
and stated that their mission was to serve the poorest strata of the society. It
was observed that the documentation of the planning was almost non- existent. The
DTOs are technical persons by training and they give higher weightage to the clinical
component. The monitoring was perhaps the strongest part of the RNTCP and it worked
really well. The strong point of the community awareness was in the form of informal
contacts with the community and home visits. This was claimed to be a successful
model and was reportedly working well. The fund flow and its utilization also varied
from state to state. In some states there was considerable delay in the release
of funds to the NGOs whereas in others it was promptly released. There was good
coordination between the NGOs and DTC.
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Review and revision of medical manual of Madhya Pradesh |
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Agency: Directorate of Health Services, Government of Madhya Pradesh |
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Project Team: P.R. Sodani, G. S. Sachdeva, Laxman Sharma |
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The existing medical manual of the state had been reviewed and a report was submitted
to the state government. After reviewing the existing medical manual of the state,
in- depth consultations were carried out with the
policy makers and state level officials on various issues pertaining to the
existing medical manual and scope for improvement. In addition, the manuals of other
states were also reviewed. The draft of the revised medical manual was presented
and submitted to the Government of Madhya Pradesh for final approval.
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Sharpening strategies: a situation analysis of targeted intervention for home
based sex workers in Pali district, Rajasthan |
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Agency: Rajasthan State AIDS Control Society, Government of Rajasthan |
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Project: Alok Mathur, Hemant Mishra, Sunita Nigam, Ashutosh Sharma |
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For systematizing and sharpening the strategies of the existing Target Interventions
of the Rajasthan state a situational analysis of home
based sex workers in Pali District was carried out by TSU, IIHMR for effective HIV
prevention planning. The report has been shared with Rajasthan State AIDS Control
Society. This will help RSACS to develop and implement appropriate and context specific
strategies for risk reduction, vulnerability reduction and in the district. The
report also suggested how the NGO currently working with targeted population should
roll out after developing a community based organization.
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Baseline survey of PAHEL, Bihar |
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Agency: CEDPA India, New Delhi |
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Project Team: L P Singh, Nutan Jain, Manish Kumar, Preeti Bajaj,
Manoj Soni |
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CEDPA India intended to pilot a community based
women’s leadership program in the two blocks, namely Punpun and Masaurhi of Patna,
Bihar, with the financial support from the David and Lucile Packard Foundation.
The agency intended to initiate a two-year project on sexual and reproductive health
(SRH) services with two major objectives: a) to build the
capacity of women Panchayat representatives at the district, block,
panchayat and village levels to change them as agents in advocating, supervising
and monitoring community health initiatives, especially those focusing on SRH services
for young women and young couples, thereby responding to the demand for quality
youth-friendly SRH services; and b) to strengthen the SRH services delivered by
health providers at the government run health facilities by
enhancing their capacity and making them youth friendly.
IIHMR was entrusted with the task of carrying
out a baseline survey for the project. The
focus was on the existing basic knowledge on SRH services
among various stakeholders. The respondents included 500 youth men and women, 100
women Panchayat representatives, and about 50 heath service providers at sub-centres,
additional PHC and block-PHC levels. Along with knowledge
assessment of stakeholders and their present involvement on SRH issues,
the Institute also conducted facility assessment of
all the government-run medical facilities in both the blocks and the training need
assessment of health workers and doctors working in those facilities.
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Reviewing and Redesigning of Village and Sub-Health Center Level Records |
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Agency: Directorate of Health Services, Government of Madhya Pradesh |
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Project Team: Suresh Joshi, Santosh Kumar, Hemant Mishra, Parthasarthi
Datta
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To strengthen maintenance of sub-center level health
records and registers in Madhya Pradesh, IIHMR worked closely with the Department
of Public Health and Family Welfare, Government of Madhya Pradesh. Guna district
of Madhya Pradesh was selected for piloting the project. The overall objective of
the pilot study was to review all records and reports generated under
various programmes at different levels in consultation with different
stakeholders to design the requisite records and report formats, which ensured ease
of data capture and its use by the concerned functionaries.
Based on the findings of the record review, IIHMR designeda "Daily Service Diary"
with supportive reporting format and a "Village Register". A three-tier training
programme was designed and implemented for the district officers, supervisors and
health workers. Sufficient numbers of logistics were provided to the health workers
for four months through the Block Medical Officer. To build the capacity of
the health workers regarding new tools, monitoring
and supervisions were made for three consecutive months.
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Aakash Ganga : Roof top rain water harvesting |
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Agency: World Bank’s Development Marketplace and RANA
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Project Team: Goutam Sadhu |
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The objectives of the Aakash Ganga project are to develop rainwater harvesting structure
in an economically viable, self-sustainable manner with a community ownership and
to develop a system to use the overflows of rooftop rainwater harvesting structure
which would meet the drinking water need as well as generate income for O&M.
The institute has been identified as a nodal agency for implementing through various
NGOs partners.
The scheme has been implemented in 3 villages of Churu and Jhunjhunu districts.
118 households’ tanks and 4 village tanks have been
constructed in which community and local donors contribute around
30-50% of the construction cost.
The major outcome of the project are as follows: a) It offers a reliable alternative
in absence of ground water and surface water.
Typical water storage capacity 10 liters/ person/day or 300,000 –
400,000 Ft3 per village; b) It modernizes the
quotidian ingenuity and centuries-old traditions to ensure cultural and social sustainability;
c) It builds public-private-community partnership in which community the contribute
30-40% in construction cost. Local governments contribute 100,000 Ft2 land for revenue
generation; d) It weans people away from the ”free water” entitlement mindset;
e) It ensures flow of capital, management and technology
through a two-tier social enterprise structure; f) It frees up girls and women from
the daily chore of fetching water to pursue education and to be productive members
of society.
The extension of the project to 70 villages is under active consideration by Government
of Rajasthan.
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Mapping of health facilities in Madhya Pradesh |
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Agency: Directorate of Health Services, Government of Madhya Pradesh |
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Project Team: P.R. Sodani, Rajeev Kamal Kumar, Laxman Sharma, G.
S. Sachdev, D. S. Surybanshi, Abha Richhariya, Uma Shankar Shukla, Aparna Vaidya,
Rohit Jain and Manoj Soni |
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The major objective of the study was to conduct mapping of public and private health
facilities in all the 48 districts of Madhya Pradesh. This was perhaps the first
of its kind in the state which provides a comprehensive picture of public and private
health facilities in the districts and contains vital information on location, operational
timings, type and ownership pattern, availability of services,
physical infrastructure, wards and beds, diagnostic
services, major equipment, human resources, level of utilization
of basic services and structure of fees
and charges. The present database would be very useful for effective micro
planning and better implementation of national health programmes. It
would also help in assessing availability of services,
duplication or overlapping between the public and private facilities,
identifying the underserved areas to quantify the level of additional investment
required and relocating of existing facilities for achieving better efficiency.
The information would also facilitate public-private partnerships (PPP) in implementing
various health programmes for better health outcomes. The district level reports
of all the districts have been submitted to the Government of Madhya Pradesh.
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Baseline survey for Sure Start project in Uttar Pradesh |
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Agency: PATH India, New Delhi |
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Project Team: R.S. Goyal, N.K. Sharma, S.P. Chattopadhyay, N.D.
Sharma, Surbhi Saxena, Rajeev Kamal Kumar, Swati Roy, Janisar Akhtar, Manoj Soni |
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In order to improve the maternal and newborn health (MNH) in rural Uttar Pradesh,
PATH India had undertaken the study namely Sure Start. The objective of the study
was to carry out the baseline evaluation of MNH to develop an understanding of the
ground situation as well as to evolve benchmark to assess outcome of
interventions. Both quantitative as well as qualitative data were collected
under the project. A total of 14000 eligible women in the reproductive age groups
were interviewed from 700 villages in seven districts of
eastern part of Uttar Pradesh. The information sought from them were on socio-economic
characteristics, pre-natal, natal, and post-natal care
practices, awareness and participation in socio-economic development activities
in the villages. The qualitative data were collected from the different stakeholders,
such as community health providers, community leaders, NGOs functionaries etc.
The project was successfully completed in the year 2008-2009. The final report of
all the seven districts, namely Balrampur, Basti, Gorakhpur, Hardoi, Rae Bareli,
Jaunpur, and Kanpur Dehat and the combined report for the state of Uttar Pradesh
were prepared and submitted to the PATH India, New Delhi.
End Stage Renal Disease (ESRD) is a life
threatening condition which is closely associated with diabetes and heart
disease. Due to high and rising prevalence of these diseases in India, incidences
of renal failure are on rise. It is estimated that in India more than 100,000 persons
suffer from ESRD each year. There is a general lack of awareness of the disease,
its treatment options, inadequate access to care and, above all, affordability in
the society. Direct costs of HD and PD are easily available, but currently there
are no studies in India that have analyzed the direct and indirect costs of the
two therapies over the lifetime of individuals. The unit costs of each method, as
well as the personal costs are important pieces of information, not only for patients,
but also for policymakers, both in and outside the government who can make a difference
to the current treatment-seeking scenario of ESRD
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Preparation of district action plans under NRHM for Rajasthan |
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Agency: Department of Medical, Health and Family Welfare, Government
of Rajasthan |
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Project Team: P.R. Sodani, Laxman Sharma, N. D. Sharma, Hemant
Mishra, Santosh Kumar Sharma, Jayati Srivastava, Manoj Soni |
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IIHMR provided technical assistance in developing District Action Plans under NRHM
to Government of Rajasthan. The District Action Plans had been
prepared in consultation with the district health mission and district health
society for a period of five years from 2007-08 to 2011-12. The process involved
stakeholders consultations at block level, and village consultations, facility survey
for need identification was carried out and priorities were decided in consultation
with the district health society. The District Action Plans were reviewed and approved
by the respective district health mission and district health society. The
revised and modified plans have been submitted
to respective district health mission and district health society and
are in the process of getting final approval. The
Institute prepared prototypes and then prepared plans for Bundi, Kota, Tonk, Sawai
Madhopur and Karauli districts.
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Assessment of sex ratio of 0-6 years children in Alwar, Jaisalmer, Jhunjhunu,
Pali and Ganganagar districts of Rajasthan |
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Agency: Government of Rajasthan, SIHFW |
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Project Team: N.K. Sharma, M.K. Rehman, Abha Richariya, Vidhya
Bhushan, Rohit Jain and Manoj Soni |
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The objectives of the present study were : 1) to assess the sex ratio of 0-6 years
age group and compare it with the reported figures in Census 2001; birth registration
figures; and data available with the Department of Health and Family Welfare; 2)
to explore the reasons for declining/ increasing sex ratio among 0-6 years age group;
3) to enlist organizations registered for a genetic counseling center/ genetic laboratory/genetic
clinic/ ultrasound clinic/ imaging center; 4) to assess knowledge of PCPNDT Act;
attitude towards use of pre-natal diagnostic techniques for detection and
determination of sex; practices prevailing in the community, service providers and
other appropriate authorities; 5) to find out the reasons of preference of male
child; and 6) to assess impact of adverse sex ratio on socio - cultural conditions
of the community. The selection of districts was done purposively on the basis of
the difference in increase and decrease in sex ratio during the previous decade.
The study covered various stakeholders like community, medical officers, health
workers, district and state level officials to explore the reasons for the decline/increase
in sex ratio among 0-6 years children, their knowledge of PCPNDT Act, views on the
sex ratio imbalance in the society, responsibility of the misuse
of technique, suggestions to removing the individual and social barriers
which deny the right of birth to a girl, etc.
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India
Phone(s) - +91-141-2791431-32, 3924700, Fax - +91-141-3924738 Email : iihmr@iihmr.org
Last updated on 05-05-12 |
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