Research

IIHMR Bangalore

Completed Research Projects - 2011

NABH Consultation for Premier Hospital
Project Title

NABH Consultation for Premier Hospital, Hyderabad

Agency

Premier Hospital, Hyderabad

Project Team

Dr. Sreenath Reddy, Ms. Jincy

About the Project

To assist in meeting the NABH requirements for Premier Hospital, Hyderabad. The agreement was entered into on 19th September 2011. The consultation was delivered in five phases.

Phase 1: Initial Gap Analysis
Phase 2: Awareness Program, System Design and Core Team
Phase 3: Documentation and Implementation of NABH
Phase 4: Implementation Maturity Measurement
Phase 5: Accreditation Assistance

The project’s first three phases entailed a gap analysis, general awareness of NABH, training for the core team, preparation of procedure manuals, and SOPs. The first internal audit of the hospital systems was conducted by a team comprising internal and external assessors on May 17th and 18th.

KHSRDP Health Facility Survey 2011
Project Title

KHSRDP Health Facility Survey 2011

Agency

IMACs

Project Team

Dr. Fehmida Visnegarwala, Dr. Veena R
Dr. G.V. Nagaraj, Dr. Vinay Tripathi, and Dr. Srinath V

About the Project

IIHMR Bangalore successfully completed a detailed health facility survey for more than 1500 healthcare facilities across 18 districts in Karnataka. This included 679 sub-centres, 555 PHCs, 94 CHCs, 82 taluka hospitals, 11 district hospitals, 76 private hospitals, and 73 private clinics. An initial pilot study was conducted to evaluate the instruments developed for the survey of the health facilities. IIHMR Bangalore has developed the instruments, the manual for the field survey, and the material for training the field workers. The pilot study was completed, and substantial contributions were made to the report-writing work. This study captured the gaps in terms of both the availability and functionality of the health delivery system and also helped in formulating a targeted action plan. This field-level study has proven instrumental in the planning of KSHDRP projects. This was one of the largest public health facility surveys conducted in Karnataka.

Gap Analysis for the NABH Accreditation of K.R. Hospital
Project Title

Gap Analysis for the NABH Accreditation of K.R. Hospital, Bangalore

Agency

K. R. Hospital, Bangalore

Project Team

Dr.Veena R, Dr. Bhavana Naik, Dr. Annabel D Souza

About the Project

To assist in meeting the NABH requirements for K. R. Hospital, Bangalore.

The consultation was delivered in four phases:

Phase 1: Initial Gap Analysis
Phase 2: Awareness Program, System Design, and Core Team
Phase 3: Documentation and Implementation of NABH
Phase 4: Implementation of Maturity Measurement and preparation for pre-assessment by QCI, New Delhi

Total Management of Primary Health Care and RCH under PPP in Karnataka: An End-line Evaluation
Project Title

Total Management of Primary Health Care and RCH under PPP in Karnataka: An End-line Evaluation

Agency

Population Foundation of India (PFI)

Project Team

Dr. Vinay Tripathi, Dr. Fehmida Visnegarwala
Dr. G.V. Nagaraj, Dr. Varun Sharma, Dr. Veena R,
Dr. Srinath V and Dr. Rajeshwari

About the Project

The total management of essential RCH and primary health care through a Public-Private Partnership (PPP) initiative was implemented in six districts of Karnataka, namely, Bellary, Bagalkot, Raichur, Bidar, Gulbarga, and Bijapur, by the Karuna Trust from May 2006. The Population Foundation of India (PFI) was the supporting agency for this project. The Institute of Health Management Research Bangalore (IHMR-B) was entrusted with the responsibility of carrying out the end-line evaluation. The broad objective of the end-line evaluation was to assess the change with respect to the project-specific measurable outcomes, which helped in measuring the achievements at the end of the project period. The end-line evaluation was the collective review of the implementation of the project. The data was drawn from both primary and secondary sources using a combination of quantitative and qualitative methods. A total of 741 currently married women between 15 and 49 years old were selected from 741 households, which were spread across three baseline surveyed taluks. The evaluation concluded that PPPs form an important armamentarium in meeting the increasing demand for quality and cost-effective health care for inclusive growth in India and are instrumental in moving towards the Millennium Development Goals.

A Study on the Knowledge, Attitude and Behaviour Intention Change of the Participants of One Life Experience (OLE) towards People
Project Title

A Study on Knowledge, Attitude and Behavior Intention Change of the Participants of One Life Experience (OLE) towards People

Agency

World Vision India, Chennai

Project Team

Dr. Varun Sharma, Dr. Fehmida Visnegarwala
Dr. Priya Thomas, and Dr. Sreenath Reddy

About the Project

OLE is a story-telling tool based on the real-life stories of PLHIV to create knowledge and awareness about HIV and an initiative to change attitudes and behaviour towards PLHIV. The statistical significance of the OLE tool was evaluated with the help of a pre and post-OLE tool exposure self-administered questionnaire by the respondents. 336 respondents participated in the study and based on the collected attitude and knowledge indices, a pre and post-OLE exposure was constructed. Statistically, this shows that the knowledge index score and attitude index score significantly increased after OLE exposure. Hence, this is a good initiative to sensitise the public about HIV and has the potential to be scaled up.

Final evaluation PHC (N) under PPP in Mayurbhanj District
Project Title

Final evaluation PHC (N) under PPP in Mayurbhanj District

Agency

NRHM, Orissa

Project Team

Dr. Vinay Tripathi, Dr.K.S.S. Rao

About the Project

In Orissa, the PPP has emerged as one of the most important strategies as part of the health sector reforms. As a part of the PPP arrangement, PHCs (N) are being contracted out to NGOs. The Gadigaon PHC (N) in Mayurbhanj District was handed over to the Indian Management and Technical Society (IMTS), Bhubaneswar. The Institute of Health Management Research (IHMR) Bangalore was entrusted with the responsibility of evaluating Gadigaon PHC (N). The evaluation of PHC (N) was rapid and comprehensive in nature. The data for the evaluation were collected from both primary and secondary sources. The evaluation concluded that the PPP, which is built on the strengths of the public (governmental) and private (non-governmental) sectors, in the context of health is an initiative to promote and improve the health of the population by addressing the issues of equity, quality, accessibility, availability, and efficiency of health delivery systems.

Final and Mid-Term Evaluation of Urban Slum Health Project in Sambalpur under Public-Private Partnership Initiative of NRHM Orissa
Project Title

Final and Mid-Term Evaluation of Urban Slum Health Project in Sambalpur under Public-Private Partnership Initiative of NRHM Orissa

Agency

NRHM, Orissa

Project Team

Dr. Fehmida Visnegarwala, Dr. Suresh Joshi (IIHMR Jaipur),
and a team from UNICEF and NRHM Karnataka

About the Project

A rapid assessment of IMNCI was conducted in select districts in Karnataka by a team comprising consultants from UNICEF, SIHFW, NRHM, IHMR Bangalore, and IIHMR Jaipur. This assessment helped the Government of Karnataka understand the status of IMNCI implementation in the field, identify gaps, and take the necessary steps for further strengthening its implementation across the state. The recommendations from this project were disseminated to the NRHM, which helped in assessing the knowledge and skills of Health and ICDS workers/supervisors using IMNCI protocols; the support provided by the health and ICDS systems to frontline functionaries in terms of training (initial and refresher), maintenance of supplies, record keeping, supportive supervision, identifying good practices, gaps, and bottlenecks in implementation and preparing follow-up action plans to improve the implementation in these four districts as well as other districts.

Short Programme Review of Child Health in Karnataka
Project Title

Short Programme Review of Child Health in Karnataka

Agency

WHO

Project Team

Dr. Fehmida Visnegarwala, Dr. G V Nagaraj
Dr. Usha Manjunath, Dr. Vinay Tripathi
Dr. Bhavana Naik, and Dr. Veena R

About the Project

IIHMR Bangalore achieved a landmark in maternal and child health in Karnataka by organising and conducting a workshop as per a globally utilised package for the “Short Program Review” of the Child Health Program (SPR-CH), sponsored by teamwork. The SPR-CH signifies the spirit of teamwork, inter-sectoral coordination, and in-depth data-driven processes necessary to achieve the larger goals of Millennium Development. The three-day workshop brought together 50 maternal and child health stakeholders, including the Government of Karnataka, state programme officers and managers, district health officers, officials from the Indian government, officials from developmental partners such as WHO and UNICEF, prominent academicians, NGOs, and researchers from the state. The pre-workshop data population for SPR-CH was done by IIHMR Bangalore. SPR-CH was held in February 2011 at IIHMR Bangalore. SPR-CH adopted a systematic participatory approach consisting of seven sequential steps completed in three consecutive days, unlike earlier workshops in Rajasthan and Bihar. The workshop was a grand success as it helped the participants review the available data using multiple methods and decide how well the programmes have implemented child health interventions. Based on these findings, they defined the main problems for further analysis, identified feasible solutions, and decided on the next steps that would include these solutions in the programme for the present and coming year’s Program Implementation Plan (PIP). This was a groundbreaking and momentous contribution by IIHMR Bangalore to child health in Karnataka. Moreover, learning and experience sharing from SPR-CH in Karnataka would also help benchmark the process for the other Indian states.

External Evaluation of Mobile Health Clinics under Karnataka Health Systems Development and Reforms Project (KHSDRP)
Project Title

External Evaluation of Mobile Health Clinics under Karnataka Health Systems Development and Reforms Project (KHSDRP)

Agency

KHSDRP

Project Team

Dr. Veena Nair, Dr.K.S.S. Rao, Dr. Bhavana Naik
Dr. GV Nagaraj, Dr. Vinay Tripathi,
and Dr. Fehmida Visnegarwala

About the Project

Mobile Health Clinics (MHC) are one of the innovative endeavours planned to serve the underserved, unreached, and tribal areas of Karnataka. The project aimed at increasing demand for, access to, affordability of, and utilisation of public and private health services, particularly in underserved areas and amongst vulnerable groups. In the first phase, this project was operationalized into five taluks to evaluate various dimensions/factors related to accessibility, affordability, demand, and utilisation of healthcare facilities. Mixed methods (quantitative and qualitative) were used for evaluation, and information was drawn from both primary and secondary data. Findings suggested that MHC has been of great benefit to the poor, remote, hilly, forested, and inaccessible areas. MHC successfully helped generate the demand for health care in those areas. MHCs had been able to reach out to the marginalised population and vulnerable groups. The IIHMR research team successfully identified institutional, organisational and operational gaps, constraints, and bottlenecks that impede the implementation of the MHC programme.

Final Evaluation of MNGO/FNGO Programme under RCH-II in Jharsuguda Districts
Project Title

Final Evaluation of MNGO/FNGO Programme under RCH-II in Jharsuguda Districts

Agency

NRHM, Orissa

Project Team

Dr. Vinay Tripathi, Dr. K. S. Srinivasa Rao

About the Product

Under RCH-II programmes, mother NGOs (MNGOs) and field NGOs (FNGOs) have been implementing the RCH-NGO programme in 22 districts of Orissa. The main objective of the project was to address the gaps in RCH service delivery in selected underserved areas to enable such districts/blocks to achieve an overall RCH status equivalent to the average of the state. The final evaluation was carried out to find out the weaknesses and strengths of these projects, factors (both positive and negative) that affected the implementation of these projects, the key learnings, and assess the impact of these projects over a period of time (component-wise as mentioned in the composite project proposal of MNGOs and approved by district NGO committees) and to make recommendations for better efficiency and effectiveness.

Mid-Term Evaluation of Functioning of Two PHC Under Public-Private Partnership in Ganjam and Mayurbhanj District of Orissa
Project Title

Mid-Term Evaluation of Functioning of Two PHC Under Public-Private Partnership in Ganjam and Mayurbhanj District of Orissa

Agency

NRHM, Orissa

Project Team

Dr. Vinay Tripathi, Dr. K S Srinivasa Rao

About the Project

In Orissa, the PPP has emerged as one of the most important strategies as part of the health sector reforms. Under the PPP arrangement, the PHCs (N) have been contracted out to the NGOs. The Institute of Health Management Research (IHMR) Bangalore was entrusted with the responsibility of evaluating Rahada PHC (N) in Ganjam district and Gadigaon PHC (N) in Mayurbhanj district of Orissa. The evaluation of PHC (N) was rapid and comprehensive in nature. The data for the evaluation work were collected from both primary and secondary sources. A detailed checklist provided by the NRHM Orissa was used to evaluate different components like services, infrastructure, equipment, human resources, capacity building, etc.

Evaluation of the first phase of SANKALP-Karnataka Project
Project Title

Evaluation of the first phase of SANKALP-Karnataka Project

Agency

Hindustan Latex Family Planning Promotion Trust

Project Team

Dr. N.S.N. Rao, Dr.Vinay Tripathi, Dr.Kishore Murthy, and Dr. Bhavana Naik

About the Project

The ESIC and Hindustan Latex Family Planning and Promotion Trust (HLFPPT) jointly collaborated on Project Sankalp. IIHMR Bangalore assessed the performance of Project Sankalp’s deliverables and its immediate results in the first phase. The evaluation focused on the capacity and competencies of the project team in implementing the project. This was apart from offering suggestions and recommendations for the design in the second phase of Sankalp.