2011 Completed Research Projects - IIHMR Bangalore - Institute of Health Management Research, Bangalore (IIHMR)

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2011 Completed Research Projects – IIHMR Bangalore

NABH Consultation Premier Hospital

Agency: Premier Hospital, Hyderabad

Project Team: Dr. Sreenath Reddy, Ms.Jincy

An agreement to provide assistance in meeting the NABH requirements for Premier Hospital, Hyderabad was entered on 19th September 2011. The Consultancy was offered at 5 phases.
Phase 1: Initial Gap Analysis
Phase 2: Awareness Program, System Design and Core Team
Phase 3: Documentation and Implementation – NABH
Phase 4: Implementation Maturity Measurement
Phase 5: Accreditation Assistance

The first 3 phases of the project consisting the gap analysis, General awareness of NABH and training for the core team, Preparation of procedure manuals, SOPS is completed. The first Internal Auditing of the hospital systems was carried by a team comprising of both internal and external assessors May 17th & 18th.

KHSRDP Health Facility Survey 2011

Agency: IMACs

Project Team: Dr.Fehmida Visnegarwala, Dr.Veena R, Dr.G.V. Nagaraj, Dr.Vinay Tripathi, Dr.Srinath V

IHMR successfully completed a detailed health facility survey for more than 1500 health care facilities across 18 districts in Karnataka. This included 679, sub centers, 555 PHCs, 94, CHC, 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. IHMR, Bangalore has developed the instruments, the manual for the field survey, material for training for the field workers, completed the pilot study and made substantial contributions in the report writing work. This study captured the gaps in terms of both availability and functionality of health delivery system and also helped in formulating a targeted action plan. This field level study has proved instrumental for planning of KSHDRP projects. This was one of the largest public health facilitysurveys conducted in Karnataka.

Gap Analysis for NABH Accreditation of K.R.Hospital

Agency: K. R. Hospital

Project Team: Dr.Veena R, Dr. Bhavana Naik, Dr. Annabel D Souza

This project is to provide assistance in meeting the NABH requirements for K. R. Hospital, Bangalore. The Consultancy was offered in 4 phases.
Phase 1: Initial Gap Analysis
Phase 2: Awareness Program, System Design and Core Team
Phase 3: Documentation and Implementation – NABH
Phase 4: Implementation 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

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, Dr. Rajeshwari

The project Total Management of Essential RCH & Primary Health Care through Public Private Partnership is a Public-Private Partnership (PPP) initiative, which 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 in respect to 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 implementation of the project. The data was drawn from both primary and secondary sources using a combination of both quantitative and qualitative methods. A total of 741 currently married women between 15-49 years were selected from 741 households, which were spread across three base-line 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 is instrumental in moving towards the millennium development goals.

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, Dr. Sreenath Reddy

OLE is a story telling tool on the real life stories of CLHIV, to create knowledge, awareness about HIV, and an initiative to change attitude & behavior intentions towards PLHIV, statistical sign of OLE tool was evaluated with the help of pre and post OLE tool exposure self administered questionnaire by respondents. 336 respondents participated in study based on the data collected attitude index & knowledge index pre and post OLE exposure was constructed. Statistically this shows that knowledge index score and attitude index score significantly increased post OLE exposure. Hence a good imitative to sensitize the messes about HIV issue and has potential to be scaled up.

Final evaluation PHC (N) under PPP in Mayurbhanj District

Agency: NRHM, Orissa

Research Team: Dr. Vinay Tripathi, Dr.K.S.S. Rao

In Orissa, the PPP has emerged as one of the important strategies as a part of health sector reforms. As a part of PPP arrangement, PHCs (N) are being contracted out to NGOs. The Gadigaon PHC (N) in Mayurbhanj District was handed over to 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 work was collected from both primary and secondary sources. The evaluation concluded that the PPP, which is built on the strengths of public (governmental) and private (non-governmental) sectors, in the context of health is an initiative to promote and improve 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

Agency: NRHM, Orissa

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

A rapid assessment of IMNCI in select districts in Karnataka was done with a team comprising of consultants from UNICEF, SIHFW, NRHM and IHMR Bangalore, IIHMR Jaipur. This assessment helped the Government of Karnataka to understand status of IMNCI implementation in field and identify the gaps if any; so as to take necessary steps for further strengthening its implementation all across the state. The recommendations from this project were disseminated to the NRHM which helped in assessing 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 trainings (initial and refresher), maintenance of supplies, record keeping, and supportive supervision and identify good practices, gaps and bottlenecks in implementation and prepare a follow-up action plans to improve the implementation in these 4 districts as well as in other districts.

Short Programme Review of Child Health in Karnataka

Agency: WHO

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

IHMR Bangalore achieved a landmark in the maternal and child health in Karnataka by organizing and conducting a workshop as per a globally utilized package for ‘Short Program Review’ of Child Health Program (SPR-CH) sponsored by teamwork the SPR_CH signifies the spirit of team work, inter-sectoral coordination and in-depth data driven processes to achieve the larger goals of Millennium Development. The 3-day workshop brought together 50 maternal and child health stake-holders including: the Government of Karnataka, state program officers and managers, district health officers, Government of India officials, officials from developmental partners such as WHO, UNICEF, prominent academicians, NGOs and researchers from the state. The pre-workshop data population for SPR-CH was done by IHMR-Bangalore. SPR-CH was held in February 2011 in IHMR-Bangalore. SPR-CH adopted a systematic participatory approach consisting of 7 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 available data using multiple methods and decide how well the programs have implemented child health interventions; and based on these findings, they defined the main problems for further analysis, and identify feasible solutions and decide on next steps to include these solutions in the program for this and coming year Program Implementation Plan (PIP). This was a ground breaking and momentous contribution of IHMR, Bangalore to child health in Karnataka. Moreover, learning and experience sharing from SPR-CH for Karnataka would also help benchmark the process for other states in India.

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. Dr. Fehmida Visnegarwala

Mobile Health Clinics (MHC) is one of the innovative endeavor s planned to serve the underserved, unreached and the tribal area of Karnataka. The project aimed at increasing demand for, access to, affordability of and utilization of public and private health services, particularly in underserved area 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 utilization of health care facilities. Mix methods (Quantitative and Qualitative) were used for the purpose of evaluation and information drawn from both primary and secondary data. Findings suggested that MHC has been of great benefits to the poor, remote, hilly, forest and inaccessible areas. MHC successfully helped to generate the demand for health care in those areas. MHCs had been able to reach out to marginalized population and vulnerable groups. IHMR research team successfully identified institutional, organizational and operational gaps, constraints and bottlenecks that impede the implementation of MHC programme.

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

Under RCH-II programmes, Mother NGOs (MNGOs) through field NGOs (FNGOs) have been implementing RCH-NGO program in 22 districts of Orissa. The main objective of the project was to address the gaps in the RCH service delivery in selected underserved areas so as to enable such districts/blocks to achieve an overall RCH status equivalent to the average for the State. The final evaluation was carried out to find out the weakness and strengths of these projects, factors (both positive and negative) which affected the implementation of these projects, main lesson learnt, assessing 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 based upon that 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

Agency: NRHM, Orissa

Project Team: Dr. Vinay Tripathi, Dr. K S Srinivasa Rao

In Orissa, the PPP has emerged as one of the important strategies as a part of 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 was collected from both primary and secondary sources. Detailed checklist, which was provided by the NRHM Orissa, was used to evaluate different components like services, infrastructure, equipments, human resources, capacity building, etc.

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, Dr. Bhavana Naik

The ESIC and Hindustan Latex Family Planning and Promotion Trust (HLFPPT) came together in the Sankalp. IHMR, Bangalore assessed the performance of the Project Sankalp, in terms of its deliverables of the first phase and the immediate results. The evaluation assessed the capacity and competencies of the project team in implementing the project apart from offering suggestions and recommendations for the design of the second phase of Sankalp.

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