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

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Ongoing Research Projects – IIHMR Bangalore

Project Title: : Improving the Health Care Access and Quality in the Context of Achieving Universal Health Coverage (UHC) among Scheduled Tribes: An Implementation Research in Tumkur, Karnataka

Funding Agency:ICMR, New Delhi

Project Team: Dr. R. Sarala (PI), Dr. Usha Manjunath (Co-PI) and Mr. Rajendra. D

Location:Tumkur District, Karnataka

Duration: February 2020 to Feb 2023

As a part of the Task Force project, the study aims to develop implementation strategies towards achieving universal health coverage by identifying and addressing the implementation barriers to improve access to health care services of assured quality without suffering financial hardship to the people through the existing health care systems among the scheduled tribe population. The broad objective of the study is to assess the people healthcare access in the vulnerability context of poverty and livelihood insecurity, and to understand the factors (individual-/community-/system-level) affecting the access to healthcare services and to identify key points to develop an intervention to improve healthcare access to the poor tribal population. The study setting is Tumkur district (Madhugiri -Control Taluk and Pavgada- Intervention Taluk) Karnataka State. The study is for a period of 30 months from Feb 2020. Study Design: Quasi-experimental and implementation research would be carried out in three phases (i) Formative Research (Pre-implementation phase), (ii) Intervention Development and Implementation, and (iii) Evaluation and Dissemination for Scaling-Up of Strategies. At present the project is in implementation phase, where the team is addressing the implementation issues related to Health and Wellness Centres, NCD and JSY.


Project title :Impact Assessment of Capacity Building of Program ATELC- in the State of Kerala

Funding Agency: Sri Ratan Tata Trust

Project Team: Dr. R. Sarala (PI), Dr. Usha Manjunath, Dr. Chethana. HS, Dr. Subodh S Satheesh Mr. M.K Raj Kiran

Duration:June 2022-November 2022

Location: Kerala, India

About the Project:The purpose of the assessment is to examine the impact of the ATELC program of capacity building on Emergency care and trauma on trainees, health facility across the districts of Kerala. Program Specific Objectives are to i) To assess the program relevance, effectiveness, and its impact on targeted population and state need ii) To assess the sustainability and scalability of the ATELC capacity building program on emergency and trauma care in other geographies and other critical clinical areas and iii) To assess the impact of the training program viz., coverage of trainees, type of trainees, appropriateness of the training design, knowledge and skill enhancement among trainees, perpetual improvement in capability of trained healthcare personnel to handle emergency and trauma care and identify the future training needs among the participants etc. Methodology: The present assessment had adopted Kirkpatrick Evaluation Model to assess the ATELC training viz., reaction, learning, behaviour, and results. Cross-sectional study/assessment was conducted between July 2022 and October 2022 in 3 districts, viz., Trivandrum, Ernakulam and Kozhikode, Kerala State. Mixed-Methodology viz., both Primary (qualitative and quantitative methods) and secondary data-document review methods of data collection was adopted. The data was collected through survey/interviews of trainees viz., doctors, nurses, interns, and Nursing students, Training of the Trainers (TOTs), Simulation Associates (SAs) and various program/key stakeholders at State, District and Facility Level. Total from 402 trainees’ qualitative data was gathered; qualitative data was gathered among 16 key stakeholders and IDIs with TOTs (22) and SAs (4). Quantitative data was analyzed using SPSS-28.0, excel and thematic analyses were carried out for qualitative data.


Project title : Evaluation of Impact of ICDS Programme (including Poshan Abhiyan) in Karnataka State in terms of Improving Nutritional Status of Women and Children for promoting the achievement of nutritional targets under Sustainable Developmental Goal -2 for the period 2015-16 to 2020-21

Funding Agency:Karnataka Evaluation Authority, GoK

Project Team: Dr. R. Sarala (PI), Dr. Asna Urooj (Co-PI), Mr. Gowtham Ghosh, Dr. Gyan Chandra Kashyap, Dr. Rajeshwari BS, Dr. Jyothi Vijay, Mr. Rajendra D, Dr. Arunesha BS.

Duration
: March 2022- December 2022

Location:18 Districts of Karnataka, India

About the Project

This study has been instigated by Karnataka Evaluation Authority, GoK, aimed to evaluate the wider impact of the Integrated Child Developmental Services (ICDS) Programme and Poshan Abhiyan among Pregnant Women, Children (0-6 years), and Adolescent Girls in the selected 18 districts of the Karnataka State. The primary objective of the evaluation is to determine and analyse the basic issues related to poor outcomes/ impact of the programme in terms of malnutrition and anaemia indicators- stunting, wasting, undernutrition and anaemia among women & children in the state. A cross-sectional study design is adopted. Total 390 Anganwadi centres and appox.4000 beneficiaries of the program from all the 18 districts is being covered for the study. Mixed methodology is being adopted to gather both quantitative and qualitative data viz., KII, FGDs, Case Studies and Facility surveys of Anganwadi Centres to understand the programme implementation, impact, and gaps regarding its outcomes.


Project title : Technical Support to Accelerate Promotion of COVID-19 Appropriate Behaviours (CAB) for the State of Karnataka

Partner : UNICEF

Project team:

IIHMR –B Technical teamState Level Team
Dr. Usha Manjunath – Program Director/SBCC Technical SupportDr. Deepashree M R - State Coordinator
Dr. Chethana H S – Health ConsultantDr. Rajeswari B S - Monitoring and Evaluation
Dr. Sarala – HR/Team Building
Project operations and Liaising

Duration: May 2022 to Dec 2022 (Phase 2)

Location: 31 Districts of Karnataka through deployment of District SBCC Coordinators and Regional Coordinators

About project:

COVID 19 pandemic has led to unparalleled and unforeseen challenges requiring collective action and support from all. While all necessary measures to fight the spread of Novel Corona Virus (COVID 19) are being effectively led by the Central Government, State Governments and there is a need to reinforce the importance of preventive measures and practices in a sustained manner, to deal with the disease over the long run. To complement the efforts of the Govt of Karnataka and strengthen technical support for acceleration of COVID-19 Appropriate Behaviours (CAB) and Vaccination efforts through focus on Social Behaviour Change Communication and, Risk Communication and Community Engagement(RCCE), UNICEF Hyderabad Field Office has partnered with Institute of Health Management and Research (IIHMR), Bangalore from August 2021, for deployment of District SBCC Coordinators who will coordinate and collaborate the CAB and Vaccine efforts of the various departments at the district level. COVID-19 Specific Emergency Response – The communities and families in the districts of Karnataka have knowledge and skills to protect themselves from the direct and indirect impact of COVID-19. COVID-19 Sensitive Emergency Response – The communities adopt gender responsive practices for prevention of anemia, addressing Routine Immunization inequities and community-based management of SAM children.

COVID-19 Specific Emergency Response – The communities and families in the districts of Karnataka have knowledge and skills to protect themselves from the direct and indirect impact of COVID-19

COVID-19 Sensitive Emergency Response – The communities adopt gender responsive practices for prevention of anemia, addressing Routine Immunization inequities and community-based management of SAM children.


Project title : Early Childhood Care and Development (ECCD) in Urban Slums of Bangalore

Funding Agency:HCL Foundation

Project Team: Dr. R. Sarala, Mr. Satish Kabbur

Duration
: July 2022 to March 2023

Location:Anandapuram and Maya Bazar, Bangalore

About the Project

This project aims to 1) set up 3 Early Childhood Care Development (ECCD) (crèches) with necessary supplies, materials, and equipment in the urban slums of Bangalore, i) To enroll 25 children (a total of 75 children aged 6 months to 3 years) in each ECCD crèche ii) provide nutritious food through ECCD crèche to the beneficiaries and improve overall child’s health/development through dietary diversity, adequate-protein, and energy intake, and increased consumption of supplements. iii)develop five faculties (i.e., Cognitive, Language, Physical, Social and Emotional) of ECCD children iv) improve the nutritional status and health and hygiene practices of ECCD children. 2) Early screening and identification of children from birth to 18 years on 4 ‘D’s, refer to RBSK – treatment, management, rehabilitation, and follow-up. 3) To educate beneficiaries’ parents and community on 1st 1000 days -child growth and development, IYCF, Early Childhood Education, Food and Nutrition, WASH, Immunization, Family Planning etc. Expected impact: 1) Overall improvement in the nutritional and health status of ECCD children. 2) Improved KAP among parents/families and community on ECCD and other nutritional-related issues. 3) Empowerment of ECCD teachers. 4) Increased Father’s involvement in childcare and development. This program would work in convergence with the WCD department, the Government of Karnataka for ECCD crèches, the Health Department, and others. Existing government Anganwadi centers in the project sites would be strengthened viz., Anganwadi teachers and staff would be trained and supported in the activities of AWCs.


Project title :Community Based Program for Non- Communicable Diseases Promotion, Prevention, and Services Provision (Hypertension and Diabetics)

Funding Agency:HCL Foundation

Project Team: Dr. Usha Manjunath and Dr. Akash Prabhune

Duration
:July 2022 to March 2023

Location:: Thirupalya PHC, Jigani Taluk, Bangalore

About the Project

Objectives of the program is to i) assess the knowledge and practice related to NCD (Hypertension and diabetics) among adults above 30 years ii) strengthen the Primary Healthcare Facility (PHC) by provisioning of basic equipment’s and capacity building of health manpower to improve access and provide quality care related to NCD iii) increase population enumeration and empanelment, screening, management, treatment compliance and follow-ups for NCDs especially on Hypertension, Diabetics (including those with diabetic foot ulcer) among adults aged 30 years and above in the selected communities through m-Health and iv) increase the awareness and practice on issues related to hypertension and diabetics through Social and Behavioural Change approach among adults aged 30 years and above in the selected communities through m-Health. This proposed program would work in convergence with Health Department, NCD cell and others. Existing government activities in the project sites would be strengthened viz., staffs would be trained and supported in the activities of NCDs. Besides, we would liaison with Department of Health and Family Welfare, Social Welfare and Food and Nutrition Board, GoI, local NGOs and partnering agencies of HCL foundation to support and provide complementary/supplementary, health and wellness and in the community.


Project title : Assessment of the Design and Functionality of Portable Hospitals built by the American Indian Foundation

Funding Agency:America India Foundation Trust

Project Team: Dr. Usha Manjunath (Advisor), Dr Kirti Udayai (PI), Mr. Piyush Kumar, Dr. Akash Prabhune, Mr. Gowthamghosh B and Mr. Raj Kiran

Duration:September 2022- December 2022

Location:7 locations across India

About the Project

Objectives of the study are to i) To assess the design, relevance and structural efficiency of the portable hospitals based on IPHS guidelines ii) To evaluate the functioning, operational capabilities of equipment and management of materials, drugs, and commodities (supplies) for effectiveness of portable hospitals iii) To assess the infection control and quality care provision for effective functioning of the hospitals iv) Undertake the stakeholder needs assessment survey to understand the needs of key stakeholders and v) To develop SOP for the management of the portable hospitals. Study Duration: The assessment would be from September 2022 till December 2022. Study Area – 7 locations across India viz., Maharashtra-Satara, Haryana-Kaithal, Andhra Pradesh-East Godavari, Karnataka-Bengaluru, Jharkhand-Jamshedpur, Odisha-Cuttack, New Delhi-Tibia. Sample Size for quantitative data would be collected through survey of patients ( 10 patients from each facility) and In-Depth Interview with key stakeholders from each facility viz., doctors, nurses, paramedics, administrators, and technician. Operational efficiency of the hospital will be assessed based on NQAS guidelines. Infrastructure assessment will be conducted to understand the structural efficiency and safety of the portable hospital based on Hospital Planning and Infrastructure guidelines.


Project title : Preventive Healthcare and Nutrition: Understanding Urban Poor Communities Perceptions, Practices and Behaviors from Maharashtra

Funding Agency:Doctor for You and UNICEF, Maharashtra

Project Team: Dr. Usha Manjunath (PI) and Dr. Akash Prabhune (Co-Pi)

Duration:September 2022- January 2023

Location:Maharashtra (Mumbai, Aurangabad, Nashik)

About the Project

Study Objectives are to i) identify the personal, cultural, social, and economic factors affecting health-seeking behaviors of urban communities ii) explore the nutritional practices and beliefs and their impact on health iii) identify the needs of urban poor communities to sustain well being and iv) develop strategies for engagement based on community inputs. Methodology: Qualitative methods of data collection viz., FGDs, IDIs and KIIs is being adopted to collect data for the present study. Especially, FGDs with community members, IDIs with Health Care Workers, Medical Officers, Nurses, Private Healthcare Providers, representatives of civil society, community leaders, and self-help groups are being conducted to understand the diverse factors impacting health-seeking behavior.


Project title :360-degree assessment of the Ability and Quality of Community Health Officers for management of Common Health Conditions” – Development of tool for Evaluation

Funding Agency:National Health Systems Resource Centre (NHSRC), New Delhi

Project Team: Dr. Usha Manjunath (PI) and Dr. Akash Prabhune (Co-Pi)

Duration:November 2022- January 2023

Location:10 Districts, Karnataka

About the Project

Objectives of the study are to a) to develop a standardized tool to objectively assess the quality of CHOs for management of common health conditions across HWCs b) to pilot and validate an ability assessment aptitude tool for CHOs for various functions at HWCs. Methodology: Input, processes and output framework will guide the development of the assessment tools. Mixed methodology would be adopted viz., qualitative, and quantitative data for the study. Methods of data collection includes observations, records review, Personal Interview with Patients, CHOs, ASHAs and Medical Officers. Each study instrument will be assigned across thematic areas of General Infrastructure, Statutory Compliances, Clinical Quality and Documentation, Safety, Training, Inventory Management, and Clinical Governance. A scoring criterion will be developed to quantitatively score the response on an ordinal scale enabling a composite index of quality and ability through 360-degree assessment.

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