Assessment of the Current Burden of Service Delivery on ASHAs and the potential role of Multipurpose Health Worker in task sharing in Karnataka.
Funding Agency: India Health Systems Collaborative (IIHSC)
Project Team: Dr. R. Sarala (PI), Dr. Surya Prakash (Co-PI), Dr. Usha Manjunath, Dr. Deepashree M R and Mr. Rajendra. D
Location: Koppal, Mysore and Raichur districts of Karnataka
IHSC was conceived as a platform to help bridge the gap between academia and policy practitioners. IHSC’s vision and mandate is based on the necessity to achieve two key objectives. The first is to provide necessary evidence for decision makers on policy questions that are critical to India’s health system and the second, is to foster a sustainable network of health system researchers that will work in a consortium structure to help develop a more systems-based approach to health research and reforms in India. Several studies suggest that ASHA/ANMs are often overstretched given in their expanding mandate under NHM, which could result in gaps in delivery of services owing to number of tasks they are expected to cover, with task sharing is seen as possible solution to tackle this issue. This study focussed on assessment of the current Burden of service delivery on ASHAs and the potential role of Multipurpose Health Worker in task sharing in Karnataka. The objectives of the study are as follows:
- To assess the current burden of service provision of ASHAs and Male Health workers
- To assess the Quality of Life of ASHA Workers
- To suggest the potential role and structured task-shifting training strategies for revival and strengthening of Multi-purpose health workers to effectively manage the emerging infectious and non-communicable diseases at community level.
Multi- Stage Random sampling design would be adopted for the study and duration of the study would be 6 months. Methods of Data Collection will be Mixed Methodology and Data Triangulation. Primary data would be collected through quantitative and qualitative methods of data collection. i) Quantitative Method: a) Task Diary: Documentation of various activities and time spent for each activity in a day/week b) Quality of Life: WHO- QOL‑BREF will be adopted and data will be collected from ASHAs. ii) Qualitative Method: a) Triads – Small Focussed group discussion consisting of 3 members) b) In-depth Interviews (IDIs) c) Shadowing Technique (Observation)d) Key Informant Interviews (KIIs) with various stakeholders at Sector, Block, District and State level would be carried out.
Formative and Impact Assessment on Svasti-Nutrition for Women and Children Program in Kolar and Tumkur Districts, Karnataka
Agency: Bhoruka Charitable Trust
Project Team: Dr. Usha Manjunath, Dr. Sarala. R, Dr. Gyan Chandra Kashyap
This study has been commenced by Bhoruka Charitable Trust and Spirulina Foundation to address a critical issue related to women and child health in Kolar and Tumkur district of Karnataka. The program aimed to improve the nutrition level and the overall health of the young child, adolescent girls, and lactating mothers by regularly proving the Spirulina Chickies in both the localities. Institute of Health Management Research (IIHMR), Bangalore, is a nodal agency for conducting a baseline and end-line survey to address a key issue related to the health and nutrition of child and adolescent girls.
The objective of the baseline study is to understand the knowledge and practice related to nutrition and anemia among children, adolescents, and lactating mothers. The second objective is to assess the nutritional status and anemia among children, adolescents, and lactating mothers. The last and important objective is to assess the impact of the program on nutritional status and anemia among children, adolescents, and lactating mothers. The study has been carried out for 7 Months viz., three and a half months each Formative and Impact Assessment over nearly 18 months from the start date. A cross-sectional study has been adopted to carry out the present study. The study has been carried out in selected 11 villages of the Kolar District of Karnataka. Eleven villages from 5 taluks of Kolar district has been chosen for the study. Total 1000 is the sample size for each formative and impact assessment, i.e., total 2200. In Kolar, the study has been covered children (0-12 years), adolescents’ girls (13-18 years), and lactating mothers. Primary data have been collected from the eleven selected villages of the Kolar district of Karnataka. Clinical & Biometric information such as Height, Weight, and Haemoglobin have been collected from the selected participants of the study.
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
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 tribal 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 will 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.
Early Childhood Care and Development (ECCD) and Comprehensive Health Centre in Urban Slums of Bangalore
Funding Agency: HCL Foundation
Team Members: Dr. Usha Manjunath (Project Director), Dr. R. Sarala (Project Coordinator), Dr. Deepashree, Ms.Ramya.T.Karur, and Ms. Kokila
Location: Maya Bazaar & Anandapuram( Bangalore)
This study focusses on underprivileged communities living in urban slums of Bangalore namely Maya Bazaar and Anandapuram. This study aims to set up Early Childhood care & Development (ECCD) centers to guide and assist the development of five faculties (i.e. Cognitive, Language, Physical, Mote Personal, Social, and Emotional) among 0-6 years children. In addition, the study would create awareness about various health-related issues such as ANC, PNC, Delivery, Family Planning, Menstrual hygiene, Nutrition and Diet, Hygiene /WASH, NCDs, Abuse and government health Schemes among Reproductive age group women, Pregnant women, Men, Adolescent boys, and girls. Also, the study would support the community members in accessing various government health schemes and services through liaison with various healthcare stakeholders especially frontline workers. As part of the study, it is planned to carry out various other activities such, health camps, low-cost nutrition food preparation workshops for women, competition for children, and exposure visits for adolescents.