Formative and Impact Assessment on “Svasti-Nutrition for Women and Children Program in Kolar and Tumkur Districts, Karnataka
Agency: Bourka Charitable Trust
Project Team: Dr. Usha Manjunath, Dr. Sarala. R, Dr. Gyan, Dr. Manjuntha. R and Mr. Gururaj
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)
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’s 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.
The functioning of Nutritional Rehabilitation Centres (NRCs)- A Comparative Study across the Regions in Karnataka
Agency: Karnataka Evaluation Authority (KEA)
Project Team: Dr. Manjunatha. R, Dr. Usha Manjunath, Dr. Gyan Chand Kashyap, Dr. Tara M.S and Ms. Ramya. T. Karur
Location: Bangalore, Dharwad, Raichur, Kodagu, Chitradurga, Chikkamagalur, Gadag & Koppal
To address the challenges of malnutrition and treat SAM, the Govt. has set up Nutritional Rehabilitation Centres (NRC) and there are 896 NRCs functional in 25 States/Union Territories under the National Health Mission. NRC is a special unit located in a health facility and dedicated to the initial management and nutrition rehabilitation of children with SAM. In general, they are preferably located at District hospitals/Medical College Hospitals and have 10-20 beds. There are 32 NRCs (3 in Bangalore Urban and one each in all Districts except Bangalore Rural) and 27 Modified NRC (MNRC) at First Referral Unit/Taluka level hospitals in Karnataka. SAM children admitted in these centers are provided medical and nutritional therapeutic care as per SAM management guidelines of the World Health Organization (WHO)and Indian Academy of Paediatrics.
This study focusses on studying the functioning of NRCs in different regions of Karnataka.
The evaluation design will include secondary data review and analysis, quantitative and qualitative methodology to arrive at objective and accurate results. This evaluation project will be conducted over a period of 06 months. The design is planned with a Structure-Process-Output/Outcome framework to guide systematic thinking, planning, and execution of the evaluation project. The design will allow for on-going validation of methods, tools, sample size, data quality, analysis framework, and report by Advisors/Subject experts in Nutrition and Public Health.
Empowerment and Engagement of Community in Strengthening Child Health among Tribal Population
Agency: Indian Council for Medical Research (ICMR), New Delhi
Project Team: Dr. R. Sarala(PI), Dr. Usha Manjunath(Co-PI)
Location: Karnataka & Tamilnadu
The project aimed to empower and engage various stakeholders through capacity building/ skill development such as Mothers of under-five children and Adolescents, Traditional Tribal Healthcare Practitioners, Medical Practitioner and VHSNCs members on issues related to Child health for sustaining positive health-seeking behavior in the community. Especially, adolescent were the key change agent by creating awareness and supporting the mothers of under-five children. The study focused on particularly vulnerable group viz., Irulas from Thiruvallur district of Tamil Nadu & Jenu Kuruba from Mysore District of Karnataka. Using mixed methods, the study measured change from baseline, in direct/indirect impact measures, including rates of Child Health specific awareness/attitudes, practices, and socio-cultural dynamics of the uptake or not thereof of the above intervention.