Research
IIHMR Bangalore
Completed Research Projects - 2023
Project Title
Impact assessment of “Reviving Lives: A convergence model of Dialysis with Zero-out of pocket expenditure burden on patients” a dialysis program in Civil Hospital, Bathinda”
Funding Agency
Government of Punjab
Project Team
Faculties:
Dr. Kirti Udayai,
Dr. Jyoti Vijay,
Mr. Piyush Kumar,
Dr. Usha Manjunath
Student Interns:
Dr. Anjali Grewal,
Mr. Vikas Kumar,
Dr Aroma Ganguly
Duration
Sept 2023 to Oct 2023
Location
Civil Hospital, Bhatinda, Punjab
About The Project
The impact assessment aims to assess the program relevance, effectiveness, and its impact on targeted population and state needs, to assess the service provider’s compliance in accordance with the NHM guidelines and to identify the issues during the implementation of the program. The impact assessment would be carried out at Dialysis Centre, Civil Hospital, Bathinda. The interaction would be carried out with stakeholders and program beneficiaries. Filed visits would be conducted to understand the compliance in accordance with the standard guidelines. The impact evaluation would provide key insights and sustainable model to improve the program effectiveness and its impact.
Project Title
360-degree Assessment of the Ability and Quality of Community Health Officers for management of Common Health Conditions – Development of a Tool for Evaluation (Phase I)Funding Agency
National Health Systems Resource Centre (NHSRC), New Delhi
Project Team
Dr. Usha Manjunath (PI), Dr. Akash Prabhune (Co-Pi), Dr. Rajeshwari BS, Ms. Karpaga Priya, Ms. Sowmini
Duration
November 2022 - September 2023
Location
15 Districts, Karnataka
About The Project
Objectives of the study were to a) develop a standardized tool to objectively assess the quality of CHOs for the management of common health conditions across Health Wellness Centres (HWCs) and b) pilot and validate an ability assessment aptitude tool for Community Health Workers (CHOs) for various functions at HWCs. Methodology: Input, processes, and output framework was adopted to develop the assessment tools. A mixed methodology was adopted viz., qualitative, and quantitative data for the study. Methods of data collection viz., observations, record review, and personal interviews with Patients, CHOs, ASHAs, and Medical Officers was conducted. Each study instrument was assigned across thematic areas of General Infrastructure, Statutory Compliances, Clinical Quality and Documentation, Safety, Training, Inventory Management, and Clinical Governance. A scoring criterion was developed to quantitatively score the response on an ordinal scale enabling a composite index of quality and ability through 360-degree assessment.Project Title
Situational Analysis in the Field of Disability and Inclusive DevelopmentFunding Agency
CBM Trust
Project Team
Dr. Usha Manjunath (PI), Dr. Akash Prabhune (Co-PI)
Duration
May 2023 - July 2023
Location
India all States and UT
About The Project
The project objectives were to i) map the multidimensional factors impacting the inclusive and equitable development of Persons with Disabilities and ii) identify the current gaps in terms of the enabling environment, demand, service delivery, and quality assurance across the states of India. The situational analysis focussed on understanding the linkages between disability and poverty, livelihood, social protection, education and training, public accessibility, gender, health, and access to assistive devices. This study was based on a framework suggested by UNICEF viz., a. Enabling Environment b. Demand c. Service Delivery d. Measuring and Monitoring Quality and e. Cross-Cutting Issue. Mixed-method approach viz., literature review, and Key Informant Interviews was used to supplement the findings from secondary data analysis.Project Title
Providing Technical Support for Creating inclusive work culture and Barrier Free Environment at ITC Food, Nanjanagud, Mysore (5th edition)
Funding Agency
ITC Food, Nanjanagud
Project Team
Dr. Ravish, Dr. Usha Manjunath
Dr. Deepashree
Duration
February 2023 – March 2023
Location
Nanjangud
Mysore
About The Project
ITC is one of India’s foremost private sector companies and a diversified conglomerate with businesses spanning Fast Moving Consumer Goods, Hotels, Paperboards and Packaging, Agri Business and Information Technology. The company is committed to create an integrated work atmosphere where in PwD (Person with Disability) work along with regular employees. IIHMR Bangalore is providing technical support to ITC Food in creating a barrier free environment and to overcome their disability to boost their spirit and to have an unstigmatized approach.
Following are the objectives of the project:
- To Identify potential barriers at ITC work environment for person with disability.
- To sensitize the employees and management to circumvent discrimination, exploitation, and exclusion of disabled Staff from all spheres of work.
- To create standard operating procedures for effective delivery of services to disable Staff.
The project aims to provide due diligence through site walkthrough and reporting of structural and other restorations, creation of standard operating procedures and sensitization of employees and management about barrier free environment.
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)
Mr. Rajendra. D (Scientist B)
Location
Tumkur District, Karnataka
India
About The Project
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 towards improving access to healthcare services of an assured quality without the tribal population having to suffer financial hardship because of the existing healthcare systems. 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 Taluka and Pavgada-Intervention Taluka), Karnataka State.
The study is for 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.
Project Title
Impact Assessment of Capacity Building of Programme ATELC – in the State of Kerala
Funding Agency
Tata Education and Development Trust
Project Team
Dr. Shashi Bhaskara Krishnamurthy
Dr. R. Sarala (Co-PI), Dr. Kirti Udayai
Dr. Subodh S Satheesh
Duration
June 2022-August 2022
Location
Kerala
India
About The Project
The assessment aims to examine the impact of the ATELC programme of capacity building on trainees and health facilities across the districts of Kerala. Programme specific objectives are i) To assess the sustainability and scalability of the ATELC capacity-building programme on emergency and trauma care in other geographies and other critical clinical areas ii) To assess the impact of the training programme, viz., coverage of trainees, type of trainees, appropriateness of the training design, knowledge and skill enhancement among trainees, perpetual improvement in the capability of trained healthcare personnel to handle emergency and trauma care, and identify the future training needs among the participants, etc. iii) To assess the impact of the training programme, viz., coverage of trainees, type of trainees, appropriateness of the training design, knowledge and skill enhancement among trainees, perpetual improvement in the capability of trained healthcare personnel to handle emergency and trauma care, and identify the future training needs among the participants, etc. Study Duration: The assessment would be from July 2022 to August 2022. Sample Districts: A total of 3 districts, 1 district in the central, 1 district in the north, and 1 district in the south, with an increased number of trainees, would be selected randomly. The sample size for quantitative data would be collected through a survey of trainees, viz., doctors, nurses, paramedics, master trainers, and simulation technicians. A total of 370 doctors, nurses, paramedics, 23 (33% of 70) master trainers, and all simulation technicians (11 total) would be selected for the assessment using PPS from the selected 3 districts. Qualitative data would be collected through FGDs (9) and KIIs (14) among various programme/key stakeholders at the state, district, taluka, and facility levels, including ATELC.
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 Team
Dr. Usha Manjunath – Programme Director/SBCC Technical Support
Dr. Chethana H S – Health Consultant
Dr. Sarala – HR/Team Building
Project Operations and Liaising
State Level Team
Dr. Deepashree M R - State Coordinator
Dr. Rajeswari B S - Monitoring and Evaluation
Duration
May 2022 to Dec 2022 (Phase 2)
Location
31 Districts of Karnataka through
deployment of District SBCC Coordinators
and Regional Coordinators
About The Project
The 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 and State Governments, 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 to strengthen the technical support for the acceleration of COVID-19 Appropriate Behaviours (CAB) and Vaccination efforts through a focus on Social Behaviour Change Communication and Risk Communication and Community Engagement (RCCE), UNICEF’s Hyderabad field office has partnered with the Institute of Health Management and Research (IIHMR), Bangalore from August 2021, for the 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 the 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 to prevent aneamia, 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 the 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 to prevent aneamia, 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 - 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
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, 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), 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.