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Pain Areas of using HMIS among Healthcare Professionals and Hospitals compliance to Standards of GOI

Project team: Mr.kanagaraj.K, Dr Jyoti

World Health Organisation (WHO) in 2007 identified Health Management Information System (HMIS) as a key building block of health system. In India, the emphasis has been laid on creation and utilization of an effective HMIS system under the National Rural Health Mission (NRHM), flagship healthcare program under the Ministry of Health and Family Welfare. Since NRHM’s inception in 2005, several mechanisms have been put in place to improvise and strengthen its functioning. One of these efforts includes revision and simplification of existing HMIS to avoid duplication. Secondly, a national web-based HMIS portal was set-up in 2008 for collection and sharing of data in a timely manner. The focus of these activities under National Rural Health Mission was to emphasize upon local planning and use of evidence during decision making.

To connects this to hospitals, GoI had laid down the guidelines of EHR standards on how that can be integrated to the national HMIS for data sharing .This project is under Digital India.We in our study would like to evaluate the readiness of the hospitals to share data ( by checking if they are following the standards laid by GoI) and also understand from the stakeholders why there is so much of reluctance on adapting the HMIs or EHR standards. The outcome would help us to determine what steps can be taken to ensure that hospitals adapt HMIS and EHR and interoperability is established.

As this relatively very new and the guidelines have been rolled out only this year there has been no study done to check the compliance of the EHR and HMIS. On the pain areas of HMIS and EHR there have studies in the US and Europe but not in India. There is significant literature available when it comes to HMIS in public health domain but not in hospital setup. This indicates that there is research gap which can be fulfilled our study. In order to cover this Gap we have decided to carry out this study. The main Objectives being a) To study the pain areas on using HMIs among physician & Nurse and administrative perspective. B) To check the compliance level of the HMIS as per the recommendations of GoI EHR standards 2017. With the outcome of this research , we would be able to help the hospitals is assessing themselves and create a base and a bench mark where they have to reach with a road map. This would also help in taking right decisions in terms of It in hospitals.

Baseline Evaluation Proposal for Sriganganagar NCD Project

Agency: Piramal Swasthya Management & Research Institute

Project team: Dr Manjunatha R, Dr Sameer Phadnis, Dr Piyusha Majumdar

Research team of IIHMR Bangalore & IIHMR Jaipur are jointly conducting this baseline evaluation study related to Non-communicable diseases & its risk factors. Piramal Swasthaya is providing preventive and medical care for the non-communicable diseases in 6 blocks of Sri Ganganagar district, Rajasthan through mobile medical units. As part of its service provision, Piramal is providing basic health care services, screening of NCDs, Laboratory treatment, provision of medicine and referral etc. This baseline research study ongoing over 02 months, would collect both primary and secondary data to understand the current prevalence of selected NCDs viz Hypertension and Type II Diabetes, knowledge about NCDs and its risk factors in the project area, socio-demographic profile of people living in the project area along with mapping of available health care services for NCDs and potential stakeholders from the community for their involvement in the project area.

A Study on Social Support and Quality of Life (QOL) of Elderly Population in Rural Areas of Devanahalli, Bengaluru Rural District, Karnataka

Agency: IIHMR University

Project tam: Dr Manjunatha R

This is a cross sectional study, designed to be conducted over a period of 01 year at selected rural villages of Devanahalli taluk, Bangalore rural District. Ageing is inevitable, biological and outcome of certain structural and functional changes taking place in different parts of the body as life progresses. Reduced Social support plays a critical role in the lives of aged individuals; it becomes extremely significant resource as they age. This study will assess social support mechanisms and Quality of Life (QOL) of elderly population, along with their chronic diseases morbidity profile, in a rural setting which is a less explored and published area in our Indian Context.

Assessment of Patient Safety Culture in Healthcare Organisations: A Study in Karnataka, India

Agency: IIHMR University Society, Jaipur

Research Team: Dr Veena R

Hospitals are striving hard to retain and expand the patient base, and improve the satisfaction among their healthcare service consumers in this cut-throat competitive environment. In this regard, healthcare organisations have been striving continually to improve patient safety and quality, and there by patient satisfaction and retention. Surveys on patient survey culture will help the hospitals to assess the current status of patient safety culture, identify strengths and areas for improvement and raise staff awareness about patient safety. This study is undertaken to assess the hospital staff perception on the existing patient safety culture in the healthcare organizations and analyze the current patient safety cultures in the healthcare organizations.

Key Words: Patient safety culture, Survey, Staff Awareness, Perception

Pre-testing of IEC Materials on Nutrition Intervention (MIYCN) for Behavioral Change Strategy in UP and Bihar”

 Agency: Alive & Thrive

Project  Team: Dr. R. Sarala (Principal Investigator), Dr. Usha Manjunath, Dr. Pradeep Panda, Dr. Veena Nair, Mr. Rajendra

A well designed IEC material is essential for any health promotion activities and for effective intervention to bring about appropriate behavior change among the target population. IIHMR Bangalore is a technical partner to Alive and Thrive to pre-test the communication package on Maternal and Child Nutrition. The study will be carried out in Nalanda District in Bihar and Gardoi District in UP. The study will pre-test both print materials such as Family Calendar, Job Aid (Reminder Card), Flipcharts and Flyers and Videos. The audience for pre-testing the IEC materials includes Pregnant Women, Husbands, Mother-in-Laws, Father-in-laws, RMPs, Community Leaders, Private Doctors/Chemist, Religious Leaders, ANMs, ASHAs, AWWs, SHG members, Village Elders and GP heads.  Qualitative methods viz., FGDs and IDIs would be adopted to pre-test the IEC materials. The study aims to provide inputs related to understanding of message by the audience, appropriateness and effectiveness of the materials, likes, dislikes and cultural insights to make materials more relevant and acceptable to the intended audiences.

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 (Principal Investigator), Dr. Usha Manjunath

The study will be carried out over a period of 2 years and in three phase’s viz., with Baseline, Intervention and End-line evaluation. The project aims to empower and engage various stakeholders 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 would be the key change agent by creating awareness and supporting the mothers of under-five children. The study focuses on particularly vulnerable group viz., Irulas from Thiruvallur district of Tamil nadu & Jenu Kuruba from Mysore District of Karnataka. Using mixed methods, the study will measure 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.

Participatory Action Research on Interventions to Support Deaf Young People, Karnataka

Agency: Deaf Child Worldwide (DCW), International Development Agency of the National Deaf Children’s Society (NDCS), London, UK in collaboration with IIHMR, Kolkata

Project Team: Dr. Usha Manjunath, Mr. Syed Ali and Mr. Mahadev Prasad

Keeping in view with DCW’s mission ‘to remove the barriers to the achievement of deaf children throughout the world’ and strategies ‘empowering families to achieve the best outcomes, innovating new approaches to the development of effective communication and challenging social attitudes’, the present project in collaboration with Samuha, an NGO in Koppal in Karnataka is a Participatory Action Research on interventions to support Deaf Young People (DYP).

The research aims to produce a robust body of evidence to demonstrate the changes in the lives of DYPs through DCW’s interventions and arrive at a model based on good practices in the field including strategies, project experience and tools. Participatory Action Research methodology would also help identify challenges and gaps in the current programmes and provide recommendations for effective planning, implementation and replication of interventions on improving the quality of lives of DYPs. In a span of 18 months, the project will carry out ‘Reflective Sessions on Individual and Organizational Purpose’, train the DYPs on Action Research in partnership with Samuha, develop and implement the Action Research Model in Koppal for DYPs. The research would provide evidence on programme effectiveness that DCW and its partner organizations (Samuha, in Karnataka) could use in policy development and intervention strategies in the future. The learning could be used to advocate for change at local, regional, national, and international levels.