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Pre-testing the Creative Routes & IEC Materials of WASH, Child Protection & Nutrition Issues for BCC in Karnataka

Agency:UNICEF, Hyderabad Office, India

Project Team:Dr. Usha Manjunath (Principal Investigator), Dr. R. Sarala, and Mr. Rajendra

Health promotion and health education activities rely on a variety of well designed and effective IEC materials to help ensure success. IIHMR, Bangalore is a technical partner to UNICEF to pre-test the communication package for a) WASH – covering sanitation, hygiene and safe water issues and b) Strategic communication of children covering protection and nutrition issues. The study will include pre-testing of creative routes for communication package on the above two themes. Further, pre-testing of the communication package i.e. prototypes for posters, leaflets, flip books, hoarding, tin plates, wall painting, bus panels etc as well as audio/video spots developed by UNICEF will be taken up. A wide range of audience groups including men, women, children, youth, communities, influencers etc will be included in the study in two divisions of Karnataka, namely Mysore and Gulbarga. Two villages each in Chamarajanagar and Raichur districts of the above respective divisions are selected for the study. The study will use qualitative methods of pre-testing of the communication materials. The study outputs will provide details on awareness, knowledge, liking, preference, conviction and action related information about the IEC materials along with socio-cultural insights to make the package more relevant for and acceptable to the intended audiences.



Monitoring and Verification of Vajpayee Arogyashree Scheme implemented by SAST

Agency:Suvarna Arogya Suraksha Trust (SAST), KHSDRP, Govt. of Karnataka

Research Team:Dr Manoj Kumar Gupta, Dr Biranchi N Jena, Dr Sreenath Reddy, Dr Sarala R, Dr Veena R, Ms Projna S, Mr Angan Sengupta, Mr Syad Ali, Dr Santosh Daddi, Mr Kiran Angadi

For administering the Vajpayee Arogyashree Scheme, Karnataka state has set up a Special Purpose Vehicle (SPV) in the form of “SuvarnaArogyaSuraksha Trust (SAST). IIHMR Bangalore has been identified as a Monitoring and Verification (‘M&V’) agency to support the monitoring and internal controls processes planned by the SAST. The scope of services for this purpose includes Medical Pre -authorizations and Claims Process Monitoring, Death Audits, Verification of camp activities, Random Beneficiary Visits in hospitals, Post-discharge random Beneficiary Visits, Review of Claims and Grievance Data, Special purpose audits of network hospitals, Monitoring of various activities of Call Centre, Monitoring of Aarogya mitras and district Co-ordinators.

Key Words:Vajpayee Arogyashree, SAST, Preauthorization, Claim, Monitoring, Aarogyamitras, Death audit


Monitoring of EHS Services

Agency:Suvarna Arogya Suraksha Trust (SAST), KHSDRP, Govt. of Karnataka

Research Team:Dr Reshmi RS, Dr Biranchi N Jena, Dr S Reddy, Mr Kiran Angadi

The overall objective is to compile all available sources of information related to Emergency Health Services and make an assessment of the availability of Emergency Health Services in Karnataka, including its geospatial analysis using GIS tools. The specific objectives are:

  1. 1.To compile information on existing Emergency Health Facilities in the State.
  2. 2.To map the information on accidents and emergencies available from multiple sources along with health facility, roads and other information.
  3. 3.To analyze the spatial distribution of EHS and to identify the gaps.
  4. 4.Contribute to the analysis of gaps and to help SAST prepare an action plan to address the gaps

In order to compile information on existing Emergency Health Services (EHS) in Karnataka, a review of literature has been done based on all the existing literature on EHS. Based on the existing studies, working definition for Emergency Health Services and Emergency Health Facility was done. The project uses secondary data from various sources like Emergency Management and Research Institute (EMRI), Suvarna Arogya Suraksha Trust (SAST), Directorate of Health and Family Welfare Services, Bangalore, and Survey Settlement and Land Records Office, Bangalore. The secondary data will be analyzed using Excel and necessary tables will be generated. Also, GIS analysis will be done using the package SaTScan. Based on the data analysis and emergency health facility available, hospitals in Karnataka will be categorized based into different levels and accident hotspots as well as the facilities would be plotted into maps.

Key Words:EHS, SAST, SaTScan

Assessment of Nutritional status of adolescent girls in Karnataka

Agency:IIHMR Society, Jaipur

Research Team:Mr Angan Sengupta, Dr Manoj Kumar Gupta, Dr Veena R, Ms An-Lies Provost

This is an internal research grant project allocated by IIHMR society, Jaipur. The objectives of the study are to assess the dietary intake, dietary pattern and physical activity of rural adolescent girls in Bellary district of Karnataka. To assess the dietary intake 24 hour dietary recall, and 3 days dietary recall methods have been used. A interview schedule has been developed to assess the dietary pattern and physical activity.

Key Words:Adolescents, Nutrition, dietary intake, 24 hour dietary recall

Relationship between Employee Engagement, Quality of Life and Performance of RMNCH in PPP PHC and Non-PPP PHC in Bangalore Rural District

Agency:IIHMR Society, Jaipur

Research Team:Dr. Usha Manjunath

India has a long way to go in order to achieve Millennium Development Goals with regional disparities in the performance of PHCs. NHP 2002 and NRHM promoted Public Private Partnership (PPP) to increase the availability and accessibility of health services. The performance of Indian Healthcare in Public Sector is generally evaluated on the basis of various health indicators of the population served by the Primary Health Centre (PHC) from the data of Health Management Information System. There is evidence that suggest the performance of the organization can be increased by having dedicated employees who go an extra mile to do their job and supportive organizational conditions for optimum performance. Hence, this study will investigate these concerns from the perspective of job, employees and organization for better performance.

The study will explore the features of the jobs, employees and the organization that have been identified by research and experts to have influence on the performance of the organization. An in depth qualitative analysis of Primary Health Centre (PHC) operated through Public Private Partnership and those by the government of Karnataka by interviewing different stakeholders (Internal & External) involved in the operation; analyze the input, process, output and outcome of PHCs; assess the level of burnout, Stress, Quality of Life of the employees; to correlate and conclude on the effect of various factors on Reproductive and Child Health (RCH) Program performance. Also, utilization by the community and their satisfaction will be studied by mixed methods using house hold survey and case studies. The study expects to confirm that Employee Engagement, Quality of life of the employees are related to the performance at PHC for more successful delivery of Preventive & Primary Care to achieve Community Health, specifically RCH Program indicators.

Key Words:PPP, Quality of Life, PHC, Reproductive and Child Health (RCH)

NABH Accreditation of Cloud Nine Hospital, Jayanagar, Bangalore

Project Team:Dr Veena R, Dr Sreenath Reddy

This project is to provide assistance in meeting the NABH requirements for Cloud Nine Hospital, Bangalore. The Consultancy is offered in 5 phases.

  • Phase 1: Initial Gap Analysis
  • Phase 2: Awareness Program, System Design and Core Team
  • Phase 3: Documentation and Implementation - NABH
  • Phase 4: Implementation Maturity Measurement
  • Phase 5: Accreditation Assistance from pre-assessment stage to final assessment stage.

Key Words:NABH, Hospital, Cloud nine, Quality accreditation

Base line Study for Strategic Behavior Change Communication Intervention for Maternal Health and Child Development in Karnataka

Agency:  UNICEF, Hyderabad Office, India

Project Team: Dr. Usha Manjunath, Dr. Manoj Kumar Gupta, Dr. Sarala Raju, Dr. Veena R., Mr. Angan Sengupta, Mr. Rajendra. D, Mr Santosh Daddi

Objective of the study

  1. To assess the awareness level about nutrition among adolescents and the practice of menstrual hygiene.
  2. To understand the knowledge, attitude and practice of the community about the disadvantages of child marriage and the health benefits of delaying marriage, first pregnancy and use of spacing method.
  3. To understand the health seeking behavior of women an all aspects of ANC, delivery and PNC.
  4. To assess the knowledge and practice regarding different aspects of new born and child care.
  5. To assess the level of awareness of the community regarding child protection regarding child protection and scheme related to it.

This is a community based cross sectional study for collecting the baseline information as per the indicators; study will be done for a period of 5 months. The study will be conducted in 2 district of Karnataka where one from north Koppal, and another from south Mysore in each district 30 villages are taken where 10 villages will be control, 20 villages will be interventional of that 10 will be implemented from GAARM and 10 from the state government, sample selected based on the probability proportion to size sampling technique. Before commencement of baseline data collection a quick socio demographic survey will be conducted of adolescent girls, pregnant women, recently delivered mothers, mothers of 1 to 5 year children and reproductive age group women. The data will be collected by different household survey tool for different respondents, FGD and in-depth interview. The data analysis will be done using Microsoft excel and SPSS v.16. the survey will  conducted for checking the indicators like % of adolescent girls awareness about nutrition, menstrual hygiene, risk for developing psycho-social abnormalities, health benefits of delaying marriage and first pregnancy.% of ANC coverage, birth preparedness, knowledge about nutrition, misconceptions, health benefits of delaying marriage, % of instutional delivery, level of care % of child immunization, women following hygiene practices. Knowledge about violence and abuse, level of awareness and usage of social welfare, awareness about disadvantages of early marriage will also be assessed.

Keywords: nutrition, health seeking behavior, ANC, PNC, Adolescents, Pregnant women, Child protection

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.