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Research Projects Ongoing

Monitoring and Evaluation Technical Assistance for Strengthening Health of the Rural Poor (METASHARP)
Agency: Ministry of Public Health, Afghanistan
Project Team: S.D. Gupta, L.P. Singh, Anubhav Agarwal, Rajpal Singh Yadav, Suhail Ismail Sheikh, Gowtham Ghosh B
Under the METASHARP contract between the Ministry of Public Health (MoPH), Islamic Republic of Afghanistan and the Johns Hopkins School of Public Health (JHSPH), USA, JHSPH is carrying out four rounds of National Health System Performance Assessment of all health facilities including the district hospitals, comprehensive health centers, basic health centers, sub-centers and health posts in all provinces of Afghanistan. In addition, two rounds of national household surveys and drug quality assessment is also being undertaken. Technical support is being provided to the Provincial Health Offices and MoPH to enable them to play a greater role in data analysis and monitoring and evaluation activities.

The first and second round of National Health Services Performance Assessment has been completed and the Balance Scorecard report 2011-12 will be provided in April 2012.

Future Health System Research Program Consortium (FHS)
Agency: DFID, UK
Project Team: Barun Kanjilal, Pratishtha Sengupta (Consultant), Debjani Barman, Upasona Ghosh, Arnab Mandal, Shibaji Bose (Consultant), Lalitha Swati , Rohit Jain
The Future Health System research project in India was initiated by IIHMR in 2006 as part of a Research Program Consortium led by the Bloomberg School of Public Health, the Johns Hopkins University and in partnership with six other institutions across the world. The primary objective of this project was to prepare a knowledge base on which an appropriate strategy for a more equitable health system would be developed. The project ended in December, 2010.

The project consortium has again received a grant from DFID to continue its work for another five year period (2011-2016) with an additional inception phase of 7 months (Jan to Sept, 2011). Accordingly, a comprehensive research plan was prepared by IIHMR’s FHS team in this inception phase to initiate research in the Indian part of the Sundarban to improve the health service delivery system in this area. At present, preparation for a set of baseline studies is going on. The studies will be carried out in one block of the Sundarban (Pathar Pratima). The main purpose of these baseline studies is to explore the demand, supply and institutional aspects of child health care in the climatically-vulnerable areas of the block. Data for these studies will be collected from March, 2012 through June, 2012. Several study reports, research briefs, working papers and published journal articles have so far been produced by the FHS (India) team. See http://www.futurehealthsystems.org/India for these products.

Financial Resource Flow for Population and AIDS Activities -2010
Agency: NIDI, Netherlands
Project Team: Anoop Khanna, Ajay Sharma, Manu Gupta
The Resource Flows (RF) is a joint collaboration between UNFPA, Netherlands Interdisciplinary Demographic Institute (NIDI) and IIHMR. The broad objective of the project is to monitor the flow of financial resources in the developing countries, in pursuance of the ICPD commitments. The data includes income from domestic and donor sources as well as the domestic expenditure incurred by the countries. The data is collected through mail surveys and analysed on an annual basis. This year, the survey included 57 countries.

The database is managed through SQL servers established at NIDI, and is being accessed though web-based remote access method. Data on donor assistance and domestic expenditures for population and AIDS activities in developing countries/countries in transition are disseminated by means of different publications. Financial Resource Flows for Population Activities Report (FRFPAR) is the most comprehensive publication of the RF project and is annually published by UNFPA. The project also publishes RF Newsletter, which was initiated as a tool to inform the public about resource tracking for population and AIDS activities in general and the role of the RF project in particular.

Developing Country Study for Reproductive Health Financing in Bangladesh
Agency: NIDI, Netherlands
Project Team: S.D.Gupta, Anoop Khanna, Manu Gupta, Ajay Sharma
In light of the increasing attention for health financing as a vital component of health system strengthening for better SRH/MNCH outcomes, an effort is being made to develop a prototype of study on reproductive health financing in various countries. The study is initially being carried out in Bangladesh. The assumption is that SRH/MNCH related policy making, budgeting and planning by governments and other stakeholders at the country level would benefit tremendously from having available quality periodic reports that compare the health sector funding needs with the allocation of resources, actual expenditure and distribution of resources as well as projected availability of resources. These reports would respond to critical questions relating to the match between SRH/MNCH policy priorities and actual expenditure, the predictability of funding for different SRH/MHCH components and the availability of funds across the different levels of the health system.

Food Fortification Integrated Program Strategy in Rajasthan
Agency: Global Alliance for Improved Nutrition (GAIN)
Project Team: Dhirendra Kumar, Suresh Joshi, Jatinder Bir Singh, Rajeev Baghel, Sumita Mathur, Smita Verma, Dushyant Mishra, Ganga Prasad Sharma, Suhas Khedkar
The project aims to reduce the prevalence of micronutrient deficiencies in the State. The objective is to reduce micronutrient malnutrition in the state by making available fortified wheat flour, oil, milk and soyadal analogue through both the open market and government distribution channels.

The Project will also focus on ensuring that the fortified foods are sold through open market channels and also distributed through the Public Distribution System and through other public funded programs, such as the Integrated Child and Development Scheme and Mid-Day Meal programs. The core project components are: production and distribution, social marketing and communication, legislation and quality control, monitoring and evaluation and project management unit. A Project Management Unit (PMU) is set up at IHMR for the implementation of the project. The project has now launched the fortified wheat flour and oil through open market channels.

Strengthening of HMIS in Bihar
Agency: UNFPA
Project Team: Santosh Kumar, Rajeev Kamal Kumar, S.P. Chattopadhyay, Tukaram Khandade, Sudeep Sharma, Shashi Ranjan, Md. Aftab Rahmani, Karuna Shankar, Vikas Kumar Singh, Priti Kumari, Tarun Kumar Singh, Bimlesh Kumar Sinha
Health Management and Information System (HMIS) is one of the critical elements of managing various public health programs under the Department of Health. Properly organized, implemented and used, it can contribute significantly to improving program performance. To ensure quality of data recording, analysis and use for decision-making, the Government of Bihar through UNFPA has entrusted IIHMR, Jaipur to undertake capacity building of health staff at different levels on HMIS including basic training and follow-up to ensure implementation of HMIS.

In Phase-I of the project (Oct, 2009 to Sep, 2011), a total of 17,943 health personnel were trained on HMIS including ANMs, LHVs, BHMs, BAMs/ BHEs, DEOs, MOICs, CSs, ACMOs, DTOs, DPMs, district M&E Officers and State Resource Persons. They were trained in 459 batches. Analysis of the HMIS data from the web-portal before and after the project implementation period showed improvement in the quality of HMIS data in terms of timely reporting, completeness and increasing trend in qualifying validation checks.

After the successful completion of Phase-I, the next phase of the project was initiated in October 2011. The specific objectives of Phase-II of the project are: to build the capacity of Regional M&E Officers, Regional M&E Supervisors, District M&E Officers, BHMs, and DEOs on data analysis; to oversee the quality of data (correctness and completeness) generated at different levels (HSC, PHC, District and State); to facilitate use of data in planning, monitoring, evaluation and decision making; and to establish a system of feedback and suggest measures for improvement at different levels.

Technical Support for Improved delivery of Comprehensive package of Health Services for the Urban Poor

Agency: USAID India through Population Foundation of India, New Delhi
Project Team: B.S. Singh, Peter Joseph Trinidad
Health of the Urban Poor (HUP) program is being implemented by Institute of Health Management Research, Jaipur in two empowered action group (EAG) states i.e. Rajasthan and Chhattisgarh. The HUP aims at improving the health status of the urban poor. The program is supported by the Government of India and funded by the United States Agency for International Development (USAID), India. IIHMR launched the HUP program on 27th September 2010. The tenure of the program will come to an end in September 2013.

Rapid industrialization has resulted in the creation of slums and shanty towns around major industrial hubs and large cities in Rajasthan and Chhattisgarh. The living conditions in the slums and other complementary issues, like inadequacy of potable drinking water, lack of sanitation, housing and poor access to health services make people living in urban slums more vulnerable to several health risks.

Shortfall in the supply of safe drinking water, inadequate storm water drains and underground sewerage and solid waste management systems are some of the immediate challenges that the states face. To address the above-mentioned issues, the state governments and many other agencies have been working continuously in joint ventures to provide basic amenities to the poorest of the poor.

The objectives of the program are:
  • to provide quality technical assistance to the Government for effective implementation of the proposed National Urban Health Mission (NUHM) and ongoing urban health component of the NRHM;
  • to expand partnerships in urban health including engaging the commercial sector in PPP activities;
  • to promote the convergence of different Government of India’s urban health and development efforts; and
  • to strengthen urban planning initiatives through evidence-based city-level demonstration and learning efforts.

Health of the Urban Poor (HUP) program emphasizes institutional convergence of various development programs of urban areas like urban health component under National Rural Health Mission (NRHM), Jawaharlal Nehru National Urban Renewal Mission (JNNURM), drinking water and sanitation and ICDS-Nutrition. The program facilitates the state governments in improving accessibility and availability of the health and health determinants to the urban poor.

External Assessment of the Access and Quality of ICDS Services
Agency: Department of Women and Child, Government of Rajasthan and UNICEF
Project Team: Neetu Purohit, Dipti Govil, Rakhi Mathur, Rohit Jain, Manoj Soni
It is well recognized that ICDS scheme has not been able to bring remarkable changes in the nutrition status of its target beneficiaries. If the reach and quality of the services are to be improved, the gaps have to be indentified and rectified.

In view of the above, Department of Women and Child Development is of the opinion that a periodical assessment of the ICDS services in the state should be done to identify the loopholes so that timely measures could be taken to improve the services.

IIHMR is conducting the periodical assessment to assess the reach and quality of the services as per defined ICDS indicators and to identify the gaps in the implementation of the services and provide suggestions and recommendations for improving them.

Preparation of Village Water Security Plan in Ajmer, Bikaner and Jaipur Regions
Agency: Public Health Engineering Department, Government of Rajasthan
Project Team:Goutam Sadhu, Monika Chaudhary, S.M. Gupta, Parvinder Sharma, Prince Purohit
The objectives of the project are to develop Village Water Security Plans to ensure household water security through community participation; to promote conjunctive use of water sources; and to promote differential use of water sources based on quality and involve the community in planning, sharing cost, executing, owning, running, operating, maintaining and augmenting on a sustainable basis. The project is being conducted in three regions in Rajasthan, namely Ajmer, Bikaner and Jaipur

Capacity Building Preparation of IWRM Plan and Facilitation of Plan through Panchayati Raj System
Agency: State Water Resource Planning Department (SWRPD), Government of Rajasthan under EU-SPP (European Union —State Partnership Program)
Project Team: Monika Choudhary and Prince Purohit
The project is being carried out in Sanchore and Bhinmal blocks of Jalore district, Didwana and Ladnu blocks of Nagaur district and Desuri block of Pali District. The objectives of the project are to build the capacity of the VWHSC members and other community members to prepare a GP level IWRM plan and facilitate them for the implementation of IWRM plan through PRI/ Water user groups. The plan will be prepared on the basis of primary data generated through PRA, FGDs and transect walk and secondary data collected from different concerning GOs.

Double Blinded Randomized, Placebo Controlled Field Trial to Assess Efficacy of Aquatabs NaDCC Tablets to Prevent Diarrheal Diseases
Agency:London School of Hygiene and Tropical Medicine (LSHTM)
Project Team: L.P. Singh, Vinod Kumar S.V.
The aim of the project is to investigate the efficacy of chlorine tablets in improving water quality and preventing diarrhoeal diseases in Orissa.
IIHMR, Jaipur is engaged as the local research partner in this study to undertake process evaluation of program implementation, data quality control, cost effectiveness analysis and assessment of the impact in terms of the number of episodes of diarrhoeal diseases averted.
The trial has been completed by the field teams of LSHTM and cost effectiveness analysis would be undertaken by IIHMR once the cost related data are provided by the implementing partner.

Baseline and Endline Survey for a Pilot for Ensuring Rights to Girl child through Birth Registration in Rural and Urban Areas
Agency:Plan India, New Delhi
Project Team: Nutan Jain
The project focuses on the poor and vulnerable children especially the girl child of the deprived sections of society to obtain identification through birth registration. The children below 10 years of age are covered for birth registration under the National Campaign. The project also tries to link issues of child rights violation with birth registration and certification.

IIHMR provides support to Plan India and the partner organizations in Rajasthan and Delhi for baseline and endline surveys, process documentation, conducting workshop with stakeholders and noting paper on sex ratio at birth. The baseline survey aims at providing current status of the birth registration among girls in the intervention areas: The objectives of the baseline survey are as follows:
  • to assess the level of birth registration of girls below 14 years of age which can be used to compare at the end of the project duration;
  • to compare birth registration level with the government data in selected districts;
  • to know the level of awareness of birth registration, especially for girls at the community level;
  • to understand the service providers, perspectives on girl child registration; and
  • to suggest alternative strategies

The baseline survey shows that awareness of birth registration was as low as 34 percent in West Delhi and Bharatpur. It was found that girls were always deprived of birth registration and birth certificates. In Rajasthan, there was four percentage point difference between birth registration of girls and boys. In North-East Delhi the scenario was different due to Laadli Scheme. Key messages were identified to create awareness.

Tabari Ri Pehli Pehchan': Mobilizing Civil Society for Ensuring Birth Registration of Girl Children in Rural Rajasthan
Agency: Plan India, New Delhi
Project Team: Nutan Jain, Vidya Bhushan Tripathi
The overall objective of the project is to promote universal registration and provision of birth certificates to the girl child as a tool for ensuring the right to survival, protection and identity. The project seeks to accomplish this by empowering gram sachivalaya for facilitating birth and death registration coverage of children, with focus on girl children, in select rural areas of Rajasthan and to help GoR in distributing birth certificates to the children. The potential role of gram sachivayala in birth registration included the following:
  • Taking BR issues in their agenda and discussing them in meetings
  • Facilitating the process
  • Monitoring and supervision of birth registration
  • Facilitating coordination among various stakeholders

The project is implemented by district level partner organizations in seven districts of Rajasthan (Bhilwara, Bikaner, Churu, Jodhpur, Karauli, Nagaur and Pali) and the partner organizations celebrated National Girls Child Day (January 24) to advocate the issue at various levels. A child protection unit has been established in every district under the administrative control of the Collector. Following the state level workshop by IIHMR, the partner organizations coordinate with such units in their respective districts. Only daughters’ parents are focused so that they can avail themselves of government schemes which promote the girl child.

Developing Training Manual for CRS
Agency: UNICEF and Office of Registrar General of India, New Delhi
Project Team: Civil Registration System (CRS) hierarchy is not uni-linear i.e. officers at different levels are drawn from one or more departments of the State Government. It is an absolute necessity to equip functionally the personnel engaged in registration work at different levels on various aspects of civil registration. The level of efficiency varies within and across the states in the country. On overall measures, some states have been performing better than others. Therefore, continuous training to registration officials is one of the important elements not only to ensure that the registration improves in terms of coverage but also in terms of efficiency of delivery of services, records keeping, and submission of data. The main objective of having this manual is to bring in uniformity and optimality in the training Programs for all stakeholders across different states /UTs.

The aim of developing a uniform and comprehensive training manual for training the registration officials is to strengthen the CRS across the country. The manual will be used as a guiding material for imparting training in both the better performing states and the poor performing states and as a tool to help sustain the hundred percent registration level achieved by states like Kerala, Himachal Pradesh and Punjab. Using a single manual across all levels will help usher in uniformity of concepts.

HealthCare Reforms for Police Personnel and their Families in Rajasthan
Agency: ICMR, New Delhi
Project Team: PI: Dr. Bhupinder Singh (IG, RPA), Co-PI: Dr. Alok Mathur, Lokesh Chaturvedi (RPA)
The objective of the project is to establish a dedicated Health Resource Centre and Helpline (HRC&HL) to provide preventive and counseling services to police personnel and their family members. The project also focuses on assessing the treatment seeking behavior of police personnel and to conduct periodic evaluation of the level of stress, health status and prevalence of substance use on random basis.

The Health Resource Centre and Helpline have been functional since June 2011 on the premises of Rajasthan Police Academy, Jaipur. For the promotion of HRC&HL, IEC material like posters, pamphlets and stickers were distributed to all the 33 districts of Rajasthan. Besides this, the team went to different districts and made multimedia presentations for different cadre of police personnel at police lines, police stations, SP offices. So far 717 police personnel have been registered with the helpline from the level of Assistant Superintendent Police, Dy. SP, and Inspector to constable. A majority of the queries are from the police personnel who are in the age group of 18-40 years.
The queries are related to gastro-intestinal disorders, heart problems, skin VD, HIV and AIDS, central nervous system diseases, gynecological and endocrinal disorders and lung diseases. The project team is constantly counseling them and developing IEC material to inform police personnel about the prevention, care and treatment of specific diseases.

Impact of the Internet Use on Behaviour, Well-being and Development of Urban Adolescents in Rajasthan
Agency: Indian Council of Medical Research
Project Team: A.K. Mathur, Anoop Khanna, Shilpi M. Sharma, Kanika Pawar, Gunjan Mishra, Shruti Tak, Snighda Pareek, Aditi Vyas
The objective of the study is to assess the gratifying factors for adolescents that result in consistent use of social networking sites and other commonly accessed websites on the Internet. The study also aims to understand the perspective of teachers, parents and cyber cafe owners on the use of the Internet by adolescents.
The study was started in July 2011. Five districts of Rajasthan viz. Jodhpur, Udaipur, Kota, Ajmer and Jaipur were identified. The team has used both quantitative and qualitative tools to collect the primary data from students (schools and colleges), parents, teachers and cyber café owners. The tools include self-administered questionnaires, IDIs, FGDs, and case studies. They have captured the factors which are essential to assess the impact of the internet on behavior, development and well-being of adolescents. The primary data collection and data entry have been completed. Software package used for the study has been developed by the IT department of IIHMR, Jaipur. Data cleaning along with the finalization of qualitative data which includes focus group discussion reports while case studies are in process.

Rational Deployment of Health Infrastructure and Health Human Resources in India
Agency: Indian Council of Medical Research
Project Team: Neetu Purohit, Nutan Jain, Priyanka Bakshi, Sonia Luna, Lalit Mohan Nayak
The overall objective of the study is to understand the deployment and distribution of health human resource in rural Rajasthan with respect to RCH-II and identify the factors which affect availability of the resources and utilization of the services. The specific objectives of the study are to review the existing policies used for deploying and development of the human resources at various health facilities in rural areas and the distribution and availability of human resources for health in the government health facilities in rural areas and the factors which affect availability of the healthcare staff.

Utilization of Emergency Contraceptive Pills among Rural and Urban Women in Rajasthan

Agency: Indian Council of Medical Research
Emergency Contraception Pill is a back-up birth control method that is used within days of unprotected sex or in the event of a known contraceptive failure. It is not intended for use as a regular contraceptive method. The overall objective of this research is to understand the pattern of the use of emergency contraceptive pill and associated psycho-social determinants among rural and urban women of Rajasthan. The specific objectives of the study are to assess the level of awareness and knowledge of the women about emergency contraceptive pill; the utilization pattern of these pills and perceived immediate and prolonged health effects; the facilitating and hindering factors influencing their availability, accessibility, acceptability and affordability; and the role of mass media in dissemination of information and knowledge.

Migration, Poverty and Access to Health Care: A Multi- Centric Study on People’s Access and Health System’s Responsiveness in Fast Growing Smaller Cities
Agency: Indian Council of Medical Research
Project Team: Anoop Khanna, Soibam Nepola, Shatabadi Bagchi
The objectives of the study are to assess the migrants’ healthcare access in the vulnerability context of migration and livelihood insecurity, and to understand the factors (individual/community/system-level) affecting the migrants’ access to healthcare services. The study will also identify key points to develop an intervention to improve healthcare access to the socio-economically disadvantaged migrants. The ultimate aim of the study is to develop and test a supportive strategy of healthcare, which would achieve the desired levels of accessibility and delivery of health care services to migrants living in fast growing smaller cities in India. The study area for this research is Jaipur, the capital city of the State of Rajasthan.
Both qualitative and quantitative research methods are being used. Qualitative data pertaining to socio-economic and demographic details and healthcare seeking behaviour are collected through pre-tested, interviewer administered questionnaires. Qualitative methods with grounded theory approach are used to understand the community migrants’ perspective (perceived needs, barriers and facilitators in accessing healthcare services and their relevance) and in identifying the existing communication channels and their utilization pattern among these migrants.

Evaluation of Demand Side Interventions for Revitalization of Post-Partum Family Planning in Bihar
Agency: JHPIEGO
Project Team: L.P. Singh, Vivek Lal, Vinod Kumar SV, Dinesh Chandra
JHPIEGO is working to strengthen Postpartum Family Planning/Postpartum Intrauterine Contraceptive Device (PPFP/PPIUCD) services at two state level facilities in 16 states of India, as a part of the Government of India’s program for the introduction of PPIUCD services in the country.
The two focus districts of Bihar for the introduction of these services are Begusarai and Darbhanga. As part of establishing a comprehensive service delivery model JHPIEGO will undertake both supply-side and demand-side interventions. The supply-side interventions will include clinical training of providers for supporting the implementation of PPIUCD standards in district hospitals and sub-district level targeted public health facilities. In addition, JHPIEGO, through training and other meetings, will work to positively influence the attitude of service providers-doctors and nurses-to PPFP/PPIUCD services in order to encourage their involvement in the promotion of these services in their respective facilities. On the demand-side interventions, ANMs and the accredited social health activists (ASHAs) of the targeted facilities will be trained to raise awareness of the importance of PPFP/PPIUCD services.
This study was aimed to conduct an independent baseline and endline assessment of JHPIEGO’s Revitalization of Postpartum Family Planning in Bihar in the districts of Begusarai and Darbhanga. The following were the objectives of this study:
  • to study knowledge and attitude of service providers (doctors and staff nurses based at the facilities) on postpartum family planning
  • to conduct survey of knowledge, attitude and behavior of community-based workers (ANMs, ASHAs and MAMTAs) on postpartum family planning
  • to study awareness of postpartum family planning among the postpartum women

The baseline assessment was carried out by Institute of Health Management Research (IIHMR), Jaipur during October - November 2011.

External Monitoring of MCHN Sessions
Agency: Directorate of Medical, Health and Family Welfare, Government of Rajasthan
Project Team: Suresh Joshi, N.D. Sharma, Shivani Singh
The Department of Health and Family Welfare, Government of Rajasthan is implementing MCHN program in the state. In order to further strengthen the outreach services provided through the MCHN session, regular monitoring by the supervisors of the system is one of the main activities. However, it was felt that support from an external agency on identifying key techno-managerial weakness and strength would further boost the implementation of MCHN services. It is in this context that IIHMR, Jaipur with the help of dedicated professional staff and a group of six external monitors undertakes continuous external monitoring of MCHN sessions in three NIPI focused districts of Rajasthan (Alwar, Dausa and Bharatpur) every week in randomly selected planned MCHN sessions.
  • To assess the preparation of immunization/MCHN session done at PHC/SC
  • To assess the organization of immunization/MCHN session at the session site
  • To understand the users’ perception on immunization/MCHN services provided at the session site
  • To undertake a gap analysis and prepare a monthly fact sheet

Monitoring is conducted on every working Thursday of each month. A total of 72 sessions are observed every month by the external monitoring team. In order to assess the community reach ten eligible children (0-2years) for immunization are surveyed from every third village selected for session observation. Based on the detailed analysis of identified indicators, a fact sheet is prepared and forwarded to the Department for further action.

Asia Region Capacity Development for Research on Social Determinants of Health (ARCADE- RSDH)
Agency: Karolinska Institute, Sweden
Project Team:
The ARCADE project uses innovative educational technologies to strengthen health research across Asia. Focusing on post-graduate, doctoral and post-doctoral training, partner institutions are developing cutting-edge online courses, blended learning modules and joint Programs that will enable training of researchers in low- and middle-income countries who might not otherwise have access to such material.

In Asia, ARCADE’s focus is on building capacity for research into social determinants of health (RSDH). An individual’s health depends heavily on the social and physical environment they inhabit, and health disparities are often symptomatic of wider social inequities. This is particularly challenging in Asia, home to some of the largest societies on Earth.

The project is coordinated by Karolinska Institute in Sweden, involving twelve partners across Europe and Asia, including IIHMR. These four-year projects (2011-2015) are funded by the European Commission’s 7th Framework Program.

The project is now at its inception phase. The first meeting of the consortium was held in China in December, 2011. Dr L. P. Singh attended this meeting on behalf of IIHMR.

Endline Household Survey for Voucher Scheme in Districts of Almora and Udham Singh Nagar of Uttrakhand
Agency:Futures Group, Gurgaon
The voucher scheme has been designed to improve access to maternal and child health services including contraception among BPL families. The voucher scheme was implemented on a pilot basis in two blocks of Hardwar district during May 2007 —March 2009. Encouraged by the success of the scheme, it was decided to scale it up in all the blocks of Hardwar and four more districts —Dehradun, Udham Singh Nagar, Almora and Nainital. The scheme was implemented in April 2009. Since the Innovations in Family Planning Services -II Technical Assistance Project (ITAP) is in the concluding phase, it has been decided to conduct an end line survey for the voucher scheme in Almora and Udham Singh Nagar. IIHMR is carrying out the end line survey.
The major objectives of this end-line survey are to:
  • assess the access to and utilization of antenatal, natal and postnatal care services and child health care practices by BPL and Non-BPL couples;
  • understand the knowledge and practice of family planning methods, especially through VS;
  • assess the potential demand for contraception;
  • assess the awareness of SAMBHAV voucher scheme and utilization of services provided under the scheme.

Impact Assessment of Street Plays on Family Planning in Jharkhand
Agency:Futures Group
Project Team: Neetu Purohit, Lalit Mohan Nayak, Sonia Luna, Praful Kumar Barla
Jharkhand recognizes that a healthier and smaller population is crucial to ensuring overall socio-economic development in the State. Its family planning strategy is to reduce the TFR from the current estimated level of 3.2 to 2.1 by 2020 and increase modern CPR from about 31 percent to 54 percent by 2020.

In this direction, between June 2010 and December 2011, efforts to increase the demand for family planning in the State in 3 selected districts, namely Simdega, Giridih and Chaibasa, were initiated. One of the strategies to increase awareness of and demand for family planning services and products along with creating an enabling environment and changing attitudes towards contraceptives, a mid-media campaign was launched. Under this campaign 150 street plays were conducted in the three selected districts. The assessment is being carried out to evaluate the short and intermediate term outcomes of the street play campaign and to know whether the communication ’touches’ the intended audience and creates an impetus for behavior change. It will be used as a monitoring device to inform and refine the intervention (approaches) as it progresses and to document the process.

Assessment of Support to Marie Stopes by BRACE in UP and Rajasthan

Agency:BRACE, Hongkong
Project Team: S.D. Gupta, Anoop Khanna, J.P.Singh, Laxman Sharma, Arindam Das
The MSI projects, “Expanding access to quality Sexual and Reproductive Health (SRH) services in Rajasthan and Uttar Pradesh” envisages enabling a greater number of people to have children by choice and not by chance. The project is supporting government sterilization camps as well as organizing MSI’s own “choice camps” offering long-acting and permanent methods of family planning in collaboration with state governments. MSI is working to increase the number of clients by organizing additional government camps in coordination with the state government to utilize available infrastructure in the district hospitals, other government hospitals, CHCs/ PHCs in the districts for Choice camps arranged by MSI utilizing its own medical team or network of private providers. Since the project has completed one year of its implementation, an assessment was required at the end of the first year. This report presents the findings of assessment carried out by the consultants. The assessment covered the two project states, Uttar Pradesh and Rajasthan. The assessment was conducted in the Nagaur district in Rajasthan and Bareily district in Uttar Pradesh. It covered the following aspects:
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Phone(s) - +91-141-3924700, 2791431-32 Fax - +91-141-3924738 Email : iihmr@iihmr.org Last updated on 13-05-2013