Gaps and Gains: Citizen s Reports on Health Programmes Implementation in India

Size: px
Start display at page:

Download "Gaps and Gains: Citizen s Reports on Health Programmes Implementation in India"

Transcription

1 Gaps and Gains: Citizen s Reports on Health Programmes Implementation in India Organized by Centre for Health and Social Justice and School of Public Health, SRM University, Chennai With support from UNFPA 16 th September 2011, Indian Social Institute, Lodhi Road, New Delhi-17 Organized by CHSJ, SRM and UNFPA Page 1

2 Content 1. Introduction a. Background of the workshop b. Role of each research 2. Introduction to the workshop a. Welcome address b. Objectives and agenda c. Inaugural and keynote address 3. Sharing of research a. NRHM and access to health services among socially excluded communities b. Improving access and quality of health services c. Increasing communitisation d. Interface/linkages of ASHS with community and services 4. Next steps and way forward 5. Annexure 1. Agenda 2. RAHP study partners 3. Key findings of the research 4. Participants list Organized by CHSJ, SRM and UNFPA Page 2

3 Introduction Background of the workshop The Centre for Health and Social Justice (CHSJ) has been facilitating a process of annual feedback on the National Rural Health Mission (NRHM). CHSJ has prepared two citizen s reports on the NRHM (2006 and 2007) and a set of Rapid Appraisal Studies (2009) and these have been shared at National Stakeholders Consultation which have been attended by bilateral organizations, UN agencies, Civil Society Organisations from across the country as well as the Government, and very well received. It has been acknowledged by the Government that such independent feedback is important and essential for understanding the process of implementation and for mid course corrections. Continuing the process, for the year , CHSJ with support from UNFPA and in collaboration with the SRM University, Chennai conducted a Capacity Building programme aiming to build capacity in the civil society sector (NGOs) in India so that they are better equipped to conduct rapid assessment of the implementation of different components of NRHM in different parts of the country (RAHP II). A total of 15 civil society organizations (NGOs) from different states were selected on basis of their interest and some experience in public health issues and capacity to undertake the documentation. Two researchers from each organization were given training in Rapid assessment methodology in two residential Programmes organized at Chennai and New Delhi. Fifteen studies conducted in 8 states of the country through this programme were shared in this workshop Gaps and Gains: Citizen s Reports on Health Programmes Implementation in India on 16 th September 2011 (See Annexure 1 for Agenda). These studies have examined different aspects of NRHM, including health system strengthening, women s experiences of receiving reproductive health services, maternal mortality and so on. The main objective of the workshop is to bring the grassroots realities of public health programme implementation across the country. Apart from sharing the findings, the meeting also focussed on identifying implementation bottlenecks and recommending actions for streamlining desired processes. The meeting was attended by key functionaries from Ministry of Health and Family Welfare, (government of India) Civil Society Organisations and Networks, public Health experts, academicians, UN organisations involved in providing technical support to MoHFW, international organisations, donors and Foundations involved in supporting health activities and media personnel. (See annexure 4) Research Areas These studies by 15 organisations (see Annexure 3) had explored different aspects of programme implementation of Health programs in India, especially with regard to NRHM. These researches had included the issue access to health service delivery by marginalised communities to improving access and quality of health services. These studies also explored the extent of convergence at the level of VHND and ASHA functioning, reason behind maternal deaths and costs, consequences of institutional delivery among poor communities and the nature of post natal care. Theme NRHM and access to health services among socially excluded communities Study Topics NRHM: Do tribal matter? Costs and consequences of utilizing maternal health care: findings from two districts of India Caste to be Inclusive- Under NACO Mapping Perception of SC/ST PLHAs in Accessing & Utilization HIV prevention, care and support services in Andhra Pradesh Organisation Name SVYM, Maysore CHSJ, Delhi SAKSHI, Secunderabad Organized by CHSJ, SRM and UNFPA Page 3

4 Improving access and quality of health services Increasing communitisation Interface/linkages of ASHA with Community and services Awaiting Change: Determinants of utilization of Maternal Health Services among SCs and Muslims in Patna District, Bihar Status and utilization of Maternal Health Services among Migrant families in Rajasthan Exploring Utilization of Health Care Services from 24X7 PHCs in West Bengal Beyond Delivery: Assessing Post Partum Care and Complications in District Mirzapur, Uttar Pradesh Continuing Concerns: An Assessment of Quality of Care and Consequences of Sterilization in Bundi District of Rajasthan in An Assessment of the status of Public Health Facility centre of District Sheikhpura as per IPHS Maternal Death Audit for Action towards making every Pregnancy Safer in Jharkhand Assessment of level of involvement of Village Health and Sanitation Committee with focus on Utilization of Untied Fund, Baran district of Rajasthan Understanding services, convergence & community participation at (VHND)in Bankura District of West Bengal An attempt hardly begun: Communitisation of Health Services among Dalit communities Assessment of functioning of ASHA SAHYOGINI under intersectoral coordination of DWCD & DHFW in Jhunjhunu District of Rajasthan CHARM, Patna JATAN, Udaipur CINI, Pailan SAHAYOG, Lucknow MANJARI, Bundi BVHA, Patna NEEDS, Deoghar CHEERS, Kota IMAN, Kolkota PARA, Hyderabad SRKPS, Jhunjunu Working together: Convergence and coordination related to ASHA functioning in Chhindwara district, Madhya Pradesh MPVS, Bhopal There are four studies from Rajasthan, two from Bihar, one each from Uttar Pradesh and Jharkhand, Assam, Madhya Pradesh, Karnataka and Orissa, Two from West Bengal and Andhra Pradesh. Organized by CHSJ, SRM and UNFPA Page 4

5 Session 1: Introduction The introductory session was attended by Dr Abhijit Das, Director, CHSJ; Prof Satish, Dean, SPH- SRM University, Ms Frederika Meijer, Country Representative, UNFPA and Mr. P.K. Pradhan, Mission Director, NRHM who was the Chief Guest. Welcome address Dr. Abhijit Das, Director, Centre for Health and Social Justice In the welcome address, Dr. Das provided a brief overview of the purpose of the meeting and various studies conducted under the Programme of Rapid Assessment. He spoke about involving the individuals working at the grassroots as their participation towards the study involved great passion and hard work. He also mentioned that the purpose of conducting studies to find the situation of health programmes was not to find out follies but to provide recommendations for making situations better. Dr. Das emphasized about making two percent budgetary provisions for evaluations to be conducted by NGOs under the NRHM in order to give timely feedback to the Government during the course of any programme for improving the services. He also added that none of the studies were conducted by professional researchers or academicians but by practitioners and activist who are engaged in improving health and lives of the poor and marginalized people, in securing their human rights. These studies were conducted systematically and with rigour so that they can bring evidence. Many of the studies revealed gaps and it is not surprising because the issues were complex. He also asked to consider these studies done by NGOs as sources of evidence based feedback for improving health programme delivery. About the Rapid Assessment of Public Health Programme (RAHP) initiative Prof. Satish, Dean, School of Public Health, SRM University, Chennai Prof. Satish mentioned that RAHP is an initiative of partnership and collaboration of an NGO, an academic institution and UNFPA. Through this initiative eighteen NGOs were trained to conduct the research and in the end we have fifteen studies that have been completed through this process. He had explained the phase wise processes of RAHP. The first phase included partner selection to trainings and study topic selection. In second phase training, the partners were trained on data collection, data management and data analysis and in the third phase, the NGOs were given training on report writing. There were mentors assigned for each of the organisations. During the study period, mentors were also visited the organisation and helped in data collection process. For field level guidance, the mentors were continuously in touch with the organisation on phone and s. He also said that they are privileged to provide academic inputs to civil society organizations and NGOs to conduct health research and was great learning exercise for an academic institution like SRM. It was entirely a different experience for an academic institution like SRM to work with NGOs where all feedback is given in the form of activism and advocacy. He felt that there was still a long way to go on writing the study reports by the NGOs. Inaugural Address Ms. Frederika Meijer, Country Representative, UNFPA She mentioned in her inaugural address that it would be a great honour to her and UNFPA to hear the perspectives and ground realties from grassroots people. She expected that the national dissemination workshop would provide valuable inputs to successful implementation of NRHM. She said that presently meetings are being held at Planning Commission and they are looking for feedback from the field. We all know the NRHM has made good progress but more progress is needed. She emphasized that programmes like RAHP are strong pillars of assessment of NRHM and it would help to bring good amount of data and evidences. She encouraged conducting such kind of research studies for quick feedback on health programmes. Organized by CHSJ, SRM and UNFPA Page 5

6 She appreciated the initiative of CHSJ and its work and it is one of the most influential NGOs in the field of public health. She congratulated CHSJ for their initiative such as RAHP which reflects pro-poor marginalized efforts and skills. Address by Chief Guest Mr. P K Pradhan, Mission Director, National Rural Health Mission Mr. P K Padhan, in his address gave a brief background on NRHM. He also mentioned that the presentation of national dissemination will provide NRHM a very useful insight for better implementation. He said that NRHM has a special focus on issues of Maternal and Child Health (MCH) by improving infrastructure, adding human resources and greater community participation through Village Health and Sanitation Committee (VHSC) and Rogi Kalyan Samiti (RKS). He said that there had been improvements in health status of the people but this varied among the states. Also he acknowledged that in the most remote and hilly areas the progress of NRHM is still very low. In tribal belt, desert areas, hilly areas and remote areas, the progress is still limited he said. He mentioned that there is a need to develop an institutional mechanism, where the participation of communities is much stronger. He mentioned about recently published Annual Health Survey and variations in findings across nine states of India. The report shows very interesting figures and striking variations in nine states. In Uttarakhand, the Pitthoragarh district (one of the remote districts) has very low IMR compared to Haridwar, where accessibility is very good, has high IMR. There is need to identify the areas where the variations is very high in case of IMR, MMR, etc. and address it through a better micro planning. Mr Pradhan said there is a need to involve the civil society organisations in a more structured manner to find out the gaps and helpful insights of health programmes. Capacity building of NGOs is needed and this can be done through a network of NGOs, and academic institutions. Following the inaugural session, parallel sessions were conducted to present the study findings. A chair and a rapporteur provided inputs after each presentation and questions were raised from the audience. The key findings of the presentations are annexed (Annexure 3) and discussions are described below. Session 2: NRHM and access to services among socially excluded communities Chair- A R Nanda; Rapporteur- Joe Varghese Presentation 1: NRHM: Do tribal women matter? Bindu Balasubramaniam and Shanthi G, SVYM, Mysore The presentation was done by Dr Bindu. It was said that if the researchers were thinking of publishing their study report they should work more on qualitative aspects as the sample was too small for quantitative generalization. Being tribal was not the only reason for denial of entitlements but other factors could also contribute toward this which should have been explored by the researcher. If cash incentives are not given on time than what is the purpose of these incentives, has the community development officer had taken any process for this? Organized by CHSJ, SRM and UNFPA Page 6

7 Presentation 2: Costs and consequences of utilising maternal; health care: from two districts in India Moumita Ghosh, Deepti Morang, Sunita Singh, Centre for Health and Social Justice, New Delhi The presentation was done by Moumita. In the context of maternal health care what was the total cost incurred by the women who had undergone institutional delivery. What were the coping mechanisms adopted by families of pregnant women who did not have the required money for emergency. The answer provided was that the families gathered the required amount of money was mobilised from family savings and taking loan on interest Presentation 3: Mapping Perception of SC/ST PLHAs in accessing and utilization HIV prevention, care and support services in Andhra Pradesh D.Leslie Martin and Ch.Isaac, SAKSHI Human Rights Watch, Hyderabad The presentation was done by Leslie. What is the percentage of total SC/ST population and what is the percentage of HIV positive people in both the study districts? What are the causes of denial of services to HIV+ patients. Presentation 4: Awaiting Change: Determinants of utilization of maternal health services among SCs and Muslims in Patna district, Bihar Anamika Priya and Arman Suhail, CHARM Patna The presentation was done by Arman. The voices from the community have not come out well in this study so the researcher needs to capture the community s voice in a more elaborate manner. The community monitoring aspect needs to be included in the study for looking at accountability measure of government. Presentation 5: Status of utilisation of maternal health services among migrant families in Rajasthan Ranveer Singh and Vinita Paliwal, Jatan Sansthan, Rajsamand The presentation was done by Vinita. Whether the situation of accessing maternal health services differs in case of nuclear and joint families. It could have been much more interesting if the study looked at this aspect also. Organized by CHSJ, SRM and UNFPA Page 7

8 From the presentation it was not clear for how long the husbands or male members had been migrated from the area. The clarification given was most families migrated in cyclical manner. What is the impact on women s health when the male members had migrated for a longer duration? What is the role of in laws on the women health? How do they have collected the migration data since it is a continuous process? Do they have any mechanism to trace the migrant male members? Points from the Chair of the session The study of SVYM could have looked into maternal mortality issue. The study of CHSJ is a very complex issue and it needs more refining and further scrutiny on the subject. SAKSHI and CHARM needs to include some case studies and that they should ask UNFPA for funding to collect the case studies. The studies needs to include more dimension of health issues of marginalised section and more qualitative data and case studies could further strengthen the studies. Session 3: Improving access and quality of health services Chaired by Dr. Vandana Prasad and Rapporteur: Jashodhara Dasgupta Presentation 1: Exploring Utilization of Health Care Services FROM 24X7 PHCs of West Bengal Jaydeep Sengupta and Sudipa Das Mukherjee, CINI The presentation was done by Jaydeep. There is neglect from government side on sub centres. There is no mention about labour room and baby room in the study Issue of privatisation can be seen from the study Sub centres can be 24x7 waiting home and 24x7 PHC must have ambulance Grievance redressal mechanisms should be developed. Feedback boxes should be available at health centres Trainings and skill building should be given to the service providers, lack of trainings and skills affect the work quality. Presentation 2: Beyond Delivery: Assessing Post Partum Care and Complications in District Mirzapur, Uttar Pradesh Y K Sandhya and Saim, SAHAYOG The presentation was done by Sandhya. Is it not clear with whom the FGD was done, why and where The study did not include harmful practices of post partum care and child care practices Heavy bleeding is found in 25% women, which is very important findings of the study Organized by CHSJ, SRM and UNFPA Page 8

9 Did the CHC studied shown as FRU in the district record? Presentation 3: An Assessment of Quality of Care and Consequences of Sterilization in Bundi District of Rajasthan in Swarup Pal and Bajrang Singh, MANJARI The presentation was done by Swarup. What is the level of coordination between ASHA, ANM and AWW because there is a target of sterilisation among these three service providers. Did the ASHA, AWW and ANM provide information on other contraceptive methods? If not then obviously women will go for sterilisation. Only 13 percent women were provided information on other contraceptive methods. Was there any case where woman was pregnant still the sterilisation was done? There was failure of screening if the pregnant women were sterilised not failure of sterilisation. Presentation 4: An Assessment of the status of Public Health Facility centre as per IPHS of District Sheikhpura, Bihar Devika Biswas and Vivekanand Ojha, BVHA, Patna The presentation was done by Vivekenand. None of the facility centres are upto the IPHS standard, did the researcher tried to look at other key points on facility or service delivery? The major findings were not clear in the presentation. Presentation 5: Maternal Death Audit for Action towards making every Pregnancy Safer in Jharkhand Tanmoy Saha and Amitabh Gautam The presentation was done by Tanmoy. Are the community solutions included in the study really solutions given by community? It looks more like solutions from the researcher. Out of the total death cases occurred, three were in the private hospital. Did the study tried to look at public private partnership? Because the public sector hospitals were equally bad. Why the study only talked about institutional delivery? Then the dai should not know or trained for emergency care, the important thing is that dai should know the referral system for emergency care. What are the parameters taken for services denial in the study? Session recommendations from the chair and rapporteur Organized by CHSJ, SRM and UNFPA Page 9

10 Basic EMOC must be there in all PHCs - telephone and transport more skill building in staff grievance redressal required - also a trust deficit. Block level need some level of specialists. Post-partum care will need more facilities for 48 hour stay including electricity and water/toilets. Need APHCs to become more functional. All managers of facilities should get a manual about IPHS. VHND must go beyond an Immunization day + mass campaigns on reasons of maternal health Need to promote temporary methods instead of only sterilization. Need to strengthen reporting of sterilization failures and complications no data on whether they are getting compensation. Need better data through computerization. Not enough IEC need more information on the insurance claiming behind the discharge certificates. The frontline providers also need more skill-building and more knowledge on Sterilization and post partum complications. Community follow-up needs to be institutionalized. Need to emphasize in ASHA training for early detection of maternal complications and may need to give an incentive. Health system does not have understanding of the need for post partum care [No data on postnatal care on PHC walls] - need a policy and protocol. Informal private providers are preferred and seen as giving better care. Community practices have beneficial components need to be mainstreamed. Session 4: Increasing communitization Chaired by Prof. Satish, Rapporteur: Dr. Anant Bhan Presentation 1: Assessment of level of involvement of Village Health and Sanitation Committee with focus on Utilization of Untied Fund, Baran district of Rajasthan Vikram Raghav and Arvind Pandey, Cheers, Baran The presentation was done by Vikram. NGOs should be involved in assessment process of Village Health and Sanitation Committee works under the provision of NRHM. There is no provision of trainings and capacity building process of VHSC members for functioning their work. Ngo could also mentor the VHSC member and we could send this kind of recommendation to the concerned government. Presentation 2: Understanding services, convergence & community participation at (VHND)in Bankura District of West Bengal Rupasri Ray Barman, IMAN, Kolkata The presentation was done by Rupashri. Organized by CHSJ, SRM and UNFPA Page 10

11 There were no discussion points on this presentation. Presentation 3: An attempt hardly begun: Communitisation of Health Services among Dalit communities Penki Chittababu and Sesha, Para, Hyderabad The presentation was done by Thomas Pallithanam. In the study findings, it was mentioned that the VHSC members were not aware that they are part of VHSC so what is the procedure of selecting them. Any information on how these committees are going to share the funds. What is the quality of training if at all provided to the VHSC members? Communitisation is still not comprehensive or effective. For outreach to be truly effective, it needs to get closer to community and be sensitive to community needs. Health functionaries key to effective community mobilisation but often reduced to being the main and only actors in the process. Capacity building of VHSCs outstanding need- link to accountability mechanisms. VHSCs often seen to exclude the disadvantaged (Dalits/women etc). Need to go beyond processes to outcomes and focus on rationale of communitisation. Communitisation happening but the devil lies in the details. Need for strong mentoring structures. Local NGO and CBO based research can help in unraveling the field realities and making midcourse corrections. Session 5: Interface/linkages of ASHA with community and services Chaired by Dr. Kabir Seikh, Rapporteur: Dr. Leila Celeb Varkey Presentation 1: Assessment of functioning of ASHA SAHYOGINI under intersectoral coordination of DWCD & DHFW in Jhunjhunu District of Rajasthan Sishir Kumar, SRKPS, Jhunjhunu The presentation was done by Shishir. Is there any change in behaviour or working style of ASHA after incentive based target oriented work was given to them. Organized by CHSJ, SRM and UNFPA Page 11

12 If there is a situation occurred where ASHA/Sahyogini brought one pregnant case to a hospital and there is no facility available for C-section operation then what they do. Presentation 2: Working together: Convergence and coordination related to ASHA functioning in Chhindwara district, Madhya Pradesh Prathyush and Kavita Jham, MPVS, Chhindwara The presentation was done by Prathyush. The study did not mention the VHSC s role in the study. What was their role and how do they help ASHA to provide the health services? There was no information on influence of ANMs on ASHA. Session recommendations from the chair In qualitative research the quality should be improved in looking at deviant case analysis. We usually look at majority then we also should look at minority trend. In this kind of research the reflectivity of organisation that has done the research should also include or present within the context of research. Session 6. Next Step and Way Forward Panelist: Dr. Syeda Hameed, Member, Planning Commission; Ms. Frederika Meijer, Country Representative, UNFPA; Dr. Abhijit Das, CHSJ; Prof Satish, Dean SRM; and all rapporteurs At the end of the presentations, plenary was held where all the rapporteurs presented the key findings of the studies and the suggestions that came up during discussions. This gave Dr Hameed, Member of Planning Commission an idea about the studies and gaps in health program interventions that needs to be addressed through future planning. Once the presentations by rapporteurs were over, Dr. Das expressed his gratitude to SRM University and UNFPA for their support and cooperation for successfully conducting the research studies. He said that their support had helped strengthening the capacities of the grassroots level organistaions and able to provide the decentralising feedback from all parts of the country. Frederika Meijer, Country Representative, UNFPA, expressed her thanks for being part of National Dissemination workshop. She said that it was great to hear evidences based research from different parts of the country. She said that the community voices are clearly put forward by these studies and added that the NGOs capacities needs to be strengthened further to take these research to the next level. She emphasized that there is a need to put forward the recommendations of the study findings for better implementation of health programmes in the country. The day ended with vote of thanks from Shelley, Program Manager, CHSJ, to all those who made this meeting successful. Organized by CHSJ, SRM and UNFPA Page 12

13 Annexure 1: Gaps and Gains: Citizen's Reports on Health Programmes Implementation in India th September 2011 Venue: Indian Social Institute,10, Institutional Area, Behind Sai Baba Mandir, Lodhi Road,New Delhi- 17 Registration : 9.30 am onwards Inaugural Session 1. Introductory Session (Plenary) Welcome Address and Introductory remarks: Dr. Abhijit Das 2. About the RAHP initiative: Prof Satish SRM University 3. Inaugural address by UNFPA 4. Chief Guest Address TEA Chair: Ms. Frederika Meijer, Country Representative, UNFPA Chief Guest: Mr. P.K. Pradhan, M.D. NRHM Session Name Time Session Details Presentation by Chair Rappor teur 2. NRHM and Access to services among Socially excluded communities (Parallel session 1a) (5 presentation * 15 min) (45 min discussion) 1. NRHM: Do tribal women matter? 2. Costs and consequences of utilising maternal health care: from two districts in India 3. Caste to be Inclusive- Under NACO Mapping Perception of SC/ST PLHAs in Accessing & Utilization HIV prevention, care and support services in Andhra Pradesh 4. Awaiting Change: Determinants of utilization of Maternal Health Services among SCs and Muslims in Patna District, Bihar 5. Status and utilization of Maternal Health Services among Migrant families in Rajasthan SVYM, Mysore CHSJ, Delhi SAKSHI, Secunderabad CHARM, Patna JATAN, Udaipur Mr A. R. Nanda Dr Joe Varghes e Organized by CHSJ, SRM and UNFPA Page 13

14 3.Improving access and quality of health services (Parallel session 1b) (5 presentation * 15 min) (45 min discussion) 1. Exploring Utilization of Health Care Services from 24X7 PHCs in West Bengal 2. Beyond Delivery: Assessing Post Partum Care and Complications in District Mirzapur, Uttar Pradesh 3. Continuing Concerns: An Assessment of Quality of Care and Consequences of Sterilization in Bundi District of Rajasthan in An Assessment of the status of Public Health Facility centre of District Sheikhpura as per IPHS 5. Maternal Death Audit for Action towards making every Pregnancy Safer in Jharkhand CINI, Pailan SAHAYOG, Lucknow MANJARI, Bundi BVHA, Patna NEEDS, Deogha Dr Vandana Prasad Ms Jashodh ara Dasgupt a Lunch 4. Increasing Communitisat ion (Parallel session 2a) (3presentation * 10 min) (15 mins for discussion) 1. Assessment of level of involvement of Village Health and Sanitation Committee with focus on Utilization of Untied Fund, Baran district of Rajasthan 2. Understanding services, convergence & community participation at (VHND)in Bankura District of West Bengal 3. An attempt hardly begun: Communitisation of Health Services among Dalit communities CHEERS, Kota IMAN, Kolkota PARA, Hyderabad Dr. Satish Dr. Anant Bhan 5. Interface/lin kages of ASHA with Community and services (Parallel session 2b) (2 presentation * 15 min) (15mins for discussion 1. Assessment of functioning of ASHA SAHYOGINI under intersectoral coordination of DWCD & DHFW in Jhunjhunu District of Rajasthan 2. Working together: Convergence and coordination related to ASHA functioning in Chhindwara district, Madhya Pradesh SRKPS, Jhunjunu MPVS, Bhopal Dr. Kabir Seikh Dr Leila Celeb Varkey 6. Next step and closing of the conference Presentation by Rapporteurs and way forward for inclusion in 12 th Planning Process By Rapporteurs Syeda Hameed, Member, Planning Commission (Plenary) VOTE OF THANKS Tea Organized by CHSJ, SRM and UNFPA Page 14

15 Annexure 2. RAHP Study partners Name of study Continuing Concerns: An Assessment of Quality of Care and Consequences of Sterilization in Bundi District of Rajasthan in Beyond Delivery: Assessing Post Partum Care and Complications in District Mirzapur, Uttar Pradesh Maternal Death Audit for Action towards making every Pregnancy Safer in Jharkhand Exploring Utilization of Health Care Services from 24X7 PHCs in West Bengal An Assessment of the status of Public Health Facility centre as per IPHS of District Sheikhpura, Bihar Do Tribal Women Matter: A Study of Forest Based Tribal Women of Heggadadevanakote Taluk in Mysore District Status and utilization of Maternal Health Services among Migrant families in Rajasthan Awaiting Change: Determinants of Utilization of Maternal Health Services among SCs and Muslims in Patna District, Bihar Costs and consequences of utilizing maternal health care: from two districts in India Caste to be Inclusive- Under NACO Mapping Perception of SC/ST PLHAs in Accessing & Utilization HIV prevention, care and support services in Andhra Pradesh Assessment of level of involvement of Village Health and Sanitation Committee with focus on Utilization of Untied Fund, Baran district of Rajasthan Understanding services, convergence & community participation at (VHND)in Bankura District of West Bengal An attempt hardly begun: Communitisation of Health Services among Dalit communities Assessment of functioning of ASHA SAHYOGINI under intersectoral coordination of DWCD & DHFW in Jhunjhunu District of Rajasthan Working together: Convergence and coordination related to ASHA functioning in Chhindwara district, Madhya Pradesh Study partner Manjari, Rajasthan SAHAYOG, Uttar Pradesh NEEDS, Jharkhand CINI-RRC, West Bengal BVHA, Bihar SVYM, Karnataka Jatan Sansthan, Rajasthan CHARM, Bihar CHSJ, New Delhi SAKSHI, Andhra Pradesh CHEERS, Rajasthan IMAN, West Bengal PARA, Andhra Pradesh SRKPS, Rajasthan MPVS Madhya Pradesh Organized by CHSJ, SRM and UNFPA Page 15

Retaining skilled health Human Resources for Rural and Remote areas. a mapping of efforts under NRHM and ongoing studies in this area:

Retaining skilled health Human Resources for Rural and Remote areas. a mapping of efforts under NRHM and ongoing studies in this area: Retaining skilled health Human Resources for Rural and Remote areas a mapping of efforts under NRHM and ongoing studies in this area: The NATIONAL RURAL HEALTH MISSION paradigm shift Health is a state

More information

Conclusion & Suggestion

Conclusion & Suggestion 9 Conclusion & Suggestion State governments has designed and implemented many maternal health interventions in a very good way but due to lack of proper monitoring expected results have not been achieved.

More information

Jan Swasthya Abhiyan India Peoples Rural Health Watch

Jan Swasthya Abhiyan India Peoples Rural Health Watch Jan Swasthya Abhiyan India Peoples Rural Health Watch Brief overview and Outlines of its processes Presented by- Tej Ram Centre for Health Equity & Jan Swasthya Abhiyan National Rural Health Mission National

More information

This document is developed by Swasti, Health Resource Centre as a product of the People for Health Project.

This document is developed by Swasti, Health Resource Centre as a product of the People for Health Project. Developed by Acknowlegement This document is developed by Swasti, Health Resource Centre as a product of the People for Health Project. This study has given us a better understanding of the human resource

More information

MCTS TRAINING NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE MOTHER AND CHILD TRACKING SYSTEM. Islands)

MCTS TRAINING NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE MOTHER AND CHILD TRACKING SYSTEM. Islands) NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE MOTHER AND CHILD TRACKING SYSTEM Training Report- (Andaman & Nicobar Islands) 23 rd to 24 th December 2013 NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE,

More information

INCREASING COMPLETE IMMUNIZATION IN RURAL UTTAR PRADESH

INCREASING COMPLETE IMMUNIZATION IN RURAL UTTAR PRADESH INCREASING COMPLETE IMMUNIZATION IN RURAL UTTAR PRADESH The Government of India has recommended that a child must be vaccinated against six vaccine-preventable diseases (polio, tuberculosis [TB], diphtheria,

More information

Prof. Avinash K. Singh

Prof. Avinash K. Singh Local Management of Schools : Evidence From a Field Based Study Prof. Avinash K. Singh Department of Foundations of Education National University of Educational Planning and Administration 17-B, Sri Aurobindo

More information

GENDER AND DEVELOPMENT. Uganda Case Study: Increasing Access to Maternal and Child Health Services. Transforming relationships to empower communities

GENDER AND DEVELOPMENT. Uganda Case Study: Increasing Access to Maternal and Child Health Services. Transforming relationships to empower communities GENDER AND DEVELOPMENT Uganda Case Study: Increasing Access to Maternal and Child Health Services The Context World Vision has been active in working with local communities to increase access to health

More information

No. J-11011/2/2008-NREGA Government of India Ministry of Rural development NREGA Division

No. J-11011/2/2008-NREGA Government of India Ministry of Rural development NREGA Division No. J-11011/2/2008-NREGA Government of India Ministry of Rural development NREGA Division. Krishi Bhawan, New Delhi Dated 7 th April, 2008 To 1. All Members of the Central Employment Guarantee Council

More information

Health Security for All

Health Security for All Health Security for All A joint partnership between Government of Jharkhand and ILO Sub Regional Office for South Asia, New Delhi Dr. Shivendu Ministry of Health, Family Welfare, Medical Education and

More information

POOR QUALITY CONTROL OF THE FIRST CONTACT POINT OF COMMUNITY: FINDINGS OF CROSS-SECTIONAL STUDY ON SUBCENTRES IN DISTRICT JHANSI

POOR QUALITY CONTROL OF THE FIRST CONTACT POINT OF COMMUNITY: FINDINGS OF CROSS-SECTIONAL STUDY ON SUBCENTRES IN DISTRICT JHANSI ORIGINAL PAPER POOR QUALITY CONTROL OF THE FIRST CONTACT POINT OF COMMUNITY: FINDINGS OF CROSS-SECTIONAL STUDY ON SUBCENTRES IN DISTRICT JHANSI Geetu Singh 1, Bhakt Prakash Mathur 2, Shobha Chaturvedi

More information

Maternal & Child Mortality and Total Fertility Rates. Sample Registration System (SRS) Office of Registrar General, India 7th July 2011

Maternal & Child Mortality and Total Fertility Rates. Sample Registration System (SRS) Office of Registrar General, India 7th July 2011 Maternal & Child Mortality and Total Fertility Rates Sample Registration System (SRS) Office of Registrar General, India 7th July 2011 Sample Registration System (SRS) An Introduction Sample Registration

More information

Section 1: The ASHA: Activities, Skills, Outcomes 1. Section 2: Role of the ASHA Facilitator 9

Section 1: The ASHA: Activities, Skills, Outcomes 1. Section 2: Role of the ASHA Facilitator 9 Contents Introduction v Section 1: The ASHA: Activities, Skills, Outcomes 1 Section 2: Role of the ASHA Facilitator 9 Section 3: Supportive Supervision and Skills for the ASHA Facilitator 17 Section 4:

More information

THE INDIA NEWBORN ACTION PLAN

THE INDIA NEWBORN ACTION PLAN THE INDIA NEWBORN ACTION PLAN THE INDIA NEWBORN ACTION PLAN Current Situation Vision & Goals Guiding principles Strategic Intervention Packages Milestones Way Forward CAUSES OF NEONATAL DEATHS : INDIA

More information

Demand Generation to Scale up ORS + Zinc in India Preliminary Market Analysis

Demand Generation to Scale up ORS + Zinc in India Preliminary Market Analysis Demand Generation to Scale up ORS + Zinc in India Preliminary Market Analysis Demand generation efforts should be driven by rigorous analysis of target market and a harmonized approach across stakeholders

More information

GUIDELINES ON ACCREDITED SOCIAL HEALTH ACTIVITISTS (ASHA)

GUIDELINES ON ACCREDITED SOCIAL HEALTH ACTIVITISTS (ASHA) GUIDELINES ON Annex 1 ACCREDITED SOCIAL HEALTH ACTIVITISTS (ASHA) 1. BACKGROUND The Government of India has decided to launch a National Rural Health Mission (NRHM) to address the health needs of rural

More information

Study Team. Bella Patel Uttekar Nayan Kumar Vasant Uttekar Jashoda Sharma Shweta Shahane

Study Team. Bella Patel Uttekar Nayan Kumar Vasant Uttekar Jashoda Sharma Shweta Shahane Study Team Bella Patel Uttekar Nayan Kumar Vasant Uttekar Jashoda Sharma Shweta Shahane PREFACE JSY, Janani Suraksha Yojana, is an integral component of the National Rural Health Mission, launched in April

More information

BEHAVIOR CHANGE COMMUNICATION AS AN INTERVENTION TO IMPROVE FAMILY HEALTH OUTCOMES

BEHAVIOR CHANGE COMMUNICATION AS AN INTERVENTION TO IMPROVE FAMILY HEALTH OUTCOMES BEHAVIOR CHANGE COMMUNICATION AS AN INTERVENTION TO IMPROVE FAMILY HEALTH OUTCOMES GARY L. DARMSTADT AND USHA KIRAN TARIGOPULA Low coverage of life-saving preventive health interventions stemming from

More information

ESTIMATES OF MORTALITY INDICATORS

ESTIMATES OF MORTALITY INDICATORS CHAPTER 4 ESTIMATES OF MORTALITY INDICATORS Mortality is one of the basic components of population change and related data is essential for demographic studies and public health administration. It is the

More information

Ministry of Health & Family Welfare. Operational Plan for Mother and Child Tracking System

Ministry of Health & Family Welfare. Operational Plan for Mother and Child Tracking System DRAFT Ministry of Health & Family Welfare Operational Plan for Mother and Child Tracking System A. Objective It has been decided to have a name-based tracking system (being put in place by Government of

More information

Implementing Community Based Maternal Death Reviews in Sierra Leone

Implementing Community Based Maternal Death Reviews in Sierra Leone Project Summary Implementing Community Based Maternal Death Reviews in Sierra Leone Background Sierra Leone is among the poorest nations in the world, with 70% of the population living below the established

More information

ROLE OF MEDICAL COLLEGES in NRHM

ROLE OF MEDICAL COLLEGES in NRHM ROLE OF MEDICAL COLLEGES in NRHM PROF. DEOKI NANDAN Doctor Honoris Causa-Odessa State Medical University, MD, FAMS, FIAPSM, FIPHA, FISCD DIRECTOR (director.nihfw@nic.in, dnandan51@yahoo.com, www.nihfw.org)

More information

This document is developed by Swasti, Health Resource Centre as a product of the People for Health Project.

This document is developed by Swasti, Health Resource Centre as a product of the People for Health Project. Developed by Acknowlegement This document is developed by Swasti, Health Resource Centre as a product of the People for Health Project. This study has given us a better understanding of the human resource

More information

POLICY BRIEF: SCHOOL MANAGEMENT COMMITTEES

POLICY BRIEF: SCHOOL MANAGEMENT COMMITTEES POLICY BRIEF: SCHOOL MANAGEMENT COMMITTEES Successes, Challenges and Opportunities June 2014 INTRODUCTION This policy brief highlights the successes, challenges and opportunities in the functioning of

More information

CSO CAPACITY ANALYSIS: A tool for assessing capacities for quality OVC response

CSO CAPACITY ANALYSIS: A tool for assessing capacities for quality OVC response CSO CAPACITY ANALYSIS: A tool for assessing capacities for quality OVC response 1. Capacity areas for strengthening among OVC CSOs These capacity areas were generated from OVC grantee profiles and feedback

More information

Public Private Partnership to Improve Health of Urban Poor in Agra

Public Private Partnership to Improve Health of Urban Poor in Agra Public Private Partnership to Improve Health of Urban Poor in Agra Introduction Agra, one of the important cities of Uttar Pradesh city is spread over an area of 140 sq. km. along the banks of the river

More information

NATIONAL RURAL HEALTH MISSION- FREQUENTLY ASKED QUESTIONS. 2. What is the coverage of the National Rural Health Mission (NRHM)?

NATIONAL RURAL HEALTH MISSION- FREQUENTLY ASKED QUESTIONS. 2. What is the coverage of the National Rural Health Mission (NRHM)? NATIONAL RURAL HEALTH MISSION- FREQUENTLY ASKED QUESTIONS I. Profile, Components, and Strategies 1. Why a National Rural Health Mission? The National Common Minimum Programme spells out the commitment

More information

30% Opening Prayer. Introduction. About 85% of women give birth at home with untrained attendants; the number is much higher in rural areas.

30% Opening Prayer. Introduction. About 85% of women give birth at home with untrained attendants; the number is much higher in rural areas. This is the second of four studies on maternal health M AT E R N A L a n d C H I L D H E A LT H : A f g h a n i s t a n b y K a r e n B o k m a About 85% of women give birth at home with untrained attendants;

More information

Guidelines for setting up of Block Resource Centres (BRCs) for National Rural Drinking Water Programme (NRDWP) and Total Sanitation Campaign (TSC)

Guidelines for setting up of Block Resource Centres (BRCs) for National Rural Drinking Water Programme (NRDWP) and Total Sanitation Campaign (TSC) Guidelines for setting up of Block Resource Centres (BRCs) for National Rural Drinking Water Programme (NRDWP) and Total Sanitation Campaign (TSC) 1. Introduction: With the coming into effect of the National

More information

Top Tips for Involving Fathers in Maternity Care

Top Tips for Involving Fathers in Maternity Care Compared with past generations, society s expectations are increasingly for fathers to play a full role throughout pregnancy, labour, childbirth and in the postnatal period. Most expectant mothers want

More information

The Indian Health Sector

The Indian Health Sector 23 Bibek Debroy..... The Indian Health Sector Providing Choice, Competition, Efficiency and Finance This is a volume in honour of Pradeep Mehta. Pradeep and his work have been about pushing competition,

More information

Revised pregnancy termination laws. proposed for Tasmania

Revised pregnancy termination laws. proposed for Tasmania Submission to the Tasmanian Department of Health and Human Services on the Revised pregnancy termination laws proposed for Tasmania Draft Reproductive Health (Access to Terminations) Bill April 2013 Introduction

More information

UNITED NATIONS OFFICE OF THE UNITED NATIONS HIGH COMMISSIONER FOR HUMAN RIGHTS NATIONS UNIES HAUT COMMISSARIAT DES NATIONS UNIES AUX DROITS DE L HOMME

UNITED NATIONS OFFICE OF THE UNITED NATIONS HIGH COMMISSIONER FOR HUMAN RIGHTS NATIONS UNIES HAUT COMMISSARIAT DES NATIONS UNIES AUX DROITS DE L HOMME NATIONS UNIES HAUT COMMISSARIAT DES NATIONS UNIES AUX DROITS DE L HOMME PROCEDURES SPECIALES DU CONSEIL DES DROITS DE L HOMME UNITED NATIONS OFFICE OF THE UNITED NATIONS HIGH COMMISSIONER FOR HUMAN RIGHTS

More information

HUMAN DEVELOPMENT : TOOL KIT & REPORT CARDS. MDG to the people. The PAHELI experience INDIA 2007

HUMAN DEVELOPMENT : TOOL KIT & REPORT CARDS. MDG to the people. The PAHELI experience INDIA 2007 HUMAN DEVELOPMENT : TOOL KIT & REPORT CARDS MDG to the people. The PAHELI experience INDIA 2007 ASER approach for other sectors in human development? Key features of ASER : Simplicity of tools and methods

More information

Since achieving independence from Great Britain in 1963, Kenya has worked to improve its healthcare system.

Since achieving independence from Great Britain in 1963, Kenya has worked to improve its healthcare system. Medical Management Plan Kenya OVERVIEW Company Mission Our mission is to encourage young people to volunteer for worthwhile work in developing countries. We expect that doing this kind of voluntary work

More information

Recruitment of Consultant Positions for National Vector Borne Disease Control Programme (NVBDCP) under National Rural Health Mission (NRHM)

Recruitment of Consultant Positions for National Vector Borne Disease Control Programme (NVBDCP) under National Rural Health Mission (NRHM) Recruitment of Consultant Positions for National Vector Borne Disease Control Programme (NVBDCP) under National Rural Health Mission (NRHM) National Vector Borne Disease Control Programme (NVBDCP) run

More information

cambodia Maternal, Newborn AND Child Health and Nutrition

cambodia Maternal, Newborn AND Child Health and Nutrition cambodia Maternal, Newborn AND Child Health and Nutrition situation Between 2000 and 2010, Cambodia has made significant progress in improving the health of its children. The infant mortality rate has

More information

District Innovation Fund.

District Innovation Fund. F. No. 37(1) FCD/2010 Ministry of Finance Department of Expenditure Finance Commission Division Block No. XI, 5 th Floor, CGO Complex, Lodhi Road, New Delhi, 15 th March, 2011. To The Chief Secretary,

More information

PRIVATE MEDICAL PRACTITIONERS ASSOCIATION

PRIVATE MEDICAL PRACTITIONERS ASSOCIATION PRIVATE MEDICAL PRACTITIONERS ASSOCIATION AN INTRODUCTION AND HISTORY A non governmental representative body. Representative body of millions of experienced doctors. Giving their services in deep rural

More information

PROPOSAL. Proposal Name: Open Source software for improving Mother and Child Health Services in Pakistan". WHO- Pakistan, Health Information Cell.

PROPOSAL. Proposal Name: Open Source software for improving Mother and Child Health Services in Pakistan. WHO- Pakistan, Health Information Cell. PROPOSAL Proposal Name: Open Source software for improving Mother and Child Health Services in Pakistan". Submitted by: WHO- Pakistan, Health Information Cell. Please provide a description of the proposal

More information

SOCIAL BACKGROUND OF OFFICERS IN THE INDIAN ADMINISTRATIVE SERVICE SANTOSH GOYAL

SOCIAL BACKGROUND OF OFFICERS IN THE INDIAN ADMINISTRATIVE SERVICE SANTOSH GOYAL SOCIAL BACKGROUND OF OFFICERS IN THE INDIAN ADMINISTRATIVE SERVICE SANTOSH GOYAL The Indian Administrative Service (IAS) is the highest cadre of the civil services in India and is the successor to the

More information

Statement by Dr. Sugiri Syarief, MPA

Statement by Dr. Sugiri Syarief, MPA Check against delivery_ Commission on Population and Development 45th Session Economic and Social Council Statement by Dr. Sugiri Syarief, MPA Chairperson of the National Population and Family Planning

More information

Moving towards Universal Health Coverage in India

Moving towards Universal Health Coverage in India 1 of 5 2/11/2013 5:00 PM February 11, 2013 SectionsSpecialsServices Home Videos Archives Contributors' Checklist Contact Us Healthcare Sourcing Search... Moving towards Universal Health Coverage in India

More information

Guidelines of the School Health Programme

Guidelines of the School Health Programme Guidelines of the School Health Programme 1 Brief on the Programme: Introduction: School Health program is a program for school health service under National Rural Health Mission, which has been necessitated

More information

Preventable mortality and morbidity of children under 5 years of age as a human rights concern

Preventable mortality and morbidity of children under 5 years of age as a human rights concern Preventable mortality and morbidity of children under 5 years of age as a human rights concern 1. Has your government developed a national policy/strategy/action plan aimed at reducing mortality and morbidity

More information

Outsourcing of diagnostic services in public health facilities in Chhattisgarh. A critique by Jan Swasthya Abhiyan Chhattisgarh

Outsourcing of diagnostic services in public health facilities in Chhattisgarh. A critique by Jan Swasthya Abhiyan Chhattisgarh Outsourcing of diagnostic services in public health facilities in Chhattisgarh A critique by Jan Swasthya Abhiyan Chhattisgarh The Chhattisgarh State Government has taken out a Request For Proposal (RFP)

More information

Strengthening Nursing and Midwifery Pre-Service Education in India: A national Initiative

Strengthening Nursing and Midwifery Pre-Service Education in India: A national Initiative Strengthening Nursing and Midwifery Pre-Service Education in India: A national Initiative Duration: 2009-2015 Factsheet: November 2014 Partners: Indian Nursing Council (INC), Government of India (GoI)/National

More information

Big Chat 4. Strategy into action. NHS Southport and Formby CCG

Big Chat 4. Strategy into action. NHS Southport and Formby CCG Big Chat 4 Strategy into action NHS Southport and Formby CCG Royal Clifton Hotel, Southport, 19 November 2014 Contents What is the Big Chat? 3 About Big Chat 4 4 How the event worked 4 Presentations 5

More information

Promoting Family Planning

Promoting Family Planning Promoting Family Planning INTRODUCTION Voluntary family planning has been widely adopted throughout the world. More than half of all couples in the developing world now use a modern method of contraception

More information

IN SCHOOL AND WORKING CHILDREN

IN SCHOOL AND WORKING CHILDREN IN SCHOOL AND WORKING CHILDREN Reality of Right to Education Act's Implementation 2014 India's Educational Obligation: An Introduction As an important tool to achieve 'Millennium Development Goal' on Education

More information

India presentation. Menstrual hygiene: Manage it well. MHM virtual conference Sept. 27, 2012 Theme: Approaches to addressing MHM for girls

India presentation. Menstrual hygiene: Manage it well. MHM virtual conference Sept. 27, 2012 Theme: Approaches to addressing MHM for girls India presentation Menstrual hygiene: Manage it well MHM virtual conference Sept. 27, 2012 Theme: Approaches to addressing MHM for girls Presenter: Mamita Bora Thakkar UNICEF, Delhi States represented:

More information

Terms of Reference Concurrent Monitoring of Mid Day Meal (MDM) in Odisha

Terms of Reference Concurrent Monitoring of Mid Day Meal (MDM) in Odisha Terms of Reference Concurrent Monitoring of Mid Day Meal (MDM) in Odisha 1. Background The Government of India has initiated a number of social welfare flagship schemes to enable improving status of human

More information

Dr. Ambedkar Medical Aid Scheme (Revised 2013)

Dr. Ambedkar Medical Aid Scheme (Revised 2013) Dr. Ambedkar Medical Aid Scheme (Revised 2013) The scheme is meant to provide medical treatment facility to the patients suffering from serious ailments requiring surgery of Kidney, Heart, Liver, Cancer

More information

117 4,904,773 -67-4.7 -5.5 -3.9. making progress

117 4,904,773 -67-4.7 -5.5 -3.9. making progress Per 1 LB Eastern Mediterranean Region Maternal and Perinatal Health Profile Department of Maternal, Newborn, Child and Adolescent Health (MCA/WHO) Demographics and Information System Health status indicators

More information

The Role of International Law in Reducing Maternal Mortality

The Role of International Law in Reducing Maternal Mortality The Role of International Law in Reducing Maternal Mortality K. Madison Burnett * Safe motherhood is a human rights issue The death of a woman during pregnancy or childbirth is not only a health issue

More information

UN AID S PROGRAM M E COORDIN AT ING BO ARD

UN AID S PROGRAM M E COORDIN AT ING BO ARD UN AID S PROGRAM M E COORDIN AT ING BO ARD UNAIDS/PCB (32)/13.CRP 3 Issue date: 07 June 2013 THIRTY-SECOND MEETING Date: 25-27 June 2013 Venue: Executive Board Room, WHO, Geneva Agenda item 4 Joint United

More information

Three Year Community Mobilization & Behaviour Promotion Trial in Rural U.P. & its Positive Influence on Maternal Behaviours & Infant Growth

Three Year Community Mobilization & Behaviour Promotion Trial in Rural U.P. & its Positive Influence on Maternal Behaviours & Infant Growth Three Year Community Mobilization & Behaviour Promotion Trial in Rural U.P. & its Positive Influence on Maternal Behaviours & Infant Growth Symposium organized by Food and Nutrition Department, Lady Irwin

More information

A Tracer Study on PETS in MDM Scheme in Chittorgarh, Rajasthan

A Tracer Study on PETS in MDM Scheme in Chittorgarh, Rajasthan A Tracer Study on PETS in MDM Scheme in Chittorgarh, Rajasthan Background CUTS Centre for Consumer Action, Research & Training (CUTS CART), a programme centre of CUTS International, established in 1996

More information

AMEX International Healthcare Plan Benefits schedule

AMEX International Healthcare Plan Benefits schedule Quality health plans & benefits Healthier living Financial well-being Intelligent solutions AMEX International Healthcare Plan Benefits schedule Effective 1 April 2015 46.06.933.1-EUAM D (4/15) Your flexible

More information

HIV/AIDS AND LIFE SKILLS MONITORING TOOL ASSESSMENT REPORT

HIV/AIDS AND LIFE SKILLS MONITORING TOOL ASSESSMENT REPORT MINISTRY OF EDUCATION, SCIENCE, VOCATIONAL TRAINING AND EARLY EDUCATION HIV/AIDS AND LIFE SKILLS MONITORING TOOL ASSESSMENT REPORT Prepared by Monitoring and Learning Unit September 2013 Table of Contents

More information

7. ASSESSING EXISTING INFORMATION SYSTEMS AND INFORMATION NEEDS: INFORMATION GAP ANALYSIS

7. ASSESSING EXISTING INFORMATION SYSTEMS AND INFORMATION NEEDS: INFORMATION GAP ANALYSIS 7. ASSESSING EXISTING INFORMATION 6. COMMUNITY SYSTEMS AND LEVEL INFORMATION MONITORING NEEDS: OF THE INFORMATION RIGHT TO ADEQUATE GAP ANALYSIS FOOD 7. ASSESSING EXISTING INFORMATION SYSTEMS AND INFORMATION

More information

Terms of Reference for an External Data Quality Audit

Terms of Reference for an External Data Quality Audit Terms of Reference for an External Data Quality Audit Introduction/Background: Save the Children (SC) is a leading independent child rights organization working for children's rights and delivers immediate

More information

What Is Patient Safety?

What Is Patient Safety? Patient Safety Research Introductory Course Session 1 What Is Patient Safety? David W. Bates, MD, MSc External Program Lead for Research, WHO Professor of Medicine, Harvard Medical School Professor of

More information

Pregnancy Child Tracking and Health Services Management System (PCTS) Gap Analysis

Pregnancy Child Tracking and Health Services Management System (PCTS) Gap Analysis Pregnancy Child Tracking and Health Services Management System (PCTS) Gap Analysis Rajasthan Model Districts Health Project Columbia Global Centers South Asia (Mumbai) Earth Institute, Columbia University

More information

Health Promotion, Prevention, Medical care, Rehabilitation under the CBR Matrix heading of "Health

Health Promotion, Prevention, Medical care, Rehabilitation under the CBR Matrix heading of Health Health Promotion, Prevention, Medical care, Rehabilitation under the CBR Matrix heading of "Health Dr Deepthi N Shanbhag Assistant Professor Department of Community Health St. John s Medical College Bangalore

More information

Executive Board of the United Nations Entity for Gender Equality and the Empowerment of Women

Executive Board of the United Nations Entity for Gender Equality and the Empowerment of Women United Nations UNW/2015/CRP.8 Executive Board of the United Nations Entity for Gender Equality and the of Women Distr.: Limited 23 April 2015 Original: English Annual session of 2015 30 June - 2 July 2015

More information

ELDER ABUSE IN INDIA

ELDER ABUSE IN INDIA REPORT ON ELDER ABUSE IN INDIA Don t Ignore it. Prevent it. HelpAge India (headoffice): C 14, Qutab Institutional Area. New Delhi 110016. Ph: 011-41688955 56. www.helpageindia.org Consultant: Sigma Research

More information

Madhya Pradesh Health Sector Reform Strategy (HSRS) (2006-12)

Madhya Pradesh Health Sector Reform Strategy (HSRS) (2006-12) Annex 1 Madhya Pradesh Health Sector Reform Strategy (HSRS) (2006-12) Flag C 1.0 Introduction MP is one of the poorer states of the country with more than 37% of its population (22 million) living below

More information

Community Safety Overview and Scrutiny Committee 3 September 2014. Report of the Director of Communities and Neighbourhoods

Community Safety Overview and Scrutiny Committee 3 September 2014. Report of the Director of Communities and Neighbourhoods Community Safety Overview and Scrutiny Committee 3 September 2014 Report of the Director of Communities and Neighbourhoods Single Equality Scheme Update and Refresh Introduction 1. The purpose of this

More information

Caroline Haworth 1, Satynaraynan Mohanty 1, Gouri Sankar Mishra 1, Subrat Kumar 1, Alison Dembo Rath 2, Jenny Saxton 2. Bhubaneswar 1, London 2

Caroline Haworth 1, Satynaraynan Mohanty 1, Gouri Sankar Mishra 1, Subrat Kumar 1, Alison Dembo Rath 2, Jenny Saxton 2. Bhubaneswar 1, London 2 What measures are needed to make existing intersectoral convergence between DWCD, DHFW and DRD more effective, for improved maternal, neonatal and child nutrition in Odisha? Caroline Haworth 1, Satynaraynan

More information

COST OF HEALTH CARE- A STUDY OF UNORGANISED LABOUR IN DELHI. K.S.Nair*

COST OF HEALTH CARE- A STUDY OF UNORGANISED LABOUR IN DELHI. K.S.Nair* Health and Population -Perspectives and Issues: 24 (2): 88-98, 2001 COST OF HEALTH CARE- A STUDY OF UNORGANISED LABOUR IN DELHI K.S.Nair* ABSTRACT The study attempts to estimate the economic burden of

More information

Building Equality, Diversity and Inclusion into the NHS Board Selection Process for Non Executives and Independent Directors March 2012 Edition

Building Equality, Diversity and Inclusion into the NHS Board Selection Process for Non Executives and Independent Directors March 2012 Edition Building Equality, Diversity and Inclusion into the NHS Board Selection Process for Non Executives and Independent Directors March 2012 Edition The NHS Leadership Academy s purpose is to develop outstanding

More information

SHRIRAM TRANSPORT FINANCE COMPANY LIMITED. Business Responsibility Policy

SHRIRAM TRANSPORT FINANCE COMPANY LIMITED. Business Responsibility Policy SHRIRAM TRANSPORT FINANCE COMPANY LIMITED INTRODUCTION Business Responsibility Policy Shriram Transport Finance Company Limited ( the Company ), conscious about its social, environmental and economic responsibilities

More information

Chapter 3 LITERACY AND EDUCATION

Chapter 3 LITERACY AND EDUCATION Chapter 3 LITERACY AND EDUCATION Coverage Literacy Rates in Post-Independence India Literacy Rates of SC/ST by Sex and Urban-Rural Distribution State-wise Literacy Rates in last 3 decades State-wise Gap

More information

Annex 5 Performance management framework

Annex 5 Performance management framework Annex 5 Performance management framework The Dumfries and Galloway Integration Joint Board (IJB) will be responsible for planning the functions given to it and for making sure it delivers them using the

More information

Unconditional Basic Income: Two pilots in Madhya Pradesh

Unconditional Basic Income: Two pilots in Madhya Pradesh Background Unconditional Basic Income: Two pilots in Madhya Pradesh A Background Note prepared for the Delhi Conference, May 30-31, 2013. 1 The public debate on cash transfers in India has been highly

More information

Delaying First Pregnancy

Delaying First Pregnancy Delaying First Pregnancy Introduction The age at which a woman has her first pregnancy affects the health and life of a mother and her baby. While pregnancy can present health risks at any age, delaying

More information

Family-friendly schemes and facilities

Family-friendly schemes and facilities Family-friendly schemes and facilities Adoption leave and pay Childcare facilities Family support leave Flexible working Maternity leave and pay Parental leave Paternity leave and pay Adoption leave and

More information

Capacity Assessment Indicator. Means of Measurement. Instructions. Score As an As a training. As a research institution organisation (0-5) (0-5) (0-5)

Capacity Assessment Indicator. Means of Measurement. Instructions. Score As an As a training. As a research institution organisation (0-5) (0-5) (0-5) Assessing an Organization s in Health Communication: A Six Cs Approach [11/12 Version] Name & location of organization: Date: Scoring: 0 = no capacity, 5 = full capacity Category Assessment Indicator As

More information

Monitoring, Evaluation and Learning Plan

Monitoring, Evaluation and Learning Plan Monitoring, Evaluation and Learning Plan Cap-Net International Network for Capacity Building in Sustainable Water Management November 2009 The purpose of this document is to improve learning from the Cap-Net

More information

MATERNAL AND CHILD HEALTH 9

MATERNAL AND CHILD HEALTH 9 MATERNAL AND CHILD HEALTH 9 Ann Phoya and Sophie Kang oma This chapter presents the 2004 MDHS findings on maternal and child health in Malawi. Topics discussed include the utilisation maternal and child

More information

Review of compliance. Mid Staffordshire NHS Foundation Trust Stafford Hospital. West Midlands. Region:

Review of compliance. Mid Staffordshire NHS Foundation Trust Stafford Hospital. West Midlands. Region: Review of compliance Mid Staffordshire NHS Foundation Trust Stafford Hospital Region: Location address: Type of service: Regulated activities provided: Type of review: West Midlands Mid Staffordshire NHS

More information

150 7,114,974 75.8 -53-3.2 -3.6 -2.9. making progress

150 7,114,974 75.8 -53-3.2 -3.6 -2.9. making progress Per 1 LB African Region Maternal and Perinatal Health Profile Department of Maternal, Newborn, Child and Adolescent Health (MCA/WHO) Demographics and Information System Health status indicators - Maternal

More information

FP2020: A RESEARCH ROADMAP POLICY BRIEF

FP2020: A RESEARCH ROADMAP POLICY BRIEF FP2020: A RESEARCH ROADMAP POLICY BRIEF The global community came together in July 2012 in pursuit of an ambitious yet essential goal: ensuring that 120 million additional women and girls have access

More information

Terms of Reference Consultant-Healthcare Financing (Data Analysis)

Terms of Reference Consultant-Healthcare Financing (Data Analysis) Consultant-Healthcare Financing (Data Analysis) National Health Systems Resource Centre (NHSRC) has been set up under the National Health Mission (NHM) as an autonomous registered society, to channelize

More information

Framework for developing health insurance programmes

Framework for developing health insurance programmes Framework for developing health insurance programmes Some suggestions for States Ministry of Health & Family Welfare Government of India New Delhi Table of contents NRHM The Background 3 10 The approach

More information

68 3,676,893 86.7 -49-2.9 -3.2 -2.5. making progress

68 3,676,893 86.7 -49-2.9 -3.2 -2.5. making progress Per 1 LB African Region Maternal and Perinatal Health Profile Department of Maternal, Newborn, Child and Adolescent Health (MCA/WHO) Demographics and Information System Health status indicators Maternal

More information

Behaviour Change Communication

Behaviour Change Communication Behaviour Change Communication Management Development Programme School of Public Health SRM Univesity SRM Nagar, Kattankulathur - 603 203 Kancheepuram Disttrict, Tamil nadu About the Course Behaviour change

More information

NGO Self-assessment through a SWOT exercise

NGO Self-assessment through a SWOT exercise NGO Self-assessment through a SWOT exercise Step 1: Analyse your NGO s Capacity > page 2 Step 2: Do the SWOT Exercise > page 5 Step 3: Make a Strategic Plan > page 8 Step 4: Implement, Monitor, Evaluate

More information

North Middlesex University Hospital NHS Trust. Annual Audit Letter 2005/06. Report to the Directors of the Board

North Middlesex University Hospital NHS Trust. Annual Audit Letter 2005/06. Report to the Directors of the Board North Middlesex University Hospital NHS Trust Annual Audit Letter 2005/06 Report to the Directors of the Board 1 Introduction The Purpose of this Letter 1.1 The purpose of this Annual Audit Letter (letter)

More information

DOMESTIC WORKERS RIGHTS - KENYA

DOMESTIC WORKERS RIGHTS - KENYA DOMESTIC WORKERS RIGHTS - KENYA INDEX 1. Introduction... 3 2. Definition and legal rights... 3 3. Role in the economy... 3 4. Life experiences... 4 5. Forms of employment 5 6. Recommendations.. 6 7. References

More information

USER MANUAL for Data Entry & Verification

USER MANUAL for Data Entry & Verification USER MANUAL for Data Entry & Verification Dated : 09-Jan-2012 Developed by NIC- Health Informatics Division in collaboration with NIC Gujarat. Contact e-mail id : helpdesk-mcts@lsmgr.nic.in 1 About the

More information

Proposal for Funding 2007

Proposal for Funding 2007 Proposal for Funding 2007 EXECUTIVE SUMMARY Proposal Title Rehabilitation of Deprived Children Through Education Name of NGO: SABUJ SANGHA Date of Submission: 30.03.2007 Amount Requested: (in EURO) Budget

More information

Women & Money: Factors influencing women s financial decision-making

Women & Money: Factors influencing women s financial decision-making Women & Money: Factors influencing women s financial decision-making Professor Roslyn Russell, RMIT University Professor Amalia Di Iorio, La Trobe University Introduction Financial wellbeing can be considered

More information

Better Skills Better Jobs Better Health. National occupational standards for the practice of public health guide

Better Skills Better Jobs Better Health. National occupational standards for the practice of public health guide Better Skills Better Jobs Better Health National occupational standards for the practice of public health guide March 2004 Acknowledgements These national occupational standards describe good practice

More information

Consent and coercion: Examining unwanted sex within marriage. K. G. Santhya, Nicole Haberland, F. Ram, R.K. Sinha, S.K. Mohanty

Consent and coercion: Examining unwanted sex within marriage. K. G. Santhya, Nicole Haberland, F. Ram, R.K. Sinha, S.K. Mohanty Consent and coercion: Examining unwanted sex within marriage K. G. Santhya, Nicole Haberland, F. Ram, R.K. Sinha, S.K. Mohanty Extended Abstract Background Domestic violence generally, and sexual coercion

More information

A report on ELDER ABUSE & CRIME IN INDIA

A report on ELDER ABUSE & CRIME IN INDIA A report on ELDER ABUSE & CRIME IN INDIA HelpAge India (Head office): C 14, Qutab Institutional Area New Delhi 110016 Ph: 011-41688955 56. www.helpageindia.org Research conducted by Sigma Research & Consulting

More information

Prevalence and Factors Affecting the Utilisation of Health Insurance among Families of Rural Karnataka, India

Prevalence and Factors Affecting the Utilisation of Health Insurance among Families of Rural Karnataka, India ISSN: 2347-3215 Volume 2 Number 8 (August-2014) pp. 132-137 www.ijcrar.com Prevalence and Factors Affecting the Utilisation of Health Insurance among Families of Rural Karnataka, India B.Ramakrishna Goud

More information

DEVELOPMENT COMMUNICATION

DEVELOPMENT COMMUNICATION MODULE - 1 Development 4 DEVELOPMENT COMMUNICATION In your earlier lesson, you have learnt that effective communication is a two way process. So far, we have seen that the term communication suggests the

More information

ORGANIZATIONS. Organization Programmatic Areas of Focus Notes Interviewed? Yes. Averting Maternal Death and Disability (AMDD)

ORGANIZATIONS. Organization Programmatic Areas of Focus Notes Interviewed? Yes. Averting Maternal Death and Disability (AMDD) Averting Maternal Death and Disability (AMDD) Bixby Center for Global Reproductive Health (UCSF) Global advocacy, human rights, strengthening health systems (conducting needs assessments for EmOC, strengthening

More information