Concurrent Monitoring of Midwifery Training Program in Odisha- CMMT

Concurrent Monitoring of Midwifery Training Program in Odisha- CMMT

Months

Duration of Project May-November 2022

The objectives of this monitoring study are: –
1) To monitor the quality of implementation of the midwifery training program
2) To identify the facilitators and barriers in the implementation of the training Program
3) To monitor the competence of the trainee Midwives and Educators and identify gaps if any corrective actions

Concurrent monitoring will be carried out throughout the training program, to assess the training processes and identify possible gaps in the program implementation. Both
quantitative and qualitative data will be collected for the study purpose.

The ‘Midwifery Services Initiative’ is a landmark policy decision taken by the Government of India in 2020. The initiative aims to train registered nurses in midwifery and certify them as Nurse Practitioners in Midwifery (NPM) across the country including the development of the Midwifery Led Continuum of Care (MLCC) in all states and Union territories. In, order to scale up midwifery training in Odisha, the state of Odisha has planned to train the first cohort of “18-month NPM” training in 2022.

UNICEF has partnered with IPH Bengaluru in conducting close monitoring and evaluation of the training of the first cohort of the 18-month NPM training program in Odisha.

District Gap Assessment-Telangana (DGAT)

District Gap Assessment-Telangana (DGAT)

Photo of mother and child health wing in the district of Nalgonda taken during the team visit.

Months

Duration of Project February-July 2022

About the project

The state of Telangana, despite the challenges of a newly formed state, has also achieved the SDG 3 of MMR of less than 70/100000 live births. However, maternal deaths that are preventable are still occurring in India and in Telangana. Studies also indicate that there are inequities in access and quality of maternal and newborn health care that continue to plague our health system. Therefore, there is still much that can be done to further decrease the gaps inequitable care and end preventable maternal mortality. There is a global movement to ending preventable mortality (EPMM) grounded in a human rights approach with a focus on eliminating significant inequities that lead to disparities in access, quality, and outcomes of care within and between countries. The last mile towards ending preventable maternal mortality will require locally relevant and contextual interventions.

In this technical assessment, in collaboration with the Armman, in two districts in Telangana, we seek to identify local evidence-based actions that have the potential to decrease and prevent maternal mortality. We plan to first understand the gaps in maternal and newborn care service delivery that contribute to maternal mortality. This will be achieved through the analysis of secondary data and facility preparedness surveys. Based on the gaps identified, a qualitative inquiry to gain insights about ‘why gaps exist’ and ‘how they can be plugged’ will be conducted. Evidence-based actions that have the potential to reduce the MMR will be recommended.

Team Members
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Dr. N Devadasan

Dr. N Devadasan

Dr. Dorothy Lall

Dr. Dorothy Lall

Dr. Vaibhav Agavane

Dr. Vaibhav Agavane

Ms. Angel Sudha

Ms. Angel Sudha

Policy Roundtable: Urban Health Governance in India

Policy Roundtable: Urban Health Governance in India

Image credit: Observer Research Foundation

Dr. Upendra Bhojani, India Alliance Fellow and Director at IPH, was invited to participate in a Roundtable discussion hosted by Observer Research Foundation (ORF) and World Health Organization, India in Delhi on the 26th July 2019. The roundtable discussion was attended by subject experts, bureaucrats and researchers from Mumbai, Chennai, Hyderabad, Bengaluru and Delhi.

While urbanization offers opportunities for growth and development, it poses unique challenges for health and health governance. Acknowledging health as a key component of urban planning and governance by policymakers is an important step to visualize and translate sustainable urban development into action. Themes that were broadly discussed over the course of the day include:

  • The need to strengthen and rationalise existing urban primary health structures in the context of Ayushman Bharat.
  • The need for strong financial governance to help minimise underutilisation of funds.
  • Lack of effective Monitoring, Surveillance and Accountability systems among diverse stakeholders.

The full report of the event is accessible here.

routine dental practice

routine dental practice

The MPOWER package is a package introduced by WHO, comprising of six measures to assist in country-level implementation of the WHO Framework Convention on Tobacco Control. One of the six components of the MPOWER package is “Offer help to quit tobacco use.”

Often, tobacco users are aware of the risks, but require support to overcome addiction or dependence on the substance. It is recommended that support for tobacco cessation should also lie with health-systems, where programs for tobacco cessation should be incorporated and embedded into primary health care services, with health care providers acting as advocates for tobacco control.

Dr. Upendra Bhojani serves as a guide for Rachana Shah (Government Dental College and Hospital, Ahmedabad, Gujarat, India) on her work on how to integrate tobacco cessation support with the help of health professionals as a part of routine primary care. This project shifts the focus from tobacco cessation centres to healthcare providers as playing an important role in delivering such services.

Previous work by this research team showed that Dentists are generally willing, though very few display this in clinical practice, in an article titled Dentists and tobacco cessation: Moving beyond willingness.

Rachana Shah’s doctoral proposal examines the role of oral health professionals (OHP) and the experiences and expectations of dental patients in the context of tobacco cessation (TC) services. The protocol of her doctoral study titled “Integrating tobacco cessation into routine dental practice: protocol for a qualitative study” was recently published in BMJ Open, linked here.

Enhancing the role of community

Enhancing the role of community

While great gains have been made in both understanding and eradicating disease burdens for indigenous populations, health systems studies, and studies assessing service utilization and delivery are limited. Further, Community Health Workers, or ASHAs, have helped in improving maternal and child health outcomes as well as reducing the toll of infectious diseases – the very service areas where tribal populations face great barriers. Given the recent focus on universal health coverage reform, and the recommendations of expert groups, there is a need to more deeply enhance and improve the contribution of CHW programmes in service of tribal health needs. In this study, we draw attention to tribal minority populations in the Nilgiri Biosphere Reserve region, spanning the southern Indian states of Karnataka and Kerala. Notwithstanding that both states have relatively strong health systems, by virtue of being a small and relatively isolated, tribal populations have limited access to programmes and services– they are being left behind. The methods used in this study include key informant and in depth interviews, focus group discussions in close coordination with local implementer groups and government agencies.

Speaker

Dr. Tanya Seshadri

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Affiliation

IPH Adjunct Faculty

Date

17-January-2019

Time

4:00 pm – 5.00 pm

Strengthening Primary Health Care

Strengthening Primary Health Care

It has been estimated that over 80% of the world’s population depends on traditional healing systems as their primary source of care. Traditional Medicine consists of codified and non-codified streams of knowledge. The Foundation for Revitalization of Local Health Traditions (FRLHT), Bengaluru is currently operating a National Scheme along with the Quality Council of India (QCI) for the Assessment, Training and Certification of Traditional Community Health Practitioners based on a standards competency model aligned with ISO 29990 and ISO 17024 which looks at applying stringent rigors for the process of training and certifying TCHPs.

Speaker

Dr. Sarin NS

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Affiliation

IPH Staff

Date

22-November-2018

Time

4:00 pm – 5.00 pm