While it is still too early to assess the impact of this training programme, we share some anecdotal evidence of its effect.
The District Tuberculosis Officer applied the concepts of problem tree analysis to help her improve case detection of TB patients.
The Administrative Medical Officer of Gubbi taluk conducted a study in his hospital to understand the reasons behind patient dissatisfaction over the offered services.
The Taluk Health Officer from Gubbi taluk used the concepts in the module on motivation to understand the attitudes of his health centre staff.
Situational analysis and data validation skills were employed by enthusiastic participants in the NRHM PIP formulation.
The District Tuberculosis officer and Reproductive and Child Health Officer have been using supportive supervisory skills in their everyday practice. This has opened up channels of communication with their peer and subordinates, and has also improved the quality of the outputs.
A few SK participants attended the International Conference on Strengthening District Health systems held at Chennai in May 2010. They actively participated in the discussions and also made field trips to PHCs, Taluk hospitals and sub-centres. All field visits involved detailed interaction with the health functionaries of these institutions through interviews and tours of the facilities. The end result was a report which tried to explain why the health services in Tamil Nadu were more effective as compared to those in Karnataka.
Swasthya Karnataka partnered with the Karnataka Health Systems Development and Reforms Project (KHSDRP) to build the capacity of the Tumkur District Health Officers.
Curriculum was developed keeping adult learning principles in mind using experiential learning techniques. Content focused on building knowledge and skills through practical application of the content to issues in the participant’s daily work routine.
Training modules
A total of 16 modules were taught over 17 months. While the initial batch was 63 participants, many dropped out because of retirement, transfers and lack of interest. This was further compounded by extraneous factors like a doctor’s strike, year ending pressures and clashes with other training programmes.
The duration of the training was from June 2009 to December 2010.
IPH (Institute of Public Health) & ITM (Institute of Tropical Medicine) are partners in the Health Inc project. Werner Soors elaborates on the development of the SPEC-by-step tool for layered analysis of social exclusion in health. Tanya Seshadri shares a practical example where the tool is pre-tested on the preliminary data of an ongoing RSBY (Rashtriya Swasthaya Bima Yojna) WHO-Alliance study.
Date: 18th August 2011
The full presentation can be downloaded here (3Mb)
Part 1 The twinned concepts of social exclusion/inclusion
We introduce the concepts of social exclusion, specifically social exclusion in health, and the interaction of social exclusion and inclusion. For the latter, the Indian example of reservation serves as an example.
Part 2 Development of the SPEC-by-step tool
We develop the SPEC-by-step tool: a generic, structured checklist to provide guidance for analysis of social exclusion in social health protection programmes. We take you through each level and step of the tool.
Pre-testing the SPEC-by-step tool on an existing dataset
We exemplify the SPEC-by-step tool as an eye-opener by starting to apply it on the preliminary data of an ongoing RSBY WHO-Alliance study. (A cautionary note: preliminary unclean data is utilised for this example to understand application of this tool and is not related to the ongoing RSBY WHO-Alliance study)
The Institute of public health hosted a group of 10 Maastricht University students on an Exposure visit to India program.
The students were participants of the Honours International program at Maastricht university.
The 3 week program from July 11 – July 28 2011 focused on exposing the students to the health system of the country.
The program was directed to equip students with better skills, knowledge and practices about inter country public health sceneries with special focus on the differences between multiple health care systems and also the regional and cultural perspectives.The prime component of the program were exposure to field visits. The students were also provided with theoretical framework/background to link the observations made in the field, much better.
The main topics covered under the program were health care system in India, social determinants of health, communicable and non communicable diseases, child and maternal health care in India, health service organisation, community health and health care financing in India.
Report conceived by Swasthya Karnataka (SK). Prepared by N. Devadasan and Prashanth NS from Institute of Public Health, Bengaluru under the guidance of Swasthya Karnataka team consisting of Centre for Global Health Research, Bengaluru (CGHR), and Centre for Leadership and Management in Public Services, Bengaluru (C-LAMPS), Karuna Trust, Bengaluru (KT), Institute of Health Management Research, Bengaluru (IHMR) and Institute of Public Health, Bengaluru (IPH). Report also draws from a draft report of Study of transparency, accountability, and corruption in health care and health system in Tumkur district prepared by CGHR in collaboration with KT in 2009
