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Institute of Health Management Research #319, Near Thimma Reddy Layout Hulimangala, Electronics City, Bangalore – 560 105 Ph: +91-80-30533800 / 801 / 818 www.ihmr.org E-mail: email@example.com
Institute of Health Management Research (IHMR) Bangalore is one of the premier institutions in the area of Health Management, Hospital Management, Research and Training in South India. It is the south campus of Indian Institute of Health Management Research Society, which has four more campuses at Jaipur, New Delhi, Kabul and Yemen respectively. The campus at Jaipur is the oldest among them. IHMR Bangalore was established in 2004 with a small but dedicated core team and assumed great strengths as the years went by. In a short span of time, IHMR Bangalore has achieved immense growth in the domain of academics, research, consultancy, training and projects implementation. The Institute runs a Post Graduate Program in Hospital Management (PGPHM), which is an eleven months professional course, for doctors and allied sciences graduates. This is a fast-track course and provides experiential learning, through several uniquely designed modules, wherein the emphasis is more on projects and assignments. The institute has senior professors and lecturers who not only guide students in academics but also involved themselves in conducting various research studies and projects. Apart from the permanent team of faculty members, the institute has few distinguished visiting faculty members from the field of health and hospital management who besides teaching some of the course modules provide their expert advice to the students on their dissertation work. Since its inception, the Institute has successfully rolled out six batches of students enrolled for this program. All the students from these batches have been placed in premier hospitals, health care organizations, insurance companies, state health departments and NGOs. Health Management students have been placed in health care organizations like Aga Khan Foundation, Centre for Sight, Fortis Health Care, while Hospital Management students have got placement in various prestigious hospitals, such as Apollo, Wockhardt, Asian Heart; insurance companies like TTK, Bajaj Alliance; and IT companies like Shobha Renaissance, Shrishti, IBA etc. Besides teaching, the institute has a very strong and sound Research Wing wherein various research projects and studies pertaining to the health policies, projects, systems and management are carried out. These also
include assessments and evaluations studies of various government funded health projects and programmes across the State. Senior faculty members and research officers with their extensive knowledge in health sector and strong hold on research methodologies have been handling these research projects and studies successfully. The institute has also been actively involved in providing wide range of consultancy services to existing and upcoming hospitals since its beginning. Under the hospital consultancy service, the Institution undertakes detailed evaluation of hospitals to assess the cost effectiveness of services, utilization of manpower and equipments, patient and staff satisfaction. Human Resource (HR) audit, streamlining the hospital systems, developing standard operating procedures etc are also part of the consultancy service. The institute also offers domain expertise for Hospital Management Information Systems (HMIS) besides carrying out feasibility studies; manpower and equipment planning, etc. for new hospitals. In the past, the Institute has provided its technical expertise to different hospitals including St. Johns Medical College, Bangalore and had indeed gained wide appreciation from its clients for its work. The Institute also conducts various Management Development Programmes (MDPs) for the top functionaries and professionals involved in the field of medical and health care. These programmes are subject specific and largely focus on managerial aspects to gain sound knowledge of all the facets of management and its application in health sector.
As mentioned earlier the Institute has a team of senior faculty members and research officers who have extensive experience in teaching, conceptualizing, conducting, implementing and documenting various projects and studies. The overall capability of the Institute has been enumerated below in terms of its core strength.
Expertise in the Project Management: planning, implementation, monitoring, evaluation and documentation Institutional capacity development : PHCs, CHCs, district hospitals, ANM training centres, district training centres and NGOs
Technical and Program Support: strategizing, capacity building, supportive supervision, participatory evaluation and process documentation Operations Research Program Evaluation Social Assessment Survey Research
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NABH/NABL Consultancy Hospital Evaluation Studies Hospital Process Redesign Business Process Reengineering (BPR) is an approach aiming at improvements by means of elevating efficiency and effectiveness of business process that exists within and across organization. IHMR Bangalore helps in improving i. Customer Service ii. Cut Operational Costs iii. Become world class competitors IHMR helps in enhancing customer satisfaction, maintain sustainability and enhance profitability of the hospitals through reengineering several hospital processes like admission and discharge, registration and billing, purchase and inventory control, etc. which helps in cost control as well as increase the patient satisfaction
Hospital Evaluation and Manpower Planning Financial perspective Client (Internal and External) perspective Internal Process and Outputs Innovation, Learning and Growth Assessing the workload in all major department of Hospital
Assessing utilization of staffs in major departments Determining the number of staffs required in each department as per industry standards, as per MCI, DCI, etc. Determining optimal utilization of staff through multitasking roles Conducting time motion study in selected departments to assess the workload and the amount of work performed by individual staff
IHMR Bangalore has experience of carrying out evaluation studies and manpower planning in some major hospitals like St. John’s Medical College, RL Jalappa Medical College (Sri Devaraj Urs University), etc • • • Hospital Facility Planning Feasibility Studies Executive development programs for middle and senior level hospital executives Feasibility studies Operations Research Financial Analysis
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Management Development Programs (MDPs)
IHMR also conducts tailor made training programmes as per the needs of hospital and health executives. Some of the MDPs offered by the institute: Enhancing Effectiveness of Hospital Managers Enhancing Patient Satisfaction in Hospitals Motivating the Staff for Action Quality Assurance in Hospitals Hospital Management Information System and IT Applications Infection Control and Bio-medical Waste Management Project Planning, Implementation, Monitoring and Evaluation Health Sector Reforms Health Survey Research Methods and Data Management
Quality Assurance in Health Care Programmes Communication for Behavioural Change Quality Assurance in HIV/AIDS Programmes Training of Trainers (TOT) Medico Legal Systems and Procedures in Hospital Management Perspectives in Organization Change and Development in Indian Healthcare Sector Hospital Accreditation and NABH, NABL Organization Health Information System Patient Satisfaction in Hospitals Nursing Management in Hospitals Quality Tools applicable to Hospitals Creating Competitive Hospital Marketing Strategies
OVERVIEW OF PROJECTS AND ASSIGNMENTS
PROJECTS AT A GLANCE A list of all the completed and ongoing assignments/projects that the Institute has taken up since its inception is presented below for the quick reference.
Sl. No. Name of the Assignments/ Projects Evaluation of PHC – Bhadrak District under NRHM, Government of Orissa Tumkur District Health Management: Swasthya Karnataka Mid-Term (Annual) Evaluation of MNGO/FNGO Programme under RCH-II in Naupada and Koraput Districts Performance Evaluation of a Public Private Partnership (PPP) Model for Primary Health Care in Karnataka Funding Agency Date of Beginning Date of Completion
NRHM, Government of Orissa
Population Foundation India, New Delhi
Reducing Vulnerability Caused by HIV/AIDS on Children in Karnataka Mobilizing Civil Society for Universalizing Birth Registration in Karnataka State
Plan International, New Delhi
Increase in Female Birth Registration in Gulbarga District – An Exploration of the Reasons and Impact of this Trend Baseline Evaluation of Four PHCs in Jewargi Taluk, Gulbarga District
Plan International, New Delhi
Dharam Singh Foundation, Jewargi, Gulbarga
Bangalore Healthy Urbanization Project
WHO-SEARO, New Delhi
Baseline Evaluation of Quality of Care in Secondary Care Hospitals in Districts of Tamil Nadu jointly with Ma Foi, Chennai Universal Birth Registration: Implementation of Universal Birth Registration in 8 Districts of Karnataka
Tamil Nadu Health Systems Project (TNHSP)
Plan India, New Delhi
External Evaluation of India CLEN
INCLEN Trust and IndiaCLEN
Public Private Partnership: Evaluation Study of PHC’s taken over by Karuna Trust, Karnataka
Karuna Trust, Bangalore
Social Assessment under Health & Nutrition Project
Karnataka Health Systems Development Project (KHSDP)
Sl. No. Name of the Assignments/ Projects GAP Analysis for NABH Accreditation of P.D Hinduja Sindhi Hospital GAP Analysis for NABH Accreditation of R.L. Jalappa Teaching & Medical college Hospital, Kola Manpower Planning in R.L. Jalappa Teaching Hospital, Kolar Evaluation Study of R.L. Jalappa Teaching Hospital, Kolar Manpower Planning in St. Johns Medical College Hospital, Bangalore Funding Agency P.D Hinduja Sindhi Hospital Date of Beginning Date of Completion
Sri Devraj Urs University
April, Ongoing 2009
Dev Raj Urs University, Kolar Dev Raj Urs University, Kolar
April, 2009 December, 2008
June, 2009 April, 2009
St. Johns National Academy of Health St. Johns National Academy of Health St. Johns National Academy of Health
Assessment of St. Johns Hospital
Financial Feasibility Study for Establishing a Children’s Hospital and Research Centre at St.
Establishing an Eye Hospital in Gulburga – Needs Assessment Study
Bhoruka Charities, Bangalore
PROJECTS ON HEALTH MANAGEMENT (IN DETAIL) A detailed enumeration of all the completed and ongoing projects/assignments that the Institute has taken up in each year is presented below in the order they have mentioned in the table at glance.
EVALUATION OF PHC – BHADRAK DISTRICT UNDER NRHM, GOVERNMENT OF ORISSA Funding Agency: NRHM, Government of Orissa The specific objectives of this project were: • Assess the impact of PPP on basic RCH and other health indicators • Assess the quality of management functions and systems at the PHCs introduced by NGO and single out best practices for scaling up • Assess the relative quality of services delivered and to assess the quality and impact of capacity building efforts under the project • Review the existing evidence, MIS, quality of documentation etc. and to suggest improvements to improve the quality of evidence • Assess the community governance mechanisms and level of community involvement and approval of the model: could the model build ownership of the community • Assess the perceptions of various district, taluk and ZP/Panchayat level stakeholders about the model • Assess the scalability of specific components of the model and suggest specific components which can be taken up for scaling up • Conduct a Strengths Weaknesses Opportunities Threats (SWOT) analysis of the model in terms of scalability and provide recommendations if required. Data Analysis is in progress DISTRICT HEALTH MANAGEMENT: (GOVERNMENT OF KARNATAKA) Funding Agency: Government of Karnataka The Institute of Public Health (IPH) using the expertise of 24 experienced public health professionals found that some of the main problems faced by district health & hospital managers are lack of public health skills, lack of managerial skills, centralised planning and management of the health services, inadequate financing of the health services, and lack of effective leadership and governance. According to these experts, enabling district health teams to manage the health system at district level and below through appropriate training and mentoring will improve their overall performance resulting in an improved health services delivery. SWASTHYA KARNATAKA
As a preliminary exercise, IPH carried out a training needs assessment of district health managers to understand their needs. The findings of the study revealed that the existing training programmes for the district health team are not comprehensive and do not address any of the management / public health & hospital management aspects. Though each state has set up training institutes, the training outcomes have not met the objectives of ensuring better health delivery at the grass roots level. Many of these institutes are managed by clinicians and even the trainers are ill equipped in public health skills. With the above background, IHMR – Bangalore, The Institute of Public Health (IPH), Karuna Trust (KT) & St. John’s Research Institute approached the Government of Karnataka to pilot a capacity building programme in five districts of the state. The government approved this proposal and through a government order we were given permission to build the district health management capacity in the districts of Karnataka with Tumkur as a pilot project. A consortium of five organizations was formed named Swasthya Karnataka (SK). The objective of the study is to: Build the management capacity of the district health team so that this team is enabled to provide health care in the district in an effective, efficient and equitable manner. MID-TERM (ANNUAL) EVALUATION OF MNGO/FNGO PROGRAMME UNDER RCH-II IN NAUPADA AND KORAPUT DISTRICTS Funding Agency: NRHM, Orissa Study was conducted to carry out the midterm/Annual evaluation as per NGO guidelines of Government of India to determine the effectiveness, outcome and impact vis-à-vis achievements in comparison to the baseline survey. It will also help in finding out the weakness and strengths of these projects, factors (both positive and negative) which affected the implementation of these projects. The specific objectives of the study were: • Assess the impact of the RCH-NGO project based on the input and process indicators supplemented by outcome indicators available from the Baseline survey, performance reports. Identify important programme and institutional strengths and weaknesses of MNGOs/ FNGOs to facilitate better designing of RCH-NGO projects in future. Identify innovations carried out by MNGO/FNGOs to increase access and RCH services for un-reached and un-served population Assess and recommend for further funding support for continuation of MNGO/FNGO programme by the agency.
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Major findings of evaluation • • MNGO- FNGO framework demonstrated a useful approach for prioritizing interventions in a difficult area. The MCH project improvements helped many rural women and their children
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Standard process indicators for delivering RCH services must be integrated into routine health information systems and train project staff in the collection, calculation Programmes that link communities with functioning referral systems promote sustainability and utilization of RCH services. Recognize and work with traditional birth attendants (TBAs)
Institutional weaknesses observed in the implementation of RCH – II Number of institutional deliveries increased but not in proportion to the work load with respect to human resource and infrastructure. Community monitoring and empowerment as per discussions is not visible Proper system of Management Information System (MIS) at the lower strata of government health services does not exist Lack of surgeons to perform Non Scalpel Vasectomy (NSV) and also acute shortage of gynecologists throughout the district ASHAs could be made self-sustainable by social marketing of sanitary napkins and condoms etc. Provision of cycles and mobile phones is necessary for effective service delivery by ASHAs. System of communicating between MNGO and FNGOs is not strong enough. Staffs turn over cause’s problem both at the MNGO’s and FNGO’s level.
Gaps in RCH project as identified by the evaluating agency: Baseline data was very poor from health facilities, limiting the capacity to compare findings from baseline to the end of the projects and the overall strength of the data. Magnitude of the deficiency in material resources and systems needs to be addressed. Training was provided to varying degrees which required extensive time for taking up the follow up visits and inputs that were beyond the scope of the project. Budget could may be sanctioned according to geographical area coverage and inaccessible pockets Honorarium of staff may be increased. Allotment of a regular accountant cum office assistant
Innovations: • • • Ice Lined Refrigerators (ILR) points have been established with the coordination of the CDMO and district collector Blood transfusion services are being provided for anemic pregnant ladies. Social marketing of sanitary napkins and condoms are being advocated. The MNGO used its expertise of business promotion to market socially relevant products for the community. Provision of cycles and salawar kameez as uniform for ASHA activist Birth preparedness: A savings box was given that brought out an attitudinal change. Sukha Prasav Purana is a guide providing information about safe delivery.
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MNGO aired two radio programs through the all India radio, Bhawanipatna.
Recommendations for funding support to MNGO-FNGO program The over all assessment of the MNGO-FNGO performance in terms of programme delivery and financial management indicates that the performance of AYAUSKAM FNGO was found most satisfactory, where as, YAR & M S FNGOs and SRUSTI MNGO needs further improvements from Naupada district. Based on the overall satisfactory assessment, the evaluating team recommended that funding support may be continued with MNGO SRUSTI, Two FNGOs- namely, AYAUSKAM and BASK. Further, funding support may be reassessed for FNGOs – YAR and Mahila Samithi. In Koraput district, performance of WORD FNGO was found most satisfactory, where as, FNGOs; Ankuran and GITA, MNGO-SOVA need further improvements. Based on the overall satisfactory assessment, the evaluating team recommends that funding support may be continued with MNGO SOVA, FNGOs – WORD and IDS. Further, recommended that future funding support may be reassessed for FNGO – GITA and Ankuran.
PERFORMANCE EVALUATION OF A PUBLIC PRIVATE PARTNERSHIP (PPP) MODEL FOR PRIMARY HEALTH CARE IN KARNATAKA Funding Agency: Population Foundation of India, New Delhi. Institute of Health Management Research (IHMR), Bangalore conducted an assessment of Government PHC, which is being managed by Karuna Trust. The objective was to assess the effectiveness of health care services provided at the PHC. In furtherance to the assessment conducted by IHMR, PFI proposes to get IHMR to assess 10 more PHCs and also evaluate the performance of the entire public private partnership model. The objectives of the project were: • • • • • • To assess the impact of the public private partnership on basic RCH indicators To assess the quality of management functions and systems at the PHCs introduced by Karuna Trust and single out best practices for scaling up To assess the relative quality of services delivered and to assess the quality and impact of capacity building efforts under the project To review the existing evidence, MIS, quality of documentation etc. and to suggest improvements to improve the quality of evidence To assess the financing and staffing mechanisms with cost estimations for various services delivered by the PHCs To assess the community governance mechanisms and level of community involvement and approval of the model: could the model build ownership of the community To assess the scalability of specific components of the model and suggest specific components which can be taken up for scaling up To conduct a Strengths Weaknesses Opportunities Threats (SWOT) analysis of the model in terms of scalability and provide recommendations if required.
Recommendations were given to Karuna trust (KT)
Active advocacy campaign needs to be conducted for all the health staff in the district, taluk and PRI level wherein the concept of PPP needs to be contextualized and explained • Karuna Trust needs to monitor whether all staff have received their salary every month on time. • Positive attitude from staff towards their work but mechanisms to be in place for increased capacity building measures • Effort to ensure all sub-centers has a building in place. It would help the ANM (who is residing at the sub-center village) in conducting her activities effectively. • Feedback mechanism at the PHCs in order to welcome suggestions and grievances from the community therefore, service delivery can be enhanced. Patient satisfaction survey could be conducted on weekly basis to gain an insight on improvement areas. • Sensitize the community regarding the concept of PPP (the basics) and also the basic health package offered by a PHC. There is need for active mobilization through regular meetings with community members including SHG groups. • Effort needs to be made to ensure that there are MBBS doctors in all the PHCs. This would facilitate certain service provisions that are lacking such as sterilizations and post mortems. • Efforts of IEC to be strengthened. Maybe the Health Education Officer or Health Inspector could be the nodal person to carry out IEC activities actively for the community, both at the PHC and the community level. Local media could also be utilized to highlight the successes of the PHC. Recommendations - to State Government • Fund release mechanisms with government need to be strengthened to ensure that funds are released on time. • Funds to be released by Government of Karnataka (GoK) separately for training, capacity building, supervision and monitoring • Infrastructure issues to be addressed by GoK on priority • GoK can send contract doctors on deputation to KT, Compulsory rural postings from medical colleges as seen with St. Johns medical college prior to allotting PG seats. • Corpus fund to be created to manage the disbursement of salaries etc on time. • Include all KT managed PHCs in ALL GoK / GoI Training programmes and share all resource materials released by GoK / GoI Recommendations for scaling-up • The Trust is managing the PHCs within the funds provided by the Government and is also implementing additional interventions. This concept could be definitely up- scaled particularly the integrated mental health care, Ayurvedic demo garden, vision care and dental care. • The concept of approaching health care from a management perspective at the primary level is a strength that has been exhibited successfully by
Karuna Trust. This needs to be taken up and considered for up-scaling. The management aspects that could be considered for up-scaling include factors such as – maintaining accurate HMIS, transparency and team work, capacity building and constant monitoring and supervision. • There is an obvious improvement in the basic RCH indicators in the PHCs managed by Karuna Trust. Some of the facilitating factors are 24-hours service provision and strong initiatives (immunization and follow-up visits) at the community level through the sub-centers. This should be considered very strongly by policy makers. REDUCING VULNERABILITY CAUSED BY HIV/ AIDS ON CHILDREN IN KARNATAKA Funding Agency: CCF India Karnataka is one of the three high HIV/AIDS prevalent states in the south zone of India. In Karnataka, HIV/AIDS program is being implemented by CCF-India in partnership with 14 NGOs covering 263 villages and 39 slums. In order to increase the effectiveness of the program, the CCF-India intends to involve a resource agency that will be responsible for providing technical support to partner NGOs in strategy formulation, planning, and implementation of the project activities; monitoring and evaluation. IHMR was entrusted as a nodal agency to provide technical and program support to the partner organizations of CCF in their HIV/AIDS project in Karnataka. The objectives were to: • Provide technical support to partner NGOs in situational assessment, formulating strategies and designing a plan for effective implementation of project activities. Capacity building and handholding of NGOs in implementation. Develop an effective system for monitoring. Design and conduct a participatory evaluation of the project. Identify Information Education and Communication (IEC) materials to be utilized during the intervention period.
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Programme achievements A planning workshop was organized to train NGO personnel for under taking baseline survey. The workshop was successfully held between 18th and 20th July 2007. Later on IHMR provided technical inputs in consolidating the baseline survey findings. The second workshop was held for two days on the Management Information System (MIS) formats and communication modules for the capacity building. Third workshop was organized on counseling Techniques for Trainers (TOT) between 18th December and 19th December 2008. Modules were developed and training sessions were conducted to participants. These modules were on: Module 1: Basic information on HIV/AIDS, and HIV testing and counseling Module 2: Basic counseling techniques Module 3: Prevention of parent-to-child transmission of HIV Module 4: Counseling for specific target groups
Module 5: Counseling for care and treatment Module 6: Counseling for other issues Module 7: Supplementary section - Advanced counseling skills MOBILIZING CIVIL SOCIETY FOR UNIVERSALIZING BIRTH REGISTRATION IN KARNATAKA STATE Funding Agency: Plan International, New Delhi. This study is a part of Plan’s internal evaluation of the intervention in Karnataka state. Through this we hope to gain a deeper insight of the status of this project and try to understand both positive and negative issues that would eventually emerge from such a study. We hope that the comparative nature of this study will help in future planning and also as a reference for similar interventions. The overall objective of this study is to compare birth registration status of project taluks and non-project taluks in the intervention districts in Karnataka. The specific objectives were: • • • • • • • • Create awareness about Urban Birth Registration (UBR) in the project areas. Increase 100% UBR by the end of the project in the project areas Increase birth registration status in all levels in the project areas. Create awareness and educate the target community on UBR. Evolve a sustainable system of ensuring birth registration among the communities. Liaison with the concerned taluk and district level authorities to achieve the objectives. Disseminate the information through publication and distribution of information and educational materials. Make available accurate information on birth, which would, available from the most appropriate developmental plan.
Findings of the study • • • • Each district requires specific and focused programming, as the needs for each district are different Dialects within each district need to be reflected in the radio and other media interventions as this ensures uniform community participation TV penetration has increased in rural areas, and video component needs to be strengthened. Narrowcast has had good impact on the community as it enables participation, listener ship and feedback collection. Further, it is suitable and convenient for community members and community resource persons. Adalats is an effective medium for both government and communities, but, without sustaining the process, this programme will not yield results. School radio programs are good mechanisms to create awareness in the child and to initiate trickle down effect on the community. It also makes the child aware of his or her rights and encourages them to speak about their rights on radio. Celebrity spots have a huge impact (audio spots) and there is immediate association and familiarity with the voice/face of the celebrity, increasing probability for change on the field.
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Broadcasting is an uncontrolled process but needs to be continued to reach a wide audience and across a wider region, and to reach people beyond our network areas. Possibilities of setting up CRS as effective tools of creating awareness Communities should get actively involved in content generation by producing radio programs, vis-à-vis training programmes, field visits Continue with present activities with focus on individual districts
INCREASE IN FEMALE BIRTH REGISTRATION IN GULBARGA DISTRICT – AN EXPLORATION OF THE REASONS AND IMPACT OF THIS TREND Funding Agency: PLAN International, New Delhi. The Universal Birth Registration campaign has been underway in Karnataka in 7 districts since 2005. 7 NGOs in each of the district have been implementing awareness and advocacy activities related to birth registration. Institute of Health Management Research (IHMR) is the nodal agency for Plan’s UBR intervention in Karnataka. and it has been found that in the district of Gulbarga there have been more of female births being registered as compared to males. Hence it was felt that it would lead to significant findings if the reason and impacts for this trend were to be explored in the district. The specific objectives of the study were: • • • • Assess the awareness of health functionaries and parents regarding birth registration. Explore the reasons behind increase in registration among female babies Analyze the ratio of registrations among male and female babies in Gulbarga district. Analyze whether there has been any significant impact on the sex ratio in the district
Major findings of the study Awareness level among Government functionaries and parents By and large, the general awareness level of government functionaries was found higher than that of parents with related to birth registration process especially with regard to the parameters such as possessing birth certificates with free of charge and its details of formal procedures to be followed for the birth registration after and before an year of child’s birth. It was only with regard to the benefits of the birth registration that both of their awareness level found very high. Majority of the government functionaries and parents have well perceived the acute need of possession of birth certificates. It was found that there was no sufficient clarity among the Government functionaries as to with whom and exactly what formalities are to be fulfilled while filling up of the birth registration farms, but over all they were found strictly maintaining separate registers for the purpose of the documentation of birth records.
Emerging trends, reasons and impact of more female birth registrations Both functionaries and parents indicated the trend of more registration of girl babies since the year 2005. Substantially parent’s attitudinal shift has been established showing their positive reaction towards the birth of female babies. The positive attitudinal shift as a consequence of increased social awareness during a campaign organized against female feticide was found as the major reason behind such a trend pattern. Secondly, availing financial benefits of the Bhagyalakshmi scheme meant for girl babies was found as the other major reason which prompted parents went ahead with registration of Girl babies. The analysis of the secondary data proved that there was significant improvement on the sex ratio at birth of the district from 879 in the year 2004 to 1188 in 2006. This probably indicates that the rate of female feticide reduced considerably between 2005 and 2006. However there was no significant impact on the sex ratio of the district from 2004 to 2006 which remained stable. (964, 966 and 966 respectively) Problems encountered during Birth Registration. The major hurdles for the achievement of 100% success in Universal Birth registration programme were found among both Government functionaries and Parents. If lack of parent’s interest was identified as the one of the crucial problem by government functionaries, lack of cooperation from some of the government functionaries such as absence of VA’s was reported from the parents as an obstacle for the smooth functioning of Universal Birth Registration programme. However it is worth considering the problems being faced by VA’s such as not having proper infrastructure facilities such as office, board and a fixed time table etc. Town municipal personnel were also of the view that VA’s should be ensured with a comfortable office infrastructure. In this regard CDPO suggested that VA’s have to fix the day for taking information, registration of new births just as ANMs/ AWW’s who organizes the immunization programme on a pre scheduled day. The difficulties were reported to have been faced by the parents while registration also with relation to the name of the child. Wrong information while registering and the difference between the actual date of birth and the date on which birth registration certificates are made and finally possessing them itself was posed as a major challenge to the Universal Birth Registration programme. BASELINE EVALUATION OF FOUR PHCS IN JEWARGI TALUK, GULBARGA DISTRICT Funding Agency: Dharam Singh Foundation, Jewargi, Gulbarga Dharam Singh Foundation is in the process of taking over the management of two PHCs in Jewargi taluk in Gulbarga district. In this context the Foundation requested Institute of Health Management Research (IHMR), Bangalore to conduct a baseline evaluation of the two PHCs and 2 more adjoining ones to gain an insight into the current status of the PHCs. The specific objectives of this project were:
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Gain an insight into the current status of the PHC in terms of vacancies, performance and management. Capture perceptions of key stakeholders regarding the performance of the PHCs. Gauge readiness of the key stakeholders regarding privatization of the PHCs. Gather secondary data of all PHCs in the taluk and analyze the same.
Major finding of the study There is a shortage of female staff at all the 4 PHCs There is no 24 hours services at all the 4 PHCs There is a need for streamlining the overall management of the PHCs (HMIS, pharmacy, lab, RCH services, monitoring and supervision and others) Except for Birial PHC there is requirement of infrastructure development at all the other PHCs. Referral services require to be streamlined on an immediate basis in order to facilitate action during emergencies (transportation). There is a need to look into the streamlining of sub-centers in terms of staff allotment and infrastructure development. Community involvement needs to be mobilized in a more effective manner through frequent contacts and interactions with opinion leaders and key persons. A majority of the respondents were not aware about the exact concept of a public private partnership. There is a feeling among the community that it is a privatization venture. There is a feeling among the community that they will be charged heavily if a private agency were to take over the management of the PHC. A majority of the respondents approved the idea of a private agency managing the PHC.
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HEALTHY URBANIZATION LEARNING CIRCLE, BANGALORE Funding Agency: WHO (SEARO) and WHO Kobe Centre (WKC- Japan) This project was done in collaboration with Brihan Bangalore Mahanagar Palike (BBMP) wherein six members formed a Healthy Urban Lifestyle Circle (HULC) and took up a predetermined issue of Solid Waste Management, one of the conceived social determinants of health. Under this project we adopted two slums in the Vasanth Nagar area and conducted several activities related to solid waste management in partnership with the health center located there. IHMR was called in as a technical expert to provide inputs while formulating strategies and research questions for the project. Recommendations made to the BBMP were: • • Strengthening the ongoing waste collection practices in the community Incorporation of solid waste management as a subject in school children’s regular curriculum.
Training of teachers regarding SWM. Development of IEC materials regarding the subject to be displayed in schools (posters, charts, etc.) and to be used while teaching (flip charts, flash cards, etc.) Construction of toilet in need based areas which comes under the purview of BBMP
Recommendations made for the community: • Increased participation in planning and decision-making. • Formation of litter patrols that would take the initiative of solid waste management in the community. • Raising awareness among children and other members on a continuous basis to reinforce appropriate solid waste management practices. BASELINE EVALUATION OF QUALITY OF CARE IN SECONDARY CARE HOSPITALS FOR TAMIL NADU HEALTH SYSTEMS PROJECT Funding Agency: Tamil Nadu Health Systems Project (TNHSP) While the health system in Tamil Nadu has been fairly effective in providing basic health needs to its people, there are considerable challenges in terms of the stagnating infant and maternal mortality rates, growing burden of non-communicable diseases, the sub-standard quality of care in both public and private healthcare sectors; and equity and access issues to healthcare. Public expenditure on health services in Tamil Nadu is less than US$3 per capita per year and has fallen from 7.5 percent of the state budget in the mid-1980’s to 5.8 percent in 2001. Almost 75 percent of this budget is allocated to salaries, leaving very little for investment in equipment, infrastructure and materials required for the provision of care of even minimum quality. System’s framework was adopted for conducting this study. The study brought out the gaps and shortcomings in service provision and development of quality care indicators in secondary level hospitals in Tamil Nadu. Data collection tools adopted were facility survey inventories, service provider’s satisfaction and patient satisfaction questionnaires, which were used to gather data from 270 hospitals across the state. The primary aim of the study was to derive quality care indicators for 270 Secondary Care Hospitals in Tamil Nadu, besides deriving gaps & shortfalls in providing comprehensive services in the hospital and developing a Grading System & grade all the secondary care hospitals IMPLEMENTATION OF UNIVERSAL DISTRICTS OF KARNATAKA BIRTH REGISTRATION IN EIGHT
Funding Agency: Plan International – India Chapter, New Delhi
Birth registration is the process by which a child's birth is recorded in the civil register by the applicable government authority. It provides the first legal recognition of the child and is generally required for the child to obtain a birth certificate. Each year about 42% of births go unregistered, which is about 10 million births. IHMR
envisages the goal to increase birth registration level to cent percent by 2008 in their project implementation areas through Universalizing Birth Registration. This project is an effort towards achieving the goal. The major objectives of the study were: To create awareness about UBR to the whole state on compulsory birth registration by 2008 To conduct specific programs (network, evolve strategy and systematically plan interventions and monitor progress in target areas in order to increase awareness in communities about UBR)in the under performing districts of the state and thereby increase and achieve 100% birth registrations by 2008 To evolve a sustainable system of ensuring birth registration in communities To liaise with all concerned Government officials/functionaries at State and District level for achieving the objectives To develop and use all possible appropriate media for creating awareness about UBR.
Role of IHMR Training and orientation of NGO’s staff for its capacity building in terms of the financial and project management skills Creating local network of UBR groups through its partner NGOs in field level and linking it to other networks to scale up its reach. Advocacy at Central and State levels through local network of UBR group Monitoring at all levels i.e. State & District through a monitoring format. Doing documentation and database and skill up gradation of NGOs project staff to carry out this activity at their level. Collecting Reports from partner NGOs, compiling them and disseminating the results.
EXTERNAL EVALUATION OF CLEN Funding Agency: INCLEN Trust and IndiaCLEN An external evaluation of IndiaCLEN, one of the 7 regional networks of INCLEN, was carried out in March 2006 to improve its effectiveness and efficiency in terms of organizational structure and operations. The specific objectives were: • To evaluate the organizational structure and functioning of IndiaCLEN including financial management practices with a view to suggest changes if need to make the organization more efficient and enable it to attract more funds from diverse funding sources achieve its goals. To evaluate the performance of IndiaCLEN research programs and other research activities in relation with its vision/ mission/mandate and examine how this has contributed to • • • Knowledge generation and closing of the “knowledge-do” gap Policy formulations and implementations
To evaluate how successful IndiaCLEN has been in adapting itself to respond to the problems of: • Changing health contexts
• Building bridges between clinical and public health activities and academic and health services environment at institutional and national levels. • Proactive interactions with policy makers and program managers at various national and regional public health programs • Fostering partnerships • To evaluate the capacity building strategies and activities of IndiaCLEN in terms of research capacity development and teaching training of research methodology at local and national level in order to support and sustain IndiaCLEN research program on long term basis. To evaluate the financial management practices of IndiaCLEN with a view to suggest changes if needed to make the organizations more efficient and enable it to attract more funds for diverse funding sources to achieve its goal.
EVALUATION STUDY OF PHC SUGGANAHALLI, KARNATAKA Funding Agency: Karuna Trust, Bangalore In India, the public health sector mainly provides primary health care through a vast network of Primary Health Centers and Sub-Centers. There are 1676 Primary Health Centers (PHCs) in Karnataka. The general feeling is that a large number of PHCs are not functioning effectively and efficiently. As a result Karnataka took a lead and under the concept of Public-Private Partnership (PPP) handed over the management of few PHCs to NGOs. The government provides 75% of the running cost of the PHC and the rest 25% is contributed by the NGO. Karuna Trust is a NGO managing 24 PHCs in Karnataka and PHC Suganahalli is one among them. The objective of the study was to assess the effectiveness of health care services provided at PHC, Suganahalli SOCIAL ASSESSMENT UNDER HEALTH AND NUTRITION PROJECT, KARNATAKA HEALTH SYSTEMS DEVELOPMENT PROJECT (KHSDP) Funding Agency: Karnataka Health Systems Development Project (KHSDP) A social assessment was undertaken to improve the health outcomes of the population with special focus on the poor, the tribal, SC/ ST and adolescents. The State Government designed a project with the support of and financial grant from the World Bank to strengthen the primary health care and public health services. The project needed to ensure that it addressed the issue of social inclusion-especially of the poor, tribal and adolescents. The proposed social assessment contributed to the project preparation and design. The main objectives of the project were: • To undertake literature review of the studies and surveys assessing utilization of health services (formal and informal sectors) and health seeking behaviors of the tribal populations To assess the perceptions of tribal populations and poor districts toward health services (including traditional systems) in public and private sectors
To develop maps showing geographic distribution and numbers of various tribal groups To identify and assess social, cultural, economic, transport and other factors that constrain tribal populations and the poor in accessing health services in both public and private sectors with special emphasis on women, children and adolescents. To assess the availability and quality of modern health services available to the tribal population and in poor districts based on existing documents To assess the interventions implemented, to date, by NGOs to improve health outcomes for these populations, their impact and lessons learned, and the attitudes of tribal and the poor toward these interventions To examine the existing forms of participation in tribal and poor areas and also to assess their limitations as well as possibilities, to be incorporated in the project. To conduct workshops with tribal and poor communities to develop an Action Plan, specific implementation and monitoring arrangements, capacity building to ensure participation, and responsibility and expectations of all involved parties.
Based on the findings of the study a “Vulnerable Community Health Development Plan (VCHDP)” was prepared.
PROJECTS ON HOSPITAL CONSULTANCY (IN DETAIL)
The Institute has provided wide range of consultancy services for existing and upcoming hospitals. Some of the consultancies that Institute has provided are mentioned below: GAP ANALYSIS FOR NABH ACCREDITATION OF P.D. HINDUJA SINDHI HOSPITAL Funding Agency: P.D. Hinduja Sindhi Hospital IHMR was given the task to help Sindhi Hospital applying for NABH Accreditation. IHMR is carrying out the task as given below: • • Phase wise approach to Project, with identified milestones. Vast experience in Healthcare Sector. Leading Consultant in the field having assisted many Hospitals on various quality improvement exercises like the ISO 9001, NABL, NABH etc. Intensive Handheld Consulting Methodology. Process wise approach to System Study. Multi skilled consulting team with exposure to multiple quality platforms. Close interaction with the Process Owners. Project Objective: A Benchmarked SYSTEM. Project Goal: Timely and successful Certification. Periodic Project Reviews. Transparent and ethical practices. Complete transfer of knowledge to Client by end of assignment. Phased payments based on deliverables.
• • • • • • • • • •
Deliverables from IHMR • • • • Report on Gap Analysis Based on the Gap Analysis prepare a plan of action with achievable milestones, preferably in phased manner Review the operational constraints and provide recommendations and expert opinion for action in the hospital during the project Capacity Building Needs Assessment report (generated through Gap Analysis), corresponding capacity building plans, expected outcomes would be prepared. Modules for identified training and capacity building needs under the following broad categories of management and governance will be prepared. Training of the staff as per the need assessment and the mutual agreement between the IHMR and coordination committee of hospital.
Well defined standard operating procedures and Monitoring plan
GAP ANALYSIS FOR NABH ACCREDITATION AT R. L. JALAPPA TEACHING & MEDICAL COLLEGE HOSPITAL, KOLAR Funding Agency: Sri Devraj Urs University The final report on the evaluation study was submitted along with the study on the Human Resource Management of the hospital. The Management is seriously considering to proceed for NABH for which the GAP Analysis is required. The detailed gap analysis study is in progress as per NABH standards and checklist. IHMR was given the task to help Sindhi Hospital applying for NABH Accreditation. IHMR is carrying out the task as given below: • • Phase wise approach to Project, with identified milestones. Vast experience in Healthcare Sector. Leading Consultant in the field having assisted many Hospitals on various quality improvement exercises like the ISO 9001, NABL, NABH etc. Intensive Handheld Consulting Methodology. Process wise approach to System Study. Multi skilled consulting team with exposure to multiple quality platforms. Close interaction with the Process Owners. Project Objective: A Benchmarked SYSTEM. Project Goal: Timely and successful Certification. Periodic Project Reviews. Transparent and ethical practices. Complete transfer of knowledge to Client by end of assignment. Phased payments based on deliverables.
• • • • • • • • • •
Deliverables from IHMR • • • • Report on Gap Analysis Based on the Gap Analysis prepare a plan of action with achievable milestones, preferably in phased manner Review the operational constraints and provide recommendations and expert opinion for action in the hospital during the project Capacity Building Needs Assessment report (generated through Gap Analysis), corresponding capacity building plans, expected outcomes would be prepared. Modules for identified training and capacity building needs under the following broad categories of management and governance will be prepared.
Training of the staff as per the need assessment and the mutual agreement between the IHMR and coordination committee of hospital. Well defined standard operating procedures and Monitoring plan
EVALUATION STUDY OF R.L. JALAPPA TEACHING HOSPITAL, KOLAR Funding Agency: Sri Devraj Urs University Sri Devaraj Urs Medical College and Hospital was affiliated to Rajiv Gandhi University of Health Sciences. It is approved by the Government of Karnataka and is presently a part of the deemed university. Within a short time the college has made rapid progress academically and has achieved a proud place among the Medical Colleges in the Country. Postgraduate courses in clinical subjects were started in 1997. It is a teaching hospital. The hospital is situated on the national highway NH4. This hospital aims at better care and quality facility to its population. Therefore needs to upgrade the lacunas currently present in their system of faculty, infrastructure and work force. The broad objectives of this project were: • Study the effectiveness and efficiency of the various hospital departments in context with the existing systems and processes and develop protocols for 7 major departments viz. • • Out Patient Department (OPD) Operation Theatres (OTs) Intensive Care Unit (ICU) Pharmacy HRD and organization structure Medical Records Department HMIS
Study the available documents on systems and process as per ISO and NAAC. Suggest concrete and practical recommendations to improve the performance of the hospital operations with special emphasis on streamlining of systems and processes.
The final report has been completed with some of the trainings to be given to the staff on biomedical waste management are carried out. The major recommendations were: • To institute a proper Bio Medical Waste (BMW) Management system in place, • • • • • • Outsource the BMW to an agency in Bangalore as per the Biomedical waste management act Training compulsory for all cadre of staff in Biomedical waste Implementation of HMIS & to be made online in the next 3 months Renovation of the lab as per NABL standards Improve the processes in the Emergency Department & to put on hold the construction of the new Emergency wing Improve the process in the ICU & a look at the mortality rates in ICU and Emergency Dept.
• • • • • • •
Medical audit to be made compulsory monthly Mortality meetings to be more effective Effective utilization of OT Introduction of Super specialty out patient Immediate appointment of the super specialty consultants on full time basis – a Neurosurgeon, Endocrine surgeon, Neurologist et., To plan for HR department immediately and institute all HR policies To encourage research among all clinical staff with incentive pay scheme
MANPOWER PLANNING IN ST. JOHNS MEDICAL COLLEGE HOSPITAL, BANGALORE Funding Agency: St. John’s National Academy of Health Sciences (SJNAHS), Bangalore Manpower is one of the most important resources utilized in an organization to achieve its objectives. In most of the hospitals the manpower consumes about 30 – 40% of its budget. Therefore, it is of paramount importance that the manpower is utilized optimally. St. John’s Hospital and Institute of Health Management Research had previously collaborated in an evaluation study of the hospital. The present study was conducted in furtherance from the previous one and it focused on manpower planning in the hospital. Apart from manpower planning it also focused on the issue of workers who were on contract basis in the hospital. The study looked into problems faced by the said workers and their supervisors in their day-to-day routines. There was also an attempt to rate the workers on a five-point scale by their immediate supervisors. Although there might be some amount of bias, if one were to perceive the workers in terms of the number of years they have been working in the hospital it would be fair enough to merge the years of experience along with the supervisor rating and then arrive at a decision. The major objectives of the project were: To assess the workload in laundry, maintenance, CSSD and housekeeping departments. To assess the utilization of staff in the above mentioned departments To determine the number of staff required in each department
The common problem prevailing in all the above-mentioned departments with respect to manpower was the high rate absenteeism, one reason for which was the high leave entitlement of permanent staff. Apart from this as is apparent from the above each department has a different style of working and different responsibilities hence some problems were exclusive to respective departments. On an overall level it could be assumed that those contract workers, who have proven positive track record, could be safely regularized by the hospital.
ASSESSMENT OF ST. JOHNS MEDICAL COLLEGE HOSPITAL, BANGALORE Funding Agency: St. John’s National Academy of Health Sciences (SJNAHS), Bangalore The concepts of “Continuous Quality Improvement” are based on the premise that there is always scope for improvement in an organization. Therefore, it is important to periodically review the performance of the organization. The aim is not to find fault but to improve the performance of the organization and quality of services. St John’s Medical College Hospital is one the most reputed healthcare organizations in India. The management decided to get the evaluation of St John’s hospital done through an external agency and the task was assigned to the IHMR, Bangalore. The Institute carried out a comprehensive assessment to determine the patient and staff satisfaction, quality and cost-effectiveness of different services and to what extent the mission of the hospital has been achieved. The study sample included Governing Board members, administrators, doctors, nurses, para-medical staffs, technicians, aides and helpers. The data were collected through in-depth interviews, focus group discussions, observations, review of records etc. Besides these, the Delphi Technique was used for validation of conclusions and recommendations. FINANCIAL FEASIBILITY STUDY FOR ESTABLISHING A CHILDREN’S HOSPITAL AND RESEARCH CENTER FOR ST. JOHNS NATIONAL ACADEMY OF HEALTH SCIENCES Funding Agency: St. Johns National Academy of Health Sciences (SJNAHS), Bangalore In last few years, the city of Bangalore has made tremendous strides in areas of science and technology. As a result the population of the city has increased tremendously. Pediatric cases have accordingly increased. There are no specialized children’s hospitals in the city that can take care of children, especially the underprivileged. The existing Department of Pediatrics in St. Johns Hospital has reached a saturation and is not able cope with the patient load. There is a critical need for a state-of-the-art children’s hospital. Hence SJNAHS proposes to develop “Children’s Hospital & Research Center (CHRC)” a children’s hospital within the campus of St. Johns Hospital. CHRC will be a service oriented, not for profit secular unit of SJNAHS. The objectives of the study were: To identify and assess the revenue generating & cost incurring departments and areas To assess the capital expenditure To assess the break even period To propose strategies for increased revenue generation & reduced cost containment
ESTABLISHING AN EYE HOSPITAL IN GULBURGA – NEEDS ASSESSMENT STUDY Funding Agency: Bhoruka Charities, Bangalore Findings from previous studies reveal that the northern part of Karnataka has poor health status compared to the rest of the state. Blindness is one of the major health problems and blindness prevention is one of the most cost-effective public health interventions available. Considering the importance of the blindness control, a need assessment study was conducted from November 7th –24th 2004 in the district of Gulburga with an aim to establishing an eye hospital. The objectives of the study were to determine the magnitude of blindness in the district, to identify existing service providers in government and private sector, to explore the paying capacity of the community towards eye services and to assess the need for establishing an eye hospital.
CURRICULUM VITAE OF CONSULTANTS AND RESEARCH TEAM
Dr. KISHORE MURTHY Consultant - Hospital Management Dr. Kishore Murthy is a distinguished hospital and health management consultant and currently Director of IHMR, Bangalore. He has over a three decade experience in hospital management and administration. Before taking up the responsibility of Director at the Institute, he was holding the top positions at various corporate and not-profit hospitals of repute. He has played an instrumental role in setting up number of hospitals across the country. He was involved right from the planning to their commissioning stage. Besides having expertise in hospital management and administration, he is also well recognized quality expert. He is the lead assessor for National Accreditation Board for Hospitals. He has taught in various institute of hospital management and guided number of students. Besides this, he has been an expert consultant for number of research projects and studies.
EXPERTISE IN QUALITY MANAGEMENT SYSTEMS Dr. Kishore Murthy is qualified Lead Assessor to the National Accreditation Board for Hospitals under Quality Council of India. He has carried out a number of training programmes on Need for Quality Management Systems in Hospitals both in the private and Public Health care system. He has conducted a number of Internal Audit of NABH as a freelance consultant both in the private and public sector. He was earlier associated in implementation of ISO Systems in various hospitals in the country. Presently, he is carrying out the NABH accreditation system for several hospitals such R.L. Jalappa Hospital, Kolar, P.D Hinduja Sindhi Hospital, Bangalore, K.R. Hospital, Bangalore, Rangadore Memorial Hospital, Bangalore, Tumkur District Hospitals, Taluk Hospitals – Tumkur etc., The gap analysis of all these hospitals have been completed and the accreditation training programme is being implemented. EDUCATION Dr. Kishore Murthy is a medical graduate from St. Johns Medical College with post graduate qualification in Hospital/Health Management from the Birla Institute of Technology and Science in association with Tulane University, USA and Indian Institute of Management, Bangalore. EXPERIENCE With over 28 years of rich experience, Dr. Kishore Murthy has handled various responsibilities in different domains of Hospital and Health Management. Hospital Administration • Chief Operating Officer of Healthcare Global Enterprises Ltd. that owns and manages 9 oncology centres in India. He was responsible for all operational aspects of these centres and was instrumental in getting NABH and JCI accreditation to these centres
Chief Executive Officer of HOSMAT hospital, a 250 bedded orthopaedic and neurosciences multi-speciality tertiary care hospital. It is private corporate hospital with average bed occupancy of 85% regularly, staff strength of over 400 people. He played a pivotal role in setting up systems, policies and protocols in various departments of the hospital; new nursing college and school; DNB courses; and telemedicine besides working on up gradation of departments, planning of new specialty departments, ISO implementation, computerization and increasing financial turnover. Chief Executive Officer of Bhagwan Mahaveer Jain Hospital, a 250 bedded multi-speciality tertiary care hospital. It is a non profit trust hospital with average bed occupancy of 85% regularly, staff strength of over 400. He was instrumental in setting up systems, policies and protocols in most of the departments, planning of new specialty departments such as maternal foetal medicine, orthotics, etc., setting up systems management, quality assurance and various control profit centres besides managing the administration that included human resources, material and financial management to deliver quality services.
Project management He has ample amount of experience in project management that spread across from setting up health care institutions to handling research project and studies. • Provided his expertise in terms of detailed department/specialty planning, manpower planning, layout /functional planning besides co-ordinating with various consultants and architects to the following institutions: The Bangalore Hospital Puttaparthy Super Speciality Hospital HOSMAT JINDAL Hospital • • Was national Senior Consultant (Hospitals & Healthcare) in A.F.Ferguson and Company, a leading management consultancy firm Undertook various feasibility studies and system analysis studies for a wide variety of clients that include private, government, developmental and international funding organisations. Some of the leading projects in this area include: o Feasibility Studies World Bank aided Rs.550 cr. Health System Development Project for the Government of Karnataka. Not only involved in examining the feasibility of various project proposals but also in layout and departmental/functional planning, equipment planning and procurement, implementation of MIS, quality assurance programmes, training programmes for doctors and nurses, development of clinical protocols, referral systems, implementation, project monitoring and research activities
Feasibility study of the Reproductive and Child Health (RCH) project for Government of Karnataka Feasibility study of a 350 bedded OPEC funded super specialty hospital at a Raichur for Government of Karnataka Feasibility study for universal immunization programme
System Analysis Profit centre review and systems design Systems design & implementation (Financial, Materials, Human Resources, etc.) Systems review for identifying cost saving areas Quality assurance programmes, Medical and equipment audits
Other healthcare and hospital studies Research studies on user charges and potential for pricing Time management study of personnel for assessing efficiency and productivity Job satisfaction profile of employees & HRD Practices in a Corporate Hospital Study of layout and space norms in Government hospitals and impact on efficiency and patient satisfaction. Quality of care in hospitals in Karnataka Treatment Practices among Physicians in Govt. healthcare institutions for reproductive health Study on community initiatives in healthcare financing and development of a health insurance model in 2 districts of Karnataka sponsored by UNDP / Govt. of India Market Feasibility Report prepared for expansion of a Hospital - Prince Aly Khan Hospital – Mumbai Review of Organisation Structure and Design of Job Responsibilities - Karnataka Health Systems Development Projects, Government of Karnataka Review of Role of Private Sector in Health Services (Access and Quality) – KAHSDP Status review of the hospital sector industry in India and business opportunities for this agency - International Finance Corporation Market feasibility report on Web based (internet) Education in Health Care specialties in coordination with leading Health Care Institutions of India - Harvard Medical International Review of organization structure and design of job responsibilities of the 200 bedded children hospital of the trust - Kanchi Kamakoti Child Trust Hospital
Detailed financial feasibility report for 200 bed multi-specialty (super specialty) hospital set up in Delhi by Medical Professionals - Devki Devi Super speciality Hospital, New Delhi Facility needs assessment survey of all Government hospitals in Raichur District of Karnataka - UNICEF - Govt of Karnataka – RCH Health Department Study on community initiatives in healthcare financing in two districts of Karnataka - UNDP – Govt. of Karnataka
(DR. KISHORE MURTHY)
DR. N. SURYANARAYANA RAO Consultant - Biostatistics Dr. Rao is an eminent faculty of biostatistics with over 50 years of experience in the domain of health statistics and research. He has been consultant for many national and international development agencies, including United Nation Organization, sponsored research projects and studies. He possesses an extensive experience of teaching and guiding many M.D, M.S and PhD students in their research work. He has published number of research articles in various journal of repute and is visiting faculty to many institutes. Currently, he is professor at IHMR Bangalore. EDUCATION • • • Bachelor of Science, National College Bangalore, (1951-1955) Master of Science (Statistics), Karnataka University, Dharwad, (1956-1958) Doctor of Philosophy (PhD) (Statistics -Preventive and Social Medicine), Banaras Hindu University, Varanasi (1987)
EXPERIENCE With over four decades of rich research experience, Dr. Rao has more than 30 research studies and projects in the filed of health and medical care to his credit. Besides into research, he has taught at different institutes in various capacities. Research Experience
• Household Health Utilization study for Karnataka Government
Health and Family Welfare Services under World Bank aided PHRD studies, Govt. of Karnataka 2004.
• Information Systems Strategy Planning Study for Karnataka
Government Health and Family Welfare Services under World Bank aided PHRD studies, Govt. of Karnataka 2004.
• Third Round study on Patient Satisfaction in re-commissioned
hospitals under World Bank aided Karnataka Health Systems Development Project, Govt. of Karnataka 2004.
• Validation of Human Resource Management training to Medical
Officers conducted under World Bank aided Karnataka Health Systems Development Project, Govt. of Karnataka 2003. • WHO sponsored National Multi-Centric Rabies Survey conducted by the Association for Prevention and Control of Rabies in India 2003
• Repeat study on Patient Satisfaction in re-commissioned hospitals
under World Bank aided Karnataka Health Systems Development Project, Govt. of Karnataka 2003. • End-term Evaluation of various components for World Bank assisted India Population Project-VIII, Bangalore Mahanagar Palike during 2002.
• Evaluation of Clinical and Specialist training programmes conducted
under World Bank aided Karnataka Health Systems Development Project, Govt. of Karnataka 2001.
• Validation of MIS data for World Bank assisted India Population Project-VIII, Bangalore Mahanagar Palike during 2001. • Assessment of Link workers programme for World Bank aided India Population Project-VIII, Bangalore Mahanagar Palike during 2000.
• Assessment of Patient Satisfaction in re-commissioned hospitals
under World Bank aided Karnataka Health Systems Development Project, Govt. of Karnataka 2001. • Assessment of facilities for Emergency Obstetric care in Gulbarga district of Karnataka State for UNICEF during 2000. • Rapid Assessment of Community Action for Reproductive Health Promotion Project of Family Planning Association of India in Karnataka State during 1999. • Mid term Review for IEC & Training Component and Civil Components of the World Bank assisted India Population Project- IX Project, in Karnataka State during 1998-99. • Evaluation of Pulse Polio Immunization Programme in Karnataka State during 1999. • Base line Studies in Eleven Cities for World Bank assisted India Population Project VIII, in Karnataka State during 1998-99. • Mid term Review of various components including assessment of Link workers performance for India Population Project-VIII, Bangalore Mahanagar Palike during 1998. • Multi-Indicator Study in Slums of Bangalore Metropolitan Area to develop Management Information System for the India Population Project-VIII, Bangalore Mahanagar Palike during 1998. • Baseline Study in Slums of Bangalore Metropolitan Area to develop Strategies for IEC programmes under India Population Project-VIII and Undertook monitoring of IEC programmes under the Project during 1997-98. • Multi-Indicator Studies to bring out evaluation indicators on the implementation of Maternal & Child Health and Family Welfare Programmes in the Urban areas of KARNATAKA State for Government of Karnataka during 1995. • Pulse Polio Immunisation Programme in Karnataka State during 1995. • Status report on the Role of Panchayat Raj Institutions in Health Care Programmes in Mysore district during 1995 for Independent Mission on Health. • Time Management Study of Primary Health Care workers under Orissa Health and Family Welfare Project, Orissa, India funded by the Overseas Development Administration, British Council Division, U.K. during 1995. • Coverage evaluation studies to bring out evaluation indicators on the implementation of Maternal & Child Health and Family Welfare Programmes in some Districts of Karnataka for Government of Karnataka during the year 1994.
• Longitudinal study to assess the impact of mothers' education on child survival during 1994 in a backward District of Karnataka, India funded by the Ford Foundation. • Cross-sectional study conducted during the year 1993 in one of the backward areas of Karnataka State to understand the pathways by which the various influencing factors act in reducing child mortality. • Study on school children to understand the extent of health education impact on school children and its effect on the pattern of healthful living in the family set-up; conducted during 1992, in the most backward districts of Madhya Pradesh, India for a comparative study with forward districts of the other Indian States of Karnataka and Maharashtra (Funded by Ford Foundation). • Evaluation of DANIDA assisted health care activities in Madhya Pradesh during 1994. • Evaluation of Integrated Child Development Scheme in some blocks of Andhra Pradesh for UNICEF during 1988-89. • ICMR Project on Operations Research in the Delivery of Primary Health Care at Banaras Hindu University during the years 1986 to 1991. • Family Planning Association's Community Based Distribution Project for Family Planning and Primary Health Care supplements at Banaras Hindu University during the years 1979 to 1986. • Epidemiological Survey on tuberculosis at the National Tuberculosis Institute, Bangalore during 1958 to 1962. TEACHING EXPERIENCE Dr. Rao has taught many undergraduate and postgraduate students in the Health Sciences during his teaching tenure. During early days of his career, he had taught Master of Community Health Students at Liverpool School of Tropical Medicine, Liverpool, U.K. Currently, he is visiting faculty at Institute of Health Management Research, Bangalore and R.V. Dental College, Bangalore. He is also teaching Statistics at Richmond Fellowship PostGraduate College at Bangalore for Post graduate students in Psycho-Social Rehabilitation (M.Sc.). WORK EXPERIENCE During his long academic life, he had worked in different responsibilities at different organizations and as independent consultant. A brief of his employment record is being presented in reverse chronological order from present:
• Full time Team Leader and Technical Advisor in Health Management
and Administration Technical Support Unit of United Nations Population Fund, New Delhi – United Nation Organization
• Consultancy work in Health Statistics and Health Management
• Survey Consultant for Ford Foundation Project at Indian Institute of Management, Bangalore
• Professor of Bio-statistics at Sri Siddhartha Medical College, Tumkur (Karnataka)
• Project Co-coordinator,
Health Projects Banaras Hindu University, Varanasi
(Professor’s Level) at
• Lecturer in Health Statistics, Banaras Hindu University, Varanasi • Project Coordinator, Okhla Neighbourhood Health and Welfare Project (on deputation from BHU) • Health Statistician, Banaras Hindu University, Varanasi • Team Leader Bangalore of Survey Team, National Tuberculosis Institute,
• Senior Statistical Assistant at State Statistician's Office, Bangalore FELLOWSHIP & MEMBERSHIP OF PROFESSIONAL SOCIETIES AND AWARDS • Fellow of the National Academy of Medical Sciences (India) (FAMS) • Fellow of the Indian Public Health Association (F.I.P.H.A.) • Life Member of the Indian Society for Medical Statistics • Member of the Indian Association of Preventive and Social Medicine • Life Member of the Karnataka Community Health Association • Visiting Professorship under Indo-British Universities Collaboration Programme to U.K. • Golden Jubilee Award from Indian Public Health Association for outstanding contribution in Public Health Statistics in 2007 PUBLICATIONS Dr. Rao has got wide publication to his credit. He has published 12 monographs, 2 text books, 100 research articles in journals and 50 technical reports.
(DR. N. SURYANARAYANA RAO)
DR. G. V. NAGARAJ Consultant – Public Health Dr. Nagaraj is well renowned Public Health Expert. He has more than three decades of rich experience in the health sector. Dr. Nagaraj graduated in medicine in 1969, obtained a post-graduate Degree as well Diploma in Public Health and Hospital and Health management qualification. Dr. Nagaraj is presently Visiting Faculty at IHMR, Bangalore. He is also a senior faculty at Siddhartha Medical College, Tumkur, Expert Advisor (Health) for Price Water House Coopers and resource faculty in many training institutes EDUCATION • MBBS, MD, DPH, PGDHM, DPHA, MIPHA, FIPHA
He has worked for 33 years in Karnataka State Government service, in various capacities starting from the Medical officer in rural area to the position of Deputy Director, Joint Director, Additional Director, Project Director and finally to the state level position as Director of Health and RCH Services. He has also served as the Director of State Training Institute. During his long tenure he has done commendable work in health planning and Mother and Child Health Care management. Dr. Nagaraj has worked as Chief consultant for World Bank projects.
SIGNIFICANT ACCOMPLISHMENT • • • • • Dr. Nagaraj has visited many countries like USA, Australia, New Zealand, Thailand , Malaysia, Singapore and China under fellowship programmes Dr. Nagaraj is one among the Government doctors to be honoured with B.C.ROY Award for meritorious performance in Government Service. Lions Club of Bangalore South honoured on Doctors Day for the services rendered to the Public as well as to the Lions Club. Dr. Nagaraj has been honoured with “Rajiv Gandhi National Ekta Award” in 2004 at New Delhi. Recipient of B.M. Patil Oration Award in 2005 Recently the All India Public Health Association, Kolkata has conferred on him at New Delhi the Distinction of ‘Fellow ‘of IPHA for out standing contribution to Public Health Sciences
(DR. G. V. NAGARAJ)
MINAKSHI GAUTAM Consultant – Hospital and Health Management Ms. Minakshi is currently holding a faculty position at IHMR Bangalore. She has an expertise in the field of hospital, health and bio-medical waste management. With more than seven years of experience in the field, she is well verse with all the minute functional details of health care institutions. She has worked on various projects pertaining to different organizational aspect of hospital. With keen interest towards research, she actively involves herself in guiding students for their dissertation work. EDUCATION
• • •
Post Graduate Program in ‘Hospital and Health Management’ (equivalent to MBA) from Indian Institute of Health Management Research, Jaipur Bachelor of Science (Zoology, Botany and Chemistry) Certificate Course in Computer Software from NIIT Certificate Course in German Language
EXPERIENCE She has worked in different capacities and handled various responsibilities in some of the reputed hospitals and health organizations.
Worked as Assistant Manager- Patient Care Services and promoted as Head – Patient Care Services with Fortis Escorts Hospital Jaipur. Her some of the major responsibilities included: Building Customer Satisfaction and trust in the services provided by organization.
Focus on OPD, IPD, PHC, financial counseling and TPA related functions. Developing department. and implementing SOPs for the
Training of front office staff, counselors and PWO on soft skills and functional areas. Monitoring and supervision of all staff and functions. MIS for making systems more robust through HIS
(Medtrak). Streamlining OT operations and functions through getting deputed as OT Project Champion by the COO of the hospital
Involvement in FORTIS OPERATING SYSTEMS initiative for hospital that focused on all operations and functions that directly impact on patient satisfaction based on DMAIC methodology
Involvement in pre and final survey of NABH by developing the department to required standards
Worked as a Telemedicine Administrator with Sir Ganga Ram Hospital (SGRH) on the Telemedicine Project which is the result of unique Public Private Partnership wherein SGRH has tied up with ISRO, DST and MoHFW to provide its services to rural areas. She was responsible for: Liaisoning with all government agencies and district administration for smooth tie-ups for telemedicine Handling software installed by PROGNOSYS Coordination at the Base Station
Handling all administrative issues at base station as well as at the remote end Developing Standard Operative Procedures and quality controls for quality assurance Inventory Control Implementing MEDTRAK with M-tech team
Worked as a Management Consultant with Hospicon Consultancy and was responsible for:
Equipment planning, Manpower planning, for new upcoming hospital in Faridabad. Empanelment with TPAs, corporate and other govt. bodies for various hospitals. Providing Service Excellence Training to the frontline staff in various hospitals. Developing SOP for biomedical waste management, Supply chain Mechanism, Admission Discharge protocol, etc. Website and brochure designing Developing MIS HIS implementation Plan
Worked as Patient Care Executive at Max Hospital, New Delhi and was responsible for:
Coordinating in Preventive Health Check-ups. Monitoring & Coordinating OPD and IPD Billing on TPA Handling Addressing patient queries and grievances Analyzing feedback forms
Training the staff directly into customer/patient HIS development and implementation Participating in ISO Certification related activities for my department
Worked as Manager (Adm.) at Rungta Hospital, Jaipur and was responsible for:
Coordinating between various clinical and non-clinical Maintenance equipments of Medical and Non-medical
Managing Materials Department right from the stage of inviting quotations to maintaining inventory Organization and maintenance of critical areas Supervising work in hospital stores Identifying business opportunities and developed strong relations with customers to increase credibility Empanelling with various organizations Quality Assurance by applying new techniques and ensuring patient satisfaction Providing training to non-medical staff specially staff indulged in direct patient handling
Worked as Management Trainee at Mahatma Gandhi National Institute of Medical Sciences, Jaipur. As a management trainee, she Planned, directed and coordinated the launch of ‘Blood Bank’ in the hospital taking quality control measures.
Interacted with senior management to provide recommendations and implementation of strategic initiatives to reduce costs and increase revenues. Planned, organized developed and analyzed work procedure in Materials Department of the hospital.
Developed Standard Operative Procedures Biomedical Waste Management for ISO 2000 Certification
o Worked as Intern at Santokba Durlabhji Memorial Hospital, Jaipur for two projects that were associated with
Maternity Department Emergency Care
o Worked as Management Trainee at Batra Hospital and Medical Research Centre, New Delhi wherein she Acquired rigorous training and exposure in various administrative departments
Got acquainted with the work procedures of various clinical and non-clinical support departments Completed project on Bio-Medical Waste Management
“Fortis Operating Systems”- an initiative of Fortis Private Ltd. with Mc Kinsey for improving the patient centric processes for better delivery of services “Developing Standard Operative Procedures and Implementation Plan for Biomedical Waste Management” in Mahatma Gandhi National Institute of Medical Sciences, Jaipur “Organization and Management of Materials Department & Study on X-Ray Film Inventory” in Mahatma Gandhi National Institute of Medical Sciences, Jaipur “A Study on Waste Management System and its Quantitave Analysis” in Batra Hospital and Medical Research Centre, New Delhi “A Study on Organization and Management of Medical Records Department” ” in Santokba Durlabhji Memorial Hospital, Jaipur
PUBLICATIONS Currently, she is developing a research paper based on her dissertation work on BioMedical Waste Management besides working on another article that focuses on Supply Chain Mechanism in Multi-specialty hospital CONFERENCES/ SEMINARS ATTENDED
“New Age Hospitals: Vision & Challenges” organized by IHMR, Jaipur “Global Convention & Expo on Telemedicine & e-health” from 17th-22nd August 2006. The theme of the convention was Telemedicine in Rural Healthcare Delivery System. “Preparing Hospitals for NABH” organized by QCI in association with Christian Medical Association of India at Bangalore.
DEEPSHIKHA KUAR Consultant – Hospital and Health Management Ms. Deepshikha is a faculty at IHMR Bangalore and has an expertise in the domain of hospital and health management. She has a wide range of administrative experience in various hospitals of repute and is well versed with the managerial aspects of hospital functioning. She has keen interest towards health research and undertook a considerable project in the respective domain. Currently, she teaches different modules pertaining to human resources management, human resources administration, human resources policies, etc. at the Institute besides guiding students on their dissertation work. Her deep insight into human resources planning within the health sector has benefited a number of students at the institute. EDUCATION • • MBA (Healthcare) from Institute of Health Management Research, Jaipur Bachelors in Agricultural Science from Assam Agricultural University
EXPERIENCE She has worked in different administrative capacities in various reputed organizations in health sector.
Worked as Senior Executive – HR & Administration for the Projects & Consultancy Division of Medica Synergie Pvt. Ltd. Her responsibilities included: Recruitment of technical and managerial resources for the division
Processing of monthly salaries Formulation of HR policies for the division Manpower Planning
Drafting and implementation of job descriptions for the positions in accordance to the manpower plan Induction of all new employees Employee Servicing Managing the Knowledge Management Center of the Facilitating the increment exercise
Maintenance and analysis of time sheets for the consultants of the division General Office Administration Facilitating weekly review meetings for the division
Worked as Executive (HR) with Fortis Healthcare Limited and was responsible for:
Recruitment of Middle Management Employees Facilitating the Annual Increment Exercise Employee Servicing
Assisting in various training activities like Service Excellence Workshops, Orientation, Induction etc. Salary Processing and Payroll
Worked as Intern with Holy Family Hospital, New Delhi and carried out two project pertaining to
PROJECTS UNDERTAKEN •
Usage of the Hospital Pharmacy by the OPD patients Equipment management in the Radiology Department
Continuous Quality Improvement Programme to reduce the turn around time for Cath Lab Processes and Cardiothoracic & Vascular Surgery at Fortis Hospital, Mohali To evaluate utilization of diagnostic and admission facilities of the hospital by the patients coming to the outpatient department of Fortis Hospital, Noida To track the time required discharging the patients from the IPD of Fortis Hospital, Noida
CONFERENCES/ SEMINARS ATTENDED • • • • • • National Conference on Total Quality Management & Accreditation of Hospitals in 2003. Symposium on Adolescent Health: Stocktaking & Planning for the future in 2003. HIFCON 2004, National Conference on Health Insurance & Financing at AIIMS, New Delhi. National Conference & Brand Positioning of Hospitals – A Roadmap to success – December 12, 2004. National Conference – Targeted Intervention on HIV/AIDS Control in India: Looking Back & Planning Ahead on December 18, 2004. General Awareness on NABH Accreditation Programme organized by Quality Council of India – September 2009
DISSERTATION She has carried out three months research work at Belle Vue Clinic, Kolkata and wrote a dissertation that focuses on formulation and implementation of Bio-Medical Waste Management Protocols.
(DEEPSHIKHA KUAR) DR. BHAVANA NAIK Senior Research Officer Dr. Bhavana Naik is Senior Research Officer at IHMR, Bangalore and is responsible for carrying out various research studies and projects. Professionally, she is a dental surgeon and had been involved in teaching undergraduate dental students using innovative methods that focus on both empirical and theoretical aspects. At IHMR, besides handling research studies and projects, she is instrumental in organizing various Management Development Programmes. EDUCATION
• • • •
Bachelor of Dental Surgery from K.L.E’S Institute of Dental Sciences, Belgaum (Rajiv Gandhi University of Health Sciences, Bangalore) Postgraduate Diploma in Clinical Research from Institute of Clinical Research (India) Course on Effective presentation and Instructional Practices from Aeras Global TB Vaccine Foundation, Rockville (USA) Training Programme on NABH Accreditation from Quality Council of India
Worked as Professional Development Program Manager at St John’s Medical College and Research Centre, Bangalore for the project on “Prospective Epidemiological Study for new TB vaccine”. This is a joint project that St John’s Medical College and Research Centre took in collaboration with Aeras Global Tuberculosis Vaccine Foundation (an international organization based in the USA). Her major responsibilities included: To provide a core foundation of knowledge and skills in clinical research to all members of the research team in the areas of:
Clinical infectious disease and tuberculosis Clinical research ethics Good Clinical Practice (GCP) Clinical research organization and management Epidemiology and basic biostatistics
Support the clinical research team in achieving research goals through targeted educational and developmental interventions addressing study-specific needs. Budgeting resources required.
Review yearly, monthly, weekly and daily schedules of specific activities .Direct activities to the PDP team to ensure achievement of agreed milestones within the stipulated time periods.
Review documentation and transmission of reports / data to the sponsor team according to agreed timelines.
Assist the Principal Investigator in documentation, preparing reports As a part of her work responsibility, she had also Participated and represented India in international group meetings and conferences to promote the project and its added benefits.
Written standard Operating procedures. Audited and took monitoring visits for the study Written Quarterly, half yearly progress reports
Prepared posters for International Union against Tuberculosis and Lung Disease (IUATLD) Successfully organized events like World TB Day to promote health in community Prepared various modules on par with ICH GCP standards for the study specific interventions Worked on Aeras GCP course which would be a model GCP course for clinical research across Aeras sites Worked as Lecturer at T.K.D. College and Research Centre. Her responsibilities included:
MEMBERSHIP • • •
Teaching course related modules Undertaking research
Member of Indian Dental Association (I DA) Treasurer in Indian Dental Association (IDA) Kolhapur Branch for the year 2005 Editor of Magazine Committee in Tatyasaheb Kore Dental College and Research Centre for the year 2006
(DR. BHAVANA NAIK)
SANCHEETA GOSH Senior Research Officer Ms. Gosh is a Senior Research Officer at IHMR, Bangalore and is responsible for carrying out research studies and projects. Being into health sector for over a period of 4 years, she has a detailed understanding about different health care programme of Government of India. Before joining the Institute, she had been working on the issues related to maternal and child health. She has presented a good number of research papers in different seminar and conferences. EDUCATION
• • • •
Pursuing Ph.D. in Development Studies from Institute for Social and Economic Change (ISEC), Bangalore Masters Degree in Population Studies from International Institute for Population Sciences (IIPS), Mumbai M.Sc. (Anthropology) from University of Calcutta B.Sc. (Anthropology Honours) from University of Calcutta
Worked as Research Officer in DLHS-RCH (District Level Household SurveyReproductive and Child Health) Project at IIPS, Mumbai. Her responsibilities included:
Analyzing the data on SPSS, Assisting in preparation of national and state level
Worked as Research Investigator at IIPS, Mumbai Prepared training module for training in demography and reproductive health
Worked as Research Investigator in WHO Project under IIPS. She Collected data from different districts of West Bengal on various health issues on population as member of World Health Survey, IIPS team
Worked as Training Officer in CINI (Child In Need Institute, Kolkata) Imparted training in various Government sponsored ICDS training programme
Coordinated the project CARE-DS for developing the ICDS centres as model health care centres PAPER PRESENTED
Paper titled “Increasing trend in caesarean section delivery: a threat to women health” presented at IAWS (Indian Association for Women Studies) Conference held in Lucknow Paper on “Emergency Obstetric Care Services towards Risk Reduction in Child Birth; a Study of Gujarat”(jointly) presented at the IASP regional conference held in Goa Seminar paper titled entitled “A Study of Self Reported Morbidity among the Women of Reproductive Age Group and their Treatment Seeking Behaviour; An Insight into the States of West Bengal and Madhya Pradesh” presented for the fulfilment of the MPS degree at IIPS Paper entitled “A Review of Prehistoric Studies in West Bengal” presented for the fulfilment of Masters Degree in Anthropology, University of Calcutta. The paper was also selected for Science Congress, 2003, Chandigarh Dissertation paper entitled “An Anthropological Study of Santal Tribes in West Bengal” submitted for the fulfilment of Bachelor’s Degree in Anthropology, University of Calcutta
Increasing Caesarean Section Delivery: Concern for Women Health? (Forthcoming) “Concern for Environmental Degradation in India’s Planning: A Review” in Population and Environment Linkages; ed. By C.P. Prakasam and R.B Bhagat. Rawat Publication, New Delhi “A Study of Self Reported Morbidity among the Women of Reproductive Age Group and their Treatment Seeking Behaviour; An Insight into the States of West Bengal and Madhya Pradesh” in People of Contemporary West Bengal, ed. By Adak D.K, A Chattopadhyay and P. Bharati (2009) Gender and Development: The Ways Ahead? In Dimension of Gender Problems, ed. by Dipak Bishoyi (2008) “A Study of Self Reported Morbidity among the Women of Reproductive Age Group and their Treatment Seeking Behaviour; An Insight into the States of West Bengal and Madhya Pradesh”. Paper published in the IIPS term papers group in 2006
MEMBERSHIP • • Member of IASP (Indian Association for the Scientific Study of Population) Life Member of IEDS (Institute of Ecological and Developmental Studies)
VINAY TRIPATHI Research Officer Mr. Tripathi is presently working as Research Officer at IHMR, Bangalore. He has received his academic training in the discipline of Anthropology. He has sound experience in developing research proposal for project and studies. With sound understanding on both qualitative and quantitative research methodologies, he has been involved in conducting and evaluating different projects falling in the domain of health and other development areas. Most of these research projects and studies are funded by Government Departments and International Development and Funding Agencies. EDUCATION • • • • PhD in Anthropology, Hyderabad Central University, Hyderabad (submitted thesis draft) MPhil in Anthropology, Hyderabad Central University, Hyderabad Masters in Anthropology, Hyderabad Central University, Hyderabad B.Sc. (Zoology, Botany, Chemistry), Agra University, Agra
Worked as Research Executive (equivalent to Associate Consultant) in AMS Consulting (P) Ltd., a development consultancy firm that largely focuses on health sector. While working with the firm, Mr. Tripathi has handled various research projects and studies. World Bank aided Uttarakhand Health System Development Project (UAHSDP) sponsored project on “Impact Evaluation of an IEC Campaign on Safe Drinking Water”. His major responsibilities included:
Planning and designing study instruments Training to field investigators Data filtering and coding Data analysis and report writing
UAHSDP sponsored policy reform project on 'Rational Use of Health Infrastructure'. Major responsibilities included:
Checking Data Inconsistency and Data Analysis Report Writing
UAHSDP sponsored project on ‘Annual Performance Survey’ of health facilities developed under the UAHSDP. Major responsibilities included:
Monitoring of Data Collection
Checking Data Inconsistency Data Filtering and Analysis Report Writing
UAHSDP sponsored project on ‘Patient Satisfaction Survey’ in health facilities developed under the UAHSDP. Major responsibilities included:
Monitoring of Data Collection
Checking Data Inconsistency, Data Filtering and Analysis Report Writing
Sarva Shiksha Abhiyan sponsored project titled ‘Impact Evaluation of Computer Aided Learning Programme (CALP) and Non-CALP schools’. Major responsibilities included:
Planning and designing of study instruments Data Collection
As a part of his work responsibility, he has also been involved in: Writing Expression of Interest (EoI) for the various government projects and research studies
Developing proposals for research projects and studies Writing Terms of References for State funding agencies
Assisting in developing and designing training modules on various themes Worked as a Team Member for DFID sponsored Impact Assessment Team for evaluating Andhra Pradesh Rural Livelihoods Programme while working with TARU Leading Edge (P) Ltd, a development consultancy firm. His major responsibilities included:
Visits to APRLP intervention sites Data collection, data sorting and data analysis Documentation of case studies
Worked as Research Associate in Indian Space Research Organization (ISRO) sponsored project “Socio-Cultural Dynamics of Watershed Management: A Cross Cultural Study in India”. His responsibilities included: • Documentation and review of project relevant literature and material • Developing and designing research instruments, fieldwork manual and guidelines for the field investigators
• Liaisoning with concerned government officials of Andhra Pradesh, Maharashtra and Uttar Pradesh States • Monitoring the database of three states – Andhra Pradesh, Maharashtra and Uttar Pradesh • On-site training to Field Investigators on data collection techniques, interviews and focus group discussions • Quality Check - visited field sites to discuss the findings of Field Investigators • • Coding field data, Data analysis using SPSS Report Writing
Attended Academic Writing Workshop jointly organized by Western Regional Centre, ICSSR and e-social sciences, Mumbai 2008 “University – NGO Linkages” University of Hyderabad, Hyderabad 2005
“Policy Dialogue on Water Conflicts in India: Issues for Discussion” ICRISAT, Hyderabad 2005 “Community Driven Development in Tribal India: Problems and Possibilities” University of Hyderabad, Hyderabad 2004 • “Social Anthropology in the Era of Globalization: Issues and Concerns” University of Hyderabad, Hyderabad 2002
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