DRISTHI(Drudgery free Reliable Information Service Towards Health Impact) Given the thrust towards mHealth in India, a Wellcome Trust funded project titled "Development and Impact Assessment of an mHealth Package for Rural India" is being undertaken by a consortium led by Foundation for Research in Health Systems (FRHS) and including the Department of Reproductive Health and Research, World Health Organization (WHO), and Earth Institute, Columbia University.The project, which will be piloted in Karnataka, will develop an "mHealth Package" - a strategic mix of mobile technology applications and support materials - to support NRHM's reproductive, maternal and child health (RMCH) services. The technology will be easy to use, provided free of charge, and is being developed with the intention of immense scale-up following rigorous pilot testing, impact assessment and revision. The resulting intervention will empower rural health workers and their clients, assisting them across the range of Reproductive, Maternal and Child Health care, integrating and streamlining data with existing HMIS standards for enhanced provider performance and population health outcomes.Funding Source: Wellcome trust
Back to Top
Parivartan is designed to improve key family health and sanitation behaviors, increase equity and accountability of health services, and sustain critical family health and sanitation outcomes of women and children. It will be achieved in close collaboration with the Bill & Melinda Gates Foundation's (BMGF's) other Ananya Initiative partners, especially the BBC WST Shaping Demand and Practices (SDP) and CARE's Integrated Family Health Initiatives (IFHI) grants and the planned supply-side sanitation initiative (3SI).
Several special studies/operations research (primarily conducted by FRHS) are planned during the course of the project, as these will be crucial to refining the strategies throughout the project. Research will be conducted on gender equity issues, particularly as it pertains to community group participation, and issues surrounding social justice and marginalization. Research is also planned to assess the usability of training resources and the effectiveness of the disseminated results. Participatory qualitative techniques will be used to complement quantitative data on the equity, accessibility and quality of health, sanitation and welfare services. The findings of these studies will be used to improve program implementation.Back to Top
HMIS for Urban Health Initiative
FRHS is a partner under the Urban Health Initiative (UHI) and leads in the design and management of an integrated management information system (MIS) that will generate information for decision making that can be used by UHI staff and partners. The contract with FRHS was initiated in April 2010. FRHS has completed the design of the monitoring system, mapped service delivery points and sales outlets using GPS devices in 11 project cities, independently obtained feedback from potential and current clients of family planning services in these cities, which is then used to improve quality of services in these cities. The monitoring system answers the questions like: Are FP services being provided as an integral part of post Partum and post abortion services, which is known to be a cost-effective way of promoting FP; do FP clients notice and are happy with the quality of service they received; is the contribution of private sector in the urban health program increasing, which suggest long term sustainability of those services; are demand generation activities planned under the project effective in generating demand for contraceptives especially in slum areas.
FRHS special contribution in this project are GIS software that helps managers identify areas devoid of service facilities and mobile phone based application used for capturing feedback from clients as well as quickly reporting performance data from field to program managers without much additional efforts on data entry, data cleaning and standard report generation. UHI counts on this system as one of its key achievements.
Training Investigators of Mobile Technology
Social Marketing Outlet Feedback Interview
Mothers Feedback Interview
Back to Top
Village Health and Sanitation Committees
VHSC(Village Health Sanitation Committee) Jan Swaasthya Abhiyan (JSA), Gujarat, had taken a lead in conceptualizing the plan of action for Community Based Monitoring of health services through Village Health and Sanitation Committees (VHSC) to ensure quality health care services in the villages.
The GoG positively responded to that plan of action by signing a MoU with FRHS, nodal agency for the JSA, to undertake training and capacity building of VHSC to help them play their envisaged role under the NRHM. FRHS implemented this pilot in collaboration with 25 NGO, who shared the responsibility of training and mentoring about 3500 VHSC all over Gujarat, in one year.
Under this project, Government of India's VHSC training modules was adapted to Gujarat situation, over 170 facilitators were trained as trainers cum mentors of VHSC members; over 17,000 VHSC members were trained for 3 days in responsibilities and management of VHSC, and over 3000 VHSC were provided mentoring support during their quarterly meeting over one year. Recently, FRHS completed an impact evaluation of the training on the functioning of randomly selected 50 VHSC each from the trained and untrained groups. The trained VHSC showed significantly better performance on utilization of VHSC funds, maintaining registers and records; and participation in government health activities though both the groups reported holding similar number of VHSC meetings. The trained VHSC were using the quarterly meeting mechanism more effectively than the non-trained VHSC. GoG has decided to expand this training to additional 2500 VHSCs in year 2011-12.
Villagehead Reading VHSC Training Program
ASHA Reading Guidelines book for VHSC Members
Training at Linch PHC
Back to Top