Policy and Program Evaluation

To revamp an existing programme or policy, or to design a new policy or programme, it is very important to first evaluate the existing policy and programmes, its impact on the intended group, the reasons for success and/or shortcomings of the existing programmes, and prioritize regions for implementation of new projects.

We at FRHS use our expertise in policy and program evaluation to address the above concerns by working closely with governmental and non-governmental organizations to revamp and strengthen the public health system in India. We assess the design, implementation and outcomes of public health initiatives by using social science research methods, both qualitative and quantitative, and enable stakeholders to measure the success of programs, assess the impact and identify changes needed to develop an effective policy or program.

Mentioned below are a few projects undetaken by us:

Designing Urban Reproductive Health Initiative(Currentlt Running)

VHSC (Currently Running)

Evaluation of Sexual Health Intervention Programme for street children

Performance Enhancement of Primary Health Centers, (Andhra Pradesh, 2010)

Addressing Adolescent Reproductive and Sexual Health Matters A Review of Policies and Programs

Assessing Impact of Intermediation by Civic Society In Improving Reproductive and Child Health

Interventions to Save Mother's and Newborn Lives in Vadodara District by Deepak Charitable Trust

Designing Urban Reproductive Health Initiative(Currently Running)

FHRS is working with Family Health International (FHI) in its Urban Health Initiative (UHI) in 11 cities in UP. FRHSss role in this project is to design and implement an integrated HMIS model, in which information is obtained from clients and service providers for triangulation; information is gathered using mobile telephones; data are transferred to program managers through SMS or GPRS for prompt use.

Sponsor : FHI

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Evaluation of Sexual Health Intervention Programme for street children

We partnered with Association for Promoting Social Action (APSA), Bangalore and developed certain toolkits for their programme, Sexual Health Intervention Programme(SHIP), and helped them evaluate the same. We provided the technical expertise and assistance required to monitor and evaluate the programme.

Funding Source : APSA

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Performance Enhancement of Primary Health Centers

In the Andhra Pradesh Health Sector Reform Program, which aimed at improving access and quality of primary health services to the poor and the underserved population, FRHS carried out an operations research project in which 10 Primary health centres were selected randomly in Warangal District of AP to develop tools for performance monitoring and community feedback and assess their impact on PHC performance.

Sponsor : Family Health International/ Harvard School of Public Health

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Addressing Adolescent Reproductive and Sexual Health Matters: A Review of Policies and Programs

FRHS undertakes health policy and program evaluations at the request of various funding organizations. In the past 10 years, FRHS has carried out several large household surveys for example, the Impact Evaluation of the India Population Project - III in four districts of Kerala (1993), the IPP-5 in 26 wards of Bombay (now called Mumbai), CARE India's Integrated Nutrition and Health Program in 7 states and evaluation of Danida's Health and Family Welfare Program in Madhya Pradesh.

This review describes various policies and programs in India that are attempting to address young people's sexual and reproductive health needs. The review explores the HIV/AIDS scenario with special reference to rural, tribal and marginalized youth. It lists the programs currently being used to reach treatment and support to young people and effectiveness of those programs. It described facilitators and barriers in reaching health services to young people as also the best practices being followed in dealing with young people, which could be scaled-up. This review is expected to help identify areas in which policies and programs that need strengthening or change.

FRHS organized a national level consultation on "Young People's sexual and reproductive Health: Policy and Program Interventions" in which selected program interventions were show-cased and discussed. The final report is currently under preparation.

Principal Editor: Dr. Nirmala Murthy
Funding Source: OXFAM GB
Read More:- Young People's Reproductive Health: A Review of India Scenario

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Assessing Impact of Intermediation by Civic Society in Improving Reproductive and Child Health

In South India DHAN Foundation has build a strong network of federations of women's Self-Help Groups. These federations are now striving to improve reproductive and child health of its member families to help reduce their disease burden and consequent expenditure to help improve their overall wellbeing, even in a state like Tamil Nadu where the government's public health program is effective in reaching the poor. ICICI social initiatives funded the action research for a duration of 4 years to assess the effectiveness of civic intermediaries like the self help groups in improving reproductive and child health of its members. FRHS carried out its impact evaluation comparing the gains in health outcomes of experimental and the control sites over the project period.

Principal Investigator: Dr. Rajesh Jammy
Funding: ICICI-Social Initiative Group

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Interventions to Save Mother's and Newborn Lives

Deepak Charitable Trust planned a project in Vadodara District (Rural), which aimed at reducing morbidity and mortality among mothers and children. Before initiating the project, DCT requested FRHS to conduct a baseline survey in the four project talukas to establish benchmarks for maternal and child health indicators against which the project achievements would be compared at the end. The survey covered 4333 with about 28,788 population.

The survey (Interventions to Save Mother's and Newborn Lives in Vadodara District: By Deepak Charitable Trust: Baeline Survey report) found that more than 60 percent women had their first child in adolescence. The coverage by outreach services TT and IFA during antenatal care was better than clinic based services such as urine, blood test and blood pressure measurement. Women preferred home deliveries. Reporting of complications in all the three maternal phases - pregnancy, delivery and postnatal periods - was much lower in this study as compared to that reported for rural Vadodara in RCH survey, possibly because of tribal women's lack of awareness of pregnancy related complications. Overall, maternal services coverage was higher during pregnancy than during delivery or postnatal period. Health problems such as breathing difficulties and infection were common in newborns. While majority sought treatment mainly from private or government doctors, some also approached traditional healers. Majority i.e. 86 percent children had received one immunization or other but full immunization was only 24 percent. Availability of health facilities played a significant role in determining the use of or coverage by services during illnesses and maternal and childcare.

Recommendations were made based on the survey findings and included well designed, targeted IEC programmes, DDK supplies, stringent supervision of immunisation and supplementary food programmes, and feasibility of introducing mobile primary health care services in remote tribal areas.

Principal Investigator: Dr. Alka Barua
Funding: Deepak Charitable Trust

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