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The
Institute provided technical assistance for developing a
M&E framework for the Andhra Pradesh Health Sector Reforms
Project under a DfID contract[1].
·
A recent study commissioned by the Department of
Planning, Government of Andhra Pradesh[2]
has developed
indicators of operational availability of doctors such as
"Attending Day", 'Doctor Less Period",
"Operationally Available Doctor Period" and
"Realized Doctor Capacity".
·
The Institute has contributed to development of
an evaluation framework for assessment of vital statistics
systems as part of Health Metrics Network sponsored by the
WHO,
Geneva[3].
·
The Institute has developed health based targets
for monitoring of water safety plans taking into account the
disease burden in the community, exposures that contribute
most to disease and the socioeconomic determinants of exposure
to risks.[4]
·
The Institute is supporting Phase-III of the
National AIDS Control Program of Government of India as part
of its Technical Resource Group on Monitoring and Evaluation[5].The ToR include: development of indicators for monitoring;
formulate a comprehensive M&E operational plan, finalize
specifications of MIS; formulation of capacity building plans
in M&E.
·
The Institute has recently completed an outcome
evaluation of the Frontiers Prevention Programme, a Bill and
Melinda Gates Foundation funded HIV prevention programme
implemented by the International HIV/AIDS Alliance in 14
districts of Andhra Pradesh.[6] The study
developed a framework for evaluating level of social capital
among key populations actively involved in the interventions
and wider key populations exposed to the interventions;
and whether increased social capital lead to increasing
empowerment for prevention, actual reduction in risk
behaviours and changes in knowledge attitudes and behaviour.
·
The Institute has developed a prospective
surveillance system of estimating Maternal Mortality Ratio.
The proposed system will follow up about 25000 pregnancies
through a set of randomly chosen sub centres from any given
population for which MMR estimate is required.
·
The Institute has developed a framework for
monitoring of water quality and other determinants of water
borne diseases in reservoirs and urban slums under a public
–private partnership and has been implementing the same in
Hyderabad
city since 2005[7].
·
Institute piloted studies for generating IMR and
MMR estimates at the district and sub-district level. The
indirect methods of estimation such as children ever born (CEB)
technique for infant mortality rate (IMR), and Sisterhood
Survival method for maternal mortality rate (MMR) were used.
IMR estimates show significant variation in mortality in
different districts and revenue divisions. One revenue
division in Mahboobnagar district had IMR as high as 125/1000
live births, which is twice as high as the state average IMR
of 66/1000 live births. The study was sponsored by the
Commissioner Family Welfare, Government of AP[8].
·
The Institute has developed a performance
analysis framework for the APVVP which administers about 150
first referral hospitals in AP consisting of Community, Area
and District hospitals. The IHS was commissioned[9] by the APVVP to
undertake the performance analysis of these hospitals on
monthly basis. The Institute assisted the APVVP for about
three years between 1998 and 2002. There after the APVVP is
doing their performance analysis in-house.
Similar work was carried out for the World Bank
assisted Maharashtra Health Systems Development Project[10].
·
The Institute has developed a framework and
methodology for assessing patient satisfaction to assess the
quality of health care extended by the health institutions.
The aim is to generate statistically accurate estimates of
patient’s feed back for each hospital, so that inter
hospital comparison is possible. It generates data for
practical purposes such as planning, administration and
evaluation of health care services. The Institute was commissioned[11] by
the APVVP to conduct patient satisfaction surveys in APVVP
hospitals at half yearly intervals between June 1999 and March
2002. These surveys provided useful feedback on functioning of
different areas in the respective hospital and helpful
insights about patients’ preference.
·
The IHS has developed structural standards for
reproductive health services by nursing homes and private
hospitals[12]. These standards
were developed with help of local experts using a consensus
development process. The standards give minimum equipment and
staffing requirement for basic maternity services like normal
delivery, caesarian section, and medical termination of pregnancy. developed in the context of the
World Bank funded study on structure and dynamics of private health sector in AP[13].
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