organization profile - november 2009

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ORGANIZATION PROFILE November 2009 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 protected]

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Page 1: Organization Profile - November 2009

ORGANIZATION PROFILE

November 2009

Institute of Health Management Research

#319, Near Thimma Reddy LayoutHulimangala, Electronics City,

Bangalore – 560 105Ph: +91-80-30533800 / 801 / 818

www.ihmr.orgE-mail: [email protected]

Page 2: Organization Profile - November 2009

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

Page 3: Organization Profile - November 2009

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.

CAPABILITIES

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.

Health Management

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

Page 4: Organization Profile - November 2009

Technical and Program Support: strategizing, capacity building,

supportive supervision, participatory evaluation and process

documentation

Operations Research

Program Evaluation

Social Assessment

Survey Research

Hospital Consultancy

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

Page 5: Organization Profile - November 2009

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

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

Page 6: Organization Profile - November 2009

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

Page 7: Organization Profile - November 2009

OVERVIEW OF

PROJECTS AND ASSIGNMENTS

Page 8: Organization Profile - November 2009

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.

Health Management

Sl. No.

Name of the Assignments/ Projects

Funding AgencyDate of Beginning

Date of Completion

1.

Evaluation of PHC – Bhadrak District under NRHM, Government of Orissa

NRHM, Government of Orissa

September, 2009

Ongoing

2.Tumkur District Health Management: Swasthya Karnataka

NRHM (GOK)April, 2009

Ongoing

3.

Mid-Term (Annual) Evaluation of MNGO/FNGO Programme under RCH-II in Naupada and Koraput Districts

NRHM (Orissa)December,2008

March, 2009

4.

Performance Evaluation of a Public Private Partnership (PPP) Model for Primary Health Care in Karnataka

Population Foundation India, New Delhi

March, 2008

August, 2008

5.Reducing Vulnerability Caused by HIV/AIDS on Children in Karnataka

CCF-IndiaJune, 2007

March, 2008

6.

Mobilizing Civil Society for Universalizing Birth Registration in Karnataka State

Plan International, New Delhi

June,2006

June,2008

7.Increase in Female Birth Registration in Gulbarga District – An Exploration of

Plan International, New Delhi

July,2008

October,2008

Page 9: Organization Profile - November 2009

the Reasons and Impact of this Trend

8.Baseline Evaluation of Four PHCs in Jewargi Taluk, Gulbarga District

Dharam Singh Foundation, Jewargi, Gulbarga

September,2008

November,2008

9. Bangalore Healthy Urbanization Project

WHO-SEARO, New Delhi

February, 2007

December,2007

10.

Baseline Evaluation of Quality of Care in Secondary Care Hospitals in Districts of Tamil Nadu jointly with Ma Foi, Chennai

Tamil Nadu Health Systems Project (TNHSP)

November, 2006

May,2007

11.

Universal Birth Registration: Implementation of Universal Birth Registration in 8 Districts of Karnataka

Plan India, New Delhi

September, 2006

September,

2008

12. External Evaluation of India CLEN

INCLEN Trust and IndiaCLEN

February, 2006

May,

2006

13.

Public Private Partnership: Evaluation Study of PHC’s taken over by Karuna Trust, Karnataka

Karuna Trust, Bangalore

February, 2005

April,

2005

14. Social Assessment under Health & Nutrition Project

Karnataka Health Systems Development Project (KHSDP)

February, 2004

November, 2004

Hospital Consultancy

Page 10: Organization Profile - November 2009

Sl. No.

Name of the Assignments/ Projects

Funding Agency

Date of Beginning

Date of Completion

1.GAP Analysis for NABH Accreditation of P.D Hinduja Sindhi Hospital

P.D Hinduja Sindhi Hospital

August, 2009

Ongoing

2.

GAP Analysis for NABH Accreditation of R.L. Jalappa Teaching & Medical college Hospital, Kola

Sri Devraj Urs University

April,

2009Ongoing

3. Manpower Planning in R.L. Jalappa Teaching Hospital, Kolar

Dev Raj Urs University, Kolar

April,

2009

June,

2009

4.Evaluation Study of R.L. Jalappa Teaching Hospital, Kolar

Dev Raj Urs University, Kolar

December, 2008

April,2009

5.

Manpower Planning in St. Johns Medical College Hospital, Bangalore

St. Johns National Academy of Health

October, 2007

November, 2007

6. Assessment of St. Johns Hospital

St. Johns National Academy of Health

March,

2006

December, 2006

7.

Financial Feasibility Study for Establishing a Children’s Hospital and Research Centre at St. Johns National

St. Johns National Academy of Health

November, 2005

January, 2006

8.Establishing an Eye Hospital in Gulburga – Needs Assessment Study

Bhoruka Charities, Bangalore

November, 2004

January, 2005

Page 11: Organization Profile - November 2009

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: SWASTHYA KARNATAKA (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.

Page 12: Organization Profile - November 2009

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.

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

Page 13: Organization Profile - November 2009

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.

Page 14: Organization Profile - November 2009

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.

Page 15: Organization Profile - November 2009

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 / GoIRecommendations 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

Page 16: Organization Profile - November 2009

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.

Programme achievements

A planning workshop was organized to train NGO personnel for under taking baseline survey. The workshop was successfully held between 18 th 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

Page 17: Organization Profile - November 2009

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.

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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.

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.

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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 BIRTH REGISTRATION IN EIGHT DISTRICTS OF KARNATAKA

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

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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

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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

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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.

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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.

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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.

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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, KOLARFunding 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.

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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.

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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

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ESTABLISHING AN EYE HOSPITAL IN GULBURGA – NEEDS ASSESSMENT STUDYFunding 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.

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CURRICULUM VITAE OF

CONSULTANTS AND RESEARCH TEAM

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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

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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

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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

o 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

o 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

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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)

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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.

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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 Pro-grammes in some Districts of Karnataka for Government of Karnataka during the year 1994.

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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 Post-Graduate 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

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Professor of Bio-statistics at Sri Siddhartha Medical College, Tumkur (Karnataka)

Project Co-coordinator, Health Projects (Professor’s Level) at Banaras Hindu University, Varanasi

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 of Survey Team, National Tuberculosis Institute, Bangalore

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)

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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

EXPERIENCE

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)

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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 and implementing SOPs for the department.

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

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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

Handling software installed by PROGNOSYS for telemedicine

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

o 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

o 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 HIS.

TPA Handling

Addressing patient queries and grievances

Analyzing feedback forms

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Training the staff directly into customer/patient dealing

HIS development and implementation

Participating in ISO Certification related activities for my department

o Worked as Manager (Adm.) at Rungta Hospital, Jaipur and was responsible for:

Coordinating between various clinical and non-clinical departments

Maintenance of Medical and Non-medical equipments

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

o 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 for 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

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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

PROJECTS UNDERTAKEN

“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 Bio-Medical 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.

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(MINAKSHI GAUTAM)

Page 46: Organization Profile - November 2009

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 division

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:

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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

Usage of the Hospital Pharmacy by the OPD patients

Equipment management in the Radiology Department

PROJECTS UNDERTAKEN

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.

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(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

EXPERIENCE

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 and keeping track of expenses and resources required.

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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:

Teaching course related modules

Undertaking research

MEMBERSHIP

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

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(DR. BHAVANA NAIK)

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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

EXPERIENCE

Worked as Research Officer in DLHS-RCH (District Level Household Survey-Reproductive and Child Health) Project at IIPS, Mumbai. Her responsibilities included:

Analyzing the data on SPSS,

Assisting in preparation of national and state level report

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

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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

PUBLICATIONS

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)

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(SANCHEETA GOSH)

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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

EXPERIENCE

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

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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

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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

WORKSHOPS/SEMINARS ATTENDED

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

(VINAY TRIPATHI)