Ongoing Research Project Details

Title: Performance Monitoring for Action (PMA)

Agency: Bill & Melinda Gates Institute for Population and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, USA

Team: Dr. Anoop Khanna, Danish Ahmad, Kshitiz Sisodia, Gargee Gopesh, Sandeep Kumar, Narendra Singh Shekhawat, Punit Soni, Ojasvi Nath

The Performance Monitoring for Action (PMA ) project uses innovative mobile technology to routinely gather data on family planning and water, sanitation and hygiene. Data are collected at household and facility levels via mobile phones through a network of female Resident Enumerators stationed throughout the country. Resident Enumerators (REs), transfer data by phone to a central server via the mobile data network. In real-time, data are validated, aggregated and prepared into tables and graphs, making results more quickly available to stakeholders as compared to a paper-and-pencil survey. PMA can be integrated into national monitoring and evaluation systems by offering a low-cost, rapid-turnaround survey platform that can be used for various other health data needs. Similar programme is also being carried out in 11 different countries of Asia and Africa.

IIHMR University, Jaipur has been implementing the Performance Monitoring for Action (PMA) in Rajasthan, India, and has set up a Project Management Unit of central staff and deployed a cadre of female Resident Enumerators and primary data collectors. The overall direction and support of PMA is being provided by the Bill & Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health.

Title: Teaching global health leaders about lessons learned from polio Eradication

Agency:Johns Hopkins Bloomberg School of Public Health, USA

Team:Dr. S.D.Gupta, Dr. Piyusha Majumdar, Dr. D.K.Mangal, Dr. Neeraj Sharma

IIHMR University in partnership with the Johns Hopkins Bloomberg School of Public Health, USA has initiated a multi-country Project to study and document the lessons learned in implementation of polio eradication programme in different geographies, populations and special situations at the global level.

This project map, synthesize and disseminate knowledge assets under the Global Polio Eradication Initiative to various target audiences to facilitate effective implementation of life-saving programmes globally, and the legacy of the GPEI in advancing global health beyond polio eradication.

Study Objectives :

To Measure tacit knowledge (ideas, approaches and experiences that were not documented, but relevant for both intended and unintended results) about GPEI under various context typologies
To Identify key facilitators for GPEI program implementation
To Identify key implementation challenges, the level where they originated from (global, national, sub-national), and how they were resolve
To Understand the role of named change agents at the national and field levels in addressing implementation challenges.
To Understand how key political actors influenced decisions to support polio eradication.
To Identify key effective strategies used as part of eradication activities

The proposed study endeavors to develop new science, ‘Implementation Science’ for public health programs, based on lessons learned from the successful elimination of poliomyelitis at the global level. In the first phase of the project, the available Grey literature is reviewed and is further supplemented with online and paper-based interviews of the people who at any level (National, State, block, and field) had been involved in Polio eradication effort in India and in-depth interviews of key informants, change agents and frontline workers.

In the subsequent phases, we plan to design and develop professional courses on Implementation Science; and offer them in the universities and on the massive online open courses (MOOC) platform.

STRIPE’s Consortium Meeting

Date: 17-19 April, 2019

Location: Henderson’s wharf, Baltimore, MD, USA

Countries: U.S.A, India, Indonesia, Bangladesh, Afghanistan, Nigeria, DRC Congo, Ethiopia

Institution: IIHMR University, Johns Hopkins University, Bill & Melinda Gates Foundation India, BRAC, Bangladesh, Addis Ababa University, Ethiopia, Gadjahmada university, Indonesia, GICS, Afghanistan, University of Kinshasa, DRC, University of Ibadan, Nigeria

Participants: S.D. Gupta, Olakunle Alonge, Riris Ahmad, Oluwaseun Akinyemi, Humayra Anwar, Svea Closser, Ellie Decker, Wakgari Deressa, Sue Gerber, , Anna Kalbarczyk, Patrick Kayembe, Eric Mafuta, Yodi Mahendradhata, Piyusha Majumdar, Nina Martin, Abigail Neel, Rasheedat Oke, Adetoun Olateju, Eme Owoaje, Michael Peters, Omid Rahimi, Aditi Rao, Tawab Saljuqi, Malabika Sarker, Assefa Seme, Neeraj Sharma, Meike Schleiff, Craig Tower, Aaron Zecher

Meeting Objectives:

To present key findings from each stream of work.
To develop teaching teams which will work together over the second year, developing curricula and case studies to be delivered in person and online.
To outline a plan for validating curricula and rolling out courses over the final 3 years.
To form writing groups and prepare plans for completing scientific products.

Day 1: 17^th April, 2019

Team STRIPE India- Dr. S.D. Gupta, Dr. Piyusha Majumdar and Dr. Neeraj Sharma presented a summary of key findings across data streams, including reflections on polio program organization, implementation challenges, implementation strategies, unintended consequences, and key lessons learned during global polio eradication initiative as a part of Knowledge mapping exercise. India team also made an outstanding achievement in the meeting by presenting two unique case studies on Implementation science.

Taming the wild tides to eliminate wild poliovirus in flood-prone Kosi river basin in Bihar, India.
Social mobilization through behavior change communication by a network of mobilizers took a larger leap towards strengthening of routine immunization in India.

Day 2: 18^th April, 2019

Team STRIPE discussed the global health knowledge domains and teaching team plans for second year of project. Discussion revolves around creating an implementation science course organized on global health knowledge domains, linked to specific implementation science competencies and illustrated by polio eradication data. Team mutually decided that teaching will occur via a number of platforms including:

In-person course at JHU, partner institutions (regional, rotational basis)
Massive open online course (MOOC)
In-country implementation clinics

There was a brainstorming activity for the teaching teams to present ideas for case studies and discussed illustrative examples by global health knowledge domains:

Global alliance for health, Policy engagement, Planning and management, Health equity and social justice, and Human resources for health
Community engagement, Health communication; Field epidemiology and emergency response, Health commodities, logistics, and supply, and Strategic analysis/data for decision making

Day 3: 19^th April 2019

On the third day of meeting, STRIPE team discussed the knowledge synthesis, scientific product development and other dissemination. Teams agreed to develop a journal series to summarize initial findings as they were presented at the consortium meeting; to prioritize development of this series for dissemination. They also discussed various ways to organize a series including by country, by epidemiologic profile, around scale-up, etc., as well as various formats (scientific manuscripts, policy briefs, book, monograph, supplement). There was also a unanimous dialogue on the need to identify the appropriate platform for dissemination of these findings at both national and subnational level.

TEAM STRIPE: EIGHT COUNTRIES, EIGHT INSTITUTIONS, ONE COMMON GOAL OF DEVELOPING CURRICULUM OF IMPLEMENTATION SCIENCE

Title: National Family Health Survey (NFHS)-5 in the state of Rajasthan-West

Agency: IIPS, Mumbai

Team: Dr. Nutan Jain, Dr. Arindam Das, Dr. Irfan, Mr. Kailash Prajapati, Mr. Paras Kumar

National Family Health Survey (NFHS) Round 5 data collection in all 36 states and union territories in India. NFHS is the Indian version of Demographic and Health Survey (DHS) which has collected, analyzed, and disseminated representative data on population, health, HIV, and nutrition through more than 300 surveys in over 90 countries.

The NFHS is co-ordinated by the International Institute for Population Sciences (IIPS) with financial support of the Ministry of Health and Family Welfare, Government of India. It provides information on important indicators of maternal and child health, fertility, mortality and nutritional indicators across 36 states and union territories of India and is a cornerstone of knowledge related to health, population and nutrition in India, and being used in policy, program management and performance monitoring at the state and national levels. NFHS was first initiated in 1992-93 and followed by four rounds of the surveys 1998-99, 2005-06 and 2015-16. Now, the fifth round of data collection is planned by IIPS and Ministry of Health and Family Welfare (MoHFW) on 2018-19. The NFHS 5 will be conducted in two phases. All 29 states and seven union territories (UTs) will be included in NFHS-5. NFHS-5 will provide estimates of most indicators at the district level for all 707 districts in the country as on 1 March 2017. The sample has been designed to provide information on sexual behaviour; HIV/AIDS knowledge, attitudes and behaviour; life-style indicators; other health issues; and domestic violence only at the state level and the national level, while most other indicators will also be reported at the district level.

NFHS-5 will collect blood samples from women and men in the form of dried blood spots (DBS) on filter paper cards for testing for malaria, HbA1c, and Vitamin D3. The collected blood samples will be sent to the National AIDS Research Institute (NARI) and the National Institute of Malaria Research (NIMR) for testing. Data will be collected using Computer Assisted Personal Interviewing (CAPI) on mini- notebook computers. CAPI eliminates the need for a separate data entry operation and for data editing in the field.

Objective/s of the Project: Each successive round of the NFHS has had two specific goals:

a) To provide essential data on health and family welfare needed by the Ministry of Health and Family Welfare and other agencies for policy and programme purposes, and

b) To provide information on important emerging health and family welfare issues.

Title: National Family Health Survey (NFHS)-5 in the state of Rajasthan-East

Agency: IIPS, Mumbai

Team: Dr. Neetu Purohit, Dr. J P Singh, Matadin Sharma, Lalchand Sharma

The NFHS is co-ordinated by the International Institute for Population Sciences (IIPS) with financial support of the Ministry of Health and Family Welfare, Government of India. It provides information on important indicators of maternal and child health, fertility, mortality and nutritional indicators across 36 states and union territories of India and is a cornerstone of knowledge related to health, population and nutrition in India, and being used in policy, programme management and performance monitoring at the state and national levels. NFHS was first initiated in 1992-93 and followed by four rounds of the surveys 1998-99, 2005-06 and 2015-16. Now, the fifth round of data collection is planned by IIPS and Ministry of Health and Family Welfare (MoHFW) on 2018-19. The NFHS 5 will be conducted in two phases. All 29 states and seven union territories (UTs) will be included in NFHS-5. NFHS-5 will provide estimates of most indicators at the district level for all 707 districts in the country as on 1 March 2017. The sample has been designed to provide information on sexual behaviour; HIV/AIDS knowledge, attitudes and behaviour; life-style indicators; other health issues; and domestic violence only at the state level and the national level, while most other indicators will also be reported at the district level.

Objective/s of the Project: Each successive round of the NFHS has had two specific goals:

a) To provide essential data on health and family welfare needed by the Ministry of Health and Family Welfare and other agencies for policy and programme purposes, and

b) To provide information on important emerging health and family welfare issues.

Title: Improving the health care access and quality in the context of achieving Universal Health Coverage (UHC) among Scheduled Tribes: An Implementation Research in karauli Rajasthan

Agency: ICMR

Team: Dr. Nutan P Jain, Mr. Rohit Jain, Mr. Vidya Bhushan Tripathi (Scientist-B), Mr. Matadin Sharma and Mr. Kailash Prajapati

Title: Performance Monitoring & Accountability 2020 (PMA2020)

Agency: Bill & Melinda Gates Institute for Population and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, USA

Team: Anoop Khanna, Danish Ahmad, Kshitij Sisodia, Gargi Gopesh, Sandeep Valmiki, Narendra Singh, Punit Soni, Bhanwar Lal

Performance Monitoring and Accountability 2020 (PMA2020) was originally designed to facilitate annual progress reporting in support of the goals and principles of Family Planning 2020 (FP2020) across priority countries in Africa and Asia. PMA2020 uses an innovative mobile-based data collection platform that supports rapid-turnaround surveys. PMA2020’s primary aim is to collect a nationally representative sample of data from households and service delivery points in selected sentinel sites, to estimate family planning and key water, sanitation and health (WASH) indicators on an annual basis in 11 pledging FP2020 countries. It uses innovative mobile technology to routinely gather rapid-turnaround, cost-effective population data on family planning and water, sanitation and hygiene.

Data are collected at both household and health facility levels via mobile phones through a network of female Resident Enumerators (REs) stationed throughout the country. REs transfer data by phone to a central server via the mobile data network. In real-time, data are validated, aggregated and prepared into tables and graphs, making results more quickly available to stakeholders as compared to a paper-and-pencil survey. PMA2020 can be integrated into national monitoring and evaluation systems by offering a low-cost, rapid-turnaround survey platform that can be used for various other health data needs. Three rounds of survey have been completed, and fourth round is in process. Besides family planning and WASH, components of abortion and adolescent health have also been added in the fourth round.

Objective/s of the Project The project aims to conduct cross-sectional and panel surveys at the female, household, and service delivery levels, with a focus on actionable programmatic data on contraceptive availability and use dynamics in targeted geographic areas in order to:

Measure and monitor key family planning indicators of programmatic relevance in given geographies cross-sectionally (on an annual basis); and
Support an improved understanding of the determinants and consequences of contraceptive availability and use dynamics and reproductive patterns in Sub-Saharan Africa and South Asian countries.

The PMA2020 project is implemented by IIHMR University in Rajasthan state. Overall direction and support of PMA2020 is provided by the Bill & Melinda Gates Institute for Population and Reproductive Health in the Department of Population, Family and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health, in collaboration with national partners in each project country.

Title: Adolescent Violence and Injury Detection (AVID) System

Agency:Johns Hopkins -International Injury Research Unit (JH-IIRU), JHU, Baltimore, USA/ Botnar Foundation

Team: S D Gupta, Nutan Prabha Jain, Neetu Purohit, Neeraj Sharma, Vidya Bhushan Tripathi, Kamalesh Kumar Patel

The project aims at developing a tool using Artificial Intelligence (AI) to detect adolescents at-risk of experiencing violence and injuries. The project has three phases.
Phase 1: Formative work involves consultation workshop, key informant interviews, focus groups, systematic review, secondary data analysis and development of AI algorithm
Phase 2: Refine AI-based algorithm and develop an early detection system
Phase 3: Pilot AI tool and develop plans for scalability and sustainability
This is the first phase of the project (January 2020 – June 2021). The study site is Jodhpur in Rajasthan. The objectives of the phase one are to:

identify the main predictors of injuries and violence in the literature
develop an AI prediction model to detect adolescents at-risk of violence and injuries and compare its performance with logistic model

In addition to the secondary data analysis and systematic literature review, formative qualitative work (virtual consultation workshop with stakeholders, KIIs and FGDs) was conducted to understand key contextual issues around adolescent injury and violence and inform development of a mobile and web-based platform, including the review of regulatory and built capacity for integration and sustainability during the phase one.

Ongoing Research Project Details

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