Collaboration with the National Health Mission, State of Uttar Pradesh

 
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The Context

The State of Uttar Pradesh (UP) with a population of 200 million accounts for over 200,000 newborn deaths and 17,000 maternal deaths annually. Consequently, UP accounts for more than a quarter of preventable deaths in India, and almost 7% of newborn and maternal deaths globally. To create systemic solutions for impact at scale, the UP chapter of the National Health Mission (NHM) and Community Empowerment Lab (CEL) have formed a partnership towards achieving the common goal of better health outcomes for UP. 

About the National Health Mission:

  • Tasked by Government of India to strengthen the health system to provide accessible, affordable and quality health care. 
  • Improving maternal and child survival is one of its primary objectives.
  • UP NHM is a system at scale with about 140,000 ASHA community workers and a multi-level healthcare system with over 20,000 sub-centres, 3,500 primary health centers, 770 community health centres and 160 district hospitals.
 

Focus areas of the partnership.

The Partnership

This novel, synergistic and strategic partnership between a cutting-edge research organisation with an implementation system at scale is aimed at: 

  • integrating epidemiological approaches to guide public health programming and policy design
  • bridging the 'science to service gap' in institutionalising evidence-based interventions for maternal and child health to impact lives at scale
  • establishing data-driven approaches for continuous quality improvement of public health programs.

 

 

 

Recent initiatives

CEO of CEL Dr. Vishwajeet Kumar & MD NHM Shri Alok Kumar, at the signing of MoU between NHM & CEL

CEO of CEL Dr. Vishwajeet Kumar & MD NHM Shri Alok Kumar, at the signing of MoU between NHM & CEL

Signing of a Memorandum of Understanding to foster innovations in evidence- and data-based policy, programs, and health system design and implementation in order to scale and accelerate impact on family health outcomes. Areas of cooperation include

  • Applying their respective strengths to enable data-driven continuous improvement and responsive programming and decision making through implementation science approach.
  • strengthening community systems following -centric designs to improve family health behaviours at scale.
  • building the scientific evidence base of risk factors and interventions for improving health outcomes in UP.
  • fostering a culture of scientific enquiry and evidence-driven decision making by taking a lead in identifying public health challenges of the state and designing and implementing interventions.
Hon'ble Minister for Family Welfare and Women and Child Development, Dr. Rita B Joshi, inaugurating 25 Kangaroo Care Lounges across Uttar Pradesh, on 6th June, 2017. A glimpse of the event.

Hon'ble Minister for Family Welfare and Women and Child Development, Dr. Rita B Joshi, inaugurating 25 Kangaroo Care Lounges across Uttar Pradesh, on 6th June, 2017. A glimpse of the event.

 

Inauguration of 25 co-designed Kangaroo Care Lounges by the Hon'ble Cabinet Minister for Family Welfare and Women and Child Development for UP, Dr. Rita B. Joshi.

The Lounges are beautifully designed colourful and comfortable spaces providing the most vulnerable newborns and mothers a safe haven within the healthcare facilities.

The inaugural ceremony launched these Lounges across 25 District Women's Hospitals covering all four geographic zones of UP. The rapid and smooth scale out of the Lounges is symbolic of the close collaboration between the two partners and their commitment to universalising Kangaroo Care in the State.

Please check out short videos of a Kangaroo Care Lounge and the scale out process in setting up 25 Lounges across UP. Some mothers who experienced Kangaroo Care also shared their experiences with us.

 

 

Selection as a national best practice through a competitive process at Government of India level. The Kangaroo Care Project which NHM and CEL are designing and implementing in collaboration was selected as a leading initiative on newborn care in India.

The UP Team presented at the '4th National Summit on Good and Replicable Practices and Innovations in Public Health Care System in India' organised at global scale at Indore, Madhya Pradesh on July 6-8, 2017. The audience included national leadership on health and family welfare as well as senior representatives of global development agencies. 

The approach of the uniquely designed Project is captured in the slide deck on the right. This was presented by the Mission Director for NHM at the Summit.

 

Mentions of the Team's Work in the Media

  • The Financial Times, London, carried an in-depth article on the Kangaroo Care Project in its special edition on Maternal and Child Health in November, 2016: click here

  • The Asian Age carried an article on the launch of 25 Kangaroo Care Lounges in Uttar Pradesh on 6th June, 2017: click here

  • The Hindustan Times carried an article on the launch of 25 Kangaroo Care Lounges in Uttar Pradesh on 6th June, 2017: click here
  • The Hindustan Times carried an article on an abandoned newborn baby who received Kangaroo Care at the Kangaroo Care Lounge in Veerangana Avantibai Hospital in Lucknow, on 4th April, 2017: click here
  • The Hindustan Times carried an article on the 'Hug of Life' campaign for raising awareness about Kangaroo Care organised at the Lucknow Mahotsav in December, 2016: click here
  • The Hindustan Times carried an in-depth article on Kangaroo Care and the experience of mothers in the inaugural Kangaroo Care Lounge in Veerangana Avantibai District Women's Hospital, Lucknow on 7th September, 2016: click here
  • The Hindustan Times carried an article on the community based research being done by the team on the effects of massage with cold pressed sunflower seed oil on newborn mortality, on 2nd August, 2015: click here
 

Scientific Publications of the Team

  • AMANHI Maternal Morbidity study group. (2016). Burden of severe maternal morbidity and association with adverse birth outcomes in sub–Saharan Africa and south Asia: protocol for a prospective cohort study. Journal of Global Health6(2), 020601. Click here
  • AMANHI study group. Maternal, neonatal deaths and stillbirths mortality cohort study. (2016). Burden, timing and causes of maternal and neonatal deaths and stillbirths in sub–Saharan Africa and South Asia: protocol for a prospective cohort study. Journal of Global Health6(2), 020602. Click here
  • Kumar, V., Ghosh AK., et al. (2015). Enculturating science: Community-centric design of behaviour change interactions for accelerating health impact. Seminars in Perinatology. Click here
  • Hirschhorn, L. R., Semrau, K., Kumar, V.,.......Gawande, A. (2015). Learning before leaping: integration of an adaptive study design process prior to initiation of BetterBirth, a large-scale randomized controlled trial in Uttar Pradesh, India. Implementation Science : IS10, 117. Click here
  • Feldman, Candace & L. Darmstadt, Gary & Kumar, Vishwajeet & Ruger, Jennifer. (2015). Women’s Political Participation and Health: A Health Capability Study in Rural India. Journal of Health Politics Policy and Law. in press. Click here 
  • Leitao, J., Chandramohan, D., Byass, P., Jakob, R., Kumar, V., … Mathai, M. (2013). Revising the WHO verbal autopsy instrument to facilitate routine cause-of-death monitoring. Global Health Action6, 10.3402/gha.v6i0.21518. Click here
  • Willis, JR., Kumar, V., Mohanty, S., Kumar, A., Singh, JV.,.....Santosham, M., Darmstadt, GL., for the Saksham Study Group. (2011). Utilization and perceptions of neonatal healthcare providers in rural Uttar Pradesh, India. International Journal for Quality in Health Care, Volume 23, Issue 4, 1 Pages 487–494. Click here
  • Lee, A. C., Lawn, J. E., Cousens, S., Kumar, V., Osrin, D., Bhutta, Z. A., … Darmstadt, G. L. (2009). Linking families and facilities for care at birth: What works to avert intrapartum-related deaths? International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics107(Suppl 1), S65–S88. Click here