STUDIES EVALUATING HEALTH SYSTEMS

Decentralised Health Expenditure Tracking in two States in India

The objective of the project (2009-2011) is to track out- of- pocket spending on healthcare and increase communities’ involvement and interest in budget and expenditure tracking and to build their capacity to do monitoring of health expenditure at the village level. Through this process we also intend to increase transparency and accountability among health providers and government health departments regarding health expenditure. A community enquiry was conducted that included community mobilization meeting, village health mapping and free listing exercises, group discussions with women and capturing case studies on history of illnesses. Health facilities like Sub Centres, Primary Health Centres and Sub Divisional Hospital were also observed under this activity. A paper based on this study is under preparation

Franchising Mechanisms in Uttar Pradesh, India: Working for the Poor People? Equity and Equality Aspects

Considering the importance that is being given to PPP or Public Private Partnership a student intern from Liverpool School of Tropical Medicine conducted a study, with supervision from CHSJ that aimed to:

• describe a reproductive health social franchising mechanism implemented in Uttar Pradesh
• examine the impact on access, utilization and quality of a health franchisee provider compared with other providers (public providers) in Uttar Pradesh and
• suggest policy options to address quality and equity (access and utilization) aspects in a health social franchising mechanism.

Assessment of the Tuberculosis Care System for Migrant Urban Industrial Workers

This qualitative study was undertaken by intern from University of Washington, under supervision CHSJ, to understand the Tuberculosis (TB) care system among migrant communities living in Kapas Hera, a settlement in the New Delhi – Gurgaon border in 2009-10. A focused ethnography approach was adopted to understand the “Knowledge, Attitudes, and Practices” (KAPs) amongst private providers of TB care, public providers of TB care, and MUIW diagnosed with TB while living in Kapas Hera.

Exploring the Health Care Needs of Women who Experience Violence in Uttar Pradesh

An intern from Liverpool School of Tropical Medicine conducted the study, under supervision of CHSJ to identify and understand thehealth care problems, health care needs, health seeking behaviour of women experiencing violence in Uttar Pradesh and draw some policy recommendations aimed at better meeting their health needs in 2009.

Meeting the Health Needs of Domestic Violence Victims

Assessing the Utilization of Domestic Violence Law and Health Services Preparedness in Coastal Orissa - This study was undertaken by an intern from University of Washington, under supervision of CHSJ to assess and identify the factors that impact victims' utilization of the PWDVA and investigate the preparedness of the health services system to provide necessary health services to such ‘victims’.