Health, Nutrition and WASH are major determinants impacting quality of life. In many developing countries, access to quality and affordable health care, balanced diet, safe water and basic sanitation is a challenge for the poor and disadvantaged, especially for women and children. IPE Global works with a wide range of stakeholders such as national and state governments, development partners, provider associations, technical and academic agencies, civil society organisations and the private sector players to design and manage range of interventions to facilitate sustainable change in lives of millions of people.
We realise that investments in this sector, focusing on the underserved, would have large impact on the well-being of the communities and transform their lives. It is not coincidental that these were included in the erstwhile Millennium Development Goals (MDGs) and are now contained within Sustainable Development Goals (SDGs). To maximise health impact, we have integrated, multi-sectoral approaches to strengthen health systems, policy design, planning, service delivery, hospital management, demand generation and social behaviour change communication (SBCC), human resources in health, health financing and health, nutrition, water, sanitation and hygiene services improvement.
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The India Hypertension Management Initiative (IHMI) is a collaborative project of Indian Council of Medical Research (ICMR), Ministry of Health and Family Welfare (MoHFW), State Governments, World Health Organization (WHO), and Resolve to Save Lives initiative of Vital Strategies. The primary goal of this project is to reduce morbidity and mortality due to cardiovascular disease (CVDs), the leading cause of death in India, by improving the control of high blood pressure, which is a leading risk factor for CVDs among adults in India.
Under this project IPE Global will provide day to day administrative and logistics support to IHMI. The proposed engagement is to support WHO to carry out recruitment, pay-rolling, management and administration of (i) 25 Cardiovascular Health Officers (CVHOs) and Cardiovascular Senior Treatment Supervisor (CVH-STS) in the first year of the engagement (ii) Eventually scaling up the team to 25 CVHOs and 110 CVH STS by year two of the engagement.
IPE Global has been contracted by Lien Aid to conduct a study to uncover how the matrix of institutions and the physical environment in Myanmar influences and shapes the behaviours of different local actors, as well as the consequences of those behaviours in respect to key factors contributing to or impeding progress towards universal, sustainable, and safe WASH access across last-mile communities in the Ayeyarwady Region. The study is intended to provide operationally relevant findings that will inform the design and development of pilot projects and programmes in the Ayeyarwady Region, that are aligned to Lien Aid’s new organisational strategy.
IPE Global conducted a Situation Analysis (SitAn) to analyse and gather evidence on the extent to which the rights of children with disabilities in Myanmar are being fulfilled, in accordance with the CRC (Convention on Rights of Children) and the Convention on the Rights of Persons with Disabilities (CRPD). Recommendations from SitAN directly contributed to framing and refining of national policies designed to enhance the realisation of rights for children with disabilities. As part of the SitAn, IPE Global also produced the estimates for prevalence of disabilities in child in select locations in the country for the first time.
IPE Global provided institutional support nutrition resource allocations, budget analysis and expenditure tracking at national and county level in Kenya. The key tasks included documentation of national level financial tracking, analysis and validation of financial resource allocations and expenditure for nutrition from the FY 2002-03 to 2015-16. The county level financial tracking and analysis for nutrition from 2002-03 to 2015-16 was also done along with the documentation of process comparing allocations to the actual expenditure for the same period. As part of the project, developed a financial tracking tool to track weighted nutrition allocation and expenditure along with a user manual for application at the national and county level. Also, conducted Training of Trainers (TOTs) at national and county level on the tracking tool.
IPE Global is supporting NITI Aayog in carrying out independent review and analysis of the states’ performance against Key Performance Indicators (KPIs) identified by the Government of India in Healthcare, Education and Water sectors. As part of review, the performance of each state will be analysed against the KPIs and the states will be ranked based on a predefined methodology. The analysis will provide insights into each State/UT’s strengths, and weaknesses. The results will be used to propel action in the states to improve respective outcomes besides improving data collection and performance monitoring mechanisms. In the health sector, all the states and UTs’ are being reviewed based on a composite index derived from a set of indicators grouped into relevant domains and sub-domains. These indicators are categorised under health outcomes, governance & information and key inputs/processes for which data are available with the states/ union territories (UTs).
In first of its kind initiative with Government of Rajasthan and CAIRN Foundation to support government in activating and strengthening the First Referral Units (FRUs) in the district of Barmer, to increase access to quality emergency and specialist services. IPE Global will provide technical advisory support and program management of CSR interventions, including providing financial assistance to Department of Health in filling the manpower gap filling of specialists at FRUs (First referral Units) and Trauma center. A feasibility assessment of a demand side financing product and possibility of leveraging external financing for an OPD based insurance product are in the pipeline along with community mobilization initiatives to improve uptake of Govt. sponsored health Insurance scheme. Advisory support in strengthening MCH service delivery at Nandghar (state of art Aanganwaadi centers) would be undertaken under the project.
IPE Global is working with government systems to implement multi-pronged strategies to strengthen service delivery, focusing on concerted efforts to generate demand for maternal nutrition services through community engagement and interpersonal counselling (IPC). IPE is supporting in building the capacity of government frontline workers and their supervisors, along with community engagement activities focused on behaviour change, cognizant of the importance of reaching not only the pregnant women but her immediate family members—especially husbands—and community to ensure long-term sustained change.
To accelerate the progress of Swachh Bharat Mission – Gramin (SBM-G), Government of India engaged with UNICEF to plan, implement and monitor SBCC interventions. IPE Global provided technical assistance to district administration in five districts across five states of India (Assam, Andhra Pradesh, Bihar, Gujarat and Rajasthan) to mainstream development of SBCC Plan under Open Defecation Elimination Plan (ODEP) for sustained toilet use and improved sanitation practices in all households. Services included hands-on support to block and district level managers to understand the needs and gaps in the area, mapping of key stakeholders and partners to become change agents and identification of a complete package of communication activities. In addition, conducted exhaustive analysis of media consumption patterns in the community, and existing behaviours to aid in development of customised SBCC plan for each selected district
DFID is supporting Government of India to make progress towards eliminating Visceral Leishmaniasis (VL) and Post Kala-Azar Dermal Leishmaniasis (PKDL) as a public health problem. This project supports Government of India’s National Vector Borne Disease Control Programme (NVBDCP) initiatives. IPE Global is supporting enhanced disease surveillance and building capacity for responding to outbreaks, in order to ensure early detection of disease outbreaks and minimising their spread and impact. Major activities of the project are identification and geo-tagging of high incidence villages; training of ASHA workers, community mobilisers and volunteers regarding identification of VL and PKDL cases. This is followed by mobilisation of suspected cases to the diagnostic camps and for Ambisome treatment to nearest public health facility, if found positive. We also supported the health departments in Bihar and Jharkhand to roll-out liposomal Amphotericin B (AmBisome) for effective Kala-Azar treatment in district hospitals and PHCs across the endemic districts.
RajPusht is a highly ambitious programme in Rajasthan to reform the Integrated Child Development Scheme (ICDS) to make it functional and effective in addressing maternal and child malnutrition. IPE Global is working with the Government of Rajasthan to effectively deliver cash to Pregnant and Lactating Women with focus on two districts – Udaipur and Baran. This will be complemented with the development and implementation of a large scale behaviour change strategy on maternal and infant nutrition. As part of the programme, we will create a multi-stakeholder consensus at the national level to demonstrate effective approaches for improving child nutrition including the effectiveness of cash transfers in place of Take Home Ration (THR).
Udaan is an integrated intervention which seeks to prevent adolescent pregnancies in Rajasthan by leveraging existing government programmes and platforms for realising girl’s potential and reducing the number of babies born low birth weight from teenager mothers. We are providing technical assistance to the Government of Rajasthan for improving retention of girls in secondary school by improving the delivery of pre-matric scholarship schemes. A second component adopts a user-centred approach to design and demonstrate a new model to effectively engage with adolescents under the Rashtriya Kishor Swasthya Karyakram (RKSK). Further, strategic support is being provided to effectively roll-out injectable contraceptives in the public sector in the 14 Mission Parivar Vikas (MPV) districts of Rajasthan.
In the multi-year Government of Bangladesh-UNICEF Joint Work Plan for Maternal and Child Nutrition, UNICEF committed to strengthening human resource capacity in nutrition at district level and below with a specific focus on the competencies required to deliver quality nutrition services. In line with the same, approx. 30,000 frontline service providers are being trained on delivering nutrition interventions in 26 districts of Bangladesh with an objective to address critical skill gaps among health service providers. The trainings are competency based using adult learning methodologies. IPE Global is conducting third party evaluation of these trainings, to identify gaps and challenges in the adoption of skills amongst the cadre of health and family planning service providers. It will help the Government of Bangladesh and UNICEF to introduce performance based incentive programmes for training institutions and get insights into gaps and improvement areas.
The EU SHARE programme aims at addressing malnutrition in the Horn of Africa, and Ethiopia being one of the beneficiary country, is implementing it in 17 woredas (districts) across three regional states of Amhara, Oromia and SNNPR in Ethiopia. IPE Global has designed and is carrying out baseline assessment of the current situation of malnutrition in under-five children, adolescents and pregnant and lactating women, who would be reached out as beneficiaries of the SHARE programme, based on results provided by the assessment. A study which shall use a mixed methods approach and also utilise anthropometric assessments, which is a first for IPE Global in Ethiopia.
Testing innovative solutions in maternal and new-born care to bring about a drastic reduction in preventable deaths.
This project supports the collaboration between the Government of Norway and India, to reduce child mortality in India. The programme supports interventions both at national and state levels (Bihar, Jammu & Kashmir, Odisha, Madhya Pradesh and Rajasthan). The programme has strong focus on using public service delivery structures to reduce neonatal mortality. The programme introduced various interventions such as Sick New Born Care Units (SNCUs) to provide facility based care for new-born with infections and other problems and a program of Home Based New-born Care (HBNC), targeting the first six weeks after birth, including home visits by frontline community health workers (Accredited Social Health Activists (ASHAs)) for the promotion of essential home based neonatal care and diagnosis. IPE also supports ‘National Dakshata Program’ to strengthen the labour room in health centres based on Dakshata guidelines, using technology to monitor the progress and provide support to health workers, harmonization of child health training packages, pre-service education in nursing and midwifery among others.
Piloting innovative strategies in improving access to quality health care for the urban poor in India
PAHAL Project, funded by USAID, aims to reduce preventable morbidity and mortality in urban areas through improved access to affordable and quality healthcare services for urban poor. It focuses on providing catalytic support to urban private health ecosystem through Inclusive Business Models (IBMs) for delivering affordable and quality primary health care to scale-up with an aim to reach 10 million urban poor. The project also includes developing and supporting adoption of innovative and sustainable demand side financing models (pre-pay, community insurance, deferred payments, etc.). The key outcomes include: i) increased access to affordable quality primary health care ensured for 10 million urban poor; ii) out- of- pocket expenditure of urban poor for primary health care reduced by 30% in project areas; iii) improved health seeking behaviour among the urban poor.
A flagship programme of NITI Aayog launched as SATH-Sustainable Action for Transforming Human Capital aims to transform healthcare delivery of services in select “model” states with potential to influence national goals for public health. IPE Global is the implementation partner of the consortium led by McKinsey & Company to provide consulting and implementation support to select states in identifying priority gaps in implementation, resource management or policy to achieve results in key health indicators within 2 -3 years.
Under this DFID-funded assignment, IPE Global facilitated the adoption of effective management and technical systems within the Health Department of Odisha, Bihar, West Bengal and Madhya Pradesh to strengthen public healthcare system. We worked with departments of Health & Family Welfare, Women and Child Development, Rural Development & Public Health Engineering to build robust Technical Assistance Support Teams (TASTs) in each State. IPE Global brought public health sector governance reforms through institutional restructuring, strategy development to tackle priority health issues, adequate capacity building of officials, adopting efficient M&E measures, and developed efficient procurement and financial management systems. TASTs supported various convergence strategies such as PPPs to bring efficiencies, improve quality and coverage of health services. We designed, developed and implemented a performance monitoring systems to support informed decision making at all levels of the government in the form of DASHBOARD Monitoring System for State Health Society in Bihar and Odisha. We also supported Government of Bihar to set up Bihar Medical Supplies and Infrastructure Corporation Limited (BMSICL) to strengthen supply chain mechanism in the state and to contain stock-outs.
IPE Global designed and built various innovative approaches for community involvement, using PLA and CLTS approaches. In Odisha we developed Shakti Varta, which reached out to 15 districts covering over 1.25 lakhs SHGs and 34 lakhs women and promoted healthier family practices, influenced social and gender norms, risen demand for HNWASH services, increased women’s agency and stimulated local action for change.
IPE Global supports Government of India’s RMNCH+A strategy where our technical experts are working under the RMNCH+A framework to identify and develop strategies and operational guidelines for the effective implementation. At the state level, IPE Global is collaborating with six state governments to extend techno-managerial assistance to states of Jharkhand, Punjab, Uttarakhand, Haryana, Himachal Pradesh and Delhi with a focus on 30 high priority districts. In the 6 states we work across state, district and block level authorities. This includes design, planning and implementation of interventions to increase off-take of RMNCH+A services and strengthen capacities of the health system. IPE also manages the National RMNCHA+ unit an extension of Ministry of Health and Family Welfare (MoHFW) which monitors the progress of RMNCH+A program interventions across 30 states of India.
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