Annual Report 2018-19

Annual Report
2018-19
Public Health Foundation of India
Working towards a healthier India
Table of Contents
Chairman’s Message 03
From the President’s Pen 05
The Year Gone By 11
Academic Programmes 17
Research 41
Centres of Excellence 71
Health Technologies at PHFI 85
Health Promotion 93
Training & Capacity Building 99

Programmes
Health System Support 113

and Technical Assistance
Research Publications 125

2 Annual Report 2018-19
CHAIRMAN’S MESSAGE
“It is Health that is real Wealth and not pieces of gold and silver”
– Mahatma Gandhi
The Public Health Foundation of India (PHFI) has been playing a seminal role in improving public health by living
up to its motto—“Knowledge to action”—as it replicates the virtuous cycle from research to impact. As our nation
commemorates the 150th birth anniversary of Mahatma Gandhi this year, I am proud to state that PHFI has followed
the path shown by the Mahatma, as its work in public health ameliorates the lives of individuals, households and
communities, the faceless, nameless and marginalized amongst them.
Over a decade of its existence, PHFI as a public-private initiative has rendered yeoman’s service in strengthening India’s
public health institutional and systems capability, augmenting public health workforce and developing healthcare
technologies. With its demonstrated track record in education, research, training and capacity building, its programmes
have been adopted not only in our neighbourhood by South Asian countries but also by African countries. In line with
Gandhi’s spirit, PHFI collaborates with, provides assistance to and works in tandem with a multitude of stakeholders
ranging from academia, state governments, civil society, NGOs and communities at large.
Its various courses, programmes, research and implementation projects include a focus on maternal and child health,
disability inclusive development, water sanitation and hygiene, areas which Gandhi considered essential for growth
of a country like India. Understanding the need for access to affordable and quality healthcare, PHFI has come out
with various innovative technologies, a few of which have been deployed across the country and have had a significant
impact on health outcomes.
While accomplishing its mission, PHFI’s journey has not been a smooth ride but it has overcome numerus hurdles, with
its ‘never give up’ spirit. Despite the various challenges, I am confident PHFI with its indomitable spirit will continue to
march ahead in fulfilling its mission and achieving its vision in public health.
S. Ramadorai
Chairman, Public Health Foundation of India
Annual Report 2018-19 3

From the President’s Pen

As an organisation still in its early teens, PHFI experienced both the promise and problems of rapid growth last year.
Even as its performance in many areas of its planned progress kept pace with the aspirations, restricted financial
resources also inflicted some growth pains. The year demonstrated that PHFI had added resilience to its profile of
relevance, excellence and scale as it continued its dedication to the mission of strengthening India’s health systems.
All five of our Indian Institutes of Public Health (IIPHs) are now offering on-campus Masters programmes in public
health. Diploma and PhD programmes are also being conducted at different IIPHs, covering a diversity of public health
and health system management domains. A wide variety of training programmes and distance learning programmes
are offered to meet the learning needs of public health researchers and practitioners. A MOOC on global public
health, previously developed by PHFI and delivered through the UN Sustainable Solutions Network, has completed
the production of its updated offering this year. We have commenced the process to connect our IIPHs to the National
Knowledge Network to which we received entry.
The research portfolio of PHFI and its IIPHs continues to be rich and rewarding in terms of projects, publications and
impact, despite some constraints in receiving international funding. The four Centres of Excellence have delivered
research of quality relevant to national health programmes. The Health Technologies division has developed and
tested products which have high potential and promise for transforming primary healthcare. The training of primary
care physicians in a range of chronic diseases is now extending to 13 states, with global partnerships opening up for
extending these programmes to several countries in South Asia and Africa.
Several state governments sought technical support from PHFI and its IIPHs in many areas of health system
strengthening. The North Eastern region has been the focus of the Swasth Uttar Poorv project which received an
excellent external evaluation and generous appreciation from regional leaders. Implementation projects in maternal
and child health, nutrition, Tuberculosis and HIV prevention and control were effectively delivered, as were health
promotion activities in diverse settings.
In a year where the PHFI family worked collectively to overcome challenges and deliver on our mandate with dedication
and diligence, we were privileged to receive excellent support and guidance from the Executive Committee (Board) and
the General Body. Their collective wisdom provided us the illumination to journey forward to our goals even when clouds
gathered. We have been especially privileged to have Shri S. Ramadorai as Chairman. Readily available for consultation,

proactive in providing his problem solving skills, extremely generous in
allowing us to access his sagacious counsel on a wide range of matters,
building valuable partnerships national and international for PHFI, Mr
Ramadorai has been a caring father and trusted friend to the PHFI family.
The Ministry of Health and Family Welfare (MoHFW) which initiated and
supported the establishment of PHFI in 2006 has been our anchor, ensuring
stable moorings even when the waters became turbulent. PHFI has
been privileged to assist MoHFW in several health system strengthening
efforts of the National Health Mission and has signed a Memorandum of
Understanding with the National Health Authority to partner in advancing the
implementation and evaluation of Ayushman Bharat.
As a new year begins, we feel blessed that we will be carrying our mission
in to the 150th birth anniversary of Mahatma Gandhi. As we rededicate
ourselves to the mission of serving humanity through public health, we are
constantly reminded of the Mahatma’s talisman through the framed message which greets our staff and students as they enter PHFI’s central office:
Professor K Srinath Reddy

Who are we
Values
Vision Transparency
Our vision is to strengthen India’s yy Uphold the trust of our multiple stakeholders and supporters
public health institutional and systems
yy Honest, open and ethical in all we do, acting always with integrity
capability and provide knowledge to
achieve better health outcomes for all. Impact
yy Link efforts to improving public health outcomes, knowledge to action
yy Responsive to existing and emerging public health priorities
Informed
Mission yy Knowledge based, evidence driven approach in all we do
yy Developing the public health yy Drawing on diverse and multi disciplinary expertise, open to innovative approach
workforce and setting standards
Excellence
yy Advancing public health research
and technology yy Aim for highest standards in all aspects of our work
yy Strengthening knowledge yy Promote excellence in public health precept and practice

application and evidence informed
Independence
public health practice and policy
yy Independent view and voice, based on research integrity & excellence
yy Support academic and research freedom, contributing to public health goals and interests
Inclusiveness
yy Strive for equitable and sustainable development, working with communities
yy Collaborate and partner with other public health organizations

our journey so far
2009
Establishment of IIPH-Delhi
2007
Bhoomi pujan for the Launch of Post-Graduate 2011
permanent campus of IIPH- Diploma Programmes (Health eLearning Programmes
Gandhinagar Economics and Biostatistics. Launched
2006 2008 2010 2012

Launch of the public Health Establishment of IIPHs-Gandhinagar Establishment of IIPH - PHFI accorded status of
Foundation of India and Hyderabad Bhubaneswar a Global Nodal Centre of
the Alliance for Health
Launch of PGDPHM for National Health
Policy and Systems
Mission
Reseach (WHO)
PHFI recognised as a Scientific and
Industrial Research Organisation
(SIRO) by Department of Scientific and
Industrial Research, Government of India

2015 2017
Launch of MPH Programme at Phd (Full time) in Health Sciences/Public
IIPH Gandhinagar and Hyderabad Health launched and announced at
IIPH Gandhinagar accorded IIPH-Delhi
University Status under the State India State Level Disease Burden (ICMR/ 2019
Act PHFI/IHME) Disease Initiative launched PHFI and IIPHs are part of National
2013 Knowledge Network
Establishment of Indian Institute IIPHG recognised as a Scientific and
Launch of Integrated
of Public Health, Shillong Industrial Research Organisation (SIRO) Launch of MPH programmes at IIPH
MSc & PHD in Health
Informatics and Clinical Bhoomi Pujan of permanent by Department of Scientific and Industrial Shillong through affiliation with Martin
Research campus of IIPH Hyderabad Research, Government of India Luther Christian University, Shillong
2014 2016 2018

International Diabetes Launch of the Permanent IPHS, sponsored by PHFI
Federation awards campus of IIPH-Gandhinagar shortlisted for institute of
certificate of Excellence Eminence (IOE)
Launch of MPH programme
to PHFI’s primary care through affiliation between
training programme IIPH-Delhi and Sree Chitra
Tirunal Institute for Medical
Sciences and Technology,
Trivandrum

governance
Executive Committee General Body

Mr. S Ramadorai Mr. S Ramadorai Mr. Harpal Singh
Mr. Lav Agarwal Dr. Balram Bhargava Dr. Jaime Sepulveda
Prof. K. Srinath Reddy Mr. Lav Agarwal Mr. Raman Sharma
Mr. KRS Jamwal Dr. Sanjay Tyagi Mr. Michel Sidibé
Mr. J.V.R. Prasada Rao Dr. Narayana Murthy Mr. Prashanth Vasu
Dr. Rati Godrej Dr. Abhay Bang Dr. Abraham Joseph
Dr. Abraham Joseph Dr. Lincoln Chen
Dr. Partha Pratim Chakrabarti
Dr. Abhay Bang Dr. James W. Curran
Dr. AK Shiva Kumar
Mr. Ved Kumar Jain
Dr. Maharaj K Bhan Dr. Shalini Bharat
Dr. Sunil Kaul
Dr. Sunil Kaul Dr. Shiv Vishwanathan
Mr. Gautam Kumra
Dr. Muzaffar Ahmad Dr. Rati Godrej
Mr.T.N Manoharan
Mr. KRS Jamwal
Mr.Raj Mitta
Dr. K. Madhu Mohan
Dr. Peter Piot
Mr. Ashok Jaipuria
Dr.S Venkatesh
Dr. Montek Singh Ahluwallia
Mr. J.V.R. Prasada Rao
Dr. Mirai Chattterjee
Prof.K. Srinath Reddy
Dr. Amartya Sen Mr. Uday Khemka

Year Gone By
The State Government of Punjab signed a Memorandum of

Understanding with Public Health Foundation of India (PHFI)
on 7 September 2019 to undertake collaborative programs in
the areas of environmental health among other areas through
the Mission Tandrust and Mission Innovate Punjab
PHFI has signed an MoU with Indian Institute of Science, Bangalore (IISc),
Association of Health Care Providers (India) (AHPI), and Indian Institute of
Space Science and Technology, Trivandrum (IIST), to develop and implement a
Certificate Program in Healthcare Technology.
PHFI participated in the RIS organized Delhi Process V South-South and triangular Cooperation
Conference, at India Habitat Centre, New Delhi. Honourable Minister Shri Piyush Goyal, Minister of
Railways and Commerce & Industry, Government of India visited the PHFI stall.

Ms Preeti Sudan, Health Secretary MOHFW visits the
PHFI stall at International Digital Health Symposium Shri. Ramadorai, Chairman PHFI visits the IIPH Gandhinagar Campus
at Delhi
Prof. Vinod Paul, Member NITI Aayog Chief Guest

at the IIPH G Convocation PHFI signed an MoU to be a technical partner to the
National Health Authority (NHA)

Meghalaya Chief Minister Conrad K

Sangma inaugurates the Centre for the
Study of Complex Malaria in India (CSCMI)
Malaria Research Laboratory and Master
of Public Health Programme at the Indian
Institute of Public Health (IIPH), Shillong
The DRROP India programme (Diabetic Retinopathy, DR and Retinopathy of Professor Dileep Mavalankar, Director IIPHG participated
Prematurity, ROP) is a six-year initiative to address avoidable blindness from in the UNCCD COP14
Diabetic Retinopathy and Retinopathy of Prematurity. Implemented by IIPH-
Hyderabad and funded by The Queen Elizabeth Diamond Jubilee Trust

PHFI Won FICCI - Healthcare Excellence Awards 2018 PHFI Won the Best NGO/Education award in CII’s National
(10th Edition) for Skill Development Excellence Practice Competition 2018
Meeting with Honourable Minister of Public Health, India Health & Wellness Award 2018
Rwanda Dr Patrick with the PHFI team
Training Division, PHFI won India Health & Wellness Award 2018 Health Skilling Brand – Gold Category

FICCI HEAL 2019 National Health Conclave 2019: Climate Change & Role Of The Health Sector
PHFI as second runner up of Poster Presentation on the theme “Enabling A one-day conclave organized by Centre for Environmental Health (CEH), Public Health
Universal Healthcare through Digital Health” Foundation of India (PHFI) & Association of Healthcare Providers of India (AHPI) about health
impacts of climate change in India & appropriate risk mitigation & adaptation strategies.
“LET US LIVE…” featuring Grammy®

Winner Ricky Kej-Music Maestro,
UNESCO mgiep’s Ambassador, UNICEF
Celebrity Supporter & United Nations
Humanitarian Artist was organized to
raise awareness about harmful effects
of climate change and health and the
need to preserve & save our beautiful
planet

Release of Souvenir by Dr. Vinod K. Paul (Member, NITI
Aayog) at National Health Conclave 2019 Climate
Change and Role of Health Sector
Launch event for the 2018 Report of the Lancet Countdown and
the 2018 Lancet Countdown Briefing for Indian Policymakers
Date: 18 December 2018

Academic
Programs

Convocation at IIPH Gandhinagar Convocation at SCTIMST for MPH, IIPH-Delhi
Convocation at IIPH-Hyderabad Convocation of IIPH -Bhubneshwar

Meghalaya Chief Minister Conrad K Sangma inaugurates the
Master of Public Health Programme at the Indian Institute of
Public Health (IIPH), Shillong

PHFI strives to strengthen public health The academics segment has consistently
education in the country by offering high- responded to the public health education
Our academic journey
quality, long term academic programs and priorities of the country. We work closely
short term training programs delivered through with the Ministry of Health, Government of yy 10 on-campus programs & 21
a multipronged, cross cutting and integrated India, state governments and other academic eLearning programs [2019-20]
approach to education. This capacity building institutions to strengthen public health yy 2896 enrolments for on-campus
is central to PHFI’s vision for strengthening capacity. We have consistently diversified our programs & 5688 enrolments for eL
India’s public health institutional and systems academic offerings, and the academic portfolio programs till date
capacity for better health outcomes. Our has witnessed impressive growth since the yy 287 scholarships awarded for on-
academic engagements span across four levels launch of our first program in 2008-09. We have campus students
of specialization; short courses, certificates, consciously provided opportunity to bright
yy 92% placements since inception for
post graduate diploma/ masters and doctoral and eager minds from diverse professional on-campus graduates
programs. These programs contribute towards backgrounds for enrolling in our on-campus
yy 18068 participants trained through 729
skill enhancement as well as creating the next programs. This diversity in enrolment criteria
short-term trainings till date
generation of the public health workforce. helps enrich our classroom discussions and
fosters a spirit of team-work in the classroom. yy Rich pool of 62 full time faculty
PHFI established a network of five Indian members, 108 adjunct faculty
Till date male students constitute 53.3% of
Institutes of Public Health (IIPH) - three members
our on-campus students; while government
institutes in 2008, located at Gandhinagar,
nominations constitute 30.9% of our total yy Multiple national and international
Hyderabad and Delhi and the fourth in 2010 at academic collaborations
intake. For the current academic batch, the
Bhubaneshwar. The fifth institute was launched
mean age for government nominated students yy Regular participant feedback solicited
at Shillong in 2015. These institutes help PHFI
is 44 years (range: 29 to 57 years) while it is as part of a quality improvement loop
in translating its mission of developing and
26 years (range: 19 to 51) for self-sponsored yy Academic systems and processes in
strengthening the capacity of public health
students. place to offer state-of-the-art learning
workforce through education, training and
research and setting standards in public health experience
education. We also operate an ancillary centre
in partnership with Government of Karnataka at
Bangalore since 2012.

On-campus Programs
1. PhD (Full time) in Health Sciences/ Public Health [at IIPH-Delhi in affiliation with Sree Chitra Tirunal Institute for Medical Sciences and
Technology (SCTIMST), Trivandrum (An Institute of National Importance under Govt. of India)]
2. Integrated MSc & PhD in Clinical Research [offered in collaboration with Academy of Scientific and Innovative Research (AcSIR), (An Institute
of National Importance established by Act of Parliament)]
3. Integrated MSc & PhD in Health Informatics [offered in collaboration with Academy of Scientific and Innovative Research (AcSIR), (An Institute
of National Importance established by Act of Parliament)]
4. Master of Public Health (MPH) [at IIPH-Gandhinagar (a university under State Government Act); at IIPH-Hyderabad in affiliation with Kaloji
Narayana Rao University of Health Sciences, Telangana; IIPH-Delhi in affiliation with Sree Chitra Tirunal Institute for Medical Sciences and
Technology (SCTIMST), Trivandrum (An Institute of National Importance under Govt. of India); at IIPH-Shillong in collaboration with Martin
Luther Christian University, Shillong; at IIPH-Bhubaneswar in collaboration with Utkal University, Bhubaneswar, Odisha]
5. Master of Hospital Administration (MHA) [at IIPH Gandhinagar, a university under State Government Act]
6. Post Graduate Diploma in Public Health Management [Supported under National Health Mission (NHM), MoHFW, Govt of India]
7. Associate Fellow of Industrial Health [Regulated by Directorate General, Factory Advice Service and Labour Institutes, Govt of India (DGFASLI)]
8. Certificate Course on Geriatric Health Caregiving [offered with support from Gujarat State Financial Services Limited and facilitated by
Gujarat CSR Authority]
9. Certificate Course in Community Health (CCCH) [offered by with support from State Institute of Health and Family Welfare Gujarat]
10. Certificate Course in Public Health for Senior Government Officers (CCPHM) [offered in collaboration with Department of Health & Family
Welfare, Odisha]

Table 1: New on-campus certificate courses launched in 2019

Name of program Offered at Background Eligibility Duration
Certificate Course IIPH- IIPH-Gandhinagar has launched four months onsite certificate Those interested to Four (04) Months
on Geriatric Gandhinagar course to equip prospective health aides with knowledge and skills work in healthcare
Health Caregiving to deal with health care needs of geriatric age group at home and in Must be minimum 18
institutional set ups. years of age
The course includes two months theory orientation through classroom Minimum 10 th
learning and two month of internship Standard Pass
Must know Gujarati
language
Certificate Course IIPH- This Course is developed as per the guidelines of Ministry of Health and Diploma in General Six (06) Months
in Community Gandhinagar Family Welfare, Government of India. Nursing /Registered (5.5 months at
Health (CCCH) The programme aims at improving the knowledge, skills and Nurse & Registered program study
competencies of GNM, BSc Nursing and Ayurveda graduates (BAMS) Midwife (RNRM) centre + 15
to enable them to serve as competent human resource essential for Bachelor of days at IIPH-
strengthening the primary health care services at peripheral level. Ayurvedic Medicine Gandhinagar
and Surgery (BAMS) University
In Gujarat the course is run by IIPHG University in collabo-ration with
State Institute of Health and Family Welfare, Government of Gujarat. Age Limit: 35 Years
and below for
General category. 40
Years and below SC
and ST
Work Experience: 2
Years
Certificate IIPH- This uniquely designed course will develop the capacity of future The senior officers of Three (03)
Course in Public Bhubaneswar CDMOs to execute and monitor health policies and programs, supervise Additional Directors Months
Health for Senior the public health workforce, fully assess the dimensions of public – II (AD-II) level which
Government health issues and devise appropriate strategies to meet emerging will be selected by
Officers (CCPHM) challenges. the DoH&FW and
This short course will impart the skills required to tackle the existing deputed for the
and emerging public health challenges and enhance the capacity of the course
public health managerial workforce.

Figure 1: Our journey so far
On-Campus eLearning Short-term

Programs Programs Training
yy 10 on-campus programs yy 21 eLearning programs yy 729 short-term trainings

yy 2896 enrolments yy 5688 enrolments conducted
yy 1705 graduates yy 3997 graduates yy Over 18068 partcipants
yy 92% placements since

inception
yy 287 scholarship awarded
yy 62 full time faculty members Figure 2: Scale-up of eL programs

yy 108 adjunct faculty members
Number of eL programs
yy Multiple national and international
collaborations 25
22
yy Peer-reviewed articles on public health 21 21
education 20 18
17
yy Regular feedback solicited 15
yy Systems and processes in place 15
As on 31st August 2019 10

6
5
5 3
0
2011 2012 2013 2014 2015 2016 2017 2018 2019

Figure 3: On-Campus Academic Programmes at Indian Institutes of Public Health
IIPH-Delhi
• Phd (Full time) in
Health Sciences/Public Health
• Integrated MSc & PhD in Clinical
Research
• MPH
• PGDPHM
IIPH-Shillong
• MPH
IIPH-Bhubaneswar
IIPH-Gandhinagar • MPH
• MPH • PGDPHM
• MHA • CCPHM
• PGDPHM IIPH-Hyderabad
• AFIH • Integrated MSc
• CCGHC & PhD in Health
• CCCH Informatics
• MPH
• PGDPHM
IIPH-Bangalore Campus
• PGDPHM

eLearning Programs
Figure 5: Growth in on-campus and eLearning program enrolments

ePost Graduate Programs (1 year)
yy Public Health Nutrition On-campus programs
yy Health Promotion
yy Epidemiology
yy Management of RCH Programs
yy Public Health and Hospital Management for Nursing and Allied
Health Professionals
yy Public Health Services Management
yy Health Economics, Health Care Financing and Policy
yy Executive Post Graduate Diploma in Public Health Nutrition-
Afghanistan
yy Diploma Program on Infectious Disease Surveillance -
Afghanistan
eLearning programs
eCourses (3-6 months)
yy Research Methodology
yy STI & HIV/ AIDS
yy Monitoring and Evaluation of Health Programs
yy GIS Application in Public Health
yy Public Health Surveillance
yy Health, Safety and Environment Management
yy Tobacco Control
yy Good Public Health and Clinical Laboratory Practice
yy Research Ethics
yy Effective Grant Writing in Public Health
yy Public Health Development for ICDS Officials
yy Advanced Program in Hospital Management
*Enrolments on-going

We have launched a Massive Open Online Course (MOOC) on Global Public Health in the year 2015
Unique features of PHFI on- in collaboration with the Sustainable Development Solutions Network.
campus programs
yy Inter-disciplinary approach Engagement in health professional education
yy Competency driven curriculum PHFI, along with its IIPHs, is engaged in health workforce development through health professional
yy Linkages with public health practice education and training, program and policy relevant research, capacity-building and technical
yy Emphasis on problem solving, case assistance. Our on-campus programs, eLearning programs and short-term trainings foster the
based learning development of contemporary skills among a multi-disciplinary group of public health professionals
yy Use of innovative pedagogy and practitioners. We also get nominations of in-service health professionals from various states for
yy Focus on transformative learning our on-campus and distance learning programs. Our engagement in academics extends beyond the
conventional offerings of academic programs and trainings. Our mandate also extends to include
capacity-building, strengthening of existing institutions and accreditation. To this end, we have
systematically enhanced PHFI’s footprint in the ‘education of health professionals’ space within the
country and the region.
Unique Features of PHFI Since inception, we have completed nine

Centre for eLearning projects which include estimation of the need
yy Wide range of programs in key areas and demand of health professionals in India,
of public health mapping of public health education institutions
yy State of the art Learning and programs as also for specific skills such
Management System as epidemiology skills in India, cross-country
yy Enriching virtual classroom comparisons between competency-driven
experience curricula, etc.
yy Competency driven curriculum We have undertaken over 30 initiatives related
yy Multidisciplinary faculty to program development over the last eleven
yy Self-paced learning years. These include design and development of
yy National and international curricula for various eLearning programs, short-
collaborations term certificate courses and training programs
through technical alliances, north-south
collaborations, partnership with government
bodies, etc.

Program Context and Relevance
On-campus programs
yy PGDPHM: Program’s genesis was linked to a critical shortage of public health managers in the health systems
conceived, designed & developed on the request of Ministry of Health & Family Welfare (MoHFW)
Govt. of India constituted consortium of 10 institutions
National Rural Health Mission (NRHM) context and support
continues to have a strong connectivity to the health system
draws students and some faculty from the health system
contribute towards creation of public health cadre
yy PGDBDM: Paucity of competent bio-statisticians in a specialized domain of statistics
yy PGDHEP: Shortage of trained health economists. The need for this program emerged out of discussions with the Planning Commission.
PGDHEP was the first long term program in health economics, healthcare financing and health policy in the country.
yy MSc Clinical Research/ PGDCR: Increased recognition about need to provide quality clinical research education in the country. This program
was launched to contribute to a niche area of the market. It addresses issues surrounding design, conduct and analysis of clinical trials in
India.
yy MSc Health Informatics: A niche program and the first in Asia. Health Informatics is an emerging area with a strong technology application.
yy Master of Public Health: The MPH is a two-year long on campus program that will create public health professionals. The MPH program
is competency driven, lays emphasis on transdisciplinary skills and has a strong health systems connect. Our MPH is sensitive to the
expectations from public health professionals and includes modules that are relevant for addressing the current and future challenges.
It includes modules on program organization and management, problem solving, critical thinking in public health, public health research,
leadership and communication skills among other relevant domains that are critical for public health practice.
yy Master of Hospital Administration (MHA): The programme is designed to develop professionally trained administrators who can play an
effective managerial role and provide leadership in public/private hospitals and healthcare institutions. For achieving its intended objective the
programme curriculum is structured on a multi-disciplinary perspectives including general management and hospital management theories
and practices.

Model course curriculum of Masters in Public Health (MPH)

Curriculum: Relevance A Joint Working Group from UK and India embarked on the Master of
yy Health system/ industry need in Public Health (MPH) curriculum under the direction of Joint Secretary
their context, content and interface (Medical Education and Training). It was decided to form a Taskforce on
yy Responding to Indian public health Public Health Education (PHE) under the Sub-group on Health Education
challenges, while remaining global and Training with expert members from the two countries. PHFI provided
in outlook
technical support to this important initiative. Prof Sanjay Zodpey, Vice-
yy Engaging stakeholders in
President (Academics) and Dr Himanshu Negandhi, Additional Professor
curriculum design and review
were members of this taskforce.
yy Incorporating feedback in revising
the curriculum The PHFI graduates are placed in both public and private health sector.
Several graduates have significantly contributed towards advancing the
public health agenda. The overall feedback regarding PHFI graduates has
been good from the employers. We have successfully placed 92% of our
Focus on transformative self-sponsored students from on-campus programs within 3 months of their graduation. We have
learning also worked closely with the industry and its CSR outreach to connect with communities. The average
Our courses are “Breaking the remuneration for our on-campus graduates is 4.92 lakh rupees
mould” by pushing the traditional Figure 6: Sector wise placement of self-sponsored graduates (2008-09 to 2018-19)
discipline-based boundaries of
academia, research and public
health. We lay a greater focus on India has a large shortage of trained public
14% Development Sector
the importance of leadership with health professionals. Through our academic
Government Sector
focus on complexities—political, 34% initiatives, PHFI has substantially contributed
Corporate Sector
economic and social for achieving 16%
towards public health capacity building.
Academic and
global improvements in public health Research Since inception, PHFI has produced 1705
and creating ‘change agents’ for public Institutions
graduates from on-campus programs and 3997
18% Higher Studies and
health. We focus on transformative 18%
Others graduates from eLearning programs. Through
learning through our MPH programs. these initiatives PHFI visualizes a core team
of graduates who will partner and work for
*Others include students who voluntarily denied placement
support / not applying activity/dropped from placement supporting national public health initiatives.

Student Testimonials
Our academic team seeks feedback from

current students (module feedback, annual
On-Campus programs eLearning programs
program experience, quotes), alumni (case
studies, quotes), faculty, visiting faculty, “As a part of academics, we have a beautiful “The course was very enthralling and up to
employers of our alumni and visitors. The phase, commonly known as internship date with evidence-based research. It has
details of the quality assurance processes and where there is no count to us err and shaped my ontological perspective as far
stakeholders at each stage of the program cycle unapologetically, we can learn so much that as social research is concerned. Further, it
have been outlined in quality assurance SOP for they become our life learning lessons. The has enabled me to sharpen my abilities on
use by each IIPH. facts and figures are obviously the learning health promotion skills, which will be useful in
phenomenon for a fresher as me but what Zambia where there is a high disease burden.”
Figure 6: Sector wise placement of self- we learn out of the box is truly incredible.” –ePost Graduate program in Health
sponsored graduates (2008-09 to 2018-19)
– Master of Public Health (MPH) Promotion (PGPHP)
“The journey so far has been wonderful. “This course opened my thoughts to look
I had joined the course MSc Clinical at all health issues from public health
Research as a new and inexperienced prospective and enabled me to be a good
student, but I have learnt a lot not in Public Health specialist. The background
terms of only studies but also experiences knowledge of management, social science,
regarding real life situation a person may Health economics and method of conducting
face in future.” research and analysis made me more efficient
– Integrated MSc & PhD in controlling epidemic, effective task force
in Clinical Research and of health programme management.”
–ePost Graduate Program in Public Health

Services Management (PGDPHSM)

Special mentions
yy Dr. Kabak Tamar, PGDPHM 2014-15 batch
awarded for best PHC Kayakalp Awards FY
2018-19 in the state of Arunachal Pradesh.
yy Dr. Arwanlang Phanbuh, PGDPHM batch

2015-16 awarded for best CHC Kayakalp
Awards in the state of Meghalaya. His CHC
has been awarded by the Hon’ble Governor
of Meghalaya and Hon’ble Minister of Health
& Family Welfare, Government of India in
year 2017 and 2018 respectively.
Glimpses of Dr Arwanlang and his team receiving award from Hon’ble Minister of Health & Family Welfare,
Government of India in 2018
yy Md. Abdul Halim, PGDPHM 2016 Batch

published a paper in the year 2018 titled
as ‘Financial Interpretation of Integrated
Child Protection Scheme (ICPS) on Nutrition
for Children’ in the International Journal of
Education and Management.

Short Term Training Programs
Each year we organise a series of short term trainings for self-sponsored candidates. These trainings are widely advertised and well subscribed by
participants. We offer skill based short term trainings that are useful for building required public health competencies among professionals. We also
closely work with the government and organize trainings for them on special requests.
Figure 8: Trainings offered at IIPHs including PHFI Central Training

Training Domains IIPH-D IIPH-G IIPH-H IIPH IIPH-B IIPH- PHFI Total PDPs in all IIPHs
(BLR) Shillong including PHFI Central
Public Health 133 31 63 9 24 2 33 295
Management and
Health Economics
Quantitative 164 12 60 2 17 1 - 256
Research Methods
Qualitative 24 14 - 3 - 3 - 44
Research Methods
Public Health 31 9 - 3 2 - 3 48
Education
Nutrition and allied 19 - - - 6 - - 25
health sciences
Biostatistics and 24 3 28 - 6 - - 61
Data Management
Total 395 69 151 17 55 6 36 729
We have several tailor-made programs in niche areas such as field epidemiology, monitoring and evaluation, operations research in HIV/AIDS, Geographic
Information Systems, Qualitative Research Methods and Data Analysis to name a few. We receive positive feedback from our national and international
trainees and stakeholders. We have multiple requests for conducting additional rounds of trainings as per our stakeholders’ request. This exhibits
acceptability and ‘repeat value’ of our trainings programs and has led to our long-term engagement with the stakeholders.

Dr. Kabak Tamar (PGDPHM

Batch of 2014-15 batch at
IIPH- Delhi) Medical Officer
In charge has been awarded
for Best PHC under kayakalp
Awards FY 2018-19 in the
state of Arunachal Pradesh

Scholarships and Fellowships
The Public Health Foundation of India (PHFI) offers limited number of scholarships to the deserving and meritorious students enrolling for the regular
programs. A total of 287 students across the four Indian Institutes of Public Health (IIPHs) have been benefitted through the scholarships offered during
the last eleven academic years (from 2008-09 to 2018-19), of which 99 were full scholarships and 188 were partial scholarships. The full scholarships
cover complete expenses of tuition fee and the boarding and lodging fee, as applicable. Partial scholarships cover a part of the tuition fee of candidate.
In the year 2018-19, a total of 45 students across the IIPHs were benefitted through the scholarships, as given in the below table. No. of scholarship
beneficiaries at IIPHs
Year Name of theProgram IIPH, Delhi IIPH, Hyderabad IIPH, Gandhinagar

2018-19 MPH 10 22 13
Total 10 22 12
INFOSYS Fellowships in Public Health

INFOSYS Foundation in association with PHFI, instituted ‘INFOSYS Fellowships in Public Health’ to benefit 25 students from two batches of the MPH
program (2016-18 and 2017-19). The Fellowship aims to identify and train a cohort of bright public health students at IIPHs, who could meaningfully
engage with NGOs, working to improve population health in India. The Fellowship aimed at not only strengthening and supporting the organisations the
graduates were placed but also contribute towards community development. Selected through a highly competitive and rigorous selection process, the
selected fellows are provided (i) tuition fee waiver for the entire MPH programme for 2 years at the IIPH and (ii) placement in the identified NGO working for
public health in India for a period of two years after completion of the MPH programme with salary support of INR 50,000/- per month.
From Round I:
yy 10 Fellows selected from IIPH – Gandhinagar, Delhi, and Hyderabad. Three fellows opted out after signing the Agreement
yy Seven Fellows from Round I are currently assigned to the NGO’s
From Round II:
yy Additional 18 Fellows selected from the Class of 2019

yy Fourteen Fellows have joined placements (4 will join in Sept 2019)
yy MoU documents signed with NGOs and students for Round I & Round II

The Infosys fellowship has

given me a good platform to
critically analyse public health
literature, create innovative
solutions and present views
clearly to a range of audiences.
The fellowship’s main benefit
came in form of covering my
full tuition fees and making it
easier for fresh public health
graduates to learn from one
of the best in the areas. I
am thankful of the INFOSYS
and PHFI for designing this
program and giving students
opportunity and confidence to
work and become much clearer
of the public health field. I
would like to also express my
gratitude to Piramal Swasthya
for giving me a platform to
apply my academic skills at the
community level
Dr. Sonali Randhawa (BDS, MPH)

Infosys Fellow, Piramal Swasthya
Management and Research
Institute
Dr Sonali Randhawa interacting with the Tribal community in Majuli, Assam

IIPHG IIPH Delhi
IIPH Gandhinagar and NRDC supported Design and scale up of alternate models for
Ahmedabad Municipal Corporation to develop responding to the critical shortage of medical
South Asia’s first city based heat action plan specialists in select states
in 2013 to protect citizens against heat waves
related mortality and morbidity. This plan has About the ADARSH project
shown great success in reducing mortality in
yy Medical specialists scarce in India and
the city during subsequent heat waves. NDMA
numbers are lower in the public sector
has helped replicate this plan with inputs from
yy Aligned with National Health Policy 2017
IIPHG, in many cities and states in the country.
IIPHG also provided training to officers from yy “The National Health Policy’s 2017 section
SAARC countries to develop their own heat 11.3 - Specialist Attraction and Retention
action plans. IIPHG is helping develop such states that - Proposed policy measures
plans in other cites with help of Dept of Science include - recognition of educational options
and Technology, Government of India. linked with National Board of Examination
(NBE) & College of Physicians and Surgeons
(CPS)”
yy Project attempts to design and facilitate
HAP 2018 release the adoption of alternate model(s): District
Hospital Model of the NBE and CPS model
are two alternative models
yy Stakeholders: Government of India, State
Governments, the NBE & CPS, and NHSRC
yy MoUs have been signed with: NBE and CPS.
Till September 2019 MoUs have been signed
with following State Govts: Uttar Pradesh,
Haryana, Odisha, Punjab, Meghalaya,
Karnataka, Bihar, Gujarat
HAP 2018 and 2019
Shri. Gautam Shah, Mayor of Ahmedabad paints the
first cool roof coating in the city, May 2017

Snapshots of MoUs
Snapshots of MoUs
MoU Signings of ADARSH project
PROJECT PROGRESS
Project Progress (September 2019)
(September 2019) Signed by Dr. Shalini Pandit, MD, NHM, Odisha, in the Signed by Dr. Padmakar Singh, Director General
presence of the honorable Chief Minister Odisha , Shri (Medical &Health), Uttar Pradesh
Naveen Patnaik
Signed by Shri. Pravin Bakshi, Secretary Health MD, Signed by Shri. Sanjay Kumar, Principal Secretary
NHM, Meghalaya Health & Family Welfare, Bihar

IIPH Hyderabad
The DRROP India programme (Diabetic
Retinopathy and Retinopathy of Prematurity,
ROP) is a six-year initiative, implemented by IIPH
–Hyderabad to address avoidable blindness
from Diabetic Retinopathy and Retinopathy of
Prematurity. Both cases are on the rise in India
The DRROP initiative works with National and

State governments, district health officials,
and private and public service providers. The
initiative brings together health professionals
at all levels in the health system, and is
DRROP Pilot Initiatives Dissemination Summit 2019, Hyderabad, India
strengthening the Government of India’s health
system for the care of people with diabetes
and eye care through capacity building. Models
of sustainable and scalable services for the
prevention, detection and treatment of both
conditions have been established across India.
Other key areas in the programme include
advocacy and communication, monitoring and
evaluation, and coordination.
The Government of India has established a

National Task Force for each initiative, to guide
and oversee implementation. Technical Expert
Groups provide specific inputs to different
aspects of each programme. DR Screening at Project Centre at Tumkur, Karnataka

IIPH Bhubaneshwar IIPH Shillong

Certificate Course in Public Health
Management (CCPHM)
The Department of Health and Family Welfare,
Government of Odisha has developed clinical
and public health cadres of doctors in the state.
Indian Institute of Public Health, Bhubaneswar
(IIPHB) is assisting state government for
building capacity of in-service doctors in public
health management through one year Post
Graduate Diploma in Public Health Management
as a long-term strategy for last nine years. The
state has felt acute need to equip potential
Chief District Medical and Public Health Officers
as well as State Directorate Senior Health
Officials in public health management skills.
On August 27, 2019, Dr Pramod Kumar

Meherda, Commissioner-cum-Secretary,
Department of Health and Family Welfare,
Government of Odisha; Prof K Srinath Reddy,
President, Public Health Foundation of India
and Dr Subhash Salunke, Senior Advisor-PHFI
and Director-IIPHB addressed and interacted
with the participants of PGDPHM and CCPHM.
Meghalaya Chief Minister Conrad K Sangma

inaugurates the Centre for the Study of Complex
Malaria in India (CSCMI) Malaria Research Laboratory
and Master of Public Health Programme at the Indian
Institute of Public Health (IIPH), Shillong

RESEARCH

PHFI has also built up an impressive portfolio of Articles Total % 2018 Till
research and implementation projects, funded Aug’19
by reputed national and international agencies
Health Systems, Policy & Financing 125 22.81 81 44
through competitive grants. With over 3198
Women & Child Health 50 9.12 30 20
publications in scientific journals and impact
Environmental & Occupational Health 29 5.29 19 10
factor of 7.31, PHFI has established a creditable
Public Health Nutrition 35 6.39 20 15
track record in research and has been so
recognised by the Department of Scientific Non Communicable Diseases & Injuries 222 40.51 132 90
and Industrial Research. More important, the Infectious Diseases 39 7.12 27 12
research is providing useful inputs to India’s Mental & Behavioural Disorders 21 3.83 11 10
health policy and programmes in many areas Social Determinants of Health & Disability 27 4.93 18 9
of public health importance. Four funded Total 548 100 338 210
centres of excellence in chronic diseases,
At the global level too, faculty and researchers Thus over the last decade, PHFI has
disabilities, equity and social determinants
are actively contributing to many initiatives, collaboratively evolved through consultations
and environmental health are leading applied
expert groups and commissions such as with multiple constituencies including Indian
research projects and capacity development
Agriculture and Food Systems for Nutrition, and international academia, state and central
in those areas. The publications include those
Global Burden of Disease Study, WHO governments, multi & bi-lateral agencies
in the world’s top most journals such as the
Commission on Ending Child Obesity, Lancet and civil society groups. PHFI has been able
NEJM, JAMA Nature and Lancet and India’s
Commissions on Health Professional Education, to address the limited institutional capacity
top journals such as Indian Joirnal of Medical
Mental Health, Investing in Health, Palliative in India for strengthening training, research
Researrch and the National Medical Journal
Care and Obesity as well global panels on and policy development in the area of public
of India. In the year 2018 PHFI researchers
Antibiotic Resistance. International conferences health, by building a strong knowledge base
published 548 articles published with an
have been convened by PHFI on maternal and expertise in research and a cadre of public
average impact factor of 7.63. Domainwise
health, antibiotic resistance, endgame for health professionals.
publications are given below. Research
tobacco, global youth meet on health, health in
publications have wide impact incuding The strong network which has evolved through
sustainable development and new directions for
changes in policy and introduction of our this grant has helped to address the dearth of
public health education.
research findings into the health system. public health research and academic expertise
in India.

7th Annual Research
Symposium 2018
The 7th Annual Research Symposium was held
from 29-31 October at ISID, Vasant Kunj, New
Delhi. Keynote talks by eminent dignitaries
and public health luminaries were organized
during the symposium, specifically the keynote
address by Mr. Thomas Abraham on Lessons
learnt from Polio Eradication Program in India.
Various panel sessions and workshops on key

public health areas were conducted during the
symposium. The findings from India state-level
burden of diseases initiative were presented for
major non-communicable diseases including
diabetes, COPD and injuries. The update for
various affordable health technologies being
developed at PHFI were also presented in a
break out session to discuss their scale-up
and uptake in national programs. The other
panel sessions included adolescent health,
research dissemination, climate change and
health system research around Ayushman
We received an overwhelming response for the sessions over first two days of the symposiums.
Bharat. Sessions of research administration
abstract submission, out of which 20 abstracts The major programs and activities from
including research management and central
were presented orally in different sessions by different Centers of Excellence and IIPHs were
research data repository (CRDR) were also held
senior and young researchers from the PHFI showcased during the symposium.
during the symposium. The post symposium
extended family. Moderated e-poster sessions
workshops were also organized on grant writing, The human resource department also organized
were organized for the first time that was the
research ethics and exploring photograph the cultural event which included performances
highlight of the event and received appreciation.
through photography, that were attending by by IIPH students and members from different
80 abstracts were presented in the poster
young researchers in large numbers. operational and research teams.

Environment and interactions on research and policy with key A. Ongoing Research and
stakeholders to inform policy development Implementation Projects
Occupational Health through focussed and constructive dialogue;
develop and disseminate programme and 1. Air Pollution
The Problem policy-relevant briefs forms an important
(a) Air pollution and cardio-metabolic
part of our work. Strategic partnerships are
India faces a high burden of diseases due diseases – The GEOHealth program funded by
established o to work in collaboration with
to lack of environmental awareness and the US National Institutes of Health aims to
nodal ministries and organisations including
degradation with issues like air pollution, advance the science of air pollution and cardio-
National Centre for Disease Control (NCDC),
access to clean water, and occupational metabolic disease in India, and to train the next
Ministry of Health and Family Welfare, World
exposures featuring among the top ten risks generation of air pollution researchers.
Health Organization (WHO), United Nations
to public health. Exposures to environmental
Development Programme (UNDP) etc. CEH (b) The Ambient and indoor air Pollution in
pollution remain a major source of health risk
researchers and faculty members are also Pregnancy on the risk of low birth weight
throughout the world, though risks are generally
deeply engaged with the policy landscape on and Ensuing effects in Infants (APPLE)
higher in developing countries like India,
environmental health through membership study funded by Department of Science and
where poverty, lack of infrastructure, and weak
of various government committees including Technology aims to assess the impact of air
environmental legislation combine to cause
those of the Ministry of Health and Family pollution exposure on low birth weight in infants
high pollution levels. A significant proportion
Welfare, Ministry of Environment and Forests in Bengaluru.
of the environmental disease burden is
and Climate Change, and National Disaster
attributable to risks including poor ambient and (c) Health impact assessment near thermal
Management Agency at the central level. We
indoor air quality, unsafe water, poor sanitation power plants – In partnership with 4 reputed
also contribute to work with State governments
and hygiene, exposure to toxic chemicals, and institutions, we are carrying out a health
such as the governments of Gujarat,
climate change. assessment to understand the health impacts
Maharashtra, Karnataka, Odisha, Delhi, and
of populations living near thermal power plants.
others.
What are we doing
(d) Economic studies on air pollution: Air
The Centre focuses on a portfolio of research Pollution in India: Impacts on the Environmental
activities across thematic areas of air pollution, Burden of Disease, the Economy and Human
water, sanitation and hygiene, chemical Capital- PHFI researchers are working with
exposures and climate change. High-level UNEP and Boston College in studying the

impacts of air pollution on health, economy and in India and ways in which the health sector nutritional and sociodemographic risk factors
human capital. could contribute to mitigation, adaptation for gall bladder cancer
and resilience-building to address these
(e) PHILAP study- uses mixed methods to study 4. WASH (Water, Sanitation and Hygiene)
impacts. The report also features case studies
air pollution impacts on asthmatic adolescents
that draw from best practices, and highlights (a) WASH and behaviour change – The aim of
in Delhi in collaboration with University of
recommendations on the way forward for this pilot project is to enhance the evidence
Edinburgh
improved response measures. The second base for interventions to end open defecation
2.Climate Change draft of the report has been submitted and is and to establish what part demand creation can
under review by UNDP team and other partner play in increasing latrine use among all family
(a) Heat Action Plan: The HAP evolved by agencies. members of a household
researchers in IIPH, Gandhinagar is now being
scaled up in several states. Teams in both Orissa 3. Chemicals and Pesticides (b) WASH practices in maternity units and
and Gandhinagar along with CEH researchers maternal outcomes in Gujarat – The aim of
(a) Health and Wellbeing among cottonseed
will be enhancing work in vulnerability mapping this study is to reduce post-natal sepsis by
girls in Telangana and Maharashtra – The aim
at city-level. integrating better hygiene practices among
of this project is to elicit cultural embedded
health workers and others at public health
(b) Climate-resilient health systems - meanings of wellbeing among cottonseed girls
facilities in Gujarat. A toolbox for application in
Using the previously established network of and develop tools to measure their wellbeing.
healthcare facilities was developed and tested
healthcare providers and institutions(HELP),
(b) Association of plasma lead (Pb) levels to in Gujarat, Rajasthan and Maharashtra. The
our team will be advancing the work to develop
hypertension in non-occupationally exposed work has now been recognised by UNICEF to be
climate –resilient health systems in India. This
participants of the CARRS Surveillance scaled up in Assam.
work will be enhanced by engagement with
Study – This study will assess for the first time,
National Health Systems Resource Centre
and the National Centre for Disease Control
the association of low-level Pb exposures to IMPACT
incident hypertension in a non-occupationally
and the Ministry of Health and Family Welfare, The Ministry of Health and Family Welfare
exposed population in New Delhi.
Government of India. has recognised the Centre for Environmental
(c) Pesticides and breast cancer - A multi- Health as “Centre of Excellence” for
(c) United Nations Development Programme
centre case-control study to evaluate Climate Resilient Healthcare and green
Report on Climate Change and Human
occupational exposure to pesticides and the healthcare facilities. The centre will be
Development: UNDP commissioned a report
association with breast cancer among female drafting a framework and action plan for the
titled “Climate Change and Impacts on Human
residents of Punjab. National Action Plan for Climate Change
Development in India”. CEH team drafted a
and Health (NAPCCH) which will in turn feed
chapter on Climate Change and Health which (d) Arsenic and gall bladder cancer- This study
into State Action Plans and assist in ground
describes the health impacts of climate change in Assam and Bihar will assess environmental,
implementation.

At the international level, the Centre is forging Heat Stress Assessment of Health Systems, Policy and
academic and educational collaborations under Bhubaneswar, Odisha
the Israel Environmental Health Fund. Delegates Financing
from Israel visited PHFI in February 2019 The project aims to conduct vulneerability
Health Policy and systems research helps
headed by Prof. Henry Falk former Director of assessment of marginalized population living
includes policy and implementation research
CDC, Atlanta, Consultant Global Environmental in Bhubaneswar city, in terms of their health
to achieve healthy indicators of a population.
Issues and currently Chair of CEH Research status, effect of getting exposed to extremes of
These studies are largely focussing on
Advisory Council. The three-day visit provided heat and economic loss due to adverse climate
improving health care access, delivery, financing
the visitors and researchers/faculty at PHFI/ situations. It will present the evidence gathered
and policy advocacy for health care in India.
IIPHs an opportunity to interact with each from this survey to the department for brining
other and gave them the platform to explore about heat stress mitigation programme for the Some of the major projects are:
and initiate discussions for collaborations. city. We will be closely working with OSDMA and
BMC on these issues. Once the draft plan is Change Health Behaviors and Improve
The possible areas of collaboration based on
prepared, dissemination and capacity building Coverage of Health Services by Activating
interactions were enlisted as follows-
efforts will be made for the key stakeholders Social Platforms for the Poor in Uttar Pradesh
yy Monitoring and sensors: workign in various departments of the (UPCBM) the Public Health Foundation of
yy Calibration of instruments government. India is leading five-year initiative (2011-
yy Exposure assessment tools (Vertical 2016), funded by the Bill & Melinda Gates
profiling, modelling) Cardiovascular Health Effects of Air Foundation, that aims to develop and scale up
Pollution in Andhra Pradesh, India evidence-based interventions to achieve the
yy Indoor microenvironment
goal of improving RMNCHN health behaviours
yy Exposure science The aim of this project was to investigate the by an average of 10 percent points among
yy Agricultural and residential interfaces cardiovascular health effects of exposure marginalized population in the state of Uttar
yy Burns and injuries with disaster to particulate air pollution from outdoor Pradesh, India. The project seeks to layer
management and household sources within the Andhra health programs on women’s self-help-group
Pradesh Children and Parents Study (APCAPS) platforms (SHGs) created around micro-finance
prospective cohort. to increase knowledge, enhance skills and
promote improved behaviour and practices for
safer pregnancies, new-born care & child health
and thus reduce mortality outcomes in mother
and children. The consortium consists of Rajeev
Gandhi Charitable Trust, Boston University, and

Population council as partners. By the end of improving primary health care by providing Design and Scale Up of Alternate
the project, it would have directly reached to people with comprehensive package of Models for Responding to the Critical
approximately 1 million target women in SHG essential health services to be delivered by Shortage of Medical Specialists in
households through 75,000 SHG’s in 5100 gram Health and Wellness Centres (currently called
Selected States (Aadarsh Project)
panchayats the sub-centres in TN and PHCs in UP). The aim
of this study is to assess the performance of This project is an attempt to design and
Project goal: To change health behaviours
Health and Wellness Centres (HWC) involving facilitate the adoption of alternate model(s) for
among target women reached through SHG
Comprehensive Primary Health Care Services responding to the critical shortage of medical
platform created by RGMVP and improve access
(CPHC) in two Indian states, Uttar Pradesh specialists in select states. Medical specialists
to local health services
and Tamil Nadu, India. The assessment of the are scarce in India, and the numbers are
impact underlying a health service delivery disproportionately lower in the public sector, at
Objective is predicated on the performance of health the Community Health Centre (CHC) level and
a. To increase adoption of evidence-based system outputs and outcomes and hence, two above. Even district hospitals in several states
high-impact family health behaviours and sets of assessments would be carried out. One have an acute shortage of medical specialists.
services by strengthening existing self-help set of analysis will be based on comparisons Increasing the conventional supply side of
groups in 100 blocks between the current status of HWC against medical specialists is expensive and slow in
b. Scale up formation of self-help groups in the criteria for setting up HWC. The evaluation demonstrating results. We believe that there is
order to build capacity for future health will be made in respect to availability of health an immense latent potential in utilizing District
interventions services, and health system components, Hospitals (DHs) as a site for training medical
including health workforce, medicines, specialists which can lead to acquisition of
c. To document and disseminate the
approaches, strategy and results for wider equipment, infrastructure, etc. The second set a formal higher education qualification as a
application of assessment will be based on benchmarking specialist. The District Health Model of the
with a state counterpart that may have National Board of Examinations (NBE) and the
d. Scale up learning’s through social platforms
outperformed the former. We propose to College of Physicians and Surgeons (CPS) model
(e.g., NRLM, UPSRLM)
compare evidence involving UP to that of Tamil are two alternative models that can be adopted
How Health and Wellness Centres Nadu. in select states.
cen be used to improve the If successful, this project will increase the
Comprehensive Primary Health Care production of specialists through adoption
(Cphc) Components? of alternate models for responding to the
critical shortage of medical specialists. The
Of the two critical pillars underlying Ayushman
participating DHs will witness a strengthening
Bharat as its central goal of the program is

of their capital infrastructure as well as involving states such as, Uttar Pradesh, Madhya health financing, human resources for health,
the staffing of specialists. The presence of Pradesh, Assam and Tamil Nadu. and provsion and delivery of services in
Post-Graduate trainees around the year will the health systems of Odisha. The evidence
The Indian study estimated benefit-cost ratio
have a domino effect that may lead to higher gathered in this process will be used to
(BCR) for 5 major intervention in adolescent
utilization/ access of services. strengthen the existing health systems in
namely health, education, accidents and
the state. The major activities of the project
injuries, child marriage and inmate partner
A National Investment Case for violence. The interventions that were supposed
include evidence generation, report writing,
Adolescent Health and Well-being in to impact lives saved, disease, injuries and
organising consultations and disseminating the
India findings. The assessment methods will broadly
mortality averted, ability to control fertility,
be divided into four parts – secondary data
An investment case for comprehensive human capital and community and family
collection, qualitative interviews, case studies
intervention on adolescent health is critical, relationships. Economic and social benefits
and consultations.
as this has been a neglected area for long associated with these impacts are increased
in India. In order to make a strong case for labour supply, employment and labour Secondary data collection will include review
investment by the government, a robust and productivity, job quality and capital stock, lives of published documents, research articles,
a relevant evidence needs to be created for saved, and women position in family and society. case studies, unpublished reports, minutes of
communicating among various stakeholders. meetings (government), government websites,
The all-India results were submitted to the
Different interventions to address issues national and state level surveys and existing
funding agency in late 2018 and the state level
related to adolescents are already being run data sets. Similarly, qualitative data collection
results are being finalised and to be submitted
by different departments of government but will involve in-depth interviews with government
to the funding agency. The dissemination event
at the same time it is also very important to officials, program managers, consultants
is likely to take place in October-November,
assess cost to benefit ratio (CBR) of these and other relevant stakeholders identified
2019. Funding for project was provided by
interventions. Such an exercise has been for specific research questions. In order to
UNFPA, Country Office, India. The project is
carried out in two phases since early 2018 and record the best practices and innovations
being collaboratively carried out in partnership
is expected to be completed in late 2019: i) in health, case studies will be developed.
with Victoria University, Australia.
several models built including a combined one Further, consultations with national and
for projections and scenarios on the costs and local level experts will also be conducted to
Diagnostics for Health Systems gather required information as per the need
benefits of interventions at the all-India level in
Transformation of the project. Evidences gathered will be
the first phase; and ii) state-level models and
projections to be carried out in the final phase This project plans to gather evidence on disseminated through workshops, conferences
access, quality and equity, difficult areas, and publication of reports and papers.”

Evaluating the Implementation of intervention on primary outcomes at adolescent findings. The assessment methods will broadly
the Peer Educator Intervention for (knowledge, attitudes, life skills, practices) be divided into four parts – secondary data
and parental levels (attitudes, communication collection, qualitative interviews, case studies
Improving Adolescent Health in
skills) and impacts on PE (leadership and and consultations.
India’s National Adolescent Health
communication skills) and on AFHCs (trends Secondary data collection will include review
Programme
in attendance numbers). 3) Provide specific of published documents, research articles,
“This study involves the evaluation of peer guidance to MoHFW, GOI, and more generic case studies, unpublished reports, minutes of
educator (PE) component of the Rashtriya guidance to other countries, on modifying, meetings (government), government websites,
Kishor Swasthya Karyakram (RKSK programme), scaling up and sustaining the PE intervention.” national and state level surveys and existing
using mixed methods, in high priority districts data sets. Similarly, qualitative data collection
(HPDs) of two Indian states Madhya Pradesh Diagnostics for Health Systems will involve in-depth interviews with government
officials, program managers, consultants
and AP (now replaced with Kerala), selected Transformation
in consultation with MoHFW (based on health and other relevant stakeholders identified
This project plans to gather evidence on for specific research questions. In order to
indicators, population size, contextual diversity,
access, quality and equity, difficult areas, record the best practices and innovations
and variance of socio-economic status of
health financing, human resources for health, in health, case studies will be developed.
population). The three aims of this project are
and provsion and delivery of services in Further, consultations with national and
to: 1) Evaluate the Process (to understand the health systems of Odisha. The evidence local level experts will also be conducted to
implementation, causal mechanisms and gathered in this process will be used to gather required information as per the need
context) of PE Programme (here on referred strengthen the existing health systems in of the project. Evidences gathered will be
to as the intervention) under the RKSK, in two the state. The major activities of the project disseminated through workshops, conferences
Indian states. 2) Evaluate the effect of the PE include evidence generation, report writing, and publication of reports and papers.”
organising consultations and disseminating the

Infectious Diseases yy Support WHO-SEARO regional action plan Promoting Health, Livelohoods and
on latent TB infection management Sustainable Livestock Systems in
Although there is a transmission in yy Identifying natural history of TB parameters Peri-Urban Ecosystems of India
epidemiological burden from communicable in India through mathematical modelling
to non-communicable diseases in India, the The goal of this Initiative was to contribute to
yy Sickle cell diseases and thalassemia control
burden of some of the infectious diseases still stronger evidence-based cross-sector policy
in eastern India
remains huge in some parts of India. Moreover, and local capacity for integrating public health
there is a growing concern around more recent Some of the major projects are: and livestock health, urban planning, local
seasonal viral diseases, like dengue, chicken food production and social development in
guinea, etc, adding to the burden. PHFI’s ongoing Geospatial Analyses of Pneumonia, peri-urban settings of India. The long term
studies on infectious diseases are focused Diarrhea, Malaria, Hiv/Aids and objective of the India Research Initiative on
around: Tuberculosis Peri-Urban Human-Animal-Environment
Interface is to create and maintain sustainable
yy Cross-sector policy and local capacity for This project will produce fine-grain geospatial multidisciplinary and multi-actor partnerships
integrating public health and livestock mapping of major diseases and risk factors for policy-relevant research aiming at
health, urban health and local food that are important for India, which include decreasing health and environmental problems
protection pneumonia, diarrheal disease, malaria, HIV/ from livestock agriculture and overcrowded
yy Public health awareness for prevention AIDS, tuberculosis and among other causes. conditions in peri-urban ecosystems.
of tuberculosis and role of private sector Together, PHFI and IHME will work to identify
communication and procure micro data, meta data, and spatial Facilitation in Analysis and
yy Burden of Malaria in eastern and central descriptors from multiple data sources, and
Interpretation of Data Generated
India and its threat on India’s vision to continue to develop relationships with key
by the Comprehensive Case
eliminate malaria by 2030 Indian stakeholders to advance the objectives of
Management Project (Ccmp), Odisha
yy Geospatial analyses of pneumonia, malaria, the geospatial analysis work in India. The data
to be used in this project will be secondary data
– Collaboratively Implemented
diarrhea, HIV/AIDS and tuberculosis to
from a variety of studies done in India, and will By National Vector-Borne Disease
yy Worksite lifestyle intervention to prevent
not involve any field data collection. Control Programme, Odisha and
communicable diseases along with non-
communicable disorders
National Institute of Malaria
Research
Despite its recent efforts in reducing the
disease in the highest endemic provinces
of North East and Central region, resource

constraints and problems with the an important means of curtailing the size of the
Mental & Behavioural
overstretched health system in the most infectious reservoir. Thus, comprehensive case
endemic states of India along with the growing management systems contributed significantly Disorders
complexity of the disease and vector biology, to transmission reduction, particularly if The mental well-being is as crucial as the
threat of emergence of resistance to the life- attention is paid to anti-gametocytocidal physical health of a population. Assessing and
saving antimalarials like ACT, and narrowing medication as a complement to curative improving the mental health has been included
opportunities for vector control due to growing treatment. in most of the studies being conducted at PHFI.
insecticide resistance, continue to threaten Some of the studies in this are focused on
The Comprehensive Case Management
India’s vision to eliminate malaria by 2030. The following topics:
Programme (CCMP) was an operational research
state of Odisha has contributed the highest
study under programmatic conditions in the yy Psycho social intervention for self-harm in
reported malaria burden in the country over the
state of Odisha. CCMP was run collaboratively youth
last 10 years, accounting for more than 40%
with the national and the state chapter of yy Linking depression with non-communicable
of India’s annual malaria burden, albeit with
the National Vector Borne Disease Control disorders like diabetes and cardiovascular
only 4% of the Indian land mass and 3% of its
Programme (NVBDCP) and National Institute diseases.
population.
of Malaria Research (NIMR) with technical and
A case management system for malaria was financial support from Medicines for Malaria Some of the major projects are:
essential for endemic areas as a means of Venture, Switzerland. CCMP was implemented
An Adaptation and Evaluation of a
‘treating the sick’ to reduce the duration of from 2013-2017within the framework of
sickness and prevent the disease progressing the State NVBDCP, against the backdrop of
Psychosocial Intervention for Self-
to severe malaria. However, beyond this prevailing vector control measures. As the Harm in Youth.
purpose, early termination of infections serves, programme was driven by the state NVBDCP, the The overall goal of the proposal is to adapt
particularly in areas of unstable malaria with potential for programme learning and scaling of and evaluate an evidence-based psychosocial
low to moderate intensities of transmission, as successful findings was high. intervention for self- harm in youth that can be
delivered by counsellors. The specific goals of
first phase are. To adapt an intervention by:
yy Identifying specific components to address

individual, peer and family targets for
symptomatic recovery in youth who self-
harm

yy Describing domains of psychopathology large extent driven by the high rates of suicide 3. Depression is a common mental health
and targets to address in Indian youth with in young women in South Asia. A study found condition which may aggravate with time to
self-harm suicide to be the second leading cause of death become chronic and/ or recurrent 4,5. It is the
yy Integrating additional contextual in the 15 to 29 years age group in India. fourth leading cause of global disease burden
information within the intervention and accounted for 4.4% of total DALYs in
framework to improve its acceptability and Epidemiology of Comorbid 20006. Its exact burden is not known especially
effectiveness Cardiometabolic Conditions and in LMICs. Recent population studies have
yy Evaluating acceptability and feasibility of Depression in Indian Population reported high prevalence of depression in
the intervention The specific goal of the India (14.6-15.1%)7,8. The prevalence is much
Depression and cardiovascular disease higher in primary health settings ranging from
second phase is to evaluate effectiveness of
(CVD) are both common disorders and major 21-84%9. Indians with depression seem to
the intervention delivered by the counsellors
contributors to the global burden of disease. have higher prevalence of somatic symptoms
in reducing self-harm thoughts and
Their prevalence is increasing globally, as compared to western population10. While
behaviour in youth.
especially in low and middle income countries it can be diagnosed easily and managed using
The objective is to adapt a psychosocial
that are undergoing rapid transitions in socio- a range of methods at primary health care
intervention to prevent recurrence of self-
economic profile and lifestyle characteristics level, depression goes largely undiagnosed.
harm behavior in young people. Self-harm is
the clearest antecedent of later suicide and 1. CVDs are the leading cause of mortality in Associated social stigma and dismal lack of
given this, the proposal is a timely one. Rates Indians, occur at least a decade earlier and are trained mental health professionals further
of suicide in India have shifted with economic associated with greater premature mortality. complicates things.
development with a rising rate of suicide Other than the traditional risk factors, in-utero Traditionally, mental health and cardiometabolic
evident in young men particularly in the more and early-life influences, stress, co-existing conditions have been considered in isolation
developed south of the country. And in young mental health conditions need to be examined and this a major attemt to address this issue.
women suicide has overtaken maternal causes
2. Mental and behavioural disorders account for
globally as a major cause of death. This is to a
about 12% of the global burden of diseases

Non Communicable yy Prevention of chronic diseases through
decision support system and regular check-
Some of the major projects are:
Diseases & Injuries ups in north-eastern states UDAY
The burden from non-communicable diseases, yy Support WHO SEA Regional Office in
A Comprehensive Diabetes Prevention and
including cardiovascular diseases (heart finalizing road map to reduce MDR-TB for all
11 SEAR countries by using epidemiological Management Program in India
diseases, hypertension, obesity), diabetes,
chronic obstructive pulmonary disease (COPD) and economic modelling The project focusses on home based screening
and cancers continue to emerge globally with a yy Impact of Tele radiology system of health programme using lay but trained technologically
disproportionate higher incidence and burden in care delivery in rural India enabled community health workers, along
developing countries like India. A large number yy Supporting diagnostic and health care with linkage of screened individuals to the
of studies at PHF are focused to understand the services at panchayat level healthcare system. Under this project, a
dynamics, determinants and burden of these multi-component, multi-level, comprehensive
yy Assessment of adolescent health in relation
chronic conditions and to develop, evaluate to school health programs intervention program is implemented to improve
and implement evidence-based solutions. The the prevention, detection and management of
yy Evaluate alcohol advertisements and
current studies at PHFU under this thematic diabetes and hypertension.
marketing among college students.
area are focused on below mentioned areas:
yy Rheumatic heart disease among school CARRS
yy Estimating state level burden of chronic children
diseases (CVDs, diabetes, COPD, injuries and This is a community-based surveillance study
yy Trials focused to improve health care
cancer) in India that started in 2010- 2011. The participants
procedures, like evaluating surgery versus
yy Intervention programs to reduce the risk of fibrinolytic therapy in prosthetic heart valve are being followed annually for detection of
diabetes and hypertension thrombosis incident cardiometabolic diseases. A second
yy Behavior change interventions at schools, wave of data collection called CARRS-2 began
yy Effect of organic pollutants on risk of
colleges and workplaces to reduce the risk in 2015-2016. Both CARRS-1 and CARRS-2 have
diabetes
of NCDs collected a rich repository of bio-specimens
yy Developing low cost non-invasive methods
including blood, urine, and DNA samples. This
yy Evaluating effectiveness of stroke to detect oral cancer and anemia in saliva
study will help us understand the mechanisms
rehabilitation services samples
of disease particularly the reasons for the high
yy Development of quality improvement yy Assessment of adolescent health and vulnerability of Indians to CVD and diabetes.
strategies to manage NCDs in different school health programs in SEAR countries
health care settings

A number of studies have been nested within Evidence Based Research and major chronic diseases and their risk factors
the CARRS cohort to answer research questions Capacity Building among adults. Information on demographics,
pertaining to cardiovascular epidemiology. lifestyle behaviors, anthropometry, biological
One of the study is focussed to examine a) Strengthening the CM’s Comprehensive measurements and bio-samples (blood and
the associations between cardiometabolic Annual and Total Health Check-up for Healthy urine), healthcare costs, and mortality will be
conditions and depression prospectively and Sikkim (CATCH): This program envisages annual collected. This will provide most recent data,
strengthening the ascertainment and analysis health check-up of each citizen at designated track trends over time and facilitate evidence
of mental health outcomes. The genetic data centres across the State and is aimed at based prevention and control efforts.
being generated on the CARRS participants will enabling people to maintain good health by
help examine the causal relationship between detecting potential health problems in early mHealth Integrated Model of
stages through early diagnosis and treatment.
various cardiometabolic traits using Mendelian Hypertension, Diabetes and
randomization approach. These causal We are currently assisting the state government
Antenatal Care in Primary Care
inferences will help formulate more focussed in developing an analytical template for the data
Settings in India and Nepal: mIRA
clinical and public health interventions. to track the health status of the population vis-
à-vis chronic diseases.
Cluster Randomized Controlled Trial
The first phase of the planning of a Regional
The aim of this mHealth project is to develop
Centre of Research Excellence (RCRE) in Non- b) We are currently developing a registry
and implement a tablet-based electronic
Communicable Diseases in India was conducted program with a clinical decision support
decision support system (EDSS) to assist
last year. Few demonstration projects were system on a tablet based device, which will
frontline healthcare providers (FHWs) to
conducted with IN CARRS cohort for producing help guide health personnel in the treatment of
improve the antenatal care, specifically the
actionable evidence on the prevention and diabetes and hypertension to be implemented
screening and management of Pregnancy
control of high priority NCDs, such as cancers in select health facilities. This is expected to be
Induced Hypertension (PIH) and Gestational
and diabetes. Some of these activities could operational soon after the initial pilot testing to
Diabetes Mellitus (GDM) in primary healthcare
potentially be scaled up for other cohorts in the understand the clinic work flow and how best
facilities of Telangana (mHealth integrated
country. The demonstration projects included it can be integrated in to the existing health
model of hypertension, diabetes and antenatal
(i) linking CARRS with population based cancer facilities. This will enable tracking patients who
care in primary care settings in India and Nepal:
registry in Chennai; (ii) assessing stigma related come to the implementing facilities and provide
mIRA cluster randomized controlled trial).
to cancer and diabetes in patients and their information on their diagnosis, treatment
caregivers; and (iii) exploring the role of oral received and outcomes experienced. Anticipated impact of mIRA will be at different
microbiome in oral carcinogenesis. levels and among different groups. At the health
c) In consultation with the state health officials
system level, the intervention will enhance
we have also developed a population based
and improve the quality of ANC services and
health survey to determine the incidence of

provide continuity of care by integration of income countries support an association of
routine ANC with the screening, detection, POPs with diabetes, and high levels of POPs
referral and management of GDM and PIH in persist throughout India. Further, animal studies
the most efficient manner. It will also ease suggest that POPs affect diabetes risk via action
the work flow in the primary care settings on beta cells, which is of particular interest
and likely increase cost-efficiency. For the because beta cell function declines at an earlier
pregnant women, enhanced quality of ANC pathological stage in Indians. The proposed
will lead to improved health outcomes for both study will establish the first internationally-
mothers and their babies in the near term as standardized laboratory for the measurement of
well as subsequently during their lifecourse by POPs in human plasma in India. Stored plasma
reducing the risk of hypertension, diabetes and samples from an ongoing cohort study in Delhi
adverse cardiovascular health outcomes. It will and Chennai will be leveraged in a nested
also increase women’s satisfaction with public case-control study (n=236 diabetes cases and
sector’s health services and boost confidence n=472 age- and sex-matched normoglycemic
in the health system and providers. For the controls) to estimate the association of POPs
healthcare providers, this will be a unique with incident diabetes.
opportunity for their professional upskilling
and delivery of integrated evidence based high ANM explaining the current mHealth application being Evaluating Causal Relationship
quality ANC services, through improved record used to deliver ANC at subcentre Gundreddipalli, Between Regional Body Fat
keeping, reporting, timely prompts, and easier Medak. Distribution and Lipid Profile in
work flow. This will lead to improved outcomes Indian Population
for the women, reduce costs, enhance health Association of Persistent Organic
system performance and responsiveness to The aim of the present study is to examine
Pollutants with Incident Diabetes
community needs. The policymakers will receive whether regional body fat distribution is
among Urban Indian Adults causally associated with lipid levels in Indian
much needed evidence for implementing better
approaches to enhance existing ANC services Nearly 20% of the 382 million adults with population. We will first identify the genetic
for improving women’s health. diabetes in the world live in India. While the variants associated with adiposity and lipid
contribution of risk factors such as unhealthy traits to derive instrument variables based
diets and physical inactivity has been evaluated, on allelic scores and then use them as proxy
less traditional exposures such as persistent for exposures and outcomes in examining the
organic pollutants (POPs) remain unexplored. causal pathways using bi-directional Mendelian
Epidemiological studies conducted in high- Randomization approach. The objectives of the
study are listed below:

Objectives from the proposed study will provide evidence In this premises, All India Institute of Medical
for the causality between increased regional Sciences (AIIMS), Public Health Foundation
1. Identify genetic variants associated with adiposity and raised levels of lipids. This will of India (PHFI) and Centre for Chronic Disease
regional body fat distribution and lipid levels
help in formulating public health interventions Control (CCDC) and), collaborated with the
in Indian population for developing reliable
and clinical management of the high risk Government of Tripura to implement ‘NCD
instrumental variables (IVs) based on allelic
patients and will address the growing burden of Initiative Tripura’ to build capacity for NCD
risk scores.
cardiometabolic disorders. prevention and control in the state of Tripura.
2. Examine causal relationship between The NCD initiative will cover hypertension and
regional body fat distribution and levels
Non-Communicable Disease (NCD) diabetes in the initial stage, but will expand to
of lipids and apolipoproteins using
Intiative for Capacity Building in the cover other chronic disease components such
bidirectional Mendelian Randomization
Field of Non-Communicable Disease as cancer, COPD/Asthma, healthcare of elderly,
(MR) approach using IVs based on allelic
(Ncd) Prevention and Control in the palliative care, etc. In addition this NCD initiative
scores.
will host and facilitate NCD related academic
We will be generating genome-wide data on
State of Tripura
research and capacity building in the north-east
intensively phenotyped “CARRS cohort study” Recognizing the growing threat to public health India.
participants using a recent GWAS chip named due to the burgeoning Non-communicable
Global Screening Array (~640,000 markers) Diseases (NCD), there is an urgent need Major components of the NCD initiative Tripura
to identify India specific markers. We will also to build capacity of the health system for are:
utilize the available cardio-metabochip data effective prevention, management and control yy Capacity building of State Medical Officers
(~200,000 markers related to cardiometabolic of NCDs. Insufficient number of adequately through certificate courses
traits) on well-phenotyped data from “Indian trained manpower is a major impediment
yy Training of Nurse Care-Coordinators for NCD
Migration Study” in order to validate the loci to the health systems in implementing the
clinics
of interest. Therefore, this will collectively National Program for Prevention and Control
help in deriving allele scores to be used as of Cancer, Diabetes, Cardio-vascular diseases yy Implementing mPower Heart modelled
genetic proxies for the traits to be examined and Stroke (NPCDCS). Hence there is an intervention at the NCD clinics as part of
on the causal pathway i.e. body fat distribution NPCDCS for improving access and quality of
urgent need of taking initiatives to train and
(exposure) and lipid levels (outcome). hypertension/diabetes care
equip the medical professionals with clinical
decision support tools to enable them in yy Establishing big data analytic capabilities at
The genome-wide resource that would be the state level for informed decision-making
practicing evidence based NCD interventions
generated through this fellowship grant will in program management
through the public health system. In addition,
address multiple research questions and
the health information system also need to yy Formation of a Technical Support Unit for
will ensure long term research activities in
be strengthened to plan utilize the scarce NPCDCS
genetic epidemiology in India. The findings
resources efficiently.

Chronic Obstructive Pulmonary Physical activity for prevention of in daily life for people to be physically
Disease (COPD) NCDs active, we are working on various aspects of
measurement, monitoring and solutions for a
After ischaemic heart disease, COPD is the Increase in the population physical activity physical activity promoting built environment
most common cause of mortality in India. COPD levels can prevent diabetes, hypertension and which will spear- head PM Modi’s “Fit India”
also goes undetected due to lack of equipment cardiovascular diseases, osteoporosis and dream. We applaud the Honourable Prime
and infrastructure at primary health care level. many other conditions/diseases by 20-40 %. Minister Modis “Fit india campaign. A fit India
This necessitates the development of simple, We work towards increasing the population will lead to a strong and progressive India – says
low-cost methods to screen people at risk of physical activity levels through the following: the PM. “Fit India” comes from being physically
developing COPD. Under Be He@lthy Be Mobile, M-active, a SMS active in daily living, in all aspects of life, in
based program to increase the physical activity all age groups, women and children. It is born
What are we doing? levels with WHO and Government of India on out of “fit cities, fit pavements” fit cities and
Developing and validating a strategy to utilize through the M platform; Contributed to the pavements which are walkable in addition to
community health workers to screen people at Global Action Plan on Physical activity(GAPPA) “fit worksites” and Fit-schools”. This is aligned
risk at their doorsteps for COPD using a simple 2018-2030 by WHO; gave technical inputs to to the National Multi-sectoral Action Plan for
questionnaire and a pocket spirometer. Piloting the vision document “Tandarust Punjab of the Prevention of NCDs for India with the overall
the feasibility of community health workers led government of India. objective to reach the WHO goal of a 25%
pulmonary rehabilitation program for improving Physical activity and Built Environment: Healthy reduction of NCDs by 2025. These is also aligned
the quality of life and functional status of cities to provide a supportive environment to make cities sustainable, age and disable
people living with COPD. friendly, to decrease pollution and WHO goals.
Health Workers conducting Lung Function Tests using a Pocket Spirometer

We worked on broad based indicators at the risk (RR) of cycling derived from population
individual, and population levels, at multiple studies, number of cyclists, and number of
sites using multi-sectorial indicators. This is death, T2D, CVD and cancers in Denmark. Since
especially important in the context of the Smart 1998 till 2015, cycling has increased by 10% in
cities initiative of the prime minister. the whole country; the cycling related injuries
however, have gradually declined and were
Walkability index of India: We developed a
only 45% in 2015 as compared to 1998 level. In
India specific walkability index (a composite
Copenhagen specifically, cycling even increased
index of 18 indicators) as we found that the
more than 30% since 1998 while cycling related
international GIS based walkability index was
injuries decreased during the same period to
not applicable for the Indian conditions. This data from one of the best cities in the world one third. Diseases prevented in Denmark by
was done by a combination of objective and for active transport and trends in cycling, cycling were annually 3328 T2D cases, 5742 CVD
subjective measures- indicators in Delhi. These accidents and diseases over a period of time, cases and 2076 cancer cases and prevented
were gleaned through science and experiential as a model and example for us. The objectives deaths were 6190. In comparison, in 2015,
observations. These indicators came from were to describe trends in cycling and cycle 26 cyclists were killed in the traffic, 512 were
experience and low and middle income country related injuries in Denmark overall and in the seriously injured and 297 experienced light
context. We then looked at its applicability in four largest Danish cities to see if changes injuries in the whole country. In conclusion, in
2 highly walkable and 2 low walkable areas in cycling trips and injuries were associated. Denmark, despite the number of cycling trips
as defined by the international GIS based Further, we compared number of prevented having steadily increased over the past 17 years
walkability index. After its development deaths, type 2 diabetes (T2D), cardiovascular cycling related injuries show a concomitant
we subsequently explored its applicability diseases (CVD) and cancers with registered decline. Intuitively one might expect cycle
“walkability index of India’ as the international injuries. We analysed cycling trends over past 17 related injuries to increase with increased
GIS based walkability index is not applicable in years in Denmark based on national statistics cycling, but a decrease was observed in injuries.
the Indian conditions. from 56 electronic counters as an ecological This shows that safe design and “vision zero and
study. Cycle related injuries were collected by exceptional attention to active transport” can
Physical activity, active transport Statistics Denmark from hospital records. We lower accidents as active transport increases.
accidents injuries and health also calculated the annual prevented disease Additionally, the health benefits of cycling
Denmark is known for its supports for active and mortality accrued from the health benefits calculated from cohort studies were 21 times
transport. As an academic exercise we analysed of physical activity in cycling based on relative higher than risk of injuries.

The Global Syndemic of Obesity m-Health, m-Wellcare Enhancing to access of Heart Failure Care in Kerala.
under Nutrition and Climate Change Uptake We also looked at the perceptions, notions
and barriers and facilitators to quit tobacco
The global Through qualitative observations and interviews amongst patients who have suffered
interplay of obesity, in the we identified ways for enhanced uptake
undernutrition and of the M-wellcare evidence based, resource Tobacco cessation amongst patient who
climate change and context specific decision support system have had a heart attack. We explored the
represents ‘The by visiting PHC and CHC where the trial was experinces, pressures, supports patients feel
Global Syndemic’ ongoing. and undergo after already having suffered a
and is the greatest heart attack in the context of tobacco users.
threat to human and Tobacco cessation is an important intervention
planetary health, to reduce mortality from ischemic heart
affecting most people disease, the leading cause of death in India.
in every country and In this study, we explored facilitators, barriers,
region. India faces the and cultural context to tobacco cessation
triple burden of over nutrition, undernutrition among acute coronary syndrome (ACS, or heart
and climate change. Until now, under-nutrition attack) patients and providers in a tertiary
and obesity have been seen as polar opposites care institution in the south Indian state of
of either too few or too many calories. Similarly, Kerala, with a focus on patient trajectories.
climate change has been viewed as separate. In Patients who quit tobacco after ACS expressed
reality, they are all 3 driven by the same systems greater understanding about the link between
and policies. This report is about common tobacco and ACS, exerted more willpower at
drivers and common solutions to this “tri-demic the time of discharge, and held less fatalistic
“or “syndemic”. We are already late, sitting at the beliefs about their health compared to those
pinnable and action is needed at the national who continued tobacco use. The former were
level as well as ground level. Along with global motivated by the fear of recurrent ACS, strong
colleagues we identified drivers and solutions to advice to quit from providers, and determination
Humanities and Ethics in Public
harness all through for meaningful action to survive and financially provide for their
Health families. Systemic barriers included inadequate
training, infrequent prescription of cessation
Qualitative studies
pharmacotherapy, lack of ancillary staff to
Health-Care for patients of heart failure We deliver counseling, and stigma against mental
explored the facilitators and practical barriers health services

attention toward improving heart failure care cardiovascular risk factors in a South Asian
compared with other cardiovascular conditions; population free of cardiovascular disease.
(5) application of existing personnel and Substituting 30 min/day of MVPA for 30 min/
technology to improve heart failure care; and day of sitting was associated with 0.08 mmHg
(6) longitudinal and recurrent costs as barriers lower diastolic blood pressure (β = -0.08 [- 0.15,
for optimal heart failure care. Conclusions: - 0.0003]) and 0.13 mg/dl higher high-density
Key themes emerged regarding heart failure lipoprotein cholesterol (β = 0.13 [0.04, 0.22]).
care in Kerala in the context of a health system Substituting 30 min/day of walking for 30 min/
that is increasingly emphasizing health-care day of sitting was associated with 0.08 kg/
quality and safety. Targeted in-hospital quality m2 lower body mass index (β = -0.08 [- 0.15,
Heart failure care. Heart Failure is a leading
improvement interventions for heart failure - 0.02]), and 0.25 cm lower waist circumference
cause of death worldwide and in India, yet
should account for these themes to improve (β = -0.25 [- 0.39, - 0.11]). Essentially replacing
the qualitative data regarding heart failure
cardiovascular outcomes in the region 30 minutes of sitting had direct benefits on
care are limited. To fill this gap, we studied the
blood pressure, sugar levels and lipids too
facilitators and barriers of heart failure care Physical Activity, Sitting, and Risk Factors
in Kerala, India. Methods and results: During of CVDs: a cross-sectional analysis of the ICMR- Mtech internship- This is a competitive
January 2018, we conducted a qualitative study CARRS study. We looked at what happens when internship program started by ICMR to give
using in-depth, semi-structured interviews you replace 30 minutes of sitting time with 30 fellows the interface of medicine, engineering
with 21 health-care providers and quality minutes of activity We aimed to estimate the and public health to come up with innovations.
administrators from 8 hospitals in Kerala associations between substituting 30-min/day It’s a competitive internship. We were Invited
to understand the context, facilitators, and of walking or moderate-to-vigorous physical by ICMR to mentor the fellows along with other
barriers of heart failure care. We developed activity (MVPA) for 30 min/day of sitting and faculty from ICMR and IIM – Ahmedabad.
a theoretical framework using iteratively
developed codes from these data to identify
6 key themes of heart failure care in Kerala:
(1) need for comprehensive patient and family
education on heart failure; (2) gaps between
guideline-directed clinical care for heart failure
and clinical practice; (3) national hospital
accreditation contributing to a culture of
systematically improving quality and safety
of in-hospital care; (4) limited system-level

Public Health Nutrition Some of the major projects are:
The area of public health nutrition aims at

Maternal Docosahexaenoic Acid
improving the health of population by improving
(Dha) Supplementation and Offspring
the nutrition status of the population and
preventing the nutrition related diseases. PHFI
Neurodevelopment in India (Dhani-2)
is undertaking studies focused on improving the The prevalence of underweight and stunted
nutrition status of children, women and public children in India is among the highest in the
in general through various means: world. Child under-nutrition and stunting
yy Assessment of mid-day meal fortification in have enormous consequences for nations’
different states of India productivity and failure to tackle malnutrition
diminishes the potential for economic growth.
yy Improving Micronutrient deficiency among
Studies show a strong association between
children and adolescents
nutrition and cognitive development. This link
yy Food environment and cafeteria policies in is the strongest during the first 1000 days.
educational institutes One strategy to enhance neurodevelopment
yy Inter-disciplinary approach to ensure food among children during these 1000 days can
security be maternal DHA supplementation. DHA is
yy Examining dietary diversity and nutritive a structural component of human brain and
value of indigenous foods in Indian retina, and can be derived from marine algae,
populations fatty fish and marine oils. Since diets in India
yy Maternal DHA supplementation to improve are largely devoid of such products, the plasma
offspring neurodevelopment DHA levels in Indian populations are quite low.
DHA is safe to consume during pregnancy and
yy Complementary feeding practices and
children malnutrition lactation. 2. Infant body size and morbidity patterns
through 12 months.
yy School based intervention for reducing Thus we propose to supplement pregnant Indian
sugar sweetened beverages women from <20 weeks’ gestation through 6 In addition, we will collect biochemical indices
months postpartum, to ascertain the effect of (blood and breast-milk) from mother-child
yy RCT to identify efficient dose of maternal
DHA on: dyads to estimate net changes in their DHA
Vitamin B 12 supplementation for
levels in response to supplementation.
improving infant B12 deficiency and neuro 1. Infant neurodevelopment at 12 months.
development

The trial was initiated in JN Medical College, yy Map biodiversity and assess availability, Activities: Qualitative enquiries regarding food
Belgaum in Jan 2016 and successfully recruited access and utilization of indigenous foods environment of tribal communities. Free listing
957 pregnant women. They were followed up by these communities. of indigenous foods, factors affecting their
through delivery, 1 month, 6 month and 12 yy Assess any shift in dietary patterns in these consumption, resilience of indigenous food
months postpartum. We ended data collection communities vis-à-vis the indigenous food systems to climate variability.
from 870 mother-child pairs in April 2019. We intake
Quantitative methods: Household surveys;
are currently performing data entry and data yy Characterize their farming system to Dietary surveys; household food security
cleaning. Our trial protocol is published and understand constraints and opportunities assessment; Nutritional status assessment:
available at: for improving indigenous food production Individual level dietary intake, anthropometric
https://bmcpediatr.biomedcentral.com/ and the resilience of these systems to and biochemical assessment. Identification and
articles/10.1186/s12887-018-1225-5 climate variability. taxonomic classification of edible indigenous
Objective #2: Assess the nutritive value of plants specifies and animal foods, Nutrient
Dietary Diversity and Nutritive Value indigenous foods that are routinely accessed analysis of indigenous food samples.
Of Indigenous Foods In Addressing Objective #3: Estimate the contribution There is no intervention component in this
Food Security And Nutritional Status of indigenous foods to nutrient intake and project. We are collecting information on
of Vulnerable Tribal Communities of nutritional status of the communities. indigenous and traditional foods and estimating
India their nutritive values. We are also understanding
Study Design: A cross sectional study design
the consumption of these foods in the daily
Aim of the project: To evaluate the potential along with a longitudinal component to capture
diets of women and children in the tribal
of indigenous foods in contributing to dietary seasonality in the dietary intake patterns of
communities. The nutritional status of the
diversity and nutrient intake for improving food specific tribal communities.
women and children are also assessed.
security and nutritional status of vulnerable
Target population: Santhals are the most
tribal communities of Jharkhand, India. The findings of the study will help in
populous tribal community in Jharkhand,
development of recommendations on evidence-
Objective #1: Characterize the food followed by Oraon, Ho and Munda. The study
based, nutrition-sensitive agricultural and other
environment to focuses on three of these tribes, namely
behaviour change communication interventions
Santhals, Ho and Munda and another primitive
yy Appreciate knowledge and perception of for encouraging production and consumption of
tribal group called Sauria Paharia.
specific tribal communities regarding the indigenous foods to address food and nutrition
indigenous foods security in vulnerable communities.

A Randomised Controlled Trial to as they are at high-risk of B12 deficiency. protocols. During routine visits, anthropometric
Compare Two Different Doses of Mothers who are >35 years of age, are already measurements including weight, length and
Maternal B12 Supplementation in on B12 supplementation, have multiple head circumference will be recorded and signs
gestation, chronic medical conditions, known of micronutrient deficiency (especially anaemia
Improving Infant B12 Defeciency and
psychological illnesses or those who anticipate and rickets) will be noted. Any illnesses suffered
Neurodevelopment
moving out of the city before/after delivery by the child in the intervening period will be
Vitamin B12, also called cobalamin, is a water- will be excluded from the study. Recruited recorded. Supplementation of the mother in
soluble vitamin that has a key role in the normal mothers will be randomly allocated to 2 equal both groups will be stopped at 6 months after
functioning of the brain and nervous system. groups (360 each). Group 1 (Intervention) childbirth followed by evaluation at 9 months.
Up to 74% women are reported deficient will receive daily 250 micrograms Vitamin The neurodevelopmental assessment and
during antenatal period in some populations. B12 supplementation to the mother through home environment assessment will be done by
Deficiency of B12 in newborns is problematic pregnancy and up to 6 months post-partum. a developmental therapist and complementary
given the role Vitamin B12 plays in neuronal Group 2 (Control) will receive 50 micrograms feeding assessment by a nutritionist. Along with
health (brain and nerve cells health) and in Vitamin B12 supplementation to the mother routine sampling for Hb screening at 9 months,
the development of foetal and infant brain. We through pregnancy and up to 6 months infant B12 levels status will be determined. The
propose this research to compare two different post-partum. The profile information of the assessment of the infant neurodevelopment
doses (a treatment dose in comparison with a mother including age, height, weight, ethnicity, scores, the biochemical measures of B12 status
dose known to just prevent further deficiency) of education, socioeconomic status, maternal of the infant and those of the mother will then
maternal Vitamin B12 supplementation in terms dietary assessment (by Food Frequency be compared between the two groups to see
of their effectiveness in removing infant B12 Questionnaire), intake of any supplements if the neurodevelopment and/or B12 status in
deficiency and neurodevelopment. (iron, folate, Vitamin-D) etc. will be recorded. the group receiving the higher dose (250 mcg) is
Vitamin B12 dosage will be provided at better and safe. A positive or a negative result
We propose to undertake a multi-centric trial
enrolment and then monthly to mothers. will generate scientificevidence on whether B12
in India and Nepal as these are countries
Mother’s blood levels for Vitamin B12 status should be supplemented in vegetarian pregnant
where high incidence of deficiency is reported.
and other deficiencies will be drawn. Sampling women with a view to preventing B12 deficiency
We will recruit 720 pregnant women from
for these biochemical tests will be combined and its neurodevelopmental consequences in
the antenatal clinics of the department of
with other routine tests at these stages to the infant. This will also allow the development
Gynaecology and Obstetrics at Sitaram Bhartia
avoid any additional discomfort for the mother. of policies and frameworks forroutine/
institute of Science and Research, New Delhi
At childbirth, the delivery and post-delivery wider usage of this supplement in high-risk
and Paropakar Indrarajayalaxmi Maternity
course of the new-born will be monitored and populations.
Hospital, Kathmandu, Nepal. The subjects
documented for any problems potentially
will be recruited at their first presentation to Data recruitment is at full swing at two trial
influencing neurodevelopment. After discharge,
the antenatal clinic and should be vegetarian sites (115 recruited in Delhi and 60 recruited in
all neonates will be routinely followed with
Nepal)
preventive and vaccination care as per standard
Evaluating the Effect of one Full Social Determinants of Some of the major projects are:
Meal a Day in Pregnant and Lactating
Women: (Feel)
Health & Disability Synthesis of Evidence on the Social
The social factors, including economic and Determinants of Health to Inform
The overall aim was to study the impact of one
socio-cultural factors influence the health Research and Policyin India
full meal (OFM) provided to pregnant women
status of a population to a great extent. This is
in improving pregnancy and infant outcomes. In this project, we facilitated the development
a very diverse thematic area including socio-
The evaluation is proposed in four taluks, of such a system for India through a rigorous
demographic factors, economic indicators,
namely Manvi (Raichur), H.D Kote (Mysore), scientific effort aimed at a high-quality and
human behaviors and health care access.
Saundatti (Belgaum) and Pavagada (Tumkur). policy-relevant synthesis of the available
The current PHFI studies under this area are
Pregnant and lactating women receiving one evidence on social determinants of health in
focused on following topics:
full meal provided by the WCD. Participants India through original advanced analyses. This
were recruited at their 1st/ 2nd trimester yy Intersecting women’s migration, work, effort integerated diverse evidence to identify
and baseline data on demography, heath income and health to improve women health the best ways to use the available evidence on
and obstetric history and information on the in general social determinants of health and identify the
services availed from the Aanganwadi centres yy Development of an application to assess major gaps to inform further development of
was elicited. Haemoglobin test were done at disability and the eligibility for the public research and policy to effectively reduce health
second trimester and at third trimester. Monthly disability benefits inequities in India. Through close consultation
weight of the mothers was monitored and new yy Eliminating avoidable blindness due to with key stakeholders, we explored development
born assessment of weigh and length was done Diabetic Retinopathy (DR) and Retinopathy of a national health equity surveillance system
after delivery. of Prematurity (ROP) and expand this research into a dynamic
knowledge hub on social determinants of
yy Improving eye health in school going
health that could provide rigorous information
children through the use of portable eye
examination kit (PEEK) to develop policies and programmes in India
to reduce health inequities and facilitate their
yy Nexus between water quality & quantity,
impact evaluation
sanitation & hygiene, agriculture and health
yy Comparing perspectives of vulnerable
groups and health systems
yy Development of training module for human
right and gender equality
Pregnant and lactating women receiving one full meal
yy Providing barrier free access to disabled
at an Anganwadi centre
population

Ssphere - Sight Sim Peek Health optometrists and multiple care providers. quality at source often differs from water
Education for Refractive Errors Effectiveness was assessed in a trial with the quality at domestic use, due to handling.
outcome being spectacle wear at 3-4 months. Addressing these challenges will require
This project was an extension of the original increased water and sanitation investments,
innovation: evaluation of Peek (portable Guiding Pro-Poor Investments In including investments for behavioural change
eye examination kit) for vision screening by
The Nexus Among ‘Domestic Water and enhanced knowledge at household and
teachers, using the SightSim app to educate community levels. While improved water
Quality And Quantity’, ‘Sanitation And
affected children and their parents carried quantity and quality and improved sanitation
Hygiene’ And Agriculture From The
out in Kenya. A higher uptake of referrals was and hygiene directly and indirectly improve
clearly demonstrated in the original innovation.
Bottom-Up (Ag-Watsan Nexus)
health and nutrition, each of these four action
In the extension of this project, this innovation is Growing competition of water for productive areas and their interface with irrigation
modified for Indian settings where refraction is uses among sectors, especially irrigated agriculture have different impacts (per unit of
undertaken in schools and spectacles delivered agriculture and related local multi-purpose investment) on health and nutrition outcomes.
to children. In India SightSim educational water systems and drainage, is an added The objective of this project was to support 2
materials was used to educate all children challenge in the effort to improve drinking doctoral students for doing their Doctoral work
aged 11-15 years. The Peek School Screening water quality and quantity. Moreover, water on WATSAN and its nexus with health.
system was upgraded to include an app for

The India State-Level

Disease Burden Initiative
Is a collaborative effort between the Indian
Council of Medical Research (ICMR), Public
Health Foundation of India (PHFI), Institute
for Health Metrics and Evaluation (IHME), and
a number of other key stakeholders in India,
including academic experts and institutions,
government agencies and other organizations,
under the aegis of the Ministry of Health &
Family Welfare. About 300 leading scientists
and experts representing close to 100
institutions across India are engaged with this
collaborative work. The work of this Initiative
is overseen by an Advisory Board consisting of
eminent policymakers and involves extensive Health Foundation of India, and Institute for across the states of India, 1990-2016 in the
engagement of 16 domain expert groups with Health Metrics and Evaluation. India: Health Global Burden of Disease Study. The Lancet
the estimation process. The Health Ministry of the Nation’s States — The India State- 2017.
Screening Committee at the Indian Council of Level Disease Burden Initiative. New Delhi: https://www.thelancet.com/journals/lancet/
Medical Research and the ethics committee of ICMR, PHFI, and IHME, 2017. article/PIIS0140-6736(17)32804-0/fulltext
the Public Health Foundation of India approved
https://www.icmr.nic.in/sites/default/files/
the work of the India State-Level Disease The Initiative has subsequently published
reports/2017%20India%20State-Level%20
Burden initiative. detailed topic-specific papers in the Lancet
Disease%20Burden%20Initiative%20-%20
Full%20Report.pdf journals in 2018 on state-level trends of
The first set of findings by the India State-Level
cardiovascular diseases, diabetes, chronic
Disease Burden Initiative on the variations in https://phfi.org/the-work/research/the-
epidemiological transition across the states of respiratory diseases, cancer, suicide, and air
india-state-level-disease-burden-initiative/
India were presented in a Report released by the pollution, as well as a commentary in The
http://www.healthdata.org/disease-burden- Lancet on the relevance of these findings for
Vice-President and Health Minister of India and
India health policy in India:
in a scientific paper published in The Lancet in
November 2017: yy India State-Level Disease Burden Initiative
Collaborators. Nations within a nation:
yy Indian Council of Medical Research, Public variations in epidemiological transition

Women & Child Health yy Intervention studies to improve health of
children under 5 years; and prevention
yy Integrated assessment of cognitive health
during early childhood by different health
Improving maternal and child health is a key to of child sexual violence; and overall child care providers
progress of a developing country like India. PHFI welfare, development and empowerment yy Evaluate impact of community engagement
is conducting research focused on different yy Addressing child sex ratios in north eastern and ownership approach in improving
aspects of women and child health including states immunization coverage
safer pregnancies and child birth, improving
yy Improving diagnostic efficacy of non- yy Evaluating effect of one full meal per day in
nutrition and overall health of children and invasive methods for detection of anemia improving maternal and child health
adolescents and addressing under 5 morbidity
yy Maternal nutritional supplementation, Some of the major projects are:
and mortality. The recently completed and
like DHA supplementation, to improve the
ongoing studies are focused on following
offspring neuro-development
research topics: Strengthening the Quality of
yy Prenatal and postnatal exposure to Reproductive Health Services in India
yy Strengthening health care services for pesticides effecting the neurodevelopment
better ANC coverage of the infants The objective of this project is to contribute
yy Develop and implement an electronic yy Evaluating Bihar technical support program to better maternal health through three types
decision support system (EDSS) to assist for improving public health and nutrition of activities - systematic reviews of existing
frontline healthcare providers (FHWs) systems literature and evidence linking antenatal
to improve the antenatal care, including risk to obstetric outcomes and effectiveness
yy Neonatal mortality evaluation in UP
Pregnancy Induced Hypertension (PIH) and of program interventions; field testing and
Gestational Diabetes Mellitus (GDM) yy Improving Antenatal care to enhance validation of a tool to enable more effective
adherence to national ANC guidelines assessment and responses to antenatal risk; a
yy Improving quality of care in labor rooms and
for addressing the burden of gestational retrospective prevalence survey of respectful
neonatal ICUs and home based neonatal
diabetes and pregnancy induced
care to address maternal and neonatal maternal care combined with qualitative non-
hypertension
mortality and morbidity participant observations and interviews.
yy Evaluating interventions for reducing
yy Improving quality of care of family planning
neonatal mortality in Bihar
services; and for safe abortion services

Hyperglycaemia In Pregnancy and the chronic diseases. So far we have found around psychosocial stressors and social support.
Risk of Chronic Diseases (MAASTHI) 14% GDM prevalence in the cohort as opposed Weight, height, sitting height, skinfold thickness
to a mere 4% reported at other government of biceps, triceps and subscapular skinfold
The study is being conducted at public hospitals hospitals where GDM screening is not in place. will be recorded. Blood pressure is measured
in Bangalore and so far more than 3000 Follow ups are being conducted at birth, 14 using an automated BP apparatus. All women
pregnant women have been recruited into the weeks and then annually until the child is will undergo an Oral Glucose Tolerance Test
study. The objective is to prospectively assess 4-year-old. (OGTT) at 24 to 36 weeks of gestation. They are
the effects of glucose levels in pregnancy on asked to fast for a minimum 8 hours prior to the
the risk of adverse infant outcomes, especially Maternal Antecedents of Adiposity and Studying
study visit, where fasting samples are drawn.
in predicting the possible risk markers of later the Transgenerational role of Hyperglycemia
Subsequently, 75 g of glucose is administered
and Insulin (MAASTHI) is a cohort study in the
orally and the postprandial sample is drawn
public health facilities in Bangalore, India. The
after two hours. The study aims to recruit 5000
objective of MAASTHI is to prospectively assess
pregnant women and follow them and their
the effects of glucose levels in pregnancy on
offspring for a period of 4 years. So far 4710
the risk of adverse infant outcomes, especially
pregnant women have been recruited and 2973
in predicting the possible risk markers of later
OGTT have been completed. Followup of the
chronic diseases. The primary objective of the
participants and their children is in progress.
proposed study is to investigate the effect
Total number of completed followups till date
of glucose levels in pregnancy on skinfold
during at birth, 14 week, 1 year, 2 year and 3
Anthropometic measurement of a child at 14 weeks thickness (adiposity) in infancy as a marker of
after delivery
year followups are 1997, 1257, 899, 525 and
future obesity and diabetes in offspring. The
49 respectively. We have published 3 papers
secondary objective is to assess the association
in international journals, another 2 are under
between psychosocial environment of mothers
review and for several other papers data
and adverse neonatal outcomes including
analysis is being conducted. The study has due
adiposity. Pregnant women with a gestational
approvals of Department of Health, Government
period of less than 36 weeks are recruited. A
of Karnataka, Bruhat Bengaluru Mahanagara
baseline questionnaire is administered that
Palike(BBMP) and Institutional ethics.
includes socio-economic status, Standard of
committee.
Living Index, 24-hour dietary recall, dietary
habits, physical activity, obstetrics history,
Chest circumference measurement of a child at 14

weeks by RA

Diagnostic Efficacy of Digital blood collection. We will test their haemoglobin a package of culturally tailored films for
Hemoglobinometer (Truehb), concentration using 4 different methods. pregnant women, their family members, and
Hemocue and Non Invasive Devices health providers can improve timely detection,
The study aims to establish the diagnostic
glycaemic control and clinical outcomes of
for Screening Patients for Anemia in accuracy and cost effectiveness of the devices.
women with GDM.GUIDES study involves both
The Field Settings Data will be collected by field technicians and
qualitative and quantitative components.
ANMs in the field. A total of 600 adults are
The burden of anemia or low haemoglobin in We have completed qualitative study, which
required for diagnostic accuracy of each device.
the blood is high in our country. This leads to was a contextual study of socio-cultural
The most cost effective and accurate device will
several problems that can affect the health of (Individual, family, community) and health
be tested in extremes of weather conditions
individuals. The routine tests for the estimation system that restricts timely screening and
(Rajasthan and Kashmir) for their effectiveness.
of anemia need to provide reliable results. The effective management of GDM in India. In-depth
The results of the study will inform the policy
most reliable methods are complicated, and interviews and Focus Group Discussion (FGD)
on the selection of most appropriate device for
involve expensive laboratory set-up. We are were conducted among health care providers
national programmes.
planning to test a simple test that would provide (Doctors, Nurses), pregnant women seeking
reliable estimates of hemoglobin concentration ANC (diagnosed with GDM and without GDM)
using invasive/non invasive devices and thus
Gestational Diabetes in Uganda and their family members. In addition, initial
aid in the diagnosis of anemia in the filed and India: Design and Evaluation assessment and preparation for conducting the
setting. We will recruit eligible individuals of Educational Films for Improving randomized control trial (RCT) is underway.
attending OPDs in field practice areas, who Screening and Self-Management
are willing to participate in our study and who (GUIDES)
do not suffer from any condition that impedes
The aim is to assess whether an educational/
behavioural intervention delivered through

Centres of
Excellence

The Ramalingaswami workers on sexual and reproductive health and

rights incorporate human rights and gender
Centre on Equity and Social equality concerns.
Determinants of Health The Centre won a major international bid and
Over the past year (October 2018 to September was appointed a Regional Mentor Institute (RMI)
2019), the Ramalingaswami Centre on Equity by WHO’s Alliance for Health Policy and Systems
and Social Determinants of Health advanced Research. The RMI’s remit is to advance thinking
its goal of carrying out cutting-edge research. It and work on gender and intersectionality in
also positioned itself to carry out teaching and health policy and systems research. The Centre
training, and contributed to policy development, will mentor early career research fellows from
both nationally and internationally. the SEARO region over two years and develop
an online course that can be freely accessed.
The Centre carried out descriptive research Currently, the syllabus is being developed and
on the quality and drivers of obstetric care in fellows are being selected.
public health institutions. Given its timing, this
research serves as a qualitative assessment The Centre, through its Director, is actively
of LaQshya – the Ministry of Health and Family involved in policy negotiations and debates
Welfare’s Labour Room Quality Improvement within the UN System and at other important
Initiative. The quantitative data are currently policy driving institutions. Prof. Sen is a member
being validated and the qualitative data are of the Lancet Commission on A Synergistic
being transcribed. These data will be analysed Approach to Universal Health Coverage, Health
during the next year. Security and Health Promotion since 2018.
She also delivered the Keynote Address titled, Adolescent Initiative in 2018. In 2019, Prof. Sen
The Centre also produced two reports for “Equity in Universal Health Care: how to follow was recognized as a “Champion of Change” in
WHO’s Department of Reproductive Health and the money” at the World Bank’s Third Annual UNFPA’s The State of World Population Report
Research, Geneva, that are being revised for UHC Financing Forum in Washington DC on 2019 (25th Anniversary Issue). She delivered a
publication in peer reviewed journals. The first 20 April 2018 https://www.worldbank.org/en/ Keynote Address, “Universal Health Coverage:
report focuses on how to better understand and events/2017/10/20/third-annual-universal- Everyone Everywhere” at the Celebration
assess the actual working of an accountability health-coverage-financing-forum#4. She was of World Health Day 2019 at WHO’s SEARO
strategy for health programmes, and the second also appointed as a member of the Independent Regional Office & WHO India Country Office in
report focuses on the manner and extent to Accountability Panel for the UN Secretary New Delhi on 5 April 2019.
which training programmes for frontline health General’s Every Woman, Every Child, Every

Respectful maternity care: research as well as action and implementation (2) medical education and (3) institutional
structures and processes. Given its timing,
research) with poor rural communities in Koppal
The Ramalingaswami district, Karnataka. this research serves as a qualitative
Centre’s contribution to an yy Addressing the conceptual and
assessment of LaQshya. The assessment
comprises (1) in-depth interview-based
evolving field methodological fuzziness in a field that has qualitative research with doctors at
tended to be dominated by a few Northern different rungs of a hospital’s hierarchy and
Respectful obstetric care is a global health goal institutions and universities, a team at
that has sparked new empirical research across nurses, and (2) a survey of the experiences
the Centre guest edited a special issue of of women delivering in public health
different continents, an advocacy agenda and a the international peer-reviewed journal institutions. During the first phase of this
growing number of interventions, including the Reproductive Health Matters (Sen et al. work, the Centre conducted qualitative
Ministry of Health and Family Welfare’s Labour 2018) with an editorial and conceptual research in two well established medical
Room Quality Improvement Initiative (LaQshya). overview (Sen et al. 2018a, 2018b) to clarify college hospitals in Karnataka. Following
Over the past three years, the Ramalingaswami and advance thinking on the subject. The this, the Centre carried out a survey of
Centre on Equity and Social Determinants of special issue with nine papers from both women who recently delivered in two
Health has been steadily making important well established and newer authors is contrasting districts of Karnataka: Bidar
contributions to this evolving field of inquiry. widely read and beginning to be cited. and Shimoga. Qualitative research was also
The team at the Centre strongly supports every yy The Centre is also carrying out descriptive conducted with the providers of obstetric
woman’s right to maternal safety and see empirical research on the quality of care services in public hospitals in these
disrespect and abuse as important barriers. obstetric care in public health institutions very districts. Currently, the empirical data
Informing our work are 14 years of cutting-edge and on the forces that appear to drive it: (1) are being analysed.
research on maternal health (primary empirical intersecting socioeconomic inequalities,

South Asia Centre for SACDIR strives to achieve its mission through level was organized both in Telangana
(10 districts) and Andhra Pradesh (3
various strategic activities such as
Disability Inclusive 1. Implementation/operational research districts). We have trained about 422
development and Research related to disability. health professionals (319 in Telangana
and 112 in AP) through this capacity
(SACDIR) 2. Capacity building and skilling of
building programme. Funded by HT Parekh
professionals involved and persons
One billion people live with disabilities Foundation
interested in disability.
globally in an era where the UN Sustainable yy Empowering the challenged: a DVD-
3. Developing scalable innovations for
Development Goals (SDGs) sets target for based patient education intervention was
disability inclusive development
ensuring healthy lives for all at all ages and the developed in Hindi for self or supported
WHO targets one more billion (Triple Billion) management of disabilities following stroke
Implementation Projects
people benefitting from Universal Health in India. Funded by HT Parekh Foundation
Care (UHC). In order to achieve the set targets, yy Retinopathy of Prematurity: a project to yy Big Data Research: SACDIR has developed
UN and WHO must include these one billion, reduce severe retinopathy of prematurity a web-based disability survey software
(ROP), and visual loss from ROP by improving that could serve as an open source tool for
provide access and value the rights of persons
the quality of neonatal care by establishing disability researchers worldwide to collect
with disabilities (PWDs). India being a signatory
models that are sustainable and scalable data with the help of technology. Funded by
of these action plans is obliged to make
for the detection and treatment of severe HT Parekh Foundation
substantial efforts to provide access to health
ROP which can be integrated into the
care and rehabilitation for PWDs and include yy Building Capacity: A manual on disability
government of India’s health system at every
them in the agenda for national development. that is focussed on enabling institutions and
level across 4 states in India. Funded by the
health professionals at the grass root level
The South Asia Centre for Disability Inclusive Queen Elizabeth Diamond Jubilee Trust.
with complete resources for understanding
Development and Research (SACDIR), a centre yy Diabetic Retinopathy: This project aims to contemporary concepts of disability,
for excellence in disability was established develop and integrate services for detection planning, implementing and managing
in 2010 under the aegis of Public Health and treatment of diabetic retinopathy disability-related programs was developed.
Foundation of India (PHFI) in collaboration into government health systems across Funded by HT Parekh Foundation
and with support from the London School of 10 States in India. Funded by the Queen
Elizabeth Diamond Jubilee Trust. yy Awareness and Skill Building: SACDIR has
Hygiene and Tropical Medicine (LSHTM) and its
developed a virtual disability skills lab as
component institution, the International Centre yy Contemporary Clinical Practice: a series
a state of the art, advanced lab for training
for Eye Health (ICEH) London UK. The mission of of two day short course on disability and
and research in disability therapeutics
this centre is inclusive millennium: evidence for health for medical officers and other
and diagnostics for various kinds of
empowering Persons with Disabilities. health professionals working at the district
stakeholders including PWDs. The disability

skills lad has a virtual interactive museum Elizabeth Diamond Jubilee Trust. being organized every year in collaboration
and virtual 3D immersive virtual reality yy Climate change and UVR Impact on eye with the London School of Hygiene and
environment connected to a collaboration health: to study the effect of environmental Tropical Medicine (LSHTM) and the
software which helps any individual to factors and global warming on the International Centre for Evidence in
experience physical visual and hearing prevalence and/or exacerbation of eye disability (ICED), United Kingdom since
disability and overcome it virtually. Funded diseases like cataract, dry eye, Pterygium 2010. The aim of this course is to enable
by HT Parekh Foundation and vernal kerato conjunctivitis in coastal participants to understand the magnitude
South India. Funded by ICMR and causes of hearing impairment and the
Research Projects yy Assessment of disability status: a study
challenges of providing hearing health in
developing countries. 55 trainees attended
yy Barrier free access to PWDs: It is an to develop a comprehensive app to assess
the short course in 2018. Funded by CBM.
assessment of 150 selected public the disability status of a patient and certify
buildings, on the extent of barrier free the patient’s eligibility for public disability yy Technical Support: SACDIR provides
access to people. Funded by Govt of benefits. Funded by Google India Pvt ltd technical support to the department of
Telangana - Department of Disability Women Children disabled and Senior
Academic Training & Workshop citizens (WCDS), Government of Telangana,
yy Evaluation of technology based
India. Funded by Disability Commissioner,
intervention to increase screening uptake yy Disability Special Track – Masters in
Govt. of Telangana.
of diabetic complications: A study to Public Health programme: As a part of
increase your awareness on managing the MPH programme, SACDIR organizes yy Journal: SACDIR manages the South Asia
diabetes and preventing complications due a special track on disability for the post- edition of the Community Eye Health Journal
to long standing diabetes. Funded by HT graduate students. This is a 12 credit based (CEHJ) which is an indexed journal. While
Parekh Foundation specialised programme for participants creating public awareness on preventive
interested in learning public health health, the journal is distributed to public at
yy Care for stroke Clinical Trial: This trial will
disability especially in the context of low large free of cost.
provide reliable evidence as to whether
a smartphone-enabled carer-supported and middle income countries. The overall yy Upcoming Collaborations: SACDIR is in the
educational intervention can reduce aim of this special track is to sensitize process of establishing collaboration with
disability and dependency in activities of participants regarding the importance of The Seva Foundation USA, Microsoft India,
daily living among stroke patients. Funded disability and its relevance to public health, Novartis India and Google.
by India Alliance Wellcome-DBT especially in the context of India and other
low and middle income countries.
yy ROP Doctoral study: Comparison of two
approaches for screening for ST-ROP in two yy Public Health Planning for Hearing
diverse states of India and their potential Impairment (PHPHI): This short course is
for scaling up in India. Funded by the Queen

Snapshots of activities of SACDIR

Centre for Chronic Capacity building and training of health
providers in prevention and management of
Conditions and Injuries various non-communicable diseases are major
(CCCI) part of CCCI, which are reported in the section
on training updates.
The Centre for Chronic Conditions and Injuries
(CCCI) at the Public Health Foundation of India Several awards and accolades have been
is a global leader in chronic disease research received by the team for their work. To name a
and has led several innovations aimed at few, Prof. D Prabhakaran was recognised by the
reducing chronic disease burden and improving Quality Council of India (QCI) for his outstanding
survival not only among Indians but in several contribution to public health. He was awarded
(IF-15) and Lancet Planet Health (IF-10.7). In
LMICs. Currently there are about 25 ongoing the QCI - D.L. Shah Champion Award in Pune
addition a comprehensive Tandon’s Textbook of
projects under the umbrella of CCCI and its on 12th February 2019. Dr Sailesh Mohan
Cardiology was edited by Prof. D Prabhakaran
partners. The domains include cardiovascular was selected as the 2018 Paul Dudley White
which serves as the needs of current and future
diseases (CVD), prevention of diabetes and International Scholar at 2018 Scientific
generations of cardiology trainees in India and
other CVD risk factors, non-alcoholic fatty Sessions. This award recognizes authors who
other emerging economies. The high impact
liver disease, worksite lifestyle program for contributed to the highest ranked accepted
of the publications is reflected by the average
reducing diabetes, air pollution and cardio- abstract from each country.
Impact factor of CCCI Publication is 11.02 and
metabolic diseases and asthma, sustainable Average Impact factor between 2018-Till Sep’19
and healthy food systems, prevention of is 8.93 and number of publication between the
gestational diabetes, yoga care in several said period is 190. These publications are highly
aspects of cardiovascular care and prevention cited and largely have a health system and
of diabetes and quality of health care in policy translation focus.
diabetes management. CCCI also encompasses
programme to demonstrate cost-effective Capacity building workshops, dissemination
scalable approaches for effective diabetes and meetings, presentation of results at various
high blood pressure management. scientific fora have been organised regularly.
Media outreach and community outreach
More than 60 manuscripts have been published activities were also conducted to improve
during the last one year in various high impact the awareness of air pollution related health
journals like Lancet (Impact Factor, IF-59), impacts. Various white papers and policy briefs
JAMA (IF-51.2), Circulation (IF-23), European have been shared with the stakeholders working
Heart Journal (IF-23), Lancet Global Health in space of non-communicable diseases.

Centre for Environmental The overarching goals of the centre are: -

to address environmental issues. [*Detailed
research updates are provided in the research
Health (CEH) yy Action towards conduct of multi- section]
disciplinary research focused on national
The Centre for Environmental Health was Capacity Building - The Centre has placed
priorities
launched by the Honourable Union Minister for considerable focus on developing a cadre of
yy Build capacity in environmental health
Health & Family Welfare, Shri JP Nadda in May environmental health researchers in India
(research, short-term training &
2016 as a joint initiative of the Public Health through a number of pathways. These include
education)
Foundation of India and the Tata Institute of providing research development grants to mid-
Social Sciences, with support provided by yy Cohesive efforts towards implementing
and senior-level researchers, thesis fellowships
Tata Sons and Tata Consultancy Services Ltd. remedial action for key environmental
for Master’s students to explore innovative
The Centre operates under the aegis of an issues of concern
research questions in environmental health,
eminent Governing Council which is led by Mr. yy Development of evidence-informed short courses for skill-building to conduct
S. Ramadorai and includes three members policy recommendations for India environmental health research and a module on
of Parliament and distinguished scientists, yy Establish multi-institution partnerships environmental and occupational health for MPH
apart from a Research Advisory Council and a to leverage institutional capabilities, students.
Steering Committee. raise awareness,
Technical Consultation & Advocacy
The aim of the Centre is to build capacity in Technical inputs and stakeholder consultations
Research - Some of the pivotal research and
India in environmental health research and for evolving policy guidance are a regular
implementation projects include work on
training, and to provide evidence-informed feature amongst the centre’s core activities
Air pollution and cardio-metabolic diseases,
policy guidance based on research in several and have culminated in several reports, policy
through the GEOHealth (Global Environmental
thematic areas including air pollution; water; briefs and technical guidance documents for
and Occupational Health) Hub, Health impact
sanitation and hygiene; chemical exposures; the National and state-governments. The focus
assessments near thermal power plants,
climate change, and other environmental issues is also to work in collaboration with nodal
respiratory health of asthmatic adolescents,
of concern. The research mandate of the centre ministries and organisations including Ministry
white Paper on situation analysis of Household
operates upon the principle of influences across of Health & Family Welfare(MoHFW), Ministry
Air Pollution and Health in India, enhancing
the life-course. of Environment, Forests and Climate Change
WASH in schools, communities and healthcare
(MoEF &CC), National Centre for Disease
facilities, assessing health risks for pesticide
Control(NCDC), National Health Systems
users and environmental risk factors for
Resource Centre(NHSRC), WHO, UNEP, UNDP,
cancers, along with establishing an Air Pollution
UNICEF, FAO and other national and state
Monitoring Network in hospitals and providing
agencies.
a platform for health technology development

CEH researchers and faculty members are also University of Michigan, University of Berkeley, to increase awareness amongst various
deeply engaged with the policy landscape on University of Iowa, Columbia University, stakeholders at the community level and ensure
environmental health through membership of Georgetown University (all in the USA), effective outcomes of the Centre’s activities. The
various government committees including those Karolinska Institute, Sweden and collaborators centre has carried out a number of activities to
of the Ministries of Health, Environment and the in Germany, Finland, UK and Africa. raise public awareness on environmental risk
National Disaster Management Agency. We also factors including air pollution, WASH, e-waste
The Centre is also advancing sectoral
contribute to work with State governments such through collaborations with civil society groups,
engagements to strengthen research and
as the governments of Gujarat, Maharashtra, NGOs and schools across the country.
policy work on environmental health across
Karnataka, Odisha, Delhi, Punjab and others.
India. MoUs have been signed and partnerships On World Environment Day 2019, the Centre
Most recently, the team contributed to the established with National Institute for supported UNEP’s call for the ‘Mask Challenge’
initiative by NHSRC for incorporating the Green Advanced Studies (NIAS), Indian Institute of by inviting participation from researchers,
and Climate resilient healthcare rules and Science, Bengaluru and SASTRA University in staff members and MPH students-IIPH Delhi
guidelines into the latest Indian Public Health Thanjavur for joint research in mutual areas of to build awareness on this year’s theme i.e. Air
Standards. This effort is to bring in a dialogue interest. Partnerships with NGOs like KHUSHHI Pollution. Under this initiative, the participants
and policies on climate-smart healthcare to (Kinship for Humanitarian, Social and Holistic designed innovative face masks as a symbol
reduce healthcare carbon footprint in the Indian Intervention in India) are established to enhance to demand clean air. They also highlighted
health systems. Additionally, a collaborative the pilot “WASH in schools” programme. The alarming air pollution statistics and pledged to
effort with the Department of Science, project will focus on developing and delivering a take action to #BeatAirPollution. The theme of
Technology and Environment, Government of curriculum on “WASH modules” in schools in low World Environment Day 2019 invites us all to
Punjab will see our researchers contributing economic settings and to utilize the school as consider how we can change our everyday lives
to the development and implementation of a platform and children as agents to generate to reduce the amount of pollution we produce,
two critical programs- Mission Tandrust and behavioural change among communities and and thwart its contribution to global warming
Mission Innovate Punjab to foster research and improve related health outcomes. and its effects on our own health. The Centre
innovation in the state of Punjab. will continue sustained engagement with
Awareness Building, Remediation and
various stakeholders at the community level to
Partnerships and Collaborations at the Implementation/Action Research the Centre is
raise awareness on environmental health issues
international level, the Centre is forging committed to engaging in impactful community-
affecting different parts of the country.
academic and educational collaborations based interventions across its programmes by
under the Israel Environmental Health Fund, working with community based organizations

WASH (Water, Sanitation & Hygiene) raise public awareness on environmental risk for WASH in healthcare facilities addresses
Program Highlight factors linked with WASH through activities with the needs and effective deployment
civil society groups, NGOs, schools and health of WASH to harness the potential of
Clean water, access to toilets, and good hygiene care facilities across the country. The ongoing improvement in health outcomes across
practices are essential for good health. These activities in the WASH space are being executed labour rooms, neonatal care units and in-
factors contribute enormously to human at various levels: - patient hospital facilities.
health and well-being, especially for girls and yy Remediation activities: The action plan
women. Improving access to sanitation is, yy Community –settings: Development of a
for Ghazipur proposed aims to arrest,
therefore, a critical step towards reducing the model site in an urban slum in South Delhi
experiment, utilize, cap, remedy and to
environmental burden of disease. It also helps primarily aiming at the improvement of
control the dumpsite. A two-fold plan has
WASH infrastructure and corresponding
create environments that enhance dignity, self- been suggested for the same.
health outcomes. We aim to implement an
esteem, and safety particularly for women and
in-situ waste management intervention
girls across India. Government programs such Community Engagement: Pilot Site
facilitating economic value to waste in low
as Nirmal Bharat Abhiyan and Swachh Bharat
resource settings. Colony name: Nehru Nagar
Abhiyan were created to address the issue of
open defecation by building toilets across India. yy School–settings: Development and delivery Type: authorized slum
However, evidence suggests that building toilets of WASH model and its incorporation into Population Size: approx. 300 families
the school curriculum across 4 government
alone will not be sufficient to address India’s Socio-demography: (Comprising of migrant
schools targeting about 8000 students tribal and backward communities primarily
poor sanitation and hygiene status. Various
while planning for scale-up across states. from Rajasthan with some households
environmental and socio-cultural factors
Utilize the school as a vehicle of community of Gujarat). Strict caste-bifurcations and
remain impediments and addressing these
action, engaging with communities around corresponding spatial arrangements for living
factors will be essential to improve sanitation
the school catchment area to extend Livelihood: Artisans engaged in doll making,
practices across India. Efforts at the Centre of
the efficiency of the WASH-in-school herbal medicines and indigenous drummers
Environmental Health focus on understanding (dhol)
programme under SWACH BHARAT MISSION
the adverse health outcomes linked to lack of to communities. Intervention to focus on
access to toilets, factors that impede the use addressing gaps that result in slippages and
of toilets and designing community-based Community Outreach in Nehru Nagar
ensure sustained behavior change.
interventions to improve toilet use. The Centre Community of migrants in Nehru Nagar include
yy Healthcare facilities: A suite of assessment
is also carrying out a number of activities to “Kathputhli” population from Rajasthan with
and intervention packages through a toolbox
about 300 families living in the Delhi Jal Board

Community Engagement: Scoping yy Negotiation with CM office and DUSIB (Delhi
Urban Centre Improvement Board) to carry
Immediate needs Proposed activities by CEH out the infrastructure interventions given
Waste generation is high; Poor waste managment Demonstration of dry and wet waste that this is an unauthorized settlement
Dump site in the proximity: an aggravating problem seperation Piloting of waste separation
yy Baseline Health survey in Nehru Nagar
activities at HH level Scale-up for other sites
One Community toilet complex only accessible Liaise with NDMC to construction the second yy Waste Audit (data collection to start)
to the upper socio-economic strata; High Open toilet complex yy Community mobilisation partner has
Defecation; Need recognized by community started micro-groups in the community
No improved drinking water supply Liaise with Urban Local Body for flow and mobilization work on domestic waste
• No proper water outlet regulations, improving drainage, build segregation is currently underway, with
platform, installation of proper outlets such facilitation work being done to integrate
• Collection of waste water and reflux of drain
as taps, create awareness around maintaining management with livelihoods.
water at the drinking water site
water safety
• Poor flow yy Waste Management intervention is also to
be carried out in Ansari Nagar, South Delhi.
yy The WASH Sanitation and hygiene
land. Several health issues including sanitation, well with the Government of India’s Swachh interventions across schools in association
substance abuse, poor mental health are Bharat Abhiyan, aimed at making India OD with KHUSHII (NGO) are on the anvil with
prevalent. Various community outreach free by 2019 current baseline surveys being conducted
sessions have been conducted through toolkits yy Support to enhance WASH use and facilities
for awareness at Nehru Nagar in collaboration in CanKIDs (Center for kids with cancer)
with Udyam Trust. Extensive health camps and yy Ongoing grant applications for WASH-
WASH interventions are in the pipeline. related work in different states MOHFW has recognised CEH as “Centre
yy Community engagement for enhancing of Excellence” for Climate Resilient
Major CEH WASH Activities WASH facilities –ex. Ghazipur Action Plan, Healthcare & Green health facilities.
yy Enhancing the evidence base for Nehrunagar CEH will be drafting a framework & action
interventions to end open defecation – plan for National Action Plan for Climate
yy Resource-mapping conducted to
pilot study with 3iE and LSHTM aimed to Change and Health (NAPCCH) which will
understand the politico-spatial challenges
establish what part demand creation can feed into State Action Plans & assist in
prevailing in the Nehru Nagar site and
play in increasing latrine use among all ground implementation in States.
infrastructure negotiation mechanisms
family members of a household. This linked planned accordingly

Challenges pertaining to
menstrual health management
continue to affect school
absenteeism
– Focus group discussion
highlights need for systematic
action, Faridabad, Haryana,
April, 2019

Health
TECHNOLOGIES AT PHFI

Swasthya Sahayak
Point of Care technology aimed at delivering
high quality, affordable, efficient diagnostics
and follow-up services leading to better health
decisions and outcomes for Health Care. The
previous version of the device “Swasthya
Slate” has now been completely redesigned
with advanced sensors to develop “Swasthya
Sahayak” with new functionality.
Swasthya Sahayak incorporates and enables
yy Diagnostics - urine and finger prick based

rapid diagnostic tests along with diagnostic
algorithms and applications for patient
registration, medical records, payment and
referrals using a single device
yy Basic Decision support system
yy Referrals – to the higher facilities
yy Integrated Data – Integrated patient and Swasthya Sahayak
health institution records on the cloud
yy Improves care seeking behaviour yy May help to reduce crowding at secondary
Key Benefits
yy Improves quality of care by improving the and tertiary level facilities by screening at
yy Reduces cost of diagnostics both directly patient experience. primary facility
and indirectly and potential major economic yy Allows for testing in settings outside the
yy Provides Continuum of Care across life
savings hospital including ambulatory and home
stages and care site
yy Increased access to care by providing care care settings and in remote rural locations
yy Rapid turnaround of test results may result
anytime anywhere yy Rapid innovation to incorporate new
in faster response by care provider to a
patient’s condition features and diagnostic tests

Current deployments Digital Real-time Advanced the person’s home. Project DREAM-H (Digital
Real-time Advanced Medical Modular logistics
Medical Modular logistics system—for Home Care) is a portable, modular,
PHFI –GAIL partnership
system—for Home Care multi temperature controlled ruggedized,
Under GAIL’s CSR initiative, PHFI has developed
(DREAM-H) stackable box to be fitted on to a two-wheeler ,
application to support the Swasthya Slate to carry vaccines, blood samples, temperature
System, which is being piloted around GAIL Last mile logistics support for products sensitive medicines, other consumables, digital
Pata plant in District Auraiya (UP) for screening facilitating primary health care services is a hand-held devices for health care management.
and referral for various deliverables including bottle neck that has still not been addressed Each box will be color coded, with secure lock
Tuberculosis, using Swasthya Slate digital because of three challenges: (1) lack of a arrangement, and will be designed to be used
platform. comprehensive platform for delivery at the as a standalone unit, with a recessed handle/
point of need; (2) precise temperature control groove. The temperature inside the storage
PHFI- CSC-e-Governance Partnership requirements for several health care products; compartment of the box, will be maintained at
(3) lack of critical mass as services are 2 -8 degrees, and 15– 24 degrees depending
CSC e-governance Services India Limited
delivered by multiple stake holders. Health on medical product for up to 6-8 hours. Real
provides a centralized collaborative framework
care logistics is the logistics of blood products, time temperature logging and syncing to the
for delivery of various services including
diagnostics samples, pharmaceuticals, medical accompanying mobile digital device will be
Telemedicine to citizens through Common
and surgical supplies, including vaccines, enabled.
Service Centers (CSC) across the country. CSC
digital devices and equipment, and other
and PHFI have partnered to provide affordable
products. In addition, logistics systems carry
medical diagnostics to all the 700 digital Impact
information about supply and demand for
villages as an entrepreneurship model. Project DREAM-H and ISHQ (Icon based
products back to planners and policymakers
and handle financial flows so that the system Structures Health Questionnaires) is being
PHFI – Erfolg Life Sciences is adequately resourced. A broken or ineffective designed and developed as a digital mobile
Erfolg is a health care technology and Analytic logistics system or supply chain can cripple the platform that can comprehensively manage
organization. Erfolg Life Sciences and PHFI have health system and undermine positive health primary health conditions across all age
come together to provide the last mile delivery outcomes. categories, be universally applicable, and
of Diagnostic services to the rural population of empower the village level service provider at the
Telangana and Andhra Pradesh through Erfolg’ s What we are doing? point of need. In combination, Project DREAM-H
project of E- clinic and Telemedicine services. and ISHQ, for the first time in the world, can
Project DREAM-H proposes to address the be an effective artificial intelligence based
medical logistics needs of primary health comprehensive digital and mobile platform that
care service provider at the point of need, can screen, manage primary health conditions

What we are doing?

FWD3 proposes to test both Food and Water
contamination in an easy to use format at the
point of need universally. The core of FWD3 is
hyper spectral + near infrared camera sensor.
Significant developments have been made in
hyperspectral and near infrared imaging due
to which it has emerged as an effective tool in
numerous civil, environmental, military and
health care applications including screening for
contaminants in food and water.
Impact
The present methods of testing are chemical
reagent based and are slow, cumbersome and
require skills that require significant levels of
training as shown in Figure 2. The proposed
FWD3 concept is based on a much simpler light
evaluation method that required no chemical
Project FWD3: Food Water contaminant Digital Diagnosis at the point of need
reagents and is designed with automated
and empower the village level service provider diarrhoea, malnutrition…that account for more analytics that requires minimal skill levels.
at the point of need. than 10% of all deaths worldwide. Food and FWD 3 can provide real time test results of
water contamination often happen together and contaminated food and water. This in turn can
Food and Water Contamination often preclude to the vicious cycle of disease, enable real time interventions to prevent or
disability and death. Micro enterprises and predict several acute and chronic health care
Digital Diagnosis (FWD3)
government backed services are springing conditions including diarrhoea, malnutrition…
“Safer food, safer lives” and “Safer water, up even in resource constrained settings to that account for more than 10% of all deaths
better health” are slogans of World Health provide safe water and cheaper mass procured worldwide.
Organization. Consumption of contaminated and cooked food. However, there is no one
Food and Water causes several acute and single device to test both Food and Water
chronic health care conditions including contamination in an easy to use format at the
point of need.

time stamping provided reliable information
with spatial and temporal precision. Now we
are faced with the challenge of identifying the
features, annotating them and documenting
them in text, as tens of thousands of photos
would require thousands of person hours.
What we are doing?

Project GM-READI proposes to develop a smart
phone application that will in add real time
automated annotation of socio demographic
Project FWD: Food Water contaminant Digital Diagnosis at the point of need features while taking geo tagged photos. The
features that are being considered for (semi)
Geo tagged Mapping with REAL require thousands of words or perhaps a few automated identification and annotation are: (1)
time automated Annotation photos. Hence we took tens of thousands of type of house – pakka or kaccha; (2) presence
photos of thousands of households and the or absence of water stagnation around house
of socio Demographic Imaging features around them, to document, analyse, hold; (3) usable or un usable toilet; (4) covered
(GM-READI) better understand the environment where or open well; (5) presence or absence of water
people with Neglected Tropical diseases (NTD’s) stagnation around water pump; (6) clean or un
It is said, “A picture is worth a thousand words”.
live, and their Water, Sanitation and Hygiene clean hands. Computer vision based pattern
Describing socio demographics of a rural,
(WASH) status. The photos with geo tagging and recognition thru several classification methods
remote, resource constrained house hold would
Project GM-READI: Geo tagged Mapping with REAl time automated Annotation of socio Demographic Imaging

such as neural network, structural, fuzzy Impact in the mobile phone can understand the photo
and transform-based techniques have been in real time, we believe three outcomes can
The camera of the smart mobile phone in our
used in image feature identification systems. arise: 1.automatic documenting of the situation;
hand is turning in to a powerful visual tool, to
Artificial neural networks (ANN) and support 2.automatic guidance on what needs to be done;
help us understand the world around. Imagine
vector machine (SVM) based classifying have 3.automatic networking for further support.
a health care professional on the ground in a
shown satisfying results of close to 85% All these outcomes can happen in a matter
remote village standing in front of a hut with
reliable identification of above listed features. of seconds or minutes and that can immense
poor WASH facilities, If he or she can simply
After identification of the feature Augmented value, fast track WASH management, reliably ,
point the mobile phone camera at the hut or the
Reality overlay will be used for semi-automated economically, sustainably by empowering the
person, take a photo- and if computer vision
correction for annotation. local person and provide him or her with WASH
and augmented reality algorithms embedded
management skills – automatically.

Cancer – Computer Aided Diagnostic Tool (CADT) Regional Resource Hub for
CADT analyzes grey-scale textural features in digital photographic images of clinical sites of the oral Health Technology
cavity to distinguish precancer lesions from healthy or benign lesions and cancer. This is based on
Assessment in India (RRH-HTAInA regional
supervised machine learning technology.
resource hub for Health Technology Assessment
As a proof-of-concept, we trained, tested and validated CADT using ‘grey-level co-occurrence matrix’ in India (RRH-HTAIn) has been established
with 3-class support vector machine classifier. We demonstrated reasonable feasibility and reliability for the Northeast Region at Indian Institute of
of CADT to aid in early diagnosis of oral precancer and cancer. However, the present model is less Public Health Shillong (IIPH-S).The RRH-HTAIn
valid in real-life settings for several reasons. Systematic training and debugging with a better model is an initiative by the Department of Health
might increase its potential in future. Research (DHR), Ministry of Health and Family
Welfare (MoHFW), Government of India. The
A preliminary report with next phase of work is submitted for publication.
RRH-HTAIn team at IIPHS hsas just completed
a cost-effectiveness analysis of hypothermia
detecting devices (Bempu and Thermospot)
and the report has been presented at technical
advisory committee meeting in Aug 2019.
We have also received a requests from the

Manipur Government to assess PM-JAY health
benefit packages of the State.
Technology Business Incubation (TBI) Centre

Department of Science and Technology, Govt. of India funded Indian Institute of Public Health-
Gandhi Nagar, Public Health Foundation of India to set up a Technology Business Incubator (TBI)
for a period of 5 years in May 2019. This initiative will cater to the demands to business incubators
and start-ups and support innovations and development of technology and prototype/product
development. The thrust areas of the technologies will be around Infectious diseases, Non
communicable disorders, Health Systems, Environmental health, maternal and child health &
adolescent health (RMNCH + A) and health management information system (HIMS).

Health
Promotion

The Health Promotion Division at the

Public Health Foundation of India (PHFI)
aims to nurture interdisciplinary health
promotion research, programming and
practice and focuses on promoting multi-
sectoral coordination. The Division adopts
a settings based approach to design health
communication, health literacy, and community
outreach activities that mainstream health
promotion policy and practice. The Division
works on designing theory-based interventions
to develop healthy settings in diverse
contexts and generates evidence to support
effective messaging, programming and policy
development. The Division brings together
approaches ranging from health education,
advocacy, community empowerment, legislative
reforms, fiscal policy change to organizational
change and strengthening health services
to address social inequalities in health. The
Division undertakes rigorous evaluation of experts, clinicians, behavioural scientists, Services (Government of Maharashtra)
outcomes and processes to assess impact nutritionists, qualitative researchers and heath and Directorate of Health and Family
of these health promotion interventions on communication experts. Welfare Services (Government of
population health and wellbeing. Research Karnataka) to combat the rising burden of
on impact of programmes in influencing non-communicable diseases (NCDs). An
health of individuals and population is a core
Project PaTHWay: PromoTing
MoU was signed between PHFI and state
activity undertaken at the Health Promotion Health and Wellbeing governments (Karnataka and Maharashtra).
Division. Represented by multi-disciplinary This three years’ interventional research
yy The Health Promotion Division at the
team of Epidemiologists, public health is implementing behaviour change
Public Health Foundation of India joined
hands with the Directorate of Health interventions for prevention and control of

comprising of interactive activities and
short films (Audio-Visual module) focusing
on importance of healthy diet and being
physically active were developed using
Health Belief Model (HBM).
February 12, 2019: Official Launch of Project PaTHWay, announced the partnership with Directorate of Health and
Family Welfare Services (Government of Karnataka)
NCDs, addressing key NCDs behavioural risk Project i-PROMISe (PROMoting Students providing inputs during FGDs to develop
factors (unhealthy diet, physical inactivity,
tobacco and alcohol use). The intervention is Health LIteracy in Schools) i-promise resources
targeting varied population across schools, yy This initiative aims to reach school student
colleges and workplaces in two cities of Pan-India and promote an enabling and
India (i.e Pune and Bangalore). The study is supportive environment among children
being led by the Health Promotion Division and adolescent to adopt healthy lifestyle
in collaboration with local partners in Pune practices. The project was developed by
(Janaseva Foundation) and Bangalore PHFI in collaboration with World India
(NIMHANS) and funded by AXA Business Diabetes Foundation (WIDF). Under
Service Pvt. Limited under their CSR funding the project, a comprehensive module
(donation to PHFI).
Teacher’s participation during pre-testing of

i-promise resources

Review of Food Environment and yy Dr. Monika Arora is a Board Member of the Rapid Assessment of Adolescent
NCD Alliance, Switzerland for the term
Cafeteria Policies in Educational Health and School Health
2019-2021.
Institutions in India yy Dr. Monika Arora is a Member of Second Programmes in India
yy The study is being undertaken by the WHO Civil Society Working Group on NCDs yy was a two-month review of all plans,
division in schools and colleges of Delhi and formed by the WHO Director General (April programmes and policies relevant to
NCR in collaboration with the World Health 2019-April 2021). adolescent and school health in India.
Organization (WHO), country office for India. This study was led by HPD in collaboration
The goal of this study is to examine the National Technical Working with the World Health Organisation South
current environment, policies and practices
with regard to the food and beverages in
Group East Asia Regional Office (WHO-SEARO)
as a part of a wider study to assess these
educational institutions in India and to come yy National Technical Working Group (Dr. programmes in all SEAR countries. As a
up with recommendations for developing a Monika Arora, Shalini Bassi, Tina Rawal) and part of this rapid review, a desk review of
healthy cafeteria policy and environment for National Resource Group (Shalini Bassi, all relevant literature was conducted. This
promoting healthy eating practices among Tina Rawal) for development of School included national and regional surveys,
children and adolescents. Health Curriculum and training the State policy briefings, meeting proceedings and
Resource Groups (SRG) under AYUSHMAN relevant reports related to adolescent
Alcohol Advertisements and BHARAT, formed by the Ministry of Health health and school health programmes in
Marketing among college going and Family Welfare and Ministry of HRD, India. In addition, Key Informant Interviews
Government of India.
students and Control Policies in (KIIs) with stakeholders (n=18) were held.
These stakeholders were senior officials
India Working Group for updating the from health, education, development sector
yy The goal of this study is to undertake an prototype training material for as well as representatives from different
evaluation of alcohol advertisements and the Programme Staff of National civil society organisations. The report
marketing in young college students’ vis- from this study informed on the status of
Tobacco Control Programme the existing programmes; the strengths
a-vis alcohol control policies in India. The
study is being undertaken by the HPD (NTCP) and gaps in design, implementation and
in collaboration with the World Health coordination of programmes (adolescent
yy formulated by the National Institute of
Organization (WHO), Country Office for India health and school health) and provided
Health and Family Welfare (NIHFW) [April,
in colleges of Delhi. recommendations for further scale-ups that
2019] and Resource Persons for Training
can be used as best practices for global or
the Trainers (Dr. Monika Arora and Shalini
regional replication.
Bassi).

Training and
Capacity Building

Training Programs
Training Division of PHFI signed the following MoUs during the period Oct’18-Sept’19:
1. PHFI signed the MoU with with The 5. PHFI signed the MoU with National Vadodara, Gujarat and Kanchipuram,
Live Love Laugh Foundation (TLLLF) & Institute of Occupational Health Chennai
Association of Healthcare Providers (ICMR-NIOH) for jointly developing and 9. PHFI signed the MoU with Govt. of
India (AHPI) for Certificate Course in implementation of Training Workshop Meghalaya for the implementation of
Common Mental Disorders (CCCMD) for Healthcare Professionals on Certificate Course in Evidence Based
2. PHFI signed the MoU with Pallium Occupational Health Program: Care & Diabetes Management (CCEBDM) and
India, Trivandrum for Certificate Compliance Perspective for Healthcare Certificate Course in Cardiovascular
Course in Palliative Care (CCPC) Professionals (OHP-CAPH) Diseases & Stroke (CVD) for training of
3. PHFI signed MoU with Indian Institute 6. PHFI signed the MoU with Govt. of Medical Officers of Govt. of Meghalaya.
of Science, Bangalore (IISc) and Madhya Pradesh for making PHFI as a 10. PHFI signed the MoU with National
Indian Institute of Space Science and skill building/training partner for the Asthma Allergy Bronchitis Institute
Technology, Trivandrum (IIST) & AHPI healthcare professionals of Govt. of (NAABI) for the implementation of
for Certificate Course in Healthcare Madhya Pradesh. Certificate Course in Management
Technology (CCHT) 7. PHFI signed the MoU with Govt. of of COPD & Asthma for the training of
4. PHFI signed the MoU with Indian Odisha for the implementation of doctors in Kalyani, West Bengal.
Institute of Management, Ahmedabad Certificate Course in Management of 11. PHFI signed the MoU with Kolkata
(IIM-Ahemdabad) for co-developing COPD & Asthma (CCCA) for the training of Municipal Corporation (KMC) for the
Two Customized Executive Education Medical Officers of Govt. of Odisha implementation of Certificate Course in
Programmes: 1) Leadership in Indian 8. PHFI signed the MoU with Larsen Cardiovascular Diseases & Stroke (CVD)
Public Healthcare System & 2) Attitude, & Toubro (L&T) for conducting Need for training of Medical Officers of KMC.
Ethics and Communication (AETCOM) Assessment study of health facilities at
in Healthcare

Snapshot of Capacity Building PHFI Capacity building initiatives

Initiatives for Healthcare Courses Workshops
Professionals For Medical Officers/PCPs For Health care For Health care professionals
professionals
The Training Division at Public Health
Chronic Conditions Healthcare
Foundation of India (PHFI) is working towards
Diabetes management Healthcare quality Occupational health
building capacity of healthcare professionals
Diabetic retinopathy Public health management
to fill the above mentioned gap & improve the
Gestational diabetes Maternal and child health nutrition
quality of healthcare in India. Various initiatives
Cardio – Diabetes Patient safety and communication
have been formalised and implemented
Common mental health disorders MDPs
for healthcare professionals from diverse
Cardiovascular disease
backgrounds in the areas of chronic conditions
and other areas of health system strengthening Hypertension
such as Healthcare Quality, Mental Health, Thyroid disorders
Palliative Care, Occupational Health, Women’s health
Healthcare Technology, Patient Safety, Disaster COPD and asthma
Management, Public Health Management, Palliative Care
Management Development Programs with
prominent institutions like XLRI and IIMA. yy Till date, PHFI has trained and created Capacity Building Courses
There are 17 capacity building courses / a network of over 24,000 healthcare
professionals from 548 of the 707 districts yy Chronic Conditions
workshops being conducted with the objective
of upgrading skills, knowledge and core with a completion rate of over 90%. The courses on chronic conditions are
competencies of healthcare professionals. yy Various state governments such as Madhya conducted as contact based training
Pradesh, Gujarat, Haryana, Odisha, Assam, with once-a-month sessions on a
yy The Capacity Building Courses in Chronic
Meghalaya, Kerala, Tripura, Mizoram, weekend delivered by specialist faculty
Conditions are being conducted in over 542
Manipur, Uttarakhand and Kolkata trained in standardized course delivery
centres across 118 cities in 28 states and
Municipal corporation have adopted our and supported by a strong monitoring
UTs with monthly contact courses module
various training programs for training their and evaluation mechanism.
wise.
healthcare professionals.

Accreditation and endorsements by the MoHFW, Government of India every CII National Excellence award, India
various international bodies including year. In 2016, the Gestational Diabetes Health and wellness award, and the
Royal College of Physicians (London), Management model implemented for ASSOCHAM award.
International Diabetes Federation, NHM, Govt. of Gujarat and in 2017, the
South Asian Federation of Endocrine Hypertension and Diabetes training Healthcare courses
Societies, International Primary Care implemented for NHM, Govt. of MP
yy Healthcare quality program is being
Respiratory Group, UK Research were selected as the innovative training
conducted in collaboration with the National
and Innovation, Ornate India, Global models.
Health Systems Resource Centre (NHSRC)
Challenges Research Fund and Asia The programs are being implemented
and Association of Healthcare Providers
Oceania Thyroid Association. overseas too, in countries of the (India) (AHPI).
Designed and delivered as a partnership African region and South Asian region
model with academic partners, (Myanmar, Bangladesh, Afghanistan and Workshops and other activities of the
implementation partner (PHFI) and Nepal). The Training division also has an division
supported by an educational grant. agreement with the Ministry of Health,
Academic partners formulate course Rwanda for training of their public yy Workshops being conducted in the fields of
curriculum that is further contextualized health workforce. occupational health, MCH nutrition, public
by a panel of national experts. health management and patient safety/
Accolades in the form of awards for
communication.
Selected as one of the innovative excellence in skill development in
models for 2 consecutive years at the healthcare include the Quality Council yy Public health management and patient
“National Summit on Good, Replicable of India D L Shah Platinum award, safety/communication workshop being
Practices & Innovations in Public Health BMJ-India award, PHD chamber award, conducted in collaboration with various
Care Systems in India” conducted by FICCI Healthcare Excellence award, state governments for their respective
district program managers

Capacity Building
Over the past decade, PHFI has established and in partnership with other academic Health & Family Welfare, and Science &
five Indian Institutes of Public Health - IIPH institutions. The diploma in public health Technology (through the Department of
Delhi, IIPH Gandhinagar, IIPH Hyderabad, management is linked to the National Health Science and Technology;DST, Department
IIPH Bhubaneshwar, IIPH Shillong and Indian Mission and has trained a large number of of Biotechnology;DBT, and Science and
Institute of Public Health - Bengaluru which deputed medical officers from states across the Engineering Research Board; SERB), Indian
is a Satellite Campus. IIPH Gandhinagar has country. Apart from the trainings at IIPHs, PHFI Council of Medical Research, Indian Council
been recognised as the first public health central offers certificate courses for primary of Social Science Research (ICSSR), National
university in India, a university formed through care physicians through which more tha 25000 Health System Resource Centre, the TATA
enactment of IIPH Act 2015 by the Government primary care physiicians have been trained. Trusts, Medical Research Council (UK), National
of Gujarat. IIPH Hyderabad is offering MPH in Institute of Health (NIH), USAID, BMGF,
PHFI and IIPH have assembled a technical
affiliation with Kaloji Narayana Rao University European Union, The Queen Elizabeth Diamond
talent pool of over 400 individuals inclusive of
of Health Sciences, Warangal, Andhra Pradesh Jubilee Trust, IDRC, DFID, AUSAID, IFPRI, WHO,
faculty and dedicated researchers. Many of
and IIPH Delhi is offering MPH programme in the World Bank, UNFPA, UNICEF, UNDP, FHI
these faculty have been trained in Public Health
collaboration with Sree Chitra Tirunal Institute 360, MacArthur Foundation, The WT/DBT India
and Research from leading universitiers of the
of Medical Sciences and Technology (SCTIMST). Alliance, The Rockefeller Foundation, Royal
world. Our faculty are sought after, as visiting or
The Indian Institutes of Public Health (IIPHs) are Norwegian Embassy, NRDC, 3ie Inc, Eli Lily &
adjunct faculty, by leading global public health
involved in building a competent and skilled Company Ltd, HT Parekh Foundation, Infosys
schools. The PHFI and IIPH researchers meet
public health workforce through teaching, Foundation, GSK Pharmaceuticals, Johnson &
during the annual Research Symposiums where
innovative research, and knowledge sharing Johnson Ltd, Transport Corporation of India, HCL
senior, mid and junior level researchers and
in public health. Multiple post-graduate Foundation, MSD Pharmaceuticals and Mott
faculty showcase their research and capacity
diploma programmes, short-term trainings MacDonald Limited. In addition, funds have
building activities.External faculty who have
and certificate programmes, distance learning also been received for research and capacity
attended these symposia have appreciated the
programmes and research projects have been building from State governments.
high quality research that is showcased during
initiated in these facilities. Further a variety of
these symposia.
MPH and MSc-PhD courses are offered by the
IIPHs, through a mix of campus and distance The major funding agencies of the PHFI capacity
education programmes, both under its umbrella building program include the Ministries of

Some of the key capacity building programs PHFI-UKC Wellcome Trust Capacity Building strengthening of public health research
are describled below. Programme, a total of 19 short courses across and teaching capacity at the Public Health
a variety of topics, collaboratively developed Foundation of India and its institutes.
Strategic Award- Strengthening by UK and India faculty and conducted at
Under this award, around 100 faculty/
Research Capacity at the Public various IIPHs in India to build skills of the junior
researchers/ staff have had capacity built
Health Foundation of India’s researchers/staff at IIPHs/PHFI. Over 500
through long-term intensive programmes
participants have benefitted from these short
Indian Institutes of Public courses.
including formal Masters program. PHDs & long
term fellowships and over 500 have received
Health (Phase 1 & 2)
The objective of the extension phase grant short-term trainings.
The Wellcome Trust supported grant was was to enable returning Wellcome Trust
initiated in 2008 and implemented by the Public Capacity Building Programme (Phase 1) Components of the award
Health Foundation of India (PHFI) and the UK doctoral scholars and new recruits to become
Consortium (The UK Consortium consists of The various components of the PHFI-UKC
productive researchers and to attain positions
faculty from 16 universities throughout the UK Wellcome Trust Capacity Building Programme
of research leadership with the eventual goal
with expertise in global public health). Its overall (such as doctoral studies, Masters studies,
of transforming public health in India through
aim was to develop the research and teaching research grants, research fellowships, short
Research Career Training Programme and
skills of PHFI’s faculty members (including its courses, exchange visits, Career Development
Career Development Research Fellowships.
member Institutes of Public Health across India) Research Fellowships and Research Career
These two components of the strategic award
by supporting their growth at various career Training (RCT) courses) have contributed
were expected to enhance the early career
stages, in collaboration with the UK Consortium. significantly to more advanced research that
of the faculty and researchers at PHFI/IIPHs
There were 2 phases for this grant –Phase I has eventually resulted in institutional capacity
by acquiring skills in Indian health systems,
started in 2008 and Extension phase started in building. The systems and structures at the
research and grants management, policy
2013. institutional level have been incrementally
outreach and communications and completing
evolving as an outcome of this strategic award.
pilot projects and also successful in getting
The goal and objective of the WTP PHFI-UKC
further research grants other than Wellcome Under this grant, a total of 24 scholars have
Wellcome Trust Capacity Building Programme
Trust, thus creating an enabling environment completed their doctoral degree, 15 scholars
is to build public health research and training
for them to build a structured and well-defined have completed their Masters degree, 21
capacity at PHFI and IIPHs. The major
career trajectory research grants (two large and 19 small
components include PhD, Masters, Research
Grant, Research Fellowship, Short courses, research grants) were completed by the
Through the successful collaboration between
Exchange Visit. This porgramme involves the researchers at PHFI & IIPHs. 18 research
PHFI and the UK Consortium, this strategic
collaboration of 16 UK Universities. Under the fellowships (6 UK-based and 12 India-
award has enabled the development and

based research fellowships) and 11 Career The Initiative will be implemented by SERB with solutions to local and national public health
Development Research Fellowships were techno managerial implementation. PHRI will issues.
completed by the researchers at PHFI & IIPHs. enable young Indian researcher to carry out e. Findings of break through research studies
Till now 21 short courses have been conducted clearly defined research project at a place of will be wildly disseminated among decision
to build skills of over 500 junior researchers/ their choice up to a period of 36 months. makers to inform the policy.
staff. Outcomes and Main Activities: Total 36 grants
Objectives
Scholars who have received their doctoral have been given in all the three rounds. Out of 36
or Masters degree, or have submitted their a. Strengthen and expand the knowledge grants, a total of 30 participants have initiated
doctoral thesis, have been placed at PHFI & base of Indian Public Health Research and project activities and 6 have completed their
IIPHs as follows: 1 as Professor, 3 as Additional Education. projects.
Professors, 17 as Associate Professors / Senior b. Help build a fleet of young researchers with
potential of emerging as leaders in Public Publications and Monographs are under
Research Scientists, 10 as Assistant Professors
Health. preperation.
/ Research Scientists, 4 as Senior Lecturers, and
2 as Research Associates. The trainees have c. Contribute to evidence generation through 16 Grant awarded to PHFI researcher and 20 to
presented their resaerch results in various fora, research in key priority areas of action. extramular participant
received awards and published 200 plus papers d. Provide scope for incubating, testing and
Round 1: Grants allotted in First round (2014-
in high profile journals. implementing innovative new public health
15) and their Present status
Creating an Enabling Environment: A Central
Sr. No. Name of Participants Study Titles
Research Data Repository (CRDR) has been
1 Nanda Kishore Kannuri Tribal health. Technology for Inclusive Health: A proof of concept action
launched in 2018, which is a unique platform
research project among Tribals in Telangana and Karnataka
aims provide researchers end to end solution
2. Poornima Prabhakaran Chronic diseases. Association between parental growth patterns and
from development of questionnaires, data chronic disease risk in their children – an intergenerational study in the
analysis and sharing research data with new Delhi birth cohort
internal and external groups. 3. Shubhojit Dey Cancer. Generate more scientific evidence regarding Breast Cancer
survivorship in India
Implementation of Public Health 4. Veena Iyer Effect of climate on health. Relationship between Enteric Fever incidence
and Climate in the city of Ahmedabad – 1990 – 2014
Research Initiative (Phri) 5. Mayur Trivedi Health of vulnerable populations. Towards Universal Health Coverage:
PHRI Initiative has set up a fund to provide Improving health of selected ‘de-notified and nomadic tribes’ of Gujarat
the Indian Researchers working in institutes 6. Neena John Diabetes. Evaluation of technology based intervention to increase
focused on public health, established process. screening uptake of diabetic complications (with specific reference to
eye complications) in rural and urban Chennai

Innovation in Science Pursuit
Round 2: Grants allocated in Second Round of PHRI grants (2015-16) and their status their Present
For Inspired Research (Inspire)
status Fellowship Programme
Sr. No. Name of Participants Study Titles The INSPIRE fellowship is a prestigious
7. Kranti Vora Prevalence of Human Papilloma Virus and feasibility study of a preventive fellowship funded by the department of Science
strategy for Cervical Cancer: A community survey in Gujarat and technology. So far 6 researchers have been
8. Bhaskar Purohit Study of Human Resource Management (HRM) policies, strategies and awarded this felowship. One of the fellowship
practices to increase the availability of Medical Officers in underserved work is described below.
areas in MP and Gujarat, India
9. Niveditha A prospective cohort to assess improvements in patient reported outcomes Details from 2 of them are provided below:
Devsenapathy and weight gain pattern in patients undergoing primary Total Knee
Innovation In Science Pursuit For
Replacement (TKR)
10. Habib Hasan Assessment of efficiency of medicine procurement and supply
Inspired Research - Dr Manu Raj
management in public health system in Gujarat- A mixed-method study Mathur
11. Preeti Negandhi Diagnostic accuracy of MCV/RBC count ratio (Mentzer Index) for screening The Oral Health Needs Assessment and
patients for beta-thalassemia
Planning (OHNAP) study aims to determine the
12. Subhasisa Swain Spatiotemporal Prediction of Dengue prevalence in Odisha, India: A tool for oral health status and the psychosocial and
outbreak prevention
socio-economic determinants of oral health
13. Anurag Saxena Analysis and Redesign of Health Policy using Behavioral Science and
in the district of Jaipur (Rajasthan) to enable
Systems Thinking: A Case of Anti-smoking Campaigns in India
planning comprehensive oral health programs
designed to meet community needs with an
Round 3: Grants allocated in Third round (2016-17) and their Present status overall aim to provide universal oral health care
across all population sub-groups.
Sr. No. Name of Participants Study Titles
1. Mahaveer Golecha “Assessment of the six WHO building blocks for health system Objectives
strengthening in Rajasthan”.
yy Identify the oral health disease burden,
quality of life and access to dental care in
Jaipur District in Rajasthan
yy To determine the presence of socioeconomic

gradient in oral health, namely dental caries, lifestyle modification for diabetes risk Capacity Building Initiatives for
level of oral hygiene, periodontal diseases, reduction, also leads to reductions in mean
traumatic dental injuries (TDI’s), and self- hsCRP levels and depressive symptoms over Healthcare Professionals
rated oral health in a sample population a 3-year period. Capacity building and training of health
from Jaipur District in Rajasthan. providers, at primary and tertiary levels, for
Update:
yy To examine the role of material resources, prevention and management of various non-
social capital and social support in Complete data has been collected in 961 communicable diseases are are also major
explaining the socioeconomic gradient in participants and preliminary results indicate activities of the research team, which are
adolescents. that 51/961 (5.31%) meet the criteria for reported in the section on training programs.
yy Identify the oral health needs of depression across 11 Indian worksites (see
Fig. 1 for distribution), and this may be related
the residents of Jaipur district and
to the levels of stress experienced (see table
Capacity Building for Research
preparedness of the district health systems
to tackle these needs. below). hsCRP levels do not correlate well with in Environmental Health
either depression scores or stress levels. Data
yy To analyze nationally representative data to The Centre is also committed to establishing
on adherence and adoption to the program is
understand socio-economic patterning of a critical mass of environmental health
oral health in India. forthcoming.
researchers and policymakers in India through
Stress levels (1) PHQ-8 score (2) hsCRP levels its capacity building initiatives. Fellowships
Is Hs-Crp Associated with (mg/L) have also been awarded to support researchers
Depression in Pre-Diabetes and and students working on environmental health
Diabetes Subjects Participating yy Mean (SD) Median Mean (SD) Median
concerns in India. The following researchers
in a Worksite-Based Lifestyle yy Very low 1.66 (3.12) 0 1.95 (1.36) 2.2 were selected this year under the two-year
Modification Program in Urban India yy Low 1.96 (2.93) 1 2.62 (2.35) 2.1 research development program:-
(Inspire) - Dr Deebrati Mukharjee yy Medium 2.10 (3.48) 0 2.75 (2.50) 2.0 1. Research development grants for
yy High 3.64 (4.30) 2 3.87 (9.71) 2.4 researchers in PHFI, IIPHs and TISS
Project Objectives
yy Very high 5.71 (6.31) 3 3.02 (2.59) 2.2 Dr. Krithigha Shridhar (PHFI) 2018 – Dr.
yy Determine if low-grade systemic Shridhar is a research scientist at PHFI.
inflammation, as measured by hsCRP levels, Her research development grant focuses
is associated with depressive symptoms in on “A Multi-Site study on environmental
individuals with pre-diabetes and diabetes risk factors for gall bladder cancer, and
in the Indian population. mediating role of reproductive factors
yy Determine if an intervention involving and diet”.

Dr. C. Joglekar (TISS) 2018 – Dr. awarded a Thesis Fellowship. The title of yy Mr. Saurabh Suman (TISS) 2018 – Mr.
Joglekar is an Assistant Professor at her fellowship was “Knowledge, attitude Saurabh Suman from TISS School of Habitat
TISS. His research development grant and practice (KAP) study on health risk Studies was awarded a Thesis Fellowship.
focuses on “Pesticide Risk Assessment awareness among e-waste recyclers The title of his fellowship was “Impact of
and Mitigation through Community in informal sector of Delhi: a cross Organic Food Mission on Food Security”.
Participation and Capacity Building”. sectional study”. yy Dr. Sonal Singh (IIPH Delhi) 2019 – Dr.
Dr. Suresh Munuswamy (IIPH Dr. Sana Ansari (IIPH Delhi) 2018 – Sonal Singh from IIPH Delhi was recently
Hyderabad) 2019 – Dr. Munuswamy is Dr. Sana Ansari from IIPH Delhi was awarded a Thesis Fellowship. The title of her
an Associate Professor at the Indian awarded a Thesis Fellowship. The title fellowship is “To assess knowledge, attitude
Institute of Public Health in Hyderabad of her fellowship was “Assessment and practices about the usage of polluted
and his research development grant of Heavy Metal Burden, Health and surface water along with its health impacts
focuses on “FWD3: Food Water
Nutritional Status of Children (Aged among the population residing along bank
Contaminant Digital Diagnosis at the
514years) Living In and Around Landfill of Yamuna River and concentration levels
point of need”.
Site in Delhi: An Exploratory Study”. of ammonia & Organochlorine pesticides
Dr. Aditi Roy (PHFI) 2019 – Dr. Aditi Roy in water samples collected from Yamuna
Mr. Hardik Parmar (TISS) 2018 – Mr.
is a Research Scientist at PHFI and her River”.
Hardik Parmar from TISS, School of
research development grant focuses
Health System Studies was awarded yy Dr. Rashi Saboo (IIPH Delhi) 2019 – Dr.
on “Environmental toxicants, child
a Thesis Fellowship. The title of his Rashi Saboo from IIPH Delhi was recently
development and school readiness: a
fellowship was “Roasting Workers: A awarded a Thesis Fellowship. The title of
preliminary study with intra-familial
Study on Heat Vulnerability of Indoor her fellowship is “Assessing risk factors
exposures in communities affected
Small Scale Industry Workers and influencing crop residual burning in the
by battery recycling facilities in Patna,
adaptive strategies in Ahmedabad”. state of Haryana”.
Bihar”.’
Mr. Ipsit Mohanty (TISS) 2018 – Mr. yy Dr. Anu Sharma (IIPH Delhi) 2019 – Dr.
2. Thesis Fellowships for MPH students in
Ipsit Mohanty from TISS Jamshetji Tata Anu Sharma from IIPH Delhi was recently
PHFI, IIPHs and TIISS. These 6-month
Center for Disaster Studies was awarded awarded a Thesis Fellowship. The title of her
fellowships are awarded on a competitive
a Thesis Fellowship. The title of his fellowship is A study of indoor air quality in
basis to Masters students to fund innovative
fellowship was “Mountain Top Removal schools in Navi Mumbai- A pilot study
research that they plan to carry out as part
Coal Mining and Community Well Being-
of their Master’s degree dissertation.
study of Mining Villages in Odisha”.
Dr. Diksha Singhal (IIPH Delhi) 2018 –
Dr. Diksha Singhal from IIPH Delhi was

I. Exchange Scholars Program for Environmental Research and Children’s last year. Some of the major activities are listed
Health (CERCH), School of Public Health, below:
The Centre also offers this program to leverage UC Berkeley; Prevention Research Center
research capacity within India as well as US/ 1. National Health Conclave on Climate Change
for Rural Health, College of Public Health,
UK/Australia/Canada/Israel/other partner and Health
the University of Iowa and Barry Commoner
organizations and vice-versa to advance the Center for Health and the Environment, 2. Clinical Nutrition
agenda and objectives of the centre. Queens College, CUNY Urban Food Policy 3. Training of Asha Managers
yy Dr. Jyothi Menon – Dr. Menon attended a Institute, The City University of New York. 4. Grant and Scientific Writing
2-week t course on SPSAS on Atmospheric 5. Technical Innovation Learning Centre (TILC) at
Aerosols” organized by the Institute of Workshops and Meetings IIPH-Bengaluru
Physics, University of Sao Paulo in July 2019. Conducted
yy Dr. Nanda Kishore Kannuri – Dr. Kannuri will
PHFI conducted various workshops and
be carrying out research activities at Center
scientific meetings in different areas over the

Health System Support

and
Technical Assistance

Health System Support
Dissemination Program of
First Phase Swasth Uttar
Purv : Healthy North East
Initiative at North Eastern
Council Secretariat, Nongrim
Hills, Shillong, Meghalaya. The
Swasth Uttar Purv initiative
is supported by Ministry of
Development of North Eastern
Region( MDoNER), Government
of India to strengthen human
resource and systems capacity
for Public Health in the North
Eastern States of India. The
Chair of the Meeting is Shri.
Ram Muivah, Secretary, NEC,
Govt. of India, the Keynote
Address was delivered by Prof.
K Srinath Reddy, President,
PHFI

Swasth Uttar Purv: Healthy Programs, Public Health Management, Health for in-service government officials from the
Policy and Heath Economics, Health Pro-motion
North East state of Mizoram and Meghalaya includes
and Advocacy etc. These will be conducted programs such as Post Graduate Diploma on
by PHFI to cater to in-service government Health Economics, Financing and Policy; Post
Strengthening Human Resource and
personnel and health department officials from graduate diploma course on Health Promotion;
Systems Capacity for Public Health in North Eastern States. Post Graduate Diploma on Reproductive
the North Eastern Region.
b. Technical Assistance: PHFI will play the and Child Health, Public Health Nutrition;
Location: North Eastern States (First phase - role of a technical support agency supporting Post Graduate Diploma on Epidemiology,
Arunachal Pradesh, Meghalaya, Mizoram and governments and civil society partners for Public Health Management, etc. Under SUP
Assam.) implementation of public health projects and project, each programs have been designed
programs in the North-Eastern States. to fulfil some general as well as state specific
Goal expectations. These capacity building initiatives
c. Conducting Cancer Awareness Programs provided opportunities to bridge the gaps on
To build capacity of in-service government and Health Care Summit in the North Eastern management skills and knowledge, which are
officials to implement key programs on Region. Besides conducting Annual North East critical requisites for effective health systems
the ground by building knowledge and Health Care Leadership Summit(s) and Cancer management.
understanding on Sustainable Development Awareness programs, PHFI will work closely
Goals (as applicable to health), monitoring with government school teachers to build their In addition, primary care physicians were
and implementation methods and program capacity to be public health ambassadors and trained in the management of NCDs ranging
management. These efforts will be change agents in the state. from management of hypertension, diabetes,
complemented by awareness building activities pulmonary diseases, thyroid disorders amongst
around emergent health priorities of the region The period from October 2018 to July 2019 saw others.
(including Cancer awareness efforts, life skills, a range of activities implemented in the states
of Meghalaya, Arunachal Pradesh, Mizoram These capacity building efforts are
disease awareness, etc.)
and Assam, the four states identified for complemented by conducting impact
implementation of Swasth Uttar Purv: Healthy assessments of innovations for improving
Aims & Objectives outreach and effectiveness of programs and
North East Initiative.
a. Capacity Building in Public Health: Short organizing awareness building activities, policy
term trainings and full-time academic programs Short term capacity building programs covered dialogues around emergent health priorities of
in diverse areas of public health including topics on program planning, management and the state/ region.
management of National Health Programs, implementation of Public Health Programs,
Financial Management of key health programs. The 3rd Annual North East Health Care
Financial Management of Public Health
Long term academic programs designed Leadership Summit in Meghalaya organized

by Public Health Foundation of India’s Swasth

Uttar Purv in collaboration with the Department
of Health and Family Welfare, Govt. of
Meghalaya also seen a tremendous success
as it presented a unique opportunity in the
region for cross learning, sharing of knowledge
between the various stakeholders across the
states. There was an active participation by
medical practitioners, hospitals, government
health departments, academia, civil society
organization from the region. These summits
helped in forging partnership between national,
regional and local stakeholders that are unique
to the region and contributed to quickening of
deployment of processed that were proven to be
successful.
The period from October 2018 – July 2019 also

saw completion of first phase of Swasth Uttar
Purv: Healthy North East Initiative with an
evaluation conducted between the month of
May to July 2019 aimed at identifying results
and contributions of Phase which built capacity
at the institutional and individual level for the
state government officials in the North Eastern
States. The dissemination meeting held at the
North Eastern Council Secretariat, Shillong,
Meghalaya on the 15th of August 2019.

Communication for Health for effective community engagement
were undertaken coupled with
Education, Tuberculosis an innovative communication
Notification and Awareness campaign. School children rallies,
(CHETNA) painting competitions, poetry and
essay writing competitions, parent-
Keeping in view the growing concern on the teacher meetings, involvement
Tuberculosis (TB) as a major public health of slum elders, informal service
challenge, Public Health Foundation of India providers, and madrasas, house
(PHFI) initiated a pilot intervention in Meerut visits, Nauchandi Mela, wall writings
city on private sector engagement for TB control at key locations etc., resulted in an
supported through CSR assistance from the HT increased awareness regarding TB
Parekh Foundation during June 2016-December and its impact on the society. Special
Door to Door campaign on TB awareness
2018. A three-pronged approach was adopted efforts were made to include cottage
to -: Improve TB notification among private industries, factories and other work places. A
surrounding districts and submitted about
practitioners, enhance the capacity of the mnemonic “CHETNA Didi” was developed to
3000 notifications to the District Tuberculosis
private sector to improve treatment as per the carry messages to the community and through
Officer. Being a non- incentivized model of
WHO endorsed Standards for TB Care in India its communication activities, the project
engagement, for ensuring sustainability, project
(STCI) guidelines; and to enhance awareness reached out to TB patients, their immediate
CHETNA engaged with IMA Meerut Chapter
among the public regarding care seeking for TB. family members, community members,
through a formal agreement. Innovative tools
The project closely collaborated with the key students- teachers, doctors and support
and techniques to enhance TB notification,
stakeholders i.e., District Tuberculosis Centre, staff, factory workers, etc. It successfully
build capacities of service provides and
Meerut; Indian Medical Association – Meerut raised “One Lakh Voices against TB” during
enhance awareness among the public on
Branch, key hospitals, private providers and a week-long celebration of World TB week
TB were developed. A peer led engagement
district administrations to implement the through CHETNA ‘Raths’ and Street Theatre.
and sensitization model was used wherein
project activities. Training modules for private School children participated in “Freedom from
leading private practitioners were identified
practitioners and support staff were developed. TB” campaign by taking out rallies, slogan
and mobilized to constitute a TB Taskforce
The project played a critical role of bridging writing, blowing tri colored balloons with key
to facilitate and catalyze the adoption and
the gap between the public and private sector message on ‘Saving our Lungs’ (as part of
conformance to standard diagnosis and
players and doubling the notification of TB the communication activities. CHETNA has
treatment guidelines on TB, among private
cases diagnosed in the private sector largely successfully trained about 1000 doctors from
practitioners in the district. As part of the
catering to slum population from Meerut and Indian Medical Association, National Integrated
communication activities, an array of activities

Medical Association and medial students Monitoring & Evaluation medical and non-medical staff including
from private and government medical colleges district epidemiologists, surveillance officers
in Meerut. More than 150 support staff and
support to the National Vector and other officials working with Kala-azar
RNTCP program staff were capacitated on TB Borne Disease Control Program programme (such as Vector Borne Disease
diagnosis and counselling. More than 13,000 (NVBDCP) and Training of Consultants or VBDC) and other Programmes
students and 1500 teachers including Moulanas Epidemiologists for Elimination such as Integrated Disease Surveillance
from schools, madrassas and colleges were Programme (IDSP) involved in KAEP to
sensitized on TB. About 1700 parents and
of Kala Azar improve responsiveness to the program on
233 volunteers were trained on TB signs and Kala core project supports the National Vector Early Warning System (EWS) and Outbreak
symptoms and importance of early diagnosis, Borne Disease Control Program (NVBDCP), detection. More than 1500 personnel including
prompt referrals, nutrition and adherence to Government of India (GoI) at national and state the Medical Officers, Nursing Staff and Lab
treatment. In collaboration with the health level in endemic districts of Bihar, Jharkhand, Technicians in nearly all of the treatment
department, during the month long Nauchandi Uttar Pradesh and West Bengal. The project facilities and Multi-Purpose Health Workers
Mela, a local fair, more than 40,000 people were provides technical support in strengthening (MPWs) in Jharkhand and Front Line Workers
sensitized on TB. Door to door campaigns were Kala azar elimination program (KAEP) through (FLWs) in West Bengal and Uttar Pradesh have
undertaken in which more than 7000 household monitoring and review mechanisms through also been trained on early identification of
members from 1281 slums were made aware technical inputs, monitoring, onsite mentoring suspected case, and referral for diagnosis and
on TB. More than 700 patients were followed and supportive supervision, data management, treatment.
up and about 50 TB suspects identified during analysis and reporting on key indicators from
home visits and parent teacher meetings were the field/various levels for evidence based Partnership for Sustained
referred to the District Tuberculosis centre for decision making. Critical insights have been
treatment. provided in case identification, reporting, Impact (PSI)
diagnosis and treatment and in preparedness The Partnership for Sustained Impact project
The project has been successful in substantially
and implementation of IRS activity. Besides, implemented by the Public Health Foundation
improving notification from the private
the team also undertakes routine monitoring of of India (PHFI) and supported through the
sector, perceived facilitator for bridging the
ILR functioning, as well as checks availability Bill and Melinda Gates Foundation (BMGF),
gap between the public and private sector,
of drugs and diagnostics at all diagnostic and provided support to the National AIDS Control
enhanced awareness among the public on TB
treatment facilities in the four States. Another Organization (NACO) and select states to ensure
and enhanced capacities of the doctors and
key component of the project is building adequate coverage and quality of key prevention
support staff. (PHFI is grateful to the HT Parekh
capacities of the national, state, district and interventions under the III and IV phase of the
Foundation)
block level personnel both medical, para- National AIDS Control Program (NACP). The two

main outcomes envisaged through this support Female Sex Workers/Truckers pan India except A comprehensive training covering all TI cadres
were - HIV prevention implementation services North-East through a comprehensive training across the country was undertaken through a
across India are consolidated, managed and covering over 786 TIs. A Standard Operating cascade model of trainings wherein PHFI, with
sustained and institutional mechanisms made Procedure guide for facilitators was developed support from NACO and other key stakeholders
transition ready for NACO which were achieved through a collaborative effort of PHFI, TI division, trained Master Trainers at the first level,
through increased techno managerial capacities NACO and NTSU. The training curriculum was followed by training of Program Managers of
of NACO and its implementation through need based considering the programmatic all FSW & Trucker TIs who then collectively
National Technical Support Unit (NTSU) and relevance at State level. The pedagogy used and in conjunction with respective State AIDS
Targeted Intervention (TI) Division and through for the training included experience sharing, Control Societies (SACS) and Technical Support
TSUs in AP and Karnataka. To strengthen invoking discussions on identified gaps, Units (TSUs) trained the entire staff of all TIs.
implementation of the TI program across the context specific discussions to address gaps in The cascading model resulted in creation of
country, skill building of various staff to improve knowledge and skills among staff with special a resource pool of trainers at national, state
overall functioning of TIs through cross learning emphasis on newly recruited project managers and sub-state levels. The trained personnel
and training were undertaken by PHFI for and use of field based learnings. comprising of Master Trainers, Program
Managers and with support from SACS and
respective Program Officers of the TSUs enabled
The cascade model of trainings achieved the following:
capacity building of all TI staffs including M&E
Tier 1 cum Accountant, ANM/Counsellor, Outreach
National Level: Creation of a national level pool of resource of master trainers nominated by Worker and Peer Educators. The trained
various SACS who were instrumental in training Program Managers, TSU staffs and SACS team in resources were utilized by SACS to undertake
respective States.
further trainings in order to improve program
Tier 2 performance and efficacy. In all, 660 PMs from
State Level: Second tier trainings at State level that enhanced capacities of Program Managers FSW and Core Composite TIs along with 77
of all FSW and Trucker TIs in the state with support from the trained Master Trainers, TSU Team PMs from Trucker TIs were trained in these 21
and SACS
trainings covering a total of 737 participants.
Tier 3
TI Level : Final tier of trainings that enhanced capacities of all TI staffs including ORWs and
PEs by the trained PMs, Master Trainers and TSU POs and achieved enhancing quality of
implementation of the TI program

What needs to be
done to ensure
Universal Access
to Heath Care
for excluded
communities. Faculty
of IIPH Delhi, Sunil
Mathew George
undertaking his
research study
among the kurumba
community living
within the forests of
Attapadi in Palakkad
Kerala.

Technical Assistance
Technical assistance is also being provided years; men, pregnant and non-pregnant yy Strengthen in-house institutional capacity
to central and state governments for women) to quality assured STI/RTI (sexually of SACS in cross-cutting areas like capacity
health system strengthening. Areas of such transmitted infections/ reproductive tract building, strategic information, operational
engagement include HIV prevention, routine infections) control and prevention services research and communication.
immunisation, allied health professional yy Create an enabling environment for HRGs,
training, universal coverage, health accounts PLHIV and their sexual partners (spouses, Technical Support for Universal
and budgeting, access to drugs, antibiotic regular partners and clients) to adopt Health Coverage Pilots in Karnataka
resistance, tobacco control, environmental safe sex behaviours and harm reduction and Kerala
health, health workforce planning and public practices by improving their access to
essential commodities like condoms, lubes The broader aim of this study is to provide
health cadre development.
and needles/syringes technical support to Universal Health Care
Some of the major projects are: (UHC) pilot activities in the state of Karnataka
yy Enhance access of HRGs (both HIV-negative
and Kerala, India. This exercise is carried out
and HIV-positive) to quality assured
Setting Up Technical Support Units by undertaking in-depth analysis of existing
services for HIV counselling and testing;
(Tsus), Under The National Aids data, developing a decision-support system for
care, support and treatment; and diagnosis
Control Program (Nacp), India policy-makers and to develop a roadmap for
and treatment of common opportunistic
infections (OIs) scale-up of UHC in these states. The expected
Goal: ‘to provide evidence-informed technical outcomes of this exercise are to facilitate
assistance to the State AIDS Control Societies yy Ensure universal availability and routine
governments in these two states in priority-
(SACS) to enhance the coverage of multiple access to quality assured HIV related
setting, designing of the UHC programs and
laboratory services in the states
programme components for comprehensive HIV monitoring the progress. The project is being
prevention, care, support and treatment.’ yy Enhance access of HRGs, PLHIV and other funded by IDRC, Canada since 2016.
vulnerable groups to social protection
Objectives: measures/ schemes of national and state The project envisaged several activities in
governments both states. In Karnataka, the technical
To provide technical support to SACS to:
yy Strengthen private sector engagement in support included identifying priority activities:
yy Saturate the coverage of HRGs and HIV/AIDS a) Developing and finalizing Standard Care
vulnerable populations in the states Pathways for two five most common essential
yy Build in-house SACS’ staff capacities by
yy Enhance access of HRGs, PLHIV and eligible health services; b) Implementation support
transfer of TSU staff knowledge and skill
couples in reproductive age group (15-49 for rolling out the delivery of Comprehensive
sets

Primary Health Care (CPHC) through Health and orientation to Medical Officers and others detailed costing exercise using Standard
Wellness Centres. In the state of Kerala, the in planning and monitoring of the pilot Treatment Guidelines for over 100 medical
priority activities included: i) facilitating Kerala programmes. Besides, the project in association interventions and procedures; Developed a
government in identifying comprehensive with the government has been able to develop user manual explaining steps to register an
primary care packages and costing them; ii) the Standard Care Pathways for 25 clinical establishment for health care providers. In
facilitate the state government in its current conditions. The project activities in Karnataka respect to Karnataka, PHFI was designated
reform through its State Health Mission concluded last year. as Technical Support Unit for the UHC pilots.
called AARDRAM to improve quality of service The unit has been able to identify and rollout
delivery in public hospitals; iii) supporting Evaluating Bihar Technical Support Programme Study Centres, conducting
the state government in rolling out regulatory Programme to Strengthen Public orientation to Medical Officers and others
mechanisms for effective delivery of health care Health And Nutrition Systems for in planning and monitoring of the pilot
services and iii) providing technical support in Improving Rmnch+N Outcomes programmes. Besides, the project in association
data analysis involving financial risk protection with the government has been able to develop
measures. In both the states, the Department Bihar is one of the poorest states in India and the Standard Care Pathways for 25 clinical
of Health and Family Welfare, Government has a population of over 100 million. The Bill & conditions. The project activities in Karnataka
of Karnataka and Kerala are the partners Melinda Gates Foundation (BMGF) is funding concluded last year.
collaborating and facilitating the UHC pilots. the Technical Support Program (TSP) in Bihar
in collaboration with the state government, the
Since the beginning of the project, the following Technical Consultations and
goal of which includes reduction of neonatal
activities were undertaken in Kerala: mortality. Reports by the Centre for
Prepared and shared a technical report on PHFI could engage across these three
Environment Health
expanding and deepening financial risk components: Lancet Countdown India Policy Brief Launch
protection measures for Kerala; Carried out
1. Household survey for neonatal mortality
detailed costing exercise using Standard A policy brief for India based on the Lancet
Treatment Guidelines for over 100 medical 2. Potential impact of TSP interventions on
Commission’s Countdown 2018 report on
interventions and procedures; Developed a neonatal mortality reduction
Climate Change and Heath was authored
user manual explaining steps to register an 3. Other technical supportSince the beginning by Dr. Srinath Reddy and Dr. Poornima
establishment for health care providers. In of the project, the following activities were Prabhakaran. CEH hosted the India regional
respect to Karnataka, PHFI was designated undertaken in Kerala: launch of the report in December 2018.to
as Technical Support Unit for the UHC pilots. Prepared and shared a technical report on present recommendations to the government
The unit has been able to identify and rollout expanding and deepening financial risk on heatwaves and their impacts on health and
Programme Study Centres, conducting protection measures for Kerala; Carried out labour capacity, air-pollution related mortality,

sustainable transport and media coverage of associated Health impacts and the critical role The Centre collaborated with Centre for
climate change. played by the health sector as a contributor Occupational and Environmental Health and
as well as a first responder to climate change. National Health Systems Resource Centre
National Health Conclave 2019: The White Paper with recommendations will be associated with the Ministry of Health and
Climate Change & Role of the Health presented to the government. Family Welfare for incorporating the Green
Sector and Climate resilient healthcare rules and
Consortium for Health Effects of Air guidelines into the latest Indian Public Health
A one-day conclave was organized by Centre
Pollution Research in India (Chair Standards. This effort is to bring in a dialogue
for Environmental Health (CEH), Public Health and policies on climate-smart healthcare to
India)
Foundation of India (PHFI) & Association of reduce healthcare carbon footprint in the Indian
Healthcare Providers of India (AHPI) about The Centre has facilitated a Consortium for health systems.
health impacts of climate change in India, Health effects of Air Pollution Research in
role of the health sector & appropriate risk India (CHAIR India) with Karolinska Institutet, The State Government of Punjab signed a
mitigation & adaptation strategies. “LET US Sweden. This consortium aims to build a Memorandum of Understanding with Public
LIVE…” a musical evening featuring Grammy® strong evidence base for the health effects of Health Foundation of India (PHFI) on 7
Winner Ricky Kej-Music Maestro, UNESCO air pollution in India connecting India-based September 2019 to undertake collaborative
mgiep’s Ambassador, UNICEF Celebrity work by exposure scientists and public health programs in the areas of environmental health,
Supporter & United Nations Humanitarian researchers that can effectively feed into policy- road and food safety besides nutrition and
Artist, organized to raise awareness about making. The goal of the consortium is to create preventive health among others through the
harmful effects of climate change and health a common platform for exposure scientists and Mission Tandrust and Mission Innovate Punjab.
and the need to preserve & save our beautiful public health researchers to share, conduct PHFI researchers will be providing technical
planet. A White Paper was drafted to summarize research and build the evidence base on air inputs on all aspects of the two Missions and
the available evidence on inter linkages pollution research in India. guiding implementation on the ground.
between climate change, air pollution and its

Research
Publications

List of Publications
2019 6. Alae-Carew C, Bird FA, Choudhury S, Harris F,
Aleksandrowicz L, Milner J, Joy EJM, Agrawal
DK, Marimuthu P, Geddam JB, Khanna A, Agarwal
M, Sudhakar G, Sengupta P, Borhade A, Khan Z,
1. Abdul-Aziz AA, Desikan P, Prabhakaran D, S, Dangour AD, Green R. Future diets in India: A Kerketta AS, Brogen A. Patient experiences and
Schroeder LF. Tackling the Burden of Cardiovascular systematic review of food consumption projection health system responsiveness among internal
Diseases in India. Circ Cardiovasc Qual Outcomes. studies. Glob Food Sec. 2019;23:182-90. migrants: A nationwide study in 13 Indian cities. J
2019;12:e005195. (PMCID: 30917685). 7. Anand G, Chhajed D, Shah S, Atkins S, Diwan V. Do Healthc Qual Res. 2019;-:[Epub ahead of print].
2. Agarwal A, Bahiru E, Yoo SGK, Berendsen MA, qualifications matter? A qualitative study of how 13. Bandopadhyay S, Murthy GVS, Prabhakaran D,
Harikrishnan S, Hernandez AF, Prabhakaran D, villagers decide their health care providers in a Taylor P, Banerjee A. India and the United Kingdom-
Huffman MD. Hospital-based quality improvement developing economy. PLoS One. 2019;14:e0220316. What big data health research can do for a country.
interventions for patients with heart failure: a (PMCID: 31369610) Learn Health Syst. 2019;3:e10074. (PMCID:
systematic review. Heart. 2019;105:431-8. (PMCID: 8. Anand TN, Joseph LM, Geetha AV, Prabhakaran D, 31245602)
30700515). Jeemon P. Task sharing with non-physician health- 14. Bassi S, Gupta VK, Park M, Nazar GP, Rawal
3. Agarwal A, Davies D, Goenka S, Prabhakaran care workers for management of blood pressure T, Bhaumik S, Kochhar KP, Arora M. School
D, Huffman MD, Mohanan PP. Facilitators and in low-income and middle-income countries: a policies, built environment and practices for
Barriers of Heart Failure Care in Kerala, India: A systematic review and meta-analysis. Lancet Glob non-communicable disease (NCD) prevention
Qualitative Analysis of Healthcare Providers and Health. 2019;7:e761-e71. (PMCID: 31097278). and control in schools of Delhi, India. PLoS One.
Administrators. Indian Heart J. 2019;-:[Epub ahead 9. Arinaminpathy N, Mandal S, Bhatia V, McLeod R, 2019;14:e0215365. (PMCID: 30998714).
of print]. Sharma M, Swaminathan S, Hyder K, Mandal P, 15. Beaney T, Burrell LM, Castillo RR, Charchar FJ, Cro
4. Agarwal A, Jindal D, Ajay VS, Kondal D, Mandal Sarkar S, Singh P. Strategies for ending tuberculosis S, et al. (co-author: Prabhakaran D). Investigators.
S, Ghosh S, Ali M, Singh K, Huffman MD, in the South-East Asian Region: A modelling May Measurement Month 2018: a pragmatic
Tandon N, Prabhakaran D. Association between approach. Indian J Med Res. 2019;149:517-27. global screening campaign to raise awareness
socioeconomic position and cardiovascular (PMCID: 31411176). of blood pressure by the International Society of
disease risk factors in rural north India: The Solan 10. Arya V, Page A, Dandona R, Vijayakumar L, Mayer Hypertension. Eur Heart J. 2019;-:[Epub ahead of
Surveillance Study. PLoS One. 2019;14:e0217834. P, Armstrong G. The Geographic Heterogeneity of print]. (PMCID: 31041440).
(PMCID: 31283784). Suicide Rates in India by Religion, Caste, Tribe, and 16. Behera DK, Dash U. Impact of macro-fiscal
5. Aifah A, Iwelunmor J, Akwanalo C, et al. (author Other Backward Classes. Crisis. 2019;-:1-5. (PMCID: determinants on health financing: empirical
from PHF: Mohan S). The Kathmandu Declaration 30813825). evidence from low-and middle-income countries.
on Global CVD/Hypertension Research and 11. Arya V, Page A, Gunnell D, Dandona R, Mannan H, Glob Health Res Policy. 2019;4:21. (PMCID:
Implementation Science: A Framework to Advance Eddleston M, Armstrong G. Suicide by hanging 31417961).
Implementation Research for Cardiovascular and is a priority for suicide prevention: Method 17. Bhaumik SS, Placek C, Kochumoni R, Lekha
Other Noncommunicable Diseases in Low- and specific suicide in India (200-20). J Affect Disord. TR, Prabhakaran D, Hitsman B, Huffman MD,
Middle-Income Countries. Glob Heart. 2019;14:103- 2019;257:1-9. (PMCID: 31299398). Harikrishnan S, Goenka S. Tobacco Cessation
7. (PMCID: 31324363). Among Acute Coronary Syndrome Patients in
12. Babu BV, Sharma Y, Kusuma YS, Sivakami M, Lal

Kerala, India: Patient and Provider Perspectives. 23. Bright T, Mactaggart I, Kuper H, Murthy GVS, Secondary Prevention of Myocardial Infarction. Evid
Qual Health Res. 2019;29:1145-60. (PMCID: Polack S. Prevalence of Hearing Impairment in Based Complement Alternat Med. 2019;-:[Epub
30547727). Mahabubnagar District, Telangana State, India. Ear ahead of print]. (PMCID: 31186666).
18. Bhavnani S, Mukherjee D, Dasgupta J, Verma Hear. 2019;40:204-12. (PMCID: 29782444). 29. Chattopadhyay S. The Responses of Health
D, Parameshwaran D, Divan G, Sharma KK, 24. Chandrasekaran AM, Kinra S, Ajay VS, Systems to Marital Sexual Violence – A Perspective
Thiagarajan T, Patel V. Development, feasibility and Chattopadhyay K, Singh K, Singh K, Praveen PA, from Southern India. J Aggress Maltreat Trauma.
acceptability of a gamified cognitive DEvelopmental Soni D, Devarajan R, Kondal D, Manchanda SC, 2019;28:47-67.
assessment on an E-Platform (DEEP) in rural Indian Hughes AD, Chaturvedi N, Roberts I, Pocock SJ, 30. Chauhan AS, George MS, Lindahl J, Grace D, Kakkar
pre-schoolers - a pilot study. Glob Health Action. Ebrahim S, Reddy KS, Tandon N, Prabhakaran M. Community, system and policy level drivers of
2019;12:1548005. (PMCID: 31154989). D, Yoga-CaRe Trial Team. Effectiveness and bovine tuberculosis in smallholder periurban dairy
19. Bischops AC, Manne-Goehler J, Jaacks LM, Awasthi cost-effectiveness of a Yoga-based Cardiac farms in India: a qualitative enquiry. BMC Public
A, Theilmann M, Davies JI, Atun R, Barnighausen Rehabilitation (Yoga-CaRe) program following acute Health. 2019;19:301. (PMCID: 30866894).
T, Vollmer S, Geldsetzer P. The prevalence of myocardial infarction: Study rationale and design
31. Chinnici D, Middlehurst A, Tandon N, Arora M, Belton
concurrently raised blood glucose and blood of a multi-center randomized controlled trial. Int
A, Reis Franco D, Margonari Bechara G, Castelo
pressure in India: a cross-sectional study of 2035 J Cardiol. 2019;-:[Epub ahead of print]. (PMCID:
Branco F, Rawal T, Shrivastav R, Sung E, Germe M,
662 adults. J Hypertens. 2019;37:1822-31. (PMCID: 30661847).
Chaney D, Cavan D. Improving the school experience
31368919). 25. Chandrashekar S, Saha S, Varghese B, Mohan L, of children with diabetes: Evaluation of the KiDS
20. Bradshaw C, Gracious N, Narayanan R, Narayanan Shetty G, Porwal A, Hazra A, Mondal S, Das R. Cost project. J Clin Transl Endocrinol. 2019;15:70-5.
S, Safeer M, Nair GM, Murlidharan P, Sundaresan and cost-effectiveness of health behavior change (PMCID: 30792956).
A, Retnaraj Santhi S, Prabhakaran D, Kurella interventions implemented with self-help groups in
32. Cross S, Gon G, Morrison E, Afsana K, Ali SM,
Tamura M, Jha V, Chertow GM, Panniyammakal J, Bihar, India. PLoS One. 2019;14:e0213723. (PMCID:
Manjang T, Manneh L, Rahman A, Saxena DB,
Anand S. Paying for Hemodialysis in Kerala, India: 30921334).
Vora KS, Graham WJ. An invisible workforce:
A Description of Household Financial Hardship in 26. Charan J, Chaudhari M, Saxena DB, Bhardwaj P, the neglected role of cleaners in patient
the Context of Medical Subsidy. Kidney Int Rep. Dwivedi P, Ambwani S. Patients Opinion on the use safety on maternity units. Glob Health Action.
2019;4:390-8. (PMCID: 30899866). of Generics and Factors Associated with it: A Cross- 2019;12:1480085.
21. Bradshaw C, Kondal D, Montez-Rath ME, Han J, Sectional Study. J Young Pharm. 2019;11:172-6.
33. Cuevas S, Downs SM, Ghosh-Jerath S, Aafrin,
Zheng Y, Shivashankar R, Gupta R, Srinivasapura 27. Charlson F, Chang O, Kubuabola I, Schess J, Latu Shankar B. Analysing the policy space for the
Venkateshmurthy N, Jarhyan P, Mohan S, Mohan C, Hunter E, Tukana I, Qaloewai S, Shidhaye RR. promotion of healthy, sustainable edible oil
V, Ali MK, Patel S, Venkat Narayan KM, Tandon N, Implementation of the mental health Gap Action consumption in India. Public Health Nutr. 2019;-:1-
Prabhakaran D, Anand S. Early detection of chronic Programme (mhGAP) within the Fijian Healthcare 12. (PMCID: 31383045).
kidney disease in low-income and middle-income System: a mixed-methods evaluation. Int J Ment
34. Curto A, Ranzani O, Mila C, Sanchez M, Marshall
countries: development and validation of a point- Health Syst. 2019;13:43. (PMCID: 31249611).
JD, Kulkarni B, Bhogadi S, Kinra S, Wellenius GA,
of-care screening strategy for India. BMJ Glob 28. Chattopadhyay K, Chandrasekaran AM, Praveen Tonne C. Lack of association between particulate
Health. 2019;4:e001644. PA, Manchanda SC, Madan K, Ajay VS, Singh K, air pollution and blood glucose levels and
22. Breuer E, Hanlon C, Bhana A, Chisholm D, et al. Tillin T, Hughes AD, Chaturvedi N, Ebrahim S, diabetic status in peri-urban India. Environ Int.
(co0-author: Shidhaye RR). Partnerships in a Global Pocock S, Reddy KS, Tandon N, Prabhakaran D, 2019;131:105033. (PMCID: 31376594).
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35. Curto A, Wellenius GA, Mila C, Sanchez M, Ranzani
of PRIME. Glob Soc Welf. 2019;6:159-75. Rehabilitation (Yoga-CaRe) Programme for

O, Marshall JD, Kulkarni B, Bhogadi S, Kinra S, and way forward. PLoS One. 2019;14:e0222159. 2019;16:E49. (PMCID: 31002636).
Tonne C. Ambient Particulate Air Pollution and (PMCID: 31491011). 51. Ganguli A, Rai P, Balachandran S, Gupta R,
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36. da Silva ATC, Hanlon C, Susser E, Rojas G, Claro HG, Community Med Public Health. 2019;6:8. Pregnancy in India. Biol Trace Elem Res.
Quayle J, Habtamu K, Burrone MS, Cavalcanti MT, 44. Das T. Does credit access lead to expansion of 2019;188:239-44. (PMCID: 29909490).
Sharma M, Schneider M, Adhikari RP, van de Water income and multidimensional poverty? A study 52. Garg V, Shivashankar R, Kondal D, Ghosh S,
T, Mohammed Y, Ordonez AE, Seedat S. Enhancing of rural Assam. International Journal of Social Khandelwal S, Gupta R, Krishnan A, Amarchand
mental health research capacity: emerging voices Economics. 2019;46:1-4. R, Prabhakaran D, Mohan S. Knowledge, attitudes
from the National Institute of Mental Health (NIMH) and practices related to dietary salt intake
45. Das T, Guha P. Measuring Women’s Self-help
global hubs. Int J Ment Health Syst. 2019;13:21. among adults in North India. Public Health Nutr.
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46. Datta P, Selvaraja S. Medical devices manufacturing
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Family Health Survey-5 for policy making. Lancet. 53 representative individual-level data from 1.1
2019;394:563-4. (PMCID: 31423995). million adults. Lancet. 2019;394:652-62. (PMCID:
47. Devarajan R, Prabhakaran D, Goenka S. Built
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D, Nanda P, Dandona L. Deferred and referred barometer, surveillance, and monitoring. Obes Rev. 54. George AS, Amin A, GarcÍa-Moreno C, Sen G. Gender
deliveries contribute to stillbirths in the Indian 2019;-:[Accepted for publication]. equality and health: laying the foundations for
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the quality of medication abortion knowledge
40. Dandona R, Kumar GA, Bhattacharya D, Akbar M, among pharmacists in India. Int J Gynaecol Obstet. food systems approach for developing interventions
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2018;8:e019675. (PMCID: 29643156). visiting health facility for confirmation of diagnosis? 537. Webster R, Salam A, de Silva HA, Selak V, et al.
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525. Ved R, Sheikh K, George AS, Vr R. Village Health
Glob Health Action. 2018;11:1416744. (PMCID: Erratum: Fixed Low-Dose Triple Combination
Sanitation and Nutrition Committees: reflections
29334333). Antihypertensive Medication vs Usual Care for
on strengthening community health governance at
531. Vora KS, Saiyed SL, Mavalankar DV. Quality of Free Blood Pressure Control in Patients With Mild to
Delivery Care among Poor Mothers in Gujarat, India:

Moderate Hypertension in Sri Lanka: A Randomized 541. Yan AT, Roe MT, Neely M, Cyr DD, White H, Fox Kadir MM, Ali MK, Mohan V, Narayan KMV, Tandon
Clinical Trial. JAMA. 2018;320:1940. (PMCID: KAA, Prabhakaran D, Armstrong PW, Ohman EM, N, Prabhakaran D. PO531-Primary and Secondary
30422180). Goodman SG. Early discontinuation of prasugrel or Prevention of Cardiovascular Diseases In Three
538. Winter AK, Pramanik S, Lessler J, Ferrari M, clopidogrel in acute coronary syndromes: insights South Asian Metropolitan Cities: Analysis of Self-
Grenfell BT, Metcalf CJE. Rubella vaccination in from the TRILOGY ACS trial. Coron Artery Dis. Reported Medication Use In Community-Based
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introduction and key knowledge gaps. Epidemiol 542. Yashobant S, Bruchhausen W, Saxena DB, 545. Zodpey SP, Farooqui HH. Universal health coverage
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539. Wipfli H, Zacharias KD, Nivvy Hundal N, Shigematsu prevention and control of zoonotic diseases: a Indian J Med Res. 2018;147:327-9. (PMCID:
LMR, Bahl D, Arora M, Bassi S, Kumar S. Workplace health system study on ‘One Health’ approach 29998865).
wellness programming in low-and middle-income in Ahmedabad, India. Health Res Policy Syst. 546. Zodpey SP, Lumbiganon P, Evans T, Yang K, Ha
countries: a qualitative study of corporate key 2018;16:124. (PMCID: 30567599). BTT, Negandhi H, Chuenkongkaew W, Al-Kabir
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2018;14:46. (PMCID: 29739444). for our aging world: the quintessence of public across five Asian countries-a protocol. Hum Resour
540.Yadav A, Nazar GP, Rawal T, Arora M, Webster P, health policy. J Int Med Res. 2018;46:555-6. (PMCID: Health. 2018;16:52. (PMCID: 30285862).
Grills N. Plain packaging of tobacco products: 28718692). 547. Zodpey SP, Negandhi PH. Tracking India’s Progress
the logical next step for tobacco control policy in 544.Yoo SG, Singh K, Shivashankar R, Huffman MD, in Health Sector after 70 Years of Independence.
India. BMJ Glob Health. 2018;3:e000873. (PMCID: Indian J Public Health. 2018;62:1-3. (PMCID:
30294458). 29512557).

548. Zodpey SP, Sharma A, Zahiruddin QS, Gaidhane A, 3. Goenka S, Majumdar A, Jose AP. Physical activity Factors. In: Prabhakaran D, Kumar RK, Naik N, Kaul
Shrikhande S. Allopathic Doctors in India:Estimates, for prevention of cardiovascular disease. In: U, editors. Tandon’s Textbook of Cardiology.Vol. 2.
Norms and Projections. J Health Manag. Prabhakaran D, Kumar RK, Naik N, Kaul U, editors. New Delhi, India: Wolters Kluwer; 2019. p. 801-8.
2018;20:151-63. Tandon’s Textbook of Cardiology.Vol. 2. New Delhi, 11. Prabhakaran D, Kumar RK, Naik N, Kaul U. Tandon’s
India: Wolters Kluwer; 2019. p. 830-8. Textbook of Cardiology.Vol. 1. New Delhi, India:
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published between 2018 till August 2019. Some of 2019. p. 816-25.
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Annual Report

From the President’s Pen 05

The Year Gone By 11

Health Technologies at PHFI 85

Training & Capacity Building 99

Health System Support 113

Research Publications 125

Annual Report 2018-19 3

From the President’s Pen

Annual Report 2018-19 5

Professor K Srinath Reddy

6 Annual Report 2018-19

yy Strengthening knowledge yy Promote excellence in public health precept and practice

Annual Report 2018-19 7

2006 2008 2010 2012

8 Annual Report 2018-19

2014 2016 2018

Annual Report 2018-19 9

Executive Committee General Body

Dr. Amartya Sen Mr. Uday Khemka

10 Annual Report 2018-19

The State Government of Punjab signed a Memorandum of

Annual Report 2018-19 11

Prof. Vinod Paul, Member NITI Aayog Chief Guest

12 Annual Report 2018-19

Meghalaya Chief Minister Conrad K

Annual Report 2018-19 13

14 Annual Report 2018-19

“LET US LIVE…” featuring Grammy®

Annual Report 2018-19 15

16 Annual Report 2018-19

Annual Report 2018-19 17

Convocation at IIPH Gandhinagar Convocation at SCTIMST for MPH, IIPH-Delhi

Convocation at IIPH-Hyderabad Convocation of IIPH -Bhubneshwar

Annual Report 2018-19 19

20 Annual Report 2018-19

Annual Report 2018-19 21

22 Annual Report 2018-19

Table 1: New on-campus certificate courses launched in 2019

Annual Report 2018-19 23

On-Campus eLearning Short-term

yy 10 on-campus programs yy 21 eLearning programs yy 729 short-term trainings

yy 1705 graduates yy 3997 graduates yy Over 18068 partcipants

yy 92% placements since

yy 62 full time faculty members Figure 2: Scale-up of eL programs

As on 31st August 2019 10

24 Annual Report 2018-19

Figure 3: On-Campus Academic Programmes at Indian Institutes of Public Health

Annual Report 2018-19 25

Figure 5: Growth in on-campus and eLearning program enrolments

26 Annual Report 2018-19

Unique Features of PHFI Since inception, we have completed nine

Annual Report 2018-19 27

28 Annual Report 2018-19

Model course curriculum of Masters in Public Health (MPH)

Annual Report 2018-19 29

Our academic team seeks feedback from

–ePost Graduate Program in Public Health

30 Annual Report 2018-19