Transcript Health Research Using The HDSS Platform at Ballabgarh,India

Comprehensive Rural Health Services
Project (CRHSP)
Ballabgarh
Centre for Community Medicine
All India Institute of Medical Sciences
(AIIMS)
AIIMS
 AIIMS Derives its mandate directly from
the Parliament of India.
 Rated as One of the Top 10 medical
institutions globally.
 AIIMS Premier National Health Institute.
Source: On Line poll of Internationl online Phyiscian Network.
India Today magazine June 2006 Issue.
2
Ballabgarh HDSS
 Started in1961 with aid of Rockefeller
Foundation.
 Collaboration between:
 All India Institute of Medical Sciences.
 Haryana State Government.
 Primarily an academic & health delivery set up
 Initiated to support AIIMS training activities and
consistent with requirement of a Medical College
in India
3
Objectives of CRHSP
 To evolve through practice and research
a model of comprehensive health
services which is replicable at national
level.
 To orient and train undergraduates and
postgraduates in primary health care
especially rural medicine.
The mandate is therefore for training, research and health care delivery
Current Core team
Dr. Chandrakant
S. Pandav
Dr. Sanjeev K Gupta
Dr. Anand Krishnan
Dr. Puneet Misra
Support faculty members
Dr. Bir Singh
Dr. Shashi Kant
Dr. Kiran Goswami
Dr. Baridalyne N.
Dr. Y.S. Kusuma
Ballabgarh HDSS Field Team
Ballabgarh HDSS
Civil Hospital
BALLBHGARH
Population of 85522
(Dec 2008)
Atali
Chandawali
Nawada
Junehra
PHC
DAYALPUR
Shahpur
kalan
Nirhawali
Dayalpur
Fatehpur
Billoch
PHC
CHHAINSA
Jaya
Naryala
Ladholi
Chhainsa
50
Crude Birth Rate
45
Births per thousand population
40
35
30
25
20
15
10
5
0
1970 1972 1974 1976 1978 1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008
Years
Birth Rate (per thousand …
10
2008
2006
2004
2002
1998
1992
1987
1984
1982
1980
1978
1976
1974
1972
Crude Death Rate
16
14
12
10
8
6
4
2
0
11
1972
1974
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2002
2004
2006
2008
Neonatal Mortality Rate
60
50
40
30
20
10
0
12
Infant Mortality Rate
120
100
80
60
40
20
0
13
Immunization Coverage
110
90
80
70
60
50
2008
2006
2004
2002
2000
1998
1996
1994
1992
1990
40
1988
percent coverage
100
years
BCG
DPT -3
OPV-3
Measles
14
Publications Over The Years
Year of Publication
Numbers
Percentage
1969-1974
05
03.4
1975-1979
09
06.0
19801984
10
06.7
1985-1989
24
16.1
1990-1994
22
14.8
1995-1999
21
14.1
2000-2004
38
25.5
2005- till date*
20
13.4
Total
149
100.0
15
Domains Of Publications.
Domains of Publication
Frequency
Percent
1. NCDs
37
24.8
2. Child Health
35
23.5
3. Communicable
Disease
17
4. Women’s Health
16
10.7
5. Health Systems/
Operational Research
16
10.7
6. Demographic
Surveillance
8
5.4
7. Medical Education
6
4.0
15
10.2
149
100.0
8. Others
Total
11.4
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Major Historical Contributions in
Public Health arena by CRHSP
 Realized the need for
Denominators
 Birth & Death registration
by MPWs -1975.
50
Crude Birth Rate
45
40
Births per thousand population
 Demographic issues
35
30
25
20
15
10
5
0
1970 1972 1974 1976 1978 1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008
Years
Birth Rate (per thousand …
 Documentation of rates and causes of death at
different ages especially childhood
Focused on Demographic issues till about mid-eighties
when focus shifted to disease specific projects 17
Major Historical Contributions in
Public Health arena by CRHSP
 Operational / Health System Research
 Multipurpose Purpose Health
Worker Scheme -1972.
 Addition of Curative services
to MPWs – 1973.
 Computerized Health management information system1988.
Focused on delivery of health services to rural areas
18
Major Historical Contributions in
Public Health arena by CRHSP
 Pulse Polio strategy
(vaccinating all on a single day) -1985.
 Diarrhea epidemiology and control
 ARI epidemiology and control
 Measles Epidemiology and Control
 Field trial of High Dose Iron & Folic Acid for Pregnancy-1987.
All address national health priorities and we have led the way
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Facilitating the national response to epidemiological transition
Contribution in NRHM
 Technical Support – Member of Task Force(s)
 Indian Public Health Standards (IPHS)
 Medical Education
 Urban health
 MOU with National Health Systems Resource
Centre
 Training - National Level trainers for
 Integrated Management of Neonatal and
Child Illnesses
 Integrated Disease Surveillance Project
 District Epidemiologists
Contribution in NRHM
 Implementation –
 Ballabgarh Block
 Providing mentorship to two districts –
Faridabad, Palwal
 Evaluation
 Janani Suraksha Yojana (JSY) evaluation in
Jharkhand
 Accredited Social health Activist (ASHA) and
JSY evaluation in Faridabad
Future Plans- Infrastructure upgrade
 Upgrading Infrastructure
 New Hospital
 New Community Health Centre
 Extramural training- Hostels and training
facilities
 Telemedicine
 Increasing the population base to over
100,000.
 Stronger collaboration with District Level
Future Plans- Areas of interest
 Disease Burden- Influenza, CVDs
 Community Intervention Trials:
 Vaccine –Influenza
 Behavioral- NCDs
 Neonatal Health care delivery Model
Collaboration with INDEPTH
 Fertility Monograph
 Mortality Monograph
 Member of Following Interest Groups

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NCDs
COPD
Vaccines and child survival
Sexual & Reproductive Health
Tuberculosis
Other Research Collaborators
National
 Indian Council for Medical
Research
 Media Lab Asia
 National Health system
Resource Centre
 Ministry of Health &
Family Welfare
International
 World Health
Organization
 Centers for Disease
Control
 University of Alabama
In Conclusion…….
 Unique features of Ballabgarh HDSS
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Forty eighth year of existence
Run by Public funds
Primary Health Care Service Provider
Run by Medical College
Computerized database since 1991
Monthly update of the database
Welcome to all of
you from Balabgarh
HDSS