Publications

Concept Notes

ICTPH’s Model for Primary Healthcare Delivery
Author: Zeena Johar
Oral Hygiene Proposal
Author: Ravikumar Chockalingam, Dillip Tripathy,Shruti Mukherjee, Geetha Loganathan
Nala Oli Volunteer Handbook
Author: Shyamala Ashok, Gabrielle Lamourelle,Kellie McNerney, Juhi Sutaria, Divya Ramamurthy
Healthcare Solutions – Path Ahead
Author: Arijit Sarkar
ICTPH Campus Proposal at ICICI Knowledge Park, Hyderabad
Author: Zeena Johar
POC Market for Diagnostic of Major Diseases
Author: Atalya Ben-Haim
Pilot Project on Integrated Rural Health Care Solutions in Thanjavur district of Tamil Nadu
Author: Zeena Johar
Mapping Rural Health Systems using GIS
Author: Jin Tran & Ravikumar Chockalingam
SughaVazhvu Health Network Supply Chain and Expansion Plans
Author: Diego Rios Zertuche
Developing a framework for community based screening, risk profiling and assessing the true diabetes burden in South Indian Rural Populations by linking Casual Plasma Glucose and Body Mass Index
Author: Zeena Johar
ICTPH Nutrition Intervention – Phase I
Author: Lindsey Peugh
Optical Mark Recognition Technology for Rural Health Data Collection
Author: Sabyasachi Das
Sugha Vazhvu Guide Program: Evaluation of the Community Health Worker Program Year 1
Author: Rosemary Stafford
Orientation and PISP Training for Health Extension Workers
Author: Sangeetha Lakshmanan, Laura Costica,Ravikumar Chockalingam
Selection Tool for Health Extension Workers in rural India
Author: Sangeetha Lakshmanan
Oral Health Intervention (An Initial Study)
Author: Dr. Arun Jithendra M, Dr. M Manjula & Mayank Kedia
ICTPH launches its primary-care Ophthalmic Intervention
Author: Karthik Tiruvarur
Provisioning Ophthalmic Care for Remote Rural Indian Populations
Author: Zeena Johar
Launch of ICTPH Women’s Health Intervention at Karambayam Rural Micro Health Centre
Author: Aarti Sahasranaman
ICTPH Women’s Health Intervention -Targeting Reproductive Health
Author: Dr. Aarti Sahasranaman
Facilitating Rational Drug – An Illustrative Example
Author: Manimekalai Pichaivel & Zeena Johar
ICTPH Pre – Clinic Launch Enrolment Process
Author: Sabyasachi Das, Deepak Rajanna,A.R. Selva Swetha
Health Management Information Systems (HMIS) in the ICTPH Health Systems Model
Author: Deepak Rajanna & Sundeep Kapila
Population based – Individual Screening Protocol for Rural Indian Populations
Author: Zeena Johar
Protocolised Patient Management within the ICTPH Health Systems Model
Author: Jin Jun, Vijayanand Rajendran, A.R. Selva Swetha
A Review of Current Preventive, Diagnostic and Curative Strategies for Diabetes Mellitus
Author: Commissioned ICTPH - WPS 1
Financing Health Systems
Author: Zeena Johar
ICTPH Health System Approach
Author: Zeena Johar

This note explains various aspects of rural healthcare delivery as conceptualized by ICTPH .

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This study was conducted to understand the role that community health workers (CHWs) can play in diagnosing manifestations of impaired oral hygiene such as dental plaque, caries and gingivitis and validate their assessment through re-examination of the random sample by a certified dentist. The note discusses the background of oral healthcare in the developing world and establishes the importance of oral health and hygiene by citing research that reveals its links with other serious health conditions. The paper also explains the methodology adopted and the protocal followed for the study and includes details of the CHW training curriculum along with the schedule for training and the envisaged timeline of the Oral Hygiene Study.

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The Nala Oli Volunteer Handbook was developed as a basic health guide for ICPTH’s community health workers, called Nala Oli Volunteers (NOVs). The Handbook presents the role of the NOV in ICPTH’s programs, and provides an overview of basic health information, such as nutrition and reproductive health, and community health issues such as water and sanitation.

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This paper introduces the proposed strategy of Healthcare Solutions Vertical at ICTPH. The note enumerates the goals and the conceived solutions in the areas of health financing and point-of-care diagnostics. It also highlights impact assessment of health systems along with design of such health systems, as another vital area of interest for Healthcare solutions.

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This proposal expounds the three pronged strategy of ICTPH in providing enhanced accessibility to healthcare in rural India. Further the note highlights the proposed 5 acre ICTPH campus at the ICICI Knowledge Park, Hyderabad in aiding both the core functions and the envisaged subsidiaries of ICTPH as Centre of Excellence, Design Innovation Lab, and PCD Fund etc.

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This note introduces the concept of Point of care testing. An overview of the global market of POC diagnostics is presented, to emphasise the growing need and use of POC testing. The author examines the need for POC diagnostics based on the statistical information available on the 5 major diseases – Malaria, Tuberculosis, Diabetes, Maternal and Child health and Diarrhoeal diseases along with the available POC tests for each.

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This project aims to launch a nurse practitioner based comprehensive fixed price health care system, in the Tanjore district of Tamil Nadu. The note discusses the background and current scenario of healthcare in India. Further it explains the reasons for the requirement of such a venture. A brief outline of the venture, including the features, roles of different partners’ envisaged and future evolution has been provided in the note.

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Poster presentation accepted at the Gephardt Institute of Public service for the poster on Faces of Hope. The objective of this mapping exercise is to look at current access within the ICTPH Health Systems Pilot at Karambayam. Two buffers (500m and 1000m) have been created around the health workers. Another buffer around the health center was created to look at access to the primary care clinic from within the hamlets.

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This paper explore the optimal drug supply chain distribution design for ICTPH’s implementation partner SughaVazhvu Healthcare .

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This paper details Indian rural diabetes prevalence estimation using random plasma glucose and body mass index.

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Micronutrient deficiencies, particularly iron deficiency, have a direct impact on the nutritional status of children and are the leading cause of anaemia in non-malarial regions. The Indian National Health and Family Survey-3 conducted in 2005-2006, found that anemia among children less than three years of age is extremely widespread. This study will evaluate the feasibility of combining social marketing with the activities of a local health centres and community health workers to promote the sale and use of Sprinkles micronutrient powder in rural Tamil Nadu and its effectiveness on reducing the levels of anaemia among children aged 6-24 months.

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Non-communicable and chronic diseases are the leading causes of death in this part of rural India. The observed pattern of death is unlikely to be unique to these villages and provides new insight into the rapid progression of epidemiological transition in rural India. Health statistics are necessary inputs in planning appropriate health interventions. This concept note focuses on evaluation of different data collection methods and implication of Optical Mark Recognition (OMR) technology for household data collection.

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Rosemary Stafford documents her evaluation of the ICTPH Health Extension Worker Program in Karambayam.

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This paper outlines the four phase (fifteen – day) training program, which was scheduled for the Guides within a week of their selection based on the ICTPH Eight step selection process. The overall objective of the training was to equip the Guides with the knowledge and skills to perform their day-to-day role in their respective hamlets. The training techniques incorporated principles of adult learning and adopted a problem solving approach to stimulate active participation from Guides to ensure that learning objectives of each phase were met, adding to the existing experiences and knowledge of the Guides.

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Selecting a health worker involves many steps. The profile of the health worker must be established, criteria must be framed, candidates identified and a final selection made. The paper is an attempt to assist interviewers to make careful selection of health workers with the support of structured tools such as the application form, written test paper, interview guide and interview form. While exploring the need to establish these tools, an EIGHT STEP process has been created providing a framework for careful and systematic selection. A case study highlighting the implementation of the tools and process is included for review.

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This proposal details the ICTPH Oral Health Intervention, integrated with SughaVazhvu’s village based primary health-care delivery model.

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The enclosed report details the launch of the ophthalmic intervention as designed by ICTPH in the SughaVazhvu network of Rural Micro Health Centres .

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The ICTPH Health Systems strategy aims to facilitate a comprehensive healthcare delivery model for remote rural Indian population. With a unique community based health worker – ICTPH Guide provisioning screening and preventive healthcare services and a village based nurse-managed Rural Micro Health Centre (RMHC) provides a unique opportunity to explore a multi-dimensional approach. With individual health at the crux, establishing various preventive, diagnostic and curative interventions aims to achieve better health outcomes. This paper attempts to outline ICTPH’s strategy to integrate primary ophthalmic healthcare services in its unique healthcare delivery model.

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The enclosed report details the launch of the Women’s Health Intervention as designed by ICTPH in the SughaVazhvu Karambayam Rural Micro Health Centre.

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The enclosed proposal details ICTPH Women’s Health Intervention entailing a detailed cervical exam for reproductive health related infections and complications.

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This paper aims to detail the ICTPH Essential Drug List as implemented through the network of nurse-managed, medical-practitioner supervised Rural Micro Health Centres in close collaboration with its Thanjavur, Tamil Nadu based partner SughaVazhvu Healthcare .

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Preceding the launch of each of our RMHCs is the need for a structured Enrolment exercise, for the identification and tracking of the population served. This paper details the pre-launch Enrolment exercise, where local staff, recruited temporarily, distributed a unique household ID card to every household in the identified catchment and collected demographic information and the lat-long co-ordinates of the household using a smart phone running Android OS and a data-collection tool called ODK Collect.

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The ICTPH Health Systems approach uses technology as a means to improve efficacy of primary health care. This technical note details the role of technology within the system, laying an emphasis on the ICTPH Health Management Information System (HMIS) as a comprehensive IT solution for a primary health care setting.

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The Health Systems approach at ICTPH aims to redefine primary healthcare towards an inclusive continuum, accommodating evolving chronicity. This paper details the age-specific evidence based protocol as assembled by ICTPH and implemented by SughaVazhvu Healthcare.

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In the context of epidemiological transition and the move towards Evidence-Based Medicine, standardised protocols play a pivotal role in clinical settings. This paper details the end-to-end protocolisation of each of the patient interactions at the Rural Micro Health Centre in the ICTPH Health Systems model – including the pre-consultation protocols, and a set of clinical disease protocols that have been evolved in partnership with the University of Pennsylvania School of Nursing.

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This paper attempts to understand the current scenario of diabetes mellitus. Towards this, the paper discusses diabetes mellitus with a special focus on how the disease is diagnosed and managed and the subsequent treatment strategy. Several instances of various non invasive and inexpensive diagnosis techniques have been described in this paper. Authors provide tentative directional focus for ICTPH. – See more at: http://www.ictph.org.in/publications-working-paper-series.htm#sthash.oQOrXRPf.dpuf

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ICTPH Health Systems Approach (2010) detailed our vision for primary healthcare using three dimensions of technology, human resources and infrastructure. This paper now attempts to assign costs to each of these three dimensions in the context of the Pattukkottai block of the Thanjavur district of Tamil Nadu based on the experiences of SughaVazhvu Healthcare – a programme partner of ICTPH.

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IKP Centre for Technologies in Public Health (ICTPH) a not-for-profit research organization with its mission to design inclusive health-systems for remote rural populations, is anchoring a pilot with a Thanjavur (Tamil Nadu) based partner organization: SughaVazhvu Healthcare. The objective of this pilot is to design an inclusive health-system ensuring accessibility and affordability for all the members of the rural community in the remote rural parts of Thanjavur.

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