Managing with maps? The development and institutionalization of a map-based health management information system in Madhya Pradesh, India

Costa, Ayesha De; Saraf, Vivek S; Jhalani, Manoj; Mahadik, Vijay K.; Diwan, Vishal

doi:10.1177/1403494807085304

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…Providers in (a) and (b) are employed either in the public and/or private sectors, while those in (c) work only in the private sector. More detailed descriptions of each of these groups are provided in our earlier publication [5,15].…”

Section: Healthcare Providersmentioning

confidence: 99%

Where are healthcare providers? Exploring relationships between context and human resources for health Madhya Pradesh province, India

et al. 2009

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Section: Healthcare Providersmentioning

confidence: 99%

Where are healthcare providers? Exploring relationships between context and human resources for health Madhya Pradesh province, India

et al. 2009

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“…The paper discusses the suitability of this provider mix in dealing with maternal and child health, a major health priority in this province. Costa et al 2008). A questionnaire (in Hindi) was developed with the participation of the Department of Health at the provincial and district levels.…”

Section: Introductionmentioning

confidence: 99%

“…A total of 1,038 person-months were invested in the survey, which covered the 52,117 villages and 394 towns of the province. Details of the survey methodology, pilot tests, and supervision methods have been described earlier (De Costa et al 2008).…”

Section: Introductionmentioning

confidence: 99%

Private individual ambulatory health care providers in Madhya Pradesh province, India

Costa¹,

Eriksson²,

Diwan³

2009

J Public Health

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Background Ambulatory health care services are a major contributor to the large and inequitable health financing burdens (largely out-of-pocket) faced by households in India. The private sector has a virtual monopoly over ambulatory curative services in rural and urban India. Despite this, there is little knowledge about who these providers are, their numbers, distribution, and activities. Aim This study describes the numbers, gender, distribution, and characteristics of private individual ambulatory care providers in Madhya Pradesh (60.4 million people), one of India's largest provinces. It discusses the suitability of this provider mix to deal with maternal and child health, a major health priority in the province. Method A survey enlisting all health care providers was conducted in the 52,117 villages and 394 towns of the province. Results There were 14,046 private qualified physicians (12.5% women), 57,684 qualified paramedics (3.4% women), and 89,090 unqualified providers (10% women) providing ambulatory services in individual setups. In addition, 55,393 traditional birth attendants provided home-based intranatal care. The macro organization of these providers in this setting is presented. Given the high levels of maternal and child mortality in the province, excessive reliance is placed on less than competent providers as these present lower access barriers. Conclusion Given the public health priorities in this province (maternal and child health), the provider mix is not optimally suited to the populations' needs. There is a lack of competent qualified care required to deal with the major causes of morbidity and mortality, particularly in rural areas. Access to qualified women providers is low. The lack of a cadre of qualified midwives possibly contributes to some of the high maternal mortality observed in this province.

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Improving uptake and use of malaria rapid diagnostic tests in the context of artemisinin drug resistance containment in eastern Myanmar: an evaluation of incentive schemes among informal private healthcare providers

Aung¹,

White

Montagu

et al. 2015

Malar J

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BackgroundAs efforts to contain artemisinin resistance and eliminate Plasmodium falciparum intensify, the accurate diagnosis and prompt effective treatment of malaria are increasingly needed in Myanmar and the Greater Mekong Sub-region (GMS). Rapid diagnostic tests (RDTs) have been shown to be safe, feasible, and effective at promoting appropriate treatment for suspected malaria, which are of particular importance to drug resistance containment. The informal private sector is often the first point of care for fever cases in malaria endemic areas across Myanmar and the GMS, but there is little published information about informal private provider practices, quality of service provision, or potential to contribute to malaria control and elimination efforts. This study tested different incentives to increase RDT use and improve the quality of care among informal private healthcare providers in Myanmar.MethodsThe study randomized six townships in the Mon and Shan states of rural Myanmar into three intervention arms: 1) RDT price subsidies, 2) price subsidies with product-related financial incentives, and 3) price subsidies with intensified information, education and counselling (IEC). The study assessed the uptake of RDT use in the communities by cross-sectional surveys of 3,150 households at baseline and six months post-intervention (6,400 households total, 832 fever cases). The study also used mystery clients among 171 providers to assess quality of service provision across intervention arms.ResultsThe pilot intervention trained over 600 informal private healthcare providers. The study found a price subsidy with intensified IEC, resulted in the highest uptake of RDTs in the community, as compared to subsidies alone or merchandise-related financial incentives. Moreover, intensified IEC led to improvements in the quality of care, with mystery client surveys showing almost double the number of correct treatment following diagnostic test results as compared to a simple subsidy.ConclusionsResults show that training and quality supervision of informal private healthcare providers can result in improved demand for, and appropriate use of RDTs in drug resistance containment areas in eastern Myanmar. Future studies should assess the sustainability of such interventions and the scale and level of intensity required over time as public sector service provision expands.

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Managing with maps? The development and institutionalization of a map-based health management information system in Madhya Pradesh, India

Cited by 5 publications

References 6 publications

Where are healthcare providers? Exploring relationships between context and human resources for health Madhya Pradesh province, India

Where are healthcare providers? Exploring relationships between context and human resources for health Madhya Pradesh province, India

Private individual ambulatory health care providers in Madhya Pradesh province, India

Improving uptake and use of malaria rapid diagnostic tests in the context of artemisinin drug resistance containment in eastern Myanmar: an evaluation of incentive schemes among informal private healthcare providers

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