Programs Ongoing Programs Uncategorised

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mMITRA PROJECT

Introduction:

 Prayas is implementing mMitra project in Pune city, the project is supported by ARMAAN, Mumbai based organization. mMitra is a free mobile voice call service that provides culturally appropriate comprehensive information on preventive care and simple interventions to reduce maternal mortality and morbidity in urban areas. Through this project, pregnant and lactating women receive messages on antenatal and postnatal care. Medically verified, individualized voice messages of 60 - 90 seconds (145 messages in all) in Hindi or Marathi are sent directly to the mobile phones of each enrolled woman. The voice calls are in the local dialect, specific to the woman’s gestational age or age of infant and are sent weekly, free of cost directly to pregnant woman and mother with infants. The enrollment of eligible woman in the program is carried out by a trained ‘Sakhi’, identified by the organization. The intent of implementing the mMitra program is to communicate and to engage with pregnant women, and women with children under one year of age (women) on preventative care measures and about simple interventions to reduce maternal and infant mortality and morbidity.

Activities

Prayas is implementing mMitra project in Pune city since May 2016. We are working with Municipal corporation facilities and private/trust based hospitals from Pune city catering to urban poor women. Currently mMitra services are offered through 8 private and 14 PMC hospitals. We are reaching to approximately 2000 women every month through 30 Sakhis working on the project. Till date total 14000 women have been registered in the project.

Table 8: Data from May 2016 to March 2017

Private/Public sector

Number of Facilities

Number of women registered

Private Sector

8

6978

Pune Municipal Corporation

14

4669

Total

22

11647

Gender Responsive Policing: Systematic Review

Title of the project:  Effectiveness of different ‘gender-responsive policing’ initiatives designed to enhance confidence, satisfaction in policing services and reduce risk of violence against women in low and middle income countries - A systematic review

Research Objectives:

The review will address the following specific objectives

  1. To identify and thematically classify interventions carried out under Gender Responsive Policing initiatives in low and middle income countries to enhance women’s confidence and satisfaction in policing services.   
  2. To synthesize the existing evidence on effectiveness of different ‘gender-responsive policing’ initiatives designed to enhance confidence and satisfaction in policing services and reduce risk of violence against women in low and middle income countries.

Organizations involved:

  1. Public Health Evidence South Asia, Manipal University, Manipal
  2. Prayas Health Group, Pune

Type of research: Systematic Review

Research Investigators:

Principle Investigator: Dr.Sreekumaran Nair (Director, Public Health Evidence South Asia, Manipal University)

Co-Investigator: Dr. Shrinivas Darak (Senior Researcher, Prayas Health Group, Pune)

Funding: The South Asia Research Hub (SARH) under SARH Systematic Review Program for South Asia

Duration of the Project: 14 months

Start date: 01/10/2015

UICC Study

Short title

UICC study

 Title of the project:

Cervical cancer prevention in HIV-infected women

 Background:

Invasive cervical cancer is an AIDS defining illness. Observational studies in different regions of the world indicate that human immunodeficiency virus (HIV) infected women are at high risk for oncogenic human papillomavirus (HPV) infection and at 5- to 10-fold increased risk of developing cervical cancer. Thus, cervical cancer prevention among HIV-infected women assumes major priority, given the high risk of HPV infection, cervical precursor, and malignant lesions among them. In spite of large burden of both HIV infection and cervical cancer, there are very few studies in India that have addressed the association between them and the ways and means to control the disease.

In 2010, we initiated a study in collaboration with HCJMRI, Pune and with technical assistance from International Agency for Research on Cancer (WHO). Consecutive HIV-infected women were screened with visual screening tests, cytology and HPV testing.  All women underwent colposcopy and directed biopsy, treatment with cold coagulation or with LEEP if indicated.  They were called initially after 6 months and then every year thereafter. This large cohort of women is being followed with the following objectives. 

 Objectives of the project:

  • To evaluate incidence of CIN in the cohort of HIV infected women
  • To evaluate type specific incident CIN lesions in HIV-infected women
  • To evaluate the effectiveness of cold coagulation in curing and preventing recurrence of CIN 2-3 lesions in HIV-infected women
  • To evaluate HPV persistence, clearance, new infections in HIV infected women & incident CIN lesions in the cohort of HIV-infected women screened for cervical pre-cancerous lesions

 Study site: Prayas

 Type of research: Observational cohort study

 Investigators:

Dr. Smita Joshi (Principal Investigator)

Dr. Vinay Kulkarni (Co-Investigator)

Dr. Richard Muwonge (Co-Investigator)

 Funding: Currently being supported by research donations

  Start date: September 2010

 Study publications:

  1. Joshi SSankaranarayanan RMuwonge RKulkarni VSomanathan TDivate U. Screening of cervical neoplasia in HIV-infected women in India. AIDS. 2013 Feb 20;27(4):607-15. doi: 10.1097/QAD.0b013e32835b1041.
  2. Joshi SBabu JMJayalakshmi DKulkarni VDivate UMuwonge RGheit TTommasino MSankaranarayanan RPillai MR. Human papillomavirus infection among human immunodeficiency virus-infected women in Maharashtra, India. Vaccine. 2014 Jan 4. pii: S0264-410X(13)01803-3. doi: 10.1016/j.vaccine.2013.12.060.

Behavior Change Communication Evidence Summary

Title of the project: Effectiveness of behavior change communication (BCC) interventions in delivering health messages for improving maternal and child health (MCH) indicators in a limited literacy setting: An evidence summary of systematic reviews

Research questions

We propose to answer the following research questions through this evidence summary;

  • What are the different types and mediums of BCC interventions aimed at improving Antinatal care(ANC)coverage and uptake of ANC services in low literacy settings, in particular South Asian settings?
  • Which are the most effective BCC interventions to improve ANC coverage and uptake of ANC services?
  • What is the effectiveness of theory based BCC as compared to non-theory based BCC? 

 Organizations involved:

  1. Public Health Evidence South Asia, Manipal University, Manipal
  2. Prayas Health Group, Pune

 Type of research: Evidence Summary (review of systematic reviews)

Research Investigators:

Principle Investigator: Dr.Sreekumaran Nair (Director, Public Health Evidence South Asia, Manipal University)

Co-Investigator: Dr. Shrinivas Darak (Senior Researcher, Prayas Health Group, Pune)

Funding: The South Asia Research Hub (SARH) under SARH Systematic Review Program for South Asia

Duration of the Project: 7 months

Start date: 01/10/2015

FC study

Short title

FC study

Title of the project:

Evaluation of uptake and utilization of female condoms among women in Pune, India

Background:

Unintended pregnancies, sexually transmitted infection (STI) and HIV remain major public health issues across the world. In the last few years, scientists have initiated working on the concept of multi-purpose prevention technologies (MPT) for improving reproductive health of women by promoting women controlled methods, and the only MPT available in the world is a female condom. In spite of the female condom being available in the market for about 15 years, its use remains very low throughout the world including India. The United Nations Population Fund (UNFPA) recommends that there should be increased access to female-controlled methods which has the potential to be a life-saving tool. Very few studies have examined the acceptability of female condoms in India and no study has yet explored its uptake, acceptability and utilization as a spacing technology where there is a huge unmet need of contraception which is addressed in this proposal.  

Objectives of the project:

Primary Objective:

  1. Evaluate uptake of female condoms among young urban and rural women of reproductive age who are not using any contraception

Secondary Objectives:

  1. Evaluate its potential as a temporary contraceptive method as evaluated by pregnancy rate at the end of 1 year in the enrolled participants
  2. Evaluate acceptability of female condoms in young Indian couples

Study site: Kamla Nehru Hospital, Pune and villages in Talegaon PHC area, Taluka Maval, Pune

Type of research: Interventional study  

Investigators:

Dr. Smita Joshi (Principal Investigator)

Dr. Vinay Kulkarni (Co-Investigator)

Funding: Indian Council of Medical Research  

Start date: April 2015 

 

 

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