Step into the shoes of those working for maternal and child health in India’s largest state, Uttar Pradesh. What do their choices and behaviors tell us about what is needed to improve maternal and child health? And how does thinking about people as customers instead of beneficiaries their decision-making process change our perspective?
Download the cases and supporting educational materials – including teaching notes for faculty and background papers – at no cost below.Read more about Data, drivers, and decisions: A 3D look at maternal and child health in northern India
This concept note aims to describe the history of reproductive, maternal, newborn, and child health (RMNCH), the current landscape for providing RMNCH care in resource-limited settings, and future directions for research, funding, and advancement of the field.Key indicators by region. Source: The US Government and Global Maternal & Child Health Efforts. Kaiser Family Foundation. June 20, 2016.
Learning objectives: This concept note aims to further students’ and instructors’ understanding of RMNCH presented in the Cases in Global Health Delivery collection.
Keywords: Maternal health, morbidity and mortality, advocacy, service delivery, workforce development, demographic segmentation
Community health workers (CHWs)—lay people who engage in efforts to improve the health of their communities—have been proposed as a way to fill the global health human resource gap by extending services to hard-to-reach populations in remote areas. This concept note provides a brief history of CHWs, considers issues in CHW program design, and outlines future directions for research and funding.Visual representation of CHW density in Sub-Saharan Africa. Source: One Million CHWs Campaign, 2016.
Learning objectives: This concept note aims to further students’ and instructors’ understanding of community health workers presented in the Cases in Global Health Delivery collection.
Keywords: Human resources, primary care, disease management, monitoring and evaluation, resource allocation, global health policy, community health workers, partnerships
Note: In map legend, 2,000–4,9999 should read 2,000–4,999.
Set in India’s most populous state, Uttar Pradesh, this case explores how the Technical Support Unit (TSU), a nongovernmental entity, works to increase the state’s capacity to improve maternal and child health outcomes. It is part of a set of cases looking at maternal and child health in Uttar Pradesh. The other two cases in the set are Maternal and Child Health in Uttar Pradesh, India: A Mother’s Story and Working as an ASHA to Improve Maternal and Child Health in Uttar Pradesh, India.TSU focus areas. Source: Technical Support Unit, Uttar Pradesh, 2016.
Learning objectives: A productive class discussion will allow students to appreciate the data that are needed and how to use them to inform service delivery; the importance of understanding how to drive demand when designing interventions; and strategies for working with the public sector to manage and sustain programs.
Keywords: Decision making, maternal and child health, behavioral economics, resource-limited settings, consumers, data collection, providers
Set in India’s most populous state, Uttar Pradesh, this case explores the complexity of addressing maternal and child health and care delivery by looking at health-related behaviors and decision making from the perspective of a mother. The case is intended to be used in conjunction with two other cases: Working as an ASHA to Improve Maternal and Child Health in Uttar Pradesh, India and Improving Maternal and Child Health Outcomes in Uttar Pradesh, India.Khairabad Community Health Center (CHC).Delivery room at Khairabad CHC. Source: Case writers.
Learning objectives: A productive class discussion will allow students to appreciate the decisions facing frontline providers and the communities they serve, and the numerous factors that influence their choices; how households prioritize health among other needs; and the complexity of aligning health programs with beneficiary needs, cultural context, household dynamics, and other factors to impact health behaviors and outcomes.
Keywords: Consumer behavior, behavioral economics, resource-limited settings, health care policy, data collection, decision making