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A Case Study for
Session 2.E – Outreach and Engagement: Community-engaged Research
February 19, 2015
Inclusion of Urban Poor in Maternal Health Service Delivery in Bangalore
Objectives of the study to assess, improve and deepen the quality of services provided by Maternity Homes in BangaloreEstablish partnerships between user communities and the department to improve quality of maternal health service delivery
The Study/projectA two-phased three and half year project carried out by Public Affairs Centre with support from the International Budget Partnership (IBP)Implemented on the ground with three NGO partners located in Bangalore – SPAD, APSA and CFAR. Process included using of reputed social accountability tools such as Citizen Report Cards (CRCs), Budget Analysis, and Community Score Cards (CSCs) to collect evidence, and use the same through a forum to help monitor service delivery with a joint action agenda by both the staff and the MHMCs
A research-led Community Engagement modelFormation of Maternity Home Monitoring Committees (MHMCs) by users of maternity homes run by the Bruhat Bengaluru Mahanagra Palike (BBMP) to advocate for improve maternal health service delivery
Background
Implementation framework – the Impact Plan
Implementation framework – Achievement of Impact
Process of the formation of MHMCs
Successful application of social accountability tools to collect, compile and present evidence to advocate for user monitoring of Maternity Homes
Volunteering of MHMC members, also user/user representatives, to monitor availability and quality of services by collecting data through observation and discussions with users in a systematic manner
Successful buy-in from the BBMP Health Department to ensure access by MHMC members into the Maternity Homes for monitoring
Creation of space for regular interaction between users and Maternity Home staff (interface meetings held quarterly)
Increase in accountability from the Maternity Home staff
Increase in engagement between users and Maternity Home staff
Entitlement sharing exercises leading to capacity building among MHMC members to share concerns clearly with other stakeholders
Key achievements
Challenge – convincing service providers of the advantages of working with the user community
Learning – initial buy-in from senior officials and passing down of appropriate approvals to staff to smoothen interaction processes
Challenge – Sustainability of the MHMCs due to lack of ‘official’ recognition
Learning – Advocate to include users in official spaces, in this case the Board of Visitors; important to continue external facilitation and support till this is achieved
Challenge – Finding unit-level data to advocate for better budget allocation per MH and implementation of schemes e.g., the Madilu Yojane
Learning – Interaction with other programme implementers (e.g., NRHM) to arrive at costs for influencing budget enhancement
Key challenges and learning
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