Photo: Jhpiego

India

Since the 1980s, we have worked in these technical areas:

Family Planning and Reproductive Health

Innovations

Maternal, Newborn and Child Health

Digital Health

Our impact

  • In the past three years, Jhpiego has supported the Government of India to save the lives of an estimated 60,000 children and 6,000 women through improved contraceptive services. Averting an estimated 8.5 million unintended pregnancies and 4 million abortions saved an estimated USD 418 million (INR 26.5 billion) in direct health care spending.1
  • An independent evaluation of Jhpiego’s initiative in India to implement the World Health Organization’s Safe Childbirth Checklist (which addresses the major causes of maternal death, intrapartum-related stillbirths and neonatal deaths) showed a 12% decline in the perinatal mortality rate at the 100 health care facilities where it was implemented.
  • Through its public- and private-sector work, Jhpiego India’s work in maternal and newborn health helped to ensure that competent health care workers provided high-quality childbirth services for more than 2.6 million deliveries across the country.
  • Approximately 30,000 nursing students have graduated in the past four years and received quality nursing education from nursing institutions strengthened by Jhpiego.

1Estimates calculated using Impact 2, Marie Stopes International, 2016.

Current programs


  • Scaling Up the Postpartum Intrauterine Contraceptive Device

    In most districts of India, more than two-thirds of institutional deliveries in the public sector occur at health care facilities at the subdistrict level. Therefore, in 2013, with support from the Bill & Melinda Gates Foundation, Jhpiego moved to the next level of introducing and establishing services for postpartum family planning (PPFP) and postpartum intrauterine contraceptive devices beyond the district level to subdistrict level facilities. This effort has been further intensified in the states of Uttar Pradesh and Bihar. Along with training doctors and nurses in providing PPFP services, Jhpiego is focusing on generating demand by: 1) developing information, education and communication materials, as well as behavior change communication materials; 2) ensuring informed choice by training providers in counseling skills; and 3) strengthening data management systems by training data handlers in recording and reporting quality data.

  • The National Technical Support Unit–Family Planning

    Jhpiego is providing technical support to the Family Planning Division of the Government of India through the National Technical Support Unit–Family Planning. This support is designed to strengthen voluntary, high-quality family planning services in India. Set up in 2014 with support from the Bill & Melinda Gates Foundation, this partnership helps strengthen and scale up the provision of family planning services for improved maternal and child health outcomes in line with India’s Family Planning 2020 commitments. This initiative has a special focus on the following six high-focus states (with high total fertility rates): Uttar Pradesh, Bihar, Jharkhand, Rajasthan, Madhya Pradesh and Chhattisgarh.

  • Expanding Access to Intrauterine Contraceptive Device Services in India (Phase II)

    Further intensifying efforts to provide family planning services at the subdistrict level, the Expanding Access to Intrauterine Contraceptive Device Services in India (EAISI) program, funded by an anonymous donor, aims to dramatically expand access to long-term and reversible contraception (LARC) to women in the two states of Odisha and Chhattisgarh. While focusing on ensuring the quality of care, EAISI works to establish and strengthen services for intrauterine contraceptive devices (IUCDs), postpartum IUCDs, postabortion care and family planning counseling at 187 health care facilities. Since completion of Phase I of this program in April 2017, the goal of Phase II has been to ensure sustained contraceptive prevalence rates in the states of Odisha and Chhattisgarh, particularly ensuring that LARC such as IUCDs are part of the expanded contraceptive choices offered, thereby complementing and contributing to the achievement of India’s Family Planning 2020 goals.

  • Strengthening Postpartum Family Planning and Quality of Family Planning Services in Bihar

    Funded by the David and Lucile Packard Foundation, Jhpiego provides strategic technical assistance to the state government of Bihar for facilitating the implementation of a comprehensive, multi-year implementation strategy for postpartum family planning, along with scaling up some components of the strategy in five focus districts (Muzaffarpur, Gaya, Saran, Bhagalpur and Madhubani). In addition, the project seeks to demonstrate a feasible, efficient and effective programmatic model to strengthen provision of high-quality family planning services in the same five focus districts. The postpartum family planning services include the lactational amenorrhea method, postpartum intrauterine contraceptive devices and postpartum sterilization. In addition to expanding access to postpartum family planning services, the project is piloting introduction of progestin-only pills in public-sector health facilities in the district of Gaya.

  • Strengthening Family Planning Services in India through a Quality Assurance Model

    The Bill & Melinda Gates Foundation is rolling out the Quality in Family Planning project. Under this 30-month initiative, Jhpiego is developing, piloting and advocating for a simplified, contextualized, evidence-based and scalable quality assurance model in Jharkhand, India. This goal is being accomplished by: 1) gathering knowledge and engaging the public and private sectors through formative research and engagement with the government; 2) collaborating with the government and other stakeholders to develop a quality assurance model to be facilitated in three districts in Jharkhand; and 3) subsequently advocating for this model to be integrated into the health system.

  • Advance Family Planning Project

    Under this project, funded by the Bill & Melinda Gates Foundation, Jhpiego is working with the Government of India to increase budget line items for family planning services and quality within the Program Implementation Plans of the National Health Mission for the states of Jharkhand, Assam and Maharashtra. The project aims to establish fixed-day, static services to institutionalize family planning services through an accreditation process. It is also working toward initiating a public-private partnership in family planning services at two districts in Jharkhand (Ranchi and Bokaro) by modifying public-private partnership guidelines that ensure transparency in accrediting sites, providers and payments.

  • Dakshata: Government of India’s Strategic Initiative for Quality Improvement in Labor Rooms

    Jhpiego has been the lead technical partner in developing Dakshata, the Government of India’s strategic initiative aimed at strengthening the quality of care during and immediately after childbirth through competent, skilled and confident providers. This initiative is funded by the Children’s Investment Fund Foundation (in Rajasthan, Andhra Pradesh, Telangana, Maharashtra and Jharkhand) and the Norway India Partnership Initiative (in Madhya Pradesh and Odisha). The Dakshata program is centered on using the World Health Organization’s Safe Childbirth Checklist as a framework for improving the skills of health care workers, prioritizing resource availability, improving compliance to safe care practices and improving use of data for action.

  • Sustaining Quality Assurance Accreditation for Maternal Health Care in India’s Private Sector

    Based on the success of the Leveraging Private Enterprise to Improve Maternal Newborn Health and Family Planning in India program, MSD for Mothers (as Merck for Mothers is known in India) is supporting Jhpiego to implement Manyata, a program targeting private-sector facilities in Uttar Pradesh, Jharkhand and Maharashtra. Under this program, Jhpiego will work closely with the proposed partners to develop and validate a viable and investable business model for quality assurance, while laying the groundwork for sustainable quality improvement efforts in the private maternal health care sector in India.

  • Addressing Maternal Infections to Improve Newborn Outcomes

    Funded by the Children’s Investment Fund Foundation, Jhpiego has recently started a new three-year program, called the Born Healthy program, which will test a “proof of concept” in India to transform the way antenatal care is provided. This program will test a model of improved antenatal care (called group antenatal care) and will include testing and treatment of various infections, as well as provision of essential services, such as iron, folic acid and calcium for pregnant women. Technology in the form of point-of-care tests will be brought in to make testing and treatment of the infections efficient, cost-effective and readily available. This program will be piloted in four districts of Rajasthan, namely Bikaner, Sikar, Dholpur and Udaipur. Jhpiego will also support the Government of Rajasthan in improving antenatal care services across the state.

  • Defining an Operational Model for Antenatal Care-based Screening and Management for Gestational Diabetes Mellitus

    Jhpiego is supporting the Government of India and the Ministry of Health and Family Welfare to draft new national guidelines for universal screening of gestational diabetes mellitus (GDM). Based on these guidelines, Jhpiego, with the support of an education grant from Novo Nordisk, is working with the government of Madhya Pradesh to demonstrate the operationalization of an integrated, antenatal care-based service delivery model for GDM screening and management. This two-year demonstration project, which is being implemented in Hoshangabad District of Madhya Pradesh, will generate important data and evidence to inform its potential scale-up across the country. Along with introducing universal GDM screening in accordance with the new national guidelines, the program will work to: increase community awareness about GDM; ensure appropriate referral, treatment and follow-up support for all women diagnosed with GDM; and document and disseminate program learning to the rest of the country.

  • Strengthening of Nursing Education in Private-Sector Institutions

    Given that 93% of India’s nursing graduates come from private-sector institutions, the U.S. Agency for International Development is supporting Jhpiego to strengthen pre-service education (PSE) for nurse-midwives in these private nursing institutions across six states for accelerating reproductive, maternal, newborn, child and adolescent health outcomes. These states are Bihar, Madhya Pradesh, Odisha, Delhi/NCR, Haryana and Jharkhand. Jhpiego is improving PSE by: 1) establishing partnerships for leveraging private-sector resources toward inclusive and sustainable improvement in the quality of PSE; 2) strengthening PSE in private-sector nursing-midwifery training institutions using the Indian Nursing Council’s established educational and clinical standards; and 3) leveraging tested information technology (i.e., virtual classrooms) to build the capacity of teaching faculties and to improve knowledge and skills of students.

  • Strengthening the Quality of Nursing Education at Scale in Uttar Pradesh

    Jhpiego is strengthening the nursing-midwifery cadre in the state of Uttar Pradesh, in alignment with the Uttar Pradesh Technical Support Unit, thereby helping to improve service delivery and result in better health outcomes in the state. This project, supported by the University of Manitoba/Uttar Pradesh Technical Support Unit, aims to strengthen the quality of pre-service nursing education in all 59 public-sector and almost 15 private-sector nursing institutions in the state, affecting a cohort of around 4,000 nurses annually. It is also strengthening the institutional mechanisms (State Nursing Council and State Nursing Directorate) for improved management of the nursing cadre.

  • Strengthening Nursing Midwifery Skills for Universal Health Coverage

    With support from the World Bank, Jhpiego is working to improve the performance and effectiveness of frontline health care workers, including nurses, by creating an enabling policy environment and offering evidence-based implementation solutions. The ultimate goal of this initiative is to strengthen the delivery of high-quality health care services for universal health coverage in the states of Punjab and Madhya Pradesh.

  • Accelerating Reductions in the Maternal Mortality Ratio and Neonatal Mortality Rate

    The Alliance for Saving Mothers and Newborns (ASMAN) is a major health care technology-driven initiative that is being funded by the Reliance Foundation, U.S. Agency for International Development, Tata Trusts, MSD for Mothers (as Merck for Mothers is known in India) and the Bill & Melinda Gates Foundation. The ASMAN program is being implemented in the states of Madhya Pradesh and Rajasthan to help create innovative, facility-based interventions that enable provision of high-quality care during and immediately after childbirth.

  • Maternal and Child Survival Program

    The U.S. Agency for International Development’s Bureau for Global Health’s flagship Maternal and Child Survival Program (MCSP) focuses on 25 high-priority countries with the ultimate goal of preventing child and maternal deaths. MCSP is introducing and supporting high-impact, sustainable reproductive, maternal, newborn and child health (RMNCH) interventions in partnership with ministries of health and other partners. In addition to contributing to high-level technical and policy dialogue at the global level, MCSP provides tailored technical assistance to help countries meet specific priorities and contextual needs of local, sustainable RMNCH programs. For information on what MCSP is doing in this country, visit here: http://www.mcsprogram.org/where-we-work/india/.

Current programs

Scaling Up the Postpartum Intrauterine Contraceptive Device

In most districts of India, more than two-thirds of institutional deliveries in the public sector occur at health care facilities at the subdistrict level. Therefore, in 2013, with support from the Bill & Melinda Gates Foundation, Jhpiego moved to the next level of introducing and establishing services for postpartum family planning (PPFP) and postpartum intrauterine contraceptive devices beyond the district level to subdistrict level facilities. This effort has been further intensified in the states of Uttar Pradesh and Bihar. Along with training doctors and nurses in providing PPFP services, Jhpiego is focusing on generating demand by: 1) developing information, education and communication materials, as well as behavior change communication materials; 2) ensuring informed choice by training providers in counseling skills; and 3) strengthening data management systems by training data handlers in recording and reporting quality data.

The National Technical Support Unit–Family Planning

Jhpiego is providing technical support to the Family Planning Division of the Government of India through the National Technical Support Unit–Family Planning. This support is designed to strengthen voluntary, high-quality family planning services in India. Set up in 2014 with support from the Bill & Melinda Gates Foundation, this partnership helps strengthen and scale up the provision of family planning services for improved maternal and child health outcomes in line with India’s Family Planning 2020 commitments. This initiative has a special focus on the following six high-focus states (with high total fertility rates): Uttar Pradesh, Bihar, Jharkhand, Rajasthan, Madhya Pradesh and Chhattisgarh.

Expanding Access to Intrauterine Contraceptive Device Services in India (Phase II)

Further intensifying efforts to provide family planning services at the subdistrict level, the Expanding Access to Intrauterine Contraceptive Device Services in India (EAISI) program, funded by an anonymous donor, aims to dramatically expand access to long-term and reversible contraception (LARC) to women in the two states of Odisha and Chhattisgarh. While focusing on ensuring the quality of care, EAISI works to establish and strengthen services for intrauterine contraceptive devices (IUCDs), postpartum IUCDs, postabortion care and family planning counseling at 187 health care facilities. Since completion of Phase I of this program in April 2017, the goal of Phase II has been to ensure sustained contraceptive prevalence rates in the states of Odisha and Chhattisgarh, particularly ensuring that LARC such as IUCDs are part of the expanded contraceptive choices offered, thereby complementing and contributing to the achievement of India’s Family Planning 2020 goals.

Strengthening Postpartum Family Planning and Quality of Family Planning Services in Bihar

Funded by the David and Lucile Packard Foundation, Jhpiego provides strategic technical assistance to the state government of Bihar for facilitating the implementation of a comprehensive, multi-year implementation strategy for postpartum family planning, along with scaling up some components of the strategy in five focus districts (Muzaffarpur, Gaya, Saran, Bhagalpur and Madhubani). In addition, the project seeks to demonstrate a feasible, efficient and effective programmatic model to strengthen provision of high-quality family planning services in the same five focus districts. The postpartum family planning services include the lactational amenorrhea method, postpartum intrauterine contraceptive devices and postpartum sterilization. In addition to expanding access to postpartum family planning services, the project is piloting introduction of progestin-only pills in public-sector health facilities in the district of Gaya.

Strengthening Family Planning Services in India through a Quality Assurance Model

The Bill & Melinda Gates Foundation is rolling out the Quality in Family Planning project. Under this 30-month initiative, Jhpiego is developing, piloting and advocating for a simplified, contextualized, evidence-based and scalable quality assurance model in Jharkhand, India. This goal is being accomplished by: 1) gathering knowledge and engaging the public and private sectors through formative research and engagement with the government; 2) collaborating with the government and other stakeholders to develop a quality assurance model to be facilitated in three districts in Jharkhand; and 3) subsequently advocating for this model to be integrated into the health system.

Advance Family Planning Project

Under this project, funded by the Bill & Melinda Gates Foundation, Jhpiego is working with the Government of India to increase budget line items for family planning services and quality within the Program Implementation Plans of the National Health Mission for the states of Jharkhand, Assam and Maharashtra. The project aims to establish fixed-day, static services to institutionalize family planning services through an accreditation process. It is also working toward initiating a public-private partnership in family planning services at two districts in Jharkhand (Ranchi and Bokaro) by modifying public-private partnership guidelines that ensure transparency in accrediting sites, providers and payments.

Dakshata: Government of India’s Strategic Initiative for Quality Improvement in Labor Rooms

Jhpiego has been the lead technical partner in developing Dakshata, the Government of India’s strategic initiative aimed at strengthening the quality of care during and immediately after childbirth through competent, skilled and confident providers. This initiative is funded by the Children’s Investment Fund Foundation (in Rajasthan, Andhra Pradesh, Telangana, Maharashtra and Jharkhand) and the Norway India Partnership Initiative (in Madhya Pradesh and Odisha). The Dakshata program is centered on using the World Health Organization’s Safe Childbirth Checklist as a framework for improving the skills of health care workers, prioritizing resource availability, improving compliance to safe care practices and improving use of data for action.

Sustaining Quality Assurance Accreditation for Maternal Health Care in India’s Private Sector

Based on the success of the Leveraging Private Enterprise to Improve Maternal Newborn Health and Family Planning in India program, MSD for Mothers (as Merck for Mothers is known in India) is supporting Jhpiego to implement Manyata, a program targeting private-sector facilities in Uttar Pradesh, Jharkhand and Maharashtra. Under this program, Jhpiego will work closely with the proposed partners to develop and validate a viable and investable business model for quality assurance, while laying the groundwork for sustainable quality improvement efforts in the private maternal health care sector in India.

Addressing Maternal Infections to Improve Newborn Outcomes

Funded by the Children’s Investment Fund Foundation, Jhpiego has recently started a new three-year program, called the Born Healthy program, which will test a “proof of concept” in India to transform the way antenatal care is provided. This program will test a model of improved antenatal care (called group antenatal care) and will include testing and treatment of various infections, as well as provision of essential services, such as iron, folic acid and calcium for pregnant women. Technology in the form of point-of-care tests will be brought in to make testing and treatment of the infections efficient, cost-effective and readily available. This program will be piloted in four districts of Rajasthan, namely Bikaner, Sikar, Dholpur and Udaipur. Jhpiego will also support the Government of Rajasthan in improving antenatal care services across the state.

Defining an Operational Model for Antenatal Care-based Screening and Management for Gestational Diabetes Mellitus

Jhpiego is supporting the Government of India and the Ministry of Health and Family Welfare to draft new national guidelines for universal screening of gestational diabetes mellitus (GDM). Based on these guidelines, Jhpiego, with the support of an education grant from Novo Nordisk, is working with the government of Madhya Pradesh to demonstrate the operationalization of an integrated, antenatal care-based service delivery model for GDM screening and management. This two-year demonstration project, which is being implemented in Hoshangabad District of Madhya Pradesh, will generate important data and evidence to inform its potential scale-up across the country. Along with introducing universal GDM screening in accordance with the new national guidelines, the program will work to: increase community awareness about GDM; ensure appropriate referral, treatment and follow-up support for all women diagnosed with GDM; and document and disseminate program learning to the rest of the country.

Strengthening of Nursing Education in Private-Sector Institutions

Given that 93% of India’s nursing graduates come from private-sector institutions, the U.S. Agency for International Development is supporting Jhpiego to strengthen pre-service education (PSE) for nurse-midwives in these private nursing institutions across six states for accelerating reproductive, maternal, newborn, child and adolescent health outcomes. These states are Bihar, Madhya Pradesh, Odisha, Delhi/NCR, Haryana and Jharkhand. Jhpiego is improving PSE by: 1) establishing partnerships for leveraging private-sector resources toward inclusive and sustainable improvement in the quality of PSE; 2) strengthening PSE in private-sector nursing-midwifery training institutions using the Indian Nursing Council’s established educational and clinical standards; and 3) leveraging tested information technology (i.e., virtual classrooms) to build the capacity of teaching faculties and to improve knowledge and skills of students.

Strengthening the Quality of Nursing Education at Scale in Uttar Pradesh

Jhpiego is strengthening the nursing-midwifery cadre in the state of Uttar Pradesh, in alignment with the Uttar Pradesh Technical Support Unit, thereby helping to improve service delivery and result in better health outcomes in the state. This project, supported by the University of Manitoba/Uttar Pradesh Technical Support Unit, aims to strengthen the quality of pre-service nursing education in all 59 public-sector and almost 15 private-sector nursing institutions in the state, affecting a cohort of around 4,000 nurses annually. It is also strengthening the institutional mechanisms (State Nursing Council and State Nursing Directorate) for improved management of the nursing cadre.

Strengthening Nursing Midwifery Skills for Universal Health Coverage

With support from the World Bank, Jhpiego is working to improve the performance and effectiveness of frontline health care workers, including nurses, by creating an enabling policy environment and offering evidence-based implementation solutions. The ultimate goal of this initiative is to strengthen the delivery of high-quality health care services for universal health coverage in the states of Punjab and Madhya Pradesh.

Accelerating Reductions in the Maternal Mortality Ratio and Neonatal Mortality Rate

The Alliance for Saving Mothers and Newborns (ASMAN) is a major health care technology-driven initiative that is being funded by the Reliance Foundation, U.S. Agency for International Development, Tata Trusts, MSD for Mothers (as Merck for Mothers is known in India) and the Bill & Melinda Gates Foundation. The ASMAN program is being implemented in the states of Madhya Pradesh and Rajasthan to help create innovative, facility-based interventions that enable provision of high-quality care during and immediately after childbirth.

Maternal and Child Survival Program

The U.S. Agency for International Development’s Bureau for Global Health’s flagship Maternal and Child Survival Program (MCSP) focuses on 25 high-priority countries with the ultimate goal of preventing child and maternal deaths. MCSP is introducing and supporting high-impact, sustainable reproductive, maternal, newborn and child health (RMNCH) interventions in partnership with ministries of health and other partners. In addition to contributing to high-level technical and policy dialogue at the global level, MCSP provides tailored technical assistance to help countries meet specific priorities and contextual needs of local, sustainable RMNCH programs. For information on what MCSP is doing in this country, visit here: http://www.mcsprogram.org/where-we-work/india/.

Current and recent donors


Bill & Melinda Gates Foundation
David and Lucile Packard Foundation
Department for International Development
Children’s Investment Fund Foundation
John D. and Catherine T. MacArthur Foundation
MSD for Mothers
Novo Nordisk
Royal Norwegian Embassy India
University of Manitoba/Uttar Pradesh Technical Support Unit
USAID
World Bank

India-related technical and programmatic resources

Our resources

 

Jhpiego India webpage

Visit page

Country contact

Bulbul Sood, Country Director
Tel. 91 11 49575100
29, Okhla Phase- 3
New Delhi, India – 110020