Some Key Projects

CREATE has been involved in a wide variety of projects in different sectors for both national and international bilateral/donor agencies. However, the projects pertaining to reproductive health, women & child health issues and population sectors have been the focus areas of our work since year 2000 in social development sector. CREATE has carried out nearly 10 surveys of enterprises and shops in UP, Bihar, MP, CHG and West Bengal and also 'Customer Satisfaction Surveys' and 'Opinion polls' for individual candidates e.g. MP, MLA, Mayor and Corporators. An overview of few important studies is given below.
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Evaluation of Medical Abortion Drug Survey among different stakeholders in UP, Bihar & Jharkhand
Sponsored by: DKT-Janani 
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Endline Evaluation of Access, Availability and Stocking pattern of Contraceptives and RH Products in Private Retail Outlets of C and D category villages of Bihar
Sponsored by: Futures Group International-USA India Office: Gurugram (Haryana)

This study was undertaken at the instance of DKT-Janani. Janani works in close partnership with the Government of India under the Public Private Partnership component of the National Health Mission (NHM) and the Government of India’s National Contraceptive Social Marketing Program. 

 

Janani has pioneered contraceptive social marketing and clinical family planning services in northeastern India. It operates clinics in the states of Bihar, Jharkhand and UP under the brand name of 'Surya Clinics'. It markets and sells contraceptive and safe abortion products, including condoms, oral contraceptive, Injectable, IUD, ECP and  abortion drugs with different brand names. 

Major objectives of study: To know the awareness, stocking and use of medical abortion drugs (Safe-t kit) among the Retailers, Doctors and ASHA/SHP besides the availability of different contraceptive brands in the market and suggestion to enhance Janani’s portfolio among all these outlets. 

Study Areas & Sample: States Bihar, Jharkhand & UP, 15 districts, 1200 outlets (Chemist stores; Doctors and Surya Health Providers (SHP)/ASHA  

Activities: Questionnaire development/translation; Analysis and Report writing

DFID as part of its ‘Improved Family Planning (FP) and Reproductive Health (RH) Services in India – project’, now called ‘Ujjawal Project’ has planned to catalyze the private sector to scale-up choice of good quality, affordable FP and RH services for poor women and men in rural areas of  Bihar and Odisha. 

The project was implemented in Bihar and Odisha states by Futures Group in partnership with Hindustan Latex Family Planning Promotion Trust (HLFPPT), Public Health Foundation of India (PHFI), Johns Hopkins University Center for Communication Programs (JHU-CCP) and Oxford Policy Management (OPM) Ltd.

Major objectives of Endline Evaluation: Listing of the retail outlets by type of outlet and assess whether they stock various FP & RH products viz.  medical abortion kits, pregnancy testing kit, ECP, sanitary napkins, etc.; duration of stocking, reasons for stocking/non-stocking and various other pertinent issues. Central aim was to assess the change in stocking pattern since baseline/midline surveys. 

Study area and sample: State of Bihar; PSUs: 452 villages (C & D) spread over 39 districts. 

Activities: Questionnaire development/translation; Analysis, Report Writing and presentation of findings to the client

CREATE has carried out many major surveys of shops and outlets in UP (6), Bihar(4), Jharkhand (1), MP (1) and West Bengal (1). 

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Global Adult Tobacco Survey(GATS)
1 & 2
Sponsored by: A consortium of Min of Health & FW, GOI, WHO, CDC Atlanta
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Evaluation of Janni Suraksha Yojna (JSY) under NRHM in UP
Sponsored by: SIFPSA & NHM Govt of Uttar Pradesh

Global Adult Tobacco Survey-I was conducted at the instance of International Institute for Population Science (IIPS), Mumbai during 2009-10. IIPS was the Nodal Agency for the survey.

However, Global Adult Tobacco Survey-II was carried out at the behest of Tata Institute of Social Sciences (TISS), Mumbai during 2016-17. TISS was the Nodal Agency for the survey.

Major Objectives of GATS-II: First major objective of GATS-II India was to obtain sufficiently reliable estimates of various dimensions of tobacco use so as to systematically monitor adult tobacco use and its key tobacco control indicators. The other major objective was to contribute to the understanding of effectiveness tobacco control measures based on observed changes in relevant indicators since  first round of GATS in 2009-10.

Study Area & Sample: UP & Uttarakhand PSU-117 (UP); 83 (UK) Households-6600 

Activities: Translation of tools in Hindi; recruitment and training of survey teams; listing and mapping of households in selected Urban and Rural PSUs; Household Survey among adult men and women in a selected household on Tablets; uploading data on designated TISS site. 

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Market Research Survey of contraceptive products in states of MP, Chhattisgarh and West Bengal
 Sponsored by: DKT-Janani

The present study was sponsored by DKT-Janani. The organization works in close partnership with the Government of India under the Public Private Partnership component of the National Health Mission (NHM) and the Government of India’s National Contraceptive Social Marketing Program. 

 

Janani has pioneered contraceptive social marketing and clinical family planning services in northeastern India. Under its social marketing program, Janani markets and sells a range of contraceptive and safe abortion products, including condoms, oral contraceptives, Injectable, IUDs, emergency contraception and Medical abortion drugs besides newly introduced sex-booster pill and MVA Kit.

Major objectives of study: To know the awareness and stocking of various contraceptive products among the Retailers and Doctors and ASHA/SHP besides the availability of different contraceptive brands in the market; Besides, the study also sought to know the views of key respondents on opportunities and challenges for new variants of contraceptive brands in the market and suggestion to enhance Janani’s portfolio in the market. 

Study Areas & Sample: States MP, CHG & WB; 55 districts, 4028 outlets (Chemist stores); 1000 Doctors. In-depth discussions with 90 retailers.  

Activities: Questionnaire development/translation; Analysis, Report Writing and presentation of findings to the client

UP Government has launched the programme in September 2007 with the primary aim of improving health status and quality of life of its rural population with clear and explicit emphasis on sustainable development measures. 

JSY is a safe motherhood intervention under NRHM. It is proposed for all the pregnant women in the state. This includes a cash assistance to the pregnant woman to enable all antenatal care visits during the pregnancy period, institutional care during delivery and immediate post-partum period in a health centre by establishing a system of coordinated care by field level health workers namely ASHA/AWW and ANM with an overall objective to reduce maternal mortality ratio and infant mortality rate.

Chief Objective: SIFPSA had conceptualized an evaluation study of Janani Suraksha Yojana in collaboration with SPMU-NRHM to look into various aspects of the scheme with the purpose to assess whether or not the scheme has achieved its objectives and to what extent. 

Study area & sample: UP State; 15 districts representing different regions; Eligible Women Interview (Urban slum-3925; Rural-7816), ANM & ASHA -300 each; IDs with Health officials- 104

Activities: Questionnaire development/translation; Analysis and Report writing

Opinion Poll of Lucknow & Barabanki Lok Sabha Constituency in General Election-2019

Sponsored by: LoK Sabha Candidates

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Opinion Polls are becoming increasingly unavoidable and political parties as well as individual candidates are resorting to scientific and unbiased public opinion polls to measure the views and perception of the people on various aspects that helps them in strategizing and planning the campaigns to attract different sections of the people to vote for them. These opinion polls were conducted in two Lok Sabha constituencies of Lucknow and Barabanki by CREATE in 2019.

Major Objective: Data were broadly gathered on different aspects in line with the main objective to understand the mood of different cross sections of the voters, their opinion and satisfaction with the incumbent govt on select parameters. Besides, whether they have voted in previous Lok Sabah elections and for whom; satisfied with performance of sitting MP; which party they would like to vote in forthcoming parliamentary election and so on.

Study Areas and Sample: State UP, Lok Sabha Constituencies Lucknow, Barabanki; Booths selected varied (30-50) in each seat; Direct interviews with registered voters 3000-5000; Informal discussions/Group discussions-10; Conversations with people of the area on Dhabas, Tea Stalls, Bus/Tempo stands etc

Activities: Tool development/translation; Analysis,  Writing/presentation of major findings to the client. Numerous such surveys have been done by us  (CREATE) for MPs, MLAs, Mayors and Corporators.

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Evaluation of Routine Immunization Program under NRHM in state of UP

Sponsored by: SIFPSA & NHM Govt of Uttar Pradesh

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Baseline Survey in Health Behavior Change in Shivgarh block of Raibareili (UP)

Sponsored by: Catholic Relief Services (CRS)-North Zone

Recognizing the vulnerability of children, Govt. of India, in the early decades after independence has taken initiatives to protect vast population of its young citizens from life threatening diseases and diseases causing disability for the rest of life. Consequently, Expanded Programme on Immunization (EPI) was initiated by the Government of India in 1978 with the objective of reducing morbidity, mortality and disability from six of the major Vaccine Preventable Diseases (VPD) by making vaccination services available to all eligible children free of cost through the public health sector.

As part of national health policy, UIP is being implemented in the state of Uttar Pradesh and the state Govt. is fully committed for the complete immunization of children as programme has been given further impetus after the launch of NRHM in the state. Several initiatives have been taken to augment and streamline the programme in the state.

Chief Objective: SIFPSA had conceptualized an Evaluation of RI in collaboration with SPMU-NRHM to look into various aspects of the scheme with the purpose to assess whether or not the scheme has achieved its objectives and to what extent. 

Study area & sample: UP State; 18 districts representing different regions; Eligible Women Interview (Urban slum-1149; Rural-3185), ANM & ASHA -150 each; IDs with Health officials- 90

Activities: Questionnaire development/translation; Analysis and Report writing and dissemination of findings

The Catholic Relief Services (CRS) has been working in India among the deprived sections of the society for past many years. CRS assists the underprivileged people in 82 countries across the world including India. The activities of the organization are mainly aimed at alleviating the human sufferings, development of the people and justice in the world. The health program of CRS is basically known as Safe Motherhood and Child Survival program.

 

The program participants include the pregnant women, lactating mothers and children up to 3 years belonging to the downtrodden segments of society. These programs are implemented through partner organizations. CRS commissioned a baseline survey in Shivgarh block.

Primary objective of the study: The main objective of the study was to conduct the baseline survey among the currently married women having child less than 2 years. Specific objectives included data collection on: socio-economic profile of household, ante-natal, natal and post-natal care received by mother, breast-feeding practices, growth-monitoring and immunization status of 12-23 months child.

Study area & sample: UP State; 1 districts 15 villages; 390 Eligible Women Interviews were conducted. Shivgadh block where CRS interventions were implemented falls in neighboring district of Lucknow

Activities: Questionnaire development/translation; Analysis, Report Writing and presentation of findings to the client

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Endline Evaluation of Vistar Project  in 8 districts of Uttar Pradesh

 

Sponsored by: IntraHealth International Inc. USA

The present study was commissioned by the US non-profit agency IntraHealth International Inc having its country office in Delhi.

 

The Vistaar Project, led IntraHealth International Inc., was a technical assistance project funded by the United States Agency for International Development (USAID) to assist the Government of India and State Governments of Uttar Pradesh and Jharkhand in taking knowledge to practice for improved maternal, newborn, and child health and nutritional (MNCHN) status.

Major objectives were to assess, change in knowledge of antenatal, delivery, postnatal and newborn care practices among ASHAs and AWWs, beneficiaries and household decision-makers; nutritional knowledge among pregnant and lactating women and  the change in (i) newborn care and (ii) infant and young child feeding (IYCF) practices; besides evaluating reach of such services among marginalized sections and understanding improvement in supervision and system strengthening. 

Study area & sample: UP State; 8 districts where Vistar project was operational; Eligible Women Interview (Urban slum-1149; Rural-3185), ANM & ASHA -150 each; IDs with Health officials- 90

Activities: Questionnaire development/translation; mobilization and training of field teams, data collection, DE for entry and cleaning, content analysis of IDs; analysis of some basic indicators and submission of clean data sets to IntraHealth

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DMPA Midline Survey among married women of reproductive age group (MWRA) in the states of UP and Bihar

Sponsored by: Abt Associates Inc.

Abt Associates Inc. with the support from the Gates and Packard Foundations is implementing the five years project in urban areas of Uttar Pradesh and Bihar (November 2013-October 2018). The current Dimpa project follows the efforts of the SHOPS project (managed by Abt and funded by USAID 2008-2013) which introduced Depot Medroxyprogesterone Acetate (DMPA) - the three monthly injectable as one of the contraceptive methods in the basket.

Major objectives: The objective of the midline survey among married women of reproductive age is to measure the effect of the projectactivities on the key performance indicators pertaining to use, perceived availability, attitudes and knowledge related to Injectable Contraceptives/DMPA and other family planning methods. The change in following indicators among the target population will be measured.

Study area & sample: States UP & Bihar ; UP-240 PSUs; HH/EW: 2400 Bihar: 120 PSUs; HH/EW-1200. 

Activities: Questionnaire development/translation; Mobilization and training of field teams, development data entry program; data entry and cleaning

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IUCD Follow-up Survey in Bihar Jharkhand and Uttar Pradesh

 

Sponsored by: DKT-Janani

This study was undertaken on behalf of DKT-Janani. Janani works in close partnership with the Government of India under the Public Private Partnership component of the National Health Mission (NHM) and the Government of India’s National Contraceptive Social Marketing Program. 

 

Janani has pioneered contraceptive social marketing and clinical family planning services in northeastern India. It operates clinics in the states of Bihar, Jharkhand and UP under the brand name of 'Surya Clinics'. It markets and sells contraceptive and safe abortion products, including condoms, oral contraceptive, Injectable, IUD, ECP and  abortion drugs with different brand names. 

Major objectives of study: Broad objectives/information areas of the survey were to assess continuation rate of IUD; status of follow up of IUD; Side effects and complications experienced by IUCD clients after its insertion; reasons for discontinuation of IUCD and suggestion to improve the use of IUD as a spacing method.

Study Areas & Sample: It was decided to cover at least 40-50 percent of the clinics in each state. While 6 Surya clinics out of 13 in Bihar were randomly chosen, 2 Surya clinics were selected out of 5 in Jharkhand and 2 out of 4 in Uttar Pradesh. Sampling frame for the study was the list of users who got IUCD inserted at ‘Surya Clinics’ between June 2017 and March 2018. 

Activities: Questionnaire development/translation (Bi-lingual); In-house data entry and cleaning, Analysis and Report writing

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Rapid Baseline Mystery Client Survey in District Mahila Hospitals in Uttar Pradesh

Sponsored by: Abt Associates Inc.

Abt Associates Inc. with the support from the Gates and Packard Foundations is implementing the five years project in urban areas of Uttar Pradesh and Bihar (November 2013-October 2018). The current Dimpa project follows the efforts of the SHOPS project (managed by Abt and funded by USAID 2008-2013) which introduced Depot Medroxyprogesterone Acetate (DMPA) - the three monthly injectable as one of the contraceptive methods in the basket.

Purpose of the Mystery Survey: This assignment was undertaken as part of activities to provide technical support for national public sector roll out of ICs (Injectable Contraceptive) in India wherein Abt Associates is helping in monitoring quality of IC service provisions in the public sector. Government of India has started rolling out Mission Parivar Vikas (MPV) from July 2017 in 145 high fertility districts in 7 states.

 

Thus, as per the plan Abt will assist MOHFW and the Mission Parivar Vikas states in ensuring the Quality of services during the roll out of ICs. In order to formulate technical support for the state Governments and the MPV districts, Abt Associates has decided to conduct a Rapid Baseline Assessment of selected facilities and providers in Uttar Pradesh (UP) to assess the current situation.

Study Area & sample: State-UP; District Women Hospitals-9; Observation of 30 providers (Doctors)

Activities: Tools development/translation; Mobilization and training of field teams, transcription of observation notes entry and content analysis etc.