The Uttar Pradesh Technical Support Unit (UP TSU) supports the Government of Uttar Pradesh to improve reproductive, maternal, newborn, and child health and nutrition outcomes across all 75 districts and 820 blocks. Led by IGPH, University of Manitoba, in partnership with IHAT, the programme applies a Program Science approach to strengthen community, facility and health-system platforms, reduce inequities, and improve effective coverage at scale.
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Project MANCH, launched in 2021 in Shahdol district through a collaboration between NHM-MP, HCLFoundation and IHAT, is a pivotal initiative to improve health outcomes among tribal populations. The project focuses on enhancing antenatal and postnatal care coverage, identifying and tracking high-risk pregnancies and newborns, addressing home delivery challenges, and building the capacity of frontline health workers, including ASHAs, Anganwadi Workers, ANMs, and Nursing Officers.
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UP TSU, in collaboration with the Government of Uttar Pradesh, conducted a qualitative study to explore barriers to the continued use of Antara (injectables) and Chhaya (weekly contraceptive pills). Insights from users, FLWs, and providers highlighted concerns regarding side effects, complexity in the dosage schedule, and other factors, deterring their sustained use. The study underscores the need for user-focused strategies and improved provider engagement to enhance sustained use of the new contraceptives.
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UP TSU, in consultation with the Government of Uttar Pradesh, conducted a qualitative study with Traditional Method (TM) users and FLWs to understand the factors driving TM adoption and continuation. Findings showed that normative acceptance and clarity on the effects of TM, as opposed to the complexities in the adoption and use of modern methods, facilitated TM use. It also highlighted the need for tailored interventions, specific to the family planning needs of women across all parity levels.
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Gender is a key social determinant of health, shaping both access and delivery of healthcare services. Achieving universal health coverage relies on equipping healthcare providers with an understanding of gender norms affecting healthcare utilization, access, and outcomes. This knowledge brief presents a framework to systematically integrate gender-responsive care into training programs for public health cadres in Uttar Pradesh.
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