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Maternal Health and Rights - Research

SAHAYOG has been studying women’s health issues since 1996. The purpose of research was to enable the organization and its partners to get a nuanced understanding of a new issue before taking it up for interventions. Research may also contribute to the evidence base for advocacy work. As such, all research is followed up with action programmes.

The research methodology in SAHAYOG also follows some guiding ethical principles, namely:

  • The purpose of the research must be clear to the women subjects and their informed consent obtained as a community.
  • The research must be grounded in literature review and a study advisory group constituted.
  • The women subjects of research must be part of an interactive and participatory data gathering process.
  • The findings of the research must be shared with the women subjects while maintaining confidentiality; innovative methods may be used to share it with non-literate audiences.
  • The women subjects must be supported to take local action based on the analysis of the findings.
  • Research must be pro-actively disseminated to the wider community of stakeholders to facilitate the process of change.

Recent Research at SAHAYOG:

State Level

National Level

International Level

WHRAP Phase II Baseline Survey (2006)
This study was carried out from October 2006 to February 2007 to assess the capacities of community women leaders, new national partners, state government officials, and the media to make advocacy on maternal health effective and sustainable at the start of the second phase of the WHRAP project on maternal health. The baseline study also examined the response of the media to maternal health advocacy in Uttar Pradesh. This study used both qualitative and quantitative research methods, including focus group discussions and observations with community women, semi-structured interviews with government officials, review of media coverage of campaigns and press conferences, and surveys of various NGOs/CBOs to map their strengths and capacities on the issue of maternal health.

For more information about this project, read the report on the Resources page...

Case Documentation of Women’s Experiences with JSY (2005-2007)
The implementation of the JSY scheme in UP has been monitored by SAHAYOG and the group of organizations working within the WHRAP partnership in U.P. Between October 2005 and April 2007, these organizations, through the rural women’s network Mahila Swasthya Adhikar Manch in seven districts, were able to identify and conduct detailed documentation of around 20 cases of adverse maternal health outcomes in which women’s maternal healthcare-seeking history was investigated.

For more information about this project, read the report on the Resources page...


National Level

Negotiating Rights: Building coalitions for improving Maternal Health services in Uttar Pradesh, India (2008-2010)
This new action research project was initiated in 2008 and seeks to investigate different actors’ perceptions about and approaches to maternal health, as well as build coalitions of women, providers and policymakers for dialogue about the provision of maternal health services.

For more information, click here...

Access to Maternal Health Services for Women Workers in the Unorganized Sector (2007-2009)
In India, the unorganized sector is currently 93% of the total workforce (NSSO - National Sample Survey Organization). Women workers are overwhelmingly found in the unorganized sector (94% of employed women), and these women face a unique set of challenges to their health and well-being due to the precarious and often dangerous conditions of their employment. This study examines access to health services for women workers in the unorganized sector across three states of India, with special reference to maternal health services. The three states involved in the study are Uttar Pradesh, Uttarakhand and Chattisgarh. The study is being carried out in collaboration with NGO partners in these three states who are already working on rights and health issues with women workers in the informal sector.

Objectives:

  • To provide a baseline understanding of the situation of access to health services for unorganized women workers before the implementation of the government’s proposed Social Security scheme.
  • To empower women workers of the unorganized sector with the knowledge of the laws and schemes that exist for their benefit, and an assessment of the extent to which these are being implemented.
  • To lead to policy and programme recommendations to enhance the women workers’ access to occupational and maternal health services.

The methods employed for this study are qualitative and include case studies of individual women, focus group discussions with the women in their communities, population-based surveys and interviews with health providers, employers/contractors and key officials in each state.

Outcomes:

This study aims to produce the following outcomes:
Development of a study report that includes policy and legal recommendations on how to improve health services for women workers in the unorganized sector.
Formulation of an intervention plan by partner organizations and women workers’ organizations that is aimed at improving women’s access to health services.
Increased awareness and mobilization of women workers around the issues of access to legal protection and health benefits, particularly maternal health benefits.

National Study on Maternal Health and Institutional Delivery (2007-2008)
This national qualitative study seeks to understand and document women’s experiences with institutional delivery or attempted institutional delivery across 9 states of India in order to find out what effect the government’s policies that promote delivery in institutions are having on improving maternal health. The experiences of women who have reached an institution during labour for their most recent delivery are being documented through in-depth interviews with women and/or their family members in each state. The study will document women’s experiences in rural and urban areas, as well as across lower and better-performing states. The multi-centric study is being conducted cooperation with partner NGOs in the 9 states of Bihar, Delhi, Gujarat, Jharkhand, Karnataka, Rajasthan, Uttarakhand, Uttar Pradesh, and West Bengal using their contacts with women from diverse communities.

Objectives:

  • To understand the experiences of women who delivered or attempted to deliver in institutions.
  • To examine the need for changes or improvements in the Indian government’s current policy on safe motherhood and maternal health.

Outcomes:

We believe that detailed accounts of women’s experiences receiving or attempting to receive institutional delivery care will provide us with a better understanding of the problems women are currently facing when trying to deliver in institutions, and will allow us to come up with recommendations to improve this situation. As a result of this study, we hope to initiate a national advocacy effort aimed at informing the government about the on-the-ground realities of delivery in institutions and encouraging government officials look at the whole continuum of pregnancy care rather than simply focusing on institutional delivery as the solution to India’s high rate of maternal morbidity and mortality.


International Level

Tracing Pharmaceuticals in South Asia: Regulation, Distribution and Consumption (2005-2009)
SAHAYOG is collaborating with CHSJ and the University of Edinburgh on tracing pharmaceuticals that largely affect women’s health. This qualitative research study traces the use of three common drugs used for delivery, depression and TB in order to understand the pharmaceutical industry’s behaviors and illuminate the reasons for misuse of such essential pharmaceutical products.

For more information, click here...


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