1. Experience of the Public Health Institute in India “A case study”
Parallel Session B: International Public Health Institutes’ Experience
Experience of the Public Health Institute in India “A case study”
Dr. Raveesha R Mugali, MD,MBA-HM,MPH (Antwerp)

2. Outline Model of PHFI: Origin, Establishment and Mandate
Areas of engagement:
Capacity building, Research, Policy and practice
Dynamism in Engagement
Summary and Lessons learnt

3. PHFI was launched in 2006 post multi-stakeholder consultations To strengthen public health system in India by building public health institutional capacity A Public private partnership, set up as an independent foundation. Registered as a Society With initial funding from government, international foundations (BMGF), private/other Launched by the Prime Minister of India, organisations Dr. Manmohan Singh in March 2006.
India face
The Public Health Foundation of India (PHFI) was conceptualised as a response to growing concern over the emerging public health challenges in India. It recognizes the fact that meeting the shortfall of health professionals is imperative for a sustained and holistic response to the public health concerns in the country, which in turn requires health care to be addressed not only from the scientific perspective of what works, but also from the social perspective of who needs it the most. The PHFI concept was developed over two years and was collaboratively evolved through consultation with multiple constituencies including Indian and international academia, State and Central Governments in India, multi & bi-lateral agencies, civil society groups in India.s a severe shortfall of public health professionals, and capacity building efforts are urgently required to address its emerging public health challenges.

4. Partnering with range of national and international organizations EXAMPLESAcademic & Research Government, Bi lateral & Private Sector & InternationalOrganizations Multi lateral Agencies Foundations

5. PHFI governed by an empowered and eminent global board PHFI Board ‘Executive Committee’ Mr. N R Narayana Murthy Managed by a Chairman PHFI strong academic and management team led by Representation from multiple constituencies Prof. K. Srinath Reddy - government International President, PHFI Government of India/ Development Partners Ministry of Health & Family Welfare Civil society groups & Individuals Eminent Indian & international academic/ Industry/ Corporate scientific leaders leaders In addition to the PHFI Board, each Indian Institute of Public Health (IIPH) has a locally configured advisory council to provide more frequent direction

6. PHFI: MandatePHFI has a mandate to strengthen the public health capacity in India by :• Establishing a network of new Indian Institutes of Public Health (IIPHs)• Assisting the growth of existing public health training institutions/departments• Establishing a strong national research network• Generating policy recommendations & developing a vigorous advocacy platform• Facilitating creation of an accreditation body for public health education in India

7. The charter covers three main areas Three Core Areas Integrated activities Helping build Education public health human Building resources capacity Training platforms for informed knowledge in Research public health Advancing research for effective policies and Institutes programs Policy & Networks Advocacy Collaborations Technical Setting Helping strengthen assistance standards of health systems – from Health excellence demand and supply Communication side Affordable Health Technologies

8. Setting up Indian Institutes of Public health in partnership with state Governments
7. Setting up Indian Institutes of Public Health (IIPH) in partnershipwith State Governments • Four functioning Indian Institutes of Public Health. Fifth one planned Delhi • Interlinked Institutes as Meghalaya regional hubs for teaching, reaching and practice in Madhya Pradesh public health Gujarat Orissa • Multiple collaborating institutions - regional Andhra (e.g. State Institutes of Pradesh Health & Family Welfare), national and globa

10. Research across range of areas Policy & Programme relevant research Strong base of research projects Strong focus on health systems and policy areas/topics (including health policy, economics & financing, 150+ research projects human resources, operational research, evaluations) More than 650 publications; 35 books and book chapters Collaborations with Epidemiology • Foundations/Research Agencies e.g. Wellcome Trust, NIH,BMGF, MacArthur Foundation, Rockefeller Health Population systems and health and • Bilateral/multilateral agencies such policy health promotion as WHO, USAID, DFID, Norway Determinants Government of health • Government agencies as well as state governments of Andhra Pradesh, Bihar, Delhi, Chhattisgarh, Orissa, Gujarat, UP

11. Several reports, papers and publications
Research across range of areas Policy & Programme relevant research Strong base of research projects Strong focus on health systems and policy areas/topics (including health policy, economics & financing, 150+ research projects human resources, operational research, evaluations) More than 650 publications; 35 books and book chapters Collaborations with Epidemiology • Foundations/Research Agencies e.g. Wellcome Trust, NIH,BMGF, MacArthur Foundation, Rockefeller Health Population systems and health and • Bilateral/multilateral agencies such policy health promotion as WHO, USAID, DFID, Norway Determinants Government of health • Government agencies as well as state g
Several reports, papers and publications EXAMPLES Paper on Chronic Non- Communicable Diseases in India (2011) Report on ‘Evaluation of Special Care Newborn Units in eight districts in India’Lancet Special Series On Study on impact of publicly‘Health Care In India (2011) financed health insurance schemes on financial risk protectionovernments of Andhra Pradesh, Bihar, Delhi, Chhattisgarh, Orissa, Gujarat, UP

12. PHFI advancing the agenda of Universal Health Coverage To develop a comprehensive plan for health in India, the Planning Commission of India under approval by the Prime Minister, constituted the High Level Expert Group (HLEG) on Universal Health Coverage (UHC) Public Health Foundation of India (PHFI) appointed as the Technical Secretariat. President PHFI as the Chair Mandate to develop a framework for providing easily accessible and affordable health care to all Indians and suggesting a 10-year strategy going forward. The report was submitted in November, 2011 PHFI involved in health sector policy discussions around healthcare financing, medicines, delivery, hu man resources, community involvement

13. Public Health Practice & Policy Support
Immunization Technical Support Unit
December 2014 – Launch of Mission Indradhanush, a campaign to immunize all children under the age of 2 years against seven vaccine preventable diseases by 2020
ITSU, setup by the MoHFW and PHFI with funding from the BMGF, provides the techno-managerial support to implement the MoHFW’s Multi-Year Strategic Plan for Immunization

14. Public Health Practice & Policy Support
HIV/AIDS
PHFI continues to provide technical support to the National HIV/AIDS programme
Allied Health Sciences
PHFI is functioning as the technical secretariat for the National Initiative on Allied Health Sciences.
MoHFW Committee on Health Effects of Air Pollution
PHFI as Technical Secretariat

16. National level engagement
Assisting the Government of India
NIAHS
Allied Health Professionals
NHM (RMNCH)
IN J & K
HLEG on Universal Health Coverage
Expenditure Finance Commission Health Spending
Pharmaceutical Policy
MoHFW Committee on Air Pollution
TSU
HIV Prevention
ITSU Immunization
Initiative on Health Systems Support Focus of the Health Systems Support Unit ▪ Testing of new interventions and implementation approaches ▪ Innovative monitoring (range-depth & quality) ▪ Inter-sectoral convergence ▪ Capacity building Projects (Examples) ▪ National Initiative for Allied Health Services (NIAHS) ▪ Programmes for Improving Infection Control and Patient Safety ▪ Contributor to the 4th Common Review Mission of the National Rural Health Mission

17. Sub -national engagement
Assisting State Governments
EVALUATION OF INSURANCE SCHEMES
DEVELOPMENT OF HEALTH ACCOUNTS
DISTRICT LEVEL PILOTS OF UHC
CREATION OF PUBLIC HEALTH CADRE
PUBLIC HEALTH PROFESSIONAL TRAINING

18. NEW THRUST AREA: URBAN HEALTH
Link with NUHM
Synergy with Swachh Bharat & Smart Cities
National Knowledge Platform (NKP):
Partnership of MoHFW + ICMR + NHSRC + PHFI
National Health Protection Scheme:
Steering Committee Vision 2032: Niti Aayog
Activities: Capacity Building (Training; Diploma; MPH stream);
Implementation Research (Multi-Sectoral); Advocacy

19. Summary/lessons ABC Model: Administration –Business-CSOs
Core areas of support: Training, Research and Policy
Sub national Engagement
Supporting the public health practice
Dynamism in engagement

20. Thank You