Enabling Support for

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					Enabling Public Health Foundation of India’s Network of Indian Institutes
of Public Health

1.   Need for public health workforce. Despite substantial economic progress in recent years, India
     still faces serious and avoidable health challenges. There is inadequate investment in public
     health to meet the needs for surveillance, prevention and control of high levels of infectious
     diseases, the rising incidence of chronic diseases and the threat of emerging new infections and
     pandemics. The root causes of this challenge include inadequate human resource capacity and
     weak, fragmented health systems.

2.   Lack of institutional capacity. There is a lack of institutional capacity in India to train a public
     health work force of the scale needed (~400 are trained annually as against a requirement of
     approximately 10,000). This is reflected in the small amount of high quality research on public
     health, the lack of systematic and sustained public health advocacy and the weakness and
     incoherence of public health policy. This lack of capacity is of great concern given the current
     pace of economic growth that is likely to incur large scale adverse environmental impacts in terms
     of water quality, air pollution and ever more rapid unplanned urbanisation. Key issues in building
     institutional capacity are (a) the dearth of well-trained public health academics and practitioners
     with a broad interdisciplinary understanding of public health, and (b) insufficient inter-
     institutional and multi-sectoral research which is required to improve quality, relevance and
     implementation of research findings into practice.

3.   Public Health Foundation of India (PHFI) was established to tackle these challenges and in
     particular, the severe shortfall of public health professionals by

3.1 establishing a network of up to eight world class, India-relevant institutions of public health and
     strengthening of the existing schools,
3.2 establishing standards for public health education through the formation of an accreditation
     agency, and
3.3 serving as a policy shaping think tank to the government and private sector.

The PHFI is a public-private partnership, and its funding comes from the Government of India, a range
    of Indian benefactors and Bill and Melinda Gates Foundation. It is autonomously governed by an
    eminent 27-member board drawing on key positions from the Indian Government, civil society,
    world experts from Indian and global public health communities (Timothy Evans, Lincoln Chen,
    Amartya Sen), major international foundations, leaders from Indian industry and corporate
    executives. The board is chaired by Mr Rajat Gupta (Senior Partner Worldwide, McKinsey and
    Co.; Chair, Global Fund for AIDS, TB & Malaria) and Prof K Srinath Reddy (Head of
    Cardiology, All India Institute of Medical Sciences) is its first President.

4.   UK Public Health Consortium. A partnership of ten UK institutions has been established to
     work with PHFI. These comprise Bristol, Cambridge, Edinburgh, Imperial College, Leeds,
     Liverpool School of Tropical Medicine, London School of Hygiene & Tropical Medicine, Oxford,
     University College London and the Faculty of Public Health. Jointly these institutions represent
     many of the leading public health schools in the UK and a large number of existing research
     programmes based in India. This consortium is not intended to be a closed group and, in the
     future, it will be possible for other institutions to join it, depending on the needs of PHFI.

5. Aims and Objectives
The programme will support the PHFI plan to develop a core critical mass of faculty at each of the
    Indian Institutes of Public Health (IIPH). In each IIPH we wish to achieve:
      Sufficient core capacity for education and research
      Diverse background and multidisciplinary faculty
      Strong working relationships between the IIPHs, UK Consortium, local and national public
    health agencies

To achieve these aims our objectives comprise:
a)      development of a successful and varied educational programme of recruitment, training and
    strengthening of skills in public health among faculty of IIPHs
b)      train faculty in a range of public health specialities, including mixed qualitative and
    quantitative methodologies, to tackle complex public health problems
c)      build up the infrastructure required for conducting high quality PhD and post-doctoral research
    in UK Consortium and other research sites in India
d)      create new curricula for Masters and PhD training in IIPHs that is India-relevant and of value
    to policy makers and practitioners
e)      develop long-term mentorship relationships between new IIPH faculty and UK Consortium

6. Desired outcomes
Over the 5 years of this proposal, it will be possible for the UK public health consortium to train and
   strengthen, at some level, a majority of the faculty in each of the first three IIPHs that are now
   planned to open between July 2008 and July 2009. It is expected that each IIPH will start with a
   complement of 20 faculty, growing to about 70 faculty at full strength (see Section 6 for more

Outcomes will be realised at the levels of PHFI, IIPHs and individual faculty. At the institutional
    level, attribution of outcomes from this programme may be difficult to unpick from a range of
    other inputs from other agencies and the PHFI’s own development programme. Here we focus on
    those aspects of this programme that are specific and would be capable of being linked directly
    with inputs. We are planning a rigorous and detailed external evaluation of the overall inputs,
    outputs and outcomes of this proposed programme and its interactions with other PHFI capacity
    building initiatives (see Section 9). The methods and results of the evaluation will guide both the
    management of the programme itself (interim evaluation) and contribute to the evidence base for
    capacity building in public health that will influence PHFI’s own efforts in establishing further
    IIPHs and international capacity building programmes.

      PHFI outcomes include the creation of 8 IIPHs over the course of the next 5 years
    with active faculty, teaching and research programmes in all by the end of 7-8 years; an
    effective public health advocacy and health policy role.

      IIPHs outcomes to be achieved include the creation of a multidisciplinary faculty,
    collaborative research programmes, Masters courses underway, a range of other training

    courses, formal linkages with local government, health services and NGOs, scientific
    output, number and quality of students registered.

      Individual faculty outcomes include successful completion of degree courses; annual
    appraisals of progress against goals; successful grant applications made; publications
    from degree projects; establishment of new cross-disciplinary collaborations;
    contributions to health policy and practice; quality of teaching.


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