Public Health

Public health is recognized as a crucial indicator of human development and as such, is one of the key areas of focus for GRAAM. We have continuously conducted research projects and undertaken advocacy initiatives in the domain of public health over the last 4 years.

GRAAM’s vision of public health includes an accessible, equitable, effective and inclusive health care delivery system that assures quality and is responsive to the needs of the communities.

Our work in public health may be classified as research and advocacy in health services with the focus being on rural and primary health care. The specific areas in which we plan to carry focus of GRAAM is on rural and primary health care and include

  • Health systems financing and budget analysis
  • Evidence building and advocacy towards addressing regional disparities in health services through systemic changes including decentralized planning
  • Strengthening community participation in planning, monitoring and governance of health services
  • Health issues and better healthcare delivery to marginalized communities such as forest based tribal populations

Research & Evaluation Projects

The key projects undertaken by GRAAM directly and indirectly related to the health domain include

  • Performance Evaluation Study of NRHM in Karnataka
  • Arogyashreni – an action research project on community monitoring in health aided by technology
  • Tracking of NRHM funds (JSY, Untied and Maintenance) in Mysore District of Karntaka
  • A study on Access and Utilization of Cash Incentive Programs under NRHM for the Forest Based Tribal women of Heggadadevanakote Taluk in Mysore District
  • Preparation of District Human Development Report for Kodagu and Kolar Districts of Karnataka (with dedicated chapters on Health and Nutrition)
  • Evaluation of Nirmal Gram Puraskar awarded Gram Panchayaths in Karnataka
  • Facilitation of community led Village Health Plan Preparation
  • An evaluation of 24×7 PHCs in vulnerable districts of Karnataka (ongoing)
  • A study of dietary patterns and changes among tribal population in HD Kote Taluk of Mysore District, Karnataka (ongoing)

Advocacy Initiatives

GRAAM has also carried out advocacy initiatives in the domain of public health focusing on different issues at different levels. Some of the key initiatives are

  • District level dissemination of findings of the study ‘Tracking of NRHM funds (JSY, Untied and Maintenance)
  • Taluk level dissemination workshop based on the study on Access and Utilization of Cash Incentive Programs under NRHM for the Forest Based Tribal women of HD Kote Taluk of Mysore District
  • Regular presentations and dialogue with the Department of Health and Family Welfare and Mission Director of NRHM on the key findings of Evaluation of NRHM in Karnataka
  • Towards Evidence Based Health Advocacy – Workshop with Civil Society organizations working in health in Karnataka
  • Balasubramaniam’s has been a member of the Karnataka Knowledge Commission’s Mission Group on Public Health that has made recommendations to address the gaps based on a situational analysis of public health challenges in Karnataka and also provided a draft of policy on chronic diseases
  • Ground Realities (Public Health) – a state level event conducted to disseminate findings pertaining to regional disparities of health services in Karnataka and community monitoring initiatives in Mysore district and dialogue with Principal Secretary, Department of Health and Family Welfare, GoK
  • Community level advocacy
    • Working with Village Health and Sanitation Committees in Mysore District to prepare village health plan and follow-up
    • Working with the PHC planning and monitoring committee members to facilitate community driven advocacy action to bring about improvements in PHCs through local solutions
  • GRAAM‬ suggested the concept of need of the Ombudsman (‪Public‬ Health) in the Public Health System of India to ‪Government‬ of Karnataka. The ‪Ombudsman‬ (Public Health) is viewed as a part of a larger system of having Ombudsmen for Public Services with a larger aim of providing channels of communication to people / ‪citizens‬ from all walks of life. This ‪concept‬ note has been seen and acknowledged by Under Secretary to Chief Minister and also has been seen by Health Minister ‪‎Sri‬.U.T.Khader, who in turn has forwarded to the concerned authorities to review and take suitable action.

Partnerships and Collaborations

In Public Health, GRAAM has worked with different partners ranging from academic and research organizations to international foundations, Govt. Departments as well as private sector enterprises. The key partners include

  • National Rural Health Mission, Karnataka
  • Department of Health and Family Welfare, Govt. of Karntaka
  • Karnataka Evaluation Authority, Department of Planning, Programme Monitoring and Statistics, Govt. of Karnataka
  • Karnataka State Health Resource Centre
  • Public Health Foundation of India
  • International Budget Partnership
  • Institute of Public Health, Bangalore
  • SRM University, Tamil Nadu
  • AzimPremji University, Bangalore
  • Public Affairs Centre, Bangalore
  • Society for Community Health Awareness Research and Action (Sochara), Bangalore
  • Centre for Health and Social Justice
  • Swami Vivekananda Youth Movement


a) Inauguration of Interactive Voice Response System and SMS alert system for Health Communication

b) Samvaad 2016 – South India Regional Conclave takes place at Viveka Tribal Centre for Learning, Hosahalli

c) Samvarthana – Perspectives of various mothers

d) GRAAM chosen as finalist to Vodafone “Mobile for Good” Awards

e) GRAAM submits its recommendations to draft Karnataka Health Policy 2016

f) Tuberculosis in India

f) ಮೈಸೂರೇಕೆ ಬಯಲು ಶೌಚಮುಕ್ತವಾಗಲು ಸಾಧ್ಯವಿಲ್ಲ? (Why Mysuru can’t be free from open defacation?)