Ministry of Health and Family Welfare (MoHFW), Department of Health Research (DHR) had set up a system for the evaluation of appropriateness and cost effectiveness of the available and new health technologies in India as part of the research governance mandate of the DHR. HTA has been defined as “a form of policy research that systematically examines short-and long-term consequences, in terms of health and resource use, of the application of a health technology, a set of related technologies or technology related issues”. The purpose of HTAIn is to support informed policymaking, and economic evaluation forms one of the core components of HTA studies. HTA is a multidisciplinary field to examine the clinical, economic, social and ethical implications of medical technologies. These HTA evidences would serve as an important tool in prioritizing national health spending on various health technologies such as devices, medicines, vaccines, procedures and systems developed to solve a health problem and improve quality of life. In this context HTAIn would make recommendations to the government of India after suitable HTA of medical technologies, interventions and procedures for introduction/procurement in India.
- To inform Government health department officials about undertaking public health programs (e.g. immunization, screening, and environmental protection programs)
- To inform research agencies about evidence gaps and unmet health needs
- To inform hospitals, health care networks, group purchasing organizations, and other health care organizations and help in decisions regarding technology acquisition and management.
- To inform clinicians and patients about the appropriate use of health care interventions for a particular patient’s clinical needs and circumstances.
Regional Resource Hubs:
DHR had set up Regional Resource Hubs in collaboration with various State Governments in Institutes administered by the Centre/ States. A Regional Resource Centre for Health Technology Assessment in India (HTA-In) was set up at Indian Institute of Public Health Gandhinagar in April 2018. This resource centre is being established with the support of Department of Health Research, Ministry of Health and Family Welfare, Government of India. Gujarat, Madhya Pradesh and Rajasthan will be the key focus states of this center.
Human Resource at IIPHG RRC
Lead from IIPHG
Dr. Somen Saha, PhD, MPH
Dr. Deepak Saxena, PhD, MD (Community Medicine)
Dr. Tapasvi Puwar, PhD, MD (Community Medicine)
State nodal officer
Dr. Bhavesh Modi, Associate Professor
Human resource recruited for the resource hub:
Dr. Komal Shah, Post Doc, PhD (Life Science), M.Sc.
Dr. Apurvakumar Pandya, Ph. D, M.A. (Clinical Psy)
Dr. Priya Kotwani, MPH, BDS
Mr. Devang Raval, B.com, PGDPHM
Technical Advisory Committee
Dr. Paresh Dave, Additional Director (Public Health), MoHFW, Government of Gujarat
- Health Technology Assessment of TeCHO+ Program in Gujarat-RRC has received TAC approval for undertaking this HTA study. IIPHG has completed the data collection and analysis for the first phase of this multi-year study. The first phase of the study dealt with undertaking the data validation of e-Mamta software for the purpose of establishing baseline. For validating the data, 585 women and 261 children were surveyed. Apart from this our RRC also documented the early experience of TeCHO+ and undertook an estimation of shared human resource cost by interviewing 80 Auxiliary Nurse Midwifery (ANM), 10 medical officers (MO) and 20 Data Entry Operators across 40 PHCs of 5 Districts. IIPHG will shortly communicate the finding of the baseline study to DHR.
- Health Technology Assessment of project Life line – A portable ECG facility at PHC level in Ahmedabad district of Gujarat: RRC has presented the study proposal in the TAC meeting however, the approval letter for undertaking this study is awaited. Meanwhile, the RRC has undertaken field visits to assess the feasibility and evaluate technology for early screening of Cardio-Vascular Disease in primary setting. RRC also approached the program officials to obtain records such as Maternal Death Review, NPCDCS programme records, 108 emergency service records indicating the mortality due to CVD in order to assess the programme impact.
- HTA on Intravenous Iron-Sucrose (IVIS) intervention to treat Anemia in pregnant women-RRC has presented the proposal for this study in the 14th TAC meeting and has received comments from the TAC. In the same line, we have revised the proposal incorporating the suggestions of the technical appraisal committee and have shared it with the DHR.
Status of HTA activities with Madhya Pradesh & Rajasthan
- RRC at IIPHG has started liaisoning with Health and Family Welfare Department, Government of Madhya Pradesh and Government of Rajasthan.
Papers submitted to IJMR special issue on HTA
- HTA-RRC at IIPHG in response to the call for papers by Indian Journal of Medical Research has shared 7 paper. The listing of these articles is as below:
- TeCHO+ Program in Gujarat: A Protocol for Health Technology Assessment
- Protocol for Cost Effectiveness Assessment of Intravenous Iron – Sucrose (IVIS) intervention to treat Iron deficiency anemia in pregnant women
- Costing and Cost-Effectiveness of mHealth Intervention ImTeCHO in improving Infant Mortality in Tribal Areas of Gujarat, India
- Electrocardiography technologies for cardiac abnormalities at Primary Health Care level: Systematic review of existing evidence
- Does membership in women’s group advance health and empowerment? Evidence from India
- Negative studies in Health Technology Assessment (HTA) in India: A potential publication bias
- Review of eHealth Interventions for improving Primary Healthcare in Low-Middle Income Countries
Capacity Building on HTA
- IIPHG hosted an International Conference on Med-Tech Innovations for Primary Health Care from 27th to 29th December, 2018. The conference was attended by more than 400 delegates. The highlights of the conference were Innovation showcase gallery, and Plenary Session on Health Technology Assessment was organized at the conference with expert speakers were from technical partners of HTA – Imperial college of London and HiTAP Thailand.
- Apart from the above mentioned activities, HTA-RRC at IIPHG is actively engaged in capacity building workshops for HTA. The details of the workshop are mentioned below.
- HTA RRC has also conducted Preconference Workshop on” Health Technology Assessment in Public Health” at Jawaharlal Nehru Medical College, Aligarh Muslim University on 25th October, 2018
- HTA RRC has conducted “Hands on Workshop on Health Technology Assessment with Economic Evaluation of Health Programme” at K.S Hegde Medical Academy, Mangalore on 21st February, 2019.
- HTA RRC has also conducted Preconference (NEXUS medical conference, 2019) workshop on “Technology in Health Care” at GMERS Medical college, Gandhinagar, on 7th March 2019.
- Datta Meghe Institute of Medical Sciences (DMIMS) in collaboration with IIPHG held a one-day workshop on HTA on 11th July, 2019 during ETHOS 2019 National Conference at Wardha (Maharashtra).