Last Mile Service Delivery Strengthened by ANM Rationalization at Sub-Centres

Uttar Pradesh’s ANM rationalization initiative demonstrates how e-HRMS workforce data can support more equitable deployment of frontline health workers across the public health system. Undertaken with technical support from UP TSU, the exercise identified deployment gaps, redeployed ANMs to priority sub- centres, substantially reduced vacancies, and strengthened last-mile maternal and child health service availability through data-informed human resource planning and accountability at scale.

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Strengthening Maternal Anaemia Management in Uttar Pradesh: Introducing FCM in the Public Health System

This knowledge brief documents the rollout of Ferric Carboxymaltose (FCM) for maternal anaemia management in Uttar Pradesh. It highlights the rationale for adopting FCM and its advantages as a single-dose intravenous iron therapy for improving maternal anaemia management. The brief also outlines efforts by the Uttar Pradesh Technical Support Unit and the State Government to support standardised implementation, procurement, and scale-up across public health facilities.

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Tuberculosis State Technical Support Unit, Uttar Pradesh: Journey 2021-2024

The Tuberculosis State Technical Support Unit, Uttar Pradesh: Journey 2021–2024 report provides a comprehensive overview of the intervention implemented by IHAT from December 2021 to March 2025, with World Bank funding via the Central TB Division. The TB-STSU worked in close collaboration with the UP-State TB Cell to enhance private sector engagement, decentralise care, and foster multi-sectoral collaboration for TB elimination.

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Addressing Lead Toxicity in Uttar Pradesh

Lead toxicity is a preventable yet widespread public health challenge. Uttar Pradesh is among the top five states in India with a high burden of lead toxicity. This evidence brief outlines the scale of lead exposure, major sources, key system gaps, priority actions needed for prevention and a proposed strategic role that UP TSU can play in strengthening lead toxicity prevention and control in Uttar Pradesh.

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PAHAL Issue 29

PAHAL Issue 29 brings together stories reflecting continued support to the Health Department and ICDS in strengthening public health services across Uttar Pradesh. It highlights key initiatives, including expanding family planning choices with MPA-SC, capacity building of Mukhya Sevikas, and milestones such as the DVDMS mobile app, eHRMS-based PIP rationalisation, and the State Task Force for SBC, alongside community-led progress in maternal and child health.

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