List of IHS publications in the reporting year are given in Annexure-9. List of publications and presentations arising out of work at IHS or IHS personnel are in Annexure-10.

         A case study of the Institute of Health Systems (IHS), Hyderabad was conducted by the Alliance for Health Policy and Systems Research (APHSR) – an international collaboration based within the World Health Organisation, Geneva, in connection with a Global Study of Health Policy Analysis Institutes (HPAIs) in developing countries. This study of the IHS, is a part of a larger six country study titled, "Health Policy Analysis Institutes: Landscaping and Learning from Experience" done with the support of the Rockefeller Foundation

         The objective of the study was to understand characteristics of the HPAIs that contribute to their sustain ability and effectiveness in providing policy analysis and advice. The larger international research project was conducted in three phases: (a) Landscaping, (b) Literature Review and (c) Case Studies. In work on the landscaping mapped, the existing HPAIs in low and middle income countries were studied by analyzing basic data on their functions, location, products, staff size, longevity etc. Based on this work, initially eight institutions were selected for the case studies. But the research team could do case studies only in six countries that included case study of the IHS from India. The literature review provided conceptual framework for the study as well as identified themes for in-depth qualitative research for the six case studies.

       The case study on IHS was prepared by Dr. Amar Jessani, who was commissioned by WHO – APHSR for the India Case Study. The report is based on a review of key documents of the institute viz., operation manuals, reports & publications and interviews that were held with the Staff, Board Members, Clients, and other Stakeholders of the Institute including Policy Makers. The report was submitted to APHSR in September 2010. Further the full APHSR report on the larger six countries study was prepared by Sara Benette and Adrijana Corluka. It was released and also presented in First Global Symposium on Health Systems Research at Montruex, Switzerland held from 15th November 2010 to 20th November 2010

      We couldn’t succeed in getting any new projects in the current year. We are putting our best efforts in getting the projects by approaching the sponsors. The projects in preparation are given in Table 5.

     The Institute of Health Systems (IHS) has proposed to take up the development of model Primary Health Care Systems in rural , remote and high mortality areas of Andhra Pradesh under Public Private Partnership (PPP). The objective is to generate evidence and information about cost- effective primary health care management strategies. The proposed Model PHC Systems will also help in training of public health workers. The IHS is planning to start a Masters in Public Health (MPH) course in the near future. The proposed Model PHC Systems will also act as Field Practice Areas for training of MPH students. The Model PHC Systems will also provide an opportunity for action research on potential PHC management strategies and public health interventions. IHS would like to assume responsibility for management of at least one Community Health Center (CHC) along with attached PHCs and Sub-Centres in each of the three regions of the state. We will prefer CHCs with attached PHCs and Sub-Centres in high mortality, remote and rural areas, where government may be having difficulty in managing the services. Keeping these guidelines in mind, IHS has tentatively identified the following three areas.

    i.     Narayanpet Division, Mahboobnagar district (High IMR)

    ii.    Sundipenta , Kurnool district (Tribal Area- Chenchu tribes)

    iii.  Maredumilli, East Godavari District (Tribal Area)

            IHS has sent proposals to Health Medical & Family Welfare dept on 03/11/2009 requesting to issue appropriate instructions to the Commissioner, Family Welfare, Director of Health and District Collectors to facilitate the preparatory work for identifying the areas. HM&FWdept has issued instructions on 1/5/2010 to the District Collectors and District Medical and Health Officers to extend necessary assistance for preparation of proposals. Director and the faculty made field visit to Mahaboobnagar district at the first instance, studied and assessed the feasibility after meeting the District Collector, Health personnel and Community leaders in the month of August 2010. It is proposed to make proposals on two clusters in Mahaboobnagar district as follows.

     This was discussed in the Governing Body held on 04/09/2010 and after taking suggestions, we submitted the proposals to the District Collector, Mahaboobnagar on 15/9/2010. We are awaiting the reply.

           Classification of the Institute’s revenue from domestic and foreign sources as well as by activity is given in Annex-11. In Figure-1 the gross revenue generated by the Institute from the date of its inception has been summarized.

              Figure-1: IHS Gross Revenue Trend Since                Inception

        The Institute witnessed a phenomenal growth in revenue during the period between 1999-2000 and 2002-03. The trend reversed in 2003-04 with a steep decline in receipts in 2004-05. Since then there has been a steady growth of receipts till 2008 but seen decline again in 2009. But there is an increasing tend in 2010. The anticipated receipts again appears to be in decreasing trend in 2011. The share of foreign sources in the total receipts of the Institute has been around 10% for the years 2003-04 and 2004-05. In the year 2005-06, share of foreign sources was about 25%. In 2006-07 the share of foreign sources declined to about 15% of the total receipts. Since 2009, there are no receipt of foreign sources.

        As is evident from Figure-2, most of our revenue has been contributed by Research and Consultancy. In recent years, receipts from public services has been increasing mainly on account of water quality testing services. Current year, public services account for about 56% of the Institute’s revenues.

       We are in a crucial phase of the Institute’s development. Govt has permitted to start the MPH course. Govt has also allotted an extent of 16.00 acres for which we need to pay about Rs 160.00 lakhs excluding registration charges. However, lack of human resources, infrastructure and corpus funds for development are major constraints. I look forward for your guidance in addressing these important issues.