Back to Top Icon

History of BTSP

The Bihar Technical Support Unit (TSU) evolved at the end of 2013 from the work that was executed under an earlier grant in eight districts in the state between 2010 and 2013 that sought to quickly improve the coverage and quality of a range of evidence based interventions across a population of about 28 million, using creative but replicable strategies.

The mandate was to engage with Health programs of the GoB to improve the coverage of a range of RMNCHN interventions at a scale of eight districts (~28 m population), using creative yet replicable ways of improving frontline worker performance, appropriate to the challenging context: sharply defined intervention priorities, better tools and job aids, skill building, improved last mile supervision.

The results from this work strongly indicated that, given adequate support, frontline workers (ASHA, AWW, ANMs, staff nurses in facilities) could substantially and simultaneously drive up the coverage of most of the targeted interventions, and that inequities in intervention coverage reduced or reversed over time. Improvements in coverage occurred in parallel to improvements in families reporting that FLWs had contacted and counselled them, and strong associations were observed between levels of effort of the FLWs and outcomes. Additional innovative strategies added further to the effect. Many of these strategies are now adapted for deployment at scale, not only in Bihar but in several other states.


Inception of Ananya Program


IFHI Mode of Operations
Ground Level Execution Focus. The journey begins with 8 districts


TSU scale up to 38 districts. Ground level support focus.


New Phase of TSU. Focus on Sustainability.