What We Do

Research

Evidence for better maternal and child health. BBN is an active partner in research and intervention collaborations in the field of maternal and child health in India.

Reasons for obstetric referrals from community facilities to a tertiary obstetric facility

A study from Southern Karnataka.

For this study we conducted interviews with 320 women in the postpartum ward of Vani Vilas hospital who had planned on birthing at another facility, but ended up having their babies at Vani Vilas. This study resulted in a few key findings: 95% of the women made a decision to transfer to the tertiary hospital after the onset of labour, referrals were made for medical as well as non-medical reasons, and 35% of the women had to take loans to cover the expenses of childbirth.

Nagavarapu S, Shridhar V, Kropp N, Murali L, Balachandra SS, Prasad R, Kilaru A. Reasons for obstetric referrals from community facilities to a tertiary obstetric facility: A study from Southern Karnataka. J Family Med Prim Care. 2019 Jul;8(7):2378-2383. Read the paper.

Active collaborations

Formative research to reduce unnecessary caesarean sections (India). This UCLan-led study sought the views of stakeholders (women, healthcare professionals and healthcare administrators) about the readability and acceptability of the 12 research modules, in India, before the final version of the formative research generic protocol is agreed. BBN conducted field interviews, recorded and translated results and contributed to writing the report which was submitted to WHO. Bohren MA, Opiyo N, Kingdon C, Downe S, Betrán AP. Optimising the use of caesarean section: a generic formative research protocol for implementation preparation. Reprod Health. 2019;16(1):170. Read the protocol.

Wearable technologies for positive pregnancy lifestyles. We have undertaken high quality, qualitative research on wearable technologies, assessing acceptability of remote sensing devices. Focus group discussions explored the acceptability of a mobile monitoring system for use in women’s solidarity groups to measure biomarkers in pregnancy.

Women’s solidarity groups and ASHA workers. Focus group discussions to explore the barriers faced and solutions generated by marginalised women accessing maternal and newborn care, and the ASHAs serving them.

Staff at work inside a Bangalore health centre

Published work

  • Kropp, N., Hartwell, T., and Althabe, F. (2005). Episiotomy Rates from Eleven Developing Countries. International Journal of Gynecology and Obstetrics, 91(2):157-159. Link
  • Althabe, F., Buekens, P., Bergel, E., Belizán, J., Kropp, N., Wright, L., Goco, N., Moss, N. (2005). A Cluster Randomized Controlled Trial of a Behavioral Intervention to Facilitate the Development and Implementation of Clinical Practice Guidelines in Latin American Maternity Hospitals: the Guidelines Trial. BMC Women’s Health, 5(1):4. Link
  • Kilaru A, Mahendra S, Karachiwala B, Matthews Z. (2014) The Rise of Institutional Births in India: Are Maternal and Newborn Risks Adequately Addressed? in Moore R and Gowda R (eds) India’s Risks. Oxford University Press. Link
  • Kilaru A, Karachiwala B, Matthews Z. (2010) Caste Disparities in Maternal Health Care in Rural Karnataka. Panos Institute, New Delhi.
  • Matthews Z, Ramakrishna J, Mahendra S, Kilaru A, Ganapathy S. Birthrights and rituals in rural south India: Care-seeking in the intrapartum period. Journal of Biosocial Science 37(4):385-411, July 2005. Link
  • Kilaru A, Griffiths PL, Ganapathy S and Ghosh S. Community-based Nutrition Education for Improving Infant Growth in Rural Karnataka. Indian Pediatrics 42:425-432, May 2005. Link
  • Kilaru A, Matthews Z, Mahendra S, Ramakrishna J and Ganapathy S. (2004) She has a tender body: Postpartum care and care-seeking in rural south India, in Unnithan M. (ed) Reproductive agency, medicine and the state. Berghahn Books. Link
  • Ganapathy S, Matthews Z, Ramakrishna J, Mahendra S and Kilaru A. (2002) Sociocultural determinants of maternal health in rural south India. Working paper No 8, Opportunities and Choices Working Papers, University of Southampton. Link
  • Ghosh S, Kilaru A and Ganapathy S. (2002) Nutrition Education and Infant Growth in Rural Indian Infants: Narrowing the Gender Gap? Journal of the Indian Medical Association, pp 483-490, August 2002. Link
  • Matthews Z, Mahendra S, Kilaru A and Ganapathy S. (2001) Antenatal care, care-seeking and morbidity in rural Karnataka, India: Results of a prospective study. Asia-Pacific Population Journal, June 2001, pp 11-28. Link

Recent presentations

Hyderabad, December 2020

15th International Normal Labour and Birth Research Conference. “Narratives of care-seeking among vulnerable populations.”

Bangalore, September 2018

Biennial Conference of the International Marcé Society for Perinatal Mental Health, NIMHANS. “Referrals in low resource settings: women’s experiences of birth.”

Bangalore, December 2018

World Congress of Bioethics. “Ethical concerns in maternal health services in Bangalore.”