The TSU's Genesis
To support the GoUP to achieve its reproductive, maternal, newborn, child, and adolescent health and nutrition goals with
greater efficiency, effectiveness, and equity, in November 2013 the foundation established the Uttar Pradesh Technical Support
Unit (TSU) in partnerships with the University of Manitoba, India Health Action Trust and other partners.
How and where the TSU operates
The TSU provides technical and managerial support to government staff at various levels of the health system. During its
first threeyear phase, most of the TSU’s direct support focussed on 100 blocks across Uttar Pradesh. Containing a collective
population of 31 million, these blocks were selected in collaboration with the GoUP. All 100 blocks are situated within
the state’s 25 high priority districts (HPDs).1 By improving maternal and child health and nutrition in 100 blocks within
the districts with the poorest scores, the overall state indicators will improve. In addition to working in the HPDs, the
TSU supports the GoUP at the state level in policy formulation, planning, budgeting, human resource management, monitoring,
contracting, procurement, and logistics to improve healthcare throughout the state.
The TSU’s interventions
The TSU supports the GoUP through five closely coordinated interventions:
- Maternal and Newborn Health intervention to improve health services for pregnant women, mothers, and newborns for their
first 42 days;
- Child Health intervention to improve health services at hospitals for children under five and the management of pneumonia
and diarrhoea among children under five by front line workers;
- Family Planning intervention to improve the availability of and demand for contraception;
- Nutrition intervention to improve maternal and child nutrition; and
- Systems Strengthening intervention that supports the GoUP.
Goal & Objectives
In 2017 the TSU entered its second three-year phase, in which its goal is to accelerate the state’s progress toward SDG3.
Its objectives are:
- reduced maternal and neonatal mortality in the 100 focus blocks, and improved and sustained coverage of
newborn, and child health interventions in the 194 additional blocks of the HPDs
- improved care for children under five in public facilities in the HPDs
- improved management of pneumonia and diarrhoea among children under five by front line health workers in
- reduced morbidity and mortality due to childhood malnutrition among children under five in the HPDs
- improved availability and accessibility of family planning services—including counselling and educating
women on all contraceptive services—in public health facilities in the HPDs, resulting in improved choice and enhanced
uptake of modern contraceptive methods in the state
- improved quality of contraceptive services, resulting in decreased complication and discontinuation rates
and improved client satisfaction in the state.
- improved health systems for human resources, supply chain, use of data, performance management, PPP/contracting,
private sector engagement, payments/financing, and IEC/BC