The FUSION Project
India, grappling with the second-highest rates of diabetes and heart disease globally, faces exacerbated challenges during flood emergencies. Patients with chronic conditions often find their access to essential medicines disrupted, leading to worsening health conditions, hospitalizations, and even fatalities.
Advancing health research with the NIHR
Our research project is funded by the National Institute for Health and Care Research (NIHR).
Explore the FUSION project
About our research
About our research
Funded by the National Institute for Health and Care Research (NIHR), a global health research team led by Professor Semira Manaseki-Holland (Department of Applied Health Sciences at the University of Birmingham) and Dr. Jeemon from Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum together with researchers from other prestigious public health institutions like:
- Homi Bhabha Cancer Hospital and Research Center, Muzaffarpur
- Mahavir Cancer Sansthan, Patna
- Doctors For You-India
- Climate experts from University of Birmingham's School of Geography, Earth and Environmental Sciences
- Indian Institute of Technology (IIT), Roorkee
Together with a team of public health experts from prestigious Indian institutions, are developing innovative and integrated healthcare solutions to ensure access to healthcare amidst flood in rural India. The team are working in close collaboration with the Indian state governments of Bihar and Kerala. The work is overseen by an independent advisory steering group consisting of Indian and global experts in health, disaster, climate, and related research methods.
To improve the preparedness and resilience of patients and health systems during flood emergencies in India, this project addresses gaps in healthcare services for long-term conditions such as diabetes, heart, and lung diseases (non-communicable diseases (NCDs). By involving communities, healthcare providers, and stakeholders, the team aims to develop and test a practical, community-focused intervention to strengthen the health system. The initiative includes adapting existing processes, making effective use of digital health solutions, exploring innovative medicine delivery methods, and advancing flood forecasting. The project will be tested in flood-prone areas in Bihar and Kerala with planned adaptability assessments.
In this project we are trying to address the critical gaps in healthcare services exposed during seasonal flooding in India in regards to NCDs such as diabetes, hypertension, and chronic lung conditions.
Project Aims
Project Aims
Foster Collaboration with Communities and Health Workers
The team will:
- Develop guidelines and planning protocols and provide training to the health worker to ensure health centres can prepare for continuation of NCDs related care provision during floods, more systematically. This will enable healthcare professionals to make critical decisions during flood events.
- Promote culturally enhanced behaviour change and community empowerment to raise awareness and improve preparedness and response to floods among patients.
Ensure Access to Medicine and Diagnostics During Floods
The team will explore novel methods for delivering essential medicines, such as insulin, to flood-affected communities, and create flood-proof kits. This includes establishing links to existing primary care facilities during periods of flood-induced isolation.
Use Advanced Flood Forecasting
The team will collaborate with hydrologists and climate specialists to develop advanced flood forecasting models tailored to the needs of the healthcare system. This will provide an opportunity to test an integrated timely response model based on climate and healthcare data, contributing to a resilient health system in resource-poor settings.
Project methods and objectives
Project methods and objectives
Methods of Research
To achieve the aims the team will adopt a range of research methods including:
- Conducting mixed-methods situation analysis.
- Co-developing interventions through Theory of Change Workshops with communities and stakeholders.
- Implementing and evaluating the complex-intervention model.
Cross-cutting Objectives
The research will prioritise:
- Stakeholder engagement
- Capacity building
- Comprehensive dissemination
- Equitable partnership
- Community engagement and involvement
Partners and Funders
Partners and Funders
Funder
Our project is funded by the National Institute for Health and Care Research (NIHR).
Project Partners
- University of Birmingham
- Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum
- Institute for Mahavir Cancer Institute & Research Centre
- Indian Institute of Technology Roorkee
- Homi Bhabha Cancer Hospital and Research Center, Muzaffarpur
- Doctors for You
- Centre for Chronic Disease Control
- Belmont University
Our Team and Impact
This study/project is funded by the NIHR [NIHR204871]. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.