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Author: Dorairaj Prabhakaran × Start date: 2000 ×

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Now showing 1 - 5 of 5
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    Population confidence in the health system in 15 countries: results from the first round of the People's Voice Survey
    (The Lancet Global Health, 2023) Margaret E Kruk; Neena R Kapoor; Todd P Lewis; Catherine Arsenault; Eleni C Boutsikari; João Breda; Susanne Carai; Kevin Croke; Rashmi Dayalu; Günther Fink; Patricia J Garciaa; Munir Kassa; Sailesh Mohan; Mosa Moshabela; Jacinta Nzinga; Juhwan Oh; Emelda A Okiro; Dorairaj Prabhakaran; Gillian K SteelFisher; Rosanna Tarricone; Ezequiel Garcia-Elorrio
    Using data from the People's Voice Survey—a novel population survey conducted in 15 low-income, middle-income, and high-income countries—we report health system confidence among the general population and analyse its associated factors.
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    Burden, patterns, and impact of multimorbidity in North India: findings from a rural population-based study
    (BMC Public Health, 2022) Priti Gupta; Shivani A. Patel; Hanspria Sharma; Prashant Jarhyan; Rakshit Sharma; Dorairaj Prabhakaran; Nikhil Tandon; Sailesh Mohan
    This study estimates the prevalence, socio-demographic determinants, common disease combinations, and health impact of multimorbidity among a young rural population.
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    A cluster-randomized controlled trial to evaluate the effects of a simplified cardiovascular management program in Tibet, China and Haryana, India: study design and rationale
    (BMC Public Health, 2014) Vamadevan S. Ajay; Maoyi Tian; Hao Chen; Yangfeng Wu; Xian Li; Danzeng Dunzhu; Mohammed K. Ali; Nikhil Tandon; Anand Krishnan; Dorairaj Prabhakaran; Lijing L. Yan
    Background: In resource-poor areas of China and India, the cardiovascular disease burden is high, but availability of and access to quality healthcare is limited. Establishing a management scheme that utilizes the local infrastructure and builds healthcare capacity is essential for cardiovascular disease prevention and management. The study aims to develop, implement, and evaluate the feasibility and effectiveness of a simplified, evidence-based cardiovascular management program delivered by community healthcare workers in resource-constrained areas in Tibet, China and Haryana, India. Methods/design: This yearlong cluster-randomized controlled trial will be conducted in 20 villages in Tibet and 20 villages in Haryana. Randomization of villages to usual care or intervention will be stratified by country. High cardiovascular disease risk individuals (aged 40 years or older, history of heart disease, stroke, diabetes, or measured systolic blood pressure of 160 mmHg or higher) will be screened at baseline. Community health workers in the intervention villages will be trained to manage and follow up high-risk patients on a monthly basis following a simplified '2 + 2' intervention model involving two lifestyle recommendations and the appropriate prescription of two medications. A customized electronic decision support system based on the intervention strategy will be developed to assist the community health workers with patient management. Baseline and follow-up surveys will be conducted in a standardized fashion in all villages. The primary outcome will be the net difference between-group in the proportion of high-risk patients taking antihypertensive medication pre- and post-intervention. Secondary outcomes will include the proportion of patients taking aspirin and changes in blood pressure. Process and economic evaluations will also be conducted. Discussion: To our knowledge, this will be the first study to evaluate the effect of a simplified management program delivered by community health workers with the help of electronic decision support system on improving the health of high cardiovascular disease risk patients. If effective, this intervention strategy can serve as a model that can be implemented, where applicable, in rural China, India, and other resource-constrained areas.
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    A cluster randomized controlled trial of an electronic decision-support system to enhance antenatal care services in pregnancy at primary healthcare level in Telangana, India: trial protocol
    (BMC Pregnancy Childbirth, 2023) Sailesh Mohan; Monica Chaudhry; Ona McCarthy; Prashant Jarhyan; Clara Calvert; Devraj Jindal; Rajani Shakya; Emma Radovich; Dimple Kondal; Loveday Penn-Kekana; Kalpana Basany; Ambuj Roy; Nikhil Tandon; Abha Shrestha; Abha Shrestha; Biraj Karmacharya; John Cairns; Pablo Perel; Oona M. R. Campbell; Dorairaj Prabhakaran
    Background India contributes 15% of the total global maternal mortality burden. Lessons learned from this trial will also inform recommendations for designing and upscaling similar mHealth interventions in other low and middle-income countries.
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    A Photovoice Study to Reveal Community Perceptions of Highly Processed Packaged Foods in India
    (Ecol. Food Nutr., 2021) Nikhil Srinivasapura Venkateshmurthy; Gopi Potubariki; Kerry Ann Brown; Piyu Sharma; Anjali Ganpule-Rao; Dorairaj Prabhakaran; Sailesh Mohan; Cecile Knai
    India is experiencing a nutrition transition, with sales of packaged and processed foods rapidly increasing in recent years. This study sought to understand the views and experiences of self-help groups about highly processed, packaged food in Visakhapatnam, India, using the Photovoice method. Participants were able to record, reflect on and critique their environments through participatory analysis, identifying key themes, and offering a critical lens on their food environment and experiences. On an average eight and 14 members participated in the Photovoice workshops held in urban and rural Visakhapatnam respectively. The key themes emerging from the photos and text data are that participants experienced highly processed packaged foods as being: 1) democratic (easily available and consumed by all, affordable and accessible; 2) convenient (easy to prepare) and 3) unhealthy (for human consumption and for environmental sustainability). These data demonstrate the challenges facing public health nutritionists in wishing to shift dietary behaviors to healthy habits: on the surface participants acknowledged their unhealthy characteristics, however these products may now be embedded in dietary culture. Traditional methods for changing dietary habits may not be able to capture the complexity and systems approach is required to explore the most effective entry points for affecting change.