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Item A Vision for Nutrition Research in Asia(Food Nutr. Bull., 2019) Shweta Khandelwal; Anura KurpadItem Abortion among married young women: findings from a community-based study in Rajasthan and Uttar Pradesh, India(J. Biosoc. Sci., 2020) A. J. Francis Zavier; K. G. Santhya; Shireen J. JejeebhoyAbortion service provision has changed noticeably in the recent past and medication abortion currently accounts for four-fifths of all induced abortions taking place in India. How these changes have modified abortion experiences among young women - a group known to be more disadvantaged than adult women - remains unanswered. This paper fills this gap and examines the experiences of married young abortion seekers, including pre-abortion decision-making, abortion seeking and experiences of the procedure, and post-abortion complications. Data were drawn from a community-based survey of 4952 married young women aged 15-24 years conducted in Uttar Pradesh and Rajasthan in 2015. The study focused on 166 young women who had an induced abortion in the two years before the survey, and used descriptive statistics to describe their abortion experiences. Seventy-four per cent of abortion seekers had relied on medication abortion and 47% had obtained it over the counter without a physician's prescription. Moreover, 90% accessed abortion services from private facilities, including drug sellers. A small proportion (4%) had undergone abortion in the second trimester of pregnancy. At the same time, 13% reported multiple abortion attempts; 17% underwent dilation and curettage; and 52% experienced self-reported complications, including 5% who experienced moderate to severe complications. The findings call for greater attention to providing contraceptive counselling and services to married young women, ensuring abortion services in public health facilities and exploring mechanisms to improve drug sellers' knowledge and practices in providing medication abortion.Item A summative content analysis of how programmes to improve the right to sexual and reproductive health address power(BMJ Glob. Health, 2022) Marta Schaaf; Victoria Boydell; Stephanie M. Topp; Aditi Iyer; Gita Sen; Ian AskewIntroduction Power shapes all aspects of global health. The concept of power is not only useful in understanding the current situation, but it is also regularly mobilised in programmatic efforts that seek to change power relations. This paper uses summative content analysis to describe how sexual and reproductive health (SRH) programmes in low-income and middle-income countries explicitly and implicitly aim to alter relations of power. Methods Content analysis is a qualitative approach to analysing textual data; in our analysis, peer-reviewed articles that describe programmes aiming to alter power relations to improve SRH constituted the data. We searched three databases, ultimately including 108 articles. We extracted the articles into a spreadsheet that included basic details about the paper and the programme, including what level of the social ecological model programme activities addressed. Results The programmes reviewed reflect a diversity of priorities and approaches to addressing power, though most papers were largely based in a biomedical framework. Most programmes intervened at multiple levels simultaneously; some of these were 'structural' programmes that explicitly aimed to shift power relations, others addressed multiple levels using a more typical programme theory that sought to change individual behaviours and proximate drivers. This prevailing focus on proximate behaviours is somewhat mismatched with the broader literature on the power-related drivers of SRH health inequities, which explores the role of embedded norms and structures. Conclusion This paper adds value by summarising what the academic public health community has chosen to test and research in terms of power relations and SRH, and by raising questions about how this corresponds to the significant task of effecting change in power relations to improve the right to SRH.Item A sustainable solution to manage ecosystem health of wetlands in urban and peri-urban areas of Lucknow district, India using geospatial techniques and community based pragmatic approach(J. Clean Prod., 2023) Kashif Imdad; Mehebub Sahana; Joe Ravetz; Gopala Areendran; Ouseen Gautam; Sudha Dwivedi; Archana Chaudhary; Haroon SajjadWetlands are multi-functional landscapes between terrestrial and aquatic ecosystems that provide habitat for wildlife, support groundwater recharge, moderate climate, control flood and fulfil the livelihood of the com-munities. Rapid population growth, urban expansion, and industrialization have caused the degradation of wetlands over the last few decades. The wetlands located in the urban and peri-urban areas are generally the most threatened ecosystems globally. The present study assessed the ecosystem health of urban and peri-urban wetlands of Lucknow district in India and recommended a sustainable solution for their management. Remote sensing data derived from the normalized difference vegetation index, modified normalized difference water index, and land use/land cover change were utilized for analyzing the spatiotemporal change in areas under wetlands, from 1989 to 2018. Site-specific indicators on pressure, state and response were integrated in FRAGSTATS-based assessment to construct a Pressure-State-Response (PSR) model. A qualitative field survey has been conducted through focus group discussion and expert opinion to validate the result from the PSR model. The results revealed that the overall health of the wetlands has deteriorated drastically in these peri-urban areas owing to anthropogenic activities. The wetland ecosystem's health is significantly correlated with land trans-formation. The study recommended community participation, and involvement of local authorities in storing rainwater, constructing culverts and channels, and interlinking them with wetlands for sustainable conservation and effective management of the wetland ecosystem.