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Item Access to health care and employment status of people with disabilities in South India, the SIDE (South India Disability Evidence) study(BMC Public Health, 2014) Murthy Venkata S. Gudlavalleti; Neena John; Komal Allagh; Jayanthi Sagar; Sureshkumar Kamalakannan; Srikrishna S. RamachandraBackground: Data shows that people with disability are more disadvantaged in accessing health, education and employment opportunities compared to people without a disability. There is a lack of credible documented evidence on health care access and barriers to access from India. The South India Disability Evidence (SIDE) Study was undertaken to understand the health needs of people with disabilities, and barriers to accessing health services. Methods: The study was conducted in one district each in two States (Andhra Pradesh and Karnataka) in 2012. Appropriate age and sex-matched people without a disability were recruited to compare with people with disability who were identified through a population-based survey and available government disability records by trained key informants. These people were then examined by a medical team to confirm the diagnosis. Investigators administered questionnaire schedules to people with and without a disability to harness information on employment and health service access, utilization and barriers. Results: A total of 839 people with disabilities and 1153 age and sex matched people without a disability, aged 18 years or more were included. People with disability had significantly lower employment rates. On univariate analysis, people with disability (18.4%) needed to visit a hospital significantly more often in the preceding year compared to people without a disability (8.8%) (X-2 - 40.0562; P < = 0.001). However adjusted odds ratios did not show a statistically significant difference. Significant differences were also observed with respect to past hospitalization. People with disabilities had 4.6 times higher risk of suffering from diabetes and 5.8 times higher risk of suffering from depression compared to people without a disability and the risk was significantly higher in males compared to females with disability. People with disability faced significantly more barriers to accessing health services compared to people without a disability. Barriers included ignorance regarding availability of services, costs of services and transportation. Conclusions: This study highlights the challenges that people with disability face in accessing health-care and employment opportunities. The study findings have public health implications and should be used for planning need-based appropriate strategies to improve health care access for people with disabilities.Item Use of modern technologies for promoting health at the population level in India(The Lancet Regional Health - Southeast Asia, 2024) Rukman Manapurath; Deepthi Raran Veetil; Mohan S. KamathHealth Technology Assessment (HTA) evaluates the technologies, influencing healthcare policy and improving health outcomesItem Trials Methodology Research: what is it and why should India invest in it?(The Lancet Regional Health Southeast Asia, 2024) Sangeetha Paramasivana; Anant Bhan; Rashmi Rodrigues; Usha MenonThis Viewpoint presents an overview of trials methodology research (TMR) and the case for investing in TMR in India.Item Evolving Use of Health Technology Assessment in Medical Device Procurement-Global Systematic Review: An ISPOR Special Interest Group Report(Value In Health, 2023) Michael Cangelosi; Akriti Chahar; Simon EggingtonThe paper reviews the current academic evidence describing how data from health technology assessments (HTAs) informs procurement decisions for medical devices.Item Challenges and Strategic Solutions to Guarantee Last Mile Reach for an Indian TB Patient's Nikshay Poshan Yojana; A Conditional Cash Transfer Scheme Comment on Does Direct Benefit Transfer Improve Outcomes Among People With Tuberculosis?-A Mixed-Methods Study on the Need for a Review of the Cash Transfer Policy in India(International Journal of Health Policy and Management, 2023) Harsh ShahNikshay Poshan Yojna (NPY) is one of the schemes of conditional cash transfers (CCTs) by the Government of India. This commentary discusses th challenges and possible solutions that policy-makers can adopt.Item A comparative study of health outcomes between elderly Migrant and non-migrant population in India: Exploring health disparities through propensity score matching(SSM-Popul. Health, 2024) Bittu Mandal; Kalandi Charan PradhanMigrants constitute a vulnerable segment of the population, particularly susceptible to various health challenges. Despite this, limited research has delved into the comparative health statuses of migrants and non-migrants in the rising elderly population. This study aims to bridge this gap by exploring health disparities between these two groups. Leveraging data from a nationally representative, large-scale Longitudinal Ageing Study in India (LASI) survey (n = 29002; 3103 Migrants and 25899 Non-migrants), this research focuses on four health indicators: selfrated health (SRH), depression, multimorbidity, and functional limitations. The study undertakes descriptive and bivariate analyses for migrant and non-migrant groups and employs propensity score matching techniques to fulfil its objectives. The findings reveal that for respective migrant and non-migrant populations, the prevalence of poor-SRH was 24.04 % and 16.29 %; depression was 12.32 % and 6.62 %; multimorbidity was 26.78 % and 15.71 %, and functional limitation was 28.35 % and 23.13 %. The study uncovers a 2.4 percentage point increase in poor self-rated health, a 1.0 percentage point rise in depression, and notably, a 4.2 and 1.0 percentage point elevation in multimorbidity and functional limitations among migrants relative to non-migrants. Evident from the outcomes is a stark health disparity, emphasising migrants' heightened vulnerability across multiple health dimensions. The implication of this research highlights the necessity for policy interventions aimed at eliminating health inequalities between migrant and non-migrant populations.