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Item Realizing universal health coverage in India(Frontiers in Public Health, 2023) Nerges Mistry; Sandhya Venkateswaran; Rama Baru; Vikram PatelWhile the goals of UHC are largely common, the pathways leading to goal realization may vary across countries.Item Health Checkup-The Changing State of Health Centres in North India(EPW, 2024) Jean Drèze; Reetika Khera; Rishabh MalhotraContrary to a common narrative whereby public health services in India have “collapsed,” there is a general pattern of improving quality and utilisation over time. The pace of improvement, however, is far from adequate.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 Uncovering Coverage: Utilisation of the Universal Health Insurance Scheme, Chhattisgarh by Women in Slums of Raipur(Indian Journal of Gender Studies, 2016) Sulakshana Nandi; Rajib DasguptaThis study was conducted in the slums of Raipur, the capital and largest city of Chhattisgarh, with the objective of assessing issues of coverage and utilisation in these areas.Item The puzzle of public health expenditure and healthcare infrastructure in India: An empirical investigation(Regional Science Policy & Practice Volume 16, Issue 2, February 2024, 12710, 2024) Tiken Das; Pradyut GuhaThis study examines the temporal pattern of healthcare infrastructure and manpower indicators across Indian states and regions between 2006–2020 using a composite index and data from various published sources. The study also investigates the monetary factors determining the quality and provision of healthcare infrastructure and manpower for India as a whole as well as for rural and tribal areas discretely.Item Implementation of the Right to Health Through Laws and Policies in India Implications for Universal Health Coverage(SSRN Electronic Journal, 2023) C-HELP; Centre for Health Equity; Law and PolicyAn examination of health-related law/ policy frameworks and developments in the context of rights becomes essential to informing the Commission抯 findings and recommendations on UHC.Item Health insurance support on maternal health care: evidence from survey data in India(Journal of Public Health, 2023) Imtiyaz Ali; Saddaf Naaz Akhtar; Bal Govind Chauhan; Manzoor Ahmad Malik; Kapil Dev SinghThe article examine the health insurance policies that cover maternal health and their performance in India.Item Human health implications of emerging diseases and the current situation in India's vaccine industry(Science in One Health, 2023) Jiban Kumar Behera; Pabitra Mishra; Anway Kumar Jena; Bhaskar Behera; Manojit BhattacharyaEmerging diseases are infectious diseases that pose significant threat to human health, causing millions of deaths and disabilities in the upcoming days. Periodic epidemics of new infections and old reinfections increase the global burden of disease prevalence. They can be caused by new pathogens or evolving ones, which change human behavior and environmental factors.Item Field based research in the era of the pandemic in resource limited settings: challenges and lessons for the future(Frontiers in Public Health, 2024) Rubina Mulchandani; Tanica Lyngdoh; Sheetal Gandotra; H. S. Isser; Rajinder K. Dhamija; Ashish Kumar KakkarThe coronavirus pandemic that began in December 2019, has had an unprecedented impact on the global economy, health systems and infrastructure, in addition to being responsible for significant mortality and morbidity worldwide. The new normal has brought along, unforeseen challenges for the scientific community, owing to obstructions in conducting field-based research in lieu of minimizing exposure through in-person contact. This has had greater ramifications for the LMICs, adding to the already existing concerns. As a response to COVID-19 related movement restrictions, public health researchers across countries had to switch to remote data collections methods. However, impediments like lack of awareness and skepticism among participants, dependence on paper-based prescriptions, dearth of digitized patient records, gaps in connectivity, reliance on smart phones, concerns with participant privacy at home and greater loss to follow-up act as hurdles to carrying out a research study virtually, especially in resource-limited settings. Promoting health literacy through science communication, ensuring digitization of health records in hospitals, and employing measures to encourage research participation among the general public are some steps to tackle barriers to remote research in the long term. COVID-19 may not be a health emergency anymore, but we are not immune to future pandemics. A more holistic approach to research by turning obstacles into opportunities will not just ensure a more comprehensive public health response in the coming time, but also bolster the existing infrastructure for a stronger healthcare system for countries.Item A scalable health system model to achieve high coverage and quality of Kangaroo mother care in Uttar Pradesh, India(Acta Paediatr., 2023) Aarti Kumar; Madhuri Tiwari; Raghav Krishna; Pramod Kumar Singh; Arti Sahu; Vivek Singh; Aman Mishra; Pankaj Kumar; Alok Kumar; Gary L. Darmstadt; Vishwajeet KumarAim To design a health system model for scaling-up Kangaroo mother care (KMC) and assess its impact on the population-level coverage and quality of KMC in Uttar Pradesh, India. Methods We co-developed the model with mothers and health system stakeholders using human-centred design over multiple cycles of implementation, learning and data-driven refinement. Infants with birthweight High delivery load facilities were equipped with a KMC Lounge to ensure comfort, respectful care of mothers and high-quality KMC over prolonged periods. Systems to ensure weighing at birth, referral of infants with birthweight <2000 g to KMC facilities, initiation of KMC for all stable low birthweight infants, improving quality of care within KMC facilities and supporting families to continue KMC at home post discharge, were integrated into existing services. KMC was initiated in 93.3% of eligible infants with effective coverage of 52.7% and 64.8% at discharge and 7 days post discharge, respectively. Conclusion The model addressed critical barriers to KMC implementation and adoption, contributing to its scale-up across the state.