Farmers' suicide in India: implications for public mental health.

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Das, Anindya

2011-01-01

Farmers' suicide in India is a cause of concern and government figures, though conservative, predict an impending epidemic. Various measures to curb this calamity are being made in a piecemeal manner. Considering it as an issue of social and mental health concern, this article attempts to evaluate the situation based on the tenet that health and illness are the result of a complex interplay between biological, psychological, social, environmental, economic and political factors. Thus in India the agrarian crisis, among other causes, has been largely debated as the major reason for the current state of farmers. It is important that (psychiatric) epidemiology and public mental health try to evolve mechanisms to understand and implement measures, and take this into consideration when attempting health promotion and prevention.

Public health cadre in India: The need of the hour

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Chandra Mohan Singh Rawat

2014-12-01

Full Text Available India has made considerable progress in public health since independence including eradication of small pox, poliomyelitis, guinea worm, and elimination of yaws, leprosy and neonatal tetanus from the country. The strategies of the National Rural Health Mission have resulted in significant improvements in key health indicators like institutional deliveries, full immunization, and availability of diagnostic and family welfare services in many states of the country. However, the country’s health system continues to faces many challenges. Population of India as per census 2011 stood 1210 million.1 The demographic transition of the country has been relatively slow, so the population ages slowly. Because of epidemiological transition, the county is facing double burden of communicable as well as non-communicable diseases. The rates of coronary heart disease (CHD have increased rapidly in India recently which is also attributed partly to a demographic transition. The country is facing other several public health problems. In 2012, the infant mortality rate (IMR was 42/1000 live births and there was a huge gap between IMR of rural (46/1000 live births and urban (28/1000 live births, while the maternal mortality ratio was 178/100,000 live births.2 According to National Family Health Survey (NFHS-3, nearly 50 % of children under 5 years age have protein energy malnutrition of various grades.

Public health cadre in India: The need of the hour

Directory of Open Access Journals (Sweden)

Chandra Mohan Singh Rawat

2014-12-01

Full Text Available India has made considerable progress in public health since independence including eradication of small pox, poliomyelitis, guinea worm, and elimination of yaws, leprosy and neonatal tetanus from the country. The strategies of the National Rural Health Mission have resulted in significant improvements in key health indicators like institutional deliveries, full immunization, and availability of diagnostic and family welfare services in many states of the country. However, the country’s health system continues to faces many challenges. Population of India as per census 2011 stood 1210 million.1 The demographic transition of the country has been relatively slow, so the population ages slowly. Because of epidemiological transition, the county is facing double burden of communicable as well as non-communicable diseases. The rates of coronary heart disease (CHD have increased rapidly in India recently which is also attributed partly to a demographic transition. The country is facing other several public health problems. In 2012, the infant mortality rate (IMR was 42/1000 live births and there was a huge gap between IMR of rural (46/1000 live births and urban (28/1000 live births, while the maternal mortality ratio was 178/100,000 live births.2 According to National Family Health Survey (NFHS-3, nearly 50 % of children under 5 years age have protein energy malnutrition of various grades.

Inequalities in advice provided by public health workers to women during antenatal sessions in rural India.

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Singh, Abhishek; Pallikadavath, Saseendran; Ram, Faujdar; Ogollah, Reuben

2012-01-01

Studies have widely documented the socioeconomic inequalities in maternal and child health related outcomes in developing countries including India. However, there is limited research on the inequalities in advice provided by public health workers on maternal and child health during antenatal visits. This paper investigates the inequalities in advice provided by public health workers to women during antenatal visits in rural India. The District Level Household Survey (2007-08) was used to compute rich-poor ratios and concentration indices. Binary logistic regressions were used to investigate inequalities in advice provided by public health workers. The dependent variables comprised the advice provided on seven essential components of maternal and child health care. A significant proportion of pregnant women who attended at least four ANC sessions were not advised on these components during their antenatal sessions. Only 51%-72% of the pregnant women were advised on at least one of the components. Moreover, socioeconomic inequalities in providing advice were significant and the provision of advice concentrated disproportionately among the rich. Inequalities were highest in the case of advice on family planning methods. Advice on breastfeeding was least unequal. Public health workers working in lower level health facilities were significantly less likely than their counterparts in the higher level health facilities to provide specific advice. A significant proportion of women were not advised on recommended components of maternal and child health in rural India. Moreover, there were enormous socioeconomic inequalities. The findings of this study raise questions about the capacity of the public health care system in providing equitable services in India. The Government of India must focus on training and capacity building of the public health workers in communication skills so that they can deliver appropriate and recommended advice to all clients, irrespective of

Inequalities in advice provided by public health workers to women during antenatal sessions in rural India.

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Abhishek Singh

Full Text Available Studies have widely documented the socioeconomic inequalities in maternal and child health related outcomes in developing countries including India. However, there is limited research on the inequalities in advice provided by public health workers on maternal and child health during antenatal visits. This paper investigates the inequalities in advice provided by public health workers to women during antenatal visits in rural India.The District Level Household Survey (2007-08 was used to compute rich-poor ratios and concentration indices. Binary logistic regressions were used to investigate inequalities in advice provided by public health workers. The dependent variables comprised the advice provided on seven essential components of maternal and child health care. A significant proportion of pregnant women who attended at least four ANC sessions were not advised on these components during their antenatal sessions. Only 51%-72% of the pregnant women were advised on at least one of the components. Moreover, socioeconomic inequalities in providing advice were significant and the provision of advice concentrated disproportionately among the rich. Inequalities were highest in the case of advice on family planning methods. Advice on breastfeeding was least unequal. Public health workers working in lower level health facilities were significantly less likely than their counterparts in the higher level health facilities to provide specific advice.A significant proportion of women were not advised on recommended components of maternal and child health in rural India. Moreover, there were enormous socioeconomic inequalities. The findings of this study raise questions about the capacity of the public health care system in providing equitable services in India. The Government of India must focus on training and capacity building of the public health workers in communication skills so that they can deliver appropriate and recommended advice to all clients

Leadership Skills of Students in Alternative Education and Mainstream Schools in India

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Venkatraman, Ganesan

2011-01-01

This study documents the student leadership skills in selected alternative education and mainstream schools in India and explores the implications for enhancing school curriculum in India to better address the changing needs of public education in the context of a global economy. This exploratory study offers a comparative analysis of leadership…

Veterinary public health in India: current status and future needs.

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Ghatak, S; Singh, B B

2015-12-01

Veterinary public health (VPH) assumes huge significance in developing countries such as India. However, the implementation of VPH services throughout the country is still in its infancy. From 1970 onwards, many institutes, national and international organisations, professional societies, policies and personalities have contributed towards the development of VPH in India. Nevertheless, there is an urgent need to develop VPH still further as there are many issues, such as high population density, the re-emergence of zoonotic pathogens, environmental pollution and antimicrobial resistance, that require attention. The time has surely come to involve all stakeholders, ranging from primary producers (e.g., farmers) to policy-makers, so as to garner support for the holistic implementation of VPH services in India. To improve VPH activities and services, science-based policies enforced through stringent regulation are required to improve human, animal and environmental health. The emergence of the 'One Health' concept has ushered in new hopes for the resurrection of VPH in India. Applying tools such as the World Organisation for Animal Health (OlE) Day One Competencies and the OlE Tool for the Evaluation of Performance of Veterinary Services (PVS Tool) is essential to improve the quality of national Veterinary Services and to identify gaps and weaknesses in service provision, which can be remedied to comply with the OlE international standards. VPH initiatives started modestly but they continue to grow. The present review is focused on the current status and future needs of VPH in India.

Road safety in India: A Public Health Concern

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Shradha S Parsekar

2015-06-01

Full Text Available Introduction: Road traffic accident (RTA is one of the major preventable public health problems and is on the rise which can be attributed to increase in the number of vehicles and lifestyle changes and risky attitudes. This paper is intended to search for available published information which in turn might help the policy makers as well as practitioners to make use of it. Methods: The information has been gathered from papers related to RTAs from various databases such as PubMed, Google scholar, government websites to get an overview in India for the last 15 years. Result and Conclusion: The burden of RTA was found to be considerably high globally as well as in India. RTA causes a number of effects which can be: economical, physical, psychological and social. The burden of RTA is on the rise which makes it necessary to take a multi-sectoral approach in its prevention and control

Viral Diseases of Public Health Importance in India: Current Priorities with Special Emphasis on Prevention

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Mageshbabu Ramamurthy

2017-10-01

Full Text Available India faces problems with both communicable and non communicable diseases. The major non communicable diseases are cancer, cardiovascular disease and diabetes mellitus. This article focuses on communicable diseases (infectious diseases especially viral infections of public health importance. The infections include bacterial, parasitic and viruses. It could be said that fungal infections by the nature of the spread are not of public health concern. The viral infections are transmitted by the respiratory route, water and food borne route, vectors and blood and blood products, sexual route and are of major concern. Efforts are aimed at early detection, prevention by use of vaccines and sentinel surveillance. For the success of public health programmes sentinel surveillance of diseases is mandatory. India has got several programme initiatives addressing the problem. The programs include IDSP, VBDCP and NACO. The approximate cumulative annual prevalence of infectious disease in India ranges from 100 to 200 million individuals affected in one year. India should aim to improve case detection by strengthening laboratory services with manpower training and nationwide quality control scheme, sentinel surveillance activity and prevention by improving the efficiency and scope of UIP. Also, creation of a single portal of infectious disease data handling hub to collect information from different sources will help avoid overlap and duplication of reporting.

Enhanced Publications Linking Publications and Research Data in Digital Repositories

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Vernooy-Gerritsen, Marjan

2009-01-01

The traditional publication will be overhauled by the 'Enhanced Publication'. This is a publication that is enhanced with research data, extra materials, post publication data, and database records. It has an object-based structure with explicit l

Climate Profile and OCBs of Teachers in Public and Private Schools of India

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Garg, Pooja; Rastogi, Renu

2006-01-01

Purpose: This research aims to assess the significant differences in the climate profile and organizational citizenship behaviors (OCBs) of teachers working in public and private schools of India. Design/methodology/approach: The sample comprised of 100 teachers, out of which 50 teachers were from public school and 50 teachers were from private…

Is myopia a public health problem in India?

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Rohit Saxena

2013-01-01

Full Text Available Myopia, a form of refractive error is a leading cause of visual disability throughout the world. In India uncorrected refractive errors are the most common cause of visual impairment and second major cause of avoidable blindness. Due to this the public health and economic impact of myopia is enormous. Although school vision screening programme is very successful in many states, still a significant number of school going children remain unidentified and the unmet need for correcting refractive errors in children appears to be significant.

Assessment of Passenger Satisfaction with Public Bus Transport Services: A Case Study of Lucknow City (India

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Singh Sanjay

2016-12-01

Full Text Available The main aim of this study is threefold. First, it tries to assess the passenger satisfaction with public bus transport services in the city of Lucknow in India. Second, it tries to examine the service quality attributes that influence the passenger satisfaction. Third, it tries to evaluate the relative importance of service quality attributes to find out the priority for service quality improvements to enhance passenger satisfaction. The study is based on a survey of objective as well as subjective questions conducted between May and July 2014. Five major bus stops of Lucknow were selected for the survey. Total 148 respondents were randomly selected to elicit their overall satisfaction and factors that influence their satisfaction in the use of public bus transport services in Lucknow using a self-rated questionnaire. The collected sample of responses is subjected to principal component analysis, a statistical technique for dimensionality reduction of the dataset, and descriptive analysis. The result of theses analyses shows that passengers are mostly dissatisfied with public bus transport services in Lucknow. Using principal component analysis, five underlying factors were extracted that influenced passenger satisfaction with public bus transport services in the city. Out of these five factors, comfort and safety has the greatest impact on overall satisfaction, followed by the adequacy of capacity of public bus transport services, orderly and clean environment inside buses, elegant design of buses and bus stops, and accessibility to public bus transport services in the city. The study thus provides a direction for public bus transport administration in the city to understand the gaps that exist and try to fill them to improve its services so that passenger satisfaction can be enhanced and consequently more people can be attracted towards public bus transport.

Linking public sector corporate social responsibility with sustainable development: lessons from India

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Subhasis Ray

2013-12-01

Full Text Available Economic think tanks predict India to be the world’s largest economy by 2050. This would require India to accelerate its industrial and infrastructure development. Industrialization based economic development will have a negative impact on the environment and hence sustainable development. Such steps could affect the social and environmental bottom line of the national economy. In recent years, a number of regulatory measures have been proposed by the Indian government to ensure corporate support to the goals of sustainable and inclusive development. The objective of these regulations is to achieve triple bottom line based growth. Notable among them is the mandatory Corporate Social Responsibility (CSR guidelines for public sector undertakings, first issued in April, 2010. I study the possibility and problems created by this effort by analyzing the policy documents and interviewing managers responsible for implementing CSR programmers in Indian public sector. Managers interviewed came from hydropower, coal, power distribution and shipping industries. Based on the study, four areas are identified that requires attention for effective linking between sustainable development and CSR; stakeholder engagement, institutional mechanisms, capacity building and knowledge management. Both government-public sector and public sector-community engagements have to be more streamlined. Institutional mechanisms have to be developed to see that CSR projects are effective and delivering. Importantly, managers at all levels need a better understanding of CSR and sustainable development. Since most projects are in rural areas, understanding of rural issues and sustainability is very important. Finally, such a large scale exercise in CSR should have a knowledge management mechanism to learn from the achievements and mistakes of the early years. I discuss the implication of the findings on India and other emerging economies many of which are struggling to balance

Role of government in public health: Current scenario in India and future scope

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Subitha Lakshminarayanan

2011-01-01

Full Text Available The new agenda for Public Health in India includes the epidemiological transition, demographical transition, environmental changes and social determinants of health. Based on the principles outlined at Alma-Ata in 1978, there is an urgent call for revitalizing primary health care in order to meet these challenges. The role of the government in influencing population health is not limited within the health sector but also by various sectors outside the health systems. This article is a literature review of the existing government machinery for public health needs in India, its success, limitations and future scope. Health system strengthening, human resource development and capacity building and regulation in public health are important areas within the health sector. Contribution to health of a population also derives from social determinants of health like living conditions, nutrition, safe drinking water, sanitation, education, early child development and social security measures. Population stabilization, gender mainstreaming and empowerment, reducing the impact of climate change and disasters on health, improving community participation and governance issues are other important areas for action. Making public health a shared value across the various sectors is a politically challenging strategy, but such collective action is crucial.

Synthesizing evidences for policy translation: a public health discourse on rotavirus vaccine in India.

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Panda, Samiran; Das, Aritra; Samanta, Saheli

2014-08-11

The debate on the relevance of rotavirus vaccine to immunization program in India, where 27 million children are born every year, rages on. We synthesized the issues raised during these debates and reviewed the current literature to identify themes that could inform public health policy decision. The paradigm we used integrated disease burden data, host and environmental factors, vaccine efficacy, immunization program issues, and economic considerations. Our synthesis reveals that substantive country specific information on disease burden and economic impact of rotavirus illness in India is constrained by lack of public discussion and qualitative studies on mothers' perceptions of the vaccine in concern. The need to improve the performance of current immunization program against six major vaccine preventable diseases (tuberculosis, diphtheria, tetanus, pertussis, polio, and measles) is often cited as a priority over introduction of rotavirus vaccine. Health in India being a state subject, we emphasize that the states which are in a position to reap the benefit of rotavirus vaccine, due to their good immunization program performance, should not be restrained from doing so. Meanwhile, the poorly performing states should step up their vaccination program and increase immunization coverage. Scientific, ethical and societal concerns captured through multiple sources indicate that the introduction of rotavirus vaccine would be a good investment for India. Copyright © 2014. Published by Elsevier Ltd.

Viewpoint: Re-instating a 'public health' system under universal health care in India.

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George, Mathew

2015-02-01

I examine possibilities for strengthening essential public health functions in the context of India's drive to implement universal health care. In a country where population health outcomes are rooted in social, political, economic, cultural, and ecological conditions, it is important to have a state mediated public health system that can modify the causes of the major public health problems. This calls for strengthening the social epidemiological approach in public health by demarcating public health functions distinct from medical care. This will be a prerequisite for the growth of the public health profession in the country, because it can offer avenues for newly trained professionals within the country to work in 'core' public health.

Good City Governance in India

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Raj Kumar Siwach

2014-06-01

Full Text Available Good governance is identified as imperative for enhancing the performance of Municipal councils in India. This is against the backdrop of mounting service delivery challenges confronting these Municipalities especially in the Haryana province. Using a case-study design, the study assesses performance in the context of basic elements of participative governance, transparency and accountability. The article contributes to growing literature on public sector issues in the discipline.

Public Preschooling and Maternal Labor Force Participation in Rural India.

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Jain, Monica

2013-01-01

Mothers from poor families in India have a compelling need to work, but childcare for their young children is a constraint. This paper examines how far the public daycare helps in loosening this constraint. Todo this, I look at the effect on maternal labor force participation, of daycare implicit in the preschooling provided to young children, through India’s largest child development program - Integrated Child Development Scheme (ICDS). Besides preschooling, the ICDS program provides a whole...

Public sector scale-up of zinc and ORS improves coverage in selected districts in Bihar, India.

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Walker, Christa L Fischer; Taneja, Sunita; Lamberti, Laura M; Black, Robert E; Mazumder, Sarmila

2015-12-01

In Bihar, India, a new initiative to enhance diarrhea treatment with zinc and ORS in the public sector was rolled out in selected districts. We conducted an external evaluation to measure changes in diarrhea careseeking and treatment in intervention districts. We conducted baseline and endline household surveys among caregivers of children 2-59 months of age. We calculated summary statistics for household characteristics, knowledge, careseeking and treatments given to children with a diarrhea episode in the last 14 days and built logistic regression models to compare baseline and endline values. Caregivers named a public health center as an appropriate source of care for childhood diarrhea more often at endline (71.3%) compared to baseline (38.4%) but did not report increased careseeking to public sector providers for the current diarrhea episode. In logistic regression analyses, the odds of receiving zinc, with or without oral rehydration salts (ORS), increased at endline by more than 2.7 as compared to baseline. Children who were taken to the public sector for care were more likely to receive zinc (odds ratio, OR = 3.93) and zinc in addition to ORS (OR = 6.10) compared to children who were not taken to the public sector. Coverage of zinc and ORS can improve with public sector programs targeted at training and increasing product availability, but demand creation may be needed to increase public sector careseeking in areas where the private sector has historically provided much of the care.

Transforming public health education in India through networking and collaborations: opportunities and challenges.

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Sharma, Anjali; Zodpey, Sanjay P

2013-01-01

A competent and motivated health workforce is indispensable to achieve the best health outcomes possible through given available resources and circumstances. However, apart from the shortages and unequal distribution, the workforce has fallen short of responding to the public health challenges of 21 st century also because of primarily the traditional training of health professionals. Although, health professionals have made enormous contributions to health and development over the past century, the 20 th century educational strategies are unfit to tackle 21 st century challenges. One of the key recommendations of the Lancet Commission on Education of Health Professionals is to improve health through reforms of professional education by establishing networks and partnerships which takes advantage of information and communication linkages. The primary goal of this manuscript is to highlight the potential of networks and partnerships in advancing the agenda of educational reforms to revitalize public health education in India. It outlines the current status and expanding scope of public health education in India, existing networks of public health professionals and public health education institutions in the country, and opportunities, advantages and challenges for such networks. Although, we have networks of individuals and institutions in the country, there potential to bring about change has still not being utilized fully and effectively. Immediate collaborative efforts could be directed towards designing and adaptation of competency driven curriculum frameworks suitable of addressing public health challenges of 21 st century, shifting the current focus of curriculum to multidisciplinary public health outlook, developing accreditation mechanisms for both the programs and institutions, engaging in creating job opportunities and designing career pathways for public health professionals in public and private sector. These efforts could certainly be facilitated

Enhanced Publications: Data Models and Information Systems

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Alessia Bardi

2014-04-01

Full Text Available “Enhanced publications” are commonly intended as digital publications that consist of a mandatory narrative part (the description of the research conducted plus related “parts”, such as datasets, other publications, images, tables, workflows, devices. The state-of-the-art on information systems for enhanced publications has today reached the point where some kind of common understanding is required, in order to provide the methodology and language for scientists to compare, analyse, or simply discuss the multitude of solutions in the field. In this paper, we thoroughly examined the literature with a two-fold aim: firstly, introducing the terminology required to describe and compare structural and semantic features of existing enhanced publication data models; secondly, proposing a classification of enhanced publication information systems based on their main functional goals.

Health and economic benefits of public financing of epilepsy treatment in India: An agent-based simulation model.

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Megiddo, Itamar; Colson, Abigail; Chisholm, Dan; Dua, Tarun; Nandi, Arindam; Laxminarayan, Ramanan

2016-03-01

An estimated 6-10 million people in India live with active epilepsy, and less than half are treated. We analyze the health and economic benefits of three scenarios of publicly financed national epilepsy programs that provide: (1) first-line antiepilepsy drugs (AEDs), (2) first- and second-line AEDs, and (3) first- and second-line AEDs and surgery. We model the prevalence and distribution of epilepsy in India using IndiaSim, an agent-based, simulation model of the Indian population. Agents in the model are disease-free or in one of three disease states: untreated with seizures, treated with seizures, and treated without seizures. Outcome measures include the proportion of the population that has epilepsy and is untreated, disability-adjusted life years (DALYs) averted, and cost per DALY averted. Economic benefit measures estimated include out-of-pocket (OOP) expenditure averted and money-metric value of insurance. All three scenarios represent a cost-effective use of resources and would avert 800,000-1 million DALYs per year in India relative to the current scenario. However, especially in poor regions and populations, scenario 1 (which publicly finances only first-line therapy) does not decrease the OOP expenditure or provide financial risk protection if we include care-seeking costs. The OOP expenditure averted increases from scenarios 1 through 3, and the money-metric value of insurance follows a similar trend between scenarios and typically decreases with wealth. In the first 10 years of scenarios 2 and 3, households avert on average over US$80 million per year in medical expenditure. Expanding and publicly financing epilepsy treatment in India averts substantial disease burden. A universal public finance policy that covers only first-line AEDs may not provide significant financial risk protection. Covering costs for both first- and second-line therapy and other medical costs alleviates the financial burden from epilepsy and is cost-effective across wealth

Public finance of rotavirus vaccination in India and Ethiopia: an extended cost-effectiveness analysis.

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Verguet, Stéphane; Murphy, Shane; Anderson, Benjamin; Johansson, Kjell Arne; Glass, Roger; Rheingans, Richard

2013-10-01

An estimated 4% of global child deaths (approximately 300,000 deaths) were attributed to rotavirus in 2010. About a third of these deaths occurred in India and Ethiopia. Public finance of rotavirus vaccination in these two countries could substantially decrease child mortality and also reduce rotavirus-related hospitalizations, prevent health-related impoverishment and bring significant cost savings to households. We use a methodology of 'extended cost-effectiveness analysis' (ECEA) to evaluate a hypothetical publicly financed program for rotavirus vaccination in India and Ethiopia. We measure program impact along four dimensions: 1) rotavirus deaths averted; 2) household expenditures averted; 3) financial risk protection afforded; 4) distributional consequences across the wealth strata of the country populations. In India and Ethiopia, the program would lead to a substantial decrease in rotavirus deaths, mainly among the poorer; it would reduce household expenditures across all income groups and it would effectively provide financial risk protection, mostly concentrated among the poorest. Potential indirect benefits of vaccination (herd immunity) would increase program benefits among all income groups, whereas potentially decreased vaccine efficacy among poorer households would reduce the equity benefits of the program. Our approach incorporates financial risk protection and distributional consequences into the systematic economic evaluation of vaccine policy, illustrated here with the case study of public finance for rotavirus vaccination. This enables selection of vaccine packages based on the quantitative inclusion of information on equity and on how much financial risk protection is being bought per dollar expenditure on vaccine policy, in addition to how much health is being bought. Copyright © 2013 Elsevier Ltd. All rights reserved.

Public sector scale–up of zinc and ORS improves coverage in selected districts in Bihar, India

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Christa L. Fischer Walker

2015-02-01

Full Text Available In Bihar, India, a new initiative to enhance diarrhea treatment with zinc and ORS in the public sector was rolled out in selected districts. We conducted an external evaluation to measure changes in diarrhea careseeking and treatment in intervention districts. We conducted baseline and endline household surveys among caregivers of children 2–59 months of age. We calculated summary statistics for household characteristics, knowledge, careseeking and treatments given to children with a diarrhea episode in the last 14 days and built logistic regression models to compare baseline and endline values. Caregivers named a public health center as an appropriate source of care for childhood diarrhea more often at endline (71.3% compared to baseline (38.4% but did not report increased careseeking to public sector providers for the current diarrhea episode. In logistic regression analyses, the odds of receiving zinc, with or without oral rehydration salts (ORS, increased at endline by more than 2.7 as compared to baseline. Children who were taken to the public sector for care were more likely to receive zinc (odds ratio, OR = 3.93 and zinc in addition to ORS (OR = 6.10 compared to children who were not taken to the public sector. Coverage of zinc and ORS can improve with public sector programs targeted at training and increasing product availability, but demand creation may be needed to increase public sector careseeking in areas where the private sector has historically provided much of the care.

Enhancing public health practice through a capacity-building educational programme: an evaluation.

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Negandhi, Preeti; Negandhi, Himanshu; Sharma, Kavya; Wild, Sarah; Zodpey, Sanjay

2015-05-13

The Post-Graduate Diploma in Public Health Management, launched by the Govt. of India under the aegis of the National Rural Health Mission in 2008, aims to enhance the managerial capabilities of public health professionals to improve the public health system. The Govt. of India invested enormous resources into this programme and requested an evaluation to understand the current processes, assess the graduates' work performance and identify areas for improvement. Quantitative telephone surveys as well as qualitative in-depth interviews were used. Graduates from the first three batches, their supervisors, peers and subordinates and faculty members were interviewed. Quantitative data were analysed using proportions, means and interpretative descriptions. Qualitative analyses involved transcription, translation, sorting, coding and filing into domains. Of the 363 graduates whose contact details were available, 138 could not be contacted. Two hundred twenty-three (223) graduates (61.43% of eligible participants) were interviewed by telephone; 52 in-depth interviews were conducted. Of the graduates who joined, 63.8% graduates were motivated to join the programme for career advancement and gaining public health knowledge. The content was theoretically good, informative and well-designed. Graduates expressed need for more practical and group work. After graduating, they reported being equipped with some new skills to implement programmes effectively. They reported that attitudes and healthcare delivery practices had improved; they had better self-esteem, increased confidence, better communication skills and implementation capacity. While they were able to apply some skills, they encountered some barriers, such as governance, placements, lack of support from the system and community, inadequate implementation authority and lack of planning by the state government. Incentives (both monetary and non-monetary) played a major role in motivating them to deliver public health

Humanizing HIV/AIDS and its (re)stigmatizing effects: HIV public 'positive' speaking in India.

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Finn, Mark; Sarangi, Srikant

2009-01-01

Social stigma has been inextricably linked with HIV and AIDS since the epidemic erupted in the early 1980s. The stigma that has built up around HIV and AIDS is generally regarded as having a negative impact on the quality of life of HIV-positive people and on general prevention efforts. Current attempts to combat HIV-related stigma focus on increasing the acceptance of HIV among the stigmatizing public and stigmatized individuals alike. In this, the global HIV-positive community is being increasingly called upon to ;humanize' the virus, not least through public displays of HIV 'positive' health and public ;positive' speaking. This article critically explores the constitutive effects and inherent power relations of HIV Positive Speakers' Bureaus (PSBs) as a platform for such a display. Adopting a post-structuralist discourse analytic approach, we explore accounts of positive-speaking and HIV health from HIV-related non-government organizations in India and in PSB training manuals. In particular, we highlight ways in which positive-speaking in India can be seen to have significant (re)stigmatizing effects by way of ambivalent and hyper-real configurations of HIV 'positive' identity and life.

RETRACTED M-HEALTH SERVICES: CAN IT BE A POTENTIAL MECHANISM IN IMPROVING PUBLIC HEALTH SYSTEM OF INDIA?

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Sanjeev Davey

2013-09-01

Full Text Available Background: The role of mobile in health system is now important for us, to make use of this very fastly growing technology in improving the public health of Indian people. Objectives: To critically review the role of m-health in public health system of India. Methods: A systematic review of related studies and literature of last 10 years published in pubmed etc till 31st March 2013 on role of m-Health in public health was done. Results and discussion: A wide variety of m-health applications are available in mobile phone market, needing proper regulation from health care authorities and with a hope of better future results. Recommendations: We must use these applications weighing their benefits and utility in public health as well as capitalizing the better prospect of m-health worldwide in the field of public health. This can give a greater access to larger segments of a rural and underserved population in developing countries like India with a hope of improving the capacity of health system to provide quality healthcare to Indian people.

Public and Private Sector Jobs, Unreported Income and Consumption Gap in India: Evidence from Micro-Data

OpenAIRE

Kar, Saibal; Roy, Poulomi; Saha, Sarani

2012-01-01

This paper tries to document the presence of unreported income among public sector employees in India. We investigate empirically the wage gap as well as consumption expenditure parity between public and private sector workers. It tests the hypothesis that despite a lower level of public sector income in some of the quantiles, if the level of durable goods consumption between the private and the public sector employees are similar, then it might be indicative of the presence of unreported inc...

Public health interventions, barriers, and opportunities for improving maternal nutrition in India.

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Ramakrishnan, Usha; Lowe, Alyssa; Vir, Sheila; Kumar, Shuba; Mohanraj, Rani; Chaturvedi, Anuraag; Noznesky, Elizabeth A; Martorell, Reynaldo; Mason, John B

2012-06-01

Inadequate nutrient intake, early and multiple pregnancies, poverty, caste discrimination, and gender inequality contribute to poor maternal nutrition in India. While malnutrition is seen throughout the life cycle, it is most acute during childhood, adolescence, pregnancy, and lactation. Although nutrition policies are on the books and interventions are in place, child malnutrition and maternal undernutrition persist as severe public health problems. To evaluate the implementation of maternal nutrition programs in India. The research was conducted in two phases. Phase 1 consisted of a desk review of national and state policies pertinent to maternal nutrition and national-level key informant interviews with respondents who have a working knowledge of relevant organizations and interventions. Phase 2 utilized in-depth interviews and focus group discussions at the state, district, and community levels in eight districts of two states: Tamil Nadu and Uttar Pradesh. All data were analyzed thematically. India has a rich portfolio of programs and policies that address maternal health and nutrition; however, systematic weaknesses, logistical gaps, resource scarcity, and poor utilization continue to hamper progress. Elevating the priority given to maternal nutrition in government health programs and implementing strategies to improve women's status will help to address many of the challenges facing India's nutrition programs. Programs can be strengthened by promoting integration of services, ensuring effective procurement mechanisms for micronutrient and food supplements, establishing regional training facilities for improved program implementation, and strengthening program monitoring and evaluation.

Transforming Water Supply Regimes in India: Do Public-Private Partnerships Have a Role to Play?

Directory of Open Access Journals (Sweden)

Govind Gopakumar

2010-10-01

Full Text Available Public-private partnerships (PPP are an important governance strategy that has recently emerged as a solution to enhance the access of marginalised residents to urban infrastructures. With the inception of neo-liberal economic reforms in India, in Indian cities too PPP has emerged as an innovative approach to expand coverage of water supply and sanitation infrastructures. However, there has been little study of the dynamics of partnership efforts in different urban contexts: What role do they play in transforming existing infrastructure regimes? Do reform strategies such as partnerships result in increased privatisation or do they make the governance of infrastructures more participative? Reviewing some of the recent literature on urban political analysis, this article develops the concept of water supply regime to describe the context of water provision in three metropolitan cities in India. To further our understanding of the role of PPP within regimes, this article sketches five cases of water supply and sanitation partnerships located within these three metropolitan cities. From these empirical studies, the article arrives at the conclusion that while PPP are always products of the regime-context they are inserted within, quite often strategic actors in the partnership use the PPP to further their interests by initiating a shift in the regime pathway. This leads us to conclude that PPPs do play a role in making water supply regimes more participative but that depends on the nature of the regime as well as the actions of partners.

The role of public sector libraries on enhancing public officers ...

African Journals Online (AJOL)

GOJEH

enhance public officers' quality service delivery in Ethiopia. Most public ... Ethiopia. The study concluded the Libraries in the Ethiopian public sector are inadequately ... portion of a nation's affairs, especially economic ... and in some cases considered an irrelevant arm of the ..... approving the sponsorship of this research ...

'Present nuclear emergency responses in India: tracing requirements and guidelines suggested after Fukushima accident in regards to public and plant safety

International Nuclear Information System (INIS)

Jawale, Priyanka M.

2014-01-01

In this poster the primary initiative is to educate the public at large and instill confidence about the present Emergency Response Systems of DAE and the imminent agencies in India. Poster attempts to analyse present regulatory and safety systems, mechanisms like plant and site emergency response plans are in place to handle radiation emergencies and how public will not be affected in any manner. In India also we needed some supplementary provisions to cope up with major disasters in Nuclear Power Plants (NPP) apart from the existing one. Some of the NPPs are not under the UN safeguards, which can not import Uranium also need extra care and protection. Regulatory and safety functions of Atomic Energy in India are carried out by the Atomic Energy Regulatory Board (Atomic Energy Regulatory Board), the poster attempts to explain the present regulatory and safety mechanism under Atomic Energy Regulatory Board. We have the plant and site emergency response plans in place. The well planned functioning of these is demonstrated here. India is equipped with detail plans of emergency response system, to handle the radiation emergencies in public domain even at the locations where DAE facility is not available

Health care inequities in north India: role of public sector in universalizing health care.

Science.gov (United States)

Prinja, Shankar; Kanavos, Panos; Kumar, Rajesh

2012-09-01

Income inequality is associated with poor health. Inequities exist in service utilization and financing for health care. Health care costs push high number of households into poverty in India. We undertook this study to ascertain inequities in health status, service utilization and out-of-pocket (OOP) health expenditures in two States in north India namely, Haryana and Punjab, and Union Territory of Chandigarh. Data from National Sample Survey 60 th Round on Morbidity and Health Care were analyzed by mean consumption expenditure quintiles. Indicators were devised to document inequities in the dimensions of horizontal and vertical inequity; and redistribution of public subsidy. Concentration index (CI), and equity ratio in conjunction with concentration curve were computed to measure inequity. Reporting of morbidity and hospitalization rate had a pro-rich distribution in all three States indicating poor utilization of health services by low income households. Nearly 57 and 60 per cent households from poorest income quintile in Haryana and Punjab, respectively faced catastrophic OOP hospitalization expenditure at 10 per cent threshold. Lower prevalence of catastrophic expenditure was recorded in higher income groups. Public sector also incurred high costs for hospitalization in selected three States. Medicines constituted 19 to 47 per cent of hospitalization expenditure and 59 to 86 per cent OPD expenditure borne OOP by households in public sector. Public sector hospitalizations had a pro-poor distribution in Haryana, Punjab and Chandigarh. Our analysis indicates that public sector health service utilization needs to be improved. OOP health care expenditures at public sector institutions should to be curtailed to improve utilization of poorer segments of population. Greater availability of medicines in public sector and regulation of their prices provide a unique opportunity to reduce public sector OOP expenditure.

Surrogacy: blessing or curse to poor society in India

Directory of Open Access Journals (Sweden)

Venkatashivareddy B

2016-02-01

Full Text Available The advances of childbirth in the form of test tube babies and surrogate have introduced undreamt possibilities. The reproductive tourism in India is enhancing. Globally, India is one of the popular providers of surrogates and commercial surrogacy is legalized. Moreover, the cost is a mere one third of the cost in developing countries. Surrogacy raises ethical issues like medical advocacy and consent. Many social factors like unemployment, literacy, and others play a key role in surrogacy. Surrogacy is a public health problem related not only to the medical burden but also to sex ratio deterioration, female feticide, domestic violence, and others.

Application of GIS in public health in India: A literature-based review, analysis, and recommendations.

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Ruiz, Marilyn O'Hara; Sharma, Arun Kumar

2016-01-01

The implementation of geospatial technologies and methods for improving health has become widespread in many nations, but India's adoption of these approaches has been fairly slow. With a large population, ongoing public health challenges, and a growing economy with an emphasis on innovative technologies, the adoption of spatial approaches to disease surveillance, spatial epidemiology, and implementation of health policies in India has great potential for both success and efficacy. Through our evaluation of scientific papers selected through a structured key phrase review of the National Center for Biotechnology Information on the database PubMed, we found that current spatial approaches to health research in India are fairly descriptive in nature, but the use of more complex models and statistics is increasing. The institutional home of the authors is skewed regionally, with Delhi and South India more likely to show evidence of use. The need for scientists engaged in spatial health analysis to first digitize basic data, such as maps of road networks, hydrological features, and land use, is a strong impediment to efficiency, and their work would certainly advance more quickly without this requirement.

Enhancing collaborative innovation in the public sector

DEFF Research Database (Denmark)

Sørensen, Eva; Torfing, Jacob

2011-01-01

demand for public innovation, and demonstrates how it can be enhanced through multiactor collaboration. The case for collaborative innovation is supported by insights from three different social science theories. The theoretical discussion leads to the formulation of an analytical model that can be used......Encouraged by the proliferation of governance networks and the growing demands for public innovation, this article aims to advance “collaborative innovation” as a cross-disciplinary approach to studying and enhancing public innovation. The article explains the special conditions and the growing...... in future studies of collaborative innovation in the public sector....

Cost of delivering secondary-level health care services through public sector district hospitals in India

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Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh

2017-01-01

Background & objectives: Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Methods: Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. Results: The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was 844 (USD 15.5), i; 3481 (USD 64) and 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was 139 (USD 2.5). Interpretation & conclusions: The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India. PMID:29355142

Cost of delivering secondary-level health care services through public sector district hospitals in India.

Science.gov (United States)

Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh

2017-09-01

Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was ' 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was ' 844 (USD 15.5), ' 3481 (USD 64) and ' 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was ' 139 (USD 2.5). The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India.

Public Knowledge, Attitudes and Perceptions (India)

International Development Research Centre (IDRC) Digital Library (Canada)

India). The application of modern biotechnology to agriculture has courted considerable controversy in both developed and developing countries. While proponents argue that genetically modified crops can contribute to food security in ...

Screening for EIA in India: enhancing effectiveness through ecological carrying capacity approach.

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Rajaram, T; Das, Ashutosh

2011-01-01

Developing countries across the world have embraced the policy of high economic growth as a means to reduce poverty. This economic growth largely based on industrial output is fast degrading the ecosystems, jeopardizing their long term sustainability. Environmental Impact Assessment (EIA) has long been recognized as a tool which can help in protecting the ecosystems and aid sustainable development. The Screening guidelines for EIA reflect the level of commitment the nation displays towards tightening its environmental protection system. The paper analyses the screening process for EIA in India and dissects the rationale behind the exclusions and thresholds set in the screening process. The screening process in India is compared with that of the European Union with the aim of understanding the extent of deviations from a screening approach in the context of better economic development. It is found that the Indian system excludes many activities from the purview of screening itself when compared to the EU. The constraints responsible for these exclusions are discussed and the shortcomings of the current command and control system of environmental management in India are also explained. It is suggested that an ecosystem carrying capacity based management system can provide significant inputs to enhance the effectiveness of EIA process from screening to monitoring. Copyright © 2010 Elsevier Ltd. All rights reserved.

Enhancing Access to Primary Cultural Heritage Materials of India

Science.gov (United States)

Scharf, Peter M.; Hyman, Malcolm

This chapter is about enhancing access to primary cultural heritage materials of India housed in academic libraries by integrating them with machine-readable texts, lexical resources, and linguistic software in a digital library. Integrating primary cultural materials with a digital library can enable broad use of Indic collections for research and education. For the purposes of illustrating this procedure, we outline here the development of a prototype using the collections of Sanskrit manuscripts in the libraries at Brown University and the University of Pennsylvania and integrating them with The Sanskrit Library. The result is extendable to collections of Indic materials throughout the world and can serve as a model for digitization projects of cultural materials in other major culture-bearing languages such as Greek, Latin, Arabic, Persian, and Chinese.

Some technologically enhanced exposures to natural radiation environment in India

International Nuclear Information System (INIS)

Lalit, B.Y.; Shukla, V.K.; Ramachandran, T.V.; Mishra, U.C.

1982-01-01

A summary of results of gamma spectrometric measurements of natural radioactivity in a number of coal and flyash samples from thermal power plants and phosphatic fertilizer samples collected from various fertilizer plants in India are presented. These constitute the sources of technologically enhanced exposures to natural radiation. A brief description of sampling and measurement procedures is given. The radiation doses to the population from coal burning for electricity generation have been calculated using the method outlined in UNSCEAR report of 1979 with corrections for local population density. The external radiation dose to the farmers has been calculated on the basis of usage of phosphatic fertilizers for rice, wheat, millets and sugarcane crops for the normal agricultural practices

'Where is the public health sector?' Public and private sector healthcare provision in Madhya Pradesh, India.

Science.gov (United States)

De Costa, Ayesha; Diwan, Vinod

2007-12-01

This paper aims to empirically demonstrate the size and composition of the private health care sector in one of India's largest provinces, Madhya Pradesh. It is based on a field survey of all health care providers in Madhya Pradesh (60.4 million in 52,117 villages and 394 towns). Seventy-five percent of the population is rural and 37% live below poverty line. This survey was done as part of the development of a health management information system. The distribution of health care providers in the province with regard to sector of work (public/private), rural-urban location, qualification, commercial orientation and institutional set-up are described. Of the 24,807 qualified doctors mapped in the survey, 18,757 (75.6%) work in the private sector. Fifteen thousand one hundred forty-two (80%) of these private physicians work in urban areas. The 72.1% (67793) of all qualified paramedical staff work in the private sector, mostly in rural areas. The paper empirically demonstrates the dominant heterogeneous private health sector and the overall the disparity in healthcare provision in rural and urban areas. It argues for a new role for the public health sector, one of constructive oversight over the entire health sector (public and private) balanced with direct provision of services where necessary. It emphasizes the need to build strong public private partnerships to ensure equitable access to healthcare for all.

The World Health Organization and public health research and practice in tuberculosis in India.

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Banerji, Debabar

2012-01-01

Two major research studies carried out in India fundamentally affected tuberculosis treatment practices worldwide. One study demonstrated that home treatment of the disease is as efficacious as sanatorium treatment. The other showed that BCG vaccination is of little protective value from a public health viewpoint. India had brought together an interdisciplinary team at the National Tuberculosis Institute (NTI) with a mandate to formulate a nationally applicable, socially acceptable, and epidemiologically sound National Tuberculosis Programme (NTP). Work at the NTI laid the foundation for developing an operational research approach to dealing with tuberculosis as a public health problem. The starting point for this was not operational research as enunciated by experts in this field; rather, the NTI achieved operational research by starting from the people. This approach was enthusiastically welcomed by the World Health Organization's Expert Committee on Tuberculosis of 1964. The NTP was designed to "sink or sail with the general health services of the country." The program was dealt a major blow when, starting in 1967, a virtual hysteria was worked up to mobilize most of the health services for imposing birth control on the people. Another blow to the general health services occurred when the WHO joined the rich countries in instituting a number of vertical programs called "Global Initiatives". An ill-conceived, ill-designed, and ill-managed Global Programme for Tuberculosis was one outcome. The WHO has shown rank public health incompetence in taking a very casual approach to operational research and has been downright quixotic in its thinking on controlling tuberculosis worldwide.

Enhanced collaboration between CERN and India

CERN Multimedia

2009-01-01

On Monday 22 June, Bikash Sinha, Director of the SAHA Institute of Nuclear Physics (SINP) and the Variable Energy Cyclotron Centre (VECC) in Kolkata, India and Rolf Heuer, CERN Director-General, signed new protocols to the long standing agreement between the Indian Atomic Energy Commission and CERN. This provides a framework for collaboration in low energy nuclear physics between SAHA and VECC and the ISOLDE experiment at CERN. SINP and VECC Director Bikash Sinha and CERN Director-General Rolf Heuer signing the ISOLDE Protocols. SINP and VECC Director Bikash Sinha and CERN Research Director Sergio Bertolucci with representatives of the ISOLDE and RD51 Collaborations.INDIA has a long standing tradition in basic nuclear physics and nuclear chemistry. SINP is a leading institute for basic research and training in physical and biophysical sciences with particular competence in nuclear spectroscopy a...

Assessment of screening practices for gestational hyperglycaemia in public health facilities: a descriptive study in bangalore, India.

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Babu, Giridhara R; Tejaswi, B; Kalavathi, M; Vatsala, G M; Murthy, G V S; Kinra, Sanjay; Neelon, Sara E Benjamin

2015-02-20

Screening and timely treatment of gestational hyperglycaemia (GH) is proved to be beneficial and improves maternal and foetal health outcomes. To understand screening practices, we explored the knowledge and perceptions of doctors working in public health facilities in Bangalore, India. We also studied participation factors by examining whether undergoing glucose estimation tests affects morning sickness in pregnant women. We aimed to understand the screening practices and knowledge of doctors. A semi-structured questionnaire was self-administered by the 50 participant doctors, selected from the sampling frame comprising of all the doctors working in public health facilities. We included 105 pregnant women for baseline assessment, in whom a well-structured questionnaire was used. We reported that gestational diabetes mellitus (GDM) screening was done in nearly all the health centres (96%). However, only 12% of the doctors could provide all components of GDM diagnosis and management correctly and 46% would diagnose by using a random blood glucose test. A majority (92%) of the doctors had poor knowledge (68%) about the cut-off values of glucose tests. More than 80% of pregnant women experienced some discomfort mostly due to rapid ingestion glucose in short span of time. Our study established that screening for GH is done in most public health facilities. Nonetheless, knowledge of doctors on the glucose tests and their interpretation needs improvement. Re-orientation trainings of the doctors can improve their knowledge and thereby can efficiently screen for GH. Further, adequate planning prior to the tests can aid successful completion of them. Significance for public healthRising burden of hyperglycaemia in pregnancy is a cause for concern and is associated with short and long term deleterious consequences for mother and offspring. Hence, there is an urgent need to explore the screening practices for gestational hyperglycaemia (GH). The current study considers

Understanding public (misunderstanding of tDCS for enhancement

Directory of Open Access Journals (Sweden)

Laura Yenisa Cabrera

2015-04-01

Full Text Available In order to gain insight into the public’s perspective on using the minimally invasive technique transcranial direct current stimulation (tDCS as an enhancement tool, we analyzed and compared online comments in key popular press articles from two different periods (pre-commercialization and post-commercialization. The main conclusion drawn from this exploratory investigation is that public perception regarding tDCS has shifted from misunderstanding to cautionary realism. This change in attitude can be explained as moving from a focus on an emergent technology to a focus on its applications, benefits, and risks as the technology becomes more grounded within the public domain. Future governance of tDCS should include the concerns and enthusiasms of the public.Keywords: cognitive enhancement, neuroethics, public understanding, transcranial direct current stimulation, brain stimulation, public policy.

Population trends and public awareness of healthy and pathological ageing in India: A brief overview.

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Loganathan, Santosh; Iyengar, Vijeth; Chowdappa, Suresh Vedalaveni; Varghese, Mathew

2017-10-01

India is poised to experience dramatic shifts in the age and makeup of its population. Specifically, projections havehighlighted an increase in both the percentage of the elderly and those suffering from dementia-related disorders.Previous studies have examined the demographics of aging, its impact on the healthcare infrastructure and recommended policies to better cater to the elderly. This article focuses on a summary of these findings in relation to key stakeholders in the care of the elderly including mental health professionals, family caregivers, and public health officials. We broadly conclude that there exists a general shallow level of understanding of what constitutes pathological aging (i.e. dementia) across all stakeholders, and this creates a cascade of effects including delays in treatment seeking and barriers in conducting and having accurate demographic studies. Moreover, addressing this knowledge gap can help enhance communication between these three stakeholders in the hopes of the following: (a) increased education and awareness, (b) faster seeking of care, and (c) earlier diagnoses leading to better opportunities to collect accurate demographics of those suffering from dementia-related disorders. Copyright © 2017 Elsevier B.V. All rights reserved.

India.

Science.gov (United States)

1985-05-01

exception of the 1977-79 period of Janta Party rule. Domestically, India has made much progress since independnece. A relatively sophisticated industrial base and a large pool of skilled labor have been created, but agriculture remains the crucial sector and supports 70% of the people. It contributes about 40% of gross national product (GNP). Only modest gains in per capita GNP have been achieved. Agricultural production has been increasing at an average annual rate of around 3%. Cotton and jute textile production continues to be the most important industry, but public sector firms in steel, heavy industry, and chemicals have become important since 1960. Supreme command of India's armed forces rests with the president but actual responsibility for national defense lies with the Cabinet Committee for Political Affairs. The US and India have aimed at cordial relations. The US is India's largest trading partner and has been an important source of foreign economic assistance.

Public attitude towards dentists and dental services in Bangalore city, India

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Nagashree Savanur Ravindranath

2014-01-01

Full Text Available Background: Understanding public attitude towards dentists and dental services helps both dental service providers and planners. Hence, this study was conducted to assess public attitude toward dentists and dental services in Bangalore city, India. Methods: Two thousand residents of Bangalore city were selected through multistage cluster sampling method. A structured questionnaire containing statements pertaining to public attitude toward dentists and dental services in Bangalore city was administered to the subjects. Five point Likert scale was used to measure the attitude. Results: About 67.8% of the study subjects had visited a dentist in their lifetime. Negative attitudes were observed regarding waiting time, cleanliness of instruments and dentist advising patients to give up unhealthy practices such as smoking, drinking and pan chewing. Positive attitude was found regarding availability of dental services near place of residence or work, modern equipments being used for treatment and the nobleness of the dental professionals. About 67% of study subjects felt that dental services are expensive. Only 65% agree that regular check-ups prevent dental diseases and 33% of the study subjects agree that dental treatment can be delayed if there are other expenses. Conclusions: Subjects generally had positive attitude toward dentists and dental services. Certain factors like waiting time and cleanliness elicited negative response.

Public health and allied career choices for AYUSH graduates in India

Directory of Open Access Journals (Sweden)

Janmejaya Samal

2013-01-01

Full Text Available Introduction Until the very recent time majority of AYUSH graduates were limited to their own field of study with few exceptions in to the field of public health and allied areas. The reasons could be lack of awareness, unavailability of suitable job opportunity or a sense of insecurity in a relatively new and offbeat domain of work. However more recently, there has been a paradigm shift; with increase in information access, awareness of job opportunities and a great degree of professional and personal satisfaction. This has led to a huge rush of these graduates in to the field of public health and allied areas. Objective ToexplorepublichealthandalliedcareerchoicesforAYUSHgraduateswithspecialreferencetothe scopes and opportunities in each of these fields. Methodology Review based study. Information was obtained by systematic search process using internet based Google, Google Scholar search engines. Discussion The results obtained were pertinent to the domain of public health and allied careers including Public health and related areas such as; Health and Hospital Management, Health Policy, Health Economics, Heath Care Financing, Epidemiology, Medical Sociology, Clinical Research, Pharmaceutical Management etc. it is observed that the placement and job opportunities are much more because of the rapid expansion of health care industry in India with endeavors from public and private stakeholders. There has been a multimillion dollars investment by various national and international donor agencies, pharmaceutical sector, central and state governments and the development partners. Conclusion AYUSH graduates can definitely find this field interesting as well as challenging and job opportunities may not be a problem for the right one.

Demand for healthcare in India

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Brijesh C. Purohit

2013-03-01

Full Text Available In a developing country like India, allocation of scarce fiscal resources has to be based on a clear understanding of how investments in the heath sector are going to affect demand. Three aspects like overall healthcare demand, consumer decisions to use public and/or private care and role of price/quality influencing poor/rich consumer’s decisions are critical to assessing the equity implications of alternative policies. Our paper addresses these aspects through examining the pattern of healthcare demand in India. Data from the National Family Health Survey are used to model the healthcare choices that individuals make. We consider what these behavioral characteristics imply for public policy. This analysis aims to study disparities between rural and urban areas from all throughout India to five Indian states representing three levels of per capita incomes (all-India average, rich and poor. Results evidence that healthcare demand both in rural and urban areas is a commodity emerging as an essential need. Choices between public or private provider are guided by income and quality variables mainly with regard to public healthcare denoting thus a situation of very limited alternatives in terms of availing private providers. These results emphasize that existing public healthcare facilities do not serve the objective of providing care to the poor in a satisfactory manner in rural areas. Thus, any financing strategy to improve health system and reduce disparities across rich-poor states and rural-urban areas should also take into account not only overcoming inadequacy but also inefficiency in allocation and utilization of healthcare inputs.

Enhancement of the Public Acceptance of Nuclear Energy

International Nuclear Information System (INIS)

Song, K. C.; Jeong, S. M.; Noh, T. W.

2010-02-01

To enhance the public acceptance of nuclear energy in Korea we translate the 'The Power to Save the World - The Truth about Nuclear Energy' written by the American novelist Gwyneth Cravens into Korean. 'Power to Save the World' is an eloquent, convincing argument for nuclear power as a safe energy source and an essential deterrent to global warming. To promote national power by keeping nuclear industry healthy, we need to supply the variety of material which enhances the public acceptance of nuclear energy

Nuclear power in India

International Nuclear Information System (INIS)

Bose, D.K.

1980-01-01

India has now nine years of experience with her in nuclear power generation. The system has been acclaimed on various grounds by the authority concerned with its organization in the country. The present paper intends to examine critically the claim for economic superiority of the nuclear power over the thermal power which is asserted often by the spokesmen for the former. Information about the cost of nuclear power that is available to researchers in India is very meagre. Whatever appears in official publications is hardly adequate for working out reasonable estimates for scrutiny. One is therefore left to depend on the public statements made by dignitaries from time to time to form an idea about the economics of nuclear power. Due to gaps in information we are constrained to rely on the foreign literature and make careful guesses about possible costs applicable to India

Automation and Networking of Public Libraries in India Using the E-Granthalaya Software from the National Informatics Centre

Science.gov (United States)

Matoria, Ram Kumar; Upadhyay, P. K.; Moni, Madaswamy

2007-01-01

Purpose: To describe the development of the library management system, e-Granthalaya, for public libraries in India. This is an initiative of the Indian government's National Informatics Centre (NIC). The paper outlines the challenges and the potential of a full-scale deployment of this software at a national level. Design/methodology/approach:…

Aspiring Pain Practitioners in India: Assessing Challenges and Building Opportunities

Science.gov (United States)

Bhatnagar, Sushma; Patel, Anuradha; Raja, Srinivasa N

2018-01-01

Background: Pain medicine is a developing specialty, aimed at relieving pain and suffering, enhancing function, and improving the quality of life of patients. Pain is often ignored, under-reported and mismanaged by health-care providers. Aspiring pain physicians in India face many challenges and barriers in advancing their specialty. Objectives: The objective of this study is to determine the challenges in establishing a pain practice in India and to discuss the opportunities and strategies to overcome these barriers. Subjects and Methods: Face-to-face interactive sessions were held with 60 aspiring pain physicians of India who were chosen as registrants to an International Association for the Study of Pain-Indian Society for Study of Pain multidisciplinary evidence-based pain management program conducted at Delhi and Mumbai. The available opportunities, practical issues and the hurdles in becoming a pain specialist were analyzed and summarized in this commentary. Results: The major barriers identified were: (1) Inadequate knowledge and absence of structured, educational and training courses, (2) bureaucratic hurdles, and (3) concerns of opioid misuse and addiction. The opportunities for personal growth and that of the specialty that could be utilized include the creation of a pain resource team, increasing community awareness, changing attitudes of other physicians toward pain specialty, and research and evidence building of the effectiveness of pain management strategies. Conclusion: India needs a structured teaching and training program in the area of pain medicine that is affiliated by the Medical Council of India or other reputed boards of medical education and certification. There is an urgent need to include pain management in the undergraduate and postgraduate medical curriculum. Enhancing community level awareness by public health education campaigns, developing networks of pain physicians, and appropriate marketing of the specialty is needed to make pain

Aspiring Pain Practitioners in India: Assessing Challenges and Building Opportunities.

Science.gov (United States)

Bhatnagar, Sushma; Patel, Anuradha; Raja, Srinivasa N

2018-01-01

Pain medicine is a developing specialty, aimed at relieving pain and suffering, enhancing function, and improving the quality of life of patients. Pain is often ignored, under-reported and mismanaged by health-care providers. Aspiring pain physicians in India face many challenges and barriers in advancing their specialty. The objective of this study is to determine the challenges in establishing a pain practice in India and to discuss the opportunities and strategies to overcome these barriers. Face-to-face interactive sessions were held with 60 aspiring pain physicians of India who were chosen as registrants to an International Association for the Study of Pain-Indian Society for Study of Pain multidisciplinary evidence-based pain management program conducted at Delhi and Mumbai. The available opportunities, practical issues and the hurdles in becoming a pain specialist were analyzed and summarized in this commentary. The major barriers identified were: (1) Inadequate knowledge and absence of structured, educational and training courses, (2) bureaucratic hurdles, and (3) concerns of opioid misuse and addiction. The opportunities for personal growth and that of the specialty that could be utilized include the creation of a pain resource team, increasing community awareness, changing attitudes of other physicians toward pain specialty, and research and evidence building of the effectiveness of pain management strategies. India needs a structured teaching and training program in the area of pain medicine that is affiliated by the Medical Council of India or other reputed boards of medical education and certification. There is an urgent need to include pain management in the undergraduate and postgraduate medical curriculum. Enhancing community level awareness by public health education campaigns, developing networks of pain physicians, and appropriate marketing of the specialty is needed to make pain medicine recognized and utilized as a valuable specialty.

Aspiring pain practitioners in India: Assessing challenges and building opportunities

Directory of Open Access Journals (Sweden)

Sushma Bhatnagar

2018-01-01

Full Text Available Background: Pain medicine is a developing specialty, aimed at relieving pain and suffering, enhancing function, and improving the quality of life of patients. Pain is often ignored, under-reported and mismanaged by health-care providers. Aspiring pain physicians in India face many challenges and barriers in advancing their specialty. Objectives: The objective of this study is to determine the challenges in establishing a pain practice in India and to discuss the opportunities and strategies to overcome these barriers. Subjects and Methods: Face-to-face interactive sessions were held with 60 aspiring pain physicians of India who were chosen as registrants to an International Association for the Study of Pain-Indian Society for Study of Pain multidisciplinary evidence-based pain management program conducted at Delhi and Mumbai. The available opportunities, practical issues and the hurdles in becoming a pain specialist were analyzed and summarized in this commentary. Results: The major barriers identified were: (1 Inadequate knowledge and absence of structured, educational and training courses, (2 bureaucratic hurdles, and (3 concerns of opioid misuse and addiction. The opportunities for personal growth and that of the specialty that could be utilized include the creation of a pain resource team, increasing community awareness, changing attitudes of other physicians toward pain specialty, and research and evidence building of the effectiveness of pain management strategies. Conclusion: India needs a structured teaching and training program in the area of pain medicine that is affiliated by the Medical Council of India or other reputed boards of medical education and certification. There is an urgent need to include pain management in the undergraduate and postgraduate medical curriculum. Enhancing community level awareness by public health education campaigns, developing networks of pain physicians, and appropriate marketing of the specialty is

Self-perceived competency among postgraduate students of public health dentistry in India: A cross-sectional survey

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Sanjeev Khanagar

2014-01-01

Full Text Available Introduction: The professional profile of the public health dentist is made up of a number of competencies. Evaluation of the student′s performance in relation to the specified competencies is an important task for purposes of student evaluation and for assessing the curriculum and making necessary revisions. Aim: The aim was to assess the level of self-perceived competency in dental public health among postgraduate (PG students in India. Materials and Methods: A cross-sectional study was done among the PG students in the specialty of public health dentistry in India. Their competency was assessed by a questionnaire sent through E-mail. Students assessed their competence in these dental public health functions using a 3 point ordinal scale, 0 indicating "not at all competent," 1 as "competent," and 2 as "very competent." Chi-square has been used for categorical variables. Results: One-hundred and twenty-four PG students responded to the questionnaire. Comparison was made for gender and academic year. Males were significantly competent to comply infection control policies and procedures (P < 0.040FNx01. Third year PG students were significantly competent to comply infection control policies and procedures (P < 0.017 and to adapt their dental practice to the existing laws and regulations (P < 0.45. Conclusion: In the present study, the PG students considered themselves more competent to elaborate the socioeconomic-cultural diagnosis of the community, to participate in epidemiological surveillance system and less competent to adopt ethical principles in all aspects of community oral health activities, to take up initiatives in advocacy issues for health policy and using media effectively.

Family planning: a major public health programme in India.

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Datta, S

1968-01-01

India's increase of 12 million people each year nullifies almost all the considerable progress the country made in agriculture and industrial production during 19 years of her freedom. Today she ranks 2nd in population and 7th in land area of the world. She claims 15% of the world's population, on about 2.4% of the world's land area. The Government of India has taken family planning as a major national health program under her Five-Year Plans, but impact of this program is not felt as yet. Since this is a difficult complex problem with many facets, it has to be attacked forcefully, drastically, and on all fronts. An all-out war has to be waged against the population growth. India should attack it with all the weapons she had: education, propaganda, taxation, legalization of abortion, and even compulsory sterilization. Overnight change in the fertility pattern of the people is impossible.

Cost of Delivering Health Care Services in Public Sector Primary and Community Health Centres in North India.

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Prinja, Shankar; Gupta, Aditi; Verma, Ramesh; Bahuguna, Pankaj; Kumar, Dinesh; Kaur, Manmeet; Kumar, Rajesh

2016-01-01

With the commitment of the national government to provide universal healthcare at cheap and affordable prices in India, public healthcare services are being strengthened in India. However, there is dearth of cost data for provision of health services through public system like primary & community health centres. In this study, we aim to bridge this gap in evidence by assessing the total annual and per capita cost of delivering the package of health services at PHC and CHC level. Secondly, we determined the per capita cost of delivering specific health services like cost per antenatal care visit, per institutional delivery, per outpatient consultation, per bed-day hospitalization etc. We undertook economic costing of fourteen public health facilities (seven PHCs and CHCs each) in three North-Indian states viz., Haryana, Himachal Pradesh and Punjab. Bottom-up costing method was adopted for collection of data on all resources spent on delivery of health services in selected health facilities. Analysis was undertaken using a health system perspective. The joint costs like human resource, capital, and equipment were apportioned as per the time value spent on a particular service. Capital costs were discounted and annualized over the estimated life of the item. Mean annual costs and unit costs were estimated along with their 95% confidence intervals using bootstrap methodology. The overall annual cost of delivering services through public sector primary and community health facilities in three states of north India were INR 8.8 million (95% CI: 7,365,630-10,294,065) and INR 26.9 million (95% CI: 22,225,159.3-32,290,099.6), respectively. Human resources accounted for more than 50% of the overall costs at both the level of PHCs and CHCs. Per capita per year costs for provision of complete package of preventive, curative and promotive services at PHC and CHC were INR 170.8 (95% CI: 131.6-208.3) and INR162.1 (95% CI: 112-219.1), respectively. The study estimates can be used

Pornography, Sexual Enhancement Products, and Sexual Risk of Female Sex Workers and their Clients in Southern India.

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Bradley, Janet; Rajaram, Subramanian Potty; Isac, Shajy; Gurav, Kaveri; Ramesh, B M; Gowda, Chandrashekhar; Moses, Stephen; Alary, Michel

2016-05-01

Despite their large numbers, and important role in the HIV epidemic in India, male clients of female sex workers (FSWs) are a difficult to reach population and little is known about their sexual behaviors. Using data from an integrated behavioral and biological assessment of 684 clients in Bangalore in 2012, we examined factors associated with their reports of having sex with three or more different female sex workers in the last month, and anal sex with sex workers. We included sociodemographic and sexual behavior factors and, for the first time in client studies in India, included data on the use of pornography and sexual enhancement products (SEPs) such as pills, oils, and sprays, in our multivariable analyses of client risk. Seventy-eight percent of clients had seen pornographic material and 8% reported ever having used SEPs. The profiles of men practicing the two risk behaviors examined were quite different. Travel in the past year, drunkenness in the past month, young age at first commercial sex, non-use of condoms at last sex, and finding sex workers in public places (but not use of pornography and SEPs) were independently associated with multiple partnering. Sex with a man or transsexual, being a white collar worker, seeking out FSWs at home, pornography and SEP use, and condom use at last FSW sex, were all independently associated with anal sex with an FSW. More research is needed to better understand the links between pornography and SEPs, and HIV risk behaviors, and HIV prevention programs need to be cognizant of the importance of ensuring that condom use is adequately promoted and supported in the context of anal sex in female sex worker-client interactions.

Does Public Investment Boost Economic Growth? Evidence from An Open-Economy Macro Model for India

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Pal, Soubarna

2008-01-01

Using annual data for India for the period 1984-2003 and employing parametric technique (GMM), the present paper jointly determines GDP growth, real exchange rate and net foreign assets in Indian economy. There is evidence that public investment exerts a significant influence on real exchange rate and the growth rate and does so non-linearly. A comparison of the Indian estimates with those available for the UK and the USA economies is also revealing and highlights the role of governance on th...

Implications of private sector Hib vaccine coverage for the introduction of public sector Hib-containing pentavalent vaccine in India: evidence from retrospective time series data.

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Sharma, Abhishek; Kaplan, Warren A; Chokshi, Maulik; Hasan Farooqui, Habib; Zodpey, Sanjay P

2015-02-23

Haemophilus influenzae type b (Hib) vaccine has been available in India's private sector market since 1997. It was not until 14 December 2011 that the Government of India initiated the phased public sector introduction of a Hib (and DPT, diphtheria, pertussis, tetanus)-containing pentavalent vaccine. Our objective was to investigate the state-specific coverage and behaviour of Hib vaccine in India when it was available only in the private sector market but not in the public sector. This baseline information can act as a guide to determine how much coverage the public sector rollout of pentavalent vaccine (scheduled April 2015) will need to bear in order to achieve complete coverage. 16 of 29 states in India, 2009-2012. Retrospective descriptive secondary data analysis. (1) Annual sales of Hib vaccines, by volume, from private sector hospitals and retail pharmacies collected by IMS Health and (2) national household surveys. State-specific Hib vaccine coverage (%) and its associations with state-specific socioeconomic status. The overall private sector Hib vaccine coverage among the 2009-2012 birth cohort was low (4%) and varied widely among the studied Indian states (minimum 0.3%; maximum 4.6%). We found that private sector Hib vaccine coverage depends on urban areas with good access to the private sector, parent's purchasing capacity and private paediatricians' prescribing practices. Per capita gross domestic product is a key explanatory variable. The annual Hib vaccine uptake and the 2009-2012 coverage levels were several times higher in the capital/metropolitan cities than the rest of the state, suggesting inequity in access to Hib vaccine delivered by the private sector. If India has to achieve high and equitable Hib vaccine coverage levels, nationwide public sector introduction of the pentavalent vaccine is needed. However, the role of private sector in universal Hib vaccine coverage is undefined as yet but it should not be neglected as a useful complement to

A look at S&T Awareness - Enhancements in India

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Chandra Mohan Nautiyal

2008-06-01

Full Text Available Basing mainly on author's direct involvement in some science communication efforts in India, and other reports, this contribution depicts and analyses the present science communication/ popularization scenario in India. It tries to dispel a myth that rural people don't require or don’t crave for S&T information. It discusses need for science and technology communication, sustaining curiosity and creating role models. Citing cases of some natural, 'unnatural' and organized events, it recounts how S&T popularization efforts have fared during the past decade and a half. It's made possible using print, AV and interactive media which, at times, require lot of financial inputs. However, this contribution shows that a number of natural and other phenomena can be used to convince people about power of S&T and in molding their attitude. The cases cited may be from India, but, with a little variation, are true for most of the developing and under- developed societies.

India Emerging

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Here Veena Jha surveys the history of philanthropic giving in India going back to the ...... claim that ICTs produced benefits go beyond those pertaining to investors and owners. ...... Anti-migration policies include restricted access to public services by below poverty ...... Which medicines and vaccinations are not available?

Healthcare financing: approaches and trends in India.

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Bajpai, Vikas; Saraya, Anoop

2010-01-01

Despite the importance of healthcare for the well-being of society, there is little public debate in India on issues relating to it. The 'human capital approach' to finance healthcare largely relies on private investment in health, while the 'human development approach' envisages the State as the guarantorof preventive as well as curative care to achieve universalization of healthcare. The prevailing health indices of India and challenges in the field of public health require a human developmentapproach to healthcare. On the eve of independence, India adopted the human development approach, with the report of the Bhore Committee emphasizing the role of the State in the development and provision of healthcare. However, more recently, successive governments have moved towards the human capital approach. Instead of increasing state spending on health and expanding the public health infrastructure, the government has been relying more and more on the private sector. The public-private partnership has been touted as the new-age panacea for the ills of the Indian healthcare system. This approach has led to a stagnation of public health indices and a decrease in the access of the poor to healthcare.

Social stigma, legal and public health barriers faced by the third gender phenomena in Brazil, India and Mexico: Travestis, hijras and muxes.

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Diehl, Alessandra; Vieira, Denise Leite; Zaneti, Marina Milograna; Fanganiello, Ana; Sharan, Pratap; Robles, Rebecca; de Jesus Mari, Jair

2017-08-01

The aim of this article is to provide a narrative literature review of the 'third gender' phenomenon in Brazil ( Travestis), India ( Hijras) and Mexico ( Muxes), considering the social stigma, the legal and health aspects of these identities. These three groups share similar experiences of stigmatisation, marginalisation, sexual abuse, HIV infection, infringement of civil rights and harassment accessing health services. Brazil, India and Mexico public services for the third gender conditions are still very scarce and inadequate for the heavy demand from potential users. Although all three countries have used legislation to promote provision of comprehensive healthcare services for third gender, there is still strong resistance to implementation of such laws and policies. Brazil, India and Mexico face a huge challenge to become countries where all human rights are respected.

Undernourishment and Public Policy in India | IDRC - International ...

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... underlying the development of India's proposed National Food Security Act. As ... the delivery of social welfare programs that affect food and nutritional security. ... 2017 call for proposals to establish Cyber Policy Centres in the Global South.

An assessment of EIA system in India

International Nuclear Information System (INIS)

Panigrahi, Jitendra K.; Amirapu, Susruta

2012-01-01

Environmental impact assessment (EIA) was first introduced in India based on the Environmental Protection Act (EPA), 1986. But formally it came in to effect, when Ministry of Environment and Forest (MoEF) has passed a major legislative measure under EPA in January 1994 for Environmental Clearance (EC) known as EIA Notification, 1994. Subsequently, EIA processes have been strengthened by MoEF by a series of amendments. The current practice is adhering to EIA Notification, 2006 and its amendments. The pieces of evidence collected and analysis in the present assessment suggest that, despite a sound legislative, administrative and procedural set-up EIA has not yet evolved satisfactorily in India. An appraisal of the EIA system against systematic evaluation criteria, based on discussions with various stakeholders, EIA expert committee members, approval authorities, project proponents, NGOs and consulting professionals, reveals various drawbacks of the EIA system. These mainly include; inadequate capacity of EIA approval authorities, deficiencies in screening and scoping, poor quality EIA reports, inadequate public participation and weak monitoring. Overall, EIA is used presently as a project justification tool rather than as a project planning tool to contribute to achieving sustainable development. While shortcomings are challenging, Government of India is showing a high degree of commitment. The EIA system in the country is undergoing progressive refinements by steadily removing the constraints. The paper identifies opportunities for taking advantage of the current circumstances for strengthening the EIA process. - Highlights: ► An assessment has been carried out on Environmental Clearance under EIA Notification, 2006, MoEF, Government of India. ► EIA system is appraised against systematic evaluation criteria proposed by Ahmad and Wood (2002), Wood (2003), Fuller (1999). ► The analysis reveals reveals various drawbacks of the EIA system. ► The paper identifies

Can Integrated Watershed Management Contribute to Improvement of Public Health? A Cross-Sectional Study from Hilly Tribal Villages in India

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Sandeep S. Nerkar

2015-02-01

Full Text Available Tribal people living in hilly areas suffer from water scarcity in many parts of the world, including India. Water scarcity adversely impacts all aspects of life, including public health. Implementation of an Integrated Watershed Management Programme (IWMP can help solve the problems arising out of water scarcity in such areas. However, the knowledge about and views of the water scarcity sufferers on the public health implications of IWMP have not been well documented. This cross-sectional study was performed in six purposively selected tribal villages located in Maharashtra, India. In three of the villages IWMP had been implemented (IWMV, but not in the other three (NWMV. The head of each household in all villages was interviewed using a questionnaire covering various public health aspects relevant to the villages. A total of 286/313 (92% households participated in the study. Compared to NWMV, respondents in IWMV experienced significantly lesser prolonged water scarcity (OR = 0.39, had greater number of toilets (OR = 6.95, cultivated more variety of crops (OR = 2.61, had lower migration (OR = 0.59, higher number of girls continuing education (OR = 3.04 and better utilized modern healthcare facilities in the antenatal, natal and postnatal period (OR = 3.75, 2.57, 4.88 respectively. Thus, tribal people in IWMP-implemented villages reported advantages in many aspects of public health.

Expanding Health Coverage for Vulnerable Groups in India

OpenAIRE

Nagpal, Somil

2013-01-01

India's health sector continues to be challenged by overall low levels of public financing, entrenched accountability issues in the public delivery system, and the persistent dominance of out-of-pocket spending. In this context, this case study describes three recent initiatives introduced by the central and state governments in India, aimed at addressing some of these challenges and improving the availability of and access to health services, particularly for the poor and vulnerable groups i...

The construction of a "population problem" in colonial India, 1919-1947.

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Nair, Rahul

2011-01-01

This article examines the construction of a "population problem" among public health officials in India during the inter-war period. British colonial officials came to focus on India's population through their concern with high Indian infant and maternal mortality rates. They raised the problem of population as one way in which to highlight the importance of dealing with public health at an all-India basis, in a context of constitutional devolution of power to Indians where they feared such matters would be relegated to relative local unimportance. While they failed to significantly shape government policy, their arguments in support of India's 'population problem' nevertheless found a receptive audience in the colonial public sphere among Indian intellectuals, economists, eugenicists, women social reformers and birth controllers. The article contributes to the history of population control by situating its pre-history in British colonial public health and development policy and outside the logic of USA's Cold War strategic planning for Asia.

Protocol for the mWellcare trial: a multicentre, cluster randomised, 12-month, controlled trial to compare the effectiveness of mWellcare, an mHealth system for an integrated management of patients with hypertension and diabetes, versus enhanced usual care in India.

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Jha, Dilip; Gupta, Priti; Ajay, Vamadevan S; Jindal, Devraj; Perel, Pablo; Prieto-Merino, David; Jacob, Pramod; Nyong, Jonathan; Venugopal, Vidya; Singh, Kavita; Goenka, Shifalika; Roy, Ambuj; Tandon, Nikhil; Patel, Vikram; Prabhakaran, Dorairaj

2017-08-11

Rising burden of cardiovascular disease (CVD) and diabetes is a major challenge to the health system in India. Innovative approaches such as mobile phone technology (mHealth) for electronic decision support in delivering evidence-based and integrated care for hypertension, diabetes and comorbid depression have potential to transform the primary healthcare system. METHODS AND ANALYSIS: mWellcare trial is a multicentre, cluster randomised controlled trial evaluating the clinical and cost-effectiveness of a mHealth system and nurse managed care for people with hypertension and diabetes in rural India. mWellcare system is an Android-based mobile application designed to generate algorithm-based clinical management prompts for treating hypertension and diabetes and also capable of storing health records, sending alerts and reminders for follow-up and adherence to medication. We recruited a total of 3702 participants from 40 Community Health Centres (CHCs), with ≥90 at each of the CHCs in the intervention and control (enhanced care) arms. The primary outcome is the difference in mean change (from baseline to 1 year) in systolic blood pressure and glycated haemoglobin (HbA1c) between the two treatment arms. The secondary outcomes are difference in mean change from baseline to 1 year in fasting plasma glucose, total cholesterol, predicted 10-year risk of CVD, depression, smoking behaviour, body mass index and alcohol use between the two treatment arms and cost-effectiveness. The study has been approved by the institutional Ethics Committees at Public Health Foundation of India and the London School of Hygiene and Tropical Medicine. Findings will be disseminated widely through peer-reviewed publications, conference presentations and other mechanisms. mWellcare trial is registered with Clinicaltrial.gov (Registration number NCT02480062; Pre-results) and Clinical Trial Registry of India (Registration number CTRI/2016/02/006641). The current version of the protocol is

Poverty, inequality and violence in urban India: Towards more ...

International Development Research Centre (IDRC) Digital Library (Canada)

Poverty, Inequality, and Violence in Urban India: Toward More Inclusive Urban Planning ... According to 2012 statistics from India's Planning Commission, some 76.5 million people (21% of the ... Women, mobility, and public space in Guwahati.

Euthanasia: Global Scenario and Its Status in India.

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Shekhawat, Raghvendra Singh; Kanchan, Tanuj; Setia, Puneet; Atreya, Alok; Krishan, Kewal

2018-04-01

The legal and moral validity of euthanasia has been questioned in different situations. In India, the status of euthanasia is no different. It was the Aruna Ramachandra Shanbaug case that got significant public attention and led the Supreme Court of India to initiate detailed deliberations on the long ignored issue of euthanasia. Realising the importance of this issue and considering the ongoing and pending litigation before the different courts in this regard, the Ministry of Health and Family Welfare, Government of India issued a public notice on May 2016 that invited opinions from the citizens and the concerned stakeholders on the proposed draft bill entitled The Medical Treatment of Terminally Ill Patients (Protection of Patients and Medical Practitioners) Bill. Globally, only a few countries have legislation with discreet and unambiguous guidelines on euthanasia. The ongoing developments have raised a hope of India getting a discreet law on euthanasia in the future.

Publication trends of research articles from infectious diseases specialty in a medical journal from India

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KVS Hari Kumar

2012-01-01

Full Text Available Background: Details about research productivity in the infectious diseases specialty from India are lacking. Objective: To analyse publishing trends and research productivity of articles related to infectious diseases in the Journal of the Association of Physicians of India (JAPI. Materials and Methods : We carried out bibliometric analysis of articles related to infectious diseases specialty from JAPI published between 2000 and 2011. Data were derived from the journal′s website and the articles were analysed for type (original article, case reports, etc., microorganism (bacterial, viral, etc. place of the research and timelines for publication. Results : Out of 2977 articles published in JAPI over last 12 years, 256 articles belong to infectious diseases subspecialty. Infectious diseases contributed 11-18% of the published articles per year in JAPI during the last decade. Original articles (31%, case reports (38% and correspondence (22% constitute the majority of article types, while remaining 9% was made up by images. Bacterial (22%, protozoal and helminthic (20%, HIV (15% and mycobacterial (16% diseases lead the type of microorganisms represented in the research articles. Mumbai (16%, Delhi (9% and Kolkata (7% are the top three places contributing to the articles, followed by Chandigarh and Chennai. Original articles and case reports took approximately 14 months for publication, as compared to 6 months for an image (P < 0.0001. Conclusion : Infectious diseases specialty contributes about 15% of articles per annum in JAPI. HIV and tuberculosis together account for 30% of published litearture with fair representation from other organisms. Mumbai and Delhi are the leading contributors towards research productivity in this specialty.

Oral cancer awareness of the general public in Gorakhpur city, India.

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Agrawal, Mamta; Pandey, Sushma; Jain, Shikha; Maitin, Shipra

2012-01-01

Global cancer statistical data show that India has one of the highest incidence rates of oral cancer worldwide. Early detection is extremely important as it results in lower morbidity and death rates. The present study was undertaken to assess awareness of oral cancer and knowledge of its early signs and risk factors in the general public of the semi-urban Gorakhpur area of Uttar Pradesh (India). It was also intended to educate the same population for early detection by increasing their ability to recognize signs and risk factors. A questionnaire-based household survey was conducted over a period of one month in different parts of Gorakhpur district, a region where tobacco use is apparently very high. A total of 2,093 persons participated in the survey. The collected data were analyzed using SPSS software to assess and associate oral cancer awareness with the prevalence, and abstract risk factors, as well as other confounding variables. The general awareness, knowledge of signs and risk factors of oral cancer were found to be proportionate to the literacy level with the highest rate of awareness being among high school and graduates and lowest among illiterates. It was also observed that on most of these dimensions the younger age groups (awareness of oral cancer in the high-risk population of Gorakhpur was not satisfactory, pointing to a need for further dissemination of information on this issue and its associated risks. This is especially important for the youngsters, as this may possibly help them keep away from the deleterious habit of tobacco indulgence in any form. If necessary risk factor cessation counselling should be provided.

Soutien organisationnel de la phase 2 de l'ITT : Public Affairs Centre ...

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faire sa place en tant que centre de ressources principal, avec une solide équipe de chercheurs et un système robuste d'assurance de la qualité. ... will enhance the Centre for the Study of Developing Societies' (CSDS) role as a credible public policy institution in India by strengthening its ability to provide high-quality,.

PARTAKE Survey of Public Knowledge and Perceptions of Clinical Research in India

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Burt, Tal; Dhillon, Savita; Sharma, Pooja; Khan, Danish; MV, Deepa; Alam, Sazid; Jain, Sarika; Alapati, Bhavana; Mittal, Sanjay; Singh, Padam

2013-01-01

Background A public that is an informed partner in clinical research is important for ethical, methodological, and operational reasons. There are indications that the public is unaware or misinformed, and not sufficiently engaged in clinical research but studies on the topic are lacking. PARTAKE – Public Awareness of Research for Therapeutic Advancements through Knowledge and Empowerment is a program aimed at increasing public awareness and partnership in clinical research. The PARTAKE Survey is a component of the program. Objective To study public knowledge and perceptions of clinical research. Methods A 40-item questionnaire combining multiple-choice and open-ended questions was administered to 175 English- or Hindi-speaking individuals in 8 public locations representing various socioeconomic strata in New Delhi, India. Results Interviewees were 18–84 old (mean: 39.6, SD±16.6), 23.6% female, 68.6% employed, 7.3% illiterate, 26.3% had heard of research, 2.9% had participated and 58.9% expressed willingness to participate in clinical research. The following perceptions were reported (% true/% false/% not aware): ‘research benefits society’ (94.1%/3.5%/2.3%), ‘the government protects against unethical clinical research’ (56.7%/26.3%/16.9%), ‘research hospitals provide better care’ (67.2%/8.7%/23.9%), ‘confidentiality is adequately protected’ (54.1%/12.3%/33.5%), ‘participation in research is voluntary’ (85.3%/5.8%/8.7%); ‘participants treated like ‘guinea pigs’’ (20.7%/53.2%/26.0%), and ‘compensation for participation is adequate’ (24.7%/12.9%/62.3%). Conclusions Results suggest the Indian public is aware of some key features of clinical research (e.g., purpose, value, voluntary nature of participation), and supports clinical research in general but is unaware of other key features (e.g., compensation, confidentiality, protection of human participants) and exhibits some distrust in the conduct and reporting of clinical trials

PARTAKE survey of public knowledge and perceptions of clinical research in India.

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Tal Burt

Full Text Available BACKGROUND: A public that is an informed partner in clinical research is important for ethical, methodological, and operational reasons. There are indications that the public is unaware or misinformed, and not sufficiently engaged in clinical research but studies on the topic are lacking. PARTAKE - Public Awareness of Research for Therapeutic Advancements through Knowledge and Empowerment is a program aimed at increasing public awareness and partnership in clinical research. The PARTAKE Survey is a component of the program. OBJECTIVE: To study public knowledge and perceptions of clinical research. METHODS: A 40-item questionnaire combining multiple-choice and open-ended questions was administered to 175 English- or Hindi-speaking individuals in 8 public locations representing various socioeconomic strata in New Delhi, India. RESULTS: Interviewees were 18-84 old (mean: 39.6, SD ± 16.6, 23.6% female, 68.6% employed, 7.3% illiterate, 26.3% had heard of research, 2.9% had participated and 58.9% expressed willingness to participate in clinical research. The following perceptions were reported (% true/% false/% not aware: 'research benefits society' (94.1%/3.5%/2.3%, 'the government protects against unethical clinical research' (56.7%/26.3%/16.9%, 'research hospitals provide better care' (67.2%/8.7%/23.9%, 'confidentiality is adequately protected' (54.1%/12.3%/33.5%, 'participation in research is voluntary' (85.3%/5.8%/8.7%; 'participants treated like 'guinea pigs'' (20.7%/53.2%/26.0%, and 'compensation for participation is adequate' (24.7%/12.9%/62.3%. CONCLUSIONS: Results suggest the Indian public is aware of some key features of clinical research (e.g., purpose, value, voluntary nature of participation, and supports clinical research in general but is unaware of other key features (e.g., compensation, confidentiality, protection of human participants and exhibits some distrust in the conduct and reporting of clinical trials. Larger, cross

The One Laptop School: Equipping Rural Elementary Schools in South India Through Public Private Partnerships

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Erik Jon Byker

2015-11-01

Full Text Available This article reports on a Public Private Partnership (PPP program in South India that provided information and communication technology (ICT to rural elementary schools. The article examined the current status of rural, government-run elementary schools in India by reviewing reports like the Annual Status of Education Report (ASER in India. Challenges like teacher absences, student drop-outs, lack of electricity, lack of separate toilets for genders, and a lack of teaching resources is discussed. To meet these challenges, the article describes the rise in popularity of India’s PPPs. Then the article reports on a case study of a PPP, called the SSA Foundation, which implemented a “one laptop per school” program in rural areas in the Indian States of Karnataka and Tamil Nadu. Using ethnographic data from field research, the case study includes a description of how the students in a rural Karnataka elementary school use their school’s laptop. The school was situated in a small village where most travel was non-motorized. Walking, usually without shoes, was the main form of transportation. A bicycle was considered a luxury. Most villagers worked in the surrounding ragi and millet fields; laboring, often with only simple tool blades. Wood fires were the main source of fuel for cooking. In this village, the school’s laptop became a prized possession. The case study offers a “thick description” (Geertz, 1973 of how the village school’s students used the laptop for learning basic computing skills and for learning English.

Epilepsy in India II: Impact, burden, and need for a multisectoral public health response.

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Amudhan, Senthil; Gururaj, Gopalkrishna; Satishchandra, Parthasarathy

2015-01-01

Epilepsy is a common neurological disorder whose consequences are influenced socially and culturally, especially in India. This review (second of the two part series) was carried out to understand the social impact and economic burden to develop comprehensive program for control and prevention of epilepsy. Epilepsy is known to have adverse effect on education, employment, marriage, and other essential social opportunities. Economic burden associated with epilepsy is very high with treatment and travel costs emerging as an important contributing factor. A vicious cycle between economic burden and poor disease outcome is clear. There is no significant change in the perception, stigma, and discrimination of epilepsy across the country despite improvement in educational and social parameters over the time. The huge treatment gap and poor quality of life is further worsened by the associated comorbidities and conditions. Thus, a multidisciplinary response is needed to address the burden and impact of epilepsy which calls for an integrated and multipronged approach for epilepsy care, prevention, and rehabilitation. Service delivery, capacity building, integration into the existing program, mobilizing public support, and increasing public awareness will be the hallmarks of such an integrated approach in a public health model.

Epilepsy in India II: Impact, burden, and need for a multisectoral public health response

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Senthil Amudhan

2015-01-01

Full Text Available Epilepsy is a common neurological disorder whose consequences are influenced socially and culturally, especially in India. This review (second of the two part series was carried out to understand the social impact and economic burden to develop comprehensive program for control and prevention of epilepsy. Epilepsy is known to have adverse effect on education, employment, marriage, and other essential social opportunities. Economic burden associated with epilepsy is very high with treatment and travel costs emerging as an important contributing factor. A vicious cycle between economic burden and poor disease outcome is clear. There is no significant change in the perception, stigma, and discrimination of epilepsy across the country despite improvement in educational and social parameters over the time. The huge treatment gap and poor quality of life is further worsened by the associated comorbidities and conditions. Thus, a multidisciplinary response is needed to address the burden and impact of epilepsy which calls for an integrated and multipronged approach for epilepsy care, prevention, and rehabilitation. Service delivery, capacity building, integration into the existing program, mobilizing public support, and increasing public awareness will be the hallmarks of such an integrated approach in a public health model.

Indian medical students in public and private sector medical schools: are motivations and career aspirations different? - studies from Madhya Pradesh, India.

Science.gov (United States)

Diwan, Vishal; Minj, Christie; Chhari, Neeraj; De Costa, Ayesha

2013-09-15

In recent years, there has been a massive growth in the private medical education sector in South Asia. India's large private medical education sector reflects the market driven growth in private medical education. Admission criteria to public medical schools are based on qualifying examination scores, while admission into private institutions is often dependent on relative academic merit, but also very much on the ability of the student to afford the education. This paper from Madhya Pradesh province in India aims to study and compare between first year medical students in public and private sector medical schools (i) motives for choosing a medical education (ii) career aspirations on completion of a medical degree (iii) willingness to work in a rural area in the short and long terms. Cross sectional survey of 792 first year medical students in 5 public and 4 private medical schools in the province. There were no significant differences in the background characteristics of students in public and private medical schools. Reasons for entering medical education included personal ambition (23%), parental desire (23%), prestigious/secure profession (25%) or a service motive (20%). Most students wished to pursue a specialization (91%) and work in urban areas (64%) of the country. A small proportion (7%) wished to work abroad. There were no differences in motives or career aspirations between students of public or private schools. 40% were willing to work in a rural area for 2 years after graduating; public school students were more willing to do so. There was little difference in background characteristics, motives for entering medicine or career aspirations between medical students in from public and private sector institutions.

Enhancing Scholarly Publications: Developing Hybrid Monographs in the Humanities and Social Sciences

NARCIS (Netherlands)

Jankowski, N.W.; Scharnhorst, A.; Tatum, Z.; Tatum, C.

2013-01-01

Enhancing publications has a long history but is gaining acceleration as authors and publishers explore electronic tablets as devices for dissemination and presentation. Enhancement of scholarly publications, in contrast, more often takes place in a Web environment and is coupled with presentation

District decision-making for health in low-income settings: a case study of the potential of public and private sector data in India and Ethiopia

Science.gov (United States)

Bhattacharyya, Sanghita; Berhanu, Della; Taddesse, Nolawi; Srivastava, Aradhana; Wickremasinghe, Deepthi; Schellenberg, Joanna

2016-01-01

Many low- and middle-income countries have pluralistic health systems where private for-profit and not-for-profit sectors complement the public sector: data shared across sectors can provide information for local decision-making. The third article in a series of four on district decision-making for health in low-income settings, this study shows the untapped potential of existing data through documenting the nature and type of data collected by the public and private health systems, data flow and sharing, use and inter-sectoral linkages in India and Ethiopia. In two districts in each country, semi-structured interviews were conducted with administrators and data managers to understand the type of data maintained and linkages with other sectors in terms of data sharing, flow and use. We created a database of all data elements maintained at district level, categorized by form and according to the six World Health Organization health system blocks. We used content analysis to capture the type of data available for different health system levels. Data flow in the public health sectors of both counties is sequential, formal and systematic. Although multiple sources of data exist outside the public health system, there is little formal sharing of data between sectors. Though not fully operational, Ethiopia has better developed formal structures for data sharing than India. In the private and public sectors, health data in both countries are collected in all six health system categories, with greatest focus on service delivery data and limited focus on supplies, health workforce, governance and contextual information. In the Indian private sector, there is a better balance than in the public sector of data across the six categories. In both India and Ethiopia the majority of data collected relate to maternal and child health. Both countries have huge potential for increased use of health data to guide district decision-making. PMID:27591203

Enhancing disease surveillance reporting using public transport in ...

African Journals Online (AJOL)

Enhancing disease surveillance reporting using public transport in Dodoma District, Central Tanzania. ... LEG Mboera, SF Rumisha, EJ Mwanemile, E Mziwanda, PK Mmbuji ... Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT

Health Promotion Education in India: Present Landscape and Future Vistas

Science.gov (United States)

Pati, Sanghamitra; Sharma, Kavya; Zodpey, Sanjay; Chauhan, Kavita; Dobe, Madhumita

2012-01-01

‘Health promotion is the process of enabling people to increase control over and to improve their health’. This stream of public health is emerging as a critical domain within the realm of disease prevention. Over the last two decades, the curative model of health care has begun a subtle shift towards a participatory model of health promotion emphasizing upon practice of healthy lifestyles and creating healthy communities. Health promotion encompasses five key strategies with health communication and education as its cornerstones. Present study is an attempt to explore the current situation of health promotion education in India with an aim to provide a background for capacity building in health promotion. A systematic predefined method was adopted to collect and compile information on existing academic programs pertaining to health promotion and health education/communication. Results of the study reveal that currently health promotion education in India is fragmented and not uniform across institutes. It is yet to be recognized as a critical domain of public health education. Mostly teaching of health promotion is limited to health education and communication. There is a need for designing programmes for short-term and long-term capacity building, with focus on innovative methods and approaches. Public health institutes and associations could play a proactive role in designing and imparting academic programs on health promotion. Enhancing alliances with various institutes involved in health promotion activities and networking among public health and medical institutes as well as health services delivery systems would be more productive. PMID:22980352

Out-of-pocket expenditure on institutional delivery in India.

Science.gov (United States)

Mohanty, Sanjay K; Srivastava, Akanksha

2013-05-01

Though promotion of institutional delivery is used as a strategy to reduce maternal and neonatal mortality, about half of the deliveries in India are conducted at home without any medical care. Among women who deliver at home, one in four cites cost as barrier to facility-based care. The relative share of deliveries in private health centres has increased over time and the associated costs are often catastrophic for poor households. Though research has identified socio-economic, demographic and geographic barriers to the utilization of maternal care, little is known on the cost differentials in delivery care in India. The objective of this paper is to understand the regional pattern and socio-economic differentials in out-of-pocket (OOP) expenditure on institutional delivery by source of provider in India. The study utilizes unit data from the District Level Household and Facility Survey (DLHS-3), conducted in India during 2007-08. Descriptive statistics, principal component analyses and a two-part model are used in the analyses. During 2004-08, the mean OOP expenditure for a delivery in a public health centre in India was US$39 compared with US$139 in a private health centre. The predicted expenditure for a caesarean delivery was six times higher than for a normal delivery. With an increase in the economic status and educational attainment of mothers, the propensity and rate of OOP expenditure increases, linking higher OOP expenditure to quality of care. The OOP expenditure in public health centres, adjusting for inflation, has declined over time, possibly due to increased spending under the National Rural Health Mission. Based on these findings, we recommend that facilities in public health centres of poorly performing states are improved and that public-private partnership models are developed to reduce the economic burden for households of maternal care in India.

Radioactivity levels in Indian coal and some technologically enhanced exposure to natural radiation environment of India

International Nuclear Information System (INIS)

Ramachandran, T.V.; Mishra, U.C.

1988-01-01

The summary of results of gamma-spectrometric measurements of natural radioactivity levels in coal from mines, coal, fly-ash, slag and soil samples from thermal power plants in India are presented. These constitute the sources of technologic ally enhanced exposures to natural radiation. Brief description of sampling and measurement procedure is given. Radiation dose to the population from coal fired power plants for electricity generation have been calculated using the model developed by UNSCEAR and ORNL reports with correction for local population density. (author). 13 refs., 7 tabs., 8 figs

Zika virus: Current concerns in India

Directory of Open Access Journals (Sweden)

Sumit Bhardwaj

2017-01-01

Full Text Available With confirmation of Zika virus (ZIKV presence in India, screening of a large number of febrile illness samples yielded only four positive cases. In this review, we address the current concern with context to India. The possible reasons for low level of Zika prevalence in India have been discussed, by extracting some probable explanations from previous experience of chikungunya virus-vector model/studies. In the current context, it is hypothesized that Indian mosquito strains have lower susceptibility gradient/threshold for ZIKV. The very low positivity in the humans also indicates low levels of mosquito-human-mosquito transmission cycle. There is also a need to look for the existence of any such animal cycle/sylvatic involvement in India. The recently detected four cases in India show local transmission of ZIKV suggesting that ZIKV might have been present in India since long time. The earlier vector-virus relationship studies with chikungunya suggested that in due course of time, ZIKV might become a major public health concern in the future.

Minor Millets as a Central Element for Sustainably Enhanced Incomes, Empowerment, and Nutrition in Rural India

Directory of Open Access Journals (Sweden)

Stefano Padulosi

2015-07-01

Full Text Available Minor millets comprise a group of cereal species that are genetically diverse and adapted to a range of marginal growing conditions where major cereals such as wheat, rice, and maize are relatively unsuccessful. Millets require few inputs and withstand severe biotic and abiotic stresses. They are also more nutritious than major cereals. Despite these advantages, neglect in several arenas has resulted in a steady decline in the cultivation of minor millets in India over the past few decades. As part of a United Nations global project on underutilized species, we undertook action research intended to stem the decline in cultivation and enhance the conservation and use of minor millets in 753 households spread across 34 villages in four states of India. Our aim was to improve incomes, nutritional status, and empowerment, especially for women. Overall, our holistic approach to mainstreaming species such as finger millet, little millet, foxtail millet, and barnyard millet indicates that these neglected and underutilized species can play a strategic role in improving many dimensions of livelihoods.

78 FR 53790 - Public Forum-Safety Culture: Enhancing Transportation Safety

Science.gov (United States)

2013-08-30

... NATIONAL TRANSPORTATION SAFETY BOARD Public Forum--Safety Culture: Enhancing Transportation Safety On Tuesday and Wednesday, September 10-11, 2013, the National Transportation Safety Board (NTSB) will convene a forum titled, ``Safety Culture: Enhancing Transportation Safety.'' The forum will begin at 9:00...

Landuse/landcover studies of areas in and around Paradip Port, east cost of India

Digital Repository Service at National Institute of Oceanography (India)

ManiMurali, R.; Ekka, S.; Vethamony, P.; Ilangovan, D.

of Publication Scale Source 73 L/10 1973 1:50,000 Survey of India 73 L/11 1973 1:50,000 Survey of India 73 L/13 1973 1:50,000 Survey of India 73 L/14 1973 1:50,000 Survey of India 73L/15 1973 1:50,000 Survey of India 73P/1 1973 1:50,000 Survey of India 73...

An assessment of EIA system in India

Energy Technology Data Exchange (ETDEWEB)

Panigrahi, Jitendra K., E-mail: Jitu@scientist.com [Department of Marine Sciences, Berhampur University, Berhampur-760007 (India); Amirapu, Susruta, E-mail: susrutaa@gmail.com [EIA Department, L and T-RAMBOLL, Hyderabad-500029 (India)

2012-07-15

Environmental impact assessment (EIA) was first introduced in India based on the Environmental Protection Act (EPA), 1986. But formally it came in to effect, when Ministry of Environment and Forest (MoEF) has passed a major legislative measure under EPA in January 1994 for Environmental Clearance (EC) known as EIA Notification, 1994. Subsequently, EIA processes have been strengthened by MoEF by a series of amendments. The current practice is adhering to EIA Notification, 2006 and its amendments. The pieces of evidence collected and analysis in the present assessment suggest that, despite a sound legislative, administrative and procedural set-up EIA has not yet evolved satisfactorily in India. An appraisal of the EIA system against systematic evaluation criteria, based on discussions with various stakeholders, EIA expert committee members, approval authorities, project proponents, NGOs and consulting professionals, reveals various drawbacks of the EIA system. These mainly include; inadequate capacity of EIA approval authorities, deficiencies in screening and scoping, poor quality EIA reports, inadequate public participation and weak monitoring. Overall, EIA is used presently as a project justification tool rather than as a project planning tool to contribute to achieving sustainable development. While shortcomings are challenging, Government of India is showing a high degree of commitment. The EIA system in the country is undergoing progressive refinements by steadily removing the constraints. The paper identifies opportunities for taking advantage of the current circumstances for strengthening the EIA process. - Highlights: Black-Right-Pointing-Pointer An assessment has been carried out on Environmental Clearance under EIA Notification, 2006, MoEF, Government of India. Black-Right-Pointing-Pointer EIA system is appraised against systematic evaluation criteria proposed by Ahmad and Wood (2002), Wood (2003), Fuller (1999). Black-Right-Pointing-Pointer The analysis

Public Attitudes Towards Moral Enhancement. Evidence that Means Matter Morally

NARCIS (Netherlands)

J. Specker (Jona); M.H.N. Schermer (Maartje); P.B. Reiner (Peter)

2017-01-01

textabstractTo gain insight into the reasons that the public may have for endorsing or eschewing pharmacological moral enhancement for themselves or for others, we used empirical tools to explore public attitudes towards these issues. Participants (N = 293) from the United States were recruited via

Assessment of Technical Efficiency of Public Sector Banks in India Using Data Envelopment Analysis

Directory of Open Access Journals (Sweden)

Aparna BHATIA

2015-05-01

Full Text Available The main aim of the paper is to analyze technical efficiency of Public Sector Banks (PSBs in India during the period 1990-91 to 2011-12. The paper also examines whether there is statistically significant difference in efficiency of PSBs in the reformatory era (1990-91 to 2000-01 as compared to the post reformatory era (2001-02 to 2011-12. Using CAMEL framework, the paper also investigates the determinants of efficiency of PSBs. The results show that PSBs exhibit higher mean of the efficiency parameters in post reformatory era (2001-02 to 2011-12 than in the reformatory era (1990-91 to 2000-01. PSBs inefficiency is attributed to Pure Technical Inefficiency in reformatory era whereas the same is accredited to scale inefficiency in the post reformatory era. Paired t test shows that there is significant difference in performance of Public Sector Banks in reformatory era and post reformatory in all the Efficiency parameters. The results of Panel Data TOBIT regression suggest that various CAMEL parameters have significant impact on the technical efficiency of PSBs.

An extended cost-effectiveness analysis of schizophrenia treatment in India under universal public finance.

Science.gov (United States)

Raykar, Neha; Nigam, Aditi; Chisholm, Dan

2016-01-01

Schizophrenia remains a priority condition in mental health policy and service development because of its early onset, severity and consequences for affected individuals and households. This paper reports on an 'extended' cost-effectiveness analysis (ECEA) for schizophrenia treatment in India, which seeks to evaluate through a modeling approach not only the costs and health effects of intervention but also the consequences of a policy of universal public finance (UPF) on health and financial outcomes across income quintiles. Using plausible values for input parameters, we conclude that health gains from UPF are concentrated among the poorest, whereas the non-health gains in the form of out-of-pocket private expenditures averted due to UPF are concentrated among the richest income quintiles. Value of insurance is the highest for the poorest quintile and declines with income. Universal public finance can play a crucial role in ameliorating the adverse economic and social consequences of schizophrenia and its treatment in resource-constrained settings where health insurance coverage is generally poor. This paper shows the potential distributional and financial risk protection effects of treating schizophrenia.

Opportunities and challenges for public libraries to enhance community resilience.

Science.gov (United States)

Veil, Shari R; Bishop, Bradley Wade

2014-04-01

This study bridges a gap between public library and emergency management policy versus practice by examining the role of public libraries in the community resource network for disaster recovery. Specifically, this study identifies the opportunities and challenges for public libraries to fulfill their role as a FEMA-designated essential community organization and enhance community resilience. The results indicate there are several opportunities for libraries to enhance community resilience by offering technology resources and assistance; providing office, meeting, and community living room space; serving as the last redundant communication channel and a repository for community information and disaster narratives; and adapting or expanding services already offered to meet the changing needs of the community. However, libraries also face challenges in enhancing community resilience, including the temptation to overcommit library capacity and staff capability beyond the library mission and a lack of long-term disaster plans and collaboration with emergency managers and government officials. Implications for library and emergency management practice and crisis research are discussed. © 2013 Society for Risk Analysis.

Reducing Greenhouse Gas Emissions in India. Financial mechanisms and opportunities for EU-India collaboration

Energy Technology Data Exchange (ETDEWEB)

Atteridge, Aaron; Nilsson Axberg, Goeran; Goel, Nitu; Kumar, Atul; Lazarus, Michael; Ostwald, Madelene; Polycarp, Clifford; Tollefsen, Petter; Torvanger, Asbjoern; Upadhyaya, Prabhat; Zetterberg, Lars

2009-10-15

negotiations. Successful EU and India collaboration will necessarily be focused in areas of common interest. While a primary aim of the EU is to catalyse large GHG emission reductions, India's key interests are in supporting economic development and enhancing technology transfer. Areas of collaboration must therefore lie at the intersection of these objectives. This report recommends several specific areas that could prove productive sites for collaboration between the parties, namely: Implementing a clean-cooking stoves program to reduce both the health and climate impacts of black carbon ('soot') emissions from India's very large non-commercial energy sector, and to provide an understanding of the technological, economic and policy conditions needed to dramatically scale up the deployment of cleaner stoves. Developing a concrete package for supporting solar energy development and deployment, consisting of financial resources raised and delivered through European Development Banks as well as a joint research program to drive down technology costs and foster local manufacture; and, Supporting implementation of the National Mission on Enhanced Energy Efficiency, in particular by using credit lines to Indian financial institutions for targeting lending to Energy Service Companies, and by establishing EU-India research teams to work on identifying and tailoring high efficiency technologies for deployment in the small and medium-sized industry sector

RISE OF BIOINFORMATICS AND COMPUTATIONAL BIOLOGY IN INDIA: A LOOK THROUGH PUBLICATIONS

Directory of Open Access Journals (Sweden)

Anjali Srivastava

2017-09-01

Full Text Available Computational biology and bioinformatics have been part and parcel of biomedical research for few decades now. However, the institutionalization of bioinformatics research took place with the establishment of Distributed Information Centres (DISCs in the research institutions of repute in various disciplines by the Department of Biotechnology, Government of India. Though, at initial stages, this endeavor was mainly focused on providing infrastructure for using information technology and internet based communication and tools for carrying out computational biology and in-silico assisted research in varied arena of research starting from disease biology to agricultural crops, spices, veterinary science and many more, the natural outcome of establishment of such facilities resulted into new experiments with bioinformatics tools. Thus, Biotechnology Information Systems (BTIS grew into a solid movement and a large number of publications started coming out of these centres. In the end of last century, bioinformatics started developing like a full-fledged research subject. In the last decade, a need was felt to actually make a factual estimation of the result of this endeavor of DBT which had, by then, established about two hundred centres in almost all disciplines of biomedical research. In a bid to evaluate the efforts and outcome of these centres, BTIS Centre at CSIR-CDRI, Lucknow was entrusted with collecting and collating the publications of these centres. However, when the full data was compiled, the DBT task force felt that the study must include Non-BTIS centres also so as to expand the report to have a glimpse of bioinformatics publications from the country.

Biobanking and Privacy in India.

Science.gov (United States)

Chaturvedi, Sachin; Srinivas, Krishna Ravi; Muthuswamy, Vasantha

2016-03-01

Biobank-based research is not specifically addressed in Indian statutory law and therefore Indian Council for Medical Research guidelines are the primary regulators of biobank research in India. The guidelines allow for broad consent and for any level of identification of specimens. Although privacy is a fundamental right under the Indian Constitution, courts have limited this right when it conflicts with other rights or with the public interest. Furthermore, there is no established privacy test or actionable privacy right in the common law of India. In order to facilitate biobank-based research, both of these lacunae should be addressed by statutory law specifically addressing biobanking and more directly addressing the accompanying privacy concerns. A biobank-specific law should be written with international guidelines in mind, but harmonization with other laws should not be attempted until after India has created a law addressing biobank research within the unique legal and cultural environment of India. © 2016 American Society of Law, Medicine & Ethics.

Poverty and Social Exclusion in India : Women

OpenAIRE

Das, Maitreyi Bordia; Mehta, Soumya Kapoor

2012-01-01

This brief describes the poverty and social exclusion of Women in India. The last few decades have seen remarkable progress in the status of women and girls, yet the cultural roots of gender inequality are still strong and affect a range of outcomes. The high salaries and independent lifestyles of women in urban India have captured public imagination. Yet progress has been very uneven and ...

INES information system - Feedback from India 1996-97

International Nuclear Information System (INIS)

Kumar, S.V.

1997-01-01

International Nuclear Events Scale is in use for the past seven years and has proved to be an effective tool of communication between the nuclear community, the media and the public for safety significance of an event occurring in nuclear facilities. India is an active participant in INES programme and using the INES from its inception. India regularly sends 'Event Rating Forms' to IAEA for events occurring at Indian Nuclear Installations. This paper gives a brief account of INES activities in India during 1996 - 1997

District decision-making for health in low-income settings: a case study of the potential of public and private sector data in India and Ethiopia.

Science.gov (United States)

Bhattacharyya, Sanghita; Berhanu, Della; Taddesse, Nolawi; Srivastava, Aradhana; Wickremasinghe, Deepthi; Schellenberg, Joanna; Iqbal Avan, Bilal

2016-09-01

Many low- and middle-income countries have pluralistic health systems where private for-profit and not-for-profit sectors complement the public sector: data shared across sectors can provide information for local decision-making. The third article in a series of four on district decision-making for health in low-income settings, this study shows the untapped potential of existing data through documenting the nature and type of data collected by the public and private health systems, data flow and sharing, use and inter-sectoral linkages in India and Ethiopia. In two districts in each country, semi-structured interviews were conducted with administrators and data managers to understand the type of data maintained and linkages with other sectors in terms of data sharing, flow and use. We created a database of all data elements maintained at district level, categorized by form and according to the six World Health Organization health system blocks. We used content analysis to capture the type of data available for different health system levels. Data flow in the public health sectors of both counties is sequential, formal and systematic. Although multiple sources of data exist outside the public health system, there is little formal sharing of data between sectors. Though not fully operational, Ethiopia has better developed formal structures for data sharing than India. In the private and public sectors, health data in both countries are collected in all six health system categories, with greatest focus on service delivery data and limited focus on supplies, health workforce, governance and contextual information. In the Indian private sector, there is a better balance than in the public sector of data across the six categories. In both India and Ethiopia the majority of data collected relate to maternal and child health. Both countries have huge potential for increased use of health data to guide district decision-making. © The Author 2016. Published by Oxford

Universal health coverage for India by 2022: a utopia or reality?

Science.gov (United States)

Singh, Zile

2013-04-01

It is the obligation of the state to provide free and universal access to quality health-care services to its citizens. India continues to be among the countries of the world that have a high burden of diseases. The various health program and policies in the past have not been able to achieve the desired goals and objectives. 65(th) World Health Assembly in Geneva identified universal health coverage (UHC) as the key imperative for all countries to consolidate the public health advances. Accordingly, Planning Commission of India constituted a high level expert group (HLEG) on UHC in October 2010. HLEG submitted its report in Nov 2011 to Planning Commission on UHC for India by 2022. The recommendations for the provision of UHC pertain to the critical areas such as health financing, health infrastructure, health services norms, skilled human resources, access to medicines and vaccines, management and institutional reforms, and community participation. India faces enormous challenges to achieve UHC by 2022 such as high disease prevalence, issues of gender equality, unregulated and fragmented health-care delivery system, non-availability of adequate skilled human resource, vast social determinants of health, inadequate finances, lack of inter-sectoral co-ordination and various political pull and push of different forces, and interests. These challenges can be met by a paradigm shift in health policies and programs in favor of vulnerable population groups, restructuring of public health cadres, reorientation of undergraduate medical education, more emphasis on public health research, and extensive education campaigns. There are still areas of concern in fulfilling the objectives of achieving UHC by 2022 regarding financing model for health-care delivery, entitlement package, cost of health-care interventions and declining state budgets. However, the Government's commitment to provide adequate finances, recent bold social policy initiatives and enactments such as food

Preparing States in India for Universal Health Coverage | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

This expanded access has the potential to become a financial burden on households. This project aims to provide the evidence needed to support the rollout of universal health care in India. The Public Health Foundation of India, in collaboration with state-level institutions and decision-makers, will carry out the research.

Research trends in nuclear science and technology in India

International Nuclear Information System (INIS)

Sagar, Anil; Kademani, B.S.; Bhanumurthy, K.

2010-01-01

The present study is aimed at analysing the growth of Indian publications in nuclear science and technology. International Nuclear Information System (INIS) database is used as a tool to analyse the focused areas of this field for the period 2000-2009. Journal Citation Report 2008 (Science Edition) is used for eliciting information related to journal impact factors. The database contained a total of 29763 publications covered by all the channels of communication during the period and the study is limited only to 17309 publications published in journals. The study analyses the broad features of Indian Nuclear Science and Technology focusing on its publication growth characteristics, percentage of publications published in India and other countries, India's position among other countries in the world and position among countries in the Asian region, domain-wise publications and activity, domain-wise collaboration, national and international collaboration with impact factor comparison, institutions active in the field, quality of research output and the journals preferred for publication by the Indian scientists. (author)

Social marketing of condoms in India.

Science.gov (United States)

Thapa, S; Prasad, C V; Rao, P H; Severy, L J; Rao, S R

1994-01-01

Contraceptive social marketing is a way of supplying contraceptives to consumers who cannot afford to buy them at full market price, yet are not reached by the free public distribution program. The process involves supplying a subsidized product through existing commercial distribution networks, using the mass media and other retail marketing techniques to commercially advertise the products. India was the first country to introduce this concept to its family planning program. India's social marketing program is also the largest in the world. Over the past 25 years, total condom sales in India have expanded under the program from less than 10 million per year to more than one billion. The authors present an overview of India's social marketing initiative, describe the firms participating in the program, and summarize the lessons learned from the social marketing experience. Problems and prospects, and experiences and implications are discussed.

Why enhance and upgrade the public housing assets

Directory of Open Access Journals (Sweden)

Lucia Castiglioni

2012-10-01

Full Text Available The enhancement and the upgrading of public housing heritage is considered an example of the rehabilitation’s design potentiality and it is demonstrated through the identification by picking out some rele-vant areas of interest in relation to the built environment. In support of these identified areas examples of European best practices are shown emblematic having a programmatic, cultural and environmental character. The outlined strategies determine management, operational, financial and technological methods that shall permit its use in relation to contemporary dwelling requirement and they are outlin-ing the alternatives usable possibilities in terms of collective, cultural and also economic aspects at the same time. The building rehabilitation is understood as a design tool for the building and urban enhance-ment.

Faith, Trust and the Perinatal Healthcare Maze in Urban India

Directory of Open Access Journals (Sweden)

S. Raman

2014-05-01

Full Text Available How women access and utilise health services through pregnancy, childbirth and infancy needs to be understood if we are to improve the delivery of and access to appropriate healthcare. Drawing on ethnographic observations of clinic encounters and in-depth interviews with women in Bangalore, South India, this paper reports on the complexities of negotiating healthcare throughout the perinatal continuum in urban India. Key themes identified include faith and trust in health services, confusion over right to healthcare; and the contested nature of choice for women. What is revealed is a socially restrictive framework that results in choices that seem arbitrary, irrational and self-defeating; poor women being particularly vulnerable. Given the current policy support for public-private-partnerships in reproductive healthcare delivery in India, both public and private health services need to move substantially to achieve true partnership and provide care that is respectful and valued by women and children in urban India.

Understanding the complex relationships among actors involved in the implementation of public-private mix (PPM) for TB control in India, using social theory.

Science.gov (United States)

Salve, Solomon; Harris, Kristine; Sheikh, Kabir; Porter, John D H

2018-06-07

Public Private Partnerships (PPP) are increasingly utilized as a public health strategy for strengthening health systems and have become a core component for the delivery of TB control services in India, as promoted through national policy. However, partnerships are complex systems that rely on relationships between a myriad of different actors with divergent agendas and backgrounds. Relationship is a crucial element of governance, and relationship building an important aspect of partnerships. To understand PPPs a multi-disciplinary perspective that draws on insights from social theory is needed. This paper demonstrates how social theory can aid the understanding of the complex relationships of actors involved in implementation of Public-Private Mix (PPM)-TB policy in India. Ethnographic research was conducted within a district in a Southern state of India over a 14 month period, combining participant observations, informal interactions and in-depth interviews with a wide range of respondents across public, private and non-government organisation (NGO) sectors. Drawing on the theoretical insights from Bourdieu's "theory of practice" this study explores the relationships between the different actors. The study found that programme managers, frontline TB workers, NGOs, and private practitioners all had a crucial role to play in TB partnerships. They were widely regarded as valued contributors with distinct social skills and capabilities within their organizations and professions. However, their potential contributions towards programme implementation tended to be unrecognized both at the top and bottom of the policy implementation chain. These actors constantly struggled for recognition and used different mechanisms to position themselves alongside other actors within the programme that further complicated the relationships between different actors. This paper demonstrates that applying social theory can enable a better understanding of the complex relationship

Undernourishment and Public Policy in India | CRDI - Centre de ...

International Development Research Centre (IDRC) Digital Library (Canada)

Scientists, donors, and Indian policymakers are puzzled why India has the highest percentage of undernourished children in the world. This project explores the reasons why the country's high economic growth rate has not translated into better nutrition for its people, particularly poor women and children. It aims to shape ...

Mass vaccination with a new, less expensive oral cholera vaccine using public health infrastructure in India: the Odisha model.

Science.gov (United States)

Kar, Shantanu K; Sah, Binod; Patnaik, Bikash; Kim, Yang Hee; Kerketta, Anna S; Shin, Sunheang; Rath, Shyam Bandhu; Ali, Mohammad; Mogasale, Vittal; Khuntia, Hemant K; Bhattachan, Anuj; You, Young Ae; Puri, Mahesh K; Lopez, Anna Lena; Maskery, Brian; Nair, Gopinath B; Clemens, John D; Wierzba, Thomas F

2014-02-01

The substantial morbidity and mortality associated with recent cholera outbreaks in Haiti and Zimbabwe, as well as with cholera endemicity in countries throughout Asia and Africa, make a compelling case for supplementary cholera control measures in addition to existing interventions. Clinical trials conducted in Kolkata, India, have led to World Health Organization (WHO)-prequalification of Shanchol, an oral cholera vaccine (OCV) with a demonstrated 65% efficacy at 5 years post-vaccination. However, before this vaccine is widely used in endemic areas or in areas at risk of outbreaks, as recommended by the WHO, policymakers will require empirical evidence on its implementation and delivery costs in public health programs. The objective of the present report is to describe the organization, vaccine coverage, and delivery costs of mass vaccination with a new, less expensive OCV (Shanchol) using existing public health infrastructure in Odisha, India, as a model. All healthy, non-pregnant residents aged 1 year and above residing in selected villages of the Satyabadi block (Puri district, Odisha, India) were invited to participate in a mass vaccination campaign using two doses of OCV. Prior to the campaign, a de jure census, micro-planning for vaccination and social mobilization activities were implemented. Vaccine coverage for each dose was ascertained as a percentage of the censused population. The direct vaccine delivery costs were estimated by reviewing project expenditure records and by interviewing key personnel. The mass vaccination was conducted during May and June, 2011, in two phases. In each phase, two vaccine doses were given 14 days apart. Sixty-two vaccination booths, staffed by 395 health workers/volunteers, were established in the community. For the censused population, 31,552 persons (61% of the target population) received the first dose and 23,751 (46%) of these completed their second dose, with a drop-out rate of 25% between the two doses. Higher

India | Page 104 | IDRC - International Development Research Centre

International Development Research Centre (IDRC) Digital Library (Canada)

... India, Malaysia, Thailand), and Africa (Cameroon, Jordan, Rwanda). The book documents the impacts of public access, positive and negative, on individuals, society and networks, and women, and examines the policy implications of findings. Read more about Public Access ICT across Cultures: Diversifying Participation ...

Energy in India's Future: Insights

International Nuclear Information System (INIS)

Lesourne, J.; Ramsay, W.C.; Jaureguy-Naudin, Maite; Boillot, Jean-Joseph; Autheman, Nicolas; Ruet, Joel; Siddiqui, Zakaria; Zaleski, C. Pierre; Cruciani, Michel

2009-01-01

In the decades following India's independence from British rule in 1947, the West's image of India was summarized in three simple cliches: the world's largest democracy, an impoverished continent, and economic growth hampered by a fussy bureaucracy and the caste system, all in a context of a particular religion. These cliches are perhaps one of the reasons that the success of India's green revolution was recognized so late, a revolution that allowed the country to develop its agricultural sector and to feed its population. Since the 1990's, the easing of planning constraints have liberated the Indian economy and allowed it to embark on a more significant path of growth. New cliches have begun to replace the old: India will become a second China and, lagging by 10 to 20 years, will follow the same trajectory, with its development marked more by services and the use of renewable energy. However, these trends will not prevent primary energy demand from exploding. On the contrary, India faces difficult choices on how it increases clean, secure, affordable energy to all its citizens. Many of the choices are the same as found elsewhere, but on a scale matched only by China. The IFRI European Governance and Geopolitics of Energy Project intends this study to deepen public understanding of the magnitude of India's challenges. Various aspects of the serious energy problems are studied throughout this monograph. The authors have written freely on these matters without attempting to reconcile their different viewpoints. The first chapter, by Maite Jaureguy-Naudin and Jacques Lesourne, presents an overview of India's present and future energy system. The authors follow a prudent but realistic view of India's future. The second chapter, by Jean-Joseph Boillot, a French expert on India who has published several books and articles on this subject, and Nicolas Autheman, research fellow, describes in greater detail the specifics of India's economy and the actors who are now present

Hemovigilance Program-India

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Akanksha Bisht

2013-01-01

Full Text Available A centralized hemovigilance program to assure patient safety and to promote public health has been launched for the first time in India on Dec 10, 2012 in 60 medical colleges in the first phase along with a well-structured program for monitoring adverse reactions associated with blood transfusion and blood product administration. National Institute of Biologicals (NIB will be the National Coordinating Centre for Hemovigilance. This program will be implemented under overall ambit of Pharmacovigilance Program of India (PvPI, which is being coordinated by Indian Pharmacopoeia Commission (IPC. All medical colleges of the country will be enrolled in this program by the year 2016 in order to have a National Centre of Excellence for Hemovigilance at NIB, which will act as a global knowledge platform.

Emerging vector-borne zoonoses: eco-epidemiology and public health implications in India.

Science.gov (United States)

Dhiman, Ramesh C

2014-01-01

The diseases originating from animals or associated with man and animals are remerging and have resulted in considerable morbidity and mortality. The present review highlights the re-emergence of emerging mainly zoonotic diseases like chikungunya, scrub typhus, and extension of spatial distribution of cutaneous leishmaniasis from western Rajasthan to Himachal Pradesh, Kerala, and Haryana states; West Nile virus to Assam, and non-endemic areas of Japanese encephalitis (JE) like Maharashtra and JE to Delhi; Crimean-Congo hemorrhagic fever making inroads in Ahmedabad; and reporting fifth parasite of human malaria with possibility of zoonosis have been highlighted, which necessitates further studies for prevention and control. Emphasis has been given on understanding the ecology of reservoir hosts of pathogen, micro niche of vector species, climatic, socioeconomic risk factors, etc. Development of facilities for diagnosis of virus from insects, reservoirs, and human beings (like BSL4, which has been established in NIV, Pune), awareness about symptoms of new emerging viral and other zoonotic diseases, differential diagnosis, risk factors (climatic, ecological, and socioeconomic) and mapping of disease-specific vulnerable areas, and mathematical modeling for projecting epidemiological scenario is needed for preparedness of public health institutes. It is high time to understand the ecological link of zoonotic or anthroponotic diseases for updated risk maps and epidemiological knowledge for effective preventive and control measures. The public health stakeholders in India as well as in Southeast Asia should emphasize on understanding the eco-epidemiology of the discussed zoonotic diseases for taking preventive actions.

The Challenges of Skill Development in India

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Kajari MUKHERJEE

2018-05-01

Full Text Available India’s demographic dividend has been a matter of anticipation, aspirations, and ridicule, all at the same time. The government of India has been trying hard for over a decade now to enhance the skill level of this demographic bulge. The present paper is an attempt to evaluate all such attempts critically. After taking stock of the skill situation of India, the paper asserts that skilling initiatives in India have more to do with the number of people trained rather than quality and relevance of training. The paper cites relevant data to prove that vocational skilling initiatives have failed to meet the objectives. The scope of this paper is limited to skill creation for wage employment

Revisiting Education for All 1996-2006 (India) | IDRC - International ...

International Development Research Centre (IDRC) Digital Library (Canada)

The Public Report on Basic Education (1996), a study that is widely known as ... has made a significant contribution to public policy on primary education in India. ... prevent gender-based violence, and make digital platforms work for inclusive ...

ANALYSIS ON IMPACT OF INDRADHANUSH PROJECT IN BANKING SECTOR IN INDIA

OpenAIRE

Keshava; Pavithra Kumari

2016-01-01

It was on the period of time immediately before the occasion of India`s Independence day 2015 that government announced Indradhanush for Indian Public Sector Banks. The mission aimed to improving the functioning of Public Sector Banks. Modi impressed with the word Indradhanush and loved to give new slogans which can have some impact on the memory of the listeners/ leaders. By using the Indradhanush the bureaucrats in finance minister have tried to appraise Modi as this indicates 7colours (ste...

Prevalence and determinants of caesarean section in private and public health facilities in underserved South Asian communities: Cross-sectional analysis of data from Bangladesh, India and Nepal

NARCIS (Netherlands)

M. Neuman (Melissa); G. Alcock (Glyn); K. Azad (Kishwar); A. Kuddus (Abdul); D. Osrin (David); N. Shah More (Neena); N. Nair (Nirmala); P. Tripathy (Prasanta); C. Sikorski (Catherine); N. Saville (Naomi); A. Sen (Aman); T. Colbourn (Tim); A.J. Houweling (Tanja); N. Seward (Nadine); A. Manandhar; B. Shrestha (Bhim); A. Costello (Anthony); A. Prost (Audrey)

2014-01-01

textabstractObjectives: To describe the prevalence and determinants of births by caesarean section in private and public health facilities in underserved communities in South Asia. Design: Cross-sectional study. Setting: 81 community-based geographical clusters in four locations in Bangladesh, India

Impact of Publicly Financed Health Insurance Schemes on Healthcare Utilization and Financial Risk Protection in India: A Systematic Review.

Science.gov (United States)

Prinja, Shankar; Chauhan, Akashdeep Singh; Karan, Anup; Kaur, Gunjeet; Kumar, Rajesh

2017-01-01

Several publicly financed health insurance schemes have been launched in India with the aim of providing universalizing health coverage (UHC). In this paper, we report the impact of publicly financed health insurance schemes on health service utilization, out-of-pocket (OOP) expenditure, financial risk protection and health status. Empirical research studies focussing on the impact or evaluation of publicly financed health insurance schemes in India were searched on PubMed, Google scholar, Ovid, Scopus, Embase and relevant websites. The studies were selected based on two stage screening PRISMA guidelines in which two researchers independently assessed the suitability and quality of the studies. The studies included in the review were divided into two groups i.e., with and without a comparison group. To assess the impact on utilization, OOP expenditure and health indicators, only the studies with a comparison group were reviewed. Out of 1265 articles screened after initial search, 43 studies were found eligible and reviewed in full text, finally yielding 14 studies which had a comparator group in their evaluation design. All the studies (n-7) focussing on utilization showed a positive effect in terms of increase in the consumption of health services with introduction of health insurance. About 70% studies (n-5) studies with a strong design and assessing financial risk protection showed no impact in reduction of OOP expenditures, while remaining 30% of evaluations (n-2), which particularly evaluated state sponsored health insurance schemes, reported a decline in OOP expenditure among the enrolled households. One study which evaluated impact on health outcome showed reduction in mortality among enrolled as compared to non-enrolled households, from conditions covered by the insurance scheme. While utilization of healthcare did improve among those enrolled in the scheme, there is no clear evidence yet to suggest that these have resulted in reduced OOP expenditures or

Pension Enhancements and the Retention of Public Employees: Evidence from Teaching. Working Paper 123

Science.gov (United States)

Koedel, Cory; Xiang, P. Brett

2015-01-01

We use data from workers in the largest public-sector occupation in the United States -- teaching -- to examine the effect of pension enhancements on employee retention. Specifically, we study a 1999 enhancement to the benefit formula for public school teachers in St. Louis that resulted in an immediate and dramatic increase in their incentives to…

Small but effective: India's targeted unconditional cash transfers

OpenAIRE

Puja Dutta; Stephen Howes; Rinku Murgai

2010-01-01

India's approach to social security stresses the provision of subsidized food and public works. Targeted, unconditional cash transfers are little used, and have been little evaluated. An evaluation of cash transfers for the elderly and widows based on national household survey data and surveys on social pension utilization in two of India's states, Karnataka and Rajasthan, reveal that these social pension schemes work reasonably well. Levels of leakage (corruption) are low, funds flow disprop...

A framework for healthcare quality improvement in India: The time is here and now!

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P Varkey

2011-01-01

Full Text Available Healthcare in India has been undergoing rapid changes in the last decade. As demand outpaces supply, quality improvement (QI initiatives and tools can be beneficial to enhance safe, effective, efficient, equitable and timely care. Healthcare quality is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. This article discusses the framework for QI and reviews the Plan-Do-Study-Act (PDSA, Lean and Six Sigma methodologies, and briefly discusses key patient safety and quality measurement concepts. The PDSA cycle assists in testing the ideas through small tests of change or "pilots". Six Sigma aims at reducing variations in processes, and the Lean methodology predominantly focuses on enhancing process efficiency and eliminating non-value added steps in the process. It is likely that such structured problem solving approaches will provide an objective and systematic method of enhancing quality in healthcare institutions across India. As increasing attention being is paid on enhancing the quality of life through the Quality Council of India and accreditation of hospitals in India through the International Organization for standardization and National Accreditation Board for hospitals and healthcare providers, a focus on QI by institutional leaders and healthcare providers is key to enhancing the safety and quality of healthcare in India. Central to this also will be leadership buy-in, identification of a core faculty or team that will be the initiators of change, a respect for the need for faculty training and education in QI, measurement of issues to identify key priorities to focus on, and enhanced information systems where resources permit the same.

Transforming governance or reinforcing hierarchies and competition: examining the public and hidden transcripts of the Global Fund and HIV in India.

Science.gov (United States)

Kapilashrami, Anuj; McPake, Barbara

2013-09-01

Global health initiatives (GHIs) have gained prominence as innovative and effective policy mechanisms to tackle global health priorities. More recent literature reveals governance-related challenges and their unintended health system effects. Much less attention is received by the relationship between these mechanisms, the ideas that underpin them and the country-level practices they generate. The Global Fund has leveraged significant funding and taken a lead in harmonizing disparate efforts to control HIV/AIDS. Its growing influence in recipient countries makes it a useful case to examine this relationship and evaluate the extent to which the dominant public discourse on Global Fund departs from the hidden resistances and conflicts in its operation. Drawing on insights from ethnographic fieldwork and 70 interviews with multiple stakeholders, this article aims to better understand and reveal the public and the hidden transcript of the Global Fund and its activities in India. We argue that while its public transcript abdicates its role in country-level operations, a critical ethnographic examination of the organization and governance of the Fund in India reveals a contrasting scenario. Its organizing principles prompt diverse actors with conflicting agendas to come together in response to the availability of funds. Multiple and discrete projects emerge, each leveraging control and resources and acting as conduits of power. We examine how management of HIV is punctuated with conflicts of power and interests in a competitive environment set off by the Fund protocol and discuss its system-wide effects. The findings also underscore the need for similar ethnographic research on the financing and policy-making architecture of GHIs.

Cost and efficiency of public sector sexually transmitted infection clinics in Andhra Pradesh, India

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Ramesh YK

2005-11-01

Full Text Available Abstract Background Control of sexually transmitted infections (STIs is an important part of the effort to reduce the risk of HIV/AIDS. STI clinics in the government hospitals in India provide services predominantly to the poor. Data on the cost and efficiency of providing STI services in India are not available to help guide efficient use of public resources for these services. Methods Standardised methods were used to obtain detailed cost and output data for the 2003–2004 fiscal year from written records and interviews in 14 government STI clinics in the Indian state of Andhra Pradesh. The economic cost per patient receiving STI treatment was calculated, and the variations of total and unit costs across the STI clinics analysed. Multivariate regression technique was used to estimate incremental unit costs. The optimal number of STIs that could be handled by the clinics was estimated. Results 18807 STIs were diagnosed and treated at the 14 STI clinics in fiscal year 2003–2004 (range 323–2784, median 1199. The economic cost of treating each STI varied 5-fold from Indian Rupees (INR 225.5 (US$ 4.91 to INR 1201.5 (US$ 26.15 between 13 clinics, with one other clinic having a very high cost of INR 2478.5 (US$ 53.94. The average cost per STI treated for all 14 clinics combined was INR 729.5 (US$ 15.88. Personnel salaries made up 76.2% of the total cost. The number of STIs treated per doctor full-time equivalent and cost-efficiency for each STI treated had a significant direct non-linear relation (p 2 = 0.81; power function. With a multiple regression model, apart from the fixed costs, the incremental cost for each STI detected and cost of treatment was INR 55.57 (US$ 1.21 and for each follow-up visit was INR 3.75 (US$ 0.08. Based on estimates of optimal STI cases that could be handled without compromising quality by each doctor full-time equivalent available, it was projected that at 8 of the 14 clinics substantially more STI cases could be

Multicenter collaborative for orthopaedic research in India: An opportunity for global leadership

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Mathew George

2008-01-01

Full Text Available Road traffic accidents are increasing at an alarming rate and have become a major public health concern in India. In addition, there is a lack of trauma research output and reliable data from India. There are several issues and challenges that have presented an opportunity for researchers and surgeons in India to develop a collaborative aimed at improving the quality and productivity of orthopaedic trauma research. Establishing a network of surgical researchers across India is a necessary first step towards global leadership in orthopaedic surgery trials.

Empowering health personnel for decentralized health planning in India: The Public Health Resource Network

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Prasad Vandana

2009-07-01

Full Text Available Abstract The Public Health Resource Network is an innovative distance-learning course in training, motivating, empowering and building a network of health personnel from government and civil society groups. Its aim is to build human resource capacity for strengthening decentralized health planning, especially at the district level, to improve accountability of health systems, elicit community participation for health, ensure equitable and accessible health facilities and to bring about convergence in programmes and services. The question confronting health systems in India is how best to reform, revitalize and resource primary health systems to deliver different levels of service aligned to local realities, ensuring universal coverage, equitable access, efficiency and effectiveness, through an empowered cadre of health personnel. To achieve these outcomes it is essential that health planning be decentralized. Districts vary widely according to the specific needs of their population, and even more so in terms of existing interventions and available resources. Strategies, therefore, have to be district-specific, not only because health needs vary, but also because people's perceptions and capacities to intervene and implement programmes vary. In centrally designed plans there is little scope for such adaptation and contextualization, and hence decentralized planning becomes crucial. To undertake these initiatives, there is a strong need for trained, motivated, empowered and networked health personnel. It is precisely at this level that a lack of technical knowledge and skills and the absence of a supportive network or adequate educational opportunities impede personnel from making improvements. The absence of in-service training and of training curricula that reflect field realities also adds to this, discouraging health workers from pursuing effective strategies. The Public Health Resource Network is thus an attempt to reach out to motivated

Empowering health personnel for decentralized health planning in India: The Public Health Resource Network.

Science.gov (United States)

Kalita, Anuska; Zaidi, Sarover; Prasad, Vandana; Raman, V R

2009-07-20

The Public Health Resource Network is an innovative distance-learning course in training, motivating, empowering and building a network of health personnel from government and civil society groups. Its aim is to build human resource capacity for strengthening decentralized health planning, especially at the district level, to improve accountability of health systems, elicit community participation for health, ensure equitable and accessible health facilities and to bring about convergence in programmes and services. The question confronting health systems in India is how best to reform, revitalize and resource primary health systems to deliver different levels of service aligned to local realities, ensuring universal coverage, equitable access, efficiency and effectiveness, through an empowered cadre of health personnel. To achieve these outcomes it is essential that health planning be decentralized. Districts vary widely according to the specific needs of their population, and even more so in terms of existing interventions and available resources. Strategies, therefore, have to be district-specific, not only because health needs vary, but also because people's perceptions and capacities to intervene and implement programmes vary. In centrally designed plans there is little scope for such adaptation and contextualization, and hence decentralized planning becomes crucial. To undertake these initiatives, there is a strong need for trained, motivated, empowered and networked health personnel. It is precisely at this level that a lack of technical knowledge and skills and the absence of a supportive network or adequate educational opportunities impede personnel from making improvements. The absence of in-service training and of training curricula that reflect field realities also adds to this, discouraging health workers from pursuing effective strategies. The Public Health Resource Network is thus an attempt to reach out to motivated though often isolated health

Women's perspectives on public policy in India: a half-century of incomplete or lost agenda?

Science.gov (United States)

Krishnaraj, M

2000-01-01

52 years is not a small period for initiating progress. The promises enshrined in the Indian Constitution and the vision of women's full emancipation advanced during the nationalist struggle have alas not merely receded, but there is every danger that the lost momentum may not be made up unless once again the authors gear ourselves to intervene more forcefully in the polity and public policy. What we find despite tall pronouncements and a great deal of rhetoric and sentiment, is that the reality of public policy that emerges is full of ambiguities, ambivalences and contradictions, often taking away with the left hand what the right hand gives. Women's recommendations towards a radical movement for promoting gender equality in free India got jettisoned. The cost to women of this neglect is documented by plenty of data. In spheres such as employment, education, population, health, family laws, environment, and criminal justice, the response of the state has often been either detrimental to women or merely helped maintain the status quo. In many spheres, while women's interventions have been substantial, these were like a finger in the dyke, unable to reverse major policy directions.

Cardiovascular research in India: a perspective.

Science.gov (United States)

Vamadevan, Ajay S; Shah, Bimal R; Califf, Robert M; Prabhakaran, Dorairaj

2011-03-01

With cardiovascular disease (CVD) emerging as a major cause of mortality in India, clinical research in CVD is becoming increasingly important. There are several favorable factors that offer robust growth of clinical research infrastructure in India: well-established system of governance, a large investment in medical education infrastructure, growing interest in building capacity in clinical research, the presence of regulatory mechanisms governing clinical research, a large pharmaceutical industry, and a highly developed information technology and data processing infrastructure. However, the lack of trained research manpower, inadequate public spending on health, uneven distribution of health infrastructure, and the large prevalence of pretransitional diseases are major weakness in undertaking high-quality clinical research in CVD. Analysis of the contemporary scenario reveals that there are 3 important opportunities for clinical research in India: the need to identify low cost but cutting edge and context-specific interventions to address the health needs of India's large population, the potential for high-quality research, and the high degree of interest (domestically and internationally) in investing in clinical research education and infrastructure. Copyright © 2011 Mosby, Inc. All rights reserved.

India mental health country profile.

Science.gov (United States)

Khandelwal, Sudhir K; Jhingan, Harsh P; Ramesh, S; Gupta, Rajesh K; Srivastava, Vinay K

2004-01-01

India, the second most populated country of the world with a population of 1.027 billion, is a country of contrasts. It is characterized as one of the world's largest industrial nations, yet most of the negative characteristics of poor and developing countries define India too. The population is predominantly rural, and 36% of people still live below poverty line. There is a continuous migration of rural people into urban slums creating major health and economic problems. India is one of the pioneer countries in health services planning with a focus on primary health care. Improvement in the health status of the population has been one of the major thrust areas for social development programmes in the country. However, only a small percentage of the total annual budget is spent on health. Mental health is part of the general health services, and carries no separate budget. The National Mental Health Programme serves practically as the mental health policy. Recently, there was an eight-fold increase in budget allocation for the National Mental Health Programme for the Tenth Five-Year Plan (2002-2007). India is a multicultural traditional society where people visit religious and traditional healers for general and mental health related problems. However, wherever modern health services are available, people do come forward. India has a number of public policy and judicial enactments, which may impact on mental health. These have tried to address the issues of stigma attached to the mental illnesses and the rights of mentally ill people in society. A large number of epidemiological surveys done in India on mental disorders have demonstrated the prevalence of mental morbidity in rural and urban areas of the country; these rates are comparable to global rates. Although India is well placed as far as trained manpower in general health services is concerned, the mental health trained personnel are quite limited, and these are mostly based in urban areas. Considering this

Deceased donor liver transplant: Experience from a public sector hospital in India.

Science.gov (United States)

Pamecha, Viniyendra; Borle, Deeplaxmi Purushottam; Kumar, Senthil; Bharathy, Kishore Gurumoorthy Subramanya; Sinha, Piyush Kumar; Sasturkar, Shridhar Vasantrao; Sharma, Vibuti; Pandey, Chandra Kant; Sarin, Shiv Kumar

2018-01-01

Deceased donor liver transplant (DDLT) is an uncommon procedure in India. We present our experience of DDLT from a public sector teaching hospital. A retrospective analysis of all DDLT was performed from April 2012 till September 2016. Demographics, intraoperative, donor factors, morbidity, and outcome were analyzed. During the study period, 305 liver transplants were performed, of which 36 were DDLT (adult 32, pediatric 4; 35 grafts; 1 split). The median age was 42.5 (1-62) years; 78% were men. The median donor age was 28 (1-77) years; 72.2% were men. About 45% of organs were procured from outside of Delhi and 67% of all grafts used were marginal. Three of 38 liver grafts (7.8%) were rejected due to gross steatosis. Commonest indication was cryptogenic cirrhosis (19.4%). The median model for end-stage liver disease sodium and pediatric end-stage liver disease scores were 23.5 (9-40) and 14.5 (9-22), respectively. Median warm and cold ischemia times were 40 (23-56) and 396 (111-750) min, respectively. Major morbidity of grade III and above occurred in 63.8%. In hospital (90 days), mortality was 16.7% and there were two late deaths because of chronic rejection and biliary sepsis. The overall survival was 77.8% at median follow up of 8.6 (1-54) months. DDLT can be performed with increasing frequency and safety in a public sector hospital. The perioperative and long-term outcomes are acceptable despite the fact that most organs were extended criteria grafts.

Financing Human Development in India: Strategies and Options

OpenAIRE

Aziz, Ghazala

2012-01-01

India is ranked fairly high amongst the countries in terms of out of pocket expenditure by its citizens on health and education. India is ranked 134th on the Human Development Index (2011 ranking). Public expenditure on human development is given increasing emphasis but the desired results remain elusive as the expenditure on social services hardly benefits the needy because of leakages and wastage. Only well targeted expenditures coupled with sound implementation can benefit the poor. As ind...

Slum population in India: Extent and policy response

OpenAIRE

Upinder Sawhney

2013-01-01

An increasing pace of urbanization and the absence of affordable housing has resulted in growth of slums in urban India. The Government of India (GOI) has been incorporating certain programmes to alleviate poverty , create employment opportunities and encourage planned urban development in its public policy , yet there has been a fast emergence of slums in the Indian cities due to a number of factors. The present paper aims to analyze certain demographic attributes of the slum population in I...

Public attitudes toward programs designed to enhance forest related benefits on private lands

Science.gov (United States)

Donald F. Dennis; Mark J. Twery; Michael A. Rechlin; Bruce Hansen

2003-01-01

Public agencies may at times provide education, technical help, tax incentives, or other forms of aid to private landowners to help them enhance their land in ways that benefit the public. Since public funds are used to pay these expenses, it is important that program goals be correlated with underlying public values and concerns. We used a conjoint ranking survey to...

Climate change and groundwater: India's opportunities for mitigation and adaptation

International Nuclear Information System (INIS)

Shah, Tushaar

2009-01-01

For millennia, India used surface storage and gravity flow to water crops. During the last 40 years, however, India has witnessed a decline in gravity-flow irrigation and the rise of a booming 'water-scavenging' irrigation economy through millions of small, private tubewells. For India, groundwater has become at once critical and threatened. Climate change will act as a force multiplier; it will enhance groundwater's criticality for drought-proofing agriculture and simultaneously multiply the threat to the resource. Groundwater pumping with electricity and diesel also accounts for an estimated 16-25 million mt of carbon emissions, 4-6% of India's total. From a climate change point of view, India's groundwater hotspots are western and peninsular India. These are critical for climate change mitigation as well as adaptation. To achieve both, India needs to make a transition from surface storage to 'managed aquifer storage' as the center pin of its water strategy with proactive demand- and supply-side management components. In doing this, India needs to learn intelligently from the experience of countries like Australia and the United States that have long experience in managed aquifer recharge.

Private power development and environmental protection in India

Energy Technology Data Exchange (ETDEWEB)

Das, S.; Wilbanks, T.J.

1997-12-01

This report assesses relationships between private power development in India and environmental protection in that country. The central question is whether private firms generating and distributing electricity in developing countries will do a better or a worse job in environmental protection, as a part of their overall corporate responsibility, than public-sector institutions. After reviewing the fundamental question, why it is asked, and the context in which it operates in the nation of India, this report continues with an analysis of available information, quantitative and qualitative, that can help to resolve the issues in the particular case of India. Finally, it ends with conclusions from the analysis and recommendations for reducing remaining uncertainties in the future.

Faculty development programs for medical teachers in India

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SANJAY ZODPEY

2016-04-01

Full Text Available Introduction: India has the highest number of medical colleges in the world and subsequently the higher number of medical teachers. There is a dire need of adopting a systematic approach to faculty development to enhance quality education to meet health challenges for 21st Century. This manuscript provides a landscape of faculty development programs in India, identifying gaps and opportunities for reforms in faculty development. Methods: Conventionally, FDPs are organized by medical colleges and universities through Basic Courses and Advanced Courses focusing on pedagogy. Medical Council of India is facilitating FDPs through 18 selected regional centers to enable medical teachers to avail modern education technology for teaching from July 2009. Foundation for Advancement of International Medical Education and Research has three Regional Institutes in India. Results: Recommendations include the need for formulating a national strategy for faculty development to not only enhance the quantity of medical teachers but also the quality of medical education; providing support for Departments of Medical Education/Regional Centers in terms of finance and staffing and incorporation of teaching skills in postgraduate training. Conclusion: Distance learning courses focusing on educational leadership and pedagogy for medical teachers can be an option to reach a wider audience. FDPs can be an asset in recruiting and retaining teachers as they offer valued professional development opportunities.

Energy Transition for Industry: India and the Global Context

Energy Technology Data Exchange (ETDEWEB)

NONE

2011-07-01

This publication further develops the analysis presented in the India chapter of Energy Technology Perspectives 2010 and provides insights on the implications of achieving deep energy and CO2 emission cuts in the industrial sector both for India and globally. It investigates the least-cost combination of options that can significantly reduce energy and CO2 emissions in India's industrial sector, while enabling the Indian economy to continue to grow and alleviate energy poverty. For India to play its part in helping to realise deep cuts in global CO2 emissions by the middle of the 21st century, it will need to achieve rapid economic development over the next 40 years with only a very small increase in emissions. Currently there is no precedent for such a low-CO2 development path. The challenge for India will be to achieve strong economic growth while improving energy security, but without locking in high emissions.

Compliance with smoke-free legislation and smoking behaviour: observational field study from Punjab, India.

Science.gov (United States)

Goel, Sonu; Sharma, Deepak; Gupta, Rakesh; Mahajan, Vini

2017-08-10

Indian smoke-free legislation requires prohibition of smoking at public places and owners of public places to display 'no smoking' signages. The study aims to assess the compliance of public places with smoke-free legislation and determine the factors associated with active smoking in public places. This was a cross-sectional analytic observational quantitative survey conducted by a team of trained field investigators using a structured observational checklist across 6875 public places in Punjab state of India. The study was carried out over a period of 3 years. A total of 6875 public places across 22 districts of Punjab were observed. The overall compliance to smoke-free law in Punjab was 83.8%. The highest overall compliance was observed in healthcare facilities (89.6%) and least in transit stations (78.8%). Less active smoking was observed in public places where display of 'no smoking' signage compliant with smoke-free law of India was present (adjusted OR 0.6). Further, there was a positive association between active smoking and places where the owner of public places smoked (OR 5.2, CI 2.5 to 11.1). More than 80% of the public places in a jurisdiction in north India were compliant with the smoke-free legislation of India. 'No smoking' signages displayed as per legislation have an effect on curbing smoking behaviours at public places. It is recommended that policymakers should focus more on implementing the smoke-free law at transit sites and structured training sessions should be organised for owners of workplaces. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Market assessment of tuberculosis diagnostics in India in 2013.

Science.gov (United States)

Maheshwari, P; Chauhan, K; Kadam, R; Pujani, A; Kaur, M; Chitalia, M; Dabas, H; Perkins, M D; Boehme, C C; Denkinger, C M; Raizada, N; Ginnard, J; Jefferson, C; Pantoja, A; Rupert, S; Kik, S V; Cohen, C; Chedore, P; Satyanarayana, S; Pai, M

2016-03-01

India represents a significant potential market for new tests. We assessed India's market for tuberculosis (TB) diagnostics in 2013. Test volumes and unit costs were assessed for tuberculin tests, interferon-gamma release assays, sputum smear microscopy, serology, culture, speciation testing, nucleic-acid amplification tests (i.e., in-house polymerase chain reaction, Xpert(®) MTB/RIF, line-probe assays) and drug susceptibility testing. Data from the public sector were collected from the Revised National TB Control Programme reports. Private sector data were collected through a survey of private laboratories and practitioners. Data were also collected from manufacturers. In 2013, India's public sector performed 19.2 million tests, with a market value of US$22.9 million. The private sector performed 13.6 million tests, with a market value of US$60.4 million when prices charged to the patient were applied. The overall market was US$70.8 million when unit costs from the ingredient approach were used for the 32.8 million TB tests performed in the entire country. Smear microscopy was the most common test performed, accounting for 25% of the overall market value. India's estimated market value for TB diagnostics in 2013 was US$70.8 million. These data should be of relevance to test developers, donors and implementers.

Emerging Vector borne zoonoses: eco-­epidemiology and public health implications in India

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Ramesh C Dhiman

2014-09-01

Full Text Available The diseases originating from animals or associated with man and animals are remerging and have resulted in considerable morbidity and mortality. The present review highlights the re-emergence of emerging mainly zoonotic diseases like chikungunya, scrub typhus, extension of spatial distribution of cutaneous leishmaniasis from Western Rajasthan to Himachal Pradesh, Kerala, and Haryana states; West Nile virus to Assam, and non- endemic areas of JE like Maharashtra and JE to Delhi; Crimean Congo Hemorrhagic Fever making inroads in Ahmedabad; reporting fifth parasite of human malaria with possibility of zoonosis have been highlighted which necessitates further studies for prevention and control. Emphasis has been given on understanding the ecology of reservoir hosts of pathogen, micro niche of vector species, climatic, socioeconomic risk factors etc. Development of facilities for diagnosis of virus from insects, reservoirs and human beings (like BSL4 which has been established in NIV, Pune, awareness about symptoms of new emerging viral and other zoonotic diseases, differential diagnosis, risk factors (Climatic, ecological and socioeconomic and mapping of disease specific vulnerable areas, mathematical modeling for projecting epidemiological scenario, are needed for preparedness of public health institutes. It is high time to understand the ecological link of zoonotic or anthroponotic diseases for updated risk maps and epidemiological knowledge for effective preventive and control measures. The public health stakeholders in India as well as in south East Asia should emphasize on understanding the eco-epidemiology of the discussed zoonotic diseases for taking preventive actions.

Evaluation of publicly financed and privately delivered model of emergency referral services for maternal and child health care in India.

Directory of Open Access Journals (Sweden)

Shankar Prinja

Full Text Available BACKGROUND: Emergency referral services (ERS are being strengthened in India to improve access for institutional delivery. We evaluated a publicly financed and privately delivered model of ERS in Punjab state, India, to assess its extent and pattern of utilization, impact on institutional delivery, quality and unit cost. METHODS: Data for almost 0.4 million calls received from April 2012 to March 2013 was analysed to assess the extent and pattern of utilization. Segmented linear regression was used to analyse month-wise data on number of institutional deliveries in public sector health facilities from 2008 to 2013. We inspected ambulances in 2 districts against the Basic Life Support (BLS standards. Timeliness of ERS was assessed for determining quality. Finally, we computed economic cost of implementing ERS from a health system perspective. RESULTS: On an average, an ambulance transported 3-4 patients per day. Poor and those farther away from the health facility had a higher likelihood of using the ambulance. Although the ERS had an abrupt positive effect on increasing the institutional deliveries in the unadjusted model, there was no effect on institutional delivery after adjustment for autocorrelation. Cost of operating the ambulance service was INR 1361 (USD 22.7 per patient transported or INR 21 (USD 0.35 per km travelled. CONCLUSION: Emergency referral services in Punjab did not result in a significant change in public sector institutional deliveries. This could be due to high baseline coverage of institutional delivery and low barriers to physical access. Choice of interventions for reduction in Maternal Mortality Ratio (MMR should be context-specific to have high value for resources spent. The ERS in Punjab needs improvement in terms of quality and reduction of cost to health system.

78 FR 76391 - Proposed Enhancements to the Motor Carrier Safety Measurement System (SMS) Public Web Site

Science.gov (United States)

2013-12-17

...-0392] Proposed Enhancements to the Motor Carrier Safety Measurement System (SMS) Public Web Site AGENCY... proposed enhancements to the display of information on the Agency's Safety Measurement System (SMS) public Web site. On December 6, 2013, Advocates [[Page 76392

Trends for nanotechnology development in China, Russia, and India

International Nuclear Information System (INIS)

Liu Xuan; Zhang Pengzhu; Li Xin; Chen Hsinchun; Dang Yan; Larson, Catherine; Roco, Mihail C.; Wang Xianwen

2009-01-01

China, Russia, and India are playing an increasingly important role in global nanotechnology research and development (R and D). This paper comparatively inspects the paper and patent publications by these three countries in the Thomson Science Citation Index Expanded (SCI) database and United States Patent and Trademark Office (USPTO) database (1976-2007). Bibliographic, content map, and citation network analyses are used to evaluate country productivity, dominant research topics, and knowledge diffusion patterns. Significant and consistent growth in nanotechnology papers are noted in the three countries. Between 2000 and 2007, the average annual growth rate was 31.43% in China, 11.88% in Russia, and 33.51% in India. During the same time, the growth patterns were less consistent in patent publications: the corresponding average rates are 31.13, 10.41, and 5.96%. The three countries' paper impact measured by the average number of citations has been lower than the world average. However, from 2000 to 2007, it experienced rapid increases of about 12.8 times in China, 8 times in India, and 1.6 times in Russia. The Chinese Academy of Sciences (CAS), the Russian Academy of Sciences (RAS), and the Indian Institutes of Technology (IIT) were the most productive institutions in paper publication, with 12,334, 6,773, and 1,831 papers, respectively. The three countries emphasized some common research topics such as 'Quantum dots,' 'Carbon nanotubes,' 'Atomic force microscopy,' and 'Scanning electron microscopy,' while Russia and India reported more research on nano-devices as compared with China. CAS, RAS, and IIT played key roles in the respective domestic knowledge diffusion.

Partner Country Series: Understanding Energy Challenges in India - Policies, Players and Issues

Energy Technology Data Exchange (ETDEWEB)

NONE

2012-07-01

A combination of rapidly increasing energy demand and fuel imports plus growing concern about economic and environmental consequences is generating growing calls for effective and thorough energy governance in India. Numerous policy reforms over the past 20 years have shifted the country’s energy sector from a state-dominated system towards one that is based on market principles. However, with the reform process left unfinished, India now finds itself trapped halfway along the transition to an open and well-performing energy sector. India suffered from the largest power outage ever in late July 2012, affecting nearly half of the population. While this incident highlights the importance of modern and smart energy systems, it indicates that the country is increasingly unable to deliver a secure supply of energy to its population, a quarter of which still lacks access to electricity. Understanding Energy Challenges in India aims to provide an informative and holistic understanding of India’s energy sector to stakeholders in India as well as the broad public. The publication explores in detail the policies, players and issues of the country’s power, coal, oil and gas, renewables and nuclear sectors. It also highlights the key challenges India faces, challenges that must be resolved for the evolution of the fast-growing country’s energy sector towards a sustainable energy future and eventually critical for the prospects of the Indian and global economies.

Blood, Stress, and Fears: Public Discourse about Polycystic Ovary Syndrome as Metamedical Commentary on Globalizing India

DEFF Research Database (Denmark)

Pathak, Gauri Sanjeev

In India, menstrual cycles have always been a matter of concern. Conventionally, a menstruating woman was deemed impure, and her actions could endanger the ritual purity of the household. Menstruation is also important to indigenous Indian frameworks of health, which deem regularity in bodily...... to degeneration in the physical, social, and political environments. Thus, afflicted bodies come to represent issues in sociocultural and political–economic dimensions, and menstrual cycles in particular are not just about household ritual health and the health of individual women but also about the health...... larger social and political economic shifts in the country. In this paper, I explore public discourses about and representations of PCOS—as an issue related to women’s menstrual, reproductive, and hormonal health—and examine the concerns that these discourses index. Through these representations, I also...

Proteomics research in India: an update.

Science.gov (United States)

Reddy, Panga Jaipal; Atak, Apurva; Ghantasala, Saicharan; Kumar, Saurabh; Gupta, Shabarni; Prasad, T S Keshava; Zingde, Surekha M; Srivastava, Sanjeeva

2015-09-08

After a successful completion of the Human Genome Project, deciphering the mystery surrounding the human proteome posed a major challenge. Despite not being largely involved in the Human Genome Project, the Indian scientific community contributed towards proteomic research along with the global community. Currently, more than 76 research/academic institutes and nearly 145 research labs are involved in core proteomic research across India. The Indian researchers have been major contributors in drafting the "human proteome map" along with international efforts. In addition to this, virtual proteomics labs, proteomics courses and remote triggered proteomics labs have helped to overcome the limitations of proteomics education posed due to expensive lab infrastructure. The establishment of Proteomics Society, India (PSI) has created a platform for the Indian proteomic researchers to share ideas, research collaborations and conduct annual conferences and workshops. Indian proteomic research is really moving forward with the global proteomics community in a quest to solve the mysteries of proteomics. A draft map of the human proteome enhances the enthusiasm among intellectuals to promote proteomic research in India to the world.This article is part of a Special Issue entitled: Proteomics in India. Copyright © 2015 Elsevier B.V. All rights reserved.

"Can we walk?" Environmental supports for physical activity in India.

Science.gov (United States)

Adlakha, Deepti; Hipp, J Aaron; Brownson, Ross C; A Eyler, Amy; K Lesorogol, Carolyn; Raghavan, Ramesh

2017-10-01

India is currently facing a non-communicable disease epidemic. Physical activity (PA) is a preventative factor for non-communicable diseases. Understanding the role of the built environment (BE) to facilitate or constrain PA is essential for public health interventions to increase population PA. The objective of this study was to understand BEs associations with PA occurring in two major life domains or life areas-travel and leisure-in urban India. Between December 2014 and April 2015, in-person surveys were conducted with participants (N=370; female=47.2%) in Chennai, India. Perceived BE characteristics regarding residential density, land use mix-diversity, land use mix-access, street connectivity, infrastructure for walking and bicycling, aesthetics, traffic safety, and safety from crime were measured using the adapted Neighborhood Environment Walkability Scale-India (NEWS-India). Self-reported PA was measured the International Physical Activity Questionnaire. High residential density was associated with greater odds of travel PA (aOR=1.9, 95% CI=1.2, 3.2). Land use mix-diversity was positively related to travel PA (aOR=2.1, 95%CI=1.2, 3.6), but not associated with leisure or total PA. The aggregate NEWS-India score predicted a two-fold increase in odds of travel PA (aOR=1.9, 95% CI=1.1, 3.1) and a 40% decrease in odds of leisure PA (aOR=0.6, 95% CI=0.4, 1.0). However, the association of the aggregated score with leisure PA was not significant. Results suggest that relationships between BE and PA in low-and-middle income countries may be context-specific, and may differ markedly from higher income countries. Findings have public health implications for India suggesting that caution should be taken when translating evidence across countries. Copyright © 2016 Elsevier Inc. All rights reserved.

From Hair in India to Hair India.

Science.gov (United States)

Trüeb, Ralph M

2017-01-01

In all cultures, human hair and hairdo have been a powerful metaphor. Tracing back the importance and significance of human hair to the dawn of civilization on the Indian subcontinent, we find that all the Vedic gods are depicted as having uncut hair in mythological stories as well as in legendary pictures. The same is true of the Hindu avatars, and the epic heroes of the Ramayana, and the Mahabharata. Finally, there are a number of hair peculiarities in India pertinent to the creed and religious practices of the Hindu, the Jain, and the Sikh. Shiva Nataraja is a depiction of the Hindu God Shiva as the cosmic dancer who performs his divine dance as creator, preserver, and destroyer of the universe and conveys the Indian conception of the never-ending cycle of time. The same principle manifests in the hair cycle, in which perpetual cycles of growth, regression, and resting underly the growth and shedding of hair. Finally, The Hair Research Society of India was founded as a nonprofit organisation dedicated to research and education in the science of hair. Notably, the HRSI reached milestones in the journey of academic pursuit with the launch of the International Journal of Trichology, and with the establishment of the Hair India conference. Ultimately, the society aims at saving the public from being taken for a ride by quackery, and at creating the awareness that the science of hair represents a subspecialty of Dermatology. In analogy again, the dwarf on which the Nataraja dances represents the demon of egotism, and thus symbolizes Shiva's, respectively, the HRSI's victory over ignorance.

The crisis in access to essential medicines in India: key issues which call for action.

Science.gov (United States)

Bhargava, Anurag; Kalantri, S P

2013-01-01

The government is planning to introduce free generic and essential medicines in public health facilities. Most people in India buy healthcare from the private sector, a compulsion that accounts for a high proportion of healthcare-related expenditure. To reduce the burden of healthcare costs, the government must improve availability and affordability of generic and essential medicines in the market. It can do so because India's large pharmaceutical industry is a major source of generic medicines worldwide. In this article, we discuss three factors that have impeded access to generic and essential medicines: (1) mistaken notions among policymakers, prescribers and patients about branded drugs and generic drugs in India; (2) high prices of medicines due to the progressive dismantling of the system of regulation of medicine prices, and (3) a drug approval and regulatory system that allows medicines (including fixed dose combinations) of doubtful efficacy, rationale, safety and public health relevance to dominate the market at the cost of access to affordable generic and essential medicines. The consequences of ill-health and wasted expenditure on drugs raise issues of public health ethics.Improving access to essential medicines in India is an urgent public health and ethical imperative. This should include improved public provisioning, a system of regulation of drug prices, and an evidence-based drug approval process.

INDIA: Gender Equality Diagnostic of Selected Sectors

OpenAIRE

Asian Development Bank (ADB)

2013-01-01

Concerns about persisting gender-based exclusion from the benefits of development have encouraged the Government of India and its partner institutions and donor agencies to mainstream gender in its policies, programs, and projects. This publication provides a gender analysis of six priority sectors—agriculture, energy, education, finance and public sector management, transport, and urban development—and suggests possible further actions to strengthen ADB approaches in these sectors. It is exp...

Determinants of household energy consumption in India

International Nuclear Information System (INIS)

Ekholm, Tommi; Krey, Volker; Pachauri, Shonali; Riahi, Keywan

2010-01-01

Improving access to affordable modern energy is critical to improving living standards in the developing world. Rural households in India, in particular, are almost entirely reliant on traditional biomass for their basic cooking energy needs. This has adverse effects on their health and productivity, and also causes environmental degradation. This study presents a new generic modelling approach, with a focus on cooking fuel choices, and explores response strategies for energy poverty eradication in India. The modelling approach analyzes the determinants of fuel consumption choices for heterogeneous household groups, incorporating the effect of income distributions and traditionally more intangible factors such as preferences and private discount rates. The methodology is used to develop alternate future scenarios that explore how different policy mechanisms such as fuel subsidies and micro-financing can enhance the diffusion of modern, more efficient, energy sources in India.

Determinants of household energy consumption in India

Energy Technology Data Exchange (ETDEWEB)

Ekholm, Tommi [VTT Technical Research Centre of Finland, P.O. Box 1000, FIN-02044 VTT (Finland); TKK Helsinki University of Technology, Espoo (Finland); Krey, Volker; Pachauri, Shonali; Riahi, Keywan [International Institute for Applied Systems Analysis, Laxenburg (Austria)

2010-10-15

Improving access to affordable modern energy is critical to improving living standards in the developing world. Rural households in India, in particular, are almost entirely reliant on traditional biomass for their basic cooking energy needs. This has adverse effects on their health and productivity, and also causes environmental degradation. This study presents a new generic modelling approach, with a focus on cooking fuel choices, and explores response strategies for energy poverty eradication in India. The modelling approach analyzes the determinants of fuel consumption choices for heterogeneous household groups, incorporating the effect of income distributions and traditionally more intangible factors such as preferences and private discount rates. The methodology is used to develop alternate future scenarios that explore how different policy mechanisms such as fuel subsidies and micro-financing can enhance the diffusion of modern, more efficient, energy sources in India. (author)

Muslim and Hindu Women's public and private behaviors: gender, family, and communalized politics in India.

Science.gov (United States)

Desai, Sonalde; Temsah, Gheda

2014-12-01

Prior research on fundamentalist religious movements has focused attention on the complicated relationship among gender, family, and religion. Using data from a nationally representative survey of 30,000 Hindu and Muslim women, this study compares the daily public and private behaviors of women in India to examine how gender and family norms are shaped in the context of communalized identity politics. Building on the theoretical framework of "doing gender," we argue that because communal identities are expressed through externally visible behaviors, greater religious differences are expected in external markers of gendered behaviors and family norms. Results indicate that Muslim women are more likely to engage in veiling and less likely to venture outside the home for recreation and employment. However, religious differences are absent when attention is directed at private behaviors, such as household decision-making power, gender segregation within households, and discrimination against daughters. Results underscore the multidimensionality of gender.

Nuclear strategy: India's march towards credible deterrence

International Nuclear Information System (INIS)

Sethi, Manpreet

2009-01-01

May 1998 was a momentous event in India's life. At one level, the five nuclear tests marked the culmination of the long debate on India's nuclear status. At another level, they initiated the country's journey towards credible nuclear deterrence. In the eleventh year of its existence as a state with nuclear weapons, India is engaged in a range of activities to meaningfully integrate the nuclear weapon into its national security strategy. The US and the USSR, at the same stage of their lives were engaged in pretty much a similar exercise. However, unlike the superpowers, for whom the immense destructive potential of the atomic weapon and its implications for inter-state relations suddenly burst on the scene and sent them scrambling to craft strategies that could fit the new reality, India's acquisition of nuclear weapons capability, though dictated by circumstances, came with a basic understanding of the ground rules of the game of nuclear deterrence. In fact, it may be recalled that soon after the tests, there was a spate of books and studies on India's nuclear strategy. A draft nuclear doctrine was made public just fifteen months after the tests and operational issues were beginning to be grappled with

Enhancing the Macedonian Health System through Implementation of the Public-Private Partnership Model

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Dr.Sc. Iskra Belazelkoska Borizovska

2017-06-01

Full Text Available The research involves determination of the extent to which the public-private partnership model can contribute to the improvement and enhancement of the healthcare services in Macedonia. To achieve this purpose, the research embraces comprehension of the common advantages and disadvantages of this model, encompassed with a case study of the public-private partnership in the specialized-consultative health protection for the health activity-dialysis, together with other efforts to ensure high quality health protection. It also reflects the attitudes of the public authorities and private sector entities regarding the significance of the public-private partnership model, consideration of the advantages and disadvantages before entering public-private partnerships and the ways public-private partnerships affect the employees and employments. The study outlines planned and realised efforts to implement this model to ensure better and more efficient healthcare system. Generally, the results from the survey and the outlined case study present this model as good solution for many healthcare challenges, since public-private partnerships offer different services to the citizens that neither the public nor the private sector could separately achieve. The public-private partnership model leads to new employment opportunities according to the opinion of the public authorities, while the private sector entities consider that public-private partnerships increase the responsibility of the employees in such partnership in comparison to the public sector. The outlined case study is an example of successful public-private partnership model in the field of healthcare and can serve as motivation for further implementation of this model to ensure better, enhanced and modern health system.

Enhancing innovation between scientific and indigenous knowledge: pioneer NGOs in India

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Laplante Julie

2009-10-01

Full Text Available Abstract Background Until recently, little attention has been paid to local innovation capacity as well as management practices and institutions developed by communities and other local actors based on their traditional knowledge. This paper doesn't focus on the results of scientific research into innovation systems, but rather on how local communities, in a network of supportive partnerships, draw knowledge for others, combine it with their own knowledge and then innovate in their local practices. Innovation, as discussed in this article, is the capacity of local stakeholders to play an active role in innovative knowledge creation in order to enhance local health practices and further environmental conservation. In this article, the innovative processes through which this capacity is created and reinforced will be defined as a process of "ethnomedicine capacity". Methods The field study undertaken by the first author took place in India, in the State of Tamil Nadu, over a period of four months in 2007. The data was collected through individual interviews and focus groups and was complemented by participant observations. Results The research highlights the innovation capacity related to ethnomedical knowledge. As seen, the integration of local and scientific knowledge is crucial to ensure the practices anchor themselves in daily practices. The networks created are clearly instrumental to enhancing the innovation capacity that allows the creation, dissemination and utilization of 'traditional' knowledge. However, these networks have evolved in very different forms and have become entities that can fit into global networks. The ways in which the social capital is enhanced at the village and network levels are thus important to understand how traditional knowledge can be used as an instrument for development and innovation. Conclusion The case study analyzed highlights examples of innovation systems in a developmental context. They demonstrate that

AUDIT COMMITTEE’S ROLE IN ENHANCING ACCOUNTABILITY OF THE ALBANIAN, PUBLIC SECTOR

OpenAIRE

Holtjana Bello

2013-01-01

The main question around which this paper is based is whether the public sector in Albania needs to establish the Audit Committees as a demand for enhanced quality of services and accountability over the use of public funds is increasing. This paper analyzes the role of public sector Audit Committees in common law practices established to advise management on the adequacy of structures and processes that ensure the integrity of the accounting, auditing, risk management internal controls, and ...

Effective mechanisms for environmental awareness enhancement of the Thai public company

Science.gov (United States)

Tilokwan, P.; Limjirakan, S.

2018-02-01

The purpose of this paper is to explore effective mechanisms towards environmental awareness enhancement of the Thai public company. The environmental awareness has been strongly mentioned in the international agenda such as Agenda 21 to achieve sustainable development and be implemented at the global communities in all sectors. Thailand’s environmental awareness has been set up as the national policy and continuously promoted in the business sectors. The selected study area is one of Thai industrial public companies mainly utilizing natural resources for its business. Data collection was conducted by using questionnaires with a stratified sampling method comprising of 28 managerial and 134 operational levels. Descriptive statistics were be used for data analysis presented in terms of percentage. The study found that the effective mechanisms towards environmental awareness enhancement include employees’ participation in environmental friendly field trip, environmental knowledge provided by the company, supply chain involvement, law enforcement, and international environmental standard applied by the company. This study would recommend that public participation should be involved in order to make the mechanisms effectively.

Strengthening Regulatory Effectiveness in India – Lessons Learnt from Fukushima Accident

International Nuclear Information System (INIS)

Solanki, R.

2016-01-01

Following the Fukushima Daiichi accident in Japan, one of the most important lessons learnt, among other things, was the issue of strengthening the effectiveness of the regulatory bodies. Immediately after the Fukushima accident, National level safety audits were conducted on all operating NPPs in India to review safety of NPPs in India. A national action plan has been prepared to implement the identified short term, midterm and long term measures. The assessment indicates that national response to the Fukushima Accident for safety assessment of NPPs and subsequent actions and initiatives taken for safety enhancement of the NPPs in India are in-line with the objectives of the IAEA Action plan. This paper highlights the actions taken by India in the light of Fukushima Daiichi accident in order to strengthen the regulatory effectiveness through improvements in the existing core processes, challenges faced, Insights gained from the recent initiatives on safety performance indicators and assessment of safety culture, relevant observations of IRRS mission report and Indian perspectives on the further cooperation among the member states for enhancing the regulatory effectiveness for nuclear oversight of regulated organizations. (author)

Performance assessment of junior public health nurse in maternal and child health services in a district of Kerala, India

Directory of Open Access Journals (Sweden)

Achampattu Mridulal

2015-01-01

Full Text Available Background: Performance assessment of health services provided to maternal and child population is an important area of concern especially in developing countries including India. Aim: This study was conducted to assess the performance of Junior Public Health Nurses (JPHN on services provided to maternal and child health at sub-centers in Malappuram district of Kerala, India. Methods: Maternal and child health services were assessed based on record analysis and interviewing JPHN in 30 randomly selected sub-centers using a predesigned questionnaire prepared according to Indian Public Health Standards for sub-centers. The work performed by the JPHNs was graded as excellent, very good, good, satisfactory, and poor based on the standard guidelines. Results: Population covered by the 30 JPHNs at their sub-centers ranges from 5050 to 9869. Services were excellent in all the sub-centers for tetanus toxoid immunization and institutional deliveries. Although antenatal care (ANC registration was excellent in 70% of the sub-centers, it was poor for the 1 st trimester ANC registration in 50% of sub-centers. In the case of referral services and postnatal care (PNC, 27% and 33% of the centers were excellent, respectively. 50% of the centers have had poor performance in PNC. Detection of beneficiaries for immunization by JPHNs was excellent in 60% of the sub-centers. Measles and full immunization coverage was poor in 40% of sub-centers. Around 77% JPHNs attended in-service training, and 90% of them could prepare sub-center annual action-plan. Conclusion: There is a variation in performance of JPHNs at a sub-district level which highlights the importance of further studies to elucidate the factors associated with it.

The risk factor of domestic violence in India

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Meerambika Mahapatro

2012-01-01

Full Text Available Background: It is over the last decade that research in this field of domestic violence has led to greater recognition of the issue as public health problem. The paper aims to study the prevalence of physical, psychological, and sexual violence and potential risk factors of the women confronting violence within the home in India. Materials and Methods: A multicentric study with analytical cross-sectional design was applied. It covers 18 states in India with 14,507 women respondents. Multistage sampling and probability proportion to size were done. Results: The result shows that overall 39 per cent of women were abused. Women who have a lower household income, illiterate, belonging to lower caste, and have a partner who drinks/bets, etc. found to be important risk factors and place women in India at a greater risk of experiencing domestic violence. Conclusion: As India has already passed a bill against domestic violence, the present results on robustness of the problem will be useful to sensitize the concerned agencies to strictly implement the law. This may lead to more constructive and sustainable response to domestic violence in India for improvement of women health and wellbeing.

A note on public policy and innovation in the biomass-based industrial sector: lessons from the sugarcane industry in Brazil and India

International Nuclear Information System (INIS)

Audinet, Pierre

1995-01-01

Several developing countries are implementing long-term, biomass-based industrialization policies. Sugarcane refining has come to represent over 1 per cent of GDP in Brazil and India. In the context of low international energy and raw material prices, and scarce investment funds, the viability of biomass-based industry cannot depend on one final product such as ethanol or sugar. There is an urgent need for diversification. Technology diffusion must be improved, and the impact of public policies thoroughly analysed. (author)

Building and Managing Electronic Resources in Digital Era in India with Special Reference to IUCAA and NIV, Pune: A Comparative Case Study

Science.gov (United States)

Sahu, H. K.; Singh, S. N.

2015-04-01

This paper discusses and presents a comparative case study of two libraries in Pune, India, Inter-University Centre for Astronomy and Astrophysics and Information Centre and Library of National Institute of Virology (Indian Council of Medical Research). It compares how both libraries have managed their e-resource collections, including acquisitions, subscriptions, and consortia arrangements, while also developing a collection of their own resources, including pre-prints and publications, video lectures, and other materials in an institutional repository. This study illustrates how difficult it is to manage electronic resources in a developing country like India, even though electronic resources are used more than print resources. Electronic resource management can be daunting, but with a systematic approach, various problems can be solved, and use of the materials will be enhanced.

Iodine deficiency disorders (IDD control in India

Directory of Open Access Journals (Sweden)

Chandrakant S Pandav

2013-01-01

Full Text Available Iodine deficiency disorders (IDD constitute the single largest cause of preventable brain damage worldwide. Majority of consequences of IDD are invisible and irreversible but at the same time these are preventable. In India, the entire population is prone to IDD due to deficiency of iodine in the soil of the subcontinent and consequently the food derived from it. To combat the risk of IDD, salt is fortified with iodine. However, an estimated 350 million people do not consume adequately iodized salt and, therefore, are at risk for IDD. Of the 325 districts surveyed in India so far, 263 are IDD-endemic. The current household level iodized salt coverage in India is 91 per cent with 71 per cent households consuming adequately iodized salt. The IDD control goal in India was to reduce the prevalence of IDD below 10 per cent in the entire country by 2012. What is required is a "mission approach" with greater coordination amongst all stakeholders of IDD control efforts in India. Mainstreaming of IDD control in policy making, devising State specific action plans to control IDD, strict implementation of Food Safety and Standards (FSS Act, 2006, addressing inequities in iodized salt coverage (rural-urban, socio-economic, providing iodized salt in Public Distribution System, strengthening monitoring and evaluation of IDD programme and ensuring sustainability of IDD control activities are essential to achieve sustainable elimination of IDD in India.

Microfinance & Strategy of Financial Inclusion in India

OpenAIRE

Gupta, Avnesh Kumar

2012-01-01

Abstract The main aim of this paper is to evaluate the role of microfinance in empowering the people and realization of government’s policy of financial inclusion in India. However, there are certain concerns about the efficiency of Microfinance Institutions in handling public money, their targeted growth, achievement of policy goals and demand and supply management of funds. Today, the Microfinance Institutions demand the government to empower them for mobilizing public savings. With incr...

Does India perform medical research in areas where it is most needed?

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Arunachalam, S

1998-01-01

This paper attempts to map medical research in India and answer an important policy question by literature analysis. I match the disease pattern on the basis of mortality and morbidity statistics with journals used by Indian medical researchers to publish their work as shown by the Science Citation Index (SCI). The former reflects the needs while the latter reflects the areas in which research is being done. The limited statistics available from both the Government of India and the World Health Organization point to diarrhoeal diseases, diseases of children, respiratory diseases, circulatory system diseases, infectious diseases, malaria and tuberculosis as the major medical problems faced by India. The journals used often by Indian medical researchers to publish their work, as seen from the SCI (1981-85), show that in terms of number of publications, they are mainly active in general medicine, pharmacology, tropical medicine, neurosciences, radiology, oncology and pathology. In terms of the share of the world's literature in different subfields, India is second only to USA in andrology, third in tropical medicine after the USA and the UK, tenth in hygiene and public health, and eleventh in general and internal medicine, and radiology and nuclear medicine. Overall, India's share in the medical journal literature is not only much less than that of many other countries, both advanced and middle level, but also much less than that of India's share of the literature in physics, chemistry, mathematics and engineering. Data on the observed citation impact of Indian research in different subfields of medicine show that the work done in India in general is not integrated well into international research. India could be much more purposive in her research priorities and probably should invest much more in medical research.

A survey of the educational environment for oncologists as perceived by surgical oncology professionals in India

Directory of Open Access Journals (Sweden)

Are Chandrakanth

2012-01-01

Full Text Available Abstract Background The current educational environment may need enhancement to tackle the rising cancer burden in India. The aim of this study was to conduct a survey of Surgical Oncologists to identify their perceptions of the current state of Oncology education in India. Methods An Institutional Review Board approved questionnaire was developed to target the audience of the 2009 annual meeting of the Indian Association of Surgical Oncology in India. The survey collected demographic information and asked respondents to provide their opinions about Oncology education in India. Results A total of 205 out of 408 attendee's participated in the survey with a 42.7% response rate. The majority of respondents felt that Oncology education was poor to fair during medical school (75%, residency (56% and for practicing physicians (71%. The majority of participants also felt that the quality of continuing medical education was poor and that minimal emphasis was placed on evidence based medicine. Conclusions The results of our survey demonstrate that the majority of respondents feel that the current educational environment for Oncology in India should be enhanced. The study identified perceptions of several gaps and needs, which can be the targets for implementing measures to enhance the training of Oncology professionals.

Securing India's energy future

International Nuclear Information System (INIS)

Raghuraman, V.

2009-01-01

India's development aspirations are challenged by energy security and climate change considerations. The integrated energy policy clearly deliberates the need to intensify all energy options with emphasis on maximizing indigenous coal production, harnessing hydropower, increasing adoption of renewables, intensifying hydrocarbon exploration and production and anchoring nuclear power development to meet the long-term requirements. The report also emphasizes the need to secure overseas hydrocarbon and coal assets. Subsequently the National Action Plan on climate change has underscored the need to wean away from fossil fuels, the ambitious National Solar Mission is a case in point. Ultimately securing India's energy future lies in clean coal, safe nuclear and innovative solar. Coal is the key energy option in the foreseeable future. Initiatives are needed to take lead role in clean coal technologies, in-situ coal gasification, tapping coal bed methane, coal to liquids and coal to gas technologies. There is need to intensify oil exploration by laying the road-map to open acreage to unlock the hydrocarbon potential. Pursue alternate routes based on shale, methane from marginal fields. Effectively to use oil diplomacy to secure and diversify sources of supply including trans-national pipelines and engage with friendly countries to augment strategic resources. Technologies to be accessed and developed with international co-operation and financial assistance. Public-Private Partnerships, in collaborative R and D projects need to be accelerated. Nuclear share of electricity generation capacity to be increased 6 to 7% of 63000 MW by 2031-32 and further to 25% (300000 MW) capacity by 2050 is to be realized by operationalizing the country's thorium programme. Nuclear renaissance has opened up opportunities for the Indian industry to meet not only India's requirements but also participate in the global nuclear commerce; India has the potential to emerge as a manufacturing hub

Universal public finance of tuberculosis treatment in India: an extended cost-effectiveness analysis.

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Verguet, Stéphane; Laxminarayan, Ramanan; Jamison, Dean T

2015-03-01

Universal public finance (UPF)-government financing of an intervention irrespective of who is receiving it-for a health intervention entails consequences in multiple domains. First, UPF increases intervention uptake and hence the extent of consequent health gains. Second, UPF generates financial consequences including the crowding out of private expenditures. Finally, UPF provides insurance either by covering catastrophic expenditures, which would otherwise throw households into poverty or by preventing diseases that cause them. This paper develops a method-extended cost-effectiveness analysis (ECEA)-for evaluating the consequences of UPF in each of these domains. It then illustrates ECEA with an evaluation of UPF for tuberculosis treatment in India. Using plausible values for key parameters, our base case ECEA concludes that the health gains and insurance value of UPF would accrue primarily to the poor. Reductions in out-of-pocket expenditures are more uniformly distributed across income quintiles. A variant on our base case suggests that lowering costs of borrowing for the poor could potentially achieve some of the health gains of UPF, but at the cost of leaving the poor more deeply in debt. © 2014 The Authors. Health Economics published by John Wiley Ltd.

Human rabies in India: an audit from a rabies diagnostic laboratory.

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Mani, Reeta Subramaniam; Anand, Ashwini Manoor; Madhusudana, Shampur Narayan

2016-04-01

Rabies, an acute progressive encephalomyelitis, continues to be a serious public health problem in India and many other countries in Asia and Africa. The low level of commitment to rabies control is partly attributable to challenges in laboratory diagnosis and lack of adequate surveillance to indicate the disease burden. A laboratory audit of human rabies cases was undertaken to disseminate information on the clinical, demographic, prophylactic and most importantly the laboratory diagnostic aspects of rabies. A retrospective analysis of all clinically suspected human rabies cases, whose samples were received at a rabies diagnostic laboratory in South India in the last 3 years, was performed. Clinical and demographic details of patients were obtained. The clinical samples included cerebrospinal fluid (CSF), serum, saliva and nuchal skin biopsy collected antemortem, and brain tissue obtained post-mortem. Various laboratory tests were performed for diagnosis. Clinical samples from 128 patients with suspected rabies, from 11 states in India, were received for diagnostic confirmation. About 94% of the victims reported dog-bites, more than a third of them were children and most of the victims did not receive adequate post-exposure prophylaxis. Antemortem confirmation of rabies by a combination of laboratory diagnostic assays (detection of viral RNA in CSF, skin and saliva, and neutralising antibodies in CSF) could be achieved in 40.6% cases. Increasing awareness about adequate post-exposure prophylaxis, additional rabies diagnostic facilities, and enhanced human and animal rabies surveillance to indicate the true disease burden are essential to control this fatal disease. © 2016 John Wiley & Sons Ltd.

Whose problem is it anyway? Crimes against women in India.

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Himabindu, B L; Arora, Radhika; Prashanth, N S

2014-01-01

The recent public outcry following a brutal gang rape of a young woman in India's national capital was a watershed moment in the world's largest democracy. It generated widespread public and political support for strengthening legal provisions to punish sex offenders. Although the legal response is a useful deterrent against such heinous crimes, women continue to suffer due to deeply rooted social prejudices that make them vulnerable to violence and discrimination in society. In this commentary, we aim to analyse the current developments with respect to gender violence in India within a background of the social position of women in Indian society. Using secondary data related to sex-selective abortions and crimes against women, and a critical review of the portrayal of women in Indian cinema, we reflect on the role of health workers, researchers and public health professionals in shaping a social response towards improving gender parity in our country.

Epidemiology & social costs of haemophilia in India

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Anita Kar

2014-01-01

Full Text Available India lacks a national policy on the prevention and control of genetic disorders. Although the haemoglobinopathies have received some attention, there are scarce data on the epidemiology of other genetic disorders in India. Haemophilia, an inherited single gene disorder with an incidence of 1 per 10,000 births, manifests as spontaneous or trauma-induced haemorrhagic episodes in patients, progressing to chronic disability and premature mortality in untreated patients or patients with sub-optimal treatment. Although the genetic basis of this disorder has been well studied in India, data on the number of patients, trends of the disorder in India, social costs of the condition and opportunities and competencies for offering genetic counselling through a public health programme have not been reported. This review article summarizes the available Indian data, which show that the country harbours the second highest number of global patients with haemophilia A. The reported number of patients with haemophilia A is 11,586 while the estimated prevalence could be around 50,000 patients. This review also identifies the need to immediately initiate a national programme for haemophilia, with components of prevention, care for patients, surveillance and education and support for families.

Renewable Energy Certificate and Perform, Achieve, Trade mechanisms to enhance the energy security for India

International Nuclear Information System (INIS)

Kumar, Rajesh; Agarwala, Arun

2013-01-01

The Renewable Energy Certificate and Perform Achieve Trade mechanisms in India are designed to target energy generation and saving, respectively, in line with Clean Development Mechanism implemented by United Nations Framework Convention on Climate Change. The Renewable Energy Certificate System is a voluntary regulation in India for renewable energy generators and is designed for effective implementation of inter-state transactions by introducing the Renewable Purchase Obligation regulation for consumers and a flexible trading platform for transactions across the country. Another initiative, the Perform Achieve Trade scheme, is an enhanced energy efficiency trading mechanism based on consumption targets that require large energy user sectors to improve efficiency by 1–2% per year. The Perform Achieve Trade programme has introduced mechanisms for the identification of industry sector, designated customer, specific energy consumption and target setting. The Perform Achieve Trade design issues are in test phase in the first cycle of the scheme which will run from 2012 to 2015. This paper discusses key design issues about boundary and target setting for Renewable Energy Certificate and Perform Achieve Trade energy saving certificate (ESCert) A data sharing and trading mechanism for Perform Achieve Trade is also proposed for review and coordination among regulator, designated consumers and traders in the market. - Highlights: ► Renewable Energy Certificate’ and ‘Perform Achieve Trade’ are energy certification programmes. ► REC and PAT programme implementation and the institutional network work are presented. ► The trading and communication network propose for possible linkage between REC, PAT and CDM. ► Independent associations in parallel with CERC and BEE are redefined for two tier review of scheme

77 FR 33015 - WTO Dispute Settlement Proceeding Regarding India-Measures Concerning the Importation of Certain...

Science.gov (United States)

2012-06-04

... Establishing the World Trade Organization (``WTO Agreement'') with the Government of India (``India... Trade Organization, www.wto.org . Comments open to public inspection may be viewed on the www... OFFICE OF THE UNITED STATES TRADE REPRESENTATIVE [Dispute No. WTO/DS430] WTO Dispute Settlement...

The 2017 Academic College of Emergency Experts and Academy of Family Physicians of India position statement on preventing violence against health-care workers and vandalization of health-care facilities in India.

Science.gov (United States)

Chauhan, Vivek; Galwankar, Sagar; Kumar, Raman; Raina, Sunil Kumar; Aggarwal, Praveen; Agrawal, Naman; Krishnan, S Vimal; Bhoi, Sanjeev; Kalra, O P; Soans, Santosh T; Aggarwal, Vandana; Kubendra, Mohan; Bijayraj, R; Datta, Sumana; Srivastava, R P

2017-01-01

There have been multiple incidents where doctors have been assaulted by patient relatives and hospital facilities have been vandalized. This has led to mass agitations by Physicians across India. Violence and vandalism against health-care workers (HCWs) is one of the biggest public health and patient care challenge in India. The sheer intensity of emotional hijack and the stress levels in both practicing HCWs and patient relative's needs immediate and detail attention. The suffering of HCWs who are hurt, the damage to hospital facilities and the reactionary agitation which affects patients who need care are all together doing everything to damage the delivery of health care and relationship between a doctor and a patient. This is detrimental to India where illnesses and Injuries continue to be the biggest challenge to its growth curve. The expert group set by The Academic College of Emergency Experts and The Academy of Family Physicians of India makes an effort to study this Public Health and Patient Care Challenge and provide recommendations to solve it.

New developments in India concerning the policy of passive euthanasia.

Science.gov (United States)

Kanniyakonil, Scaria

2018-02-15

Euthanasia and assisted dying are illegal in India according to Sections 306 and 309 of the Indian Penal Code (IPC), and Article 21 of the Constitution of India. There have been a number of cases where the Indian High Courts and Indian Supreme Court issued differing verdicts concerning the right to life and the right to die. Nevertheless, on 7 March 2011, a paradigm shift happened as a result of the Indian Supreme Court's judgment on involuntary passive euthanasia in the case of Aruna Shanbaug. In its judgment, the Supreme Court requested the government to prepare a law on euthanasia. Accordingly, the 241st Report of the Law Commission of India proposed a bill to permit passive euthanasia. In May 2016 the Ministry of Health and Family Welfare (MOHFW) issued the draft bill for public comment in order to create an informed decision. The Indian people are divided on the issue of euthanasia. The majority of the scientific community welcome it, while some religious groups oppose it. Hindus, in general, express both supporting and opposing views on euthanasia, whereas, Christians and Muslims have hardened their opposition against it. The Supreme Court judgment and the Report of the Law Commission pave the way for the development of new policies pertaining to passive euthanasia by the central government of India. Once such legislation is passed, passive euthanasia may, and probably will, have an enormous impact on the cultural, political, public and medical spheres of India in the near future. © 2018 John Wiley & Sons Ltd.

All projects related to india | Page 11 | IDRC - International ...

International Development Research Centre (IDRC) Digital Library (Canada)

The private sector is the largest health provider in India, and unregulated private ... Topic: ACCESS TO HEALTH CARE, PUBLIC SECTOR, PRIVATE SECTOR, ... for priority setting, and apply them to two different resource allocation problems, ...

An observational study of the proceedings of the All India Ophthalmological Conference, 2000 and subsequent publication in indexed journals

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Dhaliwal Upreet

2008-01-01

Full Text Available Aims: To determine the quality of reporting in the proceedings of the All India Ophthalmological Conference (AIOC 2000, subsequent rate of publication in an indexed journal and differences between the proceedings and the journal version of these papers. Design: Observational study. Materials and Methods: All papers presented at the AIOC 2000 were retrieved from the proceedings and assessed for completeness of reporting. To determine the subsequent full publication, a Medline search was performed as of January 2007; consistency between the proceedings paper and the final publication was evaluated. Statistical analysis: Chi square and Fisher′s exact tests were used to compare publication rates based on geographical location, subspecialty and study design; Student′s t -test was used to compare differences based on the number of authors and sample size. Results: Two hundred papers were retrieved; many failed to include study dates, design or statistical methods employed. Thirty-three (16.5% papers were subsequently published in indexed journals by January 2007. The published version differed from the proceedings paper in 27 (81.8% instances, mostly relating to changes in author name, number or sequence. Conclusions: The overall quality of reporting of scientific papers in the proceedings of the AIOC 2000 was inadequate and many did not result in publication in an indexed journal. Differences between the published paper in journals and in proceedings were seen in several instances. Ophthalmologists should be cautious about using the information provided in conference proceedings in their ophthalmic practice.

Exploring the possibilities for stabilizing the sex ratio in India

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Saurabh RamBihariLal Shrivastava

2015-12-01

Full Text Available The sex ratio is an important demographic indicator for a nation. A wide range of adverse social consequences have been observed because of a skewed sex ratio in India. If India as a nation is to achieve the Millennium Development Goal – 3 (which promotes gender equality and ensures the empowerment of women, the primary target should be involve all those involved, so that a collective and comprehensive approach can be developed to counter the public health menace of an asymmetrical sex ratio. In conclusion, the nation’s program managers should prioritize the issue of a skewed sex ratio and work towards developing a coordinated response.Key Words: Sex ratio, policy makers, India.

India’s British Army: the Honorable East India Company’s Lasting Military Impact

Science.gov (United States)

2017-06-09

Canfield, all helped to characterize the public liabilities King George and British Parliament accepted in order directly control British interests in...EIC employees indigenous languages such as Arabic, Persian , Hindi, Tamil, and Telugu (Crowell 1982, 108) and cultural practices of the subcontinent...Already conversant in the Arabic and Persian languages, Jones learned Sanskrit while in India because it is the ancient language that articulates

Energy in India's Future: Insights

Energy Technology Data Exchange (ETDEWEB)

Lesourne, J.; Ramsay, W.C.; Jaureguy-Naudin, Maite; Boillot, Jean-Joseph; Autheman, Nicolas; Ruet, Joel; Siddiqui, Zakaria; Zaleski, C. Pierre; Cruciani, Michel

2009-07-01

In the decades following India's independence from British rule in 1947, the West's image of India was summarized in three simple cliches: the world's largest democracy, an impoverished continent, and economic growth hampered by a fussy bureaucracy and the caste system, all in a context of a particular religion. These cliches are perhaps one of the reasons that the success of India's green revolution was recognized so late, a revolution that allowed the country to develop its agricultural sector and to feed its population. Since the 1990's, the easing of planning constraints have liberated the Indian economy and allowed it to embark on a more significant path of growth. New cliches have begun to replace the old: India will become a second China and, lagging by 10 to 20 years, will follow the same trajectory, with its development marked more by services and the use of renewable energy. However, these trends will not prevent primary energy demand from exploding. On the contrary, India faces difficult choices on how it increases clean, secure, affordable energy to all its citizens. Many of the choices are the same as found elsewhere, but on a scale matched only by China. The IFRI European Governance and Geopolitics of Energy Project intends this study to deepen public understanding of the magnitude of India's challenges. Various aspects of the serious energy problems are studied throughout this monograph. The authors have written freely on these matters without attempting to reconcile their different viewpoints. The first chapter, by Maite Jaureguy-Naudin and Jacques Lesourne, presents an overview of India's present and future energy system. The authors follow a prudent but realistic view of India's future. The second chapter, by Jean-Joseph Boillot, a French expert on India who has published several books and articles on this subject, and Nicolas Autheman, research fellow, describes in greater detail the specifics of India

Renewable Energy Programmes in India: Status and Future Prospects

International Nuclear Information System (INIS)

Agarwal, Ram Kumar

2010-09-01

Renewable energy sources and technologies have potential to provide solutions to the long-standing energy problems being faced by the developing countries. The renewable energy sources like wind energy, solar energy, biomass energy and fuel cell technology can be used to overcome energy shortage in India. To meet the energy requirement for such a fast growing economy, India will require an assured supply of 3-4 times more energy than the total energy consumed today. The renewable energy is one of the options to meet this requirement. India is increasingly adopting responsible renewable energy techniques and taking positive steps towards carbon emissions, cleaning the air and ensuring a more sustainable future. In India, from the last two and half decades there has been a vigorous pursuit of activities relating to research, development, demonstration, production and application of a variety of renewable energy technologies for use in different sectors. In this paper, efforts have been made to summarize the availability, current status, major achievements and future potentials of renewable energy options in India. This paper also assesses specific policy interventions for overcoming the barriers and enhancing deployment of renewable energy devices for the future. (author)

The cost of universal health care in India: a model based estimate.

Science.gov (United States)

Prinja, Shankar; Bahuguna, Pankaj; Pinto, Andrew D; Sharma, Atul; Bharaj, Gursimer; Kumar, Vishal; Tripathy, Jaya Prasad; Kaur, Manmeet; Kumar, Rajesh

2012-01-01

As high out-of-pocket healthcare expenses pose heavy financial burden on the families, Government of India is considering a variety of financing and delivery options to universalize health care services. Hence, an estimate of the cost of delivering universal health care services is needed. We developed a model to estimate recurrent and annual costs for providing health services through a mix of public and private providers in Chandigarh located in northern India. Necessary health services required to deliver good quality care were defined by the Indian Public Health Standards. National Sample Survey data was utilized to estimate disease burden. In addition, morbidity and treatment data was collected from two secondary and two tertiary care hospitals. The unit cost of treatment was estimated from the published literature. For diseases where data on treatment cost was not available, we collected data on standard treatment protocols and cost of care from local health providers. We estimate that the cost of universal health care delivery through the existing mix of public and private health institutions would be INR 1713 (USD 38, 95%CI USD 18-73) per person per annum in India. This cost would be 24% higher, if branded drugs are used. Extrapolation of these costs to entire country indicates that Indian government needs to spend 3.8% (2.1%-6.8%) of the GDP for universalizing health care services. The cost of universal health care delivered through a combination of public and private providers is estimated to be INR 1713 per capita per year in India. Important issues such as delivery strategy for ensuring quality, reducing inequities in access, and managing the growth of health care demand need be explored.

Solar Energy a Path to India's Prosperity

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Chandra, Yogender Pal; Singh, Arashdeep; Kannojiya, Vikas; Kesari, J. P.

2018-05-01

Solar energy technology has grabbed a worldwide interest and attention these days. India also, having a huge solar influx and potential, is not falling back to feed its energy demand through non-conventional energy sources such as concentrating solar power (CSP) and photovoltaic (PV). This work will try to add some comprehensive insight on solar energy framework, policy, outlook and socio-economic challenges of India. This includes its prominent areas of working such as grid independent and `utility-scale' power production using CSP or PV power plants, rural as well as urban electrification using PV, solar powered public transportation systems, solar power in agrarian society—water pumping, irrigation, waste management and so on and so forth. Despite the fact that, a vast legion of furtherance and advancement has been done during the last decade of solar energy maturation and proliferation, improvements could be suggested so as to augment the solar energy usage in contrast to conventional energy sources in India.

Enhancing biodiversity management and utilization to improve livelihoods – a case study of 'kokum' in India

NARCIS (Netherlands)

Kruijssen, F.; Sudha, M.

2008-01-01

Garcinia indica, commonly known as 'kokum', is an underutilized fruit tree, native of the Western Ghats in India and Malaysia. In India it mainly grows in the western parts of Maharashtra, Karnataka, Kerala and Goa. The fruit is used as a medicinal plant against obesity; the rind as souring and food

A bibliometric analysis of malaria research in India during 1998-2009.

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Gupta, B M; Bala, Adarsh

2011-09-01

This study analyses the research output of India in malaria research in national and global context, as reflected in its publications output during 1998-2009. SCOPUS Citation database has been used to retrieve the publication data, which has been further analysed on several parameters including its growth, rank and global publications share, citation impact, overall share of international collaborative papers and share of major collaborative partners and patterns of research communication in most productive journals. The publications output, impact and collaborative publication share of India is also compared with South Africa, Brazil and China. Indian scientists together have published 2786 papers in malaria research during 1998-2009 and registered an average citation per paper of 3.49. The country ranks 4th among the top 20 most productive countries in malaria research with its global publications share of 6.47% during 1998-2009. Quantum of Indian research output in malaria research is high but its citations per paper is low compared to select developing countries, which can be improved by investing more funds in international and national collaborative research projects, as well as increasing the participation of researchers in such projects.

India-Australia energy cooperation: the road ahead

International Nuclear Information System (INIS)

Mishra, Rahul

2010-01-01

Energy ties between India and Australia are centuries old and can be traced back to the days of East India Company of the British-Indian era. From the first commercial export in the form of a shipment of coal to India from Australia in 1797, energy cooperation has come a long way. For instance, apart from making unswerving attempts to get Australian yellowcake, attempts have been made by India to ensure greater supply of coal and natural gas. Both the countries are also trying to find ways and means to work jointly on increasing the production of geo-thermal and solar energy as also to enhance clean-energy technology cooperation among other things. Energy forms the core of a nation's national security as a country's economy is fuelled by energy resources and India is no exception in this respect. It holds a prime position as the Indian economy has been growing at a rate of six to seven per cent in the past few years. There is no denying that India has come a long way since independence in the energy sector. However greater levels of consumption, both industrial and domestic have led to a stage where the supply of energy falls short of the demand. The main focus of the government of late has been on capacity-building of the economy. Energy-intensive projects such as infrastructure development are the top priorities of the government; something which had been neglected in most parts of independent India. And this is where the importance of Australia for India lies, given its abundant energy resources. Indian companies are interested in investing in coal mining and oil and gas exploration in Australia. The five action plans that were signed in November 2008 with the Ministries of Power, Coal, Petroleum and Natural Gas, Mines, and New and Renewable Energy are the buildings blocks to build on and to take forward the bilateral engagement in the energy sector

National Guidelines for Prevention and Control of Iron Deficiency Anemia in India

Directory of Open Access Journals (Sweden)

Asha Bellad

2018-04-01

Full Text Available Anaemia is a serious public health challenge in India with more than 50% prevalence across vulnerable groups such as pregnant women, infants, young children and adolescents. It has adverse effects on health, physical and mental productivity affecting quality of life. Guideline is any document containing recommendations about health interventions, whether these are clinical, public health or policy recommendations. The National Anemia Prevention and control guidelines have been developed taking cognizance of the current scientific evidence. The National Iron+ Initiative guidelines have been developed by the Adolescent Division of the Ministry of Health and Family Welfare (MoHFW, Government of India.  Prevention and control of anaemia is one of the key strategies of the Health, Nutrition and Population Sector Programmes for reducing maternal, neonatal and childhood mortality and improving maternal, adolescent and childhood health status. It is estimated that anaemia causes 20 per cent of maternal deaths in India.

Whose problem is it anyway? Crimes against women in India

Directory of Open Access Journals (Sweden)

B. L. Himabindu

2014-07-01

Full Text Available The recent public outcry following a brutal gang rape of a young woman in India's national capital was a watershed moment in the world's largest democracy. It generated widespread public and political support for strengthening legal provisions to punish sex offenders. Although the legal response is a useful deterrent against such heinous crimes, women continue to suffer due to deeply rooted social prejudices that make them vulnerable to violence and discrimination in society. In this commentary, we aim to analyse the current developments with respect to gender violence in India within a background of the social position of women in Indian society. Using secondary data related to sex-selective abortions and crimes against women, and a critical review of the portrayal of women in Indian cinema, we reflect on the role of health workers, researchers and public health professionals in shaping a social response towards improving gender parity in our country.

Head Teachers' Views of Oral Health Education in Schools in Tamil Nadu, India

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Veerasamy, Arthi; Gage, Jeffrey; Kirk, Ray

2018-01-01

Introduction: Children and young people in India have a high prevalence of dental decay. As part of a broader epidemiological study, we interviewed 10 head teachers to understand the status of, and challenges to, inclusion of oral health education in the curricula of public and private schools in Tamil Nadu, India. Objectives: The two main…

Cross-Cultural Considerations regarding Inclusion and Service Provision for Children with Disabilities in India

Science.gov (United States)

Browning, Ellen R.; Caro, Patricia; Shastry, Sunita P.

2011-01-01

Providing services for children with disabilities has been a part of the culture of India for generations. However service provision has been within the context of family and community rather than in the public sector and thus has been inclusive by its very nature. This article describes current educational provisions and practices in India for…

Population genetic structure of urban malaria vector Anopheles stephensi in India.

Science.gov (United States)

Sharma, Richa; Sharma, Arvind; Kumar, Ashwani; Dube, Madhulika; Gakhar, S K

2016-04-01

Malaria is a major public health problem in India because climatic condition and geography of India provide an ideal environment for development of malaria vector. Anopheles stephensi is a major urban malaria vector in India and its control has been hampered by insecticide resistance. In present study population genetic structure of A. stephensi is analyzed at macro geographic level using 13 microsatellite markers. Significantly high genetic differentiation was found in all studied populations with differentiation values (FST) ranging from 0.0398 to 0.1808. The geographic distance was found to be playing a major role in genetic differentiation between different populations. Overall three genetic pools were observed and population of central India was found to be coexisting in two genetic pools. High effective population size (Ne) was found in all the studied populations. Copyright © 2015 Elsevier B.V. All rights reserved.

Health service use, out-of-pocket payments and catastrophic health expenditure among older people in India: the WHO Study on global AGEing and adult health (SAGE).

Science.gov (United States)

Brinda, Ethel Mary; Kowal, Paul; Attermann, Jørn; Enemark, Ulrika

2015-05-01

Healthcare financing through out-of-pocket payments and inequities in healthcare utilisation are common in low and middle income countries (LMICs). Given the dearth of pertinent studies on these issues among older people in LMICs, we investigated the determinants of health service use, out-of-pocket and catastrophic health expenditures among older people in one LMIC, India. We accessed data from a nationally representative, multistage sample of 2414 people aged 65 years and older from the WHO's Study on global AGEing and adult health in India. Sociodemographic characteristics, health profiles, health service utilisation and out-of-pocket health expenditure were assessed using standard instruments. Multivariate zero-inflated negative binomial regression models were used to evaluate the determinants of health service visits. Multivariate Heckman sample selection regression models were used to assess the determinants of out-of-pocket and catastrophic health expenditures. Out-of-pocket health expenditures were higher among participants with disability and lower income. Diabetes, hypertension, chronic pulmonary disease, heart disease and tuberculosis increased the number of health visits and out-of-pocket health expenditures. The prevalence of catastrophic health expenditure among older people in India was 7% (95% CI 6% to 8%). Older men and individuals with chronic diseases were at higher risk of catastrophic health expenditure, while access to health insurance lowered the risk. Reducing out-of-pocket health expenditure among older people is an important public health issue, in which social as well as medical determinants should be prioritised. Enhanced public health sector performance and provision of publicly funded insurance may protect against catastrophic health expenses and healthcare inequities in India. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Medical tourism in India: perceptions of physicians in tertiary care hospitals.

Science.gov (United States)

Qadeer, Imrana; Reddy, Sunita

2013-12-17

Senior physicians of modern medicine in India play a key role in shaping policies and public opinion and institutional management. This paper explores their perceptions of medical tourism (MT) within India which is a complex process involving international demands and policy shifts from service to commercialisation of health care for trade, gross domestic profit, and foreign exchange. Through interviews of 91 physicians in tertiary care hospitals in three cities of India, this paper explores four areas of concern: their understanding of MT, their views of the hospitals they work in, perceptions of the value and place of MT in their hospital and their views on the implications of MT for medical care in the country. An overwhelming majority (90%) of physicians in the private tertiary sector and 74.3 percent in the public tertiary sector see huge scope for MT in the private tertiary sector in India. The private tertiary sector physicians were concerned about their patients alone and felt that health of the poor was the responsibility of the state. The public tertiary sector physicians' however, were sensitive to the problems of the common man and felt responsible. Even though the glamour of hi-tech associated with MT dazzled them, only 35.8 percent wanted MT in their hospitals and a total of 56 percent of them said MT cannot be a public sector priority. 10 percent in the private sector expressed reservations towards MT while the rest demanded state subsidies for MT. The disconnect between their concern for the common man and professionals views on MT was due to the lack of appreciation of the continuum between commercialisation, the denial of resources to public hospitals and shift of subsidies to the private sector. The paper highlights the differences and similarities in the perceptions and context of the two sets of physicians, presents evidence, that questions the support for MT and finally analyzes some key implications of MT on Indian health services, ethical

Medical tourism in india: perceptions of physicians in tertiary care hospitals

Science.gov (United States)

2013-01-01

Senior physicians of modern medicine in India play a key role in shaping policies and public opinion and institutional management. This paper explores their perceptions of medical tourism (MT) within India which is a complex process involving international demands and policy shifts from service to commercialisation of health care for trade, gross domestic profit, and foreign exchange. Through interviews of 91 physicians in tertiary care hospitals in three cities of India, this paper explores four areas of concern: their understanding of MT, their views of the hospitals they work in, perceptions of the value and place of MT in their hospital and their views on the implications of MT for medical care in the country. An overwhelming majority (90%) of physicians in the private tertiary sector and 74.3 percent in the public tertiary sector see huge scope for MT in the private tertiary sector in India. The private tertiary sector physicians were concerned about their patients alone and felt that health of the poor was the responsibility of the state. The public tertiary sector physicians’ however, were sensitive to the problems of the common man and felt responsible. Even though the glamour of hi-tech associated with MT dazzled them, only 35.8 percent wanted MT in their hospitals and a total of 56 percent of them said MT cannot be a public sector priority. 10 percent in the private sector expressed reservations towards MT while the rest demanded state subsidies for MT. The disconnect between their concern for the common man and professionals views on MT was due to the lack of appreciation of the continuum between commercialisation, the denial of resources to public hospitals and shift of subsidies to the private sector. The paper highlights the differences and similarities in the perceptions and context of the two sets of physicians, presents evidence, that questions the support for MT and finally analyzes some key implications of MT on Indian health services, ethical

The changing face of philanthropy in India | IDRC - International ...

International Development Research Centre (IDRC) Digital Library (Canada)

Philanthropy is on the rise in India and is predicted to keep on growing. New wealth is also changing the face of charitable giving and gaining public attention. As a result, the number of philanthropy advisors is also growing.

Health care and equity in India.

Science.gov (United States)

Balarajan, Y; Selvaraj, S; Subramanian, S V

2011-02-05

In India, despite improvements in access to health care, inequalities are related to socioeconomic status, geography, and gender, and are compounded by high out-of-pocket expenditures, with more than three-quarters of the increasing financial burden of health care being met by households. Health-care expenditures exacerbate poverty, with about 39 million additional people falling into poverty every year as a result of such expenditures. We identify key challenges for the achievement of equity in service provision, and equity in financing and financial risk protection in India. These challenges include an imbalance in resource allocation, inadequate physical access to high-quality health services and human resources for health, high out-of-pocket health expenditures, inflation in health spending, and behavioural factors that affect the demand for appropriate health care. Use of equity metrics in monitoring, assessment, and strategic planning; investment in development of a rigorous knowledge base of health-systems research; development of a refined equity-focused process of deliberative decision making in health reform; and redefinition of the specific responsibilities and accountabilities of key actors are needed to try to achieve equity in health care in India. The implementation of these principles with strengthened public health and primary-care services will help to ensure a more equitable health care for India's population. Copyright © 2011 Elsevier Ltd. All rights reserved.

"Harnessing genomics to improve health in India" – an executive course to support genomics policy

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Acharya Tara

2004-05-01

Full Text Available Abstract Background The benefits of scientific medicine have eluded millions in developing countries and the genomics revolution threatens to increase health inequities between North and South. India, as a developing yet also industrialized country, is uniquely positioned to pioneer science policy innovations to narrow the genomics divide. Recognizing this, the Indian Council of Medical Research and the University of Toronto Joint Centre for Bioethics conducted a Genomics Policy Executive Course in January 2003 in Kerala, India. The course provided a forum for stakeholders to discuss the relevance of genomics for health in India. This article presents the course findings and recommendations formulated by the participants for genomics policy in India. Methods The course goals were to familiarize participants with the implications of genomics for health in India; analyze and debate policy and ethical issues; and develop a multi-sectoral opinion leaders' network to share perspectives. To achieve these goals, the course brought together representatives of academic research centres, biotechnology companies, regulatory bodies, media, voluntary, and legal organizations to engage in discussion. Topics included scientific advances in genomics, followed by innovations in business models, public sector perspectives, ethics, legal issues and national innovation systems. Results Seven main recommendations emerged: increase funding for healthcare research with appropriate emphasis on genomics; leverage India's assets such as traditional knowledge and genomic diversity in consultation with knowledge-holders; prioritize strategic entry points for India; improve industry-academic interface with appropriate incentives to improve public health and the nation's wealth; develop independent, accountable, transparent regulatory systems to ensure that ethical, legal and social issues are addressed for a single entry, smart and effective system; engage the public and

Nature Cure and Non-Communicable Diseases: Ecological Therapy as Health Care in India.

Science.gov (United States)

Alter, Joseph S; Nair, R M; Nair, Rukmani

2017-12-07

With rapidly increasing rates of non-communicable diseases, India is experiencing a dramatic public health crisis that is closely linked to changing lifestyles and the growth of the middle-class. In this essay we discuss how the practice of Nature Cure provides a way of understanding the scale and scope of the crisis, as it is embodied, and a way to understand key elements of a solution to problems that the crisis presents for institutionalized health care. As institutionalized in contemporary India, Nature Cure involves treatment and managed care using earth, air, sunlight, and water as well as a strict dietary regimen. In this regard, the essay shows how Nature Cure's bio-ecological orientation toward public health, which is grounded in the history of its modern incorporation into India, provides an expansionist, ecological model for holistic care that counters the reductionist logic of bio-medical pharmaceuticalization.

Dalit Women's Rights and Citizenship in India - Phase I | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

Dalit Women's Rights and Citizenship in India - Phase I ... little occupational diversification, and little voice in the domestic or public sphere. ... Delhi; organised by Indian Institute of Dalit Studies and International Development Research Centre.

What are the Evidence Based Public Health Interventions for Prevention and Control of NCDs in Relation to India?

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Kavita Singh

2011-01-01

Full Text Available The accelerating epidemics of noncommunicable diseases (NCDs in India call for a comprehensive public health response which can effectively combat and control them before they peak and inflict severe damage in terms of unaffordable health, economic, and social costs. To synthesize and present recent evidences regarding the effectiveness of several types of public health interventions to reduce NCD burden. Interventions influencing behavioral risk factors (like unhealthy diet, physical inactivity, tobacco and alcohol consumption through policy, public education, or a combination of both have been demonstrated to be effective in reducing the NCD risk in populations as well as in individuals. Policy interventions are also effective in reducing the levels of several major biological risk factors linked to NCDs (high blood pressure; overweight and obesity; diabetes and abnormal blood cholesterol. Secondary prevention along the lines of combination pills and ensuring evidenced based clinical care are also critical. Though the evidence for health promotion and primary prevention are weaker, policy interventions and secondary prevention when combined with these are likely to have a greater impact on reducing national NCD burden. A comprehensive and integrated response to NCDs control and prevention needs a "life course approach." Proven cost-effective interventions need to be integrated in a NCD prevention and control policy framework and implemented through coordinated mechanisms of regulation, environment modification, education, and health care responses.

India's Proposed Universal Health Coverage Policy: Evidence for Age Structure Transition Effect and Fiscal Sustainability.

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Narayana, Muttur Ranganathan

2016-12-01

India's High Level Expert Group on Universal Health Coverage in 2011 recommended a universal, public-funded and national health coverage policy. As a plausible forward-looking macroeconomic reform in the health sector, this policy proposal on universal health coverage (UHC) needs to be evaluated for age structure transition effect and fiscal sustainability to strengthen its current design and future implementation. Macroeconomic analyses of the long-term implications of age structure transition and fiscal sustainability on India's proposed UHC policy. A new measure of age-specific UHC is developed by combining the age profile of public and private health consumption expenditure by using the National Transfer Accounts methodology. Different projections of age-specific public health expenditure are calculated over the period 2005-2100 to account for the age structure transition effect. The projections include changes in: (1) levels of the expenditure as gross domestic product grows, (2) levels and shape of the expenditure as gross domestic product grows and expenditure converges to that of developed countries (or convergence scenario) based on the Lee-Carter model of forecasting mortality rates, and (3) levels of the expenditure as India moves toward a UHC policy. Fiscal sustainability under each health expenditure projection is determined by using the measures of generational imbalance and sustainability gap in the Generational Accounting methodology. Public health expenditure is marked by age specificities and the elderly population is costlier to support for their healthcare needs in the future. Given the discount and productivity growth rates, the proposed UHC is not fiscally sustainable under India's current fiscal policies except for the convergence scenario. However, if the income elasticity of public expenditure on social welfare and health expenditure is less than one, fiscal sustainability of the UHC policy is attainable in all scenarios of projected public

Muslim and Hindu Women’s Public and Private Behaviors: Gender, Family and Communalized Politics in India

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Desai, Sonalde; Temsah, Gheda

2015-01-01

Prior research on fundamentalist religious movements has focused attention on the complicated relationship between gender, family and religion. Using data from a nationally representative survey of 30,000 Hindu and Muslim women, this study compares the daily public and private behaviors of women in India to examine how gender and family norms are shaped in the context of communalized identity politics. Building on the theoretical framework of “doing gender”, it argues that because communal identities are expressed through externally visible behaviors, greater religious differences are expected in external markers of gendered behaviors and family norms. Results indicate that Muslim women are more likely to engage in veiling and less likely to venture outside the home for recreation and employment. However, religious differences are absent when attention is directed at private behaviors such as household decision making power, gender segregation within households, and discrimination against daughters. Results underscore the multidimensionality of gender. PMID:25143018

The cost of universal health care in India: a model based estimate.

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Shankar Prinja

Full Text Available INTRODUCTION: As high out-of-pocket healthcare expenses pose heavy financial burden on the families, Government of India is considering a variety of financing and delivery options to universalize health care services. Hence, an estimate of the cost of delivering universal health care services is needed. METHODS: We developed a model to estimate recurrent and annual costs for providing health services through a mix of public and private providers in Chandigarh located in northern India. Necessary health services required to deliver good quality care were defined by the Indian Public Health Standards. National Sample Survey data was utilized to estimate disease burden. In addition, morbidity and treatment data was collected from two secondary and two tertiary care hospitals. The unit cost of treatment was estimated from the published literature. For diseases where data on treatment cost was not available, we collected data on standard treatment protocols and cost of care from local health providers. RESULTS: We estimate that the cost of universal health care delivery through the existing mix of public and private health institutions would be INR 1713 (USD 38, 95%CI USD 18-73 per person per annum in India. This cost would be 24% higher, if branded drugs are used. Extrapolation of these costs to entire country indicates that Indian government needs to spend 3.8% (2.1%-6.8% of the GDP for universalizing health care services. CONCLUSION: The cost of universal health care delivered through a combination of public and private providers is estimated to be INR 1713 per capita per year in India. Important issues such as delivery strategy for ensuring quality, reducing inequities in access, and managing the growth of health care demand need be explored.

A survey of the governance capacity of national public health associations to enhance population health.

Science.gov (United States)

Chauvin, James; Shukla, Mahesh; Rice, James; Rispel, Laetitia

2016-03-11

National public health associations (PHAs) are key partners with governments and communities to improve, protect and promote the public's health. Governance and organizational capacity are among the key determinants of a PHA's effectiveness as an advocate for appropriate public health policies and practice. During 2014, the World Federation of Public Health Associations (WFPHA) conducted an on-line survey of its 82 PHA members, to identify the state of organizational governance of national public health associations, as well as the factors that influence optimal organizational governance. The survey consisted of 13 questions and focused on the main elements of organizational governance: cultivating accountability; engaging stakeholders; setting shared direction; stewarding resources; and, continuous governance enhancement. Four questions included a qualitative open-ended response for additional comments. The survey data were analyzed using Microsoft Excel. The qualitative data was analyzed using thematic content analysis Responses were received from 62 PHAs, constituting a 75.6 % response rate. The two most important factors that support governance effectiveness were a high degree of integrity and ethical behavior of the PHA's leaders (77 %) and the competence of people serving on the PHA's governing body (76 %). The lack of financial resources was considered as the most important factor that negatively affected organizational governance effectiveness (73 %). The lack of mentoring for future PHA leaders; ineffective or incompetent leadership; lack of understanding about good governance practices; and lack of accurate information for strategic planning were identified as factors influencing PHA governance effectiveness. Critical elements for PHA sustainability included diversity, gender-responsiveness and inclusive governance practices, and strategies to build the future generation of public health leaders. National PHA have a responsibility to put into place

Public-private implementation of integrated emergency response services: Case study of GVK Emergency Management and Research Institute in Karnataka, India.

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Sriram, Veena M; Gururaj, Gopalkrishna; Hyder, Adnan A

2017-12-01

Emergency medical services are important to the functioning of health systems, but these services tend to be neglected in low- and middle-income countries, such as India. In recent years, several models of pre-hospital emergency medical services have emerged in India. Research on these models holds important lessons for existing and future emergency medical service programs in low- and middle-income countries. Our objective was to provide a comprehensive description of the organizational structure and service delivery model of a public-private partnership in the southern Indian state of Karnataka, GVK Emergency Management and Research Institute, with a particular focus on its operations in Bengaluru. A case study methodology was used to explore systematically the organizational model of GVK Emergency Management and Research Institute in Karnataka. Qualitative data were collected through an in-person site visit to GVK Emergency Management and Research Institute headquarters in Bengaluru in July 2013. Three sources were used: in-depth, semistructured interviews, document review, and nonparticipant observation. Data were analyzed according to the health system "building blocks" proposed by the World Health Organization. The organization follows a standardized model across the states and union territories where they have contractual arrangements, including Karnataka. Processes for fleet maintenance, information systems/information technology and training, and deployment were well structured at the organizational level. The public-private partnership appears pro-poor in orientation; however, further demand-side research is required on the perspective of patients. Our study reveals a functional structure at the organizational level, which provides a key service at no cost to users. Detailed analyses of this nature can help inform global efforts for the development and strengthening of emergency medical services systems. Copyright © 2017 Elsevier Inc. All rights reserved.

Monitoring misuse of the WHO name and emblem in medicine promotion in India.

Science.gov (United States)

Thawani, Vijay; Gharpure, Kunda

2009-01-01

The World Health Organisation has called for the ethical promotion of medicines. This study to monitor the misuse of the WHO name and emblem in medicine promotion in India found that the name or emblem of WHO has been used extensively for unethical promotion of drugs, nutritional supplements and consumer products in India. This unethical promotion is evident in advertisements, pharmaceutical indices and other publicity material.

E-karaoke learning for gender empowerment in rural India

NARCIS (Netherlands)

P.A. Arora (Payal)

2006-01-01

textabstractA folksongs karaoke product has been created to increase usage of subtitled media to enhance literacy and technology use, particularly among girls in rural India. This entails generating and proliferating popular local folksongs with social and cultural themes of interest to girls,

Appraisal of long term groundwater quality of peninsular India using ...

Indian Academy of Sciences (India)

Kishan Singh Rawat

2017-12-08

Dec 8, 2017 ... India using water quality index and fractal dimension ... Institute of Public Health of Koprivnica-Krizevci, County Trg Tomislava Bardeka ... 2013, but monitoring site four falls under severe category (water unfit for domestic use).

Enhancing research publications and advancing scientific writing in health research collaborations: sharing lessons learnt from the trenches.

Science.gov (United States)

Li, Guowei; Jin, Yanling; Mbuagbaw, Lawrence; Dolovich, Lisa; Adachi, Jonathan D; Levine, Mitchell Ah; Cook, Deborah; Samaan, Zainab; Thabane, Lehana

2018-01-01

Disseminating research protocols, processes, methods or findings via peer-reviewed publications has substantive merits and benefits to various stakeholders. In this article, we share strategies to enhance research publication contents (ie, what to write about) and to facilitate scientific writing (ie, how to write) in health research collaborations. Empirical experience sharing. To enhance research publication contents, we encourage identifying appropriate opportunities for publications, publishing protocols ahead of results papers, seeking publications related to methodological issues, considering justified secondary analyses, and sharing academic process or experience. To advance writing, we suggest setting up scientific writing as a goal, seeking an appropriate mentorship, making full use of scientific meetings and presentations, taking some necessary formal training in areas such as effective communication and time and stress management, and embracing the iterative process of writing. All the strategies we share are dependent upon each other; and they advocate gradual academic accomplishments through study and training in a "success-breeds-success" way. It is expected that the foregoing shared strategies in this paper, together with other previous guidance articles, can assist one with enhancing research publications, and eventually one's academic success in health research collaborations.

Hematopoietic Stem Cell Transplantation in India-2017 Annual Update.

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Naithani, Rahul

2018-01-01

There has been a steady rise in number of transplant centers in India over last few years. This year many papers related to bone marrow transplants were presented in annual conference of Indian society of Hematology and Transfusion Medicine. All oral and poster presentations which were published were reviewed. There were many publications on autologous transplant, allogeneic transplant and lab aspects of transplant. Centers shared their data on autologous transplants in newly set-up units with resource constraints with good outcomes. Encouraging data from across India is likely to boost more centers to set up transplant centers.

From Government to Governance: Teach for India and New Networks of Reform in School Education

Science.gov (United States)

Subramanian, Vidya K.

2018-01-01

The Teach for India (TFI) programme, an important offshoot of the Teach for All/Teach for America global education network, began as a public-private partnership in 2009 in poorly functioning municipal schools in Pune and Mumbai. Like its American counterpart, the programme in India has similar ideas of reform and recruits college graduates and…

Energy security for India: Biofuels, energy efficiency and food productivity

International Nuclear Information System (INIS)

Gunatilake, Herath; Roland-Holst, David; Sugiyarto, Guntur

2014-01-01

The emergence of biofuel as a renewable energy source offers opportunities for significant climate change mitigation and greater energy independence to many countries. At the same time, biofuel represents the possibility of substitution between energy and food. For developing countries like India, which imports over 75% of its crude oil, fossil fuels pose two risks—global warming pollution and long-term risk that oil prices will undermine real living standards. This paper examines India's options for managing energy price risk in three ways: biofuel development, energy efficiency promotion, and food productivity improvements. Our salient results suggest that biodiesel shows promise as a transport fuel substitute that can be produced in ways that fully utilize marginal agricultural resources and hence promote rural livelihoods. First-generation bioethanol, by contrast, appears to have a limited ability to offset the impacts of oil price hikes. Combining the biodiesel expansion policy with energy efficiency improvements and food productivity increases proved to be a more effective strategy to enhance both energy and food security, help mitigate climate change, and cushion the economy against oil price shocks. - Highlights: • We investigate the role of biofuels in India applying a CGE model. • Biodiesel enhances energy security and improve rural livelihoods. • Sugarcane ethanol does not show positive impact on the economy. • Biodiesel and energy efficiency improvements together provide better results. • Food productivity further enhances biodiesel, and energy efficiency impacts

Nuclear India. Vol. II. [India's nuclear policy

Energy Technology Data Exchange (ETDEWEB)

Jain, J P

1974-01-01

The book contains 186 documents on India's nuclear policy covering a period from November 1948 to May 1974. It thus forms a comprehensive documentary account of India's nuclear policy. They include: texts of India's agreements for cooperation on the peaceful uses of atomic energy with the USA and Canada, the summary conclusions of India's atomic energy program for the decade 1970-80, the resolutions and amendments moved by India, the communications sent and the statements made by Indian representatives in various international forums--the conference of the IAEA statute, the Annual General Conference of the IAEA and its committees and the Board of Governors, the UN General Assembly and its First Committee, the conference of the Committee on Disarmaments etc. It also contains texts or extracts from the papers presented, statements made, and addresses and talks delivered by H. J. Bhabha, V. A. Sarabhai, H. N. Sethna and other eminent scientists at the international conferences on the peaceful uses of atomic energy, IAEA discussions on PNE, etc. Policy statements by India's Prime Ministers Nehru, Shastri and (Mrs.) Gandhi, and Foreign Ministers Chagla and Swaran Singh, made from time to time in the Lok Sabha and the Rajya Sabha--the two houses of the Indian parliaments--are also included. The sources of these documents are listed at the end. (MCB)

Images of eyes enhance investments in a real-life public good.

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Damien Francey

Full Text Available A key issue in cooperation research is to determine the conditions under which individuals invest in a public good. Here, we tested whether cues of being watched increase investments in an anonymous public good situation in real life. We examined whether individuals would invest more by removing experimentally placed garbage (paper and plastic bottles from bus stop benches in Geneva in the presence of images of eyes compared to controls (images of flowers. We provided separate bins for each of both types of garbage to investigate whether individuals would deposit more items into the appropriate bin in the presence of eyes. The treatment had no effect on the likelihood that individuals present at the bus stop would remove garbage. However, those individuals that engaged in garbage clearing, and were thus likely affected by the treatment, invested more time to do so in the presence of eyes. Images of eyes had a direct effect on behaviour, rather than merely enhancing attention towards a symbolic sign requesting removal of garbage. These findings show that simple images of eyes can trigger reputational effects that significantly enhance on non-monetary investments in anonymous public goods under real life conditions. We discuss our results in the light of previous findings and suggest that human social behaviour may often be shaped by relatively simple and potentially unconscious mechanisms instead of very complex cognitive capacities.

Lifestyle change in Kerala, India: needs assessment and planning for a community-based diabetes prevention trial.

Science.gov (United States)

Daivadanam, Meena; Absetz, Pilvikki; Sathish, Thirunavukkarasu; Thankappan, K R; Fisher, Edwin B; Philip, Neena Elezebeth; Mathews, Elezebeth; Oldenburg, Brian

2013-02-01

Type 2 Diabetes Mellitus (T2DM) has become a major public health challenge in India. Factors relevant to the development and implementation of diabetes prevention programmes in resource-constrained countries, such as India, have been under-studied. The purpose of this study is to describe the findings from research aimed at informing the development and evaluation of a Diabetes Prevention Programme in Kerala, India (K-DPP). Data were collected from three main sources: (1) a systematic review of key research literature; (2) a review of relevant policy documents; and (3) focus groups conducted among individuals with a high risk of progressing to diabetes. The key findings were then triangulated and synthesised. Prevalence of risk factors for diabetes is very high and increasing in Kerala. This situation is largely attributable to rapid changes in the lifestyle of people living in this state of India. The findings from the systematic review and focus groups identified many environmental and personal determinants of these unhealthy lifestyle changes, including: less than ideal accessibility to and availability of health services; cultural values and norms; optimistic bias and other misconceptions related to risk; and low expectations regarding one's ability to make lifestyle changes in order to influence health and disease outcomes. On the other hand, there are existing intervention trials conducted in India which suggests that risk reduction is possible. These programmes utilize multi-level strategies including mass media, as well as strategies to enhance community and individual empowerment. India's national programme for the prevention and control of major non-communicable diseases (NCD) also provide a supportive environment for further community-based efforts to prevent diabetes. These findings provide strong support for undertaking more research into the conduct of community-based diabetes prevention in the rural areas of Kerala. We aim to develop, implement and

Rationalising health care in india : Challenges & strategies

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K I Mathai

2014-01-01

Full Text Available An overview of health care delivery in India is essential, if we are to plan and to improve health care delivery and the indices of health in the coming decades. The health sector in India is a mix of private and government services. While some health care indices appear dismal, several others, including life expectancy are heartening. A balance between regulation and free enterprise is possibly the best option. In this paper we provide a glimpse of health and health related statistics & a n overview of the public health care delivery systems. In the end, we offer suggestion on rationalisation of health care delivery to provide maximum services for the majority of our population within the budget of an optimal health care system outlay

Epidemiology & risk factors of scrub typhus in south India

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George M Varghese

2016-01-01

Full Text Available Background & objectives: Scrub typhus is a major public health threat in South and Southeastern Asian countries including India. Understanding local patterns of disease and factors that place individuals at risk is pivotal to future preventive measures against scrub typhus. The primary aim of this study was to identify specific epidemiological and geographical factors associated with an increased risk of developing scrub typhus in this region. Methods: We mapped 709 patients from Tamil Nadu, Andhra Pradesh and Telangana who were admitted to the Christian Medical College (CMC Hospital, Vellore, Tamil Nadu, India, for the period 2006-2011, assessed seasonality using monthly counts of scrub typhus cases, and conducted a case-control study among a subset of patients residing in Vellore. Results: The geographic distribution of cases at CMC Hospital clusters around the Tamil Nadu-Andhra Pradesh border. However, distinct hotspots clearly exist distal to this area, near Madurai and the coast in Tamil Nadu, and in the Northeast of Andhra Pradesh. Seasonally, the highest numbers of cases were observed in the cooler months of the year, i.e. September to January. In the case-control analysis, cases were more likely to be agricultural laborers (OR 1.79, 95% CI 1.01 - 3.15, not wear a shirt at home (OR 4.23, 95% CI 1.12 - 16.3, live in houses adjacent to bushes or shrubs (OR 1.95, 95% CI 1.08 - 3.53, and live in a single room home (OR 1.75, 95% CI 1.02 - 3.01. On binary logistic regression, the first three of these variables were statistically significant. Interpretation & conclusions: With the growing number of cases detected in India, scrub typhus is fast emerging as a public health threat and further research to protect the population from this deadly infection is essential. Health education campaigns focusing on the agricultural workers of Southern India, especially during the cooler months of the year, can serve as an important public health measure to

Cost and utilisation of hospital based delivery care in Empowered Action Group (EAG) states of India.

Science.gov (United States)

Mohanty, Sanjay K; Srivastava, Akanksha

2013-10-01

Large scale investment in the National Rural Health Mission is expected to increase the utilization and reduce the cost of maternal care in public health centres in India. The objective of this paper is to examine recent trends in the utilization and cost of hospital based delivery care in the Empowered Action Group (EAG) states of India. The unit data from the District Level Household Survey 3, 2007-2008 is used in the analyses. The coverage and the cost of hospital based delivery at constant price is analyzed for five consecutive years preceding the survey. Descriptive and multivariate analyses are used to understand the socio-economic differentials in cost and utilization of delivery care. During 2004-2008, the utilization of delivery care from public health centres has increased in all the eight EAG states. Adjusting for inflation, the household cost of delivery care has declined for the poor, less educated and in public health centres in the EAG states. The cost of delivery care in private health centres has not shown any significant changes across the states. Results of the multivariate analyses suggest that time, state, place of residence, economic status; educational attainment and delivery characteristics of mother are significant predictors of hospital based delivery care in India. The study demonstrates the utility of public spending on health care and provides a thrust to the ongoing debate on universal health coverage in India.

AREVA in India

International Nuclear Information System (INIS)

2008-01-01

India is the sixth largest energy consumer in the world and its demand is rising rapidly. To support its economic growth, estimated to be 8% on average over the last three years and to ensure access to electricity for all, the country foresees massive investments in its power sector over the next five years. India is therefore an essential market for the AREVA Group, where its Transmission and Distribution division plays a leading role on the strategic grid modernization market. This document presents: 1 - the economic situation in India: Key figures, Growth, India's growing need for electricity, India's energy sources and policy: current mix, driving role of the State, the financial reorganization of the SEBs, the 'Mega-Power' projects, the electricity act, the rural electrification program, the Investments. 2 - Civil nuclear energy: a strong potential for development; 3 - India's transmission and distribution network: the power challenge of the transmission network, the efficiency challenge of the distribution network. 4 - AREVA T and D in India: AREVA T and D profile, Areva's presence in India, market share, T and D customers and flagship projects

Managing public perceptions about atomic energy in India

International Nuclear Information System (INIS)

Shankar, Ravi; Malhotra, S.K.

2009-01-01

Dr. Homi Jehangir Bhabha, in his presidential address at the first International Conference on the Peaceful Uses of Atomic Energy in Geneva in August 1955 had said 'Acquisition by man of the knowledge of how to release and use atomic energy must be recognized as the third epoch of human history'. Indeed during the last six decades, Atomic Energy has touched practically all aspects of human life and has registered its presence in almost every part of the globe. In India too, the Department of Atomic Energy set up in 1954, has been successfully pursuing a programme with a mandate to generate electricity, produce radioisotopes and develop radiation technologies with application in the areas of healthcare, food security, industry, water management, environment, R and D etc. Besides, DAE is also engaged in developing advanced technologies such as lasers, accelerator, robotics, fast computing and biosciences

Assessment of screening practices for gestational hyperglycaemia in public health facilities: a descriptive study in Bangalore, India

Directory of Open Access Journals (Sweden)

Giridhara R. Babu

2015-03-01

Full Text Available Background. Screening and timely treatment of gestational hyperglycaemia (GH is proved to be beneficial and improves maternal and foetal health outcomes. To understand screening practices, we explored the knowledge and perceptions of doctors working in public health facilities in Bangalore, India. We also studied participation factors by examining whether undergoing glucose estimation tests affects morning sickness in pregnant women. Design and Methods. We aimed to understand the screening practices and knowledge of doctors. A semi-structured questionnaire was self-administered by the 50 participant doctors, selected from the sampling frame comprising of all the doctors working in public health facilities. We included 105 pregnant women for baseline assessment, in whom a well-structured questionnaire was used. Results. We reported that gestational diabetes mellitus (GDM screening was done in nearly all the health centres (96%. However, only 12% of the doctors could provide all components of GDM diagnosis and management correctly and 46% would diagnose by using a random blood glucose test. A majority (92% of the doctors had poor knowledge (68% about the cut-off values of glucose tests. More than 80% of pregnant women experienced some discomfort mostly due to rapid ingestion glucose in short span of time. Conclusions. Our study established that screening for GH is done in most public health facilities. Nonetheless, knowledge of doctors on the glucose tests and their interpretation needs improvement. Re-orientation trainings of the doctors can improve their knowledge and thereby can efficiently screen for GH. Further, adequate planning prior to the tests can aid successful completion of them.

Public acceptance

International Nuclear Information System (INIS)

Bucaille, A.

2006-01-01

Full text of publication follows: A great deal of determination and professionalism are required when communicating to the public on nuclear energy. Challenging the advantages and adopting an educational tone are, of course, essential. But we have to do much more if we truly want to set people thinking and give nuclear energy its rightful position among the possible energy solutions. This is particularly important in Europe where dissension between countries is on the increase, whereas the US and China, shortly to be joined by India, have clearly decided to invest in nuclear energy. (author)

India's baseline plan for nuclear energy self-sufficiency

International Nuclear Information System (INIS)

Bucher, R.G.

2009-01-01

India's nuclear energy strategy has traditionally strived for energy self-sufficiency, driven largely by necessity following trade restrictions imposed by the Nuclear Suppliers Group (NSG) following India's 'peaceful nuclear explosion' of 1974. On September 6, 2008, the NSG agreed to create an exception opening nuclear trade with India, which may create opportunities for India to modify its baseline strategy. The purpose of this document is to describe India's 'baseline plan,' which was developed under constrained trade conditions, as a basis for understanding changes in India's path as a result of the opening of nuclear commerce. Note that this treatise is based upon publicly available information. No attempt is made to judge whether India can meet specified goals either in scope or schedule. In fact, the reader is warned a priori that India's delivery of stated goals has often fallen short or taken a significantly longer period to accomplish. It has been evident since the early days of nuclear power that India's natural resources would determine the direction of its civil nuclear power program. It's modest uranium but vast thorium reserves dictated that the country's primary objective would be thorium utilization. Estimates of India's natural deposits vary appreciably, but its uranium reserves are known to be extremely limited, totaling approximately 80,000 tons, on the order of 1% of the world's deposits; and nominally one-third of this ore is of very low uranium concentration. However, India's roughly 300,000 tons of thorium reserves account for approximately 30% of the world's total. Confronted with this reality, the future of India's nuclear power industry is strongly dependent on the development of a thorium-based nuclear fuel cycle as the only way to insure a stable, sustainable, and autonomous program. The path to India's nuclear energy self-sufficiency was first outlined in a seminal paper by Drs. H. J. Bhabha and N. B. Prasad presented at the Second

Biofuel production and implications for land use, food production and environment in India

International Nuclear Information System (INIS)

Ravindranath, N.H.; Sita Lakshmi, C.; Manuvie, Ritumbra; Balachandra, P.

2011-01-01

There is a large interest in biofuels in India as a substitute to petroleum-based fuels, with a purpose of enhancing energy security and promoting rural development. India has announced an ambitious target of substituting 20% of fossil fuel consumption by biodiesel and bioethanol by 2017. India has announced a national biofuel policy and launched a large program to promote biofuel production, particularly on wastelands: its implications need to be studied intensively considering the fact that India is a large developing country with high population density and large rural population depending upon land for their livelihood. Another factor is that Indian economy is experiencing high growth rate, which may lead to enhanced demand for food, livestock products, timber, paper, etc., with implications for land use. Studies have shown that area under agriculture and forest has nearly stabilized over the past 2-3 decades. This paper presents an assessment of the implications of projected large-scale biofuel production on land available for food production, water, biodiversity, rural development and GHG emissions. The assessment will be largely focused on first generation biofuel crops, since the Indian program is currently dominated by these crops. Technological and policy options required for promoting sustainable biofuel production will be discussed.

Biofuel production and implications for land use, food production and environment in India

Energy Technology Data Exchange (ETDEWEB)

Ravindranath, N.H.; Sita Lakshmi, C.; Manuvie, Ritumbra [Center for Sustainable Technologies, Indian Institute of Science, Bangalore 560012 (India); Balachandra, P., E-mail: patilb@mgmt.iisc.ernet.in [Center for Sustainable Technologies, Indian Institute of Science, Bangalore 560012 (India)

2011-10-15

There is a large interest in biofuels in India as a substitute to petroleum-based fuels, with a purpose of enhancing energy security and promoting rural development. India has announced an ambitious target of substituting 20% of fossil fuel consumption by biodiesel and bioethanol by 2017. India has announced a national biofuel policy and launched a large program to promote biofuel production, particularly on wastelands: its implications need to be studied intensively considering the fact that India is a large developing country with high population density and large rural population depending upon land for their livelihood. Another factor is that Indian economy is experiencing high growth rate, which may lead to enhanced demand for food, livestock products, timber, paper, etc., with implications for land use. Studies have shown that area under agriculture and forest has nearly stabilized over the past 2-3 decades. This paper presents an assessment of the implications of projected large-scale biofuel production on land available for food production, water, biodiversity, rural development and GHG emissions. The assessment will be largely focused on first generation biofuel crops, since the Indian program is currently dominated by these crops. Technological and policy options required for promoting sustainable biofuel production will be discussed.

The international perception of scientific discourse about the climate threat by public in six countries: South Africa, Brazil, China, United States, France, India. Investigation report

International Nuclear Information System (INIS)

Baecher, Cedric; Dutreix, Nicolas; Buick, Rebecca; Ioualalen, Romain; Guyot, Paul; Campagne, Jean-Charles; Collomb, Etienne

2012-01-01

Based on a bibliographic study, a web-based study, qualitative interviews, a quantitative field survey, a study of some results from the ScenaRio 2012 project, this investigation aimed at highlighting the perception that people of different countries and cultural backgrounds (South Africa, Brazil, China, United States, France, India) have from the scientific discourse on climate change threat. The authors first give an overview of the sources of scientific discourse on climate change (primary sources like scientific institutions, GIEC, secondary sources), then analyse how this discourse is relayed by the media (media operation principles, recent trends, Internet, messages and tools to communicate with public opinions). They analyse and comment the behaviour of the different public opinions, outline the determining factors of public opinions, the diversity of noticed profiles, and the behaviour of young generations. They also propose a comparison between countries and a synthesis of results for each country

IMPACT OF CURRENCY DEVALUATION ON THE EXPORTS: A COMPARATIVE STUDY ON PAKISTAN, BANGLADESH AND INDIA

Directory of Open Access Journals (Sweden)

Imran Shahzad

2013-12-01

Full Text Available In this paper we analyze the impact of currency devaluation on exports of three major economies of South Asian (i.e., Pakistan, Bangladesh and India over the period 1980 to 2012, by implementing the multiple regression models. Results reveales that currency devaluation encourages exports of Pakistan and Bangladesh. Lending interest rate significant negative effect in Pakistan and Bangladesh but insignificant in India. Government expenditure encouraged the export of Pakistan while not significaant in Bangladesh while depress in India. Money supply also enhanced the export of Pakistan, Bangladesh and India. Result suggest that concerned authorities should manage and use the resources properly in such a way which may assist to develop the economies.

Rubella vaccination in India: identifying broad consequences of vaccine introduction and key knowledge gaps.

Science.gov (United States)

Winter, A K; Pramanik, S; Lessler, J; Ferrari, M; Grenfell, B T; Metcalf, C J E

2018-01-01

Rubella virus infection typically presents as a mild illness in children; however, infection during pregnancy may cause the birth of an infant with congenital rubella syndrome (CRS). As of February 2017, India began introducing rubella-containing vaccine (RCV) into the public-sector childhood vaccination programme. Low-level RCV coverage among children over several years can result in an increase in CRS incidence by increasing the average age of infection without sufficiently reducing rubella incidence. We evaluated the impact of RCV introduction on CRS incidence across India's heterogeneous demographic and epidemiological contexts. We used a deterministic age-structured model that reflects Indian states' rural and urban area-specific demography and vaccination coverage levels to simulate rubella dynamics and estimate CRS incidence with and without RCV introduction to the public sector. Our analysis suggests that current low-level private-sector vaccination has already slightly increased the burden of CRS in India. We additionally found that the effect of public-sector RCV introduction depends on the basic reproductive number, R 0, of rubella. If R 0 is five, a value empirically estimated from an array of settings, CRS incidence post-RCV introduction will likely decrease. However, if R 0 is seven or nine, some states may experience short-term or annual increases in CRS, even if a long-term total reduction in cases (30 years) is expected. Investment in population-based serological surveys and India's fever/rash surveillance system will be key to monitoring the success of the vaccination programme.

Controlling Antimicrobial Resistance: Lessons from Scotland for India

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Suchita Bhattacharyya

2018-01-01

Full Text Available Introduction In India, antimicrobial resistance (AMR is a serious public health problem. While some official policies have been formulated, they are not comprehensive and their enforcement is not monitored or regulated. This paper discusses the success achieved by the Scottish Antimicrobial Prescribing Group (SAPG and derives lessons relevant for AMR policies in India. Methods This study involved secondary data review and discussions with SAPG representatives. Results India is the largest consumer of antibiotics for human health (10.7 units/person and this consumption is steadily increasing. Irrational use, fixed‐dose combinations and growing antibiotic use in livestock have resulted in newer drug‐resistant pathogens. In 2008, the Scottish government initiated the SAPG that has achieved nationwide success in AMR control. The enormous success achieved by SAPG has demonstrated that this delivery model is effective in addressing AMR and can also be used in India, with country‐specific modifications. Conclusions In India, strong political and stakeholder support is required for a pragmatic one‐health approach to antimicrobial governance that would involve the interplay between agriculture, livestock and pharmaceutical industries. Project management, quality improvement, information management and performance assessment through accountability measures are essential. These can be coordinated nationally and implemented locally through existing structures and institutes. This needs to be supported by a powerful clinical network and underpinned by robust educational support that is dynamic to meet the needs of local healthcare professionals and general population.

Recent developments in environmental protection in India: Pollution control

Energy Technology Data Exchange (ETDEWEB)

Govind, H [NOIDA, Disst, Ghaziabad, Pin (IN)

1989-01-01

In India, pollution and environmental degradation have reached alarming dimensions due to poverty, deforestation, industrial development without adequate environmental safeguards, and sheer greed. Fortunately, public concern, rooted in the country's past, has revived. Major pollutants and critically affected areas have been identified. Pollution control of water, air and land has been established by both official and private organizations and the work on environmental protection is steadily growing. The Ganga purification plan is a representative case study. Poverty alleviation is a long-term process. It is India's major problem and is being tackled with help from private enterprise and by international assistance. Simultaneously environmental protection through pollution control is also receiving administrative and legislative support and fiscal assistance through direct and indirect tax incentives. The country's courts are rendering valuable help to environmentalists by pronouncing far-reaching decisions in public-interest litigation. To boost the existing environment-protection movement, greater emphasis is urgently needed for environmental education, peoples' participation, population control, and cost-effective pollution control measures.

Cancer Risk and Diet in India

Directory of Open Access Journals (Sweden)

Sinha R

2003-01-01

Full Text Available India is a developing country with one of the most diverse populations and diets in the world. Cancer rates in India are lower than those seen in Western countries, but are rising with increasing migration of rural population to the cities, increase in life expectancy and changes in lifestyles. In India, rates for oral and oesophageal cancers are some of the highest in the world. In contrast, the rates for colorectal, prostate, and lung cancers are one of the lowest. Studies of Indian immigrants in Western societies indicate that rates of cancer and other chronic diseases, such as coronary heart disease and diabetes, increase dramatically after a generation in the adopted country. Change of diet is among the factors that may be responsible for the changing disease rates. Diet in India encompasses diversity unknown to most other countries, with many dietary patterns emanating from cultural and religious teachings that have existed for thousands of years. Very little is known, however, about the role of the Indian diet in causation of cancer or its role, if any, in prevention of cancer, although more attention is being focused on certain aspects of the Indian diet, such as vegetarianism, spices, and food additives. Of particular interest for cancer prevention is the role of turmeric (curcumin, an ingredient in common Indian curry spice. Researchers also have investigated cumin, chilies, kalakhar, Amrita Bindu, and various plant seeds for their apparent cancer preventive properties. Few prospective studies, however, have been conducted to investigate the role of Indian diet and its various components in prevention of cancer. From a public health perspective, there is an increasing need to develop cancer prevention programs responsive to the unique diets and cultural practices of the people of India.

Veterinary public health capacity-building in India: a grim reflection of the developing world's underpreparedness to address zoonotic risks.

Science.gov (United States)

Kakkar, Manish; Abbas, Syed Shahid; Kumar, Ashok; Hussain, Mohammad Akhtar; Sharma, Kavya; Bhatt, Purvi Mehta; Zodpey, Sanjay

2013-01-01

Veterinary public health (VPH) is ideally suited to promote convergence between human, animal and environmental sectors. Recent zoonotic and emerging infectious disease events have given rise to increasing calls for efforts to build global VPH capacities. However, even with their greater vulnerability to such events, including their economic and livelihood impacts, the response from low-and middle-income countries such as India has been suboptimal, thereby elevating global health risks. Addressing risks effectively at the human-animal interface in these countries will require a clear vision, consistent policies, strategic approach and sustained political commitment to reform and refine the current VPH capacity-building efforts. Only then can the discipline serve its goal of disease prevention, poverty alleviation and support for sustainable livelihoods through improvements in human and animal health.

Implementation of public health practices in tribal populations of India: challenges and remedies

Directory of Open Access Journals (Sweden)

Saurabh Rambiharilal Shrivastava

2013-01-01

Full Text Available Large inequities in health exist between indigenous and non-indigenous populations worldwide. This health divide has also been demonstrated in India, where indigenous groups are officially classified as scheduled tribes (STs. India has one of the largest tribal populations in the world. Tribal communities in general and primitive tribal groups in particular are highly disease prone and their misery is compounded by poverty, illiteracy, ignorance of causes of diseases, hostile environment, poor sanitation, lack of safe drinking water, blind beliefs, etc. As per the estimates of National Family Health Survey-3 (NFHS-3, the likelihood of having received care from a doctor is lowest for ST mothers (only 32.8% compared to India of 50.2%. While many strategies have been attempted over the years to discuss some of the economic, social, and physical factors preventing tribal population to get access to healthcare services, the ultimate outcome has remained far less than the expectations. Considering that these ST groups are culturally and economically heterogeneous, the methods to tackle their health problems should not only be integrated and multi-fold, but also specific to the individual groups as feasibly as possible. Measures like strengthening of the existing human resources, bringing health services within the reach of remote populations, promotion of health awareness, facilitation of community participation using innovative strategies, bringing about a change in the behavior of health care providers, implementation of measures for the empowerment of ethnic groups by carrying out administrative reforms and finally by ensuring the sustainability of all above recommended measures. 

Awareness and Perception About Cancer Among the Public in Chennai, India

Directory of Open Access Journals (Sweden)

Vidhubala Elangovan

2017-10-01

Full Text Available Purpose: Cancer-related stigma influences the way people perceive cancer, which renders cancer control—beginning with prevention and proceeding to palliation—a challenging task. This study aimed to assess the current levels of awareness and perceptions about cancer among people with various socioeconomic status and diverse backgrounds in the city of Chennai, India. Patients and Methods: The sample population (N = 2,981; 18 to 88 years of age was stratified into four groups: patients (n = 510, caregivers (n = 494 consulting at the Cancer Institute (Women Indian Association, college students (n = 978, and general public (n = 999. Fourteen statements related to cancer stigma or myths were identified and categorized by awareness (10 items or perception (4 items. Responses to those statements were recorded by using a Likert scale (yes, no, and don’t know. The data were described by frequency analysis and χ2 test using SPSS Version 13 (SPSS, Chicago, IL. Results: More than 70% of the study participants were aware that cancer is curable, that cancer is not contagious, and that cancer is not a curse or a death sentence. However, only approximately half believed that surgery or biopsy do not cause cancer to spread to other organs or that radiation therapy does not consist of receiving an electric shock. Higher education, younger age, male sex, personal experience with cancer (either as a patient or caregiver, and high socioeconomic status were the categories of people with increased awareness about cancer. Conclusion: These factors need to be taken into consideration in tailoring information, education, and communication campaigns. Resource allocation for these campaigns is an investment in cancer control.

Awareness and Perception About Cancer Among the Public in Chennai, India

Science.gov (United States)

Rajaraman, Swaminathan; Basumalik, Barsha; Pandian, Dhivya

2017-01-01

Purpose Cancer-related stigma influences the way people perceive cancer, which renders cancer control—beginning with prevention and proceeding to palliation—a challenging task. This study aimed to assess the current levels of awareness and perceptions about cancer among people with various socioeconomic status and diverse backgrounds in the city of Chennai, India. Patients and Methods The sample population (N = 2,981; 18 to 88 years of age) was stratified into four groups: patients (n = 510), caregivers (n = 494) consulting at the Cancer Institute (Women Indian Association), college students (n = 978), and general public (n = 999). Fourteen statements related to cancer stigma or myths were identified and categorized by awareness (10 items) or perception (4 items). Responses to those statements were recorded by using a Likert scale (yes, no, and don’t know). The data were described by frequency analysis and χ2 test using SPSS Version 13 (SPSS, Chicago, IL). Results More than 70% of the study participants were aware that cancer is curable, that cancer is not contagious, and that cancer is not a curse or a death sentence. However, only approximately half believed that surgery or biopsy do not cause cancer to spread to other organs or that radiation therapy does not consist of receiving an electric shock. Higher education, younger age, male sex, personal experience with cancer (either as a patient or caregiver), and high socioeconomic status were the categories of people with increased awareness about cancer. Conclusion These factors need to be taken into consideration in tailoring information, education, and communication campaigns. Resource allocation for these campaigns is an investment in cancer control. PMID:29094085

PRODUCTIVITY AND LAND ENHANCING TECHNOLOGIES IN NORTHERN ETHIOPIA: HEALTH, PUBLIC INVESTMENTS, AND SEQUENTIAL ADOPTION

OpenAIRE

Ersado, Lire; Amacher, Gregory S.; Alwang, Jeffrey Roger

2003-01-01

The adoption of more efficient farming practices and technologies that enhance agricultural productivity and improve environmental sustainability is instrumental for achieving economic growth, food security and poverty alleviation in sub-Saharan Africa. Our research examines the interaction between public investments, community health, and adoption of productivity and land enhancing technologies by households in the northern Ethiopian state of Tigray. Agricultural technology adoption decision...

Developing a policy game intervention to enhance collaboration in public health policymaking in three European countries

DEFF Research Database (Denmark)

Spitters, H P E M; van Oers, J A M; Sandu, P

2017-01-01

the design and development of the generic frame of the In2Action game focusing on enhancing collaboration in local public health policymaking networks. By keeping the game generic, it became suitable for each of the three country cases with only minor changes. The generic frame of the game is expected......BACKGROUND: One of the key elements to enhance the uptake of evidence in public health policies is stimulating cross-sector collaboration. An intervention stimulating collaboration is a policy game. The aim of this study was to describe the design and methods of the development process......: In2Action was developed as a role-play game of one day, with main focus to develop in collaboration a cross-sector implementation plan based on the approved strategic local public health policy. CONCLUSIONS: This study introduced an innovative intervention for public health policymaking. It described...

Sustainable development and low carbon growth strategy for India

International Nuclear Information System (INIS)

Parikh, Kirit

2012-01-01

For India, sustainable strategy means one that is economically, environmentally and socially sustainable. This calls for rapid economic growth to deal with poverty and human development. However, the relatively meagre energy resources of the country pose a huge challenge. At the same time concern for climate change has raised the bar on the use of the one energy resource that India has in some abundance, namely coal. India's strategy for sustainable development has to explore all options of reducing energy needs, enhancing efficiency of use of conventional energy resources and develop new and renewable sources. The paper identifies various technical options, their potential roles and alternative policy measures to realize them in a cost effective manner. Even for the same objectives different policy instruments are available and how one chooses a particular instrument is often critical for the success. Self-implementing incentive compatible policy that does not create vested interests that would get entrenched should be preferred. -- Highlights: ► Energy efficiency is critical for sustainable development. ► India can reduce its emission intensity by 25 % by 2020 as proposed by India at Copenhagen. ► With a more aggressive effort even 35% reduction is attainable even with 8% or 9% growth. ► Energy efficient appliances, vehicles, buildings and industrial processes are needed. ► Policies that incentivize adoption of these pose critical challenges.

Gambling experiences, problems and policy in India: a historical analysis.

Science.gov (United States)

Benegal, Vivek

2013-12-01

This paper seeks to provide a historical overview of gambling and contemporary anti-gambling legislation in India. Based on a review of available literature, including historical sources, publications in the lay press and internet sources, this paper draws together evidence to present a synopsis of gambling and anti-gambling measures from antiquity to present times. Gambling is a popular pastime and has been a ubiquitous part of daily life from antiquity until the present. Archaic laws, framed in the 19th century, still regulate gambling in India, with a formal ban on most forms of gambling. This has created a huge illegal gambling market, with its attendant problems. Recent developments, including an explosion of sports betting operations (especially in cricket) and internet betting sites, are challenging the status quo and leading to calls for legalizing gambling. Concern for the consequences of pathological/ problem gambling is conspicuous by its absence in popular discourse and academic research. Despite the importance and longevity of the practice of gambling in the daily life of India, and the opposition to it, due to the potential for individual and societal harm there is a surprising lack of contemporary curiosity and scholarly literature on pathological gambling from the region. The prohibitions against gambling are being increasingly challenged to change to a system of legalized gambling. To inform and guide public policy and future legislation, there is a serious need to initiate rational, scientific enquiries into the nature and impact of gambling in India. © 2012 The Author, Addiction © 2012 Society for the Study of Addiction.

"Future Life How?": The Making of Deaf Sociality and Aspiration in Urban India

OpenAIRE

Friedner, Michele Ilana

2011-01-01

With the decline of the public sector in India, corporate rationalities have come to play an increasingly important role in everyday life in urban India. In analyzing this trend, this dissertation tracks what possibilities and constraints these new rationalities offer deaf young adults in the spaces that they circulate through. This dissertation argues that vocational training for deaf people is now focused on creating (immobile) workers for the Information Technology sector and that corporat...

"To patent or not to patent? the case of Novartis' cancer drug Glivec in India".

Science.gov (United States)

Gabble, Ravinder; Kohler, Jillian Clare

2014-01-06

Glivec (imatinib mesylate), produced by the pharmaceutical company Novartis, is prescribed in the case of chronic myeloid leukemia, one of the most common blood cancers in eastern countries. After more than a decade of legal battles surrounding its patentability, the Supreme Court of India gave its final decision on April 1st of 2013, rejecting the appeal of the Swiss giant drug manufacturer. In 2006, the Indian Patent Office first refused Glivec's patent under Section 3(d) of the Indian Patent Act arguing that it was only a modified version of an existing drug, Imatinib, and therefore that the drug was not innovative. Novartis replied filing legal challenges against the Indian government but the final verdict in April of 2013 ends the battle. Indeed, the Supreme Court stated that even if the bioavailability of the drug was improved, it did not demonstrate enhanced efficacy and that Glivec was not patentable. The research primarily focused on journal, newspaper and magazine articles relevant to the time frame of the lawsuit (from 1994 to 2013) as well as news searches through Google, Factiva, ProQuest, PubMed, and YouTube where press articles from court verdicts were obtained by using the following keywords: "India", "Novartis", "Glivec", "Patent", "Novartis Case", and "Supreme Court of India". The data sources were interpreted and analyzed according to the authors' own prior knowledge and understanding of the exigencies of the TRIPS Agreement. This case illuminates how India is interpreting international law to fit domestic public health needs. The Novartis case arguably sets an important precedent for the global pharmaceutical industry and ideally will help improve access to lifesaving medicines in the developing world by demanding that patient health needs supersede commercial interests. The Supreme Court of India's decision may affect the interpretation of the article of the TRIPS Agreement, which states members shall be free to determine the appropriate method

The leadership crisis of medical profession in India: ongoing impact on the health system

Directory of Open Access Journals (Sweden)

Raman Kumar

2015-01-01

Full Text Available By 2030 India will have one million additional MBBS doctors; currently being produced @50,000 per year. Contrary to perception of scarcity of medical doctors, a large section of newly qualified physicians are spending considerable years in dysfunctional status due to mismanagement in human resource in health in India. There are very few employment opportunities for qualified doctors in public sector; at the same time the average salary of MBBS doctors in urban private hospitals is very low. Paradoxically, in a country of 1.3 billion populations there is no actual demand for medical professionals. While the popular perception is that young doctors are not willing for community service, a reality check is required on the count of intent and capacity of public sector as well as industry towards engagement of medical doctors in the process of service delivery. The visible leaders of medical profession are unable to reflect the ground reality. There is a leadership crisis among medical doctors in India.

78 FR 16252 - Certain Hot-Rolled Carbon Steel Flat Products From India, Indonesia, and Thailand: Final Results...

Science.gov (United States)

2013-03-14

... Indonesia P.T. Krakatau Steel 10.21 All Others 10.21 Thailand Sahaviriya Steel Industries Public Company...] Certain Hot-Rolled Carbon Steel Flat Products From India, Indonesia, and Thailand: Final Results of... products (``HR steel'') from India, Indonesia, and Thailand pursuant to section 751(c) of the Tariff Act of...

Prediction of fog/visibility over India using NWP Model

Science.gov (United States)

Singh, Aditi; George, John P.; Iyengar, Gopal Raman

2018-03-01

Frequent occurrence of fog in different parts of northern India is common during the winter months of December and January. Low visibility conditions due to fog disrupt normal public life. Visibility conditions heavily affect both surface and air transport. A number of flights are either diverted or cancelled every year during the winter season due to low visibility conditions, experienced at different airports of north India. Thus, fog and visibility forecasts over plains of north India become very important during winter months. This study aims to understand the ability of a NWP model (NCMRWF, Unified Model, NCUM) with a diagnostic visibility scheme to forecast visibility over plains of north India. The present study verifies visibility forecasts obtained from NCUM against the INSAT-3D fog images and visibility observations from the METAR reports of different stations in the plains of north India. The study shows that the visibility forecast obtained from NCUM can provide reasonably good indication of the spatial extent of fog in advance of one day. The fog intensity is also predicted fairly well. The study also verifies the simple diagnostic model for fog which is driven by NWP model forecast of surface relative humidity and wind speed. The performance of NWP model forecast of visibility is found comparable to that from simple fog model driven by NWP forecast of relative humidity and wind speed.

Seasonal oxygen deficiency over the western continental shelf of India

Digital Repository Service at National Institute of Oceanography (India)

Naqvi, S.W.A.; Naik, H.; Jayakumar, D.A.; Shailaja, M.S.; Narvekar, P.V.

, and their impact on biology and chemistry off the west coast of India are described here. The O2 deficiency in this region, associated with the seasonal (southwest monsoon) upwelling, seems to have intensified in recent years, presumably in response to enhanced...

Special Education History, Current Status and Future: India

Science.gov (United States)

Antony, Pavan John

2013-01-01

Education of all children in public schools, including those with disabilities, continues to be an unresolved issue in many countries around the globe. While education of all children is mandated by law and considered a basic human right in many countries, the current status of implementation varies. India, for example, is an ancient country that…

Awareness and Perception About Cancer Among the Public in Chennai, India

OpenAIRE

Elangovan, Vidhubala; Rajaraman, Swaminathan; Basumalik, Barsha; Pandian, Dhivya

2016-01-01

Purpose: Cancer-related stigma influences the way people perceive cancer, which renders cancer control—beginning with prevention and proceeding to palliation—a challenging task. This study aimed to assess the current levels of awareness and perceptions about cancer among people with various socioeconomic status and diverse backgrounds in the city of Chennai, India. Patients and Methods: The sample population (N = 2,981; 18 to 88 years of age) was stratified into four groups: patients (n = 510...

A rapid assessment and response approach to review and enhance Advocacy, Communication and Social Mobilisation for Tuberculosis control in Odisha state, India

Directory of Open Access Journals (Sweden)

Satyanarayana Srinath

2011-06-01

Full Text Available Abstract Background Tuberculosis remains a major public health problem in India with the country accounting for 1 in 5 of all TB cases reported globally. An advocacy, communication and social mobilisation project for Tuberculosis control was implemented and evaluated in Odisha state of India. The purpose of the study was to identify the impact of project interventions including the use of 'Interface NGOs' and involvement of community groups such as women's self-help groups, local government bodies, village health sanitation committees, and general health staff in promoting TB control efforts. Methods The study utilized a rapid assessment and response (RAR methodology. The approach combined both qualitative field work approaches, including semi-structured interviews and focus group discussions with empirical data collection and desk research. Results Results revealed that a combination of factors including the involvement of Interface NGOs, coupled with increased training and engagement of front line health workers and community groups, and dissemination of community based resources, contributed to improved awareness and knowledge about TB in the targeted districts. Project activities also contributed towards improving health worker and community effectiveness to raise the TB agenda, and improved TB literacy and treatment adherence. Engagement of successfully treated patients also assisted in reducing community stigma and discrimination. Conclusion The expanded use of advocacy, communication and social mobilisation activities in TB control has resulted in a number of benefits. These include bridging pre-existing gaps between the health system and the community through support and coordination of general health services stakeholders, NGOs and the community. The strategic use of 'tailored messages' to address specific TB problems in low performing areas also led to more positive behavioural outcomes and improved efficiencies in service delivery

Global health in conflict. Understanding opposition to vitamin A supplementation in India.

Science.gov (United States)

Wallace, Sarah K

2012-07-01

Vitamin A supplementation is a public health intervention that clinical trials have suggested can significantly improve child survival in the developing world. Yet, prominent scientists in India have questioned its scientific validity, opposed its implementation, and accused its advocates of corruption and greed. It is ironic that these opponents were among the pioneers of populationwide vitamin A supplementation for ocular health. Historically, complex interests have shaped vitamin A supplementation resistance in India. Local social and nutritional revolutions and shifting international paradigms of global health have played a role. Other resistance movements in Indian history, such as those in response to campaigns for bacillus Calmette-Guérin and novel vaccines, have been structured around similar themes. Public health resistance is shaped by the cultural and political context in which it develops. Armed with knowledge of the history of a region and patterns of past resistance, public health practitioners can better understand how to negotiate global health conflicts.

Institutionalising health technology assessment: establishing the Medical Technology Assessment Board in India.

Science.gov (United States)

Downey, Laura E; Mehndiratta, Abha; Grover, Ashoo; Gauba, Vijay; Sheikh, Kabir; Prinja, Shankar; Singh, Ravinder; Cluzeau, Francoise A; Dabak, Saudamini; Teerawattananon, Yot; Kumar, Sanjiv; Swaminathan, Soumya

2017-01-01

India is at crossroads with a commitment by the government to universal health coverage (UHC), driving efficiency and tackling waste across the public healthcare sector. Health technology assessment (HTA) is an important policy reform that can assist policy-makers to tackle inequities and inefficiencies by improving the way in which health resources are allocated towards cost-effective, appropriate and feasible interventions. The equitable and efficient distribution of health budget resources, as well as timely uptake of good value technologies, are critical to strengthen the Indian healthcare system. The government of India is set to establish a Medical Technology Assessment Board to evaluate existing and new health technologies in India, assist choices between comparable technologies for adoption by the healthcare system and improve the way in which priorities for health are set. This initiative aims to introduce a more transparent, inclusive, fair and evidence-based process by which decisions regarding the allocation of health resources are made in India towards the ultimate goal of UHC. In this analysis article, we report on plans and progress of the government of India for the institutionalisation of HTA in the country. Where India is home to one-sixth of the global population, improving the health services that the population receives will have a resounding impact not only for India but also for global health.

Developing a tool to assess motivation among health service providers working with public health system in India.

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Purohit, Bhaskar; Maneskar, Abhishek; Saxena, Deepak

2016-04-14

Addressing the shortage of health service providers (doctors and nurses) in rural health centres remains a huge challenge. The lack of motivation of health service providers to serve in rural areas is one of the major reasons for such shortage. While many studies have aimed at analysing the reasons for low motivation, hardly any studies in India have focused on developing valid and reliable tools to measure motivation among health service providers. Hence, the objective of the study was to test and develop a valid and reliable instrument to assess the motivation of health service providers working with the public health system in India and the extent to which the motivation factors included in the study motivate health service providers to perform better at work. The present study adapted an already developed tool on motivation. The reliability and validity of the tool were established using different methods. The first stage of the tool development involved content development and assessment where, after a detailed literature review, a predeveloped tool with 19 items was adapted. However, in light of the literature review and pilot test, the same tool was modified to suit the local context by adding 7 additional items so that the final modified tool comprised of 26 items. A correlation matrix was applied to check the pattern of relationships among the items. The total sample size for the study was 154 health service providers from one Western state in India. To understand the sampling adequacy, the Kaiser-Meyer-Olkin measure of sampling adequacy and Bartlett's test of sphericity were applied and finally factor analysis was carried out to calculate the eigenvalues and to understand the relative impact of factors affecting motivation. A correlation matrix value of 0.017 was obtained narrating multi-co-linearity among the observations. Based on initial factor analysis, 8 out of 26 study factors were excluded from the study components with a cutoff range of less than

Digital Libraries and Repositories in India: An Evaluative Study

Science.gov (United States)

Mittal, Rekha; Mahesh, G.

2008-01-01

Purpose: The purpose of this research is to identify and evaluate the collections within digital libraries and repositories in India available in the public domain. Design/methodology/approach: The digital libraries and repositories were identified through a study of the literature, as well as internet searching and browsing. The resulting digital…

Role of ESLs in reaching BARC technologies to rural India - experience at Kaiga

International Nuclear Information System (INIS)

Nayak, P.D.; Ujjappa, K.M.; Ravi, P.M.; Hegde, A.G.

2009-01-01

Considering the various site selection requirements, most of the nuclear power plants in India under Nuclear Power Corporation of India Limited (NPCIL), are located in very remote locations. The Environmental Survey Laboratories (ESLs) under Health Physics Division, BARC are located at all Nuclear Power Stations. This paper presents the experience gained at ESL, KGS, Kaiga in acting as an interface between BARC, the technology developer and the rural public, the end user of the technology. (author)

The empowerment potential of public sector software (PSS

Directory of Open Access Journals (Sweden)

Pradip Ninan Thomas

2012-03-01

Full Text Available Investigations into the potential for public sector software (PSS to empower citizens are at a very nascent stage. This article explores the theoretical basis for, and practical advantages of, PSS, in the making of an informed and pro-active citizenry. Using the example of the emerging PSS movement in India and in particular the ICT literacy movement in Kerala, South India, it argues, that access to and use of software based on the principles of free and open source has the potential to contribute to an empowered citizenry. However the very concept of PSS is contested by major private software companies given that they stand to lose from public investments that are based on open standards. The article argues that PSS can contribute to the making of an ‘information commons’ and that the need of the hour is for innovative and creative solutions to the information deficits faced by communities in India and elsewhere.

Role of Pharmacovigilance in India: An overview.

Science.gov (United States)

Suke, Sanvidhan G; Kosta, Prabhat; Negi, Harsh

2015-01-01

helps to the patients get well and to manage optimally or ideally, avoid illness is a collective responsibility of industry, drug regulators, clinicians and other healthcare professionals to enhance their contribution to public health. This review summarized objectives and methodologies used in PV with critical overview of existing PV in India, challenges to overcome and future prospects with respect to Indian context.

India : Note on Public Financial Management and Accountability in Centrally Sponsored Schemes

OpenAIRE

World Bank

2006-01-01

The budget outlay for Centrally Sponsored Schemes (CSS) for India in 2005-06 is significantly higher as compared to the previous year's level of Rs.395,000 million. This includes increased allocations for rural roads, rural employment, and education and nutritional support for pre-school children. At present there are over 200 such schemes in operation, of which a dozen accounts for more t...

Opening the black box of transfer systems in public sector health services in a Western state in India.

Science.gov (United States)

Purohit, Bhaskar; Martineau, Tim; Sheikh, Kabir

2016-08-22

Limited research on Posting and Transfer (P&T) policies and systems in the public sector health services and the reluctance for an open debate on the issue makes P&T as a black box. Limited research on P&T in India suggests that P&T policies and systems are either non-existent, weak, poorly implemented or characterized by corruption. Hence the current study aimed at opening the "black box" of P&T systems in public sector health services in India by assessing the implementation gaps between P&T policies and their actual implementation. This was a qualitative study carried out in Department of Health, in a Western State in India. To understand the extant P&T policies, a systems map was first developed with the help of document review and Key Informant (KI) Interviews. Next systems audit was carried out to assess the actual implementation of transfer policies by interviewing Medical Officers (MOs), the group mainly affected by the P&T policies. Job histories were constructed from the interviews to understand transfer processes like frequencies of transfers and to assess if transfer rules were adhered. The analysis is based on a synthesis of document review, 19 in-depth interviews with MOs working with state health department and five in-depth interviews with Key Informants (KIs). Framework analysis approach was used to analyze data using NVIVO. The state has a generic transfer guideline applicable to all government officers but there is no specific transfer policy or guideline for government health personnel. The generic transfer guidelines are weakly implemented indicating a significant gap between policy and actual implementation. The formal transfer guidelines are undermined by a parallel system in which desirable posts are attained, retained or sometimes given up by the use of political connections and money. MOs' experiences of transfers were marked by perceptions of unfairness and irregularities reflected through interviews as well as the job histories. The

How good is compliance with smoke-free legislation in India? Results of 38 subnational surveys.

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Kumar, Ravinder; Goel, Sonu; Harries, Anthony D; Lal, Pranay; Singh, Rana J; Kumar, Ajay M V; Wilson, Nevin C

2014-09-01

India has been implementing smoke-free legislation since 2008 prohibiting smoking in public places. This study aimed to assess the level of compliance with smoke-free legislation (defined as the presence of no-smoking signage and the absence of active smoking, smoking aids, cigarette butts/bidi ends and smoking smell) and the role of enforcement systems in Indian jurisdictions. This was a cross-sectional, retrospective review of reports and primary data sheets of surveys conducted in 38 selected jurisdictions across India in 2012-2013. Of 20 455 public places (in 38 jurisdictions), 10 377 (51%) demonstrated full compliance with smoke-free law. Educational institutions and healthcare facilities performed well at 65% and 62%, respectively, while eateries and frequently visited other public places (such as bus stands, railway stations, shopping malls, stadia, cinema halls etc.) performed poorly at 37% and 27%, respectively. Absence of no-smoking signage was the largest contributor to non-compliance across all types of public places. Enforcement systems were present in all jurisdictions, but no associations could be demonstrated between these and smoke-free compliance. Smoke-free compliance in public places in India was suboptimal and was mainly related to the absence of no-smoking signage. This warrants further pragmatic and innovative ways to improve the situation. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Enhancing the Impact of NASA Astrophysics Education and Public Outreach: Sharing Best Practices

Science.gov (United States)

Bartolone, Lindsay; Smith, D. A.; Astrophysics Science Education, NASA; Public Outreach Forum Team

2013-01-01

The NASA Science Education and Public Outreach Forums support the NASA Science Mission Directorate (SMD) and its education and public outreach community in enhancing the coherence, efficiency, and effectiveness of SMD-funded education and public outreach programs. As part of this effort, the four Forums (Astrophysics, Earth Science, Heliophysics, and Planetary Science) work together to coordinate resources and opportunities that enable sharing of best practices relevant to SMD-funded education and public outreach. Efforts include collaborating with SMD-funded education and public outreach programs to identify community needs for professional development; raising awareness of the existing body of best practices and educational research; and, organizing distance learning and face-to-face professional development opportunities. Topics include best practices in navigating NASA SMD education and public outreach program requirements, social media, engaging girls in science, and student misconceptions / reasoning difficulties. Opportunities to share best practices and learn from experts are extended to the broader astronomy and astrophysics community through the annual Astronomical Society of the Pacific education and public outreach conference. Evaluation of community professional development resources and opportunities is in progress.

Clinical Research Environment in India: Challenges and Proposed Solutions.

Science.gov (United States)

Burt, Tal; Sharma, Pooja; Dhillon, Savita; Manchanda, Mukul; Mittal, Sanjay; Trehan, Naresh

2014-11-01

India has compelling need and keen aspirations for indigenous clinical research. Notwithstanding this need and previously reported growth the expected expansion of Indian clinical research has not materialized. We reviewed the scientific literature, lay press reports, and ClinicalTrials.gov data for information and commentary on projections, progress, and impediments associated with clinical trials in India. We also propose targeted solutions to identified challenges. The Indian clinical trial sector grew by (+) 20.3% CAGR (compound annual growth rate) between 2005 and 2010 and contracted by (-) 14.6% CAGR between 2010 and 2013. Phase-1 trials grew by (+) 43.5% CAGR from 2005-2013, phase-2 trials grew by (+) 19.8% CAGR from 2005-2009 and contracted by (-) 12.6% CAGR from 2009-2013, and phase-3 trials grew by (+) 13.0% CAGR from 2005-2010 and contracted by (-) 28.8% CAGR from 2010-2013. This was associated with a slowing of the regulatory approval process, increased media coverage and activist engagement, and accelerated development of regulatory guidelines and recuperative initiatives. We propose the following as potential targets for restorative interventions: Regulatory overhaul (leadership and enforcement of regulations, resolution of ambiguity in regulations, staffing, training, guidelines, and ethical principles [e.g., compensation]).Education and training of research professionals, clinicians, and regulators.Public awareness and empowerment. After a peak in 2009-2010, the clinical research sector in India appears to be experiencing a contraction. There are indications of challenges in regulatory enforcement of guidelines; training of clinical research professionals; and awareness, participation, partnership, and the general image amongst the non-professional media and public. Preventative and corrective principles and interventions are outlined with the goal of realizing the clinical research potential in India.

Biodiesel scenario in India

Energy Technology Data Exchange (ETDEWEB)

Taj, S. [Bangalore Univ., Al-Ameen College, Bangalore (India). Dept. of Chemistry; Prasad, H. [Bangalore Univ., Central College, Bangalore (India). Dept. of Chemistry; Ramesh, N. [Reva College, Bangladore (India); Papavinasam, S. [Natural Resources Canada, Ottawa, ON (Canada). CANMET Materials Technology Lab

2009-08-15

This article presented an overview of biodiesel production in India. Biodiesel has gained widespread acceptance in the United States and the European Union as a substitute for diesel. In early 2003, the Indian National Planning Commission launched a program to also foster development of vegetable oil based biofuels in order to address the energy challenges facing India. Approximately 57 per cent of rural Indian households are still not connected to the power grid, and India imports 75 per cent of its total petroleum. The National Planning Commission advocated widespread planting of an inedible, but high-yielding tree-born oilseed known as jatropha curcas that would serve as the primary feedstock for the production of vegetable oil based biofuels. Jatropha and pongamia are widely recognized as the most economically viable and environmentally neutral feedstock options. Both of these tree-borne oilseeds are adaptable to reasonably harsh climatic and growing conditions, enabling them to be cultivated on wastelands that are not currently used in agricultural production. The Commission recommended that 11.2 million hectares of jatropha be cultivated on marginal waste lands which would, over time, replace 20 per cent of total national diesel consumption with biodiesel. Both public and private sector players have begun to act on the Commission's plan. More than a hundred thousand hectares of jatropha have been planted and private firms have begun to build biodiesel processing plants. State-owned petroleum product marketing firms have committed to distributing biodiesel through some existing distribution channels. 8 refs., 6 tabs., 3 figs.

Lifestyle change in Kerala, India: needs assessment and planning for a community-based diabetes prevention trial

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Daivadanam Meena

2013-02-01

Full Text Available Abstract Background Type 2 Diabetes Mellitus (T2DM has become a major public health challenge in India. Factors relevant to the development and implementation of diabetes prevention programmes in resource-constrained countries, such as India, have been under-studied. The purpose of this study is to describe the findings from research aimed at informing the development and evaluation of a Diabetes Prevention Programme in Kerala, India (K-DPP. Methods Data were collected from three main sources: (1 a systematic review of key research literature; (2 a review of relevant policy documents; and (3 focus groups conducted among individuals with a high risk of progressing to diabetes. The key findings were then triangulated and synthesised. Results Prevalence of risk factors for diabetes is very high and increasing in Kerala. This situation is largely attributable to rapid changes in the lifestyle of people living in this state of India. The findings from the systematic review and focus groups identified many environmental and personal determinants of these unhealthy lifestyle changes, including: less than ideal accessibility to and availability of health services; cultural values and norms; optimistic bias and other misconceptions related to risk; and low expectations regarding one’s ability to make lifestyle changes in order to influence health and disease outcomes. On the other hand, there are existing intervention trials conducted in India which suggests that risk reduction is possible. These programmes utilize multi-level strategies including mass media, as well as strategies to enhance community and individual empowerment. India’s national programme for the prevention and control of major non-communicable diseases (NCD also provide a supportive environment for further community-based efforts to prevent diabetes. Conclusion These findings provide strong support for undertaking more research into the conduct of community-based diabetes prevention

Literature based species occurrence data of birds of northeast India

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Sujit Narwade

2011-11-01

Full Text Available The northeast region of India is one of the world’s most significant biodiversity hotspots. One of the richest bird areas in India, it is an important route for migratory birds and home to many endemic bird species. This paper describes a literature-based dataset of species occurrences of birds of northeast India. The occurrence records documented in the dataset are distributed across eleven provinces of India, viz.: Arunachal Pradesh, Assam, Bihar, Manipur, Meghalaya, Mizoram, Nagaland, Sikkim, Tripura, Uttar Pradesh and West Bengal. The geospatial scope of the dataset represents 24 to 29 degree North latitude and 78 to 94 degree East longitude, and it comprises over 2400 occurrence records. These records have been collated from scholarly literature published between1915 and 2008, especially from the Journal of the Bombay Natural History Society (JBNHS. The temporal scale of the dataset represents bird observations recorded between 1909 and 2007. The dataset has been developed by employing MS Excel. The key elements in the database are scientific name, taxonomic classification, temporal and geospatial details including geo-coordinate precision, data collector, basis of record and primary source of the data record. The temporal and geospatial quality of more than 50% of the data records has been enhanced retrospectively. Where possible, data records are annotated with geospatial coordinate precision to the nearest minute. This dataset is being constantly updated with the addition of new data records, and quality enhancement of documented occurrences. The dataset can be used in species distribution and niche modeling studies. It is planned to expand the scope of the dataset to collate bird species occurrences across the Indian peninsula.

Student-Designed Public Service Announcement (PSA) Videos to Enhance Motivation and Engagement

Science.gov (United States)

Abrams, Kenneth

2012-01-01

Educators often focus on enhancing student motivation and engagement. This article describes an activity with these aims, in which undergraduates (a) learn about theories and research on means of persuasion and (b) in small groups design and record a public service announcement (PSA) video, write a brief paper that outlines the theories used to…

FDI Climate in India

OpenAIRE

Khandelwal, Varun

2007-01-01

ABSTRACT Since 1991, after the external payment crisis in India, there has been liberalization of various policies by the Government of India. Due to this there has been rapid surge of FDI inflows in India. The current investment climate has attracted many foreign investors to India in various sectors. India is considered as one of the favorable destination of FDI. However the country also suffers from few weaknesses and constraints in terms of policy and regulatory framework, which rest...

Publications | Page 505 | IDRC - International Development ...

International Development Research Centre (IDRC) Digital Library (Canada)

Results 5041 - 5050 of 7330 ... Through books, articles, research publications, and studies, we aim to widen the impact of our investment and advance development research. ... study of biotechnology with reference to India (restricted access) ...

The hidden effects of dairy farming on public and environmental health in the Netherlands, India, Ethiopia, and Uganda, considering the use of antibiotics and other agrochemicals

Directory of Open Access Journals (Sweden)

Katrien eVan't Hooft

2016-02-01

Full Text Available The current and expected growth of the world’s population warrants an increased production of high quality animal protein. Dairy farming is regarded as one of the important ways of satisfying this need to meet the growing demand for milk, especially in developing countries. The focus on crossbreeding and increasing the productivity of dairy cattle has, besides enhanced milk production, also resulted in an increased use of agro-chemicals, mainly antibiotics and anti-parasite drugs. The residues of these agro-chemicals, if not managed properly, could leak into the environment, affecting natural processes, biodiversity and soil life. Public health can also be affected due to residues in milk and meat, especially in countries with insufficient food quality controls. These processes contribute to the growing global threat to human and animal health posed by multi-resistant microbes. This article discusses the differences and similarities of dairy farming, and the effect on public and environmental health, between the Netherlands, India, Ethiopia and Uganda, emphasizing the strategies that have been developed during the E-Motive exchange project to reduce the use of antibiotics and other chemicals in dairy farming. Proposed solutions include raising consciousness about the risk of antibiotics and their effect on food quality, and implementing the 5-layer approach for reducing the use of antibiotics and other chemicals. This approach is based on improving animal and farm management, revitalizing ethno veterinary knowledge and the use of medicinal plants, genetic improvement through strategic use of local breeds, establishing quality control systems in the dairy chain, and extra payment to farmers for residue-free milk.

76 FR 77115 - Amendments to the Export Administration Regulations: Facilitating Enhanced Public Understanding...

Science.gov (United States)

2011-12-12

..., and 774 [Docket No. 110627356-1475-01] RIN 0694-AF29 Amendments to the Export Administration Regulations: Facilitating Enhanced Public Understanding of the Provisions That Implement the Comprehensive U.S... rule, the Bureau of Industry and Security (BIS) amends the Export Administration Regulations (EAR) by...

Emerging & re-emerging infections in India: An overview

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T Dikid

2013-01-01

Full Text Available The incidence of emerging infectious diseases in humans has increased within the recent past or threatens to increase in the near future. Over 30 new infectious agents have been detected worldwide in the last three decades; 60 per cent of these are of zoonotic origin. Developing countries such as India suffer disproportionately from the burden of infectious diseases given the confluence of existing environmental, socio-economic, and demographic factors. In the recent past, India has seen outbreaks of eight organisms of emerging and re-emerging diseases in various parts of the country, six of these are of zoonotic origin. Prevention and control of emerging infectious diseases will increasingly require the application of sophisticated epidemiologic and molecular biologic technologies, changes in human behaviour, a national policy on early detection of and rapid response to emerging infections and a plan of action. WHO has made several recommendations for national response mechanisms. Many of these are in various stages of implementation in India. However, for a country of size and population of India, the emerging infections remain a real and present danger. A meaningful response must approach the problem at the systems level. A comprehensive national strategy on infectious diseases cutting across all relevant sectors with emphasis on strengthened surveillance, rapid response, partnership building and research to guide public policy is needed.

Sustainable food security in India-Domestic production and macronutrient availability.

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Ritchie, Hannah; Reay, David; Higgins, Peter

2018-01-01

India has been perceived as a development enigma: Recent rates of economic growth have not been matched by similar rates in health and nutritional improvements. To meet the second Sustainable Development Goal (SDG2) of achieving zero hunger by 2030, India faces a substantial challenge in meeting basic nutritional needs in addition to addressing population, environmental and dietary pressures. Here we have mapped-for the first time-the Indian food system from crop production to household-level availability across three key macronutrients categories of 'calories', 'digestible protein' and 'fat'. To better understand the potential of reduced food chain losses and improved crop yields to close future food deficits, scenario analysis was conducted to 2030 and 2050. Under India's current self-sufficiency model, our analysis indicates severe shortfalls in availability of all macronutrients across a large proportion (>60%) of the Indian population. The extent of projected shortfalls continues to grow such that, even in ambitious waste reduction and yield scenarios, enhanced domestic production alone will be inadequate in closing the nutrition supply gap. We suggest that to meet SDG2 India will need to take a combined approach of optimising domestic production and increasing its participation in global trade.

Sustainable Development in India - A case for Nuclear Power - 189

International Nuclear Information System (INIS)

Thakur, S.

2010-01-01

India needs a sustained high economic growth to realize its objectives of poverty alleviation and improving the standard of living of its population. Energy/ Electricity being the key driver for economic growth, there is a pressing need for large augmentation in generation capacity, infrastructure and enhancement of energy efficiency to ensure that there is equity amongst population as far as energy availability is concerned. India is not very energy rich and has limited resources of fossil fuels. India's nuclear power resources profile comprises of very modest uranium but abundant thorium resources. A unique three stage programme, based on optimum utilization of indigenous resources, offers a solution for the country's long term energy security and sustainability. India's nuclear power programme is based on a closed fuel cycle. The philosophy, apart from increasing the energy potential of the resource manifold, reduces the amount waste considerably. There is also the benefit of nuclear power being clean free. While the indigenous nuclear power programme is robust and on course, a much faster nuclear capacity addition in the near term, to meet the rising demand and mitigating existing energy shortages, is contemplated through additionalities based on international cooperation. (authors)

Energy poverty: A special focus on energy poverty in India and renewable energy technologies

Energy Technology Data Exchange (ETDEWEB)

Bhide, Anjali; Monroy, Carlos Rodriguez [Department of Business Administration, School of Industrial Engineering, Technical University of Madrid, Jose Gutierrez Abascal, 2, 28006 Madrid (Spain)

2011-02-15

As a large percentage of the world's poor come from India, development in India is a key issue. After the establishment of how access to energy enhances development and the achievement of the millennium development goals, energy poverty has become a major issue. In India there is a great interest in addressing the subject of energy poverty, in order to reach development goals set by the Government. This will imply an increase in India's energy needs. In a climate of change and environmental consciousness, sustainable alternatives must be considered to address these issues. Renewable energy technologies could provide a solution to this problem. The Government of India has been focussing in implementing electricity policies as well as on promoting renewable energy technologies. The focus of this article is to bring to light the problems faced in India in terms of energy consumption as well as the hindrances faced by renewable-based electrification networks. Government policies aimed at addressing these issues, as well as the current state of renewable energy technologies in India are discussed, so as to analyse the possibility of a solution to the problems of finding a sustainable method to eradicate energy poverty in India. The research reveals that the Government of India has been unable to meet some of its unrealistic development goals, and in order to achieve the remaining goals it will have to take drastic steps. The Government will have to be more aggressive in the promotion of renewable energy technologies in order to achieve sustainable development in India. (author)

Indian medical students in public and private sector medical schools: are motivations and career aspirations different? – studies from Madhya Pradesh, India

Science.gov (United States)

2013-01-01

Background In recent years, there has been a massive growth in the private medical education sector in South Asia. India’s large private medical education sector reflects the market driven growth in private medical education. Admission criteria to public medical schools are based on qualifying examination scores, while admission into private institutions is often dependent on relative academic merit, but also very much on the ability of the student to afford the education. This paper from Madhya Pradesh province in India aims to study and compare between first year medical students in public and private sector medical schools (i) motives for choosing a medical education (ii) career aspirations on completion of a medical degree (iii) willingness to work in a rural area in the short and long terms. Methods Cross sectional survey of 792 first year medical students in 5 public and 4 private medical schools in the province. Results There were no significant differences in the background characteristics of students in public and private medical schools. Reasons for entering medical education included personal ambition (23%), parental desire (23%), prestigious/secure profession (25%) or a service motive (20%). Most students wished to pursue a specialization (91%) and work in urban areas (64%) of the country. A small proportion (7%) wished to work abroad. There were no differences in motives or career aspirations between students of public or private schools. 40% were willing to work in a rural area for 2 years after graduating; public school students were more willing to do so. Conclusion There was little difference in background characteristics, motives for entering medicine or career aspirations between medical students in from public and private sector institutions. PMID:24034988

Bacteriological Screening of Water in Mangalore, India

OpenAIRE

Dhanya V. C.; Anitha J.; Dhanashree B.

2013-01-01

Introduction: Diarrhoea caused by contaminated water is among the most prevalent waterborne diseases in the developing countries like India. In the interest of public health, water supplies should be tested regularly to confirm their freedom from contamination. Objective: The objectives of the study were to screen different water sources for bacterial contamination, to know the antibiotic susceptibility of the common bacterial isolates and typing of the bacterial isolates by ra...

Declining HIV prevalence among women attending antenatal care in Pune, India

NARCIS (Netherlands)

Kulkarni, Vinay; Joshi, Smita; Gupte, Nikhil; Parchure, Ritu; Darak, Shrinivas; Kulkarni, Sanjeevani

A declining prevalence of HIV among young women has been reported by the public sector implementing prevention of mother-to-child transmission (PMTCT) programmes, sentinel surveillance sites and research institutions ill India. However, there are no reports evaluating such trends from the private

'Rakter dosh'--corrupting blood: The challenges of preventing thalassemia in Bengal, India.

Science.gov (United States)

Chattopadhyay, Sreeparna

2006-11-01

Thalassemia is an inherited blood disorder that has been receiving increasing attention in India. However, prevention of thalassemia in India continues to be difficult despite efforts of public health professionals and the government. Using West Bengal as a case study, this paper attempts to unravel some of the barriers to the prevention campaign and the consequent under utilization of the program. Lack of access, low awareness, low-risk perception and poverty are all important proximate constraints; however, one of the greatest barriers to the program is rooted in cultural notions of blood, marriage, identity, personhood and kinship in Bengali society. Blood is so deeply valued in the Bengali kinship system that this genetic mutation is perceived to be corrupting the blood (rakter dosh). Being a thalassemia carrier (i.e., having thalassemia minor) renders an individual unfit as a suitable marriage partner because of beliefs related to purity of blood, its association with the continuity of the lineage, and subsequent transmission of desirable traits to future generations. The risk of non-marriage affects women disproportionately, and parents are not inclined to test their daughters because of the possibility of not being able to marry them off to eligible suitors. The stigma associated with having thalassemia minor (TMI) is a deterrent to the disclosure of thalassemia status as well as to testing. Using anthropological theories and ethnographic methods, this paper focuses on the gendered process by which the diagnosis of a thalassemia carrier 'spoils' identities, thereby creating a disjuncture between the goals of the prevention program and people's need for social conformity, and ultimately between medical desirability and social desirability. The paper also suggests policies for enhancing the utilization of the program. Finally the conclusions from this study have potential applications for public health prevention programs that confront problems of stigma in

Management characteristics of successful public health programs: "Avahan" HIV prevention program in India.

Science.gov (United States)

Mabuchi, Shunsuke; Singh, Suneeta; Bishnu, Rituparna; Bennett, Sara

2013-01-01

This paper analyzes Avahan, an HIV prevention program in India, that achieved very rapid scale-up. The paper aims to (i) define the distinctive features of the management of Avahan, (ii) examine how the distinctive features relate to key constructs in management frameworks and (iii) investigate how the management approaches of Avahan contributed to the program's ability to scale-up rapidly while maintaining service quality. The Delphi method was used to identify the distinctive features of Avahan. Through three rounds of questions, 38 participants closely associated with Avahan were asked to identify and develop consensus on its distinctive features. These features were then mapped against the Baldrige Health Care Criteria for Performance Excellence to investigate how they related to important dimensions of management. A total of 17 distinctive features of Avahan were identified. These distinctive features emphasized the importance of data use and performance monitoring at all levels, especially combined with a flexible management style that facilitated local responsiveness to community, innovation and learning. The distinctive features comprehensively addressed the criteria for management excellence in the Baldridge framework. In the case of Avahan, the rigorous application of known management techniques to public health programs appears to have been an important factor in the successful scale-up of the program. Also, the Baldrige criteria seem applicable to health programs in low-income and middle-income countries; further applications would help test their robustness and utility in such contexts. Copyright © 2012 John Wiley & Sons, Ltd.

Understanding the null‐to‐small association between increased macroeconomic growth and reducing child undernutrition in India: role of development expenditures and poverty alleviation

Science.gov (United States)

Joe, William; Rajaram, Ramaprasad

2016-01-01

Abstract Empirical evidence suggests that macroeconomic growth in India is not correlated with any substantial reductions in the prevalence of child undernutrition over time. This study investigates the two commonly hypothesized pathways through which macroeconomic growth is expected to reduce child undernutrition: (1) an increase in public developmental expenditure and (2) a reduction in aggregate income‐poverty levels. For the anthropometric data on children, we draw on the data from two cross‐sectional waves of National Family Health Survey conducted in 1992–1993 and 2005–2006, while the data for per capita net state domestic product and per capita public spending on developmental expenditure and headcount ratio of poverty were obtained from the Reserve Bank of India and the Government of India expert committee reports. We find that between 1992–1993 and 2005–2006, state‐level macroeconomic growth was not associated with any substantial increases in public development expenditure or substantial reductions in poverty at the aggregate level. Furthermore, the association between changes in public development expenditure or aggregate poverty and changes in undernutrition was small. In summary, it appears that the inability of macroeconomic growth to translate into reductions in child undernutrition in India is likely a consequence of the macroeconomic growth not translating into substantial investments in development expenditure that could matter for children's nutritional status and neither did it substantially improve incomes of the poor, a group where undernutrition is also the highest. The findings here build a case to advocate a ‘support‐led’ strategy for reducing undernutrition rather than simply relying on a ‘growth‐mediated’ strategy. Key messages Increases in macroeconomic growth have not been accompanied by substantial increases in public developmental spending or reduction in aggregate poverty headcount ratio in India

Whose problem is it anyway? Crimes against women in India

OpenAIRE

Himabindu, B. L.; Arora, Radhika; Prashanth, N. S.

2014-01-01

The recent public outcry following a brutal gang rape of a young woman in India's national capital was a watershed moment in the world's largest democracy. It generated widespread public and political support for strengthening legal provisions to punish sex offenders. Although the legal response is a useful deterrent against such heinous crimes, women continue to suffer due to deeply rooted social prejudices that make them vulnerable to violence and discrimination in society. In this commenta...

A review on current status of municipal solid waste management in India.

Science.gov (United States)

Gupta, Neha; Yadav, Krishna Kumar; Kumar, Vinit

2015-11-01

Municipal solid waste management is a major environmental issue in India. Due to rapid increase in urbanization, industrialization and population, the generation rate of municipal solid waste in Indian cities and towns is also increased. Mismanagement of municipal solid waste can cause adverse environmental impacts, public health risk and other socio-economic problem. This paper presents an overview of current status of solid waste management in India which can help the competent authorities responsible for municipal solid waste management and researchers to prepare more efficient plans. Copyright © 2015. Published by Elsevier B.V.

Technical and Economic Aspects of Designing an Efficient Room Air-Conditioner Program in India

Energy Technology Data Exchange (ETDEWEB)

Abhyankar, Nikit [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Energy Analysis and Environmental Impacts Div.; Shah, Nihar [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Energy Analysis and Environmental Impacts Div.; Phadke, Amol [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Energy Analysis and Environmental Impacts Div.; Park, Won Young [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Energy Analysis and Environmental Impacts Div.

2017-09-05

Several studies have projected a massive increase in the demand for air conditioners (ACs) over the next two decades in India. By 2030, room ACs could add 140 GW to the peak load, equivalent to over 30% of the total projected peak load. Therefore, there is significant interest among policymakers, regulators, and utilities in managing room AC demand by enhancing energy efficiency. Building on the historical success of the Indian Bureau of Energy Efficiency’s star-labeling program, Energy Efficiency Services Limited recently announced a program to accelerate the sale of efficient room ACs using bulk procurement, similar to their successful UJALA light-emitting diode (LED) bulk procurement program. This report discusses some of the key considerations in designing a bulk procurement or financial incentive program for enhancing room AC efficiency in India. We draw upon our previous research to demonstrate the overall technical potential and price impact of room AC efficiency improvement and its technical feasibility in India. We also discuss the importance of using low global warming potential (GWP) refrigerants and smart AC equipment that is demand response (DR) ready.

Demographic transition and population ageing in India: Implications on the elderly of the future

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Shradha Mathur

2015-01-01

Full Text Available Ageing population of India will transform into the elderly in future. The issue of health of the elderly population in India has arrested the attention of health policy makers and the researchers, in the recent past. Demographic structure, quality of life, healthcare services and government planning have serious implications on the ageing population. The objective of the research article is to systematically and critically evaluate the impact of demographic transition, projected demographic indicators and changing population characteristics on the health status of the elderly persons living in India in the coming decades. Analysis and discussions are based on secondary data published by the Ministry of Health and Family Welfare of the Government of India. The results indicate that India will be an ageing nation in the coming years and improvements in health, education and government planning are likely to enhance the life expectancy of the elderly, while the share of children will reduce, suggesting an increase in dependency of the older persons on the adult population. The article provides insights into workable solutions and suggests key recommendations to attain faster demographic dividend. India would be competing with the pressure of a dramatic demographic bulge in future.

India Emerging

International Development Research Centre (IDRC) Digital Library (Canada)

Traditionally, India has had an extremely poor collection of direct taxes, not least due to ...... Economic Impact of Mobile in Bangladesh, Malaysia, Pakistan, Serbia, ...... in India owes its origin to Gandhian principles, philosophy and practices.

Future directions for Public Health Education reforms in India

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Sanjay P Zodpey

2014-09-01

Full Text Available Health systems globally are experiencing a shortage of competent public health professionals. Public health education across developing countries is stretched by capacity generation and maintaining an adequate ‘standard’ and ‘quality’ of their graduate product. We analyzed the Indian public health education scenario using the institutional and instructional reforms framework advanced by the Lancet Commission report on Education of Health Professionals. The emergence of a new century necessitates a re-visit on the institutional and instructional challenges surrounding public health education. Currently, there is neither an accreditation council nor a formal structure or system of collaboration between academic stakeholders. Health systems have little say in health professional training with limited dialogue between health systems and public health education institutions. Despite a recognized shortfall of public health professionals, there are limited job opportunities for public health graduates within the health system and absence of a structured career pathway for them. Public health institutions need to evolve strategies to prevent faculty attrition. A structured development program in teaching-learning methods and pedagogy is the need of the hour.

Empowering public service workers to face bystander conflict : Enhancing resources through a training intervention

NARCIS (Netherlands)

van Erp, K.J.P.M.; Gevers, J.M.P.; Rispens, S.; Demerouti, E.

2018-01-01

Public service employees work in occupations that are accompanied with high psychosocial risks. Police, firefighters, and paramedics are increasingly being confronted with argumentative, conflicting bystanders that frustrate them in executing their task. We developed a resource-enhancement

Status of solar desalination in India

Energy Technology Data Exchange (ETDEWEB)

Arjunan, T.V. [Mechanical Engineering Department, Adhiyamaan College of Engineering, Hosur, Krishnagiri 635109, Tamilnadu (India); Aybar, H.S. [Mechanical Engineering Department, Eastern Mediterranean University, G. Magosa, KKTC, Mersin 10 (Turkey); Nedunchezhian, N. [Automobile Engineering, Institute of Road and Transport Technology, Erode, Tamilnadu (India)

2009-12-15

The work was motivated by the increasing awareness of the need for enhancing water supplies schemes in arid lands featuring an appropriate technology for solar energy use in the desalination field in India. The fresh water crisis is already evident in many parts of India, varying in scale and intensity at different times of the year. India's rapidly rising population and changing lifestyles also increases the need for fresh water. Fresh water is increasingly taking centre stage on the economic and political agenda, as more and more disputes between and within states, districts, regions, and even at the community level arises. The conventional desalination technologies like multi stage flash, multiple effect, vapor compression, iron exchange, reverse osmosis, electro dialysis are expensive for the production of small amount of fresh water, also use of conventional energy sources has a negative impact on the environment. Solar distillation represents a most attractive and simple technique among other distillation processes, and it is especially suited to small-scale units at locations where solar energy is considerable. India, being a tropical country is blessed with plenty of sunshine. The average daily solar radiation varies between 4 and 7 kWh per square meter for different parts of the country. There are on an average 250-300 clear sunny days in a year, thus it receives about 5000 trillion kWh of solar energy in a year. In spite of the limitations of being a dilute source and intermittent in nature, solar energy has the potential for meeting and supplementing various energy requirements. Solar energy systems being modular in nature could be installed in any capacity as per the requirement. This paper consists of an overall review and technical assessments of various passive and active solar distillation developments in India. This review also recommended some research areas in this field leading to high efficiency are highlighted. (author)

PLACING INDIA IN THE EMERGING REGIONAL DYNAMICS OF CENTRAL ASIA

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Meena Singh Roy

2017-10-01

Full Text Available The present article tries to examine India’s initiatives in the region in the context of the emerging regional geo-strategic landscape. With an aim to enhance political, economic and strategic ties, India’s policy towards the region has moved from ‘Look North’ to ‘Connect North’. Notably, the full membership of SCO offers India greater synergies to play a more active role in the region. India is, thus, all set to build more meaningful partnerships with the region in the context of new geo-political changes shaping Central Asia. More importantly, the region is seeking India to play a more active role. It is argued that the beginning of a new era of cooperation initiated by PM Modi can only be sustained if New Delhi continues to implement its various agreements and commitments. While building stronger bilateral ties with the region is important, working closely in the regional groupings will also help address regional economic and security challenges

Cost-effectiveness of Training Programmes in Insurance Sector of India

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Surbhi JAIN

2015-09-01

Full Text Available In the present era of globalization, trough competition and advancement of information technology, the paradigm for success has shifted towards intellectual assets. New ways of commerce and management structures are required to effectively exploit intellectual assets foremost to an improved approach on the development of human capital. Training requires substantial allocation of monetary, human and time resources. A systematic evaluation of training programs is the call of the time. The insurance sector has been playing a vital role in the process of economic advancement since independence in India. The objective of the present study is to identify the cost-effectiveness of training programs in the insurance sector in India. A sample of four companies has been randomly selected. This study is descriptive in nature. Secondary data has been analysed. Effectiveness-cost ratios were calculated and inferences have been drawn accordingly. Finding suggests that training programs in public insurance sector is more cost-effective as compared to private insurance sector in India.

India : Energy-Efficient Street Lighting--Implementation and Financing Solutions

OpenAIRE

World Bank

2015-01-01

There has been a clear need for energy-efficient (EE) technologies that can be applicable in the municipal street lighting sector. The objective of this manual is to support the preparation and implementation of street lighting projects in India, using performance contracting and other public private partnership-based delivery approaches. This manual draws upon global best practices, inclu...

Don't look at me in anger! Enhanced processing of angry faces in anticipation of public speaking.

Science.gov (United States)

Wieser, Matthias J; Pauli, Paul; Reicherts, Philipp; Mühlberger, Andreas

2010-03-01

Anxiety is supposed to enhance the processing of threatening information. Here, we investigated the cortical processing of angry faces during anticipated public speaking. To elicit anxiety, a group of participants was told that they would have to perform a public speech. As a control condition, another group was told that they would have to write a short essay. During anticipation of these tasks, participants saw facial expressions (angry, happy, and neutral) while electroencephalogram was recorded. Event-related potential analysis revealed larger N170 amplitudes for angry compared to happy and neutral faces in the anxiety group. The early posterior negativity as an index of motivated attention was also enhanced for angry compared to happy and neutral faces in participants anticipating public speaking. These results indicate that fear of public speaking influences early perceptual processing of faces such that especially the processing of angry faces is facilitated.

Sexual Harassment and Abuse of Adolescent Schoolgirls in South India

Science.gov (United States)

Leach, Fiona; Sitaram, Shashikala

2007-01-01

This article reports on a small exploratory study of adolescent girls' experiences of sexual harassment and abuse while attending secondary school in Karnataka State, South India. In South Asia, public discussion of sexual matters, especially relating to children, is largely taboo, and the study uncovers a hidden aspect of schooling, which…

Can biofuel crops alleviate tribal poverty in India's drylands?

International Nuclear Information System (INIS)

Agoramoorthy, Govindasamy; Hsu, Minna J.; Chaudhary, Sunita; Shieh, Po-Chuen

2009-01-01

The on-going climate change concerns have stimulated heavy interest in biofuels, and supporters of biofuels hail that they are considered naturally carbon-neutral. Critiques on the other hand cry that the large-scale production of biofuels can not only strain agricultural resources, but also threaten future food security. People who live in the drylands of India are often faced with challenges and constraints of poverty. Foremost among the challenges are the marginal environmental conditions for agriculture, often influenced by low and erratic rainfall, frequent droughts, poor soil condition, unreliable irrigation water supply, and rural migration to urban areas in search of work. In this paper, we have analyzed a case study of community lift irrigation practiced in India and its impact in boosting agricultural productivity and enhancing local food security. The lift-irrigation model practiced in the drylands of India to grow food crops can be adopted for the expansion of biofuel crops that has the potential to eradicate poverty among farming communities if appropriate sustainable development measures are carefully implemented. (author)

Framing REDD+ in India: Carbonizing and centralizing Indian forest governance?

International Nuclear Information System (INIS)

Vijge, Marjanneke J.; Gupta, Aarti

2014-01-01

Highlights: • We analyze whether India's REDD+ strategy induces carbonization and centralization. • REDD+ in India is framed as an opportunity for synergistic, decentralized governance. • Yet national safeguards are not as strong as asserted. • Controversial issues have so far been side-lined in India's REDD+ strategy. • Without investments, synergistic and decentralized REDD+ governance remains unlikely. - Abstract: This article analyzes the interaction of newly articulated climate governance goals with long-standing forest policies and practices in India. We focus on India's REDD+ (reducing emissions from deforestation and forest degradation and related forest activities) strategy, with a particular focus on the Green India Mission (GIM). The GIM calls for a doubling of the area for afforestation and reforestation in India in the next decade as a dominant climate mitigation strategy. We analyze how the GIM policy document frames carbon versus non-carbon benefits to be derived from forest-related activities; and how the GIM envisages division of authority (between national, regional and local levels) in its implementation. We are interested in assessing (a) whether the GIM promotes a “carbonization” of Indian forest governance, i.e. an increased focus on forest carbon at the expense of other ecosystem services; and (b) whether it promotes an increased centralization of forest governance in India through retaining or transferring authority and control over forest resources to national and state-level authorities, at the expense of local communities. We argue that the GIM frames the climate-forest interaction as an opportunity to synergistically enhance both carbon and non-carbon benefits to be derived from forests; while simultaneously promoting further decentralization of Indian forest governance. However, based on past experiences and developments to date, we conclude that without significant investments in community-based carbon and biodiversity

India's hydropower vision to 2030 - environmental issues

International Nuclear Information System (INIS)

Goel, R.S.

2004-01-01

The economic advantages of hydropower has been enhanced in the recent years with the steep increases in the energy costs from fossil fuel and the rapid approaching limits to the exploitable resources of such fuels. It is a matter of concern that the share of hydropower in the total installed capacity in India has been declining in successive plans. In the 1962-63, hydro projects had a 50% share in the total installed capacity which has declined to 24%. Such a dismal share of hydro thermal mix is adversely affecting the optimal utilisation of natural and financial resources besides resulting in failure of power grids. Even a layman can appreciate that in the situation of monsoonic weather the storage of river flows during floods is unavoidable not only to meet the basic needs of bulging population for diverse uses but also to moderate the floods, droughts and poverty. This article focuses on the environmental issues related to hydropower and river valley projects, while pinpointing the vital need of large storage projects in India. The water is becoming scarcer in India due to bulging population; but the environmental activism and biased media reporting are creating large scale obstructions in the execution of hydro projects

A survey of the governance capacity of national public health associations to enhance population health

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James Chauvin

2016-03-01

Full Text Available Abstract Background National public health associations (PHAs are key partners with governments and communities to improve, protect and promote the public’s health. Governance and organizational capacity are among the key determinants of a PHA’s effectiveness as an advocate for appropriate public health policies and practice. Methods During 2014, the World Federation of Public Health Associations (WFPHA conducted an on-line survey of its 82 PHA members, to identify the state of organizational governance of national public health associations, as well as the factors that influence optimal organizational governance. The survey consisted of 13 questions and focused on the main elements of organizational governance: cultivating accountability; engaging stakeholders; setting shared direction; stewarding resources; and, continuous governance enhancement. Four questions included a qualitative open-ended response for additional comments. The survey data were analyzed using Microsoft Excel. The qualitative data was analyzed using thematic content analysis Results Responses were received from 62 PHAs, constituting a 75.6 % response rate. The two most important factors that support governance effectiveness were a high degree of integrity and ethical behavior of the PHA’s leaders (77 % and the competence of people serving on the PHA’s governing body (76 %. The lack of financial resources was considered as the most important factor that negatively affected organizational governance effectiveness (73 %. The lack of mentoring for future PHA leaders; ineffective or incompetent leadership; lack of understanding about good governance practices; and lack of accurate information for strategic planning were identified as factors influencing PHA governance effectiveness. Critical elements for PHA sustainability included diversity, gender-responsiveness and inclusive governance practices, and strategies to build the future generation of public health

Translating India

CERN Document Server

Kothari, Rita

2014-01-01

The cultural universe of urban, English-speaking middle class in India shows signs of growing inclusiveness as far as English is concerned. This phenomenon manifests itself in increasing forms of bilingualism (combination of English and one Indian language) in everyday forms of speech - advertisement jingles, bilingual movies, signboards, and of course conversations. It is also evident in the startling prominence of Indian Writing in English and somewhat less visibly, but steadily rising, activity of English translation from Indian languages. Since the eighties this has led to a frenetic activity around English translation in India's academic and literary circles. Kothari makes this very current phenomenon her chief concern in Translating India.   The study covers aspects such as the production, reception and marketability of English translation. Through an unusually multi-disciplinary approach, this study situates English translation in India amidst local and global debates on translation, representation an...

Landmark survey tracks decade of changes in India's rural schools ...

International Development Research Centre (IDRC) Digital Library (Canada)

These parents were from the close to 1,600 households surveyed in 2006 to assess changes in primary education in villages of north Indian states, a decade after a first survey. The resulting Public Report on Basic Education (PROBE) made a significant contribution to primary education policy in India. IDRC supported both ...

Abortion and sex determination: conflicting messages in information materials in a District of Rajasthan, India.

Science.gov (United States)

Nidadavolu, Vijaya; Bracken, Hillary

2006-05-01

Public information campaigns are an integral component of reproductive health programmes, including on abortion. In India, where sex selective abortion is increasing, public information is being disseminated on the illegality of sex determination. This paper presents findings from a study undertaken in 2003 in one district in Rajasthan to analyse the content of information materials on abortion and sex determination and people's perceptions of them. Most of the informational material about abortion was produced by one abortion service provider, but none by the public or private sector. The public sector had produced materials on the illegality of sex determination, some of which failed to distinguish between sex selection and other reasons for abortion. In the absence of knowledge of the legal status of abortion, the negative messages and strong language of these materials may have contributed to the perception that abortion is illegal in India. Future materials should address abortion and sex determination, including the legal status of abortion, availability of providers and social norms that shape decision-making. Married and unmarried women should be addressed and the participation of family members acknowledged, while supporting independent decisions by women. Sex determination should also be addressed, and the conditions under which a woman can and cannot seek an abortion clarified, using media and materials accessible to low-literate audiences. Based on what we learned in this research, a pictorial booklet and educator's manual were produced, covering both abortion and sex determination, and are being distributed in India.

India-EU relations in health services: prospects and challenges

Science.gov (United States)

2011-01-01

Background India and the EU are currently negotiating a Trade and Investment Agreement which also covers services. This paper examines the opportunities for and constraints to India-EU relations in health services in the context of this agreement, focusing on the EU as a market for India's health services exports and collaboration. The paper provides an overview of key features of health services in the EU and India and their bearing on bilateral relations in this sector. Methods Twenty six semi-structured, in-person, and telephonic interviews were conducted in 2007-2008 in four Indian cities. The respondents included management and practitioners in a variety of healthcare establishments, health sector representatives in Indian industry associations, health sector officials in the Indian government, and official representatives of selected EU countries and the European Commission based in New Delhi. Secondary sources were used to supplement and corroborate these findings. Results The interviews revealed that India-EU relations in health services are currently very limited. However, several opportunity segments exist, namely: (i) Telemedicine; (ii) Clinical trials and research in India for EU-based pharmaceutical companies; (iii) Medical transcriptions and back office support; (iv) Medical value travel; and (v) Collaborative ventures in medical education, research, training, staff deployment, and product development. However, various factors constrain India's exports to the EU. These include data protection regulations; recognition requirements; insurance portability restrictions; discriminatory conditions; and cultural, social, and perception-related barriers. The interviews also revealed several constraints in the Indian health care sector, including disparity in domestic standards and training, absence of clear guidelines and procedures, and inadequate infrastructure. Conclusions The paper concludes that although there are several promising areas for India

India-EU relations in health services: prospects and challenges

Directory of Open Access Journals (Sweden)

Chanda Rupa

2011-02-01

promising areas for India-EU relations in health services, it will be difficult to realize these opportunities given the pre-dominance of public healthcare delivery in the EU and sensitivities associated with commercializing healthcare. Hence, a gradual approach based on pilot initiatives and selective collaboration would be advisable initially, which could be expanded once there is demonstrated evidence on outcomes. Overall, the paper makes a contribution to the social science and health literature by adding to the limited primary evidence base on globalization and health, especially from a developing-developed country and regional perspective.

Mitigating India's health woes: Can health insurance be a remedy to achieve universal health coverage?

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B Savitha

2016-01-01

Full Text Available A low level of public investments in preventive health facilities and medical care facilities and health professionals has given rise to poor health status for an average Indian. Insufficient government funding for health care, inadequate and ineffective health financing mechanisms, poor delivery of health care, especially in public facilities, and excessive reliance on unregulated high-cost private providers have contributed to the poor accomplishment of Millennium Development Goals, especially in the informal sector. Sustainable Development Goals (SDGs consider health to be one of the important objectives to be achieved by all the nations in the world. This paper reappraises the current status, unmet needs, challenges, and the way forward to implement and achieve universal health coverage (UHC in India by thrusting the focus on three elements (pillars of universal access to health services. Despite seven decades of independence, India does still face the formidable challenge of providing health services to its population at an affordable cost. One of the major obstacles in reaching universal coverage and universal health entitlement of every Indian citizen has been the absence of effective health financing mechanism that promotes affordable access to weaker and vulnerable sections of the society. In this respect, health insurance certainly does have the potential to expedite the process of UHC if various stakeholders work in cohesion under the government stewardship. In rural India, the health infrastructure and workforce are inadequate to serve the unserved and underserved population. Hence, the government should invest in public health facilities while promoting pan-India health insurance to ensure and guarantee easy access and affordability for its citizens. The way forward should not only be centered on financial protection, but also to have renewed emphasis on restructuring the health-care system, ensuring the adequate availability of

Impact assessment of on-farm research in canal command of Eastern India

International Nuclear Information System (INIS)

Singh, S.S.; Sharma, R.B.; Khan, A.R.

2001-05-01

The Gandak irrigation project initiated in 1964 is one of India's biggest irrigation projects with a culturable command area of 0.96 and 0.44 million ha, respectively in Bihar and Uttar Pradesh states of India and 44100 ha in neighbouring Nepal. The impact assessment of on-farm research/demonstration projects made two to four years after their initiation at three different irrigation minors have shown considerable changes in the cropping patterns in these areas. The lands that were left fallow before the initiation of these projects have now been brought under cultivation resulting in enhanced productivity of major crops

Implementation & Analysis of Integrated Utility System in Developing Nation like India

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Rajan Gupta

2016-07-01

Full Text Available Public utility systems are prevalent around the world but are struggling in developing nations like India to work efficiently. Integration of different utilities can be a possible solution on the technology front, so that more requests can be handled with lesser problems. This study provides the implementation design and benefits of an already proposed integration system by the same authors. It is found that Data Storage, Access Time, Transaction Cost, security cost and server’s busy time can become more effective if the implementation of integration system can be put in place. The working prototype is based on three utilities (Gas, Power & Water of Delhi-NCR, India.

Health issues amongst call center employees, an emerging occupational group in India.

Science.gov (United States)

Raja, Jeyapal Dinesh; Bhasin, Sanjiv Kumar

2014-07-01

Call center sector in India is a relatively new industry and one of the fastest growing sectors driving employment and growth in modern India today. While employment in the business process outsourcing (BPO) sector has meant that young adults are reaching their career milestones and financial goals much earlier than before, surveys and anecdotal evidence show that workers in the BPO sector experience high levels of stress and its related disorders, primarily due to its contemporary work settings. Safeguarding the health of youngsters employed in this new, growing economy becomes an occupational health challenge to public health specialists.

Health issues amongst call center employees, an emerging occupational group in India

Directory of Open Access Journals (Sweden)

Jeyapal Dinesh Raja

2014-01-01

Full Text Available Call center sector in India is a relatively new industry and one of the fastest growing sectors driving employment and growth in modern India today. While employment in the business process outsourcing (BPO sector has meant that young adults are reaching their career milestones and financial goals much earlier than before, surveys and anecdotal evidence show that workers in the BPO sector experience high levels of stress and its related disorders, primarily due to its contemporary work settings. Safeguarding the health of youngsters employed in this new, growing economy becomes an occupational health challenge to public health specialists.

Factors Affecting Internet Banking Usage in India: An Empirical Analysis

Directory of Open Access Journals (Sweden)

Shariq Mohammed

2013-10-01

Full Text Available This study aims at identifying the factors affecting the customers demand for Internet banking usage by analyzing sample of 450 consumers’ responses who have been interviewed personally through structured survey in 3 districts of Uttar Pradesh India. The study was conducted on the private, public and foreign banks which included ICICI Bank Ltd., HDFC Bank Ltd. and AXIS Bank, Standard Chartered Bank and Yes Bank. Among public sector banks the respondents were from Bank of Baroda, Punjab National Bank and State Bank of India and Canara Bank. The sample size of 450 has been taken from among the urban population of above 18 years of age. The result indicates that the educated respondents use the service of internet banking. Based on occupation we can say that the service class and the business class is the one who use internet banking service to nearly 2 times as other occupation. The high income respondents having more than 1 lack income prefer to use this service. The private sector bank account holders use this service as compared to public sector banks. The banking attributes i.e. convenience and security do have very attentive influence on the use of Internet banking.

Public health impact and cost effectiveness of mass vaccination with live attenuated human rotavirus vaccine (RIX4414) in India: model based analysis.

Science.gov (United States)

Rose, Johnie; Hawthorn, Rachael L; Watts, Brook; Singer, Mendel E

2009-09-25

To examine the public health impact of mass vaccination with live attenuated human rotavirus vaccine (RIX4414) in a birth cohort in India, and to estimate the cost effectiveness and affordability of such a programme. Decision analytical Markov model encompassing all direct medical costs. Infection risk and severity depended on age, number of previous infections, and vaccination history; probabilities of use of inpatient and outpatient health services depended on symptom severity. Published clinical, epidemiological, and economic data. When possible, parameter estimates were based on data specific for India. Population Simulated Indian birth cohort followed for five years. Decrease in rotavirus gastroenteritis episodes (non-severe and severe), deaths, outpatient visits, and admission to hospital; incremental cost effectiveness ratio of vaccination expressed as net cost in 2007 rupees per life year saved. In the base case, vaccination prevented 28,943 (29.7%) symptomatic episodes, 6981 (38.2%) severe episodes, 164 deaths (41.0%), 7178 (33.3%) outpatient visits, and 812 (34.3%) admissions to hospital per 100,000 children. Vaccination cost 8023 rupees (about pound100, euro113, $165) per life year saved, less than India's per capita gross domestic product, a common criterion for cost effectiveness. The net programme cost would be equivalent to 11.6% of the 2006-7 budget of the Indian Department of Health and Family Welfare. Model results were most sensitive to variations in access to outpatient care for those with severe symptoms. If this parameter was increased to its upper limit, the incremental cost effectiveness ratio for vaccination still fell between one and three times the per capita gross domestic product, meeting the World Health Organization's criterion for "cost effective" interventions. Uncertainty analysis indicated a 94.7% probability that vaccination would be cost effective according to a criterion of one times per capita gross domestic product per life

Making the Public Distribution System Work

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Debarshi Das

2014-02-01

Full Text Available Drawing on empirical observations of operation of public distribution system in different states of India, the paper constructs a preliminary game theoretic model. It argues that an effective public distribution must be as universal as possible, delivery mechanism of fair price shops should be re- formed, they should be make them commercially viable and that special attention should be paid to PDS at times of high food inflation.

Is the Right of Children to Free and Compulsory Education Act Really Beneficial to the Poorer Children in India? An Analysis with Special Reference to the Admission of Poorer Children in Public Unaided Schools

Science.gov (United States)

Cheruvalath, Reena

2015-01-01

It is proposed to examine whether the Right of Children to Free and Compulsory Education Act can achieve its major objective of ensuring education for all children in India. Indian parents like to enter their wards into private schools because they believe that the standard of education in the public schools is poor. The act strengthens this…

Medication prescribing errors in a public teaching hospital in India: A prospective study.

Directory of Open Access Journals (Sweden)

Pote S

2007-03-01

Full Text Available Background: To prevent medication errors in prescribing, one needs to know their types and relative occurrence. Such errors are a great cause of concern as they have the potential to cause patient harm. The aim of this study was to determine the nature and types of medication prescribing errors in an Indian setting.Methods: The medication errors were analyzed in a prospective observational study conducted in 3 medical wards of a public teaching hospital in India. The medication errors were analyzed by means of Micromedex Drug-Reax database.Results: Out of 312 patients, only 304 were included in the study. Of the 304 cases, 103 (34% cases had at least one error. The total number of errors found was 157. The drug-drug interactions were the most frequently (68.2% occurring type of error, which was followed by incorrect dosing interval (12% and dosing errors (9.5%. The medication classes involved most were antimicrobial agents (29.4%, cardiovascular agents (15.4%, GI agents (8.6% and CNS agents (8.2%. The moderate errors contributed maximum (61.8% to the total errors when compared to the major (25.5% and minor (12.7% errors. The results showed that the number of errors increases with age and number of medicines prescribed.Conclusion: The results point to the establishment of medication error reporting at each hospital and to share the data with other hospitals. The role of clinical pharmacist in this situation appears to be a strong intervention; and the clinical pharmacist, initially, could confine to identification of the medication errors.

India

International Nuclear Information System (INIS)

Jones, R.W.

1990-01-01

Interest has grown recently in the issues of third tier or emerging nuclear suppliers. These are states that could export nuclear equipment, services, or technology but are outside the export control framework of the London Nuclear Supplier Group (NSG). The concern is that they may conduct nuclear trade without adequate safeguards, thus weakening the nonproliferation regime or even contributing to nuclear proliferation. The volume of nuclear sales by emerging suppliers is still minuscule, and it is unclear how far their export practices will diverge from the NSG framework. This case study of Indian nuclear supplier capability and practice is an effort to discern the type of path India is likely to adopt. This paper examines four aspects of India's nuclear activity for clues to India's potential role as an emerging nuclear supplier: foreign transactions; nuclear decision making; policy norms; and nuclear industrial capabilities

On hunger and child mortality in India.

Science.gov (United States)

Gaiha, Raghav; Kulkarni, Vani S; Pandey, Manoj K; Imai, Katsushi S

2012-01-01

Despite accelerated growth there is pervasive hunger, child undernutrition and mortality in India. Our analysis focuses on their determinants. Raising living standards alone will not reduce hunger and undernutrition. Reduction of rural/urban disparities, income inequality, consumer price stabilization, and mothers’ literacy all have roles of varying importance in different nutrition indicators. Somewhat surprisingly, public distribution system (PDS) do not have a significant effect on any of them. Generally, child undernutrition and mortality rise with poverty. Our analysis confirms that media exposure triggers public action, and helps avert child undernutrition and mortality. Drastic reduction of economic inequality is in fact key to averting child mortality, conditional upon a drastic reordering of social and economic arrangements.

IAEA Director General reacts to U.S.- India cooperation agreement

International Nuclear Information System (INIS)

2005-01-01

Full text: IAEA Director General, Mohamed ElBaradei has welcomed the US-India agreement to embark on full civil nuclear energy cooperation and to work to enhance nuclear non-proliferation and security. 'Out of the box thinking and active participation by all members of the international community are important if we are to advance nuclear arms control, non-proliferation, safety and security, and tackle new threats such as illicit trafficking in sensitive nuclear technology and the risks of nuclear terrorism,' Dr. ElBaradei said. Dr. ElBaradei has also been urging all countries using nuclear energy to apply the highest safety standards possible. 'Making advanced civil nuclear technology available to all countries will contribute to the enhancement of nuclear safety and security,' he said. Dr. ElBaradei said that India's intention to identify and place all its civilian nuclear facilities under IAEA safeguards and sign and adhere to an Additional Protocol with respect to civilian nuclear facilities is a welcome development. I have always advocated concrete and practical steps towards the universal application of IAEA safeguards,' Dr. ElBaradei said. (IAEA)

A bibliometric analysis of the published road traffic injuries research in India, post-1990.

Science.gov (United States)

Sharma, Neeraj; Bairwa, Mohan; Gowthamghosh, B; Gupta, S D; Mangal, D K

2018-03-01

Globally, road traffic injuries are the leading cause of death among those aged 15-29 years. However, road traffic injury research has not received adequate attention from the scientific community in low- and middle-income countries, including India. The present study aims to provide a bibliometric overview of research assessing road traffic injuries in India. We used Scopus to extract relevant research in road traffic injuries published from 1991 to 2017. This study presented the key bibliometric indicators such as trends of annual publications and citations, top 10 authors, journals, institutions and highly cited articles, citation analysis of articles, co-occurrence of keywords, etc. Analysis was performed using Scopus, Microsoft Excel, and VOS-viewer. A total of 242 articles were retrieved with an h-index of 18, excluding self-citations. A steadfast growth of publications was documented in last decade, especially after the year 2010. The h-index of the top 10 authors, institutions, journals and highly cited articles did not surpass single digits. A network visualisation map showed that 'traffic accident', 'male', 'adolescent' and 'child' were the most commonly encountered key terms. The prominent authors were Gururaj G, Dandona R, and Hyder AA, whereas the top journals were the Indian Journal of Forensic Medicine and Toxicology, Medico Legal Update, and the International Journal of Applied Engineering Research and top institutions were the All India Institute of Medical Sciences, New Delhi, the Indian Institute of Technology, Delhi, and the Administrative Staff College of India. In India, road traffic injuries research is inadequate in quantity and quality, warranting greater attention from researchers and policy planners to address the burden of road traffic injuries.

Role of India's wildlife in the emergence and re-emergence of zoonotic pathogens, risk factors and public health implications.

Science.gov (United States)

Singh, B B; Gajadhar, A A

2014-10-01

Evolving land use practices have led to an increase in interactions at the human/wildlife interface. The presence and poor knowledge of zoonotic pathogens in India's wildlife and the occurrence of enormous human populations interfacing with, and critically linked to, forest ecosystems warrant attention. Factors such as diverse migratory bird populations, climate change, expanding human population and shrinking wildlife habitats play a significant role in the emergence and re-emergence of zoonotic pathogens from India's wildlife. The introduction of a novel Kyasanur forest disease virus (family flaviviridae) into human populations in 1957 and subsequent occurrence of seasonal outbreaks illustrate the key role that India's wild animals play in the emergence and reemergence of zoonotic pathogens. Other high priority zoonotic diseases of wildlife origin which could affect both livestock and humans include influenza, Nipah, Japanese encephalitis, rabies, plague, leptospirosis, anthrax and leishmaniasis. Continuous monitoring of India's extensively diverse and dispersed wildlife is challenging, but their use as indicators should facilitate efficient and rapid disease-outbreak response across the region and occasionally the globe. Defining and prioritizing research on zoonotic pathogens in wildlife are essential, particularly in a multidisciplinary one-world one-health approach which includes human and veterinary medical studies at the wildlife-livestock-human interfaces. This review indicates that wild animals play an important role in the emergence and re-emergence of zoonotic pathogens and provides brief summaries of the zoonotic diseases that have occurred in wild animals in India. Copyright © 2014 Elsevier B.V. All rights reserved.

India : the new China?

Energy Technology Data Exchange (ETDEWEB)

Nanavaty, K. [Reliance Industries Ltd., Mumbai (India). Cracker and Polymer Div.

2006-07-01

India is emerging as a strong force in the global economy. The population of China is 1.2 times that of India, and its gross domestic product is 2.5 times that of India. However, analyses of per capita gross domestic product (GDP) indicate that if India continues its rate of growth, its' consumption and production will reach China's current levels in less than 15 years. This represents a significant investment opportunity in basic industry, particularly since a growing middle class will ensure a boom in consumer products consumption. This presentation compared India and China, in terms of economic approaches and challenges for India. Implications for the petrochemical industry were also discussed with reference to Reliance Industries Ltd. and its full integration in the value chain with petroleum refining. Reliance Industries Ltd. claims that India's captive utilities and labour productivity provide the company with conversion costs that are among the lowest in the industry. In terms of agriculture, India is one of the largest producers of agricultural commodities in the world and is well supported by varying agro-climates and fertile land. This presentation also included an agro-commodities yield comparison for rice, wheat and cereal. The Indian manufacturing industry is also competitive, focusing on cutting cost, increasing productivity and innovation. It was noted that although China has the advantage of a well established infrastructure on a global and domestic scale as well as job opportunities and quick policy implementation, it has lax labour laws, poor pollution laws and a challenging banking system. In contrast, India has the entrepreneurial advantage as well as global scale information technology, a globally competitive manufacturing industry, an independent regulatory framework and world class capital markets and banking system. India's challenge lies in its lack of a world-class infrastructure, complicated tax structure and slow

Developing a policy game intervention to enhance collaboration in public health policymaking in three European countries.

Science.gov (United States)

Spitters, H P E M; van Oers, J A M; Sandu, P; Lau, C J; Quanjel, M; Dulf, D; Chereches, R; van de Goor, L A M

2017-12-19

One of the key elements to enhance the uptake of evidence in public health policies is stimulating cross-sector collaboration. An intervention stimulating collaboration is a policy game. The aim of this study was to describe the design and methods of the development process of the policy game ‘In2Action’ within a real-life setting of public health policymaking networks in the Netherlands, Denmark and Romania. The development of the policy game intervention consisted of three phases, pre intervention, designing the game intervention and tailoring the intervention. In2Action was developed as a role-play game of one day, with main focus to develop in collaboration a cross-sector implementation plan based on the approved strategic local public health policy. This study introduced an innovative intervention for public health policymaking. It described the design and development of the generic frame of the In2Action game focusing on enhancing collaboration in local public health policymaking networks. By keeping the game generic, it became suitable for each of the three country cases with only minor changes. The generic frame of the game is expected to be generalizable for other European countries to stimulate interaction and collaboration in the policy process.

India's nuclear spin-off

International Nuclear Information System (INIS)

Kaul, Ravi.

1974-01-01

After examining world-wide reactions of the foreign governments and news media to the India's peaceful nuclear experiment (PNE) in the Rajasthan Desert on 18 May 1974, development of nuclear technology in India is assessed and its economic advantages are described. Implications of the Non-Proliferation Treaty are explained. Psychological impact of India's PNE on India's neighbours and superpowers and associated political problems in context of proliferation of nuclear weapons are discussed in detail. (M.G.B.)

India's future: it's about jobs

OpenAIRE

Geoffrey N. Keim; Beth Anne Wilson

2007-01-01

Projections of sustained strong growth in India depend importantly on the utilization of the huge increase in India's working-age population projected over the next two decades. To date, however, India's economic growth has been concentrated in high-skill and capital-intensive sectors, and has not generated strong employment growth. In this paper, we highlight the tension between India's performance in output and employment, describe the characteristics of India's demographic dividend, and di...

Agribusiness Franchising in India: Experience and Potential

OpenAIRE

Singh, Sukhpal

2014-01-01

Agribusiness or agricultural franchising is quite new in India, though it is quite commonly used in other businesses like fast food, hotel and other service industries where service quality is crucial to maintain brand equity. There have been only a few experiments in this field in the recent past by some corporate agencies, both private and public. This paper locates the rationale for franchising in agribusiness from global literature and from the Indian smallholder agricultural context wher...

Gender Discrimination and Women's Development in India

OpenAIRE

sivakumar, marimuthu

2008-01-01

Gender is a common term where as gender discrimination is meant only for women, because females are the only victims of gender discrimination. Females are nearly 50 percent of the total population but their representation in public life is very low. Recognizing women’s right and believing their ability are essential for women’s empowerment and development. This study deals with gender discrimination in India, its various forms and its causes. Importance of women in development, legislation...

The Potential Impact of Up-Front Drug Sensitivity Testing on India's Epidemic of Multi-Drug Resistant Tuberculosis.

Directory of Open Access Journals (Sweden)

Kuldeep Singh Sachdeva

Full Text Available In India as elsewhere, multi-drug resistance (MDR poses a serious challenge in the control of tuberculosis (TB. The End TB strategy, recently approved by the world health assembly, aims to reduce TB deaths by 95% and new cases by 90% between 2015 and 2035. A key pillar of this approach is early diagnosis of tuberculosis, including use of higher-sensitivity diagnostic testing and universal rapid drug susceptibility testing (DST. Despite limitations of current laboratory assays, universal access to rapid DST could become more feasible with the advent of new and emerging technologies. Here we use a mathematical model of TB transmission, calibrated to the TB epidemic in India, to explore the potential impact of a major national scale-up of rapid DST. To inform key parameters in a clinical setting, we take GeneXpert as an example of a technology that could enable such scale-up. We draw from a recent multi-centric demonstration study conducted in India that involved upfront Xpert MTB/RIF testing of all TB suspects.We find that widespread, public-sector deployment of high-sensitivity diagnostic testing and universal DST appropriately linked with treatment could substantially impact MDR-TB in India. Achieving 75% access over 3 years amongst all cases being diagnosed for TB in the public sector alone could avert over 180,000 cases of MDR-TB (95% CI 44187 - 317077 cases between 2015 and 2025. Sufficiently wide deployment of Xpert could, moreover, turn an increasing MDR epidemic into a diminishing one. Synergistic effects were observed with assumptions of simultaneously improving MDR-TB treatment outcomes. Our results illustrate the potential impact of new and emerging technologies that enable widespread, timely DST, and the important effect that universal rapid DST in the public sector can have on the MDR-TB epidemic in India.

Understanding the null-to-small association between increased macroeconomic growth and reducing child undernutrition in India: role of development expenditures and poverty alleviation.

Science.gov (United States)

Joe, William; Rajaram, Ramaprasad; Subramanian, S V

2016-05-01

Empirical evidence suggests that macroeconomic growth in India is not correlated with any substantial reductions in the prevalence of child undernutrition over time. This study investigates the two commonly hypothesized pathways through which macroeconomic growth is expected to reduce child undernutrition: (1) an increase in public developmental expenditure and (2) a reduction in aggregate income-poverty levels. For the anthropometric data on children, we draw on the data from two cross-sectional waves of National Family Health Survey conducted in 1992-1993 and 2005-2006, while the data for per capita net state domestic product and per capita public spending on developmental expenditure and headcount ratio of poverty were obtained from the Reserve Bank of India and the Government of India expert committee reports. We find that between 1992-1993 and 2005-2006, state-level macroeconomic growth was not associated with any substantial increases in public development expenditure or substantial reductions in poverty at the aggregate level. Furthermore, the association between changes in public development expenditure or aggregate poverty and changes in undernutrition was small. In summary, it appears that the inability of macroeconomic growth to translate into reductions in child undernutrition in India is likely a consequence of the macroeconomic growth not translating into substantial investments in development expenditure that could matter for children's nutritional status and neither did it substantially improve incomes of the poor, a group where undernutrition is also the highest. The findings here build a case to advocate a 'support-led' strategy for reducing undernutrition rather than simply relying on a 'growth-mediated' strategy. Key messages Increases in macroeconomic growth have not been accompanied by substantial increases in public developmental spending or reduction in aggregate poverty headcount ratio in India. Association between increases in public

Burden of NCDs, Policies and Programme for Prevention and Control of NCDs in India

Directory of Open Access Journals (Sweden)

R K Srivastava

2011-01-01

Full Text Available Noncommunicable diseases and injuries account for 52% of deaths in India. Burden of noncommunicable diseases and resultant mortality is expected to increase unless massive efforts are made to prevent and control NCDs and their risk factors. Based on available evidence, cancer, diabetes, hypertension, cardiovascular diseases, stroke, chronic obstructive pulmonary disease, chronic kidney disease, mental disorders and trauma are the leading causes of morbidity, disability and mortality in India. Government of India had supported the States in prevention and control of NCDs through several vertical programs since 1980s. However, during the 11 th plan, there was considerable upsurge to prevent and control NCDs. New programs were started on a low scale in limited number of districts. However, there has not been any considerable change in the burden of NCDs. Based on experiences in the past, there is need to emphasize on health promotion and preventive measures to reduce exposure to risk factors. Facilities and capacity for screening, early diagnosis and effective management are required within the public health care system. Public awareness program, integrated management and strong monitoring system would be required for successful implementation of the program and making services universally accessible in the country.

Assessment of air quality after the implementation of compressed natural gas (CNG) as fuel in public transport in Delhi, India.

Science.gov (United States)

Ravindra, Khaiwal; Wauters, Eric; Tyagi, Sushil K; Mor, Suman; Van Grieken, René

2006-04-01

Public transport in Delhi was amended by the Supreme Court of India to use Compressed Natural Gas (CNG) instead of diesel or petrol. After the implementation of CNG since April 2001, Delhi has the highest fraction of CNG-run public vehicles in the world and most of them were introduced within 20 months. In the present study, the concentrations of various criteria air pollutants (SPM, PM(10), CO, SO(2) and NO(x)) and organic pollutants such as benzene, toluene, xylene (BTX) and polycyclic aromatic hydrocarbons (PAHs) were assessed before and after the implementation of CNG. A decreasing trend was found for PAHs, SO(2) and CO concentrations, while the NO(x) level was increased in comparison to those before the implementation of CNG. Further, SPM, PM(10), and BTX concentrations showed no significant change after the implementation of CNG. However, the BTX concentration demonstrated a clear relation with the benzene content of gasoline. In addition to the impact of the introduction of CNG the daily variation in PAHs levels was also studied and the PAHs concentrations were observed to be relatively high between 10 pm to 6 am, which gives a proof of a relation with the limited day entry and movement of heavy vehicles in Delhi.

Trend of R and D publications in pressurised heavy water reactors: A study using INIS and other databases

International Nuclear Information System (INIS)

Kumar, V.; Kalyane, V.L.; Prakasan, E.R.; Kumar, A.; Sagar, A.; Mohan, L.

2004-01-01

Digital databases INIS (1970-2002), INSPEC (1969-2002), Chemical Abstracts (1977-2002), ISMEC (1973-June 2002), Web of Sciences (1974-2002), and Science Citation Index (1982-2002), were used for comprehensive retrieval of bibliographic details of research publications on Pressurized Heavy Water Reactor (PHWR) research. Among the countries contributing to PHWR research, India (having 1737 papers) is the forerunner followed by Canada (1492), Romania (508) and Argentina (334). Collaboration of Canadian researchers with researchers of other countries resulted in 75 publications. Among the most productive researchers in this field, the first 15 are from India. Top three contributors to PHWR publications with their respective authorship credits are: H.S. Kushwaha (106), Anil Kakodkar (100) and V. Venkat Raj (76). Prominent interdomainary interactions in PHWR subfields are: Specific nuclear reactors and associated plants with General studies of nuclear reactors (481), followed by Environmental sciences (185), and Materials science (154). Number of publications dealing with Geosciences aspect of environmental sciences are 141. Romania, Argentina, India and Republic of Korea have used mostly (≥75%) non-conventional media for publications. Out of the 4851 publications, 1228 have been published in 292 distinct journals. Top most journals publishing PHWR papers are: Radiation Protection and Environment (continued from: Bulletin of Radiation Protection since 1997), India (115); Nuclear Engineering International, UK (84); and Transactions of the American Nuclear Society, USA (68). (author)

india : tous les projets | Page 17 | CRDI - Centre de recherches pour ...

International Development Research Centre (IDRC) Digital Library (Canada)

Sujet: BIOTECHNOLOGY, GENETIC ENGINEERING, PUBLIC OPINION, SURVEYS. Région: India, Central Asia, Far East Asia, South Asia. Programme: Économies en réseaux. Financement total : CA$ 351,700.00. Incidence de la taxation selon le sexe : améliorer la production de revenus et la protection sociale dans les ...

Heterogeneity in the background and earnings of nurses in India: evidence from a cross-sectional study in Gujarat.

Science.gov (United States)

Seth, Katyayni

2017-11-01

It is important to understand the service conditions of nurses because these influence nurses' motivations and ability to provide care. Although nurses are estimated to constitute 30% of India's health workforce, limited empirical information is available about them. This paper attempts to address this gap in research. A cross-sectional survey of 266 nurses in the state of Gujarat was conducted to understand the demographic characteristics, qualifications and employment features of nurses working in India's private and public health sectors. Descriptive and univariate analyses were performed using the collected information. A multivariate regression model was also estimated with monthly earnings as the dependent variable, and workplace, type of employment contract, caste background and years in the nursing workforce as independent variables. The three main findings presented in this article highlight considerable heterogeneity in the background and employment of nurses in India. First, 49% of nurses working in private hospitals and as temporary employees in public facilities belonged to historically disadvantaged social groups (deemed Scheduled Castes and Scheduled Tribes) and were estimated to earn 9% less than similarly qualified and practiced nurses from general caste categories (P = 0.02). Second, 18% of nurses working in private hospitals did not have formal nursing qualifications. Third, nurses working in private hospitals and as temporary employees in public facilities earned less than the minimum wage stipulated by the Government of India. Permanent public sector nurses were estimated to earn 105% more than private sector nurses with the same qualifications, years of work and caste background (P nursing workforce, coupled with the failure of governmental agencies to regulate the health sector, might help explain the low wages and lack of job security that most nurses in India contend with. © The Author 2017. Published by Oxford University Press in

Understanding public drug procurement in India: a comparative qualitative study of five Indian states.

Science.gov (United States)

Singh, Prabal Vikram; Tatambhotla, Anand; Kalvakuntla, Rohini; Chokshi, Maulik

2013-01-01

To perform an initial qualitative comparison of the different procurement models in India to frame questions for future research in this area; to capture the finer differences between the state models through 53 process and price parameters to determine their functional efficiencies. Qualitative analysis is performed for the study. Five states: Tamil Nadu, Kerala, Odisha, Punjab and Maharashtra were chosen to ensure heterogeneity in a number of factors such as procurement type (centralised, decentralised or mixed); autonomy of the procurement organisation; state of public health infrastructure; geography and availability of data through Right to Information Act (RTI). Data on procurement processes were collected through key informant analysis by way of semistructured interviews with leadership teams of procuring organisations. These process data were validated through interviews with field staff (stakeholders of district hospitals, taluk hospitals, community health centres and primary health centres) in each state. A total of 30 actors were interviewed in all five states. The data collected are analysed against 52 process and price parameters to determine the functional efficiency of the model. The analysis indicated that autonomous procurement organisations were more efficient in relation to payments to suppliers, had relatively lower drug procurement prices and managed their inventory more scientifically. The authors highlight critical success factors that significantly influence the outcome of any procurement model. In a way, this study raises more questions and seeks the need for further research in this arena to aid policy makers.

Energy India 'dependence

International Nuclear Information System (INIS)

Cygler, C.

2007-01-01

India has an economic growth between 8 to 10 % by year. To become a great country of the twenty first century and to stop poverty it is necessary to keep this growth but the growth of India is dependant of its ability to supply electric power necessary to increase the industrial production. The country has to multiply by four its energy production. The electric production comes from thermal power plants for 65%, 26% from hydroelectric power plants, 6% from renewable energy sources and 3% from nuclear energy. Between solar energy ( India has three hundred solar days by years) and nuclear energy using thorium that can be increased India has to choose an energy policy to answer its energy demand and independence need. (N.C.)

Exploring the relationship between development and road traffic injuries: a case study from India.

Science.gov (United States)

Garg, Nitin; Hyder, Adnan A

2006-10-01

Road traffic injuries (RTI) are a major cause of mortality and disability in the world. Only after significant losses have communities in developed nations taken necessary steps to prevent crashes and their consequences. Increase in road safety is related to increasing socio-economic development. We aim to study the trends in injury and death rates in a developing country, India, define sub-national variations, and analyse these trends in relation to economic and population growth. Public sector data from India were used to develop a standardized database on traffic injuries and indicator of economic development. The data were analysed using linear regression models to test the a priori hypothesis of a positive relationship between net domestic product (NDP), and injury and death rates from road crashes across states. The absolute burden of RTI in India has been consistently rising over the past three decades. The reported rates are lower than those estimated by global health agencies and may reflect under-reporting. Population-based rates provide a better assessment of the public health burden of RTI than vehicle-based rates. There is an inverted U-shaped relationship between NDP and injury and death rates. Even with the limited data, Kuznets phenomenon is evident for within-country level comparisons. India and other developing countries could learn from the experience of highly motorized nations to avoid the expected rise in RTI and deaths with economic development, by currently investing in road safety and prevention measures.

Fourteenth electric power survey of India

International Nuclear Information System (INIS)

1991-03-01

Fourteenth Electric Power Supply Committee was set up by the Government of India in February 1989 to review the demand projections for electric power, in detail, keeping in view the Eight Plan proposals and to project the perspective demand for (electric) power upto the year 2009-10. Partial End-use method was adopted for forecasting the power demands over a short term period. For estimating the power requirements on a long-term basis, the trend in overall requirements in a state system formed the basis of projections. The long term forecast covering the period 1995-96 to 2009-10 was made by extrapolating the overall requirement of electricity for various states and Union Territories with 1994-95 as the base year. The data were collected from various State Electricity Boards, Public utilities, concerned departments of State Governments and various Ministries and Departments of the Government of India and were computerised. The data base was used to develop a number of scenarios and to make projections. (M.G.B.)

Counting 15 million more poor in India, thanks to tobacco.

Science.gov (United States)

John, Rijo M; Sung, Hai-Yen; Max, Wendy B; Ross, Hana

2011-09-01

To quantify the impact of tobacco use and the related medical expenditure on poverty in India. Tobacco expenditure and associated medical expenditure attributable to tobacco use were subtracted from the household monthly consumption expenditure in order to derive an appropriate measure of household disposable income. The 2004 National Sample Survey, a nationally representative survey of Indian households, was used to estimate the true level of poverty. Our estimates indicate that accounting for direct expenditure on tobacco would increase the rural and the urban poverty rates by 1.5% (affecting 11.8 million people) and 0.72% (affecting 2.3 million people), respectively. Similarly, the out-of-pocket costs of tobacco-attributable medical care result in 0.09% higher poverty rates in rural areas (affecting 0.7 million people) and in 0.07% higher poverty rates in urban locations (affecting 0.23 million people). Tobacco consumption impoverishes roughly 15 million people in India. Hence tobacco control measures would not only improve public health, but would also reduce poverty in India.

Searching for Methods on Evaluation Alternatives and Studying Decision Making System Regarding Enhancing Publicity of Nuclear Spent Fuel

International Nuclear Information System (INIS)

Cho, Seongkyung; Choi, Seungho; Kim, Hyerim; Song, Jiyeon; Lee, Yoonsup; Sohn, Seohyun

2013-01-01

This study was done in order to anticipate the aspect of publicity enhancement on nuclear spent fuel so that it can find the evaluation methods of alternative ways of management which could applied actually and make the decision making system of Publicity Enhancement Committee in advance. In Korea, the nuclear spent fuel is temporarily stored inside of the nuclear facility field, and it is expected that Gori nuclear facility is going to be saturated since 2016 but the solutions are still incomplete. The problem of management of nuclear spent fuel is an important issue in terms of not only the nuclear power policy but also of safe management of the already made nuclear spent fuel. This study has its meaning to draw the evaluation criteria of the management alternatives on nuclear spent fuel which can be applied in Korean case, and to find the necessity of verifying the evaluation of management alternatives through Publicity Enhancement because of different stands according to the interests. As a result, rather than technological engineering safety evaluation, qualitative analysis in terms of social costs, quantitative evaluation in terms of economic costs, this study advises the methods of public hearings and citizen juries which are effective, which makes it meaningful

Perceptions about Training during Endocrinology Residency Programs in India over the Years: A Cross-sectional Study (PEER India Study)

Science.gov (United States)

Khandelwal, Deepak; Dutta, Deep; Singla, Rajiv; Surana, Vineet; Aggarwal, Sameer; Gupta, Yashdeep; Kalra, Sanjay; Khadgawat, Rajesh; Tandon, Nikhil

2017-01-01

Background: Residents' perception on quality of endocrinology training in India is not known. This study aimed to evaluate the perceptions about endocrinology residency programs in India among current trainees as compared to practicing endocrinologists. Methods: Trainees attending a preconference workshop at the annual conference of Endocrine Society of India (ESI) were given a questionnaire designed to evaluate their perceptions on their training. These evaluated the reasons for choosing endocrinology, their experiences during residency, and career plans. Practicing endocrinologists attending ESICON with at least 5-year experience were evaluated as controls. Results: Questionnaires from 63 endocrine trainees and 78 practicing endocrinologists were analyzed. Endocrinology is perceived to be the super-specialty with the best quality of life (QOL) but fair with regard to financial remuneration. Among current trainees, 61.89%, 31.74%, and 34.91% are satisfied with training in clinical endocrinology, laboratory endocrinology, and clinical/translational research, respectively. The corresponding figures for practicing endocrinologists are 71.78%, 25.63%, and 30.75%, respectively. Exposure to national endocrinology conferences during their endocrinology residency was adequate. However, exposure to international endocrinology conferences, research publications, project writing, and grant application are limited. Laboratory endocrinology is rated as the most neglected aspect during endocrine residency. Most of the trainees want to establish their own clinical practice in the long run. Very few trainees (17.46%) wish to join the medical education services. Conclusion: There is a good perception of QOL in endocrinology in spite of average financial remuneration. There is dissatisfaction with the quality of training in laboratory endocrinology and clinical research. Very few endocrine trainees consider academics as a long-term career option in India. PMID:28459024

Reproductive tract infections: Attitude and barriers among marginalized fisher women in Kerala, South India.

Science.gov (United States)

Thomas, Manoj A; Narayan, Poornima

2017-04-01

Reproductive tract infections (RTIs) are the cause of severe gynecological and maternal morbidity in India. In marginalized communities, women persevere quietly when faced with a culturally sensitive health issue such as an RTI. To hypothesize on the differential health behavior and low levels of reported incidents among women living in marginalized communities, we undertake an exploratory study in a coastal fishermen community in South India. We identify barriers influencing decisions to seek curative and preventive medical care. Public health practitioners and social workers may find our recommendations relevant for addressing health issues in marginalized communities.

78 FR 15703 - Certain Hot-Rolled Carbon Steel Flat Products From India, Indonesia, the People's Republic of...

Science.gov (United States)

2013-03-12

... Others 20.28 Thailand Sahaviriya Steel Industries 7.35 Public Co., Ltd. Siam Strip Mill Public Co., 20.30... People's Republic of China, Taiwan, Thailand, and Ukraine; Final Results of the Expedited Second Sunset... steel flat products from India, Indonesia, the People's Republic of China (PRC), Taiwan, Thailand, and...

Cost and cost-effectiveness of PPM-DOTS for tuberculosis control: evidence from India.

OpenAIRE

Floyd, Katherine; Arora, V. K.; Murthy, K. J. R.; Lonnroth, Knut; Singla, Neeta; Akbar, Y.; Zignol, Matteo; Uplekar, Mukund

2006-01-01

OBJECTIVE: To assess the cost and cost-effectiveness of the Public-Private Mix DOTS (PPM-DOTS) strategy for tuberculosis (TB) control in India. METHODS: We collected data on the costs and effects of pilot PPM-DOTS projects in Delhi and Hyderabad using documentary data and interviews. The cost of PPM-DOTS was compared with public sector DOTS (i.e. DOTS delivered through public sector facilities only) and non-DOTS treatment in the private sector. Costs for 2002 in US$ were assessed for the publ...

Prospective registration of clinical trials in India: strategies, achievements & challenges.

Science.gov (United States)

Tharyan, Prathap

2009-02-01

This paper traces the development of the Clinical Trial Registry-India (CTRI) against the backdrop of the inequities in healthcare and the limitations in the design, conduct, regulation, oversight and reporting of clinical trials in India. It describes the scope and goals of the CTRI, the data elements it seeks and the process of registering clinical trials. It reports progress in trial registration in India and discusses the challenges in ensuring that healthcare decisions are informed by all the evidence. A descriptive survey of developments in clinical trial registration in India from publications in the Indian medical literature supplemented by first hand knowledge of these developments and an evaluation of how well clinical trials registered in the CTRI up to 10 January, 2009 comply with the requirements of the CTRI and the World Health Organization's International Clinical Trial Registry (WHO ICTRP). Considerable inequities exist within the Indian health system. Deficiencies in healthcare provision and uneven regulation of, and access to, affordable healthcare co-exists with a large private health system of uneven quality. India is now a preferred destination for outsourced clinical trials but is plagued by poor ethical oversight of the many trial sites and scant information of their existence. The CTRI's vision of conforming to international requirements for transparency and accountability but also using trial registration as a means of improving trial design, conduct and reporting led to the selection of registry-specific dataset items in addition to those endorsed by the WHO ICTRP. Compliance with these requirements is good for the trials currently registered but these trials represent only a fraction of the trials in progress in India. Prospective trial registration is a reality in India. The challenges facing the CTRI include better engagement with key stakeholders to ensure increased prospective registration of clinical trials and utilization of

Do clinical trials conducted in India match its healthcare needs? An audit of the Clinical Trials Registry of India

Directory of Open Access Journals (Sweden)

Mansi Chaturvedi

2017-01-01

Full Text Available Background: India continues to contribute disproportionately to the global burden of disease and public health research output from India is also known to be not commensurate with her healthcare needs. We carried out the present study to assess if clinical trials were in line with the health care needs of the country by auditing the clinical trials registry of India. Materials and Methods: All the clinical studies registered in CTRI between July 20, 2007 and December 31, 2015 were searched in the “Trial Search” section. The total number of studies, their phases of development, and therapeutic areas were assessed. Trials in each therapeutic area was compared with the disease burden (DALYs in that area taken from Global Health Estimates [2014] Summary Tables of the WHO. The number of trials conducted per state in India was also compared with the population of that state [Census 2011]. Results: A total of 6474 studies were registered of which 3325 (51.4% were clinical trials. The state of Maharashtra had the highest number trials [16.4%] followed by Karnataka ( 11.6% and Tamil Nadu (10%. Populous states like Uttar Pradesh (5.3% and Bihar (1.4% had far fewer trials. The largest number of trials was in the area of cancer (16.4%, followed by diabetes (12.1% and cardiovascular diseases (10.1%. Infectious and parasitic diseases had the highest DALYs (82,681 and ranked first in disease burden but accounted for only 5% of the total trials and ranked 7th according to number of trials. Cancer ranked first in the number of trials (16.4%, but ranked 6th based on DALYs. Conclusion: Clinical trials conducted in India are not in consonance with her health care needs. Strengthening the capacity for conducting trials in the populous states and the north-eastern part of the country is necessary to allow a more equitable selection of participants. The government should introduce policies to encourage new drug development in areas where needed the most.

Need for Oral Health Policy in India | Gambhir | Annals of Medical ...

African Journals Online (AJOL)

Dental diseases are a significant public health menace having a substantial impact on the quality of life which in turn affects the daily performance and general life satisfaction. There is a vast difference in health status including the oral health between urban and rural population of India and in other developing countries.

The oil and gas equipment and services market in India

International Nuclear Information System (INIS)

2002-01-01

In terms of purchasing power, India represents the fourth largest economy in the world. In the year April 1, 2001-Mar 31, 2002, it was estimated that India had a 5.4 per cent growth in gross domestic product (GDP). Canada experienced a 19.9 per cent increase in exports to India in 2001, reaching 656 million dollars. With the world's six-largest energy consumption, oil demand in India is expected to grow to 179 million tonnes in 2006-2007, while the demand for natural gas is expected to reach 231 million cubic metres per day in the same period. To meet this growing demand, India will require investments in the order of 150 billion dollars over the next 10 to 12 years. The oil and gas industry is being opened to the private sector and foreign direct investment, due to new government policies on exploration, production, distribution, and sales. Foreign involvement in exploration, previously restricted to Indian state-owned firms, is now allowed through the New Exploration Licensing Policy. In exploration and production (E and P) activities, as well as the refinery sector, foreign ownership of up to 100 per cent is now allowed. Two Indian companies which dominate the Indian E and P sector, namely Oil and Natural Gas Corporation (ONGC) and Oil India Limited (OIL), will be upgrading their ageing infrastructure, purchasing new equipment and redeveloping existing oil and gas fields, thereby creating opportunities for the supply of equipment and services. Canadian companies possessing the latest technologies and services in exploration, drilling machinery and equipment, directional drilling services, production machinery and equipment, enhanced recovery services, deep-water drilling equipment and services, and equipment for coal methane E and P should benefit from these opportunities. Over 12,000 kilometres of pipelines are being planned across India, as well as private opportunities in the refinery sector which was opened to the private sector in April 2002. Occasional

India and Iran's nuclear issue: the three policy determinants

International Nuclear Information System (INIS)

Rajiv, S. Samuel C.

2011-01-01

Three broad policy determinants can be discerned in Indian reactions to the Iranian nuclear issue. These include: 'strategic autonomy' as it relates to Indian foreign policy decision making; concerns regarding 'regional strategic stability' as it relates to events in its 'proximate neighbourhood'; and 'national security' implications on account of operative clandestine proliferation networks. Issues relating to the role of the US in influencing Indian policy positions at international forums and vis-a-vis domestic policy were prominent as regards the first determinant. Threats and 'advice' by American policy makers and law makers on specific issues like the Indo-US nuclear deal and the Iran-Pakistan-India gas pipeline gave further grist to critics. However, an analysis of India's concerns regarding the other two policy considerations, i.e., strategic stability and national security were 'real and present' and also dominated public discourse as well. With India having become a non-permanent member of the UN Security Council from January 2011, it should be the task of Indian diplomacy, at the UNSC as well as at other bilateral and multilateral settings, to help expand the space for the application of 'satisfactory strategies' and reduce the range of 'unsatisfactory strategies'. (author)

Experiments to Enhance Public Real Estate in Italy: the Case of the FIP Fund

Directory of Open Access Journals (Sweden)

Andrea Ciaramella

2012-04-01

Full Text Available The Italian State’s real estate is involved in a boundary definition process which is still in progress. The experiments in process and the comparison between Public Administration and private operators often focus the debate on issues which relate to the financial instruments or the company vehicles which may be adopted. However, no enhancement is possible in the absence of an approach aimed at a precise knowledge of the characteristics of every individual building. The article summarizes the experiment of the most important public contribution investment fund achieved in Italy (Public Real Estate Investment Fund and demonstrates the complex technical and managerial activity necessary to regularise the real estate and which is indispensable for making the management company’s objectives feasible.

Chicago section activities to enhance public acceptance of nuclear power

International Nuclear Information System (INIS)

Snyder, T.L.; Keffer, J.W.

1992-01-01

The Chicago section of the American Nuclear Society (ANS) is an active organization with ∼450 members. The local section territory encompasses northern Illinois and includes in its territory all six of Commonwealth Edison Company's (CECo's) nuclear generating stations as well as Argonne National Laboratory (ANL). Included in the territory are several large engineering firms - ABB Impell, Bechtel, Fluor Daniel, and Sargent ampersand Lundy. The national headquarters of the ANS is also located within the local section boundaries. All these organizations are represented in the local section membership and provide access to abundant technical resources that can be used to enhance public acceptance of nuclear power. An important attribute of any local section that enables it to perform interesting programs and be active in the community is its financial resources. The Chicago section has a strong financial base because of its ability to raise funds by participating in and sponsoring ANS topical and other meetings. For instance, in 1991, they sponsored and were actively involved in the Emergency Preparedness Topical Meeting held in Chicago. In 1992, they were actively involved in sponsoring the organizational activities of the ANS/ENS International Meeting, which will celebrate the 50th year of nuclear fission. The financial and technical resources of the Chicago section continue to contribute to a successful program of public education and public acceptance activities regarding the nuclear industry

Indoor air quality scenario in India-An outline of household fuel combustion

Science.gov (United States)

Rohra, Himanshi; Taneja, Ajay

2016-03-01

Most of the research around the world has been on outdoor air pollution, but in India we have a more severe problem of Indoor Air Pollution (IAP). The foremost factor cited for is burning of fossil fuels for cooking. Among the 70% of the country's rural population, about 80% households rely on biomass fuel making India to top the list of countries with largest population lacking access to cleaner fuel for cooking. 4 million deaths and 5% disability-adjusted life-years is an upshot of exposure to IAP from unhealthy cooking making it globally the most critical environmental risk factor. India alone bears the highest burden (28% needless deaths) among developing countries. Moreover, about ¼ of ambient PM2.5 in the country comes from household cookfuels. These considerations have prompted the discussion of the present knowledge on the disastrous health effects of pollutants emitted by biomass combustion in India. Additionally, Particulate Matter as an indoor air pollutant is highlighted with main focus on its spatial temporal variation and some recent Indian studies are further explored. As there are no specific norms for IAP in India, urgent need has arisen for implementing the strategies to create public awareness. Moreover improvement in ventilation and modification in the pattern of fuel will also contribute to eradicate this national health issue.

Through the looking glass: placing India's new civil liability regime for nuclear damage in context

International Nuclear Information System (INIS)

Gruendel, Robert J.; Kini, Els Reynaers

2012-01-01

Until India adopted the Civil Liability for Nuclear Damage Act, 2010 (Liability Act) and the Civil Liability for Nuclear Damage Rules, 2011 (Liability Rules or Rules), no specific legislation was in place to govern nuclear liability or to compensate victims for damages due to a nuclear incident in India. Before delving into a more legal-technical analysis of the Liability Act and Rules (Part B), it is worth first briefly touching upon India's general energy situation, which necessarily influences India's policies, laws and negotiating strategies while also driving the significant business opportunities in the nuclear energy sector (Part A). Taking a look at India's energy sector today also underscores the sheer size of India's plans to build new nuclear power plants, which stands in dramatic contrast to the goals of many other countries. In this article, we will address the relationship of the Liability Act with the Convention on Supplementary Compensation for Nuclear Damage (CSC) (Part C), while also touching upon the current status of an Indian nuclear insurance pool (Part D) and discussing some recent domestic developments, including the filing of public interest litigations and amendments to the Liability Rules (Part E), before presenting some concluding thoughts (Part F)

A systematic review of population health interventions and Scheduled Tribes in India

Directory of Open Access Journals (Sweden)

Labonté Ronald

2010-07-01

Full Text Available Abstract Background Despite India's recent economic growth, health and human development indicators of Scheduled Tribes (ST or Adivasi (India's indigenous populations lag behind national averages. The aim of this review was to identify the public health interventions or components of these interventions that are effective in reducing morbidity or mortality rates and reducing risks of ill health among ST populations in India, in order to inform policy and to identify important research gaps. Methods We systematically searched and assessed peer-reviewed literature on evaluations or intervention studies of a population health intervention undertaken with an ST population or in a tribal area, with a population health outcome(s, and involving primary data collection. Results The evidence compiled in this review revealed three issues that promote effective public health interventions with STs: (1 to develop and implement interventions that are low-cost, give rapid results and can be easily administered, (2: a multi-pronged approach, and (3: involve ST populations in the intervention. Conclusion While there is a growing body of knowledge on the health needs of STs, there is a paucity of data on how we can address these needs. We provide suggestions on how to undertake future population health intervention research with ST populations and offer priority research avenues that will help to address our knowledge gap in this area.

Discriminating the biophysical impacts of coastal upwelling and mud banks along the southwest coast of India

Digital Repository Service at National Institute of Oceanography (India)

Karnan, C.; Jyothibabu, R.; Arunpandi, N.; Jagadeesan, L.; Muraleedharan, K.R.; Pratihary, A.K.; Balachandran, K.K.; Naqvi, S.W.A.

Coastal upwelling and mud banks are two oceanographic processes concurrently operating along certain stretches of the southwest (Kerala) coast of India during the Southwest Monsoon period (June-September), facilitating significant enhancement...

Using NASA Environmental Data to Enhance Public Health Decision Making

Science.gov (United States)

Al-Hamdan, Mohammad; Crosson, William; Economou, Sigrid; Estes, Maurice, Jr.; Estes, Sue; Hemmings, Sarah; Kent, Shia; Puckett, Mark; Quattrochi, Dale; Wade, Gina;

Differences in Attributions for Public and Private Face-to-face and Cyber Victimization Among Adolescents in China, Cyprus, the Czech Republic, India, Japan, and the United States.

Science.gov (United States)

Wright, Michelle F; Yanagida, Takuya; Aoyama, Ikuko; Dědková, Lenka; Li, Zheng; Kamble, Shanmukh V; Bayraktar, Fatih; Ševčíková, Anna; Soudi, Shruti; Macháčková, Hana; Lei, Li; Shu, Chang

2017-01-01

The authors' aim was to investigate gender and cultural differences in the attributions used to determine causality for hypothetical public and private face-to-face and cyber victimization scenarios among 3,432 adolescents (age range = 11-15 years; 49% girls) from China, Cyprus, the Czech Republic, India, Japan, and the United States, while accounting for their individualism and collectivism. Adolescents completed a questionnaire on cultural values and read four hypothetical victimization scenarios, including public face-to-face victimization, public cyber victimization, private face-to-face victimization, and private cyber victimization. After reading the scenarios, they rated different attributions (i.e., self-blame, aggressor-blame, joking, normative, conflict) according to how strongly they believed the attributions explained why victimization occurred. Overall, adolescents reported that they would utilize the attributions of self-blame, aggressor-blame, and normative more for public forms of victimization and face-to-face victimization than for private forms of victimization and cyber victimization. Differences were found according to gender and country of origin as well. Such findings underscore the importance of delineating between different forms of victimization when examining adolescents' attributions.

Natural Gas Exploration and Supply in India and the Prospects of a Bangladesh-to-India Pipeline

Energy Technology Data Exchange (ETDEWEB)

Rashid, Mamunur [Tokyo Institute of Technology (Japan)

2009-07-01

Energy consumption in India is growing very rapidly. India.s own existing as well as any new discoveries of natural gas revenues may meet only a fraction of its growing demand for energy. Hence, it will become more dependent on the global market for the supply of gas. But it is always difficult for different nations to reach a bilateral agreement on joint projects such as gas pipelines. India has been importing natural gas mostly in the form of Liquefied Natural Gas (LNG). But for the last two decades, it has shown an increasing interest in importing gas from international market by a pipeline. For example, it has planned to import natural gas from Iran, Myanmar, Bangladesh, and Turkmenistan via a pipeline. But India.s best option is to purchase gas from its neighbor Bangladesh via a pipeline. Union Oil of California (Unocal), a large investor in Bangladeshi gas, has proposed to build a pipeline, to sell the gas from its Bibiyana field. A Bangladesh-India pipeline potentially offers several socio-economic benefits. But the project, however, so far has made a little progress. Political issues attached to the project. If the Bangladeshi pipeline plan fails, India will turn other alternative options to meet its gas demand. India already has entered into agreement with International consortiums for LNG purchase. Furthermore, the country is also keen on increasing its effort to develop non-conventional sources in the near future. If these alternatives become viable, India.s demand for and dependence on foreign natural gas will decrease and natural gas (of Bangladesh, for example) might lose some of its value. Keywords: Natural gas exploration and supply in India and Bangladesh, Bangladesh-to-India pipeline, Unocal, natural gas import, market, politics, LNG, non-conventional hydrocarbon sources.

India's Unfinished Telecom Tasks

Indian Academy of Sciences (India)

India's Telecom Story is now well known · Indian Operators become an enviable force · At the same time · India Amongst the Leaders · Unfinished Tasks as Operators · LightGSM ON: Innovation for Rural Area from Midas · Broadband Access Options for India · Broadband driven by DSL: still too slow · Is Wireless the answer?

Gastroenterology training in private hospitals: India vs South Africa

Science.gov (United States)

Mulder, Chris Jacob Johan; Puri, Amarender Singh; Reddy, Duvvur Nageshwar

2010-01-01

In South Africa, nurses and doctors are emigrating in significant numbers. Job satisfaction, safety and ensuring career progression are important in retaining doctors to make a career in Republic of South Africa (RSA). Due to budgetary constraints many hospitals have not been upgraded. Coming home after overseas training seems difficult. In RSA it takes a minimum of 13 years for a young specialist to become registered and 15 years for subspecialists. Career progression, creating more specialist trainees in public and private hospitals and shortening the period of professional training are potential solutions to the problem. India, which has a population of more than 1 billion people, is struggling with similar problems. For the past 10-15 years, private hospitals have assisted in manpower development for medical specialist and subspecialist careers. Currently their private sector trains 60% of their recognised (sub)specialities fellows. A national task force for specialist training in RSA should be instituted. It should discuss, based on the current status and projected specialist and subspecialist personnel requirements, the future structure and logistics of training needs. This is required in all subspecialities including gastroenterology, as has been done in India. It is hoped that as a consequence well-trained doctors, similar to those in India, might move to provincial hospitals in rural areas, upgrading the medical services and keeping medical power in South Africa. South Africa should become a model for Sub-Saharan Africa, as India already is for South-East Asia. PMID:20180232

Influencing public health without authority.

Science.gov (United States)

Suresh, K

2012-01-01

This paper analyzes the present processes, products and needs of post-graduate public health education for the health programming, implementation and oversight responsibilities at field level and suggests some solutions for the institutes to adopt or adapt for improving the quality of their scholars. Large number of institutions has cropped up in India in the recent years to meet the growing demand of public health specialists/practitioners in various national health projects, international development partners, national and international NGOs. Throwing open MPH courses to multi-disciplinary graduate's is a new phenomenon in India and may be a two edged sword. On one hand it is advantageous to produce multi-faceted Public health postgraduates to meet the multi tasking required, on the other hand getting all of them to a common basic understanding, demystifying technical teaching and churning out products that are acceptable to the traditional health system. These Institutions can and must influence public health in the country through producing professionals of MPH/ MD degree with right attitude and skill-mix. Engaging learners in experimentation, experience sharing projects, stepping into health professionals' roles and similar activities lead to development of relatively clear and permanent neural traces in the brain. The MPH institutes may not have all efficient faculties, for which they should try to achieve this by inviting veterans in public health and professionals from corporate health industry for interface with students on a regular basis. The corporate and public health stalwarts have the capacities to transmit the winning skills and knowledge and also inspire them to adopt or adapt in order to achieve the desired goals.

Adaptation and Evaluation of the Neighborhood Environment Walkability Scale in India (NEWS-India

Directory of Open Access Journals (Sweden)

Deepti Adlakha

2016-04-01

Full Text Available Physical inactivity is the fourth leading risk factor for global mortality, with most of these deaths occurring in low and middle-income countries (LMICs like India. Research from developed countries has consistently demonstrated associations between built environment features and physical activity levels of populations. The development of culturally sensitive and reliable measures of the built environment is a necessary first step for accurate analysis of environmental correlates of physical activity in LMICs. This study systematically adapted the Neighborhood Environment Walkability Scale (NEWS for India and evaluated aspects of test-retest reliability of the adapted version among Indian adults. Cultural adaptation of the NEWS was conducted by Indian and international experts. Semi-structured interviews were conducted with local residents and key informants in the city of Chennai, India. At baseline, participants (N = 370; female = 47.2% from Chennai completed the adapted NEWS-India surveys on perceived residential density, land use mix-diversity, land use mix-access, street connectivity, infrastructure and safety for walking and cycling, aesthetics, traffic safety, and safety from crime. NEWS-India was administered for a second time to consenting participants (N = 62; female = 53.2% with a gap of 2–3 weeks between successive administrations. Qualitative findings demonstrated that built environment barriers and constraints to active commuting and physical activity behaviors intersected with social ecological systems. The adapted NEWS subscales had moderate to high test-retest reliability (ICC range 0.48–0.99. The NEWS-India demonstrated acceptable measurement properties among Indian adults and may be a useful tool for evaluation of built environment attributes in India. Further adaptation and evaluation in rural and suburban settings in India is essential to create a version that could be used throughout India.

Consolidating indigenous capability for PHWR fuel manufacturing in India

Energy Technology Data Exchange (ETDEWEB)

Jayaraj, R.N., E-mail: cenfc@nfc.gov.in [Nuclear Fuel Complex, Dept. of Atomic Energy, Government of India, Hyderabad (India)

2010-07-01

Since inception of Nuclear Power Programme in India greater emphasis was laid on total self- reliance in Fuel manufacturing. For Pressurized Heavy Water Reactors (PHWRs), which forms a base for the first stage of the programme, an integrated approach was adopted encompassing different areas of expertise -Design, Construction and Operation of PHWRs; Heavy Water production and Fuel Design and Manufacturing technologies. For the first PHWR constructed about 35 years back with the Canadian collaboration, known as Rajasthan Atomic Power Station (RAPS), half the core requirement of fuel was met from the fuel manufactured for the first time in India. Since then the fuel production capabilities were enhanced by setting up an industrial scale fuel manufacturing facility - Nuclear Fuel Complex (NFC) at Hyderabad, India during early '70s. NFC has been continuously expanding its capacities to meet the fuel demand of all the PHWRs constructed and operated by Nuclear Power Corporation of India Limited (NPCIL). Presently, fifteen PHWR 220 MWe units and two PHWR 540 MWe units are in operation and one more PHWR 220 MWe unit is in advanced stage of commissioning in India. While continuously engaged in the manufacture of fuel for these reactors, NFC has been upgrading the production lines with new processes and quality assurance systems. In order to multiply the production capacities, NFC has embarked on developing indigenous capability for design and building of special purpose process equipment for Uranium dioxide powder production, pelletisation and final assembly operations. Some of the equipment having state-of-the-art features includes dryers/furnaces for UO{sub 2} powder, presses/ sintering furnaces for pelletisation and resistance welding equipment/ machining stations for assembly operations. In addition, several campaigns were taken over the years for manufacturing PHWR fuel bundles containing reprocessed Uranium, Thoria and slightly enriched Uranium. The paper

Consolidating indigenous capability for PHWR fuel manufacturing in India

International Nuclear Information System (INIS)

Jayaraj, R.N.

2010-01-01

Since inception of Nuclear Power Programme in India greater emphasis was laid on total self- reliance in Fuel manufacturing. For Pressurized Heavy Water Reactors (PHWRs), which forms a base for the first stage of the programme, an integrated approach was adopted encompassing different areas of expertise -Design, Construction and Operation of PHWRs; Heavy Water production and Fuel Design and Manufacturing technologies. For the first PHWR constructed about 35 years back with the Canadian collaboration, known as Rajasthan Atomic Power Station (RAPS), half the core requirement of fuel was met from the fuel manufactured for the first time in India. Since then the fuel production capabilities were enhanced by setting up an industrial scale fuel manufacturing facility - Nuclear Fuel Complex (NFC) at Hyderabad, India during early '70s. NFC has been continuously expanding its capacities to meet the fuel demand of all the PHWRs constructed and operated by Nuclear Power Corporation of India Limited (NPCIL). Presently, fifteen PHWR 220 MWe units and two PHWR 540 MWe units are in operation and one more PHWR 220 MWe unit is in advanced stage of commissioning in India. While continuously engaged in the manufacture of fuel for these reactors, NFC has been upgrading the production lines with new processes and quality assurance systems. In order to multiply the production capacities, NFC has embarked on developing indigenous capability for design and building of special purpose process equipment for Uranium dioxide powder production, pelletisation and final assembly operations. Some of the equipment having state-of-the-art features includes dryers/furnaces for UO 2 powder, presses/ sintering furnaces for pelletisation and resistance welding equipment/ machining stations for assembly operations. In addition, several campaigns were taken over the years for manufacturing PHWR fuel bundles containing reprocessed Uranium, Thoria and slightly enriched Uranium. The paper summarises

Development of medical writing in India: Past, present and future

Science.gov (United States)

Sharma, Suhasini

2017-01-01

Pharmaceutical medical writing has grown significantly in India in the last couple of decades. It includes preparing regulatory, safety, and publication documents as well as educational and communication material related to health and health-care products. Medical writing requires medical understanding, knowledge of drug development and the regulatory and safety domains, understanding of research methodologies, and awareness of relevant regulations and guidelines. It also requires the ability to analyze, interpret, and present biomedical scientific data in the required format and good writing skills. Medical writing is the fourth most commonly outsourced clinical development activity, and its global demand has steadily increased due to rising cost pressures on the pharmaceutical industry. India has the unique advantages of a large workforce of science graduates and medical professionals trained in English and lower costs, which make it a suitable destination for outsourcing medical writing services. However, the current share of India in global medical writing business is very small. This industry in India faces some real challenges, such as the lack of depth and breadth in domain expertise, inadequate technical writing skills, high attrition rates, and paucity of standardized training programs as well as quality assessment tools. Focusing our time, attention, and resources to address these challenges will help the Indian medical writing industry gain its rightful share in the global medical writing business. PMID:28194338

Nuclear policy for India

International Nuclear Information System (INIS)

Kaushik, B.M.

1977-01-01

Changes in India's nuclear policy from time to time are discussed. Though firmly wedded to the principle of peaceful uses of nuclear energy, India did not sign in 1965 the NPT as it discriminated between nuclear weapons powers and non-nuclear weapon powers as regards the safeguards. India wanted to keep open the option of conducting peaceful nuclear explosions (PNEs). In May 1974, India did conduct a PNE which, however, resulted into the stoppage of Canadian aid for India's nuclear power programme and created difficulties in obtaining enriched uranium for the Tarapur Atomic Power Station from the U.S.. The new Indian Government formed after the March 1977 general electtions has endorsed the earlier government's policy of opposing manufacture of nuclear weapons and has gone a step further by declearing 'If it (PNE) not necessary it should never be done'. (M.G.B.)

Evaluating the potential of concentrating solar power generation in Northwestern India

International Nuclear Information System (INIS)

Purohit, Ishan; Purohit, Pallav; Shekhar, Shashaank

2013-01-01

To accelerate the decarburization in the Indian power sector, concentrating solar power (CSP) needs to play an important role. CSP technologies have found significant space in the Jawaharlal Nehru National Solar Mission (JNNSM) of the Indian government in which 20,000 MW grid connected solar power projects have been targeted by 2022 with 50% capacity for CSP. In this study a preliminary attempt has been made to assess the potential of CSP generation in the Northwestern (NW) regions of India; which seems a high potential area as it has the highest annual solar radiation in India, favorable meteorological conditions for CSP and large amount of waste land. The potential of CSP systems in NW India is estimated on the basis of a detailed solar radiation and land resource assessment. The energy yield exercise has been carried out for the representative locations using System Advisor Model for four commercially available CSP technologies namely Parabolic Trough Collector (PTC), Central receiver system (CRS), Linear Fresnel Reflector (LFR) and Parabolic Dish System (PDS). The financial viability of CSP systems at different locations in NW India is also analyzed in this study. On the basis of a detailed solar radiation and land resource assessment, the maximum theoretical potential of CSP in NW India is estimated over 2000 GW taking into accounts the viability of different CSP technologies and land suitability criteria. The technical potential is estimated over 1700 GW at an annual direct normal incidence (DNI) over 1800 kW h/m 2 and finally, the economic potential is estimated over 700 GW at an annual DNI over 2000 kW h/m 2 in NW India. It is expected that in near future locations with lower DNI values could also become financially feasible with the development of new technologies, advancement of materials, economy of scale, manufacturing capability along with the enhanced policy measures etc. With an annual DNI over 1600 kW h/m 2 it is possible to exploit over 2000 GW CSP

‘Needs’ Based Development to ‘Desired’ Development: Locating the Freudian Idea in Social and Economic Development of Tribals after the New Economic Reforms in India

Directory of Open Access Journals (Sweden)

Bhabani Shankar Nayak

2013-06-01

Full Text Available This paper is an attempt to study tribal development in India where the tribals are not only marginalized but also dispossessed in the process of economic reforms in India. A massive transformation is taking place in the tribal societies in India where a need based self-sufficient society is being transformed into a desired based consumer society. The process is accelerated by the neoliberal public policies in India that promotes the idea of ‘desired development’. In a way, this article is trying to document the nature of change in the tribal society which has traveled from ‘need’ based development to ‘desired’ development in the planning for tribal development. In this process of transition, we are trying to locate the Freudian idea in tribal development planning in India that is putting tribals under durable poverty, underdevelopment and marginalization. Hence, this paper seeks to contextualise the transformation in the ‘logic’ of public and corporate socio-economic development programmes implemented amongst tribal groups in India within the broader changes that have characterised the gradual and sometimes fraught transitions in capitalist social relations.

[History of acupuncture in India].

Science.gov (United States)

Bai, Xinghua

India and China are both featured with ancient civilization. During the communication between the two countries, the communication from Indian culture, especially Buddhism, to China was predominant, while communication from Chinese culture to India was rare. So it was with medical communication until the end of 1950s when acupuncture was introduced to India. In this article, the medical communication between India and China as well as the introduction of acupuncture to India were discussed, and the resulting phenomenon was analyzed. The introduction of acupuncture to India proved personnel exchange was not necessary to acupuncture communication, and several invisible factors, such as language, religion and culture tradition might be the reasons for foreign nations to accept acupuncture. Therefore, these factors should be valued in the future international communication of acupuncture.

Can evidence-based health policy from high-income countries be applied to lower-income countries: considering barriers and facilitators to an organ donor registry in Mumbai, India.

Science.gov (United States)

Vania, Diana K; Randall, Glen E

2016-01-13

Organ transplantation has become an effective means to extend lives; however, a major obstacle is the lack of availability of cadaveric organs. India has one of the lowest cadaver organ donation rates in the world. If India could increase the donor rate, the demand for many organs could be met. Evidence from high-income countries suggests that an organ donor registry can be a valuable tool for increasing donor rates. The purpose of this study is to determine whether the implementation of an organ donor registry is a feasible and appropriate policy option to enhance cadaver organ donation rates in a lower-income country. This qualitative policy analysis employs semi-structured interviews with physicians, transplant coordinators, and representatives of organ donation advocacy groups in Mumbai. Interviews were designed to better understand current organ donation procedures and explore key informants' perceptions about Indian government health priorities and the likelihood of an organ donor registry in Mumbai. The 3-i framework (ideas, interests, and institutions) is used to examine how government decisions surrounding organ donation policies are shaped. Findings indicate that organ donation in India is a complex issue due to low public awareness, misperceptions of religious doctrines, the need for family consent, and a nation-wide focus on disease control. Key informants cite social, political, and infrastructural barriers to the implementation of an organ donor registry, including widely held myths about organ donation, competing health priorities, and limited hospital infrastructure. At present, both the central government and Maharashtra state government struggle to balance international pressures to improve overall population health with the desire to also enhance individual health. Implementing an organ donor registry in Mumbai is not a feasible or appropriate policy option in India's current political and social environment, as the barriers, identified through

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International Development Research Centre (IDRC) Digital Library (Canada)

Results 631 - 640 of 6342 ... ... Health, Information and Communication, Natural Resources, Gender ... The post-2015 global agenda must prioritize equality, quality and ... Interlinkages of health and the environment are particularly ... To reduce undernutrition in India, significant reform in public policy interventions is required.

India's nuclear security

International Nuclear Information System (INIS)

Thomas, Raju G.C.; Gupta, Amit

2000-01-01

The nuclear weapons and ballistic missile tests conducted by India and Pakistan in the late 1990s substantially altered the security environment, both in the region and globally. Examining the complexities, and dynamics of this new strategic context, this timely and significant book examines the claim of many Indian strategists that stability in the region is better served under conditions of declared-rather than covertly developed-nuclear weapons. Bringing together original essays by a diverse group of scholars, this volume discusses a number of important issues such as: the political considerations that caused India and Pakistan to go nuclear; the type of nuclear doctrine that is likely to emerge and its implications for the safety of nuclear weapons, the potential for an arms race in the region, and the likelihood of war; the political and economic consequences for India after Pokhran-II and the impact of economic sanctions; the technological ramifications of the nuclear program on India's defence science scenario; the impact of these tests on the future of India's relationship with the United States, the main bulwark against nuclear weapons proliferation, also, the changed role that India sees for itself in international fora; the possible arms control measures that might succeed in stabilizing the South Asian nuclear rivalry. This insightful, comprehensive and topical volume is a must-read for all those in the fields of political science, international relations, strategic affairs, conflict/peace studies, economics, and policy studies

India's nuclear program

International Nuclear Information System (INIS)

Anon.

1992-01-01

India made an early commitment to being as self-sufficient as possible in nuclear energy and has largely achieved that goal. The country operates eight nuclear reactors with a total capacity of 1,304 MWe, and it remains committed to an aggressive growth plan for its nuclear industry, with six reactors currently under construction, and as many as twelve more planned. India also operates several heavy water production facilities, fabrication facilities, reprocessing works, and uranium mines and mills. Due to India's decision not to sign the Treaty on the Non-Proliferation of Nuclear Weapons (NPT), the country has had to develop nearly all of its nuclear industry and infrastructure domestically. Overall, India's nuclear power program is self-contained and well integrated, with plans to expand to provide up to ten percent of the country's electrical generating capacity

Molecular epidemiology and genetic diversity of Orientia tsutsugamushi from patients with scrub typhus in 3 regions of India.

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Varghese, George M; Janardhanan, Jeshina; Mahajan, Sanjay K; Tariang, David; Trowbridge, Paul; Prakash, John A J; David, Thambu; Sathendra, Sowmya; Abraham, O C

2015-01-01

Scrub typhus, an acute febrile illness that is widespread in the Asia-Pacific region, is caused by the bacterium Orientia tsutsugamushi, which displays high levels of antigenic variation. We conducted an investigation to identify the circulating genotypes of O. tsutsugamushi in 3 scrub typhus-endemic geographic regions of India: South India, Northern India, and Northeast India. Eschar samples collected during September 2010-August 2012 from patients with scrub typhus were subjected to 56-kDa type-specific PCR and sequencing to identify their genotypes. Kato-like strains predominated (61.5%), especially in the South and Northeast, followed by Karp-like strains (27.7%) and Gilliam and Ikeda strains (2.3% each). Neimeng-65 genotype strains were also observed in the Northeast. Clarifying the genotypic diversity of O. tsutsugamushi in India enhances knowledge of the regional diversity among circulating strains and provides potential resources for future region-specific diagnostic studies and vaccine development.

Cost of delivering secondary-level health care services through public sector district hospitals in India

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Shankar Prinja

2017-01-01

Interpretation & conclusions: The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India.

An overview of radon and thoron research in India

International Nuclear Information System (INIS)

Ramola, R.C.

2015-01-01

An overview of radon and thoron research in India is presented in this paper. World Health Organisation along with ICRP and UNSCEAR has identified radon as the second cause of lung cancer after smoking. Apart from the health effects of radon, it has also played a role in many scientific areas such as radiotherapy, meteorology and geophysics. Radon has been studied in India by various research groups for its environmental and geophysical applications. The findings of various research groups show that there is a basis to enhance radon and thoron research and practice in the country. To be more efficient, these activities need collaboration with various authorities of the country and with international teams working in the field. Major achievements in radon and thoron research in the country accomplished in the past three decades are highlighted here. (author)

Development of the Information Technology Sector in India: the Role of Government

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Inna S. Ashmyanskaya

2014-01-01

Full Text Available In the article the author analyses the role of government in developing the information technology sector in India, specifically its influence on the three factors that determine the development of the information technology sector: human resources, launch capital and infrastructure. By developing these factors, the Indian government has succeeded in prompt formation and promotion of the information technology sector. The development of human capital is mainly realized by developing public education programs. The establishment of close ties with the Indian diaspora played a crucial role. The diaspora acted as a link for transmission to India of expertise, investment and knowledge. The availability of start-up capital, especially venture capital, is another essential component for the success of the national information technology sector. The conditions created by a government for the development of the institution of venture investment in the country will be of fundamental importance. Thanks to the measures taken by the government of India, venture capital investment has become the main form of financing for start-ups in the information technology sector in India. Developed infrastructure is also an important factor in the development of the information technology sector. In India, a developing country with a vast territory, there was a problem of infrastructure development, and software technology parks became a solution to this problem for companies in the information technology sector. Over the past 20 years, software technology parks in India has evolved so that industrial parks created almost 50% of the total exports of the IT sector in India. The demonstrated state policy can be characterized as the model of state technological entrepreneurship according to which the Indian government played the roles of regulator, producer and promoter in the information technology sector and continues to do so until the present day.

Empirical study on the feasibility of measures for public self-protection capability enhancement

International Nuclear Information System (INIS)

Goersch, Henning G.; Werner, Ute

2011-01-01

The empirical study on the feasibility of measures for public self-protection capability enhancement covers the following issues with several sections: (1) Introduction: scope of the study; structure of the study. (2) Issue coherence: self-protection; reduction and prevention of damage by personal emergency preparedness, personal emergency preparedness in Germany. (3) Solution coherence: scientific approaches, development of practical problem solution approaches, proposal of a promotion system. (4) Empirical studies: Promotion system evaluation by experts; questioning of the public; Delphi-study on minimum standards in emergency preparedness; local networks in emergency preparedness. (5) Evaluation of models for personal emergency preparedness (M3P). (6) Integration of all research results into the approach of emergency preparedness: scope; recommendations, conclusions.

Enhancing crisis leadership in public health emergencies.

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Deitchman, Scott

2013-10-01

Reviews of public health emergency responses have identified a need for crisis leadership skills in health leaders, but these skills are not routinely taught in public health curricula. To develop criteria for crisis leadership in public health, published sources were reviewed to identify attributes of successful crisis leadership in aviation, public safety, military operations, and mining. These sources were abstracted to identify crisis leadership attributes associated with those disciplines and compare those attributes with crisis leadership challenges in public health. Based on this review, the following attributes are proposed for crisis leadership in public health: competence in public health science; decisiveness with flexibility; ability to maintain situational awareness and provide situational assessment; ability to coordinate diverse participants across very different disciplines; communication skills; and the ability to inspire trust. Of these attributes, only competence in public health science is currently a goal of public health education. Strategies to teach the other proposed attributes of crisis leadership will better prepare public health leaders to meet the challenges of public health crises.

A Public Finance Perspective on Climate Policy: Six Interactions That May Enhance Welfare

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Siegmeier, Jan; Mattauch, Linus; Franks, Max; Klenert, David; Schultes, Anselm; Edenhofer, Ottmar

2015-01-01

Climate change economics mostly neglects sizeable interactions of carbon pricing with other fiscal policy instruments. Conversely, public finance typically overlooks the effects of future decarbonization efforts when devising instruments for the major goals of fiscal policy. We argue that such a compartmentalisation is undesirable: policy design taking into account such interdependencies may enhance welfare and change the distribution of mitigation costs within and across generations. This cl...

Enhancing Evidence-Based Public Health Policy: Developing and Using Policy Narratives.

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Troy, Lisa M; Kietzman, Kathryn G

2016-06-01

Academic researchers and clinicians have a critical role in shaping public policies to improve the health of an aging America. Policy narratives that pair personal stories with research statistics are a powerful tool to share knowledge generated in academic and clinical settings with policymakers. Effective policy narratives rely on a trustworthy and competent narrator and a compelling story that highlights the personal impact of policies under consideration and academic research that bolsters the story. Awareness of the cultural differences in the motivations, expectations, and institutional constraints of academic researchers and clinicians as information producers and U.S. Congress and federal agencies as information users is critical to the development of policy narratives that impact policy decisions. The current article describes the development and use of policy narratives to bridge cultures and enhance evidence-based public health policies that better meet the needs of older adults. [Journal of Gerontological Nursing, 42(6), 11-17.]. Copyright 2016, SLACK Incorporated.

Birth of plant proteomics in India: a new horizon.

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Narula, Kanika; Pandey, Aarti; Gayali, Saurabh; Chakraborty, Niranjan; Chakraborty, Subhra

2015-09-08

In the post-genomic era, proteomics is acknowledged as the next frontier for biological research. Although India has a long and distinguished tradition in protein research, the initiation of proteomics studies was a new horizon. Protein research witnessed enormous progress in protein separation, high-resolution refinements, biochemical identification of the proteins, protein-protein interaction, and structure-function analysis. Plant proteomics research, in India, began its journey on investigation of the proteome profiling, complexity analysis, protein trafficking, and biochemical modeling. The research article by Bhushan et al. in 2006 marked the birth of the plant proteomics research in India. Since then plant proteomics studies expanded progressively and are now being carried out in various institutions spread across the country. The compilation presented here seeks to trace the history of development in the area during the past decade based on publications till date. In this review, we emphasize on outcomes of the field providing prospects on proteomic pathway analyses. Finally, we discuss the connotation of strategies and the potential that would provide the framework of plant proteome research. The past decades have seen rapidly growing number of sequenced plant genomes and associated genomic resources. To keep pace with this increasing body of data, India is in the provisional phase of proteomics research to develop a comparative hub for plant proteomes and protein families, but it requires a strong impetus from intellectuals, entrepreneurs, and government agencies. Here, we aim to provide an overview of past, present and future of Indian plant proteomics, which would serve as an evaluation platform for those seeking to incorporate proteomics into their research programs. This article is part of a Special Issue entitled: Proteomics in India. Copyright © 2015 Elsevier B.V. All rights reserved.

Clinical trials in dentistry in India: Analysis from trial registry.

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Gowri, S; Kannan, Sridharan

2017-01-01

Evidence-based practice requires clinical trials to be performed. In India, if any clinical trial has to be performed, it has to be registered with clinical trial registry of India. Studies have shown that the report of clinical trials is poor in dentistry. Hence, the present study has been conducted to assess the type and trends of clinical trials being undertaken in dentistry in India over a span of 6 years. All the clinical trials which were registered with the Central Trial Registry of India (CTRI) (www.ctri.nic.in) from January 1, 2007 to March 3, 2014 were evaluated using the keyword "dental." Following information were collected for each of the clinical trials obtained from the search; number of centres (single center/multicentric), type of the institution undertaking the research (government/private/combined), study (observational/interventional), study design (randomized/single blinded/double-blinded), type of health condition, type of participants (healthy/patients), sponsors (academia/commercial), phase of clinical trial (Phase 1/2/3/4), publication details (published/not published), whether it was a postgraduate thesis or not and prospective or retrospective registration of clinical trials, methodological quality (method of randomization, allocation concealment). Descriptive statistics was used for analysis of various categories. Trend analysis was done to assess the changes over a period of time. The search yielded a total of 84 trials of which majority of them were single centered. Considering the study design more than half of the registered clinical trials were double-blinded (47/84 [56%]). With regard to the place of conducting a trial, most of the trials were planned to be performed in private hospitals (56/84 [66.7%]). Most (79/84, 94.1%) of the clinical trials were interventional while only 5/84 (5.9%) were observational. Majority (65/84, 77.4%) of the registered clinical trials were recruiting patients while the rest were being done in healthy

Regulatory and administrative requirements for practice of nuclear medicine in India

International Nuclear Information System (INIS)

Tandon, Pankaj

1998-01-01

In order to ensure safety of the patients, staff and public in the practice of nuclear medicine, including in-vivo diagnostic investigations, radionuclide therapy and in research using unsealed radioactive substances a number of administrative and regulatory procedures are adopted. The salient features of regulatory and administrative requirements for practice of nuclear medicine in India are discussed

Management of childhood diarrhea among private providers in Uttar Pradesh, India

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Christa L. Fisher Walker

2016-06-01

Full Text Available In Uttar Pradesh (UP, India, a new initiative to introduce zinc and reinvigorate ORS for diarrhea treatment in the public and private sectors was rolled out in selected districts. We conducted an external evaluation of the program that included assessing the knowledge and practices of private sector providers 6 months after the initial program rollout.

Is it Right Time to Introduce Mumps Vaccine in Indias Universal Immunization Program?

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Vaidya, S R; Hamde, V S

2016-06-08

Measles, mumps and rubella are vaccine preventable diseases. However, morbidity and mortality due to these diseases remain largely unnoticed in India. Measles has received much attention; mumps and rubella still need to garner attention. According to the World Health Organization, near-elimination of mumps could be achieved by maintaining high vaccine coverage using a two-dose strategy. However, Government of India has not yet decided on mumps vaccine. In this review, we have reviewed sero-prevalence studies, vaccine studies, outbreak investigations, virus isolation and virus genotyping studies on mumps. Overall, mumps seems to be a significant public health problem in India, but does not garner attention due to the absence of a surveillance and documentation system. Thus, inclusion of mumps antigen in the Universal immunization program would have added advantages, the economic burden imposed by the cost of the vaccine offset by a reduction in disease burden.

Enhancing the discussion of alternatives in EIA using principle component analysis leads to improved public involvement

International Nuclear Information System (INIS)

Kamijo, Tetsuya; Huang, Guangwei

2017-01-01

The purpose of this study is to show the effectiveness of principle component analysis (PCA) as a method of alternatives analysis useful for improving the discussion of alternatives and public involvement. This study examined public consultations by applying quantitative text analysis (QTA) to the minutes of meetings and showed a positive correlation between the discussion of alternatives and the sense of public involvement. The discussion of alternatives may improve public involvement. A table of multiple criteria analysis for alternatives with detailed scores may exclude the public from involvement due to the general public's limited capacity to understand the mathematical algorithm and to process too much information. PCA allowed for the reduction of multiple criteria down to a small number of uncorrelated variables (principle components), a display of the merits and demerits of the alternatives, and potentially made the identification of preferable alternatives by the stakeholders easier. PCA is likely to enhance the discussion of alternatives and as a result, lead to improved public involvement.

Essays in development economics and public finance

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Hoseini, Mohammad

2015-01-01

This dissertation studies a range of topics in development economics and public finance. The first two chapters contain empirical studies on India addressing the impact of financial development on poverty and informality. Using time and state-level variation across Indian states, the first study

Association between tobacco use and body mass index in urban Indian population: implications for public health in India

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Shukla Heema C

2006-03-01

Full Text Available Abstract Background Body mass index [BMI, weight (kg/height (m2], a measure of relative weight, is a good overall indicator of nutritional status and predictor of overall health. As in many developing countries, the high prevalence of very low BMIs in India represents an important public health risk. Tobacco, smoked in the form of cigarettes or bidis (handmade by rolling a dried rectangular piece of temburni leaf with 0.15–0.25 g of tobacco or chewed, is another important determinant of health. Tobacco use also may exert a strong influence on BMI. Methods The relationship between very low BMI (2 and tobacco use was examined using data from a representative cross-sectional survey of 99,598 adults (40,071 men and 59,527 women carried out in the city of Mumbai (formerly known as Bombay in western India. Participants were men and women aged ≥ 35 years who were residents of the main city of Mumbai. Results All forms of tobacco use were associated with low BMI. The prevalence of low BMI was highest in bidi-smokers (32% compared to 13% in non-users. For smokers, the adjusted odds ratio (OR and 95% confidence interval (CI were OR = 1.80(1.65 to 1.96 for men and OR = 1.59(1.09 to 2.32 for women, respectively, relative to non-users. For smokeless tobacco and mixed habits (smoking and smokeless tobacco, OR = 1.28(1.19 to 1.38 and OR = 1.83(1.67 to 2.00 for men and OR = 1.50(1.43 to 1.59 and OR = 2.19(1.90 to 3.41 for women, respectively. Conclusion Tobacco use appears to be an independent risk factor for low BMI in this population. We conclude that in such populations tobacco control research and interventions will need to be conducted in concert with nutrition research and interventions in order to improve the overall health status of the population.

Health systems research in the time of health system reform in India: a review.

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Rao, Krishna D; Arora, Radhika; Ghaffar, Abdul

2014-08-09

Research on health systems is an important contributor to improving health system performance. Importantly, research on program and policy implementation can also create a culture of public accountability. In the last decade, significant health system reforms have been implemented in India. These include strengthening the public sector health system through the National Rural Health Mission (NRHM), and expansion of government-sponsored insurance schemes for the poor. This paper provides a situation analysis of health systems research during the reform period. We reviewed 9,477 publications between 2005 and 2013 in two online databases, PubMed and IndMED. Articles were classified according to the WHO classification of health systems building blocks. Our findings indicate the number of publications on health systems progressively increased every year from 92 in 2006 to 314 in 2012. The majority of papers were on service delivery (40%), with fewer on information (16%), medical technology and vaccines (15%), human resources (11%), governance (5%), and financing (8%). Around 70% of articles were lead by an author based in India, the majority by authors located in only four states. Several states, particularly in eastern and northeastern India, did not have a single paper published by a lead author located in a local institution. Moreover, many of these states were not the subject of a single published paper. Further, a few select institutions produced the bulk of research. Of the foreign author lead papers, 77% came from five countries (USA, UK, Canada, Australia, and Switzerland). The growth of published research during the reform period in India is a positive development. However, bulk of this research is produced in a few states and by a few select institutions Further strengthening health systems research requires attention to neglected health systems domains like human resources, financing, and governance. Importantly, research capacity needs to be strengthened in

Social sector expenditure and child mortality in India: a state-level analysis from 1997 to 2009.

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Susanna M Makela

Full Text Available BACKGROUND: India is unlikely to meet the Millennium Development Goal for child mortality. As public policy impacts child mortality, we assessed the association of social sector expenditure with child mortality in India. METHODS AND FINDINGS: Mixed-effects regression models were used to assess the relationship of state-level overall social sector expenditure and its major components (health, health-related, education, and other with mortality by sex among infants and children aged 1-4 years from 1997 to 2009, adjusting for potential confounders. Counterfactual models were constructed to estimate deaths averted due to overall social sector increases since 1997. Increases in per capita overall social sector expenditure were slightly higher in less developed than in more developed states from 1997 to 2009 (2.4-fold versus 2-fold, but the level of expenditure remained 36% lower in the former in 2009. Increase in public expenditure on health was not significantly associated with mortality reduction in infants or at ages 1-4 years, but a 10% increase in health-related public expenditure was associated with a 3.6% mortality reduction (95% confidence interval 0.2-6.9% in 1-4 years old boys. A 10% increase in overall social sector expenditure was associated with a mortality reduction in both boys (6.8%, 3.5-10.0% and girls (4.1%, 0.8-7.5% aged 1-4 years. We estimated 119,807 (95% uncertainty interval 53,409-214,662 averted deaths in boys aged 1-4 years and 94,037 (14,725-206,684 in girls in India in 2009 that could be attributed to increases in overall social sector expenditure since 1997. CONCLUSIONS: Further reduction in child mortality in India would be facilitated if policymakers give high priority to the social sector as a whole for resource allocation in the country's 5-year plan for 2012-2017, as public expenditure on health alone has not had major impact on reducing child mortality.

Social sector expenditure and child mortality in India: a state-level analysis from 1997 to 2009.

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Makela, Susanna M; Dandona, Rakhi; Dilip, T R; Dandona, Lalit

2013-01-01

India is unlikely to meet the Millennium Development Goal for child mortality. As public policy impacts child mortality, we assessed the association of social sector expenditure with child mortality in India. Mixed-effects regression models were used to assess the relationship of state-level overall social sector expenditure and its major components (health, health-related, education, and other) with mortality by sex among infants and children aged 1-4 years from 1997 to 2009, adjusting for potential confounders. Counterfactual models were constructed to estimate deaths averted due to overall social sector increases since 1997. Increases in per capita overall social sector expenditure were slightly higher in less developed than in more developed states from 1997 to 2009 (2.4-fold versus 2-fold), but the level of expenditure remained 36% lower in the former in 2009. Increase in public expenditure on health was not significantly associated with mortality reduction in infants or at ages 1-4 years, but a 10% increase in health-related public expenditure was associated with a 3.6% mortality reduction (95% confidence interval 0.2-6.9%) in 1-4 years old boys. A 10% increase in overall social sector expenditure was associated with a mortality reduction in both boys (6.8%, 3.5-10.0%) and girls (4.1%, 0.8-7.5%) aged 1-4 years. We estimated 119,807 (95% uncertainty interval 53,409-214,662) averted deaths in boys aged 1-4 years and 94,037 (14,725-206,684) in girls in India in 2009 that could be attributed to increases in overall social sector expenditure since 1997. Further reduction in child mortality in India would be facilitated if policymakers give high priority to the social sector as a whole for resource allocation in the country's 5-year plan for 2012-2017, as public expenditure on health alone has not had major impact on reducing child mortality.

The Challenges of Spanish Language Teaching in Multilingual India: A Case Study of Delhi

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Dhiraj Kumar Rai

2017-12-01

Full Text Available The multilingual surrounding of Spanish Language Teaching (SLT in India has presented a unique linguistic principle. This principle relies upon the application of English language instructions (as FL1 to combine several methods for teaching-learning Spanish language (as FL2. However, the effectiveness and appropriateness of this linguistic principle, whereby English language instructions are used for SLT, remain undiagnosed. In fact, the technique of SLT in India needs to take into account the local linguistic or dialectical make-up of the actual or potential learners. As such, the process of Spanish Language acquisition in India as inspired by an exposure to local languages/dialects needs to be creatively explored. Furthermore, the recently increasing entries of specific Spanish words/terms in the Indian ‘popular language usage’, and their implications for SLT in India require to be sufficiently investigated. This article aims at filling in the above-mentioned lacunae by conducting a case study of the status of Spanish Language Teaching in Delhi. It draws the conclusion that the maximum flexibility in the process of eclectically mixing various pedagogical methods of SLT could go a long way in motivating and benefitting both the teachers as well as the students, thereby enhancing the overall efficiency of SLT in multilingual India.

Bioethics and transnational medical travel: India,"medical tourism," and the globalisation of healthcare.

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Runnels, Vivien; Turner, Leigh

2011-01-01

Health-related travel, also referred to as "medical tourism" is historically well-known. Its emerging contemporary form suggests the development of a form of globalised for-profit healthcare. Medical tourism to India, the focus of a recent conference in Canada, provides an example of the globalisation of healthcare. By positioning itself as a low-cost, high-tech, fast-access and high-quality healthcare destination country, India offers healthcare to medical travellers who are frustrated with waiting lists and the limited availability of some procedures in Canada. Although patients have the right to travel and seek care at international medical facilities, there are a number of dimensions of medical tourism that are disturbing. The diversion of public investments in healthcare to the private sector, in order to serve medical travellers, perversely transfers public resources to international patients at a time when the Indian public healthcare system fails to provide primary healthcare to its own citizens. Further, little is known about patient safety and quality care in transnational medical travel. Countries that are departure points as well as destination countries need to carefully explore the ethical, social, cultural, and economic consequences of the growing phenomenon of for-profit international medical travel.

Evaluation of a quality improvement intervention for obstetric and neonatal care in selected public health facilities across six states of India.

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Sarin, Enisha; Kole, Subir K; Patel, Rachana; Sooden, Ankur; Kharwal, Sanchit; Singh, Rashmi; Rahimzai, Mirwais; Livesley, Nigel

2017-05-02

While increase in the number of women delivering in health facilities has been rapid, the quality of obstetric and neonatal care continues to be poor in India, contributing to high maternal and neonatal mortality. The USAID ASSIST Project supported health workers in 125 public health facilities (delivering approximately 180,000 babies per year) across six states to use quality improvement (QI) approaches to provide better care to women and babies before, during and immediately after delivery. As part of this intervention, each month, health workers recorded data related to nine elements of routine care alongside data on perinatal mortality. We aggregated facility level data and conducted segmented regression to analyse the effect of the intervention over time. Care improved to 90-99% significantly (p improving provision of routine care, yet these approaches are underused in the Indian health system. We discuss the implications of this for policy makers.

Situational analysis of services for diabetes and diabetic retinopathy and evaluation of programs for the detection and treatment of diabetic retinopathy in India: Methods for the India 11-city 9-state study.

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Murthy, G V S; Gilbert, Clare E; Shukla, Rajan; Vashist, Praveen; Shamanna, B R

2016-04-01

Diabetic retinopathy (DR) is a leading cause of visual impairment in India. Available evidence shows that there are more than 60 million persons with diabetes in India and that the number will increase to more than a 100 million by 2030. There is a paucity of data on the perceptions and practices of persons with diabetes and the available infrastructure and uptake of services for DR in India. Assess perception of care and challenges faced in availing eye care services among persons with diabetics and generate evidence on available human resources, infrastructure, and service utilization for DR in India. The cross-sectional, hospital-based survey was conducted in eleven cities across 9 States in India. In each city, public and private providers of eye-care were identified. Both multispecialty and standalone facilities were included. Specially designed semi-open ended questionnaires were administered to the clients. Semi-structured interviews were administered to the service providers (both diabetic care physicians and eye care teams) and observational checklists were used to record findings of the assessment of facilities conducted by a dedicated team of research staff. A total of 859 units were included in this study. This included 86 eye care and 73 diabetic care facilities, 376 persons with diabetes interviewed in the eye clinics and 288 persons with diabetes interviewed in the diabetic care facilities. The findings will have significant implications for the organization of services for persons with diabetes in India.

Environmental justice implications of industrial hazardous waste generation in India: a national scale analysis

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Basu, Pratyusha; Chakraborty, Jayajit

2016-12-01

While rising air and water pollution have become issues of widespread public concern in India, the relationship between spatial distribution of environmental pollution and social disadvantage has received less attention. This lack of attention becomes particularly relevant in the context of industrial pollution, as India continues to pursue industrial development policies without sufficient regard to its adverse social impacts. This letter examines industrial pollution in India from an environmental justice (EJ) perspective by presenting a national scale study of social inequities in the distribution of industrial hazardous waste generation. Our analysis connects district-level data from the 2009 National Inventory of Hazardous Waste Generating Industries with variables representing urbanization, social disadvantage, and socioeconomic status from the 2011 Census of India. Our results indicate that more urbanized and densely populated districts with a higher proportion of socially and economically disadvantaged residents are significantly more likely to generate hazardous waste. The quantity of hazardous waste generated is significantly higher in more urbanized but sparsely populated districts with a higher proportion of economically disadvantaged households, after accounting for other relevant explanatory factors such as literacy and social disadvantage. These findings underscore the growing need to incorporate EJ considerations in future industrial development and waste management in India.

Some nonfermented ethnic foods of Sikkim in India

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Jyoti Prakash Tamang

2014-12-01

Full Text Available Sikkim, the Himalayan state of India has several ethnic foods which have not been documented. A field survey was conducted in randomly selected 370 households in Sikkim representing the major ethnic communities, namely, Nepali, Bhutia, and Lepcha. Information was collected on different types of nonfermented ethnic foods, as prepared and consumed by these inhabitants, the traditional method of preparation, mode of consumption, as well as culinary, socioeconomic, and ethnic values. We have listed more than 83 common and uncommon nonfermented ethnic foods of Sikkim consumed by different ethnic groups in Sikkim, India. Some of these foods have been documented and include achar, alum, chatamari, chhwelaa, dheroh, falki, foldong, kodoko roti, kwanti, momo, pakku, phaparko roti, phulaurah, ponguzom, suzom, thukpa or gya-thuk, and wachipa. Nutritional analysis, process technology development and packaging of these ethnic foods may boost ethnic food tourism in the region, which could in turn enhance the regional economy.

Technical vocational education in India

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溝上, 智恵子

1999-01-01

In India, several efforts have been made for the development of skilled manpower during the last twenty years since the launch of formal technical vocational education at school. A huge education infrastructure has developed in India. However, 45~50 percent of the population of India is still illiterate. To solve the mismatch between education and employment, a revolution in education is really needed. Additionally, there is a need for a system of National Vocational Qualifications in India a...

Falling standards of research in India

Digital Repository Service at National Institute of Oceanography (India)

Varkey, M.J.

son with those of Europe and USA. It is reported 1 that the number of public a - tions (in refere ed journals) from India decrea sed during the past 15 years. This is not a situation which can be changed within a few years or by some administr a... ading and untenable. He ove r- states the case of Green Revolution if we note that within few decades the shor t- comings have been much more as co m- pared to benefits. F i nally let me quote from ref. 2: ?Techno l ogy should serve mankind...

India Culture Trunk. Fulbright-Hays Summer Seminars Abroad, 1997 (India).

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Doeksen, Peggy

This unit is intended to provide students with a general knowledge of the history and culture of India. Activities include: (1) "What Do You Know about India?"; (2) "What Is All This Stuff For?"; (3) "Name That Spice and Why It's Nice"; (4) "Where and How Are These Elephants Marching?"; (5) "Why Is…

Regenerative medicine in India: trends and challenges in innovation and regulation.

Science.gov (United States)

Tiwari, Shashank S; Raman, Sujatha; Martin, Paul

2017-10-01

The government of India has heavily promoted research and development in regenerative medicine together with domestic innovation and business development initiatives. Together, these promise a revolution in healthcare and public empowerment in India. Several national and transnational linkages have emerged to develop innovative capacity, most prominently in stem cell and cord blood banking, as well as in gene therapy, tissue engineering, biomaterials and 3D printing. However, challenges remain of achieving regulatory oversight, viable outputs and equitable impacts. Governance of private cord blood banking, nanomaterials and 3D bioprinting requires more attention. A robust social contract is also needed in healthcare more generally, so that participation in research and innovation in regenerative medicine is backed up by treatments widely accessible to all.

India in search of right Universal Health Coverage (UHC) model: The risks of implementing UHC in the absence of political demand by the citizen.

Science.gov (United States)

Kumar, Raman; Roy, Pritam

2016-01-01

Amid the global push for Universal Health Coverage (UHC), the agenda is being set for India's health care. In the absence of a constitutional mandate, a national policy and citizen-led political demand for UHC, there exist specific risks in rushing toward its implementation in India. As the debate of UHC continues, the health-care delivery system in India is at cross roads. UHC in India could take two different trajectories. The first one takes India toward becoming "Global Bazaar" of morbidity and ill health, founded on the pillars of a vibrant rapidly multiplying healthcare industry. The other path takes India on a course of preventing wasteful, expensive health-care expenditure by maintaining healthy populations. A poor professional blood donor cannot become rich by selling his or her own blood beyond medically permissible levels; similarly, India cannot become a developed economy by merely allowing exploitation of disease, illness, and morbidity of her citizen. It is the duty of the state and governments to protect individual citizen, population under consideration, as well as country's economy from wasteful and potentially harmful expenditure incurred to address ill health. In the economic sense, any sensible UHC implementation mechanism would seek to regulate wasteful preventable health-care expenditure for the purpose of future economic stability and growth of the country. Due diligence toward safeguarding "public health in public interest," during the process of UHC implementation, is the need of the hour.

Aerosol Optical Depth Over India

Science.gov (United States)

David, Liji Mary; Ravishankara, A. R.; Kodros, John K.; Venkataraman, Chandra; Sadavarte, Pankaj; Pierce, Jeffrey R.; Chaliyakunnel, Sreelekha; Millet, Dylan B.

2018-04-01

Tropospheric aerosol optical depth (AOD) over India was simulated by Goddard Earth Observing System (GEOS)-Chem, a global 3-D chemical-transport model, using SMOG (Speciated Multi-pOllutant Generator from Indian Institute of Technology Bombay) and GEOS-Chem (GC) (current inventories used in the GEOS-Chem model) inventories for 2012. The simulated AODs were 80% (SMOG) and 60% (GC) of those measured by the satellites (Moderate Resolution Imaging Spectroradiometer and Multi-angle Imaging SpectroRadiometer). There is no strong seasonal variation in AOD over India. The peak AOD values are observed/simulated during summer. The simulated AOD using SMOG inventory has particulate black and organic carbon AOD higher by a factor 5 and 3, respectively, compared to GC inventory. The model underpredicted coarse-mode AOD but agreed for fine-mode AOD with Aerosol Robotic Network data. It captured dust only over Western India, which is a desert, and not elsewhere, probably due to inaccurate dust transport and/or noninclusion of other dust sources. The calculated AOD, after dust correction, showed the general features in its observed spatial variation. Highest AOD values were observed over the Indo-Gangetic Plain followed by Central and Southern India with lowest values in Northern India. Transport of aerosols from Indo-Gangetic Plain and Central India into Eastern India, where emissions are low, is significant. The major contributors to total AOD over India are inorganic aerosol (41-64%), organic carbon (14-26%), and dust (7-32%). AOD over most regions of India is a factor of 5 or higher than over the United States.

Storage of spent fuel from power reactors in India management and experience

International Nuclear Information System (INIS)

Changrani, R.D.; Bajpai, D.D.; Kodilkar, S.S.

1999-01-01

The spent fuel management programme in India is based on closing the nuclear fuel cycle with reprocessing option. This will enable the country to enhance energy security through maximizing utilization of available limited uranium resources while pursuing its Three Stage Nuclear Power Programme. Storage of spent fuel in water pools remains as prevailing mode in the near term. In view of inventory build up of spent fuel, an Away-From-Reactor (AFR) On-Site (OS) spent fuel storage facility has been made operational at Tarapur. Dry storage casks also have been developed as 'add on' system for additional storage of spent fuels. The paper describes the status and experience pertaining to spent fuel storage practices in India. (author)

Nuclear energy and Indian society: Public engagement, risk assessment and legal frameworks - Summary of the proceedings

International Nuclear Information System (INIS)

Kini, Els Reynaers; Dipankar Bandyopadhyay, I.; Kanwar, Bhanudey

2014-01-01

The Nuclear Law Association (NLA) has organised its 3. Annual Meeting with the specific aim to deliberate on public engagement, consultation and acceptance of nuclear energy projects. The meeting further aimed to seek a better understanding of the necessary legal framework for a safe nuclear energy program in India. The themes covered by the conference were: Public engagement, consultation and acceptance; Nuclear energy safety and public discourse; Case studies from India on public engagement; Land acquisition and EIA in India; Safety regulations and its enforcement; Nuclear regulatory institutions; Siting, consent and project execution; Nuclear liability and compensation. The meeting was organised in 3 sessions dealing with: 1 - Public engagement, consultation and acceptance of nuclear projects: - Sociological context of public engagement and consultation, - Current state of affairs and new approaches to public consultation, - Case studies from new green field nuclear project sites, - Public opinion and acceptability for nuclear energy projects, - Role of State, NGOs and Public; 2 - Vales, Attitudes and Acceptability - Lessons from other countries: - Fukushima and nuclear energy choices, - Social dimensions of nuclear power, - Public engagement, acceptance and regulatory process, - Management of HLW. 3 - Legal Framework for a Safe and Secure Nuclear Energy Program: - Safety regulations and its enforcement, - Nuclear regulatory institutions, - Siting, consent and project execution, - Environmental impact assessments and plans, - Nuclear liability and compensation. Several of the papers presented will be published in the Journal of Risk Research in early 2015 as part of the Special Issue on Nuclear Energy and Indian Society: Public Engagement, Risk Assessment and Legal Frameworks. This article is the summary of the proceedings

Barriers to use of oral rehydration salts for child diarrhea in the private sector: evidence from India.

Science.gov (United States)

Wagner, Zachary; Shah, Manan; Sood, Neeraj

2015-02-01

Diarrhea is the second leading cause of child mortality in India. Most deaths are cheaply preventable with the use of oral rehydration salts (ORS), yet many health providers still fail to provide ORS to children seeking diarrheal care. In this study, we use survey data to assess whether children visiting private providers for diarrheal care were less likely to use ORS than those visiting public providers. Results suggest that children who visited private providers were 9.5 percentage points less likely to have used ORS than those who visited public providers (95% CI 5-14). We complimented these results with in-depth interviews of 21 public and 17 private doctors in Gujarat, India, assessing potential drivers of public-private disparities in ORS use. Interview results suggested that lack of direct medication dispensing in the private sector might be a key barrier to ORS use in the private sector. © The Author [2014]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Reaching out to students across India under IPY

Science.gov (United States)

Tiwari, M.; Ravindra, R.

2009-04-01

India is actively involved in the scientific as well as the outreach activities related to IPY with National Centre for Antarctic & Ocean Research (NCAOR) as the national coordinating agency. The purpose of the Indian IPY outreach activities is to educate general public, especially school children, about Poles & specifically about Indian scientific activities that are being carried out there. It becomes an uphill task considering the vast population & area of India. To achieve this, NCAOR in collaboration with WWF-India (World Wide Fund for Nature) is organizing various activities that include competitions such as poster & model making, stamp designing, petition writing etc. for school children. NCAOR has also supplied audio-visual & printed material on polar science for organizing exhibitions that focus on geography, environment, flora, fauna, people & importance of poles along with issues related to poles such as ozone hole, global warming etc. Moreover, a popular book entitled "Story of Antarctica" is published by NCAOR & distributed to students in different states of India. To further give impetus to our outreach efforts & to engage more students, an innovative Soccer Tournament called Sub-Zero Soccer was arranged for College students, which received very enthusiastic response. The main objective is to generate awareness among the youth by engaging them in sports and culture as this is very close to their heart and appeals to them. NCAOR also has a specific student participation program in Indian Antarctic Expeditions & students on return share their experiences with other students through lectures etc. To mark the end of IPY, a whole lot of activities are being planned for the last week of February that would include street plays, lectures, question & answer sessions etc.

Why the developing nations like India need strong capacity building efforts in greenhouse gases mitigation?

Science.gov (United States)

Vishal, V.; Sudhakaran, A.; Singh, T. N.

2014-12-01

Today, India rubs shoulders with nations like USA and China for being the major shareholders in global greenhouse emissions and has more emissions than Russia! Carbon Capture, Utilization and Storage (CCUS) has been proven as a reliable method to counter global warming and keep the 2ºC per year policy in check and is currently in the pilot stage in many developed nations. The three major requirements for CCUS are: manpower in diverse fields, implementation potential and capital. Keeping other social problems aside, India still has sufficient mankind in all spheres of research ranging from earth science, engineering, basic sciences, economy, policy making, regulation, public outreach etc. to successfully work on such challenges. India has leading academic institutions, research labs and universities in science and engineering. They also have a working power force in aspects like economy, policy making, regulation, public outreach etc. in various management institutes of repute. India, however, lacks in sufficient funding for advanced research and capacity building schemes to support projects of such scale. Deployment of facts and concepts on climate change need an approach of much greater scope than what is anticipated. The above workforces can put forth a clear picture about the various entities surrounding CCUS and provide sensible planning and implementation information through scientific research. CCUS is only possible when the direct anthropogenic emitters like fossil fuel plants modify their features to incorporate the methods associated with it. The rural population has to be educated in context to the safety of the storage sites. Above all, the Indian government must holistically divert funds for such programs and provide economic incentives to the industries for the industries. The bottom line is that India has been working in lots of aspects with not very clear cuts objectives. There are CO2 capture technologies like amine scrubbing and membrane

Human development, poverty, health & nutrition situation in India.

Science.gov (United States)

Antony, G M; Laxmaiah, A

2008-08-01

Human development index (HDI) is extensively used to measure the standard of living of a country. India made a study progress in the HDI value. Extreme poverty is concentrated in rural areas of northern States while income growth has been dynamic in southern States and urban areas. This study was undertaken to assess the trends in HDI, human poverty index (HPI) and incidence of poverty among Indian states, the socio-economic, health, and diet and nutritional indicators which determine the HDI, changes in protein and calorie adequacy status of rural population, and also trends in malnutrition among children in India. The variations in socio-economic, demographic and dietary indicators by grades of HDI were studied. The trends in poverty and nutrition were also studied. Univariate, bivariate and multivariate analysis were done to analyse data. While India's HDI value has improved over a time; our rank did not improve much compared to other developing countries. Human poverty has not reduced considerably as per the HPI values. The undernutrition among preschool children is still a major public health problem in India. The incidence of poverty at different levels of calorie requirement has not reduced in both rural and urban areas. The time trends in nutritional status of pre-school children showed that, even though, there is an improvement in stunting over the years, the trend in wasting and underweight has not improved much. Proper nutrition and health awareness are important to tackle the health hazards of developmental transition. Despite several national nutrition programmes in operation, we could not make a significant dent in the area of health and nutrition. The changing dietary practices of the urban population, especially the middle class, are of concern. Further studies are needed to measure the human development and poverty situation of different sections of the population in India using an index, which includes both income indicators and non income

Rapid growth within India

International Nuclear Information System (INIS)

Hayes, D.

2000-01-01

The Indian government has published (in Hydrocarbon Vision 2025) its ideas for a long term strategy for its oil industry which is currently growing at an unprecedented rate. Increasing domestic production and investment in oil exploration and production overseas figure strongly in the plan. At present, India has a refining surplus but with an annual growth of 8-10%, this will disappear in the next 2-3 years. The report recommends that India should maintain 90% self-sufficiency in refining. The report sees development of the domestic oil industry as globally competitive and helping safeguard India's assets. The capability of India's refineries, current upgrading, the newer refineries and plans for new projects are all mentioned

Enhancing Public Participation to Improve Natural Resources Science and its Use in Decision Making

Science.gov (United States)

Glynn, P. D.; Shapiro, C. D.; Liu, S. B.

2015-12-01

The need for broader understanding and involvement in science coupled with social technology advances enabling crowdsourcing and citizen science have created greater opportunities for public participation in the gathering, interpretation, and use of geospatial information. The U.S. Geological Survey (USGS) is developing guidance for USGS scientists, partners, and interested members of the public on when and how public participation can most effectively be used in the conduct of scientific activities. Public participation can provide important perspectives and knowledge that cannot be obtained through traditional scientific methods alone. Citizen engagement can also provide increased efficiencies to USGS science and additional benefits to society including enhanced understanding, appreciation, and interest in geospatial information and its use in decision making.The USGS guidance addresses several fundamental issues by:1. Developing an operational definition of citizen or participatory science.2. Identifying the circumstances under which citizen science is appropriate for use and when its use is not recommended. 3. Describing structured processes for effective use of citizen science. 4. Defining the successful application of citizen science and identifying useful success metrics.The guidance is coordinated by the USGS Science and Decisions Center and developed by a multidisciplinary team of USGS scientists and managers. External perspectives will also be incorporated, as appropriate to align with other efforts such as the White House Office of Science and Technology Policy (OSTP) Citizen Science and Crowdsourcing Toolkit for the Federal government. The guidance will include the development of an economic framework to assess the benefits and costs of geospatial information developed through participatory processes. This economic framework considers tradeoffs between obtaining additional perspectives through enhanced participation with costs associated from obtaining

.pdf | Volumes | public | Indian Academy of Sciences

Indian Academy of Sciences (India)

Joint Statement by the Three Science Academies of India on the teaching of the theory of evolution more... Introducing: Summer Schools. Posted on 21 December 2017. ASTROPHYSICS: An Observational View of the ... Academy Public Lecture. Posted on 19 January 2018. Seasonal and Pandemic Influenza by Prof.

Can methicillin-resistant Staphylococcus aureus prevalence from dairy cows in India act as potential risk for community-associated infections?: A review

Directory of Open Access Journals (Sweden)

Sathish Gopal

2017-03-01

Full Text Available Methicillin-resistant Staphylococcus aureus (MRSA is classified as hospital associated (HA, community associated (CA, livestock associated (LA and is a global concern. Developing countries, like India, are densely populated country challenging for public hygiene practices. HA-MRSA is comfortably recorded in India, and CA-MRSA is also reported as increasing one. CA-MRSA is serious disease which affects the community as endemic. MRSA is one among major mastitis-causing organisms in India as LA-MRSA. There were reports for transmission of MRSA as community between milk handlers and cow in global perspective. In India reports of MRSA in short among milk handlers and also transmission between animal and human. Hence, proper monitoring of MRSA transmission in India should be elucidated in account among milk handlers and dairy cows to avoid emerging CA-MRSA as outbreak.

India's Health Initiative: Financing Issues and Options

OpenAIRE

Deolalikar, Anil B.; Jamison, Dean T.; Laxminarayan, Ramanan

2007-01-01

In response to the challenge of sustaining the health gains achieved in the better-performing states and ensuring that the lagging states catch up with the rest of the country, the Indian government has launched the National Rural Health Mission. A central goal of the effort is to increase public spending on health from the current 1.1 percent of GDP to roughly 2–3 percent of GDP within the next five years. In this paper, we examine the current status of health financing in India, as well as ...

The Integration of Virtual Public-Private Partnerships into Local Law Enforcement to Achieve Enhanced Intelligence-Led Policing

National Research Council Canada - National Science Library

Simeone, Jr, Matthew J

2007-01-01

.... Virtual public-private partnerships (VP3s) offer local law enforcement agencies an effective and efficient way to leverage a vast and resourceful private sector for the purpose of enhancing ILP...

Post Fukushima safety enhancements in Indian PHWRS

International Nuclear Information System (INIS)

Ramasomayajulu, M.; Khot, Pankaj; Chauhan, Ashok

2016-01-01

Fukushima event was reviewed in Nuclear Power Corporation of India (NPCIL) and based on these reviews, safety enhancements were identified for Indian PHWRs. Safety enhancements such as additional emergency power sources, enhanced onsite water inventories, external water injection arrangements (Hook up points), measures related to hydrogen management, containment venting provision, seismic trip, mobile pumps, onsite emergency support Centre. These safety enhancements were reviewed by the regulatory body (Atomic Energy Regulatory Board, AERB) and were approved for implementation. Most of these are either implemented or in the advance stage of implementation. The paper elaborates above safety enhancements implemented post Fukushima accident; and preparedness to use these provisions. (author)

Public Report on Health (India) - Phase II | IDRC - International ...

International Development Research Centre (IDRC) Digital Library (Canada)

The Public Report on Health aims to draw federal and state attention to the health needs of ordinary people, so as to develop evidence-based solutions for meeting those needs. The Intensive Village Study carried out during the first phase of ... Outputs. Reports. Public report on health : final technical report. Download PDF ...

A mini-review of Bunyaviruses recorded in India.

Science.gov (United States)

Yadav, Pragya D; Chaubal, Gouri Y; Shete, Anita M; Mourya, Devendra T

2017-05-01

Newly emerging and re-emerging viral infections are of major public health concern. Bunyaviridae family of viruses comprises a large group of animal viruses. Clinical symptoms exhibited by persons infected by viruses belonging to this family vary from mild-to-severe diseases i.e., febrile illness, encephalitis, haemorrhagic fever and acute respiratory illness. Several arthropods-borne viruses have been discovered and classified at serological level in India in the past. Some of these are highly pathogenic as the recent emergence and spread of Crimean-Congo haemorrhagic fever virus and presence of antibodies against Hantavirus in humans in India have provided evidences that it may become one of the emerging diseases in this country. For many of the discovered viruses, we still need to study their relevance to human and animal health. Chittoor virus, a variant of Batai virus; Ganjam virus, an Asian variant of Nairobi sheep disease virus; tick-borne viruses such as Bhanja, Palma and mosquito-borne viruses such as Sathuperi, Thimiri, Umbre and Ingwavuma viruses have been identified as the members of this family. As Bunyaviruses are three segmented RNA viruses, they can reassort the segments into genetically distinct viruses in target cells. This ability is believed to play a major role in evolution, pathogenesis and epidemiology of the viruses. Here, we provide a comprehensive overview of discovery, emergence and distribution of Bunyaviruses in India.

A mini-review of Bunyaviruses recorded in India

Directory of Open Access Journals (Sweden)

Pragya D Yadav

2017-01-01

Full Text Available Newly emerging and re-emerging viral infections are of major public health concern. Bunyaviridae family of viruses comprises a large group of animal viruses. Clinical symptoms exhibited by persons infected by viruses belonging to this family vary from mild-to-severe diseases i.e., febrile illness, encephalitis, haemorrhagic fever and acute respiratory illness. Several arthropods-borne viruses have been discovered and classified at serological level in India in the past. Some of these are highly pathogenic as the recent emergence and spread of Crimean-Congo haemorrhagic fever virus and presence of antibodies against Hantavirus in humans in India have provided evidences that it may become one of the emerging diseases in this country. For many of the discovered viruses, we still need to study their relevance to human and animal health. Chittoor virus, a variant of Batai virus; Ganjam virus, an Asian variant of Nairobi sheep disease virus; tick-borne viruses such as Bhanja, Palma and mosquito-borne viruses such as Sathuperi, Thimiri, Umbre and Ingwavuma viruses have been identified as the members of this family. As Bunyaviruses are three segmented RNA viruses, they can reassort the segments into genetically distinct viruses in target cells. This ability is believed to play a major role in evolution, pathogenesis and epidemiology of the viruses. Here, we provide a comprehensive overview of discovery, emergence and distribution of Bunyaviruses in India.

Challenges and opportunities associated with waste management in India

Science.gov (United States)

Kumar, Sunil; Smith, Stephen R.; Fowler, Geoff; Velis, Costas; Kumar, S. Jyoti; Arya, Shashi; Rena; Kumar, Rakesh

2017-01-01

India faces major environmental challenges associated with waste generation and inadequate waste collection, transport, treatment and disposal. Current systems in India cannot cope with the volumes of waste generated by an increasing urban population, and this impacts on the environment and public health. The challenges and barriers are significant, but so are the opportunities. This paper reports on an international seminar on ‘Sustainable solid waste management for cities: opportunities in South Asian Association for Regional Cooperation (SAARC) countries’ organized by the Council of Scientific and Industrial Research-National Environmental Engineering Research Institute and the Royal Society. A priority is to move from reliance on waste dumps that offer no environmental protection, to waste management systems that retain useful resources within the economy. Waste segregation at source and use of specialized waste processing facilities to separate recyclable materials has a key role. Disposal of residual waste after extraction of material resources needs engineered landfill sites and/or investment in waste-to-energy facilities. The potential for energy generation from landfill via methane extraction or thermal treatment is a major opportunity, but a key barrier is the shortage of qualified engineers and environmental professionals with the experience to deliver improved waste management systems in India. PMID:28405362

Challenges and opportunities associated with waste management in India.

Science.gov (United States)

Kumar, Sunil; Smith, Stephen R; Fowler, Geoff; Velis, Costas; Kumar, S Jyoti; Arya, Shashi; Rena; Kumar, Rakesh; Cheeseman, Christopher

2017-03-01

India faces major environmental challenges associated with waste generation and inadequate waste collection, transport, treatment and disposal. Current systems in India cannot cope with the volumes of waste generated by an increasing urban population, and this impacts on the environment and public health. The challenges and barriers are significant, but so are the opportunities. This paper reports on an international seminar on 'Sustainable solid waste management for cities: opportunities in South Asian Association for Regional Cooperation (SAARC) countries' organized by the Council of Scientific and Industrial Research-National Environmental Engineering Research Institute and the Royal Society. A priority is to move from reliance on waste dumps that offer no environmental protection, to waste management systems that retain useful resources within the economy. Waste segregation at source and use of specialized waste processing facilities to separate recyclable materials has a key role. Disposal of residual waste after extraction of material resources needs engineered landfill sites and/or investment in waste-to-energy facilities. The potential for energy generation from landfill via methane extraction or thermal treatment is a major opportunity, but a key barrier is the shortage of qualified engineers and environmental professionals with the experience to deliver improved waste management systems in India.

DATABASES DEVELOPED IN INDIA FOR BIOLOGICAL SCIENCES

Directory of Open Access Journals (Sweden)

Gitanjali Yadav

2017-09-01

Full Text Available The complexity of biological systems requires use of a variety of experimental methods with ever increasing sophistication to probe various cellular processes at molecular and atomic resolution. The availability of technologies for determining nucleic acid sequences of genes and atomic resolution structures of biomolecules prompted development of major biological databases like GenBank and PDB almost four decades ago. India was one of the few countries to realize early, the utility of such databases for progress in modern biology/biotechnology. Department of Biotechnology (DBT, India established Biotechnology Information System (BTIS network in late eighties. Starting with the genome sequencing revolution at the turn of the century, application of high-throughput sequencing technologies in biology and medicine for analysis of genomes, transcriptomes, epigenomes and microbiomes have generated massive volumes of sequence data. BTIS network has not only provided state of the art computational infrastructure to research institutes and universities for utilizing various biological databases developed abroad in their research, it has also actively promoted research and development (R&D projects in Bioinformatics to develop a variety of biological databases in diverse areas. It is encouraging to note that, a large number of biological databases or data driven software tools developed in India, have been published in leading peer reviewed international journals like Nucleic Acids Research, Bioinformatics, Database, BMC, PLoS and NPG series publication. Some of these databases are not only unique, they are also highly accessed as reflected in number of citations. Apart from databases developed by individual research groups, BTIS has initiated consortium projects to develop major India centric databases on Mycobacterium tuberculosis, Rice and Mango, which can potentially have practical applications in health and agriculture. Many of these biological

Viewing India from Religious Angle

Institute of Scientific and Technical Information of China (English)

Qiu Yonghui

2004-01-01

@@ It would be impossible to understand India without any knowledge about the religions of this country. India is a developing country with many religions, nationalities and languages. This nation has long been noted for its democratic politics and multiculture. India was founded on the principle of secularism, but at the same time it has suffered from religions. Therefore, to have a clear idea about the basic conditions of India's multiple religious beliefs is the foundation for studies of its religions of the country, and is also one key to grasping Indian social politics. In early September 2004, the Indian government published religious data from the 2001 census. Accordingly, we can make some basic judgments about the religions in today's India.

Role of Social Mobilization (Network) in Polio Eradication in India.

Science.gov (United States)

Siddique, Anisur Rahman; Singh, Prem; Trivedi, Geetali

2016-08-07

In 2009, India contributed to over half the global cases of poliomyelitis. Many believed that India would be the last country to be polio free. India proved them wrong and was certified polio free in 2014. In January 2016, India celebrated 5 years of being polio free. One of the major reasons behind the interruption of polio transmission in the Polio endemic states of Uttar Pradesh and Bihar was the deployment of Social Mobilization Network (SMNet). A three tiered structure, the 7300 strong SMNet is now the gold standard in public health communication. It mobilizes communities by spearheading civil society participation; and works at district, block and community levels. The SMNet's social mobilization has evolved into an accelerated approach for achieving results with principles of mobilization at its core. The SMNet targets resistance to polio immunization through a multipronged approach by using local religious leaders, community influencers, interpersonal communication, counseling, mothers meetings, announcements from religious institutions and rallies. The success of the SMNet has been its ability to identify and convert resistant families into advocates for polio immunization. Deeply respected in the community, the SMNet mobilizers (98 percent of whom are women) are themselves models for gender empowerment. The SMNet model shows how mobilization techniques can be harnessed for short term and long term goals and can be replicated in other health programs to achieve the same results as were achieved for Polio.

Epidemiology of childhood overweight & obesity in India: A systematic review

Science.gov (United States)

Ranjani, Harish; Mehreen, T.S.; Pradeepa, Rajendra; Anjana, Ranjit Mohan; Garg, Renu; Anand, Krishnan; Mohan, Viswanathan

2016-01-01

Background & objectives: Childhood obesity is a known precursor to obesity and other non-communicable diseases (NCDs) in adulthood. However, the magnitude of the problem among children and adolescents in India is unclear due to paucity of well-conducted nationwide studies and lack of uniformity in the cut-points used to define childhood overweight and obesity. Hence an attempt was made to review the data on trends in childhood overweight and obesity reported from India during 1981 to 2013. Methods: Literature search was done in various scientific public domains from the last three decades using key words such as childhood and adolescent obesity, overweight, prevalence, trends, etc. Additional studies were also identified through cross-references and websites of official agencies. Results: Prevalence data from 52 studies conducted in 16 of the 28 States in India were included in analysis. The median value for the combined prevalence of childhood and adolescent obesity showed that it was higher in north, compared to south India. The pooled data after 2010 estimated a combined prevalence of 19.3 per cent of childhood overweight and obesity which was a significant increase from the earlier prevalence of 16.3 per cent reported in 2001-2005. Interpretation & conclusions: Our review shows that overweight and obesity rates in children and adolescents are increasing not just among the higher socio-economic groups but also in the lower income groups where underweight still remains a major concern. PMID:27121514

Public health system readiness to treat malaria in Odisha State of India.

Science.gov (United States)

Hussain, Mohammad A; Dandona, Lalit; Schellenberg, David

2013-10-02

Early diagnosis and prompt treatment is a cornerstone of malaria control. In India, artemisinin combination therapy (ACT) became the first-line treatment for falciparum malaria and rapid diagnostic test (RDTs) kits were recommended for use at the grass-root level in the new malaria treatment policy (2010). Odisha State contributes about one-fourth of the total Indian malaria burden and 40% of falciparum infection. The present study assessed the health system readiness to deploy RDTs and ACT for malaria control across the State. Data collection was carried out from February to July 2012. Five of Odisha's 30 districts were selected through stratified random sampling, with stratification based on the phased roll-out of ACT and RDT. Two administrative 'blocks' were selected randomly in each district and data collected through health facility, auxiliary nurse midwives (ANMs) and accredited social health activist (ASHAs) assessments. Key informant interviews were conducted with individuals involved in the implementation of the malaria control programme. Of the 220 ANMs interviewed, 51.4% had been trained in malaria case management, including the use of ACT and RDT. A high proportion of ANM (80%) and AHSA (77%) had the necessary level of knowledge to be able to use RDT for malaria diagnosis. The proportion of ASHAs trained on malaria case management was 88.9% (209/235). However, 71% of ANM and 55% of ASHAs usually referred falciparum-positive patients to the health facility for treatment, the major reason for referral being the non-availability of drugs at the ANM and ASHA level. The relatively high level of knowledge about how to diagnose and treat malaria at the grass-root level was undermined by the poor availability of RDTs, ACT and primaquine tablets. This was associated with an unnecessarily high referral rate and potential delays in the treatment of this potentially life-threatening infection. Improvements in the supply chain for RDTs and ACT could dramatically

All projects related to | Page 100 | IDRC - International Development ...

International Development Research Centre (IDRC) Digital Library (Canada)

This funding will enhance the Centre for Policy Research's (CPR) role as a credible public policy institution in India by strengthening its ability to provide high-quality, influential, and policy-relevant research. Topic: DEVELOPMENT RESEARCH, INDIA, LAW, MANAGEMENT, SOUTH ASIA, POLICY MAKING, URBANIZATION.

What we do | Page 32 | IDRC - International Development Research ...

International Development Research Centre (IDRC) Digital Library (Canada)

TTI Phase 2 Institutional Support: Centre for Policy Research. This funding will enhance the Centre for Policy Research's (CPR) role as a credible public policy institution in India by strengthening its ability to provide high-quality, influential, and policy-relevant research. India. PROJECT ...

Big-pharmaceuticalisation: clinical trials and Contract Research Organisations in India.

Science.gov (United States)

Sariola, Salla; Ravindran, Deapica; Kumar, Anand; Jeffery, Roger

2015-04-01

The World Trade Organisation's Trade Related Intellectual Property Rights [TRIPS] agreement aimed to harmonise intellectual property rights and patent protection globally. In India, the signing of this agreement resulted in a sharp increase in clinical trials since 2005. The Indian government, along with larger Indian pharmaceutical companies, believed that they could change existing commercial research cultures through the promotion of basic research as well as attracting international clinical trials, and thus create an international level, innovation-based drug industry. The effects of the growth of these outsourced and off-shored clinical trials on local commercial knowledge production in India are still unclear. What has been the impact of the increasing scale and commercialisation of clinical research on corporate science in India? In this paper we describe Big-pharmaceuticalisation in India, whereby the local pharmaceutical industry is moving from generic manufacturing to innovative research. Using conceptual frameworks of pharmaceuticalisation and innovation, this paper analyses data from research conducted in 2010-2012 and describes how Contract Research Organisations (CROs) enable outsourcing of randomised control trials to India. Focussing on twenty-five semi-structured interviews CRO staff, we chart the changes in Indian pharmaceutical industry, and implications for local research cultures. We use Big-pharmaceuticalisation to extend the notion of pharmaceuticalisation to describe the spread of pharmaceutical research globally and illustrate how TRIPS has encouraged a concentration of capital in India, with large companies gaining increasing market share and using their market power to rewrite regulations and introduce new regulatory practices in their own interest. Contract Research Organisations, with relevant, new, epistemic skills and capacities, are both manifestations of the changes in commercial research cultures, as well as the vehicles to

India: nuclear policy, opportunities and challenges

International Nuclear Information System (INIS)

Vaddevolu Balaji Nagendra Kumar

2009-01-01

From the policy point of view, India nuclear scenario can be classified into three phases. During the first phase lasting between 1947 (the time of India independence) and 1974 (when India conducted the first nuclear test), India emphasized the peaceful use of nuclear energy. Many developed countries including the countries of NATO (North Atlantic Treaty Organization) including the USA, the Canada and France apart from the erstwhile USSR (Union of Soviet Socialist Republic) cooperated with India in the construction of Nuclear power reactors, supply of Fuel and providing technical knowledge. This cooperation lasted for about 27 years from 1947 and 1974. During the second phase lasting between 1974 (the time when India conducted the first nuclear test for military purpose) and 2008 (when Indian Parliament ratified the Indo-US Nuclear Deal), India refused to sign the CTBT (Comprehensive Nuclear Test Ban Treaty) and reserved the right to use nuclear energy for military purpose. Indian insecurity was due to the presence of China - a nuclear power in the neighbourhood, the high probability of Pakistan - another neighbour Becoming the nuclear power and the unwillingness of the major nuclear powers : viz : the USA and USSR to provide a nuclear umbrella to India. The phase was marked by nuclear sanctions imposed against India by the US and the non cooperation from the nuclear powers in building nuclear power reactors and dissemination of technical knowledge. The phase did however lead to India efforts towards self reliance in nuclear technology and the advancement of knowledge leading to the construction of FBR (Fast Breeder Reactors) and the possibility of fructifying the Thorium based reactors. The third and present phase from the year 2008 when Indian Parliament ratified the Indo-US Nuclear deal symbolizes the recognition of India's Scientific and technological Prowess by major nuclear powers, the benefits of India knowledge to the world and realization of the fact that

Social and Economic Implications of Noncommunicable diseases in India

Directory of Open Access Journals (Sweden)

J S Thakur

2011-01-01

Full Text Available Noncommunicable diseases (NCDs have become a major public health problem in India accounting for 62% of the total burden of foregone DALYs and 53% of total deaths. In this paper, we review the social and economic impact of NCDs in India. We outline this impact at household, health system and the macroeconomic level. Cardiovascular diseases (CVDs figure at the top among the leading ten causes of adult (25-69 years deaths in India. The effects of NCDs are inequitable with evidence of reversal in social gradient of risk factors and greater financial implications for the poorer households in India. Out-of-pocket expenditure associated with the acute and long-term effects of NCDs is high resulting in catastrophic health expenditure for the households. Study in India showed that about 25% of families with a member with CVD and 50% with cancer experience catastrophic expenditure and 10% and 25%, respectively, are driven to poverty. The odds of incurring catastrophic hospitalization expenditure were nearly 160% higher with cancer than the odds of incurring catastrophic spending when hospitalization was due to a communicable disease. These high numbers also pose significant challenge for the health system for providing treatment, care and support. The proportion of hospitalizations and outpatient consultations as a result of NCDs rose from 32% to 40% and 22% to 35%, respectively, within a decade from 1995 to 2004. In macroeconomic term, most of the estimates suggest that the NCDs in India account for an economic burden in the range of 5-10% of GDP, which is significant and slowing down GDP thus hampering development. While India is simultaneously experiencing several disease burdens due to old and new infections, nutritional deficiencies, chronic diseases, and injuries, individual interventions for clinical care are unlikely to be affordable on a large scale. While it is clear that "treating our way out" of the NCDs may not be the efficient way, it has

Status of fast breeder reactors and associated fuel cycle in India

International Nuclear Information System (INIS)