There are limited studies on COVID vaccine confidence at the household level in urban slums, which are at high risk of COVID-19 transmission due to overcrowding and poor living conditions. The objective was to understand the reasons influencing COVID-19 vaccine confidence, in terms of barriers and enablers faced by communities in urban slums and informal settlements in four major metro cities in India. A mixed method approach was adopted, where in field studies were conducted during April-May 2021.
View Article and Find Full Text PDFBackground: The prevalence of gestational diabetes mellitus (GDM) is rising rapidly in many low- and middle-income countries (LMICs). Most women with GDM in LMICs are undiagnosed and/or inadequately managed due to a lack of knowledge and skills about GDM on the part of both providers and patients. Following contextual analysis, we developed an educational/behavioural intervention for GDM delivered through a package of culturally tailored films.
View Article and Find Full Text PDFBackground: Women developing Gestational Diabetes Mellitus (GDM) are subsequently at a higher risk of developing Type 2 Diabetes later in life. Screening and effective management of women with GDM are essential in preventing progression to type 2 diabetes mellitus. We aimed to explore the perspectives of healthcare providers regarding the barriers from the health system context that restrict the timely screening and effective management of GDM.
View Article and Find Full Text PDFContemp Clin Trials Commun
September 2020
Cost-benefit analysis underlines the importance of screening non-communicable diseases (NCDs) and seeking treatment which can aid early detection, cutting expenses and averting deaths. The government of India NCD screening program leaves many to opportunistic screening whilst the health system is inadequate to deliver its goal due to short-staffing, underequipped, and incomplete data management. In order to ease the cost and convenience barrier faced by the Indian poor, we propose testing the efficacy and sustainability of Community Health Workers (CHW), referred to as Barefoot nurse (BFN) for screening NCD.
View Article and Find Full Text PDFGender inequalities in educational attainment have attracted considerable attention and this article aims to contribute to our understanding of young women's access to higher education. The article is based on our in-depth interviews with 26 Hindu and Muslim young women attending colleges in urban Bengaluru (formerly Bangalore), south India, and explores the barriers they confronted in fulfilling their aspirations. We highlight the similarities amongst the young women, as well as the distinctive experiences of the Hindu and Muslim interviewees.
View Article and Find Full Text PDFWe use 36 in-depth interviews, with 18 Muslim and 18 Hindu women in Karnataka, India, to explore the relationships between women's educational attainments and women's exercise of agency in spousal selection and the timing of marriage. We have outlined three kinds of agency, namely, convinced, resistance, and complicit, and the contexts in which they were deployed by our participants during their marriage negotiations. Our examination of the role of education across this spectrum of agential capacities during marriage negotiations suggests that the linkages between education and agency are not straightforward.
View Article and Find Full Text PDFThis paper seeks to answer the question of how Muslim women interpret and negotiate religion in order to realise their reproductive aspirations. A close reading of lived experiences of 32 Muslim women from a varied educational background yields a wider perspective of the different interpretations of reproductive norms employed by adherents of the same religion (Islam), situated in two countries (India/Bangladesh) and group (majority/minority) contexts. Further, this comparative study yields a deeper understanding of agency that is employed by Muslim participants in each country.
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