163 results match your criteria: "School of Health Systems Studies[Affiliation]"

Background: Identifying people with early and late onset of chronic conditions might help target the subpopulations that are more vulnerable to negative mental, physical and functional health outcomes. The current study aimed to examine the association of early and late onset of chronic single and multiple morbidities with self-perceived physical and mental health, functional limitations and physical inactivity among older Indian adults.

Methods: Cross-sectional study was conducted using data from the Longitudinal Ageing Study in India (LASI) Wave 1 (2017-2018).

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Background And Objective: Hypertension is a key risk factor for cardiovascular disease and the leading cause of mortality among Indian adults. The difference in health status between men and women is becoming a great burden in itself worldwide. This study aimed to examine the differences between men and women in the prevalence, awareness, treatment, and control of hypertension and related risk factors among people aged 45 and older in India using data from the Longitudinal Ageing Study in India in 2017-2018.

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Understanding the healthcare provider role on post abortion contraception adoption in India using National Family Household Survey-5.

Reprod Health

August 2023

Assistant Professor, School of Health Systems Studies (SHSS), Tata Institute of Social Sciences, V. N. Purav Marg, Deonar, 400088, Mumbai, India.

Background: Post abortion contraceptive use is an important area in provisioning of services associated with child birth planning. This study examines the factors related to the type and timing of initiation of contraception adoption among women who had undergone induced abortion. Study also tries to identify the role of personnel who provided the abortion service on decision of family planning adoption using complementary log-log model in India.

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Intimate Partner Violence (IPV) against married women is widely prevalent in India. Using recent data from NFHS-5, we analyzed the association between husbands' characteristics and IPV. Separate logistic regression models were developed for three distinct "husband characteristic groups" namely demographic, social and economic groups, and one final model including only statistically significant variables.

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Determinants of Quit Attempts and Short-Term Abstinence among Smokers in India: Global Adult Tobacco Survey, 2016-17.

Asian Pac J Cancer Prev

July 2023

Department of Community Medicine and Director (Research and Development), Datta Meghe Institute of Medical Sciences (DMIMS), Wardha 422001, Maharashtra, India.

Objective: The objective was to study the determinants of quit attempts and abstinence among smokers in India using nationally representative data from the Global Adult Tobacco Survey (GATS-2).

Methods: Data from GATS-India, (2016-17) was analysed. Key outcome variables included quitting attempts in the previous 12 months among smokers and duration of abstinence among those who attempted quitting.

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Background And Aims: Several studies have examined the phenomenon of "death clustering," in which two or more children born to the same mother or from the same family die at an early age. Therefore, a scientific examination of the results is essential to understand how the survival status of the older siblings affects the survival of the younger siblings. By using meta-analysis, this study aims to provide a quantitative synthesis of the results of studies on "child death clustering" in low- and middle-income countries (LMICs).

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Background: This study aimed to examine the prevalence of heart diseases and angina pectoris and associated factors among middle-aged and older Indian adults. Additionally, the study examined the prevalence and associated factors of undiagnosed and uncontrolled heart disease among middle-aged and older adults based on self-reported chronic heart disease (CHD) and symptom-based angina pectoris (AP).

Methods: We used cross-sectional data from the first wave of the Longitudinal Ageing Study of India, 2017-18.

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In India, there is a renewed emphasis on Universal Health Coverage (UHC). Alongside this, Health Technology Assessment (HTA) is an important tool for advancing UHC. The development and application of HTA in India, including capacity building and establishing institutional mechanisms.

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Article Synopsis
  • The study assesses intrinsic capacity (IC) in older adults in India, focusing on its relationship with functional limitations and falls, using data from the Longitudinal Aging Study in India (LASI) 2017-2018 that included over 24,000 participants aged 60 and above.
  • It reveals that about 24.56% of older adults have high IC, which is associated with significantly lower difficulties in activities of daily living (ADL and IADL), fewer falls, and decreased risk of fall-related injuries compared to those with low IC.
  • After accounting for various factors like age and health status, high IC is linked to better outcomes in all measured categories, indicating its importance in promoting wellbeing among older
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Reducing infant and child mortality: assessing the social inclusiveness of child health care policies and programmes in three states of India.

BMC Public Health

June 2023

Centre for Health Policy, Planning, and Management, School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, V.N. Purav Marg, 400088, India.

Background: Even though the overall infant mortality rate and child mortality rate have considerably declined in India, the marginalised groups-Scheduled Caste, and Scheduled Tribe, continue to have higher mortality rates. This study looks at the changes in IMR and CMR amongst disadvantaged and advanced social groups at the national level and in three states of India.

Data And Methods: Data from five rounds of National Family Health Survey spanning nearly three decades have been used to measure IMR and CMR according to the social groups for India and for selected states-Bihar, West Bengal, and Tamil Nadu.

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Barriers in quest for cancer care access in two states of northeast India.

Int J Health Plann Manage

September 2023

Department of Head and Neck Surgery, Deputy Director, Centre for Cancer Epidemiology, Tata Memorial Cancer Hospital, Mumbai, Maharashtra, India.

Background: The cancer burden in northeast India is high, with low survival and low case detection. Despite the availability of cancer institutes in the region, existing literature remarks on the increasing travel outside the region for cancer care. However, research is sparse on identifying impediment factors to the access of state cancer institutes.

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Background: The influence of early life factors is becoming increasingly apparent as studies investigate how experiences, resources, and constraints in childhood affect health and well-being later in life. The present study contributes to this literature by examining the association between several early life factors and self-reported pain among older adults in India.

Methods: Data come from the 2017-18 wave 1 of the Longitudinal Ageing Study of India (LASI).

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Post-COVID-19 pandemic public health: Issues and challenges in India.

Indian J Public Health

April 2023

Professor, Centre for Public Health, School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, Maharashtra, India.

COVID-19 was an unexpected public health emergency. The key positive features of the Indian health system were demonstrated during the pandemic. Postpandemic is the time to introspect.

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Background & Objectives: Public health spending on primary healthcare has increased by four times (in real terms) over the last decade and continues to constitute more than half of the total public health expenditure. The present study estimated the cost of providing healthcare services at sub centre (SC) and primary health centre (PHC) level in four selected States of India.

Methods: A total of 51 SCs and 33 PHCs were selected across the four States (Himachal Pradesh, Odisha, Kerala and Tamil Nadu) of India.

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Background: Help-seeking for intimate partner violence (IPV) requires women to disclose their experiences. For policymakers, low help-seeking threatens the United Nations Sustainable Development Goals (SDGs) of gender equality, good health, and wellbeing. In India, the Prevention of Domestic Violence Against Women Act (PWDVA 2005) was implemented in 2006.

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Background & Objectives: Financing healthcare services through out-of-pocket payments is common in India. Household impoverishments due to health expenditure can be daunting, especially among the economically vulnerable households. This study investigated hospitalization and patient's health expenditure in Odisha State in India.

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COMMENT: Capacity building of community health workers: One size does not fit both rural and urban settings.

Indian J Med Ethics

November 2022

Doctoral Scholar, School of Health Systems Studies, Tata Institute of Social Sciences, Deonar, Mumbai, INDIA.

The Accredited Social Health Activist (ASHA) programme in India is the world's largest all-female Community Health Workers (CHWs) programme. ASHAs are supposed to bridge the gap between community and health services by functioning as healthcare catalysts, service providers, and community-level health activists. This paper discusses the ethical challenges posed by using the same template for capacity building of ASHAs in rural and urban contexts, without accounting for the differences.

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Objective: The pattern of head and neck injuries has been well studied in high-income countries, but the data are limited in low- and middle-income countries, which are disproportionately affected by trauma. We examined a prospective multicenter database to describe patterns and outcomes of head and neck injuries in urban India.

Study Design: Retrospective review of trauma registry.

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Introduction: Diseases and illnesses of the gastrointestinal system (GIS) have grown in the last decade due to considerable lifestyle changes. People with gastrointestinal (GI) diseases have a high prevalence of depression, stress, anxiety, and impaired central nervous system functioning. Therefore, this study aims to explore the factors associated with the self-reported gastrointestinal problems among the Indian elderly and to explore the relationship between non-communicable diseases (NCDs), such as hypertension, heart diseases, diabetes, and neurological or psychiatric and gastrointestinal disorder.

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Inclusive partnership and community mobilization approaches to improve maternal health care access among internal migrants in nine Indian cities.

J Migr Health

September 2022

Division of Socio-Behavioural and Health Systems Research, Indian Council of Medical Research, Ansari Nagar, New Delhi 110 029, India.

Background: Disparities in healthcare access to internal migrants exist, and the gaps may widen further if appropriate steps are not taken. Innovative approaches are needed to better align the healthcare services with the migrants' needs.

Aim: The aim was to develop and test a supportive strategy of healthcare, which would achieve the desired level of access and delivery of maternal healthcare services to internal migrants living in nine Indian cities.

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Understanding discrimination against LGBTQIA+ patients in Indian hospitals using a human rights perspective: an exploratory qualitative study.

Sex Reprod Health Matters

August 2022

Professor, Centre for Health and Social Sciences, School of Health Systems Studies, Tata Institute of Social Sciences (TISS), Mumbai, Maharashtra, India.

Globally, LGBTQIA+ individuals experience several health disparities. This qualitative exploratory study aimed to understand the experiences of discrimination faced by LGBTQIA+ patients in Indian hospitals using a human rights perspective. Self-identified LGBTQIA+ patients, cis-gender heterosexual employees, and administrators attending/working at public, private, and non-profit trust hospitals were interviewed in Mumbai and Delhi.

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Self-reported measures of health, in the context of developed countries, are well-researched and commonly regarded as reliable predictors of the underlying health of the population. However, the validity of these measures is under-researched and questionable in the context of low- and middle-income countries. The authors used Longitudinal Ageing Study in India (LASI) survey data from India to compare self-reported hypertension with biometrically-measured hypertension.

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