44 results match your criteria: "South Asia Institute[Affiliation]"

Reimagining India's health system: a Lancet Citizens' Commission.

Lancet

April 2021

Harvard Business School and Lakshmi Mittal and Family South Asia Institute, Harvard University, Cambridge, MA 02138, USA. Electronic address:

View Article and Find Full Text PDF

This study assessed spatiotemporal changes at Gya Glacier, the associated development of a proglacial lake, and reconstructed the 2014 outburst flood that struck Gya Village in the Trans-Himalayan region of Ladakh, India. This study analyzed and for the first time modeled a Glacial Lake Outburst Flood (GLOF) event in the Trans-Himalayan region of Ladakh. Glacier and glacial lakes changes were quantified using remote sensing data supplemented with field observations.

View Article and Find Full Text PDF

A surge of interest has been noted in the use of mobility data from mobile phones to monitor physical distancing and model the spread of severe acute respiratory syndrome coronavirus 2, the virus that causes COVID-19. Despite several years of research in this area, standard frameworks for aggregating and making use of different data streams from mobile phones are scarce and difficult to generalise across data providers. Here, we examine aggregation principles and procedures for different mobile phone data streams and describe a common syntax for how aggregated data are used in research and policy.

View Article and Find Full Text PDF

Regulatory Sandboxes: A Cure for mHealth Pilotitis?

J Med Internet Res

September 2020

The Lakshmi Mittal and Family South Asia Institute, Harvard University, Cambridge, MA, United States.

Mobile health (mHealth) and related digital health interventions in the past decade have not always scaled globally as anticipated earlier despite large investments by governments and philanthropic foundations. The implementation of digital health tools has suffered from 2 limitations: (1) the interventions commonly ignore the "law of amplification" that states that technology is most likely to succeed when it seeks to augment and not alter human behavior; and (2) end-user needs and clinical gaps are often poorly understood while designing solutions, contributing to a substantial decrease in usage, referred to as the "law of attrition" in eHealth. The COVID-19 pandemic has addressed the first of the 2 problems-technology solutions, such as telemedicine, that were struggling to find traction are now closely aligned with health-seeking behavior.

View Article and Find Full Text PDF

Background: Unlike developed countries, higher socioeconomic status (SES-education, and wealth) is associated with hypertension in low and middle-income countries (LMICs) with limited evidence. We examined the associations between SES and hypertension in Nepal and the extent to which these associations vary by sex and urbanity. The body mass index (BMI) was examined as a secondary outcome and assessed as a potential mediator.

View Article and Find Full Text PDF

Introduction: Governance is one of the most important aspects for strong primary healthcare (PHC) service delivery. To achieve the targets for the Sustainable Development Goals, good governance may play a prime role in low-income and middle-income countries (LMICs). This evidence gap map (EGM) explored the available evidence in LMICs to identify the knowledge gap concerning PHC policy and governance in these settings.

View Article and Find Full Text PDF

Associations between Indoor Air Pollution and Acute Respiratory Infections among Under-Five Children in Afghanistan: Do SES and Sex Matter?

Int J Environ Res Public Health

August 2019

Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA 01003, USA.

: Low-income families often depend on fuels such as wood, coal, and animal dung for cooking. Such solid fuels are highly polluting and are a primary source of indoor air pollutants (IAP). We examined the association between solid fuel use (SFU) and acute respiratory infection (ARI) among under-five children in Afghanistan and the extent to which this association varies by socioeconomic status (SES) and gender.

View Article and Find Full Text PDF

Background: Despite the remarkable reduction of maternal mortality, unsafe and untimely menstrual regulation (MR) remains a major maternal health problem in Bangladesh. This study aimed to determine the prevalence and identify determinants of MR among ever-married women in Bangladesh.

Methods: Data for this study have been extracted from Bangladesh Demographic and Health Survey (BDHS) 2014.

View Article and Find Full Text PDF

Technical efficiency of public district hospitals in Bangladesh: a data envelopment analysis.

Cost Eff Resour Alloc

July 2019

2Department of Learning, Informatics, Management and Ethics (LIME), Karolinska Institutet, SE-171 77 Stockholm, Sweden.

Background: District hospitals (DHs) provide secondary level of healthcare to a wide range of population in Bangladesh. Efficient utilization of resources in these secondary hospitals is essential for delivering health services at a lower cost. Therefore, we aimed to estimate the technical efficiency of the DHs in Bangladesh.

View Article and Find Full Text PDF

This case study examines the geological imprint and land use practices on water quality in the arid Huasco Valley against the backdrop of ongoing water conflicts surrounding competing demands for agriculture and mining. The study is based on a detailed analysis of spatial and temporal variations of monthly surface and bi-monthly groundwater quality samples measured during the Chilean summer of 2015/16. Additional information on source regions and river-groundwater interactions were collected using stable water isotopes.

View Article and Find Full Text PDF

Cardiovascular disease is the leading case of mortality from non-communicable diseases (NCD) in India. The government's National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke seeks to increase capacity building, screening, referral and management of NCDs across India, and includes community-based outreach and screening programmes. The government in India routinely provides basic care at religious mass gatherings.

View Article and Find Full Text PDF

This article examines the contours of how sex-selective abortion (SSA) and 'gendercide' have been problematically combined within contemporary debates on abortion in Europe. Analysing the development of policies on the topic, we identify three 'turns' which have become integral to the biopolitics of SSA in Europe: the biomedical turn, the 'gendercide' turn, and the Asian demographic turn. Recent attempts to discipline SSA in the UK and Sweden are examined as a means of showing how the neoliberal state in Europe is becoming increasingly open to manoeuvres to undermine the right to abortion, even where firm laws exist.

View Article and Find Full Text PDF

Background: The key tools in malaria control are early diagnosis and treatment of cases as well as vector control. Current strategies for malaria vector control in sub-Saharan Africa are largely based on long-lasting insecticide-treated nets (LLINs) and to a much smaller extent on indoor residual spraying (IRS). An additional tool in the fight against malaria vectors, larval source management (LSM), has not been used in sub-Saharan Africa on a wider scale since the abandonment of environmental spraying of DDT.

View Article and Find Full Text PDF

Background: Improving access to supervised and emergency obstetric care resources through fee reduction/exemption maternity care initiatives has been touted as one major strategy to avoiding preventable maternal deaths. Evaluations on the effect of Ghana's fee exemption policy for maternal healthcare have largely focused on how it has influenced health outcomes and patterns of use of supervised care with little attention to understanding the main factors influencing use. This study therefore sought to explore the main individual and health system factors influencing use of delivery care services under the policy initiative in the Central Region.

View Article and Find Full Text PDF

"Informing" and "consenting": ethical concerns regarding illiterate and vulnerable participants in clinical trials.

Indian J Med Ethics

December 2015

Associate Professor of Medicine; Member, Beth Israel Deaconess Medical Center, Harvard Medical School, past President, Hôpital Albert Schweitzer, Lambarene, Gabon; Institutional Review Board, Dana Farber Harvard Cancer Center, Harvard Medical School, Boston, MA United States.

View Article and Find Full Text PDF

Work stress and hair cortisol levels among workers in a Bangladeshi ready-made garment factory - Results from a cross-sectional study.

Psychoneuroendocrinology

December 2014

Mannheim Institute of Public Health, Social and Preventive Medicine, Mannheim Medical Faculty, Heidelberg University, Ludolf-Krehl-Str. 7-11, 68167 Mannheim, Germany; Cluster of Excellence "Asia and Europe in a Global Context, Shifting Asymmetries in Cultural Flows", Heidelberg University, Voßstr. 2, 69115 Heidelberg, Germany; Institute of Occupational and Social Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, Moorenstraße 5, 40225 Düsseldorf, Germany. Electronic address:

Evidence on the association of work stress with cortisol levels is inconsistent and mostly stems from Western countries, with limited generalizability to other regions of the world. These inconsistencies may partly be due to methodological limitations associated with the measurement of cortisol secretion in saliva, serum or urine. The present study set out to explore associations of work stress with long-term integrated cortisol levels in hair among 175 workers of an export oriented ready-made garment (RMG) factory in Dhaka, Bangladesh.

View Article and Find Full Text PDF

Ritual healing is very widespread in the Indian state of Uttarakhand, and is by far the most common option for those with serious behavioral disturbances. Although ritual healing thus accounts for a very large part of the actual health care system, the state and its regulatory agencies have, for the most part, been structurally blind to its existence. A decade of research on in this region, along with a number of shorter research trips to healing shrines and specialists elsewhere in the subcontinent, and a thorough study of the literature, suggest that such techniques are often therapeutically effective.

View Article and Find Full Text PDF

Two accounts of the colonised "other" in South Asia re-exploring alterity.

South Asia Res

September 2010

Department of History, South Asia Institute, Heidelberg, Germany.

Taking examples from South Asia, this article shows how British colonial knowledge about the non-European "other" hinged substantially on the participation of sections of that other, especially in the context of liminal groups, for whom no ready standardised formula of identification was available. Development of a colonial episteme often involved active intervention from the colonised body, thereby dispelling any strict notion of coloniser-colonised alterity and mere top-down governance. This process of identity construction took place in several arenas and also involved negotiations in courts of law, where rival sections of the amorphous colonised body fought for competing ideals of selfhood.

View Article and Find Full Text PDF

Childbearing in Korea.

Soc Sci Med

April 1989

Institute of Tropical Hygiene and Public Health, South Asia Institute of Heidelberg University, F.R.G.

Thirty pregnant women, their families and environment have been submitted to a prospective ethnographic study with inventory of childbearing behavior. The results were two-fold. They allowed on the one hand to reconstruct the traditional Korean birthing system.

View Article and Find Full Text PDF