Updates

Gender Inequities in Publicly Funded Health Insurance Schemes by Rajalakshmi RamPrakash

Rajalakshmi RamPrakash is a researcher and a social activist on gender and health-based out of Chennai. She has a Masters in Social Work and a Doctorate in Social Sciences from Tata Institute of Social Sciences. She has been involved in several research studies on themes intersecting gender with sexual and reproductive health, law, ethics, health insurance and health systems. She is a member of Jan Swasthya Abhiyan, Gender & Evaluation Community and is currently with Loyola Institute of Business Administration (LIBA), Chennai.

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Applying a new ethical toolkit for community engagement in health research priority-setting

Engaging communities in health research priority-setting is a key means of setting research topics and questions of relevance and benefit to them. But communities, especially those considered disadvantaged and marginalised, rarely have a say in the agendas and priorities of the very health research projects that aim to help them.

How can researchers and communities share power and ownership when setting priorities for health research projects? An “ethical toolkit” is being developed to help researchers and their partners design inclusive priority-setting processes for health research projects. The toolkit places community engagement and power-sharing at the heart of health research priority-setting. It is a reflective project planning aid for use before priority-setting is undertaken for a health research project. It consists of 3 worksheets and a companion document.

In today’s workshop, the ethical toolkit will be introduced to workshop participants and they will be able to give comments and feedback. Then workshop participants will have the opportunity to apply the toolkit to their current/upcoming health research projects in small groups. (The toolkit is currently not publicly available but will be provided to participants at
the workshop.)

About the speaker

Dr Bridget Pratt is a Research Fellow in the Centre for Health Equity at the School of Population and Global Health at the University of Melbourne. Her work focuses on the ethics of global health research and health systems research, with a focus on social and global justice. She develops ethical guidance
for global health research in relation to multiple areas: priority-setting, governance, capacity development, community engagement, provision of ancillary care, research translation, benefit-sharing, and data sharing.

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National Conference on Tobacco or Health

The fourth edition of the 'National Conference on Tobacco or Health' concluded recently in Mumbai (8-10 February 2019). It saw a range of stakeholders across Indian states coming together in what the conference's organizing secretary described as the "Kumbh Mela" of...

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Unpacking Interventions

Dr. Pragati Hebbar will be presenting a seminar on the topic ‘Unpacking implementation’.

As part of her early career Wellcome trust/ DBT India Alliance fellowship she is undertaking an ‘Implementation research for taking tobacco control policy interventions to scale in India.’ One of the first steps in this endeavour is to unpack ‘implementation’ and related concepts / models / theories / frameworks and define it for this project purpose. Through this seminar she would like to share her readings and thoughts on the topic of implementation and garner feedback into how she has situated the same in her work.

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Enhancing the role of community health workers in service utilisation of tribal populations

While great gains have been made in both understanding and eradicating disease burdens for indigenous populations, health systems studies, and studies assessing service utilization and delivery are limited. Further, Community Health Workers, or ASHAs, have helped in improving maternal and child health outcomes as well as reducing the toll of infectious diseases – the very service areas where tribal populations face great barriers. Given the recent focus on universal health coverage reform, and the recommendations of expert groups, there is a need to more deeply enhance and improve the contribution of CHW programmes in service of tribal health needs. In this study, we draw attention to tribal minority populations in the Nilgiri Biosphere Reserve region, spanning the southern Indian states of Karnataka and Kerala. Notwithstanding that both states have relatively strong health systems, by virtue of being a small and relatively isolated, tribal populations have limited access to programmes and services– they are being left behind. The methods used in this study include key informant and in depth interviews, focus group discussions in close coordination with local implementer groups and government agencies.

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IPH observes National road safety week – 2019

Awareness activities on road safety by the Institute of Public Health and Padmashree school of public health under the initiative of 'SAFER ROADS BENGALURU' at Hebbal Junction Institute of Public Health under the banner of 'SAFER ROADS BENGALURU' initiative in...

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Eleventh webinar in the Equilogues series

The Health Equity Cluster at IPH Bengaluru is now the secretariat for the newly launched Health Equity Network India (HENI) and is pleased to announce the eleventh webinar in the Equilogues series in January 2019. Do block your calendar for this date and come join us in an engaging conversation on health inequities in India.

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Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana

Since its announcement in Budget 2018, Ayushman Bharat has received considerable attention. It aims to achieve universal access to primary, secondary and tertiary healthcare through its two component: Health and Wellness Centres and Pradhan Mantri Jan Arogaya Yojana (PMJAY). This presentation by Ketki will give a brief overview of the design and implementation of PMJAY, a financial protection scheme which aims to cover 10 crores vulnerable families.

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Sharing power with communities in health research priority-setting

As a matter of health and social justice, health research should improve the health and well-being of those considered disadvantaged and marginalised and foster their engagement in all phases of its conduct. Such communities’ engagement in priority-setting is a key means for setting research topics and questions of relevance and benefit to them. However, without attention to dynamics of power and diversity, their engagement can lead to presence without voice and voice without influence. What is needed to give marginalised communities a voice in agenda-setting for health research projects? In this talk, Bridget will present the findings of conceptual and empirical research that address this question. Key ethical considerations for sharing power with community members that should be taken into account before, during and after priority-setting will be identified and discussed.

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Strengthening Primary Health Care through Informal Healthcare Providers

It has been estimated that over 80% of the world’s population depends on traditional healing systems as their primary source of care. Traditional Medicine consists of codified and non-codified streams of knowledge. The Foundation for Revitalization of Local Health Traditions (FRLHT), Bengaluru is currently operating a National Scheme along with the Quality Council of India (QCI) for the Assessment, Training and Certification of Traditional Community Health Practitioners based on a standards competency model aligned with ISO 29990 and ISO 17024 which looks at applying stringent rigors for the process of training and certifying TCHPs.

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IPH Annual Day Oration Series

"As part of the IPH Annual Day celebrations on September 1 (2018), we launched an IPH Annual Day Oration Series. The purpose of this series is to hear from distinguished professionals and leaders talk about their journey, experiences and perspectives that...

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Health Technology Assessments

A brief description of what HTA is, how it is done, how to interpret such studies and a discussion on whether this might be relevant for India.Dr. Neethi RaoIPH Honorary Associate15-November-20184:00 pm - 5.00 pmInstitute of Public Health, Bengaluru 3009, II-A Main,...

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World Antibiotic Awareness Week

The Antimicrobial Stewardship cluster of the Institute of Public Health promoted the “World Antibiotic Awareness Week” from 12th – 18th of November through a series of academic sessions conducted at select Pharmacy colleges, Hospitals and Schools, on themes corresponding to each day of the week as listed out by WHO. The sessions dealt with strengthening awareness regarding indiscriminate Antibiotic usage, infection prevention and control aided through WASH, One Health approaches incorporating interventions for environment and animal health etc. The events were aimed to sensitize the target audiences on current gaps in practice and roles and opportunities for intervention. The week-long events culminated with a colloquium on strengthening antibiotic stewardship through coordinated research and development, organized at IPH, with the participation of resources from NCBS, Al Ameen College of Pharmacy, KLE College of Pharmacy, Karuna Trust, Sri Devraj Urs Medical College Kolar, Molecular Solutions Care Health, Acharya Institute and PCMH restore health.

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Mapping parliamentarians who are concerned about tobacco

This project aimed to map and analyse the elected representatives of Indian parliament,who participated in Lok Sabha and Rajya Sabha debates and also raised queries about tobacco.Abirami KaliyaperumalIPH Intern26-October-20184:00 pm - 5.00 pmInstitute of Public...

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Tenth webinar in the Equilogues series

Institute of Public Health Bengaluru is pleased to announce the tenth webinar in the Equilogues series which was started by the Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology as part of their projet Closing the Gap: Health Equity Research Initiative in India. Please find attached the webinar announcement for the same.

Theme: Inclusion of minorities in public services in India

Upendra Bhojani at the Institute of Public Health (Bengaluru) led the India part of a multi-country collaborative project that aimed at building local network of researchers/practitioners/policymakers that can address social inclusion of ethnic and religious minorities in public services. Drawing on the findings from a scoping review of literature and a series of stakeholders consultations in Karnataka, he will briefly highlight the role of inclusive policies (esp in areas of education, health, governance, employment) in enhancing inclusion of minorities as well as gaps in our knowledge.

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Antimicrobial Stewardship at Karuna Trust’s PHCs – Situational analysis of antibiotic usage and Medicines and Therapeutic Committees

Antimicrobial Stewardship (AMS) is the new cluster at IPH that is being initiated by Sunitha. As part of this process, the first project is to incorporate AMS at 26 Karuna Trust Primary Health Centers (PHCs) in Karnataka by strengthening the Medicines and Therapeutics Committee (MTCs). An IEC application is being written up to seek ethical approval for the situational analysis phase of this project which aims to conduct a baseline study by documenting the current policies and practices that govern the pharmaceutical supply management of antibiotics at these 26 PHCs. Following the current prescribing indicators, including the prescribing pattern of antibiotics, the subsequent phase is designed to gather data on the Medicines and Therapeutics Indicators (MTI) for their PHC based contextual relevance before they could be incorporated as part of the Health Management Information System during the subsequent intervention phase of the project. This presentation is to seek feedback from peers at IPH so the IEC application is tweaked accordingly before submission on 15th Oct.

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Health Inc. project

Mahesh will present an introduction to the Health Inc. project, the methods and the SPEC framework used in the project.

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RSBY awareness study findings

India’s health care is predominantly financed by households through out-of-pocket payments at the point of care. Recognising this, successive governments have introduced various measures including health insurance schemes to protect the poor from high hospitalisation costs. One such scheme introduced in 2008, was the Rashtriya Swasthya Bima Yojana (RSBY). Meant for the poorest of the poor, the government subsidised the premiums so that patients from this population are able to get free hospitalisation care at select hospitals in their neighbourhood. Despite a 100% subsidy of premiums and the promise of free health care even in private hospitals, in 2011-2012 the enrolment rate in RSBY was 51.4%. The aim of our study was to identify the reasons for the poor enrolment.

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Debate: Purchasing primary care from the private sector is neither feasible, nor should be attempted for a country like India

This week, IPH has organised a debate on the topic ‘Purchasing primary care from the private sector is neither feasible, nor should be attempted for a country like India’. Dr. Prashanth will speak in favour of the topic (Affirmative) whereas Dr. Devadasan will speak against it (Negative). The speakers get 8 minutes each for their constructive speeches, followed by a second round (4 mins each) for rebuttal. A moderator will keep time. Pre- and post-debate audience polls will be held.

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Developing effective payment platforms for accessing public finance in Zambia: Presentation and Q&A with Dr Kajal

Dr. Kajal shares with us findings and lessons learnt from her research in Zambia that looked at developing effective payment platforms for accessing public finance. This was qualitative research with different stakeholders from the Churches Health Association of Zambia (CHAZ) and public sector ministry of health at state and provincial levels. The findings may be relevant to Low and Middle income countries such as India.

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Ninth Webinar in the Epilogue Series

Closing the Gap: Health Equity Research Initiative in India of the Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology is partnering with the Cluster on Health Equity at the Institute of Public Health Bengaluru to announce the ninth webinar in the Equilogues series.

Theme: Denial of reproductive health rights of Particularly Vulnerable Tribal Groups (PVTGs) in Chhattisgarh

Speaker: Sulakshana Nandi, State Convener of Public Health Resource Network, Chhattisgarh.

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Review Methods

This seminar is structured differently. 3 speakers (Prashanth, Tanya and Nityasri) will make presentations of 15 minutes each on related topics. All research begins with a review of literature. In this seminar, the three speakers will each present a different review method – realist synthesis, critical interpretative synthesis and systematic review, respectively.

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