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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Implementation research for taking tobacco control policy interventions to scale in India

Tobacco kills approximately six million people globally and over one million adults in India each year. In India, a comprehensive tobacco control law the Cigarettes and Other Tobacco Products Act (COTPA) 2003 exists. However, the implementation remains sub-optimal. COTPA has worked in some places/contexts/settings and not in others. From a policy and implementation perspective, it is crucial to systematically understand how and why the implementation of this law has occurred. By doing this, we will improve our knowledge of implementing effective tobacco control policies (TCPs) as well as identify system-wide implementation bottlenecks that could affect other sectors like pharmaceutical/food. I aim to improve the implementation of TCP in India by describing and explaining the why and how of its implementation across Indian states. Some of the hypotheses include: a) Champions at either political or bureaucratic level facilitate policy making and implementation process b) Implementation is weakened when restrictive mandates are provided to departments who are not involved in punitive action. The study will be conducted in five phases using quantitative and qualitative methods to map implementation landscape and using theory-driven inquiry to draw lessons. The purpose of this seminar is to seek suggestions to improve the proposal and shape the work that I will be doing over the next 5 years as part of my early career India Alliance fellowship.

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Deciphering an epidemic of epic proportion: the role of state and tobacco industry in tobacco control in post-liberalized India (1990-2017)

In this seminar, Upendra Bhojani will present an overview of the research he aims to conduct as part of the India Alliance fellowship for the next 5 years. The purpose is to seek comments/suggestions/critique for refining the proposal. About 3500 Indians die every day due to tobacco-attributable illnesses. Despite several regulatory measures, there has been a marginal decline in tobacco use in the last two decades. In fact, since 1990s, tobacco production and sales have increased. Therefore, this research aims to understand the role played by the state policies (related to tobacco) and the tobacco industry actions during 1990-2017. I will conduct the study in three phases. In Phase-1, I will map public policies related to tobacco in this period. In will use quantitative data to explore associations between the tobacco policies and the trends in tobacco production and consumption. In phase-2 I will use qualitative data to understand how the tobacco industry actors influence tobacco policies in India. How do governments in India respond to the industry influence as well as their own varying (often conflicting) interests in tobacco? Based on these insights, in the phase-3, I will select ten Indian states: five positive (significant decline in tobacco prevalence over time) and five negative (status quo or increase in tobacco prevalence) cases. I will use qualitative comparative analysis to understand the combinations of measures (policies, implementation, tobacco industry) that best explain a significant reduction in tobacco use prevalence.

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A Comparison of the National Guidelines of the VL Elimination Programme in India, Bangladesh and Nepal

Visceral Leishmaniasis (VL) is an infectious disease predominantly transmitted by the sandfly. 90% of the cases of VL in the world occur in Brazil, Ethiopia, South Sudan, Sudan, India, Nepal, and Bangladesh. In 2005, the WHO South East Asia Region, responding to increasing incidences of VL in the Indian subcontinent, initiated a VL elimination program within India, Bangladesh, and Nepal. The aim was to reduce the incidence of VL to <1 case per 10,000 cases in districts/subdistricts within the three countries by 2015. Since then, the goalposts have shifted from 2015 to 2017 and, now, to 2020. Nepal and Bangladesh have traveled much further on the road to elimination than India has, Nepal having sustained the elimination target in the 12 once-endemic districts since 2012. In 2016, Bangladesh reached the elimination target in 99% of its endemic subdistricts (upazilas). Lagging closely behind, India has reached the elimination target in 85% of endemic subdistricts. The aim of this literature review predominantly on the national guidelines of VL elimination/control in the three countries as well as some research articles on the same is to compare the program in India with Bangladesh and Nepal, to identify similarities and differences between the programs, and to extrapolate data to see how India can learn from Bangladesh and Nepal to hasten its pace towards elimination of VL.

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GIS Mapping of Private Sector Medical Facilities in Karnataka

There is very little information currently available about the private sector in India. This project aimed to develop a profile of all the private sector medical facilities in the state of Karnataka, particularly in the context of the recently announced Aarogya Karnataka scheme by the Government of Karnataka.

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Tobacco Control Project – Mapping Policy Concerns

Understanding public policy around tobacco use is required to understand the conflicts of interests of state and non-state actors in India. My work revolved around mapping concerns on tobacco expressed as debates by the parliamentary elected representatives by sourcing the official archives of loksabha and rajyasabha.

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Prices of medicines for Visceral Leishmaniasis : Identifying the current issues

WHO identified Visceral Leishmaniasis (VL) as a Category I disease (emerging and uncontrolled) and the support to the Elimination control programs in India, Nepal and Bangladesh were intensified in 2005. One of the key approaches that allows accelerated efforts towards the elimination process is by focusing on availability, affordability and accessibility of medicines used to treat VL. This presentation by Ms. Aishwarya Kulkarni, who has completed her BPharm, focuses on the evolution of the medicines for VL, their prices and some of the current issues in this regard.

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Integrating mental health into primary care: a case-study of quality of mental health care at Gumballi PHC in Karnataka, India

The global burden of disease for mental health problems is substantial, but because of scarce resources that are unequally distributed and inefficiently used, the majority of patients do not receive the care they need, especially in low and middle income countries. A proposed solution for this treatment gap is the integration of mental health into primary health care. Evidence shows that task shifting approaches in which non-specialist health workers are trained to recognize and treat common mental health problems can be effective, but it has not yet been widely adopted in the developing world. Furthermore, little research has been done on the quality of mental health care given in projects where mental health is integrated into primary care institutions and how it can be improved. Ms. Ellis Veen’s research project for her masters degree in Global health from Maastricht University and her internship with IPH is about a case study of quality improvement at the Gumballi primary health care centre in Karnataka, India. The main research question was “What constitutes quality of mental health care at Gumballi PHC, how can it be improved and what lessons can we learn from it for the integration of mental health into primary care in India?”

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Evaluation of Midwifery Training : Baseline Report

The EMT (Evaluation of the midwives training program) team will present a seminar on the baseline findings of the project - regarding the context and the organisation of the training program, the competencies of the trainees before they started the midwifery training...

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UHC in Karnataka

Mr. Josh Ridley will present a comparative study of the utilisation of the Vajpayee Aarogyashree and the Rajiv Aarogyashri health insurance schemes in Karnataka to ensure UHC

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Tableau desktop demonstration

Mr Solomon Thirumurugan will present his end of internship seminar on Safer Roads Bengaluru Project. The seminar will have two presentations simultaneously, his work in the road safety project and his working experience as an Intern at Institute of Public Health,...

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Safer Roads Bangalore

Open discussion and feedback on the study design for "Safer Roads Bangalore project". The objective of the project is to reduce road crashes by 50% by 2021 in the selected stretch of road in Bengaluru by improving awareness and safe driving practices of road users...

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Weekly Seminar: Canadian Health System

Ms. Eunice Choi, an intern with IPH will present a seminar on the Canadian health system. The summary of her presentation is as follows "Canada has a highly decentralized governance, organization, and delivery of health services, wherein the provinces and territories...

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How to be effective in CSR partnership & challenges in CSR

Anirban terms himself as an accidental engineer having a passion for sports. Anirban comes with experience in sports sector where he consulted various club teams and leagues. Having played cricket at a competitive level has helped him use those skills in various...

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Tobacco epidemic in India and the societal harms it causes

Syeda will present her work with the tobacco control project. She will be speaking about the tobacco epidemic in India and the societal harms it causes as well as current solutions including existing policy. She will also speak about the tobacco control project, which...

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Pharm D program in india

Our guest speaker Prof. Kiran Nagaraj will introduce us to the Pharm. D program in India. He has finished his Master of Pharmacy Practice from JSS Mysore and PhD from Karpagam University. His research interests are in Public Health, Toxico-Vigilance and Geriatric...

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