18 August 2017, 2.00-5.00 pm
Institute of Public health
#250, 2nd C Main, 2nd C Cross,
Girinagar Ist Phase,
Bengaluru – 560085
The seminar will focus on Mapping out the landscape of research methods in public health ranging from experimental/quasi-
On the 14th of June 2017, Institute of Public Health, Bengaluru signed a memorandum of understanding with the Transdisciplinary University to join a group of 10 other organizations as a member of the TDU research partnership ecosystem. Under this, we will be contributing to the public health and health systems component of learning in the PhD program.
Last date for application is 25th July, link to the call is here
As part of his UK visit, Upendra Bhojani of the Institute of Public Health (Bengaluru) visited the Durham University. Prof. Andrew Russell at the Department of Anthropology (Durham University), who has been doing pioneering work in area of tobacco control, facilitated this visit. They exchanged ideas for collaborative work in area of tobacco control including contributions of arts and humanities in enhancing tobacco control. Upendra engaged with collaborators of the ‘life of breath’ project and the Director (Prof. Jane Macnaughton) of the Centre for Medical Humanities at the Durham University.
The Leeds Institute of Health Sciences (University of Leeds) hosted the first International Workshop as part of an initiative at building networks for Socially Inclusive Cities. The workshop saw participation of collaborating institutes from Vietnam (Hanoi University of Public Health), Kenya (Institute for Development Studies, University of Nairobi), India (Institute of Public Health) as well as other partner organizations from these countries. Upendra Bhojani of Institute of Public Health actively participated in the workshop as well as the project advisory meeting that followed on June 6
Institute of Public Health, Bengaluru
9 June 2017
3:00 – 4:30 PM
Institute of Public health
#250, 2nd C Main, 2nd C Cross,
Girinagar Ist Phase,
Bengaluru – 560085
Dorothy Lall will be presenting the findings of the first phase of research that is part of her PhD program. She is studying the organization of health care services for diabetes and hypertension at primary care level to identify ways to improve and strengthen services. These results are not published yet but the manuscript is being developed. In the next phase, we will be implementing and evaluating interventions that address the gaps identified in the first phase of the study.
Title: Organization of Primary Health Care Services for Diabetes and Hypertension; A qualitative study of public and private, patient and provider perspectives in Rural India
Abstract
Background: Diabetes and hypertension have emerged as major public health issues globally. Health systems in low to middle income countries are traditionally designed to deliver services for acute conditions but now are having to deal with chronic diseases like diabetes and hypertension. The Chronic Care Model (CCM) is one of many models that describe how services should be organized to achieve quality of care and good clinical outcomes. In this study, we used the CCM as a framework to understand the current organization of health care services for both diabetes and hypertension in both private and public health care sectors and studied both, patients and provider perspectives.
Methods: This study was designed as a qualitative study and data was collected from patients and providers through in depth interviews. The data was triangulated with findings from observations and facility level assessments. Findings were thematically analyzed using the elements of the chronic care as pre -specified themes.
Results: We found that both private and public health care delivery for diabetes and hypertension are lacking most of the elements of the CCM. The lack of a team approach where tasks are shared to improve quality was evident in both public and private sector. Also, the absence of clinical information systems that could be used to facilitate follow up and coordination of care across health care levels seems to result in patients dropping out of care.
Conclusion: Health care services for diabetes and hypertension are currently organized and delivered within an acute care model of service delivery. An urgent reorganization of health care services is required to respond to the demands of chronic conditions to improve social and clinical outcomes with regard to these conditions.
