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Policy Roundtable: Urban Health Governance in India

Policy Roundtable: Urban Health Governance in India

Image credit: Observer Research Foundation

Dr. Upendra Bhojani, India Alliance Fellow and Director at IPH, was invited to participate in a Roundtable discussion hosted by Observer Research Foundation (ORF) and World Health Organization, India in Delhi on the 26th July 2019. The roundtable discussion was attended by subject experts, bureaucrats and researchers from Mumbai, Chennai, Hyderabad, Bengaluru and Delhi.

While urbanization offers opportunities for growth and development, it poses unique challenges for health and health governance. Acknowledging health as a key component of urban planning and governance by policymakers is an important step to visualize and translate sustainable urban development into action. Themes that were broadly discussed over the course of the day include:

  • The need to strengthen and rationalise existing urban primary health structures in the context of Ayushman Bharat.
  • The need for strong financial governance to help minimise underutilisation of funds.
  • Lack of effective Monitoring, Surveillance and Accountability systems among diverse stakeholders.

The full report of the event is accessible here.

Video on “Tobacco-Free Generation”

Video on “Tobacco-Free Generation”

“Tobacco-free generation” is a proposal wherein children born after a certain year grow up in tobacco free environments, with legislation in place restricting exposure, sale and use of tobacco for that generation. This is potentially a very powerful intervention, that is progressive and strategic in achieving tobacco control. It has been proposed and implemented to various extents in a few countries, including Tasmania and Netherlands. As a strategy it is feasible as it is aimed at overcoming defects with current youth access laws.

Dr. Upendra Bhojani, India Alliance Fellow and Director at IPH, published a video as a part of a 2-day National Consultation by Generation Saviour Association (GSA), The Union and Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh on date that explains his views on this topic. He explains the issue and argues for its social, economic and national importance, while shedding light on the ethical issues that can arise in the context of such interventions.

The video has been uploaded to YouTube and is available for viewing here:

routine dental practice

routine dental practice

The MPOWER package is a package introduced by WHO, comprising of six measures to assist in country-level implementation of the WHO Framework Convention on Tobacco Control. One of the six components of the MPOWER package is “Offer help to quit tobacco use.”

Often, tobacco users are aware of the risks, but require support to overcome addiction or dependence on the substance. It is recommended that support for tobacco cessation should also lie with health-systems, where programs for tobacco cessation should be incorporated and embedded into primary health care services, with health care providers acting as advocates for tobacco control.

Dr. Upendra Bhojani serves as a guide for Rachana Shah (Government Dental College and Hospital, Ahmedabad, Gujarat, India) on her work on how to integrate tobacco cessation support with the help of health professionals as a part of routine primary care. This project shifts the focus from tobacco cessation centres to healthcare providers as playing an important role in delivering such services.

Previous work by this research team showed that Dentists are generally willing, though very few display this in clinical practice, in an article titled Dentists and tobacco cessation: Moving beyond willingness.

Rachana Shah’s doctoral proposal examines the role of oral health professionals (OHP) and the experiences and expectations of dental patients in the context of tobacco cessation (TC) services. The protocol of her doctoral study titled “Integrating tobacco cessation into routine dental practice: protocol for a qualitative study” was recently published in BMJ Open, linked here.

India Alliance Fellows Meet 2019

India Alliance Fellows Meet 2019

IPH Faculty and Wellcome Trust DBT India Alliance research fellows Upendra Bhojani and Pragati Hebbar attended the 9th Annual Fellows’ Meet in Bengaluru from June 13 – 15th 2019. The annual fellows meet serves as a platform to bring together India Alliance Fellows and other grant recipients from prestigious research institutes together to foster collaboration, support and exchange of ideas across a wide range of research areas.

Both Pragati and Upendra presented their work during the first year of their fellowships through scientific poster sessions. Upendra Bhojani was invited to present his work and research supported by India Alliance during this meet. Upendra gave a talk titled “Commercial Determinants of health: the political economy of tobacco in India”, available for viewinghere.

Given the present focus on and the growing concern of the role of corporations in promoting products and choices that are mass produced and are in general detrimental to health, Upendra’s talk was relevant and well-received.

At the Fellows meet, new committee members were introduced. Wellcome Trust and DBT India Alliance also launched new grant opportunities such as the Team Science Grants and grants to establish virtual Clinical/Public Health Research Centres, in order to provide a platform for collaborating and strengthening important research initiatives in India.

Poster presentation at GCIS, Dhaka

Poster presentation at GCIS, Dhaka

Dr. Pragati Hebbar presenting her research poster at GCIS, Dhaka


Centre of Excellence for Science of Implementation and Scale-up (CoE-SISU), BRAC James P Grant School of Public Health at BRAC University and UNICEF Bangladesh hosted a Global Conference on Implementation Science and Scale-Up at Dhaka from 29th June 2019 to 01st July 2019.

The conference aimed to showcase the role of Implementation Science in promoting a culture of evidence-based health and other social development programmes, policies, and practices. It was an excellent attempt to bridge the gap between research and policy making. 

Dr. Pragati Hebbar, PhD scholar and Wellcome Trust/DBT India Alliance Fellow from the Institute of Public Health, Bengaluru participated and presented a poster on ‘Anusthana’ – implementation research for scaling up tobacco control policy interventions.

The GCIS was a very good platform to network with like-minded researchers and engaging policymakers to listen to the success stories through the use of Implementation Sciences to influence programme, policy, and practice. 

World No Tobacco Day 2019

World No Tobacco Day 2019

Dr. Upendra Bhojani was invited to participate in a National Consultation on Tobacco and Lung Health organized by the World Health Organization (WHO) country office in partnership with the Ministry of Health and Family Welfare (MoHFW) in New Delhi on 31st May 2019 to observe the occasion of World No Tobacco Day (WNTD). The annual World No Tobacco Day is organised by the WHO for advocating for effective policies to reduce tobacco consumption and engaging stakeholders across multiple sectors in the fight for tobacco control. The theme for 2019, “Tobacco and Lung Health” focuses on “the negative impact that tobacco has on people’s lung health, from cancer to chronic respiratory disease and the fundamental role lungs play for the health and well-being of all people.”
During the award ceremony, prizes were awarded to acknowledge the work of individuals and organizations in their exceptional efforts toward promoting tobacco control in India. Additionally, scientific documents titled

were released during the event, providing an overview of tobacco use and providing multi-pronged recommendations to reduce the burden of tobacco attributable lung diseases in India. An official website dedicated to the National Tobacco Control Program was also launched during the same day.