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.

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.

Enhancing the role of community

Enhancing the role of community

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.

Speaker

Dr. Tanya Seshadri

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Affiliation

IPH Adjunct Faculty

Date

17-January-2019

Time

4:00 pm – 5.00 pm

Strengthening Primary Health Care

Strengthening Primary Health Care

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.

Speaker

Dr. Sarin NS

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Affiliation

IPH Staff

Date

22-November-2018

Time

4:00 pm – 5.00 pm

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

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

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.

Speaker

Prashanth NS and Narayanan Devadasan

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Affiliation

IPH Staff

Date

06-September-2018

Time

4:00 pm – 5.00 pm

Venue

Institute of Public Health, Bengaluru
#250, 2nd C Main, 2nd C Cross,
Girinagar Ist  Phase,
Bengaluru – 560085

WHO framework (IPCHS)

WHO framework (IPCHS)

WHO framework on Integrated people-centred health services (IPCHS) is a call for the countries to shift the way health services are funded, managed and delivered. The framework supports countries to achieve universal health coverage by shifting health systems designed around the diseases into health systems designed for the people.

Speaker

Prashanthi
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Affiliation

Institute of Public Health, Bengaluru

Date

30-May-2018

Time

11.00 Am – 12.00 pm

Venue

Institute of Public health #250, 2nd C Main, 2nd C Cross, Girinagar Ist  Phase, Bengaluru – 560085