Chronic Health Conditions & Public Policies

Chronic conditions are the health issues that require ongoing management over a period of years or decades. They include chronic non-communicable diseases (NCDs) but also a few communicable diseases and conditions (like disabilities) that lasts longer. The chronic conditions are on the rise globally and in India, where it has become a leading cause of deaths and disabilities.

PRIORITIES

TOBacco control

Road safety

Multisectoral Actions for Health

Tobacco Control

In India, 28.6% of adults and 14.6% of youth – in total over 26.7 crores (~ 266 million) are the current users of tobacco in some form. Tobacco use causes over 12.8 lakh (~1.2 million) deaths every year in India. Total economic cost from all the diseases caused by tobacco use in India in a year is estimated to be INR 104500 crore (~ 1045 billion). Tobacco use is a common major risk factor for chronic conditions, including cancers, cardiovascular diseases, chronic respiratory diseases and diabetes. This thematic explores empirical ways to reduce tobacco use in India and the associated health, economic and ecologic burden.

Current Projects

NCD

Anusthana: Scaling Implementation of Tobacco Control Laws

Access to Medicines

Political Economy of Tobacco Control

Past Projects

Access to Medicines

Tobacco and Political Concerns

NCD

Comprehensive Tobacco Control Karnataka

NCD

Youth and Tobacco Use

NCD

Youth and On-screen Tobacco Use – Value of Media Rating System

NCD

Tobacco-Free Youth (TOFY): an initiative in rural Karnataka

Road Safety

Nearly 90% of all road fatalities occur in low- and middle- income countries, which have less than half of the world’s vehicles. In India, one road crash happens each minute and one life is lost to road crashes every four minutes – with over 150000 individuals losing their lives in road crashes each year. Under this thematic, we explore how to strengthen policies for road safety and their implementation at different levels.

NCD

Safer roads Bengaluru

NCD

Advocacy for stronger road safety and transport legislation in India

Multisectoral Actions for Health

Health is seen as a dynamic state of physical, mental and social well-being. Health, especially at a population level, is impacted by several social, economic, environmental, cultural and political factors. Hence, enhancing population health requires coordinated actions across sectors, beyond just the healthcare sector. This thematic explores ways of engendering multisectoral actions for health and promoting health through public policies across different sectors (health-in all policy approach).

NCD

Health-in All and the Tribal Population in South India

NCD

Health-in All Policy and NCDs

NCD

Health-in All Policy and Tobacco Control

Updates

Tenth webinar in the Equilogues series

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

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)

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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Chronic conditions are the health issues that require ongoing management over a period of years or decades. They include chronic non-communicable diseases (NCDs) but also a few communicable diseases and conditions (like disabilities) that lasts longer. The chronic conditions are on the rise globally and in India, where it has become a leading cause of deaths and disabilities. There are several factors implicated in the rise in chronic conditions, from genetics and individual lifestyle to changes in demography and the broader environment. Therefore, prevention and management of chronic conditions require an inter-disciplinary and inter-sectoral engagement.

In this cluster, we are specifically interested in how health policies and policies across other related sectors impact prevention and control of chronic conditions at a population level, including the major risk factors for such conditions such as tobacco and alcohol use, unhealthy diet and inadequate physical exercise. The cluster builds on the premise that broader social determinants of health operating at the macro- and the meso-level influence the individual behavioural choices (lifestyle) as well as shape the environment in which these choices are to be made.

Hence, our focus on public policies and intersectoral actions for health. In this context, we are also interested in studying the increasing role being played by commercial entities in shaping the epidemic of chronic conditions as well as the policy responses. The cluster aims to deepen our work on some of the relevant concepts/approaches including but not limited to ‘social determinants of health’, ‘political economy of health’, ‘health-in all policy’ and ‘harm industries’.

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Admissions open for 2023!

In this Certificate course in Research Methods (eRM) course, we start with helping the student develop clear and well formulated research questions. Participants are then taught how to select research designs and methods best suited to answer the research question, beyond the usual epidemiological disciplines.

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