health system Archives - Institute of Public Health Bengaluru

National Consultation on ‘Implementation of Tobacco Control Policies in India’

by iphindia | Aug 8, 2023 | Anusthana: Scaling Implementation of Tobacco Control Laws, Blog, Chronic Health Conditions

India has comprehensive tobacco control policies in place to address the growing problem of tobacco use, but their effectiveness differs among states due to diverse socio-economic, demographic, cultural, political, commercial, and geographical factors. Using a realist lens to understand what works, for whom and why in tobacco control, the Anushthana team at the Institute of Public Health Bengaluru (IPH) in association with the International Union Against Tuberculosis and Lung Disease (The Union) organized a two-day national consultation on tobacco control policies at The Chancery Pavilion, Bangalore from 6-7 July, 2023.

The consultation brought together state-level government officials, public health experts, researchers, academicians, civil society organizations, and tobacco control advocates to design strategies to curb tobacco use and promote public health. On the first day, Shri Dinesh Gundu Rao, Minister for Health & Family Welfare, Govt of Karnataka, graced the occasion by unveiling a short documentary and a policy brief developed by the research team at IPH Bengaluru. The consultation had three panel discussions: 1) Sustainability and scale up of current good practices related to tobacco control policy implementation, 2) Policy recommendations, newer initiatives & State level COTPA amendments, and 3) Strategies to counter persisting challenges in implementing COTPA, NTCP and newer legislations, including a session on the political economy of tobacco by Dr. Upendra Bhojani and a group activity on recommendations for the updation of the COTPA Law enforcers manual.

Keeping in line with a focus on policy guided by implementers’ wisdom, one of the key strengths of the consultation was the panel discussions consisting of state nodal officers working in tobacco control, civil society members, academia, and the medical community of various Indian states who shared the context-specific facilitators and barriers they faced. The event provided a platform for participants to voice their opinions, concerns, and recommendations. The knowledge and insights gained from this consultation will be instrumental in shaping evidence-based policies and programs to reduce tobacco consumption and its associated health risks. It is now imperative to translate the ideas and recommendations generated at the consultation into tangible actions, forging a path towards a tobacco-free future.

Next steps

In order to sustain the consultation’s momentum and progress, the upcoming activities include sharing the recommendations from the consultation with the Ministry of Health, Government of Karnataka to operationalize them in the state, sharing the recommendations on updating law enforcement manual at the national level, sharing the documentary for training purposes, and submitting the Prohibition of Electronic Cigarettes (PECA) guidelines to the Union Ministry for further action.

Regional Consultations on ‘Implementation of Tobacco Control Policies in India’

by iphindia | Apr 29, 2022 | Anusthana: Scaling Implementation of Tobacco Control Laws, Blog, Chronic Health Conditions, Latest Updates, Uncategorized

The burden of tobacco-related illnesses is high in India, with about 1.35 million people dying each year. Despite comprehensive tobacco control laws and policies, implementation is varied among Indian states. The Anushthana project organized two regional consultations—held online and in-person in Raipur, Chhattisgarh—in association with the International Union Against Tuberculosis and Lung Disease (The Union). The consultations brought together government officials from health, food safety, police and relevant departments, independent researchers, and members from civil society organizations from 18 states and union territories who are working in the field of tobacco control and public health.

The purpose of the regional consultations were to

Discuss state-specific tobacco control implementation strategies
Cross-pollinate ideas and facilitate research and practice collaborations in tobacco control
Promote leadership and highlight a set of best practices in tobacco control.

Anushthana team conducts field observations in three Indian states

by iphindia | Feb 8, 2022 | Anusthana: Scaling Implementation of Tobacco Control Laws, Blog, Chronic Health Conditions, Latest Updates, Uncategorized

Tobacco kills over one million adults in a high-burden country like India each year. Despite a comprehensive tobacco control law – the Cigarettes and Other Tobacco Products Act (COTPA), 2003, implementation remains varied across Indian states due to several contextual factors. The Anushthana team members (Dr. Pragati Hebbar, Vivek Dsouza, Praveen Rao S, and Kumaran P) of the Chronic Conditions and Public Policies cluster at IPH visited three Indian states i.e. West Bengal, Arunachal Pradesh, and Kerala during the months of November and December 2021. The objective of the field visit was to understand local contexts and on-ground implementation successes and challenges in the field of tobacco control. The team undertook field observations in three districts of each state focussing on the implementation of COTPA sections 4, 5, 6, and 7. Simultaneously, the team met relevant stakeholders to understand their views on tobacco control policy implementation.

To aid the data collection, the team worked with Julee Jerang (IPH field consultant in Arunachal Pradesh) and MANT (a non-profit public health organisation in West Bengal). The field visit is part of a five-year research fellowship awarded to Dr. Pragati Hebbar and is funded by the DBT/Wellcome Trust India Alliance.

2nd Batch of Regional Course on Implementation Research (IR) , Yogyakarta, Indonesia, September 27 – 30, 2016

by iphindia | Sep 6, 2016 | Education, Latest Updates

Center for Tropical Medicine, Faculty of Medicine, Universitas Gadjah Mada (CTM-UGM), Yogyakarta, Indonesia has been designated as a Regional Training Center (RTC) for Health Research by TDR for the South East Asia Region since 2010, with a mandate to improve research capacity skills of researchers in the region.

The 2^nd Batch of Regional Course on IR that will be held on September 27-30, 2016 in Indonesia.

This course will introduce participants to the concept of IR, tools and materials relevant to IR and facilitate the development of IR proposal.

The course aims to develop IR capacity in both individuals and institutions, particularly in low- and middle-income countries, where the greatest needs for expanding IR capacity persist. Throughout the capacity-building process there are feedback loops for monitoring, tool kit adaptation and improvements, as well as suggested approaches to ensure integration of knowledge translation and uptake of results.

MODULES

The training will be delivered through lectures, plenary discussion, group discussion and problem analysis which focus on a series of modules:

Introduction to IR
Contextualizing IR issues
Developing an implementation research proposal.
Planning to execute implementation research.
Analysing implementation research data.
Dissemination of Results and Research Findings
Monitoring and Evaluation

Online Phase for workshop hosted by Institute of Public Health (IPH)

In Collaboration with Universitas Gadjah Mada (CTM-UGM), Yogyakarta, Indonesia, Institute of Public Health (IPH), Bangalore, India, is hosting the e-Learning Phase of “Implementation Research Workshop”.

Paper from ATM Study Published on BMC Health Services Research

by iphindia | Aug 30, 2016 | Latest Updates

Improving access to medicines for non-communicable diseases in rural India: a mixed methods study protocol using quasi-experimental design:- Paper from ATM Study Published on BMC Health Services Research

Abstract

Background: India has the distinction of financing its healthcare mainly through out-of-pocket expenses by individual families contributing to catastrophic health expenditure and impoverishment. Nearly 70 % of the expenditure is on medicines purchased at private pharmacies. Patients with chronic ailments are especially affected, as they often need lifelong medicines. Over the past years in India, there have been several efforts to improve drug availability at government primary health centres. In this study, we aim to understand health system factors that affect utilisation and access to generic medicines for people with non-communicable diseases.

Methods: This study aims to understand if (and how) a package of interventions targeting primary health centres and community participation platforms affect utilisation and access to generic medicines for people with non-communicable diseases in the current district context in India. This study will employ a quasi-experimental design and a qualitative theory-driven approach. PHCs will be randomly assigned to one of three arms of the intervention. In one arm, PHCs will receive inputs to optimise service delivery for non-communicable diseases, while the second arm will receive an additional package of interventions to strengthen community participation platforms for improving non-communicable disease care. The third arm will be the control. We will conduct household and facility surveys, before and after the intervention and will estimate the effect of the intervention by difference-in-difference analysis. Sample size for measuring effects was calculated based on obtaining at least 30 households for each primary health centre spread across three distance-based clusters. Primary outcomes include availability and utilisation of medicines at primary health centres and out-of-pocket expenditure for medicines by non-communicable disease households. Focus group discussions with patients and in-depth interviews with health workers will also be conducted. Qualitative and process documentation data will be used to explain how the intervention could have worked.

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