Nirmala Ravishankar

ORCID: 0000-0002-9383-8245
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About
Contact & Profiles
Research Areas
  • Global Maternal and Child Health
  • Healthcare Systems and Reforms
  • Global Health Care Issues
  • Primary Care and Health Outcomes
  • Poverty, Education, and Child Welfare
  • Healthcare Policy and Management
  • HIV/AIDS Impact and Responses
  • Global Public Health Policies and Epidemiology
  • Health Policy Implementation Science
  • Human Rights and Development
  • Evaluation and Performance Assessment
  • Banking stability, regulation, efficiency
  • Child Nutrition and Water Access
  • Islamic Finance and Banking Studies
  • Venous Thromboembolism Diagnosis and Management
  • Community Health and Development
  • Diagnosis and Treatment of Venous Diseases
  • Systemic Sclerosis and Related Diseases

Gates Foundation
2024

African Conservation Centre
2018

Abt Global (United States)
2011

Schulman, Ronca & Bucuvalas
2011

Abt Associates (Nepal)
2011

University of Washington
2009

Institute for Health Metrics and Evaluation
2009

In 2013, Kenya introduced a free maternity policy in all public healthcare facilities. 2016, the Ministry of Health shifted responsibility for program, now called Linda Mama, to National Hospital Insurance Fund (NHIF) and expanded access beyond sector. This study aimed examine implementation Mama program.We conducted mixed-methods cross-sectional at national level 20 purposively sampled facilities across five counties Kenya. We collected data using in-depth interviews (n = 104), administered...

10.1002/hpm.3298 article EN cc-by The International Journal of Health Planning and Management 2021-08-11

Despite recent gains, Kenya did not achieve its Millennium Development Goal (MDG) target for reducing under-five mortality. To accelerate progress to 2030, we must understand what impacted mortality throughout the MDG period.

10.1136/bmjgh-2017-000655 article EN cc-by BMJ Global Health 2018-05-01

Background User fees have been reported to limit access services and increase inequities. As a result, Kenya introduced free maternity policy in all public facilities 2013. Subsequently 2017, the was revised Linda Mama programme expand private sector, benefit package change its management. Methods An interrupted time-series analysis on facility deliveries, antenatal care (ANC) postnatal (PNC) visits data between 2012 2019 used determine effect of two policies. These were from 5419 305...

10.1136/bmjgh-2020-003649 article EN cc-by BMJ Global Health 2021-06-01

How health facilities are financed affects their performance and system goals. We examined how in the public sector Kenya, within context of a devolved system. carried out cross-sectional study five purposely selected counties using mixed methods approach. collected data document reviews in-depth interviews (no = 20). In each county, we interviewed county department managers facility from two one hospitals center respectively. analyzed qualitive thematic analysis conducted descriptive...

10.1186/s12913-021-07123-7 article EN cc-by BMC Health Services Research 2021-10-13

The present study provides evidence to support enhanced attention reproductive health and comprehensive measures increase access quality services. We compare contrast the financing utilization of services in six sub-Saharan African countries using data from National Health Accounts Demographic Surveys. Spending on 2006 ranged US$4 per woman age Ethiopia US$17 Uganda. These are below necessary level for assuring adequate given that an internationally recommended spending family planning alone...

10.1016/s0968-8080(11)37561-1 article FR Reproductive Health Matters 2011-01-01

Performance-based financing (PBF) reforms aim to directly influence health worker behavior through changes institutional arrangements, accountability structures, and financial incentives based on performance. While there is still some debate about whether PBF influences extrinsic or intrinsic motivators, recent research finds that affects both. Against this backdrop, our study presents findings from a process evaluation of program in Mozambique, exploring the perceived both internal external...

10.1186/s12960-018-0320-x article EN cc-by Human Resources for Health 2018-10-19

Sudden shocks to health systems, such as the COVID-19 pandemic may disrupt system functions. Health functions also influence system’s ability deliver in face of sudden pandemic. We examined impact on financing function Kenya, and how specific arrangements influenced systems capacity services during pandemic.We conducted a cross-sectional study three purposively selected counties Kenya using qualitative approach. collected data in-depth interviews (n = 56) relevant document reviews....

10.1371/journal.pgph.0001852 article EN cc-by PLOS Global Public Health 2023-10-27

Background: Implementing initiatives to achieve the targets of MDG 5 requires sufficient financial resources that are mobilized and utilized in an equitable, efficient sustainable manner.Informed decision making this end availability reliable health financing information.This is accomplished by means Reproductive Health (RH) sub-account, which captures organizes expenditure on RH services two-dimensional tables from sources users.The specific objectives study are: (i) quantify total...

10.1186/1755-7682-4-41 article EN International Archives of Medicine 2011-01-01

Using program evaluation findings is crucial in improving health programs and realising the program’s benefits. In this article, we report on how a knowledge translation (KT) approach supported use of to improve Linda Mama free maternity Kenya. We used case study design employing qualitative approaches describe our KT strategy its impact use. Data were collected through semi-structured in-depth interviews participants (n = 25) three Kenyan counties following dissemination co-production...

10.1371/journal.pgph.0003961 article EN cc-by PLOS Global Public Health 2024-12-12

Banking sector is most important financial pillars of Indian economy .It has role in the development economy. We can see tremendous change operation banking services India 21st century. being a service-oriented industry, quality depends on human resources practices banks. The changes like socio-economic profiles customers, government policies, at national and international levels have forced banks to strengthen through effective HRD practices. An overview private presented this paper.

10.29121/shodhkosh.v5.i1.2024.3309 article EN ShodhKosh Journal of Visual and Performing Arts 2024-06-30

A significant debate is unfolding around whether performance basedfinancing (PBF) a mechanism of achieving broader health systems transformation. This study aims to contribute this dialogue by assessing how PBF fostered positive, perverse and disruptive effects on the system in two provinces Mozambique. The used qualitative methods collect data 24 facilities from 60+ workers facility administrators. improved facility’s work environment through local financial capacity autonomy, resulting...

10.5216/sec.v21i2.56312 article EN Sociedade e Cultura 2018-12-17

ABSTRACT Background Sudden shocks to health systems, such as the COVID-19 pandemic may disrupt system functions. Health functions also influence system’s ability deliver in face of sudden pandemic. We examined impact on financing function Kenya, and how specific arrangements influenced systems capacity services during Methods conducted a cross-sectional study three purposively selected counties Kenya using qualitative approach. collected data in-depth interviews (n = 56) relevant document...

10.1101/2023.04.05.23288177 preprint EN cc-by medRxiv (Cold Spring Harbor Laboratory) 2023-04-11
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