A5011781921- Global Public Health Policies and Epidemiology
- HIV/AIDS Research and Interventions
- Tuberculosis Research and Epidemiology
- Global Maternal and Child Health
- HIV Research and Treatment
- Healthcare Systems and Reforms
- Smoking Behavior and Cessation
- HIV-related health complications and treatments
- Health Systems, Economic Evaluations, Quality of Life
- Adolescent Sexual and Reproductive Health
- Obesity, Physical Activity, Diet
- Hepatitis B Virus Studies
- Social and Economic Development in India
- Occupational and environmental lung diseases
- Poverty, Education, and Child Welfare
- Diagnosis and treatment of tuberculosis
- Pneumocystis jirovecii pneumonia detection and treatment
- Reproductive Health and Contraception
- HIV/AIDS oral health manifestations
- Cervical Cancer and HPV Research
- Migration, Health and Trauma
- Global Cancer Incidence and Screening
- HIV/AIDS drug development and treatment
- Dermatoglyphics and Human Traits
- Sleep and Work-Related Fatigue
Tata Institute of Social Sciences
2015-2025
Jawaharlal Nehru Medical College
2024-2025
Datta Meghe Institute of Medical Sciences
2020-2023
Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College
2013
Two drug-resistant tuberculosis (DR-TB) sites (MSF Clinic, Jupiter Hospital) in Mumbai, India.To assess health-related quality of life (HRQoL) and associated factors among DR-TB patients explore their perspectives about HRQoL.We used a mixed-methods design: quantitative cross-sectional questionnaire (the World Health Organization's Quality Life Brief Questionnaire [WHOQoL-BREF]); qualitative in-depth interviews for purposively selected patients. Assessments were conducted between April...
Early Anti-Retroviral Therapy (ART) initiation among infants with perinatally acquired HIV is known to impact clinical outcomes and survival. Infant Diagnosis (EID) was initiated in programme settings India 2010. Its on the of covered under associated determinants have not been reported. This a mixed-methods study. Quantitative data 310 children ART diagnosis before 18 months age collected from treatment cards across 30 centres 11 states using retrospective cohort design. A total 67 In-depth...
This study aimed to understand access maternal health care and the factors shaping it amongst poor migrants in Mumbai, India. A cross-sectional mixed methods approach was used. It included multistage cluster sampling face-to-face interviews, through structured interview schedules, of 234 migrant women who had delivered two years previous date they were interviewed. Qualitative in-depth interviews women, providers officials also conducted community provider perspectives. The results showed...
Abstract Early Infant Diagnosis of HIV infection services are crucial for managing the perinatally acquired infection. Assessing performance EID and its underlying determinants is important National AIDS Control Program, India. The objectives this study were to find out access testing, timeliness testing cascade, proportion exposed infants who followed up 18 months a definitive diagnosis HIV. design was mixed method. A total 11 states accounting 80% HIV-positive pregnant women selected....
There is conflicting evidence of effect diabetes on treatment tuberculosis (TB). a need to investigate outcomes TB under field conditions in India.To compare among patients with those without diabetes.Study was conducted Cuddalore, Tamil Nadu, registered Revised National Control Programme. Prospective observational study design used.Registered aged 30 and above were invited participate the study. Those who not aware their diabetic status diagnosed using oral glucose tolerance test. A total...
Abstract Background India has rolled out Early Infant Diagnosis (EID) program for HIV infection in all states. EID consists of testing Infants exposed to periodically over 18 months age which is a multi-step complex cascade. Caregivers represent the primary beneficiary i.e., infants and face multiple challenges access services. As part national outcome assessment study, this study narrates caregivers’ perspectives on barriers facilitators utilize Methods The was conducted 31 integrated...
Background: The difference between ‘policy as promised’ and practiced’ can be attributed to implementation gaps. Actor relationships power struggles are central these gaps but have been studied using only a handful of theoretical analytical frameworks. interface analysis provides methodological entry point examine policy practices power. As this approach has rarely used in health analysis, article aims, first, synthesise knowledge about use actor and, second, provide guiding steps conduct...
Objective: The objective was to study the determinants of quit attempts and abstinence among smokers in India using nationally representative data from Global Adult Tobacco Survey (GATS-2). Methods: Data GATS-India, (2016-17) analysed. Key outcome variables included quitting previous 12 months duration those who attempted quitting. receipt messages through mass media, warning labels advice by doctors or healthcare providers were key exposure for both outcomes. use cessation methods an...
Asbestos-related diseases (ARDs) are incurable but entirely preventable. Due to India's continuing use of asbestos, ARD patients will increase a high number in the next three four decades. This burden on palliative care system which is nascent stage presently. Palliative mainstay management ARDs. Unfortunately, likely due multiple factors contributed by demographic and economic changes. In near future, there be at least 12.5 million 1.25 asbestos-related cancer worldwide, half these India....
India has the highest number of smokeless tobacco (SLT) products available in different forms, consumed various ways. The current study aimed to understand pattern daily SLT use according product categories and whether Quit intention attempts vary by type exposure media messages.
Background: Musculoskeletal disorders are leading cause of ill-health globally and workers disproportionately affected due to repetitive tasks postures. Little is known about these among hotel employees in India. Objective: The study aims find prevalence musculoskeletal luxury hotels identify their determinants. Materials Methods: A cross-sectional design was employed. sites included eight across other four cities. pre-designed, pilot tested semi-structured questionnaire self-administered by...
Background: In this study, we use the case of medical doctors in public health system rural India to illustrate nuances how and why gaps policy implementation occur at frontline. Drawing on Lipsky’s Street Level Bureaucracy (SLB) theory, consider not as mechanical implementors policies, but having agency implement modified policies that are better suited their contexts. Methods: We collected data from primary care who worked Maharashtra, between April September 2018 (including 21 facility...
Objective: This study aims to assess the effectiveness and cost-effectiveness of a public–private mix (PPM) project with private sector as sole provider services in an urban area under India’s Tuberculosis (TB) Control Programme Tamil Nadu. Methods: Directly observed treatment, short-course (DOTS) was provided exclusively by non-governmental organization (NGO) one which compared another served public sector. Data on cost were collected from records interviews patients. Cost non-DOTS...
Several instances of tuberculosis (TB) resistant to most drugs were reported in Mumbai January 2012. Eventually, the Government India declared TB be a notifiable disease. This paper looks at utility notification and ethical issues posed by it from public health practice perspective. The argues that absence regulation diagnostic practices, rational use anti-TB medicines availability treatment facilities for drug-resistant will pose more problems rather than provide solutions way adequate patients.
Abstract Exploring the implementation blackbox from a perspective that considers embedded practices of power is critical to understand policy process. However, literature scarce on this subject. To address paucity explicit analyses everyday politics and in health implementation, article presents experience implementing flagship India. Janani Shishu Suraksha Karyakram (JSSK), launched year 2011, has not been able fully deliver its promises providing free maternal child services public...
Objectives: An intervention to improve migrants' access healthcare was piloted in Mumbai with purpose of informing health policy and planning. This paper aims describe the process building partnership for improving pilot including role played by different stakeholders contextual factors affecting intervention. Methods: The evaluation based upon Baranowski Stables' framework. their Observations community conversations as recorded daily diaries, minutes pre-intervention workshops stakeholder...
India has been implementing one of the biggest Early Infant Diagnosis (EID) HIV intervention globally. The turn-around-time (TAT) for EID test is major factors success program. This study was to assess turnaround time and its determinants. It a mixed methods with quantitative analysis retrospective data (2013-2016) collected from all 7 testing laboratories (called as regional reference or RRLs) in qualitative component that can help explain determinants turn-around-time. national level...
Non-communicable diseases have emerged as a global health issue. Role of occupation in pathogenesis non-communicable has not been explored much especially the hospitality industry.Objectives this study include finding risk factor prevalence among hotel workers and studying relationship between occupational group chronic disease factors chiefly high body mass index.A cross-sectional was conducted non-managerial employees from classified hotels India.The participants self-administered...
Majority of children with tuberculosis are treated in private sector India no available data on management practices. The study assessed diagnostic and treatment practices related to childhood pulmonary among paediatricians Mumbai's comparison International Standards for Tuberculosis Care (ISTC) 2009. In this cross-sectional study, 64 from filled self-administered questionnaires. Cough was reported as a symptom TB by 77.8% respondents. 38.1% request sputum smear or culture diagnosis fewer...
This case series reports three infants diagnosed with HIV-1 infection using DNA polymerase chain reaction (PCR) testing. The children were initiated on antiretroviral therapy (ART) at ten, four and six months of age. Their serological tests 18 age negative for HIV-1. first child was discontinued from ART. other two HIV-negative after months, but continued Such seroreversion may be either due to viral suppression or false-positive PCR results. There is a need develop guidelines address such...