A5012972698- Global Public Health Policies and Epidemiology
- Cardiovascular Health and Risk Factors
- Healthcare Systems and Reforms
- Blood Pressure and Hypertension Studies
- Chronic Disease Management Strategies
- Agriculture Sustainability and Environmental Impact
- Global Health Care Issues
- Diabetes Management and Education
- Child Nutrition and Water Access
- COVID-19 Pandemic Impacts
- Obesity, Physical Activity, Diet
- Food Security and Health in Diverse Populations
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Nutritional Studies and Diet
- COVID-19 and healthcare impacts
- Urban Agriculture and Sustainability
- Health Promotion and Cardiovascular Prevention
- Food Waste Reduction and Sustainability
- Sodium Intake and Health
- Cardiac Health and Mental Health
- Climate Change and Health Impacts
- COVID-19 and Mental Health
- Artificial Intelligence in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Kidney Disease and Diabetes
Public Health Foundation of India
2018-2024
Centre for Chronic Disease Control
2020-2024
Harvard Global Health Institute
2022
Deakin University
2019-2021
Harvard University
2019-2021
Abstract Background People with chronic conditions are disproportionately prone to be affected by the COVID-19 pandemic but there limited data documenting this. We aimed assess health, psychosocial and economic impacts of on people in India. Methods Between July 29, September 12, 2020, we telephonically surveyed adults ( n = 2335) across four sites Data participants’ demographic, socio-economic status, comorbidities, access health care, treatment satisfaction, self-care behaviors,...
Hypertension is a major cause of morbidity and mortality worldwide. Previous efforts to characterize gaps in the hypertension care continuum-including diagnosis, treatment, control-in India did not assess district-level variation. Local data are critical for planning, implementation, monitoring curb burden hypertension.To examine continuum among individuals aged 18 98 years.The nationally representative Fifth National Family Health Survey study was conducted 2 phases from June 17, 2019,...
People with chronic conditions are known to be vulnerable the COVID-19 pandemic. This study aims describe patients' lived experiences, challenges faced by people conditions, their coping strategies, and social economic impacts of pandemic.We conducted a qualitative using syndemic framework understand experiences disease care, during lockdown, strategies mitigators pandemic in context socioecological biological factors. A diverse sample 41 participants (hypertension, diabetes, stroke...
This study aims to provide evidence on how the COVID-19 pandemic has impacted chronic disease care in diverse settings across Asia. Cross-sectional surveys were conducted assess health, social, and economic consequences of India, China, Hong Kong, Korea, Vietnam using standardized questionnaires. Overall, 5672 participants with conditions recruited from five countries. The mean age ranged 55.9 69.3 years. A worsened status during was reported by 19% 59% participants. Increased difficulty...
Abstract Background Food insecurity is a major public health problem worldwide. In India, there are limited food assessment studies using conventionally accepted method like the Insecurity Experience Scale (FIES), developed by and Agricultural Organization (FAO). This study aims to measure FIES explore its determinants association with body mass index (BMI) among Indian adults. Methods cross-sectional study, we used security in sample of 9005 adults residing North South India. Using...
Introduction Diabetes and hypertension are two leading non-communicable conditions, which suboptimally managed in India. Thus, innovative comprehensive approaches that can concomitantly improve their detection, prevention control warranted. Methods analysis UDAY, a 5-year initiative, aims to reduce the risk of diabetes management by implementing intervention programme selected study sites, Sonipat Visakhapatnam (Vizag). It has pre-post evaluation design with representative cross-sectional...
Introduction Although deaths due to chronic kidney disease (CKD) have doubled over the past two decades, few data exist inform screening strategies for early detection of CKD in low-income and middle-income countries. Methods Using from three population-based surveys India, we developed a prediction model identify target population that could benefit further testing, after an initial implemented during home health visits. one urban survey (n=8698), applied stepwise logistic regression test...
The growing burden of hypertension and diabetes is one the major public health challenges being faced by system in India. Clinical Decision Support Systems (CDSS) that assist with tailoring evidence-based management approaches combined task-shifting from more specialized to less providers may together enhance impact a program. We sought integrate technology "CDSS" strategy "Task-shifting" within Government India's (GoI) Non-Communicable Diseases (NCD) System under Comprehensive Primary...
This study analyzes whether the lowered blood pressure threshold for hypertension in 2017 American College of Cardiology/American Heart Association guidelines vs JNC7 are associated with diagnosis prevalence among adults India.
BackgroundThe use of pesticides in agriculture has been associated with the destruction biodiversity and damage to human health. A marked reduction pesticide is urgently required globally, but whether this can be achieved rapidly at scale unclear. We aimed assess government-legislated funded organic farming training Andhra Pradesh, India, reduced by farmers sales retailers.MethodsWe did a cross-sectional survey between Aug 11 Nov 26, 2020, among retailers Kurnool District Pradesh (India)....
The BLOOM study (co-Benefits of Largescale Organic farming On huMan health) aims to determine if a government-implemented agroecology programme reduces pesticide exposure and improves dietary diversity in agricultural households. To achieve this aim, community-based, cluster-randomised controlled evaluation the Andhra Pradesh Community-managed Natural Farming (APCNF) will be conducted 80 clusters (40 intervention 40 control) across four districts state south India. Approximately 34...
Abstract Background Environmentally sustainable diets are represented in the EAT‐Lancet recommendations developed by Lancet Commission on Planetary Health 2019. Very few studies have compared Indian with recommendations. The present study performed such a comparison using primary dietary consumption data from adults north and south India. Methods Data 8762 (52.4 ± 11.7 years) residing Sonipat Vizag India were collected sociodemographic characteristics, wealth index (household assets) intake...
Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in India. There no laboratory-based CVD risk data among Indians from different regions backgrounds. This study estimated 10-year across population sub-groups. Data UDAY derived cross-sectional surveys rural urban populations northern (Haryana) southern (Andhra Pradesh) India were analysed. World Health Organization/International Society Hypertension equations calculated participants without history. Wilcoxon rank...
Input-driven agriculture has led to an epidemic of impoverishment, farmer suicides, and environmental degradation in India, but also shown consistent staying power Indian politics. We examine the case organic farming policy adoption explore this paradox. Specifically, our objective was evaluate how state-wide Zero Budget Natural Farming (ZBNF) program (now formally known as Community Managed Farming) Andhra Pradesh, India came be. Evidence drawn from government documents, field notes a ZBNF...
Managing the role of dairy foods in healthy and sustainable food systems is challenging. Milk production associated with greenhouse gas emissions milk-based processed can be high fat, sugar salt; yet, milk provides income generating opportunities for farmers provide essential nutrients to young children, a cultural significance many communities. This particularly relevant India, world's largest producer milk. The aim this study was use Photovoice, participatory research method, explore...
Background As per national policy, all diagnosed tuberculosis patients in India are to be tested using Xpert ® MTB/RIF assay at the district level diagnose rifampicin resistance. Regardless of result, samples transported reference laboratories for further testing: first-line Line Probe Assay (FL-LPA) rifampicin-sensitive and second-line LPA(SL-LPA) rifampicin-resistant samples. Based on results, undergo culture phenotypic drug susceptibility testing. We assessed among with 13 selected...
The proportion of patients with controlled hypertension (< 140/90 mmHg) is very low in India. Thus, there a need to improve blood pressure management among uncontrolled through innovative strategies directed at health system strengthening.We designed an intervention consisting two important components - electronic decision support (EDSS) used by trained nurse care coordinator (NCC). Based on preliminary data, we hypothesized that this will be able reduce mean systolic 6.5 mmHg those the arm...
Background: People with chronic conditions are disproportionately prone to be affected by the COVID-19 pandemic but there limited data documenting this. We aimed assess health, psychosocial and economic impacts of on people in India.Methods: Between July 29, September 12, 2020, we telephonically surveyed adults (n=2335) across four sites India. Data participants' demographic, socio-economic status, comorbidities, access health care, treatment satisfaction, self-care behaviors, employment,...