- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Global Health Care Issues
- Zoonotic diseases and public health
- Vaccine Coverage and Hesitancy
- Healthcare Policy and Management
- HIV/AIDS Impact and Responses
- Ethics in Clinical Research
- Animal Disease Management and Epidemiology
- Social and Economic Development in India
- HIV/AIDS Research and Interventions
- Viral gastroenteritis research and epidemiology
- Consumer Attitudes and Food Labeling
- Biomedical Ethics and Regulation
- Demographic Trends and Gender Preferences
- Intergenerational Family Dynamics and Caregiving
- Family Dynamics and Relationships
- Primary Care and Health Outcomes
- Livestock Management and Performance Improvement
- HIV, Drug Use, Sexual Risk
- Obesity, Physical Activity, Diet
- Global Public Health Policies and Epidemiology
- Hepatitis Viruses Studies and Epidemiology
- Global Health and Surgery
- Sex work and related issues
University of Canberra
2019-2024
ACT Government
2023
Indian Institute of Public Health Gandhinagar
2011-2021
Public Health Foundation of India
2013-2021
Institute of Public Health Bengaluru
2014-2016
Antimicrobial resistance (AMR) has been identified as one of the major threats to global health, food security and development today. While there considerable attention about use misuse antibiotics amongst human populations in both research policy environments, is no definitive estimate extent veterinary sector its contribution AMR humans. In this study, we explored drivers ofirrational usage verterinary dairy farming peri-urban India.
Increasing institutional births is an important strategy for attaining Millennium Development Goal -5. However, rapid growth of low income and migrant populations in urban settings low-income middle-income countries, including India, presents unique challenges programmes to improve utilisation care. Better understanding the factors influencing home or birth among poor urgently needed enhance programme impact. To measure prevalence slum population identify these events.
Introduction: This paper explores the development of Realist Implementation Action Research Lab (RIAL), a participatory learning site aimed at addressing health disparities among Adivasi communities in India. Despite national improvements, Adivasis face significant inequities. RIAL employs realist-inspired, theory-driven design to co-create solutions with communities, fostering collaboration diverse stakeholders. The discusses insights from establishment RIAL, focusing on strategies...
Abstract Background Inequity in access to healthcare services is a constant concern. While advances have progressed the last several decades, thereby significantly improving prevention and treatment of disease, these benefits not been shared equally. Excluded communities such as Indigenous typically face lack that others do not. This study seeks understand why indigenous Attapadi continue experience poor spite both financial protection adequate coverage health services. Methods Ethnographic...
Background Community health workers play an important role in delivering health-care services, especially to underserved populations low- and middle-income countries. They have been shown be successful providing a range of preventive, promotive curative services. This qualitative study investigated the factors motivating or demotivating community urban settings Delhi, India.Methods In this sub-study ANCHUL (Ante Natal Child Healthcare Urban Slums) implementation research project, four...
In HIV prevention and care programmes, disclosure of status by HIV-positive individuals is generally encouraged to contain the infection provide adequate support person concerned. Lack framed as a barrier preventive behaviours accessing support. The assumption that beneficial also reflected in studies aim identify determinants recommend individual-level measures promote disclosure. However, contexts where stigmatised there fear rejection discrimination among those living with HIV,...
Objective Disease-specific programmes have had a long history in India and their presence has increased over time. This study two objectives: first, it reports on the interaction between local health systems key disease-specific India—National AIDS Control Program (NACP) (HIV/AIDS), Revised National Tuberculosis (RNTCP) (TB) Vector Borne Disease (NVBDCP) (Malaria), second, examines which factors create an enabling environment for to strengthen systems. Methods A total of 103 in-depth...
Abstract Background Sharing research findings with participants is recognized as an ethical imperative for the community. However, most discourse on this topic in mainstream public health takes a paternalistic approach, researchers retaining power to choose if, when, and how are shared. Methods Fieldwork took place from August 2018 January 2019 again December among two communities south Indian state of Kerala. We integrated participant engagement study into protocol, using various...
In 2007, the Indian state of Andhra Pradesh introduced Rajiv Aarogyasri community health insurance scheme (RAS) in order to break vicious cycle ill health, poverty, indebtedness and bankruptcy among families who are below poverty line (BPL). The purpose was improve access treatment certain medical surgical conditions for BPL through a network care providers. We conducted rapid evaluation RAS at request government Pradesh. provide insights into current performance scheme, examine whether...
Rapid urbanization has led to expansion of peri-urban fringes, where intensive, industry-style livestock rearing emerging vulnerabilities at the human-animal-environment interface. This study was undertaken understand health system and farm-level factors that influenced risk transmission bovine Tuberculosis (bTB) in animals humans smallholder dairy farms India.Thematic guides were developing through literature review expert consultation. In-depth interviews conducted till attainment...
Key debates on improving vaccination coverage tend to focus factors that affect uptake in the public health system while ignoring private sector plays an important role providing services any low or middle-income country setting. Using in-depth interviews, we explored influenced decision of parents as well pediatricians working across 8 Indian cities whether their children should be vaccinated with a particular vaccine Pediatricians and relationship was factor not. The recommend is taken...
Abstract The feminisation of ageing observed across the world is a significant challenge in many societies. Women's greater longevity associated with increased likelihood age-related disability and morbidity. Furthermore, gendered disadvantage poverty can make access to health care increasingly problematic later years. Among Indian states, Kerala has highest number residents above age 60 are older widows. Given this context, paper explores what promotes for widows living alone south state...
Continuing education of health care providers plays an important role in producing a work force that is efficient and effective. In India public has primarily relied on conventional methods training. However, such have limitations equipping the workforce vast varied country like India. This paper analyzes current status distance lists various courses are presently available through mode. Presently 25 institutions offering 69 domains education. The these programs comprised both government...
Abstract Introduction Sharing findings with research participants is gaining attention as an ethical imperative for the community. However, current discussions on this topic typically take a paternalistic approach to issue, team having power decide whether or not sharing of results should be carried out and how done. In paper we propose alternative engaging from which they have contributed. Methods The ethnographic fieldwork our study was in multiple phases August 2018 January 2019 again...
Abstract Background Inequity in access to healthcare services is a constant concern. While advances have progressed the last several decades, thereby significantly improving prevention and treatment of disease, these benefits not been shared equally. Excluded communities such as Indigenous typically face lack that others do not. This study seeks understand why indigenous community Attapadi continues experience poor spite both financial protection adequate coverage health Methods Ethnographic...
Residential schools are commonly used in India to provide education for Indigenous youth, which requires young people stay long periods at distance from their families and communities. Internationally, there is clear evidence the deleterious effects of residential on mental health social community outcomes children, however little known about Indian experience. This study examined impact schooling children's wellbeing that communities, using data an ethnographic research project Attapadi,...
In this paper, we examine whether access to treatment for major morbidity conditions is determined by the social class of person who needs treatment. Secondly, assess health insurance coverage and presence a PHC have any significant impact on utilisation services, either public or private, and, more importantly, modify use behaviour two excluded communities interest namely Indigenous older widows using data from rounds (2005 2012) nationally representative India Human Development Survey...
Abstract Background Inequity in access to healthcare services is a constant concern. While advances have progressed the last several decades, thereby significantly improving prevention and treatment of disease, these benefits not been shared equally. Excluded communities such as Indigenous typically face lack that others do not. This study seeks understand why indigenous community Attapadi continues experience poor spite both financial protection adequate coverage health Methods Ethnographic...
To understand perceptions, attitudes and experiences of school-going adolescents, their parents, teachers school management towards sugar-sweetened beverages (SSBs).An exploratory qualitative study was undertaken.The conducted in selected, mixed, unaided schools the state Delhi.Students classes 8 to 12th, principals schools, teachers, parents canteen owners.SSBs formed an integral part diet adolescents due its taste role as a thirst quencher. Respondents had fair knowledge health effects...
Abstract In this paper, we examine whether access to treatment for major morbidity conditions is determined by the social class of person who needs treatment. Secondly, assess health insurance coverage and presence a PHC have any significant impact on utilisation services, either public or private, and, more importantly, modify use behaviour two excluded communities interest namely Indigenous older widows using data from rounds (2005 2012) nationally representative India Human Development...