ABSTRACT Introduction: Noncommunicable diseases (NCDs) are becoming significant global health challenges, especially in developing countries like India. Addressing the rising burden of NCDs necessitates systemic changes healthcare systems, with a particular focus on training providers (HCPs). Integrating NCD prevention and management strategies into medical education essential for effectively combating this growing public issue Methodology: A qualitative inquiry was conducted to explore...

Background Emergency referral services (ERS) are being strengthened in India to improve access for institutional delivery. We evaluated a publicly financed and privately delivered model of ERS Punjab state, India, assess its extent pattern utilization, impact on delivery, quality unit cost. Methods Data almost 0.4 million calls received from April 2012 March 2013 was analysed the utilization. Segmented linear regression used analyse month-wise data number deliveries public sector health...

The Accredited Social Health Activist (ASHA) programme has proven to be cost-effective and successful in addressing the growing shortage of health workers reaching vulnerable. ASHA’s contribution towards improvement maternal child other programmes at community level is reported acknowledged widely literature. However, nearly 16 years into introduction ASHA, challenges terms workload, fatigue, poor work–life balance low levels compensation have emerged. Aim: To assess workload on ASHAs,...

The National Health Policy 2017 recommended the establishment of health and wellness centres (HWC) as primary platform to deliver comprehensive care in India emphasised that about two-thirds budget government should be invested on care. In February 2018, announced its plan create 150,000 HWCs under Ayushman Bharat initiative by transforming already existing sub-centres (SCs), (PHCs) urban PHCs 2022. operationalisation has been planned a phased manner. However, for scaling up replicability,...

Several studies have reported on the shortage of drugs with changing demographic and disease profile, especially triggered by growing burden lifestyle diseases. However, very few evaluated demand-side challenges from objective universalisation healthcare. Therefore, this study was designed to evaluate factors that impeded access affordable generic essential in non-metropolitan urban rural India. The conducted six states responses were elicited a sample doctors, pharmacists, nurses,...

This study sought to document and understand facilitators barriers producing, translating, using modeled evidence in decision-making Burkina Faso, Nigeria, India, Kenya. We explored researcher-decision-maker engagement mechanisms as key of use, with a focus on knowledge brokers boundary organizations.

Introduction Meghalaya, a hilly tribal state in India’s northeast, has many inaccessible areas with little or no access to quality health services. With an IMR of 58, Institutional Deliveries rate 29.7 %, full Immunization coverage 32.8 and TFR 3.8, Meghalaya one the poorest indicators country. Faced challenges attracting retaining skilled workers these remote settings, 2008, adopted Public Private Partnership (PPP) approach that involved handing over management operations 29 poorly...

Background The last six years of India’s National Rural Health Mission has witnessed the emergence a wide variety public funded, privately managed ambulance services across states. Today there are over 3850 government financed emergency response ambulances and another 3000 just about to start up, whereas five ago were almost none.  States have chosen different models for systems with varying levels investments effectiveness. Objectives Study main objective if this study analyze three...

Healthcare data sources collect and report various kinds of health related to routine service delivery, patient-based care, resources infrastructure, human finance. Typically, in developing countries, multiple are used for the provision healthcare data, these include national surveys, census civil registration systems, reporting systems. In addition, rapid infusion information technology has increased adoption management systems public programs. During last decade, India witnessed a sharp...

National Health Mission instituted the Village Health, Sanitation, and Nutrition Committees (VHSNCs) in 2005, with an aim of ensuring health well-being for local communities India. There is a lack concrete evidence on functioning VHSNCs at national level. Thus, this study was undertaken to outline roles, responsibilities, functions We conducted comprehensive data search Medline, Cochrane Library, ScienceDirect, EMBASE, Google Scholar between 2005 August 2021. All peer-reviewed qualitative...

<ns3:p>Background This study sought to document and understand facilitators barriers producing, translating, using modeled evidence in decision-making Burkina Faso, Nigeria, India, Kenya. We explored researcher-decision-maker engagement mechanisms as key of use, with a focus on knowledge brokers boundary organizations. Methods The used sequential mixed methods drawing data collected from surveys informant interviews, complemented by rapid desk review map modeling activities actors. survey...

Improving investments in primary health care has become a mounting priority the context of Universal Health Coverage and India’s National Policy 2017 goal to provide cost-effective care. The paper uses India Accounts, providers functions classifications, allocate current expenditures (CHE) primary, secondary tertiary (PST) analyse trends composition PST between 2013–2014 2016–2017. Findings reveal that 45.2% CHE was spent on government spends 52% its for Private spending declined from 44%...

Introduction: The performance of Accredited Social Health Activists (ASHAs) is crucial for the achievement ‘health all’ goal in India. and motivation workforce are dependent on various financial non-financial incentives. This study analyses linkage current incentive practices perceived rewards/sanctions, with ASHA. Methods: Cross-sectional qualitative approach interpretive structural modelling (ISM). Results: ASHAs were driven by inter-related factors. predominant rewarding factors...

Non-communicable diseases (NCDs) are a major health concern in India and were estimated to account for 63% of all deaths 2016, if left unaddressed, they could cost approximately US$3.55 trillion economic losses by 2030. The National Programme Prevention Control Cancer, Diabetes, Cardiovascular Diseases &amp; Stroke (NPCDCS) has identified community engagement enable behaviour change as top intervention manage various NCDs. Community initiatives plagued with multiple issues such lack...

Alcohol consumption is globally a serious public health challenge, and it rampant across all parts of India. The COVID-19 pandemic has added to the overall burden alcoholism due long working hours, increased mental stress, depression, so on. Primary care physicians have an important role in assessing risk providing counselling, intervention treatment alcohol misuse. Studies demonstrated primary facilities be ideally suited for prevention cessation interventions as most patients with use...

A comprehensive and collaborative knowledge translation decision-making approach can help reduce the longstanding barriers to using research in policy practice. Regular interaction between researchers decision-makers increases likelihood of knowledge. This continuing over entire cycle is critical for developing directions potential use outputs that benefit health system. The India Health Systems Collaborative ACCESS International have conducted a rigorous exercise arrive at priority topics....

Introduction: The success of any insurance scheme is contingent upon well-defined processes related to payment, referral, grievances and quality control mechanisms. Any deviation observed may result in unsatisfactory performance. This study attempts examine various the implementation Pradhan Mantri Jan Arogya Yojana (PMJAY) a state-specific across three states India. Objective: To describe policies process adapted by selected implementing government-sponsored health scheme. strategies that...

Health systems with strong comprehensive primary health care (CPHC) are known to result in better outcomes for people. In India, there is a recent push strengthen CPHC through Ayushman Bharat. This study aimed document lessons from successful initiatives rural and urban India using qualitative case approach. A total of 72 were identified desk review 12 these studied as cases. The following two main models delivery seen India: (a) hospital or centre outreach (b) social franchising model,...