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Publications

Filtering by Tag: Debjani Barman

Vision 2030: Our journey with you

Future Health Systems

The Future Health Systems (FHS) research project consortium was funded by UK Department for International Development (DFID). FHS is a partnership of leading research institutes from across the globe working in a variety of contexts to build resilient health systems for the future in Bangladesh, Uganda, China, India, Sierra Leone, Liberia and Ethiopia. It generated evidence on health systems to benefit the poor.

The FHS India journey started in 2005 with a guiding principle of 'putting the poor first'. This document is a summary of the decade-long work of FHS India. It attempts to share our learnings and challenges and how we have contributed to the SDGs.

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Gendered health systems: evidence from low- and middle-income countries

Future Health Systems

Morgan R, Ayiasi RM, Barman D, Buzuzi S, Ssemugabo C, Ezumah N, George AS, Hawkins K, Hao X, King R, Liu T, Molyneux S, Muraya KW, Musoke D, Nyamhanga T, Ros B, Tani K, Theobald S, Vong S and Waldman L (2018) Gendered health systems: evidence from low- and middle-income countries, Health Research Policy and Systems, 16:58, DOI: 10.1186/s12961-018-0338-5

Gender is often neglected in health systems, yet health systems are not gender neutral. Within health systems research, gender analysis seeks to understand how gender power relations create inequities in access to resources, the distribution of labour and roles, social norms and values, and decision-making. This paper synthesises findings from nine studies focusing on four health systems domains, namely human resources, service delivery, governance and financing. It provides examples of how a gendered and/or intersectional gender approach can be applied by researchers in a range of low- and middle-income settings (Cambodia, Zimbabwe, Uganda, India, China, Nigeria and Tanzania) to issues across the health system and demonstrates that these types of analysis can uncover new and novel ways of viewing seemingly intractable problems.

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Are Women of the Indian Sundarbans Living in the Dark?

Future Health Systems

World-wide, women experience a higher burden of visual impairments than men, and this increases with age. This short film from the FHS India team - based on research by IIHMR University, FHS and RinGs - highlights the gendered dimension of seeking eye health care in the Indian Sundarbans - a climatically vulnerable setting.

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Using Theories of Change to inform implementation of health systems research and innovation: experiences of Future Health Systems consortium partners in Bangladesh, India and Uganda

Future Health Systems

Paina L, Wilkinson A, Tetui M, Ekirapa-Kiracho E, Barman D, Ahmed T, Mahmood SS, Bloom G, Knezovich J, George A and Bennett S (2017) Using Theories of Change to inform implementation of health systems research and innovation: experiences of Future Health Systems consortium partners in Bangladesh, India and Uganda, Health Research Policy and Systems, 15(Suppl 2):109, DOI: 10.1186/s12961-017-0272-y

The Theory of Change (ToC) is a management and evaluation tool supporting critical thinking in the design, implementation and evaluation of development programmes. We document the experience of Future Health Systems (FHS) Consortium research teams in Bangladesh, India and Uganda with using ToC. We seek to understand how and why ToCs were applied and to clarify how they facilitate the implementation of iterative intervention designs and stakeholder engagement in health systems research and strengthening.

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How is perceived community cohesion and membership in community groups associated with children’s dietary adequacy in disadvantaged communities? A case of the Indian Sundarbans

Future Health Systems

Barman D and Vadrevu L (2016) How is perceived community cohesion and membership in community groups associated with children’s dietary adequacy in disadvantaged communities? A case of the Indian Sundarbans, BMC Health Services Research, 16:1862, DOI: 10.1186/s12913-016-1862-z

Membership in community groups and a sense of community cohesion may facilitate collective action in mobilizing resources towards better health outcomes. This paper explores the relationship of these factors, along with individual level socio-economic variables, to dietary adequacy among children below 6 years of age, a proximate determinant of child malnutrition.

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FHS India Research Brief 7: Open defecation and childhood undernutrition in the Indian Sundarbans: A case study from rural West Bengal

Future Health Systems

Among the several determinants of child malnutrition – ranging from individual factors to societal ones – recent evidence indicates open defecation as an important determinant responsible for child malnutrition. This research brief explores the association between underweight children (0-6 years) and open defecation in the context of Indian Sundarbans, where low body weight is considered as an indicator of childhood malnutrition.

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সুন্দরবনের শিশুদের স্বাস্থ্য: বাংলা সংস্করণ - ২০১৪

Future Health Systems

এফ.এইচ.এস.- ইন্ডিয়া ২০০৯ সাল থেকেই সুন্দরবনের মানুষের স্বাস্থ্যের ওপর গবেষণার কাজ চালাচ্ছে। বর্তমানে  (২০১০ সাল থেকে) এফ.এইচ.এস. শিশু স্বাস্থ্যের ওপর বেশি গুরুত্ব দিয়ে কাজ করছে। সম্প্রতি সুন্দরবনের পাথরপ্রতিমা ব্লকে শিশু -স্বাস্থ্যের ওপর একটি সমীক্ষা করা হয়েছে। বর্তমান রিপোর্টটিতে এলাকার শিশু স্বাস্থ্যের বিভিন্ন দিক ও তার বর্তমান অবস্থা, স্বাস্থ্য পরিষেবার ক্ষেত্রে ফাঁকফোকর গুলি ও সম্ভাব্য সমাধানসূত্র তুলে ধরার চেষ্টা করা হয়েছে। এফ.এইচ.এস.- ইন্ডিয়ার এই গবেষণাটি আরও বেশি করে সুন্দরবনের মানুষের মাঝে পৌঁছে দেওয়ার জন্য এই বাংলা সংস্করণটি প্রকাশিত হল।

 

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Sundarbans Health Watch - Series 1: How healthy are the children of the Sundarbans

Future Health Systems

The present report focuses on one of the more vulnerable blocks of the Sundarbans in West Bengal, India -- namely Patharpratima -- as a representative block of the Sundarbans. To understand the root of the problem, the study takes a child health right approach and attempts to understand whether and to what extent the rights are protected, especially in climatically challenged areas such as the Sundarbans. In a nutshell, this report generates research evidence on the barriers to service delivery and access of health care services for children and endeavours to find out ways to make the system more effective in the Sundarbans.
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Challenges of Livelihood and Inclusive Rural Development in the Era of Globalization

Future Health Systems

Challenges of livelihood and inclusive rural development in the era of globalization deals with different challenges in rural development and recommended practical ideas for development. This book is an extremely timely publication when the prevailing situations are putting more and more emphasis on the sharing of knowledge and ideas in the development sector. The research papers highlighting strength of our programmes and focuses on the areas of intervention. Researchers and general readers will find this volume very informative and useful in the area of policy making.
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Child Health in the Sundarbans: How Far Do Mutually Reinforcing Shocks Act As Contextual Determinants?

Future Health Systems

Childhood chronic under-nutrition and common childhood illness are highly prevalent in the delta region of the Sundarbans of West Bengal, India. The present work tested the hypothesis—frequent climatic shock is likely to predispose chronic and transient health shocks through behavioural responses of households in the presence of inaccessibility, inadequacy and acceptability barriers which act in the economy as long wave shocks. The work is based on a household and facility survey; primary data was collected in 19 blocks of the Sundarbans. The results highlight that transient climatic shock make child health worse through the pathway of chronic poverty, low resilience, physical and social barriers to health-seeking as well as ineffective service delivery systems. Further in-depth research is required to understand multiple vulnerabilities, related to coping of households and ways to improve the service delivery mechanism to have healthy children in the Sundarbans in the near future.
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WP16 - Child health in the Sundarbans: How far mutually reinforcing shocks act as contextual determinants?

Future Health Systems

Childhood chronic undernutrition and common childhood illness is highly prevalent in the Sundarbans delta region of West Bengal, India. The present work tested the hypothesis- frequent climatic shock is likely to predispose chronic and transient health shocks through behavioural responses of households in the presence of inaccessibility, inadequacy and acceptability barriers which act in the economy as long wave shocks.
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WP14 - Revisiting the Role of Geographical Accessibility in Women's Access to Healthcare

Future Health Systems

The objectives of this working papers are studying the differentials of health service availability and uptake of services particularly for women's health needs related to out-patient care and institutional childbirth. Understanding their various predictors, along with the issues related to geographical accessibility, in the context of the Sundarbans.
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WP9 - Demand and Supply side barriers in Access to Childhood Immunization Services - A Case Study of Murshidabad, West Bengal

Future Health Systems

The objective of this paper is to elucidate the independent role of various demand side and supply side factors as barriers to access childhood immunization and how their impact change when both these sides are taken together, in the Mushidabad district or West Bengal, India.
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WP4 - Health, Equity and Poverty Exploring the Links in West Bengal, India

Future Health Systems

India is on a fast-track growth path and the health care market is opening up with new opportunities. However, impressive growth with inadequate social protection may lead to newer vulnerabilities, inequalities, and health related poverty. The study focused on one Indian state (West Bengal) to explore the link between health, poverty, and equity against this dynamic backdrop. Primary data - from households and different types of providers - were collected from three districts of the state.
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Care seeking for postpartum morbidities in Murshidabad, rural India

Future Health Systems

spite the high prevalence of postpartum morbidity and the danger of maternal mortality, women in low-resource settings such as rural India frequently fail to seek care from formal health providers. Understanding the factors that influence care-seeking behavior for postpartum health problems in India is vital to setting program priorities and designing appropriate interventions. Our study sought to elucidate these factors in the rural district of Murshidabad, India.
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FHS India Research Brief 4 - Catastrophic Health Care Payment: how much protected are the users of public hospitals?

Future Health Systems

The present research brief presents some recent evidences on the incidence of catastrophic financial shocks experienced by the users of public vis-à-vis private hospitals in one Indian state (West Bengal). The scenario is especially interesting in West Bengal, where public sector plays a dominant role in providing inpatient care. The findings presented below would therefore help understand whether and to what extent a strong presence of public sector is an adequate instrument for financial protection.
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FHS India Research Brief 3 - Barriers to access immunization services: a study in Murshidabad, West Bengal

Future Health Systems

Despite overall achievement in immunization coverage, there is a growing concern among the West Bengal state’s decision-makers about relatively lower performance in several regions within the state. These are typical difficult pockets where severebarriers are perceived to exist on the way of accessing public health services.
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