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Publications

Filtering by Category: India

FHS India Research Brief 9 - Voices from the ground: Photovoice research on children’s health in the Indian Sundarbans

Future Health Systems

The objective of this brief is to introduce the Photovoice method, highlight how it helped capture the voices of mothers in the Sundarbans, and demonstrate how the method can bridge the gap between communities and local decision-makers. 

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FHS Key Message Brief 3: Unlocking community capability: key to more responsive, resilient and equitable health systems

Future Health Systems

In Future Health Systems, we focused on communities as active service delivery participants across a wide variety of contexts. In this brief, we reflect on the process of unlocking community capabilities, the key actors involved, and the productive tensions within community partnerships forged to build more responsive, resilient and equitable health systems.

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Measuring spatial equity and access to maternal health services using enhanced two step floating catchment area method (E2SFCA) – a case study of the Indian Sundarbans

Future Health Systems

Vadrevu L and Kanjilal B (2016) Measuring spatial equity and access to maternal health services using enhanced two step floating catchment area method (E2SFCA) – a case study of the Indian Sundarbans, International Journal for Equity in Health, 15:87, DOI: 10.1186/s12939-016-0376-y

Inaccessibility due to terrain and lack of transport leaves mothers travelling for long hours before reaching a facility to deliver a child. This article analyzes the issue of spatial inaccessibility and inequity of maternal health services in the Indian Sundarbans where complex topography and repeated climatic adversities make access to health services very difficult. 

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Rising challenge of multiple morbidities among the rural poor in India—a case of the Sundarbans in West Bengal

Future Health Systems

Vadrevu L, Kumar V and Kanjilal B (2016) Rising challenge multi morbidity in the Indian Sundarbans, Indian Journal of Medical Research 5(2): 343-350  doi: 10.5455/ijmsph.2016.25082015129

Multimorbidity or multiple chronic conditions increase with age and imply complicated clinical management and lower quality of life that is compounded by poverty. Yet, there is a serious dearth of evidence on this issue. This article aims to explore the burden and predictors of multiple morbidities in the Sundarbans of West Bengal.

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Reflections of Child Health Rights: Perspectives from Healthcare Stakeholders in North India

Future Health Systems

Bhati, D. K. (2015) Reflections of Child Health Rights: Perspectives from Healthcare Stakeholders in North India, European Scientific Journal, Vol 11, No 18, pp 143-15

In health-care settings, stakeholder’s knowledge, attitudes and perspectives influence their perception towards children, including children’s rights and right to health. The knowledge and attitudes generally present a culture of how children’s right are perceived and treated. This study explored the knowledge, attitudes and perspectives of 35 Indian health care stakeholders regarding children’s rights and right to health and their perspectives on realization of the selected domains of rights in reality. 

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FHS India Research Brief 8: Early Childhood Development in the Sundarbans Neglect in the face of risks and adversity

Future Health Systems

Risks and adversities during early childhood majorly hamper this neurological development. They are also irreversible with long standing impact on the eventual productivity in life. Given the huge impact that deficits in the early years have in terms of human productivity and sustainable development, early childhood development needs serious attention. This research brief provides formative evidence on the gaps in the care practices needed for Early Childhood Development in the Sundarbans. It will begin by first gauging the status of child development, the gaps and challenges in key practices needed for it and it will conclude with key recommendations.

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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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Gender Differentials in the Impact of Multi-Morbidity on Self Rated Health in Rural West Bengal in India

Future Health Systems

Vadrevu L, Kumar V, Kanjilal B (2015) Gender Differentials in the Impact of Multi-Morbidity on Self Rated Health in Rural West Bengal in India. IOSR J Nurs Heal Sci 2015, 4:16–21. DOI: 10.9790/1959-04231621

Self Rated Health (SRH) has widely been used as an indicator of overall health in a population. Given the rising burden of chronic conditions even in the rural region of India, the present study explores the gender differentials in the impact of multi-morbidity on SRH in the Sundarbans of West Bengal.

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Ex Ante Inequality and Under-Nutrition Vulnerability Dynamics: Case Study of the Sundarbans Delta Region, West Bengal, India

Future Health Systems

In this paper ex ante inequality measure is used to estimate inequality in childhood chronic under-nutrition among different vulnerable subgroups. Results found that vulnerability to consumption poverty aggravated chronic under-nutrition among less vulnerable groups mainly among those who perceived that unqualified providers provided quality service and were very effective during crisis.The paper finally suggests several policy suggestions for different vulnerable segments.

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Climate health and resilience: A photovoice exploration in the Indian Sundarbans

Future Health Systems

Working with several women’s groups in the Sundarbans, FHS provided a range of trainings – on how to use digital cameras, how to approach a picture subject, and getting people’s consent – to study participants. In turn, the participants used the cameras provided to them to capture images that explain how a changing climate affects their daily livelihoods, barriers that exist to accessing health services, and ways that locals are adapting to these challenges.

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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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Multiple Shocks, Coping and Welfare Consequences: Natural Disasters and Health Shocks in the Indian Sundarbans

Future Health Systems

Based on a household survey in Indian Sundarbans hit by tropical cyclone Aila in May 2009, this study tests for evidence and argues that health and climatic shocks are essentially linked forming a continuum and with exposure to a marginal one, coping mechanisms and welfare outcomes triggered in the response is significantly affected.

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Catastrophic out-of-pocket payment for healthcare and implications for household coping strategies: evidence from West Bengal, India'

Future Health Systems

Using data from a household survey in West Bengal, the purpose of this paper is to identify the relative risks of catastrophic healthcare expenditures for different types of health need, and the impact of such expenditure on household coping strategies. It concludes that Catastrophic health spending is an important problem for the population in West Bengal. More attention is needed on the poverty-inducing effects of long-term expenditures on chronic illness, given that existing schemes only address hospitalization.

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People-centred science: strengthening the practice of health policy and systems research

Future Health Systems

Health policy and systems research (HPSR) is a transdisciplinary field of global importance, with its own emerging standards for creating, evaluating, and utilizing knowledge, and distinguished by a particular orientation towards influencing policy and wider action to strengthen health systems. In this commentary, we argue that the ability of the HPSR field to influence real world change hinges on its becoming more people-centred. We see people-centredness as recognizing the field of enquiry as one of social construction, requiring those conducting HPSR to locate their own position in the system, and conduct and publish research in a manner that foregrounds human agency attributes and values, and is acutely attentive to policy context. 

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FHS India Research Brief 5: How healthy are the children of the Indian Sundarbans?

Future Health Systems

The health situation of children in the Indian Sundarbans couldn’t be more precarious. Facing chronic malnutrition as well as a high prevalence of easily preventable but highly communicable diseases, access for children to health services in the region is complicated by the rough terrain and the winding tidal rivers of the deltaic region.The key question is, what can be done to improve the health situation of children in the Sundarbans? This briefing answers that question by outlining the several methodologies employed in the study. It then considers both the demand and supply sides for child-centred health services in the block. It concludes with recommendations for beginning to repair the fractured health system there.
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Unlocking community capabilities to improve health service delivery

Future Health Systems

FHS's 'unlocking community capabilities' (UCC) theme systematically examines how communities can be active participants in the planning, delivery, monitoring and evaluation of their health system, by identifying and mobilising individual and collective capabilities in different social, political, and institutional environments. This brief explores current activities and initial findings from the theme.
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Unfree markets: Socially embedded informal health providers in northern Karnataka, India

Future Health Systems

The dynamics of informal health markets in marginalised regions are relevant to policy discourse in India, but are poorly understood. The authors examine how informal health markets operate from the viewpoint of informal providers (those without any government-recognised medical degrees, otherwise known as RMPs) by drawing upon data from a household survey in 2002, a provider census in 2004 and ongoing field observations from a research site in Koppal district, Karnataka, India.
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Infographic - How healthy are the children of the Indian Sundarbans?

Future Health Systems

How Healthy are the Children of the Indian Sundarbans?\n\nIn early 2012, Future Health Systems India set out to answer this question. It undertook a study in one representative block (geographically and socially) of the Sundarbans: Patharpratima.\n\nThe key statistics presented in the following charts relate to our sample block (FHS 2012) in comparison to West Bengal (District Level Household Survey [DLHS-3] 2007-08) and Rural India overall (DLHS-3).\n\nAll findings and data can be found in the Sundarbans Health Watch Report (August 2013).
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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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