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Nanda A.,Center for Public Health Informatics | Grover A.,Indian Council of Medical Research | Joshi A.,College of Public Administration
International Journal of Electronic Healthcare | Year: 2013

The objective of our study is to evaluate information about the national health programmes in India, available over the internet and to study the challenges faced while acquiring this information. To achieve our objective, we used the key words National Health Programmes OR Public Health Programmes OR Health Programs AND India in Google from January 1-January 10 2012, to find information about the existing Health Programmes. We chose first 20 web links across all the three search terms to yield 60 websites, which were then reviewed for their relevance. Only 16 websites were found to be relevant that met the inclusion criteria. The study showed that there was inadequate information about the existing national health programmes in India. This suggests a need to develop a National Public Health IT portal that can disseminate information about the various health programmes in a more structured manner and which is tailored to the needs of diverse group of stakeholders. Copyright © 2013 Inderscience Enterprises Ltd. Source


Joshi A.,College of Public Administration | Mohan K.,Saveetha University | Grin G.,Center for Public Health Informatics | Perin D.M.P.,College of Public Administration
Journal of Community Health | Year: 2013

Non communicable diseases (NCDs) are now the major cause of death and disability worldwide. It increasingly affects people from developing as well as developed countries. Over the coming decades the burden from NCDs is projected to rise particularly fast in the developing world. There is a lack of optimal data collection about the burden of risk factors related to NCDs especially in the developing countries. To assess the burden of healthcare utilization and out-of-pocket costs associated with NCDs in an Indian setting. A cross sectional study was performed to enroll a convenient sample of 166 participants aged 18 years and above from a tertiary hospital in Punjab, a Northern state of India. The data was gathered during the period of Feb 2010-April 2010. A mixed methods approach was used to assess the burden of diabetes, hypertension, high cholesterol, and their associated risk factors. Further we evaluated the burden of healthcare utilization and out-of-pocket costs associated with these conditions using self-reported assessments. Results showed the average age of the participants was 50 years, 63 % (n = 104) were females, 32 % (n = 53) had education less than high school and 20 % (n = 33) had no formal education. About 96 % of the study participants were living with a partner. Majority of the study participants were non-smokers and 17 % (n = 27) of them reported to have history of alcohol consumption. The majority of the participants had access to cell phones (94 %; n = 156) and about 40 % (n = 66) had computers at home. About 33 % (n = 55) of the study participants had some form of previous knowledge of computers. Majority of the study participants went to the private hospital (47.5 %) for seeking healthcare. About 32 % (n = 53) also sought healthcare from some kind of healthcare professional including a primary care doctor or a nurse or even a pharmacist in a village setting. Doctor visits related to diabetes were higher as compared to the individuals either with hypertension or high cholesterol. However; the out-of-pocket costs of the visit to the healthcare professional were much higher for hypertension than for diabetes or high cholesterol. A strengthened surveillance system, effective inter-sectoral action, and improved access to basic healthcare are pivotal to prevent NCDs. A multifaceted NCDs surveillance system could help us measure the burden of risk factors, its associated health care utilization and out of pocket costs, and further facilitate interventions that can guide evidence based decision making. © 2012 Springer Science+Business Media New York. Source


Talati K.,Center for Public Health Informatics | Upadhyay V.,Center for Public Health Informatics | Joshi A.,College of Public Administration
International Journal of Electronic Healthcare | Year: 2013

Diabetes is a growing public health concern in Indian subcontinent. More and more people are searching internet for health information, however, the quality of internet-based medical information is extremely variable. This study aims to evaluate quality of health information about Type-II Diabetes Mellitus in an Indian context. We used key words 'diabetes', 'diabetes management', 'diabetes prevention' and 'diabetes monitoring' and searched over Google, Yahoo and Bing during August 2011. Two independent reviewers used DISCERN tool to assess quality of health information of the final 84 websites. Majority of the websites were '.com' and DISCERN scores were highest in 'other' category. Inter-rater reliability analysis suggests 81% (N = 17) DISCERN criteria are in substantial agreement between two reviewers. There is no significant difference between two reviewers as well as among four website categories (com.edu.org and others) for reliability of publication, specific details about treatment choices and overall quality rating. Copyright © 2013 Inderscience Enterprises Ltd. Source


Joshi A.,University of Nebraska Medical Center | Joshi A.,Center for Public Health Informatics | Mehta S.,Center for Public Health Informatics | Talati K.,Center for Public Health Informatics | Grover A.,Indian Council of Medical Research
BMJ Open | Year: 2013

Introduction: The rising prevalence of overweight and obesity has a direct correlation with increasing prevalence of hypertension, dyslipidaemia, type 2 diabetes, metabolic syndrome (MetS) and cardiovascular diseases. Most of the previous studies have been cross-sectional in nature and have looked at the prevalence of metabolic syndrome. Despite the clinical and public health importance of this phenomenon, not enough work has been carried out so far to study and remedy this situation. The objectives of the proposed study is to develop an innovative usercentred informatics platform that will facilitate delivery of a multifactorial intervention after taking into account user sociodemographics, health behaviour, prior disease state and knowledge attitudes and practices. Objective: The objective of the proposed study is to develop an innovative user-centred informatics platform that will facilitate delivery of a multifactorial intervention after taking into account users' sociodemographics, health behaviour, prior disease state and knowledge, attitudes and behaviour. Methods and analysis: A randomised two-group repeated-measures clinical trial design will be used, on 750 subjects from urban, rural and slum areas, in an Indian setting. The study participants will be randomly assigned to either the intervention (computer-based MetS Program, CBMP) or control (printed educational material, PEM) group. Both the groups will undergo screening, learning and evaluation assessments at the time of the visit and at follow-up visits 30, 60 and 90 days after the first visit. Outcomes: The outcomes expected in the intervention group include improvement in Mets-related knowledge, adherence to self-care practices, better quality of life and increased satisfaction with medical care. Ethics and dissemination: The study has been approved by the Institutional Review Board of Asian Institute of Public Health (IRB#621). The proposed study will also help us assess the usefulness and challenges of technology to disseminate health education among diverse users. Findings will be disseminated through peerreviewed publications and national and international conference presentations to various stakeholders and local community health leaders. The ClinicalTrials.gov Identifier is NCT01713465. Source


Joshi A.,Center for Global Health and Development | Joshi A.,Center for Public Health Informatics | Mehta S.,Center for Public Health Informatics | Talati K.,Center for Public Health Informatics | And 2 more authors.
Technology and Health Care | Year: 2013

Background: Metabolic Syndrome (MetS) in India is a major contributor to the global increase in CVD. Lifestyle modification programs have been effective in reducing the burden of MetS. Objective: The Objective of our study was to evaluate the quality of MetS related health information on the internet in an Indian context. METHODOLOGY: We used a key term «metabolic syndrome» to retrieve websites from Google, Yahoo and Bing search engines by restricting pages from India during May 2012. Previously validated DISCERN tool was used by the three raters to assess 44 websites. All results have been reported as p-values. Results: The most common topics that were covered in these websites included causes and risk factors of MetS (77.27%). On the contrary medication (13.64%), lab tests (11.36%), type of physical activities (6.82%), prognosis and regular check-ups (4.55%) were the least mentioned topics. The website category.org had higher average DISCERN scores as compared to others categories. Conclusion: Limited information was available related to treatment choices, warning signal and informed decision and hence the need exists for further research to develop evidence based health information portal for MetS in an Indian context. © 2013-IOS Press and the authors. All rights reserved. Source

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