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Hooda S.K.,Institute for Studies in Industrial Development
Journal of Health Management | Year: 2015

The macroeconomic and health policy changes in India have generated some hopes, fear and complexity in public health spending. Health policies turned ineffective even to meet the required level of resources for providing basic health facilities. Fund allocation towards rural area (with missing health facility), preventive services, medicines and equipments was recorded to be noticeably low and inadequate with a declining trend. After the National Rural Health Mission (NRHM, 2005), public funds in health somewhat increased but remained lower than ambitious commitment of 2–3 per cent of gross domestic product (GDP). Central fund transfer to state, which was (before NRHM) passing through state budget, now bypasses the state budget. This has resulted in discontinuation of some of the health programmes/schemes running in the states and also made the centre–state finance relation more complex. Adverse macroeconomic conditions, conditional central fund allocation criteria, inadequate absorptive capacity and priority of state are further slowing down the effective policy implementation and progress in health outcomes. © 2015, 2015 Indian Institute of Health Management Research.


Kakkar M.,Institute for Studies in Industrial Development | Ramani S.,Institute for Studies in Industrial Development | Menon G.,Indian Institute of Public Health | Sankhe L.,Grant Medical College | And 3 more authors.
Transactions of the Royal Society of Tropical Medicine and Hygiene | Year: 2011

This study focuses on estimating knowledge of zoonoses among medical students and recent graduates, with an aim of understanding critical gaps in medical education with respect to zoonoses. A semi-structured tool for knowledge assessment, having nine principal domains of knowledge and five domains of practice, was developed and validated. Using this tool, cross-sectional data was collected from 364 medical students and recent graduates and knowledge scores were calculated based on pre-defined guidelines. Out of the 364 respondents, only 10 defined zoonoses accurately (2.8%). Only 33.7% of the respondents in the public college (62 out of 184) and 3.3% in the private college (6 out of 180) could correctly name three common parasitic zoonoses in India. Only 5.5% of respondents (20 out of 361) were able to identify rabies as a disease transmitted by animals other than dogs. Knowledge on all emerging and new infectious diseases was poor. The average knowledge score was 64% in the public medical college and 41.4% in the private medical college. These poor scores imply that, on average, a student knows only 40-60% of what is needed to diagnose, treat and report zoonotic diseases effectively. Considering the changing landscape of infectious diseases, the current medical curriculum needs to be revised to improve understanding of existing zoonoses and also include emerging diseases. © 2011 Royal Society of Tropical Medicine and Hygiene.


Bansal D.,Institute for Studies in Industrial Development | Satija A.,Institute for Studies in Industrial Development | Satija A.,A+ Network | Khandpur N.,Institute for Studies in Industrial Development | And 6 more authors.
Public Health Nutrition | Year: 2010

Objectives To study the impact of migration on food consumption among Indian factory workers and their siblings and spouses.Design A cross-sectional study was conducted to assess diet using an interviewer-administered semi-quantitative FFQ from which intake of 184 commonly consumed food items was obtained.Settings Participants recruited from factory sites in Bangalore, Lucknow, Nagpur and Hyderabad.Subjects The sample comprised 7049 participants (416 % female), and included urban, migrant and rural groups.Results Thirteen food items were eaten by the greatest proportion of individuals on a daily basis. These were all indigenous foods. The proportion of people consuming tandoori roti, dal with vegetables, potato and ghee on a daily basis was highest in the urban sample, intermediate in the migrant group and lowest in the rural group (P 001). The proportion of individuals consuming Western food on a weekly basis followed a similar trend.Conclusions The diet of this sample is predominantly indigenous in nature, irrespective of migration status, with the prevalence of daily Western food consumption being minimal. Copyright © 2010 The Authors.


Satija A.,A+ Network | Satija A.,Institute for Studies in Industrial Development | Taylor F.C.,A+ Network | Taylor F.C.,London School of Hygiene and Tropical Medicine | And 9 more authors.
National Medical Journal of India | Year: 2012

Background. There is a rising prevalence of obesity in India, and diet may be a major determinant of this. We aimed to assess differences in types and quantities of food items consumed by obese and normal-weight people in India. Methods. Cross-sectional data of 7067 factory workers and their families were used from the Indian Migration Study, conducted in four cities across northern, central and southern India. Food frequency questionnaire data were used to compare the quantities of consumption of 184 food items between 287 obese (body mass index >30 kg/m 2) and 1871 normalweight (body mass index 18.50-22.99 kg/m 2) individuals, using t tests and ANCOVAs. Individuals with diabetes, hypertension and cardio-vascular disease were excluded. SPSS 16.0 was used for analysis. Results. After adjusting for age, sex, location and socioeconomic status, obese individuals were found to eat significantly larger quantities of 11 food items compared with normalweight individuals. These included phulkas, chapatis/parathas/naan, plain dosa, mutton/chicken pulao/biryani, chicken fried/ grilled, rasam, mixed vegetable sagu, vegetable raitha, honey, beetroot and bottlegourd (p<0.01). Consumption of plain milk was higher among normal-weight than among obese individuals (p<0.05). Consumption of some of these food items was also found to increase by socioeconomic status, decrease by age, and be higher among men relative to women. Conclusion. Obese individuals were found to consume larger quantities of certain food items compared with normal-weight individuals. Interventions should aim at limiting overall food consumption among obese individuals. © The National Medical Journal of India 2012.

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