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Autism is called "spectrum" disorder because there is a wide variation in the type and the severity of symptoms that people experience. India has a vast population, diverse cultures, and multiple languages, making it crucial to under- stand the unique challenges faced by individuals with autism spectrum disorder in the Indian context. This narrative review explores the current state of knowledge about autism spectrum disorder in the Indian context. Databases such as PubMed, Google Scholar, Sage journals, and other sources were searched with relevant terms for preparing this review. All published literature till January 2023 was studied and those which met the inclusion criteria were included. The resources included were original research articles, review articles, web pages, and book chapters addressing the purpose of the paper. Forty-eight such studies which met the inclusion criteria were included in the study. Results showed that the prevalence of autism varied across different studies in India. The study found advanced paternal age, fetal distress, gestational respiratory infections, labor complications, preterm birth, neonatal jaundice, delayed birth cry, birth asphyxia, late initiation of breastfeeding, neonatal seizures, use of maternal hormonal intervention, and consanguinity as some of the identified risk factors of autism spectrum disorder. Parents and families of children with autism have to go through a complex negative experience, both in the family and the community. This negative experience is further compounded by the lack of awareness and access to appropriate professional help and resources. It can be concluded that there is an urgent need for services that help parents cope with the stress of parenting a child with autism. [ABSTRACT FROM AUTHOR]

Background: Speech–language pathologists are often involved in the assessment and management of communication, cognition and swallowing deficits in people with Parkinson's. However, speech–language pathologists' self‐perceived competency levels in serving people with Parkinson's remain elusive, especially in the Indian context where there is an increasing disability burden due to Parkinson's disease. Additionally, the challenges faced by speech–language pathologists in India to provide efficient services to this population are unidentified. Aims: To determine speech–language pathologists' self‐perceived competence and challenges faced when providing services to people with Parkinson's in India. Methods & Procedures: A survey questionnaire was sent to speech–language pathologists through emails and social media asking them questions to evaluate self‐perceived competency in serving people with Parkinson's and to identify the challenges to their service delivery. A total of 69 speech–language pathologists responded to the survey. Outcomes & Results: The majority of respondents reported to be competent in dealing with various domains of assessment and management of people with Parkinson's. Although competent, they reportedly faced a few challenges during their service delivery. Conclusions & Implications: This study provides an insight into the speech–language pathologists' self‐perceived competency in serving people with Parkinson's in India, and also identifies the challenges related to interprofessional service delivery. The findings of the study have educational and clinical implications. What this paper adds: The study delineates speech–language pathologists' self‐perceived competency in working with people with Parkinson's in India, a nation that is seeing a constant rise in the incidence of Parkinson's disease.The study the unique challenges within India to speech–language pathologists' service delivery for people with Parkinson's, thus having educational and clinical implications in Parkinson's disease care. [ABSTRACT FROM AUTHOR]

Liver transplant surgery has been performed in India for the last 25 years. We aimed to analyse the trends, characteristics, and key elements in the field of liver transplantation research from India. On April 23, 2023, we conducted a search of the Scopus database for the literature on liver transplantation research, using a well-defined search strategy. MS Excel and VOS viewer software programs were used to examine the articles for organisation, author, journal, keywords, and high-cited literature. This analysis examined a total of 556 papers, which constituted only a 1.55% share of the global output. These papers involved 442 organizations, 1575 authors, and 147 journals. External funding was received in 4.13% and 23.56% were involved in international collaboration. Three Delhi-NCR organizations, namely the Medanta–The Medicity (n = 63), Institute of Liver & Biliary Sciences (n = 60), and Indraprastha Apollo Hospital (n = 48) led in publication productivity. M. Rela (n = 90) and A.S. Soin (n = 63) were the leading authors in publication productivity, while S. Sudhindran and P. Bhangui were the most impactful authors. Liver Transplantation (n = 96) and Journal of Clinical & Experimental Hepatology (n = 65) published the maximum number of these papers, whereas, Annals of Surgery and Journal of Hepatology led in the citation impact per paper. The most significant keywords were "Liver Transplantation" (n = 484), and "Living Donor" (n = 254). Only 1.80% (n = 10) of the papers were highly cited papers that received 50 to 142 citations and they together registered 69.9 citations per paper. Although the number of publications on liver transplantation from India started growing recently, it forms only 1.55% of the global report. There is an unmet need to increase government-supported research and multicenter collaborative studies at national and international levels for high-quality patient care. [Display omitted] • A total of 556 papers on liver transplantation research from India constitutes a 1.55 % share of the global output. • This is the first comprehensive bibliometric analysis of India's liver transplant research over the last 25 years. • Delhi-NCR authors and institutions were the leaders in this area of research. • There has been a continuous rise in publications, with the maximum surge seen in the last decade. [ABSTRACT FROM AUTHOR]

The present study focused on the research publications of women faculty in the field of physics, Astrophysics, Astronomy and Atmospheric Science in India. To collect the data we have covered the women faculty of Central Universities, State Universities, IITs, NITs, IISER's, NISER's, research institutes, laboratories and some selected deemed universities. The first fact we found was that the number of women were very less as compare to male staff. To see the publication productivity of women authors we tried to analyze the year-wise productivity, authorship pattern, preferred journals, place and designation and the research papers received highest citations for the period of five years from 2011- 2015. Year 2014 found to be the most productive year and in authorship pattern, women authors preferred to publish their research in collaboration. Highest number of research papers was published in Journal of Applied Physics. [ABSTRACT FROM AUTHOR]

The paper describes quantitative and qualitative dimensions of nanomedicine research studies in India. The study is based on research publications data in nanomedicine research (1491 publications) as covered in Scopus data base for the period 2002-20. The study finds that nanomedicine research in India registered a high 73.7% growth with an average of 22.93 citations per paper. The nano-oncology subfield accounted for the highest share (48.49% share) in the national output, followed by seven other nanomedicine subfields. Jamia Hamdard University, Delhi, Panjab University, Chandigarh and Banaras Hindu University, Varanasi lead as the most productive organizations in the country. The paper also lists the most productive authors in nanomedicine research. The most productive research journals that reported nanomedicine research in India include Nanomedicine, International Journal of Nanomedicine and Current Pharmaceutical Design. In addition, International Journal of Pharmaceutics, International Journal of Nanomedicine and Drug Delivery Today topped in the list of most cited research journals. [ABSTRACT FROM AUTHOR]

Purpose: The incidents of elder victimisation and cases of victimisation, in general, are increasing fast in the society. These incidents have had negative impact on the sense of well-being and way of life of the older people. Therefore, fear of crime is being considered as a most concerning psycho-social problem amongst the older people in contemporary time. The purpose of this study is to understand the impact of crime rate on the well-being of the older people and examine the linkage between psychological factors and fear of crime amongst the older people. Design/methodology/approach: The present study is based on the mixed method approach and an exploratory research designed applied to conduct the study. The field survey has been done from October 2012 to January 2013 on a sample of 220 older people of rural and urban areas of Lucknow in the state of Uttar Pradesh through purposive sampling. For the study, researcher has interviewed 137 male older people and 83 female older people through interview schedules and case studies. The data have been analysed through descriptive and narrative analysis. Findings: The study finds that those older people have direct or indirect experience of victimisation, they have anxiety and feel insecurity that someone can victimise them. The study also finds that the happiness of older people is more affected due to anxiety and phobia and have higher level of feeling of fear of crime in their neighbourhood and home. The study also finds whenever anti-social elements are active in the neighbourhood and they commit crimes, fear of crime and anxiety grasp the older people to a large extent causing a fracture in their psychological well-being. Originality/value: This work is the original work of researcher. This paper is related to the researcher's PhD dissertation work. This paper talks about how the psychological well-being of older people affects due to nature of crime in neighbourhood, phobia of crime and anxiety due to criminal activities. [ABSTRACT FROM AUTHOR]

The prime purpose of this study is to find out the research productivity of three regions Nigeria, Pakistan, and India. The bibliometric quantification was used to analyze the data. The present research identifies the importance of this online journal. The study discloses frequency of publication growth, author's collaborations, papers length, and most cited papers, most productive authors, and total references used. Design/methodology/approach The survey method was used to find out the full-text research articles on the online database of LPP. The Google scholar was used to retrieve the citations. All the collected data has been analyzed using MS excel and other electronic devices. Findings The results of this study indicate that in the year 2008 to 2013. The contribution of Nigerian authors is more than the other two nations that are 226 while Indian comes 2nd with 193 research papers and Pakistan comes 3rd with 67 research articles from the studied period in the wellknown journal of Library and information science field that is LPP. The present study revealed the majority of the research articles were single authors from Nigeria 114, Pakistan 18, and India 80. The study results show that the majority of the paper length in the range of 6-10 Nigerian 116, Pakistan 34, and India 70 respectively. The study showed the total references were calculated 4140 from Nigeria, 1506 Pakistan, and 3243 from Indian. The most cited paper was retrieved by a Nigerian paper that is 197 citations. The analyzed data shows the most productive authors were Rubina Bhatti from Pakistan with 18 research papers. This study contributes to the existing literature of three-nation contributions to the Library Philosophy and practice throughout the year. This is the first study of three-nation research productivity in the well-known online journal library philosophy and practice. Limitations of the study The present study was limited to the well-known LIS Journal and research articles specifically published at online journal library philosophy and practice. This study is purely limited to the research productivity of Nigerian, Pakistani, and Indian authors to the Library Philosophy and Practice from 2008 to 2013. Practical implications Despite its limitations, the findings of the study will help the LIS professionals of three nations and as well as other parts of the LIS professionals to provide more information about their research productivity of a particular journal. [ABSTRACT FROM AUTHOR]

This research study aims to find out the research productivity of Nigerian and Indian authors to the library philosophy and practice from 2008 to 2013. The present study also finds the frequency of productivity, author collaboration, papers length, most cited papers, and most references as well as most productive authors. The present research finds the 226 research articles have been contributed by Nigerian authors and 193 papers have been contributed by Indian authors. The highest number of papers has been written by Nigerian authors was 76 in 2010 and from the Indian 60 papers were contributed in 2013. This present study identifies those 114 single authors from Nigeria and 80 from India. 116 papers from Nigerian authors those range 6-10 pages while 57 from India. The total numbers of references were used by Nigerian authors those were 4140 while Indian was used 3243 references from 2008 to 2013. The most productive authors S.Thanuskodi from India who wrote 09 papers and Dike Agah from Nigeria have contributed only 5 papers. The most cited papers were retrieved from Nigerian author with 197 citations while 82 citations were received from India. [ABSTRACT FROM AUTHOR]

To understand the impact of highly cited articles in Indian Pharmaceutical research and the role of research organizations, contributing authors and their international collaborations, through their citation distribution and publication published during 1998-2017. Papers those received minimum 200 citations since their publication, were known as 'highly cited publications'. Major contributor Index is a new indicator used for assessing the contributions of authors and Institutions in terms of their independent research ability, leadership role and their impact in collaborative research. India with 274 highly cited articles holds the 10th position with 2.51% of the world's share during 1998-2017. These 274 Highly Cited papers received 90911 citations with an average of 331.79 citations per papers. Out of 18 leading authors in Pharmaceutical research with at least 3 highly cited publications, 9 authors are considered as authors with high potential to conduct the research independently while other 9 authors depend on others in research collaboration. There are 14 Indian institutions having more than 5 publications and MCI value more than 0.5, which are considered more productive and have the potential to conduct research independently. [ABSTRACT FROM AUTHOR]

This paper examines the role of service climate (SC) in the link connecting human resource management practices (HRMP) to commitment to service quality (CSQ). Data were collected from 1236 hospital staff working in different private hospitals in India. The model linking HRMP to CSQ with the moderation of SC was tested using Hayes PROCESS. Results revealed that human resource management practices found to be influencing CSQ and with the interaction of SC the effect is further augmented. The interacting role service climate has been found to be significant at mean and high levels. [ABSTRACT FROM AUTHOR]

When widespread use of sex-selective abortion and sex selection through assisted reproduction lead to severe harms to third parties and perpetuate discrimination, should these practices be banned? In this paper I focus on India and show why a common argument for a ban on sex selection fails even in these circumstances. I set aside a common objection to the argument, namely that women have a right to procreative autonomy that trumps the state's interest in protecting other parties from harm, and argue against the ban on consequentialist grounds. I perform a pairwise comparative analysis of sex selection and its plausible alternatives and argue that that the ban fails to improve the state of affairs relative to a scenario without a ban. The ban makes the situation worse, especially for mothers and their daughters. India should therefore repeal its ban on sex selection. [ABSTRACT FROM AUTHOR]

Based on breast cancer research data obtained from Scopus multidisciplinary database, it is seen that with 6696 (1.82% global share) articles from India on breast cancer during 1975-2014, India ranks 12th in the world in terms of research paper output. About 80% of the Indian publications appeared during the period 2004-14. Hospitals are more productive with Tata Memorial Hospital publishing the highest number of papers during the period. About 30.35% Indian publications are a result of international collaboration with 94 countries. [ABSTRACT FROM AUTHOR]

Background: General hospital psychiatric units (GHPUs) are one of the major service and training providers in the field of mental health in India. However, there has not been any systematic attempt at their contributions toward research. Aim: The present paper reports on contributions of the GHPUs toward the psychiatric research based on analysis of publications in the Indian Journal of Psychiatry (IJP). Materials and Methods: All the issues of IJP of the last 25 years (1989-2013) were manually searched for original research papers, brief reports, and case reports. A semi-structured performa was used to collect information on various parameters. Results: About two-thirds of the papers were contributed by the GHPUs, most being multi-authored and from tertiary care centers. The research covered a variety of psychiatric disorders including schizophrenia, mood disorders, and common mental disorders. Most of the research reported was self-funded. Conclusion: GHPUs have contributed significantly to psychiatric research in India in the last 25 years. [ABSTRACT FROM AUTHOR]

Empirical studies of social capital rarely take into account the socioeconomic context of the region in which it operates, indeed as most of this research has been located in high income countries. It is imperative to investigate how development may influence the impact of social capital, especially in developing countries. This paper examines the relationship between social capital and child nutrition using the India Human Development Survey, 2005-2006. Using a multilevel framework and a sample of 6770 rural children under the age of five, it finds that household based bridging social capital, expressed as connections with development based organizations, is positively associated with child nutrition. Bonding social capital, expressed as ties with caste and religious based organizations, has the opposite impact. At the village level, contextual measures of social capital are associated with nutritional status of children, but their influence is conditional on local development. [ABSTRACT FROM AUTHOR]

Background: The home food environment has the potential to influence the eating behaviour of adolescents. This investigation aimed to understand Indian adolescents' perspectives of their home food environments.Methods: Adolescents aged 14-16 years (n = 1026, 65.3% girls) attending private secondary schools in Kolkata completed a paper-based questionnaire during school time which included questions about family food rules, availability and accessibility of foods at home, and domestic cooking responsibility. Boys' and girls' opinions and experiences were compared through cross-tabulation analyses.Results: Almost all the adolescents reported that fruits (91.6%) and vegetables (95.7%) were always available in their homes. Approximately two-fifths reported that sugar-sweetened beverages (36.2%) and salty snack foods (38.0%) were readily available. In 56.1% households, adolescents were expected to follow certain food rules during mealtimes (e.g. not talking with my mouth full). The majority of the respondents (80.4%) identified mothers as the primary meal providers, only a minority reported that fathers (5.1%) were responsible for preparation of family meals.Conclusion: This understanding of the family-environmental determinants of adolescent dietary habits provides useful directions for nutrition promotion interventions. Health and educational professionals associated with adolescents could communicate about the development of healthy home food environments to provide positive health benefits for adolescents and their families. [ABSTRACT FROM AUTHOR]

Background: Birthing in health facilities in India has increased over the last few years, yet maternal and neonatal mortality rates remain high. Clinical mentoring with case sheets or checklists for nurses is viewed as essential for on-going knowledge transfer, particularly where basic training is inadequate. This paper summarizes a study of the effect of such a programme on staff knowledge and skills in a randomized trial of 295 nurses working in 108 Primary Health Centres (PHCs) in Karnataka, India.Methods: Stratifying by district, half of the PHCs were randomly assigned to be intervention sites and provided with regular mentoring visits where case sheet/checklists were a central job and teaching aid, and half to be control sites, where no support was provided except provision of case sheets. Nurses' knowledge and skills around normal labour, labour complications and neonate issues were tested before the intervention began and again one year later. Univariate and multivariate analyses were conducted to examine the effect of mentoring and case sheets.Results: Overall, on none of the 3 measures, did case sheet use without mentoring add anything to the basic nursing training when controlling for other factors. Only individuals who used both case-sheets and received mentoring scored significantly higher on the normal labour and neonate indices, scoring almost twice as high as those who only used case-sheets. This group was also associated with significantly higher scores on the complications of labour index, with their scores 2.3 times higher on average than the case sheet only control group. Individuals from facilities with 21 or more deliveries in a month tended to fare worse on all 3 indices. There were no differences in outcomes according to district or years of experience.Conclusions: This study demonstrates that provision of case sheets or checklists alone is insufficient to improve knowledge and practices. However, on-site mentoring in combination with case sheets can have a demonstrable effect on improving nurse knowledge and skills around essential obstetric and neonatal care in remote rural areas of India. We recommend scaling up of this mentoring model in order to improve staff knowledge and skills and reduce maternal and neonatal mortality in India.Trial Registration: This study is registered at clinicaltrials.gov, Identifier No. NCT02004912 , November 27, 2013. [ABSTRACT FROM AUTHOR]

Objective: This study analyzes the research output of India in asthma during the period from 1999 till 2008. It analyzes the growth, rank and global publications share, citation impact, share of international collaborative papers, contribution of major collaborative partner countries and contribution of various subject fields. It also analyzes the characteristics of most productive institutions, authors and high-cited papers. Materials and Methods: SCOPUS database has been used to retrieve the data on publication output in asthma research. Results: India ranks 15th position among the top 23 countries in asthma research, with its global publication share of 1.27% (862 papers), registering an average citation per paper of 3.43 and achieved an h-index of 33 during 1999-2008. Conclusion: Indian research output on asthma is quite low in the global context as reflected from its publication output per thousand population (0.001) and its world publication share (1.27%) during 1999-2008. Also, the impact and quality of Indian research is low compared to select developed and developing countries. [ABSTRACT FROM AUTHOR]

Introduction: This paper describes a fictitious study of a fictitious drug. A companion paper in this issue of the Indian J Psychiatry critically examines this paper and provides author, reader, reviewer, and researcher perspectives on problems related to the design and conduct of a clinical trial; on issues related to the analysis of data; on how to write a research paper; and on how to critically read or review a journal article. Readers are invited to appraise this paper and then compare their assessment with that presented in the companion paper. Background: This study sought to compare the safety and efficacy of placeboxetine (PB) hydrochloride extended release capsules with sertraline hydrochloride in patients diagnosed with major depressive disorder in 15 general hospitals in south India. Materials and Methods: In a prospective, open-label, 15-center, randomized controlled clinical trial, consecutive outpatients diagnosed with major depressive disorder of at least moderate severity were randomized 1:1 to receive flexible doses of either PB or sertraline once each morning. Patients were evaluated every two weeks, until the study endpoint, using the Hamilton Rating Scale for Depression (HAM-D) and the Montgomery-Asberg Rating Scale (MADRS). Safety was determined through assessments of vital signs, adverse events, study discontinuation rates, hematological parameters, metabolic parameters, electrocardiography, and other measures. Results: Ten patients dropped out of the study from each treatment arm. There was a significant, marked improvement in HAM-D and MADRS scores in each group by the treatment endpoint. There was no significant difference between PB and sertraline groups on either HAM-D or MADRS at any visit. The response rate was 90% with PB and 92% with sertraline. The remission rate was 70% with PB and 75% with sertraline. All laboratory parameters were within normal limits in all patients. There were no serious adverse events. Conclusions: Placeboxetine is as safe and effective as sertraline in Indian patients with major depressive disorder. [ABSTRACT FROM AUTHOR]

Purpose - A survey of University of Kashmir scholars was undertaken in 2008 to ascertain their experience, attitudes and perceptions about the open access (OA) movement. The purpose of this paper is to report the survey's findings. Design/methodology/approach - The study was based on data collected from scholars belonging to the Science and Social Science faculties at the University of Kashmir. A pre-defined, closed-ended, 14-item questionnaire was distributed among 84 research scholars. The selection of scholars was based on stratified disproportionate sampling in which the sample size for the departments of both faculties was confined to four scholars, as only four research scholars were enrolled in the Department of Psychology. Findings - The majority of the scholars consulted both open access as well as library-subscribed resources. Of OA resource users, four-fifths consulted journals and two-fifths consulted books. Colleagues (57.14 per cent) were the main referral sources of OA awareness with the least intervention from library professionals. Scholars (95.23 per cent) retrieved OA content via search engines. About 21 per cent remarked above 60 per cent relevancy of OA content related to their research need. The majority of scholars considered OA useful to publish their work quickly, boost their productivity as an author and increase citations of their work. One third reported awareness of more than two OA journals. About 30 per cent reported OA journals as a source of publishing their work, whereas just 10 per cent deposited their works in OA repositories. Overall, Science scholars had the edge over their Social Science counterparts in acceptance of open access. Research limitations/implications - The research highlights the viewpoints of only 84 scholars out of 326 registered scholars in the fields of Sciences and Social Sciences at the University of Kashmir. Originality/value - Research of this kind has not been carried out before at the University of Kashmir. The paper discusses open access awareness among the researchers of the University of Kashmir with recommendations for information professionals and teaching faculty to acquaint researchers with the benefits of open access. [ABSTRACT FROM AUTHOR]

The paper compares the status of social science research in India, China and Brazil using various indicators. It particularly focuses on the analyses of annual average publication rate vis-a-vis global publication share; similarity in research profile of different countries; research priorities of countries as measured in terms of national publications output by sub-fields; relative share of international collaborative papers in the national output; distribution of research output by geographical regions within each country; and characteristics of high productivity institutions and highly cited papers computed on select measures. [ABSTRACT FROM AUTHOR]

Purpose - The purpose of this paper is to describe the initiative of the University Grants Commission of India in setting up the Infonet Digital Library Consortium (The Information and Library Network) in order to provide access to scholarly communication to the academic community in India. Design/methodology/approach - The context of higher education in India and the expansion and establishment of universities under the five-year plan is given along with details of e-resources that are being provided. The usage trends of e-resources from various publishers during 2004-2007 are detailed. Findings - The paper finds that there has been a qualitative increase in overall usage, but use is also dependent on a high-bandwidth connection. Originality/value - The study provides evidence of increased use of consortial services for access to e-resources in Indian higher education. [ABSTRACT FROM AUTHOR]

Abstract: Since the early 1990s, significant progress has been made with regard to education in India. This positive development stands, however, in sharp contrast with the way in which government teachers themselves think and talk about education. Instead of feeling pride and satisfaction, many teachers are unhappy, and often self-critical. Based on focus group discussions and interviews with teachers in Andhra Pradesh, south India, this paper analyses the reasons behind motivations and demotivations of government school teachers. The paper concludes that there is a need for a new professional ethos and culture. [Copyright &y& Elsevier]

Purpose - The paper seeks to provide a comparative analysis of the functionality of five web-based OPACs available in Indian academic libraries. Design/methodology/approach - Same-topic searches were carried out by three researchers on the web-based OPACs of Libsys, VTLS's iPortal, NewGenLib, Troodon, and Alice for Windows, implemented in five academic libraries in India. Their functionality was compared using criteria selected from the literature on OPAC searching. Findings - The web-based OPACs investigated offered a range of facilities for searching by author, title, control number and by keywords. Federated searching across several e-collections was limited. Originality/value -This paper should be a useful source of information to librarians who are planning to introduce web-based OPACs and also for software vendors who wish to improve the functionality of their products. [ABSTRACT FROM AUTHOR]

Objectives: The Urban Health Initiative (UHI) was initiated in 2009 with the goal of increasing family planning (FP) use among the poor in urban areas of Uttar Pradesh, India. The Measurement, Learning & Evaluation project (MLE) was tasked with rigorous impact evaluation of the UHI. This paper presents the impact evaluation findings of the UHI program.Study Design: The MLE design includes a longitudinal sample of women and health facilities with baseline (2010) and endline (2014) data collection in six cities in Uttar Pradesh, India. At baseline, samples representative of women in each city were selected with oversampling of the poor. Eighty-four percent of women interviewed at baseline were reinterviewed 4 years later at endline. The longitudinal data support a within/fixed-effects approach to identification of program impact on changes in modern FP use.Results: Impact evaluation results show significant effects of exposure to both demand and supply side program activities. In particular, women exposed to brochures (marginal effect: 6.96, p<.001), billboards/posters/wall hangings (marginal effect: 2.09, p<.05), and FP on the television (marginal effect: 2.46, p<.001) were significantly more likely to be using a modern method at endline. In addition, we found borderline significance for being exposed to a community health worker (marginal effect: 1.66, p<.10) and living close to an improved public and private supply environment where UHI undertook activities (marginal effects and p values: 2.48, p<.05 and 1.56, p<.10, respectively).Conclusions: UHI program activities were designed to complement the Government of India's strategies aimed at ensuring access to and provision of FP to urban poor populations. The effective demand- and supply-side strategies of the UHI program are therefore likely to be sustainable and scalable to other urban areas in India.Implications Statement: Findings from this study are important for designing sustainable and scalable FP strategies for urban India where increases in FP use will be relevant for meeting international FP targets. [ABSTRACT FROM AUTHOR]

Background: Though Janani Suraksha Yojana (JSY) under National Rural Health Mission (NRHM) is successful in increasing antenatal and natal care services, little is known on the cost coverage of out-of-pocket expenditure (OOPE) on maternal care services post-NRHM period.Methods: Using data from a community-based study of 424 recently delivered women in Rajasthan, this paper examined the variation in OOPE in accessing maternal health services and the extent to which JSY incentives covered the burden of cost incurred. Descriptive statistics and logistic regression analyses are used to understand the differential and determinants of OOPE.Results: The mean OOPE for antenatal care was US$26 at public health centres and US$64 at private health centres. The OOPE (antenatal and natal) per delivery was US$32 if delivery was conducted at home, US$78 at public facility and US$154 at private facility. The OOPE varied by the type of delivery, delivery with complications and place of ANC. The OOPE in public health centre was US$44 and US$145 for normal and complicated delivery, respectively. The share of JSY was 44 % of the total cost per delivery, 77 % in case of normal delivery and 23 % for complicated delivery. Results from the log linear model suggest that economic status, educational level and pregnancy complications are significant predictors of OOPE.Conclusions: Our results suggest that JSY has increased the coverage of institutional delivery and reduced financial stress to household and families but not sufficient for complicated delivery. Provisioning of providing sonography/other test and treating complicated cases in public health centres need to be strengthened. [ABSTRACT FROM AUTHOR]

In this paper, an adapted version of the Dimensions of Learning Organization Questionnaire (DLOQ) was employed to investigate the perception of academic staff on learning organization culture in Indian higher education institutions. The questionnaire was sent to 700 faculty members of different universities using a non-probability purposive sampling technique. The results showed that there exists a significant and positive correlation amongst the constructs of learning organization culture, knowledge performance and research performance. Further, the results showed that knowledge performance is a statistically significant predictor of research performance. Thus, the empirical findings of this study will contribute to the literature on learning organization culture in higher education institutions, particularly with respect to the Indian scenario, an area where empirical studies are scant. [ABSTRACT FROM AUTHOR]

Ethnopharmacological relevance Being one of the most common types of life threatening diseases in Southern Assam, India, the digestive system disorders (DSD) have gained much attention in recent decades. Traditional beliefs and inadequate income of mass population result in the use of alternative phytotherapies to treat the diseases. Aim of the study The present paper documents the medicinal knowledge and utilization of plants for treatment of digestive system disorders in Southern Assam, India by Disease Consensus Index (DCI). It also determines the most suitable plant species used to treat digestive system disorders in the study area. Materials and methods The study was based on ethnomedicinal field survey covering a period of 1 year from 2014–2015. The ethnomedicinal information was collected by using semi-structured questionnaires from different traditional Bengali people having knowledge on medicinal plants. Collected data were analyzed by calculating DCI. Results During the survey, 29 informants were interviewed and a total of 49 plants under 46 genera belonging to 33 families were listed. Data analysis revealed that Litsea glutinosa , Momordica charantia , Andrographis paniculata , Lawsonia inermis , Cleome viscosa , Psidium guajava , Ageratum conyzoides , Cuscuta reflexa , Cynodon dactylon and Carica papaya are the most prominent plants among the people of Southern Assam for treating DSD. Conclusion This explorative survey emphasizes the need to preserve and document the traditional healing practices for managing DSD inviting for more imminent scientific research on the plants to determine their efficacy as well as safety. With the help of statistical analysis (DCI), we propose 10 priority plants for DSD in present work. Systematic pharmacological study with these plants may contribute significant result. [ABSTRACT FROM AUTHOR]

Background: The incidence of hip fractures in older adults in India is likely to increase dramatically in the coming decades as a result of an aging population and increasing life expectancy. Currently, more than 600,000 adults over 60 years of age suffer a hip fracture annually in India. This paper outlines a protocol for a qualitative study investigating the care seeking behavior of older adults with hip fractures: to determine the processes in decision making, identify causes for delay in obtaining care, and identify potential barriers and facilitators to seeking appropriate care in time. Methods and design: The planned study will consider Odisha, an eastern state in India with limited health care facility, as a suitable case study. It is proposed to conduct 30 in-depth interviews in two administrative districts of Odisha. The participants will be patient and their carers in seven health facilities- four public hospitals, two private hospitals and one traditional bone-setting facility. The study relies on a purposive sampling strategy. Ethics permission will be sought from each participating institution and participants. The participants will be adults aged 50 years or older of both sexes arriving at the recruiting centers with a history of fall or injury, pain in the hip region and inability to walk and X-ray confirmed diagnosis of proximal femoral fracture and their primary carer. Trained qualitative research team will conduct these interviews. A thematic framework approach will be used to analyze the data using NVivo 9 software. The data collected from the interviews will be analysed to explore the cause of the hip fracture, events following the injury, the experiences of patients from the time of sustaining the injury, pain relief measures, decision to seek care, understanding of the urgency for treatment, causes for delay in receiving treatment, funding sources, cost liabilities for the family, financing mechanisms for out of pocket expenditure and the burden for caring. Discussion: The findings of this study will provide an increased understanding of the care seeking behaviors of older adults with hip fracture, and inform contextually appropriate changes in healthcare program and policy aimed at improving health outcomes. [ABSTRACT FROM AUTHOR]

Background: Although some 300 million Indian children travel to school every day, little is known about how they get there. This information is important for transport planners and public health authorities. This paper presents the development of a self-administered questionnaire and examines its reliability and validity in estimating distance and mode of travel to school in a low resource urban setting.Methods: We developed a questionnaire on children's travel to school. We assessed test re-test reliability by repeating the questionnaire one week later (n = 61). The questionnaire was improved and re-tested (n = 68). We examined the convergent validity of distance estimates by comparing estimates based on the nearest landmark to children's homes with a 'gold standard' based on one-to-one interviews with children using detailed maps (n = 50).Results: Most questions showed fair to almost perfect agreement. Questions on usual mode of travel (κ 0.73- 0.84) and road injury (κ 0.61- 0.72) were found to be more reliable than those on parental permissions (κ 0.18- 0.30), perception of safety (κ 0.00- 0.54), and physical activity (κ -0.01- 0.07). The distance estimated by the nearest landmark method was not significantly different than the in-depth method for walking , 52 m [95 % CI -32 m to 135 m], 10 % of the mean difference, and for walking and cycling combined, 65 m [95 % CI -30 m to 159 m], 11 % of the mean difference. For children who used motorized transport (excluding private school bus), the nearest landmark method under-estimated distance by an average of 325 metres [95 % CI -664 m to 1314 m], 15 % of the mean difference.Conclusions: A self-administered questionnaire was found to provide reliable information on the usual mode of travel to school, and road injury, in a small sample of children in Hyderabad, India. The 'nearest landmark' method can be applied in similar low-resource settings, for a reasonably accurate estimate of the distance from a child's home to school. [ABSTRACT FROM AUTHOR]

Background: There are 600 million girls in low and middle income countries (LMICs), many of whom are at great risk for poor health and education. There is thus great need for programs that can effectively improve wellbeing for these girls. Although many interventions have been developed to address these issues, most focus on health and education without integrating attention to social and emotional factors. This omission is unfortunate, as nascent evidence indicates that these factors are closely related to health and education. This paper describes the methods of a 4-arm randomized controlled trial among 3,560 adolescent girls in rural Bihar, India that tested whether adding an intervention targeting social-emotional issues (based on a "resilience framework") to an adolescent health intervention would improve emotional, social, physical, and educational wellbeing to a greater extent than its components and a control group. Study arms were: (1) Girls First, a combination of the Girls First Resilience Curriculum (RC) and the Girls First Health Curriculum (HC); (2) Girls First Resilience Curriculum (RC) alone; (3) Girls First Health Curriculum (HC) alone; and (4) a school-as-usual control group (SC).Methods: Seventy-six schools were randomized (19 per condition) and 74 local women with a tenth grade education were trained and monitored to facilitate the program. Quantitative data were collected from 3,560 girls over 4 assessment points with very low rates of participant attrition. Qualitative assessments were conducted with a subset of 99 girls and 27 facilitators.Results and Conclusions: In this article, we discuss guiding principles that facilitated trial implementation, including integrating diverse local and non-local sources of knowledge, focusing on flexibility of planning and implementation, prioritizing systematic measurement selection, and striking a balance between scientific rigor and real-world feasibility.Trial Registration: Clinicaltrials.gov NCT02429661 . Registered 24 April 2015. [ABSTRACT FROM AUTHOR]

Background: It is over the last decade that research in this field of domestic violence has led to greater recognition of the issue as public health problem. The paper aims to study the prevalence of physical, psychological, and sexual violence and potential risk factors of the women confronting violence within the home in India. Materials and Methods: A multicentric study with analytical cross-sectional design was applied. It covers 18 states in India with 14,507 women respondents. Multistage sampling and probability proportion to size were done. Results: The result shows that overall 39 per cent of women were abused. Women who have a lower household income, illiterate, belonging to lower caste, and have a partner who drinks/bets, etc. found to be important risk factors and place women in India at a greater risk of experiencing domestic violence. Conclusion: As India has already passed a bill against domestic violence, the present results on robustness of the problem will be useful to sensitize the concerned agencies to strictly implement the law. This may lead to more constructive and sustainable response to domestic violence in India for improvement of women health and wellbeing. [ABSTRACT FROM AUTHOR]

India is undergoing a demographic and epidemiological transition which is influencing its health. Noncommunicable diseases (NCDs) are posing major health and development threats, while we are grappling with communicable diseases and maternal and child health-related issues. The major NCDs include cardiovascular diseases (including stroke), diabetes, cancer, chronic obstructive pulmonary diseases, mental health, and injuries. Tobacco, alcohol, diet, physical inactivity, high blood pressure, and obesity are the major risk factors common to many chronic diseases. Research on NCDs under the ICMR and through other institutions has resulted in the initiation of some national health programs such as National Cancer Control Program and District Mental Health Program. Important epidemiological descriptions have informed us on the causes and distribution of NCDs and their risk factors, including the non-health determinants (poverty, education, employment, etc) and health systems assessments, have shown the inadequacies in tackling NCDs. Several global efforts and publications have provided guidance in shaping the research agenda. The special UN NCD Summit held on 19-20 September 2011 brought the world leaders to deliberate on ways to address NCDs in a concerted manner through partnerships. In this paper the authors review the present status of NCDs and their risk factors in the country and propose a strategic research agenda to provide adequate thrust to accelerate research towards a useful outcome [ABSTRACT FROM AUTHOR]

The private health sector in India is generally unregulated. Maharashtra is among the few states which require registration of private hospitals. This paper reports on a study of standards of care in small, private hospitals (less than 30 beds) in Maharashtra state, India, with a focus on maternity care, based on interviews with the hospitals' owners or senior staff, and observation. In the absence of reliable information on the number of private hospitals in the state, a physical listing was carried out in 11 districts and an estimate drawn up; 10% of hospitals found in each location were included in the study sample. We found poor standards of care in many cases, and few or no qualified nurses or a duty medical officer in attendance. Of the 261 hospitals visited, 146 provided maternity services yet 137 did not have a qualified midwife, and though most claimed they provided emergency care, including caesarean section, only three had a blood bank and eight had an ambulance. Government plans to promote public–private partnerships with such hospitals, including for maternity services, create concern, given our findings. The need to enforce existing regulations and collect information on health outcomes and quality of care before the state involves these hospitals further in provision of maternity care is called for. Le secteur privé est en général non réglementé en Inde. Maharashtra est l'un des rares États qui exigent l'agrément des hôpitaux privés. Cet article concerne une étude des normes de soins dans des petits hôpitaux privés (moins de 30 lits) dans l'État de Maharashtra, Inde, en particulier les soins obstétricaux, sur la base d'entretiens avec les propriétaires ou la direction de l'hôpital, et d'observations. En l'absence d'informations fiables sur le nombre d'hôpitaux privés dans l'État, une liste a été dressée dans 11 districts et une estimation a été établie ; 10% des hôpitaux recensés dans chaque site ont été inclus dans l'échantillon de l'étude. Dans beaucoup de cas, nous avons constaté des normes de soins médiocres, et peu ou pas d'infirmières qualifiées ni de médecin de garde présent. Des 261 hôpitaux visités, 146 assuraient des services de maternité, pourtant 137 n'avaient pas de sage-femme qualifiée, et même si la plupart affirmaient pratiquer des soins d'urgence, y compris des césariennes, trois seulement disposaient d'une banque du sang et huit d'une ambulance. Compte tenu de nos conclusions, la volonté du Gouvernement de promouvoir les partenariats publics-privés avec ces hôpitaux, notamment pour les services de maternité, est préoccupante. Il est nécessaire de faire appliquer la réglementation en vigueur et de recueillir des informations relatives aux effets sur la santé et à la qualité des soins avant que l'État n'implique davantage ces hôpitaux dans les soins obstétricaux. En India, el sector salud privado por lo general no es regulado. Maharashtra es uno de los pocos estados que requieren registro de hospitales privados. Este artículo informa sobre un estudio de las normas de asistencia en hospitales privados pequeños (menos de 30 camas), en el estado de Maharashtra, India, con un enfoque en la atención obstétrica, basado en entrevistas con los propietarios de los hospitales o personal de alto nivel, y en observación. En la ausencia de información fidedigna sobre el número de hospitales privados en el estado, se realizó un listado físico en 11 distritos y se calculó el número aproximado. En la muestra del estudio se incluyó el 10% de los hospitales encontrados en cada lugar. En muchos casos, se encontró calidad de atención deficiente y ninguna o pocas enfermeras calificadas o un funcionario médico de turno presente. De los 261 hospitales visitados, 146 ofrecían servicios obstétricos, pero 137 no tenían a una partera profesional calificada. Aunque la mayoría afirmaba ofrecer cuidados de emergencia, incluso cesáreas, sólo tres tenían un banco de sangre y ocho tenían ambulancia. En vista de nuestros hallazgos, los planes gubernamentales de promover alianzas entre los sectores público y privado con estos hospitales, incluso para servicios obstétricos, son preocupantes. Aún es necesario velar por el cumplimiento de los reglamentos en vigor y recopilar información sobre los resultados en salud y la calidad de la atención antes de que el estado implique aun más a estos hospitales en la prestación de servicios obstétricos. [ABSTRACT FROM AUTHOR]

Early identification and management of treatment failure on highly active antiretroviral therapy (HAART) is crucial in maintaining a sustained response to therapy in HIV infection. However, HIV viral load (VL) and resistance testing, and second-line HAART regimens, are unaffordable to many patients in India, leaving them with limited treatment options. Predictors and reasons for antiretroviral switching, therefore, are likely to differ in settings of varying resources. A one-year, observational study of patients receiving antiretroviral therapy was conducted in a private, non-profit hospital in Bangalore. This paper examines the predictors and consequences of antiretroviral treatment switching in this setting and explores reasons for switching in a subset of patients. Data on demographics, drug regimens, adherence, and physical and psychosocial outcomes were collected quarterly. Tests of VL and CD4 cell counts were performed every six months. One-third of the patients switched therapy during the study period. Baseline predictors of switching included lower CD4 cell counts and more physical symptoms. Contrary to studies in other settings, a high VL did not predict treatment switching, and only a minority of those experiencing drug failure were switched to second-line regimens. Both groups (switchers and non-switchers) improved significantly over time with respect to CD4 counts and psychological well-being, and showed a reduction in physical and depressive symptoms. Any differences between the groups were no longer significant at the end of the study, once we controlled for baseline levels. Clinical, policy, and research implications of these findings are discussed within the context of resource-limited settings. [ABSTRACT FROM AUTHOR]

This paper attempts to provide a comprehensive review of research works in the library and information science (LIS) discipline in India during 1957–2009 in order to identify trends and patterns in doctoral research, both at the national level and within the Department of Library and Information Science, Panjab University, Chandigarh (PU). Research in LIS by PhD students in India was a sporadic activity for about two decades increasing slowly until around 1980, when it increased by more than five times during the 1980s. In the 1990s, the number of PhD theses more than doubled (from 104 to 232). The growth slowed during the next decade, during which 266 theses were completed. The 1990s recorded a rapid growth in both the number of doctoral degrees awarded and the geographic spread of universities/institutes offering doctoral degree programmes in the country. The new millennium recorded continued growth; more than two-fifths of total doctoral degrees were awarded in the first nine years (2001–2009). This growth in doctoral degrees was fueled by parity in pay-scales and promotional avenues accorded by the University Grants Commission to library science professionals, bringing them in line with university teachers at time of the Fourth Pay-Commission. Seventy universities awarded 623 degrees in library science during 1957–2009 giving an average of about nine degrees per university. Nevertheless, there were wide inter-state and inter-university variations. The number varied from a high of 58 degrees by Karnatak University, Dharwad to a low of one degree each in at least nine universities. Research in the LIS discipline in India was characterized by a replication of the themes already researched in foreign universities, a lack of diversification in research themes, a dearth of research on themes dealing with conceptual and methodological issues, and a decline in the quality of research with an increase in quantity of research works. Sub-fields, such as library use studies and user studies, university libraries, public libraries, information storage and retrieval, personnel and bibliometrics were among the most popular research topics, their combined share being more than two-fifths in total research works awarded during the study period. The open access system, repository system and digital libraries were emerging themes; however, some people consider the research to be conceptually and methodologically weak, requiring immediate attention. With forty-one doctoral degrees to its credit, PU is one of the three top universities in India in terms of the number of doctoral degrees awarded. Similar to the trends at the national level, progress remained slow up until 1980 and picked up rapidly during the 1990s. The new millennium brought a phase of rapid growth, with more than two-fifths of total doctoral degrees awarded in the last nine years. With one year remaining, the current decade is likely to make a new history in library science at PU. Thematically, while only about two-fifths of the research sub-fields explored in PhD dissertations at the national level have been examined so far at PU, the diversity of sub-fields and the focus on emerging themes were more marked at PU than at the national level. Diversity of themes and use of scientific methods in research, as a marked feature of doctoral dissertations at PU in recent years, prompted one of the researchers to formulate as many as twenty hypotheses for empirical testing. Interestingly, six of the ten theses awarded between 2000 and 2003 in the department contained themes either focusing on Iran or comparing Iran with India. This was indicative of the department’s popularity with foreign students, especially Iranians. Another interesting feature was that two of the teachers in the department supervised more than a half of the total PhD theses awarded up to 2009. [Copyright &y& Elsevier]

The Indian Journal of Psychiatry published three articles in its first issue way back in 1958. Since then, it has steadily published more than 200 papers on one or the other aspect of schizophrenia. From rudimentary research methodology and descriptive approach, schizophrenia research, as published in the Journal, seems to have come of age with more and more sophisticated research designs and methodologies. Our ardent researchers have made significant contributions in the understanding of this riddle called schizophrenia. Notable contributions have been made in the field of epidemiology, course and outcomes and phenomenology of this disorder. However, research in psycho-social rehabilitation of schizophrenia and related areas is sparse and sporadic. The need to conduct research that impacts health policies and planning of services for this disorder is evident and our researchers would do well to provide impetus in these areas. [ABSTRACT FROM AUTHOR]

The paper analyses India's publications output in three major international multidisciplinary databases, as indexed during 1981-2005. It reports on India's comparative strength in world science and technology (S&T) output, its growth and decline, its strong and weak subject areas of research, media of communication, its collaborative profile and quality of S&T output, institutional productivity and quality, and dynamics of Indian research at institutional and sectoral levels. The study also provides suggestions for improving the quantity and quality of research S&T in India. [ABSTRACT FROM AUTHOR]

In India, care seeking for reproductive health among women is inadequate. This poses a unique challenge to researchers recruiting cohorts for studies in clinic-based settings. The purpose of this paper is to describe the recruitment process used in a prospective cohort study investigating the relationship between bacterial vaginosis and acquisition of HSV-2 among sexually active women in Mysore, India. Participants were initially recruited from an obstetrics/gynaecology outpatient clinic. Results were compared with a 'community supported' enrolment process, which included community preparation and reproductive health education followed by screening of potential participants. During November 2005, 1,054 women were screened in the clinic. Of the total screened, 246 (23%) were eligible and only 78 (7%) enrolled. Between December 2005 and April 2006, investigators adopted a community supported enrolment process. During that period, 1,077 potential participants were screened, 947 were eligible, and 918 (85%) enrolled. Fifty-six (72%) participants recruited from the clinic returned for their first follow-up visit, compared with 795 (97%) participants recruited using the community supported enrolment process. Since obstetrics/gynaecology departments in India are poor places to recruit non-pregnant women of reproductive age, a community supported process yields more eligible potential participants to screen, and results in significantly better study retention. [ABSTRACT FROM AUTHOR]

This paper is an edited version of a presentation given at the IGPA Conference in June 2005 in Malta. The global pharmaceutical industry is undergoing enormous change characterised by pressures on the big pharmaceutical sector, the advent of biotech and the global expansion of the generics industry. Big pharma continues to face difficulties with respect to productivity and the returns generated by its R&D. However, growth of the generic industry is forecast to remain strong, as a result of burgeoning healthcare costs facing governments around the world and the global ageing population, leading to increased need for more affordable medicines. Against this background, India is emerging as one of the major centres for global pharma, whether it be in drug discovery and its related aspects or in the development of generic medicines. Until recently India was scarcely in the forefront, but today it is increasingly being considered as providing unique competitive advantages in R&D and manufacturing. If India utilises these advantages optimally the result will be significant benefits to patients both in terms of innovative and newer medicines and more affordable alternatives around the world. [ABSTRACT FROM AUTHOR]

Recently, Spatial Data Infrastructures (SDIs) has been a rapidly expanding field and broadly assumed to underpin the development of information society and the knowledge economy. In this paper, we argue that the anticipated benefits of SDIs have largely not yet been generally realized in practice due to a lack of a robust theoretical framework as well as insufficient empirical research to guide the implementation efforts. We posit that learnings from the allied discipline of Information Infrastructures, which has matured during the 1990s in response to the proliferation of distributed, complex, and heterogeneous networked systems, can provide a useful theoretical lens to inform the emerging domain of SDIs. We focus on three key concepts identified in the domain of information infrastructure theory, viz. the installed base , reflexive standardization , and cultivation approach to design , to develop a theoretical framework, which is then applied to analyse the ongoing initiative to establish National Spatial Data Infrastructure (NSDI) in India. This analysis helps us to provide the basis to articulate a potential research agenda—for both theory and practice—which, we believe, offers the promise to better conceptualize and implement SDIs, particularly in developing country settings like India. [ABSTRACT FROM AUTHOR]

The Abortion Assessment Project—India, begun in August 2000, is one of the largest studies on abortion ever undertaken in India. This article synthesises the findings of the six facility surveys, two community-based surveys, eight qualitative studies, policy review and commissioned working papers that were produced as part of the project by researchers from across India. Public investment in abortion services nationally was found to be grossly inadequate. 75% of facilities were found in the private sector in the six states and were overwhelmingly perceived to give better services. Although some important changes were made in the 1971 Medical Termination of Pregnancy Act related to clinic certification and medical abortion, further changes during the second phase of the government's Reproductive and Child Health Programme are recommended, based on this research and state and national-level consultations organised by the project. These include integrating abortion services into primary and community health centres, increased investment in public facilities, promoting use of vacuum aspiration and medical abortion, convincing providers to stop using curettage, broadening the base of abortion providers by training paramedics to do first trimester abortions, and reskilling traditional providers to play alternative roles that support women's access to safe abortion services. Le projet d'évaluation lancé en ao 2000 est l'une des plus vastes études sur l'avortement jamais entreprises en Inde. Cet article synthétise les conclusions de six enquÁtes dans les centres, deux enquÁtes communautaires, huit études qualitatives, une étude des politiques et des documents de travail produits dans le cadre du projet par des chercheurs de tout le pays. Le financement public des services d'avortement au niveau national s'est révélé insuffisant et dans six Átats, 75% des installations appartenaient au secteur privé ; une écrasante majorité considérait qu'elles offraient de meilleurs services. Bien que la Loi de 1971 sur l'interruption de grossesse ait été modifiée en rapport avec l'agrément des centres et l'avortement médicamenteux, de nouveaux changements pendant la deuxième phase du Programme gouvernemental de santé génésique et infantile sont recommandés, sur la base de cette recherche et des consultations aux niveaux national et des Átats organisées par le projet. Il faudrait notamment intégrer les services d'avortement dans les centres de soins de santé primaires et communautaires, investir davantage dans les équipements publics, promouvoir l'avortement médicamenteux et par aspiration et convaincre les prestataires de cesser l'utiliser le curetage, élargir la base des praticiens en formant le personnel paramédicalàréaliser des avortements pendant le premier trimestre, et former les praticiens traditionnels afin qu'ils soutiennent l'accès des femmesàdes services d'avortement s»r. El Proyecto de Evaluación de Aborto iniciado en agosto de 2000, es uno de los estudios más extensos sobre aborto en la India. En este artáculo se sintetizan los resultados de las seis encuestas efectuadas en establecimientos de salud, dos encuestas comunitarias, ocho estudios cualitativos, revisión de poláticas y documentos de trabajo encargados producidos por investigadores de toda la India. Se encontró que la inversión pública en los servicios nacionales de aborto es insuficiente y que el 75% de los establecimientos de salud se encuentran en el sector privado, y la gran mayoráa percibe que éstos prestan mejores servicios. A pesar de los cambios en la Ley de Interrupción Médica del Embarazo de 1971 realizados con relación a la certificación clánica y al aborto con medicamentos. Se recomienda realizar más cambios durante la segunda fase del programa gubernamental de Salud Reproductiva e Infantil, conforme a esta investigación y a las consultas estatales y nacionales organizadas por el proyecto. Entre ellos figuran integrar los servicios de aborto a los centros de salud de primer nivel y de la comunidad, aumentar la inversión en los establecimientos públicos, promover el uso de la aspiración endouterina y el aborto con medicamentos. Convencer a los proveedores de abandonar el uso del curetaje, ampliar la base de proveedores capacitando a paramédicos en la práctica de aborto en el primer trimestre, y ampliar las funciones de los proveedores tradicionales para apoyar a las mujeres en su acceso a los servicios de aborto seguro. [ABSTRACT FROM AUTHOR]

Adolescents develop food habits that affect both their present and future health. Underpinned by the stakeholder theory, this study was designed to explore the perspective of parents and nutrition educators regarding urban Indian adolescents' food habits. Thirty-two educators and 280 parents from five independent, English-speaking, secondary schools in Kolkata, India completed a paper-based instrument consisting of both closed and open-ended measures. Qualitative data were subjected to thematic analysis informed by the Template Analysis Technique. Descriptive and cross-tabulation analyses were employed to assess quantitative data. Three quarters (75%) of the respondents were dissatisfied with the ubiquitous consumption of energy-dense, nutrient-poor foods and sugar-sweetened beverages as well as the low intakes of healthy foods like fruits and vegetables among urban Indian adolescents. Six reasons were advanced for such unhealthy consumption including i) Proliferation of fast food retail outlets; ii) Hyper-palatability of fast food; iii) Marketing of fast food on electronic and social media; iv) Diminished household cooking practices; v) Lack of food knowledge; vi) Tendency to seek peer group acceptance. Both parents and educators suggested some healthy eating strategies aimed at improving the food and nutrition situation in Indian secondary schools to foster healthy eating among pupils. These included: i) Restrictions on the sale of unhealthy foods in school canteens; ii) Increased availability of attractive and palatable nutritious foods; iii) Discussion of the advantages of consuming healthy foods and inclusion of food preparation techniques in the school curriculum; iv) Home Economics coursework to be made mandatory for students. The findings suggest that Indian parents and teachers are likely to support changes to the food and nutrition curricula and to school food provision to foster healthy eating among adolescents. [ABSTRACT FROM AUTHOR]

Background: This paper explores the heterogeneities in antenatal care (ANC) utilization in India's most populated state, Uttar Pradesh. Taking an intersectionality lens, multiple individual- and district-level factors are used to identify segments of any antenatal care usage in Uttar Pradesh Objective: This paper seeks to understand the multilevel contexts of ANC utilization. The planning and programming challenge is that such knowledge of contextual specificity is rarely known upfront at the initial stages of planning or implementing an intervention. Exploratory data analysis might be needed to identify such contextual specificity. Methods: Tree-structured regression methods are used to identify segments and interactions between factors. The results from the tree-structured regression were complemented with multilevel models that controlled for the clustering of individuals within districts. Results: Heterogeneities in utilization of any ANC were observed. The multiple segments of ANC utilization that were developed went from a low utilization of 23.7% for respondents who were not literate and did not have home ownership to a high of 82.4% for respondents who were literate and at the highest level of wealth. Key variables that helped define the segments of ANC utilization include: woman's literacy, ownership of home, wealth index, and district-level sex ratio. Based on the multilevel model of any ANC utilization, cross-level interactions also were obtained between sex ratio and ownership of home as well as between sex ratio and literacy. Increases in sex ratio increased the influence of ownership of home on any ANC, while increases in sex ratio reduced the impact of woman's literacy on receiving any ANC. Conclusion: We argue that a focus on heterogeneous segments of utilization can help build knowledge of the mechanisms that underlie inequities in maternal health utilization. Such knowledge of heterogeneity needs to be incorporated in contextualizing interventions to meet a variety of recipients' needs. [ABSTRACT FROM AUTHOR]

Background: The Global Fund encourages operational research (OR) in all its grants; however very few reports describe this aspect. In India, Project Axshya was supported by a Global Fund grant to improve the reach and visibility of the government Tuberculosis (TB) services among marginalised and vulnerable communities. OR was incorporated to build research capacity of professionals working with the national TB programme and to generate evidence to inform policies and practices. Objectives: To describe how Project Axshya facilitated building OR capacity within the country, helped in addressing several TB control priority research questions, documented project activities and their outcomes, and influenced policy and practice. Methods: From September 2010 to September 2016, three key OR-related activities were implemented. First, practical output-oriented modular training courses were conducted (n = 3) to build research capacity of personnel involved in the TB programme, co-facilitated by The Union, in collaboration with the national TB programme, WHO country office and CDC, Atlanta. Second, two large-scale Knowledge, Attitude and Practice (KAP) surveys were conducted at baseline and mid-project to assess the changes pertaining to TB knowledge, attitudes and practices among the general population, TB patients and health care providers over the project period. Third, studies were conducted to describe the project's core activities and outcomes. Results: In the training courses, 44 participant teams were supported to develop research protocols on topics of national priority, resulting in 28 peer-reviewed scientific publications. The KAP surveys and description of project activities resulted in 14 peer-reviewed publications. Of the published papers at least 12 have influenced change in policy or practice. Conclusions: OR within a Global Fund supported TB project has resulted in building OR capacity, facilitating research in areas of national priority and influencing policy and practice. We believe this experience will provide guidance for undertaking OR in Global Fund projects. [ABSTRACT FROM AUTHOR]