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Using Misoprostol for Primary versus Secondary Prevention of Postpartum Haemorrhage – Do Costs Matter?

Background Postpartum heammorrhage (PPH), defined as blood loss greater than or equal to 500 ml within 24 hours after birth, is the leading cause of maternal deaths globally and in India. Misoprostol is an important option for PPH management in setting where oxytocin (the gold standard for PPH prevention and treatment) in not available or not feasible to use. For the substantial ...

Health systems research in the time of health system reform in India: a review

Background Research on health systems is an important contributor to improving health system performance. Importantly, research on program and policy implementation can also create a culture of public accountability. In the last decade, significant health system reforms have been implemented in India. These include strengthening the public sector health system through the National ...

When do vertical programmes strengthen health systems? A comparative assessment of disease-specific interventions in India

Objective Disease-specific programmes have had a long history in India and their presence has increased over time. This study has two objectives: first, it reports on the interaction between local health systems and key disease-specific programmes in India—National AIDS Control Program (NACP) (HIV/AIDS), Revised National Tuberculosis Control Program (RNTCP) (TB) and National Vector ...

Insured yet vulnerable: out-of-pocket payments and India’s poor

Renu Shahrawat 1 Krishna D Rao 0 0 Public Health Foundation of India , New Delhi, India 1 National Institute of Health and Family Welfare , New Delhi, India Protecting households from high out-of

So many, yet few: Human resources for health in India

Background In many developing countries, such as India, information on human resources in the health sector is incomplete and unreliable. This prevents effective workforce planning and management. This paper aims to address this deficit by producing a more complete picture of India’s health workforce. Methods Both the Census of India and nationally representative household surveys ...

Rural Clinician Scarcity and Job Preferences of Doctors and Nurses in India: A Discrete Choice Experiment

The scarcity of rural doctors has undermined the ability of health systems in low and middle-income countries like India to provide quality services to rural populations. This study examines job preferences of doctors and nurses to inform what works in terms of rural recruitment strategies. Job acceptance of different strategies was compared to identify policy options for ...

For more than love or money: attitudes of student and in-service health workers towards rural service in India

Background While international literature on rural retention is expanding, there is a lack of research on relevant strategies from pluralistic healthcare environments such as India, where alternate medicine is an integral component of primary care. In such contexts, there is a constant tug of war in national policy on “Which health worker is needed in rural areas?” and “Who can, ...

Embedding health policy and systems research into decision-making processes in low- and middle-income countries

Attention is increasingly directed to bridging the gap between the production of knowledge and its use for health decision-making in low- and middle-income countries (LMICs). An important and underdeveloped area of health policy and systems research (HPSR) is the organization of this process. Drawing from an interdisciplinary conception of embeddedness, a literature review was ...

An experiment with community health funds in Afghanistan

As Afghanistan rebuilds its health system, it faces key challenges in financing health services. To reduce dependence on donor funds, it is important to develop sustainable local financing mechanisms. A second challenge is to reduce high levels of out-of-pocket payments. Community-based health insurance (CBHI) schemes offer the possibility of raising revenues from communities and ...

A Cross-Sectional Study of the Microeconomic Impact of Cardiovascular Disease Hospitalization in Four Low- and Middle-Income Countries

capacity to pay or without more active policies to prevent or at least postpone the onset of CVD in LMIC. Steering Committee. Dorairaj Prabhakaran, Stephen Leeder, K. Srinath Reddy, Krishna D. Rao, Andres ... , Krishna D. Rao , Poornima Prabhakaran , Shifalika Goenka , Mark D. Huffman , K. Srinath Reddy , Dorairaj Prabhakaran . Centre Staff. Juan Calcagno, Joaqun Caporale , Shaoli Niu , Li Yan , Jing Liu , K.R