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Given its continent-like diversity, India’s epidemiological, nutritional, and demographic transitions are occurring in a staggered fashion, with high state-level variances. In many parts of the country, high rates of undernutrition co-exist with equally high and increasing rates of overweight and obesity. Further, the incidence of non-communicable diseases (NCDs) as a leading cause of mortality is increasing, even as the communicable, maternal, neonatal and nutritional causes (or the “Millennium Development Goals (MDG) conditions”) are coming down. Indeed, India has witnessed inconsistent progress towards the MDGs, and even in states where absolute levels of “MDG conditions” are still high, the NCD proportion is growing rapidly. The imperative is for a realignment of policy responding to fast-changing subnational realities, through greater integration between health and nutrition policy at every level of governance.
The COVID-19 pandemic has brought to light the importance of not only improving the resilience of health systems to crises but also of ensuring their long-term sustainability. The Partnership for Health System Sustainability and Resilience (PHSSR) was established in 2020 with the goal of building more sustainable and resilient health systems around the world. One of the key objectives of PHSSR is to build knowledge, understanding, and consensus on the dimensions of health system sustainability and resilience, and how they can be improved. To achieve this goal, PHSSR focuses on seven key domains: Governance: the wide range of steering and rule-making related functions carried out by governments and decision-makers as they seek to achieve national health policy objectives. Financing: how health systems generate, pool, and allocate financial resources and pay for health services. Workforce: how health systems plan for, train, recruit, reward, and deploy their workforce, and shape the conditions in which health professionals work. Medicines and Technology: how health systems make use of medicines and (information) technologies in the delivery of health services. Service Delivery: how health services are organised and delivered, including ambulatory and hospital care, and public health. Population Health: how health systems address the social determinants of health and meet the needs and demands of the population. Environmental Sustainability: how health systems prevent and minimise their carbon footprint and the impacts of pollution on the population’s health. By examining each of these domains, PHSSR seeks to identify strengths, weaknesses, opportunities, and threats to health systems and to generate evidence-informed solutions and policy recommendations to improve sustainability and resilience.
In India, a country with a vast population and a diverse socio-economic fabric, healthcare remains fraught with challenges including disparities in access. These socio-economic disparities are deep, and they influence health outcomes. It is imperative to bridge these gaps amid the ongoing epidemiological, nutritional and demographic transitions that are bringing about massive challenges in healthcare. Cancer, for example, has emerged as a significant cause of mortality across the country. The impact of cancer in India transcends health and affects the economic and social spheres of people’s lives. A key aspect of this challenge is the financial burden borne by families dealing with the illness: According to the latest available data from 2018, out-of-pocket (OOP) expenditure accounts for over 50 percent of total health spending.[1] This financial burden is exacerbated by inequities in access to and the affordability of cancer treatment.
A study of farmers' gamble with cotton in Vidarbha, India by relying on historical research and 12 years of longitudinal study.
Today’s India is bold and ambitious, seeing eye-to-eye with the Global North. It is a nation that has big dreams and works hard to achieve those dreams. This volume is a tribute to the India that has traversed a long way over the last 75 years and aspires to reach even greater milestones. It is also a tribute to the millennial India that understands its priorities for the next 25 years and is gearing up to face and overcome its challenges. Azadi Ka Amrit Mahotsav is the government’s initiative to celebrate and commemorate 75 years of India’s independence and the glorious history of its people, cultures, and achievements. Yet, it is not merely a celebration of the India of yore, but of the aspirational and ambitious India of the present and future. It is in this context that this compendium discusses the 10 policies that will shape the future sustainable India. During the 2021 Independence Day celebration, Prime Minister Narendra Modi used the term Amrit Kaal to delineate India’s development pathway over the next 25 years. “The fulfilment of our resolutions in this Amrit period will take us to the hundredth anniversary of Indian independence with pride,” he stated.[1] This compendium, Amrit Mahotsav: 10 Policies Shaping a Sustainable India, aims to celebrate the 75 years of Indian independence (the Amrit Mahotsav) and is a tribute to the India that will traverse the next 25 years of its development armed with crucial policies that will address enduring challenges and shape a more sustainable future for the country and its people.
This volume focuses on indigenous knowledge in analyzing the traditions and communication processes within various communities of Northeast India. It deals with the historical and theoretical trajectory of communication for social change as a discipline, bringing together a series of interesting case studies from the sphere of meaningful learning where individuals and communities engage in a cooperative and dialogic environment to promote change at multiple levels. The case studies cover a range of media - radio, video, ‘forum theatre’ - and considers both practitioners and audiences. The authors’ focus on narration, diversity, participation, and interaction is timely, and expands knowledge relating to these areas by linking them in new ways. It is of interest to an academic audience as well as practitioners researching and working in areas of education, communication, community development, and social work.
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
The increasing prevalence and burden of obesity transcends borders, straining populations worldwide. Data shows that 50 million girls, 74 million boys, 390 million women, and 281 million men were estimated to have obesity in 2016 (NCD-RisC, 2017). The National Academies of Sciences, Engineering, and Medicine convened a workshop on October 9, 2018 to address the status of the global obesity pandemic and discuss diverse approaches to manage this problem. Speakers examined the collective prevalence, costs, and drivers of obesity around the world using cross-cultural comparisons. Panels and group discussions emphasized the need to reduce disparities in prevention and treatment efforts and to generate new policy and system initiatives related to nutrition and physical activity worldwide. This publication summarizes the presentations and discussions from the workshop.
"The prevalence of child undernutrition in India is among the highest in the world, nearly double that of Sub-Saharan Africa, with dire consequences for morbidity, mortality, productivity and economic growth. Drawing on qualitative studies and quantitative evidence from large household surveys, this book explores the dimensions of child undernutrition in India and examines the effectiveness of the Integrated Child Development Services (ICDS)program, India's main early child development intervention, in addressing it. Although levels of undernutrition in India declined modestly during the 1990s, the reductions lagged behind those achieved by other countries with similar economic growth. Nutritional inequalities across different states and socioeconomic and demographic groups remain large. Although the ICDS program appears to be well-designed and well-placed to address the multi-dimensional causes of malnutrition in India, several problems exist that prevent it from reaching its potential. The book concludes with a discussion of a number of concrete actions that can be taken to bridge the gap between the policy intentions of ICDS and its actual implementation."